NC0047384_Renewal Application_20181126

---,-,40-
z-p0. rE-.4
trii.,mer,.
ROY COOPER NORTH CAROLINA
G01767 nor Environmental Quality
MICHAEL S_REGAN
Secretml'
LINDA CULPEPPER
Inrerirrn Director
November 26, 2018
Steven Drew, Interim City Manager
City of Greensboro
2503 White St
Greensboro, NC 27405
Subject: Permit Renewal
Application No. NC0047384
T.Z. Osborne WWTP
Guilford County
Dear Applicant:
The Water Quality Permitting Section acknowledges the November 26, 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. 1508-3 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,
ifiCe/41P250
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application -
ec: WQPS Laserfiche File w/application
£D_EQO
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

r City of Greensboro
L / North Carolina Water Resources Department
November 19, 2018 Certified Mail# 7003 1680 0001 0765 8763
Return Receipt Requested
Ms. Julie
NC Department of Environmental Quality REC�t�,�p/��NR/DW�
Division of Water Resources -NPDES Complex Permit Unit NO 1' 2 6 7018eSo�rces
1617 Mail Service Center
Water 1.
Raleigh,NC 27699-1617 Permitting Section
Subject: Renewal of NPDES Permit Number NC0047384
City of Greensboro T. Z. Osborne-Guilford County
Dear Julie,
The City of Greensboro hereby requests renewal of NPDES Permit Number
NC0047384 issued to the T. Z. Osborne Water Reclamation Facility. Enclosed
please find an original and 2 copies of the required documents for NPDES permit
renewal.
Please note the schematics included reflect the modifications to be completed
by last quarter 2020 in the current upgrade and expansion. Modifications
include the addition of Biological Nutrient Removal and expansion from 40
MGD to 56 MGD.
If you require any additional information or have any questions,please feel free to
contact me at 336-433-7229 or by email at [e-mail].
Sincerely,
U:1J1/1,L.Q._J tU O-WLQ
Martie Groome
Laboratory and Industrial Waste Section Supervisor
Enclosures:NPDES Permit Application Form
NPDES Permit Application Attachments
cc: Steve Drew, Water Resources Director(via email w/enclosures)
Mike Borchers, Asst. Water resources Director(via email w/enclosures)
Elijah Williams, Water Reclamation Manager(via email w/enclosures)
Bradley Flynt, Treatment Plant Superintendent(via email w/enclosures)
Alicia Goots, Laboratory Coordinator(via email w/enclosures)
Jenny Graznak, DEQ DWR WS office (via email w/enclosures)

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T.Z. Osborne, NC0047384 2019 Renewal Cape Fear
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: 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.
A. Additional Application Information for Applicants with a Design Flow>_0.1 mgd. All treatment wof s �a bav e�fq�QQ�(N
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6. RELtI V CL1frLJ�! �''"r'
B. Certification. All applicants must complete Part C(Certification). NOV 2 6 2018
SUPPLEMENTAL APPLICATION INFORMATION: Water Resources
Permitting Section
C. 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.
D. 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.
E. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users(Sills)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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name CITY OF GREENSBORO T.Z.OSBORNE WASTEWATER TREATMENT FACILITY
Mailing Address BOX 3136
GREENSBORO.NORTH CAROLINA 27402-3136
Contact Person STEVEN D.DREW
Title PIRECTOR OF WATER RESOUBCES/INTERIM ASSISTANT CITY MANAGER
Telephone Number [phone]
Facility Address 2,35Q HUF.INE MILL GOAD
(not P.O.Box) McLEANSVILLE.NORTH CAROLINA 27301
A.2. Applicant Information. If the applicant is different from the above,provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number ( )
Is the applicant the owner or operator(or both)of the treatment works?
® owner ® operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
® 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 NC0047384 PSD
UIC Other NC Air Permit 04489T23(incinerator)
RCRA Other Storm Water NCG110000 COC NCG110005
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 Greensboro NC and parts of —300,000 separate sewer City of Greensboro
Guilford County NC
Total population served —300,000
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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes ® No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from(and eventually flows
through)Indian Country?
❑ Yes ® No
A.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 40,0 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate ;8.82 MOD rCY20181 ;7.88 MOD rCY20171 33.75 MOD r2018-8mol
c. Maximum daily flow rate 58,20 MOD FCY20181 74,43 MGD ICY20171 54.01 MOD r2018.8mo1
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 100
0 Combined storm and sanitary sewer 0
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? 21 Yes ❑ No
If yes,list how many of each of the following types of discharge points the treatment works uses:
i. Discharges of treated effluent 1 (one)
ii. Discharges of untreated or partially treated effluent 0(none)
iii. Combined sewer overflow points 0(none)
iv. Constructed emergency overflows(prior to the headworks) 0(none)
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.? 0 Yes ® No
If yes,provide the following for each surface impoundment:
Location:
Annual average daily volume discharge to surface impoundment(s) mgd
Is discharge 0 continuous or 0 intermittent?
c. Does the treatment works land-apply treated wastewater? ❑ Yes ® No
If yes,provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site: mgd
Is land application 0 continuous or 0 intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? 0 Yes ® 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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
If yes,describe the mean(s)by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g.,tank truck,pipe).
If transport is by a party other than the applicant,provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number (
For each treatment works that receives this discharge,provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number ( )
If known,provide the 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. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.8.through A.8.d above(e.g.,underground percolation,well injection): 0 Yes ® No
If yes,provide the following for each disposal method:
Description of method(including location and size of site(s)if applicable):
Annual daily volume disposed by this method:
Is disposal through this method 0 continuous or 0 intermittent?
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
WASTEWATER DISCHARGES:
If you answered"Yes"to question A.8.a,complete questions A.9 through A.12 once for each outfall(including bypass points)through
which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered"No"to question
A.8.a,go to Part B,"Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a. Outfall number 001
b. Location MCLEANSVILLE 27301
(City or town,if applicable) (Zip Code)
GUILFORD NQRTH CAROLINA
(County) (State)
3870&'45" 7941'10"
(Latitude) (Longitude)
c. Distance from shore(if applicable) NOT APPLICABLE ft.
d. Depth below surface(if applicable) NOT APPLICABLE ft.
e. Average daily flow rate[CY2018 Jan.JunJ ,ja1 mgd
f. Does this outfall have either an intermittent or a periodic discharge? 0 Yes n No (go to A.9.g.)
If yes,provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge: mgd
Months in which discharge occurs:
g. Is outfall equipped with a diffuser? 0 Yes ® No
A.10. Description of Receiving Waters.
a. Name of receiving water South Buffalo Creek—,Buffalo Cr—.Reedy Fork Cr—.Haw River—.Cape Fear River
b. Name of watershed(if known) CAPE FEAR RIVcR BASIN
United States Soil Conservation Service 14-digit watershed code(if known): 03030002040020
c. Name of State Management/River Basin(if known): CAPE FEAR RIVER BASIN
United States Geological Survey 8-digit hydrologic cataloging unit code(if known): 03030004
d. Critical low flow of receiving stream(if applicable)
acute 30Q2=4.2 cfs chronic Summer 7Q10=2.1 cfs
e. Total hardness of receiving stream at critical low flow(if applicable): NOT 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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
O Primary 0 Secondary
® Advanced ❑ Other. Describe:
b. Indicate the following removal rates(as applicable):
Design BOD5 removal or Design CBOD5 removal NOT APPLICABLE
Design SS removal NOT APPLICABLE %
Design P removal NOT APPLICABLE
Design N removal NOT APPLICABLE 9/0
Other ok
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season,please describe:
Chlorination using sodium hvpoehlorite(year-round)
If disinfection is by chlorination is dechlorination used for this outfall? to Yes 0 No
Does the treatment plant have post aeration? 0 Yes ❑ No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on 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: 001 Mem from 1-1-2017 through 6-30-20181
MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
PARAMETER
Value Units Value Units Number of Samples
pH(Minimum) 7.0 s.u. f
pH(Maximum) 7.9
Flow Rate 74.43 MGD 29.69 MGD 546
Temperature(Winter)(11/1 -3/31J 27.4 °C 20.1 °C 183
Temperature(Summer)(4/1 -10/311 29.3 °C 25.0 °C 190
*For pH please report a minimum and a maximum daily value
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT METHOD ML/MDL
Conc.] Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN BOD5
DEMAND(Report one) CBOD5 72.3 _ mg/I 2.32 mg/I 354 SM 5210 B 2 mg/I
FECAL COLIFORM(*geometric mean] 60,000 /100 ml 8.68* /100 ml 358 SM 9222 D 1 col/100 ml
TOTAL SUSPENDED SOLIDS(TSS) 275 mg/I 2.31 mg/I 362 SM 2540 D 1 mg/I
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 6 of 22

