NC0024112_Renewal Application_20181108

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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S_REGAN
Secretory
LINDA CULPEPPER
Interim Director
November 13, 2018
Kelly Craver
City of Thomasville
PO Box 368
Thomasville, NC 27361-0368
Subject: Permit Renewal
Application No. NC0024112
Hamby Creek WWTP
Davidson County
Dear Applicant:
The Water Quality Permitting Section acknowledges the November 08, 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-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
irelAD624-Y,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DEQ,1)_
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

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FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK WWTP NC0024112 PFn!Fwn' YADKIN - PEE DEE
FORM
2A NPDES FORM 2A APPLICATION OVERVIEW
NPDES -
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow 2 0.1 mgd. All trE )lieYQ, gigp flows
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6. �VrV����VVKK
C. Certification. All applicants must complete Part C(Certification).
NOV
0 8 2018
Water Resources
SUPPLEMENTAL APPLICATION INFORMATION: Permitting Section
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D(Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program(or has one in place),or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E(Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program(or has one in place),or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users(SIUs)or receives RCRA or CERCLA wastes must complete Part F(Industrial User Discharges
and RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations(CFR)403.6 and
40 CFR Chapter I,Subchapter N(see instructions);and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works(with certain
exclusions);or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant;or
c. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G(Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMRY CRFFK WWTP NCfln24112 RENEWAL YADKIN - PEE DEE
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 HAMBY CREEK WWTP
Mailing Address CITY OF THOMASVILLE PO BOX 368
THOMASVILLE NC 27361
Contact Person ALLEN BECK
Title PLANT SUPERINTENDENT/ORC
Telephone Number j336)475-4246
Facility Address 110 OPTIMIST PARK ROAD
(not P.O.Box) THOMASVILLE,NC 27360
A.2. Applicant Information. If the applicant is different from the above,provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number I 1
Is the applicant the owner or operator(or both)of the treatment works?
X❑ owner X❑ 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 NC0024112 PSD
UIC Other NCG110000-COC#NCG110094
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and,if known,provide information on the type of collection system(combined vs.separate)and its ownership(municipal,private,etc.).
Name Population Served Type of Collection System Ownership
CITY OF THOMASVILLE 27,374 CS 3 SANITARY SEWER CITY OF THOMASVILLE
CITY OF TRINITY 6,671 CS 2 SANITARY SEWER CITY OF TRINITY
ALVIN FURR PUMP STATION NOT KNOWN PRIVATE PRIVATE
Total population served 34,049
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 2 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
h \MBY CREEK WWTP, NC0024112 RENEWtiL YADKIN - PEE DEE
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 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate 2.63mgd 2.43mgd 2.51 mgd Jan.-July
c Maximum daily flow rate 6.23mgd 8_41mgd 7.63mqd
A.7. Collection System. Indicate the type(s)of collection system(s)used by the treatment plant. Check all that apply. Also estimate the percent
contribution(by miles)of each.
Separate sanitary sewer
Combined storm and sanitary sewer
A.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
ii. Discharges of untreated or partially treated effluent
iii. Combined sewer overflow points
iv. Constructed emergency overflows(prior to the headworks)
v. Other
b. Does the treatment works discharge effluent to basins,ponds,or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? Yes X No
If yes,provide the following for each surface impoundment
Location:
Annual average daily volume discharge to surface impoundment(s) 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:
Number of acres:
Annual average daily volume applied to site: mgd
Is land application continuous or intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? Yes X No
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 3 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK WWTP, NCOO24112 RENEWAL YADKIN - PEE DEE
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).
NA
If transport is by a party other than the applicant,provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number j
For each treatment works that receives this discharge,provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number j 1
If known,provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility. NA mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.B.through A.8.d above(e.g.,underground percolation,well injection): ❑ Yes X❑ No
If yes,provide the following for each disposal method:
Description of method(including location and size of site(s)if applicable):
NA
Annual daily volume disposed by this method: NA
Is disposal through this method ❑ continuous or H intermittent?
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMIRY CREEK WWTP Nr002411RENEWAL YADKIN - PEE DEE
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 001
b. Location THOMASVILLE 27360
(City or town,if applicable) (Zip Code)
DA. .SON NC
(County) (State)
35 DEG 50 MIN 54 SEC 80 DEG 06 MIN
(Latitude) (Longitude)
c. Distance from shore(if applicable) NA ft.
d. Depth below surface(if applicable) NA ft.
e. Average daily flow rate 2.43(2017) mgd
f. Does this outfall have either an intermittent or a periodic discharge? 0 Yes ❑X No (go to A.9.g.)
If yes,provide the following information:
Number f times per year discharge occurs: :NA
Average duration of each discharge: NA
Average flow per discharge: NA mgd
Months in which discharge occurs: NA
g. Is outfall equipped with a diffuser? ❑ Yes ❑ No
A.10. Description of Receiving Waters.
a. Name of receiving water HAMBY CREEK
b. Name of watershed(if known) LOWER YADKIN
United States Soil Conservation Service 14-digit watershed code(if known):
c. Name of State Management/River Basin(if known)' ADKIN—PEE DEL_
United States Geological Survey 8-digit hydrologic cataloging unit code(if known):
d. Critical low flow of receiving stream(if applicable)
acute cfs chronic cfs
e. Total hardness of receiving stream at critical low flow(if applicable): mg/I of CaCO3
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 5 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YAnKIN - PEE DEE, 0024112 RENEWAL YADKIN - PEE DEE
A.11. Description of Treatment
a What level of treatment are provided? Check all that apply.
Primary X[] Secondary
xLI Advanced [ I Other. Describe:
b. Indicate the following removal rates(as applicable):
Design BOD5 removal or Design CBOD5 removal 85
Design SS removal 85 cyo
Design P removal 85
Design N removal 85
Other 85
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season,please describe:
Ultra-violet light
If disinfection is by chlorination is dechlorination used for this outfall? C7 Yes ❑ No
Does the treatment plant have post aeration? XC] Yes 1 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
MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
PARAMETER ---
Value Units Value j Units Number of Samples
r jpH(Minimum) 6.0 s.u.
pH(Maximum) 7.8 s.u.
Flow Rate MGD MGD
Temperature(Winter) 22 °C 15 °C 468
Temperature(Summer) 27 °C 2' °C
•For pH please report a minimum and a maximum daily value
M D
MAXIMUM
DISCHARGE AVERAGE DAILY DISCHARGE I ANALYTICAL
POLLUTANT METHOD ML/MDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN BODS 616 Mg/L 1.68 Mg/L 1113 SM5210B2011 2.0
DEMAND(Report one)
CBOD5
1200 Cts/100mL 23 Ctsl100mL 1016 SM9222D1997MF 1
FECAL COLIFORM
128 MPN 4 MPN 114 IDEXX Colilertl8 1
TOTAL SUSPENDED SOLIDS(TSS) 4000 Mq/L 7.37 Mq/L 1123 SM2540D2011 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 t,: 22

