NC0024333_Industrial User_20210602

,_ .,..
1 onroe
North Carolina
RECEIVED
May 28, 2021
JUN022021
Mr. Michael Montebello NCDEQIDWR/NPDES
NCDEQ Municipal Unit-Pretreatment
1617 Mail Service Center
Raleigh, NC 27699-1617
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear Mr. Montebello:
Please find enclosed for your review a copy of the IUP's for Atrium Health-Union, Glenmark
Pharmaceuticals Inc., USA, NC Biogas LLC and Pilgrim's Pride Corporation. Also enclosed is
an Industrial Wastewater Survey and Application, IUP Synopsis, the most recent SIU Inspection
form for each facility and an updated Allocation Table.
Should you require additional information please do not hesitate to call me at(704)-282-4632.
Respectfully,
Kevin Keesler
Pretreatment Coordinator
C: WWTP/IUP file
I:\8040 WWTP and Collection\Pretreatment program\DWQ\Correspondence
City of Monroe • PO Box 69 • Monroe,NC 28111-0069
Tel: [phone] • Fax: [phone]
www.monroenc.org

fionroe
North Carolina
May 28, 2021
Ms. Stine Knight
EHS Manager
Glenmark Pharmaceuticals Inc., USA 4147 Goldmine Road RECEIVED
Monroe,N.C. 28110
0 2 2021
CERTIFIED MAIL NCDEQ/DWR/NPDES
RETURN RECEIPT REQUESTED
Dear Ms. Knight:
Please find enclosed herein Industrial User Permit CM-33 authorizing Glenmark
Pharmaceuticals Inc., USA to continue discharge process wastewater to the City of Monroe
sewer system for further treatment at the City of Monroe Wastewater Treatment Plant through
June 30, 2024 and specifying the conditions governing this discharge. All Significant Industrial
User permits are subject to review and approval by NCDWR Municipal Unit-Pretreatment.
Please review this entire permit carefully in order to meet all requirements.
This IUP renewal includes permit limit changes for Flow, Chloride(monitor only) and the
pretreatment system upgrade.
Consistent with the provisions of§ 52.051 of the City's Sewer Use Ordinance, the terms and
conditions of this permit are binding upon the industrial user.
§ 52.051 WASTEWATER PERMITS.
(I) Hearings.
(1) Initial Adjudicatory Hearings. An applicant whose permit is denied, or is granted
subject to conditions he deems unacceptable, a permittee/user assessed a civil penalty under §
52.999, or one issued an administrative order under § 52.120 shall have the right to an
adjudicatory hearing before the POTW Director or other hearing officer appointed by the POTW
Director upon making written demand, identifying the specific issues to be contested, to the
POTW Director within 30 days following receipt of the significant industrial user permit, civil
penalty assessment, or administrative order. Unless such written demand is made, within the time

specified herein, the action shall be final and bindingand further appeal is barred. For modified
p pp
permits, only those parts of the permit being modified may be adjudicated. The hearing officer
shall make a final decision on the contested permit penalty, or order within 45 days of the receipt
of the written demand for a hearing. The POTW Director shall transmit a copy of the hearing
officer's decision by registered or certified mail.
Consistent with the provisions of§ 52.051 of the City's Sewer Use Ordinance, the terms and
conditions of this permit are binding upon the industrial user.
Should you require additional information please do not hesitate to contact me.
Respectfully,
Kevin Keesler
Pretreatment Coordinator
c: WWTP files
Mr. Russell Colbath
I:\8040 WWTP and Collection\Pretreatment program\Industries\Glenmark
City of Monroe •PO Box 69 • Monroe,NC 28111-0069
Tel: [phone]'1 • Fax: [phone]
www.monroenc.org

City of Monroe WWTP
Municipality Name
hereafter in this permit to as the
Control Authority
PERMIT
Industrial User Pretreatment Permit(IUP)
To Discharge Wastewater Under the
Industrial Pretreatment Program
CM-33 - 439.47
IUP Number 40 CFR Category
(if Applicable)
In compliance with the provisions of North Carolina General Statute 143-215.1, any applicable
federal categorical pretreatment regulations, all other lawful standards and regulations promulgated
and adopted by the North Carolina Environmental Management Commission,and the City of Monroe
Sewer Use Ordinance. The following Industry, hereafter referred to by name or as the permittee:
Industry name,permittee:
Glenmark Pharmaceuticals Inc. USA
Facility Located at Street Address:
4147 Goldmine Road
City
Monroe
State,Zip
North Carolina, 28110
is hereby authorized to discharge wastewater from the facility located at the above listed address into
the sanitary sewer collection system and the wastewater treatment facility of the City of Monroe
listed below:
IUP Control Authority WWTP name:
City of Monroe WWTP
NPDES Number:
NC0024333
WWTP Address:
Post Office Box 69
State,Zip
Monroe,NC 28111-0069
in accordance with effluent limitations, monitoring requirements, and all other conditions set forth
in Parts I, II, and III of this Industrial User Pretreatment Permit(IUP).
Effective date,this permit and the authorization to discharge shall
become effective at midnight on this date:
July 1,2021
Expiration date,this permit and the authorization to discharge shall
expire at midnight on this date:
June 30,2024
Date Director of Water Resources
Page:1
Effective Date:July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
IUP, PART I, OUTLINE:
A) IUP Basic Information
B) IUP Modification History
C) Authorization Statement
D) Description of Discharges
E) Schematic and Monitoring Locations
F) Effluent Limits&Monitoring Requirements
G) Definitions and Limit Page(s)notes
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe Wastewater Treatment Plant NC0024333
IUP Name: IUP Number:
Glenmark Pharmaceutical Inc.USA CM-33
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1,2021 01
IUP Expiration date: IUP 40 CFR#(if applicable),or N/A:
June 30,2024 439.47
B. IUP History:
Effective Date: Renewal or Modification: Description of modifications.
September 1,2015 New Permit Permit Issued
July 1,2018 Renewal Name Change,Changed PART I,C
(2).Added air stripping to
pretreatment units.
December 17,2018 Modification Changed PART I,C(2).Added
ozone to generator pretreatment
units.
October 9,2020 Modification Changed limits Acetone,n-Amyl
acetate,Ethyl acetate,Isopropyl
acetate Methylene chloride;40 CFR
439.47 daily concentration and
monthly average.
July 1,2021 Renewal Removed ozone generator and air
stripper.Added EQ tank,heat
exchangers and water chiller.Added
Chloride monitor only.Changed
detection limits for,n-Amyl acetate,
Ethyl acetate,Isopropyl acetate
Methylene chloride.Added Chloride
monitor only.Decreased daily flow.
IUP#=>CM-33
Page:2
Effective Date:July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
C) Authorization Statement:
1) The Permittee is herebyauthorized to discharge wastewater in accordance with the
g
effluent limitations, monitoring requirements, and all other conditions set forth in this
Industrial User Pretreatment Permit (IUP) into the sewer collection system and
wastewater treatment facility of the City of Monroe.
2) The Permittee is hereby authorized to continue operation of and discharge wastewater
from the following treatment or pretreatment facilities. These facilities must correspond
to the treatment units listed on both the application and inspection forms.
IU Treatment Units
List all Treatment Units: Descriptions:
Process Wastewater flow equalization
Spill protection
pH adjust
Air stripping
Heat exchangers/chiller
3) The Permittee is hereby authorized to, if required by the City of Monroe and after
receiving Authorization to Construct (A to C) from the City of Monroe, construct and
operate additional pretreatment units as needed to meet final effluent limitations.
D) Description of IUP Discharge(s):
1. Describe the discharge(s)from all regulated pipes.
Pipe#01,Description of Discharge:
Process wastewater
Pipe#02,Description of Discharge:
IUP#=>CM-33
Page:3
Effective Date:July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
E.) Schematic and Monitoring Locations:
The facility schematic and description of monitoring location(s) given below must show
enough detail such that someone unfamiliar with the facility could readily find and
identify the monitoring location(s) and connection to the sewer. Include and identify all
regulated pipes. See Pages 4A,4B and 4C.
IUP#=>CM-33
Page:4
Effective Date:July 1,2021

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IUP,Part I, Section F: Receiving POTW name=>City of Monroe IU name=>Glenmark Pharm.Inc.USA
Effluent Limits and Monitoring Requirements Receiving POTW NPDES #=>NC0024333 IUP#=> CM-33
Effective date for these Limits=7/1/21 Pipe#_> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=>6/30/24 40 CFR#=>439.47
number according to these specific dates, effluent if not applicable put N/A
limits, and monitoring requirements. THE LIMITS ON THIS ARE, (Check one below):
LIMITS for ENTIRE permit period=> X
INTERIM Limits for period# 1 =>
INTERIM Limits for period#2=>
FINAL Limits Page=>
Conventional Concentration Limits Mass-Based Limits Monitoring Frequency Sample Required
Parameters' DailyMonthlyUnits DailyMonthlyUnits by Industry by POTW Collection laboratory
Max Avg. Max Avg. Method Detection
(C or G) Limits
Flow 0.010 MGD MGD Daily*
BOD monitor only mg/1 lbs/day 1/month2 1/6 months C 2.0 mg/1
TSS monitor only mg/1 lbs/day 1/month 1/6 months C 2.5 mg/1
Temperature Deg.C Deg. C
pH 6 to 11 Std.Units 6 to 11 Std.Units 1/month 1/6 months G 0.1 S.U.
Other Parameters,Please list alphabetically
Ammonia monitor only mg/1 lbs/day 1/month 1/6 months C .5 mg/1
Cadmium monitor only mg/1 lbs/day 1/month 1/6 months C .001 mg/1
Chloride monitor only mg/1 lbs/day 1/month 1/6 months C 1.0mg/1
Chromium monitor only mg/1 lbs/day 1/month 1/6 months C .010 mg/1
Copper monitor only mg/1 lbs/day 1/month 1/6 months C .010 mg/1
Cyanide monitor only mg/1 lbs/day 1/month 1/6 months G .010 mg/1
Lead monitor only mg/1 lbs/day 1/month 1/6 months C .005 mg/1
Mercury monitor only mg/1 lbs/day 1/month 1/6 months C .0002 mg/1
Nickel monitor only mg/1 lbs/day 1/month 1/6 months C .010 mg,/1
Zinc monitor only mg/1 lbs/day 1/month 1/6 months C .010 mg/1
Oil &Grease monitor only mg/1 lbs/day 1/month 1/6 months G 5 mg/1
1 Parameters and Prohibitions not specified above are regulated and limited by the (See next section,IUP,Part I, Section G.)
City of Monroe Sewer Use Ordinance. for Definitions and Limits Page(s)notes:
2 1/month shall be 1 sampling event consisting of one day every month. IUP,PART I,Page: 5
*The flow meter totalizer shall be recorded each day of discharge with the data submitted as required in PART II(2).
IUP, Part I, Section F:
Effective Date:July 1,2021

Receiving POTW name=>City of Monroe IU name=>Glenmark Pharm.Inc. USA
Effluent Limits and Monitoring Requirements Receiving POTW NPDES #=>NC0024333 IUP#=> CM-33
Effective date for these Limits=7/1/21 Pipe#_> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=> 6/30/24 40 CFR#=>439.47
number according to these specific dates, effluent if not applicable put N/A
limits, and monitoring requirements. THE LIMITS ON THIS ARE, (Check one below):
LIMITS for ENTIRE permit period=> X
INTERIM Limits for period# 1 =>
INTERIM Limits for period#2=>
FINAL Limits Page=>
Regulated Concentration Limits Mass-Based Limits Monitoring Frequency Sample Required
Parameters' Daily Monthly Units Daily Monthly Units by Industry by POTW Collection laboratory
Max Avg. Max Avg. Method Detection
(C or G) Limits
Acetone 20.7 8.2 mg/1 1/month2 1/6 months G 20 ug/1
n-Amyl 20.7 8.2 mg/1 1/month 1/6 months G 5 ug/1
acetate
Ethyl acetate 20.7 8.2 mg/1 1/month 1/6 months G 10 ug/1
Isopropyl 20.7 8.2 mg/1 1/month G 10 ug/1
acetate
Methylene 3.0 0.7 mg/1 1/month 1/6 months G 5 ug/1
chloride
Test procedures for the analysis of pollutants shall conform to regulations published by the United States Environmental Protection
Agency (USEPA) pursuant to 40 CFR Part 136 under which such procedures may be required. The categorical regulated parameters
must be analyzed using appropriate test methods listed in Table IF of 40 CFR 136.3. If allowed by the Control Authority and/or
Municipality, analysis may be performed using an alternative method as long as the method meets the QA/QC requirements of the
applicable Table IF method (see 40 CFR 136.4), and the lab has approval from NC DWR Laboratory Certification Unit to use the
alternative method for the applicable parameter. Detection levels generated by the chosen method must be low enough to judge
compliance with limits contained within Part I, Section F: of this permit.
' Parameters and Prohibitions not specified above are regulated and limited by the (See next section,IUP,Part I, Section G.)
City of Monroe Sewer Use Ordinance. for Definitions and Limits Page(s)notes:
2 1/month shall be 1 sampling event consisting of one day every month. IUP,PART I,Page: 5A
Effective Date:July 1,2021
l

IUP, PART I
Industrial User (IU) Specific Conditions
G) Definitions and Limit Page(s) notes:
In addition to the definitions in the City of Monroe Sewer Use Ordinance the following
definitions and requirements apply:
1. Sample:
Composite m le:
a) A composite sample for the monitoring requirements of this IUP,is defined as the
automatic or manual collection of a series of grab samples of constant volume, not
less than 100 ml,collected at equal time intervals during the entire discharge period
on the sampling day. The time interval between grab samples shall be no greater
than once per hour,or
b) a single,continuous sample collected over a 24 hour period proportional to the rate
of flow. Sampling day shall be a typical production,and discharge day.
2. Daily Monitoring Frequency
Daily Monitoring Frequency as specified in this IUP shall mean each day of discharge.
3. Grab Sample
Grab sample for the monitoring requirements of this IUP,is defined as a single"dip and take"
sample collected at a representative point in the discharge stream over a period of time not
exceeding 15 minutes. The grab sample can be taken manually. Grab samples must be
representative of the discharge.
4. Instantaneous measurement
An Instantaneous measurement for the monitoring requirements of this IUP is defined as a
single reading,observation,or measurement.
IUP#=>CM-33
Page: 6
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
Outline of PART II,
1. Representative Sampling 16. Federal and/or State Laws
2. Reporting 17. Penalties
3. Test Procedures 18. Need to Halt or Reduce
4. Additional Monitoring by Permittee 19. Transferability
5. Duty to comply 20. Property Rights
6. Duty to Mitigate 21. Severability
7. Facilities Operation,Bypass 22. Modification,Revocation,Termination
8. Removed substances 23. Reapplication
9. Upset Conditions 24. Dilution Prohibition
10.Right of Entry 25. Reports of Changed Conditions
11.Availability of Records 26. Construction of Pretreatment Facilities
12.Duty to Provide Information 27. Reopener
13. Signatory Requirements 28. Categorical Reopener
14. Toxic Pollutants 29. General Prohibitive Standards
15. Civil and Criminal Liability 30. Reports of Potential Problems
1. Representative Sampling
Samples and measurements taken as required herein shall be representative of the volume and
nature of the monitored discharge. All samples shall be taken at the monitoring points
specified in this permit and,unless otherwise specified,before the effluent joins or is diluted by
any other wastestream, body of water, or substance. Monitoring points shall not be changed
without notification to,and approval by,the permit issuing authority.
2. Reporting
a) Monitoring results obtained by the permittee shall be reported on forms specified
by the City of Monroe, postmarked no later than the twentieth day of the month
following the month in which the samples were taken. Results based on laboratory
analysis shall include the laboratory report. If no discharge occurs during a reporting
period(herein defined as each calendar month)in which a sampling event was to have
occurred, a form with the phrase "no discharge" shall be submitted under the
signatory requirements of Part II, Section 13. Copies of these and all other reports
required herein shall be submitted to the City of Monroe to the following address:
Pretreatment Coordinator
City of Monroe
PO Box 69
Monroe,NC 28111
b) If the sampling performed by the permittee indicates a violation,the permittee shall
notify the City of Monroe within 24 hours of becoming aware of the violation. The
permittee shall also repeat the sampling and analysis and submit the results of the
repeat analysis to the City of Monroe within 30 days after becoming aware of the
violation.
IUP#=>CM-33
Page: 7
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
c) Laboratory reports shall include the following:
1. sample preparation-type and date(s) and time(s)performed;
2. analysis start dates and times;
3. analyst(s)initials;
4. analytical techniques and methods used;
5. results of the analyses;
6. chain of custody records which contain the following Information
a. sampling location;
b. date(s)/time(s) sample(s)taken;
c. sample type: composite(time,flow or hand)or grab
d. container type;
e. teflon liner and/or zero headspace,if applicable;
f. type of preservative used,if any;
g. sample iced upon receipt;
h. parameters to be run from that particular bottle;
i. individual(s)who performed the sampling and/or field measurements;
j. samples relinquished/received by who and when(date&time).
In addition,the laboratory performing the analysis shall maintain on file for up to three
years after the analysis all laboratory data taken and calculations during the analysis,
including dates and times, the analyst performing the work, and the data and
calculations from all quality assurance procedures and testing. This data shall be
available for inspection by personnel of the City of Monroe upon request.
3. Test Procedures
Test procedures for the analysis of pollutants shall be performed by a North Carolina Certified
Wastewater Lab in accordance with the techniques prescribed in 40 CFR part 136 and
amendments thereto unless specified otherwise in the monitoring conditions of this permit. The
laboratory shall be certified by the State of North Carolina for each specific test parameter on
which their results are reported.
4. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated herein more frequently
than required by this permit,using approved analytical methods as specified above,the results
of such monitoring shall be submitted to the City of Monroe. The City of Monroe may require
more frequent monitoring or the monitoring of other pollutants not required in this permit by
written notification.
5. Duty to Comply
The permittee must comply with all conditions of this permit. Any permit noncompliance
constitutes a violation of the City of Monroe Sewer Use Ordinance and is grounds for possible
enforcement action; for Permit termination, revocation, and reissuance, or modification; or
denial of a Permit renewal application.
IUP#=>CM-33
Page: 8
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
6. Duty to Mitigate-Prevention of Adverse Impact
The permittee shall take all reasonable steps to minimize or prevent any discharge in violation
of this permit which has a reasonable likelihood of adversely affecting human health, the
POTW,the waters receiving the POTW's discharge,or the environment.
7. Facilities Operation,Bypass
The permittee shall at all times maintain in good working order and operate as efficiently as
possible, all control facilities or systems installed or used by the permittee to achieve
compliance with the terms and conditions of this permit. Bypass of treatment facilities is
prohibited except when approved in advance by the City of Monroe. Bypass approval shall be
given only when such bypass is in compliance with 40 CFR 403.17.Treatment facilities shall be
as diagrammed in Figure 2.
8. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or
control of wastewaters shall be disposed of in a manner such as to prevent any pollutants from
such materials from entering the City of Monroe sewer system or the surface waters of the
State of North Carolina. The permittee is responsible for assuring its compliance with any
requirements regarding the generation, treatment, storage, and/or disposal of "Hazardous
Waste" as defined under the Federal Resource Conservation and Recovery Act. the permittee
shall maintain records of disposal of these substances for a minimum of three years.
9. Upset Conditions
An "upset" means an exceptional incident in which there is an unintentional and temporary
noncompliance with the effluent limitations of this permit because of factors beyond the
reasonable control of the permittee. An upset does not include noncompliance to the extent
caused by operational error, improperly designed or inadequate treatment facilities, lack of
preventative maintenance,or careless or improper operations.
An upset may constitute an affirmative defense for action brought for the noncompliance. The
permittee has the burden of proof to provide evidence and demonstrate that none of the factors
specifically listed above were responsible for the noncompliance. Such evidence shall include
operating logs properly signed,or other relevant evidence that:
1. An upset occurred and that the permittee can identify the cause(s)of the upset;
2. The permittee facility was at the time being properly operated; and
3. the permittee submitted notice of the upset as required in Part II,Section 30,of
this permit
4. The permittee complied with any remedial measures required under Part II,
Section 5,of this permit
IUP#=>CM-33
Page: 9
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
10. Right of Entry
The permittee shall allow the staff of the State of North Carolina Department of Environment
and Natural Resources, Division of Water Quality, the Regional Administrator of the
Environmental Protection Agency,the City of Monroe,and/or their authorized representative,
upon the presentation of credentials:
1. To enter upon the permittee's premises where a real or potential discharge is located
or in which records are required to be kept under the terms and conditions of this
permit; and
2. At reasonable times to have access to and copy records required to be kept under
the terms and conditions of this permit; to inspect any monitoring equipment or
monitoring method required in this permit; and to sample any discharge of pollutants.
11. Availability of Records and Reports
The permittee shall retain records of all monitoring information,including all calibration and
maintenance records as well as copies of reports and information used to complete the
application for this permit for at least three years. All records that pertain to matters that are
subject to any type of enforcement action shall be retained and preserved by the permittee until
all enforcement activities have concluded and all periods of limitation with respect to any and
all appeals have expired.
Except for data determined to be confidential under the Sewer Use Ordinance, all reports
prepared in accordance with terms of this permit shall be available for public inspection at the
City of Monroe. As required by the Sewer Use Ordinance,effluent data shall not be considered
confidential.
12. Duty to Provide Information
The permittee shall furnish to the Director of Water Resources or his/her designees,within a
reasonable time,any information which the Director,his/her designee,or the Division of Water
Quality may request to determine compliance with this permit. The permittee shall also
furnish,upon request, copies of records required to be kept by this permit.
13. Signatory Requirements
All reports or information submitted pursuant to the requirements of this permit must be
accompanied by the following certification by the Authorized Representative:
"I certify under penalty of law that this document and all attachments were prepared under
my direction or supervision in accordance with a system designed to assure that qualified
personnel properly gather and evaluate the information submitted. Based on my inquiry of
the person or persons who manage the system,or those persons directly responsible for
IUP#=>CM-33
Page:10
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
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 or imprisonment for knowing violations. "
The Authorized Representative shall be as defined by the City of Monroe Sewer Use
Ordinance.If the designation of an Authorized Representative is no longer accurate because a
different individual or position has responsibility for the overall operation of the facility, or
overall responsibility for environmental matters for the company, a new authorization
satisfying the requirements of this section must be submitted to the City of Monroe Water
Resources Director or his/her designee prior to or together with any reports to be signed by an
authorized representative.
14. Toxic Pollutants
If a toxic effluent standard or prohibition (including any schedule of compliance specified in
such effluent standard or prohibition)is established under Section 307(a)of the Federal Clean
Water Act for a toxic pollutant which is present in the discharge and such standard or
prohibition is more stringent than any limitation for such pollutant in this permit,this permit
may be revised or modified in accordance with the toxic effluent standard or prohibition and
the permittee so notified.
15. Civil and Criminal Liability
Nothing in this permit shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance.
16. Federal and/or State Laws
Nothing in this permit shall be construed to preclude the institution of any legal action or
relieve the permittee from any responsibilities, liabilities, or penalties established pursuant to
any applicable Federal and/or State law or regulation.
17. Penalties
The Sewer Use Ordinance of the City of Monroe provides that any person who violates a permit
condition is subject to a civil penalty not to exceed$25,000 dollars per day of such violation.
Under state law,(NCGS 143-215.6B),under certain circumstances it is a crime to violate terms,
conditions,or requirements of pretreatment permits. It is a crime to knowingly make any false
statement,representation,or certification in any record or other document
submitted or required to be maintained under this permit, including monitoring reports or
reports of compliance or noncompliance. These crimes are enforced at the prosecutorial
discretion of the local District Attorney.
IUP#=>CM-33
Page:!!
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
The City of Monroe enforcement response will be in accordance with an Enforcement
Response Plan approved by the North Carolina Division of Water Quality and on file in the
office of the Pretreatment Coordinator
18. Need to Halt or Reduce not a Defense
It shall not be a defense for a permittee in an enforcement action that it would have been
necessary to halt or reduce the permitted activity to maintain compliance with the conditions
of the permit.
19. Transferability
This permit shall not be reassigned or transferred or sold to a new owner, new user, different
premises,or a new or changed operation without approval of the City.
20. Property Rights
This permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of
personal rights,nor any infringement of Federal,State or local laws or regulations.
21. Severability
The provisions of this permit are severable and, if any provision of this permit or the
application of any provision of this permit to any circumstance is held invalid,the application
of such provision to other circumstances and the remainder of this permit shall not be affected
thereby.
22. Permit Modification,Revocation,Termination
This permit may be modified, revoked and reissued or terminated with cause in accordance
with the requirements of the City of Monroe Sewer Use Ordinance and North Carolina General
Statute or implementing regulations.
23. Re-Application for Permit Renewal
The permittee is responsible for filing an application for reissuance of this permit at least 120
days prior to its expiration date. The permittee is not authorized to discharge after the
expiration date of this permit if this re-application deadline has not been met.
24. Dilution Prohibition
The permittee shall not increase the use of potable or process water or in any other way attempt
to dilute the discharge as a partial or complete substitute for adequate treatment to achieve
compliance with the limitations contained in this permit.
IUP#=>CM-33
Page:12
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
25. Reports of Changed Conditions
The permittee shall give notice to the City of Monroe of any planned significant changes to the
permittee's operations or system which might alter the nature, quality, or volume of its
wastewater at least 60 days before the change. Such changes,however, do not stay any
condition of this permit. If the changes require additions or modifications to pretreatment
facilities to comply with this permit, all such modifications shall be approved and constructed
before planned changes are made. The permittee shall not begin the changes until receiving
written approval from the City of Monroe.Also see PART II,30 below for additional reporting
requirements for spill/slug issues.
26. Construction
No construction of pretreatment facilities or additions thereto shall be begun until Final Plans
and Specifications have been submitted to the City of Monroe and written approval and an
Authorization to Construct has been issued.
27. Reopener
The permit shall be modified or, alternatively, revoked and reissued to comply with any
applicable effluent standard or limitation for the control for any pollutant shown to contribute
to toxicity of the WWTP effluent or any pollutant that is otherwise limited by the POTW
discharge permit. The permit as modified or reissued under this paragraph may also contain
any other requirements of State or Federal pretreatment regulations then applicable.
28. Categorical Reopener
This permit shall be modified, or alternatively, revoked and reissued, to comply with any
applicable effluent standard or limitation issued or approved under Sections 302(b)(2)(C) and
(D), 304(b)(2), and 307(a)(2) of the Clean Water Act, if the effluent standard or limitation so
issued or approved:
1) contains different conditions or is otherwise more stringent than any effluent
limitation in this permit; or
2) controls any pollutant not limited in this permit.
The permit as modified or reissued under this paragraph shall also contain any other
requirements of the Act then applicable.
29. General Prohibitive Standards
The permittee shall comply with the general prohibitive discharge standards in 40 CFR
403.5(a)and(b)of the Federal pretreatment regulations,and shall comply with the prohibitive
discharge standards in §52.020 and §52.023 of the City Sewer Use Ordinance except as
specifically stated otherwise in this permit.
IUP#=>CM-33
Page:13
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
30. Reports of Potential Problems
The permittee shall provide protection from accidential and slug discharges of prohibited
materials and other substances regulated by this permit. The permittee shall also notify the
City of Monroe immediately of any changes at its facility affecting the potential for spills and
other accidential discharge,discharge of a non-routine,episodic nature,a non-customary batch
discharge,or a slug load as defined in the City of Monroe Sewer Use Ordinance.
Additionally, the permittee shall notify by telephone the City of Monroe immediately of all
discharges that could cause problems to the POTW including any slug loadings as defined in
theyshall inform the
the Sewer Use Ordinance. If the permittee experiences such a discharge,
P
-4 2
City of Monroe Pretreatment Coordinator,telephone number(704)282 63 t if no answer,the
Wastewater Treatment Plant, telephone number [phone] and [phone], if no
anwer, the Wastewater Treatment Plant Superintendent, telephone number [phone]
immediately upon the first awareness of the commencement of the discharge. Leaving a
message will not be acceptable until all phone numbers listed above have been attempted.
Notification shall include location of the discharge,type of waste, concentration and volume if
known and corrective actions taken by the permittee.A written follow-up report thereof shall
be filed by the permittee within(5)days,unless waived by the City of Monroe.
IUP#=>CM-33
Page:14
Effective Date:July 1,2021

