NC0036919_Renewal (Application)_20240531

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Hallas Boyd
A New Hope Church of Christ of Beaufort County
PO Box 3
Pantego, NC 27860-0003
Subject: Permit Renewal
Application No. NCO036919
New Hope Church of Christ WWTP
Beaufort County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
June 03, 2024
The Water Quality Permitting Section acknowledges the June 3, 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. 150B-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.deg.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, AIM
Z�
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
Dr,-- Q�� North Carolina Department of Environmental Quality I Division of Water Resources
Washington Regional Office 1 943 Washington Square Mall I Washington. North Carolina 27889
252946.6481

10 ®j
North Carolina
Department of Environmental Quality Modified Application Form 2A
Division of Water Resources MAY 3 12024 Revised March 2021
_ _
Modified $Rlygalyion
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

RECEIVED
NPDES Permit Number
Facility Name
1 �Tdiqp Form 2A
�� March 2021
NCO036919
New Hope Church of Christ
\A/\�/TA
ogle
Form
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, pleas E i rlG�lt
I®
NPDES
the instructions may result in denial of the application.)
SECTION•N
INFORMATION FOR t
1.1
Facility name
New Hope Church of Christ WWTP
Mailing address (street or P.O. box)
3
City or town State ZIP code
E
p
Co tact na (fir Title
Email addresss' 30��USf�
Z�e
Location address (street, route number, or specific identifier) ❑ Same as mailing address
U
Ali-
cd
u.
C'ter
town
State
ZIP code
G-
z -
1.2
Is this application f r a facility that has yet to commence discharge?
❑ Yes + See instructions on data submission ❑ No
requirements for new dischargers.
Is applicant different from entity listed under Item 1.1 above?
1.3
❑ Yes 0 No 4 SKIP to Item 1.4.
Applicant name
=
Applicant address (street or P.O. box)
0
o
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Q
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
El Owner ❑ Operator ❑ Both
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
1.5
Facility and applicant
El Facility ❑ Applicant ElFacility
are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.
Existing Environmental Permits
�] NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
=
water)
control)
E
c
NCO036919
—
o
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
w
rn
N
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
_
❑ Other (specify)
w
404)
Page 1
ES
,7 0d7

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036919
New Hope Church of Christ
1•/1�/TA
Modified March 2021
1.7
Provide the collections
stem information
requested below for the treatment works.
Municipality
Population
Collection System Type
Served
Served
Ownership Status
I(indicate percentage)
10o % separate sanitary sewer
F] Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
c
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
a
❑ Unknown
❑ Own ❑ Maintain
a
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
;>
% separate sanitary sewer ❑ Own ❑ Maintain
in
% combined storm and sanitary sewer El El Maintain
❑ Unknown ❑ Own ❑ Maintain
Total NA
Population
c i
Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of
100 %
sewer line in miles
1.8
Is the treatment works located in Indian Country?
o
c.�
❑ Yes [] No
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
❑ Yes No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
006 mgd
=
U N
Annual Average Flow Rates Actual
a
Two Years Ago
Last Year
This Year
o
0.001 mgd
]001 mgd
.001 mgd
�U-
Maximum Daily Flow Rates Actual
Two Years Ago Last Year This Year
.001 mgd .001 mgd .001 mgd
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
1.11
Total Number
of Effluent Discharge Points
by Type
Combined Sewer
Constructed
aa
'
Treated Effluent Untreated Effluent
Overflows
Bypasses
Emergency
s
Overflows
o
t
Page 2

