NC0020737_Renewal Application_20180531

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THE CITY OF KINGS MOUNTAIN
Water Resources Department
Kings Mountain, North Carolina
P.O. Box 429- Kings Mountain, North Carolina, 28086— Phone [phone] — Fax [phone]
RICKY DUNCAN, WATER RESOURCES DIRECTOR
E-MAIL: rickydcityofkm.com
May 21, 2018 RECE1VEDIDENWDWR
Ms. Wren Thedford MAY 31 2018
NC DENR / DWR / NPDES
LirCS
1617 Mail Service Center Water Res$ecton
Raleigh, NC 27699-1617 permitting
Subject: NPDES Permit# NC 0020737 RENEWAL MODIFICATION
Dear Ms. Thedford,
The City of Kings Mountain desires a modification to the permit renewal previously submitted. A
request is hereby made by the City to include the following:
• Tiered limits for thallium.
o The permitted limit for thallium to include a limit of 10.2 µg/L at 3MGD permitted
limit for flow.
o Permitted limit for thallium of 14.26 µg/L at 2MGD, etc. 1
During the meeting with DEQ held on May 3, 2018, Julie Grzyb requested form 2A be
completed for the modification request. Attached is that form.
Also enclosed is the most current PPA and 2nd species toxicity sampling events.
Thank you for your consideration in the above matters. If you need additional information,
please call 704-734-4525.
Sincerely,
1--- --t---.--S)at,--r...-e...--
Ricky Duncan, Water Resources Director

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF, NC0020727 MODIFICATION BROAD RIVER
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 1mgd,
2. Is required to have a pretreatment program(or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E(Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program(or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and 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 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF, NC 0020737 MODIFICATION BROAD RIVER
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name Pilot Creek Wastewater Treatment Facility
Mailing Address P.O. Box 429
Kings Mountain, NC 28086
Contact Person Richelle Meek
Title Supervisor/ORC
Telephone Number ((704739-7131
Facility Address 200 Potts Creek Road
(not P.O. Box) Kings Mountain, NC 28086
A.2. Applicant Information. If the applicant is different from the above,provide the following.
Applicant Name City of Kings Mountain
Mailing Address P.O. Box 429
Kings Mountain, NC 28086
Contact Person Ricky Duncan
Title Water Resources Director
Telephone Number ([phone]
Is the applicant the owner or operator(or both)of the treatment works?
owner NI operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
IM facility 0 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 NC 0020737 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
City of Kings Mountain 13,500 Separate Municipal
Total population served
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 2 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK VWVPCF, NC0020737 MODIFICATION BROAD RIVER
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes X 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 X No
A.6. Flow. Indicate the design flow rate of the treatment plant(i.e.,the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each 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 6.0 mgd
Two Years Ado Last Year This Year
b. Annual average daily flow rate 1.4687475 MGD 1.857844 MGD 1.8154 MGD
c. Maximum daily flow rate 3.669 MGD 4.297 MGD 2.391 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.
12(Separate sanitary sewer 100
0 Combined storm and sanitary sewer
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? X Yes 0 No
If yes,list how many of each of the following types of discharge points the treatment works uses:
i. 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.? 0 Yes X No
If yes,provide the following for each surface impoundment:
Location: N/A
Annual average daily volume discharge to surface impoundment(s) N/A mgd
Is discharge 0 continuous or 0 intermittent?
c. Does the treatment works land-apply treated wastewater? ❑ Yes X No
If yes,provide the following for each land application site:
Location: N/A
Number of acres: N/A
Annual average daily volume applied to site: N/A mgd
Is land application ❑ continuous or 0 intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? ❑ Yes X No
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 3 of 22
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 4 of 22

