NC0024210_Renewal Application_20180629

NC ROY COOPER
=ernurr
MICHAEL S.REGAN
Secretes
Water Resources LINDA CULPEPPER
ENVIRONMENTAL QUALITY Merlyn Director
July 10, 2018
Melanie Bruton, MRF super
City of High Point
5875 Riverdale Dr
Jamestown, NC 27282
Subject: Permit Renewal
Application No. NC0024210
East Side WWTP
Guilford County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 10, 2018 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.
The permit writer will contact you if additional information is required to complete your permit renewal. Please respond
in a timely manner to requests for additional information necessary to allow a complete review of the application and
renewal of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-reg u lations/permit-guida nce/envi ronmental-appl ication-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
_1(z.3 eAcitA
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application(WSRO)
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

Public Services Department GH —,
Terry Houk '. .-
:....
DIRECTOR 1
...........„
NORTH CAROLINA'S INTERNATIONAL CT]
June 29, 2018
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617 RECEIVED/DENR/DWR
JUL 102018
Subject: City of High Point Eastside WWTP Water Resources
Permit Renewal Application Permitting Section
NPDES#NC0024210, Guilford County
Dear Sirs:
The NPDES permit for the City of High Point Eastside WWTP expires on December 31, 2018. In
accordance with State and Federal regulations,the City is requesting NPDES renewal for the subject
facility. This permit renewal application includes: Form 2A, Application Overview; Part D, Expanded
Effluent Testing Data; Part E, Toxicity Testing: Biomonitoring Data; Part F, Industrial User Discharges and
RCLA/CERCLA Wastes; and other supplemental information as required and/or needed.
The Eastside WWTP has two permitted discharges; Outfall 001, Richland Creek, and Outfall 002, Deep
River. Prior to May 2008 the Eastside WWTP discharged into Richland Creek, Outfall 001. After
completion of the Effluent Pump Station, the plant began to discharge into the channel of the Deep
River in the Randleman Reservoir, Outfall 002. Outfall 001 remains as a permitted outfall, but is used
only on the rare occasion that the Effluent Pump Station must be taken out of service for maintenance.
We look forward to working with you on the renewal of Eastside's NPDES permit. Please contact me at
336-883-3218 or Duane Hamby, Wastewater Operator Chief at 336-822-4732 if you need any additional
information.
Sincerely,
1-ThA. #11 (
Terry L. Houk
Public Services Director
cc: Derrick Boone, Public Services Assistant Director
Duane Hamby, Wastewater Operator, Chief
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax: [phone] Phone: [phone] TDD: 336.883.8517

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
FORM
2A NPDES FORM 2A APPLICATION OVERVIEW
NPDES E
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 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside VVWTP, NC0024210 Renewal Cape Fear
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 High Point Eastside Wastewater Treatment Plant
Mailing Address PO Box 230
High Point,NC 27261
Contact Person Duane Hamby
Title Chief Operator
Telephone Number [phone]
Facility Address 5898 Riverdale Drive
(not P.O.Box) Jamestown,NC 27282
A.2. Applicant Information. If the applicant is different from the above,provide the following:
Applicant Name City of High Point
Mailing Address PO Box 230
High Point,NC 27261
Contact Person Terry Houk
Title Public Services Director
Telephone Number [phone]
Is the applicant the owner or operator(or both)of the treatment works?
X owner 0 operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
X 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 NC0024210 PSD
UIC n/a Other Air Quality 08074T12
RCRA n/a Other Stormwater NCG110019
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 High Point 77,188 separate Municipal
Town of Archdale 11,564 separate Municipal
Jamestown/Sedgefield 6,532 separate Municipal
Total population served 95,284
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 2 of 39
l _

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
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 26.00 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate 12.9 12.2 12.6
c. Maximum daily flow rate 29.3 29.3 25.6
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.
X Separate sanitary sewer 100
❑ Combined storm and sanitary sewer n/a
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? X Yes ❑ 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 n/a 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 ❑ continuous or ❑ 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 D 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 39
L