4
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD(100,000 gallons per day).
All applicants with a design flow rate>_0.1 mgd must answer questions B.1 through B.6. All others go to Part C(Certification).
B.1. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
unknown gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
peoartfnent annual budag(fQr newer reh(bllltatloq.; FY 18-1Z•$.1M1..... EY.17.-1J $Q0M. ..FY18-19•K41& mm
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. 1.2 Schematics and Narrative Attached)
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? h Yes (a No
If yes,list the name,address,telephone number,and status of each contractor and describe the contractor's responsibilities(attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number: ( )
Responsibilities of Contractor:
B.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.
Outfall 001 (1)Total Nitrogen Annual Mass Limits effective CY2021 and expansion from 40 MOD to 68 MOD
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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
c. If the answer to B.5.b is"Yes,"briefly describe,including new maximum daily inflow rate(if applicable).
Expansion from 40 MGD to 56 MGD to replace capacity of North Buffalo POTW which was decommissioned in October 2017
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 / /2016 / /2016
-End Construction DEC/ /2020
-Begin Discharge / / / /
-Attain Operational Level PEC/ /2021
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ® Yes ❑ No
Describe briefly: Yes. Current NPPESpermit NC004Z384 includes tier that Is effective upon complejion of Qgnstruction prolect achieving
56 MGD capacity and Total Nitrogen reduction Schedule includes final compliance date of December 31,2021.
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 one-half years old.
Outfall Number: 001 [Data from 1-14017 through 6-30-20181
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT METHOD ML/MDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA(as N) 8.81 mg/I 0.243 mg/I 373 SM 4500 NH3 F 0.1 mg/I
CHLORINE(TOTAL 66 ug/I <14 ug/I 373 SM 4600 CI 0 14 ug/I
RESIDUAL,TRC)
DISSOLVED OXYGEN 9.84 mg/I 6.64 mg/I 373 SM 4500 0 0 0.6 mg/I
TOTAL KJELDAHL 12.7 mg/I 1.88 mg/I 78 EPA 361.1 0.2 mg/I
NITROGEN(TKN)
NITRATE PLUS NITRITE 32.8 mg/I 13.48 mg/I 78 EPA 353.2 0.1 mg/I
NITROGEN
OIL and GREASE <6 mg/I <5 mg/I 3 EPA 413.1 6 mg/I
PHOSPHORUS(Total) 5.2 mg/I 0.88 mg/I 96 SM 4600 P E 0.1 mg/I
TOTAL DISSOLVED SOLIDS 689 mg/I 482 mg/I 3 SM 2540C 10 mg/I
(TDS)
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 8 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A,as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement,applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
® Basic Application Information packet Supplemental Application Information packet:
Part D(Expanded Effluent Testing Data)
® Part E(Toxicity Testing: Biomonitoring Data)
El Part F(Industrial User Discharges and RCRA/CERCLA Wastes)
0 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 STEV=' D.DRErW� E 0 0 WATER RESOURCES DIRECTOR/INTERIM ASST.CITY MANAGER
Signature �L
i
Telephone number f338 73-7893//
Date signed Li// //i0
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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has(or is required
to have)a pretreatment program,or is otherwise required by the permitting authority to provide the data,then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition,these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. At a minimum,effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number: 001 (1/1/2017•¢/30/2018+2016 PPA1 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL
ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
METALS(TOTAL RECOVERABLE),CYANIDE,PHENOLS,AND HARDNESS.
ANTIMONY <25 pg/I <25 pg/I 7 EPA 200.7 25 pg/I
ARSENIC 7.8 pg/I 4,1 pg/I 19 EPA 200.7 5 pg/I
BERYLLIUM <5 pg/I <5 pg/I 7 EPA 200.7 5 pg/I
CADMIUM <1 pg/I <1 pg/I 19 SM 3120 B 1 pg/I
CHROMIUM <5 pgll <5 pg/I 19 SM 3120 B 5 pg/I
COPPER 10.3 pg/I 1,09 pg/I 19 SM 3120 B 5 pg/I
LEAD <5 pg/I <5 pg/I 19 SM 3120 B 5 pg/I
MERCURY 9.0 ng/I 2.90 ng/I 19 EPA 1631 1 ng/I
NICKEL 26.9 pg/I 15 pg/1 19 SM 3120 B 6 pg/I
SELENIUM <5 pg/I <5 pg/I 19 EPA 200.7 6 pg/I
SILVER <5 pg/I <5 pg/I 19 SM 3120 B 5 pg/I
THALLIUM <20 ug/I <20 ug/I 9 EPA 200.7 20 ug/I
ZINC 84 pg/I 43 pg/I 19 SM 3120 B 10 pg/I
CYANIDE <20 pg/I <20 pg/I 7 EPA 335.2 20 pg/I
TOTAL PHENOLIC 0.892 mg/I 0.302 mg/I 3 EPA 420.1 0.01 mg/I
COMPOUNDS
HARDNESS(as CaCO3) 84 mg/I 72.4 mg/I 20 EPA 200.7 1 mg/I
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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
Outfall number: 001 ICY 2016-CY 20181 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
VOLATILE ORGANIC COMPOUNDS [`NOTE:different detection limits on samples]
ACROLEIN* <500 pg/I <500 Pg/I 3 EPA 624+AA 600 pg/I
ACRYLONITRILE* <10 pg/I <10 pg/I 3 EPA 624+AA 10 p
<100 <100 100 pg10
BENZENE* 10 pg/I < pg/I 3 EPA 624 10 Np/ll
I
BROMOFORM* <'�� pg/I 6.68 pg/I 3 EPA 624 10 pg/I/l
CARBON <1 <1 1 pg/I
TETRACHLORIDE* <10 pg/I <10 nil 3 EPA 624 10 pg/I
CHLOROBENZENE* <10 pg/I <10 pg/I 3 EPA 824 10 NQ//I
CHLORODIBROMO- 6.33 /) 6.44 pg/I 3 EPA 624 1 pg/I
METHANE* <10 pg10 pg/I
CHLOROETHANE* s6C pgll X60 pg/I 3 EPA 624 50pg/pg /I
2-CHLOROETHYLVINYL <5 41i 6 pg/1 3 EPA 824 6 pg/I
ETHER* <50 60 60 pg/1
CHLOROFORM* <10 pg/I <10 pg/I 3 EPA 624 1 pal
DICHLOROBROMO- 2.18 pg/I 4.06 pg/I 3 EPA 624 1 pg/I
METHANE* <1010 pg/I
1,1-DICHLOROETHANE* <10 pg/I <1C pg/I 3 EPA 624 1oN°oil
1,2-DICHLOROETHANE* pg/I 3 EPA 624
10 10 10 pg/I pg/I
pa
TRANS-I,2-DICHLORO- <1 pg/I <1 pg/1 3 EPA 824 1 pg/I
ETHYLENE* <10 <10 10 pg/I
1,1-DICHLORO- <1 <1 1 pg/I
ETHYLENE* <10 pg/I <10 pg/) 3 EPA 624 10 pg/I
1,2-DICHLOROPROPANE* <1 pg/I <t pg11 3 EPA 624 1 pgn
<10 <10 10 pg/I
1,3-DICHLORO- <1 <1 1 pg/I
PROPYLENE* <10 pg/I <10 pg/I 3 EPA 624 10 pg/I
ETHYLBENZENE* <1pg/I <1 /I 3 EPA 624 1 pg/I
pg
<10 <10 10 pg/I
METHYL BROMIDE* X60 pg/I <60 pg/I 3 EPA 624 60 Nal
METHYL CHLORIDE* <SO pg/I <SO pg/I 3 EPA 624 60 pg/ll
I
METHYLENE CHLORIDE* <10 pg/I d pg/I 3 EPA 624 10 p<1 1g/9/I
1,1,2,2-TETRA- <1 <1 1 pg/I
CHLOROETHANE* <10 pg/I <10 pg/I 3 EPA 624 10 pg/I
TETRACHLORO- <1 <1 1 pg/1
ETHYLENE* <10 pg/I <10 pg/I 3 EPA 624 10 pg/I
/I
TOLUENE* <�0 pg/I <10 pg/I 3 EPA 624 1 <1 10 N1
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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
Outfall number: 001 [CY 2016-CY 20181 (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
11,1- <1 <1 1 pg/I
TRICHLOROETHANE* <10 pg/I <10 pg/I 3 EPA 624 10 pg/I
1,1,2- <1 <1 1 pg/I
TRICHLOROETHANE* 00 pg/I <10 pg/1 3 EPA 824 10 pg/1
TRICHLOROETHYLENE* <10 pg/I 10 pg/I 3 EPA 624 ,1 <1 'o Ny�il
VINYL CHLORIDE* <5 pg/I 5 pg/I 3 EPA 824 6 pgll
<50 50 50 pg/1
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 pg/I <10 pg/I 3 EPA 625 10 pg/I
2-CHLOROPHENOL <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
14-DICHLOROPHENOL <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
2,4-DIMETHYLPHENOL <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
4,6-DINITRO-O-CRESOL <50 pg/I <50 pg/I 3 EPA 625 50 pg/I
2,4-DINITROPHENOL <50 pg/I <50 pg/I 3 EPA 625 50 pg/I
2-NITROPHENOL <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
4-NITROPHENOL <50 pg/I <50 pg/I 3 EPA 625 50 pg/I
PENTACHLOROPHENOL <50 pg/I <50 pg/I 3 EPA 625 50 pg/I
PHENOL <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
2,4,6-
<10 pg/I <10 pg/I 3 EPA 625 10 pg/I
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 pg/I <10 pg/I 3 EPA 825 10 pg/I
ACENAPHTHYLENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
ANTHRACENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
BENZIDINE <50 pg/I <50 pg/I 3 EPA 625 50 pg/I
BENZO(A)ANTHRACENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/1
BENZO(A)PYRENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
Outfall number: 001 fCY 2016-CY 20181 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
3,4 BENZO- <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
FLUORANTHENE
BENZO(GHI)PERYLENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
BENZO(K)
FLUORANTHENE
<10 pg/I <10 pg/I 3 EPA 825 10 pg/I
FLUORANTHENE
BIS(2-CHLOROETHOXY) <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
METHANE
BIS(2-CHLOROETHYL)- <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
ETHER
BIS(2-CHLOROISO- <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
PROPYL)ETHER
BIS(2-ETHYLHEXYL) <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
PHTHALATE
4-BROMOPHENYL <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
ETHER
ETHER
BUTYL BENZYL <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
PHTHALATE
2-CHLORO-
<10 pg/I <10 pg/I 3 EPA 625 10 pg/I
NAPHTHALENE
4-CHLORPHENYL <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
PHENYL ETHER
CHRYSENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
DI-N-BUTYL PHTHALATE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
DI-N-OCTYL PHTHALATE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
DIBENZO(A,H) <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
ANTHRACENE
1,2-DICHLOROBENZENE <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
1,3-DICHLOROBENZENE <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
1,4-DICHLOROBENZENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
3,3-DI - <50 pg/I <50 pg/I 3 EPA 625 50 pg/I
BENZIDINE
DIETHYL PHTHALATE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
DIMETHYL PHTHALATE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
2,4-DINITROTOLUENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
2,6-DINITROTOLUENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
1,2-DIPHENYL-
<10 pg/I <10 pg/I 3 EPA 625 10 pg/I
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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
Outfall number: 001 [CY 2016-CY 20181 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
FLUORANTHENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
FLUORENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
HEXACHLOROBENZENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
HEXACHLORO- <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
BUTADIENE
HEXACHLOROCYCLO-
PENTADIENE <50 pg/I <50 pg/I 3 EPA 825 50 pg/I
HEXACHLOROETHANE <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
INDENO(1,2,3-CD)
PYRENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
ISOPHORONE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
NAPHTHALENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
NITROBENZENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
N-NITROSODI-N- <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
PROPYLAMINE
N-NITROSODI-
METHYLAMINE <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
N-NITROSODI-
PHENYLAMINE <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
PHENANTHRENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I
PYRENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/1
1,2,4
TR ICHLOROBENZENE <10 pg/I <10 pg/I 3 EPA 825 10 pg/I
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:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1)POTWs with a design flow rate greater than or equal to 1.0 mgd;2)POTWs with a pretreatment program(or those that are
required to have one under 40 CFR Part 403);or 3)POTWs required by the permitting authority to submit data for these parameters.
• At a minimum,these results must include quarterly testing for a 12-month period within the past 1 year using multiple species(minimum of two
species),or the results from four tests performed at least annually in the four and one-half years prior to the application,provided the results
show no appreciable toxicity,and testing for acute and/or chronic toxicity,depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition,this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition,submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity,provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation,if one was conducted.
• If you have already submitted any of the information requested in Part E,you need not submit it again. Rather,provide the information
requested in question E.4 for previously submitted information. If EPA methods were not used,report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below,they may be submitted in place of Part E.
If no biomonitoring data is required,do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.(2014-2018:20 daphnia and 6 fat head minnow]
($ chronic(28) 0 acute [SEE ATTACHED WET TEST SUMMARY-PART E ATTACHMENTS 1 &2]
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number: Test number:
a. Test information.
Test Species&test method number
Age at initiation of test
Outfall number
Dates sample collected
Date test started
Duration
b. Give toxicity test methods followed.
Manual title
Edition number and year of publication
Page number(s)
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 15 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
Test number: Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water
Receiving water
i. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used.
Fresh water
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Salinity
Temperature
Ammonia
Dissolved oxygen
I. Test Results.
Acute:
Percent survival in 100% % % 0/0
effluent
LCso
95%C.I.
Control percent survival ok
Other(describe)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 16 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
Chronic:
NOEC 0/0
IC25
Control percent survival
Other(describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test I I I I I I
run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes El 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)
WET Tilt Summary Inclusled and Welted"PART E ATTACHMENTS 1&2". NPDES Permit NC0047384 reaulre5 auarterlv chronic
WET anaJyseson the final effluent after disinfection in January,April July and October?and data submittal auarteriv,on.corresponaing
eDMRs and also to the DEO Environmental Sciences Branch,Five second species tests are also included per NPDES Qermit
requirement.WET 2014-2018■20 Chronic Daphnia tests:199assed/1 invalid test;5 fat head minnow tests;5 passed,
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 17 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject to,an approved pretreatment program?
® Yes ❑ No
F.2. Number of Significant Industrial Users(Sills)and Categorical Industrial Users(ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works. TOTAL OF 28 SIGNIFICANT INDUSTRIAL USERS
a. Number of non-categorical SIUs. 8
b. Number of CIUs. 20
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. SW SUMMARY FORMS ARE INCLUDED AND LABELED PART F ATTACHMENTS 1-28
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:
Mailing Address:
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
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):
Raw material(s):
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.
gpd ( 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ❑ No
b. Categorical pretreatment standards 0 Yes ❑ 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 18 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
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 0 No If yes,describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
❑ Yes ® No(go to F.12)
F.10. Waste transport. Method by which RCRA waste is received(check all that apply):
❑ Truck 0 Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA(SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) ® No [None from CERCLA or RCRA and none that meets the SIU definition]
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is expected to originate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system,complete Part G. NOT APPLICABLE
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 1
b. Location
(City or town,if applicable) (Zip Code)
II
(County) (State)
(Latitude) (Longitude)
c. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
❑ Rainfall 0 CSO pollutant concentrations 0 CSO frequency
❑ CSO flow volume 0 Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
events (0 actual or 0 approx.)
b. Give the average duration per CSO event.
hours (0 actual or❑approx.)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 20 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC0047384 2019 Renewal Cape Fear
c. Give the average volume per CSO event.
million gallons(0 actual or 0 approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water:
b. Name of watershed/river/stream system:
United State Soil Conservation Service 14-digit watershed code(if known):
c. Name of State Management/River Basin:
United States Geological Survey 8-digit hydrologic cataloging unit code(if known):
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused by this CSO(e.g.,permanent or intermittent beach closings,permanent or
intermittent shell fish bed closings,fish kills,fish advisories,other recreational loss,or violation of any applicable State water quality standard).
END OF PART G.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 21 of 22

