NC0086584_Renewal (Application)_20240513

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Stephen Hall, Director Public Works
Town of Belhaven
PO Box 220
Belhaven, NC 27810-0220
Subject: Permit Renewal
Application No. NCO086584
Belhaven WTP
Beaufort County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
May 13, 2024
The Water Quality Permitting Section acknowledges the May 13, 2024 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. 150E-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://www.deq.nc.gov/permits-rules/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
North Carolina Department of Environmental Quality I Division of Water Resources
14.
D_EQ Washington Regional Office 1943 Washington square Mall I Washington North Carolina 27889
��+r►� 252.946.6481

RECEIVED
EPA Identification Number
NPDES Permit Number
Facility Name
L U L4 Form Approved 03/05119
NCO086584
Belhaven WTP
OMB No. 2040-0004
Form
U.S. EnvrNPDnr a ;4 DES
Application for NPDE a
1
�—.EPA
NPDES
GENERAL INFORMATION
SECTION•NPDES
40
Applicants Mo#:Rt ftf`iit Ft�rrri
1.1.1
Is the facility a new or existing publicly owned
1.1.2
Is the facility a new or existing treatment works
treatment works?
treating domestic sewage?
If yes, STOP. Do NOT complete No
If yes, STOP. Do NOT No
Form 1. Complete Form 2A,
complete Form 1. Complete
Form 2S.
1.2
;4pticants f?squinerf #o>x:o, 1
1.2.1
Is the facility a concentrated animal feeding
1.2.2
Is the facility an existing manufacturing,
operation or a concentrated aquatic animal
commercial, mining, or silvicultural facility that is
production facility?
currently discharging process wastewater?
Yes 4 Complete Form 1 No
Yes -* Complete Form No
i
and Form 26.
1 and Form 2C.
1.2.3
Is the facility a new manufacturing, commercial,
1.2.4
Is the facility a new or existing manufacturing,
0
mining, or silvicultural facility that has not yet
commercial, mining, or silvicultural facility that
commenced to discharge?
discharges only nonprocess wastewater?
Yes 4 Complete Form 1 No
Yes 4 Complete Form No
and Form 2D.
1 and Form 2E.
1.2.5
Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
b 15 .
SECTIONADDRESS,
AND LOCATIONr
2.1.:.,
,. ftattl8.
Belhaven Water Treatment Facility
2.2
iM411itt iifict ort: f iiffiber. " ,.
f
2.3
facility Contact
Name (first and last)
Title
Phone number
Stephen Hall
ORC Water Treatment Plant
[phone]
CP
Email address
=
[e-mail]
2.4
Fa #y M IIIIiI Address
Street or P.O. box
PO Box 220
City or town
State
ZIP code
Belhaven
N.C.
27810
EPA Form 3510-1 (revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05119
NCO086584
Belhaven WTP
OMB No.2040-0004
o �;'
2.5
Faell LoCatton
Street, route number, or other specific identifier
662 Harbinger St.
County name
County code (if known)
_
Beaufort
E
City or town
State ZIP code
z CW.
Belhaven
N.C. 27810
SECTION•
NAICS CODES•1
3.1
SIC is(sj
l f on fboo nal,) .
to
3.2
WCS Cadejsj
Desedpd" (dolonal)
cs
SECTION
OPERATOR
•- •
Town of Belhaven
4.2
Is the name you listed in Item 4.1 also the owner?
d`..
Yes ❑ No
4.3
❑ Public —federal ❑ Public —state ❑'' Other public (specify) Municipality
❑ Private ❑ Other (specify)
4.4
netf ... tator .
[phone]
_
4.5
:Address
Street or P.O. Box
cc
m
PO Box 220
c 7
c w
__7
City or town
State
ZIP code
o U
Belhaven
N.C.
27810
Email address of operator
[e-mail]
SECTION•
•1
5.1
Is the facility located on Indian Land?
❑ Yes 0 No
EPA Form 3510-1 (revised 3.19) Page 2

EPA Identification Number NPDES Permit Number Facility Name
Form Approved 03/05/19
NCO086584 Belhaven WTP
OMB No. 2040-0004
SECTION.
EXISTING
ENVIRONMENTAL1
W
6.1
Existing Environmental Permits Jcheck
all that apply and print or type the corresponding permit number for each)
d
© NPDES (discharges to surface
❑ RCRA (hazardous wastes)
❑ UIC (underground injection of
c N
water)
fluids)
'— €
NCO086584
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
ElOcean dumping (MPRSA)
ElDredge or fill (CWA Section 404)
❑ Other (specify)
SECTIONi
7.1
Have you attached a topographic map containing all required information to this application? (See instructions for
C
specific requirements.)
<A
0 Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SEC TI ON
OF i
8.1
Describe the nature of your business.
Provide Potable water to the residences and buisnesses of Belhaven
m
c
is
m
0
z
SECTION••
i
9.1
Does your facility use cooling water?
w -
El Yes ❑ No + SKIP to Item 10.1.
3 Z
..2
Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
Y
(y _5
C
SECTION
r VARIANCE
' •
10.1
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that
w
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
m
when.)
'�
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section 301(n)) 302(b)(2))
❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
Section 301(c) and (g))
F-�, Not applicable
EPA Form 3510-1 (revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Faclity Name
Form Approved 03/05/19
NCO086584
Belhaven WTP
OMB No. 2040-0004
SECTION•
r
11.1
In Column 1 below, mark the sections of Form 1 that you have completed and are submitting with your application.
For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to provide attachments.
Column 1
Column 2
❑ Section 1: Activities Requiring an NPDES Permit
❑ w/ attachments
❑✓ Section 2: Name, Mailing Address, and Location
❑ wl attachments
❑ Section 3: SIC Codes
❑ w/ attachments
Section 4: Operator Information
❑ w/ attachments
❑ Section 5: Indian Land
❑ w/ attachments
❑✓ Section 6: Existing Environmental Permits
❑ w/ attachments
m
m
❑� Section 7: Map
w/ topographic
❑ El wl additional attachments
ma
c
0 Section 8: Nature of Business
Elw/ attachments
u
;..
❑ Section 9: Cooling Water Intake Structures
❑ w/ attachments
m
❑ Section 10: Variance Requests
❑ wl attachments
❑✓ Section 11: Checklist and Certification Statement
❑ w/ attachments
11.2
Certification Statement
c>
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. l am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Stephen A Hall
ORC Belhaven Water Treatment facility
Signature
Date signed
..j4d., �C '"
s%/GJao�y
EPA Form 3510-1 (revised 3-19) Page 4

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05119
NCO086584
Belhaven WTP
OMB No.2040-0004
Form
U.S. Environmental Protection Agency
2C
EPA
Application for NPDES Permit to Discharge Wastewater
NPDES
EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS
SECTIONOUTFALL
LOCATIONi
1.1 Provide information
on each of the facility's outfalls in the table below.
flutfait
Receiving Water Name
Latitude
Longitude
c
Number
..
001
Pantego Creek
35° 33' 37.58" N
7C 31 31.36' W
3
Q
SECTIONDR
2.1
Have you attached a line drawing to this application that shows the water flow through your facility with a water
balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.)
C3
Yes ❑ No
SECTION•
3.1
For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if
necessa .
`TIAtfait Number'" P.,1 T
Operations Contributing
Operation -
Average flour .
Water Purification at 75% recovery
0.033 mgd
mgd
►=
mgd
mgd
Treatment
Descrtption
Units
Code from
ina1 ftposai of Solid or
CD
.
(include size, flow rate through each:treatment unit,
Table , _1
Liquid Wastes Other Than
a
retent 0r! time ,etc-)
by Discharge
3 Inch pipe, 450 GPM in, 100 GPM discharge, 1 min retentior
1-S
none
EPA Form 3510.2C (Revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
NC0086584
Facility Name
Belhaven WTP
Form Approved 03/05/19
OMB No.2040-M
3.1
Cont.
",
Operations
mgd
mgd
mgd
Treatment
mgd
Description
i* Size, how fete through each treatltlent tgut,
g
Mention dine, etc.
Units
Final Di9posal of Solid or.
I.i u1
q 1lilat is {'ftt Tt=
z5
m:
o,
c�
m
"ri?utt ill.NwnbW *..r......
.
Operations Contributing
or
mgd
mgd
mgd
mgd
Treatment
size, Aow rate th rotigh"d'►tie8" Uritl, .
retention timejt :
Units
;IEilsposal of Solid or
Liquid Wastes Other Than
by Dischar�te
1.
3.2
Are you applying for an NPDES permit to operate a privately owned treatment works?
❑ Yes No + SKIP to Section 4.
.
3.3
T❑
Have you attached a list that identifies each user of the treatment works?
Yes ❑ No
EPA Form 3510.2C (Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name
Form Approved 03/05/19
NCO086584 Belhaven WTP
OMB No.2040-0004
SECTION•
41
4.1
Except for storm runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or seasonal?
❑ Yes ❑ No 4 SKIP to Section 5.
4.2
Provide information
on intermittent or seasonal flows for each applicable outfall.
Attach additional pages, if n cessary.
WallEre
Qperabon
uenc
Flow Rate
Average
Average
Long -Term
Maximum
Number
lit}
Duration
Qa slWeek :..
MonthslYpar
Average
Dail
days/week
monthslyear
mgd
mgd
days
days/week
months/year
mgd
mgd
days
daysweek
months/year
mgd
mgd
days
days/week
months/year
mgd
mgd
days
days/week
monthstyear
mgd
mgd
days
days/week
monthslyear
mgd
mgd
days
days/week
monthstyear
mgd
mgd
days
days/week
monthslyear
mgd
mgd
days
days/week monthslyear mgd mgd days
SECTION'••I
• 1
5.1
Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility?
❑ Yes ❑✓ No 4 SKIP to Section 6.
H
5.2
Provide the following information on applicable ELGs.
w
ELG Category
ELF ub , `
at (moon "
v
CL
a
Q .
5.3
Are any of the applicable ELGs expressed in terms of production (or other measure of operation)?
❑ Yes ❑ No 4 SKIP to Section 6.
0
a
5.4
Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
Operation, Product, or Material
QttBe#ity p•r p# r
Aft 6f
R
EPA Form 351D-2C (Revised 3-19)
Page 3

EPA Identification Number NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO086584
Belhaven WTP
OMB No. 2040-0004
SECTION'O
1
Are you presently required by any federal, state, or local authority to meet an implementation schedule for constructing,
6.1
upgrading, or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes 0 No 4 SKIP to Item 6.3.
6.2
Briefly identify each applicable project in the table below.
Affected
Final Compliance Dates
E
Brief Identification- and Description of
Outfalls
Source(s) of
o'
Project
(fist outfalt
Discharge
Required
Projected
n
number
E
c
R
d
a.
6.3
Have you attached sheets describing any additional water pollution control programs (or other environmental projects
that may affect your discharges) that you now have underway or planned? (optional item)
❑ Yes ❑ No ✓❑ Not applicable
SECTION
7. EFFLUENT AND INTAKE CHARACTERISTICS (40 CFR 122.21(g)(7))
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must
complete. Not all applicants need to complete each table.
Table A. Conventional and Non -Conventional Pollutants
7.1
Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for any of
your outfalls?
❑ Yes ❑ No 4 SKIP to Item 7.3.
7.2
If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the application.
Outfall Number Outfall Number Outfall Number
y
7.3
Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
requested and attached the results to this application package?
No; a waiver has been requested from my NPDES
✓❑ Yes ❑permitting
authority for all pollutants at all outfalls.
R
Table 8.
Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants
7.4
Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories
z
listed in Exhibit 2C-3? (See end of instructions for exhibit.)
❑ Yes ❑ No 4 SKIP to Item 7.8.
7.5
Have you checked "Testing Required" for all toxic metals, cyanide, and total phenols in Section 1 of Table B?
❑ Yes ❑ No
7.6
List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s) identified
in Exhibit 2C-3.
Primary Industry Category ,
Required GCtMS Fraction(s)
Check a icable.boxes.
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
EPA Form 3510-2C (Revised 3-19) Page 4

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03105119
NCO086584
Belhaven VVTP
OMB No. 2040-0004
7.7
Have you checked "Testing Required" for all required pollutants in Sections 2 through 5 of Table B for each of the
GC/MS fractions checked in Item 7.6?
❑ Yes ❑ No
7.8
Have you checked `Believed Present' or "Believed Absent" for all pollutants listed in Sections 1 through 5 of Table B
where testing is not required?
El Yes ❑ No
7.9
Have you provided (1) quantitative data for those Section 1, Table B, pollutants for which you have indicated testing is
required or (2) quantitative data or other required information for those Section 1, Table B, pollutants that you have
indicated are `Believed Present' in your discharge?
r❑ Yes ❑ No
7.10
Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
❑ Yes -* Note that you qualify at the top of Table B, ❑ No
r
s�
then SKIP to Item 7.12.
S
7.11
Have you provided (1) quantitative data for those Sections 2 through 5, Table B, pollutants for which you have
o
determined testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B,
pollutants you have indicated are "Believed Present' in your discharge?
❑ Yes El No
.mom.
Table C. Certain Conventional and Non -Conventional Pollutants
in
7.12
Have you indicated whether pollutants are "Believed Present' or "Believed Absent' for all pollutants listed on Table C
for all outfalls?
Y
❑ Yes ❑ No
c
7.13
Have you completed Table C by providing (1) quantitative data for those pollutants that are limited either directly or
_
indirectly in an ELG and/or (2) quantitative data or an explanation for those pollutants for which you have indicated
'Believed Present'?
3
❑ Yes ❑ No
w
Table D. Certain Hazardous Substances and Asbestos
7.14
Have you indicated whether pollutants are `Believed Present' or "Believed Absent" for all pollutants listed in Table D for
all outfalls?
❑ Yes [E] No
7.15
Have you completed Table D by (1) describing the reasons the applicable pollutants are expected to be discharged
and (2) by providing quantitative data, if available?
❑ Yes ❑✓ No
Table E. 2,3,7,8-Tetrachlorodibenzo- Dioxin 2,3,7,8-TCDD
7.16
Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions, or do you
know or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes 4 Complete Table E. ❑ No 4 SKIP to Section 8.
7.17
Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑ No
SECTION&
USEDOR
MANUFACTURED TOXICS
Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as
8.1
m
an intermediate or final product or byproduct?
.�,
❑ Yes ❑r No 4 SKIP to Section 9.
v
w:
8.2
List the pollutants below.
C y
1. 4. 7.
fm-
0
m
2. 5. 8.
3. 6. 9.
EPA Form 3510-2C (Revised 3-19) Page 5

