NC0021181_Application_20100630

`Oof
J
cw�
June 30, 2010
Mr. Ron Berry
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Berry,
C elmont Wastewater Treatment
PO Box 4M ' Behnon4 NC 28012
Ib
Telephone [phone] * F 14 514
The enclosed information should contain eve
rything You the NPDES permit renewal for the City of Belmont #NC0021181 requested Howeverfor the this
of
not include any information that you need from Je �s does
information from me, please feel free to contact me at 704-825 3791 You need any further
Sinc rely,
Sandra M. Craft
City of Belmont
Wastewater ORC
y F3, - 2 2010
Enclosure
Cc: File

WNW
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
January 11, 2010
SANDRA M CRAFT
ORC
CITY OF BELMONT WW` P
PO BOX 431
BELMONT NC 28212
Subject: Receipt of permit renewal application
NPDES Permit NCO021181
Belmont WWTP
Gaston County
Dear Ms. Craft:
Dee Freeman
Secretary
The NPDES Unit received your permit renewal application on January 5, 2010. A member of the NPDES
Unit willreview your application. They will contact you if additional information is required to complete your
permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing permit
expires.
If you have any additional questions concerning renewal of the subject permit, please contact Ron Berry at
[phone].
Sincerely,
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
Mooresville Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] ! FAX: [phone] l Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity! AffirmativeAc?:on Employer
NorthCarolina
-V 4

To: Western NPDES Unit SOC PRIORITY PROJECT: No
Surface Water Protection Section
Attention: Ron Berry
Date: January 29, 2010
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Gaston
NPDES Permit No.: NCO021181
PART I - GENERAL INFORMATION
1. Facility and address: City of Belmont WWTP Physical Location
Post Office Box 431 298 Parkdale Drive
Belmont, N.C. 28212 Belmont, NC 28212
2. Date of investigation: January 28, 2010
3. Report prepared by: Michael L. Parker, Environmental Engineer II
4. Person contacted and telephone number: Chuck Flowers, Utilities Director; Sandra Craft,
WWTP Superintendent [phone] (WWTP).
5. Directions to site: From the intersection of Hwy. 273 and Catawba Street (Hwy. 7) in
the City of Belmont, travel east on Catawba Street 0.7 mile and turn right on 1 Oth street.
Travel 0.3 mile and turn left onto Parkdale Drive. Travel 0.2 mile and bear right into the
entrance to the Belmont WWTP.
6. Discharge point(s), list for all discharge points:
Latitude: 350 13' 33"
Longitude: 810 00' 53" USGS Quad No.: G 14 NE
7. Receiving stream or affected surface waters: Catawba River (Lake Wylie).
a. Classification: WS-IV, B
b. River Basin and Subbasin No.: Catawba 03O833
C. Describe receiving stream features and pertinent downstream uses: Lake Wylie
is used for primary and secondary recreation and receives frequent bodily contact.
There are no water intakes- for several miles below the point of discharge,
however, there are other dischargers downstream of this facility.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of Wastewater: 5.0 MGD (Design Capacity)

Page Two
b. What is the current permitted capacity: 5.0 MGD
C. Actual treatment capacity of current facility (current design capacity): 5.0 MGD
d. Description of existing or substantially constructed WWT facilities: The existing
WWT facilities consist of dual influent bar screens (one mechanical and one
manual), caustic addition (if necessary), a parshall flume with flow meter, grit
chamber with mechanical grit removal system (currently inoperable), dual
aeration basins with mechanical aeration (only one in service), dual secondary
clarifiers, chlorine gas disinfection with contact chamber, effluent parshall flume,
effluent flow measurement with recorder, two aerobic sludge digesters, an aerated
sludge holding tank, a stand-by power generator, and sludge drying beds (not
used).
e. Description of proposed WWT facilities: There are no proposed WWT facilities
at this time.
PART III - OTHER PERTINENT INFORMATION
Special monitoring or limitations (including toxicity) requests: None requested at this time
by the City nor are any recommended by this Office.
2. Compliance information: This facility consistently complied with all permit parameters in
2009. The most recent CEI performed at this facility did not find any issues with operations
or maintenance that would warrant a NOV.
PART IV - EVALUATION AND RECOMMENDATIONS
The City of Belmont (the City) requests renewal of the subject permit. There have been no
changes to the existing WWTP and/or the permit since the permit was last renewed nor are any
proposed during the term of the new permit.
In conversations with Mr. Flowers and Ms. Craft during the site visit, the possibility of
including tiered effluent limits in the permit was discussed. The City has lost a number of industrial
customers over the past several years, which has resulted in a significant reduction in hydraulic flow
to the WWTP. Current wastewater flows over the past 12 months are averaging around 1.3 MGD,
which is less than half the hydraulic capacity of the WWTP. Furthermore, the receiving waters have
been found to be impacted by nutrients, which may eventually result in the City having to upgrade to
meet future nutrient effluent limitations. The City hopes that by reducing the permitted flow, they
would be able to postpone future nutrient removal upgrades. One possible scenario being considered
by the City would be to establish effluent limits for 2.0 MGD and 5.0 MGD. If tiered limits are
requested by the City and eventually incorporated into this NPDES permit, it is important that
language also be included in the permit that specifically defines when the City must move from one
permitted flow to the other. Without such written guidance, compliance becomes difficult to
determine, especially when average flows are at or near the lowered tiered limit.

Page Three
Pending a review and approval of this request by the Western NPDES Unit, it is
recommended that the subject permit be renewed.
�A II tom.
7M7;/Z—�
fort Preparer D e
--7- a1 %-1
Water Quality Regional Supervisor Date
h:\dsr\dsrl Olbelmont. doc

FACII_tTY NAME AND PERMIT NUM2,0)BER:
City of Belmont, NCO021181 PERMITACTION REQUESTED:
FOORRM � _ _ - _ _ K'enewal ��R SIN:
Catawba -Lake Wylie
NPDES FORM 2A .AP"PLI TIO
APPLICATION OVERVIEW
Form 2A has been developed - - and a "Supplemental Ped In a modular format and co .�
into two application Information" consists of a Basic A
Parts. All applicants must complete Parts packet. The Basic A Pplication Information"
equal to 0.1 mgd must also complete Part B. So A and C. A pPlication Infornation Packet
Application Information PP►icants with a design flow Packet fs divided
packet. The followin me applicants must also complete the Su greater than or
BASIC APPLICATION INFORMATION: g rteing explain which pares of Form 2A PPlemental
_ _ - - - you must complete.
A. Basic Application Information for all A
that discharges effluent to surfs Applicants All applicants must complete
ce waters of the United States must also eequestions A,1
B. Additional through q.g q treatment works
Application Info questions A. through A.12.
greater than or information for Applicants with a Design Flow z 0,1 m
equal to 0.1 million gallons
Per day must complete gd• All treatment works that have design flows
C- Certification. questions B.1 through B.6. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D• Expanded Effluent Testing
one or move of the folln criteria
Data. A treatment g
must works that dischar es effluent to
1. Has a desi n flow rate ter than or complete Part D
g (Expanded Effluent Te of th
g equal to 1mgd, feet
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. ' JAN — 5 2010
E. Toxicity g Data. a
Data): te• A treatment works that meets one or more of the following I '�
1 Has a design flow rate greater than or t • •
2. equal to 1 mgd,
Is required to have a pretreatment program POINT SOURCE BRANCH
P 9 m (or has one in place), or
3• Is otherwise required by the Permitting authority to submit results of toxicity testing.
F- Industrial User Discharges and RCRA/CERCLA Wastes A treatment works
significant industrial users (SIUs) or receives RC or CERCLA wastes must complete and RCRA/CERCLA Wastes). rks that accepts process wastewater from any
SIUs are defined as: p ete Part F (Industrial User Discharges
1- All industrial users subject to Cat
40 CFR Chapter I, Subchapter ry (see in l Pretreatment Standards under 40 Code of Federal R
2. Any other industrial user that: (see instructions); and egulations (CFR) 403.6 and
a• Discharges an average of 25,000 exclusions); or gallons per day or more of
Process wastewater to the treatment works (with certain
b• Contributes a process cess nt Plan tream that makes up 5 percent or more of the average capacity of the treatment plant; or J
C. Is designated as an SIU b g dry weather hydraulic or o
y the control authority, organic
G• Combined Sewer Systems.
A treatment works that has a combined sewer system must complete Part G (Combined Sewer
ALL. APPLICANTS MUST COMPLETE PART ~�
C (CERTIFICATION)

t FACILITY NAME AND PERMIT NUMBER: -
City Of Belmont, N0002 ) 81
PERMIT ACTION REQUESTED:
_Renewal
BASIC APPLICATION INFORMATION
I -
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
A11 •....�._ _
--- vv1As must complete questions A.1 through A-8 Of this Basic Application Information Packet
A. 1. rdu-111Ty Inrormation.
Facility Name
City of Belmont. Wastewater Treatment Plant
Mailing Address P rI D, . 4
RIVER BASIN:
Catawba -Lake Wylie
Belmont N.C.28212
Contact Person C.....,__ .. -
Title
Telephone Number fAWL825-3791
Facility Address 298 Parkdale Drive
(not P.O. Box) Belmorrt_. N.C. 2R91 9 _
A.2. Applicant Information. If the applicant is different from the above, provide th~
Applicant Name
Mailing Address
Contact Penton
Title
Telephone Number
Is the applicant the owner or operator (or both) of the treatment works?
X❑ owner X❑ operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
X❑ facility ❑ applicant
k-3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).
NPDES NC 0021181
PSD
UIC - - - - - - -- - -- - -
IC - - - - - - Other - - - - -
RCRA
- - - - - Other
LA. 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.).
BelmarName Population Served
Type of Collection System Ownership
'
_. Sanitary -Sewer.
Total population served

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED RIVER BASIN:
City of Belmont, NC 0021181 1 %1"A 1CYya1 k,.a wwoa -Lake Wylie
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 j Z
For each treatment works that receives this discharge, provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility.
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):
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?
mgd
❑ Yes x❑ No

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED:
City of Belmont, NC 0021181 Renewal
RIVER BASIN:
Catawba -Lake Wvlie
WASTEWATER DISCHARGES:
If you answered "Yes" to iuestion A.B.a. complete questions A.9 throu(ih A.12 once for v.,ach outfa l (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.B.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 Beim I.C. Lake Wyliel
28212
(City or town, if applicable)
(Zip Code)
Gasty,
North Carolina
(County)
(State)
15-13-37
81-00-52
(Latitude)
(Longitude)
C.
Distance from shore (if applicable) 345
ft.
d.
Depth below surface (if applicable) 12.23
ft.
e.
Average daily flow rate 1.560
mgd
f.
Does this outfall have either an intermittent or a periodic discharge? ❑ Yes
x❑ No (go to A.9_g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
mgd
Months in which discharge occurs:
g.
Is outfall equipped with a diffuser? j Yes
X[' No
A.10. Description of Receiving Waters.
a. Name of receiving water Catawba River
b. Name of watershed (if known) Lake Wylie
United States Soil Conservation Service 14-digit watershed code (if known):
C. Name of State ManagementtRiver Basin (if known):
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute cfs chronic cfs
e. Total hardness of receiving stream at critical low flow (if applicable): mgll of CaCO3

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
r'if%l of Rplmont, NCO021181 Renewal Catabwa-Lake Wylie
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
Primary x Secondary
❑ Advanced Other. Describe: _
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 5 %
Design SS removal 65 %
Design P removal %
Design N removal %
Other %
C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Chlorine
If disinfection is by chlorination is dechlorination used for this outfall? x ❑ Yes ❑ No
Does the treatment plant have post aeration? ❑ Yes x❑ No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QAIQC 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 _
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Units
Number of Samples
pH (Minimum)
7.07
s.u.
pH (Ma)dmum)
7.42
s.u.
Flow Rate
1.906
mgd
1.373
m d
3
Temperature (Winter)
14.0
C
14.0
c
3
Temperature (Summer)
28.0
C
22.9
c
3
For pH please report a minimum
and a maximum daily value
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL MLlMDL
Number of
METHOD
Conc.
Units
Conc.
Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
BOD5
16.0
m ►I
7.6
m /I
3
SM5210B
2.0
DEMAND (Report one)
CBOD5
FECAL COLIFORM
55.0 1
col/100ml
6.0
com100
3
SM9222D
2.0
TOTAL SUSPENDED SOLIDS (TSS) 1 17.0 migil 1 10.2 mg/1 3 SM2540D 1.0
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Relmont, NCO02118 Renewal Catawba -Lake Wylie
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.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within '% mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
8.4. Operation/Maintenance Performed by Contractor(s).
i
B.5.
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ❑ Yes x , No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number:
Responsibilities of Contractor:
Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5
for each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
Yes No

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCO021181 Renewal Catawba -Lake Wylie
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/DDM/YY MMlDDlYYYY
- Begin Construction
- End Construction
- Begin Discharge
- Attain Operational Level
e. Have appropriate pernitslctearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly:
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outtall through which effluent is discharged. Do not include Information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number:
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT -- - - - METHOD MUMDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N) .54 mg/I .39 mg/I 3 350.1 0.10
CHLORINE (TOTAL
.10
mg/I
.10
mg/I
3
SM4500 CL G
0.10
RESIDUAL, TRC)
DISSOLVED OXYGEN
8.82
mg/I
8.26
mg/I
3
SM4500 OG
2.00
TOTAL KJELDAHL
3.1
mg/I
1.5
mg/l
3
351.2
0.50
NITROGEN (TKN)
NITRATE PLUS NITRITE
21
mg/I
20
mg/I
3
353.2
0.20
NITROGEN
OIL and GREASE
4.8
mg/I
4.6
mg/I
3
1664 A
4.8
PHOSPHORUS (Total)
20.0
mg/I
9.3
mg/I
3
365.1
0.50
TOTAL DISSOLVED SOLIDS 630 mg/I 587 mg/1 3 SM 2640 C 10
(TDS)
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

• I FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NCO021181
. �BASIC APPLICATION INFORMATION
, PART C. CERTIFICATION
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Wylie
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
Basic Application Information packet Supplemental Application Information packet:
x❑ Part D (Expanded Effluent Testing Data)
x❑ Part E (Toxicity Testing: Biomonitoring Data)
x❑ Part F (Industrial User Discharges and RCRAICERCLA Wastes)
❑ Part G (Combined Sewer Systems)
I ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
1 certify under penally of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.
Name and official title
Signature
Telephone number
Date signed
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

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCO021181 Renewal Catawba -Lake Wylie
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 Pretreahnent Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required
to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is dischamed. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. At a minimum, effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number. Ui (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MLANDL
Conc.
Units
Mass
Units
Cone.
Units
Mass
Units
Number
of
Samples
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY
.0058
mg/l
.065
Ibs
.0047
mgA
.061
Ibs
3
200.8
.001
ARSENIC
ND
mgA
ND
Ibs
ND
mgA
ND
Ibs
3
200.8
.001
BERYLLIUM
ND
mgA
ND
Ibs
ND
mgA
ND
Ibs
3
200.8
.0004
CADMIUM
.0013
mgA
.002
Ibs
.0001
mg/I
.0014
Ibs.
3
200.8
.001
CHROMIUM
ND
mgA
ND
Ibs
ND
mgA
ND
Ibs
3
200.8
.005
COPPER
.017
mg/I
.270
Ibs
.016
mgA
.208
Ibs
3
200.8
.001
LEAD
ND
mg/I
ND
Ibs
ND
mgA
ND
Ibs
3
200.8
.001
MERCURY
.0088
mg/l
.099
Ibs
.0080
mgA
.104
Ibs
3
245.1
.0080
NICKEL
ND
mgA
ND
Ibs
ND
mgA
ND
Ibs
3
200.8
.005
SELENIUM
ND
mgA
ND
Ibs
ND
mgA
ND
Ibs
3
200.8
.001
SILVER
ND
mg/I
ND
Ibs
ND
mgA
ND
Ibs
3
200.8
.001
THALLIUM
ND
mgA
ND
Ibs
ND
mgA
ND
Ibs
3
200.8
.0005
ZINC
.24
mgA
3.82
Ibs
.16
mgA
2.08
Ibs
3
200.8
.01
CYANIDE
ND
mgA
ND
Ibs
ND
mgA
ND
Ibs
3
SM 4500 CNE
.010
TOTAL PHENOLIC
COMPOUNDS
.015
mgA
.168
Ibs
.001
mg/I
.143
Ibs
3
420.4
.0050
HARDNESS (as CaCO3)
68
mgA
762
Ibs
59
mgA
768
Ibs
3
SM 2340 C
Ill
Use this space (or a separate sheet) to provide information on other metals requested by the permit writer

