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HomeMy WebLinkAboutNC0021717_Renewal Application_20190403ROY COOPER GM,crnor MICHAEL S. REGAN Scrrctor r LINDA CULPEPPER Oite(for Kenneth Noland, Manager Town Town of Wilkesboro 203 W Main St Wilkesboro, NC 28697 Subject: Permit Renewal Application No. NCO021717 Cub Creek WWTP Wilkes County Dear Applicant: NORTH CAROLINA Environmental Quality April 03, 2019 The Water Quality Permitting Section acknowledges the April 2, 2019 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https•//deq nc gov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincerely, A�(av �0� Wren Thedford Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application E North Cara in Department of Environmento] Qua v. I D vs• r, of Water Fesour-•s W rstorSa err, Regors MDe 1 450 West Hanes A' Road, Su le 3DD I W rstorSa em, North Carona 27105 '"�� 336 776-98DD FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 treatmep,k� flows greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6. REur-`�� i�� '� s2F�at 1 B. Certification. All applicants must complete Part C (Certification). Ar r� 0 2 2019 SUPPLEMENTAL APPLICATION INFORMATION: Water ( j4,ources P®rmit:ing 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 (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges and RCRA/CERCLA Wastes). SIUs are defined as: 1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and 40 CFR Chapter I, Subchapter N (see instructions), and 2. Any other industrial user that: a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain exclusions), or b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of the treatment plant, or C. Is designated as an SIU by the control authority. G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer Systems). ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 Wilkesboro Water Reclamation Facility (formerly Town of Wilkesboro Cub Creek Wastewater Treatment Plant) Mailing Address P. O Box 1056 Wilkesboro NC 28697 Contact Person Ken Noland Title Town Manager Telephone Number 336-838-3951 Facility Address 700 Snyder Street (not P.O. Box) Wilkesboro NC 28697 A.2. Applicant Information. If the applicant is different from the above, provide the following: Applicant Name Mailing Address Contact Person Title Telephone Number _ L 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 ® 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 NCO021717 PSD UIC Other RCRA Other A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each entity and, if known, provide information on the type of collection system (combined vs separate) and its ownership (municipal, private, etc.). Name Population Served Type of Collection System Ownership Town of Wilkesboro NC 4,000 separate sewer Town of Wilkesboro Total population served 4,000 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. Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 1211 month of "this year" occurring no more than three months prior to this application submittal a. Design flow rate 4.90 mgd Two Years Ago Last Year This Year b. Annual average daily flow rate 3.66 MGD [CY 20161 3.99 MGD [CY 20171 4.13 MGD [CY 20181 c Maximum daily flow rate 6.20 MGD [CY 20161 8.50 MGD [CY 20171 7.64 MGD [CY 20181 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 % ❑ Combined storm and sanitary sewer 0 % A.B. Discharges and Other Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S ? ® Yes ❑ No If yes, list how many of each of the following types of discharge points the treatment works uses: i Discharges of treated effluent ii. Discharges of untreated or partially treated effluent iii. Combined sewer overflow points iv. Constructed emergency overflows (prior to the headworks) V. Other b Does the treatment works discharge effluent to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the U.S.? ❑ Yes If yes, provide the following for each surface impoundment: Location: Annual average daily volume discharge to surface impoundment(s) Is discharge 0 continuous or ❑ intermittent? C. Does the treatment works land -apply treated wastewater? If yes, provide the following for each land application site: d. Location: Number of acres: Annual average daily volume applied to site: Is land application ❑ continuous or ❑ intermittent? Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? 1 (one) 0 (none) 0 (none) 0 (none) ® No mgd ❑ Yes ® No mgd ❑ 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 L_ 1 If known, provide the NPDES permit number of the treatment works that receives this discharge Provide the average daily flow rate from the treatment works into the receiving facility. 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): ❑ 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 ❑ continuous or ❑ 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 WILKESBORO 28697 (City or town, if applicable) (Zip Code) WILKES NORTH CAROLINA (County) (State) 36'09'19" 80°08'20" (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] 4.13 mgd f Does this outfall have either an intermittent or a periodic discharge? ❑ Yes ® 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: Months in which discharge occurs: g. Is outfall equipped with a diffuser? A.10. Description of Receiving Waters. ❑ Yes ® No mgd a. Name of receiving water Yadkin River b. Name of watershed (if known) YADKIN/PEE DEE RIVER BASIN United States Soil Conservation Service 14-digit watershed code (if known): 03040101040010 c. Name of State Management/River Basin (if known): YADKIN RIVER BASIN United States Geological Survey 8-digit hydrologic cataloging unit code (if known): 03040101 d. Critical low flow of receiving stream (if applicable) acute N/A cfs chronic Summer 7Q10 = X.X PT MEMO 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. ❑ Primary ® Secondary ❑ Advanced ❑ Other. Describe: b. Indicate the following removal rates (as applicable): Design BOD5 removal or Design CBOD5 removal 90 % Design SS removal 90 % Design P removal 90 % Design N removal 90 % Other % C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe: UV Disinfection (year-round) If disinfection is by chlorination is dechlorination used for this outfall? ❑ Yes ® No Nat Applicable Does the treatment plant have post aeration? ® 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 [Data from CY2017 through CY20181 MAXIMUM DAILY VALUE AVERAGE DAILY VALUE PARAMETER Value Units Value Units Number of Samples pH (Minimum) 6.6 S.U. pH (Maximum) 7.8 S.U. Flow Rate 8.5 MGD 4.06 MGD 730 Temperature (winter) [11/1 - 3/31] XX.X °C 10.06 °C 201 Temperature (Summer) [4/1 - 10/31] XX.X °C 22.66 cc 298 • For pH please report a minimum and a maximum daily value MAXIMUM DAILY AVERAGE DAILY DISCHARGE POLLUTANT DISCHARGE ANALYTICAL ML/MDL of METHOD Conc. FNumber Units Conc. Units Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN BODS 20.7 m /1 8.60 Mg/1 492 SM 5210 B 2 mg/1 DEMAND (Report one) CBOD5 FECAL COLIFORM ['geometric mean] 20C 1100 ml 11.82 /100 ml 451 SM 9222 D 1 c01/100 m1 TOTAL SUSPENDED SOLIDS (TSS) 737 un/I 15.52 m /l 494 SM 2540 D 1 m /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 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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. 750,000 gpd (During a'/;' or more rainfall event) Briefly explain any steps underway or planned to minimize inflow and infiltration. Kimberly call Bob 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 ouffalls from bypass piping, if applicable. c. Each well where wastewater from the treatment plant is injected underground. d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within '/. mile of the property boundaries of the treatment works, and 2) listed in public record or otherwise known to the applicant. e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed. f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail, or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed. B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g., chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow rates between treatment units. Include a brief narrative description of the diagram. {Schematic 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? ❑ Yes [7 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 ouffall number (assigned in question A.9) for each ouffall that is covered by this implementation schedule. 001 — One additional final clarifier is being added 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin C. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable). d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as applicable. For improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as applicable Indicate dates as accurately as possible. Schedule Actual Completion Implementation Stage MM/DD/YYYY MM/DD/YYYY Begin Construction End Construction Begin Discharge Attain Operational Level e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ® Yes ❑ No Describe briefly: Authorization to Construct (AtoC) was obtained 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 CY2017 through CY2018] MAXIMUM DAILY AVERAGE DAILY DISCHARGE DISCHARGE ANALYTICAL POLLUTANT METHOD MUMDL Conic. Units Conc. Units Number of Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) 28.5 mg/I 2.53 mg/I 497 SM 4500 NH3 F 0.1 mg/I CHLORINE (TOTAL Not Not Not Applicable RESIDUAL, TRC) Applicable Applicable DISSOLVED OXYGEN 11.2 mg/1 7.99 mg/I 493 SM 4500 O G 0.5 mg/I TOTAL KJELDAHL 11.5 mg/I 5.5 mg/I 08 EPA 351.1 0.2 mg/I NITROGEN (TKN) NITRATE PLUS NITRITE 15.7 mg/I 10.50 mg/I 08 EPA 353.2 0.1 mg/I NITROGEN OIL and GREASE <5 mg/I <5 mg/I 08 EPA 413.1 5 mg/1 PHOSPHORUS (Total) 9.9 mg/I 8.90 mg/I 08 SM 4500 P E 0.1 mg/I TOTAL DISSOLVED SOLIDS mg/I 94.04 mg/I 494 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 I �1 J N. C. 7 VACPAJIGIC L66fjON no 1002 q i 0 i 0 N. 7'30" W OlftE. 81'07'30" ROAD CLASSIFICATION •c `, ca JQ, � Heavy-duty Lighl duty.. Medium duty .� Unimproved dirt ..... 0 U S. Route O Stale Route WILKESBORO, N. C. N3607.5—W8107.5/7.5 1966 Ah1S 4756 11 NW —SERIES V042 04;1.i H. WWTP Diagram Influent Pumps gester Diges er # 2 Clarifier #1 Sampling Points 1 --Influent #1 2- Influent #2 Tyson 3 — Activated Sludge Basins 4 — Sludge to Disposal 6- Effluent after UV Disinfection Town of Wilkesboro Headworks Long Term Monitoring Plan Headworks Structure _ Clarifier #2 Dip,,sl�,- # 3 tiv Effluen i Disinfect I G T I OO Return Activated Sludge UO Pump Pit 0 LO Filter Press Sludge to Disposal .---� Effluent Influent _.....��) Sludge �b Digester Supernatant --•—�► Activated Sludge Return Activated Sludge Waste Activated Sludge Return Activated Sludge from Clarifiers !1" File NameModel LTMP_STMP July 2004 Page 5 I'rintr�l: February 2S. 2U1?. 