EPA Identification Number
NPDES Permit Number Facility Name
Form Approved 03/05/19
NCODS6584 Belhaven WTP
OMB No. 2040-0004
SECTION`
BIOLOGICAL
TOXICITY1
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made
9.1
within the last three years on (1) any of your discharges or (2) on a receiving water in relation to your discharge?
❑� Yes ❑ No SKIP to Section 10.
N
9.2
Identify the tests and their
purposes below.
Submitted to NPDES
Test(s)
Purpose of Test(s)
Permitting Authority?
Date Submitted
x
0
}'
Acute Toxicity Mysidopsis
monitor and report
ElYes ❑ No
01/23/2024
bahia
as
c
c
Acute Toxicity Mysidopsis
monitor and report
El ❑
m
bahia
Yes No
10/03/2023
Acute Toxicity Mysidopsis monitor and report El ElNo 07/11/2023
Yes
bahia
SECTION•
Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting firm?
10.1
❑� Yes ❑ No 4 SKIP to Section 11.
10.2
Provide information for each contract laboratory or consulting firm below.
Laboratory Mummer 1
Laboratory Number 2
Laboratory Number 3
Name of laboratory/firm
Waypoint Analytical
Meritech, Inc
U)
d
M
Laboratory address
114 Oakmont Drive
642 Tamco Road
to
do
Greenville, NC 27858
Reidsville, NC 27320
v
R
L
a+
C
Phone number
[phone]
[phone]
Pollutant(s) analyzed Ammonia nitrogen Acute Toxicity Mysidopsis bahia
Total Kjeldahl Nitrogen
Nitrate+Nitrite
Total Phosphorus
Total Dissolved residue
Copper
SECTIONDD
• •- •
Has the NPDES permitting authority requested additional information?
11.1
_
❑ Yes ❑✓ No SKIP to Section 12.
o.
11.2
List the information requested and attach it to this application.
1. 4.
R
0
2. 5.
Q
3. 6.
EPA Form 3510-2C (Revised 3-19) Page 6

EPA Identification Number
NPDES Permit Number Facility Name Form Approved 03/05/19
NCOUB6584 Belhaven WTP OMB No.2040-0004
SECTION•
12.1
In Column 1 below, mark the sections of Form 2C that you have completed and are submitting with your application.
For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to com lete all sections or provide attachments.
Column 1
Column 2
✓❑ Section 1: Outtall Location
0 w/ attachments
❑� Section 2: Line Drawing
❑ w/ line drawing ❑ w/ additional attachments
� Section 3: Average Flows and
❑
w/ list of each user of �
w/ attachments
❑ ❑ privately owned treatment
Treatment
works
❑ Section 4: Intermittent Flows
❑ w/ attachments
❑ Section 5: Production
❑ w/ attachments
w/ optional additional
❑ Section 6: Improvements
❑ w/ attachments ❑ sheets describing any
additional pollution control
tans
❑ w/ request for a waiver and ❑ w/ explanation for identical
supporting information outfalls
d
❑ w/ small business exemption
❑ w/ other attachments
m
request
❑ Section 7: Effluent and Intake
❑ w/ Table A ❑ w/ Table B
Characteristics
0
❑✓ w/ Table C ❑ w/ Table D
w
r
w/ analytical results as an
❑ wl Table E ❑
attachment
Section 8: Used or Manufactured
❑
❑ w/ attachments
+.
Toxics
�c
m
Section 9: Biological Toxicity
w/ attachments
s
Tests
Section 10: Contract Analyses
❑ w/ attachments
❑ Section 11: Additional Information
❑ w/ attachments
Section 12: Checklist and
❑ w/ attachments
Certification Statement
12.2
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Stephen Hall
ORC Belhaven WTP
Signature
Date signed
GC /71
yIto ,2oa V
EPA Form 351MC (Revised 3-19) Page 7

EPA Identification Number
Permit Number
NCO086584
Facility Name
Belhaven WTP
Outfall Number
001
Form Approved 03/05/19
OMB No. 2040-0004
• •
• •
• ' • 1
Effluent
Intake
Pollutant
Waiver
Requested
Units
tional
Maximum
Maximum
Long -Term
(f applicable)
tspe*)
Daily
Monthly
Average Daily
Number of
Long -Term
Number of
Discharge
Discharge
Discharge
Analyses
Average Value
Analyses
(required)
If available
if available
❑
Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
1'
Biochemical oxygen demand
❑
Concentration
Mass
(BOD5)
2'
Chemical oxygen demand
El
Concentration
Mass
(COD)
Concentration
3.
Total organic carbon (TOC)
❑
Mass
Concentration
4.
Total suspended solids (TSS)
❑
Mass
Concentration
mg/I
9.04
3.3
12
5.
Ammonia (as N)
❑
Mass
Ibs
2.6
0.9
12
6.
Flow
❑
Rate
mgd
.061
.033
365
Temperature (winter)
❑
°C
�C
17.1
7.
Temperature (summer)
❑
°C
C
17.5
pH (minimum)
❑
Standard units
S.U.
7.0
8.
pH (maximum)
❑
Standard units
S.U.
7.1
aarnpung snail De conducted accoraing to sutticlently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19)
Page 9

EPA Identification Number NPDES Permit Number Facility Name
Oudall Number Form Approved 03/05/19
NCO086584 Belhaven WTP
D�) OMB No. 2040-0004
Presence of Aibl ionce "
check one
Effluent Intake
(optional)
Pollutant/Parameter Testing Units
(and CAS Number, if available) Required Believed Believed (sped)
Maximum
Maximum
Long -Term
Average
Number
Long -
Number
Present Absent
Dail y
Monthly
y
�,
Discharge
Discharge
Discharge
Analyses
Average
Analyses
l )
rf available_L
—
Value
Check here if you qualify as a small business per the instructions to Form 2C and, therefore, do not need to submit quantitative data for any of the organic toxic pollutants in Sections
2 through 5 of this table. Note, however, that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1. UXic Metals, Cyanide, and Tot sl Phenols
1.1
Antimony, total
El
❑
❑
Concentration
Mass
(7440-36-0)
1.2
Arsenic, total
❑
IDConcentration
Mass
(7440-38-2)
1.3
Beryllium, total
❑
El
O
Concentration
Mass
(7440-41-7)
1.4
Cadmium, total
r
Concentration
Mass
(7440-43-9)
1.5
Chromium, total
❑
r
Concentration
Mass
(7440-47-3)
16
Copper, total
❑
ElConcentration
ug/I
< 10
< 10
< 1D
4
Mass
(7440-50-8)
1.7
Lead, total
r
Concentration
Mass
(7439-92-1)
1.8
Mercury, total
Concentration
Mass
(7439-97-6)
1'9
Nickel, total
El
11
r
Concentration
Mass
(7440-02-0)
1.10
Selenium, total
El
1:1
r
Concentration
Mass
(7782-49-2)
1.11
Silver, total
Concentration
Mass
(7440-22-4)
EPA Form 3510-2C (Revised 3-19) Page 11

rvPuts Permit Number Facility Name Outfall Number
NCO086584 Belhaven WTP (DO I
Farm Approved 03105/19
OMB No. 2040-0004
Patlutarlttt'arameter
Nhd:CASNumber, Ifavail4blb)
TQsting
ufred
Presence or Absence
check one}
__-- —_�
Units
(SPL*)
Effluent.:.
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
.Daily
Discharge
(requued)
Maximum
Monthly
Discharge
Qfavaihabia}
t.orr -Term
Average
Daily
Discharge
rf availableL
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
1.12
Thallium, total
(7440-28-0)
❑
El❑
Concentration
Mass
1.13
Zinc total
(7440-66-6)
El
❑
❑
Concentration
Mass
1.14
Cyanide, total
(57-12-5)
❑
❑
❑
Concentration
Mass
1.15
Phenols, total
❑
El
0
Concentration
Mass
SectMn 2.anlc Tcr�dc Ioitiar+ts fi1S FtaEion-_l�ofcaltleCatrrp+at�dsj
2.1
Acrolein
(107-02-8)
El
❑
❑
Concentration
Mass
2.2
Acrylonitrile
(107-13-1)
❑
El
ElConcentration
Mass
2.3
Benzene
(71-43-2)
❑
_ _
❑
✓
❑
Concentration
Mass
2 4
Bromoform
(75-25-2)
❑
❑
✓
❑
Concentration
Mass
2.5
Carbon tetrachloride
(56-23-5)
❑
❑
❑
Concentration
Mass
2.6
Chlorobenzene
(108-90-7)
❑
❑
Concentration
Mass
2.7
Chlorodibromomethane
(124-48-1)
❑
❑
❑
Concentration
Mass
2'8
Chloroethane
(75-00-3)
❑
❑
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCO086584 Belhaven WTP 00 i OMB No.2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
4u
Presence or Absence
dheck one
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
if available
Number
of
Analyses
Long-
Term
Average
Value
..Number,
of
Analyses
2.9
2-chloroethylvinyl ether
(110-75-8)
El
❑
❑
Concentration
Mass
2.10
Chloroform (67-66-3)
Concentration
Mass
211
Dichlorobromomethane
(75-27-4)
❑
©
Concentration
Mass
2.12
1,1-dichloroethane
(75-34-3)
ElElConcentration
Mass
2.13
1,2-dichloroethane
(107-06-2)
ElEl✓
Concentration
Mass
2.14
1,1-dichloroethylene
(75-35-4)
El
El
❑
Concentration
Mass
2.15
1,2-dichloropropane
(78-87-5)
El
Concentration
Mass
2.16
13-dichloropropylene
(542-75-6)
El
❑
Concentration
Mass
217
Ethylbenzene
(100-41-4)
El
RConcentration
Mass
2.18
Methyl bromide
(74-83-9)
❑
El✓
Concentration
Mass
2.19
Methyl chloride
(74-87-3)
El
El
El
Concentration
Mass
2.20
Methylene chloride
(75-09-2)
✓
Concentration
Mass
2.21
1, 1,2,2- tetrachloroethane
(79-34-5)
El
El
✓
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 13

EPA Identification Number
NCO086584
Facility Name
Belhaven WTP
r•
Outfall Number
Form Approved 03/05/19
OMB No. 2040-0004
': • 1
PollutantlParameter
and CAS Number, if available)
,(.
• '
Testing
Required
q
1 1 •'
Presence or Absence.,Intake
check one
• '• 1
Units
(specify)
Effluent
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
'Monthly
Discharge
(Navailable)
tong -Term
Average
Daily
Discharge
rf available
Number
of
Analyses
tong-
Term
Average
Value
Number
of
Analyses
2.22
Tetrachloroethylene
(127-18-4)
❑
❑
✓
Concentration
Mass
2.23
Toluene
(108-88-3)
Concentration
Mass
2.24
1,2-trans-dichloroethylene
(156-60-5)
El
R1
Concentration
Mass
225
1,1,1-trichloroethane
(71-55-6)
❑
a
Concentration
Mass
226
1,1,2-trichloroethane
(79-00-5)
❑
❑
❑�
Concentration
Mass
2.27El
Trichloroethylene
(79-01-6)
❑
Concentration
Mass
2.28
Vinyl chloride
(75-01-4)
El❑
Concentration
Mass
Section 3. Organic Toxic Pollutants.(GCIMS Fraction
—Acid Compounds)
31
2-chlorophenol
(95-57-8)
El
El
0
Concentration
Mass
3.2
2,4-dichlorophenol
(120-83-2)
✓
Concentration
Mass
3.3
2,4-dimethyl phenoI
(105-67-9)
✓
Concentration
Mass
3.4
4,6-dinitro-o-cresol
(534-52-1)
El
El
✓
Concentration
Mass
3.5
2,4-dinitrophenol
�(51-28-5)
El
El
0
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name
Outfall Number Form Approved 03/05/19
NCO086584 Belhaven WTP
00 OMB No. 2040.OW
`' • ` I • • I •' • • • 1
Presence or Absence
check one
Effluent Intake.: , .. , ...
.
(Op"
lscllltarwarameter Testing Units
end 6A8 Writer, if available) Required Believed Believed (specify)
MB rri
MaXlCtttJm
Long -Term
Average
Atumber
Long
Number
Present Absent
Datly
Monthly
Daily ,
of
Term
of
€lls#targe ';
: Dif�eltarle
,
flischarge .
Average
Analyses
tt1!°d)
{if available}
if avaNable
,Analyses
Value
3.6
2-nitrophenol
El
El
El
Concentration
Mass
(88-75-5)
3.7
4-nitrophenol
El
❑
✓
Concentration
Mass
(100-02-7)
3.8
p-chloro-m-cresol
Concentration
Mass
(59-%7)
3.9
Pentachlorophenol
❑
❑
a
Concentration
Mass
(87-86-5)
3.10
Phenol
El
21
Concentration
Mass
(108-95-2)
3.11
2,4,6-tdchlorophenol
✓
Concentration
Mass
(88 05-2)
Siection 4. Q an Toxic Pvllutar 1
C�NlS,l+i
%et -Base lNeutr
l Co m ounds
4.1
Acenaphthene
El
IJ
a
Concentration
Mass
(83-32-9)
4.2
Acenaphthylene
a
Concentration
Mass
(208-96-8)
4.3
Anthracene
Concentration
Mass
(120-12-7)
4.4
Benzidine
El
❑
❑
Concentration
Mass
(92-87-5)
4.5
Benzo (a) anthracene
El
11
❑
Concentration
Mass
(56-55-3)
4.6
Benzo (a) pyrene
❑
a
a
Concentration
Mass
(50-32-8)
EPA Form 3510-2C (Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
NCO086584 I Belhaven WTP 00%
Form Approved 03/05/19
OMB No. 2040-0004
�S •
Jta4aftmeh'
(andICASNuvilW ife le)
•
11t tipg
+
#tb'ed
• •'
trwearace or/tbser
check one
• •• •1
tkB
(sPat yi
Effluent
Intake ~
(optiona4
Believed
Present
Believed
Absent ..
Maximum
Daily
Discharge _
(required)
Maximum
Monthly
Discharge:DOR
((f avathable;
Long�Term
Ar�xage .
�
tJuOber
ofAVeralgl�
Analyses
Long-
Term'
.. 112i1ue
Numb rsr
% 1til j1�85..
4.7
3,4-benzofluoranthene
(205-99-2)
Concentration
Mass
4.8
Benzo (ghi) perylene
(191-24-2)
Concentration
Mass
4.9
Benzo (k) fluoranthene
(207-08-9)
Concentration
Mass
4.10
Bis (2-chloroethoxy) methane
(111-91-1)
0
El
21
Concentration
Mass
4.11
Bis (2-chloroethyl) ether
(111-44-4)
Concentration
Mass
412
Bis (2-chloroisopmpyl) ether
(102-80-1)
El
El
Concentration
Mass
4.13
Bis (2-ethylhexyl) phthalate
(117-81-7)
❑
❑�
Concentration
Mass
4.14
4-bromophenyl phenyl ether
(101-55-3)
El
El
ID
Concentration
Mass
4.15
Butyl benzyl phthalate
(85-68-7)
❑
❑
0
Concentration
Mass
4.16
2-chloronaphthalene
(91-58-7)
El
El
21
Concentration
Mass
4.17
4-chlorophenyl phenyl ether
(7005-72-3)
El
21
Concentration
Mass
4.18
Chrysene
(218-01-9)
El
❑
✓
Concentration
Mass
4.19
Dibenzo (a,h) anthracene
(53-70-3)
ElConcentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 16