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FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
I--lamhy lrpek NJf^flfl24112 RENFWAI YADKIN-PEE DEE
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 z 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.
100,000 gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
Smoke testing and collection system line rehabilitation as well as planned outfall line repair
and replacement projects are ongoing.
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'A 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 No
If yes,list the name,address,telephone number,and status of each contractor and describe the contractor's responsibilities(attach additional
pages if necessary).
Name:
Mailing Address,
Telephone Number: ( L
Responsibilities of Contractor:
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.
b. Indicate whether the planned improvements or implementation schedule are required by local,State,or Federal agencies.
Yes No
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 7 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
c. If the answer to B.5.b is"Yes,"briefly describe,including new maximum daily inflow rate(if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below,as
applicable. For improvements planned independently of local,State,or Federal agencies,indicate planned or actual completion dates,as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MM/DD/YYYY
-Begin Construction / / /_ /
-End Construction / / / /
-Begin Discharge _/ _ / /_ /
-Attain Operational Level / /
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? [ Yes No
Describe briefly:
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:
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE , ANALYTICAL
POLLUTANTMETHOD ML/MDL
Conc. Units Conc. Units Number of j
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA(as N) 9.16 Mg/L 0.328 Mg/L 1132 SM4500NH3D2011 0 1
CHLORINE(TOTAL
RESIDUAL,TRC)
DISSOLVED OXYGEN 11 Mg/L 8.75 Mg/L 1110 SM45000G2011 1.0
TOTAL KJELDAHL 32 Mg/L 1.79 Mg/L 54 EPA351.1 0.2
NITROGEN(TKN)
NITRATE PLUS NITRITE 40.8 Mg/L 2.43 Mg/L 54 EPA353.2 0.1
NITROGEN
OIL and GREASE 5.4 ug/L 0.21 ug/L 26 EPA1664B 5
PHOSPHORUS(Total) 5.08 Mg/L 0.593 Mg/L 234 SM4500PE2011 0.05
TOTAL DISSOLVED SOLIDS 404 Mg/L 203 Mg/L 4 SM2540C 10
(TDS)
OTHER
insomPRJ
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 P