1
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK VVWPCF, NC0020737 MODIFICATION BROAD RIVER
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
❑ Primary X Secondary
❑ Advanced ❑ Other. Describe: _
b. Indicate the following removal rates(as applicable):
Design BOD5 removal or Design CBOD5 removal 85__ %
Design SS removal 85 %
Design P removal N/A
Design N removal N/A %
Other N/A %
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season,please describe:
Chlorine
If disinfection is by chlorination is dechlorination used for this outfall? Yes ❑ No
Does the treatment plant have post aeration? Li Yes X No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition,this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum,effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number: 01
MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
PARAMETER
Value Units Value Units Number of Samples
pH(Minimum) 6.54 s.u. r
pH(Maximum) 7.08 s.u. /// /j/A
Flow Rate 6.552 MGD 1.606 MGD 1086
Temperature(Winter) 20.4 °C 13 21 °C 300
Temperature(Summer) 31.1 °C 23.78 °C 446
*For pH please report a minimum and a maximum daily value
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
POLLUTANT DISCHARGE ANALYTICAL MUMDL
Number of METHOD
Conc. Units Conc. Units Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
BOD5 14.9 MG/L 1.26 MG/L 746 SM 5210 B 2.0 MG/L
DEMAND(Report one) CBOD5 —
FECAL COLIFORM 60000 #/100ML 9.56 #/100ML746 SM 9222D 1.0/100ML
TOTAL SUSPENDED SOLIDS(TSS) 300 MG/L 7.13 MG/L 746 SM 2540 D 1.0 MG/L
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) 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 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WVI/PCF, NC0020737 MODIFICATION BROAD RIVER
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.
3 year avg.= 148,715 gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
Sewer mains are videoed and smoked to locate issues. If an issue is found it is repaired immediately. $60,000.00 was spent
on installing sealed manhole lids and vent pipes on one of the major outfalls. We have also purchased point source repair
equipment to repair sources of l&l
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'/.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 the hazardous waste enters the treatment works and where it is treated,stored,and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant,including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units,including disinfection(e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works the responsibility of a
contractor? ❑ Yes X 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: N/A
Mailing Address: N/A
N/A
Telephone Number: ( N/A)
Responsibilities of Contractor: N/A
5.5. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment,effluent quality,or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements,submit separate responses to question B.5
for each. (If none,go to question B.6.)
a. List the outfall number(assigned in question A.9)for each outfall that is covered by this implementation schedule.
N/A
b. Indicate whether the planned improvements or implementation schedule are required by local,State,or Federal agencies.
J Yes X No
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 7 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK VVWPCF, NC0020737 MODIFICATION BROAD RIVER l
c. If the answer to B.5.b is"Yes,"briefly describe,including new maximum daily inflow rate(if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below,as
applicable. For improvements planned independently of local,State,or Federal agencies,indicate planned or actual completion dates,
as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MM/DD/YYYY
-Begin Construction / / / /
-End Construction / / / /
-Begin Discharge / / / /
-Attain Operational Level / / / /
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly: N/A
B.6. EFFLUENT TESTING DATA(GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition,this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on-half years old.
Outfall Number 001
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT METHOD ML/MDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA(as N) 6.15 MG/L 2.08 MG/L 3 SM4500NH3 D 0.1
CHLORINE(TOTAL
RESIDUAL,TRC) 19 UG/L 18.5 UG/L 3 SM4500C1-G 15
DISSOLVED OXYGEN 8.4 MG/L 7.55 MG/L 3 SM5210B 1
TOTAL KJELDAHL
NITROGEN(TKN) <1 MG/L <1 _ MG/L 3 SM4500NH3F 1
' NITRATE PLUS NITRITE
NITROGEN 29 MG/L 23 MG/L 3 4500NO3H 0.05
OIL and GREASE <6.2 MG/L <6.2 MG/L 3 EPA413.1 6.2
PHOSPHORUS(Total) 5.6 MG/L 4.67 MG/L 3 SM4500PE 0.05
TOTAL DISSOLVED SOLIDS
(TDS) 1151 MG/L 386.07 MG/L 1 SM2540C 1
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) 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 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF NC0020737 MODIFICATION BROAD RIVER
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A,as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement,applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
X Basic Application Information packet Supplemental Application Information packet:
X Part D(Expanded Effluent Testing Data)
X Part E(Toxicity Testing: Biomonitoring Data)
X 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. / f ��
Name and official title !\1 c `�\ V Y1 C 6 1/00-40-1L� iC 61./-rt C S
Signature S
Telephone number (704 ) 734-0 33
‘"-
t�►� �}
Date signed 1 yIG\/ O�I i
Upon request of the permitting authority,you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 9 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF, NC0020737 MODIFICATION BROAD RIVER
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has(or is required
to have)a pretreatment program,or is otherwise required by the permitting authority to provide the data,then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition,these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. At a minimum.effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
METALS(TOTAL RECOVERABLE),CYANIDE,PHENOLS,AND HARDNESS.
ANTIMONY 6 UG/L 4.5 UG/L 3 EPA 200.8 10
ARSENIC 155 UG/L • 83.3 UG/L 3 EPA 200.8 10
BERYLLIUM <5 UG/L <5 UG/L 3 EPA 200.8 5
•
CADMIUM <5 UG/L <5 UG/L 3 EPA 200.8 5
CHROMIUM <5 UG/L <5 UG/L 3 EPA 200.8 5
COPPER 6 UG/L 2 UG/L 3 EPA 200.8 10
LEAD <5 UG/L <5 UG/L 3 EPA 200.8 5
MERCURY <0.2 UG/L ; <0.2 UG/L 3 EPA 1631E 0.2
NICKEL 42 UG/L 36.7 UG/L 3 EPA 200.8 5
SELENIUM 24 UG/L 3 EPA 200.8 10
61 UG/L _
<5 UG/L 3 EPA 200.8 5
SILVER <5 UG/L
15.77 UG/L 3 EPA 200.8 2
THALLIUM 30.3 UG/L
29.67 UG/L 3 EPA 200.8 10
ZINC 46 UG/L
<8 Ute/L 3 EPA 335.2 8
CYANIDE <8 UG/L
TOTAL PHENOLIC 0.0T MG/L 3 EPA 42U.1 0.005
COMPOUNDS 0,02 MG/L
•
129 MG/L - 3 - EPA 130.2 1
HARDNESS(as CaCO3) 140 MG/L
Use this space(or a separate sheet)to provide information on other metals requested by the permit writer
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 10 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF, NC0020737 MODIFICATION BROAD RIVER
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL
ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN <5 UG/L <5 UG/L 3 EPA 624 5
ACRYLONITRILE <50 UG/L <50 UG/L 3 EPA 624 50
BENZENE <2 UG/L <2 UG/L 3 EPA 624 2
BROMOFORM 2.6 UG/L 0.87 UG/L 3 EPA 624 2
CARBON
TETRACHLORIDE <2 UG/L <2 UG/L 3 EPA 624 2
CHLOROBENZENE <2 UG/L <2 UG/L 3 EPA 624 2
CHLORODIBROMO-
METHANE 18.2 UG/L 14.17 UG/L 3 EPA 624 2
CHLOROETHANE <5 UG/L <5 UG/L 3 EPA 624 2
2-CHLOROETHYLVINYL
ETHER <5 UG/L <5 UG/L 3 EPA 624 5
CHLOROFORM 15.23 UG/L 3
25.1 UG/L EPA 624 2
DICHLOROBROMO- <2 UG/L 3 EPA 624 2
METHANE <2 UG/L
1,1-DICHLOROETHANE <2 UG/L 3 EPA 624 2
<2 UG/L
1,2-DICHLOROETHANE <2 UG/L <2 UG/L 3 EPA 624 2
TRANS-I,2-DICHLORO- <2 JG/L <2 UG/L 3
ETHYLENE EPA 624 2
1,1-DICHLORO-
ETHYLENE <2 JG/L <2 UG/L 3 EPA 624 2
1.2-DICHLOROPROPANE <2 JG/L <2 UG/L 3 EPA 624 2
P L <2 JG/L <2 UG/L 3
PROPYOPYLENENE EPA 624 2
ETHYLBENZENE <2 UG/L <2 UG/L 3 EPA 624 2
METHYL BROMIDE <2 JG/L <2 UG/L _ 3 EPA 624 2
METHYL CHLORIDE <2 JG/L <2 UG/L 3
EPA 624 2
METHYLENE CHLORIDE <2 JG/L <2 1 JG/I 3 EPA 624
2
1,1,2,2-TETRA-
CHLOROETHANE <2 UG/L . <2 UG/ 3 EPA 624 2
TETRACHLORO-
ETHYLENE <2 UG/L <2 ,UG/L 3 EPA 624 2
TOLUENE
<2 UG/L _ <2 I IG/L 3 EPA 624 2
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 11 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK VVVVPCF, NC0020737 MODIFICATION BROAD RIVER
Outfall number 01 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL MUMDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
1,1,1-
EPA 624
TRICHLOROETHANE <2 UG/L <2 UG/L 3 2
1,1,2- EPA 624
TRICHLOROETHANE <2 UG/L <2 UG/L 3 2
TRICHLOROETHYLENE <2 UG/L <2 UG/L 3 EPA 624 2
VINYL CHLORIDE 3 EPA 624 2
<2 UG/L <2 UG/L
Use this space(or a separate sheet)to provide information on other volatile organic compounds requested by the permit writer
ACID-EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL <5.1 UG/L <5.1 UG/L 3 EPA 625 5.1
2-CHLOROPHENOL <5 UG/L <5 UG/L 3 EPA 625 5
2,4-DICHLOROPHENOL <5 UG/L <5 UG/L 3 EPA 625 5
2.4-DIMETHYLPHENOL <10 UG/L <10 UG/L 3 EPA 625 10
4,6-DINITRO-O-CRESOL <20 UG/L <20 UG/L 3 EPA 625 20
2,4-DINITROPHENOL <50 UG/L <50 UG/L 3 EPA 625 50
2-NITROPHENOL <5 UG/L <5 UG/L 3 EPA 625 5
4-NITROPHENOL <50 UG/L <50 UG/L 3 EPA 625 50
PENTACHLOROPHENOL <10 UG/L 3 EPA 625 10
� n
<10 �
PHENOL 5
<5 UG/L <5 UG/L 3 EPA 62.5
2,4,6- <10 UG/L
TRICHLOROPHENOL <10 UG/L 3 EPA 625 10
Use this space(or a separate sheet)to provide information on other acid-extractable compounds requested by the permit writer
BASE-NEUTRAL COMPOUNDS
ACENAPHTHENE <5 UG/L <5 UG/L 3 EPA 625 5
ACENAPHTHYLENE <5 UG/L <5 UG/L 3 EPA 625 5
ANTHRACENE <5 UG/L <5 UG/L 3 EPA 625 5
BENZIDINE <51 UG/L <51 UG/L 3 EPA 625 51
BENZO(A)ANTHRACENE <5 UG/L <5 UG/L 3 EPA 625 5
BENZO(A)PYRENE <5 UG/L <5 UG/L 3 EPA 625 5
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 12 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK VWVPCF, NC0020737 MODIFICATION BROAD RIVER
Outfall number 01 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
3,4BENZO-
FL 3<5 UG/L <5 UG/L EPA 625
FLUORANTHENE 5
BENZO(GHI)PERYLENE <5 UG/L <5 UG/L 3 EPA 625 5
BENZO )
FLUORANTHENE
<5 UG/L <5 UG/L EPA 625
FLUORANTHENE 3 5
BIS METHANE OROETHOXY) <10 UG/L <10 UG/L 3 EPA 625 10
BIS(2-CHLOROETHYL) <5 UG/L <5 UG/L 3 EPA 625
ETHER 5
BIS(2-CHLOROISO- <5 UG/L <5 UG/L 3 EPA 625 5
PROPYL)ETHER
BIS(2-ETHYLHEXYL) <5 UG/L <5 UG/L 3 EPA 625 5
PHTHALATE
4-BROMOPHENYL <5 UG/L <5 UG/L 3 EPA 625 5
PHENYL ETHER
BUTYL BENZYL <5 UG/L <5 UG/L 3 EPA 625
PHTHALATE 5
2-CHLORO- <5 UG/L <5 UG/L 3 EPA 625 5
NAPHTHALENE
4-CHLORPHENYL <5 UG/L <5 UG/L 3 EPA 625 5
PHENYL ETHER
CHRYSENE <5 UG/L <5 UG/L 3 EPA 625 5
DI-N-BUTYL PHTHALATE <5 UG/L <5 UG/L 3 EPA 625 5
DI-N-OCTYL PHTHALATE <5 UG/L <5 UG/L 3 EPA 625 5
DIBENZO(A,H)
ANTHRACENE <5 UG/L <5 UG/L 3 EPA 625 5
1 2-DICHLOROBENZENE <2 UG/L <2 UG/L 3 EPA 624 2
1,3-DICHLOROBENZENE <2 UG/L <2 UG/L 3 EPA 624 2
1,4-DICHLOROBENZENE <2 UG/L <2 UG/L 3 EPA 624 2
3,3-DICHLORO- <25 UG/L
BENZIDINE <25 UG/L 3 EPA 625 25
DIETHYL PHTHALATE <5 UG/L <5 UG/L 3 EPA 625 5
DIMETHYL PHTHALATE <5 UG/L <5 UG/L_ 3 EPA 625 5
24-DINITROTOLUENE
<5 UG/L
<5 UG/L, 3 EPA 625 5
2 6-DINITROTOLUENE
<5 UG/L <5 UGLL_ 3 EPA 625 5
1,2-DIPHENYL-
HYDRAZINE <5.1 UG/L <5 1_ UG/L _ 3 EPA 625 5 1
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 13 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF, NC0020737 MODIFICATION BROAD RIVER
Outfall number: 01 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
FLUORANTHENE <5 UG/L <5 UG/L 3 EPA 625 5
FLUORENE <5 UG/L <5 UG/L 3 EPA 625 5
HEXACHLOROBENZENE <5 UG/L <5 UG/L 3 EPA 625 5
HEXA -
BUTADIENEDIENE <5 UG/L
<5 UG/L 3 EPA 625 5
HEXACHLOROCYCLO-
PENTADIENE <10 UG/L <10 UG/L 3 EPA 625 10
HEXACHLOROETHANE <5 UG/L <5 UG/L 3 EPA 625 5
INDEN0(1,2,3-CD)
<5 UG/L <5 UG/L 3 EPA 625 5
PYRENE
ISOPHORONE <10 UG/L <10 UG/L 3 EPA 625 10
NAPHTHALENE <5 UG/L <5 UG/L 3 EPA 625 5
NITROBENZENE <5 UG/L <5 UG/L 3 EPA 625 5
N-NITROSODI-N-
PROPYLAMINE <5 UG/L <5 UG/L 3 EPA 625 5
N-NITROSODI-
METHYLAMINE <5 UG/L <5 UG/L 3 EPA 625 5
N-NITROSODI-
PHENYLAMINE <10 UG/L <10 UG/L 3 EPA 625 10
PHENANTHRENE <5 UG/L <5 UG/L 3 EPA 625 5
PYRENE <5 UG/L <5 UG/L 3 EPA 625 5
1,2,4-
TRICHLOROBENZENE <5 UG/L <5 UG/L 3 EPA 625 5
Use this space(or a separate sheet)to provide information on other base-neutral compounds requested by the permit writer
Use this space(or a separate sheet)to provide information on other pollutants(e.g.,pesticides)requested by the permit writer
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 14 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF, NC0020737 MODIFICATION BROAD RIVER
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 E.4 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.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
X 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: 10 Test number 11 Test number 12
a. Test information.
Test Species&test method number CERIODAPHNIA DUBIA/1002 CERIODAPHNIA DUBIA/1002 CERIODAPHNIA DUBIA/1002
Age at initiation of test <24 HRS <24 HRS <24 HRS
Outfall number 001 001 001
Dates sample collected 04/10/2017 & 04/12/2017 07/17/2017 &07/19/2017 10/09/2017 & 10/11/2017
Date test started 04/12/2017 07/19/2017 10/11/2017
Duration 7 DAY 7 DAY 7 DAY