LVA Ioentiftabon Number NPDES Permit Number Facility Name Outfall Number
NCO086584 Belhaven WTP Ob /
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
check one
Units
(specify)
Effluent
Intake
{.optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(If available)
Long -Term
Average
Daily
Discharge
rf available
Number
of
Analyses
Long-
Term
Average
Value
Number
°f
Analyses
4.20
1,2-dichlorobenzene
(95-50-1)
El
El
✓
Concentration
Mass
4.21
1,3-dichlorobenzene
(541-73-1)
❑
El
Concentration
Mass
4.22
1,4-dichlorobenzene
(106-46-7)
❑
✓
Concentration
Mass
4.23
3,3-dichlombenzidine
(91-94-1)
EJ
❑
0
Concentration
Mass
4.24
Diethyl phthalate
(84-66-2)
El
❑
0
Concentration
Mass
4.25
Dimethyl phthalate
(131-11-3)
ElConcentration
21
Mass
4.26
Di-n-butyl phthalate
(84-74-2)
❑
El❑
Concentration
Mass
4.27
2,4-dinitrotoluene
(121-14-2)
El❑
Concentration
Mass
4.28
2,6-dinitrotoluene
(606-20-2)
©
Concentration
Mass
4.29
Di-n-octyl phthalate
(117-84-0)
El
❑
©
Concentration
Mass
4.30
1,2-Diphenylhydrazine
(as azobenzene) (122-66-7)
Concentration
Mass
4.31
Fluoranthene
(20644-0)
El
❑
21
Concentration
Mass
4.32
Fluorene
(86-73-7)
El
1
El
El
1
Concentration
1Mass
EPA Form 3510-2C (Revised 3-19) Page 17

EPA Identification Number NPDES Permit Number Facility Name OL
NC0O86584 Belhaven WTP DO 1
Form Approved 03/05/19
OMB No. 2040-0004
•
PoliutanVP.arameter
( and CAS Number, Vavai�le)
14.33
•
Testing
Required
• •' ,
Presence or Absence
he one
• •• , 1IBM
Units
(specify)
Effluent
Intake
(optioriai)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
of available)
Long -Term
Average
Daily
Discharge
iFavailable
Number
of
Analyses
Long-.
Term
Average
Value
Number
of
Analyses
Hexachlorobenzene
(118-74-1)
❑
❑
✓
Concentration
Mass
4.34
Hexachlorobutadiene
(87-68-3)
r
Concentration
Mass
4.35
Hexachlorocyclopentadiene
(77-47-4)
❑
11
21
Concentration
Mass
4.36
Hexachloroethane
(67-72-1)
El
El
❑
Concentration
Mass
4.37
Indeno (1,2,3-cd) pyrene
(193-39-5)
El
r
Concentration
Mass
4.38
Isophorone
(78-59-1)
El
El
El
Concentration
Mass
4.39
Naphthalene
(91-20-3)
El
❑
❑
Concentration
Mass
4.40
Nitrobenzene
(98-95-3)
❑
Concentration
Mass
4.41
N-nitrosodimethylamine
(62-75-9)
❑
El
0
Concentration
Mass
4.42
N-nitrosodi-n-propylamine
(621-64-7)
r
Concentration
Mass
4.43
N-nitrosodiphenylamine
(86-30-6)
❑
r
Concentration
Mass
4.44
Phenanthrene
(85-01-8)
r
Concentration
Mass
4.45
Pyrene
(129 00 0)
r
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 18

EPA Identification Number NPDES Permit Number Facility Name
Outfall Number Form Approved 03/05/19
NCO086584 Belhaven WTP
d0 , OMB No.2040.00N
': • ' • • • •' ' • •• 1
Presence bra:
check one
Efft!>ertt iatEe
pothwtart aramel Usting Units
".""(and GAs NoImIWr, �f ev&W*) [te uitred BeHexed $elieued : ( >
l�{elkimunt
, 1N nul
Lon ;Tema
Average
unr er
Long.
WrIter
Present .. Absent ::
L1allr
..iilonthfy :
Daily
of:
Tema
of
Dis O
t .:
: blsetiaa
(savailab}
iC?is abrlge�
Attyses .
e
Average
. Vakte '
.
Analyses
4.46
1 2,4-thchlorobenzene
Concentration
(120-82-1)
Mass
n 5., anic Toxic Pollutants GCIM5r2n,_t'esticrdes
5
Aldrin
El
Mass
(309-00-2)
5.2
a-BHC
El
El
❑
Concentration
Mass
(319-84-6)
5.3
R-BHC
Concentration
Mass
(319-85-7)
5.4
y-BHC
El
Concentration
Mass
(58-89-9)
5.5
5-BHC
❑
Ely
Concentration
Mass
(319-86-8)
5.6
Chlordane
El
Concentration
Mass
(57-74-9)
5.7
4 4'-DDT
0
Concentration
Mass
(50-29-3)
5.8
14 4'-DDE
✓
Concentration
(72-55-9)
Mass
5.9
4 4'-DDD
Concentration
Mass
(72-54-8)
5.10
Dieldrin
✓
Concentration
Mass
(60-57-1)
5.11
a-endosulfan
❑
S
Concentration
Mass
(115-29-7)
EPA Form 3510-2C (Revised 3.19)
Page 19

EPA Identification Number NPDES Permit Number Facility Name
Outfall Number Form Approved 03/05/19
NCO086584 Belhaven WTP
OMB No. 2040-0004
Presence or Absence
check one
Effluent Intake
(optional)
PollutantlParatneter ; Testing Units
(and CAS Number, if avaiW*), Required Believed Believed
q �t��l!i
Maximum
Maximum
Long -Term
Average
Number
Long-
Plumber
Present Absent
Dail Y
Monthly
Y
Daily
of
Term
,
of
Discharge
Discharge
Discharge.
Analyses
Average
Anab/ses
:.
(required)
yifavailable}
litavaiiable
V814b
512
Gi-endosuran
❑
❑
O
Concentration
Mass
(115-29-7)
5.13
Endosulfan sulfate
❑
❑
Concentration
Mass
(1031-07-8)
5.14
Endrin
❑
Concentration
Mass
(72-20-8)
5.15
Endrin aldehyde
❑
El
❑
Concentration
Mass
(7421-93-4)
5.16
Heptachlor
❑
❑
O
Concentration
Mass
(76-44-8)
5.17
Heptachlor epoxide
❑
❑
Concentration
(1024-57,3)
Mass
5.18
PCB-1242
(53469-21-9)
❑
Concentration
Mass
5.19
PCB-1254
(11097-69-1)
❑
❑
El
Concentration
Mass
5.20
PCB-1221
(11104-28-2)
❑
❑
21
Concentration
Mass
5.21
PCB-1232
(11141-16-5)
❑
❑
El
Concentration
Mass
5.22
PCB-1248
(12672-29-6)
❑
❑
❑
Concentration
Mass
5.23
PCB-1260
(11096-82-5)
❑
Concentration
Mass
5.24
PCB-1016
(12674-11-2)
❑
❑
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 20

EPA Identification Number NPOES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCO086584 Belhaven WTP OMB No.2040-0004
•
kill 1 ••
• •• 1
Presence or Absence
c l%* Onqj
Effluent
71
Intake .
(dp1S
PollutanWarameter
(and CAS Number, if available)
Testing
Required
Believed
Believed
Units
(specify)
�'
Maximum
Maximum
Long Term
Average
Number
Long-
Number
Present
Absent
Daily
Monthly
Daily
of
Term
Discharge
(required)
Discharge
(if available)
Discharge
'if
Analyses
Average
value
Analyses
available)
Toxaphene
Concentration
5.25 (8001-35-2)
El
El
0
Mass
vai nPm iy 0 Ct vv W11 WAVu G to kJlUll ly LU SUingel Illy s MAIVe test proc-eeures (I.e., mernoas) approvea unaer 40 cFK 13b for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19) Page 21

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCO086584 Belhaven VVTP 001 OMB No. 2040-0004
• •• 1
+: • • I • • Lei a
Presence or Absence
L. check ene Effluent Intake
(Optional)
Units Maximum Long -Tenn
Believed Believed (specify) Maximum Daily Long -Term
Monthly Average Daily Number of Number
of
Present Absent Discharge Average
(requiredl Discharge Discharge Analyses Analyses
'Value)
if available if available
❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for
each pollutant.
❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for
each pollutant.
1
Bromide
❑
Concentration
-
(24959.67-9)
Mass
2
Chlorine, total
❑
Concentration
Mass
residual
3.
Color
❑
Q_
Concentration
Mass
4.
Fecal coliform
❑
0
Concentration
Mass
5
Fluoride
❑
❑
Concentration
Mass
(16984-48-8)
6
Nitrate -nitrite
�
�
Concentration
mg/l
<0.04
< 0.04
<0.04
12
Mass
7.
Nitrogen, total
a
❑
Concentration
mg/l
iitor for TN and a
4
Mass
organic (as N)
8.
Oil and grease
❑
Concentration
Mass
g
Phosphorus (as
❑
❑
Concentration
mg/I
0.86
0.86
0.63
4
Mass
P), total (7723-14-0)
10.
Sulfate (as SO4)
❑
✓
❑
Concentration
Mass
(14808-79-8)
11.
Sulfide (as S)
❑
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 23

--]
EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCO086584 Belhaven WTP OMB No. 2040-0004
Presence or Absence
Check one Effluent Intake
(Optional)
Units
Pol[utant Maximum Long Tenn
Believed Believed {specify) Maximum Daily. Long -Term
Monthly Average Daily Number of Number of
Present Absent Discharge Discharge Discharge Analyses Average Analyses
�) if available if available Value
12
Sulfite (as S03)
(14265-45-3)
r
Concentration
Mass
13.
Surfactants
Concentration
Mass
14.
Aluminum, total
(7429-90-5)
Concentration
Mass
15.
Barium, total
(7440-39-3)
❑
Concentration
Mass
1 6.
Boron, total
(7440-42-8)
❑
Concentration
Mass
17.
Cobalt, total
(7440-484)
r
Concentration
Mass
18.
Iron, total
(7439-89-6)
❑✓
Concentration
ug/I
2551
2551
2330
4
Mass
19
Magnesium, total
(7439-954)
❑
O
Concentration
Mass
20.
Molybdenum,
total
7439-98-7
El
21
Concentration
Mass
21
Manganese, total
(7439-96-5)
El
21
Concentration
Mass
22
Tin, total
(7440-31-5)
❑r
Concentration
Mass
23
Titanium, total
(7440-32-6)
0
Concentration
Mass
EPA Form 3510-2C (Revised 3-19) Page 24

EPA Identification Number
NPDES Permit Number
Facility Name
Outfall Number
Form Approved 03/05/19
NCO086584
Belhaven WTP
OMB No. 2040-0004
To
Lei" Ire
my
1
Presence or Abserice
check
orb
7,u'
Effluent
Intake
(Optional)
Pollutant
Believed
Believed
units
{spe*)aximum
Daily
Maximum
Long -Tenn
Long! -Term
Present
Absent
Discharge
Monthly
Average belly Number of
Number of
Average
(raquired�
Discharge
Discharge Analyses
Analyses
f available
±t available)Value
24. Radioactivity
Alpha, total
El0
Concentration
Mass
Beta, total
El❑
Concentration
Mass
Radium, total
❑
�
Concentration
Mass
Radium 226, total
❑
Concentration
Mass
I Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19)
Page 25

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Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date 7/3-2,:5
Grab
Comp.
Duration
Collection Date: 7—
Collection Time: /(�. 0_,j N7 — jQ'01rl
Test Start Date: 7 j
Sample Type/Duration
0 0
— x
.
0
O
=3 �.
Salinity (mg/1)
Chlorine (mg/1)
Sample temp. at receipt (°C)
Facility & d&1_e4 NPDES# NC00� Pipe# �W County Bey, _iSr 6,
Laboratory. Performing Test Meritech, Inc. (Lob #027) Comments
X G/ /�
Number, and E-mail Address of Operator in
X U/`/
Signature of laboratory Supervisor
MAIL ORIGINAL TO:
North Carolina Acute Pass/Fail Toxicity Test
pH
a•
Water Sciences%P V CS
Aquatic Toxicol''
Divivsion of Water Resources
1621 Mail Service Center
Raleigh, NC 27699-1621
Organism Tested
Mysidopsis bahia
Control 3
Treatment 7 /F.%
m
v a
Control 7O
Treatment
Mean Mortality
Treatment 1 (Control) A B C
%
%I
L./
Is]
Treatment 2 (Exposure) A B C D
Concentration 90p/O
Tested Q
(NOTE: If mean control mortality exceeds 10%, the test is considered invalid)
Calculate using
Arc -Sine Square Root
Calculated Student's t
Transformed data I Tabular Student's t
(ONE TAILED)
If the absolute value of the calculated t is less than or equal
to the absolute value of the tabular t, check PASS.
If the absolute value of the calculated t is greater than the
absolute value of the tabular t, check FAIL.
If all vessels within each treatnment have the same response
but the treatment two response is greater than the control, check FAIL.
PASS
FAIL

W�
Client: f &dhaver iJ
NPDES #:NC���
Test Initiated by:
Dilution Water: synthetic Saltwater. Batch #76.-t
Randomization?: Yes
Incubator#: _
Meritech. Inc. (Lab # 027)
Data Sheet for 24 Hour Acute P/F
Mysid Shrimp
No. of Organisms per Chamber: 10
Test Vessel Size: 260 ml
Test Solution Volume: 200ml
No. of Replicates per Treatment: 4
Temp. of Stock: Al &_°C
Reference run on: 7- l f -,;Z3
Start: Date: -IA?� Time:
End: Date: o Time: /*
Test Organism: Mysidoosis Bahia Age.3-'y days
Born: Dater Time: 30
Test Terminated by: ./W
Reviewed by. ---
Concen-
tration
Number Exposed
p
Mortality after 24 Hrs.
ty
Total
No.
Dead
p H
Dissolved
Oxygen (mg/L)
Temperature
(0C)
Salinity (PPT)
Residual
Chlorine
(mg/L)
Rep
A
Rep
B
Rep
C
Rep
D
Rep
A
Rep
B
Rep
C
Rep
D
0
24
0
24
0
24
0
24
0
Control
10
10
10
10
©
t77
Ir
7/Qq
-;5-,
d,5
`"011
90%
10
10
10
10
b
('
d
D
1 � I �1
Ft
Residual
Initial Salinity of
Adjusted Salinity
Chlorine of 100%
pH of 100%
100% (PPT)
of 100% (PPT)
(mg/L)
Itzy
I
C?�
Z_a
Conductivities, (umhos/cm)
Control:
30,000 umhos/cm
Standard:
Initial 100%
Adjusted 100%:
Date and time fed prior to test initiation: 7- f'o� �3 0' 10:00rt A Fed by: L-,--

