NC0036196_application_20200203

ROY COOPER
cmetnor
MICHAEL S. REGAN
Sccrrrary
LINDA CULPEPPER
Plrot for
City of Newton
Attn: Eric Jones, WWTP Supt.
PO Box 5SO
Newton, NC 28658
Subject: Permit Renewal
Application No. NCO036196
Clark Creek WWTP
Catawba County
Dear Applicant:
NORTH CAROLINA
Enplronmenral Qualify
February 03, 2020
The Water Quality Permitting Section acknowledges the January 29, 2020 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 1SOB-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deg. nc.gov//permits-regulations/permit-guidance/environmental-aoolication-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sin erely
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
North Cs ro"ue Department of Env:ran menta+Qus:hy I DVVS10n of Water Resources
Mooresv: a Reg •ona:Offi e 160 Eas Center Awnue,Suite 3011 Mooresv-e, North Cero;-aa MiO
704-W3-1699

Y
NEWTON
NORTH CAROLINA
01/27/2020
NCDENR/DWQ
RECEIVED
JAN 2 9 2020
NCDEQ/DWR/NPDES
ATTN: NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: City of Newton
Clark Creek WWTP
NPDES Permit NCO036196 Renewal
To Whom It May Concern:
The City of Newton requests the renewal of permit NCO036196 based on the enclosed application.
Included in this application is the WWTP topographic map, WWTP flow schematic, testing data results,
bio-solids management plan and the toxicity testing summary. The City of Newton request that the
permit be issued with the 5.0 and 7.5 MGD limits as contained in the present permit. If you have any
questions or concerns please contact me at 828-695-4370 or 828-217-4457.
Sincerely,
4 N
Eric Jones
City of Newton
WWTP Superintendent

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED: I RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal I Catawba
FORM
2A LNPDE� FORM 2A APPLICATION OVERVIEW
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 z 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 1mgd,
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 RCRAICERCLA 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)
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
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 Clark Creek Wastewater Treatment Plant
Mailing Address PO Box 550
Newton NC 28658
Contact Person Eric Jones
Title Wastewater Treatment Plant Superintendent
Telephone Number [phone]
Facility Address 1407 McKay Road
(not P.O. Box) Newton NC 28658
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name City of Newton North Carolina
Mailing Address PO Box 550
Newton NC 28658
Contact Person E. Todd Clark
Title City Manager
Telephone Number [phone]
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.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).
NPDES N00036196 PSD
UIC Other 03197R06-Air
RCRA Other W00003902— Land Application
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if 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
City of Newton NC 13000 Sanitary Sewer Municipal
City of Conover NC 8300 Sanitary Sewer Municipal
Total population served 21300
NPDES FORM 2A Additional Information

FAGLITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Clark Creek WWTP, NCO036196 I Renewal Catawba
A.S. 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 flow rate for each of the last three years. Each years data must be based one 12-month time period
With the 12° month WINS year' occurring no more than three months prior to this application submittal.
a. Design flow rate 5.0 mgd
Two Years Ago
b. Annual average daily flow rate 1.76 MGD
Last Year
2.11 MGD
This Year
2.32 MGD
G. Maximum daily flow rate 15.06 MGD 12.05 MGD 16.5 MGD
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.B. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? ® 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
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
If yes, provide the following for each surface impoundment:
Location:
Annual average daily volume discharge to surface impoundments)
Is discharge ❑ continuous or ❑ intermittent?
G. Does the treatment works land -apply treated wastewater?
If yes, provide the following for each land application site:
pl
Location:
Number of acres:
Annual average daily volume applied to site:
Is land application ❑ continuous or ❑ intermittent?
Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works?
© No
❑ Yes
mgd
:M
mgd
❑ Yes ® No
NPDES FORM 2A Additional Information

FACT}ITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
If yes, describe the mean(s) by which the wastewaterfrom 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 ( 1
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?
NPDES FORM 2A Additional Information

Bio-solids Management Summary
City of Newton NC
Clark Creek WWTP
NPDES Permit #NC0036196
The City of Newton disposes of generated residuals from the Clark Creek WWTP
generally by its Land Application Program with a small portion being transported to the
Regional Composting Facility via the City of Conover.
The City of Conover discharges wastewater to the Clark Creek WWTP and is a vested
owner in the Regional Compost Consortium. Presently Conover is transporting
approximately 14% of the bio-solids produced at Clark Creek to the Compost Facility for
treatment and disposal.
The remainder of the bio-solids is land applied in accordance with the City of Newton
Land Application Permit.
Primary clarifier sludge and waste biological solids are pumped to an in -process gravity
thickener. Telescoping valves are utilized to decant water from the surface of the
thickener as solids settle.
If sludge is to be hauled to the Regional Compost Facility by the City of Conover, the
solids are segregated to a separate thickener and gravity thickened only.
Solids for land application are gravity thickened with the addition of lime slurry to the in -
process thickener. Thickened sludge is transferred to one of two holding thickeners
where the pH of the sludge is raised to 12.0 or greater. In two hours, the pH is again
tested to verify a pH of 12.0 or greater. After 22 more hours, a pH is again taken to
confirm a pH of 11.5 or greater to meet the requirements pathogen reduction and vector
attraction elimination. The sludge is then land applied.
Periodic, routine analyses of the bio-solids are performed as required by the Land
Application Permit.

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Clark Creek WWTP. NCO036196 Rem I Catawba
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 "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a. Outfall number
b. Location
(City or town, if applicable) (Zip Code)
(County)
35.626111
(State)
-81.231944
(Latitude)
(Longitude)
C. Distance from shore (if applicable)
(t.
d. Depth below surface (if applicable)
ft.
e. Average daily flow rate
mgd
f. 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 ouffall equipped with a diffuser?
❑ Yes ❑ No
A.10. Description of Receiving Waters.
a. Name of receiving water Clark Creek
b. Name of watershed (if known) Catawba
United States Soil Conservation Service 14-digit watershed code (if known):
C. Name of Slate Management/River Basin (if known): South Fork Catawba (03-1)
United States Geological Survey 8-digit hydrologic cataloging unit code (d known): 03050102
d. Critical low flow of receiving stream (if applicable)
acute CIS chronic cfs
e. Total hardness of receiving stream at critical low flow (if applicable): mg/I of CaCO3
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
® Primary ® Secondary
® Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design SOD5 removal or Design CBOD5 removal 95 %
Design SS removal 95 %
Design P removal %
Design N removal %
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 dechlorination used for this cuffall? ® 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 QAIQC requirements of
40 CFR Part 136 and other appropriate QAIQC 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)
8.9
S.U.
Flow Rate
16.5
MGD
2.32
MGD
1613
Temperature (Winter)
20
Degrees C
13.1
Degrees C
439
Temperature (Summer)
27
Degrees C
22.1
Degrees C
659
• For pH please report a minimum and a maximum daily value
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
MLIMDL
Cone.
Units
Conc.
Units
Numberof
METHOD
Samples
CONVENTIONAL AND NON
CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
BOD5
26.4
M /L
4.31
M /L
1102
SM5210B
2.0 m /L
DEMAND (Report one)
CBOD5
FECALCOLIFORM
60000
#/10omL
28
#/100m
1102
SM9222D
1/100mL
TOTAL SUSPENDED SOLIDS (TSS)
830
M /L
2.9
M /L
1102
SM2540D
2.5 m /L
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
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 z 0.1 mild must answer questions BA through B.6. All others go to Part C (Certification).
B.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from Inflow and/or infiltration.
gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
I&I is dependent upon local rainfall. Efforts are periodically ongoing (via testing) to identify and alleviate I&I. The City has
applied for grants for further work on W.
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.
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 oulfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within''/. mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
I. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing 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 bdef narrative description of the diagram.
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ❑ Yes ® No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number: { t
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 B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
❑ Yes ❑ No
NPDES FORM 2A Additional Information

City of Newton
N
Clark Creek W WTP
NPDES Permit NCO036196
Stream Segment: 11-129-5-(0.3) Stream Class: C
Facility Location
style not shown
River Basin: Catawba Sub -Basin A: 03.08-35
County: Catawba HUC: 0305010203
Receiving Stream: Clark Creek
SCALE
1:24,000
35.6261110,-81.2319440
USGS Quad: Newton

CHLC
BASIL
DECK
DISCHARGE TO
CLARK CREEK 001
W1111SENGINEERS
' STATION
EN
AERATED GRIT CHAMBERS
LIME ADDITION
REACTOR CLARIFIERS
i
I
I
I
RATION BASINS I
I
I
I
I
I I
I I
AY I I
is I I
I
kLOGI CAL_ I
IDGE RECYCLE PUMP STATION
I
I II I
t
R if T-0
I I
I
v
j PUMP STATION
i I
II
f
TO REGIONAL
COMPOST FACILITY
OR LAND APPLICATION
CITY OF NEWTON
CLARK CREEK WWTP
FLOW SCHEMATIC
JANUARY 2005
NO 1 949.037
SCALE 1