b. Give toxicity test methods followed.
Manual title EPA 821-R-02-013 EPA 821-R-02-013 EPA 821-R-02-013
Edition number and year of publication 4th ED 2002 4th ED 2002 4th ED 2002
Page number(s) 141.189 141-189 141-189
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite YES/FLOW PRPORTIONAL YES/FLOW PROPORTIONAL YES/FLOW PROPORTIONAL
Grab N/A N/A N/A
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination V ✓ V
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 15 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK VWVPCF,NC0020737 MODIFICATION BROAD RIVER
Test number: 10 Test number: 11 Test number: 12
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: EFFLUENT DISCHARGE AFTER EFFLUENT DISCHARGE AFTER EFFLUENT DISCHARGE AFTER
DECHLORINATION DECHLORINATION DECHLORINATION
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity V v
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal V V V
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water SURFACE WATER SURFACE WATER SURFACE WATER
Receiving water
i. Type of dilution water. If salt water,specify"natural°or type of artificial sea salts or brine used.
Fresh water V V
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
33% 33% 33%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH V V V
Salinity
Temperature
V
V V
Ammonia
Dissolved oxygen V V
V
I. Test Results.
Acute:
Percent survival in 100%
effluent %
LCso
95%C.I.
Control percent survival
o
Other(describe)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 16 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF, NC0020737 MODIFICATION BROAD RIVER
Chronic:
NOEC
I C25
Control percent survival 100 % 100 % 100%
Other(describe) PASS/FAIL @33%: PASS PASS/FAIL@33%: PASS PASS/FAIL@33%: PASS
m. Quality Control/Quality Assurance.
Is reference toxicant data available' YES YES YES
Was reference toxicant test within
acceptable bounds'? YES YES YES
What date was reference toxicant test 04/ 03 12017 07 / 03 / 2017 10/ 02 /2017
run(MM/DD/YYYY)7
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes X No If yes,describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information,or information regarding the
cause of toxicity,within the past four and one-half years,provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 17 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC0020737 MODIFICATION BROAD RIVER
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have.or is subject ot,an approved pretreatment program'?
X Yes ❑ No
F.2. Number of Significant Industrial Users(SIUs)and Categorical Industrial Users(CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical SIUs. 0
b. Number of CIUs. 6
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: STEAG SCR-TECH
Mailing Address: 304 LINWOOD ROAD
KINGS MOUNTAIN,NC 28086
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
CHEMICAL PRECIPITATION, CYCLONE, FILTRATION AND FLOCULATION
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): REGENERATED CATALYST MODULES FROM SELECTIVE CATALYST REDUCTION.
Raw material(s): •D u ■ I:•. I •:u _ I :uuS► u ■ ' :u• Guu•► u u _ ► _
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the discharge is continuous or intermittent.
50,000 gpd (_ X continuous or _ intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent.
5,500 gpd (_. X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes ❑ No
b. Categorical pretreatment standards X Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
415
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC0020737 MODIFICATION BROAD RIVER
F.S. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
Yes ❑ No If yes,describe each episode.
CIVIL PENALTIES ADDESSED AND PLACED ON A COMPLIANCE SCHEDULE FOR HIGH LEVELS OF ZINC AND LACK
OF PREVENTATIVE MAINTENANCE OF TREATMENT SYSTEM.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL,OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
0 Yes X No(go to F.12)
F.10. Waste transport. Method by which RCRA waste is received(check all that apply):
❑ Truck ❑ Rail 0 Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA(SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK VWVPCF,NC0020737 RENEWAL BROAD RIVER
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
X Yes ❑ No
F.2. Number of Significant Industrial Users(Sills)and Categorical Industrial Users(CIOs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical SIUs. 0
b. Number of CIUs. 6
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: COMMERCIAL VEHICLE GROUP(CVG)-MAYFLOWER
Mailing Address: P.O.BOX 789
KINGS MOUNTAIN,NC 28086
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
FABRICATION, ASSEMBLY AND PAINTING OF TRUCK CABS AND SLEEPER BOXES
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): SPOT WELDING,PRIMER COATING,TOP COAT PAINTING
Raw material(s): STEEL BLANKS S EE PANEL S_E-COAT PRIMER PAINT.TOP GOAT PAINT.SFALER AND ADHESIVE
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the discharge is continuous or intermittent.
22,000 gpd ( X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent.
9,000 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes ❑ No
b. Categorical pretreatment standards X Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
433-3713
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6 8 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC002t)737 RENEWAL BROAD RIVER
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
X Yes 0 No If yes,describe each episode.
CIVIL PENALTIES ASSESSESD AND PLACED ON COMPLIANCE SCHEDULE. HIGH LEVELS OF
ZINC, LACK OF PREVENTATIVE MAINTENANCE ON TREATMENT SYSTEM.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL,OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
❑ Yes X No(go to F.12)
F.10. Waste transport Method by which RCRA waste is received(check all that apply)
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA(SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) g No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
0 Continuous ❑ Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1)TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6 8 7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC0020737 RENEWAL BROAD RIVER
11
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/
CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
Yes ❑ No
F.2. Number of Significant Industrial Users(SIUs)and Categorical Industrial Users(CCUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical Sills. 0
b. Number of Gills. 6
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: KINGS MOUNTAIN INTERNATIONAL,INC.
Mailing Address: 1755 SOUTH BATTLEGROUND AVE.
KINGS MOUNTAIN,NC 28086
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
STEEL PLATE FINISHING AND PLATING OPERATIONS
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): STAINLESS STEEL PLATES
Raw material(s): SULFURIC ACID& BENT_ONILE.FERRIC CHLORIDE PHOSPHRI.Ac ID OXAL LC ACID.SAND STFFL SHOT,
POLYETHELEYNE,CHROMIC ACID,ALKALINE CHROMESTRIP,PINK INK.
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the discharge is continuous or intermittent
1,600 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent
800 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Yes ❑ No
b. Categorical pretreatment standards Nt Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
433
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC0020737 RENEWAL BROAD RIVER
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
❑ Yes X No If yes,describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL,OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
❑ Yes X No(go to F.12)
F.10. Waste transport. Method by which RCRA waste is received(check all that apply):
0 Truck 0 Rail 0 Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA(SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste
Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works'?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW(PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC00213737 RENEWAL BROAD RIVER
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
X Yes ❑ No
F.2. Number of Significant Industrial Users(Sills)and Categorical Industrial Users(CIOs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical Sills. 0
b. Number of CIUs. 6
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: CAROLINA FINISHING AND COATING
Mailing Address: 441 COUNTRYSIDE DRIVE
KINGS MOUNTAIN,NC 28086
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
ANODIZING OF ALUMINUM PLATES AND TUBING
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): ANODIZING OF ALUMINUM
Raw material(s): SULFURIC ACIDS,CAUSTIC SODA,NICKEL FLUORIDE
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the discharge is continuous or intermittent
3,500 gpd ( X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent.
1,500 gpd ( X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes ❑ No
b. Categorical pretreatment standards X Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
433-3471-
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC0020737 RENEWAL BROAD RIVER
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
❑ Yes N No If yes,describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL,OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
❑ Yes ❑ No(go to F.12)
F.10. Waste transport Method by which RCRA waste is received(check all that apply).
❑ Truck ❑ Rail 0 Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
0 Yes(complete F.13 through F.15.) X No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency).
b. Is the discharge(or will the discharge be)continuous or intermittent'?
O Continuous 0 Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW(PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. r=age 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC002b737 RENEWAL BROAD RIVER
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program'?
Yes ❑ No
F.2. Number of Significant Industrial Users(Sills)and Categorical Industrial Users(CIOs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical SIUs. 0
b. Number of CIUs. 6
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.B and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: BUCKEYE ANODIZING COMPANY
Mailing Address: 110 KINGS ROAD
KINGS MOUNTAIN,NC 28086
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
ANODIZING OF ALUMINUM,MANUFACTURE EXTINGUISHERS, PHOSPHATE STEEL PLATES AND STEEL CYLINDERS
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): FIRE EXTINGUISHERS,ANODIZING OF ALUMINUM
Raw material(s): PHOSPHORIC,SULFURIC,CHROMIC,AND NITRIC ACIDS,NALCLEAR 8173,CAUSTIC SODA,NAMLET 8154
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the discharge is continuous or intermittent.
7,500 gpd ( X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent.
30,000 gpd ( X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following
a. Local limits Jat Yes 0 No
b. Categorical pretreatment standards g Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
433-3471-3499
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WNIPCF,NC00213BROAD RIVER737 RENEWAL
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
❑ Yes X No If yes,describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK,RAIL,OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
❑ Yes 0 No(go to F.12)
F.10. Waste transport. Method by which RCRA waste is received(check all that apply):
❑ Truck 0 Rail 0 Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND)WASTEWATER, RCRA REMEDIATIONICORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
0 Continuous ❑ Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1)TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. ''age 1 g c9 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC0020737 RENEWAL BROAD RIVER
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
X Yes ❑ No
F.2. Number of Significant Industrial Users(Sills)and Categorical Industrial Users(ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical Sills. 0
b. Number of CIUs. 6
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
for each SIU.
information
provide therequested
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: PREMIER COATING EAST,LLC.
Mailing Address. P.O.BOX 335
KINGS MOUNTAIN,NC 28086
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
IRON PHOSPHATE CLEANING OF CARBON STEEL AND ALUMINUM COMPONENTS PRIOR TO POWDE PAINTING.DISCHARGE IS
FROM PART RINSE AND CARRYOVER FROM PRIMARY WASH STAGE INTO THE RINSE STAGE.FLUSH AND RECHARGE OF THE 1
IRON PHr)SPHATF C.HFMICAI S WII I rX:CI IR WHFN CHFMiSAI;1 DFPI FTFD
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): IRON PHOSPHATE CLEANING OF CARBON STEED AND ALUMINUM COMPONENTS
Raw material(s): GF PHO 252DS AND UNIVAR CAUSTIC SODA 25%
F.6. Flow Rate.
system ingallons per
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection
day(gpd)and whether the discharge is continuous or intermittent
1500 gpd ( X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent.
800 gpd ( X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes ❑ No
b. Categorical pretreatment standards X Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
433
Page 18 of 22
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22.

