NC0022730_Renewal (Application)_20170519

Water Resources
ENVIRONMENTAL QUALITY
May 19, 2017
Mr. Robert Heaton
Town of Beech Mountain
403 Beech Mount Parkway
Beech Mountain, NC 28604
Subject: Permit Renewal
Application No. NCO022730
Grassy Gap Creek WWTP
Watauga County
Dear Permittee:
ROY COOPER
MICHAEL S. REGAN
S. JAY ZIMMERMAN
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on May 19, 2017. The primary reviewer for this renewal
application is Charles Weaver.
The primary reviewer will review your application, and he will contact you if additional
information is required to complete your permit renewal. 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.
If you have any additional questions concerning renewal of the subject permit, please
contact Charles Weaver at 919-807-6391 or Charles. [e-mail].
Sincerely,
2 7&fid
Wren Thedford
Wastewater Branch
cc: Central Files
NPDES
Winston-Salem Regional Office
State of North Carolina I Environmental Quality I Water Resources
1617 Mad Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

Council Members
E. Rkk' Miller, Mayor
Paul Piquet, Vice Mayor
Renee Castiglione
Wendel Sauer
Rick Owen
/\N BEECH
MOUNTAIN
N O R T H C A R d L I N A
Eastern Arnerica's Highest Towr:
April 26, 2017
U.S. Environmental Protection Agency
Atlanta Federal Center
61 Forsyth Street, SW
Atlanta, GA 30303-3104
Attention: Permit Contact, Permits Section
Dear Permit Reviewer,
Town Manager
Tim H. Holloman
Town Attorne%
Stacy C. Eggers IV
RECEIVEDUDEUDWR
MAY 19 2011
Water Quality
Permitting Section
On behalf of the Town of Beech Mountain, I respectfully submit to you permit renewal
documentation for NPDES Permit No. NC0069761, Pond Creek Wastewater Treatment Plant for
your review and approval.
Please find enclosed the following:
1. EPA Application Form 1- General Information
2. NPDES Form 2A, Parts Al-Al2
3. NPDES Form 2A, Parts B1 -B6
4. NPDES Form 2A, Part C
5. NPDES Form 2A, Part E
6. Topographic Map
Please call me at 828-387-9368 if you have any questions. Thank you.
Si cerel ,
Donald S.. or6e, E.I.T.
403 Beech Mountain Parkway Beech Mountain North Carolina 28604-8012
elephone [phone] Fax [phone]