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
C. If the answer to B.5.b is "Yes," 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 / / / I
- Attain Operational Level ! / / I
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 analytes 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
DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Conc.
Units
Conc.
Units
Number
METHOD
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
6.9
Mg/L
0.18
Mg/L
1102
SM4500NH3D
0.1 mg/L
CHLORINE (TOTAL
RESIDUAL, TRC)
73
pg/L
9.9
pg/L
1102
SM4500CLG
10 pg/L
DISSOLVED OXYGEN
12.3
Mg/L
9.1
Mg/L
1102
SM450006
0.1 mg/L
TOTAL KJELDAHL
NITROGEN (TKN)
5.64
Mg/L
0.32
Mg/L
52
EPA351.1
0.2 mg/L
NITRATE PLUS NITRITE
NITROGEN
38.5
Mg/L
21.8
Mg/L
52
EPA353.2
0.1 mg/L
OIL and GREASE
6.0
Mg/L
2.0
Mg/L
3
EPA1664A
5 mg/L
PHOSPHORUS (Total)
1,72
Mg/L
0.83
Mg/L
52
EPA200.7
0.02 mg/L
TOTAL DISSOLVED SOLIDS
436
Mg/L
381
Mg/L
3
SM2540C
10 mg/L
JOS)
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
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 Applicat on Information packet Supplemental Application Information packet:
® Part D (Expanded Effluent Testing Data)
® Pan E (Toxicity Testing: Biomonitoring Data)
® Part F (Industrial User Discharges and RCRAICERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
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 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 Ericddnes\WTP Su edntendent
Signature
Telephone number 82g8695-4 7
lt,,, 'T.l
Date signed I I a� 9-U!/V
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:
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek \A(WTP, NCO036196
Renewal
Catawba
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
MUMDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
<50
pg/L
<50
pg/L
3
EPA624
50 pg/L
ACRYLONITRILE
<10
pg/L
<10
pg/L
3
EPA624
10 pg/L
BENZENE
<1
pg/L
<1
pg/L
3
EPA624
1 pg/L
BROMOFORM
<1
pg/L
<t
pg/L
3
EPA624
1 pg/L
CARBON
<1
pg/L
c1
pg/L
3
EPA624
1 pg/L
TETRACHLORIDE
CHLOROBENZENE
<1
pg/L
<1
pg/L
3
EPA624
1pg/L
CHLORODIBROMO-
<1
pg/L
<1
pg/L
3
EPA624
1 pg/L
METHANE
CHLOROETHANE
<5
pg/L
<5
pg/L
3
EPA624
5 pg/L
2-CHLOROETHYLVINYL
<5
pg/L
<5
pglL
3
EPA624
5 pg/L
ETHER
CHLOROFORM
3.44
pg/L
2.1
pg/L
3
EPA624
1 pg/L
DICHLOROBROMO-
218
pg/L
1.58
p9/L
3
EPA624
1 pg/L
METHANE
1,1-DICHLOROETHANE
<1
pg/L
<t
pg/L
3
EPA624
1 pg/L
1,2-DICHLOROETHANE
<1
pg/L
<1
pg/L
3
EPA624
1 pg/L
TRANS-I,2-DICHLORO-
<1
pg/L
<1
pg/L
3
EPA624
1 pg/L
ETHYLENE
1,1-DICHLORO-
<i
pg/L
<1
pg/L
3
EPA624
1 pg/L
ETHYLENE
1,2-DICHLOROPROPANE
<1
pg/L
<1
pg/L
3
EPA624
1 pg/L
1,3-DICHLORO-
<1
p9/L
c1
pglL
3
EPA624
1 pg/L
PROPYLENE
ETHYLBENZENE
<1
pg/L
<1
pg/L
3
EPA624
1 pg/L
METHYL BROMIDE
<5
pg/L
<5
pg/L
3
EPA624
5 pg/L
METHYL CHLORIDE
<5
pg/L
<5
pg/L
3
EPA624
5 pg/L
METHYLENE CHLORIDE
<1
pg/L
<1
pg/L
3
EPA624
1 pg/L
1,1,2,2-TETRA-
<i
pglL
<1
pg/L
3
EPA624
1 pg/L
CHLOROETHANE
TETRACHLORO-
<1
pg/L
<1
pg/L
3
EPA624
1 pg/L
ETHYLENE
TOLUENE
1.47
pg/L
0.49
pg/L
3
EPA624
1 pg/L
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
Clark Creek WVVfP, NCO036196
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba
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 permitting 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 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 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 forth. 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.
Ouffall number: Dot (Complete once for each ouffall 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
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY
<25
Pg/L
<25
pg/L
3
EPA200.7
25 pg/L
ARSENIC
<10
Pg/L
<10
pg/L
18
EPA200.7
10 pg/L
BERYLLIUM
<5
Pg/L
<5
pg/L
3
EPA200.7
5 pg/L
CADMIUM
<2
Pg/L
<2
pg/L
21
EPA200.7
2 pg/L
CHROMIUM
<5
Pg/L
<5
pg/L
21
EPA200.7
5 Pg/L
COPPER
13
Pg/L
7.85
pg/L
21
EPA200.7
2 pg/L
LEAD
<10
Pg/L
<10
pg/L
21
EPA200.7
10 pg/L
MERCURY
19.9
ng/L
3.03
ng/L
16
EPA1631
1 ng/L
NICKEL
16
pg/L
2.04
pg/L
21
EPA200.7
10 pg/L
SELENIUM
<10
pg/L
<10
pg/L
21
EPA200.7
10 pg/L
SILVER
<5
pg/L
<5
pg/L
21
EPA200.7
5 pg/L
THALLIUM
-
pg/L
-
pg/L
0
EPA200.7
5 pg/L
ZINC
68
pg/L
35.4
pg/L
21
EPA200.7
10 pg/L
CYANIDE
<5
pg/L
<5
pg/L
21
EPA335.4
5 pg/L
TOTAL PHENOLIC
COMPOUNDS
27
Pg/L
9
pg/L
3
EPA420.1
10 pg/L
HARDNESS (as CaCO3)
176
Mg/L
150
Mg/L
18
EPA2340C
1 mg/L
Use this space (or a separate sheet) to provide information on other metals requested by the permit wrier
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
✓ Clark Creek VVVVfP, NCO036196
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United Stales.)
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
<t
pg/L
<1
pg/L
3
EPA624
1 pg/L
1,1,2-
TRICHLOROETHANE
<1
p9/L
<1
pg/L
3
EPA624
1 pg/L
TRICHLOROETHYLENE
<t
pg/L
<1
pg/L
3
EPA624
1 pg/L
VINYL CHLORIDE
<5
pg/L
<5
pg/L
3
EPA624
5pg/L
Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer
ACID -EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL
-
pg/L
pg/L
0
EPA625
10 pg/L
2-CHLOROPHENOL
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
2,4-DICHLOROPHENOL
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
2,4-DIMETHYLPHENOL
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
4,6-DINITRO-0-CRESOL
-
pg/L
-
pg/L
0
EPA625
50 pg/L
2,4-DINITROPHENOL
<50
pg/L
<50
pg/L
3
EPA625
50 pg/L
2-NITROPHENOL
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
4-NITROPHENOL
<50
pg/L
<50
pg/L
3
EPA625
50 pg/L
PENTACHLOROPHENOL
<50
pg/L
<50
pg/L
3
EPA625
50 pg/L
PHENOL
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
2,4,6-
TRICHLOROPHENOL
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
ACENAPHTHYLENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
ANTHRACENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
BENZIDINE
<50
pg/L
<50
pg/L
3
EPA625
50 pg/L
BENZO(A)ANTHRACENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
BENZO(A)PYRENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
NPDES FORM 2A Additional Information

FAC<JLITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
VW Clark Creek VfP, NCO036196
Renewal
Catawba
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
METHOD
MUMDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
Samples
3,4 BENZO-
-
pg/L
-
pg/L
0
EPA625
10 pg/L
FLUORANTHENE
BENZO(GHI)PERYLENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
BENZO(K)
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
FLUORANTHENE
BIS (2-CHLOROETHOXY)
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
METHANE
BIS (2-CHLOROETHYL)-
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
ETHER
BIS (2-CHLOROISO-
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
PROPYL)ETHER
BIS (2-ETHYLHEXYL)
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
PHTHALATE
4-BROMOPHENYL
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
PHENYLETHER
BUTYL BENZYL
-
pg/L
-
pg/L
0
EPA625
10 pg/L
PHTHALATE
2-CHLORO-
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
NAPHTHALENE
4-CHLORPHENYL
c10
pg/L
c10
pg/L
3
EPA625
10 pg/L
PHENYLETHER
CHRYSENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
DI-N-BUTYL PHTHALATE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
DI-N-OCTYL PHTHALATE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
DIBENZO(A,H)
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
ANTHRACENE
1,2-DICHLOROBENZENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
1,3-DICHLOROBENZENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
1,4-DICHLOROBENZENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
3,3-DICHLORO-
<50
pg/L
<50
pg/L
3
EPA625
50 pg/L
BENZIDINE
DIETHYL PHTHALATE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
DIMETHYL PHTHALATE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
2,4-DINITROTOLUENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
2,6-13INITROTOLUENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
1,2-DIPHENYL-
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
HYDRAZINE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
J
Clark Creek WWTP, NCO036196
Renewal
Catawba
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
MLlMDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
FLUORANTHENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
FLUORENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
HEXACHLOROBENZENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
HEXACHLORO-
<10
p0/L
<10
pg/L
3
EPA625
10 pg/L
BUTADIENE
HEXACHLOROCYCLO-
<50
pg/L
<50
pg/L
3
EPA625
50 pg/L
PENTADIENE
HEXACHLOROETHANE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
INDENO(1,2,3-CD)
<10
pglL
<10
pg/L
3
EPA625
10 pg/L
PYRENE
ISOPHORONE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
NAPHTHALENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
NITROBENZENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
N-NITROSODI-N-
<10
pglL
<10
pg/L
3
EPA625
10 pg/L
PROPYLAMINE
OSODI-
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
METHYLAMINE
METHY
N-NITROSODI-
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
PHENYLAMINE
PHENANTHRENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
PYRENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
1,2,4-
TRICHLOROBENZENE
<10
pg/L
<10
pg/L
3
EPA625
10 pg/L
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 infonnallon 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
Be advised that the maximum mercury result was due to the contract lab's double
preservation of the sample.
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
J
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
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 greaterthan 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.
• Al 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/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Pall 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 biomoniloring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
EA. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
® chronic ❑ acute Summary Attached: 4 Fathead Minnow, Multi -concentration. 18 Cerlodaphnia, Chronic PASSIFAIL
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 lest (where each species constitutes a test). Copy this page If more than three tests are being reported.
Test number. Test number. Test number:
a. Test information.
Test Species & test method number
Age at initiation of test
Ouffall number
Dates sample collected
Date test started
Duration
b. Give toxicity test methods followed.
Manual title
Edition number and year of publication
Page number(s)
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfecton
After disinfection
After dechlorination
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
Clark Creek WWTP, NCO036196
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba
Test number: Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
Flow -through
h. Source of dilution water. If laboratory water, specify type; g receiving water, specify source.
Laboratory water
Receiving water
i. Type of dilution water. If salt water, specify "natural' or type of artificial sea salts or brine used.
Fresh water
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Salinity
Temperature
Ammonia
Dissolved oxygen
I. Test Results.
Acute:
Percent survival in 100%
effluent
%
%
LCW
95% C.I.
%
%
%
Control percent survival
°/a
%
%
NPDES FORM 2A Additional Information

Other (describe)
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
~ Clark Creek WWTP, NCO036196
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba
Chronic:
NOEC
%
%
%
ICa
%
%
%
Control percent survival
%
%
%
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Was reference toxicant lest within
acceptable bounds?
What date was reference toxicant 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: (MWDD/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.
NPDES FORM 2A Additional Information