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
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).
n/a
If transport is by a party other than the applicant,provide:
Transporter Name n/a
Mailing Address n/a
n/a
Contact Person n/a
Title n/a
Telephone Number (n/a)
For each treatment works that receives this discharge,provide the following:
Name n/a
Mailing Address n/a
n/a
Contact Person n/a
Title n/a
Telephone Number (n/a)
If known,provide the NPDES permit number of the treatment works that receives this discharge n/a
Provide the average daily flow rate from the treatment works into the receiving facility. n/a mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.8.through A.8.d above(e.g.,underground percolation,well injection): 0 Yes X No
If yes,provide the following for each disposal method:
Description of method(including location and size of site(s)if applicable):
n/a
Annual daily volume disposed by this method: n/a
Is disposal through this method 0 continuous or 0 intermittent?
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 4 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
WASTEWATER DISCHARGES:
If you answered"Yes"to question A.8.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.8.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 002
b. Location n/a
(City or town,if applicable) (Zip Code)
Guilford NC
(County) (State)
35°56'11"N 79°53'221A/
(Latitude) (Longitude)
c. Distance from shore(if applicable) 180 ft.
d. Depth below surface(if applicable) 11.5 ft.
e. Average daily flow rate 12.6 mgd
f. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes X No (go to A.9.g.)
If yes,provide the following information:
Number f times per year discharge occurs: n/a
Average duration of each discharge: n/a
Average flow per discharge: n/a mgd
Months in which discharge occurs: n/a
g. Is outfall equipped with a diffuser? X Yes 0 No
A.10. Description of Receiving Waters.
a. Name of receiving water Deep River
b. Name of watershed(if known) Randleman Lake
United States Soil Conservation Service 14-digit watershed code(if known): unknown
c. Name of State Management/River Basin(if known):Cape Fear River Basin
United States Geological Survey 8-digit hydrologic cataloging unit code(if known): 03030003
d. Critical low flow of receiving stream(if applicable)
acute unknown cfs chronic unknown cfs
e. Total hardness of receiving stream at critical low flow(if applicable): unknown mg/I of CaCO3
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 5 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
WASTEWATER DISCHARGES:
If you answered"Yes"to question A.8.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.8.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.
c. Outfall number 001
d. Location n/a
(City or town,if applicable) (Zip Code)
Guilford NC
(County) (State)
35°56'16"N 79°53'261A/
(Latitude) (Longitude)
c. Distance from shore(if applicable) n/a ft.
d. Depth below surface(if applicable) n/a ft.
e. Average daily flow rate emergency only mgd
f. Does this outfall have either an intermittent or a periodic discharge? X Yes 0 No (go to A.9.g.)
If yes,provide the following information:
Number f times per year discharge occurs: 1-2
Average duration of each discharge: emergency only
Average flow per discharge: unknown mgd
Months in which discharge occurs: unknown
g. Is outfall equipped with a diffuser? 0 Yes X No
A.10. Description of Receiving Waters.
d. Name of receiving water Richland Creek
e. Name of watershed(if known) Randleman Lake
United States Soil Conservation Service 14-digit watershed code(if known): unknown
f. Name of State Management/River Basin(if known):Cape Fear River Basin
United States Geological Survey 8-digit hydrologic cataloging unit code(if known): 03030003
d. Critical low flow of receiving stream(if applicable)
acute unknown cfs chronic unknown cfs
e. Total hardness of receiving stream at critical low flow(if applicable): unknown mg/I of CaCO3
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 6 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
X Primary X Secondary
X Advanced X Other. Describe: Enhanced Biological Nutrient Removal
b. Indicate the following removal rates(as applicable):
Design BOD5 removal or Design CBOD5 removal 99.57 %
Design SS removal 99.16 %
Design P removal 90.58
Design N removal 93.93
Other n/a %
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season,please describe:
Ultraviolet Disinfection
If disinfection is by chlorination is dechlorination used for this outfall? n/a 0 Yes 0 No
Does the treatment plant have post aeration? X Yes 0 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: 002
MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
PARAMETER
Value Units Value Units Number of Samples
pH(Minimum)pH(Maximum) 7.6 s.u. A
Flow Rate 32.6 MGD 12.62 MGD 1461
Temperature(Winter) 22.7 C 16.91 C 405
Temperature(Summer) 28 C
p 23.17 C 596
For pH please report a minimum and a maximum daily value
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT METHOD ML/MDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN BOD5 7 mg/I <2 mg/I 321 SM 5210 B-2011 <2
DEMAND(Report one) CBOD5 n/a n/a n/a n/a n/a n/a n/a
FECAL COLIFORM 2420 #/100 ml 8.25 #/1D00 321 Colilert 18 <1
TOTAL SUSPENDED SOLIDS(TSS) 12.4 mg/I <2.5 mg/I 321 SM 2540 D-2011 <2.5
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 7 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside VVVVfP, NC0024210 Renewal Cape Fear
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.
530,000* gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
*Estimateplan iscurrently is based on water usage records compared to average daily flows.A wastewater master ntl cu e v bein q
conducted for High Point.
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 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: ( )
Responsibilities of Contractor: n/a
B.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.
❑ Yes ❑ No
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 8 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside V V TP, NC0024210 Renewal Cape Fear
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? 0 Yes 0 No
Describe briefly:
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: 002
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) .060 mg/I .029 mg/I 3 SM 4500NH3 H .01
1997
CHLORINE(TOTAL .038 mg/I .025 mg/I 3 SM 4500CI G- <0.01
RESIDUAL,TRC) 2000
DISSOLVED OXYGEN 9 mg/I 7.9 mg/I 3 SM 4500-0 G .01
TOTAL KJELDAHL .7 mg/I .486 mg/I 3 SM 4500 NORG .095
NITROGEN(TKN) D-1997
NITRATE PLUS NITRITE .787 mg/I 46 mg/I 3 SM 4500 NO3 F- .01
NITROGEN2000
OIL and GREASE 5.9 mg/I 5.3 mg/I 3 SM5520B-2001 <5
PHOSPHORUS(Total) .475 mg/I .333 mg/I 3 SM4500 P H- .01
1999
TOTAL DISSOLVED SOLIDS 500 mg/I 481.6667 mg/I 3 SM2540C-1997 10
(TDS)
OTHER n/a n/a n/a n/a n/a n/a n/a n/a
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 9 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
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:
0 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.
Name and official title Terry Houk
Signature
Telephone number [phone]
Date signed Ce(27 4
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 10 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
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: 002 (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 <25 pg/I 2.65 lbs. <25 pg/I 2.43 lbs. 3 EPA 220.7 25
ARSENIC <10 PO1.06 lbs. <10 pg/I .97 lbs. 3 SM 3113 B- 10
2004
BERYLLIUM <5 pg/I .53 lbs. <5 pg/I .49 lbs. 3 EPA 220.7 5
CADMIUM <1 PO .11 lbs. <1 pg/I .10 lbs. 3 SM 3113 B- 1
2004
CHROMIUM <5 pg/I .53 lbs. <5 pg/I .49 lbs. 3 SM 3113 B- 5
2004
COPPER <5 pg/I .53 lbs. <5 pg/I .49 lbs. 3 SM 3113 B- 5
2004
LEAD <2.5 pg/I .26 lbs. <2.5 pg/I .24 lbs. 3 SM 3113 B- 2 5
2004
MERCURY 4.420 pg/I .0004 lbs. 3.413 pg/I .0003 lbs. 3 EPA 1631 .001
i NICKEL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 SM 3113 B- 10
2004
SELENIUM <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 SM 3113 B- 10
2004
SILVER <5 pg/I .53 lbs. <5 pg/I .49 lbs. 3 SM 3113 B- 5
2004
THALLIUM <20 pg/I 2.12 lbs. <20 pg/I 1.94 lbs. 3 EPA 220.7 20
ZINC 44 pg/I 4.45 lbs. 38.7 pg/I 3.77 lbs. 3 SM 3111 B- 25
1999
Lachat 10-204-
CYANIDE 10 pg/I .93 lbs. 8.33 pg/I .79 lbs. 3 00-1-X-Rev. 10
2.2
TOTAL PHENOLIC
.120 mg/I 11.21 lbs. .063 mg/I 5.89 lbs. 3 EPA 420.1 .01
COMPOUNDS
SM 2340 C-
HARDNESS(as CaCO3) 88 mg/I 8220 lbs. 80 mg/I 7728 lbs. 31997 2
Use this space(or a separate sheet)to provide information on other metals requested by the permit writer
n/a
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 11 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
Outfall number 002 (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 <500 pg/I 45.87 lbs. <500 pg/I 18.61 lbs. 3 EPA 624 500
ACRYLONITRILE <100 pg/I 9.17 lbs. <100 pg/I 3.72 lbs. 3 EPA 624 100
BENZENE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
BROMOFORM <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
CARBON <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
TETRACHLORIDE
CHLOROBENZENE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
CHLORODIBROMO- <10
METHANE pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
CHLOROETHANE <50 pg/I 4.59 lbs. <50 pg/I 1.86 lbs. 3 EPA 624 50
2-CHLOROETHYLVINYL <50 pg/I 4.59 lbs. <50 pg/I 1.86 lbs. 3 EPA 624 50
ETHER
CHLOROFORM 10 pg/I .92 lbs. 10 pg/I .47 lbs. 3 EPA 624 10
DICHLOROBROMO- <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
METHANE
1,1-DICHLOROETHANE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
1,2-DICHLOROETHANE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA624 10
TRANS-I,2-DICHLORO-
ETHYLENE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA624 10
1,1-DICHLORO-
ETHYLENE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA624 10
1,2-DICHLOROPROPANE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
1,3-DICHLORO- <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA624 10
PROPYLENE
ETHYLBENZENE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
METHYL BROMIDE <50 pg/I 4.59 lbs. <50 pg/I 1.86 lbs. 3 EPA 624 50
METHYL CHLORIDE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 50
METHYLENE CHLORIDE <10 pg/I .92 lbs. <10 pg/I .87 lbs. 3 EPA 624 10
1,1,2,2-TETRA-
CHLOROETHANE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
TETRACHLORO-
ETHYLENE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
ETHYLE
TOLUENE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 12 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside VVVVfP, NC0O2421O Renewal Cape Fear
Outfall number: 002 (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
1'1'1 <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
TRICHLOROETHANE
1,1,2-
<10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
TRICHLOROETHANE
TRICHLOROETHYLENE <10 pg/I .92 lbs. <10 pg/I .37 lbs. 3 EPA 624 10
VINYL CHLORIDE <50 pg/I 4.59 lbs. <50 pg/I 1.86 lbs. 3 EPA 624 50
Use this space(or a separate sheet)to provide information on other volatile organic compounds requested by the permit writer
n/a
ACID-EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL <50 pg/I 5.30 lbs. <50 pg/I 3.63 lbs. 3 EPA 625 50
2-CHLOROPHENOL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
2,4-DICHLOROPHENOL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
2,4-DIMETHYLPHENOL <50 pg/I 5.30 lbs. <50 pg/I 2.38 lbs. 3 EPA 625 50
4,6-DINITRO-O-CRESOL <50 pg/I 5.30 lbs. <50 pg/I 4.85 lbs. 3 EPA 625 50
2,4-DINITROPHENOL <50 pg/I 5.30 lbs. <50 pg/I 4.85 lbs. 3 EPA 625 50
2-NITROPHENOL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
4-NITROPHENOL <50 pg/I 5.30 lbs. <50 pg/I 4.85 lbs. 3 EPA 625 50
PENTACHLOROPHENOL <50 pg/I 5.30 lbs. <50 pg/I 4.85 lbs. 3 EPA 625 50
PHENOL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
2,4,6-
TRICHLOROPHENOL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
Use this space(or a separate sheet)to provide information on other acid-extractable compounds requested by the permit writer
n/a
BASE-NEUTRAL COMPOUNDS
ACENAPHTHENE <10 pg/I 1.06 lbs. <10 pg/I _97 lbs. 3 EPA 625 10
ACENAPHTHYLENE <10 pg/I 1.06 lbs. <10 pg/I ,97 lbs. 3 EPA 625 10
ANTHRACENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
BENZIDINE <50 pg/I 5.30 lbs. <50 pg/I 4.85 lbs. 3 EPA 625 50
BENZO(A)ANTHRACENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
BENZO(A)PYRENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 13 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
Outfall number: 002 (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
3,4 BENZO- <10 pg/I 1.06 lbs. <10 pg/I 97 lbs. 3 EPA 625 10
FLUORANTHENE
BENZO(GHI)PERYLENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
BENZO(K) <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
FLUORANTHENE
BIS(2-CHLOROETHOXY) <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
METHANE
BIS(2-CHLOROETHYL)- <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
ETHER
BIS(2-CHLOROISO- <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
PROPYL)ETHER
BIS(2-ETHYLHEXYL) <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
PHTHALATE
4-BROM HENYL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
ETHER
ETHER
BUTYL BENZYL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
PHTHALATE
2-CHLORO- <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
NAPHTHALENE
4-CHLORPHENYL <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
PHENYL ETHER
CHRYSENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
DI-N-BUTYL PHTHALATE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
DI-N-OCTYL PHTHALATE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
DIBENZo(A,H) <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
ANTHRACENE
1,2-DICHLOROBENZENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
1,3-DICHLOROBENZENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
1,4-DICHLOROBENZENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
3,3-DI - <50 pg/I 5.30 lbs. <50 pg/I 4.85 lbs. 3 EPA 625 50
BENZIDINE
DIETHYL PHTHALATE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
DIMETHYL PHTHALATE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
2,4-DINITROTOLUENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
2,6-DINITROTOLUENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA625 10
1,2-DIPHENYL- <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
HYDRAZINE
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 14 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
Outfall number: 002 (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 <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
FLUORENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
HEXACHLOROBENZENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
HEXACHLORO- <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
BUTADIENE
HEXACHLOROCYCLO- <50 pg/I 5.30 lbs. <50 pg/I 4.85 lbs. 3 EPA 625 50
PENTADIENE
HEXACHLOROETHANE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10 1
INDENO(1,2,3-CD) <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
PYRENE
ISOPHORONE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
NAPHTHALENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
NITROBENZENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
N-NITROSODI-N- <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
PROPYLAMINE
N-NITROSODI- <10 pg/i 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
METHYLAMINE
N-NITROSODI- <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
PHENYLAMINE
PHENANTHRENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
PYRENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
1,2,4-
TRICHLOROBENZENE <10 pg/1 1.06 lbs. <10 pg/I .97 lbs. 3 EPA 625 10
Use this space(or a separate sheet)to provide information on other base-neutral compounds requested by the permit writer I
n/a
Use this space(or a separate sheet)to provide information on other pollutants(e.g.,pesticides)requested by the permit writer
n/a
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 15 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
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.See section E.4.,and attachment 4.
X chronic 0 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
Age at initiation of test
Outfall number
Dates sample collected
Date test started
Duration
b. Give toxicity test methods followed.
Manual title
Edition number and year of publication
Page number(s)
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 16 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
Test number: Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal
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. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water
•
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Salinity
Temperature
Ammonia
Dissolved oxygen
I. Test Results.
Acute:
Percent survival in 100%
effluent
LCso
95%C.I.
Control percent survival
Other(describe)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 17 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside VWVfP, NC0024210 Renewal Cape Fear
Chronic:
NOEC
IC2s cyo
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/DD/YYYY)?
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)
Chronic Pass/Fail dates: 02/04/15, 04/15/15, 07/15/15, 10/21/15, 01/06/16, 04/20/16, 05/16/16, 06/20/16, 07/13/16,
11/16/16, 12/05/16, 01/18/17, 04/19/17, 07/26/17, 10/18/17,01/24/18, 04/11/18. Failures occurred on 4/20/16, & 11/16/16
with no known cause, all others passed.
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 18 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
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 to,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. 7
b. Number of CIUs. 10
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.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 19 of 39

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: Alberdingk Boley, Inc.
Mailing City
Address: 6008 W Gate Blvd.
Greensboro, NC 27407
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Manufactures resins for coatings industry.
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): Polyurethanes and Polyacrylates
Raw material(s): Diisocvanates, Polyesterdiols, Polvetherpolyols, Polycarbonatediols, Monomers,and Styrene
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.
4,000 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.
2,000 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ® No
b. Categorical pretreatment standards ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 414, Subparts G & H
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 ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 20 of 39

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: CINTAS Corporation Location #45
Mailing Address: 4345 Federal Drive
Greensboro, NC 27410
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Industrial Laundry Service
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): Clean laundry, shop rags and rugs.
Raw material(s): Detergent, Builder, Alkali, Bleach, Antichlor, Sour, Soft, Pathfree (bleach activator)
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.
47,000 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.
1,000 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes 0 No
b. Categorical pretreatment standards 0 Yes ® No
If subject to categorical pretreatment standards,which category and subcategory?
N/A
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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 21 of 39

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: Custom Drum Services
Mailing Address: 509 Woodrow Ave.
High Point, NC 27262
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Reconditioning steel drums
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): Reconditioned steel drums
Raw material(s): Caustic, sulfuric acid, phosphoric acid, ferric chloride
F.6. Flow Rate.
c.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.
6,000 gpd ( X continuous or intermittent)
d 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.
200 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes 0 No
b. Categorical pretreatment standards 0 Yes ® No
If subject to categorical pretreatment standards,which category and subcategory?
N/A
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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 22 of 39

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: Diversified Technologies, Inc.
Mailing Address: PO Box 2039
Jamestown, NC 27282
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Circuit Board manufacturer
F.S. 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): Printed Circuit Boards
Raw material(s): FR-4 epoxy-fiberglass-copper laminate, electroplated copper, nickel and gold.
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.
500 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.
100 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes 0 No
b. Categorical pretreatment standards ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 413.84(b)
F.B. 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?
0 Yes 0 No If yes,describe each episode.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 23 of 39

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: Harriss & Covington Hosiery Mills
Mailing Address: 1250 Hickory Chapel Rd.
High Point, NC 27260
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Hosiery Manufacturing of socks from knitting, wet processing, packaging and distribution.
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): Socks
Raw material(s): Yarn (wool, nylon, polyester, polypropylene, cotton), dyes and chemicals.
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.
45,000 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.
5,560 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes 0 No
b. Categorical pretreatment standards 0 Yes ® No
If subject to categorical pretreatment standards,which category and subcategory?
N/A
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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 24 of 39

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: Hunter Farms
Mailing Address: 1900 N Main St.
High Point, NC 27262
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Dairy Manufacturing
F.S. 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): Milk, Ice Cream & mixes, Sour Cream, Buttermilk, Orange Juice
Raw material(s): Milk, sugar, cultures, powders, fruits and nuts.
F.6. Flow Rate.
c.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.
167,000 gpd ( continuous or X intermittent)
d. 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.
2,700 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes 0 No
b. Categorical pretreatment standards ❑ Yes ® No
If subject to categorical pretreatment standards,which category and subcategory?
N/A
F.B. 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 0 No If yes,describe each episode.
IU has caused blockages in main line. There are no known issues caused by IU at VVVVTP.
•
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 25 of 39

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: Innospec Active Chemicals
Mailing Address: 510 W Grimes Ave.
High Point, NC 27260
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Organic & Inorganic chemical manufacturer for personal care, fuel additive industries and toll
chemicals.
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): Organic & Inorganic chemicals
Raw material(s): Organic fatty acids and waxes, organic amines, monomers, alcohols and aromatic hydrocarbons.
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.
51,000 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.
1,300 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ® No
b. Categorical pretreatment standards ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 414, Subparts G & H
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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 26 of 39