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
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:
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)
D 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 Allen Beck,Plant Superintendent
Signature
Telephone number [phone] extl
Date signed 10/30/18
Upon request of the permitting authority,you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 9 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has(or is required
to have)a pretreatment program,or is otherwise required by the permitting authority to provide the data,then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition,these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. At a minimum,effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
METALS(TOTAL RECOVERABLE),CYANIDE,PHENOLS,AND HARDNESS.
ANTIMONY 0.8 UgIL 0.146 Ug/L 26 1 EPA200.8 0.5
ARSENIC <2 Ug/L <2 UgIL 26 EPA200.8 2
BERYLLIUM <5 UgIL <5 Ug/L 4 EPA200.8 5
CADMIUM 0.15 Ug/L 0.008 Ug/L 39 EPA200.8 0.15
CHROMIUM 6 UgIL 3.1 Ug/L 50 EPA200.8 2
COPPER 33 UgIL 7.78 Ug/L 39 EPA200.8 2
LEAD 0.823 UgIL 0.028 Ug/L 50 EPA200.8 0.5
MERCURY <0.2 Ug/L 0.0006 Ug/L 50 EPA245.1 0.2
NICKEL 26 Ug/L 10.2 Ug/L 50 EPA200.8 2
SELENIUM <2 Ug/L <2 Ug/L 50 EPA200.8 2
SILVER <0.5 Ug/L <0.5 Ug/L 39 EPA200.8 0.5
THALLIUM <5 Ug/L <5 Ug/L 4 EPA200.8 5
ZINC 68 Ug/L 25.2 Ug/L 39 EPA200.8 5
CYANIDE <5 Ug/L <5 Ug/L 39 EPA335.4 5
TOTAL PHENOLIC 0.02 Mg/L 0.012 Mg/L 4 EPA420.1 0.01
COMPOUNDS
HARDNESS(as CaCO3) 64 Mg/L 52 Mg/L 10 SM2340C 1
Use this space(or a separate sheet)to provide information on other metals requested by the permit writer
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 10 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Outfall number: 0.01 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL ML/MDL ;
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples a7:1
VOLATILE ORGANIC COMPOUNDS �"
ACROLEIN <50.0 Ug/L <50.0 Ug/L 4 EPA624 50
ACRYLONITRILE <10.0 Ug/L <10.0 Ug/L 4 EPA624 10
BENZENE <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
BROMOFORM <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
CARBON <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
TETRACHLORIDE
CHLOROBENZENE <1.00 Ug/L <1.00 Ug/L/L 4 EPA624 1 g 9
CHLORODIBROMO- <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
METHANE
CHLOROETHANE <5.00 Ug/L <5.00 Ug/L 4 EPA624 5
2-CHLOROETHYLVINYL <5.00 Ug/L <5.00 Ug/L 4 EPA624 5
ETHER
CHLOROFORM <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
DICHLOROBROMO- <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
METHANE
1,1-DICHLOROETHANE <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
1,2-DICHLOROETHANE <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
TRANS-I,2-DICHLORO <1,00 Ug/L <1.00 Ug/L 4 EPA624 1
ETHYLENE
1,1-DICHLORO- <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
ETHYLENE
1,2-DICHLOROPROPANE <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
1,3-DICHLORO- <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
PROPYLENE
ETHYLBENZENE <1,00 Ug/L <1.00 Ug/L 4 EPA624 1
METHYL BROMIDE <5.00 Ug/L <5.00 Ug/L 4 EPA624 5
METHYL CHLORIDE <5.00 Ug/L <5.00 Ug/L 4 EPA624 5
METHYLENE CHLORIDE <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
1,1,2,2-TETRA-
<1.00 Ug/L <1.00 Ug/L 4 EPA624 1
CHLOROETHANE
TETRACHLORO- <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
ETHYLENE
TOLUENE <1.00 Ug/L <1.00 Ug/L 4 EPA624 1
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 11 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE 1011.11.1111111
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
1,1,1-
<1.00 Ug/L <1.00 Ug/L 4 Fr'A624 1
TRICHLOROETHANE
1,1,2-
<1.00 Ug/L <1.00 Ug/L 4 EPA624 1
TRICHLOROETHANE
TRICHLOROETHYLENE <1.00 Ug/L <1.00 Ug/L EPA624 1
VINYL CHLORIDE <5.00 Ug/L <5.00 Ug/L 4 EPA624 5