MERITECH, INC. (Lab # 027) Meech Sample ID #: v �+A�
m
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville, N.C. 27320
Phone: [phone] Fax:[phone]
Laboratory Supervisor E-mail: mike.reed%imeritechlabs.com Web Site: www.meritechlabs.com
CLIENT INFORMATION
Client: —Tow N or Uf l ksw,- J PO#:
Contact Person: 6+e p hE/V Hp, ( j NPDES#: NC 00*46_�­y
Physical Address: , j/S zc^>7 M riN 61i PhoneGLR) Qi13
Mailing Address: PC) t3LK -2aO Pipe#:�QD/
City: 13 E I hj1-✓rN State: /1% zip: ?�J &
County: A'FN4-r-G PrT E-mail: (,J Perr--Me 7-OLJAI o F ©C (j, lUIr ✓, Ga 01
Grp SAMPLE INFORMATION
Sample Site: F r'1uE/✓r
Sample Type: ® Grab ❑ Composite # of containers:
Sampling Time: Start Date: Ill) /%3 Start Time: 465 ® PM
End Date: 21% t) ;3 End Time: /a t /O 419�) PM
•" Triple rinse sample container with sample before filling completely with NO AIR SPACE. Pack the sample cooler completely with Ice.
The sample must be < 6.00C upon receipt at Meritech"'
Collector's Name: Print: SjOSignature:��
TOXICITY TEST INFORMATION
Test Required: ❑ Chronic (7 days) Test Organism: ❑ Cer/odephnla dubla (water flea)
Acute (24-48 hours) ❑ Plmephales promelas (fathead minnow)
ja Mysidopsis bahle (mysid shrimp)
(WC: FV % '*' Friday Samples for Chronic Fathead test must be collected after 9:00 a.m, on Friday.
Comments/Dilution(s):
SHIPPING INFORMATION
Relinquished by: Q/d` Date: —/ " ,,? 3 Time: /p') O U AM
Received by: - Date: f1f f 1-3 Time: 1 z c7 AM
Relinquished by: Date: % At Z/ L -3 Time: Gi to PM
Received by: Dale: 24z -2.,7 Time: �'� M PM
Relinquished by: Date: '212 23 Time: 2 2 AM PM
Received by: Date: Time: AM PM
Relinquished by: Date: Time: AM PM
Received by: Date: Time: AM PM
0
Sample Temperature (°C): ��. 3
Method of Shipment: ❑ UPS []Fed EX ❑ Meritech Pick-up [] Delivered ❑ Other
"' Samples shipped on Friday must be Fed Ex and must be clearly labeled for Saturday Delivery, NO SIGNATURE REQUIRED "'
SAMPLE RECEIVING (Meritech Use Only)
Relinquished by: ` f
Received by: Date: , 1 1 d 1 Time: AM PM
Sample Temperatures (C00O): Q " ! ) / / Sample Condition:
WHITE = Laboratory copy YELLOW = Client copy

Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date Y-%22 3
Facility �4/66� NPDES# NC001?6 Pipe#
LaboratoryPerfgrming Test Meritech, Inc. (Lab #027) F_
x /
Signature, Ph ne Number,
x
Grab
Comp.
Duration
nature of Laboratory
in Responsible Charge
MAIL ORIGINAL TO:
North Carolina Acute Pass/Fail Toxicity Test
Collection Date: `-1— —1 3
Collection Time: jQf
Test Start Date:
Sample Type/Duration
0
0
x
o
Salinity (mg/1)
Chlorine (mg/1) D. Z— 0
' := Sample temp. at receipt (°C) Q,
Mortality
Treatment 1 (Control)
County
Water Sciences Section
Aquatic Toxicology Branch
Divivsion of Water Resources
1621 Mail Service Center
Raleigh, NC 27699-1621
Organism Tested
Mysidopsis bahia
pH Control
Treatment 7, Q
Cn
m
v =3
� Q
D.O.
Control C�
Treatment 6,33 (j,
Replicate
A B C D
L/ % Q % Q % Q
Treatment 2 (Exposure) A B C D
Concentration
Tested 90p/o Q % Q% n% Q% Q
(NOTE: If mean control mortality exceeds 10%, the test is considered invalid)
Calculate using Calculated Student's t PASS
Arc -Sine Square Root
Transformed data Tabular Student's t FAIL
(ONE TAILED)
If the absolute value of the calculated t is less than or equal
to the absolute value of the tabular t, check PASS.
If the absolute value of the calculated t is greater than the
absolute value of the tabular t, check FAIL.
If all vessels within each treatnment have the same response
but the treatment two response is greater than the control, check FAIL.

Client: & 1 �6 e,411 r�,V
NPDES #:NC 06(3 13 E- I
Test Initiated by: L✓
Dilution Water: Synthetic Saltwater, Batch #
Randomization?: Yes
Incubator#:
Meritech. Inc. (Lab # 027)
Data Sheet for 24 Hour Acute P/F
Mysid Shrimp
No. of Organisms per Chamber: 10
Test Vessel Size: 250 ml
Test Solution Volume: 200ml
No. of Replicates per Treatment: 4
Temp. of Stock: �� r7 °C
Reference run on: ,_2_5
Start: Date: //�-;Z3Time: I SUP rv�
End: Date: �1 ' & I , Time:
-�
Test Organism: Mysidopsis Bahia Age: days
Born: Date: /- '%Z Time: r1-
Test Terminated by:
Reviewed by:
Number Exposed
Mortality after 24 Hrs.
Total
PH
Dissolved
Temperature
Salinity (PPT)
Residual
Chlorine
No.
Oxygen (mg/L)
(0C)
(mg/L)
Concen-
Rep
Rep
Rep
Rep
Rep
Rep
Rep
Rep
Dead
tration
A
B
C
D
A
B
C
D
0
24
0
24
0
24
0
24
0
Control
10
10
10
10
90%
10
10
10
10
�1
-7
Residual
Initial Salinity of
Adjusted Salinity
Chlorine of 100%
pH of 100%
100% (PPT)
of 100% (PPT)
(mg/L)
7.
Conductivities, (umhos/cm)
Control:
30,000 umhos/cm
Standard:
Initial 100%
Adjusted 100%:
Coo
3c) �-O L ,
� � (�
U, (4 Uo
Date and time fed prior to test initiation: ".�w_23U J ' %k r" Fed by: t✓

MERITECH, INC. (Lab # 027) Meritech Sample IDM
\ Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville, N.C. 27320
Phone: [phone] Fax:[phone]
oy 0�y-� -cli
Laboratory Supervisor E-mail: mike.reed(c meritechlabs.com Web Site: www.meritechiabs.com
CLIENT INFORMATION
Client: -rd W n : 5.,j kQ,) c—, PO#:
Contact Person: � �C,eke'h It, llrkxOl NPDES#: NC OO tiS�Y
Physical Address: 3 1 ` t Phone: C5 Z> 9 3 -/,/Ou
Mailing Address: r0 (3 O Pipe #: C)�
City: State: NJ - Zip: 7.1g10
County: i ',_:...: , off{ E-mail: mac, ICE C^ %oWna f�d�(n4vL� .G �✓,
Sample Site: � ff I ve,h,+
Sample Type: 0 Grab ❑ Composite
SAMPLE INFORMATION
# of containers: 2-
Sampling Time: Start Date:y�2 ? Start Time: /0 Z ° NA,'
PM
End Date: /yZ 3 End Time: iu Z 5 PM
Triple rinse sample container with sample before filling completely with NO AIR SPACE. Pack the sample cooler completely with ice.
The sample must be < 6.0 ° C upon receipt at Meritech**'
Collector's Name: Print: ✓fin 11 If Signature:
TOXICITY TEST INFORMATION
Test Required: ❑ Chronic (7 days) Test Organism: ❑ Ceriodaphnia dubia (water flea)
® Acute (24-48 hours) ❑ Pimephales promelas (fathead minnow)
V1 Mysidopsis Bahia (mysid shrimp)
iwc: 9 u % *** Friday Samples for Chronic Fathead test must be collected after 9:00 a.m. on Friday. **'
Comments/Di l ution(s):
SHIPPING INFORMATION
/
� r (/
Relinquished by: a-� 6"u-c v"
Date:
`��r/,� Z 3
Time:
/ Z O AMJ
PM
Received by:
Date:
Time:
U U AM
M
Relinquished by: /Z
Date:
S 23
Time:
'7 : ay A'
PM
Received by:
Date:
-3
Time:
2 v AM
PM
v ell
Relinquished by:
Date:
Time:
AM
PM
Received by:
Relinquished by:
Received by:
Date:
Date:
Date:
Sample Temperature (°C): i7 u
Time: AM PM
Time: AM PM
Time: AM PM
Method of Shipment: ❑ UPS []Fed EX ❑ Meritech Pick-up ❑ Delivered ❑ Other.
*** Samples shipped on Friday must be Fed Ex and must be clearly labeled for Saturday Delivery, NO SIGNATURE REQUIRED **'
SAMPLE RECEIVING (Meritech Use Only)
Relinquished by: �+
Received by _ Date: Time: e� I� C PM
Sample Temperatures (°C): 0 .4 ! — / / Sample Condition:
WHITE = Laboratory copy YELLOW = Client copy

Cp 0
Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date — l3-
Facility /BzfNPDES# NC00 Pipe# County ZL, r) ;L
Laboratory Performing T
x 47,_-, (,... Ci
Number, and E-mail Address of Operator in Responsible Charge
x said
Signature of La
omments
Water
MAIL ORIGINAL TO . Sciences Section
Aquatic Toxicology Branch
Divivsion of Water Resources
1621 Mail Service Center
North Carolina Acute Pass/Fail Toxicity Test Raleigh, NC 27699-1621
Collection Date: [ —/(-,) _a -j
Collection Time: AO; GY, ,fyh — lo" ( .4" 1
Test Start Date: Z— 3
Sample Type/Duration
0
0
-
x
o
Salinity (mg/1)
Grab Comp. Duration
Treatment 1 (Control)
Treatment 1 (Control)
3
eplicate
Organism Tested
Mysidopsis bahia
p
Fi Control ,
Treatment 7
D.O.
Control
A B C D
Treatment
v t� C�
M
a
Treatment 2 (Exposure) A B C D
Concentration 1 O% 90%
Tested % 07
p�o
(NOTE: If mean control mortality exceeds 10%, the test is considered invalid)
%
Calculate using Calculated Student's t �, Q PASS
Arc -Sine Square Root
Transformed data Tabular Student's t 3. 1 FAIL
(ONE TAILED)
If the absolute value of the calculated t is less than or equal
to the absolute value of the tabular t, check PASS.
If the absolute value of the calculated t is greater than the
absolute value of the tabular t, check FAIL.
If all vessels within each treatnment have the same response
but the treatment two response is greater than the control, check FAIL.
M
a
Treatment 2 (Exposure) A B C D
Concentration 1 O% 90%
Tested % 07
p�o
(NOTE: If mean control mortality exceeds 10%, the test is considered invalid)
%
Calculate using Calculated Student's t �, Q PASS
Arc -Sine Square Root
Transformed data Tabular Student's t 3. 1 FAIL
(ONE TAILED)
If the absolute value of the calculated t is less than or equal
to the absolute value of the tabular t, check PASS.
If the absolute value of the calculated t is greater than the
absolute value of the tabular t, check FAIL.
If all vessels within each treatnment have the same response
but the treatment two response is greater than the control, check FAIL.
Calculate using Calculated Student's t �, Q PASS
Arc -Sine Square Root
Transformed data Tabular Student's t 3. 1 FAIL
(ONE TAILED)
If the absolute value of the calculated t is less than or equal
to the absolute value of the tabular t, check PASS.
If the absolute value of the calculated t is greater than the
absolute value of the tabular t, check FAIL.
If all vessels within each treatnment have the same response
but the treatment two response is greater than the control, check FAIL.

CLIENT: Belhaven RO
CONTROL
TRANS
VALUE
Rep 1
1.412
Rep 2
1.412
Rep 3
1.412
Rep 4
1.412
MEAN= 1.412
Std. Dev.= 0
Std. Dev.^2= 0
sp= 0.05763
90%
TRANS
VALUE
Rep 1
1.249
Rep 2
1.412
Rep 3
1.412
rRep4
1.412
MEAN= 1.3713
Std. Dev.= 0.08150
Std. Dev.^2= 0.00664
*** Tabular Student's t = 3.14
Calculated
Student's t: 1.0000
Result: PASS
NPDES: NC00 86584
MORTALITY
TRANS
VALUE
0
1.412
1
1.249
2
1.1071
3
0.9912
4
0.8861
5
0.7854
6
0.6847
7
0.5796
8
0.4636
9
0.3218
10
0
Printed: 1 / 13/2023

Cnk)�
Client: f',I �6 i/e4 K(
NPDES #:NC
Test Initiated by:
Dilution Water: Synthetic Saltwater. Batch #
Randomization?: Yes
Incubator#: a_
Meritech. Inc. (Lab # 027)
Data Sheet for 24 Hour Acute P/F
Mysid Shrimp
No. of Organisms per Chamber: 10
Test Vessel Size: 250 ml
Test Solution Volume: 200ml
No. of Replicates per Treatment: 4
Temp. of Stock: ?5 °C
Reference run on:
Start: Date: Time: • 3�D�
End: Date: %2 - _�IJ Time:�,��
Test Organism: Mysidovsis bania Age: days
Born: Date: / 17—%3 Time: )� �
Test Terminated by: 6JL
Reviewed by:
Number Exposed
p
Mortality after 24 Hrs.
ty
Total
pH
Dissolved
Temperature
Salinity (PPT)
Residual
Chlorine
Concen-
No.
Dead
Oxygen (mg/L)
(°C)
(mg/L)
Rep
Rep
Rep
Rep
Rep
Rep
Rep
Rep
0
24
0
24
0
24
0
24
0
tration
A
B
C
D
A
B
C
D
Control
10
10
10
10
90%
10
10
10
10
Z_ �1
Residual
Initial Salinity of
Adjusted Salinity
Chlorine of 100%
pH of 100%
100% (PPT)
of 100% (PPT)
(mg/L)
7(2-C
3
:;�s
Z C.I
Conductivities, (umhos/cm)
Control:
30,000 umhos/cm
Standard:
Initial 100%
Adjusted 100%:
Date and time fed prior to test initiation: l ` ( (_Y5 !���� i� Fed by: /,✓