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

N)
N_ N N a N -
CO J N CO
13 0 Q° 13 0 4° V p 4° -0 p' -0 p 9' p f> -0 p 90
=7 3 a== 37Ea=7E ' a =7 ; �=7 ; Og3a3G. N+ n= 0 . N
Cm5 1) i
C O N C N C O la
N C N d C O Cy
co
�.o -.v °i 3.0 -v 3.o a'O a.o -v _. ..o -v �.o 7:g3 7.o ..•13 m
O) 7 CC co Elmer ) 7 co IC m 7 IC{C A tome . finer N 7 co Cp
n 0 n M A 0 5 0 C') M n 0 C) fA
C OD V . () O CO JAN C7 OO JANC7 O COV ANC) O CO JAN C7 OCOV 4a NJ OO JAN C7 N
O Cn 01 OCn cg OCn cTOCn St O 0101 O St St O Cn c)1 �D
O e e e 0
O e e e 0
O e o\'cm 0 O e e e en 0 0 e a LT,0 O e 0 0 U O O o o\Ln o
Zig e 0. o e,_.. o ° e O. o o7 o ° e 0. o e O o 0 0 o e7 �
4=rn 0 4=4 4 m° 4=4=m 0 z=4 4 m 0 4===m 4 4==m Q 4===m° m
N-. -a N Na Na Na Na Na N Na-a Na Na N W N N N Na N Na CO Na Na N Na N Na-a -a K3-a N Na N O k
NA COQcn co co CO CO 44 J W CO CO-4 V cal co CO N CD CA OON CA O CO -+CA OD CO CD N3 J A CO N CAN -a
r
71
can Da)Na A A Na Na CO CNa o Can N A W CO cn CO CO O ho Ka
0)O can A 0) COaCao COD OJA W N W cn c0 CO -a A A Nt N
. . . . 0
Ch
N N Na N Na O W N N N N D W W. 8N ON CJ N W N NNN W W N N N WN N N W N N N N ik
()NA Na O
�k z
Na A Can-a Canv COOCha CO O CO c(001 N CD A C01-0 0)UO CCOO NW c0 V CCOO A Na W O COhi A A-a+CD Can Na-cD C0 W A A m
71
0
—I
N N N N N j ha NJ W Ni -a N Na N -+ Na-a Na Na Ca-a NC)CO Ca Na -a Na Na Na Na --a Na N-aN 9k
W O A CD co O A W-a. W O CO -a Na A 00 -a.co s CA O CO cn OO Na C)1 O N J CT A CO A CO CA-.44 -a N11
mZ
N NNNN NNNN-+N — N N N NI ca N Na N N N W NN NNNNN N N N N N N N It r- 52
O
CO CJO A -, CO V 01 c0 40 CO- J C+) A JOO V CONa CO cDCn O CA C) A NA CO— A AA ON W V O)
A
0y
NJ-a N W Na co Na Na N N Na Na N Na Na N N W W CO N N N N N N N -+ -. N N i k CO
CO NCA O-aON C)A 0CD J J C) A NCO V V Co V -+ -+ NOD - V W Na CO-a ACO Co W CT V 44
Z4
Cn NJ KaI
00)W Oha K3 NCO NOO A0 W OCD00-a COCA-aCOO Co Co V COaN NJ
a3 v(D-aA CON NJO N CO -a
r
r
m
_-a _ _ _ _ _ m
N N N Na Na Na N N N N N N W N-a N N N Na Na N N W N N N N N N N -a N -a ik T
W ANO W CO co Cn -+0)000 N ACO 00-4 J CO cm CO CnCD CA V CO 00 cal NOO A CCOs CON CO OO CO CA t0 T
r
. - C
NNN-+ NN N W NNNN --+-N- NNNNNN NNN CO W N NNNNNN -a Na jN-aN „It m
NNA CD NC) N-aA—CT A J Cn Co CD O cal J cal J NCA N OCoA W O A CO AOA -,N CO - COC) Z
_ —I
41 0
C)
N .A
m
NN N N N N N N] j Na N N N N N] N N W Na Na N N Na Na N N j N 71 D co
W- CD cDO CO C)CTCTCTU CD OJ NJ NNCo en co Cn V 00 V CT NNNNNDN J00 NN m< C
CA 0_. Co Co A V C)A V en O N Co Co CO W --A CO N Co Co en N Cf Cn J N Co CA-+ -+ 3 G) r
Cl) 1
OO-000 000000 000000 O -0--+- O 0000- 0 000000 000000 o C �
000000 000000 000000 000000 000000 000000 000000 - 3
D
.m
e -<
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O W
0:0 0 0 0 0 0 0 0 0 0 e e e e e e e e e e e e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 011
— 0 P
I - 0 -1
a > •
m> > > > D v) > ��'
Cl) Cl)) CO CO CO CO v) c(i) -i m D
U) "`
O e 1
Pro
CO-+Ga. V NCO O CO CO OCo co NA v � ��� LfA NCO CD P P .
�O Cr)CTA CL CL I
C)O�AJ VCTO CT OCopWA ��WcOW m VO O OOOWN AOc.0 N3 CT C C
CD N J OD CO J A W O) V CD -a 03-a 0 O(r Cn '� CA o0
Op
z
.d -,
E 1, c� N
�m
< < < < < < < 1f a 0 n
n v
—
- - co - - - - .. -11 m m
o 0cn
0 0 0 0 g» = m
e e e e e e e $d Cl)
o a

t _ ,�
o -
0
01 A NCO W 01 N
ca
0�2m .. C)7•9m�° n= m9D na9lm Q° n?�mA 0S2m ¢° n7'9min
CD N C c 61 at CU E '9 CD a1 C V CD C N CD C '0 co '0 s
=.it' o DI 7.o o DZi
� a� O DN a=g .. a"o3N a=g op_=g z.
D3
61 _7 3 0 —7 3 0 _7 C V 0 —7 .. O N 7 C 0 d 7 C 0 N 7 C N -I y
'o C)N v n Cn:-1 'a n CO' N v C rn — v _N= + -o C)fn'. - -o C)CO—N m
7'3 fp "• V 7'o-W V 7'7.Cp . O S7'0.r'. C) 7'�Cp W S?Cp •Cn =m'10 O Nr
7 0 ,RS 7 a ,'C 7.O 7 C3 '6 7.O 'C 7 a --a _7 a ,v m
Cp 7 Ip CD CD 7 CD CD N 7 tD CD Cn O) 7 o CD 61 7 1p W N 7 Ip co O) 7 W W O°I
F.;W A 0 Ci N C)O) n 0 C1 0 n W
atNCn NN N NteoNC CD V A C) O CD V A NCO CD V AS O CD V A C7 O CD V A C7O D-4 A n OCD V A C7 N
!..:-..4 1:.-4
ene1.1?„8 (6.3,eeen:: 7o00000n :!;.:4.goOoCneCo�goO0oACe%. goOCenateog 'o00e �33
4 m° 4 4° 4 4 4 4 4° 4 4 4 4 4 0 4 4 4 4 4° 4 4 4 4 m o 4 4 4 4 4 0 m
46
N W AAAA O-sCnKa V N CONOND OODDCND CoNCCT —W ACON)CNA coNA Da
Nt CONW CONON)OND CNAN V Na V N+CDAO
N N N N N N N N N N N N W N Na W N -a — N N N N N N N N N N N N N N N Na N N N N N ik N
O N NCA O CA N O V A CA CA U A V CD O Co N V N Co V O A CD V CO A A CA V V Co CO N CO A A CO -+CO Ni
_ 0
co
N NJ -a N N N N Na N N N Na N Na Na N N N N N N N N N N N N N N N N Na N N N N N N N N ik O
W O)CD A W A O- A N N A CA 6 -4 A CO W O Cn CA V O) -4 CD -a V V CA C) CA A Co A V N O)CA N CA CA O ca0
IV
Z
NNNNN N N N N N Na N N CO N -+ N N N NNNNNN -a N N N N N N N-+NN ik m
CA -. -+A N CO O)-a CO A CO N CO CT co CO -.W co co co co Cb CD CA V V CA O O Co CT V W O N CA N CO A A CO13
A
. 0
—I
NN NN—N -a N N N NJ -a N N Na N N N -a N N CO N N N N co N N N DJ N N N N N N Na N N N N ik
6Q 01 -a CO O CA N NJ-a O co co Cn CO Co O CA W A . -1 CJ O CO O A A C) A -t O O N CO O W O Co N 2 t`A
it
m Z
N W ON)W CTCDO V Cn CD O A Na A O CND CD W A CO 0OV CND C)Na A -a CONDI A V N CNA CONCTCONNa N Oat CNJ Nn C3)CNJ NA N V O!(rn0
A
Goo
N —-a N N NN N N N NNN CO NN -+ -a N NNN NNNN N Na NNNNNN N-+ N N NN lit
nW CO Cn-.CA O)-.AOW CO VCAV OA CO CACD VO)COA NA CD a4 WCA WCA V A V A CD CO A -aAN VZ1��t
N N N Na N N N N N N N N N N N Ni N N N N N N N N N N N N N N N N—N N N ] ik co O
Na W CA Cn co-. CD CA CO-+ CD A V CO CA W Cn V O A V CO CA CA N CD CO CD Cn V N CO CT Co W A CA OA t)D CA CO ) r
. . _ . m
_ m
N N N N N N -a-+Na N Na Na N N N N N N N Na N N N N N N N N N Na Na N N CO N N Na Na Na Na N ik -n
CACAO -+CAN Co Co W AA -+ V 0 V 6C CA -aCn -aO) O)6 NCA CO W CAA CO OD Cn CDOO NCA V CO NO CO m
r-
_ . C
N N --+N N N N N N -+ N N N N N NN N N N N N N N N N N N N N N N N N N N N N] m
CA N V CJ W CD CA O CO N V CD V V V CO CD A CA -+V CO V CA CA CD V N V V N N CA CA CA O W V A N 0 Z
—I
"I
▪ x
_0
r "<
N 73
m
N N N N N] N Na N N N N N N —] N N N N N Na N N N N N N N N ] N N N N N a1 D CO
W CO-a W W -a UD CD CO N N N O V V V V CA Cn 6 V O N A Cn V O 6 co co CA co O A A A W LT W" m G C
N O O)IV- CA CD -a ha CDA CJ N)N)A OO W W V V CA W 6O) V IV ha in N)A)- U —(A—U 3c r
3 Cl)
000000 000000 000000 000000 000000 000000 oOo-aoo C C
0 0 0 0 0 0 0 0 0 0 0 0 O O O O O 0 0 0 0 0 0 0 O O O O O O 0 0 0 0 0 0 O O O O O O -- 3
D
000000 000000 000000 000000 00000 CD 000000 000 OO o d
00000e oeeeeo 000000 eeeeoe eeeeee 000000 eeeeee a W o
, �7 v -i
o - m> > > > > > D
COCvi Cl) Cl)CO i Cl)l) N 0) r- -I D
e0� -
CD DN SCD _. - ANO0 �•NOC CD CV V V V GA
V 4 -. - CO Cn A V Cn V a0.
ACD W 0)tD A W C :°. in A00 A •A •N •O) 1V at• 0 COA CA —CA in 6 6 6 6C C
cT.
o V O(A _+CAO V OCD CD O 6CAN V CD8 aN 'Jr W CO V CD 00000 CI 0
71 ft
o p 3
al
2
--1
3-o
II II II II it E p. II II II 3 fl, 1
V A V V V V V 3
r S. T
CD O po+ 8 8 w. O 8 0 Z
O O O e *�m G e e t(n
i C a
.