Use this space(or a separate sheet)to provide information on other volatile organic compounds requested by the permit writer
ACID-EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL <10 Ug/L <10 Ug/L 4 EPA625 10
2-CHLOROPHENOL <10 Ug/L <10 Ug/L 4 EPA625 10
2,4-DICHLOROPHENOL <10 Ug/L <10 Ug/L 4 EPA625 10
2,4-DIMETHYLPHENOL <10 Ug/L <10 Ug/L 4 EPA625 10
4,6-DINITRO-O-CRESOL <50 Ug/t.- <50 Ug/L 4 EPA625 50
2,4-DINITROPHENOL <50 Ug/L <50 Ug/L 4 EPA625 50
2-NITROPHENOL <10 Ug/L <10 Ug/L 4 EPA625 10
4-NITROPHENOL <50 Ug/L <50 Ug/L 4 EPA625 50
PENTACHLOROPHENOL <50 Ug/L <50 Ug/L 4 EPA625 50
PHENOL <10 Ug/L <10 Ug/L 4 EPA625 10
2,4,6- <10 Ug/L <10 Ug/L 4 EPA625 10
TRICHLOROPHENOL
Use this space(or a separate sheet)to provide information on other acid-extractable compounds requested by the permit writer
BASE-NEUTRAL COMPOUNDS
ACENAPHTHENE <10 Ug/L <10 Ug/L 4 EPA625 10
ACENAPHTHYLENE <10 Ug/L <10 Ug/L 4 EPA625 10
ANTHRACENE <10 Ug/L <10 Ug/L 4 EPA625 10
BENZIDINE <50 Ug/L <50 Ug/L 4 EPA625 50
BENZO(A)ANTHRACENE <10 Ug/L <10 Ug/L 4 EPA625 10
BENZO(A)PYRENE <10 Ug/L <10 Ug/L 4 EPA625 10
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 12 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE I
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
3,4 BENZO- Uglt. i EPA625 10
FLUORANTHENE
BENZO(GHI)PERYLENE <iu Ug/L <10 Ug/L 4 EPA625 10
BENZO(K) <10 Ug/L <10 UgIL 4 EPA625 10
FLUORANTHENE
BIS(2-CHLOROETHOXY) <10 Ug/L <10 Ug/L 4 EPA625 10
METHANE
BIS(2-CHLOROETHYL)- <10 Ug/L <10 Ug/L 4 EPA625 10
ETHER
BIS(2-CHLOROISO- <10 Ug/L <10 UgIL 4 EPA625 10
PROPYL)ETHER
BIS(2-ETHYLHEXYL) <10 Ug/L <10 Ug/L 4 EPA625 10
PHTHALATE
4-BROMOPHENYL <10 Ug/L <10 Ug/L 4 EPA625 10
PHENYL ETHER
BUTYL BENZYL <10 Ug/L <10 Ug/L 4 EPA625 10
PHTHALATE
2-CHLORO- <10 Ug/L <10 Ug/L 4 EPA625 10
NAPHTHALENE
4-CHLORPHENYL <10 UgIL <10 Ug/L 4 EPA625 10
PHENYL ETHER
CHRYSENE <10 Ug/L. <10 UgIL 4 EPA625 10
DI-N-BUTYL PHTHALATE <10 UgIL <10 Ug/L 4 EPA625 10
DI-N-OCTYL PHTHALATE <10 Ug/L <10 Ug/L 4 EPA625 10
DIBENZO(A,H) <10 Ug/L <10 Ug/L 4 EPA625 10
ANTHRACENE
1,2-DICHLOROBENZENE <10 Ug/L <10 Ug/L 4 EPA625 10
1,3-DICHLOROBENZENE <10 Ug/L <10 Ug/L 4 EPA625 10
1,4-DICHLOROBENZENE <10 UgIL <10 UgIL 4 EPA625 10
3,3-DICHLORO-
<50 Ug/L <50 Ug/L 4 EPA625 50
BENZIDINE
DIETHYL PHTHALATE <10 Ug/L <10 Ug/L 4 EPA625 10
DIMETHYL PHTHALATE <10 Ug/L <10 UgIL 4 EPA625 10
2,4-DINITROTOLUENE <10 UgIL <10 Ug/L 4 EPA625 10
2,6-DINITROTOLUENE <10 UgIL <10 Ug/L 4 EPA625 10
1,2-DIPHENYL-
<10 Ug/L <10 Ug/L 4 EPA625 10
HYDRAZINE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 13 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Outfall number (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE lir AVERAGE DAILY DISCHARGE {
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples Hag& it
FLUORANTHENE <10 Ug/L <10 Ug/L EPA625 10
FLUORENE <10 Ug/L <10 Ug/L EPA625 10
HEXACHLOROBENZENE <10 Ug/L <10 Ug/L 4 EPA625 10
HEXACHLORO- <10 UgIL <10 Ug/L 4 EPA625 10
BUTADIENE
HEXACHLOROCYCLO- <50 Ug/L <50 Ug/L 4 EPA625 50
PENTADIENE
HEXACHLOROETHANE <10 UgIL <10 Ug/L 4 EPA625 10
INDENO(1,2,3-CD) <10 Ug/L <10 Ug/L 4 EPA625 10
PYRENE
ISOPHORONE <10 Ug/L <10 UgIL 4 EPA625 10
NAPHTHALENE <10 UgIL <10 Ug/L 4 EPA625 10
NITROBENZENE <10 Ug/L <10 Ug/L 4 EPA625 10
N-NITROSODI-N- <10 Ug/L <10 UgIL 4 EPA625 10
PROPYLAMINE
N-NITROSODI- <10 Ug/L <10 Ug/L 4 EPA625 10
METHYLAMINE
N-NITROSODI- <10 Ug/L <10 Ug/L 4 EPA625 10
PHENYLAMINE
PHENANTHRENE <10 Ug/L <10 Ug/L 4 EPA625 10
PYRENE <10 Ug/L <10 UgIL 4 EPA625 10
1,2,4- <10 Ug/L <10 Ug/L 4 EPA625 10
TRICHLOROBENZENE
Use this space(or a separate sheet)to provide information on other base-neutral compounds requested by the permit writer
Use this space(or a separate sheet)to provide information on other pollutants(e.g.,pesticides)requested by the permit writer
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 14 of 22

