NC0074837_Fact Sheet_20230802

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc.) that can be administratively renewed with minor changes but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer / Date
Charles H. Weaver — 8/2/2023
Permit Number
NCO074837
Facility Name / Facility Class
Bridgeton WWTP / WW-2
Basin Name / Sub -basin number
Neuse / 03-04-10
Receiving Stream / HUC
Neuse River / 0302020404
Stream Classification / Stream Segment
SC -Swam NSW / 27- 96
Does permit need Daily Maximum NH3
limits?
NH3 limits are at BAT for Class WW-2
facilities.
Does permit need TRC limits/language?
Already present - Special condition present in
case UV fails
Does permit have toxicity testing? IWC (%)
if so
No
Does permit have Special Conditions?
Neuse nutrient conditions, mercury
monitoring, and chlorine back-up
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
Yes. Stream segment added to 303(d) list in
2008 for Copper / Exceeding Criteria
Any obvious compliance concerns?
No enforcements since 2018. Three NOVs
and three NODS during this permit cycle.
Any permit mods since lastpermit?
No
New expiration date
6/30/2028
Changes in Draft Permit?
Added Neuse modeling reopener.
Updated eDMR text.
Changes to Final Pemrit?
None

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
Public Notice
AFFP North Carolina Environmental
Public Notice North Carolina E Management Commission/NP-
DES Unit
1617 Mail Service Center
Affidavit of Publication Raleigh, NC 27699-1617
Notice of Intent to Issue a NPDES
Wastewater Permit N00074837
Bridgeton
STATE OF NC
SS W)kTP The North Carolina Envir-
COUNTY OF CRAVEN) onmental Management Commis-
sion proposes to
issue a NPDES, wastewater dis-
Christy Williamson , being duly sworn, says: charge permit to the person(s) lis-
ted below. Written
That she is Christy Williamson, Advertising Director of the comments regarding the proposed
New Bern Sun Journal, a daily newspaper of general permit will be accepted until 30
circulation, printed and published in New Bern, Craven days after the
County, NC; that the publication, a copy of which is publish date of this notice. The
attached hereto, was published in the said newspaper on Director of the NC Division of
June 17, 2023 Water Resources
(DWR) may hold a public hearing
should there be a significant de-
gree of public
interest. Please mail comments
and/or information requests to
DWR at the above
That said newspaper was regularly issued and circulated address. Interested persons may
on those dates. visit the DWR at 512 N. Salisbury
S Street, Raleigh,
a NC to review information on file.
Additional information on NP-
Christy Williamsclin, Advertising Director DES permits and
Subscribed to and sworn to me this 17th day of June this notice may be found on our
2023. website:
hjW:Lft.nc.gov/about1divisions/
wawr-
vleL Aa�"L' 6A L6?"e
Elizabeth Goodwin Howell, , Craven County, NC wastewater/amblic-
aQjjM,or by calling (919) 707-
My commission expires: July 13, 2027 3601. The Town of Bridgeton has
GOODW/ requested
M/X0
..rj 0/� renewal of NPDES permit
,
%
NCO074837 for its WWTP (200
XAOTAR CD
Pine Street, Bridgeton)
70085808 70699290
in Craven County. This facility
4,13 zQrL discharges to the Neuse River in
Wren Thedford -(New Bern)
Zthe Neuse River
DEO-Division of Water Resources_(�?4',n& Basin. Currently BOD, ammonia
1617 Mail Service Center nitrogen, dissolved oxygen, and
Raleigh, NC 27699-1617 enterococci are
water quality limited. This dis-
charge may impact future alloca-
tions in this sector of
the Neuse River.