VAtZ_r E AT-TACO ' JT 1
ID45e3
T.Z. OSBORNE POTW[NC0047384]WHOLE EFFLUENT TOXICITY RESULTS SUMMARY[BIOASSAY TEST]
SAMPLE FEMALE ORGANISMS AVG!T # - ty Reproduction
DATES I SAMPLE #1 #2 #3 #4 #5 I #6 #7 i #8 I #9� #10 ' #11 #12 ! FEM I Mortalityi%Mortah RESULT %Reduction COMMENTS
7/25&7/27 2017 Control 26 23 26 28 25 26 25 25 22� 28 25.4 1/10 10%
EPA Multiple 22.5%Eff 24 22 21 22 26 26 28 21 26 24 24 0/10 0% 5.51 _ -
_ Dilution Series 45%Eff 23 23 18 21 17 28 23 23 27 26 22.9 0/10 0% 9.84
_ Phase II Chronic 75%Eff 30 26 26 24 26 29 24 26 17 27 25.5 0/10 0% -0.39
Ceriodaphnia 90%Eff 25 22 24 23 25 23 24 26 23 26 24.1 0/10 0% PASS 5.12 --
100%Eff 22 27 26 13 27 16 28 26 27 28 24 0/10 0% 5.51 CV= >100%
10/17&10/19 2017 Control 23 24 , 17 24 22 23 20 24 22 26 22.5 0/10 0%
EPA Multiple 22.5%Eff 26 27 22 20 24 28 23 24 23 23 - 24 0/10 0% -6.67
Dilution Series 45%Eff 24 26 21 24 27 20 27 24 28 25 24.6 0/10 0% -9.33
.
Phase II Chronic _ 75%Eff 26 25 27 28 22 30 26 24 28 27 _ _ 26.3 0/10 0% -16.89
Ceriodaphnia 90%Eff 26 25 _ 27 28 22 30 26 24 28 27 _ 26.3 0/10 0% PASS -16.89
100%Eff 29 27 25 26 27 30 27 28 27 24 27 0/10 0% -20.00 CV= >100%
1/30&2/1 2018 Control 19 20 24 20 19 23 23 24 22 27 22.1 0/10 0%
EPA Multiple 22.5%Eff 25 20 19 18 22 21 25 24 24 25 22.3 0/10 0% -0.90
Dilution Series 45%Eff 26 24 22 21 26 23 23 22 16 25 22.8 0/10 0% -3.17
_ Phase II Chronic 75%Eff 22 23 20 27 25 27 25 26 21 24 24 0/10 0% -8.60 _
Ceriodaphnia 90%Eff 25 26 23 25 27 25 24 25 25 26 25.1 0/10 0% PASS -13.57
100%Eff 24 18 25 26 18 26 19 18 27 26 22.7 0/10 0% -2.71 CV= >100%
I
4/17&4/19 2018 Control 23 21 25 26 20 18 23 25 20 22 22.3 0/10 0% _ _
EPA Multiple -- - 22.5%Eff 0 0 0 0 0 0 0 0 0 0 0 10/10 100% 100.00
Dilution Series 45%Eff 0 0 0 0 0 0 0 0 0 0 0 10/10 100% 100.00 **INVALID TEST per DEQ
Phase II Chronic 75%Eff 0 0 0 0 0 0 0 20 0 0 2 4/10 40% 91.03
Ceriodaphnia 90%Eff 18 16 0 5 18 0 0 0 6 0 6.3 1/10 - 10% Invalid 71.75 -
100%Eff 0 23 14 23 0 9 0 8 22 20 11.9 0/10 0% 46.64 CV= <22.5%
l I
5/1&5/3 2018 Control 21 23 22 23 20 24 18 21 20 24 21.6 0/10 0%
EPA Multiple 22.5%Eff 24 23 27 24 24 21 24 23 24 21 23.5 0/10 _ 0% -8.80 RE-RUN for APRIL'18
- Dilution Series 45%Eff 24 25 22 _ 23 24 25 25 27 23 24 24.2 0/10 0% -12.04 DEQ says report for April _
Phase II Chronic 75%Eff 27 25 19 21 26 23 21 24 23 25 23.4 0/10 0% -8.33
_ Ceriodaphnia 90%Eff 27 25 19 21 26 23 21 24 23 25 23.4 0/10 0% PASS -8.33
100%Eff 25 23 22 25 24 25 24 24 25 27 24.4 0/10 0% -12.96 CV= >100%
7/24&7/26 2018 Control 27 29 24 23 25 25 27 28 27 24 25.9 0/10 0%
EPA Multiple 22.5%Eff 29 25 27 32 23 26 30 28 31 31 28.2 0/10 0% -8.88
Dilution Series 45%Eff 28 30 28 29 27 27 28 _ 28 28 29 28.2 0/10 0% -8.88
Phase II Chronic 75%Eff 28 29 27 27 25 28 27 29 26 29 27.5 0/10 0% -6.18
Ceriodaphnia 90%Eff 28 28 29 27 28 28 25 27 28 27 _ 27.5 0/10 0% PASS -6.18 -
100%Eff 28 26 26 28 26 21 27 28 25 27 26.2 0/10 0% -1.16 CV= >100%

-PA 12.r E is.I"T °-L.14mr-NJ; 2-
p4,5t I
T.Z.OSBORNE POTW PPA and WHOLE EFFLUENT TOXICITY SCHEDULE and RESULTS
T.Z.OSBORNE POTW NC0047384 SECOND SPECIES BIOASSAY[Fathead Minnow]
January 28/30/31,2014 (Extra Fish for TZO)
Rep!. 1 2 3 4
Control surviving# 10 10 9 9 %Survival 95 Results
Original# 10 10 10 10 Survival Growth
Wgt/onginal(mg) 0.457 0.614 0.58 0.568 Avg Wgt(mg) 0.555 NOEC 100 100
LOEC >100 >100
22.5%Eff Surviving# 8 10 9 9 %Survival 90 ChV >100 >100
Original# 10 10 10 10
Wgt/onginal(mg) 0.475 0.507 0.511 0.495 Avg Wgt(mg) 0.497 Overall ChV >100
45%Eff Surviving# 9 8 9 9 %Survival 87.5
Original# 10 10 10 10
Wgt/onginal(mg) 0.605 0.5 0.509 0.516 Avg Wgt(mg) 0.533
75%Eff Surviving# 10 10 9 10 %Survival 97.5
Original# 10 10 10 10
Wgt/onginal(mg) 0.623 0.5 0.497 0.597 Avg Wgt(mg) 0.554
90%Eff Surviving# 10 10 9 9 %Survival 95
Original# 10 10 10 10
Wgt/original(mg) 0.594 0.527 0.638 0.683 Avg Wgt(mg) 0.611
100%Eff Surviving# 10 9 8 10 %Survival 92.5
Original# 10 10 10 10
Wgt/onginal(mg) 0.594 0.627 0.526 0.683 Avg Wgt(mg) 0.608
JULY 26/28/29,2016 (with daphnia and#1 PPA-#1 Fish)
Rep!. 1 2 3 4
Control Surviving# 10 9 10 10 %Survival 97.5 Results
Original# 10 10 10 10 Survival Growth
Wgt/onginal(mg) 0.642 0.641 0.712 0.678 Avg Wgt(mg) 0.668 NOEC 100 100
LOEC >100 >100
22.5%Eff Surviving# 10 10 10 9 %Survival 97.5 ChV >100 >100
Original# 10 10 10 10
Wgt/onginal(mg) 0.739 0.59 0.668 0.545 Avg Wgt(mg) 0.636 Overall ChV >100
45%Eff Surviving# 10 10 10 10 %Survival 100
Original# 10 10 10 10
Wgt/original(mg) 0.667 0.824 0.762 0.723 Avg Wgt(mg) 0.744
75%Eff Surviving# 10 10 10 10 %Survival 100
Original# 10 10 10 10
Wgt/onginal(mg) 0.645 0.715 0.653 0.842 Avg Wgt(mg) 0.714
90%Eff Surviving# 10 10 8 10 %Survival 95
Original# 10 10 10 10
Wgt/onginal(mg) 0.654 0.7 0.576 0.695 Avg Wgt(mg) 0.656
100%Eff Surviving# 10 10 9 10 %Survival 97.5
Original# 10 10 10 10
Wgt/onginal(mg) 0.688 0.6 0.531 0.61 Avg Wgt(mg) 0.607
Page 1 of 2

-PART E ATTAc1NME JT 2
Page Z.
T.Z.OSBORNE POTW PPA and WHOLE EFFLUENT TOXICITY SCHEDULE and RESULTS I I
OCTOBER 17/19/20,2017 (with daphnia and#2 PPA-#2 Fish)
Repl. 1 2 3 4
Control Surviving# 9 9 10 10 %Survival 95 Results
Original# 10 10 10 10 Survival Growth
Wgt/onginal(mg) 0.797 0.704 0.785 0.861 Avg Wgt(mg) 0.787 NOEC 100 100
LOEC >100 >100
22.5%Eff Surviving# 8 _ 10 9 9 %Survival 90 ChV >100 <100
Original# 10 10 10 10
Wgt/onginal(mg) 0.766 0.801 0.778 0.644 Avg Wgt(mg) 0.747 Overall ChV >100
45%Eff Surviving# 10 10 10 8 %Survival 95
Original# 10 10 10 10
Wgt/onginal(mg) 0.829 0.754 0.831 0.685 Avg Wgt(mg) 0.775 _
75%Eff Surviving# 10 10 10 10 %Survival 100
Original# 10 10 10 10
Wgt/onginal(mg) 0.826 0.81 0.885 0.895 Avg Wgt(mg) 0.854
90%Eff Surviving# 9 10 10 10 %Survival 97.5
Original# 10 10 10 10
Wgt/onginal(mg) 0.771 0.871 1.034 0.955 Avg Wgt(mg) 0.908
100%Eff Surviving# 10 10 10 10 %Survival 100
Original# 10 10 10 10
Wgt/onginal(mg) 0.844 0.973 0.971 0.822 Avg Wgt(mg) 0.903
__
JAN 30 FEB 1/2,2018 (with daphnia and no PPA-#3 Fish) 1
Repl. 1 2 3 4
Control Surviving# 10 10 10 9 %Survival 97.5 Results
Original# 10 10 10 10 Survival Growth
Wgt/onginal(mg) 0.896 0.765 0.67 0.742 Avg Wgt(mg) 0.768 NOEC 100 100
LOEC >100 >100
22.5%Eff Surviving# 10 10 9 9 %Survival 95 ChV >100 >100
Original# 10 10 10 10
Wgt/onginal(mg) 0.711 0.71 0.687 0.736 Avg Wgt(mg) 0.711 Overall ChV >100
45%Eff Surviving# 10 8 10 10 %Survival 95
Original# 10 10 10 10
Wgt/onginal(mg) 0.701 0.607 0.852 0.761 Avg Wgt(mg) 0.730
75%Eff Surviving# 10 9 10 10 %Survival 97.5
Original# 10 10 10 10
Wgt/onginal(mg) 0.806 0.807 0.735 0.785 Avg Wgt(mg) 0.783
90%Eff Surviving# 10 10 10 10 %Survival 100
Original# 10 10 10 10
Wgt/onginal(mg) 0.818 0.833 0.71 0.805 Avg Wgt(mg) 0.792
100%Eff Surviving# 10 10 10 10 %Survival 100
Original# 10 10 10 10
Wgt/original(mg) 0.821 0.856 0.807 0.851 Avg Wgt(mg) 0.834
APR 17/19/20,2018 I(with daphnia and#3 PPA-#4 Fish) T _
Repl. 1 2 3 4
Control Surviving# 9 10 10 10 %Survival 97.5 Results
Original# 10 10 10 10 Survival Growth
Wgt/onginal(mg) 0.631 0.745 0.749 0.691 Avg Wgt(mg) 0.704 NOEC 100 100
LOEC >100 >100
22.5%Eff Surviving# 10 8 10 9 %Survival 92.5 ChV >100 >100
Original# 10 10 10 10
Wgt/anginal(mg) 0.708 0.802 0.889 0.727 Avg Wgt(mg) 0.782 Overall ChV >100
45%Eff surviving# 9 9 9 10 %Survival 92.5
Original# 10 10 10 10
wgt/onginal(mg) 0.837 0.691 0.856 0.936 Avg Wgt(mg) 0.830
75%Eff Surviving# 9 9 9 10 %Survival 92.5
Original# 10 10 10 10
Wgt/onginal(mg) 0.932 0.854 0.791 0.754 Avg Wgt(mg) 0.833
90%Eff Surviving# 9 8 10 9 %Survival 90 '
Original# 10 10 10 10
Wgt/onginal(mg) 0.723 0.853 1.014 0.769 Avg Wgt(mg) 0.840
100%Eff Surviving# 8 10 10 10 %Survival 95
Original# 10 10 10 10
Wgt/onginal(mg) 0.668 0.945 0.815 0.795 Avg Wgt(mg) 0.806
Page 2 of 2