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
IAMBY CREEK, NC002411a RFNEWAI YnnKIN PEF OFF
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number: Test number:
a. Test information.
Test Species&test method number Ceriodaphnia-TGF'3t3 Ceriodaplinia-TGP3. Ceriodaphnia-TGP3B
Age at initiation of test 21.58 hrs 22.75 hrs 23.07 hrs
Outfall number 001 001 001
Dates sample collected 5/5/14, 5/7/14 8/4/14, 8/6/14 10/20/14, 10/22/14
Date test started 5/7/14 8/6/14 10/22/14
Duration 7 days 7 days 7 days
b. Give toxicity test methods followed.
Tort I et m Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed
publication 2002 2002 Oct 2002
Page number(s) Pg 141-196 Pg 141-196 Pg 141-196
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
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 15 of 22

After disinfection X X X
After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Test number: 1 Test number: 2 Test number: 3
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90 90 90
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH i91 t91 8.19
Salinity
Temperature 25 2 74 10 24 4
Ammonia
Dissolved oxygen 7.94 i T" 17 f;
I. Test Results.
Acute:
Percent survival in 100% % 0/ o0
effluent /
LC.
95%C.I. 0/0
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 16 of 22

•
Control percent survival % °/O
Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL, YADKIN-PEE DEE
Chronic:
NOEC
IC25 °/O °/O °/O
% % O
Control percent survival 100 100 100 /o
Other(describe) -2.64% -18.08% -3.40%
°/Reduction
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant 04/23/2014 07/30/2014 10/29/2014
test run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
l 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: / / (MMIDD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Face 17 of 22

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: 4 Test number: 5 Test number:
a. Test information.
Test Species&test method number Ceriodaphnia-TGP3B Ceriodaphnia-TGP3B Ceriodaphnia-TGP3B
Age at initiation of test 22.33 hrs 21.08 hrs 21.08 hrs
•
Outfall number 001 001 001
Dates sample collected 11/10/14, 11/12/14 12/8/14, 12/10/14 1/5/15, 1/7/15
Date test started 11/12/14 12/10/14 1/7/15
Duration 7 days 7 days 7 days
b. Give toxicity test methods followed.
Short Term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed. U EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,
publication 2002 2002 Oct 2002
Page number(s) Pg 141-196 Pg 141-196 Pg 141-196
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.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 18 of 22

Before disinfection
After disinfection X X X
After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NCOO24112 RENEWAL YADKIN-PEE DEE
Test number: 4 Test number: 5 Test number: 6
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90 90 90
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 7 9 7.95 8.04
Salinity
Temperature 24 9 25.3 24,9
Ammonia
Dissolved oxygen 8 4 7.95 7.84
I. Test Results.
Acute:
Percent survival in 100% %
0/0
effluent
LC50
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 19 of 22

95%C.I.
Control percent survival
Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC
IC25 % %
Control percent survival 100% 91.7 % 100 %
Other(describe)reduction -0.38% -6.87% -14.98%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant 11/12/2014 12/17/2014 12/31/2014
test run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
I Yes X No If yes,describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information,or information regarding
the cause of toxicity,within the past four and one-half years,provide the dates the information was submitted to the permitting authority
and a summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 20 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL. YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: / Test number: 8 Test number: 9
a. Test information.
Test Species&test method number Ceriodaphnia—TGP3B Ceriodaphnia-TGP3B Ceriodaphnia-TGP3B
Age at initiation of test 21.48 hrs 22.67 hrs 20.97 hrs
Outfall number 001 001 001
Dates sample collected 2/2/15, 2/4/15 3/23/15,3/25/15 4/6/15,4/8/15
Date test started 2/4/15 3/25/15 4/8/15
Duration 7 days 7 days 7 days
b. Give toxicity test methods followed.
Short Term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,
publication 2002 2002 Oct 2002
Page number(s) Pg 141-196 Pg 141-196 Pg 141-196
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
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 21 of 22

After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Test number: 7 Test number: 8 Test number: 9
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90 90 90
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 79.5 7.63 78
Salinity
Temperature 24.7 24.9 25.1
Ammonia
Dissolved oxygen 8,17 8.21 8.23
I. Test Results.
Acute:
Percent survival in 100% % % o/a
effluent
LC50
95%C.I. 0/0
Control percent survival % % o/a
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 22 of 22

Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC
•
IC25
Control percent survival 100 % 100 % 100%
Other(describe) -5 61% 7.1%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant 02/18/2015 03/18/2015 04/01/2015
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)
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 23 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: 10 Test number: Test number:
a. Test information.
Test Species&test method number Ceriodaphnia-TGP3B Pimephales promelas Geriodaphnia- TGP3B
THP6C
Age at initiation of test 22.48 hrs 23.5 hrs 21.62 hrs
Outfall number 001 001 001
Dates sample collected 5/4/15, 5/6/15 5/4/15, 5/6/15, 5/7/15 6/1/15,6/3/15
Date test started 5/6/15 5/5/15 6/3/15
Duration 7 days 7 days 7 days
•
b. Give toxicity test methods followed.
.ort Term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title hronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of F PA 871-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed
publication 2002 2002 Oct 2002
Page number(s) Pg 141-196 Pq 53-111 Pq 141 196
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 24 of 22

After disinfection h X X
After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Test number: 10 Test number: 11 Test number: 12
e. Describe the point In the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt Lake Brandt Lake Brandt
Receiving water
I. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90 22.5,45, 75, 90, 100 90
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 7.9 7,56 7.97
Salinity
Temperature 24,4 25.5 25.1
Ammonia
Dissolved oxygen 8.28 8.89 8.26
I. Test Results.
Acute:
Percent survival in 100%
effluent
LC50
95%C.I. iyo
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 25 of 22