NPDES Permit Number
Facility Name I
Modified Application Form 2A
NCO036919
New Hope Church of Christ
\ All IIIT 11
Modified March 2021
OuNalls Other Than to Waters of the State of North Carolina
1.12
Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes ❑ No 4 SKIP to Item 1.14.
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Im oundment Location and Dischar a Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
Impoundment
(check one)
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
0
❑ Intermittent
1.14
Is wastewater applied to land?
❑ Yes ❑ No 4 SKIP to Item 1.16.
0
Provide the land application site and discharge data requested below.
1.15
Q
_
Land Application Site and Discharge Data
o
Average Daily Volume Continuous or
0
Location Size Applied Intermittent
check one
s
N
❑ Continuous
acres gpd
o
❑ Intermittent
acres
gpd❑
❑ Continuous
0
Intermittent
acres
d
gpd
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
o
El Yes ❑✓ No 4 SKIP to Item 1.21.
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Trans otter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036919
New Hope Church of Christ
All Arrn
Modified March 2021
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Recelvina F cilitv Data
Facility name
Mailing address (street or P.O. box)
d
City or town
State
ZIP code
0
U
Contact name (first and last)
Title
0
s
Phone number
Email address
o
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate m d
9 Y 9
Q
0
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
d
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
CU
❑ Yes 0 No 4 SKIP to Item 1.23.
U
0
1.22
Provide information in the table below on these other disposal methods.
Information on Other
Disposal Methods
o
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
o
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
acres
gp d
❑ Continuous
❑ Intermittent
acres
gpd
ElContinuous
❑ Intermittent
acres
gp d
❑ Continuous
❑ Intermittent
_
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters (CWA ElWater quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
❑✓ Not applicable
1.24
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
the responsibility of a contractor?
❑ Yes ❑ No 4SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
0
Contractor name
(company name
E
Mailing address
0
street or P.O. box
o
City, state, and ZIP
code
15
Contact name (first and
c i
last
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NCO036919 New Hope Church of Christ Modified March 2021
\A/\A/TA
ADDITIONALSECTION 2. INFORMATION CFR1
3. o Outfalls to Waters of the State of North Carolina
a
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
rn
o
❑ Yes [] No 4 SKIP to Section 3.
c
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
R
3
0
c
s
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
C
specific requirements.)
C�
0
o
❑ Yes ❑ No
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
o
(See instructions for specific requirements.)
o
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
E
cu
Q.
2.
E
0
3.
-o
d
4.
Provide scheduled or actual dates of completion for improvements.
2.6
Scheduled or Actual Dates of Completion for Improvements
a
>
Scheduled
Affected
Outfalls
Begin
End
Begin
Attainment of
Operational
o
Q
Improvement
(list outfall
Construction
Construction
Discharge
Level
E
E
(from above)
number)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MMIDDIYYYYJ
L
U
En.
2
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

NPDES Permit Number
Facility Name Modified Application Form 2A
NCO036919
New Hope Church of Christ Modified March 2021
\-.1-
3.1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number
Outfall Number
N C
State
ca
Beaufort
County
City or town
Paqntego
0
c
s
.Q
Distance from shore
ft.
Depth below surface
ft.
ft.
ft.
0
0
Average daily flow rate
.001 mgd
mgd
mgd
Latitude
35° 35 20"
°
Longitude
76' 4d 00"
"
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
R
o
❑ Yes r❑ No 4 SKIP to Item 3.4.
R
If so, provide the following information for each applicable outfall.
3.3
N
Outfall Number 001
Outfall Number
Outfall Number
0
Number of times per year
discharge occurs
365
ri
Average duration of each
`0
discharge (specify units
3 HOURS
o
Average flow of each
.001 mgd
mgd
mgd
in
discharge
M
en
Months in which discharge
occurs
12
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑ No 4 SKIP to Item 3.6.
0
3.5
Briefly describe the diffuser type at each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
0
vi
3 6
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
one or more discharge points?
❑ Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
NCO036919 New Hope Church of Christ Modified March 2021
3.7 Provide the receiving water and related information if known for each outfall.
Outfall Number ''" Outfall Number Outfall Number
Receiving water name UT to Pantego Creek
Name of watershed, river,
0 Tar Pamlico River Basin
or stream system
U.S. Soil Conservation
t3
Service 14-digit watershed
o
code
°
I
Name of state
management/river basin
U.S. Geological Survey
W
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
Provide the following information describing the treatment provided for discharges from each outfall.
_.
3.8
Outfall Number 001
Outfall Number
Outfall Number
Highest Level of
❑ Primary
Ir] Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
❑ Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
c
o
Q
Design Removal Rates by
—
Outfall
BOD5 or CBOD5
85 %
%
%
E
TSS
85 %
%
%
© Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
o
%
%
Other (specify)
0 Not applicable
❑ Not applicable
❑ Not applicable
Page 7

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036919
New Hope Church of Christ
enerrn
Modified March 2021
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
0
U
o
Outfall Number 001
Outfall Number
Outfall Number
U
Disinfection type
uv
N
N
Seasons used
ALL
E
M
F
Dechlorination used?
Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
El Yes ❑ No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑✓ No + SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
R
i4
Number of tests of discharge
water
Number of tests of receiving
water
w
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B, including chlorine. ✓❑ No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑✓ Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
❑ Yes El No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036919
New Hope Church of Christ
1A/\A/TA
Modified March 2021
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No + Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No + Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
(MM/DD/YYYY)
— —
m
c
.c
0
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
o
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
G)
d
w
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES permittinq authority.
Page 9