PART III
Special Conditions
Industrial User Pretreatment Permit (IUP)
1. Slug/Spill Control Plan
The permittee shall provide protection from accidental and slug discharges of prohibited
materials and other substances regulated by this permit. The permittee shall develop and
update,as required,a written slug/spill plan including procedures for preventing a slug or spill
which could cause a violation of the discharge standards of this permit. Any revison of this
plan shall be submitted to the City of Monroe no more than 60 days after the change(s) are
made. If no changes are made to the spill plan, a written statement to that effect must be
submitted to the City of Monroe on or before January 31, throughout the duration of the
permit. The plan shall include the following at a minimum:
1) identification of all chemicals,by name,quantity,and storage location which would
cause a violation of this permit in the event of a spill and the means at each location to
prevent the spill from entering the City sewer system or surface waters of the State of
North Carolina.
2) who has the authority to halt production and/or wastewater discharge in the event
of a spill or upset condition(include phone numbers)
3) who is responsible for implementation and updating of the plan
4) the personnel that should be familiar with the plan
5) the person(s) responsible for notifying the City of Monroe immediately upon
discovery of a problem affecting the characteristics of the wastewater
2. Flow Measurement
1. The Permittee shall provide and operate monitoring facilities for the inspection,
sampling and flow measurement of the permittee's process wastewater discharges.
2. The permittee shall maintain appropriate discharge flow measurement devices and
methods consistent with approved engineering and scientific practices to ensure the
accuracy and reliability of measurements of the volume of monitored discharges.
Devices installed shall be a continuous recording flow meter capable of measuring flows
with a maximum deviation of less than 5% from true discharge rates throughout the
range of expected discharge volumes.
3. The approved wastewater meter shall be installed,maintained, and calibrated once
every six months.
4. The wastewater meter must have a non-resettable mechanical totalizer that reads in
gallons.
IUP#=>CM-33
Page:15
Effective Date:July 1,2021

PART III
Special Conditions
Industrial User Pretreatment Permit (IUP)
5. Flow monitoring equipment and sampling point should be located in an area
accessible to the City of Monroe personnel without prior notification. The City of
Monroe must be supplied with any keys and/or other tools necessary to perform the
aforementioned.
6. There shall be no by-pass capability of the wastewater metering devices or the
sampling point.
7. The permittee shall maintain flow, maintenance, and calibration records for a
minimum of three years.
8. In the event of temporary unintentional failure of the flow meter,the permittee shall
notify the Pretreatment Coordinator as soon as possible,but in no case beyond 24 hours
after first becoming aware of the failure. Repair shall be under taken as quickly as
possible.
3. High Strength Surcharges
Notwithstanding any concentrations permitted for total suspended solids, 5 day BOD or
nitrogen ammonia stated in Part I, Section F of the Permit,the permittee shall be responsible
for the payment of high strength surcharges at rates that may be established in the future by
the Monroe City Council.
4. Special Reopener
The City of Monroe reserves the right to reopen and modify/change limits and or sampling
frequency as deemed necessary.
5. Sludge Management Plan
Within sixty days of the effective date of this Industrial User Permit,the permittee shall submit
a sludge management plan to the City of Monroe.
6. Certified Operator
Pursuant to Chapter 90A-44 of North Carolina General Statutes,and upon classification of
the facility by the Certification Commission,the permittee shall employ a certified
wastewater pretreatment plant operator in responsible charge(ORC)of the wastewater
treatment facilities. Such operator must hold a certification of the type and grade equivalent
to,or greater than the classification assigned to the wastewater treatment facilities by the
Certification Commission. The permittee must also employ a certified backup operator of
the appropriate type and grade to comply with the conditions of Title 15A,Chapter 8A.0202.
The ORC of the facility must visit the wastewater facility as required; must properly manage
and document daily operation and maintenance of the facility; and must comply with all
other conditions of Title 15A,Chapter 8A.0202. The permittee shall submit a letter
designating the operator in responsible charge to the Certification Commission or their
designee within thirty days after facility classification.
IUP#_>CM-33
Page:16
Effective Date:July 1,2021

r
IUP Synopsis
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe NC0024333
IUP name: IUP Number:
Glenmark Pharmaceuticals Inc.USA CM-33
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1, 2021 01
IUP expiration date: IUP 40 CFR#,if applicable:
June 30,2024 439.47
B. IUP Survey&Application form
Attach a completed copy of the Industrial User Wastewater Survey&
Application Form (see appendix 6-A)
C. IU Inspection form
Attach a copy of an Industrial User Inspection Form (see chapter 7) completed
by the Control Authority within the past 12 months.
D. RATIONALE FOR LIMITATIONS:
As listed on the IUP Limits Page(s), PART I, Section F of the IUP.
RATIONALE #1:
Review of IU Monitoring Data, with no Over Allocation situation:
The following pollutants were assigned numerical limits in this IUP based on
a review of monitoring data for the permittee to determine what ranges of
concentrations are currently being discharged. To account for sample
variability a factor was applied to the monitoring data to determine the permit
limit. Permit limits assigned by the Local IUP Control Authority can not
result in an Over Allocation situation for any pollutants.
1

IUP Synopsis
RATIONALE#2a:
Categorical Industrial Limits, with no Over Allocation situation:
Check here if Combined Wastestream Formula (CWF) or other categorical
limits calculations were used. If used, Please attach calculations: (see CWF
Spreadsheet, Appendix 6-F)
Were used(attach calculations)
Were not used X
The following pollutants were assigned numerical limits in this IUP based on
the categorical regulations. These limits do not result in over allocations.
40 CFR 439.47
Acetone,n-Amyl acetate, Ethyl acetate, Isopropyl acetate,Methylene chloride
RATIONALE#3a:
Over Allocation Prevention, with IU pollutant reduction:
The following pollutants were assigned numerical limits in this IUP based on
allocating the Maximum Allowable Industrial Loading (MAIL) determined
with the Headworks Analysis (HWA) among all Industrial Users. The total
loading of each pollutant from all permitted discharges does not exceed the
MAIL. These limits do not result on over allocations.
RATIONALE #3b:
Interim Limits for IU pollutant reduction:
The following pollutants were assigned interim numerical limits in this IUP
to allow time for the industry to come compliance with final limits that will
not result in over allocations.
2

IUP Synopsis
RATIONALE #4:
4.) Other Rationale for Limitations:
The following rationale was used for developing IUP Limits.
Parameter Rationale
RATIONALE#5a:
Non-Categorical Parameters where No Limit needed or assigned in an IUP:
The following pollutants were not assigned numerical limits in this IUP
because the loadings for these pollutants from this IU were less than 5% of
the MAHL. The loading of these pollutants from this IU is considered
insignificant at this time.
Pollutant Avg SIU mg/1 1 Avg SIU lbs/day 5% MAHL, lbs/day
Q
RATIONALE#5b:
Categorical Parameters with Waived Monitoring:
Monitoring is waived for the following categorical parameters (attach
documentation of waiver justification).
3

SIU INSPECTION FORM
Name Of Industry: Ci ten . .a USil IUP# G M- '3 3
Address Of Industry: 4141 GO d n,;(14 PJ IUP Expiration Date:
Marc NC- LLr1Ic (D-3C)-al
Industry Representatives: Title
i .s. K r`'� h�" G—i4 e- Mrs f.
r�ai� Y s ;r S 5p evt's,r
P TW Represelt tives: Title
s -er Ccx.-)1rc).
Date Of Inspection: i C)— Time Of Inspection: / (040 am/pm d a 3 C
Purpose of Inspection: Annual ✓ Other(Describe)
POTW to which IU discharges C;.$y NPDES# NC 0 0a 4 33 3
Is SIU currently in SNC? If yes,for what? A c.e+o r 2
Sot_ .ec,I.ecii IrJ-20-2.Q
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product YES/ 1 ckr f>rJ by P j)
Raw materials used YES/
Manufacturing processes YES/ O
Categorical,if applicable YES/ ail 9-I 3C'1 L17
Production rate Yy.4/ "• Xn +t ,4i n C +(*1 t S e
Number of employees Ash q_sy NO S C.}
Number of shifts 11117W/NO c Fix pf fan
r"v c her- 4`qr 20 1,, 5
Comments:
PART II - PLANT TOUR- Visit all areas where wastewater is generated or where there
are drains to the POTW.
Plant Tour Section A- PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? ES/NO Where do they go?
2. Are production areas diked,contained,or otherwise constructed in such a way as to prevent harm to the
WWTP,especially from spills or slugs? YES/NO Comments:
3. Are there floor drains in the storage area? ES NO Where do they go? P 7-
4. Are storage tanks and areas diked,contained,or otherwise constructed in such a way as to prevent harm
to the WWTP,especially from spills or slugs? CS/NO Comments:
5. Are process and storage tanks and pipes labeled? CO NO
6. How are off-spec raw materials,and products disposed of'? tie J`"t eZ 11"0-1-
7. When is the production area cleaned? r r)i 1 1,
8. Is the wastewater from cleaning the production area discharged to the POTW? 6.4/Nq (�
9. What non-process wastewaters are discharged to POTW? orre4% '.13, K S
Comments:
Title: SIU lnpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 1

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system. 1yc�U/tii✓
1. Does operator seem knowledgable about the system? NO Comments: 0,-,,, .I U u
2. Are all units operational? /NO
3. How often does operator/maintenance on check system?
4. Is there an operator for each shift? 4W/NO
5. How and when is sludge disposed of? no ..i1 vc),5.e..
6. Is there a schedule for preventative maintenance? �YESJ NO
JU; y d`-'2z-S
Comments: (j1aLvvra/v,.�9^ atfir"M5/
PART II- Plant Tour Section C - SAMPLING POINT(S) AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? tES>/NO If yes,name of lab. ?C.(----
2. If industry completes s mpling,ask the industry representative to describe sampling procedures.
- 1 Comments: c 0•+ery �d A,1' a C)O ?Mk 5
3. Is flow measurement equipment operational? EE/NO Comments:
kc� 0� �.l�r co( 4. Is there a calibration log for the flow meter? /NO Comments:
Comments:
lnll It Lc'tt Ere; Le f7 \ Pr') f 9 r-'l L\
PART III- EXIT INTERVIEW
Review monitoring records an er SIU records required by IUP.
1. Are files well organized? ES NO Comments: OES
2. Are sample collection/chain-of-custody forms filled out'properly? NO Comments: .
3. Do results in files agree with reports sent to POTW? ;.l;;�J/NO Comments:
4. Who has authority to shut down producyt�ion should a spill or slug discharge occur? 6(-4-.5 MSC.
5. How does SIU info j employees of whom to call at POTW in case of spill/slug?
C01/ list
If slug/spill plan is already required by P S review procedures.
6. Is SIU implementing slug/spill plan? NO Comments:
Comments:'w Al, -4 C)-(-2 5(CC
INSPECTION RESULTS
Slug/Spill Control Plan Needed? 41 /NO
Comments,Required Or Recommended Actions:
Signature Of Inspector(s) OVA.,<; 0\06Q.,-1 O-L-' Date: I 0 —2 8"2-0
Date:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1, 1994 Page 2

i(`--(--GI of 15—c t\ V-sr..
COVER PAGE
Company Name:Glenmark Pharmaceuticals Inc.USA
Name of responsible person on site at the facility authorized to represent the Name of alternative on site person familiar with the day to day operations,
company in official dealings with the Sewer Authority and/or the City. environmental permitting requirements,monitoring,record keeping,and data
David Greeley management..
Stine Knight(Also designated as an authorized representative in official
dealings with the Sewer Authority and/or the City)
Title Years with firm Title Years with firm 1
Executive Director&Site Head 2.5 EHS Manager <1
Phone# Fax# Phone# Fax#
704-218-2637 Office:704-218-2721
Mobile:[phone]
Physical street address of facility Official mailing address,if different. Note if same.
4147 Goldmine Road 4147 Goldmine Road
City State Zip City State Zip
Monroe NC 28110 Monroe NC 28110
The information provided by you on this questionnaire serves two functions:
1. The information is used to determine if your facility needs an Industrial
User Pretreatment Permit(IUP) for the discharge of wastewater to the local
sewer.
2. If an Industrial User Pretreatment Permit (IUP) is required, this survey
serves as the application for an Industrial User Pretreatment Permit(IUP).
Requests for confidential treatment of information provided on this form shall be governed by procedures
specified in 40 CFR Part 2. In accordance with Title 40 of the Code of Federal Regulations Part 403,
Section 403.14 and the Local Sewer Use Ordinance (SUO), information and data provided in this
questionnaire which identifies the content, volume and frequency of discharge shall be available to the
public without restriction.
This is to be signed by an authorized official of your firm,as defined in the Local Sewer Use Ordinance or the NC Model
Sewer Use Ordinance, Section 1.2,after completion of this form.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based upon 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
formatio including the poss'bility of fine and/or imprisonment for knowing violations.
. . c. ,...... /2 ,C-e4 20Z4
Signature of Authorized Representativ Date
listed above (seal if applicable)
Title: IU Wastewater Survey & Permit Application
File name: S:\EHS Master Folder\Waste Water Industrial User Permit CM-33\Permit\IWS long form City of Monroe-2021 Renewal Application.docx
Revision date: 12/30/97 Page 1 of 24

1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
Manufacturing of pharmaceutical products. The facility is operating for research and development
and commercial manufacturing of products for sale.
2. List the primary products produced at this facility:
Generic pharmaceuticals
3. List raw materials and process additives used:
Process unit operations use ethanol, isopropyl alcohol, methanol, methylene chloride, acetone, water,
and generic active pharmaceutical ingredients.
4. Are biocides added to any water discharged to the POTW,
if yes describe:
Yes
No X
5. Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift.
There are 3 shifts that operate 5 days a week with 30-40 people per shift.
lst shift: Primary operations include manufacturing process, filling, and packaging of product
2nd and 3rd shift: Primary operations include cleaning and machine set up
6. Production process is: Check, if all continuous
Check, if all batch X
If both please enter, % continuous = % % Batch=
Title: IU Wastewater Survey & Pennit Application
File name: C:\Users\kkeesler\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\93OBSI50\IWS long form City of Monroe-2021 Renewal
Application.docx
Revision date: 12/30/97 Page 2 of 25