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WWPCF,NC00213737 RENEWAL BROAD RIVER
F.S. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
D Yes No If yes,describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL,OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
O Yes Ig No(go to F.12)
F.10. Waste transport Method by which RCRA waste is received(check all that apply).
0 Truck 0 Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION .
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) g No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1)TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
PILOT CREEK WVVPCF, NC0020737 MODIFICATION BROAD RIVER
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system,complete Part G.
G.1. System Map. Provide a map indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs(e.g.,beaches,drinking water supplies,shellfish beds,sensitive aquatic ecosystems,and
outstanding natural resource waters).
c. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram.either in the map provided in G.1 or on a separate drawing,of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines,both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
c. Locations of in-line and off-line storage structures.
d. Locations of flow-regulating devices.
e. Locations of pump stations.
CSO OUTFALLS:
Complete questions G.3 through G.6 once for each CSO discharge point.
G.3. Description of Outfall.
a. Outfall number
b. Location
(City or town,if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
c. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
❑ Rainfall ❑ CSO pollutant concentrations ❑ CSO frequency
❑ CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
events (❑actual or❑approx.)
b. Give the average duration per CSO event.
hours (❑actual or❑approx.)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 20 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
c. Give the average volume per CSO event.
million gallons(�_actual or r]approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water:
b. Name of watershed/river/stream system:
United State Soil Conservation Service 14-digit watershed code(if known):
c. Name of State Management/River Basin:
United States Geological Survey 8-digit hydrologic cataloging unit code(if known): _
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused by this CSO(e.g.,permanent or intermittent beach closings,permanent or
intermittent shell fish bed closings,fish kills,fish advisories,other recreational loss,or violation of any applicable State water quality standard).
END OF PART G.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) 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 21 of 22