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCO021181 Renewal Catawha-Lake Wylie
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
_
ANALYTICAL
POLLUTANT Number MLIMDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
ND
mg/I
ND
Ibs
ND
mgn
ND
Ibs
3
8260 B
.005
ACRYLONITRILE
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.005
BENZENE
ND
mgn
ND
Ibs
ND
mgn
ND
Ibs
3
8260 B
.001
BROMOFORM
ND
mgn
ND
Ibs
NO
mgn
ND
Ibs
3
8260 B
.001
CARBON
TETRACHLORIDE
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
CHLOROBENZENE
ND
mg/I
ND
Ibs
ND
mgn
ND
Ibs
3
8260 B
.001
CHLORODIBROMO-
ND
mgn
ND
Ibs
ND
mgn
NO
Ibs
3
8260 B
.001
METHANE
CHLOROETHANE
.0036
mg/I
.080
Ibs
.005
mgn
.065
Ibs
3
8260 B
.005
2-CHLOROETHYLVINYL
ND
mg/1
NO
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
ETHER
CHLOROFORM
.0062
mg/I
.074
Ibs
.0035
mg/I
.046
Ibs
3
8260 B
.001
DICHLOROBROMO-
0036
mgn
.043
Ibs
.0024
mgn
.031
Ibs
3
8260 B
.001
METHANE
1,1-DICHLOROETHANE
ND
mgn
NO
Ibs
ND
mg/1
ND
Ibs
3
8260 B
.001
1,2-DICHLOROETHANE
ND
mgn
ND
Ibs
ND
mgn
ND
Ibs
3
8260 B
.001
TRANS-I,2-DICHLORO-
ND
mg1l
ND
Ibs
NO
mgn
ND
Ibs
3
8260 B
.001
ETHYLENE
1,1-DICHLORO-
ND
mgn
ND
Ibs
NO
mgn
ND
Ibs
3
8260 B
.001
ETHYLENE
1,2-DICHLOROPROPANE
NO
mg/I
NO
Ibs
NO
mg/I
NO
Ibs
3
8260 B
.001
1,3-DICHLORO-
ND
mg/I
ND
Ibs
ND
mg/I
NO
Ibs
3
8260 B
.001
PROPYLENE
ETHYLBENZENE
ND
mgn
ND
Ibs
ND
mgn
ND
Ibs
3
8260 B
.001
METHYL BROMIDE
ND
mgn
ND
Ibs
NO
mgn
ND
Ibs
3
8260 B
.002
METHYL CHLORIDE
ND
mgn
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.002
METHYLENE CHLORIDE
ND
mgn
ND
Ibs
NO
mgn
NO
Ibs
3
8260 B
.001
1,1,2,2-TETRA-
ND
mg/I
NO
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
CHLOROETHANE
TETRACHLORO-
ND
mg/I
NO
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
ETHYLENE
TOLUENE
ND
mgn
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCO021181 Renewal Catawba -Lake Wylie
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
1,1,1
TRICHLOROETHANE
MAXIMUM
DAILY
DISCHARGE
AVERAGE
DAILY
DISCHARGE
ANALYTICAL
METHOD
MLAIADL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
Of
Samples
ND
ug/1
ND
Ibs
ND
ug/I
NO
Ibs
3
8260 B
1.0
1,1,2
TRICHLOROETHANE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8260 B
1.0
TRICHLOROETHYLENE
ND
ug/I
ND
Ibs
ND
ug/l
ND
Ibs
3
8260 B
1.0
VINYL CHLORIDE •
ND
ug/l
ND
Ibs
ND
ugll
ND
Ibs
3
8260 B
2.0
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
2-CHLOROPHENOL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
s
8270 C
1.0
Z4-DICHLOROPHENOL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
2,4-DIMETHYLPHENOL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
4,6-DINITRO-0-CRESOL
2,4-DINITROPHENOL
ND
ugA
ND
Ibs
ND
ug/1
ND
Ibs
3
8270 C
1.0
2-NITROPHENOL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
2.0
4-NfTROPHENOL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.1
PENTACHLOROPHENOL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.1
PHENOL
ND
ugA
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
2,4,6-
TRICHLOROPHENOL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
1.0
ACENAPHTHYLENE
ND
ugA
ND
Ibs
ND
ug/l
ND
Ibs
3
8270 C
1.0
ANTHRACENE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
BENZIDINE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.0
BENZO(A)EINTHRACENE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
BENZO(A)PYRENE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCO021181 Renewal Catawba -Lake Wylie
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MOL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
3.4 BENZO-
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
FLUORANTHENE
BENZO(GHI)PERYLENE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
BENZO(I)
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
FLUORANTHENE
BIS (2-CHLOROETHOXY)
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
METHANE
BIS (2-CHLOROETHYL)-
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
ETHER
BIS (2-CHLOROISO-
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
PROPYL)ETHER
BIS (2-ETHYLHEXYL)
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
8270 C
5.0
PHTHALATE
4-BROMOPHENYL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
8270 C
1.0
PHENYL ETHER
BUTYL BENZYL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.0
PHTHALATE
2-CHLORO-
ND
ugA
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
NAPHTHALENE
4-CHLORPHENYL
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.0
PHENYLETHER
CHRYSENE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
DI-N-BUM PHTHALATE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.0
DI-N-OCTYL PHTHALATE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.0
DIBENZO(A,H)
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
ANTHRACENE
1,2-DICHLOROBENZENE
ND
ugA
ND
Ibs
ND
ug/I
ND
Ibs
3
8260 B
1.0
1,3-DICHLOROBENZENE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8260 B
1.0
1,4-DICHLOROBENZENE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8260 B
1.0
3,3-DICHLORO-
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
8270 C
5.0
BENZIDINE
DIETHYL PHTHALATE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.0
DIMETHYL PHTHALATE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
5.0
2,4-DINITROTOLUENE
ND
ugA
ND
Ibs
ND
ug/l
ND
Ibs
3
8270 C
2.0
2,6-DINITROTOLUENE
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
2.0
1,2-DIPHENYL-
ND
ugA
ND
Ibs
ND
ugA
ND
Ibs
3
8270 C
1.0
HYDRAZINE

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
City of Belmont, NCO021181
Renewal
Catawba -Lake Wylie
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
MLIMDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
FLUORANTHENE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
FLUORENE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
HEXACHLOROBENZENE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
HEXACHLORO-
NO
ugfl
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
BUTADIENE
HEXACHLOROCYCLO-
NO
ug/l
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
5.0
PENTADIENE
HEXACHLOROETHANE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
INDENO(1,2,3-CD)
NO
ug1I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
PYRENE
ISOPHORONE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
NAPHTHALENE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
NITROBENZENE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
N-NITROSODI-N-
NO
ug/I
NO
Ibs
NO
ugll
NO
Ibs
3
8270 C
1.0
PROPYLAMINE
N-NITROSODI-
NO
u9/1
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
METHYLAMINE
N-NITROSODI-
NO
ug/I
NO
Ibs
NO
ug/l
NO
Ibs
3
8270 C
1.0
PHENYLAMINE
PHENANTHRENE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
PYRENE
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8270 C
1.0
1,2,4-
NO
ug/I
NO
Ibs
NO
ug/I
NO
Ibs
3
8260 B
1.0
TRICHLOROBENZENE
Use this space (or a separate sheet) to provide information on other base -neutral compounds requested by the permit writer
Use this space (or a separate sheet) to provide information on other pollutants (e.g., pesticides) requested by the permit writer
i
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
City of Belmont, NCO021181
Renewal
Lake Wylie
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.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. 1 Test number 2 Test number.
a. Test information.
Test Species & test method number Ceriodaphnia Ceriodaphnia Ceriodaphnia
Age at initiation of test <24 hrs <24 hrs <24 hrs
Outfall number 001 001 001
Dates sample collected
11115109,11117/09,11119109
5117/09,5/19/09,5/21/09
2/15109,2/17109,2/19109
Date test started
11/17/09
5119109
2117109
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title Chronic Manual Chronic Manual Chronic Manual
Edition number and year of publication EPA-600-4-91-002 July 94 EPA-600-4-91-002 July 94 EPA-600-4-91-002 July 94
Page number(s)
144-189
144-189
1 "-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X

FACILITY NAME AND PERMIT NUMBER:
_+iy v+ aCu++u+ri, NCO0121181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Test number: 1 Test number: 2 Test number: 3
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Before River
Before Rive
Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
x
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
X
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
x
X
X
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
x
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
2,4,8,16,32 %
2,4,8,16,32 %
2,4,8,16,32 %
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH yes yes yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
1. Test Results.
Acute:
Percent survival in 100%
effluent
97.5 %
100 %
92.5 %
LCso
95% C.I.
%
%
%
Control percent survival
97.5 %
100 %
92.5 %

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
City of Belmont, NCO021181
Renewal
Catawba -Lake Wylie
Chronic:
NOEC
PASS %
PASS
PASS
IC25
PASS %
PASS %
PASS %
Control percent survival
97.5 %
100 %
92.5 %
Other (describe)
m. Quality Control/Quality, Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
YES
YES
YES
acceptable bounds?
What date was reference toxicant test 11/17/2009 5119/2009 2/17/2009
run (MWDD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
Yes X No If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: / / _ .. (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: R11(ER BASIN:
City of Belmont, NCO021181 I.GI IGWWGi (;0�*�1 zKe Wylie
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.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
X chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half Years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: 4 Test number: 5 Test number: 6
a. Test information.
Test Species & test method number
Ceriodaphnia
Ceriodaphnia
Ceriodaphnia
Age at initiation of test
<24 hrs
<24 hrs
<24 hrs
Outfall number
001
001
001
Dates sample collected
11112/08, 11 /17/08
8113/08, 8/18/08
5114108, 5/20108
Date test started
11/13/08
8115108
5116/08
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title
Chronic Manual
Chronic Manual
Chronic Manual
Edition number and year of publication
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
Page number(s)
144-189
144-189
1"-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
City of Belmont, NCO0121181
Renewal
„)Take Wylie
Test number: 4 Test number: 5
Test number: 6
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: ore River Before Rive
T- oetore River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity �
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal X
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water A
X
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
8% 8%
8%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100% 100 % 100 %
100 %
effluent
LC50
95% C.I.
%
%
%
Control percent survival
100 %
100 %
100 %
Other (describe)

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED: RIVER B IN:
City of Belmont, NCO021181
Renewal C,
ake Wylie
Chronic:
NOEC
PASS %
PASS %
PASS
IC25
PASS %
PASS %
PASS %
Control percent survival 1
100 %
91 %
100 %
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
YES
YES
YES
acceptable bounds?
What date was reference toxicant test
11 /13/08
8115/08
5/16/08
run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
Yes X No If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH
OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCOuz- i i o i nur rew� '�bLake Wylie
I
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
usinq 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate CA/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 forth to
complete. — -
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
)( chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half Years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number. o Test number. 9
a. Test information.
Test Species & test method number Ceriodaphnia
Ceriodaphnia
Ceriodaphnia
<24 hrs
<24 hrs
Age at initiation of test <24 hrs
001
001
Outfall number 001
Dates sample collected
2/13108, 2118108
11 /07/07, 11 /12/07
8/15107, 8/20107
Date test started
2115108
11 /09107
8/16/07
Duration 24 hrs 24 hrs 24 hrs
b. Give toxicity test methods followed.
Manual title Chronic Manual Chronic Manual Chronic Manual
Edition number and year of publication
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
Page number(s)
144-189
144-189
144-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NCO0121181
PERMIT ACTION REQUESTED:
Renewal
RIVER BA IN:
ake Wylie
Test number: 7 Test number: 8 Test number: 9
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: Before River Before Rive Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
x
x
x
Flow -through
h. Source of dilution water. If laboratory water, specify type; it receiving water, specify source.
Laboratory water x x x
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water x x
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
8%
8%
8%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
100 %
83 %
92 %
LCso
95% C.I.
%
%
%
Control percent survival
100 %
91 %
100 %
Other (describe)

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
VER N:
ake
City of Belmont, NCO021181
Renewal
Wylie
Chronic:
NOEC
PASS %
PASS %
PASS
IC25
PASS %
PASS %
PASS %
Control percent survival
100 %
91 %
100 %
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
YES
YES
YES
acceptable bounds?
What date was reference toxicant test 2/15/08
11109/07
8116/07
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:
i
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the
information was submitted to the permitting authority and a summary
of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER. -
City of Belmont, NCO021181
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
PERMIT ACTION REQUESTED:
Renewal
Wylie
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 forth to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
% chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. Test number: 11 Test number: 12
a. Test information.
Test Species &test method number Ceriodaphnia Ceriodaphnia Ceriodaphnia
Age at initiation of test <24 his <24 hrs <24 hrs
outfall number
001
001
001
Dates sample collected
5/16/07, 5/17107
2114/07, 2/19/07
11/13/06, 11/16/06
Date test started
5117/07
2/16/07
11/15/06
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title
Edition number and year of publication
Chronic Manual
Chronic Manual
Chronic Manual
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
Page number(s)
144-189
144-189
144-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED:
City of Belmont, NCO0121181 �t" ,,cNcA+
RI R ASIN•
w� a e Wylie
Test number: 10 Test number: 11 Test number: 12
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: I Before River I Before Rivr Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity X X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
x
x
Flow -through
h. Source of dilution water. If laboratory water. specify type; if receiving water, specify source.
Laboratory water
x
x
X
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water x
X
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
8% 8% 8%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100% 100 % 100 % 100 %
effluent
LC5o
95% C.I.
%
%
%
Control percent survival
100 %
100 %
100 %
Other (describe)

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED:
RIVER BAST
City of Belmont, NCO021181 ",�y�.
a. -
COi O'`� a Wylie
Chronic:
NOEC
PASS %
PASS %
PASS
ICZ
PASS %
PASS %
PASS °%
Control percent survival
100 %
91 %
100 %
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
YES
YES
YES
acceptable bounds?
What date was reference toxicant test 5/17/07 2116/07 11115/06
run (MM/DDIYYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
Yes :k No If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: / / (MMIDD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER: I PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCO021181 Renewal I Catawba -Lake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
xLj Yes No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs.
b. Number of CIUs.
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 infomnation requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Spartan Dyers Inc.
Mailing Address: P.O. Box 790
Belmor+ N.0 28012
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Commission Yam
F.S. Principal Product(s) and Raw Mateerial(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s):
Raw material(s): Yam. Electrolytes. I NaCl Na2. SO4) Weak Organic Acids Soda Ash. Sodium Hydro Sulfite, Softners Deterrent
F.B. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
gpd ( _ _ continuous or _ intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X❑ Yes ❑ No
b. Categorical pretreatment standards ❑ Yes No
If subject to categorical pretreatment standards, which category and subcategory?

VACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
City of Belmont, NCO021181
Renewal
Catawba -Lake Wylie
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 QA1QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analyles 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 biomondoring 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.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxic ily test conducted in the last four and one-half Years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: i Test number. Test number: 3
a. Test information.
Test Species & test method number Chronic Fathead -Minnow Chronic Fathead -Minnow Chronic Fathead -Minnow
Multi -Concentration Multi -Concentration Multi -Concentration
Age at initiation of test <24 hrs <24 hrs <24 hrs
Outfall number
001
001
001
Dates sample collected
2/15109,2117106,2119/09
5/17/09,5119109,5121/09
8/16/09,8/18/09,8120/09
Date test started
2/17/09
5/19109
8118109
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title
Chronic Manual
Chronic Manual
Chronic Manual
Edition number and year of publication EPA-600-4-91-002 July 94 EPA-600-4-91-002 July 94 EPA-600-4-91-002 July 94
Page number(s) 58-139 58-139 58-139
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
i
24-Hour composite X
I
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination X

'FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NCO0121181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Test number: 1 Test number: 2 Test number. 3
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Before River Before River
Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal Y X X
Flow -through
h. Source of dilution water. If laboratory water, specify type; it receiving water, specify source.
Laboratory water X
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water X X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
1.8,16,32 % 2,4,8,16,32 % 2,4,8,16,32 %
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
LCso
95% C.I.
Control percent survival
Other (describe)

'FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NCO021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Chronic:
NOEC
>32%
>32%
>32%
IC25
>32%
>32%
>32%
Control percent survival
90 %
100 %
97.5 %
Other (describe) ChV
>32%
>32%
>32%
m. Quality ControUQuality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
acoeptable bounds?
YES
5/9/2009
YES
What date was reference toxicant test
run (MM/DDNYYY)?
2/10/2009
8/1/2009
Other (describe)

E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half vears. 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.
Chronic Fathead -Minnow
Test Species & test method number
Multi -Concentration
Age at initiation of test
<24 hrs
Outfall number
001
Dates sample collected
11/15109.11/17/09.11119/09
Date test started 11/17/09
Duration 24 hrs
b. Give toxicity test methods followed.
Manual title Chronic Manual
Edition number and year of publication EPA-600-4-91-002 July 94
Page number(s) 58-139
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
city oT Delmont, NCO0121181 Flul lGvwdl ,..iwwba-Lake Wylie
Test number: 4 Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: Before River
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
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
X
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
2,4,8,16,32 %
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
Salinity
Temperature
yes
Ammonia
Dissolved oxygen
yes
I. Test Results.
Acute:
Percent survival in 100% 37.5 %
effluent
LC5o
95% C.I. %
Control percent survival
97.5 %
Other (describe)

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
City of Belmont, NCO021181
Renewal
Catawba -Lake Wylie
Chronic:
NOEC
>32%
IC25
>32%
97.5 %
Control percent survival
Other (describe)
>32%
m. Quality ControVQuality Assurance.
Is reference toxicant data available?
YES
Was reference toxicant test within
YES
acceptable bounds?
What date was reference toxicant test MOW
run (MM/DDNYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
Yes No If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

r FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCO021181 Renewal Catawba -Lake Wylie
F.S. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
Yes X No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
Yes X No (go to F.12)
F.10. Waste transport Method by which RCRA waste is received (check all that apply):
Truck , Rail Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) x No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. last 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.)
FAIL 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

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NCO021181
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
PERMIT ACTION REQUESTED: RIVER BASIN:
Renewal I Catawba -Lake Wylie
If the treatment works has a combined sewer system, complete Part G.
GA. 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 GA 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 GA 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?
L Rainfall [, CSO pollutant concentrations CSO frequency
CSO flow volume p 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 ( actual or approx.)
b. Give the average duration per CSO event.
hours ( actual or approx.)

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
City of Belmont, NCO021181 Renewal Catawba -Lake Wylie
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.& 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 (f known):
C. Name of State Management/River Basin:
United States Geological Survey 8-digit hydrologic cataloging unit code (f known):
G.S. 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.