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 1
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: Aramark Uniform Service
Mailing Address: 509 Teague Street P.O.Box 16984—Zio 274161
Greensboro,NC 27406
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Cleaning of Industrial Laundry(industrial Washers)
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): industrial laundjring of fQugable textiles
Rawmaterial(s): : _: lie .. „ i •• I * u 11 ' .. •-� -- .•. _ .. ,:I,
Turbolizer Myr].Turbo Crisp.Turbo Fresh,Turbo Tex.E-Mex Alkali.AdvHcarQ r�
F.6. Flow Rate, (January 1,2017 to June 30,20161 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.
193,244 gpd ( continuous or X intermittent)
a. 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 intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ( Yes 0 No
b. Categorical pretreatment standards fl Yes 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?
0 Yes VI No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 1 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 2
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: Solenis [formerly Ashland!
Mailing Address: 2401 Doyle Street
Greensboro,NC 27406
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Manufacture oroorletary formulas:Praestol Anionic and Cationic polymers and aaueous flocculant and dispersant polymers
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): Aqueous flocculant and dispersant polymers
Raw material(s): Miscellaneous poly acrylicocrylamide/amine terpolymer,aliphatic solverlts`si)factants.al l,eljphatic
h.ydroarbons, naphthalenic solvents,volatiles,sodium hydroxide,hydrogen peroxide,miscellaneous non-hazardous oraanlc fatty acids,natural
oils.alcohols,various monomers,zinc and diethyl hexyl phthalate(DEHP),and other proorietary Ingredients_
F.6. Flow Rate. [January 1,2017 to June 30,2018]
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.
35,600 gpd (X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ra Yes 0 No
b. Categorical pretreatment standards 0 Yes ll 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?
0 Yes CO No If yes,describe each episode.
•
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 2 of 30

: -
III

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 3
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: Chemol Company,Inc.
Mailing Address: 2300 Randolph Avenue
Greensboro,NC 27408
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Refining.kleech(pg.t[a0sgtterification and hydrogenation of fats and oils(triglycerides)
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): Fatty acid esters
Raw material(s): Trisodium phosphate,soda ash,salt,jojoba oil,propylele glycol,dibutly tin dilaurate,citric acid,
carbon,tridecyl alcohol,sulfuric acid,paraffin,silica compounds,fatty ethoxylates,n-propanol,fatty acids,methyl esters,
nickel catalyst,isopropanol,glycerine,ethylene vinyl acetate,bleaching clay,alpha olefin,alkylphenol ethoxylates,2-
ethylhexanol, 12-hydroxystearic acid,1 isobutyl alcohol,isobutyl alcohol,diethylene glycol,ethyl vinyl acetate copolymer,
glycol ether,hypophosphoric acid,iron stearate,amines,methane sulfonic acid,n-butyl alcohol,pentaerythritol rosin ester,
petroleum wax,phosphoric acid,polyethylene glycol,polyoxyethylene monostearate fMS-81,sebasic acid,SDA 200 264,
sodium hydroxide,succinic acid,Methylene glycol,triglycerideq
F.6. Flow Rate. [January 1,2017 to June 30,2018)
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.
32,376 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged
into the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits M Yes 0 No
b. Categorical pretreatment standards El Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
Organic Chemicals,Plastics and Synthetic Fibers 40 GFf;Part 414SAQ 1.-v4'I4AJ(Discharge Limits in 41 111y___
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
❑Yes ® No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 3 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 4
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: Jmoerial Tobacco Group Brands-ITG 'formerly Lorillard Tobacco'
Mailing Address: 525 East Market Street
Greensboro,NC 27401
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Cigarette Manufacturing,drying,mix kitchen
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): Cigarettes
Raw material(s): Top(cco.fl-vpring._paste
F.6. Flow Rate. [January 1,2017 to June 30,2018]
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.
140,260 gpd (X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits VI Yes ❑ No
b. Categorical pretreatment standards 0 Yes 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?
0 Yes LEI No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 4 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 5
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: Elastic Fabrics of America
Mailing Address: 3112 Pleasant Garden Road IP.O.Box 21986-Zip 274201
Greensboro,NC 27406
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Dyeing and finishing of nylon/lycra and cotton/lycra
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): Knitted nylon/lycra and cotton/lycra
Raw material(s): Dyes,salts,melamine formaldehyde resins,polyacrylic acid polymers,silicone and petroleum based softeners
F.6. Flow Rate. (January 1,2017 to June 30,20181
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.
307,171 gpd (X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits z Yes 0 No
b. Categorical pretreatment standards 0 Yes 21 No
If subject to categorical pretreatment standards,which category and subcategory?
1 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 10 No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 5 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 6
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: Express Container Services
Mailing Address: 208 Chimney Rock Road
Greensboro,NC 27409
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Hot water wash and steam cleaning of tankers and totes(chemical and food grade)
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): Interior tanker and tote cleaning operation
Raw material(s): Caustic,detergent,ferric chloride,lime and oolvmer_sulfuric acid
F.6. Flow Rate. (January 1,2017 to June 30,20181
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
22.500 gpd (4 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits co Yes 0 No
b. Categorical pretreatment standards El Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
Transportation Equipment Cleaning 40 CFR Pert 442 Subpart A(442.16)and Subpart D(442.40 no PSNS standards).. _ .
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes ( No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 6 of 30

•
•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 7
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: Gilbarco,Inc
Mailing Address: 7300 West Friendly Avenue
Greensboro.NC 27420
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Turning,milling.drilling,welging.brazing,formino.stamping.soldering.andpowder coating.UV minting.ink screening,
metal cleaning.gi con(j m treatment.testipg,calibratipn.assembly.,andjellabjl(v testing.casting.tumbiina,sheet metal
cleaning,impregnation rinsing.non-contact cooling.air compressgr diact)arge,, oiler blow down.6creep washing.lepltorlal
activities_
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): Gasoline metering engAisDe_nsirag pouipmer)t
Raw material(s): Ai n'llffl gPVgg i Iteti� .,0919.Merisltlg.fniteritt.titanium jndlcator,
testing solutions,eneaeai fiNe,„limegvdrp tarl.Rt`,cioningA•luloie,coustIC Egg beads.rinse conditioneLRadecg�n.taj
F.6. Flow Rate. [January 1,2017 to Juno 30,20181
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.
13,280 gpd (Y 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 121 Yes f] No
b. Categorical pretreatment standards 121 Yes l J No
New Source Metal Finishing 40 CFR Part 433 Suboart A-433.17
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 7 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 8
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: Greensboro Industrial Platers 01
Mailing Address: 725 Kenilworth Street
Greensboro.NC 27403
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
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): SewIcIndustry-Jop Shop Eloctropl .r(nQprod_yetproduped)
Raw material(s): 6Ika Ilntl08t10f,d,0Armer,nlckoh hydrochloricapid,nitric acid.6edlym diotlro{rtatO,wator
F.6. Flow Rate.penury 1,2017 to June 30,2018]
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.
Z820 gpd ()( 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 1:21 Yes 0 No
b. Categorical pretreatment standards ra Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
- _ • andG(413.74)Job Shoo.pispher in Less than 10,000qpd_...
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed
to any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes 21 No If yes,describe each episode.
3
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 8 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 9
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: Greensboro Industrial Platers 02
Mailing Address: 123 Edwardia Drive
Greensboro,NC 27408
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Zipgplatin®,zincnickel.ging phosph84in9.bonded Iul,caJgn
F.B. Principal Products)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): Shop ElQctroploter({1Q oroductorod,yad)
Raw material(s): Hydrochloric acid,alkaline gleaner iitrlcacid.zinc,citric acid,trivalent Orme complex•nivel.
water
F.6. Flow Rate.[January 1,2017 to June 30,20181
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.
4.047 gpd (L( 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Yes D No
b. Categorical pretreatment standards 21 Yes Q No
If subject to categorical pretreatment standards,which category and subcategory?
Electroolatino 40 CFR Part 413 Subparts A(413.14)and F(413.44)Job Shop Discharaino Less than 10.000 nod
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 CO No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 9 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 10
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: Zink Imaaina
Mailing Address: 6900 Konica Drive
Whitsett,NC 27377
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Emulsion making,Coating Solution Preparation.and Paper Coating
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Color thermal imaging media
Rawmaterial(s): I-i' • - ,:i. •. 1 1 d1• -•• .11 1 • •. 1:•1=1 - : • -*-1- .1. •
polvurethanescoolvjaocyanates.jetion_dispjrkons,oNcalkrighter1ers.lactfp ackl.methyl alcobQJ.dyed(apersigps,jltggllart dioxide.zirconium
ammonium ca!'konaleoartt1941zersikperplon6.,neutral oratlnic dispersions.natural wax
F.6. Flow Rate. [January 1,2017 to June 30,2018[
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.
80.300 gpd 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Yes ❑ No
b. Categorical pretreatment standards [J Yes 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 El No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 10 of 30

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 11
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: Machine Specialties
Mailing Address: 8511 Franz Warner Parkway
Whitsett Ng.27177
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Metal finishing services on al}Itninum parts(anodizing and chemical conversion),tlt@nium anodizing,and brush plating and
passivation on steel parts. Machining services on aluminum,steel,and titanium 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): Contract machining and metal finishing of aluminum and stainless steel products
Raw material(s): 50%sodium hydroxide,granular boric acid,nitric acid,sodium dichromate,sulfuric acid.chromic
acid crystal,sodium benzoate,sodium bicarbonate,sodium chromate-anhydrous,sodium hydroxide beads,sodium
metasilicate-anhydrous,sodium perchlorate,various proprietary chemicals.
F.6. Flow Rate. (January 1,2017 to June 30,20181
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.
0,330 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Eg Yes ❑ No
b. Categorical pretreatment standards rZ Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
New Source Metal_Finishln_Q 40 Cf . rt 433 Subpart A(433.1)-..-
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
❑ Yes ® No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 11 of 30

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 12
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: Vertellus Performance Materials
Mailing Address: 2110 West Gate City Boulevard
Greensboro.NC 27403
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Specialty Oroanic Chemical Manufacturing
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or
contribute to the SIU's discharge.
Principal product(s): Oroanic piiOr6Lorocess jnarrnedlatos,castor oil Dead material,.an)derivatives.pEFT
Raw material(s): A6eNAcll Glacial. Ammonia Anhydrous,Bernic Acid,Vsrloq A cohol,e@uteg(,gutyrlcAcid,
7. I. X11 • •. _:. • :.I• - -1 I - 1 • • ••=1 = Its 1 •I . .•• L I !1•
Soda Ash.Potassium HYdroxid4.fira4hy1Toluapp, and other proprietary_Inarddlent
F.6. Flow Rate. (January 1,2017 to June 30,20181
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.
91.700 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits El Yes 0 No
b. Categorical pretreatment standards l Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
Organic Chemicals,Plastics and Synthetic Fibers 40 CFR Part 414 Subpart H-414.85(Discharge Limits in 414.1111
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?
Q Yes No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 12 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 13
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: Parker Metal Finishing Comganv,Inc.
Mailing Address: 719 West Lee Street
Greensboro,NC 27403
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Cleaning,muriatic acid bath,zinc bath,chromate bath
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): Job Shop—Electroplater(zinc plating)
Raw material(s): Zinc,chromate,muriatic acid,potassium chloride,CZ Brite(mild acid),finishers and alkaline
cleaners
F.6. Flow Rate. [January 1,2017 to June 30,2016]
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
5,500 gpd (X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes [j No
b. Categorical pretreatment standards sI Yes [j No
If subject to categorical pretreatment standards,which category and subcategory?
Electroplating 40 CFR Part 413 Subparts A(413.14)and E(413.M)Job Shop Discharging Less than 10,000 gpd
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes 21 No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 13 of 30