MERITECH, INC. (Lab # 027) Meritech SampleID#:
Bioassay Sample Chain of Custodv
642 Tamco Rd, Reidsville, N.C. 27320
Phone: [phone] Fax:[phone]
Laboratory Supervisor E-mail: mike. reed(a'Dmeritechiabs.com Web Site: www.meritechlabs.com
CLIENT INFORMATION
Client: 10wiv1 PE Be l k AV BAl PO#:
Contact Person: 57 i:' pr1CN A )4A11 NPDES#: NC Uy klvso 7
Physical Address: .315 &ASTI !nAl�V Phone:(,2�) 9y3- jii(,'l)
Mailing Address: PC) BOA a.;l(7 Pipe #: 00
City: j3e_1 hAV 1= N State: Zip: ,?7VO
County: 13 A" F OP—T E-mail: 6J+4TER TCi.iVi�+= tar I A✓tom / CO ►�
SAMPLE INFORMATION
Sample Site: CFP11,r vT
Sample Type: ® Grab ❑ Composite # of containers:
Sampling Time: Start Date: i , l•O) .:�3 Start Time: % 0, Otis PM
End Date: 1 0 1 1.? 3 End Time: /U,' /d PM
"* Triple rinse sample container with sample before filling completely with NO AIR SPACE. Pack the sample cooler completely with ice.
� The sample must be < 6.0°C upon receipt at Meritech**'
Collector's Name: Print:c��CUki�v q r4/4 11 Signature:_2,.1GW-,
TOXICITY TEST INFORMATION
Test Required: ❑ Chronic (7 days) Test Organism: ❑ Ceriodaphnia dubia (water flea)
Acute (24-48 hours) ❑ Pimephales promelas (fathead minnow)
® Mysidopsis bahia (mysid shrimp)
IWC: 1/0 % *** Friday Samples for Chronic Fathead test must be collected after 9:00 a.m. on Friday. ***
Comments/Dilution(s):
1� SHIPPING INFORMATION
Relinquished by:� rV � Date: /lit)).)3 Time: )t)0 0 AM Received by: Date: / J /d'Z3 Time: _ '.. 5S� AM (P'MJ
�- Relinquished by: i'� Date: 11 1 2 3 Time: AM PM
Received by:-�-
Relinquished by:
Received by:
Relinquished by:
Received by:
Date: %^ 1 I - Z �
Date: / - 11 2 3
Date:
Date:
Date:
4
Sample Temperature ('C): Y7,0
Time:
to L%
Time:
` Z 0
Time:
Time:
Time:
Method of Shipment: ❑UPS ❑Fed EX ❑ Meritech Pick-up ❑ Delivered ❑ Other
PM
AM PM
AM PM
AM PM
AM PM
*** Samples shipped on Friday must be Fed Ex and must be clearly labeled for Saturday Delivery, NO SIGNATURE REQUIRED ***
Relinquished by:
Received by: Date: ( I Time: C �C ��/ PM
Sample Temperatures (°C): (j ' `{ 1 C 3 / / Sample Condition:
0111111110- WHITE = Laboratory copy YELLOW = Client copy

Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date %U- -6- .72 3
Facility RJ l "Zt 2 PO NPDES# NC00 ` b' Pipe# LX) r County &,2�_
Laboratory Performing Test Meritech Inc. (Lab #027) Comments
x�{
Signature, Rfione Number, and E-mail ddress of Operator in Responsible Charge
x -1
Signature of Laboratory Supe�vi &
vvater aciences Decoy
MAIL ORIGINAL T O . Aquatic Toxicology Branch
Divivsion of Water Resources
1621 Mail Service Center
North Carolina Acute Pass/Fail Toxicity Test Raleigh, NC 27699-1621
Collection Date: 3-,�?-5 Organism Tested
Collection Time: jy: OL)A±j Mysidopsis bahia
Test Start Date: q—
i - F -7
Sample
Tvve/Duration
Grab
Comp.
Duration
Control
W.
U
pH
0_6
Treatment
7. J3
,
x
c n•
o a
Salinity (mg/1)
Chlorine (mg/1)
Sample temp. at receipt (°C)
L
0� 3
Control
�{j, ��
D.O.
d
Treatment
�,
I - J I I
Mortality Replicate Mean Mortality
T+. nt 1 !Control) A B C D
%
%
]
%I
TrontmPnt 9 IFxnosure) A B C D I
Concentration
Tested
90 o
%
/ - %
U
%
%
%
I(NOTE: If mean control mortality exceeds 10%, the test is considered invalid)
Calculate using Calculated Student's t PASS
Arc -Sine Square Root
Transformed data Tabular Student's t FAIL C�
(ONE TAILED)
If the absolute value of the calculated t is less than or equal
to the absolute value of the tabular t, check PASS.
If the absolute value of the calculated t is greater than the
absolute value of the tabular t, check FAIL.
If all vessels within each treatnment have the same response
but the treatment two response is greater than the control, check FAIL.

lv�
Client: I 7--./ V u/P.rl l � 6)
e ,
N P D E S #:NCC�Ci�Q53H
Test Initiated by: �/ / i I^-���
Dilution Water: Synthetic Saltwater. Batch #=
Randomization?: Yes
Incubator#:
Meritech. Inc. (Lab # 027)
Data Sheet for 24 Hour Acute P/F
Mysid Shrimp
No. of Organisms per Chamber: 10
Test Vessel Size: 250 ml
Test Solution Volume: 200ml
No. of Replicates per Treatment: 4
Temp. of Stock: 2 S V °C
Reference run on: —
Start: Date:" Time: ���
End: Date:10_�-,3Time: l_ PPIN
Test Organism: Mysidoosis bahia Age: days
Born: Date:9i'3c/`2-,b ffime: F,461+'1
Test Terminated by:
Reviewed by:
Number Exposed
Mortality after 24 Hrs.
Total
pH
Dissolved
Temperature
Salinity (PPT)
Residual
Chlorine
No.
Oxygen (mg/L)
(oC)
(mg/L)
Concen-
Rep
Rep
Rep
Rep
Rep
Rep
Rep
Rep
Dead
tration
A
B
C
D
A
B
C
D
0
24
0
24
0
24
0
24
0
Control
10
10
10
1
Jf�600
I
LLf�
t3
�f;
),,�;
q
90 /0
10
0
10010
10
10
�-
Residual
Initial Salinity of
Adjusted Salinity
Chlorine of 100%
pH of 100%
100% (PPT)
of 100% (PPT)
(mg/L)
7,4
D
_�Z2;
I-C. . k
Conductivities, (umhos/cm)
Control:
30,000 umhos/cm
Standard:
Initial 100%
Adjusted 100%:
Date and time fed prior to test initiation: lU`41- �Z & � ly CX:A0 Fed by: M

MERITECH, INC. (Lab # 027) Meritech Sample ID
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville, N.C. 27320
Phone: [phone] Fax: [phone]
Laboratory Supervisor E-mail: mike reed(&meritechlabs .com Web Site: www.meritechlabs.com
CLIENT INFORMATION
Client: W N O F PO#.
1 q C-
Contact Person: �Qr �NPDES#: NCyO
� Gar m �� t54- Phone: C,si�i gY�—/�o0
Physical Address: 3
Pipe #: O(i
Mailing Address: PO 130X 1-O af
City:Ae I hitl/eV State: flit Zip:276f0
County: 6 eiR d r0IZT- E-mail: LJATEA. 13C 14*Ino, W'n
SAMPLE INFORMATION
Sample Site: Z-.�14WI6�C A/7
Sample Type: ® Grab ❑ Composite # of containers:
Sampling Time: Start Date: 1013/ d 3 Start Time: J ' 00 40 PM
End Date: iJ)/3L.)3 End Time: �J.1)5 AC PM
•"' Triple rinse sample container with sample before filling completely with NO AIR SPACE. Pack the sample cooler completely with ice.
The sample must be < 6.0 ° C upon receipt at Meritec► —
Coliector's Name: Print: lg, J-1 al f Signature:��LJ
TOXICITY TEST INFORMATION
Test Required: ❑ Chronic (7 days) Test Organism: ❑ Ceriodaphnia dubia (water flea)
69 Acute (24-48 hours) ❑ Pimephales prome►as (fathead minnow)
® Mysidopsis bahia (mysid shrimp)
JWC; 90 % "'• Friday Samples for Chronic Fathead test must be collected after 9:00 a.m. on Friday.
Comments/Dilution (s ):
SHIPPING INFORMATION
Relinquished by: Date: %Uf 3/ --) 3
Received by: Date: ! 0(3 �Z 3
Relinquished by: Date: f O � j 2--3 _
Received by: Date: 1�-� Z j—
Relinquished by: Date:
Received by: Date:
Relinquished by: Date:
Received by: Date:
v
Sample Temperature (°C): 7
Time:
% aZUv
AM
Time:
AM
PM
Time:
//�
l0 �G'
(:�W`
PM
Time:
ca
GA
PM
Time:
j
SP
PM
Time:
AM
PM
Time:
AM
PM
Time:
AM
PM
Method of Shipment: ❑ UPS [-]Fed EX ❑ Meritech Pick-up ❑ Delivered ❑ Other.
'•• Samples shipped on Friday must be Fed Ex and must be clearly labeled for Saturday Delivery, NO SIGNATURE REQUIRED "•
SAMPLE RECEIVING (Meritech Use Only)
Relinquished by: /'�
Received by: Date: J Time: C 3 3( AfjA PM
Sample TemperatureIm.. ��/ G. 21 / Sample Condition: f a
����� WHITE = Laboratory copy YELLOW = Client copy

Effluent Aquatic Toxicity Report Fora - Acute Pass/Fait Date
Facility e 1h6AIP11 t �0 NPDES# NC00fL5E1� Pipe# 001 County aet 1 _ b �_
Laboratory Performing T
nature, Fh , e Number, and E•maii Address of Operator in Responsible
x Qi7�E -
Signature of Laboratory Supervisor
vvatc1 owci iwa vcwvn
MAIL ORIGINAL TO: Aquatic Toxicology Branch
Divivsion of Water Resources
1621 Mail Service Center
North Carolina Acute Pass/Fail Toxicity Test Raleigh, NC 27699-1621
Collection Date: Z —2, 3 2 Organism Tested
Collection Time: �r�„�( �.�,�1 Mysidopsis bahia
Test Start Date:
Sample
Twe/Duration
Grab
Comp.
Duration
pH Control 9, 07
o Treatment 716
X.
o U) m
a
Salinity (mg/I)
Chlorine (mg/1) Z-01 tt 1 U. D.O. Control 61
Sample temp. at receipt (°C) U� Treatment 6.
Mortali Replicate Mean Mortality
r---.�_ ir.,..+.,,t� B C D
}
Cl
r�e�+mono (Fvnnci�rAl A B C D 1
Concentration
90%
Tested
(NOTE: if mean control mortality exceeds 10%, the test is considered invalid)
Calculate using Calculated Student's t
U PASS
Arc -Sine Square Root
Transformed data Tabular Student's t
U FAIL
(ONE TAILED)
If the absolute value of the calculated t is less than or equal
to the absolute value of the tabular t, check PASS.
If the absolute value of the calculated t is greater than the
absolute value of the tabular t, check FAIL.
If all vessels within each treatnment have the same response
but the treatment two response is greater than the control, check FAIL.

W �
Client: &-JhaVPn / o
NPDES #:NC
Test Initiated by: t
Dilution Water: Synthetic saltwater. Batch #_727
Randomization?: Yes
Incubator#:_
Meritech. Inc. (Lab # 027)
Data Sheet for 24 Hour Acute P/F
Mysid Shrimp
No. of Organisms per Chamber: 10
Test Vessel Size: 260 ml
Test Solution Volume: 200ml
No. of Replicates per Treatment: 4
Temp. of Stock: �yc_°C
Reference run on:
Start: Date: Time: I "�""\
End: Date: 1 �r� Time:'1
Test Organism: Mvsidoas& bahis Age: days
Born: Date: a0-�(a Time: % l_�
Test Terminated by:
Reviewed by:
Concen-
tration
Number Exposed
Mortality after 24 Hrs.
Total
No.
Dead
p H
Dissolved
Oxygen (mg/L)
Temperature
(°C)
Salinity (PPT)
Residual
Chlorine
(mo/L)
Rep
A
Rep
B
Rep
C
Rep
D
Rep
A
Rep
B
Rep
C
Rep
D
0
24
0
24
0
24
0
24
0
Control
10
10
10
10
4!Q
i
90%
[101
10
10
10
-�
—
}
Residual
Initial Salinity of
Adjusted Salinity
Chlorine of 100%
pH of 100%
100% (PPT)
of 100% (PPT)
(mg/L)
6. t-7
�Z
'a
I CJ
Conductivities, (umhos/cm)
Control:
30,000 umhos/cm
Standard:
Initial 100%
Adjusted 100%:
Date and time fed prior to test initiation: �"ay��`1 f� 10-, Fed by: L"` /

MERITECH, INC. (Lab # 027) MerftechSampt.ID#: v��P •�� - �' �/
Sloassay Sample Chain of Cus
` 642 Tamco Rd. Reidsville, N.C. 27320
Phone: [phone] Fax: [phone]
Laboratory Supervisor Email: mike reed®meritechlabs•com Web Site. www.merttechlabs.corn
CLIENT INFORMATION
Client: TO W A! OF 13 E I k M d E/11
contact Person:
Physical Address: 3 t S �14s? Yv1 r► i u $ ,
Mailing Address: 0
City; State: 1J Zip: '?? T5' )D
County: J�cgit*oKT Email: W^'rc-M @ TCWAJ-e Sri6we'v ; cc "M
SAMPLE INFORMATION
Sample Site:
FFFIuevf
Sample Type: N Grab ❑ Composite
PO#:
NPDES#: NC DV S-�SSr
Phone: 0y)
Pipe #: 00
# of containers: v2
Sampling Time: Start Date: I I a3 1 3 4 StartTime: JD•t�fl I PM Ili NO AIR SPACE 111
End Date: ] ZJ' JA End Time: /J, CS PM lit NO AIR SPACE III
Triple rinse sample container with sample before filling completely with jNO &tR SPACE. Pack the sample cooler completely with ice. The
sample must be < 6.0 °C upon receipt at Merftech•
Collector's Name: Print: S f-4 p►►er-' R 14JWII Signature: l• .Gt
TOXICITY TEST INFORMATION
Test Required: ❑ Chronic (7 days) Test Organism: ❑ Certodaphnia dubla (water flea)
® Acute (2448 ors) ❑ Pimephales promotes (fathead minnow)
® Mysidopsis bahle (mysid shrimp)
IWC: 90 % *** Friday Samples for Chronic Fathead test must be collected after 9,00 a.m. on Friday. *"
Comments/Dilution(s):
SHIPPING INFORMATION
Date: .2 3/ � "f
Time:
/ a ` `
AM
A
Relinquished by:
—
L)
Time:
/�
OV
AM
OM
Received by:
Date:
Date: 1' �, 1 �y
Time:
�7:
i . 0 0
PM
by:
Time:
r
PM
Received by:
Date: / 19 N
Relinquished by:
Date: j 21! a I
Time:
MA)
PM
Received by:
Date:
Time:
AM
PM
Relinquished by:
Date:
Time:
AM
PM
Received by:
Date:
Time:
AM
PM
Sample Temperature cc): 170 a
Method of Shipment: ❑UPS ❑Fed EX ❑ Meritech Pick-up ❑ Delivered ❑ Other
"• Samples shipped on Friday must be Fed Ex and must be clearly labeled for Saturday Delivery, NO SIGNATURE REQUIRED
SAMPLE RECEIVING (Meritech Use Only)
Relinquished j
u Time: a PM
Received _ Date: �' 7 I
Sample Temper_Sample Condition:
��01111111- WHITE = Laboratory copy YELLOW = Client copy