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: Kersey Valley Landfill
Mailing Address: 3940 E Kivett Dr.
High Point, NC 27260
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Landfill 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): No products manufactured; generates leachate
Raw material(s): N/A
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.
25,000* gpd ( X continuous or intermittent) *2018 data
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.
0* gpd ( continuous or intermittent)*Landfill office is on septic tank.
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes 0 No
b. Categorical pretreatment standards 0 Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
N/A
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?
0 Yes 0 No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 27 of 39

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: Mickey Truck Bodies
Mailing Address: PO Box 2044
High Point, NC 27261
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Manufacturers aluminum truck bodies, trailers, emergency vehicles and freight bodies which
includes metal preparation prior to painting.
F.S. 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): Truck bodies and trailers
Raw material(s): Aluminum, steel, paint and solvents
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.
2,000 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.
3,000 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ® No
b. Categorical pretreatment standards ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 433.17
F.B. 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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 28 of 39

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: Patheon Softgels, Inc.
Mailing Address: 4125 Premier Dr.
High Point, NC 27265
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Pharmaceutical manufacturing
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): Soft gelatin and gelatin-enrobed pharmaceutical and nutritional capsules
Raw material(s): gelatin, glycerin, sorbitol, soybean oil, med chain triglycerides, mineral oil, fish oil,
docusate sodium, acetaminophen, ibuprofen and other active pharmaceutical ingredients.
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.
41,000 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.
21,600 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ® No
b. Categorical pretreatment standards ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 439.47
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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 29 of 39

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: Slane Hosiery
Mailing Address: PO Box 2486
High Point, NC 27261-2486
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Textile manufacturing.
F.S. 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): Socks
Raw material(s): Yarn, dyes, bleaches, salt, softeners, dying auxiliaries
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.
136,000 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.
10,350 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes 0 No
b. Categorical pretreatment standards 0 Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
N/A
F.B. 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?
0 Yes 0 No If yes,describe each episode.
EPA Form 3510-2ARev.1-99. Replaces EPA forms 7550-6&7550-22. Page 30 of 39
( ) P

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: Slane Hosiery - Fairfield
Mailing Address: PO Box 2486
High Point, NC 27261-2486
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Textile manufacturing
F.S. 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): Socks
Raw material(s): Yarn, dyes, bleaches, salt, softeners, dying auxiliaries
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.
67,000 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.
4,300 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes 0 No
b. Categorical pretreatment standards 0 Yes ® No
If subject to categorical pretreatment standards,which category and subcategory?
N/A
F.B. 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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 31 of 39

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: SYNTEC Seating Solutions, LLC
Mailing Address: 200 Swath more Ave.
High Point, NC 27263
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Manufactures school bus seats which includes powder coating.
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): School bus seats
Raw material(s): Steel, vinyl, foam and powder coat paint
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.
500 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.
1,200 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes 0 No
b. Categorical pretreatment standards ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 433.17
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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 32 of 39

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: Teknor Apex— North Carolina
Mailing Address: PO Box 577
Jamestown, NC 27282
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Manufacturers rigid and flexible PVC plastic into pellets.
F.S. 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): Thermoplastic polymer pellets and custom blends
Raw material(s): PVC resin, stabilizers, plasticizer, fillers and colorants
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.
4,000 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.
1,700 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 ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 414.46
F.B. 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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 33 of 39

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: Thomas Built Buses, Inc.
Mailing Address: PO Box 2450
High Point, NC 27261
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Manufactures school and activity buses which include metal preparation prior to painting.
F.S. 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): School and activity buses
Raw material(s): VOCs, metals, paints, solvents, algaecides, sulfuric acid
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.
12,000 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.
23,600 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ® No
b. Categorical pretreatment standards ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 433.17
F.B. Problems at the Treatment Works Attributed to Waste Discharge by the SW. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 34 of 39

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: Ultra Coatings, Inc.
Mailing Address: PO Box 57
High Point, NC 27261
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Powder Coat Painting
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): Nothing is produced (job shop); powder coating service
Raw material(s): Atlantic clean 7290, Atlantic Coat 5580, Atlantic seal 3033 and defoamer
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.
9,000 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.
500 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 ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 433.17
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?
0 Yes ® No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 35 of 39

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: Zebra Environmental Services, Inc.
Mailing Address: PO Box 357
High Point, NC 27261
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Industrial Services contractor; recovered contaminated groundwater
F.S. 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): Nothing produced; IU treats recovered contaminated groundwater or composts it for disposal.
Raw material(s): N/A
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.
5,000 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.
700 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ® No
b. Categorical pretreatment standards ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 437.26
F.B. 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?
0 Yes El No If yes,describe each episode.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 36 of 39

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):
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?
X Yes(complete F.13 through F.15.) 0 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).
Petroleum-impacted groundwater remediation at Speedway#6954,801 W.Fairfield Rd,High Point,NC(Non-SIU/locally permitted). Operations
began May 9,2018.
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.)
Lead,BETX,MTBE,DIPE,Naphthalene,C5-C8 Aliphatics,C9-C22 Aromatics&Aliphatics.
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
X Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
Dual phase extraction:equalization tank,oil/water separator,and air stripping. Treatment system approved by NCDENR.
b. Is the discharge(or will the discharge be)continuous or intermittent?
❑ Continuous X Intermittent If intermittent,describe discharge schedule.
Mobile remediation equipment will operate in alternating 3-month periods. Discharge is in batches,maximum discharge expected is 3,000
qpd.
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 37 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside VVV TP, NC0024210 Renewal Cape Fear
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)
Count (State)
Y) ( )
(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 0 CSO pollutant concentrations ❑ CSO frequency
❑ CSO flow volume 0 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 (0 actual or 0 approx.)
b. Give the average duration per CSO event.
hours (0 actual or 0 approx.)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 38 of 39

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Eastside WWTP, NC0024210 Renewal Cape Fear
c. Give the average volume per CSO event.
million gallons(0 actual or 0 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 39 of 39

Additional information:
Attachments Table of Contents
Attachment 1 Topographical Maps
Attachment 2 Process Flow Diagrams
Attachment 3 Plant Description &
Sludge Management Plan
Attachment 4 Toxicity Results
NPDES FORM 2A Additional Information

Attachment 1 —Topographical Maps
NPDES FORM 2A Additional Information

CITY OF HIGH POINT
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NPDES FORM 2A Additional Information
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NPDES FORM 2A Additional Information

Attachment 2 — Process Flow Diagrams
NPDES FORM 2A Additional Information

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Attachment 3 — Plant Description & Sludge Management Plan
NPDES FORM 2A Additional Information

DESCRIPTION OF PLANT FACILITIES
City of High Point, Eastside WWTP
NPDES Permit # NC 0024210
The Eastside WWTP provides tertiary treatment of the wastewater using the activated sludge
process followed by effluent filters. The activated sludge process operates in the biological nutrient
removal (BNR) mode to provide nitrogen and phosphorous reduction to meet stringent requirements
for discharge of effluent to Randleman Lake. Following the activated sludge stage, additional solids
and organic material are removed by effluent filters. The effluent is then disinfected by ultraviolet
light prior to discharge. Waste activated sludge is thickened by dissolved air flotation (DAF)
thickening. Primary sludge can be thickened in two fermentation tanks or sent directly to two sludge
blending tanks for blending with waste activated sludge prior to dewatering, incineration and
disposal of incinerator ash in compost material or in brick manufacturing.
Raw wastewater enters the plant through a junction box, from which the flow is fed to the
Preliminary Treatment Facilities through a 66-inch diameter line. From the Preliminary Treatment
Facilities, the wastewater flows through the entire treatment plant by gravity. The bar screens at the
Preliminary Treatment Facilities consist of three mechanically-cleaned screens and one manually-
cleaned screen for backup. The screens remove rags, sticks, and other large objects to prevent
clogging and interference with operation of downstream pumps and other process equipment.
From the bar screens, the wastewater flows through two channels to the grit collectors. Two stirred
vortex grit collectors operate in parallel for removal of sand and other heavy inorganic particles. Grit
removal is provided to reduce abrasion on downstream equipment and minimize reductions in
process efficiency due to accumulation of inorganic material in process units. Grit cyclones and grit
classifiers are provided to remove organic material from the settled grit. The grit is then deposited
in a dumpster for ultimate disposal in a landfill.
Five primary clarifiers are provided and are designed to remove a portion of the influent BOD5 and
suspended solids to reduce the organic loading on the biological nutrient removal activated sludge
system. Sludge collectors in each clarifier move the settled solids to a hopper, from which it is
removed and pumped to the fermentation tanks or the sludge blending tanks. The fermentation
tanks are used to break down the primary sludge to produce a fermentation liquor with volatile fatty
acids for the BNR activated sludge process. After fermentation, the primary sludge is pumped to
the sludge blending tanks. Floating material, or scum, is also removed in the primary clarifiers.
Scum pumps are provided to pump the scum into the discharge line for the primary sludge pumps
for treatment with the primary sludge.
After primary settling, the wastewater flows to the activated sludge stage. The primary effluent can
also be directed to the flow equalization facilities, which consist of flow equalization basin, two
aerated equalization basins and two equalization/sludge storage tanks. The flow equalization
facilities can be used to reduce peak flows to the biological treatment facilities during wet weather
conditions and to reduce the effects of diurnal flows.
The BNR activated sludge stage consists of the anaerobic/anoxic/aeration (AAA) tanks, the nitrified
recycle (NRCY) pumps, the final clarifiers, and the return activated sludge (RAS) pump stations.
Primary effluent first enters the AAA tanks, where biological activity takes place under anaerobic,
anoxic (mixed only), and aerated conditions for phosphorus removal; removal of BOD5; complete
nitrification; and denitrification. Four AAA tanks are normally in service at all times. The aerated
portions of the four tanks are aerated by a fine bubble diffused air aeration system. The anaerobic
NPDES FORM 2A Additional Information

and anoxic zones in the AAA are mixed by vertical mixers, which provide mixing without adding
oxygen to the mixed liquor. Mixed liquor recycle is provided by nitrified recycle pumps, which pump
mixed liquor from the end of the aerobic, or nitrification, zone to the head of the first anoxic zone.
The AAA tank effluent, or mixed liquor, is equally distributed to the four final clarifiers. In the final
clarifiers, the activated sludge is settled out for return to the AAA tanks. The clear liquid above the
settling sludge overflows the effluent weirs and flows to the effluent filters. The settled sludge is
removed from the clarifiers through suction-type sludge collectors and flows to two RAS pump
stations, from which the return sludge is pumped to the AAA tanks. The two RAS pump stations
discharge to the anaerobic zone distribution channel and the RAS is distributed equally among the
operation AAA tanks.
Excess sludge is removed from the BNR activated sludge system by the RAS pumps. From the
RAS pump stations, the waste activated sludge is pumped to the solids handling facility for solids
treatment and ultimate disposal.
The final clarifier effluent flows to six effluent filters for removal of fine solids not removed in the final
clarifiers. Two of the effluent filters are deep bed-type filters, containing approximately 48 inches of
sand supported by 12 inches of filter gravel. The other four filters are dual media-type filters. Filter
effluent flows through the underdrain system to the ultraviolet (UV) disinfection facilities. Backwash
water for the filters is taken from the Wash Water Storage Tank next to the Primary Clarifier #5 and
after backwashing, is collected in the wash water recovery basins for return to the head of the plant.
Facilities are provided to bypass a portion of the secondary effluent when wastewater flows exceed
the capacity of the effluent filters.
Ultraviolet light is used for both filter effluent and filter bypass water disinfection. Three ultraviolet
disinfection channels are provided with each channel containing two banks of UV lamps. Effluent
from the ultraviolet disinfection facilities flows through three effluent Parshall Flumes for flow
measurement and then flows to an Effluent Pump Station. The effluent is pumped to Groometown
Road where it flows down a Cascade Aerator and into the channel of the Deep River in the
Randleman Reservoir.
Solids handling facilities consist of three dissolved air flotation (DAF) thickeners, two sludge
blending tanks, two centrifuges, a fluidized bed incinerator, and ash lagoon for ash storage and
associated pumps and process equipment. Primary sludge is normally pumped to the sludge
blending tanks but can be pumped to the fermentation tanks if additional food source is needed for
BNR purposes. Waste Activated Sludge and Primary sludge are mixed in the sludge blending tanks
from which the mixed sludge is pumped to the centrifuges for dewatering. After dewatering, the
dewatered sludge is pumped to the incinerator and the ash is pumped as a slurry to the ash lagoons
and then disposed of by adding to compost at the City landfill or it is transported to a brick
manufacturing facility and used to make brick.
An Odor Control System consisting of a two stage wet scrubber process was added in 2008. A
30,000 SCFM fan pulls the gases from the sludge storage tanks and the dewatering building
through the two stage scrubbers where hydrogen sulfide odors are removed.
Three 2000 kW diesel-driven generators provide standby power. Two diesel-fuel storage tanks of
10,000 gallons each provide fuel for the generators. The generators are sized to provide full power
to the plant.
NPDES FORM 2A Additional Information