Control percent survival
Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC % 100 %
IC25
Control percent survival 100 % 97.5 % 100 %
Other(describe)reduction -10.0% -0.75%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant 04/29/2015 05/05/2015 05/27/2015
test run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
LI Yes k No If yes,describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information,or information regarding
the cause of toxicity,within the past four and one-half years,provide the dates the information was submitted to the permitting authority
and a summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 26 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: 13 Test number: 14 Test number: 1b
a. Test information.
Test Species&test method number Ceriodaphnia-TGP3B Ceriodaphnia-TGP3B Ceriodaphnia-TGP3B
Age at initiation of test 22.68 hrs 21.6 hrs 20.48 hrs
Outfall number 001 001 001
Dates sample collected 7/13/15, 7/15/15 8/3/15, 8/5/15 9/14/15,9/16/14
Date test started 7/15/15 8/5/15 9/16/14
Duration 7 days 7 days 7 days
b. Give toxicity test methods followed.
Short Term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,
publication 2002 2002 Oct 2002
Page number(s) Pg 141-196 Pg 141-196 Pg 141-196
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite X X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection X X
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 27 of 22

After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NCOO24112 RENEWAL YADKIN-PEE DEE
Test number: 13 Test number: 14 Test number: 15
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90 90 90
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 7.98 808 787
Salinity
Temperature 25.8 25.8 24 9
Ammonia
Dissolved oxygen 7.92 8.02 7.96
I. Test Results.
Acute:
Percent survival in 100%
effluent
LC50
95%C.I.
Control percent survival
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 28 of 22

Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, N00024112 RENEWAL /ADKIN-PEE DEE
Chronic:
NOEC
0 0 0
IC25
Control percent survival 100 % 100 % 100 %
Other(describe) eduction 7.96% 8 13% 8.46%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant 07/01/2015 07/29/2015 09/30/2015
test run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
Yes No If yes,describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information,or information regarding
the cause of toxicity,within the past four and one-half years,provide the dates the information was submitted to the permitting authority
and a summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E. 1'
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,2G of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK. NC0024112 RENF t YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: 16 Test number: 17 Test number: 18
a. Test information.
Test Species&test method number Ceriodaphnia—TGP3B Ceriodaphnia—TGP3B Ceriodaphnia—TGP3B
Age at initiation of test 23.08 hrs 22.5 hrs 21.95 hrs
Outfall number 001 001 001
Dates sample collected 11/16/15, 11/18/15 12/7/15, 12/9/15 1/4/16, 1/6/16
Date test started 11/18/15 12/9/15 1/6/16
Duration 7 days 7 days 7 days
b. Give toxicity test methods followed.
Short Term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,
publication 2002 2002 Oct 2002
Page number(s) Pg 141-196 Pg 141-196 Pg 141-196
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite I h
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 30 of 22

After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Test number: 16 Test number: 17 Test number: 18
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90 22.5,45, 75,90, 100 22.5,45,75,90, 100
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 7 81 7 83 7.55
Salinity
Temperature 24 7 25 1 24.7
Ammonia
Dissolved oxygen 8 56 8 62 8.01
I. Test Results.
Acute:
Percent survival in 100% % % 0/G
effluent
LC50
95%C.I. 0/0
ControlPe rcent survival %
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 31 of 22

Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC % 100% 100 %
IC25
Control percent survival 100 % 100 % 100 %
Other(describe)reduction 38.14%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant
11/25/2015 12/02/2015 12/30/2015
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)
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 32 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK. NC0024112 RENEWAL YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: '19 Test number: 20 Test number: 21
a. Test information.
Test Species&test method number Ceriodaphnia-TGP3B Ceriodaphnia-TGP3B Ceriodaphnia-TGP3B
Age at initiation of test 22.0hrs 22.08 hrs 20.9 hrs
Outfall number 001 001 001
Dates sample collected 2/22/16, 2/24/16 5/2/16, 5/4/16 8/1/16, 8/3/16
Date test started 2/24/16 5/4/16 8/3/16
Duration 7 days 7 days 7 days
b. Give toxicity test methods followed.
Short Term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oc' EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,
publication 2002 2002 Oct 2002
Page number(s) Pg 141-196 Pg 141-196 Pg 141-196
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 X X
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 33 of 22

After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NCOO24112 RENEVVAI YADKIN-PEE DEE
Test number: 19 Test number: 2u Test number: 21
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
9(i 90 90
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 7.64 7 69 7.61
Salinity
Temperature 24.4 24 7 24.2
Ammonia
Dissolved oxygen 8.51 7.91 7.99
I. Test Results.
Acute:
Percent survival in 100% %
0/ o
effluent /O
LC50
95%C.I.
Control percent survival
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 34 of 22

Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC
IC25 % % %
Control percent survival 100% 100 % 100 %
Other(describe)reduction -13.19% 16.41°/. 7.32%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant 03/02/2016 04/27/2016 07/26/2016
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: I I (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 35 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number: Test number: 23 Test number: 24
a. Test information.
Test Species&test method number Pimephales promelas Ceriodaphnia- i GP3B I Ceriodaphnia- T GP3b
THP6C
Age at initiation of test 20.9 hrs 22.18 hrs 21.57 hrs
Outfall number 001 001 001
Dates sample collected 8/1/16, 8/3/16, 8/4/16 11/7/16, 11/9/16 2/6/17, 2/8/17
Date test started 8/2/16 11/9/16 2/8/17
Duration days 7 days 7 days
b. Give toxicity test methods followed.
Short Term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ec
publication 2002 2002 Oct 2002
Page number(s) Pa 53 111 Pc) 111 iPP Pg 141-196
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
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 36 of 22