7. Does production vary significantly(+- 20 %)by season. Describe.
Yes
No X
8. Are any significant (+- 20 %) changes in production that will affect wastewater
discharge expected in the next 5 years. If yes, please describe.
Yes X
No
Glenmark is currently in the testing phase with limited commercial products. Higher volume is
expected as more products are approved for commercial production.
9. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled off.
HAZ—MAT Environmental Services, Inc.
221 Dalton Avenue
Charlotte,NC 28206
[phone]
Jan- Feb- Mar- Apr- T May- Jun- Jul- Aug- Sep- Oct- Nov- Dec-
Hazardous Waste 20 20 20 20 20 20 20 20 20 20 20 20
US DOT Description Weight(pounds)
U N 1090 665
U N 1155 30
UN1219 638
UN1805 8
UN1992 500
UN1993 14,497 6,140 3,110 10,400
UN2014 5
UN2920 460
UN2922 25
UN2924 10 25
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\kkeesler\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\93OBSI50\IWS long form City of Monroe-2021 Renewal
Application.docx
Revision date: 12/30/97 Page 3 of 25

Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec-
Hazardous Waste 20 20 20 20 20 20 20 20 20 20 20 20
US DOT Description Weight(pounds)
U N 3082 61
UN3098 31 10
UN3149 100
UN3175 478 75
UN3176 20
UN3264 10
UN3265 8
UN3266 48 50
UN3077 10
Additionally,HAZ-MAT also disposes of our non-hazardous wastes that are disposed of outside
of normal trash cans/dumpsters.
10. Attach a copy of laboratory analyses performed in the last year on the wastewater
discharge(s) from your facilities. Summarize data on the attached Data Summary
Form.
All reports on file with the City of Monroe.
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
Sketch/schematic showing sampling points and all connections to the sewer on file with the City
of Monroe.
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
See attachment.
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\kkeesler\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\930BSI50\IWS long form City of Monroe-2021 Renewal
Application.docx
Revision date: 12/30/97 Page 4 of 25

13. Do you have, or have you ever applied for,been issued, or been denied an
NPDES permit to discharge to the surface waters or storm sewers of North
Carolina? If yes,list all other NPDES permits,permit numbers,dates, and
names used to apply for them, or reason denied.
If yes: Permit,#,date,applicant name Yes
If yes: Permit,#,date,applicant name No X
14. Do you have, or have you ever applied for or been issued an Industrial
User Pretreatment Permit (IUP) to discharge wastewater to the sewer
collection system. If yes,list all other IUP permits,permit numbers,dates,
and names used to apply for them.
If yes: Permit,#,date,applicant name X
CM-33 Effective October 9,2020;Expiration Date June 30,2021 for Glenmark Pharmaceuticals Inc. Yes
USA
If yes: Permit,#,date,applicant name No
15. Do you have, or have you ever applied for or been issued any other
Environmental Permits (for example; air, RCRA, groundwater,
stormwater,general,Non-Discharge, septic tank,etc.). If yes,list all other
permits, permit numbers, dates, and names used to apply for them.
If yes: Permit type,#,date,applicant name X
Air Quality Permit No.10619R01 Effective April 16,2020;Expiration Date July 31,2027 for Glenmark Yes
Pharmaceuticals Inc.USA;Facility ID 9000227
If yes: Permit type,#,date,applicant name
RCRA Generator ID Number NCR000167205 NO
If yes: Permit type,#,date,applicant name
16. Is a Spill Prevention Control and Countermeasure(SPCC)Plan prepared
for this facility?
Yes X
No
17. Is a Spill /Slug Control Plan required by the POTW, prepared for this
facility?
Yes X
SpilUSlug Control Plan on file with the City of Monroe. No
Title: (U Wastewater Survey & Permit Application
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18. Do you have any underground storage tanks at your facility? If yes, list
contents and volume of each tank.
Yes
No X
19. Do you have any above ground storage tanks at your facility? If yes, for
each tank, list the contents, volume, whether the tank has any spill
prevention or containment devices, such as dikes, and procedures for
draining any containment devices.
Yes X #of Tanks 1
No
Rental emergency generator internal diesel storage tank. Located on a spill containment pallet.
Total volume 370 gallons.
Rental diesel storage tank for rental emergency generator. Double walled containment around
storage tank. Total Volume 1,480 gallons.
Title: IU Wastewater Survey & Permit Application
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Industrial User Wastewater Survey & Permit Application
PART II, Water Supply, Use, & Disposal Worksheet:
Water Used for: Water Avg. Max. M E Disposal Method(s) Avg. Max. M E
gal/day gal/day e st gal/day gal/day e st
Source(s) a i
a i
s m s m
u at u a
✓ e r t
e d e e
d d d
(see Source List below) (see Disposal List below)
1. Process water City/Public supply 500 1'000 X Sanitary sewer,with 500 1,000 X
pretreatment
2. Washdown water City/Public supply 2,500 4,000 X Sanitary sewer,with 2,500 4,000 X
pretreatment
3. Water into product City/Public supply 500 1,000 x Water into Product 500 1,000 X
4. Air Quality Permitted units City/Public supply __ __ Waste Hauler(HAZ- MAT) __ __
5. Domestic-toilets,drinking, cafe City/Public supply 1 500 2,000 X Sanitary sewer,without 1,500 2,000 X
' pretreatment
6. Cooling water,Process NON-Contact City/Public supply _- -- Recirculates within system,no
disposal -- --
7. Boiler/Cooling tower blowdown City/Public supply 5 000 10,000 X Sanitary sewer,without 5,000 10,000 X
' pretreatment
8. Cooling water,HVAC City/Public supply -- -- Recirculates within system,no
disposal -- --
9. Other:
Totals => 10,000 18,000 Totals=> 10,000 18,000
Typical Water Sources: Possible Water Disposal Methods
1. City/Public supply 1. Sanitary sewer, with pretreatment
2. Private wells, 2. Sanitary sewer,without pretreatment
drinking
3. Groundwater remediation wells 3. Storm sewer
4. Private ponds 4. Surface waters of NC
5. Surface waters of NC,please identify 5. Evaporation
Title: N Wastewater Survey & Permit Application
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6. Include others if applicable 6. Land applied
7. To groundwater
8. Septic Tank
9. Waste Haulers(identify)
10. Water into Product
11. Include others,if applicable
Title: N Wastewater Survey & Permit Application
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PART III, PRETREATMENT FACILITIES:
Are there any pretreatment devices or processes used for treating wastewater
before being discharged to the sewer? Check all that are present, and describe.
No pretreatment facilities=>
1. Flow equalization Aerated equalization=>
NON-Aerated equalization=> X
Total volume of equalization (gal.) => 10,270
2. Activated Carbon Yes No X Describe any, if present.
3. Activated Sludge Yes No X
4. Air Stripping Yes No X
5. Centrifugation Yes No X
6. Chemical Precipitation Yes No X
7. Chlorination Yes No X
8. Cyanide Destruction Yes No X
9. Cyclone Yes No X
10. Dissolved Air Floatation Yes No X
11. Filtration Yes No X
12. Flocculation Yes No X
13. Grease Trap Yes No X
14. Grit Removal Yes No X
15. Ion Exchange Yes No X
16. Neutralize,pH adjust Yes X No Details on file with the City of
Monroe.
17. Other Biological Treatment Yes No X
18. Ozonation Yes No X
19. Reverse Osmosis Yes No X
20. Screening Yes No X
21. Sedimentation Yes No X
22. Septic Tank Yes No X
23. Silver Recovery Yes No X
24. Solvent Separation Yes No X
25. Spill protection Yes X No Chemicals are stored on spill
pallets. A diked wall is also
provided around the point of
compliance to ensure that spills
within the room do not make it to
the POTW.
Title: IU Wastewater Survey & Permit Application
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26. Heat Exchanger and Chiller Yes X No Details on file with City of
Monroe from 31Mar2O21 Request
for Authorization to Construct.
These heat exchangers will be
used to treat the water prior to
entry in to the pH neutralization
unit.
List any others.
Title: IU Wastewater Survey & Permit Application
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PART IV, CATEGORICAL INFORMATION:
1. When were operations started at this facility Facility start up date 2016
2. List all Standard Industrial Classification (SIC) codes for your facility.
These may be found on State Unemployment forms, tax forms,
accounting records, or from the Chamber of Commerce.
2834
3. Has this facility ever been considered a Categorical Industrial User
(CIU) as described by the Code of Federal Regulations (40 CFR)?
If yes, give complete 40 CFR number=>
No X
4. Are any other facilities owned and/or operated by your company
permitted as Categorical Industrial Users (CIUs) as described by the
Code of Federal Regulations (40 CFR)?
If yes please give name(s), location, and 40 CFR number. Yes
No X
Title: IU Wastewater Survey & Pennit Application
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PART IV, CATEGORICAL INFORMATION:
(continued)
5. Check any activities listed below that are performed at your facility:
Check 40 Industrial Activity Check 40 Industrial Activity
below CFR# below CFR#
467 Aluminum Forming 432 Meat products
427 Asbestos Manufacturing 433 Metal finishing
461 Battery Manufacturing 464 Metal molding and casting
431 Builders paper&board mills 436 Mineral mining and processing
407 Canned&preserved fruits&veg. 471 Nonferrous Metal,Form&Powders
408 Canned&preserved seafood 421 Nonferrous Metals Manufacturing
458 Carbon black Manufacturing 414 OCPSF,Organic Chemicals,Plastics,
411 Cement Manufacturing &Synthetic Fiber Manufacturing
437 Centralized Waste Treatment 435 Oil&gas extraction
434 Coal Mining 440 Ore mining and dressing
465 Coil Coating 446 Paint formulating
468 Copper Forming 443 Paving and roofing materials Mfg.
405 Dairy products processing 455 Pesticide Manufacturing
469 Electrical,electronic components 419 Petroleum Refining
413 Electroplating X 439 Pharmaceutical Manufacturing
457 Explosives Manufacturing 422 Phosphate Manufacturing
412 Feedlots 459 Photographic supplies
424 Ferro allay Manufacturing 463 Plastics molding and forming
418 Fertilizer Manufacturing 466 Porcelain enameling
464 Foundries,Metal Mold&Casting 430 Pulp,paper,and paperboard
426 Glass Manufacturing 428 Rubber Manufacturing
406 Grain mills 417 Soap&Detergent Manufacturing
454 Gum&Wood Chemicals Mfg. 423 Steam Electric power Generation
460 Hospitals 409 Sugar processing
447 Ink formulating 410 Textile Mills
415 Inorganic chemical Manufacturing 429 Timber products processing
420 Iron&Steel Manufacturing 442 Transportation Equipment Cleaning
425 Leather Tanning&Finishing Others
Title: IU Wastewater Survey & Permit Application
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Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/1)
Acid Extractable Organics
2-Chlorophenol 34586 X X
2,4-Dichlorophenol 34601 X X
2,4-Dimethylphenol 34606 X X
2,4-Dinitrophenol 34616 X X
2-Methyl-4,6-dinitrophenol 34657 X X
4-Chloro-3-methylphenol 34452 X X
2-Nitrophenol 34591 X X
4-Nitrophenol 34646 X X
Pentachlorophenol 39032 X X
Phenol 34694 X X
2,4,6-Trichlorophenol 34621 X X
Base Neutral Organics
1,2,4-Trichlorobenzene 34551 X X
1,2-Dichlorobenzene 34536 X X
1,2-Diphenylhydrazine 34346 X X
1,3-Dichlorobenzene 34566 X X
1,4-Dichlorobenzene 34571 X X
2,4-Dinitrotoluene 34611 X X
2,6-Dinitrotoluene 34626 X X
2-Chloronaphthalene 34581 X X
3,3-Dichlorobenzidine 34631 X X
4-Bromophenyl phenyl ether 34636 X X
4-Chlorophenyl phenyl ether 34641 X X
Acenaphthene 03405 X X
Acenaphthylene 34200 X X
Anthracene 34220 X X
Benzidine 39120 X X
Benzo(a)anthracene 34526 X X
Benzo(a)pyrene 34247 X X
Benzo(b) fluoranthene 34230 X X
Benzo(ghi)perylene 34521 X X
Benzo(k) fluoranthene 34242 X X
Bis(2-chloroethoxy)methane 34278 X X
Bis(2-chloroethyl)ether 34273 X X
Bis(2-chloroisopropyl) ether 34283 X X
Bis(2-ethylhexyl)phthalate 39100 X X
Butyl benzyl phthalate 34292 X X
Chrysene 34320 X X
Di-n-butyl phthalate 39110 X X
Title: IU Wastewater Survey & Permit Application
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Wastewater Pollutant Checklist
Chemical Name EPA ' Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/1)
Base Neutral Organics (continued)
Di-n-octyl phthalate 34596 X X
Dibenzo (a,h) anthracene 34556 X X
Diethyl phthalate 34336 X X
Dimethyl phthalate 34341 X X
Fluoranthene 34376 X X
Fluorene 34381 X X
Hexachlorobenzene 39700 X X
Hexachlorobutadiene 34391 X X
Hexachlorocyclopentadiene 34386 X X
Hexachloroethane 34396 X X
Indeno(1,2,3-cd)pyrene 34403 X X
Isophorone 34408 X X
N-nitroso-di-n-propylamine 34428 X X
N-nitrosodimethylamine 34438 X X
N-nitrosodiphenylamine 34433 X X
Naphthalene 34696 X X
Nitrobenzene 34447 X X
Phenanthrene 34461 X X
Pyrene 34469 X X
Metals
Aluminum 01104 X X
Antimony 01097 X X
Arsenic 01002 X X
Beryllium 01012 X X
Cadmium 01027 X X Less than
detection
limit value
Chromium 01034 X X 0.034
Copper 01042 X X 0.47
Lead 01051 X X 0.0038
Mercury 71900 X X 0.025
Molybdenum 01062 X X
Nickel 01067 X X 0.022
Selenium 01147 X X
Silver 01077 X X
Thalium 00982 X X
Title: IU Wastewater Survey & Permit Application
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Zinc 01092 x X 0.017
Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge, if
Code Facility Facility Discharge Discharge Known
(mg/1)
Other Inorganics
anics
Barium 01007 - X X
Chloride 00940 X X
Cyanide 00720 X X Less than
detection limit
value
Fluoride 00951 X X
Purgeable Volatile Organics
1 1 1-Trichloroethane 34506 X X
1,1,2,2-Tetrachloroethane 34516 X X
1,1,2-Trichloroethane 34511 X X
1,1-Dichloroethane 34496 X X
1,1-Dichloroethylene 34501 X X
1,2-Dichloroethane 34531 X X
1,2-Dichloropropane 34541 X X
2-Chloroethyl vinyl ether 34576 X X
Acrolein 34210 X X
Acrylonitrile 34215 X X
Benzene 34030 X X
Bromodichloromethane 32101 X X
Bromoform 32104 X X
Bromomethane 34413 X X
Carbon tetrachloride 32102 X X
Chlorobenzene 34301 X X
Chloroethane 34311 X X
Chloroform 32106 x X
Chloromethane 34418 X X
cis 1,3-Dichloropropene 34704 X X
Dibromochloromethane 32105 X X
Ethylbenzene 34371 X X
Methylene chloride 34423 X X Less than
detection limit
value
Tetrachloroethylene 34475 X X
Toluene 34010 X X
trans 1,3-Dichloropropene 34699 X X
trans-1,2-Dichloroethylene 34546 X X
Trichloroethylene 39180 X X
Trichlorofluoromethane 34488 X X
Vinyl chloride 39175 X X
Others
Xylene X X
Title: IU Wastewater Survey & Permit Application
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Title: IU Wastewater Survey & Permit Application
File name: C:\Users\kkeesler\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\93OBSI50\IWS long form City of Monroe-2021 Renewal
Application.docx
Revision date: 12/30/97 Page 16 of 25

Data Summary Form - Excluding per Kevin Keesler. On file with the City of Monroe.
<= Receiving POTW
<= Receiving NPDES #
<= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe#
BOD TSS Ammonia
Lab => Laboratory performing analysis=>
MDL=> Laboratory Method Detection Limits=>
Notes=> Notes=>
Q = Flow
Sample Date Notes about Sample M= Metered Conc. Results Conc. Results Conc. Results
ID, or Sample E= Estimated from Lab from Lab from Lab
Count Collected
mgd gal/day <? mg/1 <? mg/1 <? mg/1
1
2
3
4
5
6
7
8
9
10
11
12
etc
TNS => Total number of samples =>
Max. value=> Maximum data value(mg/1) =>
Avg. (use 1/2 BDL)=> Avg. data value, Include BDL values as 1/2 detection limit=>
Title: IU Wastewater Survey & Permit Application
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Data Summary Form - Excluding per Kevin Keesler. On file with the City of Monroe.
<= Receiving POTW
<= Receiving NPDES #
<= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe#
Arsenic Copper Chromium Cadmium COD Copper
Lab =>
MDL =>
Notes =>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1
2
3
4
5
6
7
8
9
10
11
12
etc
TNS =>
Max. Value=>
Avg. (use l/2 BDL) =>
Title: N Wastewater Survey & Permit Application
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Data Summary Form - Excluding per Kevin Keesler. On file with the City of Monroe.
<= Receiving POTW
<= Receiving NPDES #
<= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe #
Cyanide Lead Mercury Nickel Silver Zinc
Lab =>
MDL=>
Notes =>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/I
1
2
3
4
5
6
7
8
9
10
11
12
etc
TNS =>
Max. Value =>
Avg. (use1/2 BDL) _>
Title: IU Wastewater Survey & Permit Application
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Data Summary Form
City of Monroe <= Receiving POTW
NC0024333 <= Receiving NPDES #
Pipe 001 <= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe#
Acetone Other Other Other Other Other
Lab =>
MDL=>
Notes=>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1 01/01/2020 15
2 02/21/2020 27
3 03/06/2020 34
4 03/11/2020 6.5
5 03/17/2020 17
6 03/17/2020 17
7 03/17/2020 16
8 03/17/2020 16
9 03/17/2020 16
10 03/17/2020 14
11 04/02/2020 14
12 04/08/2020 7.5
13 04/15/2020 8.3
14 04/22/2020 10
15 04/29/2020 19
16 05/06/2020 17
17 05/15/2020 0.89
18 05/18/2020 6.2
Title: N Wastewater Survey & Permit Application
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19 05/19/2020 3.8
20 05/20/2020 14
21 05/21/2020 2.6
22 05/22/2020 0.13
23 05/23/2020 1.7
24 05/24/2020 0.26
25 05/25/2020 0.062
26 05/27/2020 4.4
27 05/29/2020 0.4
28 05/30/2020 19
29 06/01/2020 2.5
30 06/02/2020 2.5
31 06/03/2020 10
32 06/04/2020 7.6
33 06/06/2020 3.7
34 06/07/2020 2.7
35 06/08/2020 23
36 06/09/2020 3.9
37 06/10/2020 3 1
38 06/11/2020 3.5
39 06/12/2020 4.4
40 06/17/2020 16
41 06/24/2020 2.2
42 07/01/2020 8.3
43 07/08/2020 4.8
44 07/15/2020 3.9
45 07/22/2020 7.8
46 07/29/2020 13
47 08/03/2020 5.5
48 08/04/2020 6.1
49 08/05/2020 6.4
50 08/05/2020 4.7
51 08/12/2020 9
52 08/13/2020 2.7
53 08/14/2020 2.4
54 08/17/2020 0.16
Title: ICJ Wastewater Survey & Permit Application
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55 08/18/2020 0.61
56 08/19/2020 5.9
57 08/20/2020 28
58 08/21/2020 6.4
59 08/22/2020 12
60 08/23/2020 0.32
61 08/24/2020 4.1
62 08/25/2020 11
63 08/26/2020 4.3
64 08/27/2020 9.5
65 08/31/2020 0.64
66 08/31/2020 6
67 09/01/2020 5.7
68 09/02/2020 3.8
69 09/03/2020 3.3
70 09/04/2020 16
71 09/06/2020 0.77
72 09/08/2020 0.65
73 09/08/2020 3.1
74 09/09/2020 7.6
75 09/10/2020 3.7
76 09/11/2020 3.7
77 09/14/2020 0.092
78 09/15/2020 3.9
79 09/16/2020 4.3
80 09/23/2020 7.1
81 09/24/2020 9.4
83 09/28/2020 0.21
84 09/29/2020 8.7
85 09/30/2020 3
86 10/07/2020 20 _
87 10/14/2020 5
88 10/16/2020 1.4
89 10/19/2020 5.9
90 10/28/2020 19
91 10/29/2020 18
Title: RI Wastewater Survey & Permit Application
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92 10/30/2020 8.4
93 10/31/2020 44
94 11/01/2020 27
95 11/02/2020 5.9
96 11/03/2020 15
97 11/04/2020 9.5
98 11/04/2020 7.9
99 11/05/2020 12
100 11/06/2020 7.4
101 11/07/2020 9.6
102 11/08/2020 0.11
103 11/09/2020 0.077
104 11/16/2020 0.068
105 11/25/2020 0.76
106 12/02/2020 8.1
TNS => 106
Max. Value=> 44
Avg. (usel/2 BDL) => 8.25
Title: IU Wastewater Survey & Permit Application
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Part V, Waste Reduction Information :
State Pretreatment Rule 15A NCAC 2H.0916 (c)(1)(M) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Projected Code Description
X W 13 Improved maintenance scheduling recordkeeping, or procedures
W14 Changed production schedule to minimize equipment and feedstock
changeovers
X W 19 Other changes in operating practices (explain briefly in comments)
X W21 Instituted procedures to ensure that materials do not stay in inventory
beyond shelf-life
W22 Began to test outdated material-continue to use if still effective
W23 Eliminated shelf-life requirements for stable materials
W24 Instituted better labeling procedures
W25 Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29 Other changes in Inventory control (explain briefly in comments)
W31 Improved storage or stacking procedures
W32 Improved procedures for loading, unloading and transfer operations
W33 Installed overflow alarms or automatic shutoff valves
W34 Installed secondary containment
X W35 Installed vapor recovery systems
X W36 Implemented inspection or monitoring program of potential spill or
leak sources
W39 Other spill and leak prevention(explain briefly in comments)
W41 Increased purity of raw materials
W42 Substituted raw materials
W49 Other raw material modifications (explain briefly in comments)
W51 Instituted recirculation within a process
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1