Additional information,if provided,will appear on the following pages.
NPDES FORM 2A Additional Information

CAUSTIC I SPLITTER
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BASIN BASIN BASIN #3
#1 #2
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CLARIFIER
#1 #4
#2 #3
DRYING BED CLARIFIER CLARIFIER RAS
RAS
#4 CCC
I ! #3 CCC
OFFICE/LAB CL2 ` SO4
SCREW
PUMPS/BAR #1/#2
SCREEN
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: FLOW DIRECTION CCC
: CL2 DOSE POINT
INFLUENT : SO4 DOSE POINT
0 FLOW Q : SYSTEM CLOSED
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91,
SLUDGE DISPOSAL MANAGEMENT PLAN
PILOT CREEK WASTEWATER TREATMENT FACILITY
Wastewater Treatment Facility
TheWastewater Treatment Facility (Pilot Creek WWTP),
operated by the City of zings .Mountain, is an extended
aeration activated sludge facility. The treatment facility is
Located at 200 Potts Creek Road, 3Cings Mountain, NC and
services the city and surrounding areas.
The waste activated sludge is pumpedfrom secondary
clarifiers to one of two aerobic holding tanks. The waste
concentration ranges from 2% to 3% Total Suspended Solids.
The sludge is then aerated andp.-1 adjusted as needed The
solids are pumped to a 2.2 meter Belt Filter Press for further
dewatering to a cake of 15% to 18% TotalSolids. The facility
produces approximately 800 dry tons per year which is
transported to the Cleveland County Landfillfor final disposal
Disposal Facility Information
Cleveland County Landfill (Sect McNeil-Cy Landfill)
25o Fielding Road
Cherryville, NC 28021
Contact Person: Mr. Sam .M. Lockridge
Phone Number: 704-484-5100

Annual Monitoring and Pollutant Scan
Permit No. NC0020737
Outfall 01 Month April
Year 2018
Facility Name : Pilot Creek WWTP
ORC : Richelle Meek
Date of sampling :April 19, 2018
Phone : [phone]
Analytical Laboratory : K&W Labs and Pilot Creek WWTP Laboratory
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level
Result Measurement samples
Ammonia (as N) Composite 4500NH3C 0.10 <0.1
Dissolved oxygen Grab MG/L 1
SM5210B 1.0 8.20 MG/L 2
Nitrate/Nitrite Composite 4500NO3F
0.05 25.00 MG/L 1
Total Kjeldahl nitrogen Composite 4500NH3D
1.0 <0.1 MG/L 1
Total Phosphorus Composite SM4500P-F
0.05 2.60 MG/L 1
Total dissolved solids Composite SM2540C 10.0
2200.00 MG/L 1
Hardness Composite SM2340C 1.0
150.00 MG/L 1
Chlorine (total residual, TRC) Grab SM4500CIG 15.0
18.00 UG/L 1
Oil and grease Grab EPA 1664A 4.4 <4.4
MG/L 1
Metals (total recoverable), cyanide and total phenols
Antimony Composite EPA 200.7 2.0 2.00 UG/L 1
Arsenic Composite EPA 200.7 5.0 120.00
UG/L 1
Beryllium Composite EPA 200.7 1.0 <.4
UG/L 1
Cadmium Composite EPA 200.7 5.0 <.5 UG/L
Chromium1
Composite EPA 200.7 5.0 <5 UG/L 1
Copper Composite EPA 200.7 10.0 <5 UG/L
Lead / 1
Composite EPA 200.7 5.0 <1 UG/L 1
Mercury Composite EPA 245.1 0.20 0.00224
Nickel UG/L 1
Composite EPA 200.7 5.0 29.00 UG/L 1
Selenium Composite EPA 200.7 5.0 <5 UG/L
Silver / 1
Composite EPA 200.7 1.0 <1 UG/L 1
Thallium Composite EPA 200.7 0.5 5.40
UG/L 1
Zinc Composite EPA 200.7 10.0 38.00 UG/L 1
Cyanide Grab EPA 200.7 8.0 0.013 UG/L 1
Total phenolic compounds Grab EPA 420.4 0.01 0.014
MG/L 1
Volatile organic compounds
Acrolein Grab 624 5.0
N/D UG/L 1
Acrylonitrile Grab 624 5.0
N/D UG/L 1
Benzene Grab _ 624 1.0
N/D UG/L 1
Bromoform Grab 624 1.0
Carbon tetrachloride N/D UG/L 1
Grab 624 1.0 N/D UG/L 1
Chlorobenzene Grab 624 1.0
N/D UG/L 1
Chlorodibromomethane Grab 624 2.0 14.00
UG/L 1
Chloroethane Grab 624 2.0
N/D UG/L 1
2-chloroethylvinyl ether Grab 624 5.0 N/D UG/L 1
Chloroform Grab 624 1.0 16.00
UG/L 1
Dichlorobromomethane Grab 624 1.0 6.30 UG/L 1
1,1-dichloroethane Grab 624 1.0 N/D UG/L 1
1,2 dichloroethane Grab 624 1.0
N/D UG/L 1
Trans-1,2-dichloroethylene Grab 624 1.0 N/D UG/L 1
Form - DMR- PPA-1
Page 1