I
Af
ic
XiCi'tyl �atr war y
.1 jyf 1,
4`y,
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7
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54)
j
LalitLICIC.
35' 13' 33" --fl
Lon,itucic:
8 1 ' DO' 53" N
USGS Quad 4:
G 14N E
River 1�asin 0:
03-08-14
Rcuiving sLrcaln:
Catawba River
Strc:un Class:
W S - I V. B CA
City of Belinont WWTP
Gaston county
NCO021181

FIGURE 11.1
,WATER AND SLUDGE HANDLING
SCHEMATIC
DIGESTER NO. 2
(EAST)
lON
DIGESTER —
BUILDING WAS PUMPS
S-6 AS-13
6
YAS- 7 S-S I
6' S-4 DS-2 *.+ DS-5
�2L 6' s s
S-3 DS-i
DS-3 ARAS PUMPS
(5. DS 4
S-2 d1
S-1 -12 �
WAS DS-4
z6 / I
N�
DI -= SCUM PUMP
P
DIGESTER N0. 1 � a' `+' � was-3
(WEST)
s I
of A
I
a S A I f
I �
Iry
I
1 CHLORINE FEED
24 WW SYSTEM
I4
LEGEND I
CF PUMP I
J OO 30'WW AERATOR �
0 MIXER N 3"
PLUG VALVE & GATE VALVE
CHECK VALVE w
® SLUICE GATE
O FLOW METER
STRUCTURE ¢ ti CHLORINE CONTACT
'�- WASTEWATER (WW)
RETURN ACTIVATED SLVDGE (RAS) m TANK C),107M &
Ab- WASTE ACTIVATED SLUDGE (WAS)
DIGESTED SLUDGE (DS)
SUPERNATANT (S) DIFFUSER --� WW-10
��— FLOW ARROW
WW-2 Ww-I1
30' 13YPASS
METER— A
PLAN
INFLUE
3o'ww
r

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Facility: Belmont NPDES # NCO021181
Laboratory: ETT Environmental, Inc.
x
Signature of Operator in Responsible Charge
x
of Laboratory Supervisor
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Pipe #: 001 County: Gaston
Test Initiation Date/Time 8-Dec-15 / 1530 Avg WUSurv. Control 0.6530
% Eff. Repl.
1
2
3
4
Control Surviving #
10
10
10
9
Original #
10
Fo"616'0
10
10
9
W/original (mg)
0.6450
0.6130
0.7378
0 Surviving #
10
10
10
10
® Surviving #
Original #
Wt/original (mg) 0.5700 0.6090 0.7578 0
® Surviving # 10 10 9 9
Original # 10 10 10 9
Wt/original (mg) 0.6930 0.6260 0.6260 0.8078
16 Surviving #
Original #
Wt/original (mg)
10
10
10
10
10
32 Surviving #
Original #
Wt/original (mg) 0.8330 0.70
Water Quality Data Day
Control 0 1 2 3
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
% Survival 100.0%
Avg Wt (mg) 0.6530
% Survival 100.0%
Avg Wt (mg) 0.6095
% Survival
Avg Wt(mg) 0.6190
% Survival
Avg Wt (mg) 0.6882
% Survival 100.0%
Avg Wt (mg) 0.6808
% Survival 100.0%
Avg Wt (mg) 0.7831
d 5 R
8.2
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
% Survival 100.0%
Avg Wt (mg) 0.6530
% Survival 100.0%
Avg Wt (mg) 0.6095
% Survival
Avg Wt(mg) 0.6190
% Survival
Avg Wt (mg) 0.6882
% Survival 100.0%
Avg Wt (mg) 0.6808
% Survival 100.0%
Avg Wt (mg) 0.7831
d 5 R
8.2
/ 7.6
7.8
/ 7.7
7.9
/ 7.5
8.0
/ 7.5
8.1
/ 7.2
7.8 /
7.6
7.8
/ 7.8
7.7
/ 6.6
7.1
/ 5.7
7.7
/ 5.3
7.8
/ 6.3
7.9
/ 4.3
7.4 /
5.4
7.6
/ 6.1
25.0
/ 24.9
24.9
/ 25.4
24.7
1 25.4
24.6
/ 24a
24.6
/ 25.3
24.8 /
2C7
24.5
1 25.4
High Concentration 0 1 2 3
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
4 5 6
7.7 /
7.6
7.6
/ 7.4
7.7
/ 7.4
7.8
/ 7.3
8.0 /
7.2
7.6 /
7.3
7.7
/ 7.6
8.1 1
6.9
7.4
/ 5.0
8.3
/ 4.9
7.9
I 4.7
8.0 /
4.3
7.5 1
4.8
7.7
/ 5.8
25.0 /
24.9
24.5
/ 25.4
25.0
/ 25.4
24.7
/ 24.8
24.4 /
25.3
24.8 /
24.7
24.3
/ 25.4
Test Organisms
=Cultured In -House
u X Outside Supplier
Hatch Date: < 48 hrs
Hatch Time: 1000-1000
Sample
3
Survival
Growth
Overall Result
1
2
Collection Start Date
12-7-15
12-09-15
12-10-15
Normal
no
yes
ChV >32%
Grab
Hom. Var.
no
GI yes
Composite (Duration)
24 hr
24 hr
24 hr
NOEC
32.0%
32.0%
Hardness (mg/L)
40.0
47.0
47.0
LOEC
>32.09/6
>32.0%
Alkalinity (mg/L)
21.4
31.1
36.0
ChV
>32.0%
>32.0%
Conductivity (umhos/cm)
572
1057
1266
Method
Steels
Dunnetts
Chlorine(mg/L)
<0.05
<0.05
0.06
Temp at Receipt ( C)
0.6
1.4
2.4
Stats
Survival
Growth
Conc.
Critical
Calculated
Critical
Calculated
Dilution H2O
2
10
18
2.41
0.70
Hardness (mg/L)
50.0
4
10
14
2.41
0.61
Alkalinity (mg/L)
46.80
8
10
16
2.41
-0.64
Conductivity (umhos/cm)
211
16
10
18
2.41
-0.50
DWQ Form AT-5 (1/04) Page 2 of 6
9
10
9
9
10
9
8
10

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Facility: Belmont NPDES # NC00 21181 Pipe #: 001 County: Gaston
Laboratory: ETT Environmental, Inc. Comment
x
Signature of Operator in Responsible Charge
x
Signature of Laboratory Supervisor
MAIL ORIGINAL TO- Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time
12-May-15
/ 1628
Avg WUSurv. Control 0.759
% Eff. Repl.
1
2
3
4
Control Surviving #
10
9
10
10
% Survival 100.0%
Original #
10
9
10
10
W/original (mg)
0.7530
0.7811
0.7590
0.7440
Avg Wt (mg) 0.7593
0 Surviving #
% Survival 97.5%
Original #
Wt/original (mg)
Avg Wt (mg) 0.7878
® Surviving #
% Survival 100.0%
Original #
Wt/original (mg)
Avg Wt (mg) 0.7108
® Surviving #
% Survival
Original #
Wt/original (mg)
Avg Wt (mg) 0.8025
16 Surviving #
10
9
5
10
% Survival
Original #
10
9
7
10
Wt/original (mg)
0.7120
0.7633
0.5843
0.7800
Avg Wt (mg) 0.7099
32 Surviving #
% Survival
Original #
WUoriginal (mg)
Avg Wt (mg) 0.7151
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
9 10
10
10
10 10
10
10
0.7790 0.8990
0.8030
0.6700
9
10
10
10
9
10
10
10
0.7700
0.6260
0.7470
0.7000
10
9
8
6
10
9
8
8
0.7340
0.8111
0.7450
0.9200
8
9 9
10
9
10 9
10
0.6467
0.5300 0.8156
0.8680
7.8
/ 7.6
8.2 I
7.8
7.9 /
7.4
7.9
/ 7.5
8.0
I 8.4
8.2
I 7.8
7.8 I
7.5
7.4
/ 6.3
7.9 /
6.4
8.1 /
5.6
8.1
I 6.3
8.0
I 6.5
8.3
/ 5.6
7.6 I
6.7
25.0
/ 25.1
25.1 /
25.2
24.7 /
25.2
24.8
/ 24.9
24.8
/ 25.2
25.0
/ 25.4
24.8 /
24.9
7.6
1 7.7
7.7
I 7.7
7.8 /
7.5
7.7
I 7.5
7.8
! 7.8
8.0
/ 7.4
7.9 /
7.6
7.8
/ 7.2
7.9
/ 6.6
8.6 !
6.4
8.1
/ 5.6
8.0
I 6.4
8.5
I 5.3
7.9 /
6.2
25.0
/ 25.1
24.9
I 25.2
24.5 /
25.2
24.7
/ 24.9
24.5
I 25.2
24.7
/ 24.4
24.8 /
24.9
Test Organisms
OCultured In -House
u X Outside Supplier
Hatch Date: 5-12-15
Hatch Time: 0730-0900
Sample
1
2 3
Survival
Growth
Overall Result
Collection Start Date
5-11-15
5-13-15
Normal
0 no
[::] yes
ChV >32%
Grab
Ham. Var.
0 no
E] yes
Composite (Duration)
24 hr
24 hr
NOEC
32.0%
32.0%
Hardness (mg/L)
38.0
0.8
LOEC
>32.0%
>32.0%
Alkalinity (mg/L)
61.5
45.1
ChV
>32.0%
>32.0%
Conductivity (umhos/cm)
808
1145
Method
Steels
Dunnetts
Chlorine(mglL)
<0.05
<0.05
Temp at Receipt (C)
0.6
1.7
Stets
Survival
Growth
COrIC.
Critical
Calculated
Critical
Calculated
Dilution H2O
2
10
17.5
2.41
-0.43
Hardness (mg/L)
50.0
4
10
18
2.41
0.73
Alkalinity (mg1L)
39.10
8
10
13
2.41
-0.65
Conductivity (umhos/cm)
248
16
10
15.5
2.41
0.75
32
10
13
2.41
0.67
_- - Page 2 of 5
DWQ Form AT-5 (1/04)

mcolv:ztlg�
Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Facility: Belmont NPDES # NC00 21181
Laboratory: ETT Environmental, Inc.
x
Signature of Operator in Responsible Charge
x
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Pipe #: 001
Comment
County: Gaston
Test Initiation Date/Time
10-Nov-15
/ 1650
Avg WUSurv. Control 0.8973
% Eff. Rep 1.
1
2
3
4
Control Surviving #
10
10
9
10
%Survival 1D0.0%
Original #
pH (SU) Init/Fin
DO (mg/L) InitlFin
Temp (C) InitlFin
10 10
9
10
10 10
8
9
10 10
10
9
0.8640 0.8870
0.8660
0.9311
10 10
10
10
10 10
10
10
0.7770 0.9590
0.7900
1.0070
8
9
9
10
10
10
10
10
0.6840
0.8290
0.8960
0.9200
10
10
10
6
10
10
10
10
1.0000
1.1400
0.9860
0.6620
8.3
/ 7.3
7.4 /
6.5
7.8
/ 7.3
7.8 I
7.3
7.8
/ 7.2
7.8
/ 7.5
7.9 /
7.4
8.1
/ 5.5
6.2 /
7.7
7.7
/ 6.0
7.4 !
5.3
7.2
/ 5.8
7.3
/ 6.3
8.1 /
6.1
24.7
/ 24.fi
24.5 I
24.9
24.6
! 24.9
24.9 /
24.7
24.5
! 24.7
24.6
/ 24.8
24.4 /
24,5
7.9
I 7.3
8.0 /
7.3
7.7 I
7.3
7.7 I
7.3
7.6
/ 7.4
7.6 I
7.4
7.8 I
7.4
7.9
/ 5.9
7.8 /
5.4
7.7 I
5.6
8.1 /
5.4
7.8
/ 5.7
7.1 /
6.1
8.1 /
5.6
25.0
/ 24.6
24.3 /
24.9
24.4 /
24.9
25.1 /
24.7
25.2
/ 24.7
24,3 /
24.8
24.5 /
24.5
Sample 1 2 3 Survival Growth
Collection Start Date
11-9-15
11-11-15
11-12-15
Normal
F-] no
[::] yes
Grab
Hom. Var.
0 yes
0 yes
Composite (Duration)
24 hr
24 hr
24 hr
NOEC
32.0%
32.0%
Hardness (mg/L)
46.0
48.0
48.0
LOEC
>32.0%
>32.0%
Alkalinity (mg/L)
26.9
72.0
52.0
ChV
>32.0%
>32.0
Conductivity (umhos/cm)
517
869
960
Method
Rank Sum
t Test
Chlorine(mg/L)
10.05
<0.05
<0.05
Temp at Receipt (C)
0.8
0.0
0.2
Stats
Survival
Conc.
Critical
Calculated
Dilution H2O
2
10
18.0
Hardness (mg/L)
50.0
4
10
20.0
Alkalinity (mg/L)
46.80
8
10
20.0
Conductivity (umhos/cm)
211
16
10
18.0
32
10
14.0
DWO Form AT-5 (1/04) Page 2 of 6
Test Organisms
I, Cultured In -House
LJ X Outside Supplier
Hatch Date: 11/9-11/10
Hatch Time: 1500-1000
Overall Result
ChV >32%
Growth
Critical
Calculated
2.41
0.13
2.41
0.18
2.41
0.81
2.41
-D.62
2.41
-0.63

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Facility: Belmont NPDES # NC00 21181
Laboratory: ETT Environmental, Inc.
x
Signature of Operator in Responsible Charge
x
of Laboratory Supervisor
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Pipe #: 001 County: Gaston
Test Initiation Date/Time
10-Feb-15
/ 1658
Avg Wt/Surv. Control 0.8357
% Eff. Repl.
1
2
3
4
Control Surviving #
% Survival 100.0%
Original #
Wt/original (mg)
Avg Wt (mg) 0.8357
�2 Surviving #
% Survival 100.0%
Original #
Wt/original (mg)
Avg Wt (mg) 0.8310
® Surviving #
% Survival
Original #
Wt/original (mg)
Avg Wt (mg) 0.8473
® Surviving #
% Survival
Original #
Wtoriginal (mg)
Avg Wt (mg) 0.8020
16 Surviving #
% Survival
Original #
WUoriginal (mg)
Avg Wt (mg) 0.8638
32 Surviving #
% Survival 100.0%
Original #
WUoriginal (mg)
Avg Wt (mg) 0.9112
Water Quality Data
Day
Control
0
1
2
3
4 5 6
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) InitlFin
High Concentration
0
1
2
3
4 5 6
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
9 10
10
10
9 10
10
10
0.9256 0.9420
0.7420
0.7330
10
10
10
9
10
10
10
9
0.7120
0.8520
O.S610
0.8989
10
1D
10
9
10
10
10
10
0.8680
0.9200
0.8760
0.7250
10
9
10
10
10
10
10
10
0.7670
0.6840
0.8960
0.8610
9
10
9 10
10
10
10 10
0.7020
0.8100
0.9530 0.9900
10
10
9
10
10
10
9
10
1.0480
0.8820
0.8656
0.8490
8.0 I
7.8
8.2
/ 7.6
7.8
/ 8.3
8.2 I
8.1
8.1
/ 7.7
8.3
/ 7.4
8.3
I 8.2
7.9 /
6.8
8.2
/ 5.7
7.7
I 5.6
7.7 I
6.6
7.6
I 7.1
8.1
/ 6.0
8.0
/ 6.2
24.fi !
25.0
25.0
/ 25.1
25.1
/ 25.0
24.7 /
25.1
24.5
/ 24.7
24.7
I 24.9
24.fi
/ 25.1
7.6 /
7.6
7.6
/ 7.3
7.6
/ 7.6
7.7 /
7.5
7.6 I
7.5
7.7
/ 7.3
7.8
/ 7.5
7.8 /
6.7
8.0
I 6.0
8.0
I 6.1
7.9 /
6.2
8.4 I
6.3
8.0
/ 5.4
8.1
I 5.3
25.0 /
25.0
25.0
/ 25.1
24.8
/ 25.0
24.4 /
25.1
24.7 /
24.7
24.7
/ 24.9
24.5
/ 25.1
Sample 1 2 3 Survival Growth
Collection Start Date
Grab
Composite (Duration)
Hardness (mglL)
Alkalinity (mglL)
Conductivity (umhas/cm)
Chlorine(mg/L)
Temp at Receipt (C)
2-9-15
2-11-15
2-12-15
24 hr
24 hr
24 hr
40.0
42.0
38.0
24.2
47.0
50.2
607
937
1089
0.17
0.07
0.19
0.8
1.7
2.0
Dilution H2O
Hardness (mg/L)
50.0
Alkalinity (mg/L)
53.80
Conductivity (umhos/cm)
213
Normal
0 no
D yes
Hom. Var.
F-1 no
0 yes
NOEC
32.0%
32.0%
LOEC
>32%
>32%
ChV
>32%
>32%
Method
Steels
Dunnetts
Stalls
Survival
Conc.
Critical
Calculated
2
10
18
4
10
17.5
8
10
17.5
16
10
15
32
10
18
Page 2 of 7
DWO Form AT-5 (1/04)
Test Organisms
Cultured In -House
u X Outside Supplier
Hatch Date: 2-9-15
Hatch Time: 0730-0900
Overall Result
ChV >32%
Growth
Critical
2.41
Calculated
0.07
-0.16
0.47
-0.39
-1.05

06/30/2010 11:33 8648776939 ETT ENVIRONMENTAL PAGE 02
Effluent Toxicity Rapart Form -Chronic Fathead Minnow Muhl-Collantretlon Tt kM,'05129M$
Fap19M, Belmont
Laboratory: ETT EnvironmaMal
x
Signetunn of Operator in Responsibla� -
x
N►DES N NC00 21151
Pips 0: 001
County: Goston
MAIL OFJGTKAL TOr Environetcrmd Sciences Breach
Division of Water Qnlltitr ,; �, ^^�,
NC DIMj�r I C v `�-1 C' a,-n
1621 Mate Service Canter
Raleigb,MC 27494.1621 , -1 1 0 I Oq
Test Initiation Ds�arrime 17-Feb-09 / 1530 Avg Wt/Surv, Control 0.397
76 Elf. Red , •
Control Surviving o
Original 0
Wuoriginsl (mg)
0 Surviving tP
Original 4
Wuorlglnal (mg)
0 Surviving t
Original t1
Wt/orlglnal (mg)
Surviving 9
Original 4
WUodginal (mg)
18 Surviving #
Onginat N
WI/original (mq)
8
10
9
8
10
1 10
10
1 10
0.310
1 0.329
0.369
1 0.379
10
10
10 i 9
10
1 10
10 10
0.200 1
0.240
1 0,314 0.304
9 10 9 10
10 10 10 10
0.274 0.302 0.353 0.333
9 1 10
1 9
9
10 10
10
10
0.333 0.328
0,298
1 0.318
8
9
10
9
10
10
10
10
0.329
0.252
0.310
0.294
32 Surviving S 10 0 9 10
Original a 10 10 10 10
Moriginat (mg) 0.322 0.339 0.342 j 0.356
Water Guallgr Data
Control
PH (SU) Init/Fin
00 (MOIL) Init/Fin
Temp (C) InWFhl
High Concentration
PH (SU) IniuFin
00 (MOIL) IniuFin
Tamp (C) tnitlFin
Sample
Collection Start Date
Grab
Composite (Duraoon)
Conductivity (umhos/om)
Alkalinity (mg1L)
Hardness (mg/L)
Chlorino(mW1.1
Temp at Receipt (IC)
Test Organisms
Cultured In -House
Outside Supplier
Hatch Dale rrimn
DWO Fpm1 AT-5 (WO)
% Survival 40,0
Avg W1 (rrlg) 0.347
% Survival 97,5
Avg W1(mg) 0.312
% Survival 95.0
Avg Wt(mg) 0.323
%e Survival 92.5
Avg Wt (mg) 0.319
% Survival 90 0
Avg Wt (mg) 0.304
% Survival 05,0
Avg Wt (mg) 0.340
Day
0
1
2
3
4
5
6
7
8.2
/ M
7.2
1 7.6
7.0
/ 7A
7.0
1 7.7
7.9
/ 7.8
7.6
/ 7.9
7.9
1 7.6
IM
/ 7.1
8.5
1 no
9.2
1 9.0
8.0
1 7.2
8.3
/ 7A
8.6
/ 7.5
8.2
/ 7.2
0.1
/ 7.4
no
1 8.3
25.1
/ ns
25.3
/ 25.0
25.2
1 24.7
25,3
1 24.9
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1 24.3
25.2
1 25A
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/ 24.4
ro
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r
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7.10
1 7.50
ns /
7,30
8.3
1 no
9.2
/ 8.3
19.1
1 7.7
1 8.0
1 7.8
18.2
1 7.8
18.3
1 7.7
8.3
1 7.1
no 1
7.8
25.2
1 no
25.4
1 25.0
25.5
1 24.7
25.3
/ 24.9
25.2
1 24.3
24.7
/ 25.0
25.2
1 24.4
no /
24.8
0211$100
0211TM
021119/00
24 hm
24 hrs
24 nr9
797
728
1014
50.0
52.o
$1.4
60
54
58
<0.05
1 1.0.05
I c0.05
2.7
1 3.0
1 3.0
control
Hardness 48 rng/L
ka9Mty 39,8 n'9n
X
Conductivity 191 rsenetkrn C❑nduct
02-19-09
/ 11AM-2:30PM
Survival
Growth
Result
Normal We
0.95 yes
0." yes
P855
Hom. Vet B=
1.0 yea
6.97 yes
NOEC
32.0% >
32.O%
Chv= 32.0%
LOEC >
32.0% >
32.0%
�
Criv >
32.0% >
32.0%a
Mathod
Dunn. I Test
Dunn, t Tel!
Cfd thrum
2.55
�W
2.55
Cone.
2.0%
-1.63
1.37
4.0%
-1,06
0.93
6.0%
-O.d9
1.00
10.0%
000
1186
32.6%
_1.06
0.27