Current Projected Code Description
W52 Modified equipment, layout, or piping
W53 Use of a different process catalyst
W54 Instituted better controls on operating bulk containers to minimize
discarding of empty containers
X W55 Changed from small volume containers to bulk containers to
minimize discarding of empty containers
W58 Other process modifications (explain briefly in comments)
W59 Modified stripping/cleaning equipment
W60 Changed to mechanical stripping/cleaning devices (from solvents or
other materials)
X W61 Changed to aqueous cleaners ( from solvents or other materials)
W62 Reduced the number of solvents used to make waste more amenable
to recycling
W63 Modified containment procedures for cleaning units
X W64 Improved draining procedures
W65 Redesigned parts racks to reduce dragout
W66 Modified or installed rinse systems
W67 Improved rinse equipment design
W68 Improved rinse equipment operation
W71 Other cleaning and degreasing operation (explain briefly in comments)
W72 Modified spray systems or equipment
W73 Substituted coating materials used
W74 Improved application techniques
W75 Changed from spray to other system
W78 Other surface preparation and finishing(explain briefly in comments)
W81 Changed product specifications
W82 Modified design or composition of product
W83 Modified packaging
W89 Other product modifications (explain briefly in comments)
W99 Other(specify in comments )
Comments (Please list corresponding code)
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31 March 2021 o
Mr. Kevin Keesler GlEnma�k
Pretreatment Coordinator
City of Monroe, North Carolina A IICW %.ay for ., uc world
PO Box 69
Monroe, NC 28111
[e-mail]
Office: 704-282-4632
Fax: [phone]
Dear Mr. Keesler:
Please see below for Authorization to Construct request.
Glenmark plans to reconfigure the existing wastewater neutralization system in order to address our
ongoing acetone compliance
ante challenges.We plan to remove the existing rental air stripping(ozone
generator) unit and add a new hot water system.
In the new hot water system,wastewater will be routed from the in-ground sump through a strainer
into an existing 10,000 gallon plastic tank that will act as a holding tank.This tank is existing on site,but
has never been used. From this tank,the water will be pumped through 2 heat exchangers to heat the
water.The first is an economizing heat exchanger and a second heat exchanger utilizes steam.After the
heat exchangers,the wastewater will enter a new jacketed vessel which is vented to the roof. From the
jacketed vessel,the heated water will be pumped through 2 heat exchangers to cool the water.The first
is the economizing heat exchanger and the second heat exchanger utilizes chilled water. From here,the
wastewater will enter the existing equalization and pH neutralization skid.
Please find attached drawings of these changes.
Respectfully,
'"V t
Stine Knight
EH&S Manager
Office: 704-218-2721
Mobile: [phone]
[e-mail]
Glenmark Pharmaceuticals Inc.,USA 14147 Goldmine Road, Monroe, NC 28110
www.glenmarkpharma.com

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April 1, 2021
Ms. Stine Knight
Glenmark Pharmaceuticals Inc. USA
4147 Goldmine Rd.
Monroe,North Carolina 28110
AUTHORIZATION TO CONSTRUCT PRETREATMENT SYSTEM
INDUSRIAL USER PERMIT NUMBER CM-33
Dear Ms. Knight:
Based on general review of the information that has been submitted for Glenmark Pharmaceuticals
Inc. USA. Authorization is hereby granted for the modification of the wastewater pretreatment
system.
The modification will include:
• Installation of one 10,000 gallon holding tank.
• Installation of two heat exchangers and one water chiller.
• All associated valves, piping, pumps and appurtenances.
This authorization to construct is issued in accordance with PART II 26 of Industrial User Permit
CM-33, and shall be subject to revocation unless the wastewater treatment facilities are constructed
in accordance with the conditions and limitations specified in IUP CM-33, and in accordance with
the plans submitted for review. A copy of the authorized plans and specifications shall be
maintained on file at the facility by the Permittee for the life of the facility.
Proper design and construction of these pretreatment facilities, and satisfactory operation to comply
with all limits of IUP CM-33, is the ultimate responsibility of Glenmark Pharmaceuticals Inc. USA.
In the event that the approved pretreatment system fails to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective actions and notify the
City of Monroe.
Respectfully,
Kevin Keesler
Pretreatment Coordinator
C: WWTP/IUP file
I:\8040 WWTP and Collection\Pretreatment program\Industries\Glenmark
Mr. Russell Colbath
City of Monroe • PO Box 69 • Monroe,NC 28111-0069
Tel: [phone] • Pax: [phone]
www.monroenc.org

i onroe
North Carolina
ECEwED
y 28 May 2021 R 2 2021
��N 0
Mr. Micah Abernathy pEQIpwRINP�ES
Complex Manager NC+
Pilgrim's Pride Corporation
Post Office Box 668
5901 Hwy 74 East
Marshville,N.C. 28103
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear Mr. Abernathy:
Please find enclosed herein Industrial User Permit CM-28 authorizing Pilgrim's Pride
Corporation, to continue to discharge process wastewater to the City of Monroe sewer system for
further treatment at the City of Monroe Wastewater Treatment Plant through June 30, 2024 and
specifying the conditions governing this discharge. All Significant Industrial User permits are
subject to review and approval by NCDWR Municipal Unit-Pretreatment. Please review this
entire permit carefully in order to meet all requirements.
Consistent with the provisions of§ 52.051 of the City's Sewer Use Ordinance, the terms and
conditions of this permit are binding upon the industrial user.
(I) Hearings.
(1) Initial Adjudicatory Hearings. An applicant whose permit is denied, or is granted
subject to conditions he deems unacceptable, a permittee/user assessed a civil penalty under §
52.999, or one issued an administrative order under § 52.120 shall have the right to an
adjudicatory hearing before a hearing officer designated by the POTW Director upon making
written demand, identifying the specific issues to be contested, to the POTW Director within 30
days following receipt of the significant industrial user permit, civil penalty assessment, or
administrative order. Unless such written demand is made, within the time specified herein, the
action shall be final and binding. The hearing officer shall convene the hearing within 45 days
following receipt by the POTW Director of the written demand for such hearing from the
applicant and shall make a final decision on the contested permit, penalty, or order within 45
days after the hearing is convened. The POTW Director shall transmit a copy of the hearing
officer's decision by registered or certified mail.

Should you require additional information please do not hesitate to contact me.
Respectfully,
Kevin Keesler
Pretreatment Coordinator
c: WWTP files
Mr. Russell Colbath
I:\8040 WWTP and Collection\Pretreatment program\Industries\Pilgrim's Pride
City of Monroe + PO Box 69 • Monroe,NC 28111-0069
Tel: [phone] • Fax: [phone]
www.monroenc.org

City of Monroe WWTP
Municipality Name
hereafter in this permit to as the
Control Authority
PERMIT
Industrial User Pretreatment Permit(IUP)
To Discharge Wastewater Under the
Industrial Pretreatment Program
CM-28 - N/A
IUP Number 40 CFR Category
(if Applicable)
In compliance with the provisions of North Carolina General Statute 143-215.1, any applicable
federal categorical pretreatment regulations, all other lawful standards and regulations
promulgated and adopted by the North Carolina Environmental Management Commission, and the
City of Monroe Sewer Use Ordinance. The following Industry,hereafter referred to by name or as
the permittee:
Industry name,permittee:
Pilgrim's Pride Corporation
Facility Located at Street Address:
5901 Highway 74
City
Marshville
State,Zip
North Carolina, 28103
is hereby authorized to discharge wastewater from the facility located at the above listed address
into the sanitary sewer collection system and the wastewater treatment facility of the City of
Monroe listed below:
IUP Control Authority WWTP name:
City of Monroe WWTP
NPDES Number:
NC0024333
WWTP Address:
Post Office Box 69
State,Zip
Monroe,NC 28111-0069
in accordance with effluent limitations, monitoring requirements, and all other conditions set forth
in Parts I, II, and III of this Industrial User Pretreatment Permit(IUP).
Effective date,this permit and the authorization to discharge shall
become effective at midnight on this date:
July 1,2021
Expiration date,this permit and the authorization to discharge shall
expire at midnight on this date:
June 30,2024
�^
Date Director of Water Resources
Page:1
Effective Date July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
IUP, PART I, OUTLINE:
A) IUP Basic Information
B) IUP Modification History
C) Authorization Statement
D) Description tion of Discharges es
E) Schematic and Monitoring Locations
F) Effluent Limits&Monitoring Requirements
G) Definitions and Limit Page(s)notes
A.IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe Wastewater Treatment Plant NC0024333
IUP Name: IUP Number:
Pilgrim's Pride Corporation CM-28
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1,2021 01
IUP Expiration date: IUP 40 CFR#(if applicable),or N/A:
June 30,2024 N/A
B.IUP History:
Effective Date: Renewal or Modification: Description of modifications.
August 15, 1994 Permit Issued
December 19, 1994 Industry Name Change
December 15, 1995 Permit Issued
December 30,1996 Permit Issued
December 31, 1999 Permit Extension
March 21,2000 Permit Issued; reduced limits for Flow,BOD,TSS,
NH3-n; added O&G limit; dropped TTO; changed
verbiage of PART III 1);introduced PART III 8).
May 1,2001 Industry Name Change
Permit modification; sample type for flow;dropped
August 1,2001 PART III 8).
Permit modification to include Hauled Wastewater
November 15,2002 from Pilgrim's Pride Feed Mill; added PART III 8).
July 1,2003 Permit issued; Changed list of treatment units;
Changed verbiage PART I 1.PART II 17,29 and
PART III 6.; Changed reporting of flow; Dropped
Cadmium
July 1,2006 Permit Renewal; Changed list of treatment units
May 1,2007 Permit modification; changed limit and detection
limit for cyanide
IUP#=>CM-28
Page:2
Effective Date July 1,2021

IUP History Continued:
Effective Date: Renewal or Modification: Description of modifications.
July 1,2009 Renewal Permit issued; changed PART I B. heading; changed
page 6 F) to G); changed PART I C) 2) changed
PART I D) 1. description of discharge; changed
verbiage in PART I 1., 2., 3.; changed verbiage in
PART II 2. a), b), c), 10., 12., 13., 16., 17., 25., 27.,
30.; changed verbiage in PART III 2.2., 2.3., 6.;
changed PART III 7.;Added PART III 9,10.
March 1,2010 Modification Permit modification; changed PART I D) 1; Added
PART III 10; Added PART III 11.
July 1,2012 Renewal Permit issued.
July 1,2015 Renewal Permit issued,changed TSS detection limit. •
July 1,2018 Renewal Permit Issued.
July 1,2021 Renewal Permit Issued.
IUP#=>CM-8
Page:2A
Effective Date July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
C)Authorization Statement:
1) The Permittee is hereby authorized to discharge wastewater in accordance with the
effluent limitations, monitoring requirements, and all other conditions set forth in this
Industrial User Pretreatment Permit (IUP) into the sewer collection system and
wastewater treatment facility of the City of Monroe.
2) The Permittee is hereby authorized to continue operation of and discharge wastewater
from the following treatment or pretreatment facilities. These facilities must
correspond to the treatment units listed on both the application and inspection forms.
IU Treatment Units
List all Treatment Units: Descriptions:
Screening
Sedimentation
Grit removal
Flocculation
DAF
pH adjust
5.00 million gallons aerated equalization
4.98 million gallons non-aerated equalization
3) The Permittee is hereby authorized to, if required by the City of Monroe and after
receiving Authorization to Construct (A to C) from the City of Monroe, construct and
operate additional pretreatment units as needed to meet final effluent limitations.
D) Description of IUP Discharge(s):
1. Describe the discharge(s) from all regulated pipes.
Pipe#01,Description of Discharge:
Process, washdown, domestic wastewater, Hauled wastewater from the
Pilgrim's Pride Feed Mill located at 205 Edgewood Dr. Wingate, NC., First
flush of stormwater collection pit(see PART III 10).
Pipe#02,Description of Discharge:
IUP#=>CM-28
Page:3
Effective Date July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
E.) Schematic and Monitoring Locations:
The facility schematic and description of monitoring location(s) given below must show
enough detail such that someone unfamiliar with the facility could readily find and
identify the monitoring location(s) and connection to the sewer. Include and identify all
regulated pipes. See figures 4A,4B,4C and 4D.
IUP#=>CM-28
Page:4
Effective Date July 1,2021

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PILGRIMS PRIDE
5901 WEST MARSHVILLE BLVD.
'� „, MARSHVILLE, NORTH CAROLINA 28103
piIgn t. PROCESS FLOW DIAGRAM
DRAWN BY: JKS CHECKED BY: DRAFT APPROVED BY: DRAFT FIGURE NO.:
y DATE: DECEMBER 2017 DWG SCALE: NTS PROJECT NO: 172-208 1

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IUP,Part I, Section F: Receiving POTW name=>City of Monroe IU name=>Pilgrim's Pride
Effluent Limits and Monitoring Requirements Receiving POTW NPDES #_>NC0024333 IUP#_> CM-28
Effective date for these Limits=>7/01/21 Pipe#=> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=> 6/30/24 40 CFR# > N/A
number according to these specific dates, effluent if not applicable put N/A
limits, and monitoring requirements. THE LIMITS ON THIS ARE, (Check one below):
LIMITS for ENTIRE permit period=> X
INTERIM Limits for period# 1 =>
INTERIM Limits for period#2=>
FINAL Limits Page=>
Conventional Concentration Limits Mass-Based Limits Monitoring Frequency Sample Required
Parameters' Daily Weekly Units Daily Monthly Units by Industry by POTW Collection laboratory
Max Avg. Max Avg. Method Detection
(C or G) Limits
Flow .950 MGD MGD Daily* Monthly recorded*
BOD mg/1 1980 lbs/day Monthly Monthly C 2.0 mg/1
TSS mg/1 1585 lbs/day Monthly Monthly C 2.5 mg/1
Temperature Deg. C Deg. C
pH 6 to 11 Std.Units Std.Units Monthly Monthly
Other Parameters, Please list alphabetically
Ammonia mg/1 730 lbs/day Monthly Monthly C .5 mg/1
TKN monitor mg/1 monitor lbs/day Monthly Monthly C .5 mg/1
mg/1 lbs/day
Cyanide mg/1 .04 lbs/day 1/6 months 1/6 months G .01 mg/1
Oil&Grease 50 mg/1 lbs/day Monthly Monthly G 5 mg/1
mg/1 lbs/day
mg/1 lbs/day
mg/1 lbs/day
mg/1 lbs/day
' Parameters and Prohibitions not specified above are regulated and limited by the (See next section,IUP,Part I, Section F.)
City of Monroe Sewer Use Ordinance. Definitions and Limits Page(s)notes:
* The flow meter totalizer shall be recorded each day of discharge with the data submitted as required in PART II(2).
IUP,PART I,Page: 5
Effective Date July 1,2021