SLUDGE MANAGEMENT PLAN
City of High Point
Eastside WWTP
The City of High Point has a Residual Management Division to manage the solids from the Eastside
WWTP, Westside WWTP and the Ward Water Plant. The process of sludge disposal for the
Eastside WWTP is dewatering and incineration.
Solids handling facilities consist of three dissolved air flotation (DAF) thickeners, two sludge
blending tanks, one sludge storage tank, two centrifuges, an incinerator, an ash lagoon for ash
storage and associated pumps and process equipment.
Waste activated sludge is pumped to the DAF units for thickening. The solids content of the WAS is
approximately 1% prior to thickening and about 3.5% after thickening. The thickened sludge is then
pumped to the sludge blending tanks. Thickened primary sludge, approximately 3.5% solids, is also
pumped to the sludge blending tanks. A total of approximately 50,000 — 100,000 gallons per day of
WAS and primary sludge is pumped to the sludge blending tanks.
The sludge from the sludge blending tanks will be pumped to the centrifuges for dewatering. The
dewatered sludge, approximately 25% - 27% cake, from the centrifuges is conveyed to incinerator
with the resulting ash going to two ash lagoons. The ash will be removed from the ash lagoons and
dried on the ash drying pad with the ultimate disposal at the City of High Point's composting facility
or it is taken to a brick manufacturer.
If there is a failure of the incinerator or the two centrifuges, sludge can be stored in the sludge
blending tanks and the sludge storage tank for approximately 22 days. If just the incinerator is out
of service, the sludge could continue to be dewatered. Once dewatered, the sludge could be
trucked to a lined landfill or stored until the incinerator is fixed.
If the centrifuge at Westside WWTP is down for several days, liquid sludge may be transported by
tanker on a temporary basis, to the Eastside WWTP and pumped into the sludge blending tanks. It
is then dewatered with the Eastside WWTP solids and incinerated.
Terry L.Houk CITY OF HIGH POINT
BSET Public Services Director
M :
r 211 S Hamilton, Room 2808 High Point, NC 27260
336.883.3218 I fax:[phone]
terry.houk[r�highpointnc.gov
, www.highpointnc.gov/plan
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Please be aware that e-mail and attachments sent to and from this address are subject to the North
Carolina Public Records Law and may be disclosed to third parties.
NPDES FORM 2A Additional Information

Attachment 4 Toxicity Results
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/16/18
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: 01 County: Guilford
Laborat. y P- ing Test: Central Laboratory Services -
X ilk , Comments: UV Disenfection being
� , tt ' ■
Si.'-cure o l -rato in 'esponsi. - . .— used
X %`!� ab&rre'rfetmart Manager
_,"gnature o L-.oratory upervisor * PASSED: 7.08% Reduction *
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 2.255
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 7.08
% Mortality Avg.Reprod.
# Young Produced 30 29 36 31 29 28 32 29 31 32 30 30
0.00 30.58
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 28.42
Treatment 2 Treatment 2
Effluent %: 90%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.895% PASS FAIL
# Young Produced 31 26 30 26 27 27 25 29 34 27 29 30 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 04/11/08
Control 7,153 5c1 5;4 4-,CO W: ,":1-.(0.3 Collection (Start) Date
Sample 1: Of' /1$ Sample 2: <04/11 / i ,
Treatment 2 -4,41 q'yy) 1 !.r.. ') ) q. -a, 1.-y9 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e 9 I S S
a n a n a n Sample 1 C 15.hrs L A A
r d r d r d U M M
t t t Sample 2 )l i hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 4
control ('3a 8113 �cg $a,) $C>a aD1 •
Treatment 2 `}`I 420a W-. 4:, V3O O to3 ^Di3 Spec. Gond. (}cmhos) l', /-',2% rj�)�s ��cl g
t Chlorine(mg/1) 'NIP) u1Z1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 3, 0 J,45
(Mortality expressed as %, combining replicates) i
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality -
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit _
% -- % Spearman Karber -- Other High
' Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 02/08/18
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: 01 County: Guilford
Laborator Pe formi,. Tes Centr-1 Laboratory Services
Comments: UV Disenfection being
X ... ,e,,,S .,.-t• e o •pera"or in Re-.47 .. r,r,. .i-'gk •�t used
_ 1 4
X ��ir` .-� I k -d,,v. .•,a V n
ignature o' La.oratory upervi' . - "" " ' ' * PASSED: 4.40% Reduction *
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 1.372
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 4.40
% Mortality Avg.Reprod.
# Young Produced 28 33 31 30 33 32 34 29 26 30 29 29
0.00 30.33
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 29.00
Treatment 2 Treatment 2
Effluent %: 90%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
7.742% PASS FAIL
# Young Produced 33 27 28 27 31 28 27 26 33 28 29 31 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 01/24/18
Control 7.58 7.94 7.56 7.56 7.57 7.65 Collection (Start) Date
Sample 1: 01/22/18 Sample 2: 01/24/18
Treatment 2 8.12 7.56 8.22 7.51 8.20 8.28 Sample Type/Duration 2nd
- 1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.5 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
A.O. -- Hardness(mg/l) 48
Control 7.57 7.86 7.46 7.75 7.69 7.88
-
Spec. Cond. (µmhos) 117 710.2 792.9
Treatment 2 8.24 8.01 8.23 8.01 8.06 8.41
Chlorine(mg/1) na na
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 2.0 1.0
(Mortality expressed as %, combining replicates)
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit
& -- % Spearman Karber Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 11/21/17
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: MI County: Guilford
Laboraj ry erforming Te : Central Laboratory Services
Comments: UV Disenfection being
X • Gtr rs--c .i _
S:.natlure of Operator in Res sib e, Charge used
X ,/��.� _
r gnature of La.o - . + Supery sor * PASSED: 10.36% Reduction *
Environmental Sciences Branch
MAIL ORIGINAL TO: Div, of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 4.247
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 10.36
% Mortality Avg.Reprod.
# Young Produced 33 34 31 32 32 35 33 33 32 31 28 32
0.00 32.17
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 28.83
5
11 -‘`,- ,,e-, Treatment 2 Treatment 2
Effluent %: _s&%'
x.
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 ii 12 Control CV
5.439% PASS FAIL
# Young Produced 28 29 29 27 30 31 32 26 26 32 28 28 % control orgs X
. producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 10/18/17
Control 7.39 7.69 7.35 7.57 8.09 7.65 Collection (Start) Date
Sample 1: 10/16/17 Sample 2: 10/18/17
Treatment 2 7.56 7.86 7.47 7.79 7.66 7.67 Sample Type/Duration 2nd 1
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.1 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 50
Control 8.82 8.49 8.62 8.43 8.69 8.39
Spec. Cond. (µmhos) 117 721.4 824.7
Treatment 2 8.72 8.36 8.71 8.34 8.95 8.29
Chlorine(mg/1) NA NA
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 1.9 2.7
(Mortality expressed as %, combining replicates) i
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average - Probit _ I
% -- % Spearman Karber Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-i (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 08/02/17
Facility: HIGH POINT - EAST NPDES#: NC0024210 Pipe#: _f County: GUILFORD
Laboratory rforming Te : ME ITECH LABS, INC. d'L
Comments:
X
gna UT(g.6gi Oper or in Resp sible Charge
X •
gnature o Laboratory Supervisor * PASSED: 14.52% Reduction
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: 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 = 3.299
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 14.52
% Mortality Avg.Reprod.
# Young Produced 28 27 23 27 28 21 23 28 27 25 28 25
0.00 25.83
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
8.33 22.08
Treatment 2 Treatment 2
Effluent %: 85%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
9.3131 PASS FAIL
# Young Produced 14 26 22 23 23 19 21 25 22 24 23 23 % control orgs X 1
producing 3rd
brood Check One
Adult (L)ive (D)ead D L L L L L L L L L L L 100%
let sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 07/26/17
Control 8.11 8.02 8.13 8.11 8.02 8.01 Collection (Start) Date
Sample 1: 07/24/17 Sample 2: 07/26/17
Treatment 2 7.62 8.19 7.66 8.20 7.71 8.10 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.0 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample ...«"".
D.O. Hardness(mg/i) 46
Control 8.02 7.68 7.81 7.71 7.80 7.51
Spec. Cond. (pmhos) 163 696 820
Treatment 2 8.31 7.79 8.37 7.72 8.33 7.46 rhlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(0C) 1.1 2.1
(Mortality expressed as %, combining replicates) I
Note: Please
% % 1 % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality -
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit -
% -- % Spearman Barber __ Other __ High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
NPDES FORM 2A Additional Information