Annual Monitoring and Pollutant Scan
Permit No. NC0020737
Outfall 01 Month April
Year 2018
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level
Result Measurement samples
Volatile organic compounds (Cont.)
1,1-dichloroethylene Grab 624 1.0
N/D UG/L 1
1,2-dichloropropane Grab 624 1.0
N/D UG/L 1
1,3-dichloropropylene Grab 624 1.0
N/D UG/L 1
Ethylbenzene
Grab 624 1.0 N/D UG/L 1
Methyl bromide Grab 624 2.0
N/D UG/L 1
Methyl chloride
/
Grab 624
2.0 N/D UG/L 1
Methylene chloride Grab 624 1.0
N/D UG/L 1
1,1,2,2-tetrachloroethane Grab 624 1.0
N/D UG/L 1
Tetrachloroethylene Grab 624 1.0
N/D UG/L 1
Toluene Grab 624 1.0
N/D UG/L 1
1,1,1-trichloroethane Grab 624 1.0
N/D UG/L 1
1,1,2-trichloroethane Grab 624 1.0
N/D UG/L 1
Trichloroethylene Grab 624 1.0
Vinyl chloride GrabN/D UG/L 1
624 1.0 N/D UG/L 1
Acid-extractable compounds
P-chloro-m-creso Grab 625 1.6
N/D UG/L 1
2-chlorophenol Grab 625 1.6
N/D UG/L 1
2,4-dichlorophenol Grab 625 1.6
N/D UG/L 1
2,4-dimethylphenol Grab 625 1.6 N/D UG/L 1
4,6-dinitro-o-cresol Grab 625 8.0
N/D UG/L 1
2,4-dinitrophenol Grab 625 8.0
N/D UG/L 1
2-nitrophenol Grab 625 3.2 N/D UG/L
4-nitrophenol / 1
Grab 625 8.0 N/D UG/L 1
Pentachlorophenol Grab 625 8.0
N/D UG/L 1
Phenol Grab 625 1.6
N/D UG/L 1
2,4,6-trichlorophenol Grab 625 1.6 N/D UG/L 1
Base-neutral compounds
Acenaphthene Grab 625 1.6 N/D UG/L 1
Acenaphthylene Grab 625 1.6 N/D UG/L 1
Anthracene Grab 625 1.6 N/D UG/L 1
Benzidine Grab 625 8.0 N/D UG/L
Benzo(a)anthracene / 1
Grab 625 1.6 N/D UG/L 1
Benzo(a)pyrene Grab 625 1.6
N/D UG/L 1
3,4 benzofluoranthene Grab 625 1.6 N/D UG/L 1
Benzo(ghi)perylene Grab 625 1.6 N/D UG/L 1
Benzo(k)fluoranthene Grab 625 1.6 N/D UG/L 1
Bis (2-chloroethoxy) methane Grab 625 1.6 N/D UG/L 1
Bis (2-chloroethyl) ether Grab 625 _ 1.6 N/D UG/L 1
Bis (2-chloroisopropyl) ether Grab 625 1.6 N/D UG/L 1
Bis (2-ethylhexyl) phthalate Grab 625 1.6 N/D UG/L 1
4-bromophenyl phenyl ether Grab 625 1.6 N/D UG/L 1
Butyl benzyl phthalate Grab 625 1.6
N/D UG/L 1
2-chloronaphthalene Grab 625 1.6 N/D UG/L 1
4-chlorophenyl phenyl ether Grab 625 1.6 N/D UG/L 1
Form - DMR- PPA-1
Page 2

Annual Monitoring and Pollutant Scan
Permit No. NC0020737
Outfall 01 Month April
Year 2018
I SampleAnalytical I Quantitation Sample Units of Number of
Parameter Type I Method Level I
Result Measurement I samples
Base-neutral compounds(cont.)
Chrysene Grab 625
1.6 N/D UG/L j
Di-n-butyl phthalate Grab 625
1.6 N/D UG/L 1
Di-n-octyl phthalate Grab 625 1.6
Dibenzo(a,h)anthracene N/D UG/L 1
Grab 625 1.6 N/D UG/L 1
1,2-dichlorobenzene Grab 624 1.6
1,3-dichlorobenzene N/D UG/L 1
Grab 624 1.6 N/D UG/L 1
1,4-dichlorobenzene Grab 624
1.6 N/D UG/L 1
3,3-dichlorobenzidine Grab 625 8.0
Diethyl phthalate N/D UG/L 1
Grab 625 1.6 N/D UG/L 1
Dimethyl phthalate Grab 625 1.6 N/D UG/L
2,4-dinitrotoluene Grab / 1
625 3.2 N/D UG/L 1
2,6-dinitrotoluene Grab 625 3.2
1,2-diphenylhydrazine N/D UG/L 1
Grab 625 1.6 N/D UG/L 1
Fluoranthene Grab 625
1.6 N/D UG/L 1
Fluorene Grab 625 1.6
Hexachlorobenzene N/D UG/L 1
Grab 625 1.6 N/D UG/L 1
Hexachlorobutadiene Grab 625 1.6
Hexachlorocyclo-pentadiene Grab N/D UG/L 1
625 8.0 N/D UG/L 1
Hexachloroethane Grab 625 1.6 N/D UG/L
Indeno(1,2,3-cd)pyrene Grab C25 / 1
Isophorone 1'6 N/D UG/L 1
Grab 625 1.6 N/D UG/L 1
Naphthalene Grab 625 1.6
Nitrobenzene GrabN/D UG/L 1
625 1.6 N/D UG/L 1
N-nitrosodi-n-propylamine Grab 625 1.6
N-nitrosodimethylamine Grab N/D UG/L 1
625 1.6 N/D UG/L 1
N-nitrosodiphenylamine Grab 625 1.6
Phenanthrene GrabN/D UG/L 1
625 1.6 N/D UG/L 1
Pyrene Grab 6251.6
1,2,4,-trichlorobenzene � N/D UG/L 1
Grab 624 1.6 N/D UG/L 1
I certify under penalty of law that this document and all attachments were prepared under my direction
and supervision in accordance with a system to design to assure that qualified perdonnel properly
gather and evaluat the information submitted. Based on my inquiry of the person or persons that
manage the system, or those persons directly responsibel 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 fines and imprisonment for knowing violations.
'RI 0heIle Meei
Authorized Representative name
Signature
0'011. 1R
Date
Form - DMR- PPA-1
Page 3

•
(664)B77-6942 .FAX[phone]
P.O.Box 16414,Greenv lie,SC 28606 4 Craftsman Court,Greer,SC 29650
Fathead Minnow Survival and Growth Test
EPA-821-R-02-013 Method 1000
Permit Renewal Second Species Testing
Client: KINGS MOUNTAIN
Facility: PILOT CREEK WTP
NPDES#:NC0020737
Test Date: 17-Apr-18
Laboratory Sample ID#:T51389
Test Reviewed and Approved By:
h.
Robert W.Kelley,Ph.D. Farhad Rostampour
QA/QC Officer Laboratory Director
Certification#687819 SCDHEC Certification#23104
Test results presented in this report conform to all requirements of
NELAC,conducted under NELAC Certification Number E87819
Florida Dept.of Health.Included results pertain only to provided samples. NCDENR Certification# 022
Page 1 of 6