NPDES Permit Number
Facility Name Modified Application Form 2A
NCO036919
New Hope Church of Christ Modified March 2021
AI\A/TA
SECTION
6. CHECKLIST
AND CERTIFICATION STATEMENT t
6.1
In Column 1 below, mark the sections of Form 2A 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: Basic Application
Information for All A licants
❑ w/ variance request(s) El w/ additional attachments
❑ Section 2: Additional
❑ wl topographic map ❑ w/ process flow diagram
Information
❑ w/ additional attachments
❑r w/ Table A ❑ w/ Table D
❑ Section 3: Information on
❑ w/ Table B ❑ w/ additional attachments
Effluent Discharges
❑ w/ Table C
U
Section 4: Not Applicable
0
Section 5: Not Applicable
U
Section 6: Checklist and
❑
❑ w/ attachments
Certification Statement
Y
U
6.2
Certification Statement
67
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. 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
RS &P,
Je-4*
Signature
Date signed
�✓
—S
MMY 3 1 2U024
► _� r , ► ■
i. a
Page 10

NPDES Permit Number
Facility Name
Outfall Number
NCO036919
New Hope Church of Christ
%eneiTn
Modified Application Form 2A
Modified March 2021
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).
Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
NCO036919 New Hope Church of Christ WWTP
Modified Application Form 2A
Modified March 2021
Maximum Daily Discharge Average Daily Discharge Analytical
Pollutant
ML or MDL
Number of
Value
Units
Value
Units
Methods
(include units)
� Samples
Ammonia (as N)
❑ ML
❑ MDL
Chlorine
❑ ML
total residual, TRC z
❑ MDL
Dissolved oxygen
❑ ML❑
MDL
Nitrate/nitrite
❑ ML
❑ MDL
Kjeldahl nitrogen
❑ ML
❑ MDL
Oil and grease
❑ ML
❑ MDL
Phosphorus
❑ ML
❑ MDL
Total dissolved solids
❑ ML
❑ MDL
Sampling snarl 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).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 12

EPAadentification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO036919 New Hope Church of Christ WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
rValue
Po
Pollutant
Analytical ML or MDL
Number of
Units Value Units TSamples
Method' (include units)
Metals, Cyanide, and Total Phenols
i
Hardness (as CaCO3)
❑ ML
❑ MDL
Antimony, total recoverable
❑ ML
❑ MDL
Arsenic, total recoverable
❑ ML
❑ MDL
Beryllium, total recoverable
❑ ML
❑ MDL
Cadmium, total recoverable
❑ ML
❑ MDL
Chromium, total recoverable
❑ ML
❑ MDL
Copper, total recoverable
❑ ML
❑ MDL
Lead, total recoverable
❑ ML
❑ MDL
Mercury, total recoverable
❑ ML
❑ MDL
Nickel, total recoverable
❑ ML
❑ MDL
Selenium, total recoverable
❑ ML
❑ MDL
Silver, total recoverable
❑ ML
❑ MDL
Thallium, total recoverable
❑ ML
❑ MDL
Zinc, total recoverable
❑ ML
❑ MDL
Cyanide
❑ ML
❑ MDL
Total phenolic compounds
❑ ML
❑ MDL
Volatile Organic Compounds
Acrolein
❑ ML
❑ MDL
Acrylonitrile
❑ ML
❑ MDL
Benzene
❑ ML
❑ MDL
Bromoform
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NC0O36919 New Hope Church of Christ WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Pollutant ---
Analytical ML or MDL
Number of
Value Units Value Units
Method' (include units)
Samples
Carbon tetrachloride
❑ ML
❑ MDL
Chlorobenzene
❑ ML
❑ MDL
Chlorodibromomethane
_
❑ ML
❑ MDL
Chloroethane
❑ ML
❑ MDL
2-chloroethylvinyl ether
❑ ML
❑ MDL
Chloroform
❑ ML
❑ MDL
Dichlorobromomethane
❑ ML
❑ MDL
1,1-dichloroethane
❑ ML
❑ MDL
1,2-dichloroethane
❑ ML
❑ MDL
trans-1,2-dichloroethylene
❑ ML
❑ MDL
1,1-dichloroethylene
❑ ML
❑ MDL
1,2 dichloropropane
❑ MIL
❑ MDL
1,3-dichloropropylene
❑ ML
❑ MDL
Ethylbenzene
❑ ML
❑ MDL
Methyl bromide
❑ ML
❑ MDL
Methyl chloride
❑ ML
❑ MDL
Methylene chloride
❑ ML
❑ MDL
1,1,2,2-tetrachloroethane
❑ ML
❑ MDL
Tetrachloroethylene
❑ ML
❑ MDL
Toluene
❑ ML
❑ MDL
1,1,1-trichloroethane
❑ ML
❑ MDL
1,1,2 trichloroethane
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NC0036919 New Hope Church of Christ WWTP
Modified March 2021
•• � e ns
Maximum Daily Discharge Average Daily Discharge
Analytical MLorMDL
Pollutant Number of
Method' (include units)
Value Units Value Units
Samples
IVinyl
Trichloroethylene
0 ML
❑ MDL
chloride
❑ ML
❑ MDL
Acid -Extractable Compounds
p-chloro-m-cresol
❑ ML
❑MDL
2-chlorophenol
❑ ML
❑ MDL
2,4-dichlorophenol
❑ ML
❑ MDL
2,4-dimethylphenol
❑ MI
❑ MDL
4,6-dlnitr0-0-cresol
❑ ML
❑MDL
2,4-dinitrophenol
❑ ML
❑ MDL
2-nitrophenol
❑ ML
❑ MDL
4-nitrophenol
❑ M
MDL
ElI
Pentachlorophenol
❑ ML
❑ MDL
Phenol
❑ ML
❑ MDL
2,4,6-trichlorophenol
❑ ML
❑ MDL
Base -Neutral Compounds
Acenaphthene
❑ ML
❑ MDL
Acenaphthylene
❑ ML
❑ MDL
Anthracene
❑ ML
❑ MDL
Benzidine
❑ ML
❑ MDL
Benzo(a)anthrace ne
❑ ML
❑ MDL
Benzo(a)pyrene
❑ ML
❑ MDL
3,4-benzofluoranth ene
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number — Facility Name Outfall Number
Modified Application Form 2A
NC0O36919 New Hope Church of Christ WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Pollutant -_' - ---
Analytical ML or MDL
Number of
Value Units Value Units
Method' (nclude units)
Sample
Benzo(ghi)perylene
❑ ML
❑ MDL
Benzo(k)fluoranthene
❑ ML
❑ MDL
Bis (2-chloroethoxy) methane
❑ ML
❑ MDL
Bis (2-chloroethyl) ether
❑ ML
❑ MDL
Bis (2-chloroisopropyl) ether
❑ ML
❑ MDL
Bis (2-ethylhexyl) phthalate
❑ ML
❑ MDL
4-bromophenyl phenyl ether
❑ ML
❑ MDL
Butyl benzyl phthalate
❑ ML
❑ MDL
2-chloronaphthalene
❑ ML
❑ MDL
4-chlorophenyl phenyl ether
Cl ML
❑ MDL
Chrysene
❑ ML
❑ MDL
di-n-butyl phthalate
El ML
❑ MDL
di-n-octyl phthalate
❑ ML
❑ MDL
Dibenzo(a,h)anthracene
❑ ML❑
MDL
1,2-dichlorobenzene
❑ ML
❑ MDL
1,3-dichlorobenzene
❑ ML
❑ MDL
1,4 dichlorobenzene
El ML
❑ MDL
3,3-dichlorobenzidine
❑ ML
❑ MDL
Diethyl phthalate
❑ ML
❑ MDL
Dimethyl phthalate
❑ ML❑
MDL
2,4-dinitrotoluene
❑ ML❑
MDL
2,6-dinitrotoluene
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 16