Toxicity Summary
Method 1: North Carolina Ceriodaphnia Chronic PASS/FAIL Reproduction Toxicity Test
w/56%
Method 2: Chronic Fathead Minnow Multi -concentration Test
Week of:
Results: PASS/FAIU%
Method
9/14/2015
PASS
11 1
12/7/2015
PASS
1
2/29/2016
PASS
1
6/13/2016
PASS
1
9/12/2016
PASS IF
1
12/5/2016
1 PASS
1
3/18/2017
1 PASS
1
6/17/2017
PASS
1
9/11/2017
PASS
I 1
12/11 /2017 =1
PASS
1
3/12/2018
PASS
1
6/11 /2018
PASS
1
9/10/2018
PASS
1
12/3/2018
PASS
1
3/18/2019
PASS
1
3/18/2019
>100
2
6/17/2019
PASS
1
6/17/2019
>100
2
9/9/2019
PASS
1
9/9/2019
> 100
2
12/9/2019
PASS
1
12/9/2019
> 100
2

C ToX
q)Zo15 - IZ.f 2ot�1
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 09/24/15
Facility: CITY OF NEWTON NPDES#: NCO036196 Pipe#: 001 County: CATAWBA
Test: MERITECH LABS, INC.
Comments:
Sig -nature -of L oratory Supervisor ..1.._._* PASSr.D;_-0.91%Reduction _L__]
�
Water Sciences Section - Aquatic
Work Order: Toxicology Branch
- MAIL ORIGINAL TO:
Division of Water Resources
1623 Mail Service Center 621
North Carolina Ceriodaphnia Ral kh. N.C'.27699-1623
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -0.285
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -0.91
Mortality Avg.Repro
# Young Produced 25127128 26 27 27 25 31 27 26 30 29
0.00 27.50
Control Controld.
Adult (L) ive (D) ead 'L L L IL IL L IL' L IL IL IL IL-
0.00 27.75
Treatment 2 Treatment 2
Effluent %: 50
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 it 12 Control CV
6.669% PASS FAIL
# Young Produced 29 32 28 30 24 30 25 25 28 29 27 26 % control orga
cing
Adult (L)ive (D)ead L L L IL L L L L IL L L L rodu100% 3rd
gbrood Check One
1st sample 1st sample 2nd sample Complete This For. Either Test
g Test Start Date: 09/16/15
Control 7.78 7.82 7.86 7.99 7.99 8.01 Collection (Start) Dater
Sample 1: 09/14/15 Sample 2: 09/16/15
Treatment 2 7.90 8.02 8.02 8.23 8.05 1 lr.�o 9 Sample Type/Duration
1st
s s s r
Comp. Duration D
t e t e t e I S
a n a n a n Sample 1X 23.9 hrs L A
r d r d r d U M
t t t Sample 2X 24 hrs T P
1st sample 1st sample 2nd sample
D.O. ardness(mg/1) 42 CCCCC:::7:
Control 7.85 7.67 7.88 7.88 8.02 8.00 ...
Spec. Cond.(pmhos) 144 574
Treatment 2 7.99 7.71 7.92 7.76 7.95 7.94
Chlorine(mg/1) 10.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ...... 1.2
(Mortality expressed as %, combining replicates)
Note: Please
Concentration Complete This
Section Also
%
%
%
%
%
%
%
%
%
%
Mortality
start/en
L50 = %
95% Con i once Limits
Method of Determination
Moving Average Probit
% -- %
Spearman Kerber = Other
d start/end
Control
High
Conc.
D.O.
2nd
P/F
S
A
M
P
602
<0.1
0.9
Organism Tested: Ceriodaphnia dubia
Copied from DWQ form AT-1 (3/87) rev.
Duration(hrs):
11/95 (DUBIA ver. 4.41)

Effluent.Toxicity Report Form - Chronic Pass/Fail and Acute LC56 Date: 12/.16/15
Facility: CITY OF NEWTON NPDES#: LICO030196 Pipe#: 001 County: CATAWBA
taborato erf onopg Test: R & A UNBORATORIES, INC.
Comments: Final Effluent
X "-
S grid re rator-in Responsible C arge 12683-01
s:Lq&&tyre`"ofG0.boratory supervisor --- I * PASSED: 1.09b Reduction
Hork Order: 12481-01 Environmental Sciences Branch '
MAIL ORIGINA7j TO: Div. of Environmental Management
N.C. Dept. of ZMR
' - 1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
'Chronic Pass/Fail Reproduction Tonicity Test
'ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 21 12
# Young Produced
22
23
21
25
21
23
24
23
22
23
22
24
Adult (L) ive (D) ead
L
L
L
L
L
i
IL
IL
L
L
L
L
L'
?£fluent *: 56-W
CREATMENT 2 ORGANISMS 1 2 3 4 S 6 7 8 9 10 11 12
# Young Produced I121125124123125122121122123i2T!23122
Adult Wive (D)ead IIr IL IL IL IL IL IL L L L IIL �L
Chronic Test Results
Calculated t = 0.435
Tabular t = 2 .5 0 8
Reduction = 1.09
Mortality
Avg.Reprod.
0.00'
22.92
Control.
Control
0.00
22.67
Treatment 2
Treatment 2
Control CV
6.017$ PASS FAIL
control orgs X
producing 3rd
brood Check One
lOG-w
1st sample 1st samp;.e 2nd sample complete This For Either Teat
aH Test Start Date: 12/09/15
Control 6.96 7.05 6.93 7•04 6.94 7.02 Collection (Start) Date
Sample is 12/07/15 Sample 2: 12/09/15
treatment 2 6.96 7.04 6.92 7.01 6.91 7.00 sample Type/Duration 2nd
1st P/r
8 s e Grab Comp. Duration D
t e t a t e I S S
a n a n a n Sample 1 X 24 hre L A A
r d r d r d U M M
t t t Sample 2 X 24 hrs T P P
1st sample let sample 2nd sample ,.,....,,.
3.0. Hardness (mg/1) 48 ..........
..1..•.... •e..•••.••
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(�os) 191 496 550
treatment 2 8.6 8.4 8.6 8.3 I 8.6 8.4
Chlorine (mg/1) .••••.••.. 0 02 0 02
LC50/Acute Toxicity Test Sample temp. at receipt(OC) 1.6 3.0
;Mortality expressed as *, combining replicates)
Note: Please,
Concentration Complete'This
Section Also
Mortality
start/end start/end
LC50 Method of Determination
954 Con ence imits Moving Average _ Probit
-.t -- � Spearman Xarber Other
Control
High
PH
Organism Tested: Ceriodaphnis. dubia Duration(hrs):
CopieC3 from DURI form AT-1 (3/87) rev. 11/95 (DURIA. ver. 4.32)

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 03/14/16
Facility: CITY OF
Laboratory111.41'
or,
X
X
Signature o T
Work Order:
ON NPDES#: NCO036196 Pipe#: 001 County: CATAWBA
Test: MERITECH LABS, INC.
Comments:
r i Responsible Charge
ory Supervisor a ,PASSED -0.62W Reduction
Water Sciences ' Section - -Aquatic
MAIL ORIGINAL TO: 'Toxicology Branch
Division of Water Resources
1621 Mail Service Center L621
North Carolina Ceriodaphnia Hal 19h. N.C. 27699-1621
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
CONTROL ORGANISMS
# Young Produced
Calculated t =-0.J.53
Tabular t = 2.508
1 2 3 4 5 6 7 8 9 10 11 12 t Reduction = -0.62
25 131126 127 125 128 12-17126 126 123 130126
Adult Wive (D)ead JAL IL IL IL IL IL IL IL ,L IL IL IL
Effluent %-: 56W
a Mortality
Avg.Reprod.
0.0b
26.67
Control
Control
0.00
26.83
Treatment 2
Treatment 2
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9' 10 11 12 Control CV
8.2050
# Young Produced 24 29 30 29 25 25 24 30 21 27 31 27 o control orgs
producing 3rd
brood
Adult (L) ive (D) ead si L! L L L L IL IL IL 11, L L L I 100%
PASS FAIL
ii
Check One.
1st sample ist sample 2nd sample Complete This For Either Test
pH Test Start Date: Q3/02/1,6
Control 7.96 8.04 8.16 7.99 8.09 7.87 Collection (Start) Date
Sample 1: 02/29/16 Sample 2: 03/02/16
Treatment 2 7.92 8.20 7.90 8.12 7.96 8.16 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.0 hrs L A A
r d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
.......... ..........
Control 7.80 8.11 7.76 7.92 8.12 7.92
Spec. Cond.(pmhos) 202 451 522
Treatment 2 8.45 7.98 8.46 7.94 8.48 7.81
Chlorine (mg/1) :;::::;ccs <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 0.6 0.4
(Mortality expressed as %, combining replicates)
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
�C50 = t Method of Determination
95o Con 1 ence Limits Moving Average Probit _.
%. -- !k Spearman Karber _ Other
Control
High
��r n
PH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Falw*p
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Effluent Toxicity Report Form - Chronic Pave/Fail and Acute LC50 Date: 06/22/16
Pacility: CITY OVest:
EWTON NPDES#: NC0036196 PZpe#: 001 County: CATAWBA
Labora�Perfong TR & A LABORATORIES, INC.
K
Comments: Final Effluent
20615-01
--F-"•.�•i•• •••�•+,+-a-vGy 3UjJCSV].i30Z w PASSER: Z .19-W Reduction
Work Order: 20501-01 EnvirOnMe-n.tal Sciences Branch
MAIL ORIGINAL T0: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
North Carolina Ceriodaphnia
Raleigh, North Carolina 27699-1621
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
1 Tabular t 2.
Calculated t 0.863
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 W Reduction - 2.198
# Young Produced
22123
21
25
21
23
24
22
24
22
24
23
Adult (L) ive (D) ead
L
L
L
L
L
L
L
L
L
L
L
IL
Effluent qr: 50
TREATMENT 2 OROMISMS
1
2
3
4
5
6
7
8
9
l0
11
12
# Young Produced
23
22
24
21
21
25
24
22
21
23
2022
Adult (L) ive (D) ead
I L
7LL
L
L
L
L I
L
L
L
L
L
-W Mortality
Avg.Reprod.
0.00•
22.83
Control
Control
0.00
22.33
Treatment 2
Treatment.2
control CV
PASS F itl
control orge Eil
producing 3rd
brood Check One
loop
1st Sample lot sample 2nd sample Complete This For"'Either Teat �
off Test Start Date: 06./15/16
Control 6.95 7.03 6.94 7.03 6.94 7.02 Collection (start) Date
Treatment 2 7.30 7.38 ?.QS 7.09 7.06 7.15 $ISample
1 Sample-Type/D26 uration
2: 06/15/16 2nd
-~ 1st iP/F
t e t e t e Grab Camp. Duration D
a n a n a n Sample 1 X 24 hrs L A A
r d r d r d I I I U M M
t t t Sample 21 X 23.8 hrs T P p
1st sample let sample 2nd sample
).0.
Hardness m l """"" .......•••
Control 8.6 9.4 8.6 8.3 8.6 8.4 ( g/ ) 48 •••....... ••••......
.......... ..........
'reatment 2 8.6 8.4 8.6 8.3 8.6 8.4 Spec. Cond.Q=&os) 189 539 509
Chlorine """""
(mg/l) :::::z:s:: 0.03 0.03
LC50/Acute Toxicity Test Sample temp. at receipt (OC) :iMif;;; 2.3 2.3
Mortality expressed as W, combining replicates)
�` Concentration Complete Thi-wTs
$ � * Mortality Section Also
LC5 0 a 9S
95$r Con enee imits
start/end start/end
Method of Determination Control
Moving Average ,� Probit
Spearman Karber _ Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs):
"opied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