12:47 I'M Modeled after: Chapter 4, Appendix 4-A. DWO Model Revision Date: July 29, 2004 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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) ® Part F (Industrial User Discharges and RCRA/CERCLA Wastes) ❑ Part G (Combined Sewer Systems) ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted- Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. f� ►'/nvA, r � o ri A i c� c� Name and official title C ��Y� ✓� L) ✓� 0� � ` w A Signature 3 ✓ 3/$ qs/ Telephone number Date signed �l'1 f Q i Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22 Page 9 of 22 FACILITY NAME AND PERMIT NUMBER: Town of Wilkesboro Cub Creek, NC0021717 PERMIT ACTION REQUESTED: 2019 Renewal RIVER BASIN: Yadkin 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 ouffall 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. Ouffall number: 001 fCY2018-CY20181 (Complete once for each outall discharging effluent to waters of the United States.) POLLUTANT MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL METHOD ML/MDL Conc. Units Mass Units Conc. Units Mass Units Number of Samples METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS. ANTIMONY <25 Pg/I <25 Pg/1 3 EPA 200.7 25 pg/I ARSENIC <10 Pg/I <10 Pg/I 3 EPA 200.7 5 pg/I BERYLLIUM <5 Pg/I <5 pg/I 3 EPA 2007 5 pg/1 CADMIUM <2 Pg/I <2 Pg/I 3 EPA 200 7 2 pg/I CHROMIUM <5 Pg/I <5 Pg/I 3 EPA 2003 5 Pg/I COPPER 3 Pg/I <2 Pg/I 3 EPA 200.7 2 Pg/I LEAD <10 Pg/I <10 Pg/I 3 EPA 200.7 10 Pg/I MERCURY 6.43 ng/I 4.06 ng/I 3 EPA 1631 1 ng/1 NICKEL <10 Pg/I <10 Pg/l 3 EPA 2003 10 Pg/I SELENIUM <10 Pg/I <10 Pg/1 3 EPA 200.7 10 Pg/1 SILVER <5 Pg/I <5 Pg/I 3 EPA 2003 5 Pg/I THALLIUM <20 ug/I <20 ug/I 3 EPA 200 7 20 ug/I ZINC 257 Pg/I 104 Pg/I 3 EPA 200.7 10 Pg/I CYANIDE <5 Pg/I <5 Pg/I 3 EPA 335A 5 pg/I TOTAL PHENOLIC COMPOUNDS 37 mg/I 15.6 mg/I 3 EPA 420 1 0.01 mg/I HARDNESS (as CaCO3) 108 mg/I 90.7 mg/I 3 SM 2340 C 1 mg/I Use this space (or a separate sheet) to provide information on other metals requested by the permit writer T_ 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 ANALYTICAL ML/MDL Number Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples VOLATILE ORGANIC COMPOUNDS ['NOTE: different detection limits on samples] ACROLEIN* <50 -= Pg/I <50 Pg/I 3 EPA 624+AA 50 pg/I ACRYLONITRILE* <10 Pg/1 <10 Pg/I 3 EPA 624+AA 10 pg/I BENZENE* <1 Pg/I <1 Pg/I 3 EPA 624 1 pg/I BROMOFORM* <1 Pg/1 <1 Pg/I 3 EPA 624 1 Pg/I CARBON <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg/I TETRACHLORIDE* CHLOROBENZENE* <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg/I CHLORODIBROMO- <1 Pg/I <1 Pg/I 3 EPA 624 1 1 METHANE* CHLOROETHANE* <5 Pg/I <5 Pg/I 3 EPA 624 5 Pg/I 2-CHLOROETHYLVINYL <5 Pg/I <5 Pg/I 3 EPA 624 5 pg/l ETHER* CHLOROFORM* <1 Pg/I <1 Pg/I 3 EPA 624 1 1 DICHLOROBROMO- <1 Pg/I <1 Pg/I 3 EPA 624 1 pgll METHANE* 1,1-DICHLOROETHANE* <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg/I 1,2-DICHLOROETHANE* <1 Pg/I <1 Pg/l 3 EPA 624 1 Pg/I TRANS-I,2-DICHLORO- <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg/I ETHYLENE* 1,1-DICHLORO- <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg/I ETHYLENE* 1,2-DICHLOROPROPANE* <1 Pg/I <1 Pg/I 3 EPA 624 1 Pgll 1,3-DICHLORO- <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg11 PROPYLENE* ETHYLBENZENE* <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg/I METHYL BROMIDE* <5 Pg/I <5 Pg/I 3 EPA 624 5 pg/l METHYL CHLORIDE* <5 Pg/l <5 Pg/I 3 EPA 624 51 METHYLENE CHLORIDE* <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg/I 1,1,2,2-TETRA- <1 Pg/I <1 Pg/I 3 EPA 624 1 Pg/I CHLOROETHANE* TETRACHLORO- <1 Pg/I <1 Pg/I 3 EPA 624 1 pg1l ETHYLENE* TOLUENE* <1 Pg/I <1 Pg/1 3 EPA 624 1 Pg/I EPA Form 3510-2A (Rev. 1-99) Replaces EPA forms 7550-6 & 7550-22 Page 11 of 22 FACILITY NAME AND PERMIT NUMBER: Town of Wilkesboro Cub Creek, NCO021717 PERMIT ACTION REQUESTED: 2019 Renewal RIVER BASIN: Yadkin Outfall number: 001 [CY 2016-20181 (Complete once for each outfall discharging effluent to waters of the United States.) POLLUTANT MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL METHOD ML/MDL Conc. Units Mass Units Conic. Units Mass Units Number of Samples 1,1,1 TRICHLOROETHANE' <1 Pg/I <1 Pg/I 3 EPA 624 1 Pgll 1,1,2 TRICHLOROETHANE` <1 Pg/I <1 Pg/I 3 EPA 624 1 Pgll TRICHLOROETHYLENE" <1 Pg/I <1 pg/I 3 EPA 624 1 Pgll VINYL CHLORIDE' <5 Pg/I <5 pg/I 3 EPA 624 5 pg/l Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer ACID -EXTRACTABLE COMPOUNDS P-CHLORO-M-CRESOL <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 2,4-DICHLOROPHENOL <10 Pg/I <10 pg/I 3 EPA 625 10 Pg/I 2,4-DIMETHYLPHENOL <10 Pg/I <10 Pg/I 3 EPA 625 10 pg/I 4,6-DINITRO-0-CRESOL <50 Pg/I <50 pg/I 3 EPA 625 50 pg/1 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/l <10 Pg/l 3 EPA 625 10 Pg/I TRIOHLOROPHENOL RIC <10 Pg/l <10 pg/I 3 EPA 625 10 Pg/I 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 625 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/I 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 ANALYTICAL ML/MDL Number Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples 3,4 BENZO- <10 pg/l <10 pg/I 3 EPA 625 10 pg/1 FLUORANTHENE BENZO(GHI)PERYLENE <10 pg/I <10 pg/I 3 EPA 625 10 pg/I BENZO(K) <10 pg /I <10 Pg/I 3 EPA 625 10 Pg/1 FLUORANTHENE BIS (2-CHLOROETHOXY) <10 Ng/I <10 pg/I 3 EPA 625 10 Pg/I METHANE BIS (2-CHLOROETHYL)- <10 pg/I <10 Pg/I 3 EPA 625 10 pg/l ETHER BIS (2-CHLOROISO- <10 pg /l <10 pg/1 3 EPA 625 10 Pg/1 PROPYL)ETHER BIS (2-ETHYLHEXYL) <10 Ng/I <10 Pg/1 3 EPA 625 10 Pg/I PHTHALATE 4-BROMOPHENYL <10 pg /I <10 Pg/I 3 EPA 625 10 Pg/I PHENYLETHER BUTYL BENZYL <10 Pg 11 <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 11 <10 pgll 3 EPA 625 10 pg/I PHENYLETHER 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 jig/1 3 EPA 625 10 pg/I DIBENZO(A,H) <10 jig/1 <10 Pgll 3 EPA 625 10 pgll ANTHRACENE 1,2-DICHLOROBENZENE <10 Pg/I <10 pg/l 3 EPA 625 10pg/I 1,3-DICHLOROBENZENE <10 Pg/l <10 pg/I 3 EPA 625 10 pg/I 1,4-DICHLOROBENZENE <10 pg/I <10 Pg/I 3 EPA 625 10 pg/I 3,3-DICHLORO- <50 pg /I <50 Pgll 3 EPA 625 50 pg/1 BENZIDINE DIETHYL PHTHALATE <10 Pg/I <10 Pg/I 3 EPA 625 10 Pg/I DIMETHYL PHTHALATE <10 pgll <10 Pg/I 3 EPA 625 10 Pg/I 2,4-DINITROTOLUENE <10 Pg/l <10 pg/I 3 EPA 625 10 Pg/I 2,6-DINITROTOLUENE <10 Pgll <10 Pg/I 3 EPA 625 10 Pgll 1,2-DIPHENYL- <10 pg /l <10 Pg/l 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin Outfall number: 001 ICY -CY XXX] (Complete once for each outfall discharging effluent to waters of the United States ) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT ANALYTICAL ML/MDL Number Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples FLUORANTHENE <10 pg/I <10 Ng/I 3 EPA 625 10 pg/I FLUORENE <10 pg/I <10 Ng/I 3 EPA 625 10 Ng/I HEXACHLOROBENZENE <10 Ng/I <10 pg/I 3 EPA 625 10 Ng/I HEXACHLORO- <10 Ng/I <10 Ng/I 3 EPA 625 10 pg/I BUTADIENE HEXACHLOROCYCLO- <50 Ng/I <50 Ng/I 3 EPA 625 50 j l PENTADIENE HEXACHLOROETHANE <10 Ng/I <10 Pg/I 3 EPA 625 10 Ng/I INDENO(1,2,3-CD) <10 Ng/I <10 pg/I 3 EPA 625 10 pg/l PYRENE ISOPHORONE <10 Ng/I <10 Ng/l 3 EPA 625 10 Ng/l NAPHTHALENE <10 Ngll <10 Ng/I 3 EPA 625 10 Ng/I NITROBENZENE <10 Ng/I <10 Ng/I 3 EPA 625 10 Ng/I N-NITROSODI-N- <10 Ng/I <10 Ng/I 3 EPA 625 10 Ng/I PROPYLAMINE N-NITROSODI- <10 Ng/I <10 Ng/I 3 EPA 625 10 Ng/I METHYLAMINE N-NITROSODI- <10 Ng/I <10 pg/I 3 EPA 625 10 pg/I PHENYLAMINE PHENANTHRENE <10 Ng/I <10 Ng/I 3 EPA 625 10 Ng/I PYRENE <10 pg/I <10 Ng/I 3 EPA 625 10 pg/I 1,2,4 TRICHLOROBENZENE <10 Ng/I <10 Ng/I 3 EPA 625 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin SUPPLEMENTAL APPLICATION INFORMATION PART E. TOXICITY TESTING DATA POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd, 2) POTWs with a pretreatment program (or those that are required to have one under 40 CFR Part 403). or 3) POTWs required by the permitting authority to submit data for these parameters. • At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include information on combined sewer overflows in this section All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. • In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity reduction evaluation, if one was conducted. • If you have already submitted any of the information requested in Part E, you need not submit it again Rather, provide the information requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using 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: XX daphnia and X fat head minnow] FJ chronic ❑ 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: Town of Wilkesboro Cub Creek, NCO021717 PERMIT ACTION REQUESTED: 2019 Renewal RIVER BASIN: Yadkin Test number: 1 Test number: 2 Test number: e. Describe the point in the treatment process at which the sample was collected Sample was collected: f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity Acute toxicity g_ Provide the type of test performed. Static Static -renewal Flow -through h. Source of dilution water. If laboratory water, specify type, if receiving water, specify source Laboratory water Receiving water i. Type of dilution water. If salt water, specify "natural' or type of artificial sea salts or brine used Fresh water Salt water j- Give the percentage effluent used for all concentrations in the test series. k Parameters measured during the test. (State whether parameter meets test method specifications) pH Salinity Temperature Ammonia Dissolved oxygen I. Test Results. Acute: Percent survival in 100% effluent % % ° �0 LC5o 95% C.I. % % % Control percent survival % % % Other (describe) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22 Page 16 of 22 FACILITY NAME AND PERMIT NUMBER: Town of Wilkesboro Cub Creek, NCO021717 PERMIT ACTION REQUESTED: 2019 Renewal RIVER BASIN: Yadkin Chronic: NOEC % % % IC25 % % % Control percent survival % % % Other (describe) m. Quality Control/Quality Assurance_ Is reference toxicant data available? Was reference toxicant test within acceptable bounds? What date was reference toxicant test run (MM/DD/YYYY)? Other (describe) E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes ❑ No If yes, describe: E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary of the results. Date submitted: / /_ (MM/DD/YYYY) Summary of results: (see instructions) WET Test Summary Included and Labeled "PART E ATTACHMENTS 1 & 2". NPDES Permit NCO021717 requires quarterly chronic WET analyses on the final effluent after disinfection in March June September December and data submittal quarterly on corresponding eDMRs and to the DEQ Environmental Sciences Branch Four second species tests are also included per NPDES permit requirement WET 2014-2018 = XX Chronic Daphnia tests: XX passed/X invalid /X failed: X fat head minnow tests: X passed. XXX FAILS?) 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of industrial users that discharge to the treatment works. TOTAL OF 2 SIGNIFICANT INDUSTRIAL USERS a. Number of non -categorical SIUs. 2 b. Number of CIUs. 0 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. SIU SUMMARY FORMS ARE INCLUDED AND LABELED PART F ATTACHMENTS 1-2 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: Wilkes County Landfill (Lechate Only) Mailing Address: 110 North St. Wilkesboro, NC 28697 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Lechate from pond. Aeration in pond (see attached) 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): Lechate only from landfill 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. 