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 14
i treatment F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the t e tment works.
Submit additional pages as necessary.
Name: Piedmont Plating Corporation
Mailing Address: 3005 Holts Chapel Rd
Greensboro.NC 27401
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Parts cleaning,*lc and zinc alloy plating,Picket plating.chromatin.too coating.masking
Metal enishing of automotive parts ownp&bv customers
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): ,job Shoo Metal Finiaher NO product made
Raw material(s): j . ,. ,_ , . ._ 0= t; _;1= , : . 10 : . i
r R ,calcic .chtorlde.potassium chIpr.ld,,carrier,brighteners,ani fgar L. •mete,_tnhib)tor.sealer,nickel,4icket
chloride. lAll plaklna b.o h cbemistrles are,either alkaline(non cyanide)or chloride based]
F.6. Flow Rate.(January 1,2017 to June 30,20181
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.
21.000 gpd (N 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits El Yes (] No
b. Categorical pretreatment standards (2) Yes 0 No
New Source Metal Finishing 49 CFR Part 433 Subpart A(433.17)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 14 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 15
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: precor Strength
Mailing Address: 5701 Millstream Road
Whltsett NC 27377
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Fabrication,welding,powder coating and five-stage wash_system.including phpsohating process.assembly of commercial
exercise eauipment
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): exercise equipment
Raw material(s): Petroleum based sealer.alkaline cleaner,iron phosphate.potassium hydroxide.mild steel,
aluminum
F.S. Flow Rate.(January 1,2017 to Juno 30,2018]
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
7,378 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits VI Yes 0 No
b. Categorical pretreatment standards E2j Yes 0 No
New Source Metal Finishing 40 CFR Part 433 Subpart A(433.17)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 15 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 16
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: Precision Fabrics Group,Inc.
Mailing Address: 301 East Meadowview Road IP.Q.Box 214481
Greensboro,NC 27410
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Convert woven and non-woven rolls of untreated or unwashed fabric into chemically treated fabrics'dyeing,fabric treatment,laminating(gluing
and thermal bonding processes)]
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): Textile manufacturing of non-woven converted products and woven converted products
Raw material(s): Acetic acid,caustic soda,metal complex dye,fabric protector,water repellent,various dyes,salts..bJorine,isopropyl
alcohol,Unidyne TG 5502,Rhoplex ST-954,Rhoplex TR-407,Spartan 590-FR,Synthebond AC 230,WOW
ti;urfactant.
F.6. Flow Rate. (January 1,2017 to June 30,20181
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.
132,893 gpd (0( continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection
11
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 21 Yes [l No
b. Categorical pretreatment standards ❑ Yes ® 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?
0 Yes (o No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 16 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 17
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: The Procter and Gamble Manufacturing Co.Pioe 01 BROWN SUMMIT
Mailing Address: 6200 Brvan Park Road
Brown Summit,NC 27214
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Mixing,compounding,and packaging of consumer personal care products
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): personal Pere Products-Toothpaste.denture adhesiyes,sntigprsplrants and deoderan(g
Raw material(s): _ .a 1• •-1 .11`- 1:._. ..1 •-'1 c_1 '_.- •1 1 _ _ •--- •-i..:.1 :1•
type,propylene glycol.propylene _1••e_._- •1• 11 1 • •. •- • • • •_11 • 11- I .•1
,••• i -:1•i�-_ •• - 1 =1: . • - • -• • •11,1 • ••: 11 1 • • .• a _ -1 ... .111 -_
•• <. 11 .•1• - :,.• ii l.•1• •....•- • 11•
.l • i- 11•1• •• .11 •10 1-. • .=11 ••• _11 - -
pantrez,njnayal oltinOPtlxringl rletarY l011/64 encs
F.6. Flow Rate. (January 1,2017 to June 30,20183
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.
325,156 gpd (X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Yes 0 No
b. Categorical pretreatment standards Ea Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
phnmtsggutipalMonyfacturing 40 CPF Part 439_$ubpart C(430.46)and Subpart P(430.46)____
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
❑ Yes ® No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 17 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 17A
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: The Procter and Gamble Manufacturing Co,Pipe 02 BROWN SUMMIT
Mailing Address: 6200 Bryan Park Road
Drown Summit.NC 27214
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Mixing,compounding.and packaging of personal skin care products
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): Personal Care prodycgg- Skin Care Linea
Raw material(s): lyes,_tregrances sxtrR4ts,silicone fluids ar malns,oer(llnlAs,.arrageenan,"atone,et,yl
acetete. propylene 91ygoltQnlers...9199vlgnp carbonate,talc.atr$9119J,W9l9M hvdrgxlde.Oa tor 9l1•CellulQae.Qum
carbowax._polyethK1ene,polyaorvtamld paraffinsa,ethyl paraben,Irort peta,carotene,_nleolftapl.lde,citricaci�,,,,red..lumejt.
white protopet Petrolatum,lactic_a,&)d,corn starch,potassium nitrate,_potsastumeor)ata,sodium fluoride._E9rVitoJ.jt ngouk
chloride,monosodium phosphate.glycerin,sodium stearate,olucaminel08©OP thickener and other proprietary raw
materials
F.6. Flow Rate. [January 1,2017 to June 30,2018]
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.
51.050 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Yes 0 No
b. Categorical pretreatment standards 21 Yes C1 No
If subject to categorical pretreatment standards,which category and subcategory?
Pharmaceutical Manufacturing 40 CFR Part 439 Subpart I (439.46)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes ® No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 18 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 18
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: The Procter and Gamble Manufacturing Co,SWING ROAD
Mailing Address: 100 Swing Road FP.0,Box 186471
Greensboro,NC 27419
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Mixing,compgt)ndina agd pnkeglna of cg}lah svruos,respiratory olpducts,anti-diarrhea orpduct5 and bismuth
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): pvey-khe-cquner respiratory products.and anti-diarrhea products
Raw material(s): lien-219 6 l,' ally,bismuth nitrate,blarmuthicupullgylpta,colas,pawls.tnattlyl:celtyloa6,
methyl salicylate.nitric a ¢,Fail vll&acid. pd(ymhydroxide sodium_nacphsrinispolym6plicylflto.sorkicac�ld,,urea,
-- _ii ► - : 1
111,! -1 11'',1=. .11 111.11 - • .1=111 -.111= • .•11= • =1_- 1 11511•
aystats,methylparaben,phepp phenylephtlne bCl polyethylene oxide,polysorbate.propylene glycol.sodium benioate,
sodium carbonate,sodium citrate,suasion).end other proprietary ingredients
F.6. Flow Rate. [January 1,2017 to June 30,2018)
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.
85.400 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits l$ Yes 0 No
b. Categorical pretreatment standards ll Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
Pharmaceutical Manufacturing 40 CFR Part 438 Subparts C(439.01 and[)(439.46)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes 10 No If yes,describe each episode.
1
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 9 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 19
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: JOE(formerly R F Micro Devices—Fab 21
Mailing Address: 494 Gallimore Dairy Road
Greensboro,Nc 27409
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Facility uses molecular beam eoitaxial(MBE)units to conduct crystalline orowth of eoltaxlal lavers on wafer substrate',
Wastewater generated from;Cleaning of MBE units.cleaning of associated parts and facilitle5,1(O/Dl water plant,air
emission scrubber exhaust.
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): Coating of sAmic911ductor wafers with epitaxial jayers_66 thutitrtinf#point fpt.manufecture_of
semiconductgr deyicaa:
Raw material(s): AaCOM.MIJITOINLil.:- .M._. ydroxige.0011fnony..#fleNC.,. ttNIJIL,R1.Oben J1yOr9Olo lc
hydrollygricaoido • •• , •; • 1•' a _•• • i• u.• !A•- u r • -• •I•,•a• .•i _��
hydroxide.a odjum�yoochlorite,sulfuric.acid,$ELgide Z4Q T,s!- !d,19.7,S. l-Tec.4,1Q(Jnhibitdr),SgLtrol ion
F.6. Flow Rate. (January 1,2017 to June 30,20181
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
1,110 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits la Yes 1Z1 No
b. Categorical pretreatment standards Ej Yes JJ No
If subject to categorical pretreatment standards,which category and subcategory?
Flectricel and Electronic Components 40 CFR Part 469 Subpart A(489.16)and Subpart B(499.28)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes Ei No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 20 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 20
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: QORVO(formerly RF Micro Devices—Fab 31
Mailing Address: 7908 Piedmont Triad Parkway
Greensboro,NC 27409
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Photolithography,Metallizatlon`Wafer Plating,Etch and Deposition,Test and Backsicie Operations,ROTI process water
system(RO refect),air pollution scrubbers,product rinse baths,plating rinse water,wet grinding operations and non-contact
cooling.
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): Semiconductor microchips on gallium arsenide and lithium tantalate/niobate wafer substrates
Raw material(s): Arsenic,hydrochloric acid,nitric acid,phosphoric acid,hydrofluoric acid,citric acid,sulfuric acid
caustic solution(NaOH),gold salts,potassium iodide solution,hydrogen peroxide,tetramethyi ammonium hydroxide
(TMAH),copper plating solution,tin plating solution,ammonium hydroxide,ammonium fluoride.
F.6. Flow Rate. (January 1,2017 to Juno 30,2018)
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.
127,515 gpd (jC 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes ❑ No
b. Categorical pretreatment standards (21 Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
Electrical and Electronic Components 40 CFR Part 469 Subpart A(4f39.18)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
❑ Yes ® No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 21 of 30