f r r
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 09/21/16
Facility: TY OF NEWTON NPDES#: NCO036196 Pipe#: 001 County: CATAWBA
Labors ry Perfo 'ng Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
Sig ture rator in AesponsibYe Charge 24590-01
r
X
04P
!n3Xu3Ne WLaboratory Supervisor * PASSED:.0.00%; Reduction
Work Order: 24350-01 Environmental Sciences Branch
MAIL_ ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
forth Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
.ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1121122124125123123121125123122124122
Adult (L)ive (D)ead JAL IL (L IL IL IL IL IL IL IL IL IL
effluent %: 56%-
7REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.017%
# Young Produced 23 24 25 23 26 21 21 23 22 22 23 22 o control orgs
producing 3rd
brood
Adult (L) ive (D) ead L L- L L L L L L L L L L 11
100%.
Chronic Test Results
Calculated t =
Tabular t =
Reduction
t Mortality
Avg.Reprod.
0.00
22.92
Control
Control
0.00
22.92
Treatment 2
Treatment 2
PASS FAIL
X -
Check One
1st sample 1st sample 2nd sample Complete This For -Either Test
pH Test Start Date: 09/14/16
Control 6.97 7.05 6.96 7.05 6.94 7.02 Collection (Start) Date
Sample 1: 09/12/16 Sample 2: 09/14/16
Treatment 2 7.28 7.36 7.36 7.44 7.34 7.42 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e �f' I S+ S
a n a n a n Sample 1 V. X 24 hrs L A A
r d r d r d IU M M
t t t Sample 2 X 24 hrs T P P
1st sample 1st sample 2nd sample
Hardness (mg/1) 48 ...••••... ..•.•.....
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 187 536 582
Treatment 2 8:6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) 'st::::C::: 0.02 0.04
Sample temp. at receiP
t(°C)LC50/Acute Toxicity Test 2 .1 2.3
(Mortality expressed as %-, combining replicates)
Note• Please
Concentration Complete This
Section Also
Mortality
start/end start/end
'JC50 = a Method of Determination
95% Con i ence Limits Moving Average - Probit _
g -- %- Spearman Karber _ Other
Control
High
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3187) rev. 11/95 (DUBIA ver. 4.32)

Effluent Toxicity Report Form - Chronic Pass/Fail and Adule LCSO Date: 12/14/l6
Facility: CITY OF NEWTON NPDES#: NC00361%6 Pipe#: 001 County: CATAWBA
Laboratory Performing Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
SignRu -e cA fAuerator in ResDoneible C rae 28206-01
X 6ala i� - - '
i a e ora ory Supervisor : * PASSED: 0.72$r Reduction
Work Order: 27981-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N . C . Dept. of ERNR
1621---Mail Service Ctr-
Raleigh, North Carolina 27699-1621.
YVLL-41 �-CILV.L.LLLa 1.Gr1.VUajJLLLL.La.
Chronic Pass/Fail Reproduction Toxicity Test
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 1.0 11 12
# Young Produced 1122121123124122125121122125124124123
Adult Wive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
"if f luent % : 5 6 W
CREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1123121122122125123122'24122124121125
Adult Wive Mead IIL IL IL IL IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t = 0.290
Tabular t = 2.508
t Reduction m 0.72
Mortality
Avg.Reprod.
0.00
23.00
Control
Control
0.00
22.83
Treatment 2
Treatment 2
Control CV
6.14 9 %, PASS YPLIL
t control orggs x
Producing 3rd . E:
brood Check One
100pi
'lest sample let sample 2nd sample Complste-This Fos Either'Test
;H Test Start Date: 12/07/16
Control 6.95 7.04 6.94 7.63 6.93 7.02 Collection (Start) Date
Sample 1: 12/05/16 Sample 2: 12/07/16
treatment 2 7.17 7.25 7.05 7.14 7.04 7.13 Sample Type/Duration 2nd
list P/F
s e s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
r d r d r d U M M
t t t Sample 2 X 24.2 hrs T P P
1st sample lat sample 2nd sample
).0. Hardriess (mg/1). 48 ••••••.... ........••
....elect ...0...see
Control 8.6 8.4 8.6 8.3 8.6 18.4
Spec. Cond.(Nmhos) 193 524 481
:reatment 2 8.5 8.3 8.5 6.2 8.5 8.3 Chlorine (mg/1) ;;;;;; 0.03 0.03
LC50/Acute Toxicity Test Sample temp. at receipt(°C) •••••••••• 2.3 3.1
:Mortality expressed as t. combining replicates)
LC50 = !t
95%- Con l ence Limits
k -- t
Note: Please
..Concantration Complete This
Section Also
Mortality
start/end start/end
Method of Determination Control
Moving Average Probit _ Spearman Karber Other High
Conc.
PH D.O.
Organism Tested: Ceriodaphnia dubia Durati.on(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.3z)

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Date: 03/27/19
Facility: CITY OF NEWTON NPDES#: NCO036196 Pipe##: 001 County: CATAWBA
Laboratory Performing Test: MERITECH LABS, INC.
Comments:
X
* PASSED: 11.910 Reduction *
;Tork Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
• forth Carolina Ceriodaphnia Raleigh, North Carolina 27699--1621
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 2.180
Tabular t = 2.508
2ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 o Reduction = 11.91
## Young Produced- 25 21 22118118120116114117122120122
Adult (L)ive (D)ead IL L L IL IL IL JL L IL IL
affluent -a-.: 56 0
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
## Young Produced
15.770a
17 18 18 18 17 18 12 20 15 19 18 17 % control orgs
producing 3rd
brood
Adult (L) ive (D) ead 11L L L L L L L L L L L L 100 0
o Mortality
Avg.Reprod.
0.00
19.58
Control
Control
0.00
17.25
Treatment 2
Treatment 2
PASS FAIL
:K1
Check One
1st sample 1st sample 2nd sample Complete This For Either Test
4H Test Start Date: 03/20/19
Control 8.18 8.29 8.04 8.05 7.97 8.04 Collection (Start) Date
Sample 1: 03/18/19 Sample 2: 03/20/19
reatment 2 8.13 8.40 8.00 8.46 8.19 8.43 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I I S S
a n a n a n Sample 1 X 23.8 hrs L A A
r d r d r d I U M M
t t t Sample 2 X 23.8 hrs T P P
1st sample 1st sample 2nd sample
.O. Hardness m 1 42 ....•:•+. :4d
Control 8.05 7.54 7.64 7.43 7.90 7.46
Spec. Cond.(pmhos) 148 467 562
reatment 2 8.30 7.80 7.86 7.52 7.66 7.48
Chlorine(mg/1) < 0 . 1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) :;;;;;::;; 1.5 1.2
Mortality expressed as combining replicates)
Note: Please
's % !k a o 0 0 o Concentration Complete This
Section Also
% a o % Mortality
start/end start/end
aC50 = % Method of Determination Control
95o Con. pence Limits Moving Average Probit
-- a Spearman Karber Other - High
Conc.
PH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs):
;opied from DWQ form AT-1 (3/87) rev.. 11/95 (DUBIA ver. 4.41)

' Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 06/26/19
Facility: CITY OF NEWTON NPDES#: NCO036196 Pipe#: 001 County: CATAWBA
Laboratory Performing Test: MERITECH LABS, INC.
Comments:
X
rr.-i'1-ira n flrcr7trlr 7 n T7 e��71nn 4'1 P C� '.i Y'UP_
X / r - I
SJ.gnature of LaboratbzySupervisor * PASSED: 12.07% Reduction
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Zrth caro.tlna cerioaapnnia
Chronic Pass/Fail Reproduction Toxicity Test
7ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
## Young Produced 29 29 29 28 33 24 24 29 25 23 27 23
Adult (L) ive (D) ead L L L L L L L L L L L L
affluent t: 56t
PREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
## Young Produced 1121]19121127125123123I29I25123f27I21
Adult (L) ive (D) ead IIL IL IL IL IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t = 2.604
Tabular t = 2.508
Reduction = 12.07
o Mortality
Avg.Reprod.
0.00
26.92
Control
Control
0.00
23.67
Treatment 2
Treatment 2
Control CV
11.583% PASS FAIL
W control orgs :K1
producing 3rd
brood Check One
100%
1st sample 1st sample 2nd sample Complete This For Either Test
PH Test Start Date: 06/19/19
Control 8.09 8.24 8.22 8.16 8.16 7.96 Collection (Start) Date
Sample 1: 06/17/19 Sample 2: 06/19/19
Treatment 2 8.00 8.30 7.97 8.19 7.99 8.00 Sample Type/Duration 2nd
let P/F
s s s Grab Comp. Duration D
t e t e t e II S S
a n a n a n Sample 1 X 23.8 hrs L A A
r d r d r d IU M M
t t t Sample 2 X 23.9 hrs T P P
1st sample let sample 2nd sample
Hardness (mg/1) 48
Control 7.49 7.50 7.52 7.66 7.77 7.62
Spec. Cond.(pmhos) 155 529 575
Treatment 2 7.50 7.48 7.66 7.62 7.74 7.59
..........
Chlorine (mg/1) ;::::::::: c c
LC50/Acute Toxicity Test Sample temp. at receipt(°C) iiiiiiiiii 23.8 23.9
(Mortality expressed as t, combining replicates)
Concentration
Note: Please
Complete This
Section Also
%
% Mortality
start/end
start/end
LC50 = %
Method of Determination
Control
95% Con i ence Limits
Moving Average
Probit
_
Spearman Karber
Other "�
High
-
Conc.
nH
D.O.
Organism Tested: Ceri.odaphnia dubia Duration(hrs):
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Facility: CITY OF NEWTON
000
Laboratory X mierf n e
Sicmature ot Odrator
IX
Date: 09/22/17
NPDES#: NCO036196 Pipe#: 001 County: CATAWBA
t: MERITECH LABS, INC.
Comments:
I oxgnazure or Laboratory supervisor -- I * PASSED: -4.25* Reduction * I
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
North Carolina Cer_ i nAa»lrni a Raleigh, North Carolina 27699-1621
Chronic Pass/Fail Reproduction Toxicity Test
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1116121117120115119119115117117118118
Adult (L)ive (D)ead JIL IL IL IL IL IL IL IL IL IL IL IL
Effluent o: 56W
PREATMENT 2 ORGANISMS 1 2' 3 4 5 6 7 8 9 10 11 12 Control CV
10 .*612%-
# Young Produced 19 18 19 14 19 21 18 18 17 17 19 22 W control orgs
producing 3rd
Adult (L) ive (D) ead L L L LIL
brood L L L L L L L 100s
Chronic Test Results
Calculated t = -0.943
Tabular t='2.508
t Reduction = -4.25
W Mortality
Avg.Reprod.
0.00
17.67
Control
Control
0.00
18.42
Treatment 2
Treatment 2
PASS FAIL
X
Check One
lst sample 1st sample 2nd sample Complete This For Either Test
PH Test Start Date: 09/13/17
Control 8.13 8.08 8.32 8.17 8.02 8.14 Collection (Start) Date
Sample 1: 09/11/17 Sample 2: 09/13/17
Treatment 2 8.01 8.19 8.13 8.19 8.10 8.25 Sample Type/Duration 2nd
lst P/F
s s s Grab Comp. Duration D
t e t e t e I I S S
a n a n a n Sample 1 X. 24.0 hrs L A A
r d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
Hardness (mg/1) 46
.......... ..........
Control 7.89 7.81 7.70 7.47 7.89 7.59
Spec: Cond.(umhos) 160 596 446
Treatment 2 8.09 7.84 8.33 7.51 8.24 7.58
Chlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ;;;;;;;;;; 2.6 2.6
(Mortality expressed as combining replicates)
%
o
o
a
o
a
%
W
�S
s
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
LC50 = %- Method of Determination
95W Con i ence Limits Moving Average Probit
%; -- %- Spearman Karber Other `-
Control
High
rnn n
PH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/20/17
Facility: CITY OF NEWTON NPDES#: NCO036196 Pipe#: 001 County: CATAWBA
t
Labora ry P formi Test: MERITECH LABS, INC.
Comments:
Sigmature of Iftoratorn in Responsible Charge
X�..�'�
Signature or. Laboratory Supervisor * PASSED: 15.83% Reduction
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
MurLn %.;4rU.Lj.11a %..UL-.LVUdL7i1[1.LCL
Chronic Pass/Fail Reproduction Toxicity Test
�ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1121123124123125125121121122124124125
Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
affluent %: 50
Chronic Test Results
Calculated t = 4.578
Tabular t = 2.508
% Reduction = 15.83
% Mortality
Avg.Reprod.
0.00
23.17
Control
Control
0.00
19.50
Treatment 2
Treatment 2
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.846%
# Young Produced 18 18 24 18 18 18 22 16 21 21 21 19 % control orgs
producing 3rd.
brood
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
PASS FAIL
X
Check One
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 12/13/17
Control 8.09 8.14 8.05 8.11 8.10 8.16 Collection (Start) Date
Sample 1: 12/11/17 Sample 2: 12/13/17
Treatment 2 7.93 8.28 7.94 8.30 7.94 8.13 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I I S S
a n a n a n Sample 1 X 24 hrs L A A
r d r d r d I U M M
t t t Sample 2 X 24 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 49
.......... ..........
Control 7.87 7.93 7.50 7.80 7.64 7.55 -
Spec . Cond. (pmhos ) 165 645 699
Treatment 2 8.51 8.10 8.43 7.86 8.30 7.68
Chlorine (mg/1) ..........
LC50/Acute Toxicity Test Sample temp. at receipt (°C) :;c:'s:::3: 1.8 1.6
(Mortality expressed as %. combining replicates)
Of
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
X50 = % Method of Determination
95% Conz�. ence Limits Moving Average Probit
--- % Spearman Karber Other
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Control
High
Conc.
pH D.O.
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 03/21/18
Facility: CITY QF NEWTON NPDES#: NCO036196 Pipe#: OOl County: CATAWBA
ng Test: R & A LABORATORIES, INC.
i Comments: Final Effluent
X slatI 47934-01
ure era or in Responsible C arge
X * PASSED: 1.45% Reduction
S na u o La ora ory Supery sor
Work Order: 47748-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N. C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Borth Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
:ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
#•Young Produced
25
23
22
24
22
21
23
25
21
24
25
21
Adult (L) ive (D) ead
L
L
L
L
L
L
L�
L
L
L
L
L
Effluent W: 56v
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
21
25
21
23
24
21124122
23
22
25
21
Adult (L) ive (D) ead
L
L
L
L
L
L
L
L
L
L
L
L
Chronic Test Results
Calculated t = 0.518
Tabular t 2.508
W Reduction = 1.45
t Mortality
Avg.Reprod.
0.00
23.00
Control'
Control
0.00
22.67
Treatment 2
Treatment 2
Control CV
6.937%
control orgs
producing 3rd
brood
100w
PASS FAIL
il
Check One
1st sample let sample 2nd sample Test St Complete
art te:This For
r8Either Test
pH
Control 6.95 7.03 6.93 7.02 6.93 7.01 Collection (Start). Date
Sample 1: 03/12/18 Sample 2: 03/14/18 2nd
Treatment 2 7.18 7.25 7.01 7.10 7.01 7.10 Sample Type/Duration let P/F
S s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.9 hrs L M M
t d t d t d Sample 2 X 23.9 hrs T P P
1.
let sample 1st sample 2nd sample
Hardness (mg/1) 48 .••.•..•...•.•......
Control 8.6 18.4 8.6 18.3 8.6 8.4 os 188 525 522
Spec. Cond.(pmh )
Treatment 2 18.5 18.3 18.5 18.2 8.5 8.3 Chlorine (mg/1) 'sCi;ii;::c 0.03 0.03
..........
LC50/Acute Toxicity Test Sample temp . at receipt (°C) 3.1 3.2
(Mortality expressed as g, combining replicates) Note: Please
9k t Concentration Complete This
ot Niortalitysection. Also
start/end start/end
LC50 = g Method of Determination Control
95% Con ence �,imits Moving Average Prabit
-- 94 Spearman Karber Other Coat.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 tvublft vez. '*.jAj

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 06/20/18
Facility: CITY OF NEWTON NPDES#a NCO036196 Pipe#: 001 County: CATAWBA
Laborat Per orming Test: R & A LABORATORIES, INC.
F�52060-01
mments: Final Effluent
X
s Q ure ra or n Resnonsi e c arae
eor
* PASSED: 1.09t Reduction *
Work Order: 51896-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of BHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Korth Carolina ceriodapnnia
Chronic Pass/Fail Reproduction Toxicity Test
CONTROL ORGANISMS 1 2 3' 4 5 6 7 8 9 10 it 12
# Young Produced 1I24121I25'22l23I22121+23124I23I21125
Adult (L)ive Mead j'L IL IL IL IL IL IL IL IL IL IL +L
Effluent W: 56w
VREAT14ENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.420
# Young Produced 22 21 24 22 23 21123124 22 25 21 23 t control orgs
producing 3rd
brood
Adult (L) ive (D) ead L L L L L L L L L L L L 100%
Chronic Test Result$
Calculated t 0.440
Tabular t 2.508
V Reduction 1.09
Mortality
Avg.Reprod.
0.00
22.83
Control
Control
0.00
22.58
Treatment 2
Treatment 2
PASS FAIL
�K]
Check One
lot sample 1st sample 2nd sample Complete This For Rither Test
PH Test Start Date: 06/13/18
Control 6.96 7.04 6.9s 7.03 6.94 7.02 Collection (Start) Date
Sample 1: 06/11/16 Sample 2: 06/13/18
Treatment 2 7.08 7.16 7.02 7.10 7.00 7.09 Sample Type/Duration 2nd
1st OF
a s s Grab Comp, Duration D
t e t e t e I I S S
a n a n a n sample 1 X 24 hrs L A A
r d r d r d I U M M
t t t Sample 2 X 24 hrs T P P
tat sample lot sample 2nd sample
Hardness (mg/1) 48 ••••....•• ..••••...•
....................
Control 8.6 8.4 0.6 8.3 8.6 8.4
Spec. Cond.(pmhoe) 192 538 716
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/l) :;::::::.: 0. 03 0.03
..........
LC50/Acute Toxicity Test Sample temp. at receipt('C) :i's::�:'s;: 2.5 3.0
(Mortality exnreaned as *. combinina replicates)
LC50 =: %I Method of Determination
95t Con ante Limits Moving Average Prcbit
-- Spearman Karber _ Other
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/and
Control
High
-� Conc.
DH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs): �
Copied from D8M form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

"Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 09/19/18
Facility: C TY OF NEWTON NPDE'S#: NCO036196 Pipe#: 001 County: CATAWBA
Labora ry Pe orming Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
Siana u=Ve of XOverator in Resvonsible C iarae 56058-01
LJ
u.t or a ratory Supery sor * PASSED: 1.09t Reduction * i
Work order: 55899-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N. C . Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
6V%A y1• � %&J.WJ.J.AiGi \.Gl iVLIGI�./J i1lJLGi
Chronic Pass/Fail Reproduction Toxicity Test
:!ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1123122124123125121122123123121125122
Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL EL
affluent W: 56%,
PREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1124123122123122121123123124122123121
Adult (L)ive (D)ead IIL IL IL IL _IL _1L_ IL IL IL IL IL IL
Chronic Test Results
Calculated t = 0.519
Tabular t = 2.508
W Reduction = 1.09
W Mortality
Avg.Reprod.
0.00•
22.83
Control
Control
0.00
22.58
Treatment 2
Treatment 2
Control CV
5.856% PASS FAIL
W control orgs :K1
producing 3rd
brood Check One
1000
lot sample lot sample 2nd sample Complete This For -Zither Test
pH Test Start Date: 09/12/18
Control 7.00 7.07 6.95 7.04 6.93 7.02 Collection (Start) Date
Sample 1: 09/10/18 Sample 2: 09/12/18
Treatment 2 7.04 7.12 7.07 7.15 7.05 7.13 Sample Type/Duration 2nd
1st P/F
8 s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.8 hrs L A A
r d r d r d U M M
t t t Sample 2 X 23.8 hrs T P P
1st sample let sample 2nd sample
D.O. Hardness (mg/1) 48 :::::::::: ::::::::::
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 192 527 247
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) ::;:C:C::: 0.01 0.04
LC50/Acute Toxicity Test Sample temp. at receipt (°C) :::::::c6: 2.3 3.2
(Mortality expressed as W, combining replicates)
g
%
$
$
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
LC50 Method of Determination
95% Con a. ence imits Moving Average _ Probit
� -- w Spearman Karber _ Other
Organism Tested: Ceriodaphn.ia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) xev. 11/95 (DUBIA ver. 4.32)
Control
High
Conc.
PH D.O.

