NC0024571_PAR IDSF Updated Kayser_20200423

Pretreatment Annual Report (PAR)
Control Authority,
Lumberton
Industry
Industrial Data Summary Form (IDSF)
Town Name => Lumberton
Name Kayser Roth
WWTP Name =>
LumFeWton
IUP # 4NPDES
Use separate forms for each industry/pipe
# _>
Pipe # 1
Enter BDL values as < (value)
1st 6 months, dates =>
I - Jan to June 30
2nd 6 months, dates =>
1 -Jul to Dec 31
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
st o montns
2na o montns
s Ton s
2-na o mon s
T-na o mon s
s Ton s
2na o mon s
21
19
9
8
3
3
N/A
1
0.2888
0.259
2.16
920.9
875
63.7
243
0.214
0.172
2.16
736.7
505
61.1
99
0
0
0
0
0
0
N/A
N/A
0
0
0
0
0
0
N/A
N/A
rsenic
a mium
romium
s months
n months
s mon s
n months
s mon s
n months
s months
n months
N/A
1
N/A
1
3
3
15
12
0.0025
0.0005
3501
3007
2.65
1.19
0.0025
0.0005
2729
2435
2
0.933
N/A
N/A
N/A
N/A
0
0
N/A
N/A
N/A
N/A
N/A
N/A
0
0
N/A
N/A
empera ure
LOU
Mercury
Tviolynclenum
st 6 months
2nd 6 months
s mon s
2nd 0 months
s mon s
2nd o mon s
s mon s
2nd o months
15
13
N/A
1
N/A
1
N/A
1
46
47
0.0025
0.0005
0.005
18.7
27
0.0025
0.0005
0.005
0
0
N/A
N/A
N/A
N/A
N/A
N/A
0
0
N/A
N/A
N/A
N/A
N/A
N/A
BDL => Below Detection Limit mg/I => mi I I i grams per liter
POTW must enter at least one of these IUP => Industrial User Permit Ib/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr. or 6-month & if BDL , 1/2BDL, or zero values used. TRC => Technical Review Criteria WWTP=> wastewater treatment plant
Chapter: PAR Guidance File name: PA(5b4 FiafE;iRe4i3aadded *tgLW A AW413, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe- Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name Kayser Roth
IUP # 4
Pipe #
s mon s
n mon s
s M mon s
n mon s
s mon s
n mon s
s 1110111,11h
n mon s
N/A
1
N/A
1
N/A
N/A
3
3
0.005
0.005
0.519
0.317
0.005
0.005
0.375
0.196
N/A
N/A
N/A
N/A
N/A
N/A
0
0
N/A
N/A
N/A
N/A
N/A
N/A
0
0
opper
Uyaniae
Vil & Urease
p
st 6 months
2nd 6 months
s rmon s
2nd 6 months
s mon s
2nd 6 months
TsTrmonrs
2nd 6 months
3
3
N/A
1
N/A
N/A
15
13
0.026
10.1
7.4
0.049
0.028
0.026
7.3
6
0.037
0.020
0
0
N/A
N/A
N/A
N/A
0
25
0
0
N/A
N/A
N/A
N/A
0
0
BDL => Below Detection Limit mg/I => mi I I i grams per liter
POTW must enter at least one of these IUP => Industrial User Permit Ib/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6-month & if BDL , 1/2BDL, or zero values used. TRC => Technical Review Criteria WWTP=> wastewater treatment plant
Chapter: PAR Guidance File name: PA(5brYf afE;iRe4i3aadded *tgLW A AW413, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe- Page of