NC0041718_Renewal (Application)_20240624

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Brad Brady
7th Green Properties LLC
7 Pine Tree Rd
Salisbury, NC 28144
Subject: Permit Renewal
Application No. NCO041718
Clearview at Misenheimer
Stanly County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
June 24, 2024
The Water Quality Permitting Section acknowledges the June 24, 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.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.
ec: WQPS Laserfiche File w/application
Sincerely
,� A.
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
D Q�
North Carolina Department of Environmental Quality I Division of Water Resources
Mooresville Regional Office 1 610 East Center Avenue. Suite 301 1 Mooresville. North Carolina 28115
704.663.1699

North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
RECEIVED
JUN 2 4 2024
NGDEO/DWR/NPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

RE(`Flvcn
NPDES Permit Number
Facility Name ` 1vloUedl6WiAW0Form 2A
NCO041718
Clear View WVVTP Modified March 2021
Form
NC Department of Environmental Quality - Application for NPDES ermi o ' ge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
NPDES
the instructions may result in denial of the application.) a
SECTION•N
INFORMATION FOR r
Facility name
1.1
Clear View at Misenheimer
Mailing address (street or P.O. box)
7 Pine Tree Road
City or town
State
ZIP code
o
Salisbury
NC
28144
EContact
name (first and last)
Title
Phone number
Email address
0
Brad Brady
[phone]
[e-mail]
c
'
Location address (street, route number, or other specific identifier) m Same as mailing address
Z
A
LL-
City or town
State
ZIP code
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑✓ No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑✓ No -+ SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
0
fi
A
City or town
State
ZIP code
0
c
cc
Contact name (first and last)
Title
Phone number
Email address
c.
o_
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑✓ Owner ❑ Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
Facility and applicant
El Facility ❑✓ Applicant (they 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.
£
m
Existing Environmental Permits
✓❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
E
NCO041718
P
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
W
rn
N
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
Page 1

NPDES Permit Number
Facility Name
Modified Application Form 2A
N C O041718
Clear View W WTP
Modified March 2021
1.7
Provide the collections stem information requested below for the treatment works.
Municipality
Population
Collection System Type
Status
Served
Served
indicatepercentage)Ownership
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
.
2
% combined storm and sanitary sewer
❑ Own El Maintain
El Unknown
❑ Own ❑ Maintain
CL
a
% separate sanitary sewer
❑ Own ElMaintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
N%
combined storm and sanitary sewer
ElOwn ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
Total
Population
c i
Served
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
%
%
sewer line in miles
?'
1.8
Is the treatment works located in Indian Country?
o
U
❑ Yes ✓❑ No
R
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
015 mgd
N
Annual Average Flow Rates Actual
a R
Two Years Ago
Last Year
This Year
c
o
.000365 mgd
.000387 mgd
.000416 mgd
`L
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
,0006 mgd
.0006 mgd
.0006 mgd
y
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total Number of Effluent Dischar a Points by Type
TConstructed
Combined Sewer
rn
Treated Effluent
Untreated Effluent
Overflows
Bypasses
Emergency
U
Overflows
�
1
Page 2