1wff7„ant- Texietity Renort Form - Chronic Pass/Fail and Acute LC50 Date: 12/12/18
Y � -
Facility: C TY OF NEWTON NPDES#: N00036196 Pipe#: 001 County: CATAWBA
Labor 33r P rforming Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
G, int onp-rator In ResDonsible C arQe 60097-01
IX M r XJ I
S gna ure o Laboratory Supervisor * PASSED: 1.10� Reduction
Work Order: 59928-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
forth Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
:ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced I121I24I25I21I23I22'21I25I23I24I21I22
Adult. (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
'ffluent %-: .56%,
VREATMENT 2 ORGANISMS 1 2 3 .4 5 6 7 8 9 10 11 12 Control CV
-6.869%
# Young Produced 22 23 22 24 2l 24 21 23 121 22 24 22 o control orgs
producing 3rd
brood
Adult (L) ive (D) ead IL L L L L L L L IL L 100%,
Chronic Test Results
Calculated t = 0.445
Tabular t = 2.508
o Reduction = 1.10
t Mortality
Avg.Reprod.
0.00
22.67
.
Control
Control.
0.00
22.42
Treatment 2
Treatment 2
PASS FAIL
X
Check One
1st sample 1st sample 2nd sample Complete This For -Either Test
pH Test Start Date: 12/05/18
Control 6.96 7.04 6.95 7.03 6.94 7.02 Collection (Start) Date
Sample 1: 12/03/18 Sample 2: 12/05/18
Treatment 2 6.92 7.00 7.08 7.16 7.07 7.15 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.8 hrs L A A
r d r d r d IU M M
t t t Sample 2 X 23.8 hrs T P P
1st sample 1st sample 2nd sample ..........
D.O. Hardness (mg/1) 48 ::::::::::
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 191 452 537
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) .......... 0.03 0.02
..........
LC50/Acute Toxicity Test Sample temp. at receipt('C) 2.8 2.1
(Mortality expressed as t, combining replicates) 1
Note: P ease
Concentration Complete This
Section Also*
Mortality
start/end start/end
a Method of Determination
959.1- Con i ence Limits Moving Average - Probit _
s -- a Spearman Karber _ Other
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Control
High
Conc.
nH D.O.
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

-Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 03/27/19
Facility: CI OF NEWTON NPDES#: 9CO036196 Pipe#: 001 County: CATAWBA
Laborwory forming Test: R & A LABORATORIES, INC. l
X
Comments: Final Eff uent
64468-01
X Ad // w
na r Laboratory Supery sor * PASSED: 0.00% Reduction
Work Order: 64326-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
,forth Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
.ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1122121125123121122121124125123122123
Adult (L)ive (D)ead JAL IL IL EL IL IL IL IL IL IL IL IL
9ffluent %-: 56%-
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.333%r
# Young Produced 22 23 24 25 21123122 21 23 24 21 23 % control orgs
producing 3rd
brood
Adult (L) ive (D) ead L L L L L L L L L L L L 100%
Chronic Test Results
Calculated t =
Tabular t =
t Reduction
a Mortality
Avg.Reprod.
0.00
22.67
Control,
Control
0.00
22.67
Treatment 2
Treatment 2
PASS FAIL
11 E:
Check One
1st sample 1st sample 2nd sample Complete This For Either Test
PH Test Start Date: 03/20/19
Control 6.95 7.02 6.94 7.03 6.92 7.01 Collection (Start) Date
Sample 1: 03/18/19 Sample 2: 03/20/19
Treatment 2 7.13 7.20 7.11 7.20 7.10 7.18 Sample Type/Duration 2nd
1st P/F
a a s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.8 bra L A A
r d r d r d IU M M
t t t Sample 2 X 23.8 bra T P P
1st sample lot sample 2nd sample
D.O. Hardness (mg/1) 48 •••••••••• ••••••••..
.......... ..........
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 190 498 572
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4 ..........
Chlorine (mg/1) :;:::::::: 0.01 0.03
t(°C) 3.0 2.6
Sample temp. at recei
LC50/Acute Toxicity Test P P P
(Mortality exuressed as *, combining replicates)
Dote: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
6C50 = %- Method of Determination
95$ Con ence Limits Moving Average � Probit _
Spearman Karber - Other
Organism Tested: Ceriodaphnia dubia Dnration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.3z)
Control
High
Conc.
DH D.O.

` Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 06/26/19
Facility: CITY 0 WTON NPDES#: NC0036196 Pipe#: 001 County: CATAWBA
LaboratI
erfo ing Test: MERITECH LABS, INC.
Comments
X'1U4
Sicma ure er t in esponsi e Charge
IX y 6 ' I
Signature o orat Supervisor * PASSED: 12.07�a Reduction
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 2.604
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 o Reduction = 12.07
## Young Produced 1129129129128133124124129125123127123
Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
Effluent 56W
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
## Young Produced 112111912112712512312312912512312721
Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
Mortality
Avg.Reprod.
0.00
26.92
Control
Control
0.00
23.67
Treatment 2
Treatment 2
Control CV
11.583t PASS FAIL
t control orgs X
producing 3rd
brood Check One
100%,
1st sample 1st sample 2nd sample Complete This For Either Test
PH Test Start Date: 06/19/19
Control 8.09 8.24 8.22 8.16 8.16 7.96 Collection (Start) Date
Sample 1: 06/17/19 Sample 2: 06/19/19
Treatment 2 8.00 8.30 7.97 8.19 7.99 8.00 Sample Type/Duration 2nd
1st P/F
S s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.8 hrs L A A
r d r d r d IU M M
t t t Sample 2 X 23.9 hrs T P P
1st sample 1st sample 2nd sample ..........
D .O. Hardness (mg/1) 48 .......... ••••••••••
Spec. Cond. ( os) 155 529.••• 575•••
Control 7.49 7.50 7.52 7.66 7.77 7.62
p pmh
Treatment 2 7.50 7.48 7.66 7.62 7.74 7.59 ..........
Chlorine (mg/1) ::: c c
""""��
LC50/Acute Toxicity Test Sample temp. at receipt (°C) :::::::::: 23.8 23.9
(Mortality expressed as k, combining replicates)
a
%
g
g
g
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
:C50 = g Method of Determination
959o'- Cond ence Limits Moving Average - Probit _
Spearman Karber - Other
Control
High
C'nri n _
PH
FO•
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.4i)

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 09/19/19
Facility: CITY F NEWTON NPDES#: NCO036196 Pipe#: 001 County: CATAWBA
Labor Pero ing Test RITECH LABS, INC. Comments:
X
oy ppe}r#torj-Tn Responsible cnarge
X
ISignature ora ory Supervisor I * PASSED: 2.96W Reduction * I
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
40rL11 l:arU.L1 ila l:Cr1UU.a.71LL"CL
Chronic Pass/Fail Reproduction Toxicity Test
=TROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1118116117118116119121117114114117116
Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
affluent t: 56t
Chronic Test Results
Calculated t = 0.669
Tabular t = 2.508
Reduction = 2.96
Mortality
Avg.Reprod.
0.00
16.92
Control
Control
0.00
16.42
Treatment 2
Treatment 2
CREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
11.6760
# Young Produced 18 18 15 17115114 16 19 14 17 16 18 t control orgs
producing 3rd
brood
Adult (L) ive (D) ead L L L L L L L L L L L L 100%,
PASS FAIL
X
Check One
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 09/11/19
Control 7.99 8.01 8.00 7.94 8.05 7.97 Collection (Start) Date
Sample 1: 09/09/19 Sample 2: 09/11/19
Treatment 2 7.79 8.09 7.90 8.17 7.88 8.09 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.8 hrs L A A
r d r d r d I U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
.......... ..........
D.O. Hardness (mg/1) 48
Control 7.97 7.51 7.85 7.35 7.81 7.35
Spec. Cond.(pmhos) 152 725 700
Treatment 2 8.18 7.62 7.96 7.58 7.72 7.40
Chlorine (mg/1) ..........
��"���"�
LC50/Acute Toxicity Test Sample temp. at receipt (°C) :::::::::: 2.1 2.4
(Mortality expressed as t, combininq replicates)
$
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
[C50 = g Method of Determination
95%- Con 3w. ence Limits Moving Average Probit
%. -- %- Spearman Karber _ Other
Control
High
P*nn n
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Effluent Ta#city Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/18/19
Facility: CITY OF NEWTON NPDES#: NCO036196 Pipe#:•001 County: CATAWBA
Laborat Performing Test R & A LABORATORIES, INC.
Comments: Final Effluent
X
Sign rator in Responsible Charge 75998-01
X
Si.ghqjtuoratory Supervisor * PASSED: 5.28t Reduction
Work Order: 75859-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
iorr-n uarolina uerioaapnnia
Chronic Pass/Fail Reproduction Toxicity Test
.ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1123125123123124123125123124123125123
Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
affluent %: 56%-
=ATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1125123122122121123124121122123121122
Adult (Wive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t = 2.839
Tabular t = 2.508
W Reduction - 5.28
Mortality
Avg.Reprod.
0.00
23.67
Control
Control
0.00
22.42
Treatment 2
Treatment 2
Control CV
3.751% PASS FAIL
W control orgs X
producing 3rd
brood Check One
loot
lot sample lot sample 2nd sample Complete This For Either Test
PH Test Start Date: 12/11/19
Control 7.34 7.42 7.37 7.44 7.36 7.43 Collection (Start) Date
Sample 1: 12/09/19 Sample 2: 12/11/19
Treatment 2 7.43 7.51 7.20 7.28 7.19 7.27 Sample Type/Duration 2nd
lot P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.8 hrs L A A
r d r d r d I U M M
t t t Sample 2 X 23.8 hrs T P P
1st sample 1st sample 2nd sampleOman
Hardness (mg/1} 97 ss::;;t;;: :;;::::s::
Control 8.6 8.4 8.6 18.3 8.6 8.4
Spec. Cond.(pmhos) 398 701 626
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chiorine (mg/1) ;;;iii;'ss: 0.03 0.04
LC50/Acute Toxicity Test Sample temp. at receipt(°C) s:iiii:'s:'s 3.4 3.3
Wrwrtality menrressed as W. combinincr replicates)
LC50 = %I Method of Determination
95% Con l.ence Limits Moving Average _ Probit -
g -- % Spearman Karber _ Other
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
Control
High
Conc.
pH D.O.