IUP, PART I
Industrial User (IU) Specific Conditions
G) Definitions and Limit Page(s) notes:
In addition to the definitions in the City of Monroe Sewer Use Ordinance the following
definitions apply:
1. Composite Sample:
a) A composite sample for the monitoring requirements of this IUP, is
defined as the automatic or manual collection of a series of grab
samples of constant volume, not less than 100 ml, collected at equal
time intervals during the entire discharge period on the sampling
day. The time interval between grab samples shall be no greater than
once per hour,or
b) A single, continuous sample collected over a 24-hour period
proportional to the rate of flow. Sampling day shall be a typical
production,and discharge day.
2. Daily Monitoring Frequency
Daily Monitoring Frequency as specified in this IUP shall mean each day of
discharge.
3. Grab Sample
Grab sample for the monitoring requirements of this IUP, is defined as a single "dip
and take" sample collected at a representative point in the discharge stream over a
period of time not exceeding 15 minutes. The grab sample can be taken manually.
Grab samples must be representative of the discharge.
4. Instantaneous measurement
An Instantaneous measurement for the monitoring requirements of this IUP is
defined as a single reading,observation,or measurement.
IUP#=>CM-28
Page 6
Effective Date July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
Outline of PART II,
1. Representative Sampling 16. Federal and/or State Laws
2. Reporting 17. Penalties
3. Test Procedures 18. Need to Halt or Reduce
4. Additional Monitoring by Permittee 19. Transferability
5. Duty to comply 20. Property Rights
6. Duty to Mitigate 21. Severability
7. Facilities Operation,Bypass 22. Modification,Revocation,Termination
8. Removed substances 23. Reapplication
9. Upset Conditions 24. Dilution Prohibition
10.Right of Entry 25. Reports of Changed Conditions
11.Availability of Records 26. Construction of Pretreatment Facilities
12.Duty to Provide Information 27. Reopener
13. Signatory Requirements 28. Categorical Reopener
14.Toxic Pollutants 29. General Prohibitive Standards
15. Civil and Criminal Liability 30. Reports of Potential Problems
1. Representative Sampling
Samples and measurements taken as required herein shall be representative of the volume
and nature of the monitored discharge. All samples shall be taken at the monitoring points
specified in this permit and, unless otherwise specified, before the effluent joins or is diluted
by any other wastestream, body of water, or substance. Monitoring points shall not be
changed without notification to,and approval by,the permit issuing authority.
2. Reporting
a) Monitoring results obtained by the permittee shall be reported on forms specified
by the City of Monroe, postmarked no later than the twentieth day of the month
following the month in which the samples were taken. Results based on laboratory
analysis shall include the laboratory report. If no discharge occurs during a
reporting period (herein defined as each calendar month) in which a sampling event
was to have occurred, a form with the phrase "no discharge" shall be submitted
under the signatory requirements of Part II, Section 13. Copies of these and all other
reports required herein shall be submitted to the City of Monroe to the following
address:
Pretreatment Coordinator
City of Monroe
PO Box 69
Monroe,NC 28111
b) If the sampling performed by the permittee indicates a violation, the permittee
shall notify the City of Monroe within 24 hours of becoming aware of the violation.
The permittee shall also repeat the sampling and analysis and submit the results of
the repeat analysis to the City of Monroe within 30 days after becoming aware of the
violation.
IUP#=>CM-28
Page 7
Effective Date July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
c)Laboratory reports shall include the following:
1. sample preparation-type and date(s) and time(s)performed;
2. analysis start dates and times;
3. analyst(s)initials;
4. analytical techniques and methods used;
5. results of the analyses;
6. chain of custody records which contain the following Information
a. sampling location;
b. date(s)/time(s) sample(s)taken;
c. sample type: composite(time,flow or hand)or grab
d. container type;
e. teflon liner and/or zero headspace,if applicable;
f. type of preservative used,if any;
g. sample iced upon receipt;
h. parameters to be run from that particular bottle;
i. individual(s)who performed the sampling and/or field measurements;
j. samples relinquished/received by who and when(date&time).
In addition, the laboratory performing the analysis shall maintain on file for up to
three years after the analysis all laboratory data taken and calculations during the
analysis, including dates and times, the analyst performing the work, and the data
and calculations from all quality assurance procedures and testing. This data shall
be available for inspection by personnel of the City of Monroe upon request.
3. Test Procedures
Test procedures for the analysis of pollutants shall be performed by a North Carolina
Certified Wastewater Lab in accordance with the techniques prescribed in 40 CFR part 136
and amendments thereto unless specified otherwise in the monitoring conditions of this
permit. The laboratory shall be certified by the State of North Carolina for each specific test
parameter on which their results are reported.
4. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated herein more frequently
than required by this permit, using approved analytical methods as specified above, the
results of such monitoring shall be submitted to the City of Monroe. The City of Monroe
may require more frequent monitoring or the monitoring of other pollutants not required in
this permit by written notification.
5. Duty to Comply
The permittee must comply with all conditions of this permit. Any permit noncompliance
constitutes a violation of the City of Monroe Sewer Use Ordinance and is grounds for
possible enforcement action; for Permit termination, revocation, and reissuance, or
modification; or denial of a Permit renewal application.
IUP#=>CM-28
Page 8
Effective Date July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
6. Duty to Mitigate-Prevention of Adverse Impact
The permittee shall take all reasonable steps to minimize or prevent any discharge in
violation of this permit which has a reasonable likelihood of adversely affecting human
health,the POTW,the waters receiving the POTW's discharge,or the environment.
7. Facilities Operation,Bypass
The permittee shall at all times maintain in good working order and operate as efficiently as
possible, all control facilities or systems installed or used by the permittee to achieve
compliance with the terms and conditions of this permit. Bypass of treatment facilities is
prohibited except when approved in advance by the City of Monroe. Bypass approval shall
be given only when such bypass is in compliance with 40 CFR 403.17. Treatment facilities
shall be as diagrammed in Figure 2.
8. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or
control of wastewaters shall be disposed of in a manner such as to prevent any pollutants
from such materials from entering the City of Monroe sewer system or the surface waters of
the State of North Carolina. The permittee is responsible for assuring its compliance with
any requirements regarding the generation, treatment, storage, and/or disposal of
"Hazardous Waste" as defined under the Federal Resource Conservation and Recovery Act.
the permittee shall maintain records of disposal of these substances for a minimum of three
years.
9. Upset Conditions
An "upset" means an exceptional incident in which there is an unintentional and temporary
noncompliance with the effluent limitations of this permit because of factors beyond the
reasonable control of the permittee. An upset does not include noncompliance to the extent
caused by operational error, improperly designed or inadequate treatment facilities, lack of
preventative maintenance,or careless or improper operations.
An upset may constitute an affirmative defense for action brought for the noncompliance.
The permittee has the burden of proof to provide evidence and demonstrate that none of the
factors specifically listed above were responsible for the noncompliance. Such evidence
shall include operating logs properly signed,or other relevant evidence that:
1. An upset occurred and that the permittee can identify the cause(s)of the upset;
2. The permittee facility was at the time being properly operated; and
3. The permittee submitted notice of the upset as required in Part II, Section 30, of
this permit
4. The permittee complied with any remedial measures required under Part II,
Section 5,of this permit
IUP#=>CM-28
Page 9
Effective Date July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
10. Right of Entry
The permittee shall allow the staff of the State of North Carolina Department of
Environment and Natural Resources, Division of Water Quality,the Regional Administrator
of the Environmental Protection Agency, the City of Monroe, and/or their authorized
representative,upon the presentation of credentials:
1. To enter upon the permittee's premises where a real or potential discharge is
located or in which records are required to be kept under the terms and
conditions of this permit; and
2. At reasonable times to have access to and copy records required to be kept under
the terms and conditions of this permit; to inspect any monitoring equipment or
monitoring method required in this permit; and to sample any discharge of
pollutants.
11. Availability of Records and Reports
The permittee shall retain records of all monitoring information, including all calibration
and maintenance records as well as copies of reports and information used to complete the
application for this permit for at least three years. All records that pertain to matters that
are subject to any type of enforcement action shall be retained and preserved by the
permittee until all enforcement activities have concluded and all periods of limitation with
respect to any and all appeals have expired.
Except for data determined to be confidential under the Sewer Use Ordinance, all reports
prepared in accordance with terms of this permit shall be available for public inspection at
the City of Monroe. As required by the Sewer Use Ordinance, effluent data shall not be
considered confidential.
12. Duty to Provide Information
The permittee shall furnish to the Director of Water Resources or his/her designees,within a
reasonable time, any information which the Director, his/her designee, or the Division of
Water Quality may request to determine compliance with this permit. The permittee shall
also furnish,upon request, copies of records required to be kept by this permit.
13. Signatory Requirements
All reports or information submitted pursuant to the requirements of this permit must be
accompanied by the following certification by the duly authorized representative:
"I certify under penalty of law that this document and all attachments were prepared under
my direction or supervision in accordance with a system designed to assure that qualified
personnel properly gather and evaluate the information submitted. Based on my inquiry of
the person or persons who manage the system,or those persons directly responsible for
IUP#=>CM-28
Page 10
Effective Date July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
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 or imprisonment for knowing
violations. "
The Authorized Representative shall be as defined by the City of Monroe Sewer Use
Ordinance. If the designation of an Authorized Representative is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility,or
overall responsibility for environmental matters for the company, a new authorization
satisfying the requirements of this section must be submitted to the City of Monroe Water
Resources Director or his/her designee prior to or together with any reports to be signed by
an authorized representative.
14. Toxic Pollutants
If a toxic effluent standard or prohibition (including any schedule of compliance specified in
such effluent standard or prohibition) is established under Section 307(a) of the Federal
Clean Water Act for a toxic pollutant which is present in the discharge and such standard or
prohibition is more stringent than any limitation for such pollutant in this permit, this
permit may be revised or modified in accordance with the toxic effluent standard or
prohibition and the permittee so notified.
15. Civil and Criminal Liability
Nothing in this permit shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance.
16. Federal and/or State Laws
Nothing in this permit shall be construed to preclude the institution of any legal action or
relieve the permittee from any responsibilities, liabilities, or penalties established pursuant
to any applicable Federal and/or State law or regulation.
17. Penalties
The Sewer Use Ordinance of the City of Monroe provides that any person who violates a
permit condition is subject to a civil penalty not to exceed $25,000 dollars per day of such
violation.
Under state law, (NCGS 143-215.6B), under certain circumstances it is a crime to violate
terms, conditions, or requirements of pretreatment permits. It is a crime to knowingly make
any false statement,representation,or certification in any record or other document
submitted or required to be maintained under this permit, including monitoring reports or
reports of compliance or noncompliance. These crimes are enforced at the prosecutorial
discretion of the local District Attorney.
IUP#=>CM-28
Page 11
Effective Date July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
The City of Monroe enforcement response will be in accordance with an Enforcement
Response Plan approved by the North Carolina Division of Water Quality and on file in the
office of the Pretreatment Coordinator
18. Need to Halt or Reduce not a Defense
It shall not be a defense for a permittee in an enforcement action that it would have been
necessary to halt or reduce the permitted activity to maintain compliance with the conditions
of the permit.
19. Transferability
This permit shall not be reassigned or transferred or sold to a new owner, new user,
different premises,or a new or changed operation without approval of the City.
20. Property Rights
This permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of
personal rights, nor any infringement of Federal, State or local laws or regulations.
21. Severability
The provisions of this permit are severable and, if any provision of this permit or the
application of any provision of this permit to any circumstance is held invalid, the
application of such provision to other circumstances and the remainder of this permit shall
not be affected thereby.
22. Permit Modification,Revocation,Termination
This permit may be modified, revoked and reissued or terminated with cause in accordance
with the requirements of the City of Monroe Sewer Use Ordinance and North Carolina
General Statute or implementing regulations.
23. Re-Application for Permit Renewal
The permittee is responsible for filing an application for reissuance of this permit at least
120 days prior to its expiration date. The permittee is not authorized to discharge after the
expiration date of this permit if this re-application deadline has not been met.
24. Dilution Prohibition
The permittee shall not increase the use of potable or process water or in any other way
attempt to dilute the discharge as a partial or complete substitute for adequate treatment to
achieve compliance with the limitations contained in this permit.
25. Reports of Changed Conditions
The permittee shall give notice to the City of Monroe of any planned significant changes to
the permittee's operations or system which might alter the nature, quality, or volume of its
wastewater at least 60 days before the change. Such changes,however,do not stay any
IUP#=>CM-28
Page 12
Effective Date July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
condition of this permit. If the changes require additions or modifications to pretreatment
facilities to comply with this permit, all such modifications shall be approved and
constructed before planned changes are made. The permittee shall not begin the changes
until receiving written approval from the City of Monroe. Also see PART II, 30 below for
additional reporting requirements for spill/slug issues.
26. Construction
No construction of pretreatment facilities or additions thereto shall be begun until Final
Plans and Specifications have been submitted to the City of Monroe and written approval
and an Authorization to Construct has been issued.
27. Reopener
The permit shall be modified or, alternatively, revoked and reissued to comply with any
applicable effluent standard or limitation for the control for any pollutant shown to
contribute to toxicity of the WWTP effluent or any pollutant that is otherwise limited by the
POTW discharge permit. The permit as modified or reissued under this paragraph may also
contain any other requirements of State or Federal pretreatment regulations then applicable.
28. Categorical Reopener
This permit shall be modified, or alternatively, revoked and reissued, to comply with any
applicable effluent standard or limitation issued or approved under Sections 302(b)(2)(C)
and (D), 304(b)(2), and 307(a)(2) of the Clean Water Act, if the effluent standard or
limitation so issued or approved:
1) contains different conditions or is otherwise more stringent than any effluent
limitation in this permit; or
2) controls any pollutant not limited in this permit.
The permit as modified or reissued under this paragraph shall also contain any other
requirements of the Act then applicable.
29. General Prohibitive Standards
The permittee shall comply with the general prohibitive discharge standards in 40 CFR
403.5(a) and (b) of the Federal pretreatment regulations, and shall comply with the
prohibitive discharge standards in §52.020 and §52.023 of the City Sewer Use Ordinance
except as specifically stated otherwise in this permit.
30. Reports of Potential Problems
The permittee shall provide protection from accidental and slug discharges of prohibited
materials and other substances regulated by this permit. The permittee shall also notify the
City of Monroe immediately of any changes at its facility affecting the potential for spills and
other accidental discharge, discharge of a non-routine, episodic nature, a non-customary
batch discharge,or a slug load as defined in the City of Monroe Sewer Use Ordinance.
IUP#=>CM-28
Page 13
Effective Date July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
Additionally, the permittee shall notify by telephone the City of Monroe immediately of all
discharges that could cause problems to the POTW including any slug loadings as defined in
the Sewer Use Ordinance. If the permittee experiences such a discharge, they shall inform
the City of Monroe Pretreatment Coordinator, telephone number [phone], if no
answer, the Wastewater Treatment Plant, telephone number [phone] and (704) 507-
8351, if no answer, the Wastewater Treatment Plant Superintendent, telephone number
[phone] immediately upon the first awareness of the commencement of the discharge.
Leaving a message will not be acceptable until all phone numbers listed above have been
attempted. Notification shall include location of the discharge, type of waste, concentration
and volume if known and corrective actions taken by the permittee. A written follow-up
report thereof shall be filed by the permittee within (5) days, unless waived by the City of
Monroe.
IUP#=>CM-28
Page 14
Effective Date July 1,2021

PART III
Special Conditions
Industrial User Pretreatment Permit (IUP)
1. Slug/Spill Control Plan
The permittee shall provide protection from accidental and slug discharges of prohibited
materials and other substances regulated by this permit. The permittee shall develop and
update, as required, a written slug/spill plan including procedures for preventing a slug or
spill which could cause a violation of the discharge standards of this permit. Any revision of
this plan shall be submitted to the City of Monroe no more than 60 days after the change(s)
are made. If no changes are made to the plan, a written statement to that effect must be
submitted to the City of Monroe on or before January 31, throughout the duration of the
permit. The plan shall include the following at a minimum:
1) identification of all chemicals, by name, quantity, and storage location which
would cause a violation of this permit in the event of a spill and the means at each
location to prevent the spill from entering the City sewer system or surface waters of
the State of North Carolina.
2) who has the authority to halt production and/or wastewater discharge in the event
of a spill or upset condition(include phone numbers)
3) who is responsible for implementation and updating of the plan
4) the personnel that should be familiar with the plan
5) the person(s) responsible for notifying the City of Monroe immediately upon
discovery of a problem affecting the characteristics of the wastewater
2. Flow Measurement
1. The Permittee shall provide and operate monitoring facilities for the inspection,
sampling and flow measurement of the permittee's process wastewater discharges.
2. The permittee shall maintain appropriate discharge flow measurement devices
and methods consistent with approved engineering and scientific practices to ensure
the accuracy and reliability of measurements of the volume of monitored discharges.
Devices installed shall be a continuous recording flow meter capable of measuring
flows with a maximum deviation of less than 5% from true discharge rates
throughout the range of expected discharge volumes.
3. The approved wastewater meter shall be installed, maintained, and calibrated
once every six months.
4. The wastewater meter must have a non-resettable mechanical totalizer that reads
in gallons.
5. Flow monitoring equipment and sampling point should be located in an area
accessible to the City of Monroe personnel without prior notification.
IUP#=>CM-28
Page 15
Effective Date July 1,2021

PART III
Special Conditions
Industrial User Pretreatment Permit (IUP)
The City of Monroe must be supplied with any keys and/or other tools necessary to
perform the aforementioned.
6. There shall be no by-pass capability of the wastewater metering devices or the
sampling point.
7. The permittee shall maintain flow, maintenance, and calibration records for a
minimum of three years.
8. In the event of temporary unintentional failure of the flow meter, the permittee
shall notify the Pretreatment Coordinator as soon as possible, but in no case beyond
24 hours after first becoming aware of the failure. Repair shall be under taken as
quickly as possible.
3. High Strength Surcharges
Notwithstanding any concentrations permitted for total suspended solids, 5 day BOD or
nitrogen ammonia stated in Part I, Section F of the Permit, the permittee shall be
responsible for the payment of high strength surcharges at rates that may be established in
the future by the Monroe City Council.
4. Additional Fees or Charges
The City of Monroe shall, with the direction from the Director of Water Resources, assess
fees or charges to recoup the additional costs incurred by the City of Monroe for any
additional sampling, inspections, etc. deemed necessary when the Permittee's discharge may
be in an upset or noncompliance condition.
5. Additional Treatment for Algae Control
The Permittee shall, upon notice from the City of Monroe, implement additional treatment
for algae control coming from the treatment pond system and continue this additional
treatment until notification is received from the City of Monroe that the treatment may be
halted.
6. Special Reopener
The City of Monroe reserves the right to reopen and modify/change limits and or sampling
frequency as deemed necessary.
IUP#=>CM-28
Page 16
Effective Date July 1,2021

PART III
Special Conditions
Industrial User Pretreatment Permit (IUP)
7. Sludge Management Plan
Within sixty days of the effective date of this Industrial User Permit, the permittee shall
submit a sludge management plan to the City of Monroe.
8. Hauled Wastewater from the Pilgrim's Pride Feed Mill
The hauled wastewater from the Pilgrim's Pride Feed Mill facility located at 205 Edgewood
Drive Wingate,North Carolina shall be logged each time a load of this wastewater is
discharged into the pretreatment system at the facility to which this permit is issued. This log
shall include the volume of the discharge in gallons and the date and time which the
discharge occurs.A copy of this log shall be maintained on file at the permitted facility and a
copy shall be included with the monthly reports submitted to the City of Monroe.
9. Certified Operator
Pursuant to Chapter 90A-44 of North Carolina General Statutes, and upon classification of
the facility by the Certification Commission, the permittee shall employ a certified
wastewater pretreatment plant operator in responsible charge (ORC) of the wastewater
treatment facilities. Such operator must hold a certification of the type and grade equivalent
to, or greater than the classification assigned to the wastewater treatment facilities by the
Certification Commission. The permittee must also employ a certified backup operator of
the appropriate type and grade to comply with the conditions of Title 15A, Chapter 8A
.0202. The ORC of the facilitymust visit the wastewater facilityas required; must properly
manage and document daily operation and maintenance of the facility; and must comply
with all other conditions of Title 15A, Chapter 8A .0202. The permittee shall submit a letter
designating the operator in responsible charge to the Certification Commission or their
designee within thirty days after facility classification.
10. First Flush of Stormwater Pit
This permit includes in the description of discharge the first flush of the stormwater
collection pits at the Pilgrim's Pride Complex. These stormwater pits shall include an hour
meter or meters to record the actual run time of the pump(s). The permittee shall also
maintain a daily log to include the hour meter(s) readings, the daily weather to include any
rainfall, and time rain started and ended, and the time(s) the stormwater pit pumps were
running and stopped. This data shall be submitted as required in PART II (2). Maximum
time the stormwater pumps to treatment lagoons shall not exceed 1 hour during any rain
event.
11. Maximum Instantaneous Flow Limit
In addition to the maximum daily flow limit contained herein, the permittee shall maintain
their instantaneous flow discharge rate at less than 725 GPM at all times.
IUP#=>CM-28
Page 17
Effective Date July 1,2021

IUP Synopsis
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe NC0024333
IUP name: IUP Number:
Pilgrim's Pride Corporation CM-28
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1,2021 01
IUP expiration date: IUP 40 CFR#,if applicable:
June 30, 2024
B. IUP Survey&Application form
Attach a completed copy of the Industrial User Wastewater Survey&
Application Form (see appendix 6-A)
C. IU Inspection form
Attach a copy of an Industrial User Inspection Form (see chapter 7) completed
by the Control Authority within the past 12 months.
D. RATIONALE FOR LIMITATIONS:
As listed on the IUP Limits Page(s), PART I, Section F of the IUP.
RATIONALE#1:
Review of IU Monitoring Data, with no Over Allocation situation:
The following pollutants were assigned numerical limits in this IUP based
on a review of monitoring data for the permittee to determine what ranges of
concentrations are currently being discharged. To account for sample
variability a factor was applied to the monitoring data to determine the
permit limit. Permit limits assigned by the Local IUP Control Authority can
not result in an Over Allocation situation for any pollutants.
1

IUP Synopsis
RATIONALE#2a:
Categorical Industrial Limits, with no Over Allocation situation:
Check here if Combined Wastestream Formula (CWF) or other categorical
limits calculations were used. If used, Please attach calculations: (see CWF
Spreadsheet, Appendix 6-F)
Were used(attach calculations)
Were not used g
The following pollutants were assigned numerical limits in this IUP based
on the categorical regulations. These limits do not result in over allocations.
RATIONALE#3a:
Over Allocation Prevention, with IU pollutant reduction:
The following pollutants were assigned numerical limits in this IUP based
on allocating the Maximum Allowable Industrial Loading (MAIL)
determined with the Headworks Analysis (HWA) among all Industrial
Users. The total loading of each pollutant from all permitted discharges
does not exceed the MAIL. These limits do not result on over allocations.
BOD, TSS, Ammonia, Cyanide
RATIONALE#3b:
Interim Limits for IU pollutant reduction:
The following pollutants were assigned interim numerical limits in this IUP
to allow time for the industry to come compliance with final limits that will
not result in over allocations.
2

IUP Synopsis
RATIONALE#4:
4.) Other Rationale for Limitations:
The following rationale was used for developing IUP Limits.
Parameter Rationale
Oil and Grease Prevention of Inhibition or Passthrough
RATIONALE#5a:
Non-Categorical Parameters where No Limit needed or assigned in an IUP:
The following pollutants were not assigned numerical limits in this IUP
because the loadings for these pollutants from this IU were less than 5% of
the MAHL. The loading of these pollutants from this IU is considered
insignificant at this time.
Pollutant Avg SIU mg/1 Avg SIU lbs/day 5%MAHL, lbs/day
RATIONALE#5b:
Categorical Parameters with Waived Monitoring:
Monitoring is waived for the following categorical parameters (attach
documentation of waiver justification).
3

COVER PAGE
Company Name: Pilgrim's Pride Corporation, Marshville
Name of responsible person on site at the facility authorized to represent the Name of alternative on site person familiar with the day to day operations,
company in official dealings with the Sewer Authority and/or the City. environmental permitting requirements,monitoring,record keeping,and data
Micah Abernathy management.
Stan Hildreth
Title Complex Manager Years with firm 1 Title Wastewater Supervisor Years with firm 33
Phone#[phone] Fax# Phone#[phone] Fax#
Physical street address of facility Official mailing address,if different. Note if same.
5901 West Marshville Blvd.
Marshville, NC 28103
City Marshville State NC Zip 28103 City State Zip
The information provided by you on this questionnaire serves two functions:
1. The information is used to determine if your facility needs an Industrial
User Pretreatment Permit(IUP) for the discharge of wastewater to the local
sewer.
2. If an Industrial User Pretreatment Permit (IUP) is required, this survey
serves as the application for an Industrial User Pretreatment Permit (IUP).
Requests for confidential treatment of information provided on this form shall be governed by procedures
specified in 40 CFR Part 2. In accordance with Title 40 of the Code of Federal Regulations Part 403,
Section 403.14 and the Local Sewer Use Ordinance (SUO), information and data provided in this
questionnaire which identifies the content, volume and frequency of discharge shall be available to the
public without restriction.
This is to be signed by an authorized official of your firm,as defined in the Local Sewer Use Ordinance or the NC Model
Sewer Use Ordinance,Section 1.2,after completion of this form.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based upon 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/or imprisonment for knowing violations.
Signature of Authorized'Representative '+, Date
listed above (seal if applicable)
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 1 of 11
1

Figures

1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
This facility engages in Poultry Slaughter and Processing
2. List the primary products produced at this facility:
Raw Poultry products - cut up,deboned, and ice packed
3. List raw materials and process additives used:
Live chickens,sanitation chemicals, pH adjustment chemicals, antimicrobials
4. Are biocides added to any water discharged to the POTW,
if yes describe:
Biocides are used in the manufacturing process Yes X
No
5. Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift.
The facility typically slaughters and processes 5 days a week(700,000
chickens/week) during 2 shifts with a sanitation period once a day.
Production also kills and debones on Saturdays on occasion.
SHIFT (Mon-Fri) PRIMARY #of
OPERATION EMPLOYEES
First(start 5:45am) Slaughter and Process 400
Second (start 3:30pm) Sanitation 40
Third(start 8:45pm) Slaughter and Process 370
6. Production process is: Check, if all continuous X
Check, if all batch
If both please enter, % continuous = % Batch=
7. Does production vary significantly (+- 20 %) by season. Describe.
Yes
No X
Title: IU Wastewater Survey & Permit Application
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8. Are any significant (+- 20 %) changes in production that will affect wastewater
discharge expected in the next 5 years. If yes, please describe.
Yes X
It is possible that production could increase or
decrease in next 5 years.
No
9. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled off.
Hauler Waste Hauled
1) JBS Carriers, Inc. to PPC's Sumter, SC 4 trailers per day of De-Boned Meat
2) American Protein, Inc., Cumming Division 1-2 trailers per day of Feather and
River Valley Ingredients (End User) 1 tanker per day of Blood
4990 Leland Drive, Cumming, GA 30041
Leon Jones (Transportation Co.)
4880 Leland Drive, Cumming, GA 30041 [phone]
3) Denali Water Solutions DAF sludge
P.O. Box 306, Yadkinville, NC 27055 336-407-8100
10. Attach a copy of laboratory analyses performed in the last year on the wastewater
discharge(s) from your facilities. Summarize data on the attached Data Summary
Form.
The Data Summary Form is attached with reference to all data being on file with
the City of Monroe.
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
See attached Figures at the end of this application
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
See attached Wastewater Pollutants Checklist at the end of this application
13. Do you have, or have you ever applied for, been issued, or been denied an
NPDES permit to discharge to the surface waters or storm sewers of North
Carolina? If yes,list all other NPDES permits,permit numbers, dates, and
names used to apply for them, or reason denied.
If yes: Permit,#,date,applicant name
NPDES Stormwater Permit COC No. NCG060182 (Eft'11-1-2018,Exp 5- Yes X
31-2021) Issued to Pilgrim's Pride Corp.
If yes: Permit,#,date,applicant name No
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 3 of 11