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 21
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: Shamrock Environmental Corporation Pipe 01 and Pipe 02
Mailing Address: 6106 Corporate Park Drive
crown Summit,NC 27214
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Treatment of Metal Bearing Wastes.Oily Wastes,and Organic Wastes,transportation eauipment cleaning
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): Service Industry-centralizttdWaste Treatment,Feejlity
Raw material(s): 607oyAsm.0eus10 soda,alum.sulfuric pcidA_dlat9rn.defQitw}tr,.j1vdrochlorIc a0�,beQtonite,
S-19.9 coagulant,_4-cip4,)1.99§Q2sQ3_4,3Q-O,_1 �271Q,.Fix Clear,.Oder..Suster(ORQdQrizer),p827.EA 1Z,p-838,z-
Ci471Pro-Ober)2x22 oil treatnle Qhernical,diamond crustal water.APD degreuer,
F.6. Flow Rate. (January 1,2017 to June 30,2018]
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.
184,860 gpd ( continuous or X intermittent) PIPE 01
b. 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.
89,160 gpd ( continuous or X intermittent) PIPE 02
c. 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 intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 121 Yes l No
b. Categorical pretreatment standards Yes ( No
If subject to categorical pretreatment standards,which category and subcategory?
Centralized Waste Treatment 40 CFR Part 437—Pine 02 Subpart C(437.35) and Pine 01 Subpart 0-Multiple
Wastestrearns A&B1437.46(01
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?
El Yes Ej No If yes,describe each episode.
In April 2016 discharges from the SIU caused the POTW to incur 2 NPDES permit viQJattons for ammonia-nftrpaeo. pne weekly
aQrraeeolatinI�POSi6.Q.g( -reported 9d vdlye.8.25 mg/I)and pne monthly average vlo(ation JNP©ES limit 2,0 mpg—
2.73e .the
SIS responded immediately to correct the problem. A notice of violation.civil
penalty,and FPA required public notice was issued by the PQTW.
•
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 22 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 22
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: Shamrock Environmental II
Mailing Address: 519 Patton Avenue
Greensboro,NC 27406
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Rinses.steam cleaning,not water Meaning.cleaning with caustic and detergent
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): TransoortatIon- quipment Cleanin Tankers a09.fi44ee
Raw material(s): Petrgent.EodiuMbydroxlde,#Z51I0inum brightener,ARD,deareaser,B6(boiler treatment
chemical),barium 6hlaride d!(tydratq,.$ggi5.trip T.Qlempnd Crystal water 0990!Mrse!(
F.6. Flow Rate. [January 1,2017 to June 30,20183
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.
28,800 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits g Yes 0 No
b. Categorical pretreatment standards g Yes 0 No Standards are not numerical—PMP
If subject to categorical pretreatment standards,which category and subcategory?
Transportation Equipment Cleaning 40 CFR Part 442 Subpart A(442.13)-Pollutant Management Plan(PMP)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
0 Yes No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 23 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 23
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: Qualicaos,Inc.
Mailing Address: 8505 Franz Warner Parkway
Whltsett,NC 27377
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
pin Bar Cleaning,Pour Can Cleaning,Dve Prep,PK Tanks Gleaning.water purification.cooling tower and boiler blow down
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): N✓,rQ Gelatin Capsules,Unfilled
Raw material(s): Gelatin.various food arade dues.chlorinjted 1199!cleaner
F.6. Flow Rate. [January 1,2017 to Juno 30,20181
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.
48.200 gpd ( continuous or X intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ra Yes [Q No
b. Categorical pretreatment standards 0 Yes El 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?
0 Yes No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 24 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 26
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: United Metal Finishing
Mailing Address: 133 Blue Bell Road
Greensboro.NC 27408
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Metal plating with a variety of finishes including:chrome.zinc.nickel,phosphate and alodine:Cleaning,rinslno,and surface
preparation of metal odor Lc metal finishing processes,
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): job Shop Meta!Finisher(no product)
Raw material(s): Oro061o.1*.41 spbste..pickel.aincchl9rldg.slodine.(skating cisailet,muurla.U&.acid,cigar,
� t . " _f• ; 61 _j •11- = - - 1- - i f 1: !f. _ 1 : i 1 - If
chloride carrier.brighteners,caustic soda, modifiers,strlpoers___
F.6. Flow Rate. (January 1,2017 to Juno 30,2018]
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.
0,060 gpd (X continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into
the collection system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits l:2j Yes p No
b. Categorical pretreatment standards 21 Yes Q No
If subject to categorical pretreatment standards,which category and subcategory?
New Source Metal Finishing 40 CFR Part 433 Subpart A(433.17)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
Q Yes No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 28 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 24
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: Evonik Inc. Pipe 01 (formerly Stockhausen]
Mailing Address: 2401 Doyle Street
Greensboro, NC 27406
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Mixing vessel washes,scrubbers,utilities and storage tank,pipe,and connection cleaning,
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): Pipe 01 Aqueous absorbent polymers,concrete additive pQj gfs:
Raw material(s): SIPERNAT 22 S,ThermoPlast 43G40SP,hydrogen peroxide 32%,ethylene carbonate,acrylic acid,mono allyl alcohol
ethoxylate-10E0,PEG-300 NF,PEG8000(polyethylene glycol 8000MW),caustic soda,PEG-MAE acrylate,PEG 300
diacrylate,Sartomer,VOBPEG 5800,VOBPEG 1100,hydrogen peroxide 35%,2-mercaptoethanol,ascorbic acid,sodiufl
persulfate,paraffin oil,kaolin,lupamin,stearate,alpo,tannic acid,Trilon BX,Sartomer 9035,sodium sulfate,acrylic acid,
podium hydroxide,sulfuric acid,aluminum sulfate,monomer,Span 20,SNAS,lactic acid,sodium aluminate
F.6. Flow Rate. (January 1,2017 to Juno 30,2018]
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.
14,181 gpd (NC continuous or intermittent) PIPE 01
b. 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.
63,243 gpd (X continuous or intermittent) PIPE 02
c. 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 intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits l8 Yes ❑ No
b. Categorical pretreatment standards ❑ Yes CA 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?
0 Yes (8 No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 25 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 24-A
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: Fvonik Inc. Pioe 02 (formerly Stockhausenl
Mailing Address: 2401 Doyle Street
Greensboro.NC 27408 •
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Mixing vessel washes,scrubbers,utilities,and storage tank,pipe,and connection cleaning,
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): F(Qe 0,�,9ouggus absortAnt,po(vrne s,
Raw material(s):
SIP(=RNAT32.i3JhtmtQPlE.sE43Q4gSP.hvdroaen®eroxide,32%.6thv)e,=„.fpr¢®nate,®GrylicR9iGA rnon4agvi alcohol
i S"S me _E Ili 66I -i- + :11111iA/ 6�- P
_.. _ ®�scMatOcpkg.399
dlacrylaEO,_S®rtE1,®tAlc9rbic a9ifft 14ium Pgrsulfatg.garaf rp aii.therm leader TMPEQTA,kaolin,luPP171)/1.3.08110.
Alpo,tannic asig,Trilon Sortomsr0035..sodium sulfate,podtum hydroxide sulfuric acid,aluminum sulfstOtimonpmer,
Span 20.SNAS,sodium bicarbonate, SBST
F.6. Flow Rate. (January 1,2017 to June 30,20181
d. 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.
14.191 gpd (X continuous or intermittent) PIPE 01
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.
63,243 gpd (X continuous or intermittent) PIPE 02
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 intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits CO Yes ❑ No
b. Categorical pretreatment standards ❑ Yes 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?
0 Yes No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 26 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 25
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: HAECO (formerly Triad International Maintenance Corporation-TIMCO)
Mailing Address: 623 Radar Road
Greensboro,NC 27410
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Fetal Finishing-welding,machjr)ipg,cu a.grin(Iing,and etching ofpoth ferrous and non-ferrous metal,coating/
phosphatina(phosohoric,cid anodizing/etching of aluminum alloys).painting.griming,paint stripping.and sanding o(fnetall
and composite aircraft 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): FAA__Licensed Alrmra. ep_alr Station
Raw material(s): Calls 3016�j ertd_arjtp4215likejlnL.,cieaner,_.Bonderjts¢948-pp alkaline cleaner,Ardro>s 6058,
Winder 4064 4 y,Rawn.,Astrosol Orange,phosphoric acid
F.6, Flow Rate.(January 1,2017 to Juno 30,2018]
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.
653 gpd ( 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits CO Yes Q No
b. Categorical pretreatment standards 181 Yes J No
If subject to categorical pretreatment standards,which category and subcategory?
New Source Metal Finishing 40 CFR Part 433 Subpart A(433.17)
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to
any problems(e.g.,upsets,interference)at the treatment works in the past three years?
EJ Yes ® No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 27 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 27
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: Lanxess[formerly Unitex Chemical
Mailing Address: 520 Broome Road
Greensboro,NQ 27496
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
gsjertfication washes.miscellaneous orodypte.yvastles,Bylfonamidationyyashes and facility wash down
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): $ogcislt OraunicChemlcftl Mfg,,-Plastic Additives.WIMPY and flame retardants
Raw material(s): Methanol,ethanol sodium hydroxide.sodium sultate,Lpd1Nrn clllorj e,sodjyln hypochlorite,
!hydrogen Peroxide.acetic acid,sodium acetate,butanol.Ortho-xylena and other orootl tory Incredlents
F.6. Flow Rate. (January 1,2017 to June 30,20181
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.
57,200 gpd ( continuous or j( 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Egi Yes 0 No
b. Categorical pretreatment standards 121 Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
Organic Chemicals,Plastics and Synthetic Fibers 40 CFR Part 414 Subpart 171-414.85_(Discharpe Limits in 414.111)
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?
El Yes ® No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 29 of 30

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Greensboro T. Z. Osborne, NC00473845 2019 Renewal Cape Fear
PART F-ATTACHMENT 28
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: Triad Anodizing&Plating Pipe 01 and Pipe 02
Mailing Address: 3502 Soring Garden Street
Greensboro,Ng 27403
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Metalfinishing;Anodi inglTvpe Ihsulfyric acid)o0 aluminum,tin plating on Wel.chemical film op aluminum:Various
cleaning.rinsing and procoeses.aasQciateg with metal finishing activities-All parts are customer provided
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): ,Job$h op,)=l99troplater(no product prod}tc e )
Raw material(s): ••‘1. • • • I • _ • i .• 11- •i'
etchLnitrie acidjilokel acetate seal.proprietary dyes,chromates(primarily triva)ent).proprietary dexoxidizer
F.6. Flow Rate.[January 1,2017 to June 30,2018)
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
1,410 gpd (X continuous or intermittent) PIPE 01
b. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection
system in gallons per day(gpd)and whether the discharge is continuous or intermittent.
1,920 gpd (X continuous or intermittent) PIPE 02
c. 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 intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes ❑ No
b. Categorical pretreatment standards l Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
electroplating 40 CFR Part 413Suboarfs A013.14)and p(413.44)Job Shoo.Discharging Less than 10,000 god
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed
to any problems(e.g.,upsets,interference)at the treatment works in the past three years?
❑ Yes ® No If yes,describe each episode.
T.Z.Osborne NPDES Permit#NC0047384 2019 Permit Renewal Application PART F SIU INFO Page 30 of 30

_- r
iv po
C'�S GREENSBORO
(T�
p
`� KEF LY F-r
J tr
N`ERISJt N GN 1 inch=2,000 feet
r
4
t c Cfi�,RVEST RD
�r 1�`,
` ` _ i -._ti- to ' ••V
OA
COY �L�/(±ff � W y `
C. C
N : I 0
44
`fir` 0
4VS
I,
N LJf FtF; tO o, P
V
tS MILL RD -�,� �.
alio,
.0 g:' \
CA
YFiAti N �� ,t \ CO
C:,�
0
yt reg $ �r>
C' **; ,'- 4'
i HOC I ��f'+i5 u l ` . � i; % �•,zti�., LRrF F)
k--
/ ;. rj , t�� i �r�l N
SSE • L OR
r .
✓ . 0
;
4 PI
I 41 4 41
4 moviva,
.� u1 LEGEND
a "lAyt7tittI:, Welo KAY ST
t""--41, C �` rz
c� LiftStationsz, i1R
�'rivate
ELSIE F:E PO ..
rcc
` Private
E VVI NDOVER Atr rO
Sewer Valves
T2 AV �!h f3UFt1�ItJGjflt�kjO cJ sr _
n I G ty,t m
Air Release
O o re s Gate
n n I Cay of @ENO �' t c ---'.----- ;. .
1 ty 9y r?OFG Sewer Manholes
ill
S' ") •Public
d a .� cy PONTIAC DR •Private
��' QOM ,��y Z m C Gravity Mains
•
n '' -Public
�O h9ANE5S RD
^'� cc n
x HOOFER RD ao
Ir-Private
���\ cr
Force Mains
R.
�4\ —Public
c>'
-Private
VV►LSONWOpp RD w Water
P U PAISLEY FARM RD
°j Date: 10/30/2018
��
P