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO041718
Clear View WWTP
Modified March 2021
Outfalls 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
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
gpd
El Continuous
�
❑ Intermittent
1.14
Is wastewater applied to land?
❑ Yes ❑✓ No SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
C
Land Application Site and Discharge Data
o
0
Average Daily Volume
Continuous or
a,
Location
Size
Applied
Intermittent
check one
acres
gp d
❑ Continuous
o
❑ Intermittent
❑ Continuous
z
o
acres
gpd❑
Intermittent
o
acres
gpd
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
o'
ElYes m 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 -* SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Trans orter 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
NCO041718
Clear View WWTP
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.
Receivincqi F cilitv Data
Facility name
Mailing address (street or P.O. box)
3
City or town
State
ZIP code
0
U
U)
Contact name (first and last)
Title
0
s
d
Phone number
Email address
M
c
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate m d
9 Y 9
CL
0LA
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
0
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
d
s
❑ Yes ❑✓ 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
Dis osal Methods
o
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
acres
gpd
❑ Continuous
❑ Intermittent
0
[IContinuous
acres
gp d
❑ 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.)
9
❑ Discharges into marine waters (CWA ❑ Water 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 +SKIP 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
c
Contractor name
Ritchie
R
(company name)Sohn
cMailing
address
street or P.O. box
1250 Leonard Road
0
City, state, and ZIP
Salisbury, NC 28146
R
code
L
tact name (first and
0Conlast
John Ritchie
Phone number
[phone]
Email address
[e-mail]
Operational and
operate WWTP and perform
maintenance
required sampling and field
responsibilities of
contractor
testing.
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NCO041718 Clear View WWTP Modified March 2021
SECTION 2. ADDITIONAL INFORMATION ,
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.
0
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.
-a
c
R
3
0
c
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
M Q
specific requirements.)
�CU
o
0
0
ElYes ElNo
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
occ
3
(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
a
1.
d
E
d
c.
2.
E
0
0
H
d
3.
3
a
a>
4.
-a
R
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
E
W
Scheduled
Affected
Outfalls
Begin
End
Begin
Attainment of
Operational
c
CL
Improvement
(list o
Construction
Construction
Discharge
Level
E
(from above)
number)
)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
MM/DD/YYYY
75
v
1.
d
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
NCO041718
Clear View WWTP Modified March 2021
SECTION.-
• ON
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
State
NC
County
Stanley
w
w.
0
w
City or town
Misenheimer
0
c
Distance from shore
5 ft.
a
Depth below surface
D ft.
ft.
ft.
0
Average daily flow rate
.000389 mgd
mgd
mgd
Latitude
35° 29' 11"
°
°
Longitude
80° 17' 31"
"
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
R
o
❑ Yes ✓❑ No -* SKIP to Item 3.4.
d
cc3.3
If so, provide the following information for each applicable outfall.
D)
Outfall Number
Outfall Number
Outfall Number
0
Number of times per year
discharge occurs
a
Average duration of each
`o
discharge (specify units
c
Average flow of each
mgd
mgd
mgd
0
discharge
R
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑✓ No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser type at each applicable outfall.
CL
Outfall Number
Outfall Number
Outfall Number
d
0
o 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
NCO041718
Clear View WWTP
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
Curl Tail Creek
Name of watershed, river,
0
or stream system
Yadkin Pee Dee
•L
U.S. Soil Conservation
Service 14-digit watershed
NA
o
code
L
°=
�
rn
Name of state
management/river basin
Yadkin Pee Dee River Basin
U.S. Geological Survey
8-digit hydrologic
NA
cataloging unit code
Critical low flow (acute)
NA cfs
cfs
cfs
Critical low flow (chronic)
NA cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mg/L of
low flow
NA CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment pr vided for discharges from each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Highest Level of
❑ Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
17 Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
c
0
Q.
Design Removal Rates by
Outfall
NA
y
N
BOD5 or CBOD5
NA %
%
%
c
d
E
.r
m
TSS
NA %
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
/o °
° /o
°
/o
Other (specify)
0 Not applicable
❑ Not applicable
❑ Not applicable
Page 7

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO041718
Clear View WWTP
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.
d
c
w
c
0
U
o
Outfall Number 001
Outfall Number
Outfall Number
Y
Q
Disinfection type
Chlorine tablets
0
d
0
Seasons used
all
d
E
is
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?
✓❑ 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 4 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
Y
R
0
Number of tests of discharge
rn
Y
water
Number of tests of receiving
water
d
0
LU
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 ❑ No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO041718
Clear View WWTP
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
d
3
C
w
C
O
w3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
o
toxicity?
c
w.
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
w.
d
iU
w
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 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 permittin authority.
Page 9