Please orint or tvoe in the unshaded areas only
Form Approved. OMB No. 2040-0086.
FORM
U.S. ENVIRONMENTAL PROTECTION AGENCY
I. EPA I.D. NUMBER
1
GENERAL INFORMATION
5 TA c
\=CEPA Consolidated Permits Program
F 110069999274 D
GENERAL
(Read the "General Instructions" before starting.)
1 2 13 10 15
GENERAL INSTRUCTIONS
LABEL ITEMS
If a preprinted label has been provided, affix it in the
designated space. Review the information carefully; if any of it
I EPA I.D. NUMBER
110069999274
is incorrect, crass through it and enter the correct data in the
appropriate fill-in area below. Also, if any of the preprinted data
is absent (the area to the left of the label space lists the
III. FACILITY NAME Pond Creek Wastewater Treatment Plant information that should appear), please provide it in the proper
filNn area(s) below. If the label is complete and correct, you
V. FACILITY MAILING 403 Beech Mountain Parkway,
need not complete Items I, III, V, and VI (except Vl-B which
ADDRESS
must be completed regardless). Complete all items if no label
Beech Mountain NC 28604
has been provided. Refer to the instructions for detailed item
this
VI. FACILITY LOCATION ' descriptions and for the legal authorizations under which
Beech Mountain, North Carolina data is collected.
II. POLLUTANT CHARACTERIST...., -
INSTRUCTIONS: Complete A through J to determine whether you need to submit any permit application forms to the EPA. If you answer "yes" to any questions, you must
submit this form and the supplemental form listed in the parenthesis following the question. Mark "X° in the box in the third column if the supplemental form is attached. If
you answer "no" to each question, you need not submit any of these forms. You may answer "no" if your activity is excluded from permit requirements; see Section C of the
instructions. See also, Section D of the instructions for definitions of bold-faced terms.
Mark "X"
Mark
"X"
SPECIFIC QUESTIONS
SPECIFIC QUESTIONS
YES
NO
FORM
AT
YES
NO
FORM
ATTACHED
A. Is this facility a publicly owned treatment works which
results in a discharge to waters of the U.S.? (FORM 2A)
X
B. Does or will this facility (either existing or proposed)
include a concentrated animal feeding operation or
X
aquatic animal production facility which results in a
16
17
18
19
26
21
discharge to waters of the U.S.? (FORM 2B)
C. Is this a facility which currently results in discharges to�/
X
D. Is this a proposed facility (other than those described in A
X
waters of the U.S. other than those described in A or B
or B above) which will result in a discharge to waters of
above? (FORM 2C)
22
23
24
the U.S.? (FORM 2D)
25
26
27
E. Does or will this facility treat, store, or dispose of
F. Do you or will you inject at this facility industrial or
hazardous wastes? (FORM 3)
X
municipal effluent below the lowermost stratum
X
containing, within one quarter mile of the well bore,
26
29
W
underground sources of drinking water? (FORM 4)
31
32
33
G. Do you or will you inject at this facility any produced water
H. Do you or will you inject at this facility fluids for special
or other fluids which are brought to the surface in
connection with conventional oil or natural gas production,
X
processes such as mining of sulfur by the Frasch process,
solution mining of minerals, in situ combustion of fossil
X
inject fluids used for enhanced recovery of oil or natural
fuel, or recovery of geothermal energy? (FORM 4)
gas, or inject fluids for storage of liquid hydrocarbons?
(FORM 4)
3d
35
36
37
38
39
I. Is this facility a proposed stationary source which is one
J. Is this facility a proposed stationary source which is
of the 28 industrial categories listed in the instructions and�/
X
NOT one of the 28 industrial categories listed in the
�/
X
which will potentially emit 100 tons per year of any air
instructions and which will potentially emit 250 tons per
pollutant regulated under the Clean Air Act and may affect
year of any air pollutant regulated under the Clean Air Act
°0
°1
d2
43
49
45
or be located in an attainment area? (FORM 5)
and may affect or be located in an attainment area?
(FORM 5)
III. NAME OF FACILITY
c SKIP I I I I I 1 I
1 Pond Creek WWTP
15 18 — 29 36--
I 1
IV. FACILITY CONTACT
A. NAME & TITLE (last, first, & title)
B. PHONE (area code & no.)
1 1 1 I 1 1 I
Heaton, Robert, Public Utilities Director
( 2 ) 3 7-9 8
2
V.FACILTY MAILING ADDRESS
A. STREET OR P.O. BOX
4(13 BEECH Mountain Parkway
3
5 16
45
B. CITY OR TOWN
C. STATE D. ZIP CODE
4 Beech Mountain
15 i6
C 2 6 4
W •4 - 41 5 -
VI. FACILITY LOCATION
A. STREET, ROUTE NO. OR OTHER SPECIFIC IDENTIFIER
5 3b4 Locust Ridge Roaa
s 18
45
B. COUNTY NAME
Watauga 1
46
76
C. CITY OR TOWN
D. STATE E. ZIP CODE F COUNTY CODE (if known)
s B e h M u tai I
. C
L 2 6 4
is 16
46 41 42 47 51 52 -54
EPA Form 3510-1 (8-90) CONTINUE ON REVERSE

EPA Form 3510-1 (8-90)
VII. SIC CODES 4-d' it, in order of riori
A. FIRST B. SECOND
(sped)7
(specify)
7
1E tP
1e 101
C. THIRD D. FOURTH
(spec)
(speck)
J�7t9
15
1E 19
VIII. OPERATOR INFORMATION
q. Nq}yE B. Is the name listed In Item
i I I I I I I r I I I I I I 1 1 VIII -A also the owner?
s Gary Tipton ❑ YES El NO
5 18 55 66
C. STATUS OF OPERATOR (Enter the appropriate letter into the answer box: rf "Other,"specify.)
D. PHONE (area code & no.)
F =FEDERAL
M= PUBLIC (other thanfederalorstate)
M
(specify)
A [phone]
S=STATE
O =OTHER (spec)
P = PRIVATE
56
15 6 18 19 2122 26
E. STREET OR P.O. BOX
G
3641
Locust Ridge Rd
26 5
F. CITY OR TOWN G. STATE H. ZIP CODE IX. INDIAN LAND
C i Is the facility located on indian ianas?
B Beech Mountain NC 28604 ❑ YES © NO
52
15 Ila 10 it w•: a'7 - 51
X. EXISTING ENVIRONMENTAL PERMITS
A.NPDES Discha es toSuriaceWater D. PSD AirEmtsstons(romP7,2T Sources
C T I
C T
g N NCO069761 91P
151 16 1 17 118 30 15 16 17
B.UIC (Undergproundlm'ectiono1Fluids' E. OTHER s��eci,.
C T I
I C T I
9
/Spec fy)
91U1
15 18 17
18 30 15 16 17 18
30
C. RCRA Hazardous Wastes) E. OTHER ci
C T
I
I C T I (spec �)
9 R
9
15 16
17
18 30 15 1 16 1 17 116 30
XI. MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must show the outline of the facility, the
location of each of its existing and proposed intake and discharge structures, each of its hazardous waste treatment, storage, or disposal facilities, and each well where it
injects fluids underground. Include all springs, rivers, and other surface water bodies in the map area. See instructions for precise requirements.
XII. NATURE OF BUSINESS (provide a brief description)
Treatment of Municiple waste via a wastewater treatment plant discharging effluent into Pond Creek.
XIII. CERTIFICATION (see instructions)
1 certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all attachments and that, based on my
inquiry of those persons immediately responsible for obtaining the information contained in the application, I believe that the information is true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibifite Ane a monsonment.
A. NAME & OFFICIAL TITLE (type orprint)
B. SIGNATURE
C. DATE SIGNE
Tim H. Holloman, Town Manager
h {/
COMMENTS FOR OFFICIAL USE ONLY
11 I I I I
C
15
116 Y
EPA Form 3510-1 (8-90)