Meritech, Inc. ,�
P.--)1',-14—
Z.-.--76 -1.- Minl Chronic Pa s/Fail Test; Cenodaphnla dubia Incubator#:
Client: /-/ *�i ) ni' — � Pipe#: (,,e)/ County: (i.;i,•( ...)f-- Date Start: 7, --( 7 Date End: -1
NPDES#:I C(}0: 1- (() Date 1 Time of Culture Transfer:`77-e .- 1 7/ /r) '--/j,1 A,, Time Start: //1,0Z-1/61"v1 Time End: ,44\
Dilution Water: Lake Brandt Date/Time Neonates born: j, I?: f/d - C,-�//'i ,r,1 st Renewal Date: 7. 2-gr- /'7 Time: /6:L//)A M
Test Organism Source: Tray# : Age ofeonates at Test Start:'.7 , hours 2nd Renewal Date: '7•i :V )7 Time: :4 61/4.MStirred/Aerated for D.O.:Y/© Randomized:Y/N Culture Tray Temp:'7-S L °C Analyst(s): MR,CD,LV,ss Reviewed by: _____ _
Control Organism Reproduction Collection (Start) Dates:
Day#2 1 2 3 4 5 6 7 8 9 10 11 12 7')4-1p'. 7
#Young Produced 0 0 0 0 0 0 0 0 0 0 0 0 Sample 1: 7—oy-\ \1 Sample 2: 7-2-l°'"L
Adults Live/Dead r_- i._ L L. L. t_ +` L Sample Information
Day#5 1 2 3 4 5 6 7 8 9 10 11 1 100% pH G/C? Duration
Ilia#Young Produced I `4/1) l//� .CA( CA/ ci�(,'�
' ' /41j Vi ��j t 1 � ) % s ( Sample 1 'i c'(.) L ,9_`1,0 hours
Adults Live/Dead \----- L_ L It_.._ i,_ I_ 'L f / 1,___. r-- '(--- Sample 2 ''j 5(:. C, 2--'\ hours
Day#7 1 2 3 4 5 6 7 8 9 10 11 12 Transferred by: Fed by:
#YoungProduced / C. Batch# --�j Sample Sample 2
1 ).3 61 t fa, j /0 / .?} i l TD /,?--1) o2- �' Day 0 iv,�� �J✓
Adults Live/Dead — L t._.- f'--- L._ 1..._ t____ 1. L- — 1 L Transfer Day 0 2 5 4040444" "',, ,. Day 1 C12
Hardness( g �� _ „. �] f�.;ig P5 ,u Da 2
Total Produced II - t` a'
�� � ,�3 .�,�f�� .Z( �� r%�7 �.7 r3-� s e.coed. q Day 3 ��
(uumhos/cm) »'r )1 "' L9 l6 f W Day 4
Percent of Control producing third brood: /D62`)/0aFa x
Chlorine ��,.'�9 yp�7,�wt� ,,"1g4� 4�y" , Day5 1' L tr
(mg/f_) . Ic5'.13,1"Ai�ig",ive. i,ii ,q'd' L'0 \ L D`�
Test Sample Organism Reproduction ��ti' q' Day6
Re cat pt Semple a h� *it rt �"'Y Vii.
%: gr; Temp(C) ; r 1�x 1 X4 � ?'t,t. !: \'1 - Terminated by: (VI--
Effluent Day#2 1 2 3 4 5 6 7 8 9 10 11 12 pH , 1st Samplers (�2nd Sample (,2nd Sample
#Young Produced 0 0 0 0 0 0 0 0 0 0 0 0 Control l g U r1 . {)3 ti{ +?O ' S)-!(')y
Adults Live/Dead C-- U t� (_ r✓ (-- L t._- 1.. 1_._- L q._. p�1 �^ 0
Day#5
y 2, 3 4, 5 6 7 8 9 1 1 12 Sample �' O I lf�iCJ 0, ) ► () E
iniUe final intlial final initial final
#Young Produced t / 1? i '-f / 70 .J�' ij b Y/�f 7/1 � �`� / 7 JC 1� D.O. 1st Sample 2nd Sample 2nd Sample E
Adults Live/Dead L_ L_ /t_ i t_. L L— / ).- relControl $$%r} - .9 fl c
Day#7_ 1 2 3 4 5 6 7 8 9 10 11 12 -3?-1 NMI
g
,,,
#-Young Produced 0 i 0 q /0 7 '7 i j ? 1j 6 D Sample 9;31 9• 3"3-7/?9, g7:3" M ti) -fo
Adults Live/Dead 1_.
f L L. L— L_. L. ) L L I� I l t nitlaf nal initial -is final in e na Q
- Temp. 1st Sample 2nd Sample 2nd Sample N
Total Produced U \0/ i ay ( 1 73/ Control att,5 y � b,� �� .i22O
u ` wComments: Sample - �� �y2•y, 24 ��.a 3576
,nil al Mai Initial final initial ' final a.
Z

INC. �j ! 1
MERITECH, NCMeritech Sample ID#: 0 f )' 1-6v
Bioassay Sample Chain of Custody
642 Tamco Rd,Reidsville NC 27320
Phone: [phone] Fax:[phone]
Toxicity Supervisor email: [e-mail] Web Site: www.meritech-labs.com
CLIENT INFORMATION
Client e 1_k-',„ i )4,t.,-, -pC�l'C' PO#:
Contact Person: �Z w,-' ,,=..1,O�Y'WY NPDES#: NC ` C:.a 4 a 0
Address: toff) 1-...) -, pin„1.‘c.-4--a' S-�, - Phone:' - c�l c` ,- L-V-+'-3
City: IA U.l-'., 'r ^rs-).' Pipe#: c)C)O,
County: .7.2l 1-Rc d-- State: t.sk C- zp: '` -'D.�e•D
SAMPLE INFORMATION
Sample Site: •tr� —1..u-'j..-7 - \\,._c-„,„-\--
.,,
Sample Type: ❑Grab XI Composite #of containers: ."`�
Sampling Time: Start Date: �( 7 !�[ Start Time: O� AM PM
End Date: 7-'/2 5/1. - End Time:!.1;3 .;'PM
*"Triple rinse sample container with sample before filling.Completely fill the sample container with no air space.
Pack the sample cooler completely in ice.The sample must be<6.0°C upon receip the laboratory***
Collector's Name: Print: [Ilia( j}(?(fP� Signature: . 't2 1
TOXICITY TEST INFORMATION
Test Required: lYi Chronic(7 days) Test Organism: 'Ceriodaphnia dubia (water flea)
❑Acute(24-48 hours) ❑ Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
IVVG: S % Test Concentrations(if multiple dilutions):
Comments:
'{{ /8,,,4114.1...--SHIPPING INFORMATION
Relinquished by'.ufetl HO(/�',1 fesate: -f/2/)7' Time: 0 MO ,A} PM
Received b am m.t_./\a- Date: CS-4-'3-S] Time: '( t 1-- (AM PM
Relinquished by: `r'� 'V '--•) ............. ,0-...s.a.� Date: 0.4 I'4' Time: C�r7 a.5 Q PM
�� �r PM
Received by: „.,.....-__..--2_ Date: - lime: .-9
Relinquished by Date: 7 �`/r/3 Time:
t7 ` AM tilip
i
Received by. Date: Time: AM P
Relinquished by Date: Time: AM PM
Received by: Date: lime: AM PM
Sample Temperature(°C):
Method of Shipment❑ UPS ❑ Fed EX k'Meritech Pick-up n Delivered ❑ Other
Samples shipped on Friday must be FedEx and must be dearly labeled for Saturday delivery,NO SIGNATURE REQUIRED'.'
SAMPLE RECEIVING(Laboratory Use Only)
Relinquished by /L.-2.--Th- i
Received b G / Date: ,,,,5-„,-,....) 2-- Time: , L/ AM '�M
//
•Sample Temperatures(°C): 74 i ti 1 / 1 r Sample Condition: CC C)
WHITE=Laboratory copy YELLOW=Client copy -411111111
NPDES FORM 2A Additional Information

MERITECH, INC. Meritech Sample ID#: -)"
Bioassay Sample Chain of Custody
642 Tamco Rd,Reidsville NC 27320
Phone: [phone] Fax:[phone]
Toxicity Supervisor email: [e-mail] Web Site: www.meritech-labs.com
CLIENT INFORMATION
Client: C:r L-) o c -)4,,,,•\--,
�Rc -,-4 PO#:
NPDES#: NC ��al0_
Contact Person: ��,..�r� Y�(10)��
Address: )". ..-1 -\--) �,e,nA1,40-....4Th - Phone:3 �0 `3---4 0.,
City: 4-t ---- ;--\"iTh - Pipe#: )�"
County: G�-, 'c..--r State: N G Zip: .-a,
SAMPLE INFORMATION
Sample Site: - 111��1 Sl - ' 3I.A) 1 - 9-env,
Sample Type: ❑Grab rSComposite #of containers:
Sampling Time: Start Date: 1 \Zte\11 Start Time: (:) 2(5 PM
End Date: ,\Z1 \ k 1 End Time: c3 $(" AM • PM
*i'Triple rinse sample container with sample before filling.Completely fill the sample container with no air space.
Pack the sample cooler completely in ice.The sample must be<6.0°C upon recei*tat the laboratory***
Collector's Name: Print. S\nC.{tz �a.['w`J \-. Signature: A'
TOXICITY TEST INFORMATION
Test Required: Igi Chronic(7 days) Test Organism: JfCeriodaphnia dubia (water flea)
❑Acute(24-48 hours) ❑ Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
IWC: 8 % Test Concentrations(if multiple dilutions): _
Comments:
SHIPPING INFORMATION 1
Relinquished by:' — — — Date: '1\ 2:1 ` kl Time: 675AS AM PM
Received _." t - Date: (1-7;--)-) ) 7 lime: 081-1(0 0 PM
Relinquished b i. Date: 71271(7 lime: 1 2-4 1 AM PM
Received by:Ace Al(t 0.)014,0 try Date: 7(2`? I ) 7 lime: /2_'4/ AM PM
Relinquished by:/16--(
nnL��•------__ Date: 7/L7/f/ Time: 1[eg AM PM
Received by. Date: Time: AM PM
Relinquished by: Date: Time: AM PM
Received by: Date: Time: AM PM
Sample Temperature(°C):
Method of Shipment UPS ❑ Fed EX ❑ Meritech Pick-up ❑Delivered ❑ Other
"Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery,NO SIGNATURE REQUIRED"
SAMPLE RECEIVING(Laboratory Use Only)
A -diff
Relinquished by: fr" .rele' rev,-- kJ/ V-- - /
i i
i j
'1
5 57
Received by: / Date: a r>R lime: 4-V-a - -AM •.
Sample Temperatures(°C): v'+ I / e� I / Sample Condition:
11111111110- WHITE=Laboratory copy YELLOW=Client copy -
NPDES FORM 2A Additional Information

Effluent Toxicity Statistical Results - Chronic Pass/Fail Date: 08/02/17
Facility: HIGH POINT - EAST NPDES#: NC0024210 Pipe#: 001 County:GUILFORD
Laboratory Performing Test: MERITECH LABS, INC.
Reduction: 14.52% CONTROL 85% Effluent •
# Replicates 12 12
Female Live 12 11
Adult Male 0 0
Adult Dead 0 1
Adult Mortality 0.000 8.33%
# Neonates 310 265
Mean # Neonates 25.833 22.083
Standard Deviation 2.406 3.118
Coefficient of Variation 9.313%
Fisher's Exact Test
A = 12 B = 12 a = 12 b = 11
a/A = 1.00 b/B = 0.92
Success is: survival
Critical b value = 8
11 > 8
The test concludes that the proportion of survival is not
significantly different for the control and the effluent groups.
Test Passes!
SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA
ORDERED OBSERVATIONS
i Group Neonates Centered i Group Neonates Centered
1 E 14 -8.0833 13 E 23 0.9167
2 C 21 -4.8333 14 E 23 0.9167
3 E 19 -3.0833 15 C 27 1.1667
4 C 23 -2.8333 16 C 27 1.1667
5 C 23 -2.8333 17 C 27 1.1667
6 E 21 -1.0833 18 E 24 1.9167
7 C 25 -0.8333 19 C 28 2.1667
8 C 25 -0.8333 20 C 28 2.1667
9 E 22 -0.0833 21 C 28 2.1667
10 S 22 -0.0833 22 C 28 2.1667
11 E 23 0.9167 23 E 25 2.9167
12 E 23 0.9167 24 E 26 3.9167
NPDES FORM 2A Additional Information

SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.)
COEFFICIENTS AND DIFFERENCES
i x(n-i-1) x(i) a(i) x(n-i-1) - x(i)
1 3.9167 -8.0833 0.4493 12.0000
2 2.9167 -4.8333 0.3098 7.7500
3 2.1667 -3.0833 0.2554 5.2500
4 2.1667 -2.8333 0.2145 5.0000
5 2.1667 -2.8333 0.1807 5.0000
6 2.1667 -1.0833 0.1512 3.2500
7 1.9167 -0.8333 0.1245 2.7500
8 1.1667 -0.8333 0.0997 2.0000
9 1.1667 -0.0833 0.0764 1.2500
10 1.1667 -0.0833 0.0539 1.2500
11 0.9167 0.9167 0.0321 0.0000
12 0.9167 0.9167 0.0107 0.0000
1
W = X 151.4241
170.5833
Calculated W = 0.888 Critical W = 0.884
0.888 a 0.884
The reproduction data is normally distributed
evaluated at a 99% confidence interval.
Test Passes!
F test for Homogeneity of Variance
Effluent variance 9.7197
F = _ = 1.68
Control variance 5.7879
Numerator degrees of freedom: it Denominator degrees of freedom: 11
Critical F = 5_32
1.68 s 5.32 =► The Test PASSES, the variances of the two groups
are significantly the same, homogeneous.
NPDES FORM 2A Additional Information