After disinfection X X X
After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NCOO24112 RENEWAL YADKIN-PEE DEE
Test number: 22 Test number: 23 Test number: 24
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water lake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
22.5,45, 75,90, 100 90 90
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 744 779 7.78
Salinity
Temperature 24.5 24.7 24.5
Ammonia
Dissolved oxygen 8.11 7.99 8.02
I. Test Results.
Acute:
Percent survival in 100% %
effluent
LC50
95%C.I.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 37 of 22

•
Control percent survival % % %
Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC 100 %
IC25 % %
Control percent survival 100 % 100 % 91.7 %
Other(describe)reduction -15.6% 16.96%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant 08/02/2016 11/02/2016 02/01/2017
test run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
1 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/DDIYYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 38 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RE-NEWAI YADKIN-PEE DEE
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 dischargepoints: 1)POTWs with a design flow rategreater than ore equal to 1.0 mgd;2)POTWs with a pretreatment
tY 9 9 q 9
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number: Test number: Test number: Test number: 1 r
a. Test information.
Test Species&test method number Ceriodaphnia—TGP3t3 i.etloaapntria—TGPsbs Pimephales promelas—
THP6C
Age at initiation of test 22.18 hrs 21.3 hrs 21.68 hrs
Outfall number 001 001 001
Dates sample collected 5/8/17, 5/10/17 8/7/17, 8/9/17 8/7/17, 8/9/17,8/10/17
Date test started 5/10/17 8/9/17 8/8/17
Duration 7 days 7 days 7 days
b. Give toxicity test methods followed.
Short Term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents i Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oct FPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,
publication 2002 2002 Oct 2002
Page number(s) Pq 141-196 Pct 141 196 Pg 53-111
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 39 of 22

After disinfection X X X
After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Test number: 25 Test number: 26 Test number: 27
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90 90 22.5,45, 75, 90, 100
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 777 773 7.64
Salinity
Temperature 24 6 24.9 24,7
Ammonia
Dissolved oxygen 8 10 8.17 8 10
I. Test Results.
Acute:
Percent survival in 100%
effluent
LC50
95%C.I.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 40 of 22

Control percent survival
Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC % % 100%
IC25 % % %
Control percent survival 91.7% 100 % 97.5%
Other(describe)reduction 17.9% 10.25%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
What date was reference toxicant 05/16/2017 08/02/2017 08/08/2017
test run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
I I Yes x No If yes,describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information,or information regarding
the cause of toxicity,within the past four and one-half years,provide the dates the information was submitted to the permitting authority
and a summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 41 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number: Test number: 30
a. Test information.
Test Species&test method number Ceriodaphnia-TGP3B Ceriodaphnia-TGP3B Pimephales promelas—
THP6C
Age at initiation of test 22.38 hrs 22.58 hrs 23.8 hrs
Outfall number 001 001 001
Dates sample collected 11/6/17, 11/8/17 2/5/18, 2/7/18 2/5/18, 2/7/18, 2/8/18
Date test started 11/8/17 2/7/18 2/6/18
Duration 7 days 7 days 7 days
b. Give toxicity test methods followed.
Short term Methods for Estimating Short Term Methods for Estimating Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents Chronic Toxicity of Effluents Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,Oct EPA 821-R-02-013,4th ed,
publication 2002 2002 Oct 2002
Page number(s) Pg 111 196 Pn 111 196 Pg 53-111
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 42 of 22

After disinfection k X X
After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Test number: 28 Test number: 29 Test number: 30
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection After disinfection After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X X X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X X X
Flow-through
h. Source of dilution water. If laboratory water,specify type;If receiving water,specify source.
Laboratory water l ake Brandt Lake Brandt Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90 90 22.5,45, 75,90, 100
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 7 87 7 55 7.49
Salinity
Temperature 24.5 24 2 25.2
Ammonia
Dissolved oxygen 8.59 8.47 8.33
I. Test Results.
Acute:
Percent survival in 100% % % 0
effluent
/0
LC00
95%C.I. 0/0 ok
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 43 of 22

Control percent survival
Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC % % 100 %
IC25 °/O °/O
Control percent survival 100 % 100 % 97.5
Other(describe)red.., ,;t, 3.83% 3.95%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes Yes Yes
Was reference toxicant test within Yes Yes Yes
acceptable bounds?
•
What date was reference toxicant 11/01/2017 01/31/2018 02/06/2018
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)
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 44 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
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.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years.
Allow one column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: .i 1 Test number: Test number:
a.
Test information.
Test Species&test method number Ceriodaphnia-TGP3B
Age at initiation of test 22.4 hrs
Outfall number 001
Dates sample collected 5/14/18, 5/16/18
Date test started 5/16/18
Duration 7 days
b. Give toxicity test methods followed.
Short Term Methods for Estimating
Manual title Chronic Toxicity of Effluents
Edition number and year of EPA 821-R-02-013,4th ed,Oct
publication 2002
Page number(s) Pg 141-196
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
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 45 of 22

After dechlorination
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAI. YADKIN-PEE DEE
Test number: 31 Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: After disinfection
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity X
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal X
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water Lake Brandt
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
90
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH is r
Salinity
Temperature 24.8
Ammonia
Dissolved oxygen 7.89
I. Test Results.
Acute:
Percent survival in 100% 'fie % ,/O
effluent
LCw
95%C.I.
Control percent survival % % %
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 46 of 22