FACILITY NAME AND PERMIT NUMBER:
Form Approved 1/14W
Pond Creek WWTP, NCO069761
OMB Number 2040-M6
FORM
2A
NPDES FORM 2A APPLICATION OVERVIEW
NPDES
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a 'Basic Application Information" packet and
a "Supplemental Application Information" packet. The Basic Application Information packet is divided into two
parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1
mgd must also complete Part B. Some applicants must also complete the Supplemental Application
Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment
works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow > 0.1 mgd. All treatment works that have design
flows greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and
meets one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity
Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (industrial User Discharges and
RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
c. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 21

FACILITY NAME AND PERMIT NUMBER:I OMS Number 20440086 Form Approved 1/14V9
Pond Creek WWTP, NC0069761
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information packet
A.I. Facility Information.
Facility name Pond Creek WWTP
Mailing Address 403 Beech Mountain Parkway. Beech Mountain. NC 28604
Contact person
Title Public Willies Director
Telephone number (828).387-9282
Facility Address 364 Locust Ridge Road. Beech Mountain. NC 28604
(not P.O. Box)
A.2. Applicant Informatlon. If the applicant Is different from the above, provide the following:
Applicant name Town Of Beech Mountain
Mailing Address 403 8eerh Mountain Parkway�$earh Mountain. NC 28804
Contact person
Title Town Mana er
Telephone number (8281 387-423
Is the applicant the owner or operator (or both) of the treatment works?
V/ owner operator
• Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
V/ facility applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment
works (include state -issued permits).
NPDES NCO069761 PSD
UIC Other
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of
each entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private,
etc.).
Name Population Served Type of Collection System Ownership
Total population served 2640
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22, Page 2 of 21

FACILITY NAME AND PERMIT NUMBER:
Pond Creek WWTP, NCO069761
A.S. Indian Country.
a. Is the treatment works located in Indian Country?
Form Approved 1/14198
OMB Number 2040.0088
Yes V( No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
Yes ✓ No
A.S. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12 -month time
period with the 12th month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate _ 0.40 mgd
Two Years Aoo Last Year This Year
b. Annual average daily flow rate 0.15 0.10 0.23 mgd
c. Maximum daily flow rate 1 15 0.89 0.23 mgd
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
✓ Separate sanitary sewer
Combined storm and sanitary sewer
A.S. Discharges and Other Disposal Methods.
100.00 %
%C
a. Does the treatment works discharge effluent to waters of the U.S.? VL Yes No
If yes, list how many of each of the following types of discharge points the treatment works uses:
1. Discharges of treated effluent 1
Ii. Discharges of untreated or partially treated effluent 0
iii. Combined sewer overflow points 0
Iv. Constructed emergency overflows (prior to the headworks) 0
v. Other 0
b. Does the treatment works discharge effluent to basins, ponds, or other surface
Impoundments that do not have outlets for discharge to waters of the U.S.? Yes ✓ No
If yes, provide the following for each surface impoundment:
Location: r1l,cl
Annual average daily volume discharged to surface impoundment(s) „ oa mgd
Is discharge continuous or intermittent?
c. Does the treatment works land -apply treated wastewater? Yes ✓ No
If yes, provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site: Mgd
Is land application continuous or intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? Yes ✓ No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 3 of 21

FACILITY NAME AND PERMIT NUMBER:
Pond Creek WWTP, NCO069761
Form Appmved 1/1489
OMS Number 2040.0085
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment
works (e.g., tank truck, pipe).
If transport is by a party other then the applicant, provide:
Transporter name:
Mailing Address:
Contact person:
Title:
Telephone number:
For each treatment works that receives this discharge, provide the following:
Name:
Mailing Address:
Contact person:
Title:
Telephone number:
If known, provide the NPOES permit number of the treatment works that receives this discharge.
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included in
A.8.a through A.8.d above (e.g., underground percolation, well injection)? Yes No
If yes, provide the following for each disposal method:
Description of method (including location and size of ske(s) if applicable):
Annual daily volume disposed of by this method:
Is disposal through this method continuous or intermittent?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-8 & 7550-22. Page 4 of 21