14. Do you have, or have you ever applied for or been issued an Industrial
User Pretreatment Permit (IUP) to discharge wastewater to the sewer
collection system. If yes,list all other IUP permits,permit numbers,dates,
and names used to apply for them.
If yes: Permit,#,date,applicant name X
City of Monroe Permit No.CM-28 (effective July 1,2018) Yes
If yes: Permit,#,date,applicant name
No
15. Do you have, or have you ever applied for or been issued any other
Environmental Permits (for example; air, RCRA, groundwater,
stormwater,general,Non-Discharge,septic tank,etc.). If yes,list all other
permits, permit numbers, dates, and names used to apply for them.
If yes: Permit type,#,date,applicant name
Yes
If yes: Permit type,#,date,applicant name X
No
If yes: Permit type,#,date,applicant name
16. Is a Spill Prevention Control and Countermeasure (SPCC) Plan prepared
for this facility?
Yes X
No
17. Is a Spill /Slug Control Plan required by the POTW, prepared for this
facility?
Yes X
No
18. Do you have any underground storage tanks at your facility? If yes, list
contents and volume of each tank.
Yes
No X
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 4 of I I

19. Do you have any above ground storage tanks at your facility? If yes, for
each tank, list the contents, volume, whether the tank has any spill
prevention or containment devices, such as dikes, and procedures for
draining any containment devices.
Yes X #of Tanks 10
No
Note: Procedures for draining any containment devices can be
found in the SPCC Plan and SWPPP
TANK CONTENTS TANK SIZE, CONTAINMENT
TANK LIST GALLONS
Ferric Chloride 6,150 Secondar
y
Anhydrous Ammonia Receiver 100,000 N/A
Carbon Dioxide (CO2) 60,000 N/A
Diesel Fuel 2,000 Double-Walled
No. 2 Fuel Oil 2,000 Double-Walled
Gasoline 500 Double-Walled
Used Oil 1,000 Secondary
DAF Sludge Tank(WWTP) 8,000 N/A
Lime Slurry(WWTP) 2,700 N/A
Lime Slurry(WWTP) 3,000 N/A
Title: IU Wastewater Survey & Permit Application
Fie name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 5 of 11

Industrial User Wastewater Survey & Permit Application
PART II, Water Supply, Use, & Disposal Worksheet:
Water Used for: Water Avg. Max. MeasEstim Disposal Avg. Max. Me Est
gal/day gal/day ured ated gal/day gal/day asu ima
Source(s) Method(s) red ted
(see Source List below) (see Disposal List below)
1. Process water 1 752,765 X 1 752,765 X
2. Washdown water 1 150,000 X 1 150,000 X
3. Water into product N/A 0 N/A 0
4. Air Quality Permitted units N/A 0 N/A 0
5. Domestic -toilets,drinking, cafe 1 20,000 X 1 20,000 X
6. Cooling water, Process NON-Contact 1 3500 X 1 3500 X
7. Boiler/Cooling tower blowdown 1 15,000 X 1 15,000 X
8. Cooling water,HVAC 1 4,000 X 1 4,000 X
9. Other: Feedmill/Boiler 6 1,500 X 1 1,500 X
10. Contaminated Storm Water 6: Rain Water 2,550 2,550
Trailer Parking Pad 381 X 1 381 X
Totals => 949,696 950,000 Totals => 949,696 950,000
Typical Water Sources: Possible Water Disposal Methods
1. City/Public supply 1. Sanitary sewer, with pretreatment
2. Private wells, drinking 2. Sanitary sewer, without pretreatment
3. Groundwater remediation wells 3. Storm sewer
4. Private ponds 4. Surface waters of NC
5. Surface waters of NC, please identify 5. Evaporation
6. Include others if applicable 6. Land applied
7. To groundwater
8. Septic Tank
9. Waste Haulers (identify)
10. Water into Product
11. Include others, if applicable
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 6 of 11

PART III, PRETREATMENT FACILITIES:
Are there any pretreatment devices or processes used for treating wastewater
before being discharged to the sewer? Check all that are present, and describe.
No pretreatment facilities =>
l• Flow equalization Aerated equalization => 5 MG
NON-Aerated equalization => 4.98 MG
Total volume of equalization (million gal.) => 9.98 MG
2. Activated Carbon Yes No X Describe any, if present.
3. Activated Sludge Yes No X
4. Air Stripping Yes No X
5. Centrifugation Yes No X
6. Chemical Precipitation Yes No X
7. Chlorination Yes No X
8. Cyanide Destruction Yes No X
9. Cyclone Yes No X
10. Dissolved Air Floatation Yes X No See attached Process Flow Diagram
1I. Filtration Yes No X
12. Flocculation Yes X No See attached Process Flow Diagram
13. Grease Trap Yes No X
14. Grit Removal Yes X No See attached Process Flow Diagram
15. Ion Exchange Yes No X
16. Neutralize, pH adjust Yes X No See attached Process Flow Diagram
17. Other Biological Treatment Yes X No See attached Process Flow Diagram
18. Ozonation Yes No X
19. Reverse Osmosis Yes No X
20. Screening Yes X No See attached Process Flow Diagram
21. Sedimentation Yes X No See attached Process Flow Diagram
22. Septic Tank Yes No X
23. Silver Recovery Yes No X
24. Solvent Separation Yes No X
25. Spill protection Yes X No
List any others.
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 7 of 1 I

PART IV, CATEGORICAL INFORMATION:
1. When were operations started at this facility Facility start up date Prior to
1970
2. List all Standard Industrial Classification (SIC) codes for your facility.
These may be found on State Unemployment forms, tax forms,
accounting records, or from the Chamber of Commerce.
SIC 2015
NAICS 311615
3. Has this facility ever been considered a Categorical Industrial User
(CIU) as described by the Code of Federal Regulations (40 CFR)?
YES If yes, give complete 40 CFR number=> 432
No
4. Are any other facilities owned and/or operated by your company
permitted as Categorical Industrial Users (CIUs) as described by the
Code of Federal Regulations (40 CFR)?
If yes please give name(s), location, and 40 CFR number. Yes 432
There are 40 plus processing facilities are owned by No
Pilgrim's Pride across the United States; exact
locations are available upon request.
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 8 of 11

PART IV CATEGORICAL IN
FORMATION:
(continued)
5. Check any activities listed below that are performed at your facility:
Check F Industrial Activity Check Industrial Activity
below CFR# below CFR#
467 Aluminum Forming X 432 Meat products
427 Asbestos Manufacturing 433 Metal finishing
461 Battery Manufacturing 464 Metal molding and casting
431 Builders paper&board mills 436 Mineral mining and processing
407 Canned&preserved fruits&veg. 471 Nonferrous Metal,Form&Powders
408 Canned &preserved seafood 421 Nonferrous Metals Manufacturing
458 Carbon black Manufacturing 414 OCPSF,Organic Chemicals,Plastics,
411 Cement Manufacturing &Synthetic Fiber Manufacturing
437 Centralized Waste Treatment 435 Oil&gas extraction
434 Coal Mining 440 Ore mining and dressing
465 Coil Coating 446 Paint formulating
468 Copper Forming 443 Paving and roofing materials Mfg.
405 Dairy products processing 455 Pesticide Manufacturing
469 Electrical,electronic components 419 Petroleum Refining
413 Electroplating 439 Pharmaceutical Manufacturing
457 Explosives Manufacturing 422 Phosphate Manufacturing
412 Feedlots 459 Photographic supplies
424 Ferro allay Manufacturing 463 Plastics molding and forming
418 Fertilizer Manufacturing 466 Porcelain enameling
464 Foundries,Metal Mold&Casting 430 Pulp,paper,and paperboard
426 Glass Manufacturing 428 Rubber Manufacturing
406 Grain mills 417 Soap&Detergent Manufacturing
454 Gum&Wood Chemicals Mfg. 423 Steam Electric power Generation
460 Hospitals 409 Sugar processing
447 Ink formulating 410 Textile Mills
415 Inorganic chemical Manufacturing 429 Timber products processing
420 Iron&Steel Manufacturing 442 Transportation Equipment Cleaning
425 Leather Tanning&Finishing Others
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 9 of 11

Part V, Waste Reduction Information :
State Pretreatment Rule 15A NCAC 2H.0916 (c)(1)(M) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Projected Code Description
W I Improved maintenance scheduling recordkeeping, or procedures
W14 Changed production schedule to minimize equipment and feedstock
changeovers
W19 Other changes in operating practices (explain briefly in comments)
W21 Instituted procedures to ensure that materials do not stay in inventory
beyond shelf-life
W22 Began to test outdated material-continue to use if still effective
W23 Eliminated shelf-life requirements for stable materials
W24 Instituted better labeling procedures
W25 Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29 Other changes in Inventory control (explain briefly in comments)
W31 Improved storage or stacking procedures
W32 Improved procedures for loading, unloading and transfer operations
W33 Installed overflow alarms or automatic shutoff valves
X W34 Installed secondary containment
W35 Installed vapor recovery systems
X W36 Implemented inspection or monitoring program of potential spill or
leak sources
W39 Other spill and leak prevention (explain briefly in comments)
W41 Increased purity of raw materials
W42 Substituted raw materials
W49 Other raw material modifications (explain briefly in comments)
W51 Instituted recirculation within a process
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 10 of 11

Current Projected Code Description
W52 Modified equipment, layout, or piping
W53 Use of a different process catalyst
W54 Instituted better controls on operating bulk containers to minimize
discarding of empty containers
W55 Changed from small volume containers to bulk containers to
minimize discarding of empty containers
W58 Other process modifications (explain briefly in comments)
W59 Modified stripping/cleaning equipment
W60 Changed to mechanical stripping/cleaning devices (from solvents or
other materials)
W61 Changed to aqueous cleaners ( from solvents or other materials)
W62 Reduced the number of solvents used to make waste more amenable
to recycling
W63 Modified containment procedures for cleaning units
W64 Improved draining procedures
W65 Redesigned parts racks to reduce dragout
W66 Modified or installed rinse systems
W67 Improved rinse equipment design
W68 Improved rinse equipment operation
W71 Other cleaning and degreasing operation (explain briefly in comments)
W72 Modified spray systems or equipment
W73 Substituted coating materials used
W74 Improved application techniques
W75 Changed from spray to other system
W78 Other surface preparation and finishing (explain briefly in comments)
W81 Changed product specifications
W82 Modified design or composition of product
W83 Modified packaging
W89 Other product modifications (explain briefly in comments)
W99 Other (specify in comments )
Comments (Please list corresponding code)
W34 and W36—implemented through SPCC Plan and SWPPP
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\ychang\Desktop\Revised Final Renewal Application 2021.docx
Revision date: 12/30/97 Page 11 of 11

Wastewater Pollutant Checklist

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/1)
Acid Extractable Organics
2-Chlorophenol 34586 X X
2,4-Dichlorophenol 34601 X X
2,4-Dimethylphenol 34606 X X
2,4-Dinitrophenol 34616 X X
2-Methyl-4,6-dinitrophenol 34657 X X
4-Chloro-3-methylphenol 34452 X X
2-Nitrophenol 34591 X X
4-Nitrophenol 34646 X X
Pentachlorophenol 39032 X X
Phenol 34694 X X
2,4,6-Trichlorophenol 34621 X X
Base Neutral Organics
1,2,4-Trichlorobenzene 34551 X X
1,2-Dichlorobenzene 34536 X X
1,2-Diphenylhydrazine 34346 X X
1,3-Dichlorobenzene 34566 X X
l,4-Dichlorobenzene 34571 X X
2,4-Dinitrotoluene 34611 X X
1 2,6-Dinitrotoluene 34626 X X
2-Chloronaphthalene 34581 X X
3,3-Dichlorobenzidine 34631 X X
4-Bromophenyl phenyl ether 34636 X X
4-Chlorophenyl phenyl ether 34641 X X
Acenaphthene 03405 X X
Acenaphthylene 34200 X X
Anthracene 34220 X X
Benzidine 39120 X X
Benzo (a) anthracene 34526 X X
Benzo (a) pyrene 34247 X X
Benzo (b) fluoranthene 34230 X X
Benzo (ghi) perylene 34521 X X
Benzo (k) fluoranthene 34242 X X
Bis(2-chloroethoxy) methane 34278 X X
Bis(2-chloroethyl) ether 34273 X X
Bis(2-chloroisopropyl) ether 34283 X X
Bis(2-ethylhexyl)phthalate 39100 X X
Butyl benzyl phthalate 34292 X X
Chrysene 34320 X X
Di-n-butyl phthalate 39110 X X

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/I)
Base Neutral Organics (continued)
Di-n-octyl phthalate 34596 X X
Dibenzo (a,h) anthracene 34556 X X
Diethyl phthalate 34336 X X
Dimethyl phthalate 34341 X X
Fluoranthene 34376 X X
Fluorene 34381 X X
Hexachlorobenzene 39700 X X
Hexachlorobutadiene 34391 X X
Hexachlorocyclopentadiene 34386 X X
Hexachloroethane 34396 X X
Indeno(1,2,3-cd) pyrene 34403 X X
Isophorone 34408 X X
N-nitroso-di-n-propylamine 34428 X X
N-nitrosodimethylamine 34438 X X
N-nitrosodiphenylamine 34433 X X
Naphthalene 34696 X X
Nitrobenzene 34447 X X
Phenanthrene 34461 X X
Pyrene 34469 X X
Metals
Aluminum 01104 X X
Antimony 01097 X X
Arsenic 01002 X X
Beryllium 01012 X X
Cadmium 01027 X X
Chromium 01034 X X
Copper 01042 X X
Lead 01051 X X
Mercury 71900 X X
Molybdenum 01062 X X
Nickel 01067 X X
Selenium 01147 X X
Silver 01077 X X
Thalium 00982 X X
Zinc 01092 X X

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/1)
Other Inorganics
Barium 01007 X X
Chloride 00940 X X
Cyanide 00720 X X
Fluoride 00951 X X
Purgeable Volatile Organics
1,1,1-Trichloroethane 34506 X X
1,1,2,2-Tetrachloroethane 34516 X X
1,1,2-Trichloroethane 34511 X X
1,1-Dichloroethane 34496 X X
1,1-Dichloroethylene 34501 X X
1,2-Dichloroethane 34531 X X
1,2-Dichloropropane 34541 X X
2-Chloroethyl vinyl ether 34576 X X
Acrolein 34210 X X
Acrylonitrile 34215 X X
Benzene 34030 X X
Bromodichloromethane 32101 X X
Bromoform 32104 X X
Bromomethane 34413 X X
Carbon tetrachloride 32102 X X
Chlorobenzene 34301 X X
Chloroethane 34311 X X
Chloroform 32106 X X
Chloromethane 34418 X X
cis 1,3-Dichloropropene 34704 X X
Dibromochloromethane 32105 X X
Ethylbenzene 34371 X X
Methylene chloride 34423 X X
Tetrachloroethylene 34475 X X
Toluene 34010 X X
trans 1,3-Dichloropropene 34699 X X
trans-1,2-Dichloroethylene 34546 X X
Trichloroethylene 39180 X X
Trichlorofluoromethane 34488 X X
Vinyl chloride 39175 X X
Others
Xylene X X
Detergents, acids, and alkaline X X
Cleaners used for sanitation X X
L

Data Summary Form

Data Summary Form
City of Monroe <= Receiving POTW
City of Monroe <= Receiving NPDES # DATA ON FILE AT CITY OF MONROE
Pilgrim's Pride <= Specific Sample Location!
Discharge Point 001 i.e., Give IU Name, IUP#, and/or pipe#
BOD TSS Ammonia
Lab => Laboratory performing analysis =>
MDL => Laboratory Method Detection Limits =>
Notes => Notes =>
Q = Flow
Sample Date Notes about Sample M= Metered Conc. Results Conc. Results Conc. Results
ID, or Sample E =Estimated from Lab from Lab from Lab
Count Collected
mgd gal/day <? mg/1 <? mg/1 <? mg/1
1
2
3
4
5
6
7
8
9
10
11
12
etc
TNS => Total number of samples =>
Max. value => Maximum data value (mg/1) =>
Avg. (use 1/2 BDL) => Avg. data value, Include BDL values as 1/2 detection limit =>

Data Summary Form
City of Monroe <= Receiving POTW
City of Monroe <= Receiving NPDES # DATA ON FILE AT CITY OF MONROE
Pilgrim's Pride <= Specific Sample Location!
Discharge Pride 001 i.e., Give IU Name, IUP#, and/or pipe #
Arsenic Copper Chromium Cadmium COD Copper
Lab =>
MDL =>
Notes =>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1
2
3
4
5
6
7
8
9
10
11
12
etc
TNS =>
Max. Value =>
Avg. (use1/2 BDL) =>

Data Summary Form
City of Monroe <= Receiving POTW
City of Monroe <= Receiving NPDES # DATA ON FILE AT CITY OF MONROE
Pilgrim's Pride <= Specific Sample Location!
Discharge Point 001 i.e., Give IU Name, IUP#, and/or pipe#
Cyanide Lead Mercury Nickel Silver Zinc
Lab =>
MDL=>
Notes =>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1
2
3
4
5
6
7
8
9
10
11
12
etc
TNS =>
•
Max. Value =>
Avg. (use 1/2 BDL) =>

Data Summary Form
City of Monroe <= Receiving POTW
City of Monroe <= Receiving NPDES # DATA ON FILE AT CITY OF MONROE
Pilgrim's Pride <= Specific Sample Location!
Discharge Point 001 i.e., Give IU Name, IUP#, and/or pipe #
Other Other Other Other Other Other
Lab =>
MDL=>
Notes =>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1
2
3
4
5
6
7
8
9
10
11
12
etc
TNS =>
Max. Value =>
Avg. (use1/2 BDL) =>

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SIU INSPECTION FORM
Name Of Industry: ?li tr'1rr 5 h/1.a C.E)t p IUP# C-ni—c S)
Address Of Industry: C1 c 1 1-+1,5h6•cy '7 t IUP Expiration Date:
rr\crsht.i tie NC_ a'i c ) (a-, -a l
Industry Rep esentatives: Title
Yi r5 Vor 5 0100 C (reoor5e\ C,orrptx EY1v, ne‘;r,5er
POTW Representative : Title
112v i r �E ?c-,ler pT c....corci
Date Of Inspection: I C)' R-2 0 Time Of Inspection: 09 at /pm Uu t t 00
Purpose of Inspection: Annual N7 Other(Describe)
POTW to which IU discharges C.i-k/ o-F fhaanR06:. NPDES# N C0O a y 333
Is SIU currently in SNC? NO If yes,for what?
PART I- INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product YES/ "
Raw materials used YES ibil
Manufacturing processes YES/4,
Categorical,if applicable YES/ 40
Production rate YES/
Number of employees 63ES/, ii S3 0Sctro-9-
Number of shifts YES/ - Hit ,. k•l( / 1 Sur l-Fab o r`
Comments:
PART II - PLANT TOUR- Visit all areas where wastewater is generated or where there
are drains to the POTW.
Plant Tour Section A- PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? 0/NO Where do they go? OC'ea-
2. Are production areas diked,contained,or • erwise constructed in such a way as to prevent harm to the
WWTP,especially from spills or slugs? ia NO Comments:
3. Are there floor drains in the storage area? �CESy C�-NO Where do they go? fa(
4. Are storage tanks and areas diked,contained,,o✓✓ therwise constructed in such a way as to prevent harm
to the WWTP,especially from spills or slugs? E /NO Comments:
5. Are process and storage tanks and pipes labeled? ES NO
6. How are off-spec raw materials,and products dispos of? fe,t•Aeitr`q
7. When is the production area cleaned? (;'36-l ci'3O aa:..,ly or4er- t 1 I
8. Is the wastewater from cleaning the production area discharged to the POTW? /NO
9. What non-process wastewaters are discharged to POTW? (iOry-'tr_' ('Yat 1-er c, 1Jow+"
c,rc&cr Je,. SA-cd I\ -)4 ( -e-It.ts(-,-aleel M,t II
Comments:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 1