06/30/2010 11:33
864877693E
ETT ENVIRONMENTAL
PAGE 03
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Inorganic non-metals
Client: City of Belmont Laboratory ID:SA25079-001
Description: Effluent Matrix: Aqueous
Date Sampled:01125/2017 0850
Date Received:01125/2017
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst
Prep Date Batch
1 350.1
(Ammonia - N ) 350.1
1
02/02/2017 1548 MSG
33383
1
(Hardness (to) SM 2340C-2011
1
01/30/2017 1841 DMA
32967
1
(Nitrate-Nitr) 353.2
10
02/01/2017 1545 MSG
33237
2
(Phosphorus) 365.1
5
02/02/2017 1045 KWP
02/01/2017 1656 33202
1
(TDS) SM 254OC-2011
1
01/26/2017 1140 CLM
32654
1 351.4
(TKN) 351.2
1
02/01/2017 1157 KWP
01/31/2017 1535 33096
Parameter
CAS Analytical
Number Method
Result Q
PQL
Units
Run
Ammonia - N (gas diffusion)
350.1
0.36
0.10
mg1L
1
Hardness (total)
SM 2340C-20
38
10
mg/L
1
Nitrate -Nitrite - N
353.2
8.9
0.20
mg/L
1
Phosphorus
7723-14-0 365.1
0.98
0.050
mg/L
2
TDS
SM 254OC-20
420
10
mg/L
1
TKN
351.2
2.3
0.10
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless Bagged with a -W"
Shealy Environmental Services, Inc. Page: 4 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Semivolatile Organic Compounds by GUMS
Client: City of Belmont Laboratory ID:SA25079.001
Description: Effluent Matrix: Aqueous
Date Sampled:01125/2017 0850
Date Received:01125/2017
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 625 625 1 01/30/2017 1546 RBH 01/27/2017 1140 32766
Parameter
Naphthalene
Nitrobenzene
2-Nitrophenol
4-Nitrophenol
N-Nitrosodi methylami ne
N-Nitrosodi-n-propyla m ine
N-Nitrosodiphenylamine (Diphenylamine)
Pentachlorophenol
Phenanthrene
Phenol
Pyrene
1,2,4-Trichlorobenzene
2,4,6-Trichlorophenol
Surrogate
CAS Analytical
Number
Method
91-20-3
625
98-95-3
625
88-75-5
625
100-02-7
625
62-75-9
625
621-64-7
625
86-30-6
625
87-86-5
625
85-01-8
625
108-95-2
625
129-00-0
625
120-82-1
625
88-06-2
625
Run 1 Acceptance
Q % Recovery Limits
2-Fluorobiphenyl
63
37-129
2-Fluorophenol
35
24-127
Nitrobenzene-d5
65
38-127
Phenol-d5
47
28-128
Terphenyl-d14
48
10-148
2,4,6-Tribromophenol
66
41-144
Result Q
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
PQL
1.6
1.6
3.2
8.0
1.6
1.6
1.6
8.0
1.6
1.6
1.6
1.6
1.6
POL = Practical quantitalion limit 8 = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Units Run
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
Shealy Environmental Services, Inc. Page: 6 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Inorganic non-metals
Client: City of Belmont Laboratory ID:SA25079-002
Description: Effluent Matrix: Aqueous
Date Sampled:01/25/2017 0831
)ate Received:0112512017
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 10-204-00-1-X (Cyanide - To) SM 4500-CN E- 1 02/02/2017 1638 KWP 02/02/2017 1120 33353
1 (Phenolics) 420.4 1 01/27/2017 2207 MSG 01/26/2017 1441 32698
1 (HEM (oil and) 1664B 1 01/31/2017 1134 JMM 33049
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Cyanide - Total
57-12-5 SM 4500-CN
0.013
0.010
mg/L
1
Phenolics
420.4
ND
0.020
mg/L
1
HEM (oil and grease)
1664E
ND
4.4
mg/L
1
PQL = Practical quan6lation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
NO = Not Detected at or above the PQL J = Estimated result - PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Shealy Environmental Services, Inc. Page: 8 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Sample Summary
City of Belmont
Lot Number: SC17044
Sample Number
Sample ID
Matrix
Date Sampled
Date Received
001
Effluent Comp
Aqueous
03!1312017 0858
03/172017
D02
Upstream
Aqueous
03/1320171128
03/172017
003
Effluent Comp
Aqueous
03/142017 0861
03/172017
004
Upstream
Aqueous
03/1420171044
031172017
005
Effluent Comp
Aqueous
03/152017 0848
03/172017
006
Effluent Comp
Aqueous
03/162017 0853
03/172017
007
Upstream
Aqueous
03116/20171117
03/172017
008
Effluent Comp
Aqueous
03/172017 0840
03/172017
009
Upstream
Aqueous
03/172017 0847
03/172017
010
Upstream
Aqueous
03;WI20171115
03/172017
(10 samples)
is
Client City of Belmont Laboratory ID:SC17044-001
Description: Effluent Comp Matrix: Aqueous
Date Sampied:0311312017 0858
Date Received:011712017
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Hardness (to) SM 234OC-2011 1 03242017 0955 BWS 37971
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Hardness (total) SM 234OC-20 37 10 mg/L 1
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
A (Hardness (to) SM 234OC-2011 1 03242017 0955 BWS 37971
GAS Analytical
Parameter Number Method Result Q PQL Units Run
Hardness (total) SM 2340C-20 20 10 mg/L 1
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Hardness (to) SM 234OC-2011 1 03242017 0955 BWS 37971
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Hardness (total) SM 234OC-20 33 10 mg/L 1
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Hardness (to) SM 234OC-2011 1 03242D17 D955 BWS 37971
CAS Analytical
Parameter Number Mp.&hod Result Q P©L Units Run
Hardness (total) SM 234OC-20 22 10 mg/L 1
Client:City of Belmont Laboratory ID: SC17044-005
Description: Effluent Comp Matrix: Aqueous
Date SampledIW1512017 0848
)ate Received:031172017
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Hardness (to) SM 234OC-2011 1 03242017 0955 BWS 37971
CAS Analytical
Parameter Number Method Result 0 PQL Units Run
Hardness (total) 5M 234OC-20 33 10 mg/L 1

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: PE07095
Sample Number Sample ID Matrix Data Sampled Date Received
001 Effluent Aqueous 05/07/2014 0915 05/07/2014
002 Effluent Aqueous 05/07/2014 0922 05/07/2014
(2 samples)
Shealy Environmental Services, Inc. Page: 3 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Reportv2.1

Inorganic non-metals
Client:City of Belmont Laboratory ID: PE07095-001
Description: Effluent Matrix: Aqueous
Date Sampled:05/07/2014 0915
Date Received:05/07/2014
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 350.1
(Ammonia - N) 350.1
1 05/16/2014 1257 BLB
05/14/2014 1558
46767
1
(Hardness (to) SM 2340C-2011
5 05/19/2014 1920 TAF
47249
1
(Nitrate-Nitr) 353.2
20 05/08/2014 1753 AKW
46460
1
(Phosphorus) 365.1
10 05/24/2014 1500 NCM
05/23/2014 1628
47416
1
(TDS) SM 2540C-2011
1 05/12/2014 1608 AKG
46588
1 351.4
(TKN) 351.2
1 05/15/2014 1423 NCM
05/13/2014 1500
46666
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Ammonia - N (phenate)
350.1
0.35
0.10
mg/L
1
Hardness (total)
SM 2340C-20
52
50
mg/L
1
Nitrate -Nitrite - N
353.2
32
0.40
mg/L
1
Phosphorus
7723-14-0 365.1
4.7
0.10
mg/L
1
TDS
SM 254OC-20
680
10
mg/L
1
TKN
351.2
1.9
0.10
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
NO = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a'W'
Shealy Environmental Services, Inc. Page: 4 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

Semivolatile Organic Compounds by GC/MS
Client: City of Belmont Laboratory ID: PE07095-001
Description: Effluent Matrix: Aqueous
Date Sampled:05/07/2014 0915
Date Received:05107/2014
Run Prep Method
Analytical Method Dilution Analysis Date
Analyst
Prep Date
Batch
1 625
625 1 05/13/20141828 DRB1
05/09/20141212
46479
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Acenaphthene
83-32-9
625
ND
2.0
ug/L
1
Acenaphthylene
208-96-8
625
ND
2.0
ug/L
1
Anthracene
120-12-7
625
ND
2.0
ug/L
1
Benzidine
92-87-5
625
ND
10
ug/L
1
Benzo(a)anthracene
56-55-3
625
ND
2.0
ug/L
1
Benzo(a)pyrene
50-32-8
625
ND
2.0
ug/L
1
Benzo(b)fluoranthene
205-99-2
625
ND
2.0
ug/L
1
Benzo(g,h,i)perylene
191-24-2
625
ND
2.0
ug/L
1
Benzo(k)fluoranthene
207-08-9
625
ND
2.0
ug/L
1
4-Bromophenyl phenyl ether
101-55-3
625
ND
2.0
ug/L
1
Butyl benzyl phthalate
85-68-7
625
ND
10
ug/L
1
4-Chloro-3-methyl phenol
59-50-7
625
ND
2.0
ug/L
1
bis(2-Chloroethoxy)methane
111-91-1
625
ND
2.0
ug/L
1
bis(2-Chloroethyl)ether
111-44-4
625
ND
2.0
ug/L
1
bis(2-Chloroisopropyl)ether
108-60-1
625
ND
2.0
ug/L
1
2-Chloronaphthalene
91-58-7
625
ND
2.0
ug/L
1
2-Chlorophenol
95-57-8
625
ND
2.0
ug/L
1
4-Chlorophenyl phenyl ether
7005-72-3
625
ND
2.0
ug/L
1
Chrysene
218-01-9
625
ND
2.0
ug/L
1
Dibenzo(a,h)anthracene
53-70-3
625
ND
2.0
ug/L
1
1,2-Dichlorobenzene
95-50-1
625
ND
2.0
ug/L
1
1,3-Dichlorobenzene
541-73-1
625
ND
2.0
ug/L
1
1,4-Dichlorobenzene
106-46-7
625
ND
2.0
ug/L
1
3,3'-Dichlorobenzidine
91-94-1
625
ND
10
ug/L
1
2,4-Dichlorophenol
120-83-2
625
ND
2.0
ug/L
1
Diethylphthalate
84-66-2
625
ND
10
ug/L
1
Dimethyl phthalate
131-11-3
625
ND
10
ug/L
1
2,4-Dimethylphenol
105-67-9
625
ND
2.0
ug/L
1
Di-n-butyl phthalate
84-74-2
625
ND
10
ug/L
1
4,6-Dinitro-2-methyl phenol
534-52-1
625
ND
10
ug/L
1
2,4-Dinitrophenol
51-28-5
625
ND
10
ug/L
1
2,4-Dinitrotoluene
121-14-2
625
ND
4.0
ug/L
1
2,6-Dinitrotoluene
606-20-2
625
ND
4.0
ug/L
1
Di-n-octylphthalate
117-84-0
625
ND
10
ug/L
1
1,2-Diphenylhydrazine(as azobenzene) 103-33-3
625
ND
2.0
ug/L
1
bis(2-Ethylhexyl)phthalate
117-81-7
625
ND
10
ug/L
1
Fluoranthene
206-44-0
625
ND
2.0
ug/L
1
Fluorene
86-73-7
625
ND
2.0
ug/L
1
Hexachlorobenzene
118-74-1
625
ND
2.0
ug/L
1
Hexachlorobutadiene
87-68-3
625
ND
2.0
ug/L
1
Hexachlorocyclopentadiene
77-47-4
625
ND
10
ug/L
1
Hexachloroethane
67-72-1
625
ND
2.0
ug/L
1
Indeno(1,2,3-c,d)pyrene
193-39-5
625
ND
2.0
ug/L
1
Isophorone
78-59-1
625
ND
2.0
ug/L
1
PQL = Practical quantitation limit
B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL
J = Estimated result < PQL and > MOIL P = The RPD between two GC columns
exceeds 40 %
N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless Flagged with a' W'
Shealy Environmental Services, Inc.
Page: 5 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone]
www,shealylab.com
Level 1 Report v2.1

Client: City of Belmont
Description: Effluent
Date Sampled:05/07/2014 0915
Date Received: 05/0712014
Semivolatile Organic Compounds by GC/MS
Laboratory ID: PE07095-001
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 625 625 1 05/13/20141828 DRB1 05/09/20141212 46479
Parameter
Naphthalene
Nitrobenzene
2-Nitrophenol
4-Nitrophenol
N-Nitrosodimethylamine
N-Nitrosodi-n-propylamine
N-Nitrosodiphenylamine (Diphenylamine)
Pentachlorophenol
Phenanthrene
Phenol
Pyrene
1, 2,4-Trichlorobenzene
2,4,6-Trichlorophenol
Surrogate
2-Fluorobiphenyl
2-Fluorophenol
Nitrobenzene-d5
Phenol-d5
Terphenyl-d14
2,4,6-Tribromophenol
CAS
Analytical
Number
Method
91-20-3
625
98-95-3
625
88-75-5
625
100-02-7
625
62-75-9
625
621-64-7
625
86-30-6
625
87-86-5
625
85-01-8
625
108-95-2
625
129-00-0
625
120-82-1
625
88-06-2
625
Run
1 Acceptance
Q % Recovery Limits
78
37-129
70
24-127
70
38-127
71
28-128
57
10-148
90
41-144
Result Q
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
PQL
2.0
2.0
4.0
10
2.0
2.0
2.0
10
2.0
2.0
2.0
2.0
2.0
Units Run
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the POL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported an a dry weight basis unless flagged with a'W'
Shealy Environmental Services, Inc. Page: 6 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

ICP-MS
Client: City of Belmont Laboratory ID: PE07095-001
Description: Effluent Matrix: Aqueous
Date Sampled:05/07/2014 0916
)ate Received:05/07/2014
Run Prep Method
1 200.2
2 200.2
Analytical Method Dilution Analysis Date Analyst
200.8 1 05/08/2014 2014 CDF
200.8 1 05/09/2014 1925 CDF
Prep Date
05/08/2014 0957
05/08/2014 0957
Batch
46363
46363
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Antimony
7440-36-0 200.8
8.8
1.0
ug/L
1
Arsenic
7440-38-2 200.8
12
1.0
ug/L
1
Beryllium
7440-41-7 200.8
ND
0.40
ug/L
1
Cadmium
7440-43-9 200.8
ND
0.10
ug/L
1
Chromium
7440-47-3 200.8
ND
5.0
ug/L
1
Copper
7440-50-8 200.8
20
1.0
ug/L
2
Lead
7439-92-1 200.8
ND
1.0
ug/L
1
Nickel
7440-02-0 200.8
ND
5.0
ug/L
1
Selenium
7782-49-2 200.8
1.5
1.0
ug/L
1
Silver
7440-22-4 200.8
ND
1.0
ug/L
1
Thallium
7440-28-0 200.8
ND
0.50
ug/L
2
Zinc
7440-66-6 200.8
130
10
ug/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitalion of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > M DL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W'
Shealy Environmental Services, Inc. Page: 7 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

Inorganic non-metals
Client:City of Belmont Laboratory ID: PE07095-002
Description: Effluent Matrix: Aqueous
Date Sampled:05/07/2014 0922
Date Received:05/07/2014
Run Prep Method
Analytical Method
Dilution Analysis Date
Analyst Prep Date
Batch
1 10-204-00-1-X
(Cyanide - To) SM 4500-CN E-
1 05/17/2014 1800
NCM 05/17/2014 1340
46817
1
(Phenolics) 420.4
1 05/19/2014 2107
TAF 05/14/2014 1505
46761
1
(HEM (oil and) 1664B
1 05/15/2014 0025
TDT
46783
CAS Analytical
Parameter
Number Meth!2d
Result Q
PQL
Units
Run
Cyanide - Total
57-12-5 SM 4500-CN
0.011
0.010
mg/L
1
Phenolics
420.4
ND
0.020
mg/L
1
HEM (oil and grease)
1664B
6.4
4.7
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
NO = Not detected at or above the PQL J = Estimated result < PQL and > MOIL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all sail sample analysis are reported on a dry weight basis unless flagged with a' W'
Shealy Environmental Services, Inc. Page: 8 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