FACILITY NAME AND PERMIT NUMBER:
Pond Creek WWTP, NCO069761
Form Approved 1/14199
OMB Number 20400086
WASTEWATER DISCHARGES:
If you answered "yes" to question A.B.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent is discharged. Do not Include information on combined sewer overflows in this section. If you answered "no" to question
A.B.a, go to Part B, `Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd.'
A.9. Description of Outfall.
a. Outfall number
b. Location
001
or town,
IIounry) state)
3 degrees, 12 Min, 49 Sec North 81 Degrees, 52 Min. 30 Sec. West
(Latitude)
c. Distance from shore (if applicable)
d. Depth below surface (if applicable)
e. Average daily flow rate
I. Does this outfall have either an intermittent or a
periodic discharge?
If yes, provide the following Information:
Number of times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
Months in which discharge occurs:
g. Is outfall equipped with a diffuser?
A.10. Description of Receiving Waters.
a. Name of receiving water Pond Creek
Yes
ff.
fl.
mgd
VF No (go to A.9.g.)
b. Name of watershed (if known)
United States Soil Conservation Service 14 -digit watershed code (if known):
c. Name of State Management/River Basin (if known): Watauga River Basin
United States Geological Survey 8 -digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable):
acute cls chronic cfs
e. Total hardness of receiving stream at critical low flow (if applicable): mgN of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 5 of 21
mgd
Yes
No
b. Name of watershed (if known)
United States Soil Conservation Service 14 -digit watershed code (if known):
c. Name of State Management/River Basin (if known): Watauga River Basin
United States Geological Survey 8 -digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable):
acute cls chronic cfs
e. Total hardness of receiving stream at critical low flow (if applicable): mgN of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 5 of 21

FACILITY NAME AND PERMIT NUMBER:
Form Approved 1/14x99
Pond Creek WWTP, NCO069761
OMB Number 2040-0086
A.11. Description of Treatment
a. What levels of treatment are provided? Check all that apply.
V* Primary Secondary
Advanced Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BODE removal or Design CBODS removal 85.00 %
Design SS removal 85.00 %
Design P removal %
Design N removal
Other %
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe.
Ultra Violet Lights
If disinfection is by chlorination, is dechlorination used for this outfall? Yes V/ No
d. Does the treatment plant have post aeration? V/ Yes No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent Is
discharged. Do not Include Information on combined sewer overflows In this section. All Information reported must be based on date
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QAfQC requirements
of 40 CFR Part 136 and other appropriate QAIQC requirements for standard methods for analytes not addressed by 40 CFR Part 136.
At a minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number: 001
PARAMETER MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
Value Units Value Units Number of Samples
H Minimum 6.10 S.U.
H (Ma)imum 7.40 s,u -
Flow Rate 0.89 mgd 0.10 mgd
Temperature winter 14.00 degree C 10.00 degree C
Temperature (Summen 121.00Idegree C 16.00 degree C
" For pH please report a minimum
and a maximum daily value
POLLUTANT
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
ANALYTICAL
ML ! MDL
DISCHARGE
METHOD
Conc.
Units
Cone.
Units Number of
Samples
CONVENTIONAL AND NONCONVENTIONAL COMPOUNDS.
BIOCHEMICAL OXYGEN
BOD -5 20.90 mg/I 4.50 mg/I 52.00
CBOD-5
DEMAND (Re ort one)
FECAL COLIFORM 29.00 /100 mgl 2.10 / 100 mgl 52.00
TOTAL SUSPENDED SOLIDS (TSS) 26.00 / 100 mgl 11.10 / 100 mgl,
END OF PART A.
REFER TO THE APPLICATION OVERVIEW TO DETERMINE WHICH OTHER PARTS OF FORM
2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 21

FACILITY NAME AND PERMIT NUMBER:
Form Approved 1/14/39
Pond Creek WWTP, NCO069761
O&M Numbar 204"086
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate > 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification).
B.1. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from Inflow and/or infiltration.
34.000.00 _•.ipd
Briefly explain any steps underway or planned to minimize Inflow and infiltration.
Pian to replace 2000 feet of existing sewer line bi-yearly.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries.
This map must show the outline of the facility and the following Information. (You may submit more than one map if one map does not show
the entire area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within 1/4 mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by
truck, rail, or special pipe, show on the map where that hazardous waste enters the treatment works and where It is treated, stored, and/or
disposed.
8.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all
backup power sources or redundancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily
flow rates between treatment units. Include a brief narrative description of the diagram.
B.4. Operstlon/MaIntenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? _Yes ✓ No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number:
Responsibilities of Contractor:
B.B. Scheduled Improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for Improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question
B.5 for each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that Is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
Yes No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 7 of 21