49 494 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 Yes ❑ No b. Categorical pretreatment standards ❑ 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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? �7 Yes ® No If yes, describe each episode. RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE: F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe? ❑ Yes ® No (go to F.12) F.10. Waste transport. Method by which RCRA waste is received (check all that apply): ❑ Truck ❑ Rail ❑ Dedicated Pipe F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units) EPA Hazardous Waste Number Amount Units CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER: FA 2. 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 ❑ 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: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin SUPPLEMENTAL APPLICATION INFORMATION PART G. COMBINED SEWER SYSTEMS If the treatment works has a combined sewer system, complete Part G. NOT APPLICABLE G.I. System Map. Provide a map indicating the following: (may be included with Basic Application Information) a. All CSO discharge points. b. Sensitive use areas potentially affected by CSOs (e.g., beaches, drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and outstanding natural resource waters). c Waters that support threatened and endangered species potentially affected by CSOs G.2. System Diagram. Provide a diagram, either in the map provided in G.1 or on a separate drawing, of the combined sewer collection system that includes the following information. a. Location of major sewer trunk lines, both combined and separate sanitary. b Locations of points where separate sanitary sewers feed into the combined sewer system C. Locations of in -line and off-line storage structures. d. Locations of flow -regulating devices. e Locations of pump stations. CSO OUTFALLS: Complete questions G.3 through G.6 once for each CSO discharge point. G.3. Description of Outfall. a Outfall number b. Location (City or town, if applicable) (Zip Code) (County) (State) (Latitude) (Longitude) c- Distance from shore (if applicable) ft d Depth below surface (if applicable) e Which of the following were monitored during the last year for this CSO? ❑ Rainfall ❑ CSO pollutant concentrations ❑ CSO frequency ❑ CSO flow volume ❑ Receiving water quality f How many storm events were monitored during the last year? GA. CSO Events. a Give the number of CSO events in the last year _ events (`j actual or ❑ approx.) b Give the average duration per CSO event _ hours (❑ actual or ❑ approx.) EPA Form 3510-2A (Rev, 1-99) Replaces EPA forms 7550-6 & 7550-22. Page 20 of 22 IUP, PART I, Industrial User (IU) Specific Conditions E.) Schematic and Monitoring Locations: The facility schematic and description of monitoring location(s) given below must show enough detail such that someone unfamiliar with the facility could readily find and identify the monitoring location(s) and connection to the sewer. Include and identify all regulated pipes. Leachate Re -Circulation Diagram 50' to 100' so;iker hose 7j,p PVC Ads-pter 1" PVC FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin C. Give the average volume per CSO event. million gallons (❑ actual or ❑ 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 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin 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 [l No F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of industrial users that discharge to the treatment works. TOTAL OF 2 SIGNIFICANT INDUSTRIAL USERS C. Number of non -categorical SIUs. d. Number of CIUs J 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. SIU SUMMARY FORMS ARE INCLUDED AND LABELED PART F ATTACHMENTS 1-2 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: Tyson Foods, Inc Mailing Address: P.O Box 88 Wilkesboro, NC 28697 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. See attachments 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): Chicken products Raw material(s): Chickens F.6. Flow Rate. C. Process wastewater flow rate Indicate the average daily volume of process wastewater discharge into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 2.6767,000 gpd ( , ,_ _ 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 ❑ No b. Categorical pretreatment standards ❑ Yes ❑ No If subject to categorical pretreatment standards, which category and subcategory? NPDES FORM 2A Additional Information Sheetl Flow Chart Waste Water, Permit Required Confined Spaces Page 1 Sheets EIf Confine Space Permit Required LoCkNolve Confine Permit F Tyson Lift PUMP Station at city (3} T,10 TS HP Pumps Confine Space Permit Required Valve Con me Space Permit Required basin Page 2 Sheetl Wavlty flow 25hp ;eivnp valve ND Mixer 60hp vary Basin 7 IMG Basin 7.5/mg Ohp INC' { �e _ t xer M 25hp Mixer Bypass _.__� 1--Pypass Vaity Aerators 25hp Valve NC Mixer `10hp 10hp . Basin 7.5/MG V N. NC �,,,,—, 25hp �=1 Ohn Mixer Soho Note Valve Symbols NC Normally Close NO Normally Open ' NC alv Eft to Town of Wilkesboro P.O.T.W fl Eff.san4ft point& Towns lab spout 1� Effluent Page 3 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wilkesboro Cub Creek, NCO021717 2019 Renewal Yadkin F.B. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes r1j 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 E 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 REM EDIATION/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? i ❑ Continuous El 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 NPDES FORM 2A Additional Information October 91h, 2018 Mr. Jim Gonsiewski Facility Name: Town of Wilkesboro Permit Number: WQ0000092 Period: January 1, 2017- December 31, 2017 Dear Mr. Gonsiewski, The Town of Wilkesboro has a contract with the County of Wilkes to dispose of the POTW's Wastewater Treatment Biosolids in Wilkes County's (Subtitle D) Landfill located at Roaring River, North Carolina. A total of 4,355.60 tons was hauled from the Wilkesboro's Cub Creek Wastewater Treatment Plant during 2017. Ken Noland Town Manager CITY OF WILKESBORO POTW NCO021717 SECOND SPECIES BIOASSAY [Fathead Minnow] March 22,24,25 2016 1 (with daphnia and #1 PPA-#1 Fish) Repl. 1 2 3 4 Control Surviving # 10 10 10 10 % Survival 100 Results Original # 10 10 10 10 Survival Growth WgUoriginal (mg) 0.610 0.794 0.692 0.605 Avg Wgt (mg) 0.675 NOEC 14.8 14.8 LOEC >14.8 >14.8 0.92% Eff Surviving # 10 9 9 9 % Survival 92.5 ChV >14.8 >14.8 Original # 10 10 10 10 WgUoriginal (mg) 0.692 0.515 0.593 0.522 Avg Wgt (mg) 0.581 Overall ChV >14.8 1.85% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.693 0.661 0.686 0.71 Avg Wgt (mg) 0.688 3.7% Eff Surviving # 9 10 9 10 % Survival 95 Original # 10 10 10 10 Wgt/original (mg) 0.694 0.698 0.625 0.674 Avg Wgt (mg) 0.673 7.4% Eff Surviving # 10 10 10 9 % Survival 97.5 Original # 10 10 10 10 WgUoriginal (mg) 0.783 0.572 0.555 0.739 Avg Wgt (mg) 0.662 14.8% Eff Surviving # 10 10 10 8 % Survival 95 Original # 10 10 10 10 WgUoriginal (mg) 0.664 0.756 0.806 0.69 Avg Wgt (mg) 0.729 (with daphnia and #2 PPA-#2 Fish) 1 2 3 4 JUNE 7/9/10, 2016 Repl. Control Surviving # 10 10 10 10 % Survival 100 Results Original # 10 10 10 10 Survival Growth WgUoriginal (mg) 0.281 0.294 0.433 0.338 Avg Wgt (mg) 0.337 NOEC 14.8 14.8 LOEC >14.8 >14.8 0.92% Eff Surviving # 10 10 10 10 % Survival 100 ChV >14.8 >14.8 Original # 10 10 10 10 WgUoriginal (mg) 0.433 0.515 0.279 0.434 Avg Wgt (mg) 0.415 Overall ChV >14.8 1.85% Eff Surviving # 10 10 10 9 % Survival 97.5 Original # 10 10 10 10 WgUoriginal (mg) 0.456 0.358 0.475 0.408 Avg Wgt (mg) 0A24 3.7% Eff Surviving # 10 9 10 10 % Survival 97.5 Original # 10 10 10 10 WgUoriginal (mg) 0.354 0.406 0.419 0.424 Avg Wgt (mg) 0.401 7.4% Eff Surviving # 9 9 10 10 % Survival 95 Original # 10 10 10 10 WgUoriginal (mg) 0.378 0.351 0.395 0.386 Avg Wgt (mg) 0.378 14.8% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.496 0.526 0.393 0.484 1 Avg Wqt (mq) 1 0.475 SEPTEMBER 13/15/16, 2016 (with daphnia and no PPA-#3 Fish) Reol. 1 1 1 2 1 3 1 4 Control Surviving # 10 9 10 10 % Survival 97.5 Results Original # 10 10 10 10 Survival Growth WgUoriginal (mg) 0.648 0.733 0.649 0.776 Avg Wgt (mg) 0.702 NOEC 14.8 14.8 LOEC >14.8 >14.8 0.92% Eff Surviving # 9 10 9 10 % Survival 95 ChV >14.8 >14.8 Original # 10 10 10 10 WgUoriginal (mg) 0.449 0.556 0.53 0.638 Avg Wgt (mg) 0.543 Overall ChV >14.8 1.85% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.639 0.66 0.735 0.825 Avg Wgt (mg) 0.715 3.7% Eff Surviving # 10 10 10 10 % Survival 1 00 Original # 10 10 10 10 Wgt/original (mg) 0.698 0.683 0.739 0.823 Avg Wgt (mg) 0.736 7.4% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.738 0.664 0.608 0.715 Avg Wgt (mg) 0.681 14.8% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 Wgt/original (mg) 0.693 0.739 0.758 0.736 Avg Wgt (mg) 0.732 DECEMBER 6/8/9, 2016 (with daphnia and #3 PPA-94 Fish) Repl. 1 2 3 4 Control Surviving # 10 9 10 10 % Survival 97.5 Results Original # 10 10 10 10 Survival Growth Wgt/original (mg) 0.77 0.706 0.79 0.692 Avg Wgt (mg) 0.740 NOEC 14.8 14.8 LOEC >14.8 >14.8 0.92% Eff Surviving # 9 10 9 10 % Survival 95 ChV >14.8 >14.8 Original # 10 10 10 10 WgUoriginal (mg) 0.627 0.779 0.801 0.696 Avg Wgt (mg) 0.726 Overall ChV 1.85% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 Wgt/original (mg) 0.695 0.779 0.801 0.696 Avg Wgt (mg) 0.743 3.7% Eff Surviving # 9 10 10 10 % Survival 97.5 Original # 10 10 10 10 Wgt/original (mg) 0.88 0.653 0.834 0.772 Avg Wgt (mg) 0.785 7.4% Eff Surviving # 10 10 10 9 % Survival 97.5 Original # 10 10 10 10 Wgt/original (mg) 0.88 0.653 0.834 0.831 Avg Wgt (mg) 0.800 14.8% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.951 0.84 0.878 0.831 Avg Wgt (mg) 0.875 OCTOBER 2/4/5, 2018 (with daphnia and #3 PPA-#4 Fish) ReW. I 1 1 2 1 3 1 4 Control Surviving # 10 9 1 9 % Survival 72.5 Results Original # 10 10 10 10 Survival Growth WgUoriginal (mg) 0.970 0.784 0.853 0.849 Avg Wgt (mg) 0.864 NOEC 14.8 14.8 LOEC >14.8 >14.8 0.92% Eff Surviving # 9 9 9 9 % Survival 90.0 ChV >14.8 >14.8 Original # 10 10 10 10 WgUoriginal (mg) 0.894 0.647 0.83 0.619 Avg Wgt (mg) 0.748 Overall ChV >14.8 1.85% Eff Surviving # 10 9 9 9 % Survival 92.5 Original # 10 10 10 10 WgUoriginal (mg) 0.796 0.714 0.698 0.743 Avg Wgt (mg) 0.738 3.7% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.729 0.706 0.74 0.783 Avg Wgt (mg) 0.740 7.4% Eff Surviving # 8 9 10 8 % Survival 87.5 Original # 10 10 10 10 WgUoriginal (mg) 0.702 0.736 0.912 0.789 Avg Wgt (mg) 0.785 14.8% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.771 0.812 0.755 0.756 Avg Wgt (mg) 1 0.774 DECEMBER 416/7, 2018 (with daphnia and #3 PPA-#4 Fish) Repl. 1 1 2 1 3 1 4 Control Surviving # 10 10 10 10 % Survival 100 Results Original # 10 10 10 10 Survival Growth WgUoriginal (mg) 0.592 0.597 0.618 0.602 Avg Wgt (mg) 0.602 NOEC 14.8 14.8 LOEC >14.8 >14.8 0.92% Eff Surviving # 10 9 10 10 % Survival 97.5 ChV >14.8 >14.8 Original # 10 10 10 10 WgUoriginal (mg) 0.513 0.527 0.594 0.674 Avg Wgt (mg) 0.577 Overall ChV >14.8 