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
Lower Neuse
AU Name
AU ID Description
NORTH CAROLINA 2022 303(D) LIST
Neuse River Basin
AU Number Classification AU_LengthArea AU —Units
NEUSE RIVER Estuary 27-(96)b1a SC;Sw,NSW 516.0 S Acres
13762 From Bachelor Creek to a line across the river from Renny Creek to 0.5 miles north of Mills Branch
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Copper (3 µg/I, AL, SW) 5 Exceeding Criteria Legacy Category 5 Total Metals 2008
Assessment
NEUSE RIVER Estuary 27-(96)b1b SC;Sw,NSW 484.7 S Acres
13819 From a line across the river from Renny Creek to 0.5 miles north of Mills Branch to a line across the river
from Jack Smith Creek to 0.5 miles south of Mills Branch
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Copper (3 µg/I, AL, SW) 5 Exceeding Criteria Legacy Category 5 Total Metals 2008
Assessment
NEUSE RIVER Estuary 27-(96)b1c SC;Sw,NSW 1,371.8 S Acres
13820 From a line across the river from Jack Smith Creek to 0.5 miles south of Mills Branch to the Trent River
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Copper (3 µg/I, AL, SW) 5 Exceeding Criteria Legacy Category 5 Total Metals 2008
Assessment
Beaver Creek
7489 From source to Trent River
PARAMETER IR CATEGORY
Benthos (Nar, AL, FW) 5
Musselshell Creek
7499 From souce to Trent River
PARAMETER IR CATEGORY
Benthos (Nar, AL, FW) 5
27-101-15
CRITERIA STATUS
Exceeding Criteria
27-101-17
C;Sw,NSW
12.3 FW Miles
REASON FOR RATING 303D YEAR
Fair, Poor or Severe Bioclassification 1998
C;Sw,NSW
5.8 FW Miles
CRITERIA STATUS REASON FOR RATING 303D YEAR
Exceeding Criteria Fair, Poor or Severe Bioclassification 2008
King Creek 27-120 SA;HQW,NSW 3.3 S Acres
7651 From source to Neuse River (2.35247135162354 S Miles)
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Shellfish Growing Area Status (Fecal, SH, SA) 5 Exceeding Criteria Prohibited Shellfish Growing Area 2020
Gatlin Creek 27-121 SA;HQW,NSW 9.7 S Acres
7653 From source to Neuse River (2.47291350364685 S Miles)
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Shellfish Growing Area Status (Fecal, SH, SA) 5 Exceeding Criteria Prohibited Shellfish Growing Area 2012
6/7/2022 NC 2022 303d List- Approved by EPA 4/30/2022 Page 77 of 192

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
Weaver, Charles
From:
Bullock, Robert
Sent:
Monday, June 5, 2023 1:21 PM
To:
Weaver, Charles
Cc:
Tankard, Robert
Subject:
RE: DRAFT permit renewal for NCO074837
I do not have any comments for this permit.
Thanks,
Robbie
Robbie Bullock
Environmental Program Consultant
Division of Water Resources
Water Quality Regional Operations
252-948-3843 Office
252-402-5832 Cell
Robert.e.bullock(a)deg.nc.gov Email
943 Washington Square Mall
Washington NC 27889
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Weaver, Charles <[e-mail]>
Sent: Friday, June 2, 2023 1:20 PM
To: Bullock, Robert <[e-mail]>; Kinney, Maureen <[e-mail]>
Cc: Tankard, Robert <[e-mail]>
Subject: DRAFT permit renewal for NCO074837
Bridgeton will go to Notice on June 13t". Send me any comments as time permits.
Charles H. Weaver
Environmental Specialist II
Division of Water Resources
919-707-3616
charles.weaver(a-decl. nc. qov
(mailing address) 1617 Mail Service Center, Raleigh, NC 27699-1617
Prrraif correspondence to and from this address is subXd to the North
Carobna P &rc Records Law and may be rlrsabsed to thrrd parties,

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
ROY COOPER _
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR. NORTH CAROLINA
Director Environmental Quality
May 30, 2023
Town of Bridgeton
Attn: John R. Chittick, Mayor
PO Box 570
Bridgeton, NC 28519-0570
Subject: Permit Renewal
Application No. NCO074837
Bridgeton WWTP
Craven County
Dear Applicant:
The Water Quality Permitting Section acknowledges the May 26, 2023, receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https•//deq nc gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
SincePedford
Wren
Administrative Assistant
Water Quality Permitting Section
cc: Kevin Mullineaux, ORC
ec: WQPS Laserfiche File w/application
D EQ.,- North Carolina Department of Environmental Quality I Division of Water Resources
��j/� Washington Regional Office 1943 Washington Square Mall I Washington. North Carolina 27889-
�mmnv / 252.946.6481