•
7 \\;` I NOTES:
---_-J -- /7(8 \ \\ 1 1. CONTRACTOR SHALL FURNISH AND INSTALL
ikli • \ \\\!!!\ I REFURBISHED MECHANISMS IN PRIMARY CLARIFIERS 5
ANS 6.REFER T
-- ., PRE-NEGOTIATEDO
SCOPE OOFLSUPPLYHMENT FOR THE
!i GENERATOR AND PAD ; AM� =Film■ X1 1 51NTCHGE c B,ILDING•; -. D 1'' i.
N ZGENERATORTOR ADIIRROTRAnN \ I
iiiiir
ik
PRIMARY AND SECONDARY UTILITY FEED• ` �. ilri1. ' .-A a i' 1 J!`_`1 ! j -'--�' - —r
D t
. •
-'DEMSHEDWSH'E%ISTING-IP LJ'1I kW: I / i 1 I ' __. • TRANSFORMER +�
Ii -- e .u• N.v,._... id ,:: —.————.— SECONDARY 1 I \
I 11 _._-- * CLARIFIER
ti11j1 I I� •, r� . .-- L i 1 NO 10 �1I /
I j III l '
id
h a� I h '
i i1I+II ; r.r. ,# 2 ``. ,� // 4 I
' i 11111 1 m 1 2 1 'd I t-:' : : 1n\
I
I 11.'1. I' F 'd6 § A ' ' 5 6 '6' c § g !1� I _ $EGONOAR
a )"I
f g Fg I1
1 / 11114 '',I 1 `1` 'Y 17 Z g; g i NO.9 sil
. /_ i 1 I _ELECTRICAL BUILDING L
` --ELECTRICAL BUILDING < 4F 1
J {'1 It• NO.1(BY OTHERS) ,1 r NO.2(BY OTHERS) f
I,i • I L ' ` R 1 14 ' r
t III TRANSFORMER _p 4 1•
I 1 PAD . I A —� W ��� _I ® _ _ j �l
I II 1 { ./__1t-'///--.' ..: < ,e..,.,�-.. ►►►►""""""'''' , ' s,,. x.'i`�rn"Y2? "`'"r . : I'1 I I)
! 11 ( 11 REMO`.E E705TMG 42'OSA i A,, I I SECONDARI^� SECONDARY'',\ SECNDAR 1 NDAR ` CCARIFIERY'1 1 CLER \ RIER 1 11 11! AND PIPE TNN AN5 '� O1 I, ABOVE ROUND ANO C .1IO.1 __ IU NDERROUND,SSEEE 664 1 1 1 N0.1 RAS PUMP } t RAS PUMPi (OT
-- - <d%
1 I! I I ,f+• +STATIN NO 1\STanN No e4 II :,,. /J / �I
I i' . r '1\1 = ioMgr 1!1 y' %
,/-
_ -
ltl
1 I� 1 ihI1 I1.•.'• ' — ::t ..7,:,...
/ y . \`
e3rPir--.----__'g1P' •I �I 11 PRIMARY yAl� 11�1���•• -4. . �. ---_ — -.-':-='-
t. _ .
�•, 1 • I. 11 I SETTLING I I NDARY SECONDARY 'I' 1 =ii RAS PUMP r
./ _ 11 u I! 91 ( !g STATION N0.3
,/
` ,° PRIMARY PRIMARY 1 1 TANKS 111.11 1 IFIER ii CLARIFIER LII -I
/ yy e I 60.3 NO.a ,1.-
/ ' El( CLARIFIER / CLARFTER 1 } 11 N0.1-4 ,1E. i I it `\ / 41 L--
t N0.6 N0.5 'tl 1 0 it \ .� i - `" A' EFF UENT
.-7-1----=',
--'-=i, iu�(SEE NOTE 1) `(SEE NOTE 1 1 fin
I I -
�` r --- 00 F- J
FLOW \YtJ v6 i a .......-•=7,-..,.-'7.7.77.....77.-:,;:...,.'",-,,,..
\I't l \
1 I I EDUAUZATIN ggr C " 'yj 4 }- I iG" '` j •
` \
II TANK r - ' I h II 7 a M '2'-fi ' .,. tp jl i`1\ \\ C
1 6 (BY OTHERS) i P 9'.111 11'r"• -- 2 74.1 - \ • \`,
` r 11 TI i l ' �' \ o
( // 4 *., ,..�1 I I '.. 1: THICKENER THICKENFRF I/ Lex -E•` pi '.li li II it
'�� \\ , 1 •
i / I z 7 r'� ( 1 ;I
I, i ad 0 ..,„,..,...440,..,_.p(I SOUDS
zT I11 // 3J eM6
' a- 1i rte.` -� ' Hallounc < 'L• ! I _p ..,, // / ��.1.7:::...„.......„,10,..w.,.i A��is!(-'yj�,
f 1
I. FLOW ( 1� t ICKENEk THICKENER�V / BUILDING - J..1 CHLRINATIN ITIF.'"5 /
F
�\ EouTAANz1AInDN 1' A 1' 1 ' j 3 i �_/ g ,i 'T. BUILDING ..g / irrArir ,t
,� \ - —_ f.�e_® y,/ilk ' r jlilli �) /�cri 't�s�
FLOW EQUALIZATION METER `s \ / ,- -...L--, I, `�''""
THICKENED SLUDGE / / •-1---7T---FT===. 1. :r••p1 -� / _ III •• _ 'SJ/J 1
VAULT �"...„,=L- __,../
J ♦'r� i ,\. `,/1 HOLDING TANKS I / 1 �1 1 //
� \ li \1 \ i 1 N0.1 h2 1 / m• �-- e 1 1 -1.1' CHLORINE CHLORINE •,.
E CNTACT X CONTACT / _I
s� I� \, I I i/ • A✓ P,_...)_.,_1_,._,11.-1 i1 TANKS TANKS - / '--4 •2 Fr -
1 i — -� `. / ------
-
I -. I` 'I CHLORINE CONTACT TANKS / •'.' KEYPLAN
11 l, I i ' i'
1 �.. ..w
,
3 \\ 1 I INFLUENT PUMP I
\ 1 STATIN- --1 /
R _ /i - / NEW WORT(-S1RUClUREE
d
\ ` /:'-\\,OVERALL SITE PLAN ' /:'-\\,
1'.100' ; \ •\
I
PROJECT
INEA P.DRUMMEY STIEGEL DATE: JULY 2017
mY ENGINEER: , . CITY OF GREENSBORO
/ .tN �O,a Hazen HAZENNO.: 31221-009
DESIGNED BY: B.CAUDLE �fA? ; NORTH CAROLINA
3. 6 CONFORMED 10/2017 PDS THIS DOCUMENT ORIGINALLY 0, t• � YARD PIPING
PRAWN BY: B.CAUDLE ISSUED FOR CNSTRUCTIN AND :' ---—- ------- CONTRACT NO.: 1
rd SEALED BY PATRICIA DRUMMEY O366u5IA — MECHANICAL
�Y CHECKED BY: P.DRUMMEY STIEGEL STIEGEL,SEAL NUMBER 038541 n/ f'A'GINEEF 1k- HAZEN AND SAWYER WRF BNR UPGRADE PROJECT OVERALL SITE PLAN DRAWING
A//yy..,,�� 5 4011.WESTCHASE BOULEVARD,SUITE 500 NUMBER:
RF IF THIS BAR DOES NOT 0 172• 1' -RUMME'� RALEIGH,NORTH CAROLINA 27607 T.Z. OSBORNE WRF - PACKAGE 4
1! 1 BODING 7/2017 PDS MEASURE 1'THEN DRAWING -yam
REV ISSUED FOR DATE BY Is NOT To Fun SCALE — LICENSE N0.:C-0381 M4
e�

Q RAS 4
TO SCUM SC
HANDLING
.. .... _ .... I ML ML
✓� ML ML
AERATION BASIN DISTRIBUTION CHANNEL _ ML ML o
< < I�I ��I ML SEC SEC SEC SEC SEC SEC
BLOWERS - 9-11 10 I� 12-1
G' MI
Q Q CLARIFIER I CLARIFIER I CLARIFIER CLARIFIER CLARIFIER CLARIFIER
0 0 i tr 0 5-1 T-1 e 1 G' 0 0 G' NO 5 \NO 6 l\NO 7 NO 8 NO 9 NO 10
9-2 10-2 11-2 12-2 - ..
ikkk
Di r 0 t1� Q G Q CP Q Q Q Q G t—a•SC
9-3 10-3 11-3 12-3 . t ! I RAS
AERATION BASINS CP CP G' Q q DA
AERATION BASINS AERATION BASINS �. ® PUMPS
NO NO NO NO 5-3 G-3 -3 8-3 -
NEW NRCY PUMPS sr
1 2 3 4 AERATION NO NO I NO NO NO NO NO NO NO NO o 5 q q PUMPS B 9 D
a Q Q Q G',G'Q Q BASINS 9 10 + 11 12 13 14 15 16 17 18 � + RAS
Ill-
PSE NO NO ND NEW NRCY PUMPS- TANKnON WAs SSS Ras n
NEW NRC?PUMPS 6 7 8 .. DRAIN RAS PUMP
PCR D4 MM ML 10 w STATION NO 3 1 1 PUMPS
t ML Ir U 0 Q Q Q CPG' Q G' IJ Q Q eo
i I. DR WA L (yXz_,ML/WAS WAS = 17 12 (3j
PUMP 'j PUMP PUMP m 1 -57j7
PSE n ITXTX 1(� II
v 4: 7 bd b1 I 2 F�
SEc IOER'—LISTkfB1FE1, f
! t t o I 1TPACL
1 RAS PUMP RAS PUMP
II 4 �� T -�-- ML MLSTATION NO 2 STAT ON NO 4
ML PAa ui pPRIMARY CLARIFIERS SEC PAa SEC PALL „, ML ML
PSE NO 1-4
- CLARIFIER ML CLARIFIER K'kfi
1' '1 ( NO 1 NO 2 1 ! t 4 SC -
t 9
FE]
ki� v ii SCUM PUMPS
SCUM SCUMSC it+ •'?P PUMPS PRIMARY , PUMPS I TAO —�' 4:+°” ! '�--
SLUDGE ,"L B-41*( 11
PUMPS APP e � ,i' �I
FB
ii 3 4
PRIMARY PRIMARY "i1I. �; g o • !9 SCE scE.-. ..
CLARIFIER CLARIFIER p 4 R t ! ty . RAS PUMPS b b b b PUMPSb b
NO NOS
I PRIMARY PUMPING 4-
, 4 • • • -
SCE ...- SCE
- O O + t STATION D —
WAS RAS PUMP STATION NO 1
P£ PTE4111114PTE A -! • SEC SEC
THICKENER OVERFLOW CLARIFIER CLARIFIER L
m^' Z NO 3 NO 4
GRIT AND PRE-AERATION PTE SSLLUDGE
�w�. : . TANKS AND PUMP STATION Ni; PUMP -,,
t�.2 ?—t 1 D
SC x PTE SC WAS NO 1 MIS NO 2 ML/wAs - WAS
v a Ps G j_I Da Dc I f SC EFFLUENTFILTERS
BLEND .. l� 1 a— ML/WAS
L--tt 1 o TANK0(S �p� NO 1 sg
' 01 q scull q q o g 0 ■ ••
•I'1 ' :PUMPS : ••Q•• • CENTRIFUGE SODIUM HYPOCHLORITE D
4+EI - r ,..,I • I El , Ps TRANSFER _„ 2 ,. THICKENED SLUDGE scull s
GRIT TANKS PRIMARY SLUDGE PUMPS PUMPS P P DILUnON HOLDING TANKS CLARY1ER
lilt. PUMPS SCE 4 SODIUM HYPOCHLORITE
(LOW) FLOW '� NORTH ..• •• PUMPSJD
LIZEQUALIZATION C BUFFALO `J T 4 ! NO 2 D To PLANTANK TANK SLUDGE I j w w W
DIST/1811112N SYSTEM
"ilL..........
GRIT (� L] Eiitall • SEE © TD PLANT
PUMPS "7 `7 NO 3go), NO 4 DI57RIBUnON SYSTEM
❑- '1.1:74.
ce., :U
Aini
RECLAIM 3
� CHLORINATION WATER grj.2CHEMICAL
GRIT CYCLONES D BUILDING PUMPS STORAGE
Gn PDAND CLASSIFIERIv
INFLUENT GRAVITY SLUDGE THICKENERS I DQ FACIUTY ve
N MP 1 AND PUMP STATION p SDE
FEE SLUDGE
WET WELL CONVEYORS
o CHLORINE CHLORINE CHLORINE
SCRET3+INCS LEGEND
CONTACT CONTACT CONTACT
PRESSES ■ SCREENINGS DUMPSTER INCINERATOR INCINERATOR
ILII �� O ANDFILL EEO FEED TANKS/ TANKS/ TANKS/
EXIST NEW
RI MECHANICAL PUMPS PUMPS
scREENs FLuo FLUID CASCADES CASCADES CASCADES
BED — — BED
PI'. Q PUMP INCINERATOR INCINERATOR
... .... � SNUBBER
INFLUENT 1,] ® FLOW METER 0 4 SCRUBBER 1 11 IN DAF
PUMP 11 SODIUM BISJLF1TE • _ SODIUM BIOJLF1TE D
STATION BLOWER a �
4 ASN , FE
3 2 .�I PUMPS
PLANT B X VALVE
INFLUENT
r E IC PARSHALL FLUMEif I SOLIDS HANDLING BUILDING
g cal ® GATE 1 .•
SOUTH BUFFALO CREEK
zr PROCESS SCHEMATIC
3 NTS
g 2 PROJECT
y P.DRUMMEY STIEGEL CITY OF GREENSBORO _ _
DATE: JULY 2017
0/ ENGINEER: , SN CARP
s DESIGNED BY: L.KING o� E-4_MYt l' NORTH CAROLINA HAZEN NO.: 31221-009
iq 6 CONFORMED 10/2017 PDS THIS DOCUMENT ORIGINALLY /'� i{C11, Hazer).
MECHANICAL
DRAWN BY: B.CAUDLE ISSUED FOR CONSTRUCTION AND v - CONTRACT NO.: 1
v
SEALED BY PATRICIA DRUMMEY •305411i0I o PROCESS SCHEMATIC —
ol CHECKED BY: P.DRUMMEY STIEGEL STIEGEL,SEAL NUMBER 038541 fYcINEF-� J HAZEN AND SAWYER WRF BNR UPGRADE PROJECT DRAWING
^¢ IF THIS BAR DOES NOT o 1/z° ^ /9eRUMMEc'� 4011 WESTCHASE BOULEVARD,SUITE 500 NUMBER:
e 1 BIDDING 7/2017, PDS MEASURE 1"THEN DRAWING RALEIGH,NORTH CAROLINA 27607 T.Z. OSBORNE WRF - PACKAGE 4
REV ISSUED FOR DATE BY IS NOT TO FULL SCALE ~ LICENSE NO. :C-0381 M3
do