NPDES PERMIT NO.: NCO086584
PERMIT VERSION: 5.0
FACILITY NAME: Belhaven WTP
CLASS: PC-1
OWNER NAME: Town of Belhaven
ORC: Stephen Albert Hall
GRADE: PC-1
ORC HAS CHANGED: No
J —
eDMR PERIOD: 12-2023 (December 2023)
VERSION: 1.0
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
PERMIT STATUS: Active
COUNTY: Beaufort
nt.kJ ` 63 E D
STATUS: Submitted
MAY 13 2024
NO DISCHARGE*: NO (Continue)
�
s
e
V
8
U'
p
b
y
01
FY
_
J
✓
C'
Y
O
�
S
C
i
M490
m9s . s :. ...
Monthly
klnnlhly
Monthly
(halt
Grab
Grab
SALINITY
RES/DI55
TCRBIDII'
24N e—k
Itn
240001 k
H.
vla(N
lh
MgM
nW
1
0640
8
Y
2
0545
6
N
3
0545
6
N
4
0725
8
Y
5
0640
8
Y
1.17
1900
4.4
6
0655
8
Y
7
0650
8
Y
0
0705
8
Y
9
0640
6
N
Is
0630
5
N
11
0655
8
Y
1t
0645
8
Y
13
0650
8
Y
14
0700
8
Y
15
0645
8
Y
16
0630
6
N
17
0730
5
N
1s
0730
8
Y
19
0630
8
Y
29
0650
8
Y
21
0740
8
Y
22
0655
8
Y
23
0655
6
Y
24
0700
6
Y
25
0625
6
Y
26
0630
6
Y
27
0615
6
N
28
0605
8
Y
29
0510
8
Y
?e
0530
6
N
°j
0515
6
N
M,mtky A-mr Limit:
Watkly Awragr:
I.17
Iwo
4A
Dail} 6tm imam:
1,17
1900
4.4
Daily Miaimam:
1.17 11900
4.4
sas• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather•, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0 12_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILTPY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 12-2023 (December 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
q
r
s
V
.e
O
O
Z
50050
00-M
C0610
00300
C000
COW
000%
01042
01045
Conlinmt-
Monthly
Alnnthly
htnnlhly
Qltanerly
Qu ly
Monthly
Quarterly
Quarterly
Recorder
4'mah
Crab
C'rrab
Grab
Crab
Crab
Grab
Crab
FLOW
pH
NICI-N-Cone
DO
TOTAL N-
TOTAL P-Co
CNDLrCTW
COPPER
IRON,
2400 clock
H.
2400 clack
I H.
Y/B/N
I
mgd
I W
MWI
I mg/I
m
mgll
1 umhos/sm
ugA
upA
1
0640
8
Y
0.036
2
0545
6
N
0.032
?
0545
6
N
0.03
4
0725
8
Y
0.036
5
0640
8
Y
0.032
707
2.76
7.71
2280
6
0655
8
Y
0.031
7
0650
8
Y
0.033
0
0705
8
Y
0.024
9
ow
6
N
0.038
16
0630
5
N
0.033
11
0655
8
Y
0.035
12
0645
8
Y
0.022
13
0650
8
Y
0.033
14
0700
8
Y
0.034
15
0645
8
Y
0.034
16
0630
6
N
0.038
17
0730
5
N
0.029
10
0730
8
Y
0.028
19
06-40
8
Y
0.036
20 1
0650
8
Y
0.032
21
0740
8
Y
0.035
22
0655
8
Y
0.035
23
0655
6
Y
0.03
24
0700
6
Y
0.038
25
0625
6
Y
0.0-79
26
0630
6
Y
0.036
27
0615
6
N
0.031
20
0605
8
Y
0.046
29
0510
0.042
00530
#6::::
0.033
0515
0.048
Membl. A,—gr Limit:
M.athly Av r.
0.0331539
2.76
7.71
2280
Daily Maximum:
0.048
7.07
2.76
7.71
2280
Daily Minimum:
0.022
7.07
2.76
7.71
2280
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Heather; NOFLONV = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record(COR_NC0086584_Ver_1.0_12_2023.pdf)

NPDES PERMIT NO.: NC0086584 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Belhaven WTP CLASS: PC-1 COUNTY: Beaufort
OWNER NAME: Town of Belhaven ORC: Stephen Albert Hall ORC CERT NUMBER: 988630
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 11-2023 (November 2023) VERSION: 1.0 STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
1
e'
1
z
Ua
E
;
Y
�
06m
7*295
ON70
Monthly
Mnnlhly
Monlhl
Grah
SALINITY
RESIMS
TLRBTD7Y
2909 dwk
Bf.
2400 cock
H.
Ym.%
th
m 1
ntu
1
0650
8
y
2
0700
8
Y
3
0650
8
Y
0545
6
N
5
0500
6
N
6
0630
8
Y
7
0625
8
Y
1.26
2WO
1 2
S
06SS
8
Y
9
064o
8
Y
19
0630
6
Y
11
0615
6
Y
12
07UU
6
Y
13
0715
8
Y
14
0630
8
Y
is
0645
8
Y
16
0630
8
Y
17
0645
8
Y
is
0615
6
N
19
0645
6
N
20
0640
8
Y
21
0655
8
Y
22
0655
8
Y
23
0540
5
N
24
0540
5
N
25
0545
5
N
26
0645
5
N
27
0700
8
Y
25
0645
8
Y
29
0620
8
Y
70
0650
8
Y
Monihh Avenge Lhnif:
Muufhly A—ge:
1.26
2000 11.2
D.a1 M.aimum:
1.26
2000
1.2
D.UI Nlei—:
1.26 12OW
1.2
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR NC0086584_Ver_1.0_l 1_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDNIR PERIOD: 1 1-2023 (November 2023)
PERMIT VERSION: 5.0
CLASS: PC-]
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
a
$
2111,
O
,�'.
O
a
Z
56m
06400
C0614
DO W
C0600
Co66s
00094
01042
01045
Conuntuta5
Monthly
Monthly
Mnnlhly
Quarterly
Quarterly
Monthly
Quarterly
Quarterly
Recorder
Crrab
Grab
Grab
Ciratf
Grab
(-crab
(imb
crab
FLOW
PR
NH3-N-Co
DO
TOTAL N-
TOTAL P-Cone
I CNDUCTVV
COPPER
IRON
2400 Mori:
R.
2400e1aek
An
YB/N
mgd
su
mg/1
mg/1
mg/I
mg
umhos/Om
ug/1
UFA
1
0650
R
Y
0.035
2
0700
8
Y
0.035
3
0650
8
Y
0.037
4
0545
6
N
0.026
5
0500
6
N
0.034
6
0630
A
Y
0.033
7
0625
8
Y
0.04
7
2.57
7.m,
2160
8
0655
A
Y
0.033
9
0640
A
Y
0.034
In
0630
6
Y
0.027
11
0615
6
Y
0.035
12
0700
6
Y
0.034
13
0715
A
1 Y
0.035
14
0630
8
Y
0.033
Is
0645
8
Y
0.036
16
0630
8
Y
0.035
17
0645
8
Y
0.04
Is
0615
6
N
0.034
19
0645
6
N
0.041
29
0640
8
Y
0.033
21
0655
8
Y
0.034
22
0655
8
Y
0.032
23
0540
5
N
0.034
24
0540
5
N
0.027
25
0545
5
N
0.036
26
0645
5
N
0.035
27
0700
8
Y
0.031
26
0645
8
Y
0.037
29
0620
8
Y
0.033
MO
0650
8
Y
0.034
Monthly Ayr V Limit:
Monthly Averatto:
0.0341
2.57
7.66
2160
Daily M-imm u:
0.041
7
2.57
7.66
2160
Davy Minimum:
0.026
7
2.57
7.66
2160
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver_1.0 11_2023.pdf)

NPAES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-]
eDMR PERIOD: 10-2023 (October 2023)
PERMIT VERSION: 5.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Beaufort
ORC: Stephen Albert Hall ORC CERT NUMBER: 988630
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
r
g5
E$
e
a
u
g
_
r
E
Y
c
i
.
f
z
TGF3F.
00480
70295
80070
Quanaly
Monthly
Monthly
Mnnthly
Grah
Grab
Gsah
rrah
MYSD24PF
SALINITY
RE.S/DlSS
72/RBIDIY
2400 d-k
Rn
2400 stock
Rnpassifail
ppth
sn8/l1
0700
72
ly
0635
83
0630
8
P
1.19
1900
6
4
0650
8
Y
s
0645
8
Y
6
0650
8
Y
7
0530
6
N
0
0550
6
N
0645
8
Y
10
0655
8
Y
11
0650
8
Y
11
0655
8
Y
13
0655
8
N
14
0540
6
Y
15
0530
6
Y
16
0700
8
Y
0630
8
Y
18
0640
8
Y
19
0645
8
Y
20
0700
8
Y
21
0700
6
N
22
0645
6
N
23
0705
8
Y
24
0700
8
Y
25
0735
8
Y
26
0655
8
Y
27
0645
8
Y
28
U845
5
N
29
0810
5
N
30
0650
8
Y
.11
0650
8
N
46
Muoshl. A.esage Limit:
Munthky Avmge:
1.19
1900
Daa> Mndmum: 1
1.19
1900
6
D.Hy Minimum:
1.19 11900
6
**** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR =No Visitation — Adverse IVeather, NOFLOW = No Flow; HOLIDAY =No Visitation— Holiday
Discharge Monitoring Report - Copy Of Record(COR_NC0086584_Ver_1.0_10_2023.pdf)

NPDES PERMIT NO.: NC0086584 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Belhaven WTP CLASS: PC-1 COUNTY: Beaufort
OWNER NAME: Town of Belhaven ORC: Stephen Albert Hall ORC CERT NUMBER: 988630
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 10-2023 (October 2023) VERSION: 1.0 STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
7
S
e
V
'$
b
7�
-
E
A
j
Y
1 p
z`
"m
00400
C0610
00300
(10600
C0464
04094
01042
01W..
Contirmane
hl-thly
Monthlv
Monthly
Quarterly
Quarterly
Monthly
Quarterly
Quarterly
Rxorder
Grah
Grab
Grab
Grab
Grab
Glab
Grah
Grab
FLOIA
OR
XH3-N-C_
DO
TOTAL N-
TOTALP-Cm
CNDUCTYI'
COPPER
IRON
24N dock
Hn
2400 dock
H.
Y/B/.
mgd
9u
mpjl
mA,1
-gA
mg 'I
umhodcm
ug/I
upA
1
0700
7
N
0.042
2
0635
8
Y
0.035
3
0(130
8
Y
0.036
7.0=
2.63
7.56
4.11
0.57
2350
< 10
2538
4
0650
R
Y
0.032
s
0645
A
IY
1
0.036
6
0650
9
Y
0.031
0530
6
N
10.029
0
0550
6
N
0.032
9
0645
8
Y
0.035
10
06S5
8
Y
0.036
11
0650
R
IY
0.025
12
0655
8
Y
0.034
13
0655
8
N
0.035
14
0540
6
Y
0.028
15
0530
6
Y
0.0.35
1 M1
0700
8
Y
0.0.34
1'
0630
8
Y
0.029
10
0640
8
Y
0.037
1v
0645
8
Y
0.033
20 1
10700
8
Y
0.035
21
0700
6
N
0.03
-
0645
6
IN
1
0.034
23
0705
8
Y
0.033
24
0700
8
Y
0.024
25
0735
8
Y
0.034
21
0655
8
Y
0.035
2't
0645
8
Y
0.037
20
0845
5
N
0.043
29
U81U
5
N
0.028
M
0650
l,
I Y
0.034
?1
11650
N
N
0.033
SO Ibl. A.eng. Until:
Ot.ulk� A.mg.:
0.033323
2.63
7.56
4.11
0.57
2350
U
'538
Daily Olnalmum:
0043
7.02
2.63
7.56
4.11
0.57
2350
0
2538
Daily."Wntum:
0.024
7.02
2.63
17.56
4.11
0.57
12350 10
2538
•ss4 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WT IR = No Visitation — Adverse Weather, NOFLANV = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report -Copy Of Record (COR_NC0086584_Ver_1.0 10_2023.pdf)