EQUAL VARIANCE t TEST
25.8 - 22.1
t = = 3.299
1.137
Degrees of freedom = 22
Critical t = 2.508
3.299 z 2.508
Test fails. There is a significant difference in reproduction
between the Control and the effluent evaluated at a 99% confidence interval.
Chronic Test PASSES
The reduction was less then 20%
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/24/17
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: 01 County: Guilford
Laboratory rfor ' T :/ ntral7�aboratory Services
Comments: UV Disinfection being
X ix n � -.mF�� -
S' a r€ of Operator in Res .nsible Charge used
X ignature •• -l.oratory Supervisor ~'s * PASSED: 7.22% Reduction *
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 2.596
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction 7.22
% Mortality Avg.Reprod.
# Young Produced 30 37 35 30 35 30 36 30 33 33 29 30
0.00 32.33
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 30.00
Treatment 2 Treatment 2
Effluent %: 80%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
8.781% PASS FAIL
# Young Produced 29 31 30 28 30 32 29 29 29 31 30 32 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 04/19/17
Control 7.60 7.50 7.42 7.40 7.46 7.60 Collection (Start) Date
Sample 1: 04/17/17 Sample 2: 04/19/17
Treatment 2 7.51 7.75 7.50 7.76 7.66 7.67 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.1 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 50
Control 8.84 8.06 8.36 8.90 8.69 8.58
Spec. Cond. (pcmhos) 113 623.7 760.7
Treatment 2 8.73 8.13 8.47 8.84 8.94 8.90
Chlorine(mg/1)
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 5.9 2.8
(Mortality expressed as %, combining replicates) i
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average _ Probit
% -- % Spearman Karber Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Toxicity Statistical Results - Chronic Pass/Fail Date: 05/24/17
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: 01 County:Guilford
Laboratory Performing Test: Central Laboratory Services
Reduction: 7.22% CONTROL 90% Effluent
# Replicates 12 12
Female Live 12 12
Adult Male 0 0
Adult Dead 0 0
Adult Mortality 0.00% 0.00%
# Neonates 388 360
Mean # Neonates 32.333 30.000
Standard Deviation 2.839 1.279
Coefficient of Variation 8.781%
Fisher's Exact Test
A = 12 B = 12 a = 12 b = 12
a/A = 1.00 b/B = 1.00
Success is: survival
Critical b value = 8
12 > 8
The test concludes that the proportion of survival is not
significantly different for the control and the effluent groups.
Test Passes!
SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA
ORDERED OBSERVATIONS
i Group Neonates Centered i Group Neonates Centered
1 C 29 -3.3333 13 E 30 0.0000
2 C 30 -2.3333 14 E 30 0.0000
3 C 30 -2.3333 15 C 33 0.6667
4 C 30 -2.3333 16 C 33 0.6667
5 C 30 -2.3333 17 E 31 1.0000
6 C 30 -2.3333 18 E 31 1.0000
7 E 28 -2.0000 19 E 32 2.0000
8 E 29 -1.0000 20 E 32 2.0000
9 E 29 -1.0000 21 C 35 2.6667
10 E 29 -1.0000 22 C 35 2.6667
11 E 29 -1.0000 23 C 36 3.6667
12 E 30 0.0000 24 C 37 4.6667
NPDES FORM 2A Additional Information

SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.)
COEFFICIENTS AND DIFFERENCES
i x(n-i-1) x(i) a(i) x(n-i-1) - x(i)
1 4.6667 -3.3333 0.4493 8.0000
2 3.6667 -2.3333 0.3098 6.0000
3 2.6667 -2.3333 0.2554 5.0000
4 2.6667 -2.3333 0.2145 5.0000
5 2.0000 -2.3333 . 0.1807 4.3333
6 2.0000 -2.3333 0.1512 4.3333
7 1.0000 -2.0000 0.1245 3.0000
8 1.0000 -1.0000 0.0997 2.0000
9 0.6667 -1.0000 0.0764 1.6667
10 0.6667 -1.0000 0.0539 1.6667
11 0.0000 -1.0000 0.0321 1.0000
12 0.0000 0.0000 0.0107 0.0000
1
W = X 101.2658
106.6667
Calculated W = 0.949 Critical W = 0.884
0.949 a 0.884
The reproduction data is normally distributed
evaluated at a 99% confidence interval.
i
Test Passes!
F test for Homogeneity of Variance
.
Control variance 8.0606
F = _ ---- = 4.93
Effluent variance 1.6364
Numerator degrees of freedom: 11 Denominator degrees of freedom: 11
Critical F = 5.32
4.93 s 5.32 =► The Test PASSES, the variances of the two groups
are significantly the same, homogeneous.
NPDES FORM 2A Additional Information

EQUAL VARIANCE t TEST
32.3 - 30.0
t = = 2.596
0.899
Degrees of freedom = 22
Critical t = 2.508
2.596 a 2.508
Test fails. There is a significant difference in reproduction
between the Control and the effluent evaluated at a 99% confidence interval.
Chronic Test PASSES
The reduction was less then 20%
}
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 02/24/17
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: 01 County: Guilford
Laboratory erforming Te t: Centra Laboratory Services
Comments: UV Disenfection being
S gna r`e-of Operator in R ponsible Charge used
Sigria re yyf`Laboratory Sup"sv'
risor-- * PASSED: 8.56% Reduction *
/ Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t =
Tabular t =
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 8.56
% Mortality Avg.Reprod.
# Young Produced 33 37 37 32 28 28 30 27 28 27 27 28
0.00 30.17
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 27.58
Effluent %: ,51/.. 04 Treatment 2 Treatment 2
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
12.390% PASS FAIL
# Young Produced 25 33 25 33 26 35 27 26 24 25 22 28 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 01/18/17
Control 7.87 7.71 7.36 7.58 7.62 7.55 Collection (Start) Date
Sample 1: 01/16/17 Sample 2: 01/18/17
Treatment 2 7.58 7.92 7.60 7.97 7.83 7.82 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.0 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 23.3 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 48
Control 8.01 7.85 8.65 6.85 7.50 8.28
Spec. Cond. (pmhos) 115 696.6 804.8
Treatment 2 8.35 7.55 8.40 7.50 7.61 8.39
Chlorine(mg/1)
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 1.4 1.7
(Mortality expressed as %, combining replicates) i
Note: Please
% % % % % "% % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit
% -- % Spearman Karber Other - High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
.
1
NPDES FORM 2A Additional Information

Effluent Aquatic Toxicity Report Form/Phase II Chronic Ceriodaphnia
J
Facility' }•1�e- Wl-AD II l NPDES#: NCooC.-4-}_?\c) Pipe#CSJ ,County LOP;r A
Laborato Performing est C)-1-1 of 141 Nr, -P l�A- Comments \..T J 's"--3:{N�. P,--\.:, o--,-,
/Signature of O.R.C. / Signatureibf Lab Supervisor
Test Start Date End Date Start Time End Time
Sample Information lIIMER Control Information* Ol/3' l4.ol/t/i. , j�'3 a ‘o:a.v
Collection Start Date Q\0311 oleo-111- Start Renewl Renew2 Start Renewl Renew2
Grab Treatment )o o% 1 00% i©0�Control Control Control
Composite i/oMIA3 11 pH Int nal '4:149-°`1 .3 .5 '1
`1 56 'i 9%
(Duration} 'f+
pH Final -i.c, �5 o� Szi d '4_83
..
Hardness(mg/I Li c6 QM y as '-'1.4. Ti� g� �4
Spec.Cond.(pmhos/c 4t, c') Sa)_G, 1\to � i'�D.O. Initial `t�. _ .
1"1.,%. N) is' 15 gal --1o '"4
Chlorine(mg/l N 1,1 A _ v
'J�, Temp. Initial X9,1 ai-4� x.1-}7, %.1--) �1_l,o .L\ 1
Sample temp_at receipt L)•-4- °C l .(c "C Temp.Final 0,s -i ,a4 •)L 3y,1 k.1.5 ay?
Orqanism# Chronic Test Results
1 2 3 4 5 6 7 8 9 10 11 12 Mean Final Control Mortality% 0
Control #Young . 5 33 '. 5 34 3:1- 3.1 3a.D.,g '.x3 34 X V; %Control 3rd Brood IOQ
X Control Repro CV
Adult
48 Hour Mortality i
(L)ive (D)ead L LLL LL- L- 1— L
Control IWC
1 2 3 4 5 6 7 8 9 10 11 12 Mean
of of
Effluent% #Young g 3(0 a'o 31 3.q., 3 3, 31 3''-1 .aLl X aisSignificant? Y N
Adult L L L L L L L L L \/ ,( Red' Final Mortality ' i tc
r✓� (L)ive (D)ead L X 5t
or No Conc.
1 2 3 4 5 6 7 8 9 10
Effluent% #Young
ac)
a 3a as a a} a0 ..4 �(o�' Reproduction Analysis: 1 %
$ Repro.LOEC=y 100%; NOEL= O�1�'p Adult %Red Method: .1:J�z,� a-}5
7!d (L)ive (D)ead L L L I L L L L 1-- l Normal Distrib? y_s Method:lCalrrlocjon A/
1 2 3 4 5 6 7 8 9 10 mean Statistic:v,�� g Critical:o. g5
' ' Equal Variances? L\es Method?,a-t-tC4-�S
Effluent% #Young :)- �1 a'a ire �o a� a9 3 l 30 ,3 Statistic5,c11 o t f Critical:i S,o5-(3
Adult r vsja
Non-Parametric Analysis(if applicable):
6 0 (L)ive (D)ead Z' LL LI-' L
Method:
1 2 3 4 5 6 7 8 9 10 =', Effluent% Rank Sum Critical Sum
Effluent% #Young `) 3a a 25 -1(... 31 3 a a4- =LZ .%• —T
Adult L t_ L- L L L- L 1_ L L %•Red
(L)ive (D)ead ,..1.
1 2 3 4 5 6 7 8 9 10 Mean
Effluent% Overall Analysis:
#Young ')°t �°I Yg ao 3. �q 3() ")�' a� 3l 5.�� Result=PASS/FAIL or
D
Adult TestLOEC= 51eo %;NOEC=lbs
I6 D (L)ive (D)ead L LL- L L L f-- L L 1— Chronic Value= %
*Should use highest test concentration or
MAIL ATT: Environmental Sciences Branch highest concentration With D.O.>5.0 mg/l
Div.of Water Quality t%Reduction nom Control Reproduction Mean
TO. N.C.DENR
1621 Mail Service Center
Raleigh,N.C.27699-1621 DWQ form AT-3 (8/91)Rev. 11/95
NPDES FORM 2A Additional Information