Volatile Organic Compounds by GC/MS
Client:City of Belmont Laboratory ID: PE0709"02
Description: Effluent Matrix: Aqueous
Date Sampled:05/07/2014 0922
Date Received:05/0712014
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 5030B 624 1 05/13/2014 2129 PMM2 46702
Parameter
CAS
Number
Analytical
Method
Result Q
PQL
Units
Run
Acrolein
107-02-8
624
ND
50
ug/L
1
Acrylonitrile
107-13-1
624
ND
50
ug/L
1
Benzene
71-43-2
624
ND
5.0
ug/L
1
Bromodichloromethane
75-27-4
624
ND
5.0
ug/L
1
Bromoform
75-25-2
624
ND
5.0
ug/L
1
Bromomethane (Methyl bromide)
74-83-9
624
ND
5.0
ug/L
1
Carbon tetrachloride
56-23-5
624
ND
5.0
ug/L
1
Chlorobenzene
108-90-7
624
ND
5.0
ug/L
1
Chloroethane
75-00-3
624
ND
5.0
ug/L
1
2-Chloroethylvinylether
110-75-8
624
ND
10
ug/L
1
Chloroform
67-66-3
624
5.7
5.0
ug/L
1
Chloromethane (Methyl chloride)
74-87-3
624
ND
5.0
ug/L
1
Dibromochloromethane
124-48-1
624
ND
5.0
ug/L
1
1,1-Dichloroethane
75-34-3
624
ND
5.0
ug/L
1
1,2-Dichloroethane
107-06-2
624
ND
5.0
ug/L
1
1,1-Dichloroethene
75-35-4
624
ND
5.0
ug/L
1
trans-1,2-Dichloroethene
156-60-5
624
ND
5.0
ug/L
1
1,2-Dichloropropane
78-87-5
624
ND
5.0
ug/L
1
cis-1,3-Dichloropropene
10061-01-5
624
ND
5.0
ug/L
1
trans-1,3-Dichloropropene
10061-02-6
624
ND
5.0
ug/L
1
Ethylbenzene
100-41-4
624
ND
5.0
ug/L
1
Methylene chloride
75-09-2
624
ND
5.0
ug/L
1
1,1,2,2-Tetrachloroethane
79-34-5
624
ND
5.0
ug/L
1
Tetra chloroethene
127-18-4
624
ND
5.0
ug/L
1
Toluene
108-88-3
624
ND
5.0
ug/L
1
1,1,1-Trichloroethane
71-55-6
624
ND
5.0
ug/L
1
1,1,2-Trichloroethane
79-00-5
624
ND
5.0
ug/L
1
Trichloroethene
79-01-6
624
ND
5.0
ug/L
1
Vinyl chloride
75-01-4
624
ND
5.0
ug/L
1
Surrogate
Run 1 Acceptance
Q % Recovery Limits
1,2-Dichloroethane-d4 105 70-130
Bromofluorobenzene 102 70-130
Toluene-d8 112 70-130
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless Flagged with a'W'
Shealy Environmental Services, Inc. Page: 9 of 9
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SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: OB07109
Sample Number Sample ID Matrix Date Sampled Date Received
001 Effluent Aqueous 02/07/2013 0930 02/07/2013
002 Effluent Aqueous 02/07/2013 0935 02/07/2013
(2 samples)
Shealy Environmental Services, Inc. Page: 3 of 9
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Inorganic non-metals
Client: City of Belmont Laboratory ID: OB07109-001
Description: Effluent Matrix: Aqueous
Date Sampled:02107/2013 0930
)ate Received:02/07/2013
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst
Prep Date
Batch
1 SM4500-NH3
(Ammonia - N ) 350.1
1
02/20/2013 1029 MML
02/19/2013 0900
14382
1
(Hardness (to) SM 2340C-
1
02/08/2013 1015 KMB
13636
1
(Nitrate-Nitr) 353.2
50
02/19/2013 1706 HBB
14478
1
(Phosphorus) 365.1
10
02/14/2013 1644 MML
02/13/2013 1630
14085
1
(TDS) SM 2540C-2011
1
02/14/2013 0814 KES
14051
1 351.4
(TKN) 351.2
1
02/19/2013 1614 MML
02/18/2013 1319
14334
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Ammonia - N (phenate)
350.1
0.37
0.10
mg/L
1
Hardness (total)
SM 2340C-20
50
10
mg/L
1
Nitrate -Nitrite - N
353.2
18
1.0
mg/L
1
Phosphorus
7723-14-0 365.1
3.0
0.10
mg/L
1
TDS
SM 264OC-20
640
10
mg/L
1
TKN
351.2
0.68
0.10
mg1L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time Q = Surrogate failure
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria L = LCSILCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W' S = MS/MSD failure
Shealy Environmental Services, Inc. Page: 4 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Reportv2.1

h
Semivolatile Organic Compounds by GC/MS
Client: City of Belmont Laboratory ID: OB07109-001
Description: Effluent Matrix: Aqueous
Date Sampled:02/07/2013 0930
Date Received: 02107/2013
Run Prep Method
Analytical Method Dilution Analysis Date
Analyst
Prep Date
Batch
1 625
625 2 02/14/20131730
RBH
02/11/20131013
13738
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Acenaphthene
83-32-9
625
ND
2.0
ug/L
1
Acenaphthylene
208-96-8
625
ND
2.0
ug/L
1
Anthracene
120-12-7
625
ND
2.0
ug/L
1
Benzidine
92-87-5
625
ND
10
ug/L
1
Benzo(a)anthracene
56-55-3
625
ND
2.0
ug/L
1
Benzo(a)pyrene
50-32-8
625
ND
2.0
ug/L
1
Benzo(b)fluoranthene
205-99-2
625
ND
2.0
ug/L
1
Benzo(g,h,i)perylene
191-24-2
625
ND
2.0
ug/L
1
Benzo(k)fluoranthene
207-08-9
625
ND
2.0
ug/L
1
4-Bromophenyl phenyl ether
101-55-3
625
ND
2.0
ug/L
1
Butyl benzyl phthalate
85-68-7
625
ND
10
ug/L
1
4-C hloro-3-m ethyl phenol
59-50-7
625
ND
2.0
ug/L
1
bis(2-Chloroethoxy)methane
111-91-1
625
ND
2.0
ug/L
1
bis(2-Chloroethyl)ether
111-44-4
625
ND
2.0
ug/L
1
bis(2-Chloroisopropyl)ether
108-60-1
625
ND
2.0
ug/L
1
2-Chloronaphthalene
91-58-7
625
ND
2.0
ug/L
1
2-Chlorophenol
95-57-8
625
ND
2.0
ug/L
1
4-Chlorophenyl phenyl ether
7005-72-3
625
ND
2.0
ug/L
1
Chrysene
218-01-9
625
ND
2.0
ug/L
1
Dibenzo(a,h)anthracene
53-70-3
625
ND
2.0
ug/L
1
1,2-Dichlorobenzene
95-50-1
625
ND
2.0
ug/L
1
1,3-Dichlorobenzene
541-73-1
625
ND
2.0
ug/L
1
1,4-Dichlorobe nzene
106-46-7
625
ND
2.0
ug/L
1
3,3'-Dichlorobenzidine
91-94-1
625
ND
10
ug/L
1
2,4-Dichlorophenol
120-83-2
625
ND
2.0
ug/L
1
Diethyl phthalate
84-66-2
625
ND
10
ug/L
1
Dimethyl phthalate
131-11-3
625
ND
10
ug/L
1
2,4-Dimethylphenol
105-67-9
625
ND L
2.0
ug/L
1
Di-n-butyl phthalate
84-74-2
625
ND
10
ug/L
1
4,6-Dinitro-2-methyl phenol
534-52-1
625
ND
10
ug/L
1
2,4-Dinitrophenol
51-28-5
625
ND
10
ug/L
1
2,4-Dinitrotoluene
121-14-2
625
ND
4.1
ug/L
1
2,6-Dinitrotoluene
606-20-2
625
ND
4.1
ug/L
1
Di-n-octylphthalate
117-84-0
625
ND
10
ug/L
1
1,2-Diphenylhydrazine(as azobenzene)
103-33-3
625
ND
2.0
ug/L
1
bis(2-Ethylhexyl)phthalate
117-81-7
625
ND
10
ug/L
1
Fluoranthene
206-44-0
625
ND
2.0
ug/L
1
Fluorene
86-73-7
625
ND
2.0
ug/L
1
Hexachlorobenzene
118-74-1
625
ND
2.0
ug/L
1
Hexachlorobutadiene
87-68-3
625
ND
2.0
ug/L
1
Hexachlorocyclopentadiene
77-47-4
625
ND
10
ug/L
1
Hexachloroethane
67-72-1
625
ND
2.0
ug/L
1
Indeno(1,2,3-c,d)pyrene
193-39-5
625
ND
2.0
ug/L
1
Isophorone
78-59-1
625
ND
2.0
ug/L
1
PQL = Practical quantitation limit
B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
Q = Surrogate failure
ND = Not detected at or above the PQL
J = Estimated result < PQL and ? MDL P = The RPD between two GC columns exceeds 40%
N = Recovery is out of criteria
L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported an a dry weight basis unless flagged with a' W'
S = MS/MSD failure
Shealy Environmental Services, Inc.
Page: 5 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone]
www.shealylab.com
Level
1 Reportv2.1

Semivolatile Organic Compounds by GC/MS
Client: City of Belmont Laboratory ID: OB07109-001
Description: Effluent Matrix: Aqueous
Date Sampled:02/07/2013 0930
Date Received: 02/0712013
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 625 625 2 02/14/20131730 RBH 02/11/20131013 13738
CAS
Analytical
Parameter
Number
Method
Result Q
PQL
Units
Run
Naphthalene
91-20-3
625
ND
2.0
ug/L
1
Nitrobenzene
98-95-3
625
ND
2.0
ug/L
1
2-Nitrophenol
88-75-5
625
ND
4.1
ug/L
1
4-Nitrophenol
100-02-7
625
ND
10
ug/L
1
N-Nitrosodimethylamine
62-75-9
625
ND
2.0
ug/L
1
N-Nitrosodi-n-propylamine
621-64-7
625
ND
2.0
ug/L
1
N-Nitrosodiphenylamine (Diphenylamine)
86-30-6
625
ND
2.0
ug/L
1
Pentachlorophenol
87-86-5
625
ND
10
ug/L
1
Phenanthrene
85-01-8
625
ND
2.0
ug/L
1
Phenol
108-95-2
625
ND
2.0
ug/L
1
Pyrene
129-00-0
625
ND
2.0
ug/L
1
1,2,4-Trichlorobenzene
120-82-1
625
ND
2.0
ug/L
1
2,4,6-Trichlorophenol
88-06-2
625
ND
2.0
ug/L
1
Run
1 Acceptance
Surrogate
Q % Recovery Limits
2,4,6-Tribromophenol
52
41-144
Phenol-d5
51
28-128
Nitrobenzene-d5
51
38-127
2-Fluorobiphenyl
47
37-129
2-Fluorophenol
44
24-127
Terphenyl-dl4
39
10-148
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitalion of compound exceeded the calibration range H = Out of holding time Q = Surrogate failure
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W' S = MS/MSD failure
Shealy Environmental Services, Inc. Page: 6 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Reportv2.1

ICP-MS
Client: City of Belmont Laboratory ID: OB07109-001
Description: Effluent Matrix: Aqueous
Date Sampled:02/07/2013 0930
Date Received:02/07/2013
Run Prep Method
1 200.2
2 200.2
Analytical Method Dilution Analysis Date Analyst
200.8 1 02/08/2013 2126 CDF
200.8 1 02/12/20131040 CDF
Prep Date
02/08/2013 1048
02/08/20131048
Batch
13601
13601
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Antimony
7440-36-0 200.8
9.4
1.0
ug/L
2
Arsenic
7440-38-2 200.8
ND
1.0
ug/L
1
Beryllium
7440-41-7 200.8
ND
0.40
ug/L
1
Cadmium
7440-43-9 200.8
ND
0.10
ug/L
1
Chromium
7440-47-3 200.8
ND
5.0
ug/L
1
Copper
7440-50-8 200.8
22
1.0
ug/L
1
Lead
7439-92-1 200.8
ND
1.0
ug/L
1
Nickel
7440-02-0 200.8
ND
5.0
ug/L
1
Selenium
7782-49-2 200.8
ND
1.0
ug/L
1
Silver
7440-22-4 200.8
ND
1.0
ug/L
1
Thallium
7440-28-0 200.8
ND
0.50
ug/L
1
Zinc
7440-66-6 200.8
160
10
ug/L
1
PQL = Practical quanlitation limit 6 = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time 0 = Surrogate failure
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W' S = MS/MSD failure
Shealy Environmental Services, Inc. Page: 7 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

Inorganic non-metals
Client: City of Belmont Laboratory ID: OB07109-002
Description: Effluent Matrix: Aqueous
Date Sampled:02/07/2013 0935
)ate Received:02107/2013
Run Prep Method Analytical Method
Dilution
Analysis Date
Analyst
Prep Date Batch
1 10-204-00-1-X (Cyanide -To) SM 4500-CN
1
02/14/2013 0059
MML
02/13/2013 1205 13908
1 (Phenolics) 420.4
1
02/19/2013 2348
HBB
02/19/2013 1100 14383
1 (HEM (oil and) 1664B
1
02/18/2013 0953
AJK
14258
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Cyanide - Total
57-12-5 SM 4500-CN
ND
0.010
mg/L
1
Phenolics
420.4
0.025
0.020
mg/L
1
HEM (oil and grease)
1664E
ND
4.5
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time Q = Surrogate failure
NO = Not detected at or above the PQL J = Estimated result � PQL and � MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless Flagged with a' W' S = MS/MSD failure
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Volatile Organic Compounds by GC/MS
Client: City of Belmont Laboratory ID: OB07109-002
Description: Effluent Matrix: Aqueous
Date Sampled:0210712013 0935
Date Received:02107/2013
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 5030B 624 1 02/11/2013 2251 JAC 13826
Parameter
CAS
Number
Analytical
Method
Result Q
PQL
Units
Run
Acrolein
107-02-8
624
ND
50
ug/L
1
Acrylonitrile
107-13-1
624
ND
50
ug/L
1
Benzene
71-43-2
624
ND
5.0
ug/L
1
Bromodichloromethane
75-27-4
624
ND
5.0
ug/L
1
Bromoform
75-25-2
624
ND
5.0
ug/L
1
Bromomethane (Methyl bromide)
74-83-9
624
ND
5.0
ug/L
1
Carbon tetrachloride
56-23-5
624
ND
5.0
ug/L
1
Chlorobenzene
108-90-7
624
ND
5.0
ug/L
1
Chloroethane
75-00-3
624
ND
5.0
ug/L
1
2-Chloroethylvinylether
110-75-8
624
ND
10
ug/L
1
Chloroform
67-66-3
624
ND
5.0
ug/L
1
Chloromethane (Methyl chloride)
74-87-3
624
ND
5.0
ug/L
1
Dibromochloromethane
124-48-1
624
ND
5.0
ug/L
1
1,1-Dichloroethane
75-34-3
624
ND
5.0
ug/L
1
1,2-Dichloroethane
107-06-2
624
ND
5.0
ug/L
1
1,1-Dichloroethene
75-35-4
624
ND
5.0
ug/L
1
trans-1,2-Dichloroethene
156-60-5
624
ND
5.0
ug/L
1
1,2-Dichloropropane
78-87-5
624
ND
5.0
ug/L
1
cis-1,3-Dichloropropene
10061-01-5
624
ND
5.0
ug/L
1
trans-1,3-Dichloropropene
10061-02-6
624
ND
5.0
ug/L
1
Ethylbenzene
100-41-4
624
ND
5.0
ug/L
1
Methylene chloride
75-09-2
624
ND
5.0
ug/L
1
1,1,2,2-Tetrachloroethane
79-34-5
624
ND
5.0
ug/L
1
Tetra chloroethene
127-18-4
624
ND
5.0
ug/L
1
Toluene
108-88-3
624
ND
5.0
ug/L
1
1,1,1-Trichloroethane
71-55-6
624
ND
5.0
ug/L
1
1,1,2-Trichloroethane
79-00-5
624
ND
5.0
ug/L
1
Trichloroethene
79-01-6
624
ND
5.0
ug/L
1
Vinyl chloride
75-01-4
624
ND
5.0
ug/L
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
1,2-Dichloroethane-d4 102 52-138
Bromofluorobenzene 96 70-147
Toluene-d8 92 76-125
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time Q = Surrogate failure
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W' S = MS/MSD failure
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SHEALY ENVIRONMENTAL SERVICES, INC. _qA
Report of Analysis
City of Belmont
PO Box 431
Belmont, NC 28012
Attention: Sandra Edwards
Project Name: NPDES 2A Renewal
Lot Number:KE21057
Date Completed:06/02/2009
R. Brooke Montgomery
Project Manager
nel 6.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
The following non -paginated documents are considered part of this report: Chain of Custody Record and Sample Receipt Checklist.
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SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010 NELAC No: E87653 NC DEHNR No: 329
Case Narrative
City of Belmont
Lot Number: KE21057
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample
receiving date is documented in the header information associated with each sample.
Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the
Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPs), and Shealy
policies. Any exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page.
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SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: KE21057
Sample Number Sample ID Matrix Date Sampled Date Received
001 Pipe 001 Eff Aqueous 05/21/2009 1130 05/21/2009
002 Pipe 001 Eff Aqueous 05/21/2009 1200 05/21/2009
(2 samples)
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'
SHEALY ENVIRONMENTAL SERVICES, INC.
Executive Summary
City of Belmont
Lot Number: KE21067
Sample Sample ID
Matrix
Parameter
Method
Result Q
Units
Page
001
Pipe 001 Eff
Aqueous
Ammonia - N (phenate)
350.1
0.33
mg/L
5
001
Pipe 001 Eff
Aqueous
BOD, 5 day
SM 5210B
4.8
mg/L
5
001
Pipe 001 Eff
Aqueous
Hardness (total)
SM 2340C
68
mg/L
5
001
Pipe 001 Eff
Aqueous
Nitrate -Nitrite - N
, 53 2
20
mg/L
5
001
Pipe 001 Eff
Aqueous
Phosphorus
365.1
3.4
mg/L
5
001
Pipe 001 Eff
Aqueous
TDS
SM 2540C
630
01911_
5
001
Pipe 001 Eff
Aqueous
TKN
351.2
0.98
mg/L
5
001
Pipe 001 Eff
Aqueous
TSS
SM 2540D
9.5
mg/L
5
001
Pipe 001 Eff
Aqueous
Antimony
200.8
5.8
ug/L
7
001
Pipe 001 Eff
Aqueous
Cadmium
200.8
0.13
ug/L
7
001
Pipe 001 Eff
Aqueous
Copper
200.8
16
ug/L
7
001
Pipe 001 Eff
Aqueous
Zinc
200.8
140
ug/L
7
001
Pipe 001 Eff
Aqueous
Mercury
245.1
0.0088
mg/L
7
002
Pipe 001 Eff
Aqueous
Phenolics
420.4
0.015
ing:L
8
002
Pipe 001 Eff
Aqueous
Fecal Coliform-MF
SM 9222D
64
COV100
8
002
Pipe 001 Eff
Aqueous
Bromodichloromethane
32606
2.4
ug/L
8
002
Pipe 001 Eff
Aqueous
Chloroform
3260B
34
ug/L
8
(17 detections)
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Client: City of Belmont Laboratory ID: KE21057-001
description: Pipe 001 Eff Matrix: Aqueous
Date Sampled:05121/20091130
Date Received:0512112009
Inorganic non-metals
_
Run
Prep Method Analytical Method
Dilution Analysis Date
Analyst
Prep Date
Batch
1
SM4500-NH3 (Ammonia - N ) 350.1
1
05/29/2009 2223
MML
05/29/2009 1450
11532
1
(BOD, 5 day) SM 5210B
1
05/27/2009 0936
SAM
05/22/2009 0826
5031
1
(Hardness (to) SM
1
05/27/2009 2134
SLH
11436
1
(Nitrate-Nitr) 353.2
10
06/01/2009 1911
WD
11661
1
(Phosphorus) 366.1
10
06/02/2009 1317
MML
05/27/2009 1916
11412
1
(TDS) SM 2540C
1
05/28/2009 0925
HBB
11447
1
351.4 (TKN) 351.2
1
05/29/2009 1121
MML
05/28/2009 1100
11446
1
(TSS) SM 2540D
1
05/25/2009 1005
HBB
11219
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Ammonia - N (phonate)
360.1
0.33
0.10
mg/L
_
1
SOD, 5 day
SM 5210B
4.8
2.0
mg/L
1
Hardness (total)
SM 2340C
68
10
mg/L
1
Nitrate -Nitrite - N
353.2
20
0.20
mg1L
1
Phosphorus
7723-14-0 365.1
3A
0.10
mg/L
1
TDS
SM 2540C
630
10
mg/L
1
TKN
351.2
0.98
0.50
mg/L
1
TSS
SM 2640D
9.5
5.0
mg1L
1
Semivolatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst
Prep Date Batch
1 3520C
8270C 1 05/29/20091656 DC
05/26/20091430 11321
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Acenaphthene
83-32-9 8270C
ND
1.0
ug/L
1
Acenaphthylene
208-96-8 8270C
ND
1.0
ug/L
1
Anthracene
120-12-7 8270C
ND
1.0
ug/L
1
Benzidine
92-87-5 8270C
ND
5.0
ug/L
1
Benzo(a)anthracene
56-55-3 8270C
ND
1.0
ug/L
1
Benzo(a)pyrene
50-32-8 8270C
ND
1.0
ug/L
1
Benzo(b)fluoranthene
205-99-2 8270C
ND
1.0
ug/L
1
Benzo(g,h,i)perylene
191-24-2 8270C
ND
1.0
ug/L
1
Benzo(k)fluoranthene
207-08-9 8270C
ND
1.0
ug/L
1
4-8romophenyl phenyl ether
101-55-3 8270C
ND
1.0
ug/L
1
Butyl benzyl phthalate
85-68-7 8270C
ND
5.0
ug/L
1
4-Chloro-3-methyl phenol
59-00-7 8270C
ND
1.0
ug/L
1
bis(2-Chloroethoxy)methane
111-91-1 8270C
ND
1.0
ug/L
1
bis(2-Chioroethyl)ether
111-44-4 8270C
ND
1.0
ug/L
1
bis(2-Chloroisopropyi)ether
108-60-1 8270C
ND
1.0
ug/L
1
ronaphthalene
91-58-7 8270C
ND
1.0
ug/L
1
-Chlorophenol
95-57-8 8270C
ND
1.0
ug/L
1
4-Chlorophenyl phenyl ether
7005-72-3 8270C
ND
1.0
ug/L
1
PQL = Practical quantitation limit
8 = Detected In the method blank
E = Quantization of compound exceeded the calibration range
ND = Not detected at or above the PQL
J = Estimated result < PQL and 2 MDL
P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W'
N = Recovery is out of criteria
H = Out of holding time
Shealy Environmental Services, Inc.
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Level 1 Report v2.1