Effluent Toxicity Report Form-Chro ' Fat Minnow Multi -Concentration Test
-FOX
3 zaig - iz�2ai�
Date:3/27/20
Facility: City of Newton NPDES # NC00 36196 Pipe #: 001 County: Catawba
Labo :-NI ritech, Inc. Comments
x
Signature of Ope r m espons' a Charge
x
Signature of Laboratory Supervisor
MAIL ORIGINAL TO: Winer Sciences Section
Aquatic Toxicology Branch
Division of Water Resources
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Test Initiation Daterrime 3/19/2019 5:05 PM
% Eff.
Repl.
Control
Surviving #
Original #
Wt/original (mg)
F__28__j
Surviving #
Original #
Wt/original (mg)
42 Surviving #
Original #
Wt/original (mg)
56 Surviving #
Original #
Wt/original (mg)
F-75­1 Surviving #
Original #
Wt/original (mg)
1 _657-1 Surviving #
Original #
Wt/original (mg)
Quality Data
Control
pH (SU) IniUFin
DO (mg/L) [nit/Fin
Temp (C) Init/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) InitlFin
Temp (C) [nit/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Temp. at Receipt (°C)
2 3 4
Avg Wt/Surv. Control 0.586
10
9
10
10
10
10
10
10
0.580
1 0.516
1 0.598
1 0.592
10
10
10
10
10
10
10
10
0.484
1 0.636
1 0.591
1 0.617
10
10
10
10
10
10
10
10
0.591
1 0.547
1 0.611
1 0.578
10
1 9
1 10
i10
10
10
10
10
0.575
1 0.531
1 0.637
1 0.461
10
10
10
10
10
10
10
10
0.550
1 0.671
1 0,496
1 0.543
6
10
10
10
10
10
10
10
0.350
1 0.605
1 0.574
1 0.626
% Survival 97.5
Avg Wt(mg) 0.572
% Survival 100.0
Avg Wt (mg) 0.582
% Survival 100 0
Avg Wt (mg) 0.582
% Survival 97.5
Avg Wt (mg) 0.551
% Survival 000.0
Avg Wt(mg) 0.566
Survival 90.0
Avg Wt (mg) 0.539
Day
n 9 3 4 5 6
Test Organisms
i? Cultured In -House
r Outside Supplier
Hatch Date: 3/18/19
Hatch Time: 3:00 pm CT
7.96
17.92
8.08
/ 8.07
18.06 / 7.79
8.09
/ 8.02
8.21
/ 7.99
8.23
/ 8.02
8.28
/ 7.95
7.68
/ 7.49
7.91
/ 7.59
1 7.58 / 6.86
7.73
/ 7.58
8.02
/ 7.57
8.25
/ 7.26
7.84
/ 6.42
24.7
/ 24.3
24.5
1 24.5
125.2 / 25.0
24.7
124.4
24.1
/ 24.9
24.8
1 24.3
24.7
/ 24.6
I 0 3 4 5 6
7.96
/ 8.28
8.05
/ 8.40
17.96 / 8.31
17.93 / 8.36
7.94
/ 8.39
8.33
/ 8.42
18.19
/ 8.84
8.48
/ 7.56
8.27
/ 7.59
1 8.41 / Tub
18.50 / 7.34
1 8.49
/ 7.48
8.29
/ 7.71
1 8.07
19.48
25.7
/ 24.1
24.8
/ 24.5
125.8 / 24.9
125.6 / 24.6
124.1
/ 24.8
24.8
/ 24.5
125.1
1 24.5
1 2 3
3/18/2019 1
3/20/2019
3/21/2019
23.8
23.8
24.2
156
178
170
141
177
147
476
569
584
<0.1
<0.1
<0.1
1.5
1.2
1.5
Dilution H2O Batch # 1377 1378 1379
Hardness (mg/L) 44 46 1 46
Alkalinity (mg/L) 156153
Conductivity (umhos/cm) 197 204 207
Ff F]
Survival
Growth
Normal
1711'.
FI-
Hom. Vac
F-1
j?l'
NOEC
100
100
LOEC
7100
>100
ChV
>100
>100
Method
Steel's
Dunneft's
Overall Result
ChV >100
Slats
Conc.
28
Survival
Critical Calculated
10 20
10 20
10 18
10 20
10 17.5
Growth
Critical Calculated
2.41-0.1972
2.41-0.1925
2.41 0.3851
42
56
75
2.41 0.1127
2.41 0.6151
100

f
Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:6/26/2019
Facility: City of Newtorh NPDES # NC00 36196 Pipe #: 001 County: Catawba r
Labor Ment c , Inc. Comments
x
Signature of Operato ' ponsibl harge
x
Signature of Laboratory Supervisor
MAIL ORIGINAL TO: Water Sciences Section
Aquatic Toxicology Branch
Division of Water Resources
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Test Initiation Date/Time
6118/2019
2:53 PM
% Eff. Repl.
1
2
3
Control Surviving #
Original #
Wt/original (mg)
28 Surviving #
Original #
Wt/original (mg)
42 Surviving #
Original #
Wt/original (mg)
56 Surviving #
Original #
Wt/original (mg)
75 Surviving #
Original #
Wt/onginal (mg)
Avg Wt/Surv. Control 0.591
4
10
10
10
10
10
10
10
10
0.644
0.600
0.546
0.574
10
10
9
10
10
10
10
10
0.609
0.688
0.585
0.567
10
9
10
10
10
10
10
10
0.651
0.484
0.601
0.610
10
10
10
10
10
10
10
10
0.495
0.694
0.705
0.632
10
10
10
10
10
10
10
10
0.683
0.631
0.632
0.670
100 Surviving #
Original #
Wt/original (mg)
Water Quality Data
Control
o
1
2
pH (SU) Init/Fin
DO (mg1L) Init/Fin
Temp (C) Init/Fin
High Concentration
0
1
2
pH (SU) InWFin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Sample
1 •
2
3
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhoslcm)
Chlorine(mg/L)
Temp. at Receipt (°C)
Day
% Survival 100.0
Avg Wt (mg) 0.591
% Survival 97.5
Avg Wt (mg) 0.612
% Survival 97.5
Avg Wt (mg) 0.587
% Survival 100.0
Avg Wt (mg) 0.632
% Survival 100.0
Avg Wt (mg) 0.654
% Survival 100.0
Avg Wt (mg) 0.653
3 4 5 6
Test Organisms
f' Cultured In -House
Outside Supplier
Hatch Date: 6117/19
Hatch Time: 3:00 om CT
8.05 / 8.00
8.22 / 7.97
8.20 / 8.01
8.09 / 8.09
8.19 / 7.89
8.19 / 8.04
8.20 / 7.83
8.02 / 7.09
7.42 / 7.55
7.63 ! 7.09
7.53 / 7.51
7.88 / 7.02
7.91 / 7.50
7.73 17.09
24.4 ! 24.3
24.1 / 24.3
25.0 / 24.1
25.0 / 24.0
24.2 / 24.3
24.4 1 24.4
24.6 / 25.3
3 4 5 6
7.67 / 7.97
7.74 18.00
7.63 / 7.93
7.74 / 8.05
7.61 / 7.78
7.80 18.01
7.70 17.71
8.39 16.94
7.52 / 7.43
124.2
7.79 16.82
7.65 / 7.41
8.36 / 6.47
8.08 / 7.34
7.94 / 6.79
24.5 / 24.1
/ 24.8
25.2 ! 24.1
24.9 / 24.4
25.3 / 24.5
24.8 1 25.3
25.1 / 25.6
6/17/2019
6/19/2019
6/20/2019
23.8
23.9
23.8
132
144
145
75
72
65
505
574
583
<0.1
<0.1
<0.1
1.2
1.8
0.8
Dilution H2O Batch # 1410 1411 1412
Hardness (mg/L) 46 44 46
Alkalinity (mg/L) 56 54 64
Conductivity (umhoslcm) 1951 200 213
Survival
Growth
Normal
Hom. Var.
NOEC
100
100
LOEC
>100
>100
ChV
>100
>100
Method
Steel's
Dunnett's
Overall Result
ChV I >100
Stats
Survival
Growth
Conc.
Critical Calculated
Critical Calculated
28
10 16
2.41-0.4821
42
10 16
2.41 0.1021
56
10 18
2.41-0.9188
75
10 18
2.41-1.4292
100
10 18
2.41-1.4065
10
10
10
10
10
10
10
10
0.617
0.669
0.596
0.730

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Facility: City of
Lab story:'Mer ch, Inc.
x
Signature of OperatOpAn Res onsit
x
Signature of Laboratory Supervisor
NPDES # NC00 36196
MAIL ORIGINAL TO: Water Sciences Section
Aquatic Toxicology Branch
Division of Water Resources
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Test Initiation Date/Time
9/10/2019
3:40 PM
% Eff. Repl.
1
2
3
Control Surviving #
Original #
Wt/original (mg)
28 Surviving #
Original #
Wt/original (mg)
42 Surviving #
Original #
WYoriginal (mg)
56 Surviving #
Original #
Wt/odginal (mg)
75 Surviving #
Original #
Wt/original (mg)
4
Date:9/19/2019
Pipe #: 001 County: Catawba
Comments
Avg Wt/Surv. Controll 0.573
% Survival 102.E
Avg Wt (mg) 0.587
10
10
10
10
10
9
10
10
0.625
0.549
0.535
0.638
10
10
10
10
10
10
10
10
0.597
0.671
0.495
0.672
10
10
10
10
10
10
10
10
0.608
0.564
0.507
0.606
10
10
10
10
10
10
10
10
0.650
0.656
0.571
0.691
10
10
10
10
10
10
10
10
0.507
0.627
0.660
0.700
100 Surviving #
Original #
Wtloriginal (mg)
Water Quality Data
Control
0
1
2
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
High Concentration
o
1
2
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Sample
1
2
3
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlodne(mg/L)
Temp. at Receipt (°C)
Day
% Survival 100.0
Avg Wt (mg) 0.609
% Survival 100.0
Avg Wt (mg) 0.571
% Survival 160.0
Avg Wt (mg) 0.642
% Survival 100.0
Avg Wt (mg) 0.624
% Survival 95.0
Avg Wt (mg) 0.579
3 4 5 6
Test Organisms
r- Cultured In -House
r Outside Supplier
Hatch Date: 9/9/19
Hatch Time: 3:00 pm CT
7.80 / 7.66
7.92 17.55
7.90 17.72
7.94 / 7.73
8.09 / 7.94
7.99 / 7.61
7.98 / 7.59
7.79 / 7.46
7.76 ! 6.96
7.60 / 7.12
7.84 / 7.73
7.95 / 7.73
7.89 / 6.91
7.70 / 6.72
24.7 124.8
24.5 / 24.2
24.6 / 24.0
24.3 / 24.1
24.2 / 24.7
24.9 / 25.5
24.0 / 24.9
3 4 5 6
7.53 / 7.97
7.74 / 7.92
7.60 / 7.96
7.78 / 8.08
7.99 / 8.16
8.03 / 7.83
7.70 / 7.82
8.48 17.31
8.37 16.94
8.26 / 7.09
8.49 / 7.82
8.02 / 7.60
7.73 / 6.80
8.10 / 6.75
25.1 / 24.9
24.1 / 24.6
24.8 / 25.0
24.7 / 24.0
24.8 1 24.7
24.6 / 24.6
24.7 / 25.4
9/9/2019
9/11 /2019
9/12/2019
23.8
24.0
23.8
188
186
182
84
81
73
688
694
685
<0.1
<0.1
<0.1
2.1
2.4
1.7
Dilution H2O Batch # 1435 1436 1437 1438 1439
Hardness (mg/L) 47 50 48 46 46
Alkalinity (mg/L) 31 34 32 30 30
Conductivity (umhos/cm) 153 169 161 167 169
Survival
Growth
Normal
171:
F1-
Hom. Var.
T 511
F1
NOEC
100
100
LOEC
>100
>100
ChV
>100
>100
Method
Steers
Dunnett's
Overall Result
ChV I >100
Slats
Survival
Growth
Conc.
Critical Calculated
Critical Calculated
28
10 20
2.41-0.4859
42
10 20
2.41 0.3423
56
10 20
2.41-1.2202
75
10 20
2.41-0.8116
100
10 16
2.41 0.1656
10
9
10
9
10
10
10
10
0.525
0.543
0.648
0.601