NPDES PERMIT NO.: NCO086584 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Belhaven WTP CLASS: PCA COUNTY: Beaufort
OWNER NAME: Town of Belhaven ORC: Stephen Albert Hall ORC CERT NUMBER: 988630
GRADE: PC -I ORC HAS CHANGED: No
eDMR PERIOD: 09-2023 (September 2023) VERSION: 1.0 STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O
A
e
V
o
-
z
AL
a
O
Y
r
a
t
°�
i.
Monthly
Mnnlhly
Monthly
Grab
Gtat,
Grab
SALINITY
RES/DISS
TCRBTD7Y
2490 clock
H.
24W clock
H.
Y/B/-
PPth
Mgt]
nlu
1
0715
8
Y
2
0600
5
N
3
0815
6
N
4
0550
4
N
5
0635
8
Y
11,25
1900
S.A
6
0630
8
Y
7
0655
8
Y
s
0625
8
Y
9
0515
6
N
1a
0545
6
N
11
0700
8
Y
12
0635
8
Y
13
0635
8
Y
14
0645
8
Y
I5
0700
8
Y
16
0730
6
Y
17
0730
6
Y
to
0645
8
Y
19
0650
8
Y
20
0630
8
Y
21
0630
8
Y
22
0645
8
Y
23
0845
6
y
24
0730
6
N
25
0715
8
Y
26
0655
8
Y
27
0655
8
y
28
0705
8
y
29
0630
8
y
�11
0630
6
N
Munthl� A—g, Limit:
H-thly Av. p:
1 25
1900
5.8
D.a7 Meaimum:
125
1900
5.8
Daily NDoimom:
1 25
19W
5.8
•"t6 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0 9_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 09-2023 (September 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGF,F: NO
E
s
v
V
z
o
S
yy
F.
7
O
J
G
O
y
0
t
n
x
Z
"m
08400
C0610
0000
CO6m
Co665
841"
01"2
01"s
Continuo,
Monthly
Mnnlhly
Monthly
Quarterly
Quaiudy
month)
a nerly
Quarterly
Recorder
crab
fish
Crrah
(;rah
Grab
!'crab
Grab
crab
F7Aw
PA
N'A}N-CaK
DO
TOTAL N-
TOTAL P-Cnw.e
I CNDLICTPY
COPPER
IRON'
2400 d-k
An
2460 <Ia k
An
Y/W.%
nigd
w
m9/1
mg/1
MO
Mgt
umhos/em
u?A
ug/l
1
0715
8
Y
0.038
2
0600
5
N
0.028
3
0815
6
N
0.048
4
0550
4
N
0.025
5
0635
8
Y
0.035
7
9.04
7.35
2420
6
0630
8
Y
0.036
7
0655
8
Y
0.036
n
0625
8
Y
0.031
9
0515
6
N
0.034
In
0545
6
N
0.032
It
0700
8
Y
0.035
12
0635
8
Y
0.035
13
0635
8
Y
0.034
14
0645
8
Y
0.033
1S
0700
8
Y
0.036
16
1
0730
6
1 Y
0.035
17
0730
6
Y
0.035
to
0645
8
Y
0.0:
19
0650
8
Y
0.032
20
0630
8
Y
0.033
21
0630
8
Y
0.033
22
0645
8
Y
0.038
23
0845
6
Y
0.035
24
0730
6
N
0.038
25
0715
8
Y
0.038
26
0635
8
Y
0.034
21
065.5
8
Y
0.034
2k
0705
8
Y
0.035
29
0630
8
Y
0.034
30
0630
6
N
0.032
Montkly A-mgr Limit
Monthly A.r VLr
0.0.344
9.04
7.35
242U
Dual alu,;mnm:
0048
7
9.04
7.35
2420
Daly Minimum:
0.02$
7
9.04
7.35 1
1 12420
•"• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0_9 2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 08-2023 (August 2023)
PERMIT VERSION: 5.0 PERMIT STATUS: Active
CLASS: PC -I COUNTY: Beaufort
ORC: Stephen Albert Hall ORC CERT NUMBER: 988630
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
m
V
9
Q
a
E
O
p
1 O
c
t
oNN
702"
oN7o
Mnnlhly
Mnnlhly
Monlhl
t;rah
C.nh
Cirah
SALIMTV
RES/DISs
T'RB2DTY
24N ebrt
I R.
2400.1°ck
I 2lrs
YAV.%
01
MSA
nW
I
0640
8
Y
1.28
2000
14
2
0635
8
Y
3
0635
8
Y
4
0615
8
Y
5
0715
5
N
6
0715
6
N
7
0355
8
Y
a
0345
8
Y
9
0345
8
Y
19
0630
8
Y
11
0645
8
Y
12
0515
8
N
13
0515
8
N
14
0630
8
Y
15
0635
8
Y
16
0700
8
Y
17
0645
8
Y
18 1
0645
8
Y
19
0720
16
Y
20
0620
6
Y
21
0625
8
Y
22
0645
8
Y
23 1
0640
8
Y
24
0635
8
Y
25
0640
8
Y
26
0615
6
N
27
0600
6
N
28
0725
8
Y
29
0645
8
Y
39
0650
8
Y
1
0635
1 8
Y
A.engr Limit:
Mummy Avenge:
1.28
2000
14
D°7y Maaim°m:
1.28
2000
14
Deily _M imum:
1.28
2000
14
`•*6 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse \Yeather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0_8_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 08-2023 (August 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
z
7
e
g
e
u
o
v
Q
O
y
a
S
x
O
t
V
E
L
5"M
00-M
C0610
00300
C0600
C0665
00094
01042
01065
Conlin.,.
MoMbly
Mnnihly
Mnnlhly
Quarlarly
ly
Mnnlhly
Quarterly
Quarter)
Recorder
Crab
r—h
C"h
Groh
Grab
Crab
Grab
Ceah
PLOP
PH
N713-N-Ceae
DO
TOTAL N-
TOTAL P-Cwc
CNDUCTYY
COPPER
IRO\
24M d-k
H.
2400deck
H.
Y/en
m d
so
mg/1
MP/1
Monmg'l
umhos/cm
u
u9/1
1
0640
8
Y
0.035
7
2.57
7.11
2480
7
0635
8
Y
0.034
3
0635
8
Y
0.03
6
0615
8
Y
0.04
5
0715
5
N
0.034
6
0715
6
N
0.042
7
0355
R
Y
0.06
a
0345
N
Y
0.061
0345
8
Y
0.057
to
06M
8
Y
0.034
11
0645
8
Y
0.031
12
0515
8
IN
0.03
11
0�U
8
N
0.034
1+
0630
8
Y
0.039
1<
0635
8
Y
0.031
16
0700
8
Y
0.041
1]
0645
8
Y
0.03
IN
0645
8
Y
0.031
14
0720
6
Y
0.034
30
0620
6
Y
0.036
21
0625
8
Y
0.035
22
0645
8
Y
0.034
23
0640
8
Y
0.038
2+
0635
8
Y
0.034
25
0640
8
Y
0.036
2^
0615
6
N
0.041
0600
6
N
0.032
26
0725
8
Y
0.037
29
0645
8
Y
0.034
30
0650
8
Y
0.036
31
0635
8
Y 1
0.029
M—fld? A• g. Limit:
MontKy Av V:
0.037097
2.57
7.11
2480
DaYy Maximum:
0.061
7
2.57
7.11
2480
Daay S/Limam:
0.029
7
2.57
7.11 1
2480
rss« No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0 8_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 07-2023 (July 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
•
m
u
3
'�
O
O
t
O
r
MVU
80 M
79295
h0070
uarlerly
Monthly
Monthly
Monthly
Grab
Grah
Grab
fish
MYSD24FF
SALTIOW
RESIDISS
TORBIDTY
2400 dock
R.
2400 dk
H.
VAV.%
a4S fail
ppth
-FA
nlu
1
0600
5
N
2
0530
5
N
3
0655
R
Y
4
0600
5
N
3
0530
R
Y
6
0605
8
Y
7
0620
R
Y
A
0900
6
N
0735
5
N
If
0645
8
Y
11
0650
R
y
N
1 i6
141)ll
4.6
12
06SS
8
Y
13
0645
8
Y
11
1
0700
8
Y
Is
0650
6
Y
16
0720
6
Y
17
0640
8
Y
18
0645
8
Y
19
0645
8
Y
20
0650
8
Y
22
0645
8
Y
22
0515
6
N
23
051.5
6
N
24
0715
8
Y
25
0610
8
Y
26
0630
8
Y
27
0635
8
Y
28
0615
8
Y
29
0645
6
N
30
0700
6
N
0655
8
Y
Mouthl. A.e VLimit:
M.mh4 Aver.:
1 76
1900
4.6
Dan, 6a,im.m:
1.26
1900
4.6
D.ay Mialm—
1.26
1900
4.6
•ss• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record(COR_NC0086584_Ver_1.0_7_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 07-2023 (July 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
e
_
V
§
e
F
O
y
J
O
L
L
50050
06400
COOP
00300
C0600
C0665
00094
01642
01645
Continmms
Monthly
MnNhl
binnthly
Quarterly
Quarterly
Monthly
Quarterly
Quarterly
Recorder
Groh
Groh
Crab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
NH3-N-Cox
DO
TOTAL N-
TOTAL P - Cone
CND RCTW
COPPER
IRON
2400 clock
H.
2400e1xk
Hn
Y29/N
mgd
Su
m9/1
mg/1
MO
mgl
umho0/cm
uFA
upA
1
0600
5
N
0.034
2
0530
5
N
0.042
3
0655
8
Y
0.051
4
06M
5
N
0.039
5
0530
8
Y
0.058
6
0605
8
Y
0.043
7
0620
8
Y
0.034
s
0800
6
N
0.044
9
0735
5
N
0.036
t0
0645
8
Y
0.032
11
0650
8
Y
0.032
17
3.03
17.35
3.06
0.96
2461)
< 10
2496
12
0655
8
Y
1
0.036
13
0645
8
Y
0.036
14
0700
8
Y
0.04
15
06.50
6
Y
0.033
16
0720
6
Y
0.0.34
17
0640
8
Y
0.32
18
0645
8
Y
0.031
19
0645
8
Y
0.034
30
0650
8
Y
0.036
21
0645
8
Y
0.032
22
0515
6
IN
0.032
23
0515
6
N
0.036
24
0715
8
Y
0.03
25
0610
8
Y
0.035
26
0630
8
Y
0.039
27
0635
8
Y
0.03
28
0615
8
Y
0.035
29
0645
6
N
0.033
30
0700
6
N
0.034
i1
0655
8
Y
0.041
Munthll A—ge Limit:
Mumhw Avmge:
0045839
3.03
7.35
3.06
0.86
2460
0
34%
Deily Mo iotum:
0.32
7
3.03
7.35
3.06
0.86
2460
0
_1496
Daily Mialmum:
0.03
7
3.03
7.35
3.06
0.86
2460
0
2496
'•" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse LVeather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0_7_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC -I
eDMR PERIOD: 06-2023 (June 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
�
�
�
a
$
E
E
Mnnlhly
Mnnlhly
Mnnlhly
Crah
Crab
Crab
SALINITY
RESIMS
TURHIDTY
24110 dwk
Hn
2400 clock
Hn
WRIN
Ih
M
nlu
1
0645
8
Y
2
0635
8
Y
3
0700
5
N
4
0715
5
N
5
0655
A
Y
6
0630
8
N
1.35
20011
6.6
7
0735
A
Y
a
0645
8
Y
9
0700
8
Y
t9
0530
6
N
It
0530
6
N
12
070U
8
Y
13
0640
8
Y
14
0650
8
Y
15
06.10
8
Y
16
0640
8
Y
17
0615
6
Y
to
0610
6
Y
19
0635
6
Y
28
0630
8
Y
21
0640
8
Y
22
0715
8
Y
23
0650
8
Y
24
0645
5
N
25
0730
5
N
26
0655
8
Y
27
0630
8
Y
29
0635
8
Y
29
0700
8
Y
>t
0635
8
Y
Monthly A.-r V Limit:
Monhly Avenge:
1.35
2000
6.6
D.ay &b imu :
135
2000
6.6
Wily Minimum:
1.33
2000
6.6
'"• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0 6 2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 06-2023 (June 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
a
X
u
�
�
1 O
1 0
Z
50M
00400
C0010
00.30D
cow
C0665
00094
01042
01045
Cnminuous
Monthly
Mnnlhly
Mnnlhly
Quartrly
Quarterly
Mnnlhly
Quarter)
Quarterly
Recorder
Grah
Grab
Grab
fish
frrab
Grab
limb
ciral7
1 }'2.ON
pA
\'A3-N-Ghee
DO
TOTAL N-
TOTAL P - Cone
CNDIICTVY
COPPER
1R0\
24M d-k
R.
2400r1eek
An
Y/W.%
m d
Su
rags
Mgt]
mgl
Mgt
umhoWcin
ugn
upA
1
0645
8
Y
0.03
2
0635
8
Y
0.031
3
0700
5
N
0.034
4
0715
5
N
0.035
5
0655
8
Y
0.037
6
0630
8
N
0.036
4.68
T15
1_620
7
0735
8
Y
0.034
a
0645
8
Y
0.031
9
0700
8
Y
0.034
1e
0530
6
N
0.021)
Ir
0530
6
N
0.04
I2
0700
8
Y
0.036
13
0640
8
Y
0.028
14
0650
8
Y
0.037
I5
0630
8
Y
0.036
16
0640
8
Y
0.043
17
0615
6
Y
0.039
1s
0610
6
Y
0.048
19
0635
6
Y
10.021
20
0630
8
Y
0.04
21
0640
8
Y
0.033
22
0715
8
Y
0.031
23
0650
8
Y
0.038
24
0645
5
N
0.032
25
0730
5
N
0.033
26
0635
8
Y
0.033
27
0630
8
Y
0.034
20
0635
8
Y
0.034
39
07W
8
Y
0.034
3Y
0635
8
Y
0.043
Meerkly A.rregr Li-N:
M-tht. A—W:
0.034633
4.68
7.15
2620
D40y &1-imum:
0.048
7
4.68
7.15
2629
F
WHY Minimum:
0.021
7
4.68
7.15 1
262U I
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WT 4R = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLTDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0_6_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 05-2023 (May 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
x
a
a
V
i
6
a
r
E
O
C'
x
0
?
Z
004t10
702"
0M70
Monthly
Monthly
Mnnthl
Crrah
Cirah
Grah
SALrntn'
RESIDISS
TLRRtD7Y
24N dwk
I H.
2400,1-k
I lin
I Y/an
01
MFA
ntu
1
0645
8
Y
2
0715
8
Y
1.34
21 OD
10
3
0730
8
Y
4
1
0715
8
Y
5
0710
8
Y
6
0700
5
N
0630
5
N
0700
8
Y
0725
8
Y
111
0700
8
Y
0700
8
Y
0715
18
Y
13
0545
5
N
14
08.30
5
N
15
0700
8
Y
to
0700
8
Y
1"
0645
8
Y
18
0700
8
Y
ty
0630
8
Y
20
0730
5
Y
21
0630
5
Y
0655
8
Y
37 1
10655
8
1 Y
2
0630
8
Y
25
0640
8
Y
24
0700
8
Y
0640
4
N
28
0700
6
N
29
0550
4
N
30
U630
tl
Y
2
0635
8
Y
M 06b A—V Limb:
MautYl� average:
1.34
2100
10
D.uy Miiimum:
Lm
2100
to
Daay Minimum:
1 1.34
2100
10
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTFiR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0 5 2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 05-2023 (May 2023)
PERMIT VERSION: 5.0
CLASS: PC -I
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: LO
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE. NO.: 001 NO DISCHARGE*: NO
m
E
E
v
e
fi
g
j
=
E
F
S
-
Q
p
°
z
50050
cow
(0610
00.M0
(0600
C0665
00094
01012
01045
Cnntinurnu
Monthly
Mnnlhly
Monthly
Quarterly
Qn.lm ly
Monlhly
Querlerly
Quarterly
Reenrder
Grah
Grab
drab
Grab
Grab
Grab
Grab
Grab
TLON
pH
NH3-N-for
DO
TOTAL N-
TOTALP-Cnn<
(NDtTCTt-\'
COPPER
IRON
2400 clock
Nn
24W,I-k
Fin,
"IN
mgd
"I
mg./1
mE+/t
mg/l
mg1
umhos/em
u8/1
u8/l
1
0645
8
Y
0.033
2
0715
8
Y
0.025
7
2.06
7.1
2590
5
0730
8
Y
10.025
+
0715
8
Y
0.033
5
0710
8
Y
0.034
6
0700
5
N
0,029
7
0630
5
N
0.029
x
0700
8
Y
0.035
9
0725
8
Y
0.031
10
0700
8
y
0,032
11
0700
8
y
0.025
12
0715
8
y
0.036
13
0545
5
N
0.026
1+
0830
1
N
0.043
15
0700
8
Y
10.036
16
0700
8
Y
0.036
17
0649
8
Y
0.035
10
0700
8
Y
0.028
19
0630
8
y
0.034
20
0730
5
Y
0.019
21
0630
5
y
0.034
-
0655
8
y
0.036
25
0655
8
y
0,031
24
0630
8
y
0.045
25
0640
8
y
0.03S
26
0700
8
Y
0.033
29
0640
4
N
0.023
28
0700
6
N
0.039
29
0550
4
N
0.025
30
0630
8
Y
0.033
11
0635
8
Y
0.045
Monthh A.eralr I,imir:
Monthly :\rrrrKr:
0.032452
2.06
7.1
1590
Da'0. nla,imnm:
0.045
7
2 06
7.1
1590
Daily Minimum:
0.010
7
2.06
7.1
1
.1590
* * * * No Reporting Reason: ENFRUSE - No Flow-Reuse/Recycle: ENV WTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY ` No Visitation - Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0_5_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 04-2023 (April 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Y
6
s`
E
u
s
5
ZQuarterly
O
O
z.
TGEN
004M
M"
W070
Monthly
Monthly
Mnnthly
Groh
Grah
Crah
Grab
MYSD24PF
SALINITY
RESMISS
TLTRBIDTY
24N dwk
I Dn
24W,Imk
I Hn
Y/B^-
'Call
pplh
MWI
tnu
1
0755
5
N
2
0655
5
N
3
0640
8
Y
4
0630
A
Y
PASS
1.25
2000
4.1
S
0700
8
Y
6
0645
A
Y
7
0700
6
N
8
0715
6
N
9
0935
5
N
M
0650
A
Y
11
0650
A
Y
12
0645
8
Y
13
0640
8
Y
14 1
0645
8
Y
t5
05.10
6
N
16
0600
6
N
17
064.5
8
Y
18
0700
8
Y
19
0640
8
Y
20
0635
8
1 Y
21.
0700
8
Y
22
0730
6
Y
23
0715
6
Y
24
0640
8
Y
25
0635
8
Y
26
0650
8
Y
27
0645
8
Y
28
0635
8
Y
29
0620
6
N
i0
0630
6
N
M-thly A—ge Limit:
M.m►ly A—ge:
1 1-5
1000
4.1
D.ily M..im.m:
I?S
2000
4.1
My Mi.imum:
1.25
12000
4.1
"'• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Heather; NOFLOH = No Flow; 14OLTDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record(COR_NC0086584_Ver_1.0_4_2023.pdf)