FACILITY NAME AND PERMIT NUMBER:
Form Approved 1/14/99
Pond Creek WWTR NCO069761
OMB Number 2040-0096
c If the answer to B.5.b Is "Yes," briefly describe, Including new maximum daily inflow rate (if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as
applicable. For Improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM / DD / YYYY MM / DO / YYYY
–Beginconstruction _/_/ _/—/
– End construction l 1 I l
– Begin discharge
–Attain operational level —/—I—
/_/
a.
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? _Yes No
Describe briefly:
B.S. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent
testing required by the permitting authority for each outfall through which effl+lent i¢ ttt 2r ared. Do not Include information on combined sewer
overflows in this seetion. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136
methods. In addition, this data must comply with QAIQC requirements of 40 CFR Part 136 and other appropriate QAlQC requirements for
standard methods for analytes not addressed by 40 CFR Part 136. At a minimum, effluent testing data must be based on at least three
pollutant scans and must be no more than Tour and one-half years old.
Outfall Number: 001
POLLUTANT
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
DISCHARGE
Conc.
Units
Conc.
Units
Number of
ANALYTICAL
ML / MDL
Samples
METHOD
CONVENTIONAL AND NONCONVENTIONAL COMPOUNDS.
AMMONIA (as N)
4.80
mg/I
2.60
mg/I
52.00
CHLORINE (TOTAL
RESIDUAL, TRC)
0.00
mg/I
0.00
mg/l
3.00
sm4500cig-2000
DISSOLVED OXYGEN
10.70
mg/I
9.70
mgll
210.00
ysi550a
TOTALNE T TKNHL
NITROGEN j
13.70
mg/I
9.70
mg/I
3.00
.140sm4500o b
�
NITRATE PLUS NITRITE
NITROGEN
9.90
mg/I
7.20
mg/I
3.00
.100sm4500no3
OIL and GREASE
PHOSPHORUS (Total)
4.14
mg/I
2.60
mg/I
3.00
.160sm4500pe
TOTAL DISSOLVED
SOLIDS (TDS)
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW TO DETERMINE WHICH OTHER PARTS OF FORM
2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 8 of 21

FACILITY NAME AND PERMIT NUMBER:
Foran Approved 1/1499
Pond Creek WWTP, NCO069761
ME Number 2040.0088
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
Ali applicants must complete the Certification Section. Refer to Instructions to determine who is an officer for the purposes of this certification. All
applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which parts of Form 2A you
have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed Form 2A and have completed
all sections that avp� to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
✓ Basic Application Information packet Supplemental Application Information packet:
Part D (Expanded Effluent Testing Data)
✓ Part E (Toxicity Testing: Biomonitoring Data)
Part F (Industrial User Discharges and RCRA/CERCLA Wastes)
Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my Inquiry of the person or persons
who manage the system or those persons directly responsible for gathering the information, the Information is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name and official title Tim H. Hollomarl, Tow 4,ana, er
Signature
Telephone number (828) 387-q282
Date signed 6
Upon request of the permitting authority, you must submit any other Information necessary to assess wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 of 21

FACILITY NAME AND PERMIT NUMBER:
Pond Creek WWTP, NCO069761
Form Approved 1/14189
OMB Number 2040.0086
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of
the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those
that are required to have one under 40 GFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must Include quarterly testing for a 12 -month period within the past 1 year using multiple species (minimum of
two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the
results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do
not include information on combined sewer overflows in this section. All information reported must be based on data collected through
analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136
and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxWty tests from the past four and one-half years. If a whole effluent toxicity
test conducted during the past four and one-half years revealed toxicity, provide army information on the cause of the toxicity or any results
of a toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate
methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
✓ chronic acute
E.2. Individual Test Date. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number: Test number:
a. Test information.
Test species 8 test method number
Ceriodaphnia dubia
Ceriodaphnia dubia
Ceriodaphnia dubie
Age at initiation of test
< 24 Hours
< 24 Hours
< 24 Hours
Outfall number
001
001
001
Dates sample collected
01/09/2017
10/24/2016
07/11/2016
Date test started
01/11/2017
10/26/2016
07/13/2016
Duration
24 hours
24 hours
24 hours
b. Give toxicity test methods followed.
Manual title
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Edition number and year of publication
Fourth edition, 2002
Fourth edition, 2002
Fourth edition, 2002
Page number(s)
3-49, 141-189
3-49, 141-189
3-49, 141-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24 -Hour composite
Yes
Yes
Yes
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each)
Before disinfection
After disinfection
Yes
Yes
Yes
After dechlorination
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550.22. Page 15 of 21