Client: City of Belmont Laboratory ID: KE21057-001
Description: Pipe 001 Eff Matrix: Aqueous
Date Sampled:05121120091130
Date Received:05/21/2009
Semivolatile Organic Compounds by GUMS
Run Prep Method Analytical Method Dilution Analysis Date
Analyst
Prep Date
Batch
1 3520C
8270C 1 05/29/20091656
DC
05/26120091430
11321
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Chrysene
218-01-9
8270C
ND
1.0
ug/L
1
Di-n-butyl phthalate
84-74-2
8270C
ND
5.0
ug/L
1
Di-n-octylphthalate
117-84-0
8270C
ND
5.0
ug/L
1
Dibenzo(a,h)anthracene
53-70-3
8270C
ND
1.0
ug/L
1
3,3'-Dichlorobenzidine
91-94-1
8270C
ND
5.0
ug/L
1
2,4-Dieht❑roplrenol '
120-83-2
8270C
ND
1.0
ug/L
1
Nethylphthafafe
84-66-2
8270C
ND
5.0
ug/L
1
Dimefflyi-phtbalatE-
131-11-3
8270C
ND
5.0
ug/L
1
2,4-Dimethylphenol
105-67-9
8270C
ND
1.0
ug/L
1
4,6-Dinitro-2-methylphenol
534-52-1
8270C
ND
5.0
ug/L
1
--2.,4-Dinttrt ptWfidl---
51-28-5
8270C
ND
5.0
ug/L
1
2,4-Dinitrotoluene
121-14-2
8270C
ND
2.0
ug/L
1
2,6-Dinitrotoluene
606-20-2
8270C
ND
2.0
ug/L
1
1,2-Diphenylhydrazine(as azobenzene)
103-33-3
8270C
ND
1.0
ug/L
1
bis(2-Ethylhexyl)phthalate
117-81-7
8270C
ND
5.0
ug/L
1
Fluoranthene
206-44-0
8270C
ND
1.0
ug/L
1
Fluorene
86-73-7
8270C
ND
1.0
ug/L
1
Hexachlorobenzene
118-74-1
8270C
ND
1.0
ug/L
1
Hexachlorobutadiene
87-68-3
8270C
ND
1.0
ug/L
1
Hexachlorocyclopentadiene
77474
8270C
ND
5.0
ug/L
1
Hexachloroethane
67-72-1
8270C
ND
1.0
ug/L
1
Indeno(1,2,3-c,d)pyrene
193-39-5
8270C
ND
1.0
ug/L
1
Isophorone
78-59-1
8270C
ND
1.0
ug/L
1
N-Nitrosodi-n-propylamine
621-64-7
8270C
ND
1.0
ug/L
1
N-Nitrosodimethylamine
62-75-9
8270C
ND
1.0
ug/L
1
N-Nitrosodiphenylamine (Diphenylamine)
86-30-6
8270C
ND
1.0
ug/L
1
Naphthalene
91-20-3
8270C
ND
1.0
ug/L
1
Nitrobenzene
98-95-3
8270C
ND
1.0
ug/L
1
2-Nitrophenol
88-75-5
8270C
ND
2.0
ug/L
1
4-Nitrophenol
100-02-7
8270C
ND
5.0
ug/L
1
Pentachlorophenol
87-86-5
8270C
ND
5.0
ug/L
1
Phenanthrene
85-01-8
8270C
ND
1.0
ug/L
1
Phenol
108-95-2
8270C
ND
1.0
ug/L
1
Pyrene ._.___
129-00-0
8270C
ND
1.0
ug/L
1
2,4,6-Trichlorophenoi 88-06-2 8270C ND 1.0 ug/L 1
PQL = Practical quantitation limit 8 = Detected in the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W' N = Recovery is out of criteria H = Out of holding time
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Client: City of Belmont Laboratory ID: KE21057-001
Description: Pipe 001 Eff Matrix: Aqueous
Date Sampled:05121/20091130
)ate Received:0512112009
Run 1
Acceptance
Surrogate
Q % Recovery
Limits
2,4,6-Tribromophenol
78
41-144
2-Fluorobiphenyl
41
37-129
2-Fluorophenol
43
24-127
Nitrobenzene-05
43
38-127
Phenol-d5
48
28-128
Terphenyl-d14
68
10-148
ICP-MS
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 200.2
200.8
1 05/28/2009 0009 FTS
05/25/2009 2030
11270
2 200.2
200.8
10 06/02/2009 0228 KJC
05/25/2009 2030
11270
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Antimony
7440-36-0 200.8
5.8
1.0
uglL
1
Arsenic
7440-38-2 200.8
ND
1.0
ug/L
1
Beryllium
744041-7 200.8
ND
0.40
ug/L
1
Cadmium
7440-43-9 200.8
0.13
0.10
ug/L
1
Chromium
744047-3 200.8
ND
5.0
ug/L
1
Copper
7440-504 200.8
16
1.0
ug/L
1
Lead
7439-92-1 200.8
ND
10
ug/L
2
Nickel
7440-02-0 200.8
ND
5.0
ug/L
1
Selenium
778249-2 200.8
ND
1.0
ug/L
1
Silver
7440-22-4 200.8
ND
1.0
ug/L
1
Thallium
7440-28-0 200.8
ND
0.50
ug/L
1
Zinc
7440-66-6 200.8
140
10
uglL
1
CVAA
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1
245.1
1 05/28/2009 0058 BNW
05/27/2009 1700
11394
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Mercury
7439-97-6 245.1
0.0088
0.0080
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
NO = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W' N - Recovery is out of criteria H = Out of holding time
Shealy Environmental Services, Inc. Page: 7 of 9
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Client:City of Belmont Laboratory ID: KE21057-002
Description: Pipe 001 Eff Matrix: Aqueous
Date Sampled:05121120091200
Date Received:0512112009
Inorganic non-metals
_
Run _
Prep Method Analytical Method
Dilution Analysis Date
Analyst Prep Date
Batch
1
(Dissolved Ox) SM
1
05/21/2009 1200
SFM
1
(Flow) Flow
1
05/21/2009 1200
SFM
1
(pH - Field) SM 4500-H
1
05/21/2009 1200
SFM
1
(Temperature) SM
1
05/21/2009 1200
SFM
1
(TRC - Field) SM 4500-
1
05/21/2009 1200
SFM
1
(Cyanide) SM 4500-CN
1
05/27/2009 0939
WD 05/26/2009 1130
11294
1
(Phenolics) 420.4
1
05/29/2009 1305
WD 05/27/2009 0900
11385
1
(Fecal Colifo) SM
1
05/22/2009 1717
WD 05/21/2009 1633
1
(HEM (oil and) 1664A
1
05/22/2009 0931
JBK
11158
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Dissolved oxygen - Field
SM 4500-0 G
8.56
2.00
mg/l.
1
Flow
Flow
1343800
gallday
1
pH - Field
SM 4600-H B Field
7.42
su
1
Temperature - Field
SM 2550B
20.0
° C
1
TRC - Field
SM 4500-CL G
ND
0.10
mg/L
1
Cyanide
57-12-5 SM 4500-CN E
ND
0.010
mg/L
1
Phenolics
420.4
0.016
0.0050
mg/L
1
Fecal Coliform-MF
SM 9222D
64
2
coU100mL
1
HEM (oil and grease)
1664A
ND
4.8
mg/L
1
Volatile Organic Compounds by GCIMS
Run Prep Method Analytical Method
Dilution Analysis Date
Analyst
Prep Date
Batch
1 5030B 8260E
1 05/26/2009 0432
DLB
11282
CAS Analytical
Parameter
Number Method
Result Q
POL
Units
Run
Acrolein
107-02-8
8260B
ND
5.0
ug/L
1
Acrylonitrile
107-13-1
8260B
ND
5.0
ug/L
1
Benzene
71-43-2
8260B
ND
1.0
ug/L
1
Bromodichloromethane
75-27-4
82608
2A
1.0
ug/L
1
Bromoform
75-25-2
8260B
ND
1.0
ug/L
1
Bromomethane (Methyl bromide)
74-83-9
8260B
ND
2.0
ug/L
1
Carbon tetrachloride
56-23-5
8260B
ND
1.0
ug/L
1
Chlorobenzene
108-90-7
8260E
ND
1.0
ug/L
1
Chloroethane
75-00-3
8260B
ND
2.0
ug/L
1
2-Chloroethyivinylether
110-75-8
8260E
ND
5.0
ug/L
1
Chloroform
67-66-3
8260B
3.4
1.0
uglL
1
Chloromethane (Methyl chloride)
74-87-3
8260B
ND
2.0
ug/L
1
Dibromochloromethane
124-48-1
8260E
ND
1.0
ug/L
1
1,2-Dichlorobenzene
95-50-1
8260B
ND
1.0
ug/L
1
1,3-Dichlorobenzene
541-73-1
8260B
ND
1.0
ug/L
1
1,4-Dichlorobenzene
10646-7
8260B
ND
1.0
ug/L
1
POL = Practical quantitation limit
B = Detected in the method blank
E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the POL
J = Estimated result < POL and > MDL
P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reposed on a dry weight basis unless flagged with a "W'
N = Recovery is out of criteria
H = Out of holding time
Shealy Environmental Services, Inc.
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Level 1 Report v2.1

Client: City of Belmont Laboratory ID: KE21057-002
Description: Pipe 001 Eff Matra: Aqueous
Date Sampled:051`21120091200
Date Received:0612112009
Volatile Organic Compounds by GC/MS
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch
1 5030B
8260E 1 05/26/2009 0432 DLB
11282
CAS Analytical
Parameter
Number Method
Result Q
POL
Units
Run
1,1-Dichloroethane
75-34-3 8260B
ND
1.0
ug/L
1
1,2-Dichloroethane
107-06-2 8260E
ND
1.0
ug/L
1
1,1-Dichloroethene
75-35-4 8260B
ND
1.0
ug/L
1
trans-1,2-Dichloroethene
156-60-5 8260E
ND
1.0
ug/L
1
1,2-Dichloropropane
78-87-5 8260B
ND
1.0
ug/L
1
cis-1,3-Dichloropropene
10061-01-5 8260E
ND
1.0
ug/L
1
trans- l,3-Dichloropropene
10061-02-6 8260B
ND
1.0
ug/L
1
Ethylbenzene
100-41-4 8260E
ND
1.0
ug/L
1
Methylene chloride
75-09-2 8260B
ND
1.0
ug/L
1
1,1,2,2-Tetrachloroethane
79-34-5 8260B
ND
1.0
ug/L
1
Tetrachloroethene
127-18-4 8260B
ND
1.0
ug/L
1
Toluene
108-88-3 8260E
ND
1.0
ug/L
1
1,2,4-Trichlorobenzene
120-82-1 8260E
ND
1.0
ug/L
1
1,1,1-Trichloroethane
71-55-6 8260E
ND
1.0
ug/L
1
1,1,2-Trichloroethane
79-00-5 8260B
ND
1.0
ug/L
1
Trichloroethene
79-01-6 8260E
ND
1.0
ug/L
1
Vinyl chloride
75-01-4 8260E
ND
2.0
ug/L
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
1,2-Dichloroethane-d4
81 70-130
Bromofluorobenzene
81 70-130
Toluene-d8
85 70-130
POL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the POL J = Estimated result < POL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W' N = Recovery is out of criteria H = Out of holding time
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SHEALY ENVIRONMENTAL SERVICES,
INC.
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Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

SHEALY ENVIRONMENTAL SERVICES, INC.
L r i i r • Irr -,-f %I
% Datc
Sample Rey ipi Check:ist (SRC; )
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SLSI vioploveQ:
Ual;e of:e';P011se:
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Leval 1 Report v2.1

46_ 2ooq
SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
City of Belmont
PO Box 431
Belmont, NC 28012
Attention: Sandra Edwards
Project Name: NPDES 2A Renewal
Lot Number: KH2O039
Date Completed:09/02/2009
Sabrina E Boles
Project Manager
nel c
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
The following non -paginated documents are considered part of this report: Chain of Custody Record and Sample Receipt Checklist.
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SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010 NELAC No: E87653 NC DEHNR No: 329
Case Narrative
City of Belmont
Lot Number: KH2O039
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample
receiving date is documented in the header information associated with each sample.
Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the
Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPs), and Shealy
policies. Any exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page.
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SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: KH2O039
Sample Number Sample ID Matrix Date Sampled Date Received
001 Pipe 001 Aqueous 08/20/2009 1105 08/20/2009
002 Pipe 001 Aqueous 08/20/2009 1110 08/20/2009
(2 samples)
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SHEALY ENVIRONMENTAL SERVICES, INC.
Executive Summary
City of Belmont
Lot Number: KH2O039
Sample Sample ID
Matrix
Parameter
Method
Result
Q Units
Page
001
Pipe 001
Aqueous
Ammonia - N (phenate)
350.1
0.30
mg/L
5
001
Pipe 001
Aqueous
Hardness (total)
SM 2340C
55
m9A.
5
001
Pipe 001
Aqueous
Nitrate -Nitrite - N
353.2
21
mg/L
5
001
Pipe 001
Aqueous
Phosphorus
365.1
4.4
mg/L
5
001
Pipe 001
Aqueous
TDS
SM 2540C
590
mg/i_
5
001
Pipe 001
Aqueous
TSS
SM 2540D
4.0
B mg/L
5
001
Pipe 001
Aqueous
Antimony
200.8
5.6
ug/L
7
001
Pipe 001
Aqueous
Copper
200.8
16
ug/L
7
001
Pipe 001
Aqueous
Zinc
200.8
110
ug/L
7
002
Pipe 001
Aqueous
Phenolics
420.4
0.0064
mg/L
8
002
Pipe 001
Aqueous
Bromodichloromethane
8260B
3.6
ug/L
8
002
Pipe 001
Aqueous
Chloroform
8260E
62
ug/L
8
(12 detections)
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Client:City of Belmont
Description: Pipe 001
Date Sampled 08120120091105
Date Received:0812012009
Laboratory ID: KH2O039-M
Matrix: Aqueous
Inorganic non-metals
Run
Prep Method Analytical Method
Dilution Analysis Date
Analyst
Prep Date
Batch
1
SM4500-NH3 (Ammonia - N ) 350.1
1
09/01/2009 2250
WD
09/01/2009 0910
17108
1
(BOD, 5 day) SM 5210B
1
08/26/2009 1510
HBB
08/21/2009 1255
5180
1
(Hardness (to) SM
1
08/28/2009 1859
MML
17052
1
(Nitrate-Nitr) 353.2
20
09/01/2009 1830
BM
17176
1
(Phosphorus) 365.1
10
08/31/2009 1027
DAS
08/28/2009 1400
16959
1
(TDS) SM 2540C
1
08/27/2009 0841
SLH
16828
1
351.4 (TKN) 351.2
1
09/02/2009 1221
WD
09/01/2009 1018
17117
1
(TSS) SM 2540D
1
08/27/2009 0839
SLH
16827
CAS
Analytical
Parameter
Number
Method
Result 0
PQL
Units
Run
Ammonia - N (phenate)
350.1
0.30
0.10
mg/L
1
BOD, 5 day
SM 5210B
ND
2.0
mg/L
1
Hardness (total)
SM 2340C
55
10
mg/L
1
Nitrate -Nitrite - N
363.2
21
0.40
mg/L
1
Phosphorus
7723-14-0
366.1
4.4
0.10
mg/L
1
TDS
SM 2540C
590
10
mg/L
1
TKN
351.2
ND
0.50
mg/L
1
TSS
SM 2640D
4.0 B
2.0
mg/L
1
Semivolatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis
Date Analyst
Prep Date Batch
1 3520C
8270C 1 08/27/2009 1230 DC
08/24/2009 2005 16631
CAS
Analytical
Parameter
Number
Method
Result 0
PQL
Units
Run
Acenaphthene
83-32-9
8270C
ND
1.0
ug/L
1
Acenaphthylene
208-96-8
8270C
ND
1.0
ug/L
1
Anthracene
120-12-7
8270C
ND
1.0
ug/L
1
Benzidine
92-87-5
8270C
ND
5.1
ug/L
1
Benzo(a)anthracene
56-55-3
8270C
ND
1.0
ug/L
1
Benzo(a)pyrene
50-32-8
8270C
ND
1.0
ug/L
1
Benzo(b)fluoranthene
205-99-2
8270C
ND
1.0
ug/L
1
Benzo(g,h,i)perylene
191-24-2
8270C
ND
1.0
ug/L
1
Benzo(k)fluoranthene
207-08-9
8270C
ND
1.0
ug/L
1
4-Bromophenyl phenyl ether
101-55-3
8270C
ND
1.0
ug/L
1
Butyl benzyl phthalate
85-68-7
8270C
ND
5.1
ug/L
1
59-50-7
8270C
ND
1.0
ug/L
1
bis(2-Chloroethoxy)methane
111-91-1
8270C
ND
1.0
ug/L
1
bis(2-Chloroethyl)ether
111-44-4
8270C
ND
1.0
ug/L
1
bis(2-Chloroisopropyl)ether
108-60-1
8270C
ND
1.0
ug/L
1
2-Chloronaphthalene
91-58-7
8270C
ND
1.0
ug/L
1
2-Chlorophenoi
95-57-8
8270C
ND
1.0
ug/L
1
4-Chloroptienyl phenyl ether
7005-72-3
8270C
ND
1.0
ug/L
1
PQL = Practical quantitation limit
B = Detected in the method blank
E = Quanthation of compound
exceeded the calibration range
NO = Not detected at or above the PQL
J = Estimated result < PQL and a MDL
P = The RPD between two GC
columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W'
N = Recovery is out of criteria
H = Out of holding time
Shealy Environmental Services, Inc.
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Level 1 Report v2.1