SIU INSPECTION FORM
PART II - Plant Tour Section B- PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.1. Does operator seem knowledgable about the system? 'e /NO Comments: c Y2r. t r t l (-krIS
-5,mei / K-tIto
2. Are all was opeM'tional? 49/NO 'y\
3. How often does operator/maintenance .- on check system? C.or� n4o�.c(cke F c.ns tJ� 1
4. Is there an operator for each shift? 16111 NO
5. How and when is sludge disposed of? 1J .I i
6. Is there a schedule for preventative maintenance? YES,(NtJI
is \y C.-Nee5 01" 5-1-
Comments:
f`cpc,tr as n
PART II - Plant Tour Section C - SAMPLING POINT(S)AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? NO If yes,name of lab. fPw, m►5
2. If industry completes sampling,ask the ifn.• • representative to describe sampling pro edures.1
Comments: `5ptif- 76-re•p(►r.• ixig�,ntlbAO fl (L4— el+.,.e -k co�;ci. +Ir at-j(•r co Si1 J
3. Is flow measurement equipment operational? <E NO Comments:
4. Is there a calibration log for the flow meter? ES NO Comments:
Comments: MCA 5'sir'e `(4k f 5 ""r'-1eSQ41-c blt 4o 11 Ze/k
PART III -EXIT INTERVIEW
Review monitoring records a er SIU records required by IUP.
1. Are files well organized? YE /NO Comments:
2. Are sample collection/chain-of-custody forms filled out properly? ES NO Comments: _
3. Do results in files agree with reports sent to POTW?42) NO Comments:
4. Who ha authority to shut blown production should a spill or slug discharge occur?
(v" 1Yti:rc•y7,lit. < ��c''-p Cei (hL^.t e
5. ow does SIli inform employees of whom to call al POTW in case of spill/slug? (,n,(1 (is t
AAnt,c,l tcc.,ni ,ti
If slug/spill plan is already r6quired by POT • review procedures.
6. Is SIU implementing slug/spill plan?411 NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES//
Comments,Required Or Recommended Actions:
Signature Of Inspector(s) ©p,(s,, ,_',-mo ) o o, 2ci Date: IU-$-20
Date:
Title: SIU Inpsection Fonn
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 2

City of Monroe WWTP
Municipality Name
hereafter in this permit to as the
Control Authority
PERMIT
Industrial User Pretreatment Permit(IUP)
To Discharge Wastewater Under the
Industrial Pretreatment Program
CM-14 - N/A
IUP Number 40 CFR Category
(if Applicable)
In compliance with the provisions of North Carolina General Statute 143-215.1, any applicable
federal categorical pretreatment regulations, all other lawful standards and regulations promulgated
and adopted by the North Carolina Environmental Management Commission,and the City of Monroe
Sewer Use Ordinance. The following Industry,hereafter referred to by name or as the permittee:
Industry name,permittee:
Atrium Health-Union
Facility Located at Street Address:
600 Hospital Drive
City
Monroe
State,Zip
North Carolina, 28112
is hereby authorized to discharge wastewater from the facility located at the above listed address into
the sanitary sewer collection system and the wastewater treatment facility of the City of Monroe
listed below:
IUP Control Authority WWTP name:
City of Monroe WWTP
NPDES Number:
NC0024333
WWTP Address:
Post Office Box 69
State,Zip
Monroe,NC 28111-0069
in accordance with effluent limitations, monitoring requirements, and all other conditions set forth
in Parts I, II, and III of this Industrial User Pretreatment Permit(IUP).
Effective date,this permit and the authorization to discharge shall
become effective at midnight on this date:
July 1,2021
Expiration date,this permit and the authorization to discharge shall
expire at midnight on this date:
June 30,2024
2c2 /
Date Director of Water Resources
Page:1
Effective Date:July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
IUP, PART I, OUTLINE:
A) IUP Basic Information
B) IUP Modification History
C) Authorization Statement
D) Description of Discharges
E) Schematic and Monitoring Locations
F) Effluent Limits&Monitoring Requirements
G) Definitions and Limit Page(s)notes
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe Wastewater Treatment Plant NC0024333
IUP Name: IUP Number:
Atrium Health-Union CM-14
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1,2021 01
IUP Expiration date: IUP 40 CFR#(if applicable),or N/A:
June 30,2024 N/A
B. IUP History:
Effective Date; Renewal or Modification: Description of modifications.
1/31/79 Permit issued
Date Modified
1/15/88 Permit issued
Date Modified
6/22/89 Permit issued
8/21/90 Permit issued limits changed
3/12/91 Permit issued limits changed
11/23/92 Permit issued
6/8/94 Expiration change
7/1/95 Permit issued
4/11/96 Name change
2/28/98 Permit issued limits changed Increase in flow due to expansion
6/28/01 Permit issued Dropped TTO's;limits changed for
flow,NH3-n,Hg,Zn; changed sampling
frequency; changed verbiage PART I
(F) 1),PART II 17),PART II 29),PART
III 1).
7/1/04 Permit issued;limits changed for Cn-
and Zn; dropped Cd,Hg,Ni,Pb.
1/6/06 Name Change
A Complete Permit modification History is required
IUP#=>CM-14
Page:2
Effective Date:July 1,2021

Effective Date; Renewal or Modification: Description of modifications.
May 15,2007 Renewal Permit issued; changed PART I B.
heading; changed detection limit for
cyanide; changed page 6 F)to G);
changed verbiage in PART I G) 1.,2.,
3.; changed verbiage in PART II 2.a),
b),c), 10., 13., 16.,25.,27.,30.,changed
verbiage in PART III 2.2.,2.3.; added
PART III 4.,5.,6.
July 1,2010 Renewal Permit issued; changed monitoring
frequency for flow; changed verbiage
in PART I G); changed limit for Cn,
Zn.
July 1,2013 Modification Permit extension.
July 1,2014 Modification Permit extension.
March 16,2015 Renewal/Modification Name change; changed treatment units
in PART I(C)2; changed TSS
detection limit
July 1,2018 Renewal Permit Issued.Added Barium as
monitor only.
April 12,2019 Modification Name Change
July 1,2021 Renewal Permit issued; decreased daily flow,
ammonia,BOD,chromium,copper,
silver,TSS and zinc
IUP#=>CM-14
Page:2B
Effective Date:July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
C) Authorization Statement:
1) The Permittee is hereby authorized to discharge wastewater in accordance with the
effluent limitations, monitoring requirements, and all other conditions set forth in this
Industrial User Pretreatment Permit (IUP) into the sewer collection system and
wastewater treatment facility of the City of Monroe.
2) The Permittee is hereby authorized to continue operation of and discharge wastewater
from the following treatment or pretreatment facilities. These facilities must correspond
to the treatment units listed on both the application and inspection forms.
IU Treatment Units
List all Treatment Units: Descriptions:
Grease trap
Muffin Monster Grinder
3) The Permittee is hereby authorized to, if required by the City of Monroe and after
receiving Authorization to Construct (A to C) from the City of Monroe, construct and
operate additional pretreatment units as needed to meet final effluent limitations.
D) Description of IUP Discharge(s):
1. Describe the discharge(s) from all regulated pipes.
Pipe#01,Description of Discharge:
Laundry and domestic wastewater
Pipe#02,Description of Discharge:
IUP#=>CM-14
Page:3
Effective Date:July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
E.) Schematic and Monitoring Locations:
The facility schematic and description of monitoring location(s) given below must show
enough detail such that someone unfamiliar with the facility could readily find and
identify the monitoring location(s) and connection to the sewer. Include and identify all
regulated pipes. See Page 4A
IUP#=>CM-14
Page:4
Effective Date:July 1,2021

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RIP,Part I, Section F: Receiving POTW name=>City of Monroe IU name=>Atrium Health-Union
Effluent Limits and Monitoring Requirements Receiving POTW NPDES #=>NC0024333 IUP#=> CM-14
Effective date for these Limits=>7/1/21 Pipe#=> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=>6/30/24 40 CFR#=> N/A
number according to these specific dates, effluent if not applicable put N/A
limits,and monitoring requirements. THE LIMITS ON THIS ARE, (Check one below):
LIMITS for ENTIRE permit period=> X
INTERIM Limits for period# 1 =>
INTERIM Limits for period#2=>
FINAL Limits Page=>
Conventional Concentration Limits Mass-Based Limits Monitoring Frequency Sample Required
Parameters 10 Daily Monthly Units Daily Monthly Units by Industry by POTW Collection laboratory
Max Avg. Max Avg. Method Detection
(C or G) Limits
Flow .070 _MGD MGD Daily* Every sample Meter
BOD mg/1 172 lbs/day 2/6 Months® 2/6 months C 2.0 mg/1
TSS mg/1 112 lbs/day 2/6 Months 2/6 months C 2.5 mg/1
Temperature Deg. C Deg. C
pH 6 to 11 Std.Units 6 to 11 Std.Units 2/6 Months 2/6 months G
Other Parameters,Please list alphabetically
Ammonia mg/1 12 lbs/day 2/6 months 2/6 months C .5 mg/1
Barium monitor only mg/1 lbs/day 2/6 months 2/6 months C .01 mg/1
Chromium mg/1 .054 lbs/day 2/6 months 2/6 months C .010 mg/1
Copper mg/1 .058 lbs/day 2/6 months 2/6 months C .010 mg/1
Cyanide mg/1 .008 lbs/day 2/6 months 2/6 months G .01 mg/1
mg/1 lbs/day
mg/1 lbs/day
mg/1 lbs/day
Silver mg/1 .09 lbs/day 2/6 months 2/6 months C .005 mg/1
Zinc mg/1 .62 lbs/day 2/6 months 2/6 months C .010 mg/1
10 Parameters and Prohibitions not specified above are regulated and limited by the (See next section,IUP,Part I, Section G.)
City of Monroe Sewer Use Ordinance. for Definitions and Limits Page(s) notes:
® 2/6 months shall be 2 sampling events consisting of one day each 6 month period IUP,PART I,Page: 5
* The flow meter totalizer shall be recorded each day of discharge with the data submitted as required in PART II(2)
Effective Date:July 1,2021

IUP, PART I
Industrial User (IU) Specific Conditions
G) Definitions and Limit Page(s) notes:
In addition to the definitions in the City of Monroe Sewer Use Ordinance the following
definitions and regulations apply:
1. Composite Sample:
a) A composite sample for the monitoring requirements of this IUP,is defined as the
automatic or manual collection of a series of grab samples of constant volume, not
less than 100 ml,collected at equal time intervals during the entire discharge period
on the sampling day. The time interval between grab samples shall be no greater
than once per hour,or
b) a single,continuous sample collected over a 24 hour period proportional to the rate
of flow. Sampling day shall be a typical production,and discharge day.
2. Daily Monitoring Frequency
Daily Monitoring Frequency as specified in this IUP shall mean each day of discharge.
3. Grab Sample
Grab sample for the monitoring requirements of this IUP,is defined as a single"dip and take"
sample collected at a representative point in the discharge stream over a period of time not
exceeding 15 minutes. The grab sample can be taken manually. Grab samples must be
representative of the discharge.
4. Instantaneous measurement
An Instantaneous measurement for the monitoring requirements of this IUP is defined as a
single reading,observation,or measurement.
IUP#=>CM-14
Page: 6
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
Outline of PART II,
1. Representative Sampling 16. Federal and/or State Laws
2. Reporting 17. Penalties
3. Test Procedures 18. Need to Halt or Reduce
4. Additional Monitoring by Permittee 19. Transferability
5. Duty to comply 20. Property Rights
6. Duty to Mitigate 21. Severability
7. Facilities Operation,Bypass 22. Modification,Revocation,Termination
8. Removed substances 23. Reapplication
9. Upset Conditions 24. Dilution Prohibition
10.Right of Entry 25. Reports of Changed Conditions
11.Availability of Records 26. Construction of Pretreatment Facilities
12.Duty to Provide Information 27. Reopener
13. Signatory Requirements 28. Categorical Reopener
14.Toxic Pollutants 29. General Prohibitive Standards
15. Civil and Criminal Liability 30. Reports of Potential Problems
1. Representative Sampling
Samples and measurements taken as required herein shall be representative of the volume and
nature of the monitored discharge. All samples shall be taken at the monitoring points
specified in this permit and,unless otherwise specified,before the effluent joins or is diluted by
any other wastestream, body of water, or substance. Monitoring points shall not be changed
without notification to,and approval by,the permit issuing authority.
2. Reporting
a) Monitoring results obtained by the permittee shall be reported on forms specified
by the City of Monroe, postmarked no later than the twentieth day of the month
following the month in which the samples were taken. Results based on laboratory
analysis shall include the laboratory report. If no discharge occurs during a reporting
period(herein defined as each calendar month)in which a sampling event was to have
occurred, a form with the phrase "no discharge" shall be submitted under the
signatory requirements of Part II, Section 13. Copies of these and all other reports
required herein shall be submitted to the City of Monroe to the following address:
Pretreatment Coordinator
City of Monroe
PO Box 69
Monroe,NC 28111
a) b) If the sampling performed by the permittee indicates a violation,the permittee
shall notify the City of Monroe within 24 hours of becoming aware of the violation.
The permittee shall also repeat the sampling and analysis and submit the results of
the repeat analysis to the City of Monroe within 30 days after becoming aware of
the violation.
IUP#=>CM-14
Page:7
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
c) Laboratory reports shall include the following:
1. sample preparation-type and date(s) and time(s)performed;
2. analysis start dates and times;
3. analyst(s)initials;
4. analytical techniques and methods used;
5. results of the analyses;
6. chain of custody records which contain the following Information
a. sampling location;
b. date(s)/time(s) sample(s)taken;
c. sample type: composite(time,flow or hand)or grab
d. container type;
e. teflon liner and/or zero headspace,if applicable;
f. type of preservative used,if any;
g. sample iced upon receipt;
h. parameters to be run from that particular bottle;
i. individual(s)who performed the sampling and/or field measurements;
j. samples relinquished/received by who and when(date&time).
In addition,the laboratory performing the analysis shall maintain on file for up to three
years after the analysis all laboratory data taken and calculations during the analysis,
including dates and times, the analyst performing the work, and the data and
calculations from all quality assurance procedures and testing. This data shall be
available for inspection by personnel of the City of Monroe upon request.
3. Test Procedures
Test procedures for the analysis of pollutants shall be performed by a North Carolina Certified
Wastewater Lab in accordance with the techniques prescribed in 40 CFR part 136 and
amendments thereto unless specified otherwise in the monitoring conditions of this permit. The
laboratory shall be certified by the State of North Carolina for each specific test parameter on
which their results are reported.
4. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated herein more frequently
than required by this permit,using approved analytical methods as specified above,the results
of such monitoring shall be submitted to the City of Monroe. The City of Monroe may require
more frequent monitoring or the monitoring of other pollutants not required in this permit by
written notification.
5. Duty to Comply
The permittee must comply with all conditions of this permit. Any permit noncompliance
constitutes a violation of the City of Monroe Sewer Use Ordinance and is grounds for possible
enforcement action; for Permit termination, revocation, and reissuance, or modification; or
denial of a Permit renewal application.
IUP#=>CM-14
Page:8
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
6. Duty to Mitigate-Prevention of Adverse Impact
The permittee shall take all reasonable steps to minimize or prevent any discharge in violation
of this permit which has a reasonable likelihood of adversely affecting human health, the
POTW,the waters receiving the POTW's discharge,or the environment.
7. Facilities Operation,Bypass
The permittee shall at all times maintain in good working order and operate as efficiently as
possible, all control facilities or systems installed or used by the permittee to achieve
compliance with the terms and conditions of this permit. Bypass of treatment facilities is
prohibited except when approved in advance by the City of Monroe. Bypass approval shall be
given only when such bypass is in compliance with 40 CFR 403.17.Treatment facilities shall be
as diagrammed in Figure 2.
8. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or
control of wastewaters shall be disposed of in a manner such as to prevent any pollutants from
such materials from entering the City of Monroe sewer system or the surface waters of the
State of North Carolina. The permittee is responsible for assuring its compliance with any
requirements regarding the generation, treatment, storage, and/or disposal of "Hazardous
Waste" as defined under the Federal Resource Conservation and Recovery Act. The permittee
shall maintain records of disposal of these substances for a minimum of three years.
9. Upset Conditions
An "upset" means an exceptional incident in which there is an unintentional and temporary
noncompliance with the effluent limitations of this permit because of factors beyond the
reasonable control of the permittee. An upset does not include noncompliance to the extent
caused by operational error, improperly designed or inadequate treatment facilities, lack of
preventative maintenance,or careless or improper operations.
An upset may constitute an affirmative defense for action brought for the noncompliance. The
permittee has the burden of proof to provide evidence and demonstrate that none of the factors
specifically listed above were responsible for the noncompliance. Such evidence shall include
operating logs properly signed,or other relevant evidence that:
1. An upset occurred and that the permittee can identify the cause(s)of the upset;
2. The permittee facility was at the time being properly operated; and
3. the permittee submitted notice of the upset as required in Part II,Section 30,of
this permit
4. The permittee complied with any remedial measures required under Part II,
Section 5,of this permit
IUP#=>CM-14
Page :9
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
10. Right of Entry
The permittee shall allow the staff of the State of North Carolina Department of Environment
and Natural Resources, Division of Water Quality, the Regional Administrator of the
Environmental Protection Agency,the City of Monroe,and/or their authorized representative,
upon the presentation of credentials:
1. To enter upon the permittee's premises where a real or potential discharge is located
or in which records are required to be kept under the terms and conditions of this
permit; and
2. At reasonable times to have access to and copy records required to be kept under
the terms and conditions of this permit; to inspect any monitoring equipment or
monitoring method required in this permit; and to sample any discharge of pollutants.
11. Availability of Records and Reports
The permittee shall retain records of all monitoring information,including all calibration and
maintenance records as well as copies of reports and information used to complete the
application for this permit for at least three years. All records that pertain to matters that are
subject to any type of enforcement action shall be retained and preserved by the permittee until
all enforcement activities have concluded and all periods of limitation with respect to any and
all appeals have expired.
Except for data determined to be confidential under the Sewer Use Ordinance, all reports
prepared in accordance with terms of this permit shall be available for public inspection at the
City of Monroe. As required by the Sewer Use Ordinance,effluent data shall not be considered
confidential.
12. Duty to Provide Information
The permittee shall furnish to the Director of Water Resources or his/her designees, within a
reasonable time,any information which the Director,his/her designee,or the Division of Water
Quality may request to determine compliance with this permit. The permittee shall also
furnish,upon request,copies of records required to be kept by this permit.
13. Signatory Requirements
All reports or information submitted pursuant to the requirements of this permit must be
accompanied by the following certification by the Authorized Representative:
"I certify under penalty of law that this document and all attachments were prepared under
my direction or supervision in accordance with a system designed to assure that qualified
personnel properly gather and evaluate the information submitted. Based on my inquiry of
the person or persons who manage the system,or those persons directly responsible for
IUP#=>CM-14
Page :10
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
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 or imprisonment for knowing violations. "
The Authorized Representative shall be as defined by the City of Monroe Sewer Use
Ordinance.If the designation of an Authorized Representative is no longer accurate because a
different individual or position has responsibility for the overall operation of the facility, or
overall responsibility for environmental matters for the company, a new authorization
satisfying the requirements of this section must be submitted to the City of Monroe Water
Resources Director or his/her designee prior to or together with any reports to be signed by an
authorized representative.
14. Toxic Pollutants
If a toxic effluent standard or prohibition (including any schedule of compliance specified in
such effluent standard or prohibition)is established under Section 307(a)of the Federal Clean
Water Act for a toxic pollutant which is present in the discharge and such standard or
prohibition is more stringent than any limitation for such pollutant in this permit,this permit
may be revised or modified in accordance with the toxic effluent standard or prohibition and
the permittee so notified.
15. Civil and Criminal Liability
Nothing in this permit shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance.
16. Federal and/or State Laws
Nothing in this permit shall be construed to preclude the institution of any legal action or
relieve the permittee from any responsibilities, liabilities, or penalties established pursuant to
any applicable Federal and/or State law or regulation.
17. Penalties
The Sewer Use Ordinance of the City of Monroe provides that any person who violates a permit
condition is subject to a civil penalty not to exceed$25,000 dollars per day of such violation.
Under state law,(NCGS 143-215.6B),under certain circumstances it is a crime to violate terms,
conditions,or requirements of pretreatment permits. It is a crime to knowingly make any false
statement, representation, or certification in any record or other document submitted or
required to be maintained under this permit, including monitoring reports or reports of
compliance or noncompliance. These crimes are enforced at the prosecutorial discretion of the
local District Attorney.
IUP#=>CM-14
Page :11
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
The City of Monroe enforcement response will be in accordance with an Enforcement
Response Plan approved by the North Carolina Division of Water Quality and on file in the
office of the Pretreatment Coordinator
18. Need to Halt or Reduce not a Defense
It shall not be a defense for a permittee in an enforcement action that it would have been
necessary to halt or reduce the permitted activity to maintain compliance with the conditions
of the permit.
19. Transferability
This permit shall not be reassigned or transferred or sold to a new owner,new user, different
premises,or a new or changed operation without approval of the City.
20. Property Rights
This permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of
personal rights,nor any infringement of Federal, State or local laws or regulations.
21. Severability
The provisions of this permit are severable and, if any provision of this permit or the
application of any provision of this permit to any circumstance is held invalid,the application
of such provision to other circumstances and the remainder of this permit shall not be affected
thereby.
22. Permit Modification,Revocation,Termination
This permit may be modified, revoked and reissued or terminated with cause in accordance
with the requirements of the City of Monroe Sewer Use Ordinance and North Carolina General
Statute or implementing regulations.
23. Re-Application for Permit Renewal
The permittee is responsible for filing an application for reissuance of this permit at least 120
days prior to its expiration date. The permittee is not authorized to discharge after the
expiration date of this permit if this re-application deadline has not been met.
24. Dilution Prohibition
The permittee shall not increase the use of potable or process water or in any other way attempt
to dilute the discharge as a partial or complete substitute for adequate treatment to achieve
compliance with the limitations contained in this permit.
IUP#=>CM-14
Page :12
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
25. Reports of Changed Conditions
The permittee shall give notice to the City of Monroe of any planned significant changes to the
permittee's operations or system which might alter the nature, quality, or volume of its
wastewater at least 60 days before the change. Such changes, however, do not stay any
condition of this permit. If the changes require additions or modifications to pretreatment
facilities to comply with this permit, all such modifications shall be approved and constructed
before planned changes are made. The permittee shall not begin the changes until receiving
written approval from the City of Monroe.Also see PART II,30 below for additional reporting
requirements for spilUslug issues.
26. Construction
No construction of pretreatment facilities or additions thereto shall be begun until Final Plans
and Specifications have been submitted to the City of Monroe and written approval and an
Authorization to Construct has been issued.
27. Reopener
The permit shall be modified or, alternatively, revoked and reissued to comply with any
applicable effluent standard or limitation for the control for any pollutant shown to contribute
to toxicity of the WWTP effluent or any pollutant that is otherwise limited by the POTW
discharge permit. The permit as modified or reissued under this paragraph may also contain
any other requirements of State or Federal pretreatment regulations then applicable.
28. Categorical Reopener
This permit shall be modified, or alternatively, revoked and reissued, to comply with any
applicable effluent standard or limitation issued or approved under Sections 302(b)(2)(C) and
(D), 304(b)(2), and 307(a)(2) of the Clean Water Act, if the effluent standard or limitation so
issued or approved:
1) contains different conditions or is otherwise more stringent than any effluent
limitation in this permit; or
2) controls any pollutant not limited in this permit.
The permit as modified or reissued under this paragraph shall also contain any other
requirements of the Act then applicable.
29. General Prohibitive Standards
The permittee shall comply with the general prohibitive discharge standards in 40 CFR
403.5(a)and(b)of the Federal pretreatment regulations,and shall comply with the prohibitive
discharge standards in § 52.020 and §52.023 of the City Sewer Use Ordinance except as
specifically stated otherwise in this permit.
IUP#=>CM-14
Page :13
Effective Date:July 1,2021