FACILITY NAME AND PERMIT NUMBER:
Pond Creek WWTP, NCO069761
Form Approved 1/14189
OMB Number 20440086
Test number. Test number. Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: I Effluent Effluent
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both. I
Chronic toxicity
Yes
Yes
Yes
Acute toxicity
Yes
Yes
Yes
g. Provide the type of test performed.
Static
Laboratory water
Statio-renewal
Yes
Yes
Yes
Flow-through
I. Type of dilution water. It salt water, specify 'natural' or type of artificial sea salts or brine used.
Fresh water
Yes
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Receiving water
I. Type of dilution water. It salt water, specify 'natural' or type of artificial sea salts or brine used.
Fresh water
Yes
Yes
Yes
SaR water
J. Give the percentage effluent used for all concentrations in the test series.
51%
51%
51%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 7.04
7.09
7.01
Salinity
Temperature 3.1
2.4
1.90
Ammonia
Dissolved oxygen 8.6
8.3
8.2
I. Test Results.
Acute:
Percent survival In 100%
effluent
oda
LCoo
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 21

FACILITY NAME AND PERMIT NUMBER:
Form Approved 1/14/99
Pond Creek WWTP, NCO069761
OMS Number 2040-0066
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of
the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those
that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must Include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of
two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the
results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do
not include Information on combined sewer overflows in this section. All information reported must be based on data collected through
analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QAJQC requirements of 40 CFR Part 136
and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity
test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results
of a toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate
methods. If test summaries are available that contain all of the information requested below, they may be submitted In place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
EA. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
✓ chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page If more than three tests are being reported.
Test number: Test number: Test number:
a. Test information.
Test species & test method number
Ceriodaphnia dubia
Ceriodaphnia dubia
Ceriodaphnia dubia
Age at initiation of test
< 24 Hours
< 24 Hours
< 24 Hours
Outfall number
001
001
001
Dates sample collected
04/18/2016
01/11/2016
10/12/2015
Date test started
04/20/2016
01/13/2016
10/14/2015
Duration
24 hours
24 hours
24 hours
b. Give toxicity test methods followed.
Manual title
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Edition number and year of publication
Fourth edition, 2002
Fourth edition, 2002
Fourth edition, 2002
Page number(s)
3-49, 141-189
3-49, 141-189
3-49, 141-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
Yes
Yes
Yes
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each)
Before disinfection
After disinfection
Yes
Yes
Yes
After dechlorination
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 15 of 21

FACILITY NAME AND PERMIT NUMBER: Form Appmved 114/99
Pond Creek WWTP, NCO069761 oMBNumber 2040.0086
Test number. Test number. Test number: I
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: I Effluent I Effluent Effluent
f. For each test, include whether the test was Intended to assess chronic toxicity, acute toxicity, or both.
Chronic toxicity
Yes
Yes
Yes
Acute toxicity
Static -renewal
Yes
Yes
g. Provide the type of test performed.
Static
Static -renewal
Yes
Yes
Yes
Flow-through
h. Source of dilution water. If laboratory water, specify type; If receiving water, specify source.
Laboratory water
Receiving water
1. Type of dilution water. It salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
Yes
Yes
Yes
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
--"51%
51%
51%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
6.00
6.74
6.65
Salinity
Temperature
1.9
2.1
3.1
Ammonia
Dissolved oxygen
8.3
8.3
8.3
I. Test Results.
Acute:
Percent survival in 100%
effluent
%
%
%
LC5o
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
EPA Form 3510-2A (Rev. 1-99), Replaces EPA forms 7550-6 & 7550-22. Page 16 of 21

FACILITY NAME AND PERMIT NUMBER:
Form Approved 1114r89
Pond Creek WWTP, NC0069781
OMB Number 2040.0086
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of
the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those
that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of
two spades), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the
results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do
not include information on combined sewer overflows in this section. All information reported must be based on data collected through
analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136
and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity
test conducted during the past four and one-haft years revealed toxicity, provide any information on the cause of the toxicity or any results
of a toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate
methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the forth to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
✓ chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. Test number: Test number:
a. Test information.
Test species & test method number
Ceriodaphnia dubia
Ceriodaphnia dubia
Ceriodaphnia dubfa
Age at initiation of test
< 24 Hours
< 24 Hours
< 24 Hours
Outfall number
001
001
001
Dates sample collected
07/13/2015
04/13/2015
01/12/2015
Date test started
07/15/2015
04/15/2015
01/14/2015
Duration
24 hours
24 hours
24 hours
b. Give toxicity test methods followed.
Manual title
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Edition number and year of publication
Fourth edition, 2002
Fourth edition, 2002
Fourth edition, 2002
Page number(s)
3-49, 141-189
3-49, 141-189
3-49, 141-189
c. Give the sample collection method(s) used. For multiple grab samples, Indicate the number of grab samples used.
24-Hour composite
Yes
Yes
Yes
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each)
Before disinfection
After disinfection
Yes
Yes
Yes
After dechlorination
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 15 of 21