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name Fo�ECMM
NCO074837
Town Of Bridgetojn
Form
U.S. Environmental Protection Agency
2A
ICOEPA
Application for NPDES Permit to Discharge Wastewater
6 J ,
NPDES
iVl(-l�iu -" �3
NEW AND EXISTING PUBLICLY OWNED TREATMENT WORKS
SECTION
1. BASIC
APPLICATION INFORMATION FOR ALL APPLICANTS (40 CIFIR 122.21(j)(1) and (9))
1.1
Facility name NC®EQ/®WR/NP
Town Of Bridgton
Mailing address (street or P.O. box)
P.O. Box 570
City or town
State
ZIP code
0
Bridgeton
NC
28519
EContact
name (first and last)
Title
Phone number
Email address
c
Kevin Mullineaux
ORC
[phone]
[e-mail]
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
U-
P.O. Box 317
City or town
State
ZIP code
Havelock
NC
28532
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission R No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑ No SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
0
r
iv
€City
or town
State
ZIP code
0
c
cc
Contact name (first and last)
Title
Phone number
Email address
Q
o-
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
© Owner ❑ Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
© Facility ❑ Applicant ❑ Facility and applicant
(they are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.
€
Existing Environmental Permits
a
❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
E
c
NCO074837
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
w
a>
y
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
c
EPA Form 3510-2A (Revised 3-19) Page 1

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
—j
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO074837
Town Of Bridgetojn
OMB No. 2040-0004
1.7
Provide the collections stem information requested below for the treatment works.
Municipality
Population
Collection System Type
Ownership Status
Served
Served
indicate percentage)
1
347
100 % separate sanitary sewer
ID Own ❑ Maintain
Z%
combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
ElOwn ❑ Maintain
cn
c
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
a
❑ Unknown
❑ Own ❑ Maintain
0
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
1°
❑ Unknown
❑ Own ❑ Maintain
d%
separate sanitary sewer
El Own ❑ Maintain
% combined storm and sanitary sewer
[I Own El Maintain
cn
c
❑ Unknown
❑ Own ❑ Maintain
Total 347
Population
U
Served
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line in miles
100 %
%
z'
1.8
Is the treatment works located in Indian Country?
c
V
ElYes 21 No
C
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
20
c
❑ Yes No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
075 mgd
y N
Annual Average Flow Rates Actual
a R
�
Two Years Ago
Last Year
This Year
c
.042 mgd
.039 mgd
.038 mgd
0.2
V"
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
.052 mgd
.055 mgd
.051 mgd
1.11
Provide the total number of effluent discharge points to waters of the United States by type.
oTotal
Number of Effluent Discharge Points by Type
a a
Combined Sewer
Constructed
s
Treated Effluent
Untreated Effluent
Overflows
Bypasses
Emergency
Overflows
1
0
0
0
0
EPA Form 3510-2A (Revised 3-19) Page 2

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC0074837
Town Of Bridgetojn
OMB No. 2040-0004
Outfalls Other Than to Waters of the United States
1.12
Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets for
discharge to waters of the United States?
❑ Yes ✓❑ No 4 SKIP to Item 1.14.
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Im oundment Location and Dischar a Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
y
❑ Intermittent
v
s
1.14
Is wastewater applied to land?
2
❑ Yes ❑ No 4 SKIP to Item 1.16.
c
1.15
Provide the land application site and discharge data requested below.
M
e
Land Application Site and Discharge Data
o
0
Average Daily Volume
Continuous or
Location
Size
Applied
Intermittent
L
check one
acres
d
gpd
❑ Continuous
AA
❑ Intermittent
w
❑ Continuous
o
acres
gp d
❑ Intermittent
acres
❑ Continuous
gpd
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
o
❑ Yes ❑✓ No 4 SKIP to Item 1.21.
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Trans orter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
EPA Form 3510-2A (Revised 3-19) Page 3

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC0074837
Town Of Bridgetojn
OMB No. 2040-0004
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
facility.
.receiving
Receivinq F cilitv Data
a
Facility name
Mailing address (street or P.O. box)
d
City or town
State
ZIP code
0
U
Contact name (first and last)
Title
0
L
d
Phone number
Email address
c
NPDES number of receiving facility (if any) ❑ None
Average flail flow rate m d
9 Y 9
0.
'0Ln
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1,14 through 1.21 that do not
0
have outlets to waters of the United States (e.g., underground percolation, underground injection)?
rn
s
❑ Yes ❑ No + SKIP to Item 1.23.
U
0
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
o
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
cc
Description
Volume
acres
gpd
❑ Continuous
❑ Intermittent
0
❑ Continuous
acres
gp d
❑ Intermittent
❑ Continuous
acres
gp d
❑ Intermittent
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
(n
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
❑✓ Not applicable
1.24
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
the responsibility of a contractor?
✓❑ Yes ❑ No +SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
Contractor name
Hydro Services
M,
(company name
E
Mailing address
street or P.O. box
P.O. Box 317
S
City, state, and ZIP
Havelock, NC 28532
R
code
Conctact name (first and
last)
Kevin mullineaux
Phone number
[phone]
Email address
[e-mail]
Operational and
Daily operations,
maintenance
Maintenance allowed and
responsibilities of
approved by Town
contractor
EPA Form 3510-2A (Revised 3-19) Page 4