Effluent Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test
Facility: KINGS MOUNTAIN PILOT CREEK WTRJPDES# NC0020737 Pipe#: 001 County: Cleveland
tory: ETT Environmental Inc. Comments
Sign ur of Operator in Responsible Charge )ch,„1 //
Signature of Laboratory Supervisor
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh,NC 27699-1621
Test initiation Date/Time 04/17/18 / 04:41 PM Avg Wt/Surv. Control 0.5886 Test Organisms
%Eff. Repl. 1 2 4 4 Cultured In-House
I Control I Surviving# 10 8 10 9 %Survival 94.9% X Outside Supplier
Original# 10 9 10 10
Wt/original(mg) 0.5190 0.5678 0.5790 0.5560 Avg Wt(mg) 0.5554 Hatch Date: 4-16
8.01 Surviving# 10 10 10 10 %Survival 100.0% Hatch Time: 1030-1130 N
Original# 10 10 10 10
Wt/original(mg) 0.5840 0.5320 0.6120 0.4810 Avg Wt(mg)I 0.5523 I
16.5 Surviving# 10 10 10 8 %Survival 95.0% 1
Original# 10 10 10 10
Wt/original(mg) 0.5140 0.5220 0.6060 0.4480 Avg Wt(mg) 0.5225
I 33.01 Surviving# 10 9 10 9 %Survival 95.0%
Original# 10 10 10 10
Wt/original(mg) 0.5500 0.6090 0.6700 0.6630 Avg Wt(mg) 0.6230
66.0 Surviving# 6 10 9 10 %Survival 87.5%
Original# 10 10 10 10
Wt/original(mg) 0.4980 0.5480 0.6450 0.6700 Avg Wt(mg) 0.5903
I 100.01 Surviving# 10 9 9 9 %Survival 92.5%
Original# 10 10 10 10
Wt/original(mg) 0.9860 0.8010 0.9260 0.9290 Avg Wt(mg) 0.9105
Water Quality Data Day
Control 0 1 2 3 4 5 6 7
pH(SU)'nit/Fin 7.8 / - 7.5 / 7.4 7.7 / 7.3 7.7 / 7.6 7.5 / 7.0 8.0 / 8.0 8.0 / 7.3 ----/ 8.0
DO(mg/L) Init/Fin 7.4 / - 7.9 / 7.4 7.6 / 6.7 7.9 / 6.8 7.9 / 6.8 7.6 / 6.5 7.7 / 6.4 ----/ 6.7
Temp(C)Init/Fin 24.7 / - 24.6 / 25.4 24.3 / 25.3 24.6 / 24.8 24.7 / 24.8 24.9 / 25.5 24.6 / 25.0 ----/ 24.8
High Concentration 0 1 2 3 4 5 6 7
pH(SU)Init/Fin 7.4 / - 7.2 / 7.5 7.1 / 7.5 7.7 / 7.6 7.0 / 7.4 7.6 / 7.9 7.6 / 7.4 ----/ 7.7
DO(mg/L) Init/Fin 8.7 / - 8.0 / 7.0 8.6 / 6.4 7.9 / 6.5 9.1 / 6.4 7.7 / 6.4 7.6 / 6.2 ----/ 6.6
Temp(C)Init/Fin 25.0 / - 24.7 / 25.4 24.8 / 25.3 24.8 / 24.8 25.2 / 24.8 24.7 / 25.5 24.8 / 25.0 ----/ 24.8
Sample 1 2 Survival Growth Overall Result
Collection Start Date 04/16/18 04/18/18 04/19/18 Normal yes yes ChV >100.00%
Grab Horn.Var. yes yes
Composite(Duration) 24 hr 24 hr 24 hr NOEC 100.0% 100.0%
Hardness(mg/L) 150.0 152.0 150.0 LOEC >100.00% >100.00%
Alkalinity(mg/L) 48.2 43.3 42.0 ChV >100.00% >100.00%
Conductivity(umhos/cm) 3310 3250 3180 Method T-Test T-Test
Chlorine(mg/L) <0.05 0.05 <0.05
Temp at Receipt(C) 0.4 1.2 1.9 Stats Survival Growth
Conc. Critical Calculated Critical Calculated
Dilution H2O 8% 2.41 -0.90 2.41 0.07
Hardness(mg/L) 48.0 17% 2.41 -0.10 2.41 0.74
Alkalinity(mg/L) 30.4 33% 2.41 -0.05 2.41 -1.51
Conductivity(umhos/cm) 189 66% 2.41 0.90 2.41 -0.78
100% 2.41 0.38 2.41 -7.94
DWQ Form AT-5(1/04)
Page 2 of 6

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ETTCHAIN OF CUSTODY RECORD
PO Box 16414,Greenville,SC 29806-7414 [Page �_of
[phone], [phone] Fax[phone] !
Shipping Address:4 Craftsman Ct,Greer,SC 29650
W W W.ETTEN VIRCNM ENTAL.CC M
Client:
C 1 '''� OF l<lKl e) MoU1 l�U Program Containers Preservative
Facility: V1l nT CFF \l \JA'T ) Parameters
EX7Q— 3} Whole Effluent Tozicin _
State: Mc NPDES#:
_Acute Chronic Test Organisms C
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Cr. . ,_ y > Z(Composite only) (Grab or Composite) ....7., U U . > I=HE.
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Secure Receipt Sample 1
Date Time Relin lisped By/Organization
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4/17/1 V 1031,,,_''x �I ,a,�- c.�-a. ,, q:r,,,�r, \ / t-Tr
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COMPOSITE SAMPLING PROCEDURESI I
TEMPERATURE MONITORING PROCEDURES
Composite samples must be collected over a 24 hour period. Sample temperature during collection and transport must be between HOLD TIME PROCEDURES
Time Proportional: I sample each hour for 24 hours.Equal volur 0.0 and 6.0°C.Samples must not be frozen.Use water ice in sealed bass. Fos ample toxicity o the sample must first e ea elle) 36 hours
or at minimum 1 sample every 4 hours over 24 hours. of sample collection(completion of composite sample).
Flow Proportional:As per instructions in NPDES permit. Sample may not be used after 72 hours from sample collection.

ETrli
C ._HAIN OF CUSTODY RECORD
•
PO Box 16414,Greenville,SC 29606-7414
[phone], [phone] Fax[phone] Page / of Z
Shipping Address:4 Craftsman Ct,Greer,SC 29850
W W W.ETT C NVIRO NM ENTAL.COM
'Client:
Facility: ip.r
1y ec kr rt/,6rt/,6M� Program Containers Preservative
Parameters
O'- [Yee k (A/tvIr
State: NC NPDESth 00.20 737
11'holeEffluent Tosicin' _
Acute Chronic Test Organisms
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Composite samples must be collected over a 24 hour period. Sample temperature during collection and transport must be between HOLD TIME PROCEDURES -
Time Proportional:I sample each hour for24 hours.Equal volu 0.0 and 6.0°C.Samples must not be frozen.Use Water ice in sealed bass. Fos ample c llectio the sample must firm beos used up e). 36 hours
or at minimum 1 sample even 4 hours over 24 hours. of sample collection(completion of composite;ample).
Flow Proportional:As per instructions in NPDES permit. Sample may not be used after 72 hours from sample collection_

ETF.- +
CHAIN OF CUSTODY RECORD •
a,,
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Hit& en Page 1 ofd_
PO Box 16414,Greenville.SC 29606-7414
[phone], [phone] Fa [phone]
Shipping Address:4 Craftsman Ct.Greer.SC 29650
WW W.ETTE NViR 0 NM EN TAL.COM
Client: c l,� O `
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State: t(, NPD ES#: d r —7 3 o
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COMPOSITE SAMPLING PROCEDURES TEMPERATURE MONITORING PROCEDURES HOLD TI.VE PROCEDURES
Composite samples must be collected over a 24 hour period. Sample temperature during collection and transport must be between For toxicity testing the sample must first be used within 36 hours
Time Proportional: 1 sample each hour for 24 hours.Equal valet 0.0 and 6.0°C.Samples must not be frozen.Use water ice in sealed bags. of sample collection(completion of composite sample).
or at minimum 1 sample every 4 hours over 24 hours. Sample may not be used after 72 hours from sample collection.
Flow Proportional:As per instructions in NPDES permit.