FACILITY NAME AND PERMIT NUMBER:
Pond Creek WWTP, NCO069761
Form Approved 1/14/99
OMB Number 20440086
G Test number. Test number. Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: I Effluent Effluent Effluent
I f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both. I
Chronic toxicity
Yes
r
Yes
Yes
Acute toxicity
Static -renewal
Yes
Yes
g. Provide the type of test performed.
Static
Static -renewal
Yes
Yes
Yes
Flow-through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Receiving water
I. Type of dilution water. It salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
Yes
Yes
Yes
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
-51%
51%
51%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
7.07
7.21
6.65
Salinity
Temperature
2.3
1.9
3.5
Ammonia
Dissolved oxygen
8.4
8.3
8.3
1. Test Results.
Acute:
Percent survival in 100%
effluent
%
%
%
LC5o
95% C. I.
%
%
%
Control percent survival
%
%
%
Other (describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 21

FACILITY NAME AND PERMIT NUMBER:
Form Approved 1/14/99
Pond Creek WWTP, NCO069761
OMS Number 20440086
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTM meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of
the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those
that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of
two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the
results show no appreciable toxicity, and testing far acute and/or chronic toxicity, depending on the range of receiving water dilution. Do
not include information on combined sewer overflows in this section. All information reported must be based on data collected through
analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136
and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity
test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results
of a toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested In Part E, you need not submit it again. Rather, provide the Infornation
requested In question EA for previously submitted Information. If EPA methods were not used, report the reasons for using altemate
methods. If test summaries are available that contain all of the Information requested below, they may be submitted In place of Part E.
If no bfomonitoring data Is required, do not complete Part E. Refer m the Application Overview for directions on which other sections of the form to
complete.
E.I. Required Teats.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
✓ chronic acute
E.2. Individual Test Date. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number: Test number:
a. Test information.
Test species & test method number
Ceriodaphnia dubia
Ceriodaphnia dubia
Ceriodaphnia dubia
Age at initiation of test
< 24 Hours
< 24 Hours
< 24 Hours
Outfall number
001
001
001
Dates sample collected
10/06/2014
07/14/2014
04/07/2014
Date test started
10/08/2014
07/16/2014
04/09/2014
Duration
24 hours
24 hours
24 hours
b. Give toxicity test methods followed,
Manual title
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Edition number and year of publication
Fourth edition, 2002
Fourth edition, 2002
Fourth edition, 2002
Page number(s)
3-49, 141-189
3-49, 141-189
3-49, 141-189
c. Give the sample collection method(s) used. For multiple grab samples, Indicate the number of grab samples used.
24-Hour composite
Yes
Yes
Yes
Grab
d. Indicate where the sample was taken In relation to disinfection. (Check all that apply for each)
Before disinfection
After disinfection
Yes
Yes
Yes
After dechlorination
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 15 of 21

FACILITY NAME AND PERMIT NUMBER:I
OMS Number 2040-0088 Form Approved 1114199
Pond Creek WWTP, NC0069761
I Test number. Test number. Test number: f
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: I Effluent Effluent Effluent
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both.
Chronic toxicity
Yes
Yes
Yes
Acute toxicity
Yes
Yes
Yes
g. Provide the type of test performed.
Static
Laboratory water
Static -renewal
Yes
Yes
Yes
Flow-through
1. Type of dilution water. It salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
Yes
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Receiving water
1. Type of dilution water. It salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
Yes
Yes
Yes
Salt water
J. Give the percentage effluent used for all concentrations in the test series.
51%
51%
51%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
7.10
6.83
7.05
Salinity
Temperature
2.6
3.1
3.6
Ammonia
Dissolved oxygen
8.1
8.2
8.2
1. Test Results.
Acute:
Percent survival in 100%
effluent
%
%
%
LC50
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-e $ 7550-22, Page 1e of 21

FACILITY NAME AND PERMIT NUMBER:
Form Approved 1/14169
OMB Number 2040-0086
Pond Creek WWTP, NCO069761
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of
the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those
that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit date for these parameters.
• At a minimum, these results must include quarterly testing for a 12 -month period within the past 1 year using multiple species (minimum of
two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the
results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do
not include information on combined sewer overflows in this section. All information reported must be based on data collected through
analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 138
and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past fair and one-half years. If a whole effluent toxicity
test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results
of a toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted Information. If EPA methods were not used, report the reasons for using altemate
methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
if no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
com lete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted In the past four and one-half years.
✓ chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number. Test number:
a. Test information.
Test species & test method number
Ceriodaphnia dubia
Ceriodaphnia dubia
Ceriodaphnia dubia
Age at initiation of test
< 24 Hours
< 24 Hours
< 24 Hours
Outfall number
001
001
001
Dates sample collected
01/13/2014
10/14/2013
07/15/2013
Date test started
01/15/2014
10/16/2013
07/17/2013
Duration
24 hours
24 hours
24 hours
b. Give toxicity test methods followed.
Manual title
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Edition number and year of publication
Fourth edition, 2002
Fourth edition, 2002
Fourth edition, 2002
Page number(s)
3-49, 141-189
3-49, 141-189
3-49, 141-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24 -Hour composite
Yes
Yes
Yes
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each)
Before disinfection
After disinfection
Yes
Yes
Yes
After dechlorination
EPA Fonn 3510-2A (Rev. 1.89). Replaces EPA forms 7550-8 & 7550-22. Page 15 of 21