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0074837 ( Town Of Bridgetojn OMB No.2040-0004
SECTION 2. ADDITIONAL INFORMATION (40 CIFIR 122.210)(1) and (2))
c Outfalls to Waters of the United States
c
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
rn
o
❑ Yes ❑ No 4 SKIP to Section 3.
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
c
2
and infiltration.
gpd
w
Indicate the steps the facility is taking to minimize inflow and infiltration.
_
3
0
_
s
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
M 0.
specific requirements.)
0
n
C
0
❑ Yes ❑ No
F-
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
`°
a,
(See instructions for specific requirements.)
o
L
o
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
=
0
;a
1.
d
E
n.
2.
E
w
0
y
d
3.
d
co
4.
a
0
2.6
Provide scheduled or actual dates of completion for improvements.
cn
Scheduled or Actual Dates of Completion for Im rovements
d
Scheduled
Affected
Begin
End
Begin
Attainment of
>
o
Improvement
Outfalls
utfa(list l
Construction
Construction
Discharge
Operational
Level
E
(from above)
number
number)
(MMlDD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
MM/DDlYYYY
,3
d
d
t
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
EPA Form 3510-2A (Revised 3-19) Page 5

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number Facility Name
Form Approved 03/05/19
NC0074837 Town Of Bridgetojn
OMB No. 2040-0004
SECTION•'
• ON 1 1
to
3.1
Provide the following information for each outfall. (Attach additional
sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number
Outfall Number
State
NC
County
Craven
Tw
5
0
City or town
Bridgeton
0
s
Distance from shore
100 ft.
Depth below surface
8 ft.
0
Average daily flow rate
.040 mgd
mgd
mgd
Latitude
35' 4155
"
Longitude
77P 771Y
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o
❑ Yes ❑� No 4 SKIP to Item 3.4.
d
3.3
If so, provide the following information for each applicable outfall.
y
Outfall Number
Outfall Number
Outfall Number
0
Number of times per year
o
discharge occurs
a
Average duration of each
`o
discharge (specify units
cAverage
flow of each
mgd
mgd
mgd
U)
discharge
N
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑ No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser type at each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
d
20 feet of perferated pipe.
0
Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
vi
12 �
3.6
discharge points?
CD
w
❑ Yes ❑ No SKIP to Section 6.
EPA Form 3510-2A (Revised 3-19) Page 6

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO074837
Town Of Bridgetojn
OMB No. 2040-0004
3.7
Provide the receiving water and related information if known for each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Receiving water name
Neuse River
Name of watershed, river,
0
or stream system
Neuse River Basin
U.S. Soil Conservation
Service 14-digit watershed
o
code
Name of state
rn
management/river basin
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mg/L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following information describing the treatment pr vided for discharges from each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Highest Level of
❑ Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
El Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
c
Tertiary filtration - me
0
a
Design Removal Rates by
Outfall
W
W
BOD5 or CBODe
90 %
%
%
c
m
E
m
TSS
90 %
%
%
❑ Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
❑ Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
%
/o °
o
/o
Other (specify)
❑ Not applicable
❑ Not applicable
❑ Not applicable
EPA Form 3510-2A (Revised 3-19) Page 7