Effluent Aquatic Toxicity Report Form/Phase II Chronic Ceriodaphnia
Facility +sloe �w�� NPDES#:NC c.34'2)-`1a)O Pipe#c O.County Cc)L-11o'rd.
Laboratory Pe orming Tes '4 u„)r a'. - Comments 1.3'\)
X / _. X ` Us�rl
. .«_ • Iii— " "�►
:ignat e of O.R.C. / Signature of Lab Supervisor
Test Start Date End Date Start Time End Time
Sample Information EIMIMIEM2E1 Control information* 1' . t4.4:7 )0.XLIA c. t-14: tis I )s
Collection Start Date la S-)(, )a - 1 I Start Renewl Renew2 Start Renew!Renew2
Grab Treatment •5% es%ei5°f Control Control Control
CompositepH Initial 1-19 `}51 '3 49 3%9'4
(Duration) $$ 2$
Hardness{mg/I �
pH Final 1_ `c'i_
D.O.Initial �' a�) Sa`j $,16 $04 }�9
Spec.Cond.(pmhos/c cr„ (.„ )' IS,S.
D.O.Final qs $.?) '3-91.
m 1
Chlorine J 1-4
q A
( Temp.Initial a L L).1 �i-I a DL_' ay ) a9-`4
Sample temp.at receip, I,y °C 5;4- °C Temp.Final 31-1.6 ay? 353 aN 53.4-)
Organism# Chronic Test Results
1 2 3 4 5 6 7 8 9 10 _11 12 Mean Final Control Mortality%
Control #Young �g ao a ac„ a4 a a 29 ® %Control 3rd Brood IQO
Adult Control Repro CV 11
(L)ive (D)ead L L L L L. L L. L L 1- C nt oil Hour MortalityIWC
1 . 2 3 4 5 6 7 8 9 10 11 12 Mean 0 of )O 0 of}
Effluent% #Young ag 33 35 ay ; a x y Significant?n N —
Adult L_ L L L L. L L L-. L L \r % Final Mortality Significant
(L)ive (�)ead. n
% or No Conc.
1 2 3 4 5 6 7 8 9 10 Mean
a 3� 3) a Reproduction Analysis:
Effluent/a #Young �� a$ �`� �� a$ a,% a$, Repro.LOEC=>)�)%; NOEC= Io0%
ult Method: wn.cw i4c
4 -a (L)iveAd{D)ead L L L, L L L. L L t- L ® Normal Distn s Method:Kol Oka)
1 2 3 4 5 6 7 8 9 10 Mean Statistic: 5 1 Critical:g 5
Effluent% #Young IP- QC, 3% ay as ' �3 3v 3) Equal Variances? No Critical:
m.,r 163
� Statistic:)8. )6u5 Critical:ts_bg63
Adult
GO (-)ive (D)ead Z L L L L L L U 1-- t_ Zed Non-Parametric Analysis(if applicable):
Method:
1 2 3 4 5 6 7 8 9 10
Effluent% Rank Sum Critical Sum
Effluent% #Young a4 a.3 `as '37 ac1
8 5 (L)ive e ((D)D)ead L, L L L L L L L L L %
1 2 3 4 5 6 7 8 9 10 Mean
Effluent% #Young aN a5 alz;1Overall a as a3 �a a y � Result=Analysis:PASSI7 AIL or
Adult Rea TestLOEC=•> )�%;NOEC= )00%
)ive (D)ead L 1- L L t- L L Z- t" L. Q Chronic Value=
—
'Should use highest test concentration or
MAI L ATT:Environmental Sciences Branch highest concentration with D.O.>5.0 mg/1
Div.of Water Quality t%Reduction from Control Reproduction Mean
TO: N.C.DENR
1621 Mail Service Center
Raleigh,N.C.27699-1621 DWQ form AT-3 (8/91)Rev.11/95
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/22/16
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: 01 County: Guilford
Laborato y P rforming Test: entr 1 Labor ory Services -
I ��u� Comments: UV Disenfection being
X at e of 61 -rator in Respon ble Charge used
X
Sign re .- Labora-• . -- - - ' .r
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t =
Tabular t =
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 94.52
% Mortality Avg.Reprod.
# Young Produced 34 40 33 31 32 27 30 30 0 28 32 30
8.33 28.92
Control Control
Adult (L)ive (D)ead L L L L ,L L L L D L L L
58.33 1.58
° Treatment 2 Treatment 2
Effluent %; 111A �S�'
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
33.511% PASS FAIL
# Young Produced 0 4 4 2 0 0 6 0 1 2 0 0 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead D L L L D D D D L L D D 90%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 11/16/16
Control 7.36 6.53 6.84 7.92 7.61 7.69 Collection (Start) Date
Sample 1: 11/14/16 Sample 2: 11/16/16
Treatment 2 7.34 7.78 7.08 8.22 7.52 7.95 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.0 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 48
Control 8.39 8.51 8.14 7.88 7.86 8.09
Spec. Cond. (µmhos) 109 683.3 831.6 1
Treatment 2 8.20 8.03 8.82 8.48 7.75 8.19
Chlorine(mg/1) na na
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 0.9 2.5
(Mortality expressed as %, combining replicates) -
Note: Please
% % % % % I % % % % Concentration Complete This
Section Also
I % % I I I % I % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average _ Probit
% -- % Spearman Karber Other - High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

,:fluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 08/09/16
.racility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: 01 County: Guilford
Laboratory Performing Test: Central Laboratory Services
qqComments: UV Disenfection being
At,X c _s� 1- ,.....1,---' .s. a /L
Si.•atu/- o •.erat:`i in Responsi. e arge used
X ���:,�_
ignatur o La.orator+ .:ervzsor * PASSED: -0.32% Reduction *
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -0.090
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -0.32
% Mortality Avg.Reprod.
# Young Produced 28 31 28 24 27 26 25 26 25 25 23 24
0.00 26.00
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 26.08
Treatment 2 Treatment 2
Effluent %: 90%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
8.522% PASS FAIL
# Young Produced 27 29 25 28 27 24 26 24 23 23 27 30 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 07/13/16
Control 6.81 7.66 7.08 7.50 7.42 7.51 Collection (Start) Date
Sample 1: 07/11/16 Sample 2: 07/13/16
Treatment 2 6.71 7.74 6.86 7.98 6.73 7.59 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23.9 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 48
Control 8.20 8.16 8.72 8.08 8.40 7.97
Spec. Cond. (gmhos) 100 424.3 679.6
Treatment 2 8.56 8.25 8.94 8.38 8.97 8.19
Chlorine(mg/1)
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 2.0 3.0
(Mortality expressed as %, combining replicates) I
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average -- Probit _
% -- % Spearman Karber ` Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(bra) :
Copied from DEM form AT-i (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Aquatic Toxicity Report Form/Phase II Chronic Ceriodaphnia
Facility EaS/- 50::\C- ULT' NPDES#:NC( ) -I W O Pipe#` -County C. -.1-0-r a
Laboratory Performing Test Lr1' 44jC Tc�,r,-11. Comments UV 4.- iC ccH,
Signet e of O.R.C. phone!Email Signattf.1 Lab Supervisor
Sample Information Semite 1 Sam.e 2 Control Test Start Date End Date Start Time End Time
yarn
P Information' (,.,,SA, to/�`ylt, l2: 4la:03
Collection Start Date (�Xr Ica 14 , Stan Renewl Renew2 Start Renewl Renew
Grab Treatment j o c, i u0 i o %COntroi Control Contra
Composite c �-1.O 3 i pH Initial 4`•1b as .4.3`)'4-,."* .4 - . 1
(Duration)
I-tardness(nlgll 44 pH Final-1: r4a'9 1:e:4 3%4°15%414
Spec.Cond.(pmbos/ sj3,1 x....y i t 1 ..4- D.O.Initial `} �8:'''i• �' CSS '4..a.4D.O.Final 41=-+ 1o£33 4 h$ •3, -.0:,'d'4.1.4%
Chlorine(mg/I kJ a7 T}
Temp.initial•r4a 2iL ti a1-13 a.k45 -a-
Sample temp.at recei.1 i C `C (,,O 'C Temp.Final aLt.i a.y'f i14. W-P. C}£ 1-)_-
Organism* Chronic Test Results
1 2 3 4 5 6 7 8 9 10 11 12 !mar Final Control Mortality°. l d
Control *Young DS ;..)a 'ZS at- a�ay ;X. al-i Z.5 7 %Control 3rd 6roo. l(2C)
Control Repro Cr, �(..`3
Adult LLL L L L, L L L L, / 46 Hour Mortality,
(L)ive (D)ead Control 1WC
1 2 3 4 5 6 7 8 9 10 11 12 year, 0 }0 0 of 10
Effluent% #Young 1 Li a )14 1 a 43 II a % C., O / 5ignifrcant7n
-3 v Adult L. L_ L L L L L L L. (,-. Raz Final Mortality Slgnillcant @
(L)ive(D)ead I 0 % or No Conc.
1 2 3 4 5 6 7 8 9 10 voa^ o ix6lfo
Effluent%
#Young Q O 1) SJ s 9 5 t3as ■ Reproduction Analysis: `
Repro,LOEC=-2.0 b, NOEL= a<)46 'n1.n,
4 _S Adult L L Z L 1.-. L, L L L. L � Method: S c.•5 p„,
(L)ive (D)ead Normal Distil)? ,. Method: tiW1 - c,
1 2 3 4 5 6 7 8 9 10 u:a^ Statistic_dY1l9. G71 Critical:o.e)S iw �,�
Equal Variances? i�es Method: a�
Effluent% #Young q ° '' 3 S 0 -4 5 ■ Statistic: 'aJ i 3 Critical: 1 6,o. -a
cp O Adult L L L, L L L. t_ L L b iiiNon-Parametric Analysis(if aoollcablers
(Wive(D)eadMethod:
1 2 3 4 5 6 7 8 9 10 NGio Effluent% Rank Sum Critical Sum
Effluent% #Young 1 ) 4 0 C7 O ' ' ■
(L)ive (D)ead
Adult L 1~ L L L L L L L NI
1 2 3 4 5 6 7 8 9 10 ve
Effluent% #youngO 0 b LA O Q 1 S Overall Analysis:
Result-PASS:FAIL or
„�,Adult Test LOEC= ' C..) %;NOEC=< Ga°
i U� (L)ive(D)ead L L L L L L 4--- 1-- 1D L-. Chronic Value= %
Should use highest test concentration Or
MAIL Water Sciences Section highest concentration with D.D.>5.0 mgr'
Division of Water Resources,NC DENR top.+°wre.corni mego
TO: 1621 Mail Service Center
DWQ form AT-3 revised 9/2014
Raleigh,NC 27699-1621
NPDES FORM 2A Additional Information