1.85% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.692 0.527 0.640 0.570 Avg Wgt (mg) 0.607 3.7% Eff Surviving # 9 10 10 10 % Survival 97.5 Original # 10 10 10 10 WgUoriginal (mg) 0.369 0.456 0.601 0.592 Avg Wgt (mg) 0.505 7.4% Eff Surviving # 10 9 10 10 % Survival 97.5 Original # 10 10 10 10 WgUoriginal (mg) 0.565 0.522 0.55 0.436 Avg Wgt (mg) 0.518 14.8% Eff Surviving # 10 10 10 10 % Survival 100 Original # 10 10 10 10 WgUoriginal (mg) 0.591 0.704 0.693 0.717 Avg Wgt (mg) 0.676 Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:3/27/2019 Facility: Wilkesboro NPDES # NC00 21717 Pipe #: 001 County: Wilkes La ory: Meritec Inc. Comments x Si ature of Operator in Responsible Charge x Signature of Laboratory Supervisor MAIL ORIGINAL TO: Water Sciences Section Aquatic Toxicology Branch Division of Water Resources 1621 Mail Service Center Raleigh, N.C. 27699-1621 Test Initiation Date/Time 6/7/2016 4:15 PM Avg Wt/Surv. Control 0.337 % Eff. Repl. 1 2 3 4 Control 1 Surviving # Original # Wt/original (mg) 0.92 Surviving # Original # Wt/original (mg) 1.85 Surviving # Original # Wt/original (mg) 3.7 Surviving # Original # Wt/original (mg) 10 10 10 10 10 10 10 10 0.433 0.515 0.279 0.434 10 10 10 9 10 10 10 10 0.456 0.358 0.475 0.408 % Survival 100.0 Test Organisms _ Cultured In -House Outside Supplier Avg Wt (mg) 0.337 Hatch Date: 6/6/16 % Survival 100.0 Hatch Time: 3 - 4 pm CST Avg Wt (mg) 0.415 % Survival 97.5 Avg Wt (mg) 0.424 % Survival 97.5 Avg Wt (mg) 0 401 7.4 Surviving # % Survival 95.0 Original # Wt/original (mg) Avg Wt (mg) 0.378 14.8 Surviving # % Survival 100.0 Original # Wt/original (mg) Avg Wt (mg) 0.475 Water Quality Data Day Control 0 1 2 3 4 5 6 pH (SU) Init/Fin DO (mg/L) Init/Fin Temp (C) Init/Fin High Concentration 0 1 2 3 4 5 6 pH (SU) Init/Fin DO (mg/L) Init/Fin Temp (C) Init/Fin Sample 1 2 3 Survival Growth Collection Start Date Grab Composite (Duration) Hardness (mg/L) Alkalinity (mg/L) Conductivity (umhos/cm) Chlorine(mg/L) Temp. at Receipt (°C) 8.13 / 7.74 8.02 / 7 69 8.10 / 7.80 8.15 / 8.05 8.11 / 8.03 8.18 / 7.85 8.06 / 7.88 7.78 / 7.07 7.89 ! 6.89 7.80 ! 6.85 7.84 / 7.09 7.79 / 7.56 7.93 17.60 8.01 / 7.53 24.3 / 24.7 24.2 / 24.6 24.2 / 24.3 24.2 / 24.9 24.6 / 24.9 24.4 / 25-0 24.0 / 24.5 8.02 / 7 97 8.03 / 7.76 7.97 / 7.86 8 07 / 7.81 7.99 / 8.09 8.14 / 7.96 8.12 / 8.07 7.68 / 7.38 7.87 / 6J3 7.72 / 6.68 7.76 / 7.29 7.69 ! 7.50 7.84 / 7.47 8.02 ! 7 83 24.5 / 25.0 25 0 / 24.7 25.2 / 25.5 25.1 / 25.2 24.8 / 24.5 24.2 / 25.6 24.3 / 25.1 6/7/2016 6/8/2016 6/9/2016 20.8 24.0 25.8 88 90 94 162 153 153 1002 1087 1108 <0.1 <0.1 <0.1 0.7 1.8 1.4 Dilution H2O Batch # 1026 1027 1028 F40 Hardness (mg/L) 42 44 42 Alkalinity (mg/L)49 53 51 Conductivity (umhos/cm) 172 215 203 Normal Hom. Var. NOEC 14.8 14.8 LOEC >14.8 >14.8 ChV >14.8 >14.8 Method Steel's Dunnett's Overall Result ChV >14.8 Stats Survival Growth Conc. Critical Calculated Critical Calculated 0.92 10 18 10 16 2.41-1.8443 2.41-2.0551 1.85 3.7 10 16 10 14 2.41-1.5047 2.41-0.9602 7.4 H14.77 8 10 18 2.41-3.2378 DWQ Form AT-5 • Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:3/31/2016 Facility: Wilkesboro NPDES # NC00 21717 Pipe #: 001 County: Wilkes Inc. Sig ature of Operator in Respo ble Ch x , �) C_-4f� Signature of Laboratory Supervisor MAIL ORIGINAL TO: Water Sciences Section Aquatic Toxicology Branch Division of Water Resources 1621 Mail Service Center Raleigh, N.C. 27699-1621 Test Initiation Date/Time 3/22/2016 3:30 PM Avg Wt/Surv. Control 0.675 % Eff. Repl. 1 2 3 4 FC-o-n-t-ro-11 Surviving # Original # Wt/original (mg) 0.92 Surviving # Original # Wt/original (mg) 10 10 10 10 10 10 10 10 0.610 0.794 0.692 0.605 10 9 9 9 10 10 10 10 0.692 0.515 0.593 0.522 % Survival 100.0 Avg Wt (m g).F 0.675 Test Organisms 7 Cultured In -House f7 Outside Supplier Hatch Date: 3/21/16 % Survival 9-2-51 Hatch Time: 3:00 pm CT Avg Wt (mg) 0.581 F--18-5-1 Surviving # % Survival 100.0 Original # Wt/original (mg) Avg Wt (mg) 0.688 3.7 Surviving # % Survival 95.0 Original # Wt/original (mg) Avg Wt (mg) 0.673 7.4 Surviving # % Survival 97.5 Original # Wt/original (mg)Avg Wt (mg) 0.662 10 10 10 9 10 10 10 1 14.87 Surviving # 10 10 10 8 % Survival 95.0 Original # High Concentration pH (SU) Init/Fin DO (mg/L) Init/Fin Temp (C) Init/Fin Sample Collection Start Date Grab Composite (Duration) Hardness (mg/L) Alkalinity (mg/L) Conductivity (umhos/cm) Chlorine(mg/L) Temp. at Receipt (°C) 8.35 ! 7.82 8.08 7.87 8.26 / 8.01 8.19 / 8.07 8.20 / 7.84 8.19 17.89 8.11 17.89 0 1 2 3 4 5 6 8.16 / 7.94 8.10 / 7.91 8.04 / 7.87 8.02 17.96 8.08 / 7.83 8.08 / 8.02 8.13 / 7.88 7.71 / 7.07 7.65 / 7.10 7.74 / 7.12 7.75 / 7.48 7.76 / 6.83 7.82 / 7.20 7.83 / 6.41 24.8 / 24.3 25.5 / 24.3 24.5 / 24.2 24.9 / 24.2 24.3 / 24.7 24.4 / 24.7 25.0 / 24.6 1 2 3 3/21 /2016 3/23/2016 3/24/2016 21.4hrs 24.Ohrs 26.4hrs 316 272 256 77 72 86 1072 1183 1155 <0.1 <0.1 <0.1 0.6 0.5 0.5 Dilution H2O Batch # 993 994 995 996 997 998 Hardness (mg/L) 44 46 46 46 42 46 Alkalinity (mg/L) 56 55 56 55 55 54 Conductivity (umhos/cm) 226 244 210 198 196 207 Survival Growth Normal Yes F1 Hom. Var. Irl 11*711 NOEC 14.8 14.8 LOEC >14.8 >14.8 ChV >14.8 >14.8 Method Steel's Dunnett's Overall Result ChV >14.8 Stats Survival Growth Conc. Critical Calculated Critical Calculated 0.92 10 12 2.41 1.7887 1.85 10 18 2.41-0.2313 3.7 10 14 2.41 0.0472 7.4 10 16 2.41 0.2454 14.8 10 16 2.41-1.0147 10 10 10 10 9 10 9 10 10 10 10 10 0.694 0.698 0.625 0.674 I Meritech, Inc. Chronic Fathead Minnow Benchsheet Transfer and Feeding Dates and Times Client: Wilkesboro # of Organisms per Chamber: 10 Start Date: 3/22/16 NPDES #: NCOO21717 Test Vessel Size: 400 ml End Date: 3/29/16 Initiated by: Test Solution Volume: 250 ml Time: Time: ; Date/Time Fed: 3/22/16 '1 a ,C ,. Temp. of Stock:,`-1 �, °C Randomization: Yes No Date/Time Born: 3/21/16 3:00 PM CT # of Reps: 4 Incubator #: t . Organism Source: Aquatox, Inc. Analyst(s): MR, TH, CD Transferred by: Fed by: Date Time Initials Date Time 1 --- Initials Time 2 Initials Day 1 3/23 r1 Day 0 3/22 - Day 2 3/24 �j `` �" f Day 1 3/23 n' �A, , Day 3 3/25 , (' . �� Day 2 3/24 Day 4 3/26 Day 3 3/25 `� l� M /�L- �'L\M �►�,� Days 3/27 J r- Nv Day 3/26 .C%.�,� C_ Day 6 3/28 (ll'�1 �' Day 3/28 Test Termination Data: Initials/Signature: End Date: 3/29/16 End Time AML ENVIRONMENTAL LABORATORIESADivision of Water Techr,c>1c>gy and Controls, lnc. Chemical and Physical Determinations Client: Wilkesboro NPDES#: NCO021717 Start Date: 3/22/16 Test Organism: Pimephales promelas Day End Date: 3/29/16 Concentration: control 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks Soft Synthetic Freshwater Batch # e- pH: Initial T, 7j 0, 'S Final 7gq D.O. Initial Z 7 Final c<:, C ,,,tS 1 7 c l Temp.: Initial Z (2, 24, k Final Conductivity: Initial Final 7 Residual Chlorine: -'-0 I' Hardness: Alkalinity:, 45 Day Concentration: 0.92% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Kemarks pH: Initial ks Final t 7� 7, S 1--) ,n 7 60 D.O. Initial -7 Final 1c, Temp.: Initial Final Conductivity: Initial Final Residual Chlorine: Day Concentration: 1.85% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial Final D.O.: Initial 17 7 Final Temp.: Initial Final Conductivity: Initial Final �' o � Residual Chlorine: 1,:f-& C(-,. --SC Client: Wilkesboro ENVIRONMENTAL LA BO RATOfilES Chemical and Physical Determinations NPDES#: NCO021717 Test Organism: Pimephales promelas Day Start Date: 3/22/16 End Date: 3/29/16 Page 2 of 2 Concentration: 3.7% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial ", " , - 41, (, 7=1 :",// Final A 7, (IN Ll D.O.: Initial .71 •7 arc '74 Final j' L� 77 Temp.: Initial >J11 2 'i Li Final -2 2 4, '7 - 7,1A )M T Conductivity: Initial Final Li G C, Residual Chlorine: 4:-C, I Ln Z Day Concentration: 7.4% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial k ci Final TT N D.O.: Initial 7_ Z Final c:, C 4>' 7./ Temp.: Initial 'I � , I Ll Final --,5 Conductivity: Initial Final L 1 -j! 2 -2 1 -3 Residual Chlorine: t 0 k -7 4, - 1-2' E,1 4L Day Concentration: 14.8% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial <3�11 I & Final Cj _A "1 C -7 D.O.: Initial 77)- Final 1 1 CU 7. l -7, Temp.: Initial Li Final 14 Conductivity: Initial Final Residual Chlorine: Day Concentration: 100% 0-1 1-2 2-3 3-4 4-5 5-6 0-7 Remarks -1 pH: Conductivity: Residual Chlorine: Hardness; Alkalinity: MERITECH, INC. Mortality Data: Chronic Fathead Test Client: Wilkesboro NPDES#: NC0021717 Test Organism: Pimephales promelas Start Date: 3/22/16 End Date: 3/29/16 Concentration Control Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 �� Cl Rep B 0 Rep C 0 Rep D 0�- Concentration 0.92% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0� Rep B 0 jT Rep C 0' Rep D 0 Concentration 1.85% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 Rep B 0 Rep C 0 5 Rep D 0 - - MERITECH, INC. Mortality Data: Chronic Fathead Test Client: Wilkesboro NPDES#: NCO021717 Start Date: 3/22/16 Test Organism: Pimephales promelas End Date: 3/29/16 Concentration 3.7% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 / Rep B 0�_- Rep C 0 - T /. �,/ (.'' L ( �. Rep D 0 Concentration 7.4% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 / �- Rep B 0 Rep C 0 Rep D 0 Concentration 14.8% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 Rep B 0 Rep C 0 Rep D 0 ,F ENVIRONMENTAL LABORATORIES ,4 Division of LVerer Technology .and Conrrofs, Inc. FISH LARVAL SURVIVAL/GROWTH DATA SHEET CHRONIC FATHEAD MINNOW Facility. Wilkesboro NPDES #: NCO021717 Date of Test: 3/22/ 16 Initial weights taken on: s'- b Final weights taken on: > 3 ` L Page: 1 of 2 Outfall: by; _ C �') Organism: Pimephales promelas by: , i PAN WT. PAN + ORG. WT. OF ORG. MEAN CONC REP (mg) WT. (mg) (mg) # ORG. WT./ORG. (mg) SURV % A Uri o ' � 1 Y' C D B 0.92% -- C Ll A B 1.85% C D smv/RommemrAL LAaonATomss F|SHLARVAL SURVIVAL/GROWTH DATA SHEET CHRONIC FATHEAD MINNOW Facility- Wilkesboro NPDES#� N Date 0fTest. 3/77/16 \( Initial weights taken on: ~" �� ' ) ` — � �0 Final weights taken on: T Organism: Page-2of2 (}u1faU: CONC REP (Mg) WT. (mg) (Mg) # ORG. WTJORG. (mg) SURV % IT, T7 MERITECH, INC. Meritech Sample ID #: Bioassay Sample Chain of Custody 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reed(a)meritech-labs.com Web Site: www.meritechlabs.com CLIENT INFORMATION Client: k) V eS o a) PO#: Contact Person: ,tty1Y)ei 1"iJ ��/ `CS NPDES#: NC Q\CI.;t 1 j 1 Address: '1 G e S n y C-1 f'r' �V ei2 t Phone: -7 _3 y City: v�i; I! PS h ` s (' , Pipe #: G C County: `/u ��.t' I State: Zip: INFORMATION - Sample Site: r lSAMPLE Sample Type: ❑ Grab Composite # of containers: Sampling Time: Start Date: `r�21 //�• Start Time: /Gr I PM r End Date: 2 End Time: rf� /�l 4� AM PM Triple rinse sample container with sample before filling. Completely fill the sample container with no air space. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory— Collector's Name: Print: h, cYt I7 EjYy ��r ` �`"S Signature: TOXICITY TEST INFORMATION Test Required: .Chronic (7 days) Test Organism: Ceriodaphnia dubia (water flea) ❑ Acute (24-48 hours) [ Pirnephales promelas (fathead minnow) ❑ Mysidopsis bahia (shrimp) iwc: �, 7 % Test Concentrations (if multiple dilutions): Comments: SHIPPING INFORMATION Time: •,�/ AM Relinquished by: Date: _j '�,� Received by://7 I - i Date: Time: �,T / �� AM Relinquished byEJ:' •� , / � �_/ Date: -% ;�"z Time: 1 L• AM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Sample Temperature (°C): Method of Shipment: ❑ UPS ❑ Fed EX V4� Meritech Pick-up ❑ Delivered ❑ Other Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " SAMPLE RECEIVING (Laboratory Use Only) Relinquished by: -� Received by: i `- Date: Time: i AM 2M Sample Temperatures (°C): C"', J / I / Sample Condition: WHITE = Laboratory copy YELLOW = Client copy r ,r, MERITECH, INC. MeritechSample ID Bioassay Sample Chain of Custody 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reed(o)meritech-labs.com Web Site: www,meritech-labs.com y j CLIENT INFORMATION Client: I C W l) �`j -� yti1 ;��, (`I� by 22 PO#. Contact Person: K , vx0o e f \\j Y v , fieS NPDES#: NC Cl Ci `Z 1-1 ) 1 Address: �(✓� S Y1^► �' C Zet Phon : 6) (,C;-7 - 2,3 `" City: Pipe #: L O I County: State: jyL Zip: Cle 11 SAMPLE INFORMATION Sample Site: Sample Type: C -) Grab EXComposite Sampling Time: Start Date: End Date: --a (p # of containers: Start Time: 1740 V PM End Time: l y I VAgM J PM Triple rinse sample container with sample before filling. Completely Till the sample container with no air space_ Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory— Collector's Name: Print: KMXv Qei Signature: Test Required: (Chronic (7 days) ❑ Acute (24-48 hours) TOXICITY TEST INFORMATION Test Organism: [ Ceriodaphnia dubia (water flea) Pimephales promelas (fathead minnow) ❑ Mysidopsis bahia (shrimp) Test Concentrations (if multiple dilutions): Comments: SHIPPING INFORMATION Relinquished by: Date: 3 7 p Time: � ) � AM PM Received by: _ -- Date: .3 l Time: r �. 2-P AM PM Relinquished by:� Date: _ Time: 3:_e AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Sample Temperature (°C): Method of Shipment: ❑ UPS ❑ Fed EX K Meritech Pick-up ❑ Delivered ❑ Other " Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " SAMPLE RECEIVING (Laboratory Use Only AVI Relinquished by:,�% HOC Received by: Date: ` Time: ^3I AM Sample Temperatures (°C): l� a / 'c ! ! I Sample Condition: ! �� WHITE = Laboratory copy YELLOW = Client copy MERITECH, INC. MeritechSample ID I Bioassay Sample Chain Custody 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reed@meritech-labs.com Web Site: _www.meritech-labs.com FORMATION CLIENT IN-- Clien PO#: Contact Person: r NPDES#: _NC & �) -2 I% f % Address: o S i t is t' i' - tre t q Phone( City: `'Ic 1 Vyt I t�.P , ,OC,; ; Pipe #:�y County: I V,;'S State: Zip: SAMPLE INFORMATION Sample Site: Sample Type: U Grab Composite # of containers: i3 Sampling Time: Start Date: i31k? V l / &- Start Time: " t M j PM End Date: ��; % [.� End Time: 0 `. 0 j `M PM Triple rinse sample container with sample before filling. Completely fill the sample container with no air space. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory— Collector's Name: Print: ;\irl �ly=�-t 1 �'�: `1�'C Signature: ?)lzf,=�,t?1 Zjr TOXICITY TEST INFORMATION Test Required: Chronic (7 days) Test Organism: Ceriodaphnia dubia (water flea) Acute (24-48 hours) Pimephales promelas (fathead minnow) ❑ Mysidopsis bahia (shrimp) IWC: 7 ,'% % Test Concentrations (if multiple dilutions): Comments: SHIPPING INFORMATION Relinquished by: ell Date:j Time: (, f AM? Received by: /� }— j '., ` r Date: i / ( Time: / . �/� AM Relinquished by: _� — !j / Date: Time:-, : AM f?fvl Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Sample Temperature (°C): Method of Shipment:❑ UPS ❑ Fed EX g Meritech Pick-up ❑ Delivered ❑ Other " Samples shipped on Friday must be FedEx and must be clearly lab@led for Saturday delivery, NO SIGNATURE REQUIRED SAMPLE RECEIVING (Laboratory Use Onl 1 i Relinquished by: Received by: r �, Date: I Time: i''` AM' PM Sample Temperatures (°C): (; . r, / / / Sample Condition: WHITE = Laboratory copy YELLOW = Client copy 1 Title: wilkesboro File: wilkes Transform: NO TRANSFORMATION Shapiro - Wilk's Test for Normality ---------------------------------------------------------------------------- D = 0.1010 W = 0.9428 Critical W = 0.8840 (alpha = 0.01 , N = 24) W = 0.9160 (alpha = 0.05 , N = 24) Data PASS normality test (alpha = 0.01). Continue analysis. 1 Title: wilkesboro File: wilkes Transform: NO TRANSFORMATION 'Bartlett's Test for Homogeneity of Variance ---------------------------------------------------------------------- Calculated B1 statistic = 8.3098 (p-value = 0.1400) Data PASS B1 homogeneity test at 0.01 level. Continue analysis. ------------------------------------------------------------------- Critical B = 15.0863 (alpha = 0.01, df = 5) = 11.0705 (alpha = 0.05, df = 5) 4 Title: wilkesboro File: wilkes Transform: NO TRANSFORMATION ANOVA Table ---------------------------------------------------------------- SOURCE DF SS MS F Between 5 0.0475 0.0095 1.6916 Within (Error) 18 0.1010 0.0056 Total 23 0.1485 (p-value = 0.1876) Critical F = 4.2479 (alpha = 0.01, df = 5,18) = 2.7729 (alpha = 0.05, df = 5,18) Since F < Critical F FAIL TO REJECT Ho: All equal (alpha. = 0.05) Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:12/19/2016 Facility: Wilkesboro NPDES # NC00 21717 Pipe #: 001 County: Wilkes (�La6ratory/. Meritech, Inc. Comments Single statistical inversion in the •--------- 0.92% test concentration. The 0.92% test Sighature of Operator in Resp Bible Charge concentration is not included in the final x � / a v .�,��� 4 statistical results. Signature of Laboratory Supervisor Test Initiation Date/Time % Eff. Repl. Control Surviving It Original it Wt/original (mg) 0.92 Surviving It Original 11 Wt/original (mg) 1.85 Surviving It Original It Wt/original (mg) 3.7 Surviving It Original It Wt/original (mg) F-T.-T-1 Surviving It Original It Wt/onginal (mg) 14.8 Surviving It Original It Wt/original (mg) Water Quality Data Control pH (SU) Init/Fin DO (mg/L) Init/Fin Temp (C) Init/Fin High Concentration pH (SU) Init/Fin DO (mg/L) Init/Fin Temp (C) Init/Fin Sample Collection Start Date Grab Composite (Duration) Hardness (mg/L) Alkalinity (mg/L) Conductivity (umhos/cm) Chlorine(mg/L) Temp. at Receipt (°C) MAIL ORIGINAL'I0: Water Sciences Section Aquatic Toxicology Branch Division of Water Resources 1621 Mail Service Center Raleigh, N.C. 27699-1621 12/6/2016 1:40 PM 1 2 3 4 Avg Wt/Surv. Control 0.759 10 9 10 10 10 10 10 10 0.770 0.706 0.790 0.692 9 10 9 10 10 10 10 10 0.627 0.719 0.524 0.510 10 10 10 10 10 10 10 10 0.853 0.853 0.795 0.727 9 10 10 10 10 10 10 10 0.695 0.779 0.801 0.696 10 10 1 10 9 10 10 10 10 0.880 0.653 0.834 0.772 10 10 10 10 10 10 10 10 0.951 0.840 0.878 0.831 Day % Survival 97.5 AvgWt(mg)F 0.740 % Survival 95.0 Avg Wt (mg) 0.595 % Survival 100.0 Avg Wt (m g).F 0.807 '% Survival 97.5 Avg Wt (mg) 0.743 Oo Survival 97.5 Avg Wt (mg) 0.785 % Survival 100.0 Avg Wt (mg) 0.875 n 1 2 3 4 5 6 Test Organisms 7 Cultured In -House f7 Outside Supplier Hatch Date: 12/5/16 Hatch Time: 3:00 pm CT 8.02 / 7.68 8.07 / 7.61 8.14 / 7.99 8.15 r 8.15 8.29 18.11 8.18 / 7.72 8.19 ! 7.64 7.73 / 6.50 7.90 / 6.20 7.75 ! 7.57 7.95 r 7.78 8.07 r 7.71 7.45 / 6.65 7.81 / 6.20 25.4 / 25.3 24.9 / 24.6 24.8 ! 24.6 24.7 / 24.9 25.1 r 24.8 25.0 / 25.5 25.1 ! 24.8 n 1 3 4 5 6 7.95 r 7.71 8.01 / 7.65 7.97 / 7.99 8.08 1 8.15 8.20 / 8.10 8.07 / 7.76 8.06 ! 7.76 7.68 / 6.59 7.79 / 6.00 7.63 / 7.56 7.85 / 7.97 8.05 / 7.59 7.85 / 6.57 7.79 / 6.39 24.9 / 24.8 25.9 / 24.2 25.4 / 24.9 24.6 / 24.6 25.9 / 24.8 25.0 / 24.5 25.6 / 25.2 1 2 3 12/5/2016 12/7/2016 12/8/2016 24.1 23.9 26.4 85 108 128 106 109 109 1036 1044 1232 <0.1 <0.1 <0.1 3.3 1.0 0.7 Dilution H2O Batch It 1098 1099 1100 1101 1102 Hardness (mg/L) 44 48 46 42 44 Alkalinity (mg/L) 51 59 59 50 58 Conductivity (umhos/cm) 193 221 199 197 221 Syrvival Growth Overall Result -81 Normal IFS ir-11 ChV >1-4 Hom. Var. IF 1 F171 NOEC 14.8 14.8 LOEC >14.8 >14.8 ChV >14.8 >14.8 Method Steel's Dunnett's Stats Survival Growth Conc. Critical Calculated Critical Calculated 0.92 10 N/A 10 20 2.41 N/A 2.41-1.4527 1.85 3.7 10 18 10 18 2.41-0.0699 2.41-0.9738 7.4 14.8 1 10 20 2.41-2.9161 Client: Wilkesboro NPDES #: 0021717 Initiated by:�� L' Date/Time Fed: 12/6/16 Meritech, Inc. Chronic Fathead Minnow Benchsheet Transfer and Feeding Dates and Times # of Organisms per Chamber: 10 Test Vessel Size: 400 ml Test Solution Volume: 250 ml Temp. of Stock: X7 °C Date/Time Born: 12/5/16 3:00 PM CT # of Reps: 4 Organism Source: Aquatox, Inc. Analyst(s): MR, CD, LV, SB Transferred by: Date Time Initials Day 1 12/7 01 G✓� Day 2 12/8 � '1 Day 12/9 �l (1�jG�( �>✓� ��'� Day 4 12 10 Day 5 12/11 Day 12/12 21/ )_3 Test Termination Data: Initials/Signature: L✓�=' �„ Sri f� End Date: 12/13/16 Start Date: 12/6/16 Time: End Date: 12/ 13/ 16 Time: / / C (,�� i✓� Randomization: Yes No Incubator #: Fed by: Date Time 1 Initials Time 2 Initials Day 0 12/6 ; t / U/?✓� V� rr 1� Day 1 12/7 Day 2 12/8'' f)i�';� ,` / ✓ l=':,N �/� �1�� Day 12/9 =``;i�iZrt%I L✓7G�� Day 4 12/ 10 Day 5 12/11 �G` :_w. Cg? Day 12/12 G. j�'i,,r /vt ENVIRONMENTAL LABORATORIES 4 Division of Water Technology and Controls, lnc Chemical and Physical Determinations Client: Wilkesboro NPDES#: 0021717 Start Date: 12/6/16 Test Organism: Plmephales promelas End Date: 12/13/16 Da Concentration: control 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks Soft Synthetic Freshwater Batch # : y� V C� �U9 Cr�O� �� `` V l � pJ+ Initial `- ,� ��•r;7 i 5 cox i 1 Final 7 Co ( 1M61 1 • (5 V.� ( � U.O. Initial 1 7• 7 - d 7 5� Final (� � S G I' � 7 � � % t l (12S lY• Temp.: Initial Y, cl q • X S' Final 5 u • , f `1. E� `1-S. ' �r Conductivity: Initial q, c f316, `-17 �; Final�- Residual Chlorine: L O, ( L.O• ( d ( < i L� ( ��• <�• Hardness: Alkalinity: '151 Dav Concentration: 0.92% 0-1 1-2 2-3 3-4 4-5 6-7 Remarks pH: Initial , �J , / oZ U �� `�« G5-6 o c bLi Final % to �� D.O.: Initial �vp4 7 �- �- �• �/�j 7.� Final C, - Li S, Ll Temp.: Initial Final 9Q, t,1 0� Conductivity: Initial Final T 3 2 abT aS Residual Chlorine: I Z-0.1 L . ( O. l G 0 • i Dav Concentration: 1.85% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial r3 R, �i> Final 7, 6 a D.O.. Initial Final Temp.: Initial Final �7 , ti. 5 - �- �� `� aL4 if , Conductivity: Initial Final ►��- S � Residual Chlorine: L0, 1 L-(� . r L O) 40.1 G , MER/TECH, ff~C is - X EN VIRON Mc NTAL LABO RATO RIESr,c .4 Oiv(slo� c./ Ut ar r Tocl.r•o/opy and Co••fresls, I Chemical and Physical Determinations Page 2 of 2 Client: Wilkesboro NPDES#: 0021717 Start Date: 12/6/16 Test Organism: Pimephales promelas End Date: 12/13/16 Day Concentration: 3.7% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial: VI A r l,7 ,J3 1Z— Final 77 5`1 q `1 07 r' GI v S llb- ' D.O.: Initial { 11 `�, c (p "7- Final L- . 7 ­5( a S - -76 Temp.. Initial ` ,3, (.O ";S �-j- i Final 7 , H, Conductivity: Initial r �� � a (�� 2-do J1 Final��- Residual Chlorine: Zv, l L O. G O. G U. Z-G. j G D Dav Concentration: 7.4% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial , U ,01) `S , ' �� r l% �,fil✓ Final 7- G' '1- Q- " D.O.: Initial 7 X3 41 � 7. Final G--Y U. 7 -�-�� �`l Temp.: Initial 9t . 