NPDES PERMIT NO.: NCO086584 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Belhaven WTP CLASS: PC-1 COUNTY: Beaufort
OWNER NAME: Town of Belhaven ORC: Stephen Albert Hall ORC CERT NUMBER: 988630
GRADE: PC -I ORC HAS CHANGED: No
eDMR PERIOD: 04-2023 (April 2023) VERSION: 1.0 STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
x
7
e`
y°
E
j
E
1 p
p
x
1 C
a
Y,
50050
004N
C0610
00300
CO600
C0665
08094
01042
01045
cominuntuc
Monthly
Monthly
Mnnlhly
quantrly
Qtmtterly
Monthly
Quant ly
Iv
Recce &,
Grah
Grab
Grah
Grah
Gr b
Grab
Grab
Grab
FLOW
pH
N-R3-N-Ct
DO
TOTAL N-
TOTAL P-C—
CWLICTVY
COPPER
IRON
2400 Nork
R.
2400 clock
Nn
YB/N
rngd
su
m 1
mg/1
mg/1
nigh
umhos/cm
upll
up/1
1
0755
5
N
0.027
2
0655
5
N
0.31
3
0640
8
Y
0.029
4
0630
8
Y
10.022
7
2.56
7.23
3.89
10.6
2430
1,10
1733 '
5
0700
8
Y
0.031
6
0645
8
Y
0.024
7
0700
6
N
0.035
0
0715
6
N
0.027
9
0835
5
N
0.025
11
0650
8
Y
0.027
11
0650
8
Y
0.029
12
0645
8
Y
10.029
13
0640
8
Y
0.035
14
0645
8
Y
0.024
15
0510
6
N
0.033
16
060p
6
N
0.027
17
0645
8
Y
0.033
1°
0700
8
Y
0.028
19
0640
8
Y
0.033
20
0635
8
Y
0.024
21
0700
8
Y
0.034
22
0730
6
Y
0.036
23
0715
6
Y
0.027
24
0640
8
Y
0.034
25
0635
8
Y
0.025
26
0650
8
Y
0.031
27
0645
8
Y
0.032
28
0635
8
Y
0.025
29
0620
6
N
0.023
'U
0630
6
N
0.032
Motl6h A—w Limit:
MootYly Aver%v:
0.038367 1
2,56
7.23
3.89 10.6
2430 10
11733
D.°y 01.aimum:
0.31
7
2.56
7.23
3.89
0.6
2430
U
1733
D.ay Hiaimum:
0.022
7
2.56
7.23
3.89
0.6
2430
U
1733
••" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; 14OLTDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record(COR_NC0086584_Ver_1.0_4_2023.pdf)
- Jgwv '

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 03-2023 (March 2023)
PERMIT VERSION: 5.0
CLASS:PCA
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O
F
e
s
V
�
6
F
Z
r
r
O
a"
i
oe4eo
762"
owe
Monthly
hlnnlhly
Monthly
Utah
Grab
SALTMTV
RESIDISS
TVRBTVTV
2448 cork
Hn
2480 Nark
Hn
yfo^-
01
m8/I
nw
1
0615
8
v
2
0655
R
v
0640
8
v
0705
G
N
5
0630
4
N
6
0650
8
y
0640
R
y
1.31
20M
4.5
%
0650
R
*
0630
R
V
0630
R
y
0700
6
y
1'
0710
6
y
13
0700
8
y
14
W5
8
V
is
0700
8
y
16
0645
8
y
17
0645
R
18
0600
6
N
19
0600
6
N
20
0635
8
y
21
0645
8
y
22
0700
8
23
0700
8
24
0640
8
2s
0645
6
26
0620
G
27
0640
x
29
06R1
x
29
0645
8
N
30
0635
8
0700
8
Y
Moathl. A.et.gr Limit:
M.athly AwmW:
1.31
2000
4.5
D.ay Maximum:
1.31
2000
4.5
D.Oy Madm—
1.31
2000
4.5
'•** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR =No Visitation — Adverse Weather; NOFLOW =No Flow; HOLTDAY =No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0 3_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 03-2023 (March 2023)
PERMIT VERSION: 5.0
CLASS: PCA
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
qV
—
fi
Uo
s
E
>•
C
O
e
't
i
Z
"m
06w
C0610
o0300
Cowo
Cows
040%
01002
01045
Gmlinlum.
Monthly
Monlhly
Monthly
Quarterly
- ly
Monthly
Quarterly
Qtlarteriv
Rxnrder
('rrah
Cnah
Gtah
Groh
Grah
Grab
Grah
Grah
P2.0N
PH
NH3-N-C—
DO
I TOTAL N-
TOTAL P -Coac
CNDOCW
COPPER
IRON,
2400clock
I Hn
2400 clock
I Fin
Y/92N
mgA
I w
mg/1
mg/I
m I
m 4
umhos/cm
ug/l
IugA
1
0615
8
y
0.031
2
0655
8
y
0.028
3
0640
R
y
0.032
4
0705
6
N
0.04
5
0630
4
N
0.027
6
10650
8
v
0.031
7
o640
8
y
0.026
7
2.72
G.98
2 .lu
0
0650
8
y
0.02
4
0630
8
y
0.033
1n
0630
8
v
0.024
11
0700
6
y
0.01
12
0710
G
1 y
0.01
13
0700
8
y
0.031
14
0645
8
v
0.024
15
0700
8
y
0.036
16
0645
8
y
0.023
1'
0645
8
y
0.035
1s
0600
6
N
0. 02 1
14
0600
6
N
0.033
20
0635
8
y
0.031
21
0645
8
y
0.029
22
0700
8
y
0.031
2j
0700
8
y
0.023
24
0640
8
y
0.034
-
0645
6
0.034
26
0620
G
y
0.028
21
0640
8
y
0.034
20
0630
g
y
0.021
2Q
0645
g
N
0.024
vt
0635
8y
0.029
32
07W
8
y
0.036
Mo.thl. A..ng. Limil:
M..thly Av.r.g.:
0.028032
2.72
6.98
2540
D.0> 66uimum:
0.04
7
2.72
6.98
2540
D.ily.miOico—
0.01
7
2.72
6.98
2540
srr• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLTDAY = No Visitation — Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0 3_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 02-2023 (February 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O
e
'
E
V
aS
u
a
S
i
0
N
F
O
Co
u
O
L
e
L
owM
702"
aM70
Monthly
Monthly
Monlhiv
Grab
Grab
Gott,
SALTNITV
REUDI85
TURRIDTY
2488 cbti
Ho,
2460 clock
I Hn
Y/B^-
I ppth
-gA
nw
1
0645
8
Y
2
0640
8
Y
.
0705
8
Y
4
0635
5
N
5
0640
5
N
6
0640
8
Y
7
0700
8
Y
1.34
2100
8.9
a
0645
8
Y
9
0700
8
Y
1Y
0645
8
Y
11
0630
6
Y
12
0750
6
Y
17
0700
8
Y
14
0635
a
Y
Is
0645
8
Y
16
0700
8
Y
17
0640
8
Y
IB
0545
6
N
19
0545
6
N
20
0630
8
Y
21
0630
8
Y
22
0615
8
Y
23
0650
8
Y
24
0630
8
Y
25
0700
5
N
26
070U
6
N
27
0630
8
Y
28
0650
8
Y
Moat►h Almge Limit:
M.mbay A. g..
1.34
2100
8.9
D.i1Y Mammon:
1.34
2100
8.9
D.ily MWmum:
1.34
2100
8.9
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0_2_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC -I
eDMR PERIOD: 02-2023 (February 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE. NO.: 001 NO DISCHARGE*: NO
a
a
V
1
0
u
7
E
�
r
j
y
p
,^',
p
n
C
L
"m
nano
C0610
om
COWO
cow
000%
01442
01111,15
Cnnlinmtus
Monthly
Monthly
Monthly
Quarterly
Qtwncrly
Monthly
Quarterly
erl
Recorder
Grab
l-rab
Grab
Grab
Crtab
Ctrab
Grab
Grab
FLOW
pH
\T13-N-Co.e
DO
TOTAL N-
TOTAL P-Cwe
CNDDCTVY
COPPER
H<O\
2400 ckrk
Hn
2400 clock
I Hn
Yfa/N
1 mgd
Sn
m
m I
m I
I mgI
umhoe/cm
ug/l
ugA
1
0645
8
Y
0.027
2
0640
8
Y
0.029
'
0705
8
Y
0.023
4
0635
5
IN
0.036
5
0640
5
N
0.033
^
0640
8
y
0.027
0700
8
Y
0.03
7.02
2.47
n.98
2590
s
0645
8
Y
0.024
4
0700
18
Y
0.033
11�
0645
R
Y
10.027
0630
6
Y
0.026
12
0750
6
Y
0.033
13
0700
8
Y
0.021
14
0635
8
Y
0.038
1
0645
8
Y
0.027
16
0700
8
Y
0.029
17
0640
8
Y
0.029
is
0545
6
N
0.028
19
0545
6
N
0.028
20
0630
8
Y
0.033
21
0630
8
Y
0.021
22
0615
8
Y
0.029
2'
0650
8
Y
0.033
24
0630
8
Y
0.0-79
07011,
5
N
0.027
2ti
070t1
6
N
0.027
2'
0650
8
Y
0.032
2s
0650
8
Y
0.024
M.Wkly A—V, Limit:
nmmkly A.enk..
0.028679
2.47
6.98
2590
D.ay mwumum:
0.038
7.02
2.47
6.98
2590
D.Ov M.Imum:
0.021
7.02
2.47
6.98
1 2590
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0_2_2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 01-2023 (January 2023)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
g
9
g
pp
9
I
j
E
-
Ei,
a
1'C.F3{:
e
=
e
Y
00430
70295
M1070
E
Vj
Q1 erly
Monthly
Monthly
Monthly
Groh
G.h
Gmh
Grah
MYS024YF
SALINITY
AES/DISS
nmarorY
2400 cork
H.
2400 d-k
Hn
VIM%
p&i& fail
ppth
mgd
ntu
1
0550
7
Y
2
0645
7
Y
3
0645
R
Y
121
1900
7
4
0645
8
Y
z
0700
8
Y
n
0645
8
Y
0635
5
N
x
0650
6
N
9
0650
8
Y
m
0630
8
Y
P
0650
8
Y
2
0645
8
Y
064U
8
Y
14
0630
5
N
15
08M
6
N
16
0600
6
N
n
0640
8
Y
18
0710
8
Y
19
0610
8
Y
2u
0645
8
Y
21
0500
6
N
22
0530
6
N
23
0700
8
Y
2+
0635
8
Y
25
0715
8
Y
2n
0700
8
Y
2'1
0625
8
Y
20
0645
6
Y
29
0715
6
Y
0
0645
8
Y
0650
8
Y
Mo t►1. A—V U-1r•
M-ady A—W:
1.21
1900
7
DOiy Slaiunum:
1.21
1900
7
D.uy Mia mum:
1.21
1900
7
•••'NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle;ENVW"I'HR=NOV751tanan-naverseivmLnc iwrw..— ----- --- -
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver_1.0_1 _2023.pdf)

NPDES PERMIT NO.: NCO086584
FACILITY NAME: Belhaven WTP
OWNER NAME: Town of Belhaven
GRADE: PC-1
eDMR PERIOD: 01-2023 (January 2023)
PERMIT VERSION: 5.0
CLASS: PCA
ORC: Stephen Albert Hall
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Beaufort
ORC CERT NUMBER: 988630
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
7
s`
V
fi
U'
a
M
a
7
o
aC
°a
sa050
00-00
C0610
00300
C0600
C0665
00094
01642
01045
Continuous
Monthly
Monthly
Mnnthly
QuarWly
Quanel ly
MOnlhiv
Quanerly
Quanerly
Rxnrder
Grab
frah
(:rah
Ciral>
CCrab
Grab
(Crab
!'.rah
FLOW
pH
\TI}N-C'oue
DO
TOTAL N-
TOTAL P-Cn.e
CWUCTVl'
COPPER
IRON
2400r1wi
I Hn
2400 clmk I
An
Y/B/.
mgd
ISu
mg/I
I Mgt]
Mg/l
mg1
umhoslem
u
ug/I
1
0550
7
y
0.037
2
0645
7
y
0.049
3
0645
8
y
0.028
7
2.56
9.01
3.35
0.49
3360
a10
4
0645
8
y
0.032
5
0700
8
y
0.025
6
0645
8
y
0.033
7
0635
5
N
0.024
%
0650
6
N
0.035
0650
8
y
0.036
11'
0630
8
y
0.024
II
0650
8
y
0.025
1'
0645
8
y
0.033
13
0640
8
y
0.027
14
06.40
3
N
0.035
I5
08M
6
N
0.035
16
0600
6
N
0.027
17
0640
8
y
0.032
IN
0710
8
Y
0.024
14
06I0
8
Y
0.034
20
0645
8
Y
0.024
21
0500
6
N
0.03
22
0530
6
N
0.028
2 °
0700
8
Y
0.03
24
0635
8
Y
0.025
25
0715
8
Y
0.032
26
0700
8
Y
0.023
2'
0625
8
y
0.032
20
0645
6
Y
0.027
29
0715
6
Y
0.033
M
0645
8
Y
0.024
'I
o650
8
y
0.033
Mosthta A-W Limit:
M.n1hL Av...V:
0.030194
2.56
8.01
3.35
0.49
2360
0
2551
DWI1 msnimum:
0.049
7
2.56
8.01
3.35
0.49
2360
0
_1551
Way Minimum:
0.023
7
2.56
8.01
3.35
0.49
2360
0
2551
ass* No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV VrM = No Visitation - Adverse Heather; NOFLOAV = No Flow; HOLIDAY = No Visitation - Holiday
Discharge Monitoring Report - Copy Of Record (COR_NC0086584_Ver 1.0_1_2023.pdf)
aw