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC0074837
Town Of Bridgetojn
OMB No. 2040-0004
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
3
Trojan 3000 PTP
c
c
o
oOutfall
Number 001
Outfall Number
Outfall Number
a
Disinfection type
UV Disinfection
d
0
C
Seasons used
all
d
E
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
2 No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
0 Yes ❑ No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑ No -* SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
Number of tests of receiving
water
3.13
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
w.
❑ Yes ❑ No 4 SKIP to Item 3.16.
0
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine.
c
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
LU
w
❑ Yes ❑ No
3.16
Does one or more of the following conditions apply?
• The facility has a design flow greater than or equal to 1 mgd.
• The POTW has an approved pretreatment program or is required to develop such a program.
• The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C, must
sample other additional parameters (Table D), or submit the results of WET tests for acute or chronic toxicity for
each of its discharge outfalls (Table E).
Yes -+ Complete Tables C, D, and E as
❑ ❑ No 4 SKIP to Section 4.
applicable.
3.17
Have you completed monitoring for all applicable Table C pollutants and attached the results to this application
package?
❑ Yes ❑ No
3.18
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
attached the results to this application package?
❑ Yes ❑ No additional sampling required by NPDES
permittincl authorit .
EPA Form 3510-2A (Revised 3-19) Page 8

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO074837
Town Of Bridgetojn
OMB No. 2040-0004
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No + Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
MM/DD/YYYY
V
m
_
c
r
c
0
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
o
toxicity?
Cn
❑ Yes ❑ No SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
d
w
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES wirmitting authori .
SECTION
4. INDUSTRIAL
DISCHARGES AND HAZARDOUS WASTES (40 CFR 122,21(j)(6) and (7))
4.1
Does the POTW receive discharges from SIUs or NSCIUs?
❑ Yes 0 No 4 SKIP to Item 4.7.
4.2
Indicate the number of SIUs and NSCIUs that discharge to the POTW.
Number of SIUs
Number of NSCIUs
0
4.3
Does the POTW have an approved pretreatment program?
N
_
❑ Yes ❑ No
4.4
Have you submitted either of the following to the NPDES permitting authority that contains information substantially
identical to that required in Table F: (1) a pretreatment program annual report submitted within one year of the
application or (2) a pretreatment program?
r
❑ Yes ❑ No 4 SKIP to Item 4.6.
0
4.5
Identify the title and date of the annual report or pretreatment program referenced in Item 4.4. SKIP to Item 4.7.
w
_
c
—
4.6
Have you completed and attached Table F to this application package?
❑ Yes ❑ No
EPA Form 3510-2A (Revised 3-19) Page 9

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO074837
Town Of Bridgetojn
OMB No. 2040-0004
4.7
Does the POTW receive, or has it been notified that it will receive, by truck, rail, or dedicated pipe, any wastes that are
regulated as RCRA hazardous wastes pursuant to 40 CFR 261?
❑ Yes ❑ No + SKIP to Item 4.9.
4.8
If yes, provide the folio ing information:
Annual
Hazardous Waste
Waste Transport Method
Amount of
Units
Number
(check all that apply)
Waste
_
Received
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other (specify)
c
w
c
0
U
d
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other (specify)
0
v
N
❑ Truck ❑ Rail
_
❑ Dedicated pipe ❑ Other (specify)
m
a�
L4.9
Does the POTW receive, or has it been notified that it will receive, wastewaters that originate from remedial activities,
y
including those undertaken pursuant to CERCLA and Sections 3004(7) or 3008(h) of RCRA?
0
❑ Yes ❑ No 4 SKIP to Section 5.
4.10
Does the POTW receive (or expect to receive) less than 15 kilograms per month of non -acute hazardous wastes as
specified in 40 CFR 261.30(d) and 261.33(e)?
❑ Yes 4 SKIP to Section 5. ❑ No
4.11
Have you reported the following information in an attachment to this application: identification and description of the
site(s) or facility(ies) at which the wastewater originates; the identities of the wastewater's hazardous constituents; and
the extent of treatment, if any, the wastewater receives or will receive before entering the POTW?
❑ Yes ❑ No
SECTION•
- OVERFLOWS (40
E
5.1
Does the treatment works have a combined sewer system?
CEl
Yes 0 No 4SKIP to Section 6.
5.2
Have you attached a CSO system map to this application? (See instructions for map requirements.)
c
a,
❑ Yes ❑ No
R
0
5.3
Have you attached a CSO system diagram to this application? (See instructions for diagram requirements.)
`n
U
ElYes ❑ No
EPA Form 3510-2A (Revised 3-19) Page 10