Other(describe)
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK, NC0024112 RENEWAL YADKIN-PEE DEE
Chronic:
NOEC % % %
IC25 % % %
Control percent survival 100 %
•
Other(describe) auction -6.93%
m. Quality Control/Quality Assurance.
Is reference toxicant data available? Yes
Was reference toxicant test within Yes
acceptable bounds?
What date was reference toxicant 05/02/2018 I I l I
test run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
D Yes No If yes,describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information,or information regarding
the cause of toxicity,within the past four and one-half years,provide the dates the information was submitted to the permitting authority
and a summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 4(of 21

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
HAMBY CREEK. NC0024112 RENEWAL. YADKIN-PEE DEE
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
Y Yes Li 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.
b. Number of CIUs. i
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Advanced Materials Coatings
Mailing Address: 17 High Tech Blvd.
Thomasville.NC,27360
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Anodized aluminum coatings(Type II and Type III)of small parts along with some dyeing of parts
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): Anodized aluminum parts for the motorsport industry
Raw material(s): Coating of pre-manufactured parts
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.
. (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.
( continuous or x intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes [ 1 No
b. Categorical pretreatment standards X Yes L l No
If subject to categorical pretreatment standards,which category and subcategory?
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 48 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: YADKIN PEE DEE
HAMBY CREEK, NC0024112 RENEWAL
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
Yes n No If yes,describe each episode.
SUPPLEMENTAL APPLICATION INFORMATION
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Brasscraft-Thomasville
Mailing Address: 1024 Randolph St
Thomasville. NC 27360
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Plating of plumbing valves and fittings
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): Plumbing valves,fittings
Raw material(s): Brass,copper,nickel,chrome plating
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.
20,000 ul, (r 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.
6 500 ,,l,:i (;x continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes I I No
b. Categorical pretreatment standards X Yes I 1 No
If subject to categorical pretreatment standards,which category and subcategory?
4
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 z No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 49 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED:
HAMBY CREEK, NC0024112 RENEWAL YADKIN PEE DEE
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Custom Drum Services
Mailing Address: P.0 Box 7072
High Point,NC 27264
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Reconditions steel and plastic drums and totes by chemical treating and washing them out
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 and plastic drums and totes
Raw material(s): sodium hydroxide,water,paints,boiler 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.
(II'+. ( 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.
t u ggpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes I 1 No
b. Categorical pretreatment standards l_I Yes X No
If subject to categorical pretreatment standards,which category and subcategory?
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
❑ Yes X No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 50 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED:
HAMBY CREEK, NC0024112 RENEWAL YADKIN PEE DEE
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Finch Industries,Inc..
Mailing Address: PO Box 1847
Thomasville,NC 27361
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Mirror manufacturing,glass fabrication,and screen printing
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): Mirror manufacturing,glass fabrication,and screen printing
Raw material(s): Glass,paint,silver,copper,inks
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.
75 000 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.
7 500 gpd ( continuous or x intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes [] No
b. Categorical pretreatment standards X Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
433
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
] Yes X No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 51 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED:
HAMBY CREEK NCOO24112 RENEWAL YADKIN PEE DEE
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: McIntyre Manufacturing Group
Mailing Address: 310 Kendall Mill Rd.
Thomasville,NC 27360
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Manufacture of metal display racks
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): Metal displays from wire,tube and sheet metal
Raw material(s): Steel,Aluminum,powder coatings,cleaning materials
F.6. Flow Rate.
e. 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?n gpd ( continuous or x intermittent)
f. 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.
gpd ( continuous or x intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits x Yes I I No
b. Categorical pretreatment standards X Yes f I No
If subject to categorical pretreatment standards,which category and subcategory?
i{:s
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 X No If yes,describe each episode.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 52 of 22

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?
I Yes x No(go to F.12)
F.10. Waste transport. Method by which RCRA waste is received(check all that apply):
1 Truck L I Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA(SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
I Yes(complete F.13 through F.15.) X No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes LI No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the )
(ordischargebe will the dischargecontinuous or intermittent?
[] Continuous I I Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 53 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED:
"MPV r PrrV NC002411" Rriorin,nf YADKIN PEE DEE
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system,complete Part G.
G.1. System Map. Provide a map indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs(e.g.,beaches,drinking water supplies,shellfish beds,sensitive aquatic ecosystems,and
outstanding natural resource waters).
c. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram,either in the map provided in G.1 or on a separate drawing,of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines,both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
c. Locations of in-line and off-line storage structures.
d. Locations of flow-regulating devices.
e. Locations of pump stations.
CSO OUTFALLS:
Complete questions G.3 through G.6 once for each CSO discharge point.
G.3. Description of Outfall.
a. Outfall number
b. Location
(City or town,if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
c. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
I 1 Rainfall ❑ CSO pollutant concentrations I CSO frequency
L_I 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 ([ I actual or I approx.)
b. Give the average duration per CSO event.
hours (1 1 actual orf I approx.)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 54 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED:
HAMBY CREEK, NC0024112 RENEWAL YADKIN PEE DEE
c. Give the average volume per CSO event.
million gallons(❑actual or i J 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 55 of 22

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