Client: City of Belmont Laboratory ID: KH2O039-001
Description: Pipe 001 Matrix: Aqueous
Date Sampled:08/20/20091105
Date Received:0812012009
Semivolatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3520C 8270C 1 08/27/2009 1230 DC 08/24/2009 2005 16631
Parameter
CAS
Number
Analytical
Method
Result Q
PQL
Units
Run
Chrysene
218-01-9
8270C
ND
1.0
ug/L
1
Di-n-butyl phthalate
84-74-2
8270C
ND
5.1
ug/L
1
Di-n-octylphthalate
117-84-0
8270C
ND
5.1
ug/L
1
Dibenzo(a,h)anthracene
53-70-3
8270C
ND
1.0
ug/L
1
3,3'-Dichlorobenzidine
91-94-1
8270C
ND
5.1
ug/L
1
2,4-Dichlorophenoi
120-83-2
8270C
ND
1.0
ug/L
1
Diethylphthalate
84-66-2
8270C
ND
5.1
ug/L
1
Dimthyl phthalate
131-11-3
8270C
ND
5.1
ug/L
1
10"7-9
8270C
ND
1.0
ug/L
1
4,6-Dinitro-2-methylphenol
534-52-1
8270C
ND
5.1
ug/L
1
51-28-5
8270C
ND
5.1
ug/L
1
2,4-Dinitrotoluene
121-14-2
8270C
ND
2.0
ug/L
1
2,6-Dinitrotoluene
606-20-2
8270C
ND
2.0
ug/L
1
1,2-Diphenylhydrazine(as azobenzene)
103-33-3
8270C
ND
1.0
ug/L
1
bis(2-Ethylhexyl)phthalate
117-81-7
8270C
ND
5.1
ug/L
1
Fluoranthene
20644-0
8270C
ND
1.0
ug/L
1
Fluorene
86-73-7
8270C
ND
1.0
ug/L
1
Hexachlorobenzene
118-74-1
8270C
ND
1.0
ug/L
1
Hexachlorobutadiene
87-68-3
8270C
ND
1.0
ug/L
1
Hexachlorocyclopentadiene
77-47-4
8270C
ND
5.1
ug/L
1
Hexachloroethane
67-72-1
8270C
ND
1.0
ug/L
1
Indeno(1,2,3-c,d)pyrene
193-39-5
8270C
ND
1.0
ug/L
1
Isophorone
78-59-1
8270C
ND
1.0
ug/L
1
N-Nitrosodi-n-propylamine
621-64-7
8270C
ND
1.0
ug/L
1
N-Nitrosodimethylamine
62-75-9
8270C
ND
1.0
ug/L
1
N-Nitrosodiphenylamine (Diphenylamine)
86-30-6
8270C
ND
1.0
ug/L
1
Naphthalene
91-20-3
8270C
ND
1.0
ugli-
1
Nitrobenzene
98-95-3
8270C
ND
1.0
ug/L
1
4Jitropheneh-
88-75-5
8270C
ND
2.0
ug/L
1
100-02-7
8270C
ND
5.1
ug/L
1
entachlorophenol
87-86-5
8270C
ND
5.1
ug/L
1
Phenanthrene
85-01-8
8270C
ND
1.0
ug/L
1
Phenol
108-95-2
8270C
ND
1.0
ug/L
1
Pyrene
129-00-0
8270C
ND
1.0
ug/L
1
2,4,6 richlorophenol
88-06-2
8270C
ND
1.0
ug/L
1
`
POL - Practical quantitation limit B = Detected in the method blank E = Ouantitation of compound exceeded the calibration range
ND = Not detected at or above the POL J = Estimated result < POL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a'W" N = Recovery is out of criteria H = Out of holding time
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Client:Cily of Belmont Laboratory ID: KH20039-001
Description: Pipe 001 Matrix: Aqueous
Date Sampled:08120/20091105
Date Received:0812012009
Run 1
Acceptance
Surrogate
Q % Recovery
Limits
2,4,6-Tribromophenol
59
41-144
2-Fluorobiphenyl
45
37-129
2-Fluorophenol
43
24-127
Nitrobenzene-05
45
38-127
Phenol-d5
43
28-128
Terphenyi-dl4
64
10-148
ICP-MS
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 200.2
200.8
1 08/26/2009 2201 FTS
08/24/2009 1720
16616
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Antimony
7440-36-0 200.8
5.6
1.0
ug/L
1
Arsenic
7440-38-2 200.8
ND
1.0
ug/L
1
Beryllium
7440-41-7 200.8
ND
0.40
ug/L
1
Cadmium
7440-43-9 200.8
ND
0.10
ug/L
1
Chromium
7440-47-3 200.8
ND
5.0
ug/L
1
Copper
7440-50-8 200.8
16
1.0
ug/L
1
Lead
7439-92-1 200.8
ND
1.0
ug/L
1
Nickel
7440-02-0 200.8
ND
5.0
ug/L
1
Selenium
7782-49-2 200.8
ND
1.0
ug/L
1
Silver
7440-22-4 200.8
ND
1.0
ug/L
1
Thallium
7440-28-0 200.8
ND
0.50
ug/L
1
Zinc
7440.66-6 200.8
110
10
ug/L
1
CVAA
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1
245.1
1 08/24/2009 2116 BNW
08/24/2009 1645
16607
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Mercury
7439-97-6 245.1
ND
0.00010
mg/L
1
PQL - Practical quantitation limit 8 = Detected in the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W' N = Recovery is out of criteria H = Out of holding time
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Client:City of Belmont Laboratory ID: KH2O039-002
Description: Pipe 001 Matrix: Aqueous
Date Sampled:08/2012009 1110
Date Received:0812012009
Inorganic non-metals
Run
Prep Method Analytical Method
Dilution Analysis Date
Analyst Prep Date
Batch
1
(Dissolved Ox) SM
1
08/20/2009 1110
GMC
1
(Flow) Flow
1
08/20/2009 1110
GMC
1
(pH - Field) SM 4500-H
1
08/20/2009 1110
GMC
1
(Temperature) SM
1
08/20/2009 1110
GMC
1
(TRC - Field) SM 4500-
1
1
(Cyanide) SM 4500-CN
1
08/31/2009 1747
BM 08/31/2009 1400
17070
1
(Phenolics) 420.4
1
09/01/2009 1501
BM 08/28/2009 1621
16987
1
(Fecal Colifo) SM
1
08/21/2009 1550
SLH 08/20/2009 1626
1
(HEM (oil and) 1664A
1
08/27/2009 1633
JKP
16877
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Dissolved Oxygen - Field
SM 4500-0 G
7.41
2.00
mg1L
1
Flow
Flow
1429000
0.000
gailday
1
pH - Field
SM 4500-H B Field
7.38
0.000
su
1
Temperature - Field
SM 25508
28.0
0.000
° C
1
TRC - Field
SM 4500-CL G
ND
0.10
mg/L
1
Cyanide
57-12-5 SM 4500-CN E
ND
0.010
mg/L
1
Phenolics
420.4
0.0064
0.0050
mg/L
1
Fecal Coliform-MF
SM 92220
ND
2
co1/100mL
1
HEM (oil and grease)
1664A
ND
4.1
mg/L
1
Volatile Organic Compounds by GUMS
Run Prep Method Analytical Method Dilution Analysis Data Analyst
Prep Date
Batch
1 5030B
8260B 1 08/24/20091601 DLB
16649
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Acrolein
107-02-8 8260E
ND
5.0
ug/L
1
Acrylonitrile
107-13-1 8260B
ND
5.0
ug/L
1
Benzene
71-43-2 8260B
ND
1.0
ug/L
1
Bromodichloromethane
75-27-4 8260E
3.6
1.0
egIL
1
Bromoform
75-25-2 8260B
ND
1.0
ug/L
1
Bromomethane (Methyl bromide)
74-83-9 8260B
ND
2.0
ug/L
1
Carbon tetrachloride
56-23-5 8260B
ND
1.0
ug/L
1
Chlorobenzene
108-90-7 8260B
ND
1.0
ug/L
1
Chloroethane
75-00-3 8260B
ND
2.0
ug/L
1
2-Chloroethylvinylether
110-75-8 8260B
ND
5.0
ug/L
1
Chloroform
67-66-3 8260B
6.2
1.0
ug/L
1
Chloromethane (Methyl chloride)
74-87-3 8260B
ND
2.0
ug/L
1
Dibromochloromethane
124-48-1 82608
ND
1.0
ug/L
1
1,2-Dichlorobenzene
95-50-1 8260B
ND
1.0
ug/L
1
1,3-Dichlorobenzene
541-73-1 8260E
ND
1.0
ug/L
1
1,4-Dichlorobenzene
106-46-7 8260B
ND
1.0
ug/L
1
PQL = Practical quantitation limit
8 = Detected in the method blank
E = Quantitation of compound exceeded the
calibration range
NO = Not detected at or above the POL
J = Estimated result < PQL and > MDL
P = The RPD between
two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W'
N = Recovery is out of criteria
H = Out of holding time
Shealy Environmental Services, Inc.
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Level 1 Report v2.1

Client: City of Belmont Laboratory ID: KH2O039-002
'Description: Pipe 001 Matrix: Aqueous
Date Sampled:08120/20091110
Date Received:0812012009
Volatile Organic Compounds
by GC/MS
Run Prep Method
Analytical Method Dilution Analysis Date
Analyst
Prep Date
Batch
1 5030B
8260B 1 08/24/20091601
DLB
16649
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
1,1-Dichloroethane
75-34-3
8260B
ND
1.0
ug/L
1
1,2-Dichloroethane
107-06-2
8260E
ND
1.0
ug/L
1
1, 1 -Dichloroethene
75-35-4
8260E
ND
1.0
ug/L
1
trans-1,2-Dichloroethene
156-60-5
8260B
ND
1.0
ug/L
1
1,2-Dichloropropane
78-87-5
8260B
ND
1.0
ug/L
1
cis-1,3-Dichloropropene
10061-01-5
8260E
ND
1.0
ug/L
1
trans-1,3-Dichloropropene
10061-02-6
8260B
ND
1.0
ug/L
1
Ethylbenzene
100-41-4
8260B
ND
1.0
ug/L
1
Methylene chloride
75-09-2
8260B
ND
1.0
ug/L
1
1,1,2,2-Tetrachloroethane
79-34-5
8260B
ND
1.0
ug/L
1
Tetrachloroethene
127-18-4
8260B
ND
1.0
ug/L
1
Toluene
108-88-3
8260B
ND
1.0
ug/L
1
1,2,4-Trichlorobenzene
120-02-1
8260B
ND
1.0
ug/L
1
1, 1, 1 -Trichloroethane
71-55-6
8260B
ND
1.0
ug/L
1
1,1,2-Trichloroethane
79-00-5
8260B
ND
1.0
ug/L
1
Trichloroethene
79-01-6
82606
ND
1.0
ug/L
1
Vinyl chloride
75-01-4
8260E
ND
2.0
ug/L
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
1,2-Dichloroethane-d4
87 70-130
Bromofluorobenzene
90 70-130
Toluene-d8
88 70-130
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
ND - Not detected at or above the PQL J = Estimated result < PQL and - MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W' N = Recovery is out of criteria H = Out of holding time
Shealy Environmental Services, Inc. Page: 9 of 9
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SHEALY ENVIRONMENTAL SERVICES, INC.
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Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

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Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

SHEALY ENVIRONMENTAL SERVICES, INC.�.�
Report of Analysis
City of Belmont
PO Box 431
Belmont, NC 28012
Attention: Sandra Edwards
Project Name: NPDES 2A Renewal
Lot Number:KB19033
Date Completed:0310912009
i
R. Brooke Montgomery
Project Manager
nel c
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
The following non -paginated documents are considered part of this report: Chain of Custody Record and Sample Receipt Checklist.
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SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010 NELAC No: E87653 NC DEHNR No: 329
Case Narrative
City of Belmont
Lot Number: KB19033
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample
receiving date is documented in the header information associated with each sample.
Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the
Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPs), and Shealy
policies. Any exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page.
Semivolatile Organic Analysis
Sample -001 had two surrogates recovered outside of the acceptance limits due to confirmed matrix interference for the analysis of semivolatile
organic compounds.
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SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: KBI9033
Sample Number Sample ID Matrix Date Sampled Date Received
001 Pipe 001 Aqueous 02/19/2009 1030 02/19/2009
002 Pipe 001
(2 samples)
Aqueous 02/19120091055 02/19/2009
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SHEALY ENVIRONMENTAL SERVICES, INC.
Executive Summary
City of Belmont
Lot Number: KB19033
Sample Sample ID
Matrix
Parameter
Method
Result 0
Units
Page
001
Pipe 001
Aqueous
Ammonia - N (phenate)
350.1
0.54
mg/L
5
001
Pipe 001
Aqueous
BOD, 5 day
SM 5210B
16
mg/L
5
001
Pipe 001
Aqueous
Hardness (total)
SM 2340C
54
mg/L
5
001
Pipe 001
Aqueous
Nitrate -Nitrite - N
353.2
20
mg/L
5
001
Pipe 001
Aqueous
Phosphorus
365.1
20
mg/L
5
001
Pipe 001
Aqueous
TDS
SM 2540C
540
mg/L
5
001
Pipe 001
Aqueous
TKN
351.2
3.1
mg/L
5
001
Pipe 001
Aqueous
TSS
SM 2540D
17
mg/L
5
001
Pipe 001
Aqueous
Antimony
200.8
2.8
ug/L
7
001
Pipe 001
Aqueous
Copper
200.8
17
ug/L
7
001
Pipe 001
Aqueous
Zinc
200.8
240
ug/L
7
002
Pipe 001
Aqueous
Phenolics
420.4
0.012
nigiL
8
002
Pipe 001
Aqueous
Fecal Coliform-MF
SM 9222D
55
col/100ml-
8
002
Pipe 001
Aqueous
Bromodichloromethane
6=61
.."i
a ,. L
8
(14 detections)
Shealy Environmental Services, Inc. Page: 4 of 9
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Client:City of Belmont Laboratory ID: K819033-001
Description: Pipe 001 Matrix: Aqueous
Date Sampled:02119/20091030
Date Received:0211912009
Inorganic non-metals
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Data
Batch
1 SM4500-NH3
(Ammonia - N ) 350.1
1
02/27/2009 1546 SLH
02/25/2009 1254
95828
1
(BOD, 5 day) SM 5210B
1
02/25/2009 1011 MML
02/20/2009 0918
4879
1
(Hardness (to) SM
1
02/27/2009 1629 MML
96117
1
(Nitrate-Nitr) 353.2
10
02/25/2009 1348 RLM
95852
1
(Phosphorus) 365.1
50
02/24/2009 2037 SLH
02/23/2009 1248
95638
1
(TDS) SM 2540C
1
02/24/2009 1715 WD
95779
1 351.4
(TKN) 351.2
1
02/25/2009 1338 SLH
02/24/2009 1800
95757
1
(TSS) SM 2540D
1
02/25/2009 0908 WD
95799
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Ammonia - N (phonate)
360.1
0.54
0.10
mg/L
1
BOD, 5 day
SM 6210B
16
2.0
mg/L
1
Hardness (total)
SM 2340C
54
10
mg/L
1
Nitrate -Nitrite - N
353.2
20
0.20
mg/L
1
Phosphorus
7723-14-0 366.1
20
0.50
mg/L
1
TDS
SM 2540C
640
10
mg/L
1
TKN
351.2
3.1
0.60
mg/L
1
TSS
SM 2640D
17
1.0
mg/L
1
Semivolatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3520C 8270C 1 03/06/2009 1816 GLR 02/26/2009 2328 95960
CAS
Analytical
Parameter
Number
Method
Result Q
PQL
Units
Run
Acenaphthene
83-32-9
8270C
ND
1.0
ug/L
1
Acenaphthylene
208-96-8
8270C
ND
1.0
ug/L
1
Anthracene
120-12-7
8270C
ND
1.0
ug/L
1
Benzidine
92-87-5
8270C
ND
5.0
ug/L
1
Benzo(a)anthracene
56-55-3
8270C
ND
1.0
ug/L
1
Benzo(a)pyrene
50-32-8
8270C
ND
1.0
ug/L
1
Benzo(b)fluoranthene
205-99-2
8270C
ND
1.0
ug/L
1
Benzo(g,h,i)perylene
191-24-2
8270C
ND
1.0
ug/L
1
Benzo(k)fluoranthene
207-08-9
8270C
ND
1.0
ug/L
1
4-13romophenyl phenyl ether
101-55-3
8270C
ND
1.0
ug/L
1
Butyl benzyl phthalate
85-68-7
8270C
ND
5.0
ug/L
1
loro-3-methyl phen 1
59-50-7
8270C
ND
1.0
ug/L
1
bi oroethon methane
111-91-1
8270C
ND
1.0
ug/L
1
bis(2-Chloroethyl)ether
111-44-4
8270C
ND
1.0
ug/L
1
bis(2-Chloroisopropyl)ether
108-60-1
8270C
ND
1.0
ug/L
1
2-Chl~oronaphthalene
91-58-7
8270C
ND
1.0
ug/L
1
c4zia6
95-57-8
8270C
ND
1.0
ug/L
1
4-Chlorophenyl phenyl ether
7005-72-3
8270C
ND
1.0
ug/L
1
PQL = Practical quantilation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' 1N" N = Recovery is out of criteria
Shealy Environmental Services, Inc. Page: 5 of 9
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Client: City of Belmont Laboratory ID: K819033-001
Description: Pipe 001 Matrix: Aqueous
Date Sampled:02/1912009 1030
Date Received:0211912009
Semivolatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3520C 8270C 1 03/06/2009 18% GLR 02/26/2009 2328 95960
CAS
Analytical
Parameter
Number
Method
Result Q
PQL
Units
Run
Chrysene
218-01-9
8270C
ND
1.0
ug/L
1
Di-n-butyl phthalate
84-74-2
8270C
ND
5.0
ug/L
1
Di-n-octylphthalate
117-84-0
8270C
ND
5.0
ug/L
1
Dibenzo(a,h)anthracene
53-70-3
8270C
ND
1.0
ug/L
1
3,3'-D' dine
91-94-1
8270C
ND
5.0
ug/L
1
2,4-Dichlorophenol
120-83-2
8270C
ND
1.0
ug/L
1
Diethylphthalate
84-66-2
8270C
ND
5.0
ug/L
1
Qethylphthalate
131-11-3
8270C
ND
5.0
ug/L
1
2,4-Dimethylpheno) - - ---- ____.__-�
105-67-9
8270C
ND
1.0
ug/L
1
4,6-Dinitro-2-methylphenol r:-
534-62-1
8270C
ND
5.0
ug/L
1
2,4-Dinitrophenol �_
51-28-5
8270C
ND
5.0
ug/L
1
2,4-Dinitrotoluene
121-14-2
8270C
ND
2.0
ug/L
1
2,6-Dinitrotoluene
606-20-2
8270C
ND
2.0
ug/L
1
1,2-Diphenylhydrazine(as azobenzene)
103-33-3
8270C
ND
1.0
ug/L
1
bis(2-Ethylhexyl)phthalate
117-81-7
8270C
ND
5.0
ug/L
1
Fluoranthene
206-44-0
8270C
ND
1.0
ug/L
1
Fluorene
86-73-7
8270C
ND
1.0
ug/L
1
Hexachlorobenzene
118-74-1
8270C
ND
1.0
ug/L
1
Hexachlorobutadiene
87-68-3
8270C
ND
1.0
ug/L
1
Hexachlorocyclopentadiene
77-47-4
8270C
ND
5.0
ug/L
1
Hexachloroethane
67-72-1
8270C
ND
1.0
ug/L
1
Indeno(1,2,3-c,d)pyrene
193-39-5
8270C
ND
1.0
ug/L
1
Isophorone
78-59-1
8270C
ND
1.0
ug/L
1
N-Nitrosodi-n-propylamine
621-04-7
8270C
ND
1.0
ug/L
1
N-Nitrosodimethylamine
62-75-9
8270C
ND
1.0
ug/L
1
N-Nitrosodiphenylamine (Diphenylamine)
86-30-6
8270C
ND
1.0
ug/L
1
Naphthalene
91-20-3
8270C
ND
1.0
ug/L
1
Nitrobenzene
98-95-3
8270C
ND
1.0
ug/L
1
2-Nitrophenol
88-75-5
8270C
ND
2.0
ug/L
1
4-Nitrophenol
100-02-7
8270C
ND
5.0
ug/L
1
Pentachlorophenol
87-86-5
8270C
ND
5.0
ug/L
1
Phenanthrene
85-01-8
8270C
ND
1.0
ug/L
1
Phenol
108-95-2
8270C
ND
1.0
ug/L
1
Pyrene
129-00-0
8270C
ND
1.0
ug/L
1
2 4,6-Trichlorophenol
88-06-2
8270C
ND
1.0
ug/L
1
PQL = Practical quantitation limit B = Detected In the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W' N = Recovery is out of criteria
Shealy Environmental Services, Inc. Page: 6 Of 9
106 Vantage Pant Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealyleb.com Level 1 Report v2.1