5 >S `1, 3 , q Final Lj. �t • -U U14 Conductivity: Initial r,),5C) r SA-) �`�'� v �'Q Final `6 rW. ' , - Gj 1 t Residual Chlorine: I e_a I Z-. f Dav Concentration: 14.8% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial Final 7,71 (DG? "l p; D.O.: Initial 7. 77 Final (Q S j , c,L j Temp.. Initial I(. j,�, Final 7L(. IU-d Conductivity: Initial 7 610 `j X-1 7 kS" Final Residual Chlorine: ZO. i zC�. I Z O. l LC; 1 GO I Z_G. Day Concentration: 100% 0-1 1 1-2 2-3 3-4 4-5 1 5-6 6-7 Remarks pH: 7- 4- O _?- Conductivity: 162 0Lfq/ 3�z Residual Chlorine: L p, LO. .40.1 Hardness: V' Alkalinity: 10 MERITECH, INC. Mortality Data: Chronic Fathead Test Client: Wilkesboro NPDES#: 0021717 Test Organism: Pimephales promelas Concentration Control Start Date: 12/6/16 End Date: 12/13/16 Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep 0 Rep B 0 Rep C 0 Rep D 0 Concentration 0.92% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 0 Rep B 0 Rep C 0 v �J y (,/ v ,' �-✓ i�-i3 lL D Rep 0 v Concentration 1.85% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 Rep B 0 � �r Rep C 0 Rep D 0 �J I MERITECH, INC. Mortality Data: Chronic Fathead Test Client: Wilkesboro NPDES#: 0021717 Start Date: 12/6/16 Test Organism: Pimephales promelas End Date: 12/13/16 Concentration 3.7% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Rep A 0 Rep B 0 Rep C 0 Rep D 0 Concentration 7.4% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Rep A 0 U Rep B 0 V �� `✓ �� Rep C 0 Rep D 0 Concentration 14.8% Tuesday Wednesday Thursday Friday Sa-turday Sunday Monday Rep A 0 Rep B 0 U z� `i �� Rep C 0 Rep D 0 Tuesday Tuesday Tuesday A07HR/TECH, /NC_ ENVIRONMENTAL LABORATORIES !.. A Division of L Vafer Technolo Jy and controls, inc. FISH LARVAL SURVIVALIGROWTH DATA SHEET CHRONIC FATHEAD MINNOW Facility: Wilkesboro NPDES #: 0021717 Date of Test: 12/6/16 Initial weights taken on- by: ! V Final weights taken on: ', _ j�_ .� by: L11 Page: 1 of 2 Outfall- Organism: Pimephales promelas CONC REP PAN WT. (mg) PAN + ORG. WT. (mg) WT. OF ORG. (mg) # ORG. MEAN WT.IORG. (mg) SURV % A 23 O �y� . ��> 7 -7U i D O. 7 7 v 100 B y D C� 7�D� C� vrr766 qLI 0 c 237oQ, 2q y^ qa -7. i O 0. -N a 00 B 2a6-73 9 33h q' i sf 10 6, -� 1 16 D 0.92% A ���« ' 5 I � C�.3 Gov B S-Y.7 1.85% ENVIRONMENTAL LABORATORIES A Division of Water Techno/agy end Controls, Inc FISH LARVAL SURVIVAL/GROWTH DATA SHEET CHRONIC FATHEAD MINNOW Facility: Wilkesboro Page: 2 of 2 NPDES #: 0021717 Outfall: Date of Test: 12/6/16 Initial weights taken on: J j - .:-j by: Final weights taken on. L-- by: L--1�' Organism: Pimephales promelas CONC REP PAN WT. (mg) PAN + ORG. WT. (mg) WT. OF ORG. (mg) # ORG. MEAN WTJORG. (mg) SURV o 3.7 /o A 6. 7, B 2Ljy. ` 5 p�� �. i �( v, 7 7 lG A ? I S'So..q I 7.4�ia B p 3�? g5 5. 3 E 6_ /� 235 61 RLI 3. g; P q 0. K3 D 7- �j �' c- 7,� ��> A 14.8% B 30,30 0'��qo O C ) 6 7' q. G C ) .7 ; MERITECH, INC. Meritech Sample ID #: Bioassay Sample Chain of Custody - 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reed(a)meritech-labs.com Web Site: www.meritech-labs.com Town of Wilkesboro VT INFORMATION NPbE8#. NC 0021717 C 700 Snyder Street PH (336)667-2391 Contact Pei Wilkesboro, NC 28697 FAX (336)667-2908 Add Attention: Kimberly Wiles mail: . ` KimWiles@wilkes.net 001 County: 0 �� S State: Zip: �+ �+ SAMPLE INFORMATION Sample Site: ri, incd t5 i' i' U ery� Sample Type: ❑ Grab Composite # of containers: Sampling Time: StartDate: Start Time: . V5� AM PM End Date: 1 2_6 -/6 End Time: PM *** Triple rinse sample container with sample before filling. Completely fill the sample container with no air space. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory— Collector's Name: Print: b POVSignature: (t/%X 9 - - — s TOXICITY TEST INFORMATION Test Required: Zchronic (7 days) Test Organism: Ceriodaphnia dubia (water flea) ❑ Acute (24-48 hours) KPimephales promelas (fathead minnow) ❑ Mysidopsis bahia (shrimp) IWC: % Test Concentrations (if multiple dilutions): Comments: SHIPPING INFORMAT/I-ONjj L,0 Relinquished by: /.�-�� Date: �.�-Ct1 _/k Time: S AM PM Received by: — Date: �- 6-- l ([i Time: -� PM Relinquished by: /w 2 �t _.��� Date: 6 9'-K •—%C7 Time: AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Sample Temperature (°C): Method of Shipment:[] UPS ❑ Fed EX K Meritech Pick-up ❑Delivered ❑ Other " Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " 1 \ SAMPLE RECEIVING (Laboratory Use Only) Relinquished by: Received by: Date: C L f Time: 1,1 (/ AM PM Sample Temperatures (°C): Sample Condition: c(� WHITE = Laboratory copy YELLOW = Client copy MERITECH, INC. Meritech Sample ID #: Bioassay Sample Chain of Custody 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reed(a)meritech-labs.com Web Site: vr-- ` ` '-"- - -- --- NPDES# NC 0021717 Town of Wilkesboro FORMATION PH (336)667-2391 Client: 700 Snyder Street FAX Email: (336)667-2908 KimWiles@wilkes.net Contact Person: Wilkesboro, NC 28697 Address: Attention: Kimberly Wiles - City: _ Pipe #: (_ OI County: Res State: Zip: SAMPLE INFORMATION �+ I(Aen 1 Sample Site: n0-1 T Sample Type: ❑ Grab ,Composite # of containers: � -16 , Sampling Time: Iis-7 Start Date: � Start Time: 7 q .h AM PM End Date: 1, -- —ap 4— End Time: `7 AM PM Triple rinse sample container with sample before filling. Completely fill the sample container with no air space. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory'' Collector's Name: Print: K;mber I.1 tIV 1 �es Signature: Test Required: Chronic (7 days) ❑ Acute (24-48 hours) IWC:3.'7 % TOXICITY TEST INFORMATION Test Organism: XCeriodaphnia dubia (water flea) K Pimephales promelas (fathead minnow) ❑ Mysidopsis bahia (shrimp) Test Concentrations (if multiple dilutions): Comments- SHIPPING INFORMATION Relinquished by: Date: l- -l/�o Time: PM R lve AM d b S Date: f� ! Time: I'D �S-o PM ecey. , Date: %>- �� Time: , �- AM PM Relinquished by: 4011` Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Sample Temperature (°C): Method of Shipment: ❑ UPS ❑ Fed EX 'N Meritech Pick-up ❑ Delivered ❑ Other Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " SAMPLE RECEIVING (Laboratory Use Only) Relinquished by: � ` Date: Time:�M Received b�APM Sample Temperatures (°C): / � :y / / Sample Condition: WHITE = Laboratory copy YELLOW = Client copy MERITECH, INC. MeritechSample lD#: 1:vl (� IL' Bioassay Sample Chain of Custody " 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reedCa meritech-labs.com Web Site: wwv NPDES# NC 0021717 ORMATION PH (336)667-2391 Client: Town of Wilkesboro FAX (336)667-2908 700 Snyder Street Contact Person:— Wilkesboro, NC 28697 Email: KimWiles@wilkes.net Address:— Attention: Kimberly Wiles City: _ Pipe #: 0 County: W 1 ke S State: Zip: �+ SAMPLE INFORMATION Sample Site: 114 ent Sample Type: ❑ Grab -Composite # of contaiinne� -rrs: _ Sampling Time: StartDate: IQ ^ 9- f � rI Start Time: / . Y 3 C-� PM End Date: l a A —/ �o End Time: P : 0 7 �� PM *" Triple rinse sample container with sample before filling. Completely fill the sample container with no air space. Pack the sample cooler completely in ice. The sample must be < 6.0'C upon receipt at the laboratory' Collector's Name: Print: k-mbeylIV WhIP T Signature: r,(% TOXICITY TEST INFORMATION Test Required: ® Chronic (7 days) Test Organism: [� Ceriodaphnia dubia (water flea) ❑ Acute (24-48 hours) Pimephales promelas (fathead minnow) 2 r] ❑ Mysidopsis bahia (shrimp) 3 mc: • / % Test Concentrations (if multiple dilutions): Comments: SHIPPING INFORMATION Relinquished by: Date: Time: AM PM Received by: Date: Time: � 5 �j 13 PM Relinquished by: Date: j �l Time: / : 1 AM j_2 Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Sample Temperature (°C): Method of Shipment: ❑ UPS ❑ Fed EX X[ Meritech Pick-up ❑ Delivered ❑ Other " Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " SAMPLE RECEIVING (Laboratory Use Only) Relinquished by: o Received by/ Date: _ �, Time: j 1 i 1 ) AM PM i Sample Temperatures (°C): / / �. / �� i / Sample Condition: WHITE = Laboratory copy YELLOW = Client copy Title: Wilkesboro File: Wilkes Transform: NO TRANSFORMATION Shapiro - Wilkes Test for Normality ---------------------------------------------------------------------------- D = 0.0648 W = 0.9539 Critical W = 0.8680 (alpha = 0.01 , N = 20) W = 0.9050 (alpha = 0.05 , N = 20) Data PASS normality test (alpha = 0.01). Continue analysis. 'Title: Wilkesboro File: Wilkes Transform: NO TRANSFORMATION Bartlett's Test for Homogeneity of Variance ---------------------------------------------------------------------------- Calculated B1 statistic = 1.9296 (p-value = 0.7487) Data PASS B1 homogeneity test at 0.01 level. Continue analysis. ---------------------------------------------------------------------------- Critical B = 13.2767 (alpha = 0.01, df = 4) = 9.4877 (alpha = 0.05, df = 4) Title: Wilkesboro File: Wilkes Transform: NO TRANSFORMATION ANOVA Table ---------------------------------------------------------------------------- SOURCE DF SS MS F ---------------------------------------------------------------------------- Between 4 0.0493 0.0123 2.8540 Within (Error) 15 0.0648 0.0043 ---------------------------------------------------------------------------- Total 19 0.1141 ---------------------------------------------------------------------------- (p-value = 0.0608) Critical F = 4.8932 (alpha = 0.01, df = 4,15) = 3.0556 (alpha = 0.05, df = 4,15) Since F < Critical F FAIL TO REJECT Ho: All equal (alpha = 0.05) Title: Wilkesboro File: Wilkes Transform: NO TRANSFORMATION Dunnett's Test - TABLE 1 OF 2 Ho:Control<Treatment ---------------------------------------------------------------------------- TRANSFORMED MEAN CALCULATED IN SIG GROUP IDENTIFICATION MEAN ORIGINAL UNITS ------------------ T STAT 0.05 ------ --- ------------------------- 1 Control ----------- 0.7395 0.7395 2 1.85 0.8070 0.8070 -1.4527 3 3.7 0.7428 0.7428 -0.0699 4 7.4 0.7848 0.7848 -0.9738 5 14.8 0.8750 0.8750 -2.9161 ---------------------------------------------------------------------------- Dunnett critical value = 2.3600 (1 Tailed, alpha = 0.05, df = 4,15) Title: Wilkesboro File: Wilkes Transform: NO TRANSFORMATION Dunnett's Test - TABLE 2 OF 2 Ho:Control<Treatment ---------------------------------------------------------------------------- NUM OF MIN SIG DIFF o OF DIFFERENCE GROUP IDENTIFICATION REPS ------- (IN ORIG. UNITS) ---------------- CONTROL ------- FROM CONTROL ------------ ----- 1 -------------------- Control 4 2 1.85 4 0.1097 14.8 -0.0675 3 3.7 4 0.1097 14.8 -0.0033 4 7.4 4 0.1097 14.8 -0.0453 5 ---------------------------------------------------------------------------- 14.8 4 0.1097 14.8 -0.1355 Title: Wilkesboro File: Wilkes Transform: NO TRANSFORMATION Shapiro - Wilkes Test for Normality ---------------------------------------------------------------------------- D = 0.0225 W = 0.6749 Critical W = 0.8680 (alpha = 0.01 , N = 20) W = 0.9050 (alpha = 0.05 , N = 20) Data FAIL normality test (alpha = 0.01). Try another transformation. Warning - The first three homogeneity tests are sensitive to non -normality and should not be performed with this data as is. Title: Wilkesboro File: Wilkes Transform: NO TRANSFORMATION Hartley's Test for Homogeneity of Variance Bartlett's Test for Homogeneity of Variance ------------------------------------------------------------ These two tests can not be performed because at least one group has zero variance. Data FAIL to meet homogeneity of variance assumption. Additional transformations are useless. ----------------------------------------------------------------- Title: Wilkesboro File: Wilkes Transform: NO TRANSFORMATION Steel's Many -One Rank Test - Ho: Control<Treatment ---------------------------------------------------------------------------- MEAN IN RANK CRIT. SIG GROUP IDENTIFICATION ORIGINAL UNITS SUM VALUE DF 0.05 --- ------------------------- 1 Control ----------- 0.9750 ------- ------ ----- 2 1.85 1.0000 20.00 10.00 4.00 3 3.7 0.9750 18.00 10.00 4.00 4 7.4 0.9750 18.00 10.00 4.00 5 14.8 1.0000 20.00 10.00 4.00 ---------------------------------------------------------------------------- Critical values are 1 tailed ( k = 4 ) .J ep let -A h.y u I 'c' Efflue.it Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:9/28/2016 Facility: Wilkesboro NPDES # NC00 21717 Pipe #: 001 County: Wilkes . Naboatory: Mgkitech, Inc. x Signature Q Operator in Respon$ible Char x �/� -� Signature of Laboratory Supervisor _ Comments Single Statistical inversion in the 0.92% test concentration. The 0.92% test concentration is not included in the final results. MAIL ORIGINAL TO: Water Sciences Section `u f Y Aquatic Toxicology Branch Division of Water Resources 1621 Mail Service Center Raleigh, N.C. 27699-1621 Test Initiation Date/Time 9/13/2016 1:50 PM Avg Wt/Sun/. Controll 0.722 % Eff. Repl. 1 2 3 4 Control I Surviving # Original # Wt/original (mg) 0.92 1 Surviving # Original # Wt/original (mg) 1.85 1 Surviving # Original # Wt/original (mg) 10 9 10 10 10 10 10 10 0.648 0.733 0.649 0.776 9 10 9 1 10 10 10 10 10 0.449 0.556 0.530 0.638 10 10 10 10 10 10 10 10 0.639 0.660 0.735 0.825 % Survival 97.5 Avg Wt (mg) 0.702 Test Organisms C' Cultured In -House i✓ Outside Supplier Hatch Date: 9/12/16 Survival 95.0 Hatch Time: 3:00 pm CT Avg Wt (mg) F 0.543 % Survival 100.0 Avg Wt (mg) 0.715 3.7 1 Surviving # 10 10 10 10 % Survival 100.0 Original # 10 10 10 10 10 10 10 10 0.738 0.664 0.608 0.715 14.8 Surviving # % Survival 100.0 Original # WUoriginal (mg) Avg Wt (mg) 0.732 Water Quality Data Day Control 0 1 2 3 4 5 6 pH (SU) Init/Fin High Concentration pH (SU) Init/Fin DO (mg/L) Init/Fin Temp (C) Init/Fin Sample Collection Start Date Grab Composite (Duration) Hardness (mg/L) Alkalinity (mg/L) Conductivity (umhos/cm) Chlorine(mg/L) Temp. at Receipt (°C) 7.95 / 7.67 8.01 / 7.85 8.18 ! 7.68 8.11 / 8.05 8.17 7.88 8.34 / 7.97 8.19 / 7.92 n 1 9 R 4 5 6 7.88 / 7.66 7.94 / 7.64 7.96 / 7.85 8.00 / 8.18 8.26 / 7.87 8.17 / 8.03 8.13 / 7.95 7.84 / 6.90 7.85 / 6.56 7.83 / 7.03 7.57 / 7.81 8.10 / 6.34 8.10 / 7.52 7.72 / 7.69 24.6 / 24.6 24.9 / 24.5 25.1 / 25.4 24.2 / 25.4 24.8 / 24.7 24.9 / 24.5 24.6 / 25.8 1 2 3 9/12/2016 9/14/2016 9/15/2016 21.2 24.1 25.9 98 138 146 108 119 153 1102 1221 1200 <0.1 <0.1 <0.1 1.4 1.3 1.1 Dilution H2O Batch # 1068 1069 1070 1071 Hardness (mg/L) 44 48 44 44 Alkalinity (mg/L) 51 53 54 53 Conductivity (umhos/cm) 194 211 203 208 Survival Growth Normal irl F1 Hom. Var. (r'i FI NOEC 14.8 14.8 LOEC >14.8 >14.8 ChV >14.8 >14.8 Method Steel's Dunnett's Overall Result ChV Stats Survival Growth Conc. Critical Calculated Critical Calculated 0.92 10 16 2.41 Not Included 1.85 10 20 2.41-0.3025 3.7 10 20 2.41-0.7818 7.4 10 20 10 20 2.41 0.4622 2.41-0.6848 14.8 10 10 10 Client: Wilkesboro NPDES #: 0021717 Meritech, Inc. Chronic Fathead Minnow Benchsheet Transfer and Feeding Dates and Times # of Organisms per Chamber: 10 Test Vessel Size: 400 ml Initiated by: G-.:S: Test Solution Volume: 250 ml Date/Time Fed: 9/13/16 GI��� Temp. of Stock: all -°C Date/Time Born: 9/12/16 3:00 Pm CT # of Reps: 4 Organism Source: Aquatox, Inc. Transferred by: Date Time Initials Day 1 9 / 14 Day 2 9/ 15 Day 3 9/ 16 Day 4 9/ 17 Day 5 9/18 Day 6 9/ 19 `� '-at'�•- /n��r> Analyst(s): MR, CD, LW, S Test Termination Data: / Initials/Signature: ('j) End Date: 9/20/16 End Time: j � V' nR� Start Date: 9/ 13/ 16 Time: 3YA End Date: 9/20/16 Time: Randomization: Yes No Incubator #: Fed by: Date Time 1 Initials Time 2 Initials Day 9/13 Day 9/14 f rL Day 2 9 / 15 Day 3 9/16 1 S ' -- U w- Cam, Day 4 9 / 17` �� L,�/hILL Day 5 9 / 18 Day 9/19 Li 7—�EC7v, ®AjfC7. ENVIRONMENTAL LABORATORIES A Division cf Wafer Technology and Controls, Inc Chemical and Physical Determinations Client: Wilkesboro NPDES#: 0021717 Start Date: 9/13/16 Test Organism: Pimephales promelas End Date: 9/20/16 r DAV Concentration: control 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks Soft Synthetic Freshwate Batch # : 'Ll 79 _ pH: Initial U ^' (�� Final �; $ . % D.O.: Initial -7,`, 1 7. 7 Final . �'� ..�jU �� 7 `// 6-CbA LA'5 7, 74 Temp.: Initial Final 7,S. L :� `i - J Conductivity: Initial Zl 1 l D 5- Final VW� Residual Chlorine: Ld. ( Gb. ( L �. L`' 1 Hardness: q,1. Ll z Alkalinity: 1 3 �;-' -' Dav Concentration: 0.92% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial Final %: qq 4 D.O.: Initial �•��� �' Z Final 7"Temp.: Initial �La ,� 25-S KZ,579,, Final "' S ,�1 2 ,� ,� (_a % 1 _Conductivity: Initial d 2.2� 90 -� ? 'L f �- l Final`3 , t3 Residual Chlorine: ?Q, ( o G L. C 0 ` 1 L_()' • Lc Dav Concentration: 1.85% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial Final 7, �. , �i U ''S % r ,' -7, , S' b' D.O.: Initial 1.-7. Final CIS 7-f3 L,I-i.3 7. 15 Temp.: Initial' Final ,1f Lj { .�. �; J `i ' -71 Conductivity: Initial •� 3J, Final a L13 iri Residual Chlorine: `WA=- "® 7TA=74C:-H, ®~C:7- ENVIRONMENTAL LABORATOFtIES^c A O/vlslo-s c.f N..t¢� 15pch�o/ogy wed Co.r.-ols. / Chemical and Physical Determinations Page 2 of 2 Client: Wilkesboro NPDES#: 0021717 Start Date: 9/13/16 Test Organism: Pimephales promelas End Date: 9/20/16 l)av Concentration: 3.7% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial 7. 3 . r �Sr , V �' S Final .7l -7-. I i" eY. /)� ,l � •�il'� � D.O. Initial -7. Q'7 � 1 `7. _ Final � 7 �`/ Temp.: Initial 1 `z Final LU / 5aiZ Conductivity: Initial Final 2,S2 d6 U Residual Chlorine: 4-- D. G(}. I < <J L_ 0 nav Concentration: 7.4% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial -7 . `r a -7 Final -%. 7' 7 6 1,114 Y - (6 `7." 'P6-LI `j 77 D.O.. Initial . `� �- �,-'� . 5ET k G 7 Q r (1 Final 73 Temp.: Initial U, 3`t Final V y . Conductivity: Initial ? Final Z �( !� Residual Chlorine: Zo, t 40. L`' e> • I < <� t' : �� 1 Dav Concentration: 14.8% 0-1 1-2 2-3 3-4 4-5 5-6 6-7 Remarks pH: Initial -7, u -7,q 7 Final (jj- % '71 " I ,:3 7. 5 D.O.: Initial , Ti7 -7,79 ? -E�7) I Final Temp.: Initial Final e;,Z� Conductivity: Initial 3 ��., 1 % ��-� -3 `t Final 93 S 1J j Residual Chlorine: Zb • c' , I E`-v . �- 1 111 V Concentration: 100% 0-1 1-2 2-3 3-4 1-5 5-6 6-7 Remarks pH: % L %- 7 Conductivity: 1 a Residual Chlorine: no. I Hardness: f Alkalinity: `L' 1 �' MERITECH, INC. Mortality Data: Chronic Fathead Test Client: Wilkesboro NPDES#: 0021717 Test Organism: Pimephales promelas Concentration Control Start Date: 9/13/16 End Date: 9/20/16 Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday yRep A 0 Rep B 0 Rep C 0 Rep D 0 Concentration 0.92% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 Rep B 0 Rep C 0 Rep D 0 Concentration 1.85% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 Rep B 0 Rep C 0 r Rep D 0 MERITECH, INC. Mortality Data: Chronic Fathead Test Client: Wilkesboro NPDES#: 0021717 Start Date: 9/13/16 Test Organism: Pimephales promelas End Date: 9/20/16 Concentration 3.7% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 Rep B 0 Rep C 0 v �� Rep D 0 Concentration 7.4% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 Rep B 0 Rep C 0 Rep D 0 Concentration 14.8% Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Rep A 0 r) Rep B 0 Rep C 0 `- v Rep D 0 V G� I 1✓ V ENVIRONMENTAL LABORATORIES A Division Of Wfer Technology and Controls. Inc. FISH LARVAL SURVIVAL/GROWTH DATA SHEET CHRONIC FATHEAD MINNOW Facility-. Wilkesboro NPIDES #-. 0021717 Date ofTest: 9/13/16 Initial weights taken on: by: Z—L./ Final weights taken on: l by: CQ, Page: 1 of 2 Outfall: Organism: Pimephales promelas CONG REP PAN WT. (mg) PAN + ORG. WT. (mg) WT. OF ORG. (mg) # ORG. MEAN WT./ORG. (mg) SURV % A 4� B _T 1 —7 0 C 25,q, -79 C/ D !NG,3L 1/7 A B 0.92% C (Oc D A B 1.85% 73 D -32 �� ~~~~~�~~ff ~^�^��~~*r ff~~~`~�~ smvmomxxemnAL LAaonAromss FISH LARVAL SURVIVAL/GROWTH DATA SHEET CHRONIC FATHEAD MINNOW F8Ci|hv� Wilkesboro NPDES#- (}021717 D8te0fTest: 9/13/16 Initial weights taken on: by:Final weights taken ii by- Page- 3 of {)UtfaU� Organism- Pimephales promelas CONC I REP (mg) WT. (mg) (mg) # ORG. WTJORG. (mg) SURV % jpc 71 A lag Sol/ 7i3G MERITECH, INC. Meritech Sample ID#: yc�131"'',� Bioassay Sample Chain of Custody 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reed(cDmeritech-labs.com Web Site: www.meritech-labs.com Client: . Contact Person: on Address: 00 ,-) City: ; 1 VPS County: 1 Ve 3 CLIENT INFORMATION State: VrC PO#: _ NPDES#: NC O C Z! 7 /2 Phone:(334) Pipe #:' w! Zip: �t �jPi69 ? j� r (� SAMPLE INFORMATION Sample Site: l l�na-d Sample Type: ❑ Grab Composite # of containers: T Sampling Time: StartDate: CI -I .2 % 62 Start Time: / b q(� AA PM End Date: l '1.3 ! 6 End Time: 'j 0 & PM Triple rinse sample container with sample before filling. Completely fill the sample container with no airspace. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory—Collector's Name: Print: klrY7 heyli I icy Signature: �lyyvf L--'1,4 I JACA TOXICITY TEST INFORMATION v Test Required: .Chronic (7 days) Test Organism: Ceriodaphnia dubia (water flea) ❑ Acute (24-48 hours) ❑ Pimephales promelas (fathead minnow) ❑ Mysidopsis bahia (shrimp) Comments: Relinquished Received Relinquished Received Relinquished by: Received by: Relinquished by: Received by: IWC: 3-7 % Test Concentrations (if multiple dilutions): SHIPPING INFORMATION Date: — Date: r •• j 3 j Date: Date: Date: Date: Date: Date: Sample Temperature (°C): Time: S-6— CAW'IPM Time: f17; S u`' 4 PM 7• �� Time: AM I-P2A/ Time: AM PM Time: AM PM Time: AM PM Time: AM PM Time: AM PM Method of Shipment: ❑ UPS ❑ Fed EX X Meritech Pick-up ❑ Delivered ❑ Other Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " / SAMPLE RECEIVING (Laboratory Use Only) Relinquished by: �vC-•-� - %�^-� Received �� Date: 1 3 ` Time: I �/ AM QP , Sample Temperatures ('C): Sample Condition: G % WHITE = Laboratory copy YELLOW = Client copy �� MERITECH,INC. MeritechSample ID Bioassay Sample Chain of Custody 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reed(a)meritech-labs.com Web Site: _www.meritech-labs.com CLIENT INFORMATION Client: u) () U-C } 1 1 , 1 NIPS b6frC PO#: Contact Person: NPDES#: NC U -V / / Address: �7 oosny d i/ 6+r� Phone: 3,3& -2 3 City. 