Effluent Aquatic Toxicity Report Form/Phase fl Chronic Ceriodaphnia
24S
Facility , 1J1(2 A'/,r/h /- NPDES#:NC D2 210 Pipe#__ County _i`/�/rd
Laboratory Performing Test(i:/-/P-YNQfee r l(al// al Comments . , • e. 6.1 ol,
Signature of O.R.C. Phone/Email Signature of Lab Supervisor
Test Start Dale ,End Date Start Tme End Time
Sample Information MEM IZEMII Control information• ,5'j//0 5/4'id, 1/•_ f.' /) :17
Collection Start Date IM - s Stan Renewl Renew2 Start Renewl Renew;
Grab N Treatment 160 1.0 0 106, control Control Contra
Iaurah'on) 24 )3 23,8'.5 pH Initial 7,52 731 71-11 7,49 7,rb 7,#5
Hardness(mgfl 0 pH Final 7,'ij 74 61 144 7440 1-53 7,-4
Spec.Cond.(Nmhosf EMI , d rgia D.O.Initial gilp? 8,7a g,L5 8,02. g.12 1.
41/
D.O.Final g,/z in 7151 7,// 7,y5 7f47
Ctilorine(mgA A A Temp.Initial 24,7 2411 144 241 .210 147 .
Sample temp.at receip•BM 2, ' `c Temp.Final 2/44 z ,.1 24,4 Zi, 2+),j 24,4
Organism# Chronic Test Results •
1 2 3 4 5 6 7 8 t 9 10 1 12 !AU'. Final Control Mortality%
Control #Young 23 2,3 2.6, 22, 12 22 .o 2_1 2.1 22 X X ® %Control 3rd Brody)0D
Control Repro Cv /14
Adult L L L L L L L L- L_ L �/ 46 Hour Mortality
(L)ive (D)eadX X Control IWC
1 2 3 4 5 6 7 8 9 10 11 12 mein 0 or 0 b of 1 d
Effluent% #Young ZD 23 25 .3 2.D 23 21 242 22 2.1 X X 23° Signficant?I Y I[l
Adult Final Mortality Si•nificant
20 (L)ive(D)ead ,L LLLL LLL LLX )( C
% Of
1 2 3 4 5 6 7 8 9 10 tti
g 26 23 2 2.1 2.4 22. 2.1e 26 24 2G ® Reproduction Analysis:
Effluent/o ##YOtglRepro.LO Gri D°�: NOEC= ]Q D%
}r Adult L � Method: '
'IZ 5 (L)ive(D)ead L L L L L L- L L L EJ Normal Distrib?♦ • Method: .. ii 0. rp
1 2 3 4 5 6 7 8 9 10 thanStatistic:)i' Critical:0..a.
Equal Va•-noes? a Method G,r11 eft
Effluent% #Young Zg Z8' 24 21 25 22 24 2g 15 24 24,4, stauslic-2•. 1 x critical: ""%:
AdultEl rl•parmectic Analysis(if aopiicaole;
46 (L)ive(D)ead Z LL L 1— L. 1- L- 1— L NoMethod:
1 2 3 4 _ 5 6 7 8 9 10 v=a' Effluent% Rank Sum Crrical Sunl
Effluent% #Young Q1 22 23 2.1 2.1 2.1 2.4 161 13 110 I1g �ii¢t. X5,0
dS (L)ived(Dt)ead I-- L L i, L. L L L- L 1- .�� 18�5 113.3 7t0
1 2 3 4 AO 7 8 9 10 v;N+ 10 D q-(,D /S.D
n.� Overall Analysis:
411
#Young P-i- 2b 232,2 3 22 (� 1(1 Q 1q i Result=PASS+FAIL or
Adult -min,] Test LOEC=7 /0 0 DO %.NOEC= %
160 (L)ive (D)ead L L L L 1-- L L L L L- Mi. chronic Value= l0 0 !%.
'Should use highest test concentration or
MAIL Water Sciences Section hgheat concentration with D-O_>s 0 mgr
Division of Water Resources,NC DENR rn R?vu ur Rom Corn'Rio r]e en 1413.1
TO: 1621 Mail Service Center
DWQ form AT-3 revised 9/2014
Raleigh,NC 27699-1621
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/28/16
Facility: HIGH POINT - EAST NPDES#: NC0024210 Pipe#: f County: GUILFORD
063,R
Laboratory Performi g Test: RITECH LABS, INC.
Comments:
_
X n �f�Op Sns
igature erat r in Responsible Charge
X
Signature of ora upervisor
Work Order:
Environmental Sciences Branch
MAIL ORIGINAL TO: 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 =
Tabular t = •
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 81.02
Mortality Avg.Reprod. •
# Young Produced 22 26 27 24 27 22 25 25 27 24 25 21
0.00 24.58
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
58.33 4.67
Treatment 2 Treatment 2
Effluent %: 85%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
8.401% PASS FAIL
# Young Produced 13 6 4 0 3 4 4 4 0 5 5 8 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L D L D L D D D D D L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 04/20/16
Control 8.08 8.01 7.98 8.10 8.06 7.98 Collection (Start) Date
Sample 1: 04/18/16 Sample 2: 04/20/16
Treatment 2 7.89 8.29 7.95 8.37 7.95 8.35 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24.1 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 46
Control 7.95 7.98 7.84 7.71 8.09 7.57
Spec. Cond. (pa hos) 189 587 721
Treatment 2 8.17 7.99 8.10 7.78 7.34 7.67
Chlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 0.6 1.0
(Mortality expressed as %, combining replicates) I
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average -- Probit
% -- % Spearman Ttarber Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DDBIA ver. 4.41)
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50a Date: 02/22/16
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: County: Guilford
Labo ry Perform 1. Test: Central Laboratory Services
!fIL� v` C Comments: UV Disenfection being
X U,!r./i,!.,.0 _ ./ 441 OF d2•c-;V-f-/ -
• at" 'a"i4 i, "47 :;,-tor in Re-,*. :n . e arge used
Signature o Laborakory'S pe "isor * PASSED: 12.39% Reduction *
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 2.829
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 12.39
% Mortality Avg.Reprod.
# Young Produced 27 25 28 29 30 27 31 26 32 27 21 28
0.00 27.58
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 24.17
Treatment 2 Treatment 2
Effluent %: 90%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
10.537% PASS FAIL
# Young Produced 18 28 24 27 24 26 20 23 23 25 24 28 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 01/06/16
Control 6.76 7.56 7.40 7.75 7.38 7.83 Collection (Start) Date
Sample 1: 01/04/16 Sample 2: 01/06/16
Treatment 2 7.57 7.61 7.59 7.90 7.46 8.04 Sample Type/Duration 2nd
1st P/F
s s a Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 45
Control 8.81 7.83 8.56 8.08 8.41 7.90
Spec. Cond_ (gmhos) 110 357.6 567.5
Treatment 2 9.78 8.04 8.00 8.22 8.11 8.34
Chlorine(mg/1)
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 1.4 1.3
(Mortality expressed as %, combining replicates) I
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit .
% -- % Spearman Karber - Other - High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 11/02/15
0„1
Facility: Eastside Waste Treatment Plant NPDES#: N00024210 Pipe#: County: Guilford
Laboory •-rformin Tes� j ral Laboratory Services
X 1/ ../ :�„ 41,I,{-/S
Comments: W Disinfection
g , ••er :esponsible Ch c D Fra i�r
X + . [ b&Pretreatment Mnnraf�3'
Signature •t Laboratory Supervisor * PASSED: 4.47% Reduction *
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test • Chronic Test Results
Calculated t = 1.328
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 4.47
% Mortality Avg.Reprod.
# Young Produced 26 24 29 27 26 23 28 26 24 26 26 28 ,
0.00 26.08
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 24.92 1
�/ Treatment 2 Treatment 2
Effluent %:--9.6$- c35-%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.831% PASS FAIL
# Young Produced 22 23 29 24 22 26 23 28 23 26 25 28 % control orgs X
producing 3rd .
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 10/21/15
Control 7.61 7.44 7.61 7.48 7.66 7.71 Collection (Start) Date
Sample 1: 10/21/15 Sample 2: 10/28/15
Treatment 2 7.63 7.67 7.56 7.75 7.49 8.02 Sample Type/Duration 2nd
let P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 72 his T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 51
Control 9.38 8.90 8.57 9.38 9.76 9.34
- Spec. Cond. (µmhos) 136 646.9 708.9
Treatment 2 9.65 8.78 8.81 9.26 9.86 9.60
Chlorine(mg/1) 0 0
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 3:3 2.3
(Mortality expressed as %, combining replicates) I
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit
% -- % Spearman E:arber - Other -- High •
Cone.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-i (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50. Date: 08/11/15
Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: '8-1- County: Guilford
Labor y Pe formin Test: Ce ral Laboratory Services
/ Comments: UV s h c'f- '?
g - �s� Ope or in`Responsib e C arge h- 11,0.0.1.
,� ii11�am D,Frazier
X Signat re of Laboratory SupervisoriC;L) Plei;3Qi(11e1(ff Manager * PASSED: 1.13% Reduction *
immemmilmosiBleallommillimillw
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 0.500
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 1.13
% Mortality Avg.Reprod.
# Young Produced 30 29 29 29 30 27 30 28 33 30 29 30
0.00 29.50
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 29.17
`�c// Treatment 2 Treatment 2
Effluent %: O %AN'D yb
TREATMENT 2 R ISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
4.902% PASS FAIL
# Young Produced 28 33 28 27 31 29 31 29 30 27 28 29 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
let sample let sample 2nd sample Complete This For Either Test
pH Test Start Date: 07/15/15
Control 7.61 7.69 7.80 7.74 7.72 7.74 Collection (Start) Date
Sample 1: 07/13/15 Sample 2: 07/15/15
Treatment 2 7.63 7.96 7.62 8.07 7.81 8.14 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 72 hrs T P p
let sample 1st sample 2nd sample
D.O. - -_ Hardness(mg/1) 51
Control 8.12 8.27 8.42 8.13 8.66 8.08
Spec. Cond. (gmhos) 146 77'7.5 910.4
Treatment 2 8.40 8.42 8.46 8.34 8.74 8.26
Chlorine(mg/1) 0 0
1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 4.8 4.9
(Mortality expressed as %, combining replicates) I
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit
% -- % Spearman Kerber J Other High
Conc.
pH D.O. i
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/27/15
Facility: Eastside Waste Treatment Plant NPDES#: N00024210 Pipe#: County: Guilford
Labo tory Perfor ing Te Central Laboratory Services
X �� r� Comments: yV Disenfection being
�. V[1 wri I�I4 1
ignatuaT-_,9 Operator in 'esponsi. e c .,/-Ageused
1mom f?.Fiazier
S'ign.tur' o La.oratory Supervisor ' ' 2 ' ' ,„r * PASSED: -0.98% Reduction *
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
4401 Reedy Creek Road
Raleigh, North Carolina 27607-6445
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -0.297
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -0.98
% Mortality Avg.Reprod.
# Young Produced 27 25 26 27 26 25 22 21 27 27 25 28
0.00 25.50 I
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 25.75
Treatment 2 Treatment 2
Effluent %: 90%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
8.277% PASS FAIL
# Young Produced 26 22 26 25 24 27 28 28 23 25 27 28 p% control orgs X ,
broodcing 3rd Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample let sample 2nd sample Complete This For Either Test
pH Test Start Date: 04/15/15
Control 7.88 8.04 7.66 8.08 7.96 7.58 Collection (Start) Date
Sample 1: 04/13/15 Sample 2: 04/15/15
Treatment 2 7.79 8.15 7,46 8.25 7.19 7.90 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.0 hrs L A A
r d r d r d - U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
D.O. - Hardness(mg/1) 50
Control 7.96 7.90 7.77 7 .62 7.82 8.02
Spec. Cond. (pmhos) 133 724.0 820.2
Treatment 2 8.03 8.05 8.11 7.66 8.20 8.09
Chlorine(mg/1)
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 4.6 2.4
(Mortality expressed as %, combining replicates) (
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit
% -- % Spearman Karber _ Other - High
Conc.
pH D.O.
1
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
I
Copied from DEM form AT-I (3/87) rev. 11/95 (DUBIA ver. 4.32)
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 02/12/15
Facility: HIGH POINT - EAST NPDES#: NC0024210 Pipe#: -0034 Coun y: GUILFORD
Labo .ry P/ rfo ingest: ITECH LABS, INC.
Comments:(Oa °'-'.)-6
IS
X ' ! v
,f9- 69-1S---
:i• . urea" Ope - or n Responsible Carge
X
Signature of ora Supervisor * PASSED: -5.28% Reduction *
• Water Sciences Section-Aquatic
uatic
q
work Order: Toxicology Branch
MAIL ORIGINAL TO:
Division of Water Resources
1623 Mail Service Center :621
North Carolina Ceriodaphnia Raleigh,N.C.27699-1623
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t =
Tabular t =
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -5.28
% Mortality Avg.Reprod.
# Young Produced 21 18 25 24 18 27 26 22 26 26 27 24
0.00 23.67
Control Control
Adult (L)ive (D)ead L L LLLLLLLLLL
0.00 24.92
Treatment 2 Treatment 2
Effluent %: 85%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
13.642% PASS FAIL
# Young Produced 29 26 24 24 24 28 26 26 14 27 27 24 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L LLLLLL 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 02/04/15
Control 7.88 8.04 7.93 7.94 7.87 7.95 Collection (Start) Date
Sample 1: 02/02/15 Sample 2: 02/04/15
Treatment 2 7.93 8.10 7.55 8.12 7.00 8.28 Sample Type/Duration 2nd
-- 1st P/F
s s s Grab Comp. Duration D
t e t e t e - I S S
a n a n a n Sample 1 X 24 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 44
Control 8.03 7.97 7.99 7.83 7.53 8.06
Spec. Cond. (pmhos) 158 554 764
Treatment 2 8.26 7.92 8.10 7.78 8.15 8.07
Chlorine( /1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 1.2 1.2
(Mortality expressed as %, combining replicates) I
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % %• % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average -- Probit --% -- % Spearman Barber Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
NPDES FORM 2A Additional Information