SPA Identification Number j NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO036919 New Hope Church of Christ WWTP
Modified March 2021
'gu• • ••
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical ML or MDL
Number of
Value Units Value Units
Method' (include units)
Samples
[Fluorene
j
2-diphenylhydrazine
j
El ML
❑MDL
uoranthene
j
❑ ML
❑ MDL
❑ ML
❑ MDL
Hexachlorobenzene
❑ ML
❑ MDL
Hexachlorobutadiene
❑ ML
❑ MDL
Hexachlorocyclo-pentadiene
❑ ML
❑MDL
Hexachloroethane
❑ ML
❑ MDL
Indeno(1,2,3-cd)pyrene
❑ ML❑MDL
Isophorone
❑ ML
❑ MDL
Naphthalene
❑ ML
❑ MDL
Nitrobenzene
❑ ML
❑ MDL
N-nitrosodi-n-propylamine
❑ ML❑MDL
N-nitrosodimethylamine
❑ ML
❑ MDL
N-nitrosodiphenylamine
❑ ML
❑ MDL
Phenanthrene
❑ ML
❑ MDL
Pyrene
❑ ML
❑ MDL
1,2,4-trichlorobenzene
j
11 ML
❑ MDL
OdrnPuny sndu oU UUnauciUo accoraing to surrlcemiy sensluve test procedures (i.e., metnods) approved under 4U GFFl 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 3510-2A (Revised 3-19) Page 17

NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO036919 New Hope Church of Christ WWTP
Modified March 2021
Maximum Dail Discharge Average Dail Discharge
Pollutant
Analytical ML or MDL
(list) Value Units Value Units Number of
Method' (include units)
Samples
No additional sampling is required by NPDES permitting authority.
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
' 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).
Page 18