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPIDES Permit Number
Facility Name
Form Approved 03/05/19
NC0074837
Town Of Brid eto n
B 1
OMB No. 2040-0004
5.4
For each CSO outfall, provide the following information. Attach additional sheets as necessary.)
CSO Outfall Number _
CSO Outfall Number
CSO Outfall Number
0
City or town
State and ZIP code
U)
o
County
Latitude
°
0
0
U
Longitude
°
Distance from shore
ft.
ft.
ft.
Depth below surface
5.5
Did the POTW monitor any of the following items in the past year for its CSO outfalls?
CSO Outfall Number
CSO Outfall Number
CSO Outfall Number
Rainfall
❑ Yes ❑ No
❑ Yes ❑ No
[]Yes ❑ No
rn
o
CSO flow volume
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
CSO pollutant
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
0
concentrations
Receiving water quality
❑ Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
CSO frequency
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Number of storm events
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
5.6
Provide the following information for each of your CSO outfalls.
CSO Outfall Number _
CSO Outfall Number _
CSO Outfall Number _
Number of CSO events in
events
events
events
y
�a
the past year
a
c
Average duration per
hours
hours
hours
event
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
w'
million gallons
million gallons
million gallons
0
Average volume per event
c"'i
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
Minimum rainfall causing
inches of rainfall
inches of rainfall
inches of rainfall
a CSO event in last year
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated I
❑ Actual or ❑ Estimated
EPA Form 3510-2A (Revised 3-19) Page 11

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO074837
Town Of Bridgetojn
OMB No. 2040-0004
5.7
Provide the information in the table below for each of your CSO outfalls.
CSO Outfall Number
CSO Outfall Number _
CSO Outfall Number
Receiving water name
Name of watershed/
streams stem
aU.S.
Soil Conservation
❑ Unknown
❑ Unknown
❑ Unknown
cc
Service 14-digit
watershed code
>
if known
Name of state
management/river basin
U.S. Geological Survey
❑ Unknown
❑ Unknown
❑ Unknown
8-Digit Hydrologic Unit
Code if known
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
exam les
SECTION•
6.1
i
In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1
Column 2
Section 1: Basic Application
wl variance request(s) ❑ wl additional attachments
ElInformation
for All A licants
❑ Section 2: Additional
✓
w/ topographic map ❑ w/ process Flow diagram
Information
❑ wl additional attachments
wl Table A ❑ wl Table D
❑ Section 3: Information on
❑ w/ Table B ❑ w/ Table E
Effluent Discharges
E
❑ w/ Table C ❑ wl additional attachments
Section 4: Industrial
❑ w/ SIU and NSCIU attachments ❑ wl Table F
N
❑ Discharges and Hazardous
❑
Wastes
w/ additional attachments
,'
❑ Section 5: Combined Sewer
El w/ CSO map ❑ w/ additional attachments
Overflows
❑ w/ CSO system diagram
❑ Section 6: Checklist and
❑ w/ attachments
w
Certification Statement
Y
6.2
Certification Statement
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information 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 fine
and imprisonment for knowing violations.
Name (pri t or type first and last namo)
Officia%l,, M
�l
vL'
Sig a
Date sign
23
EPA Form 351 (Revised 3-19) Page 12

DocuSign Envelope ID: 9693B850-C8FA-428F-8D3D-OFC810693CD5
EPA Identification Number
NPDES Permit Number
Facility Name
Outfall Number
NCO074837
Town Of Bridgetojn
001
Form Approved 03/05/19
OMB No. 2040-0004
Pollutant
Maximum Daily Discharge
Average Daily Discharge
Analytical
Methods
ML or MDL
Include units
( )
Value
Units
Value
Units
Number of
Samples
Biochemical oxygen demand
o BOD5 or ❑ CBOD5
report one
4
mg/1
<2.0
mg/I
Weekly
5210b-16
0 ML
❑ MDL
Fecal conform
4
Enterocci
<1
Enterocci
Weekly
ENTERO-IDX
2 ML
❑ MDL
Design flow rate
.055
mgd
.042
MGD
Daily
pH (minimum)
6.8
units
pH (maximum)
7.4
units
Temperature (winter)
13
C
15
C
Daily
Temperature (summer)
24
C
22
C
Daily
Total suspended solids (TSS)
<2.5
1 mg/I
<2.5
I mg/1
Weekly
254OD-15
Evl ML
❑ MDL
I Samolina shall be conducted accordina
to sufficiently sensitive test Drocedures (i.e.. methods) aDDroved under 40 CFR 136
for the analvsis of D011utants or D011utant narameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
RECEIVED
bi f 6 2023
NCDEQ!DWR/NPDES
EPA Form 3510-2A (Revised 3-19) Page 13