env taxa Ins. (M4)B77.6942.rAx(084)877.6930
r',0.Box 16414.Greenvale. SC 29606 4 Craftsman Court,Greer.3C 29650
Ceriodaphnia dubia Survival and Reproduction Test
EPA-821-R-02-013 Method 1002
Client: KINGS MOUNTAIN
Facility:PILOT CREEK WTP
NPDES#:NC0020737
Test Date: l8-Apr-18
Laboratory ID#:T51389 C DUBIA
Test Reviewed and Approved By:
at 4(4
Robert W.Kelley,Ph.D. Farhad Rostampour
QA/QC Officer Laboratory Director
Certification#E87819 SCDHEC Certification#23104
Test results presented in this report conform to all requirements of
NELAC,conducted under NELAC Certification Number E87819
Florida Dept.of Health.Included results pertain only to provided steles. NCDENR Certification# 022
Mage 1 of 6

Effluent Toxicity Report Form -Chronic Pass/Fail and Acute LC50 Date 30-Apr-18
Facility: KINGS MOUNTAIN PILOT CREEK WTP NPDES#NC0020737 Pipe# 001 County Cleveland
Laboratory�Performing Test: ETT Environmental,Inc. Comments
x ( b t`1°Le10 fi
Sign re f Operator irTRespo i le Charge _
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div.of Water Quality
N.C.DENR
1621 Mail Service Center
Raleigh,North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t= 1.4832
Critical Value= 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 %Reduction= 7A%
#Young Produced 24 19 25 26 24 21 27 26 17 19 22 20 %Mortality Avg.Reprod.
Adult (L)ive (D)ead L L L L L L L L L L L L 0% 22.5I
Control Control
Effluent% 33.0% 0% 20.8
Treatment 2 Treatment 2
Control CV
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 14.6%
#Young Produced 26 19 20 22 22 20 20 21 19 21 22 18 %3rd Brood PASS FAIL
Adult (L)ive (D)ead L L L L L L L L L L L L 100% I X I
Complete Thls}or Either Test Test Start Date
Collection(Start)Date 18-Apr-18
pH 1st sample 1st sample 2nd sample Sample 1 16-Apr-18 Sample 2 18-Apr-16
Control 7.3 7.8 7.6 7.8 7.5 7.6 Sample Type(Duration)
Treatment 2 7.3 7.8 7.5 8.2 7.3 7.7 Grab Comp Duration 1st 2nd
Sample 1 X 24hrs. Tox Tox
Sample 2 X 24hrs. Dilution Sample Sample
start end start end start end
D.O. 1st sample 1st sample 2nd sample Hardness(mg/L) 48.0
Control 7.7 7.7 7.4 8.7 8.3 7.5 Spec.Cond.(pmhos) 189 3310 3250
Treatment 2 8.1 7.6 7.5 8.7 8.5 7.7 Chlorine(mg/L) <.05 0.05
Sample Temp.at receipt(-C) 0.4 1.2
LC50/Acute Toxicity Test
(Mortality expressed as%,combining replicates)
Concentration
Mortality start/end start/end
LC50= % Method of Determination II
Control
95%Confidence Limits Moving Average ProbitEll High Conc.
% TO Spearman Kerber Other p11 D.O.
Organism Tested Ceriodaphnia dubia
DEM Form AT-1
Page 2 of 6

STATISTICAL ANALYSIS RESULTS
Facility: KINGS MOUNTAIN NPDES# NC0020737
Sample ID: PILOT CREEK WTP ETU T51359 C DUB1A I Date:
18-Apr-18
Laboratory: Ell f.mironnuntal.Inc. Certification#:NCO22
Exp.Date: 11/1/2018
Survival Data
7 Day Survival Test Used: FISHERS TEST
Control 100% Test Statistic: P= 1.000
Effluent 100% Critical Value: P=
0.01
PASS: The effluent does not reduce survival of the test organisms.
Reproduction Data
Raw Data Test for Normality
Mean young/female Std.Dev. Test Used: Shapiro-Wilks Test:
Control 22.5 3.29
Effluent 20.8 2.08 W:
0.984
Critical Value: 0.884
Analysis for Differences in Reproduction Test for Homogeneity of Variance
Test Used: Equal Variance t Test. Test Used: F Test
Calculated t= 1.48 F=
2.50
Critical Value= 2.51
Critical Value= 5.32
The data are homogeneous in variance
PASS:The effluent is not chronically toxic.
Page 3 of 6

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ETT CHAIN OF CUSTODY RECORi:...: : 116 d
PO Box 16414,Greenville,SC 29806-7414 Page _ _
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[phone], [phone] Fax[phone]
Shipping Address:4 Craftsman Cl,Greer,SC 29650
W W W.ETTEN V(RONM ENTAL.COM
Client: �
C 1 I T7 OF YlkielMou>tni<11itl Program LContaincrs Preservative
Facility: VII nT C_ZFFK \i Vt Parameters
State: NC NPDES#: ('�-)Q(-) 9- Whole Emucnt Tor n•
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U (Composite only) (Grab or Composite) < ' E - o c U s v
U . .2 = - - o e-
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¢/t7jly 03q .fri\- l -- C-0, �rc_n� _
1 . d / (t7r-)i I ; , -- I 0.4
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COMPOSITE SAAIPL!NG PROCEDURES TEAJPER4TURE MONITORING PROCEDURES
Composite samples must be collected over a 24 hour period. Sample temperature during collection and transport must be between FoHOLD cityTItesting PROCEDURES
Time Proportional: I sample each hour for24 hours.Equal volt:0.0 and 6.0°C.Samples must not be frozen.Use water ice in sealed bas. ofs mple cllcthe sample must first oe to s ple). 36 hours
or at minimum 1 sample ever`4 hours over 24 hours. of sample collection(completion of composite sample).
Flow Proportional:As per instructions in NPDES hermit. Sample may not be used after 72 hours from sample collection.

1
1
...ETIli1
CHAIR OF CUSTODY RECON
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PO Box 16414,Greenville,SC 29606-7414
Page i of Z
[phone], [phone] Fax[phone]
Shipping Address:4 Craftsman Ct,Greer,SC 29850
W W W.ETTENV IRO NMENTAL.COM
Client:
C 1 -1-y kis r/1 Z MT Program Containers Presenative
Facility Parameters
?i lof CYee k iv WT
State: N C NPDES#: 00.2o ' 3
Whole Effluent Toxicity
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Special Instructions:
Sample Custody TransferRecord I
Date Time Relinquished By/Organization Secure Receipt Sample
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COMPOSITES.4A-IPLING PROCEDURES TEALPE24TURE MONITORING PROCEDURES
Composite samples must be collected over a 24 hour period. Sample temperature during collection and transport must be between HOLD TIME PROCEDURES .
Time Proportional: I sample each hour for 24 hours.Equal volur 0.0 and 6.0°C.Samples must not be frozen.Use water ice in sealed bags. ofs sampletc collection
the splen must first be usedpwithin. 36 hours
or at minimum I sample even 4 hours over 24 hours. collection(completion of composite;ample).
Flow Proportional:As per instructions in NPDES permit. Sample may not be used aver 72 hours from sample collection.