NPDES Permit Number
Facility Name Modified Application Form 2A
NCO041718
Clear View WWTP Modified March 2021
SECTION•
,
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
ID Section
w/ variance request
(s) ❑ w/ additional attachments
Information for All Applicants
❑✓ Section 2: Additional
❑ w/ topographic map ❑ w/ process flow diagram
Information
❑ w/ additional attachments
© w/ Table A ❑ w/ Table D
❑ Section 3: Information on
© w/ Table B ❑ wl additional attachments
Effluent Discharges
E
❑ w/ Table C
is
a
Section 4: Not Applicable
0
Section 5: Not Applicable
d
U
R
Section 6: Checklist and
El w/ attachments
w
Certification Statement
a
Y
6.2
Certification Statement
0
d
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
Si
Date signed
U
RECEIVED
JUN 2 4 2024
NCDEQ/DWR/NPDES
Page 10

NPDES Permit Number
Facility Name
Outfall Number
NCO041718
Clear View WWTP
001
Modified Application Form 2A
Modified March 2021
•• ••
Maximum Daily Discharge
Average Daily Discharge
Pollutant
Analytical ML or MDL
Number of
Value Units
Value
Units
Methods (include units)
Samples
Biochemical oxygen demand
❑ BOD5 or ❑ CBOD5
22
mg/I
2.37
mg/I
156 521OB-2015
2 mg/I
(report one
© MDL
Fecal coliform
2419
MPN/100
1.84
MPN/100
156 Colilert-18
1MPN100
❑, MDL
Design flow rate
.0006
MGD
k00389
MGD
156
pH (minimum)
6.0
su
pH (maximum)
7,5
su
Temperature (winter)
20.8
C
15.6
C
65
Temperature (summer)
26
C
22.8
C
91
Total suspended solids (TSS)
19
mg/I
3.81
mg/I
156 2540D-2015
2.5 mg/I © ML
MDL
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 Cutfall Number Modified Application Form 2A
NCO041718 Clear View WWTP 001 Modified March 2021
•: -•
•- 201 1
Maximum Daily Discharge Average Daily Discharge
Pollutantumber
Analytical
ML or MDL
NSam
Value
Units
Value
Units
Method'
(include units)
lesf
Ammonia (as N)
4.71
mg/I
.15
mg/I
156
SM4500NH3G-2011
ML7
0.10 mg/I © MDL
Chlorine
total residual, TRC 2
30
ug/I
.12
u /I
g
312
SM4500CIG-2011
0.15 ug/I ❑ ML
❑� MDL
Dissolved oxygen
12.0
mg/I
7.33
mg/I
156
SM45000G-2011
ML
0.1 Mg Q MDL
Nitrate/nitrite
❑ ML
❑ MDL
Kjeldahl nitrogen
❑ ML
❑ MDL
Oil and grease
❑ ML
❑ MDL
Phosphorus
❑ ML
❑ MDL
Total dissolved solids
❑ ML
❑ MDL
1 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).
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