FACILITY NAME AND PERMIT NUMBER:I
OhM Number 2040-0086 Form Approved 1/14189
Pond Creek WWTP, NC0069761
Test number; Test number. Test number: f
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: I Effluent I Effluent Effluent
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both.
Chronic toxicity
Yes
Yes
Yes
Acute toxicity
Yes
Yes
Yes
g. Provide the type of test performed.
Static
Laboratory water
Static -renewal
Yes
Yes
Yes
Flow-through
i. Type of dilution water. It salt water, specify *natural" ar type of artlfciai sea salts or bFine used
Fresh water
Yes
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Receiving water
i. Type of dilution water. It salt water, specify *natural" ar type of artlfciai sea salts or bFine used
Fresh water
Yes
Yes
Yes
Salt water
j. Give the percentage effluent used for all concentrations In the test series.
_ 51%
51%
51%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
6.90
6.96
7.38
Salinity
Temperature
4.0
24.8
25.1
Ammonia
Dissolved oxygen
8.2
'8.0
8.0
I. Test Results.
Acute:
Percent survival in 100%
effluent
%
%
%
LC6o
950/0 C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 21

FACILITY NAME AND PERMIT NUMBER:
FonnApproved 1/14199
Pond Creek WWTP, NCO069761
OMB Number 2040-MO
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of
the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those
that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of
two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the
results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do
not Include information on combined sewer overflows in this section. All information reported must be based on data collected through
analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136
and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity
test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results
of a toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted Information. If EPA methods were not used, report the reasons for using aflemate
methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
✓ chronic _acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. Test number: Test number:
a. Test information.
Test species & test method number
Ceriodaphnia dubia
Ceriodaphnia dubia
Ceriodaphnia dubia
Age at initiation of test
< 24 Hours
< 24 Hours
< 24 Hours
Outfall number
001
001
001
Dates sample collected
04/01/2013
01/14/2013
10/08/2012
Date test started
04/03/2013
01/16/2013
10/12/2012
Duration
24 hours
24 hours
24 hours
b. Give toxicity test methods followed.
Manual title
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Estimating Chronic Toxicity
Edition number and year of publication
Fourth edition, 2002
Fourth edition, 2002
Fourth edition, 2002
Page number(s)
3-49, 141-189
3-49, 141-189
3-49, 141-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
Yes
Yes
Yes
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each)
Before disinfection
After disinfection
Yes
Yes
Yes
After dechlorination
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 21

FACILITY NAME AND PERMIT NUMBER:I
Form Approved 1/14199
Pond Creek WWTP, NCO069761 OMS Number 2040-0086
Test number Test number. Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: I Effluent I Effluent Effluent
f. For each test, include whether the test was Intended to assess chronic toxicity, acute toxicity, or both.
Chronic toxicity
Yes
Yes
Yes
Acute toxicity
Static -renewal
Yes
Yes
g. Provide the type of test performed.
Static
Static -renewal
Yes
Yes
Yes
Flow-through
h. Source of dilution water. If laboratory water, specify type; If receiving water, specify source.
Laboratory water
Receiving water
I. Type of dilution water. It salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
Yes
Yes
Yes
Salt water
j. Give the percentage effluent used for all concentrations In the test series.
51%
51%
51%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
7.46
7.20
7.20
Salinity
Temperature
25.2
24.8
24.9
Ammonia
Dissolved oxygen
8.1
8.0
7.8
t. Test Results.
Acute:
Percent survival in 100%
effluent
%
%
%
LCm
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 21

FACILITY NAME AND PERMIT NUMBER:
Forth Approved 1/14199
Pond Creek WWTP, NC0069761
OMB Number 2040.0086
Chronic:
NOEC
%
%
%
IC25
%
%
%
Control percent survival
%
%
%
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
run (MM/DP=?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
_Yes_No If yes, describe:
EA. Summary of Submitted Blomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a
summary of the results.
Date submitted: (MM/DD/YYYY)
Summary of results: (see Instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW TO DETERMINE WHICH OTHER PARTS OF FORM
2A YOU MUST COMPLETE.
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 17 of 21

sown or Deem muun Lam
Pond Creek WWTP
State Grid/Quad:
C11NE Receiving Stream= Pond Creep
Latitude:
36° 12'49" N Stream Class C -Tr oat
Longitude_
31° 52'30" W 8 -Di it HUC: 06010103
Drainage Basin:
Watauga River Basin
Sub -Basin:
04-02-01
Outfall 001
f, VAJI � — a �wl 0 1,