[_:�s luent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:12/19/2019
Facility: City of Newton NPDES # NC00 36196 Pipe #: 001 County: Catawba
lCommentsl
Signature of Laboratory Supervisor
MAIL ORIGINAL TO: Water Sciences Section
Aquatic Toxicology Branch
Division of Water Resources
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Test Initiation Date/Time 12/10/2019 3:30 PM Avg Wt/Surv. Control 0.514
% Eff. Repl. A4
Control Surviving #
Original #
Wt/original (mg)
28 Surviving #
Original #
Wt/original (mg)
42 Surviving #
Original #
Wt/original (mg)
56 Surviving #
Original #
Wt/original (mg)
75 Surviving #
Original #
Wt/odginal (mg)
100 Surviving #
Original #
Wt/original (mg)
ater Quality Data
Control
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
10
10
10
10
10
10
10
10
0.607
0.519
0.461
0.469
10
10
10
10
10
10
10
10
0.557
0.515
0.460
0.517
10
10
10
10
10
10
10
10
0.522
0.585
0.583
0.697
10
10
10
10
10
10
10
10
0.511
0.486
0.537
0.547
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlodne(mg/L)
Temp. at Receipt VC)
10
10
10
10
10
10
10
10
0.496
0.568
0.475
0.570
10
10
8
10
10
10
10
10
0.469
0.560
0.489
0.539
Day
% Survival 100.0
Avg Wt (mg) 1 0.514
% Survival 100.0
Avg Wt (mg) 1 0.512
% Survivall 100.0
Avg Wt (mg) 0.597
% Survival 100.0
Avg Wt (mg) 1 0.520
% SurvivaU 100.0
Avg Wt (mg) 1 - 0.527
% Survivall 95.0
Avg Wt (mg) 0.514
2 3 4 5 6
Test Organisms
I" Cultured In -House
�; Outside Supplier
Hatch Date: 12/9/19
Hatch Time: 3:00 pm CT
0
7.80 1 7.73
1
8.02 / 7.70
7.84 / 7.63
7.95 / 7.90
8.02 17.83
8.05 / 7.69
7.88 / 7.49
7.82 / 7.61
7.99 / 7.61
8.03 / 7.46
7.94 / 7.54
7.83 1 7.70
7.94 / 7.72
7.96 / 6.86
24.7 / 24.8
24.3 / 24.6
24.7 / 24.7
24.2 1 24.3
24.1 / 25.5
24.8 / 24.0
24.0 / 25.4
., a
7.76 / 8.16
7.88 / 8.10
7.69 1 8.16
7.92 / 8.17
8.09 / 8.27
8.22 / 8.90
7.93 / 7.92
8.38 / 7.63
8.32 / 7.54
8.30 / 7.64
8.28 / 7.53
7.76 1 7.82
7.90 1 7.56
8.15 / 6.74
24.5 1 25.4
24.9 / 25.1
24.6 125.3
24.8 1 25.0
24.6 / 25.2
25A 1 25.2
24.3 1 25.3
a 9 3
12/9/2019
12/11 /2019
12/12/2019
23.8
23.8
23.8
154
200
164
99
94
88
563
604
578
<0.1
<0.1
<0.1
1.8
2.3
1.8
Dilution H2O Batch # 1466 1457 1458
Hardness (mg/L) 44 44 42
Alkalinity (mg/L) 31 31 30
Conductivity (umhos/cm) 7165 173 149
Survival
Growth Overall Result
Normal
=
(Irsjr ChV >100
Hom. Var.
VGA
M.
NOEC
100
100
LOEC
>--
>
ChV
>1 00
>r-
Method
St
Du
Slats
Survival
Growth
Conc.
Critical Calculated
Critical Calculated
28
10 18
2.41 0.0474
42
10 18
2.41-2.2412
56
10 18
2.41-0.1693
75
10 18
2.41-0.3589
100
10 6�1
2.41-0.0068

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWfP, NCO036196
Renewal
Catawba
SUPPLEMENTAL APPLICATION INFORMATION
PART RINDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatmentworks 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. 0
b. Number of CIUs. 4
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: Technibilt Ltd.
Mailing Address: PO Box 310 700 East P Street
Newton NC 28658
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Powder coating shopping cartand material handling equipment
F.B. 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): Shopping carts and material handling equipment
Raw material(s): Steel in wire tube and flat form
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.
30,493 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?
433.17
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
F.S. 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.9. 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 REMEDIATIONICORRECTIVE 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.) ® 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, describe 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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWfP, NCO036196
Renewal
Catawba
SUPPLEMENTAL APPLICATION INFORMATION
PART FANDUSTRIAL USER DISCHARGES AND RCRAICERCLA 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 ol, 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.
C. Number of non -categorical SIUs. 0
d. Number of Cl Us. 4
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: Special Metals Welding Products
Mailing Address: 1401 Burris Rd
Newton NC 28658
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Production of high nickel content and stainless steel welding products
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): Nickel/nickel alloy coated electrodes stainless steel welding wire and fluxes
Raw material(s): Nickel nickel alloy, stainless steel compounds associated with production of welding fluxes
F.6. Flow Rate.
C. 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.
2980 gpd ( X continuous or intermittent)
d. 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?
471.35
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
F.8. 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.9. 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 IR 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 REMEDIATION/CORRECTIVE 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.) ® 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, describe 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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA 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?
M 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.
e. Number of non -categorical SIUs. 0
f. Number of CIUs. 4
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: Hickory Spring Mfg CoNVire Technology Plant
Mailing Address: 1115 Farrington St
Conover NC 28613
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Bedding manufacturing/furniture spring
F.S. 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): Coil springs
Raw material(s): Metal alloy round wire
F.6. Flow Rate.
e. 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.
1000 gpd ( X continuous or intermittent)
f. 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 intemrident)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Loral limits ❑ Yes ® No
b. Categorical pretreatment standards ® Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
433.17
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
F.8. 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.9. 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
FA 1. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedlatlon 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.) ® 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
c. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
d. 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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
SUPPLEMENTAL APPLICATION INFORMATION
PART R 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.
g. Number of non -categorical SIUs. 0
h. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following Information for each SIU. If more than one SIU discharges to the treatment works, copy questi7throughprovide
the Information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment wo
as necessary.
Name: Engineered Controls
Mailing Address: 911 Industrial Dr
Conover NC 28613
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Assembly of LP gas regulators
F.S. 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): LP gas regulators
Raw material(s): Pre -fabricated machined regulators
F.6. Flow Rate.
g. 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.
3100 gpd ( X continuous or intermittent)
h. 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 M Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
433.17
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
F.8. 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.9. 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 REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedlation 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.) ® No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCR4/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.)
FAA. Waste Treatment
e.Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
I. 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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA 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 of, 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. 0
b. Number of ClUs. 4
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.
�'+
E®
Name: Technibill, Ltd. RECEIVED
Mailing Address: PO Box 310, 700 East P Street FEB 0 4 2070
Newton NC 28658 NcDa IDAIRINMES
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Powder coating shopping cart and material handling equipment
F.S. Principal Products) 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): Shopping carts and material handling equipment
Raw material(s): Steel in wire tube and flat form
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.
30,493 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 R Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
433.17
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
F.8. 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.9. 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 REMEDIATION/CORRECTIVE 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.) ® 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, describe 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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All t eabment 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.
C. Number of non -categorical SIUs. 0
d. Number of CIUs. 4
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: Special Metals Welding Products
Mailing Address: 1401 Burris Rd
Newton NC 28658
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Production of high nickel content and stainless steel weldina Products
F.B. Principal Products) 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): Nickellnickel alloy coated electrodes stainless steel welding wire and fluxes
Raw material(s): Nickel nickel alloy, stainless steel compounds associated with production of welding fluxes
F.6. Flow Rate.
C. 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.
2980 gpd ( X continuous or intermittent)
d. 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?
471.35
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
F.8. 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.9. 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 REMEDIATION/CORRECTIVE 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.) ® No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLAIRCRAtor 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, describe 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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
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.1. 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.
e. Number of non -categorical SIUs. 0
I. Number of CIUs. 4
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: Hickory Spring Mfg CoWire Technology Plant
Mailing Address: 1115 Farrington St
Conover NC 28613
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Bedding manufacturing/furniture spring
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): Coil springs
Raw material(s): Metal alloy round wire
F.6. Flow Rate.
e. 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.
1000 gpd ( X continuous or intermittent)
I. 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?
433.17
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
F.8. 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.9. 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 REMEDIATION/CORRECTIVE 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.) ® 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.
c. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
d. 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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NC0036196
Renewal
Catawba
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.
g. Number of non -categorical SIUs. 0
h. Number of Cl Us. 4
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: Engineered Controls
Mailing Address: 911 Industrial Or
Conover NC 28613
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Assembly of LP gas regulators
F.6. 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): LP gas regulators
Raw material(s): Pre -fabricated, machined regulators
F.6. Flow Rate.
g. 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.
3100 gpd ( X continuous or intermittent)
h. 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?
433.17
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Clark Creek WWTP, NCO036196
Renewal
Catawba
F.8. 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.9. 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 REMEDIATION/CORRECTIVE 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.) ® No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCR4/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.)
FA 5. Waste Treatment
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
f. Is the discharge (or will the Discharge be) continuous or intemrittent?
❑ 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
NPDES FORM 2A Additional Information