EPA Identification Number NPDES Permit Number Facility Name OuHall Number
Modified Application Form 2A
NCO041718 Clear View 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
Metals, Cyanide, and Total Phenols
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
NCO041718 Clear View WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units
Samples
Carbon tetrachloride
❑ ML
❑ MDL
Chlorobenzene
❑ ML
❑ MDL
Chlorodibromomethane
❑ ML
❑ MDL
Chloroethane
❑ ML
❑ MDL
2-chloroethylvinyl ether
0 ML
❑ MDL
Chloroform
❑ ML
❑ MDL
Dichlorobromomethane
❑ ML
❑ MDL
1,1-dichloroethane
❑ ML
❑ MDL
1,2-dichloroethane
❑ ML
❑ MDL
trans-1,2-dichloroethylene
11 ML
❑ MDL
1,1-dichloroethylene
0 ML
❑ MDL
1,2-dichloropropane
11 ML
❑ MDL
1,3-dichloropropylene
0 ML
❑ MDL
Ethylbenzene
0 ML
❑ MDL
Methyl bromide
0 ML
❑ MDL
Methyl chloride
0 ML
❑ MDL
Methylene chloride
11 ML
❑ MDL
1,1,2,2-tetrachloroethane
❑ ML
❑ MDL
Tetrachloroethylene
0 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
NCO041718 Clear View WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units Samples
Trichloroethylene
lAcid-Extractarble
11 ML
❑ MDL
Vinyl chloide
❑ ML
❑ MDL
Compounds
p-chloro-m-cresol
0 ML
❑ MDL
2-chlorophenol
0 ML
❑ MDL
2,4-dichlorophenol
11 ML
❑ MDL
2,4-dimethylphenol
❑ ML
❑ MDL
4,6-dinitro-o-cresol
❑ ML
❑ MDL
2,4-dinitrophenol
❑ ML
❑ MDL
2-nitrophenol
❑ ML
❑ MDL
4-nitrophenol
❑ ML
❑ MDL
Pentachlorophenol
0 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)anthracene
0 ML
❑ MDL
Benzo(a)pyrene
0 ML
❑ MDL
3,4-benzofluoranthene
❑ 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
NCO041718 Clear View WWTP
Modified March 2021
.• ••
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units
Sam les
Benzo(ghi)perylene
0 ML
❑ MDL
Benzo(k)fluoranthene
0 ML
❑ MDL
Bis (2-chloroethoxy) methane
0 ML
❑ MDL
Bis (2-chloroethyl) ether
0 ML
❑ MDL
Bis (2-chloroisopropyl) ether
11 ML
❑ MDL
Bis (2-ethylhexyl) phthalate
11 ML
❑ MDL
4-bromophenyl phenyl ether
11 ML
❑ MDL
Butyl benzyl phthalate
0 ML
❑ MDL
2-chloronaphthalene
0 ML
❑ MDL
4-chlorophenyl phenyl ether
0 ML
❑ MDL
Chrysene
0 ML
❑ MDL
di-n-butyl phthalate
0 ML
❑ MDL
di-n-octyl phthalate
0 ML
❑ MDL
Dibenzo(a,h)anthracene
0 ML
❑ MDL
1,2-dichlorobenzene
❑ ML
❑ MDL
1,3-dichlorobenzene
❑ ML
❑ MDL
1,4-dichlorobenzene
❑ MI
❑ MDL
3,3-dichlorobenzidine
❑ ML
❑ MDL
Diethyl phthalate
0 ML
❑ MDL
Dimethyl phthalate
0 ML
❑ MDL
2,4-dinitrotoluene
❑ ML
❑ MDL
2,6-dinitrotoluene
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO041718 Clear View WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units
Samples
1,2-diphenylhydrazine
0 ML
❑ MDL
Fluoranthene
❑ ML
❑ MDL
Fluorene
❑ ML
❑ MDL
Hexachlorobenzene
❑ ML
❑ MDL
Hexachlorobutadiene
❑ ML
❑ MDL
Hexachlorocyclo-pentadiene
❑ ML
❑ MDL
Hexachloroethane
❑ ML
❑ MDL
Indeno(1,2,3-cd)pyrene
0 ML
❑ MDL
Isophorone
❑ ML
❑ MDL
Naphthalene
❑ ML
❑ MDL
Nitrobenzene
❑ ML
❑ MDL
N-nitrosodi-n-propylamine
11 ML
❑ MDL
N-nitrosodimethylamine
OML
❑ MDL
N-nitrosodiphenylamine
❑ ML
❑ MDL
Phenanthrene
❑ ML
❑ MDL
Pyrene
0 ML
❑ MDL
1,2,4-trichlorobenzene
❑ ML
❑ MDL
1 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 3510-2A (Revised 3-19) Page 17

NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
N C O041718 Clear view W WTP
Modified March 2021
Maximum Daily Discharge Average Dail Discharge
Pollutant Number of
Analytical ML or MDL
y
(list) Value Units Value Units
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
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 18