'Apt V �+ 1 I K I, e S Pipe #: 601 1 County: W i-S n' State: /yc - Zip: SAMPLE INFORMATION c r ' nQ� ` ETT / !.(e n + Sample Site: Sample Type: ❑ Grab MComposite # of containers: _ Sampling Time: Start Date: /Q' 1,4-1 V Start Time: •'75 2 ® PM End Date: % - i S % L End Time: / S g M PM Triple rinse sample container with sample before filling. Completely fill the sample container with no air space. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory`** Collector's Name: Print: n I �(�j l�% �i IC'S Signature: 0",6�q Test Required: %6hronic(7days) ❑ Acute (24-48 hours) IWC: ;3. 1] % Comments: TOXICITY TEST INFORMATION Test Organism: f�z Ceriodaphnia dubia (water flea) [gPimephales promelas (fathead minnow) ❑ Mysidopsis bahia (shrimp) Test Concentrations (if multiple dilutions): �n Relinquished by: G Received by: �— Relinquished by:�- Received by: Relinquished by: Received by: Relinquished by: Received by: PPING INFORMATION Date: Date: Date: �5�16 Date: Date: Date: Date: Date: Sample Temperature (°C) Time: /0 L�S �� PM Time: IO L/ S <Em) PM Time: AM iPM / Time: AM PM Time: AM PM Time: AM PM Time: AM PM Time: AM PM Method of Shipment: ❑ UPS ❑ Fed EX �4 Meritech Pick-up Delivered ❑ Other Samples shipped on Friday must be Fed Ex and must be clearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " SAMPLE RECEIVING (Laboratory Use Only) Relinquished by: Received by:: ,�„ Date: 7,// ( Time: AM Sample Temperatures (°C): L : 7 / 1 ) / / Sample Condition: C n WHITE = Laboratory copy YELLOW = Client copy MERITECH, INC. Meritech Sample ID M 0_.' Bioassay Sample Chain of Custody 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax:1-336-342-1522 Toxicity Supervisor email: mike.reed@meritech-labs.com Web Site: www.meritech-labs.com �) CLIENT INFORMATION Client: L)0 O � v v t' �G Z% PO#: Contact Person: *7: w1 r r t `F S NPDES#: NCC)C) -Z / ,7 17 Address: it der " e0jL PhoneC33C.-) (,-, (, 7-,2 39 City: lv i) Vf Sb('ro Pipe#: 06 / County: S. State:—�= Zip:`(✓ / SAMPLE INFORMATION Sample Site: 1 i 6 CO��ty E � - l y en ' Sample Type: ❑ Grab D� Composite # of containers: Sampling Time: Start Date: (�'l7 [ t✓ Start Time: / 5U AM PM -1 End Date: 46 " 6 End Time: ql�b (M PM *** Triple rinse sample container with sample before filling. Completely fill the sample container with no airspace. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory*** Collector's Name: Print: "'J /y VV i I�S Signature: TOXICITY TEST INFORMATION Test Required: $ Chronic (7 days) Test Organism: [;,Ceriodaphnia dubia (water flea) ❑ Acute (24-48 hours) Pimephales promelas (fathead minnow) ❑ Mysidopsis Bahia (shrimp) 1WC: ; j, ' % Test Concentrations (if multiple dilutions): Comments: SHIPPING INFORMATION Relinquished by: � Date: —-; Time: ( PM PM Received by: 2 Date: g %�j — ('�/ Time: Relinquished by: ✓ (_WL Date: 7 "'�t�j<-- lly Time: r o Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Relinquished by: Date: Time: AM PM Received by: Date: Time: AM PM Sample Temperature (°C): Method of Shipment: ❑ UPS ❑ Fed EX K Meritech Pick-up ❑ Delivered ❑ Other ** Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGNATURE REQUIRED *' SAMPLE RECEIVING (Laboratory Use Only) t 1 ,r Relinquished by:_)'-, -ram Received by: / - `I Date: t / I ?- / `: I. Time: S c (�l AM CPM Sample Temperatures (°C): 1 , \ / 1 . Sample Condition: �� WHITE = Laboratory copy YELLOW = Client copy Title: Wilkesboro File: WilkesGrowth Transform: NO TRANSFORMATION Shapiro - Wilk's Test for Normality ---------------------------------------------------------------------------- D = 0.0576 W = 0.9452 Critical W = 0.8680 (alpha = 0.01 , N = 20) W = 0.9050 (alpha = 0.05 , N = 20) Data PASS normality test (alpha = 0.01). Continue analysis. 'Title: Wilkesboro File: WilkesGrowth Transform: NO TRANSFORMATION Bartlett's Test for Homogeneity of Variance ----------------------------------------------------------------- Calculated B1 statistic = 2.8324 (p-value = 0.5863) Data PASS B1 homogeneity test at 0.01 level. Continue analysis. ------------------------------------------------------------------- Critical B = 13.2767 (alpha = 0.01, df = 4) = 9.4877 (alpha = 0.05, df = 4) Title: Wilkesboro File: WilkesGrowth Transform: NO TRANSFORMATION ANOVA Table ---------------------------------------------------------------------------- SOURCE DF SS MS F ---------------------------------------------------------------------------- Between 4 0.0080 0.0020 0.5219 Within (Error) 15 0.0576 0.0038 ---------------------------------------------------------------------------- Total 19 0.0656 ---------------------------------------------------------------------------- (p-value = 0.7212) Critical F = 4.8932 (alpha = 0.01, df = 4,15) = 3.0556 (alpha = 0.05, df = 4,15) Since F < Critical F FAIL TO REJECT Ho: All equal (alpha = 0.05) Title: File: Wilkesboro WilkesGrowth Transform: NO TRANSFORMATION Dunnett's Test - TABLE 1 OF 2 Ho:Control<Treatment ____ --------------- TRANSFORMED MEAN CALCULATED IN SIG GROUP IDENTIFICATION MEAN ORIGINAL UNITS ----------- T STAT 0.05 ------------------------- 1 Control ----------- 0.7015 0.7015 2 1.85% 0.7148 0.7148 -0.3025 3 3.7% 0.7358 0.7358 -0.7818 4 7.4% 0.6813 0.6813 0.4622 5 14.8% 0.7315 0.7315 -0.6848 ----------------------------------------------------------- Dunnett critical value = 2.3600 (1 Tailed, alpha = 0.05, df = 4,15) Title: Wilkesboro File: WilkesGrowth Transform: NO TRANSFORMATION Dunnett's Test - TABLE 2 OF 2 Ho:Control<Treatment ---------------------------------------------------------------- NUM OF MIN SIG DIFF % OF DIFFERENCE GROUP IDENTIFICATION REPS ------- (IN ORIG. UNITS) ---------------- CONTROL ------- FROM CONTROL ---- ----- 1 -------------------- Control 4 2 1.85% 4 0.1034 14.7 -0.0132 3 3.70-o 4 0.1034 14.7 -0.0342 4 7.4% 4 0.1034 14.7 0.0203 5 -------------------------------------------------------------------------- 14.8% 4 0.1034 14.7 -0.0300 Title: WilkesSury File: WilkesSury Transform: NO TRANSFORMATION Shapiro - Wilk's Test for Normality ---------------------------------------------------------------------------- D = 0.0175 W = 0.7713 Critical W = 0.8840 (alpha = 0.01 , N = 24) W = 0.9160 (alpha = 0.05 , N = 24) Data FAIL normality test (alpha = 0.01). Try another transformation. Warning - The first three homogeneity tests are sensitive to non -normality and should not be performed with this data as is. -Title: WilkesSury File: WilkesSury Transform: NO TRANSFORMATION Steel's Many -One Rank Test - Ho: Control<Treatment ---------------------------------------------------------------------------- MEAN IN RANK GRIT. SIG GROUP IDENTIFICATION ORIGINAL UNITS SUM ------- VALUE ------ DF 0.05 ----- --- ------------------------- 1 Control ----------- 0.9750 2 0.920-. 0.9500 16.00 10.00 4.00 3 1.85% 1.0000 20.00 10.00 4.00 4 3.70-o 1.0000 20.00 10.00 4.00 5 7.40-o 1.0000 20.00 10.00 4.00 6 14.8% 1.0000 20.00 10.00 4.00 ---------------------------------------------------------------------------- Critical values are 1 tailed ( k = 5 ) SAMPLE DATES 6/10 & 6/12 2014 9/16 & 9118 2014 12/2 & 12/4 2014 313 & 3/5 2015 6/2 & 6/4 2015 9/15 & 9/17 2015 2/15 & 12/17 201 3/22 & 3/24 2016 7/6 & 7/7 2016 EPA Multiple Dilution Series CITY OF WILKESBORO POTW [NC0021717] WHOLE EFFLUENT TOXICITY RESULTS SUMMARY [BIOASSAY TEST] June 1, 2014 through December 31, 2018 FEMALE ORGANISMS AVG/ Reproduction SAMPLE #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 #11 #12 FEM Mortality %Mortality RESULT % Reduction COMMENTS Control 16 29 28 28 29 33 30 25 24 22 15 16 24.58 0/12 0% 3.7 % Eff 31 17 13 20 16 26 22 14 11 10 22 22 18.67 0/12 0% 1 PASS 1 24.07 Control 16 13 20 19 21 20 23 17 20 21 24 24 19.83 0/12 0% 3.7 % Eff 26 20 26 17 25 22 17 10 26 24 23 19 21.25 0/12 0% 1 PASS 1 -7.14 Control 21 24 26 19 23 22 25 26 23 18 20 23 22.50 0/12 0% 3.7 % Eff 21 25 26 28 25 24 20 28 25 28 28 20 24.83 0/12 0% 1 PASS 1 -10.37 Control 25 11 20 18 23 22 20 22 21 22 22 24 20.83 0/12 0% 3.7 % Eff 25 34 25 22 29 20 24 30 27 27 28 25 26.33 0/12 0% PASS -26.40 Control 22 21 19 15 17 25 20 17 19 13 27 23 19.83 0/12 0% 3.7 % Eff 22 25 21 26 17 27 26 25 20 25 19 21 22.83 0/12 0% 1 PASS 1 -15.13 Control 26 30 29 30 25 24 26 29 29 26 29 26 27.42 0/12 0% 3.7 % Eff 27 29 26 28 31 29 30 29 26 27 30 31 28.58 0/12 0% 1 PASS 1 -4.26 Control 1 16 21 1 23 24 26 25 25 26 24 13 26 25 22.83 0/12 0% 3 7 % Eff 1 27 26 1 25 30 24 27 27 29 23 27 17 27 25.75 0/12 0% 1 PASS 1 -12.77 Control 24 27 24 24 24 20 28 25 30 28 26 27 25.58 0/12 0% 3.7 %Eff 25 27 21 23 29 26 25 26 25 29 29 28 26.08 0/12 0% 1 PASS 1 -1.95 Control 18 25 23 26 18 22 24 25 28 25 23.4 0/10 0% 1.85% Eff 28 28 21 24 24 24 22 1 22 25 25 24.3 0/10 0% -3.85 2.775% Eff 24 24 20 24 24 23 26 27 25 23 24 0/10 0% -2.56 O N as V N O_ O Cl) n o 0 7 0 m o N N O O N N Cl) O N O CD N N O * N W N N O N N N N O W (D (D N N N N N � O � N (D W N N O O A A O O r � N N O O 0 0 W w 00 N O 00 w n � o o � 0 r« 2- PI) N O tJ N W --1 N N V7 lN. N N W N O O N N v U1 N N W W N N W 1� N N v (n N N A a) N N N N 4�1 0o .A A OD Ln W 00 O O N N O O 0 0 D cn O N co N � A � 90 90 m N j C1 W N N O_ O V V n Cl) n o o o 0 r o � 0 m O m o A O -;N. (D N W (O (O 00 N O (D N IJ N A O A N N Ot (D CD O N N CD O O N N N N N N A N O N N -� N O CD N �I O O W O O O N N N N 00 N O In �l to O O O O O O N N N N O O O O 0 0 0 0 -.0- 0 0 D D cn cn cn a1 a� co N O V w n o o � 0 m 0 N N �l W N N W cyl N IV O W N N O Cl) N IV N �1 N N W N N Cl) Cl) N N A W N N N N (n N N N O CTI N N O) Pli A W & � O 00 O O N N O O 0 0 D cn W 00 (0 W N V A 90 90 w to N_ N O O N -& O 4 -� a� o o o � o O 0 � 0 m O m o !J O (D �l N N N N (n .A Ol W N N N IJ (D Cl) O1 Cl) O N N N N A Cl) Cl) A N N N N O N W N N N N w w -;N. rn N N N N �I A N ? N N N N W -� W N N N N A O W W N U7 W N N N N O W N N N N N Cl) N N 00 N 00 :0. w Ln W N O O O O z iz N N N N O O O O 0 0 0 0 0 0 0 0 D D cn CD N I I I CD 11) 3 N 90 m A N O_ a) n O o 0 r. m O N � f9 �I .? N N N O N � W Go N N O a) N N W N N t� w IV N A v N N Ut W N N N O N N N A N N O A N N N N O F� N �J O O s i: N N O O 0 0 D cn cn w W n Z m CO n rD D m o = go o• Q — — O w o- = w :3 Z W N O O -i O O O 7w cD cD n� N O n n Ln LU N (" v 00 0 0 0 0 Ln h m m O — ", � ,, , � IV F N N W N W Ln In lD I--� N N W N N N W I -I O N 00 A W N N N N N N N N N N N lD �l 00 W 00 00 F N !J N W N (D w O W N N N N W N a1 v lD �l O w N N N N W N m m 0o in O w F N W W N N 00 -.I t-+ O w N N N N W N Cn �I m O w W N N N N N I N N N N N N Un (n v m w (n W F' V O O O O O O O O O O O O O O O O O O D cn W �l N 00 00 W N 00 00 W W �I W OR m m m -h - N N N lD (n a) N N N A •A •A A a1 -�l N N N N a1 Ln N N N 0o N N N � � N N N N W N N N N N N A tr M N N N F� W N N N N N W W lD �l V \ \ \ O O O d, o D cn N � � A 00 00 0 C I V V A 0 9/4 & 9/6 2018 12/4 & 1216 2018 * not included in final results per Meritech Control 29 25 24 28 22 23 24 31 29 24 26 26 25.92 0/12 0% 3.7 % Eff 29 26 26 25 27 27 23 28 26 26 29 24 26.33 0/12 0% PASS -1.61 Control 24 24 29 23 19 23 24 28 28 25 17 23 1 23.92 0/12 0% 3.7 % Eff 25 27 24 24 27 24 25 27 27 26 25 26 1 25.58 1 0/12 J 0% 1 PASS 1 -6.97