Ciient:Clty of Belmont Laboratory ID: KBI9033-001
Description: Pipe 001 Matrbc: Aqueous
Date Sampled:02/19120091030
Date Received:0211912009
Surrogate
Run 1
Q % Recovery
Acceptance
Limits
2,4,6-Tribromophenol
52
41-144
2-Fluorobiphenyl
N 28
37-129
2-Fluorophenol
27
24-127
Nitrobenzene-d5
N 32
38-127
Phenol-d5
32
28-128
Terphenyl-014
47
10-148
ICP-MS
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Data
Batch
1 200.2
200.8
1 02/23/20091921 FTS
02/20/20091355
95533
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Antimony
7440-36-0 200.8
2.8
1.0
ug/L
1
Arsenic
7440-38-2 200.8
ND
1.0
ug/L
1
Beryllium
7440-41-7 200.8
ND
0.40
ug/L
1
Cadmium
7440-43-9 200.8
ND
0.10
ug/L
1
Chromium
7440-47-3 200.8
ND
5.0
ug/L
1
Copper
7440-50-8 200.8
17
1.0
ug/L
1
Lead
7439-92-1 200.8
ND
1.0
ug/L
1
Nickel
7440-02-0 200.8
ND
5.0
ug/L
1
Selenium
7782-49-2 200.8
ND
1.0
ug/L
1
Silver
7440-22-4 200.8
ND
1.0
ug/L
1
Thallium
7440-28-0 200.8
ND
0.50
ug/L
1
Zinc
7440.66.6 200.8
240
10
ug/L
1
CVAA
Run Prep Method
Analytical Method
Dilution Analysis Data Analyst
Prep Date
Batch
1
245.1
1 02/26/2009 1651 KJC
02/25/2009 2046
95862
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Mercury
7439-97-6 245.1
ND
0.00010
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W' N = Recovery is out of criteria
Shealy Environmental Services, Inc. Page: 7 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report t2.1

Client: City of Belmont Laboratory ID: KB19033-002
Description: Pipe 001 Matrix: Aqueous
Date Sampled 02/19/20091055
Date Received:0211912009
Inorganic non-metals
Run
Prep Method Analytical Method
Dilution Analysis Date
Analyst Prep Date
Batch
1
(Dissolved Ox) SM
1
02/19/2009 1055
SFM
1
(pH - Field) SM 4500-H
1
02/19/2009 1055
SFM
1
(Temperature) SM
1
02/19/2009 1055
SFM
1
(TRC - Field) SM 4500-
1
02/19/2009 1055
SFM
1
(Cyanide) SM 4500-CN
1
02/27/2009 1036
RLM 02/26/2009 1038
95924
1
(Phenolics) 420.4
1
02/23/2009 1423
RLM 02/20/2009 1309
95532
1
(Fecal Coiifo) SM
1
02/20/2009 1516
SLH 02/19/2009 1651
1
(HEM (oil and) 1664A
1
03/02/2009 1430
JKP
96136
Parameter
CAS Analytical
Number Metilvd
Result Q
PQL
Units
Run
Dissolved Oxygen - Field
SM 4500-0 G
8.82
2.00
mg/L
1
pH - Field
SM 4600-H S Field
7.07
su
1
Temperature - Field
SM 2550B
14.0
° C
1
TRC - Field
SM 4500-CL G
ND
0.10
mg/L
1
Cyanide
57-12-5 SM 4500-CN E
ND
0.010
mg/L
1
Phenolics
420.4
0.012
0.0050
mg/L
1
Fecal Coliform-MF
SM 9222D
55
2
coll100mL
1
HEM (oil and grease)
1664A
ND
4.8
mg/L
1
Volatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 5030B 8260E 1 02/25/2009 0311 DLB 95810
CAS
Analytical
Parameter
Number
Method
Result 0
PQL
Units
Run
Acrolein
107-02-8
8260B
ND
5.0
ug/L
1
Acrylonitrile
107-13-1
8260E
ND
5.0
ug/L
1
Benzene
71-43-2
8260B
NO
1.0
ug/L
1
Bromodichloromethane
75-27-4
8260B
1.3
1.0
ug/L
1
Bromoform
75-25-2
8260B
ND
1.0
ug/L
1
Bromomethane (Methyl bromide)
74-83-9
8260B
ND
2.0
ug/L
1
Carbon tetrachloride
56-23-5
8260B
ND
1.0
ug/L
1
Chlorobenzene
108-90-7
8260E
ND
1.0
ug/L
1
Chloroethane
75-00-3
8260B
ND
2.0
ug/L
1
2-Chloroethylvinylether
110-75-8
8260E
ND
5.0
ug/L
1
Chloroform
67-66-3
8260B
NU
1.0
ug/L
1
Chloromethane (Methyl chloride)
74-87-3
8260B
ND
2.0
ug/L
1
Dibromochloromethane
124-48-1
8260E
ND
1.0
ug/L
1
1,2-Dichlorobenzene
95-50-1
82606
ND
1.0
ug/L
1
1,3-Dichlorobenzene
541-73-1
8260B
ND
1.0
ug/L
1
1,4-Dichlorobenzene
106-46-7
8260B
ND
1.0
ug/L
1
1,1-Dichloroethane
75-34-3
8260B
ND
1.0
ug/L
1
1,2-Dichloroethane
107-06-2
8260E
ND
1.0
ug/L
1
PQL = Practical quantitation limit B = Detected in the method blank E - Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a -W, N = Recovery is out of criteria
Shealy Environmental Services, Inc. Page: 8 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.00m Level 1 Report h2.1

Client: City of Belmont Laboratory ID: KB19033-002
Description: Pipe 001 Matrix: Aqueous
Date Sampled:02119/2009 1055
Date Received:0211912009
_ Volatile Organic Compounds by GUMS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 5030B 8260B 1 02/25/2009 0311 DLB 95810
Parameter
CAS
Number
Analytical
Method
Result a
PQL
Units
Run
1,1-Dichloroethene
75-35-4
8260E
ND
1.0
ug/L
1
trans-1,2-Dichloroethene
156-60-5
8260E
ND
1.0
ug/L
1
1,2-Dichloropropane
78-87-5
8260B
ND
1.0
ug/L
1
cis-1,3-Dichloropropene
10061-01-5
8260B
ND
1.0
ug/L
1
trans-1,3-Dichloropropene
10061-02-6
8260B
ND
1.0
ug/L
1
Ethylbenzene
100-41-4
8260E
ND
1.0
ug/L
1
Methylene chloride
75-09-2
8260B
ND
1.0
ug/L
1
1,1,2,2-Tetrachloroethane
79-34-5
8260B
ND
1.0
ug/L
1
Tetrachloroethene
127-18-4
8260E
ND
1.0
ug/L
1
Toluene
108-88-3
8260B
ND
1.0
ug/L
1
1,2,4-Trichlorobenzene
120-82-1
8260E
ND
1.0
ug/L
1
1,1,1-Trichloroethane
71-55-6
8260E
ND
1.0
ug/L
1
1,1,2-Trichloroethane
79-00-5
8260B
ND
1.0
ug/L
1
Trichloroethene
79-01-6
8260B
ND
1.0
ug/L
1
Vinyl chloride
75-01-4
8260B
ND
2.0
ug/L
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
1,2-Dichloroethane-d4
108 70-130
Bromofluorobenzene
109 70-130
Toluene-d8
109 70-130
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
NO = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a' W' N = Recovery is out of criteria
Shealy Environmental Services, Inc. Page: 9 of 9
106 Vantage Pant Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.eom Leval 1 Report v2.1

SHEALY ENVIRONMENTAL SERVICES, INC.
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Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

SHEALY ENVIRONMENTAL SERVICES, INC.
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Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

PAnnual Monitoring and Pollutant Scan
ermit No. At C7Cf 1 �;' f
Outfall GC:11I
Facility Name: City of Belmont, WWTP ORC Sandra S. Edwards
Date of sampling: April Phone [phone]
Analytical Laboratory: Shealy Environmental
Month .�-
Year c--
Cn
Parameter
sample
Type
Analytical
Method
Quantitation
Level
Sample
Result
Knits of
Measurement
" dumber of
samples
Ammonia (as N)
Composite
350.1
0.1
0.41
mg/L
1
Dissolved oxygen
Grab
4500.0 G
8.08
mg/L
1
Nitrate/Nitrite
Composite
353.2
0.4
25
m /L
1
Total Kjeldahl nitrogen
Composite
351.2
0.5
2.2
m /L
2
Total Phosphorus
Composite
365.1
0.2
9
mg/L
1
Total dissolved solids
Composite
SM 2540C
10
460
mg/L
1
Hardness
Composite
SM 2340C
10
67
mg/L
1
Chlorine (total residual, TRC)
Grab
8370
2-500
15
ug/L
1
Oil and grease
Grab
1664 A
4.6
ND
mg/L
1
Metals (total recoverable), cyanide
and total
phenol
Antimony
Composite
200.8
1
3.9
u / L
1
Arsenic
Composite
200.8
1
ND
u ! L
1
Beryllium
Composite
200.8
0.4
ND
u / L
1
Cadmium
Composite
200.8
0.1
ND
ug/ L
2
':hromium
Composite
200.8
5
ND
u / L
1
'Copper
Composite
200.8
1
15
u / L
1
Lead
Composite
200.8
1.
ND
u ! L
1
Mercury
Composite
245.1
0.00010
ND
m / L
1
Nickel-
Composite
200.8
5
ND
u L
1
Selenium
Composite
200.8
1
ND
ug/L
1
Silver
Composite
200.8
1
ND
ug L
1
Thallium
Composite
200.8
0.5
ND
u L
1
Zinc
Composite
200.8
10
120
ygy L
1
Cyanide
Grab
SM 4500-CN
0.01
0.015
m L
1
Total phenolic compounds
Grab
420.4
0.02
0.033
mg/ L
2
Volatile organic compounds
Acrolein
Grab
624
50
ND
u L
1
Acrylonitrile
Grab
624
50
ND
u / L
1
Benzene
Grab
624
5.0
ND
u L
1
Bromoform
Grab
624
5.0
ND
u / L
1
Carbon tetrachloride
Grab
624
5.0
ND
u / L
1
Chlorobenzene
Grab
624
5.0
ND
u L
1
Chlorodibromomethane
Grab
624
5.0
ND
u / L
1
Chloroethane
Grab
624
5.0
ND
u / L
1
2-chloroethylvinyl ether
Grab
624
10
ND
u / L
1
Chloroform
Grab
624
5.0
ND
ug/ L
1
Dichlorobromomethane
Grab
1, 1 -dichloroethane
Grab
624
5.0
ND
u /L
1
1,2-dichloroethane
Grab
624
5.0
ND
u L
1
Trans-1,2-dichloroethylene
Grab
624
5.0
ND
u / L
1
Parameter
Sample
Type
Analytical
Method
Quantitation
Level
Sample
Result
Units of
Measurement
Number of
samples
Volatile 2Manic compounds ICant.
1,1-dichloroethylene
Grab
1,2-dichloropropane
Grab
1,3-dichloropropylene
Grab
Ethylbenzene
Grab
624
5.0
ND
u / L
1
Methyl bromide
Grab
Form - DMR- PPA-1 Page 1

Annual Monitoring and Pollutant Scan
Permit No. AC. Month 19'r'
Outfall DO Year 587
Fluoranthene
Grab
625
5.1
ND
ug L
1
Fluorene
Grab
625
5.1
ND
ug L
1
Hexachlorobenzene
Grab
625
5.1
ND
u L
1
Hexachlorobutadiene
Grab
625
5.1
ND
ug/ L
1
Hexachlorocyclo-pentadiene
Grab
625
26
ND
u L
1
Hexachloroethane
Grab
625
5.1
ND
u /L
1
Indeno(1,2,3-cd)pyrene
Grab
625
5.1
ND
u L
1
Isophorone
Grab
625
5.1
ND
u L
1
Naphthalene
Grab
625
5.1
ND
u L
1
Nitrobenzene
Grab
625
5.1
ND
ugZL
1
N-nitrosodi-n- ropylamine
Grab
625
5.1
ND
uEZL
1
N-nitrosodimethylamine
Grab
625
5.1
ND
UgZ L
1
N-nitrosodiphenylamine
Grab
625
5.1
ND
u L
1
Phenanthrene
Grab
625
5.1
ND
u L
1
Pyrene
Grab
625
5.1
ND
u L
1
1,2,4,-trichlorobenzene
Grab
625
5.1
ND
u L
1
I certify under penalty of law that this document and all attachments were prepared under my direction
and supervision in accordance with a system to design to assure that qualified perdonnel properly
gather and evaluat the information submitted. Based on my inquiry of the person or persons that
manage the system, or those persons directly responsibel for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am
aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations.
-,Authorized /Representative name //
Signature
L, 1,�O �
Date
Form - DMR- PPA-1 Page 3

06/30/2010 11:33 B64B77693B ETT ENVIRONMENTAL PAGE 10
'f tuent Toxk11Y Repoli Fot1n•Chronie Fathead IY!)nnow Il9ultl.Concentration Tdyto:08/3110i
Facility- Belrhgnt
Laboratory; ETT Envirgrarlental
X
Signature Of Operator In Responsible Charge
Teat Initiation Date/Time
% ISM Repl.
Cceirol Surviving lY
Original tY
wl/originel (mg)
I
0 Surviving 0
Original 0
VWoriginal (nV)
Surviving N
Original#
wlroriglnal (mg)
L 5urvlving rs
Original 0
Vworlprlal (nra)
18 Surviving N
Orlglnat N
WtIoriginal (mg)
32 Surviving 0
Origins 0
Vw0soinat (mg)
wawr Ouelity Data
Control
PH (SU) Init/Fin
0O (mg/L) InIVFln
Tema (C) WVFin
I High Concentration
pH (SU) InWFin
00 (mall.) InWFin
Tamp (C) InIVFln
Semple
Callec(Ion Start Date
Grab
Com0osltA (Duration)
Conductivity (umhoslem)
Alkalinity (ng/L)
Hardness (mWL)
Chlorine"I.)
Temp at Receipt (^C)
NPOES iI NC00 21181 Pipe 0. 001 County;
MAIL ORICINAI, T0. Rnvironmcatal &;coca Breach
1 C VF. of Wa1cr OaattSv NR
1623 ghscr ter 276 Cen
r
Rate, NC 274!M-1621
18,Attg-02
1 1300
Avg Y*Surv. COMM[ 0.403
1
2
3
4
10
10
9
10
% Survival 9 .
10
i0
10
10
0.388
D.400
0.339
0,447
Avg Wt (mg) 0.394
% Survival tOD.O
10
1D
to
10
10
10
10
1D
0.402 1
0.397
0.400
0.391
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j 0.489
0.342
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0.443
0.431 0.444 0.405
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10
8
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10
10
10
10
0.395
0.425
0.371
0.398
9
to
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10
10
10 10
0.435
0.4031
0.418 D.380
Avg M (mg) 0.40D
% Survival 97.5
Avg Out (m9) 0.400
% Survivim 97.5
Avg wt (nrg) 0.431
% Survival 95.0
Avg M (mg) 0.397
% Survival 95.0
Avg VA (mg) 0,432
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Effluent 791;kity Report Fort -Chronic Faltmd Minnow MuhbConcentratlan T®ittt:1,130109
Facility: Belmont NPDES S NC00 21181 Pipe 0: 001 County,. Gaston
Laboratory: ETT Environmental ommonts
Ir
Signature of Operator in Ftaspo nsible Charge
Test Initiation Date/time.
% off. RepL
Corttrt►I Surviving B
Original N
Wiroriginel (mg)
O2 Surviving X
Original A
Vftriginal (my)
�4 Surviving 4
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wwo ignal (mg)
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WVoriginal (mg)
MAIL ORIGINAL TO: Rexirenmendl Veieseex f3raneh �y� 1 n n
(iiv OR of Wafer Quality
NC D$VR
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17-NOV.09
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1
2
3
4
10
10
9
j % Survival 97,5
�448
10
10
0.364
0.406
0.426
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10
10
10
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10
10 10
10
0.403
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1 0.432
9 9 10 1 10
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% Survival
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% Survival 100.0
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% Survival 87.5
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water Quality Daft
Da
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1
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8
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BILLED DEC - 8 2009 � SHIPPED DEC - 2 2909

ETT ENVIRONMENTAL
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FadIlly: Belmont _ ` NPOES * NC00 21101 Pipe #: 001 County Gaston
laboratory: ETT Environmental manta
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Tamp (C) InWFin
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Grab
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Alkalinhy (mg/L)
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Tamp at Receipt ('C)
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Outside Supplier
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0.392
0.389
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10
10
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D.385
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Avg Wt (mg) 0:370
% Survival 97.5
Avg Wt (mg) 0.370
% SwAval 95.0
Avg Wt (mg) 0.357
% Survival 95.0
Avg M (mg) 0.387
% Survival 82.5
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% SurAvalF 92.5
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BILLED JUN 1 5 2009 SHIPPED JUN 1 3 2009

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