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
30. Reports of Potential Problems
The permittee shall provide protection from accidential and slug discharges of prohibited
materials and other substances regulated by this permit. The permittee shall also notify the
City of Monroe immediately of any changes at its facility affecting the potential for spills and
other accidential discharge,discharge of a non-routine,episodic nature,a non-customary batch
discharge,or a slug load as defined in the City of Monroe Sewer Use Ordinance.
Additionally, the permittee shall notify by telephone the City of Monroe immediately of all
discharges that could cause problems to the POTW including any slug loadings as defined in
the Sewer Use Ordinance. If the permittee experiences such a discharge,they shall inform the
City of Monroe Pretreatment Coordinator,telephone number(704)282-4632,if no answer,the
Wastewater Treatment Plant, telephone number [phone] and [phone], if no
anwer, the Wastewater Treatment Plant Superintendent, telephone number [phone]
immediately upon the first awareness of the commencement of the discharge. Leaving a
message will not be acceptable until all phone numbers listed above have been attempted.
Notification shall include location of the discharge,type of waste, concentration and volume if
known and corrective actions taken by the permittee. A written follow-up report thereof shall
be filed by the permittee within(5) days,unless waived by the City of Monroe.
IUP#=>CM-14
Page :14
ive Date:Jul Effect y 1,2021

PART III
Special Conditions
Industrial User Pretreatment Permit (IUP)
1. Slug/Spill Control Plan
The permittee shall provide protection from accidental and slug discharges of prohibited
materials and other substances regulated by this permit. The permittee shall develop and
update,as required,a written slug/spill plan including procedures for preventing a slug or spill
which could cause a violation of the discharge standards of this permit. Any revision of this
plan shall be submitted to the City of Monroe no more than 60 days after the change(s) are
made.If no changes are made to the plan,a written statement to that effect must be submitted
to the City of Monroe on or before January 31, of each year throughout the duration of the
permit. The plan shall include the following at a minimum:
1)identification of all chemicals,by name,quantity, and storage location which would
cause a violation of this permit in the event of a spill and the means at each location to
prevent the spill from entering the City sewer system or surface waters of the State of
North Carolina.
2) who has the authority to halt production and/or wastewater discharge in the event
of a spill or upset condition(include phone numbers)
3) who is responsible for implementation and updating of the plan
4) the personnel that should be familiar with the plan
5) the person(s) responsible for notifying the City of Monroe immediately upon
discovery of a problem affecting the characteristics of the wastewater
2. Flow Measurement
1. The Permittee shall provide and operate monitoring facilities for the inspection,
sampling and flow measurement of the permittee's process wastewater discharges.
2. The permittee shall maintain appropriate discharge flow measurement devices and
methods consistent with approved engineering and scientific practices to ensure the
accuracy and reliability of measurements of the volume of monitored discharges.
Devices installed shall be a continuous recording flow meter capable of measuring flows
with a maximum deviation of less than 5% from true discharge rates throughout the
range of expected discharge volumes.
3. The approved wastewater meter shall be installed,maintained,and calibrated once
every six months.
4. The wastewater meter must have a non-resettable mechanical totalizer that reads in
gallons.
5. Flow monitoring equipment and sampling point should be located in an area
accessible to the City of Monroe personnel without prior notification. The City of
Monroe must be supplied with any keys and/or other tools necessary to perform the
aforementioned. IUP#=>CM-14
Page :15
Effective Date:July 1,2021

PART III
Special Conditions
Industrial User Pretreatment Permit (IUP)
6. There shall be no by-pass capability of the wastewater metering devices or the
sampling point.
7. The permittee shall maintain flow, maintenance, and calibration records for a
minimum of three years.
8. In the event of temporary unintentional failure of the flow meter,the permittee shall
notify the Pretreatment Coordinator as soon as possible,but in no case beyond 24 hours
after first becoming aware of the failure. Repair shall be under taken as quickly as
possible.
3. High Strength Surcharges
Notwithstanding any concentrations permitted for total suspended solids, 5 day BOD or
nitrogen ammonia stated in Part I, Section F of the Permit,the permittee shall be responsible
for the payment of high strength surcharges at rates that may be established in the future by
the Monroe City Council.
4. Special Reopener
The City of Monroe reserves the right to reopen and modify/change limits and or sampling
frequency as deemed necessary.
5. Sludge Management Plan
Within sixty days of the effective date of this Industrial User Permit,the permittee shall submit
a sludge management plan to the City of Monroe.
6. Certified Operator
Pursuant to Chapter 90A-44 of North Carolina General Statutes,and upon classification of the
facility by the Certification Commission, the permittee shall employ a certified wastewater
pretreatment plant operator in responsible charge (ORC) of the wastewater treatment
facilities. Such operator must hold a certification of the type and grade equivalent to, or
greater than the classification assigned to the wastewater treatment facilities by the
operator Commission. The permittee must also employ a certified backup perato r of the
appropriate type and grade to comply with the conditions of Title 15A,Chapter 8A.0202. The
ORC of the facility must visit the wastewater facility as required; must properly manage and
document daily operation and maintenance of the facility; and must comply with all other
conditions of Title 15A,Chapter 8A.0202. The permittee shall submit a letter designating the
operator in responsible charge to the Certification Commission or their designee within thirty
days after facility classification.
IUP#=>CM-14
Page :16
Effective Date:July 1,2021

IUP Synopsis
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe NC0024333
IUP name: IUP Number:
Atrium Health-Union CM-14
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1, 2021 01
IUP expiration date: IUP 40 CFR#,if applicable:
June 30,2024
B. IUP Survey&Application form
Attach a completed copy of the Industrial User Wastewater Survey&
Application Form(see appendix 6-A)
C. IU Inspection form
Attach a copy of an Industrial User Inspection Form (see chapter 7) completed
by the Control Authority within the past 12 months.
D. RATIONALE FOR LIMITATIONS:
As listed on the IUP Limits Page(s), PART I, Section F of the IUP.
RATIONALE#1:
Review of IU Monitoring Data, with no Over Allocation situation:
The following pollutants were assigned numerical limits in this IUP based on
a review of monitoring data for the permittee to determine what ranges of
concentrations are currently being discharged. To account for sample
variability a factor was applied to the monitoring data to determine the permit
limit. Permit limits assigned by the Local IUP Control Authority cannot
result in an Over Allocation situation for any pollutants.
1

IUP Synopsis
RATIONALE #2a:
Categorical Industrial Limits, with no Over Allocation situation:
Check here if Combined Wastestream Formula (CWF) or other categorical
limits calculations were used. If used, Please attach calculations: (see CWF
Spreadsheet, Appendix 6-F)
Were used(attach calculations)
Were not used
The following pollutants were assigned numerical limits in this IUP based on
the categorical regulations. These limits do not result in over allocations.
RATIONALE#3a:
Over Allocation Prevention, with IU pollutant reduction:
The following pollutants were assigned numerical limits in this IUP based on
allocating the Maximum Allowable Industrial Loading (MAIL) determined
with the Headworks Analysis (HWA) among all Industrial Users. The total
loading of each pollutant from all permitted discharges does not exceed the
MAIL. These limits do not result on over allocations.
BOD, TSS, Ammonia, Cr, Cu, Cyanide, Ag, Zn
RATIONALE #3b:
Interim Limits for IU pollutant reduction:
The following pollutants were assigned interim numerical limits in this IUP
to allow time for the industry to come compliance with final limits that will
not result in over allocations.
2
1

IUP Synopsis
RATIONALE#4:
4.) Other Rationale for Limitations:
The following rationale was used for developing IUP Limits.
Parameter Rationale
RATIONALE#5a:
Non-Categorical Parameters where No Limit needed or assigned in an IUP:
The following pollutants were not assigned numerical limits in this IUP
because the loadings for these pollutants from this IU were less than 5% of
the MAHL. The loading of these pollutants from this IU is considered
insignificant at this time.
Pollutant Avg SIU mg/1 Avg SIU lbs/day 5% MAHL, lbs/day
RATIONALE#5b:
Categorical Parameters with Waived Monitoring:
Monitoring is waived for the following categorical parameters (attach
documentation of waiver justification).
3

#411'
Atrium Health
1
1
January 25, 2021
Kevin Keesler 1
Pretreatment Coordinator
City of Monroe
2401 Walkup Avenue
PO Box 69
Monroe, NC 28111-0069
RE: IUP # CM-14— 2021 Permit Renewal —Atrium Health Union
Dear Mr. Keesler,
Pursuant to the requirements of the Industrial User Permit, we have enclosed the completed
wastewater permit renewal application for the Atrium Health Union facility.
Matt Sonoski is the authorized representative for Atrium Health Union with regard to IUP # CM-
14.
Please let us know if you need any additional information regarding the permit renewal and
contact Luke Pokrajac at 704-956-5354 or Luke.Pokraiac(abatriumheaith.org if you have any questions.
Best Regards,
a?' C_ "v" .�li mil_'
. . l r r
Seth Goldwire
Vice President— Facility Executive
SG/glp
Enclosures

COVER PAGE
Company Name: Atrium Health-Union
Name of responsible person on site at the facility authorized to represent the Name of alternative on site person familiar with the day to day operations,
company in official dealings with the Sewer Authority and/or the City. environmental permitting requirements, monitoring, record keeping, and
Matt Sonoski data management.
Luke Pokrajac
Title: Supervisor II—Facilities Management Years with firm:7 Title:EH&S Specialist Years with firm:10
Phone#[phone] Fax#[phone] Phone#[phone] Fax#[phone]
Physical street address of facility Official mailing address,if different. Note if same.
600 Hospital Drive PO Box 5003
City:Monroe State:NC Zip:28112 City:Monroe State:NC Zip:28112
The information provided by you on this questionnaire serves two functions:
1. The information is used to determine if your facility needs an Industrial
User Pretreatment Permit (IUP) for the discharge of wastewater to the
local sewer.
2. If an Industrial User Pretreatment Permit (IUP) is required, this survey
serves as the application for an Industrial User Pretreatment Permit(IUP).
Requests for confidential treatment of information provided on this form shall be governed by
procedures specified in 40 CFR Part 2. In accordance with Title 40 of the Code of Federal Regulations
Part 403, Section 403.14 and the Local Sewer Use Ordinance (SUO), information and data provided in
this questionnaire which identifies the content, volume and frequency of discharge shall be available to
the public without restriction.
This is to be signed by an authorized official of your firm,as defined in the Local Sewer Use Ordinance or the NC Model
Sewer Use Ordinance, Section 1.2,after completion of this form.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified
personnel properly gather and evaluate the information submitted. Based upon 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 informatio r : uding the possibility of fine and/or imprisonment for
knowing violati .
---)„.1.10/71( ,
Signature of Authorized Representative ate
listed above (seal if applicable)
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Pap 1 of 1 R

1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
Atrium Health - Union is comprised of a day surgery center,women's center, cancer
treatment center, long-term care facility, behavioral health center, home health
services, outpatient specialty care clinics, a community wellness and outreach program
and physician practices
2. List the primary products produced at this facility:
None
3. List raw materials and process additives used:
N/A
4. Are biocides added to any water discharged to the POTW,
if yes describe: Cooling Tower Water Treatment
(Algaecide)
Yes X
No
5. Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift.
1st Shift—7A-3P (900 Employees)
2nd Shift—3P-11P (450 Employees)
3rd Shift— 11P-7A(100 Employees)
6. Production process is: Check, if all continuous X
Health Care Laundry Check, if all batch
If both please enter, % continuous= <5% %Batch=
Title: IU Wastewater Survey&Permit Application Page 2 of 18
Revision date: 12/30/97

7. Does production vary significantly (+- 20 %)by season. Describe.
Yes
No X
8. Are any significant (+- 20 %) changes in production that will affect wastewater
discharge expected in the next 5 years. If yes, please describe.
Yes
No X
9. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled off.
Heritage Environmental—7901 West Morris Street, Indianapolis, IN 46231
(1,122 pounds EPA Haz Waste) (906 pounds EPA Universal Waste)
Republic Waste—5105 Suite A Morehead Rd Concord, NC 28027 [phone]
(35-49 tons per month trash—494 tons total year)
(6-12 tons per month cardboard for recycle— 105 tons total year)
Stericycle—4403 Republic Ct NW, Concord, NC 28027 [phone]
(96,000 pounds per year—regulated medical waste)
Daniels - 1851 Chespark Drive, Gastonia,NC 28052 [phone]
(33,000 pounds per year—regulated medical sharps waste)
Stanley Enviro. Solutions,Inc.— 131 Mariposa Rd Stanley NC 28164
[phone] (1000-1500 gallons per month—grease trap cleanouts)
10. Attach a copy of laboratory analyses performed in the last year on the wastewater
discharge(s) from your facilities. Summarize data on the attached Data Summary
Form.
Lab analysis results referenced in this application are on file with the City of
Monroe.
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
Sampling point drawing has been supplied to the City of Monroe-Please note
limestone catch basin was disconnected and is no longer used but remains in place.
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
Title: IU Wastewater Survey&Permit Application
Revision date.. 17/4N97 Page 3 of 18
L

13. Do you have, or have you ever applied for, been issued, or been denied
an NPDES permit to discharge to the surface waters or storm sewers of
North Carolina? If yes, list all other NPDES permits, permit numbers,
dates, and names used to apply for them, or reason denied.
If yes: Permit,#,date,applicant name
Yes
If yes: Permit,#,date,applicant name X
No
14. Do you have, or have you ever applied for or been issued an Industrial
User Pretreatment Permit (IUP) to discharge wastewater to the sewer
collection system. If yes, list all other IUP permits, permit numbers,
dates, and names used to apply for them.
If yes: Permit,#,date,applicant name X
CM-14(extension)2018—granted by City of Monroe Yes
If yes: Permit,#,date,applicant name No
15. Do you have, or have you ever applied for or been issued any other
Environmental Permits (for example; air, RCRA, groundwater,
stormwater, general, Non-Discharge, septic tank, etc.). If yes, list all
other permits, permit numbers, dates, and names used to apply for them.
If yes: Permit type,#,date,applicant name Yes
X
AH Union—EPA ID#NCR000150862—RCRA Very Small Quantity Generator of Hazardous Waste
If yes: Permit type,#,date,applicant name No
If yes: Permit type,#,date,applicant name
16. Is a Spill Prevention Control and Countermeasure (SPCC) Plan
prepared for this facility? SPCC plan (2017 revision) is on file with
City of Monroe.
Yes X
No
17. Is a Spill /Sludge Control Plan required by the POTW, prepared for this
facility? AH Wastewater Discharge Control Policy is on file with the
City of Monroe.
Yes X
No
Title: IU Wastewater Survey&Permit Application Page 4 of 18
Revision date: 12/30/97
L

Industrial User Wastewater Survey & Permit Application
PART II - Water Supply, Use, & Disposal Worksheet:
Water Used for: Avg. Max. M E Avg. Max. M E
Water Di
gal/day gal/day a st sposal gal/day gal/day e st
Source(s) a i Method(s) a i
s m s m
u at u at
re a re e
d d d d
(see Source List below) (see Disposal List below)
1. Process water 1 500 X 1 500 X
2. Washdown water
3. Water into product
4. Air Quality Permitted units
5. Domestic -toilets, drinking, cafe 1 39700 X 1 39700 X
6. Cooling water,Process NON-Contact
7. Boiler/Cooling tower blowdown 1 1500 X 1,5 1500 X
8. Cooling water, HVAC 1 1000 X 1,5 1000 X
9. Other: 1 750 X 1,9 750 X
Totals=> 43450 Totals=> 43450
Typical Water Sources: Possible Water Disposal Methods _
1. City/Public supply 1. Sanitary sewer,with pretreatment
2. Private wells,drinking 2. Sanitary sewer, without pretreatment
3. Groundwater remediation wells 3. Storm sewer
4. Private ponds 4. Surface waters of NC
5. Surface waters of NC,please identify 5. Evaporation
6. Include others if applicable 6. Land applied
7. To groundwater
8. Septic Tank
9. Waste Haulers (identify)
10. Water into Product

18. Do you have any underground storage tanks at your facility? If yes, list
contents and volume of each tank.
Union Medical Plaza - #2 Fuel Oil (3000-gallons) (Tank has Yes X
been emptied and has been filled in place with foam...it will not
be used)
No
19. Do you have any above ground storage tanks at your facility? If yes,
for each tank, list the contents, volume, whether the tank has anyspill
pill
prevention or containment devices, such as dikes, and procedures for
draining any containment devices.
Yes X # of Tanks 8
No
1. Central Energy Plant—30,000-gallon Tank-Fuel Oil,Double
Walled with Leak Detection-Fluid Level Monitoring System and Oil
Truck Offloading- Cam-Lock Fill Port Containment Bo..
2. Central Energy Plant—3 100-gallon Fuel Oil Day Tanks—Tanks are
surrounded by outer containment.
3. Boiler Room—6,000-gallon Tank-Fuel Oil,Double Walled with
Leak Detection. Fill truck offloading diked area.
4. Sutton Hall—150-gallon Tank-Fuel Oil,Double Walled
5. Outpatient Treatment Pavilion— 720-gallon Tank-Fuel Oil,Double
Walled
6. Jesse Helms Long Term Care—1,900-gallon Tank-Fuel Oil,Double
Walled
Note: see SPCC Plan for more information on tanks and spill
prevention measures
Title: IU Wastewater Survey&Permit Application Page 5 of 18
Revision date: 12/30/97

PART III, PRETREATMENT FACILITIES:
Are there any pretreatment devices or processes used for treating wastewater
before being discharged to the sewer? Check all that are present and describe.
No pretreatment facilities=>
1. Flow equalization Aerated equalization=>
NON-Aerated equalization =>
Total volume of equalization (million gal.) _>
2. Activated Carbon Yes No X Describe any, if present.
3. Activated Sludge Yes No X
4. Air Stripping Yes No X
5. Centrifugation Yes No X
6. Chemical Precipitation Yes No X
7. Chlorination Yes No X
8. Cyanide Destruction Yes No X
9. Cyclone Yes No X
10. Dissolved Air Floatation Yes No X
11. Filtration Yes No X
12. Flocculation Yes No X
13. Grease Trap Yes X No
14. Grit Removal Yes No X
15. Ion Exchange Yes No X
16. Neutralize, pH adjust Yes No X
17. Other Biological Treatment Yes No X
18. Ozonation Yes No X
19. Reverse Osmosis Yes No X
20. Grinding—(muffin monster) Yes X No
21. Sedimentation Yes No X
22. Septic Tank Yes No X
23. Silver Recovery Yes No X
24. Solvent Separation Yes No X
25. Spill protection Yes No X
List any others.

PART IV, CATEGORICAL INFORMATION:
1. When were operations started at this facility Facility start up date 1953
2. List all Standard Industrial Classification(SIC) codes for your facility.
These may be found on State Unemployment forms, tax forms,
accounting records, or from the Chamber of Commerce.
8062
3. Has this facility ever been considered a Categorical Industrial User
(CIU) as described by the Code of Federal Regulations (40 CFR)?
If yes, give complete 40 CFR number=> 460
No
4. Are any other facilities owned and/or operated by your company
permitted as Categorical Industrial Users (CIUs) as described by the
Code of Federal Regulations (40 CFR)?
If yes please give name(s), location, and 40 CFR number. Yes
No X
Title: IU Wastewater Survey&Permit Application Page 8 of 18
Revision date: 12/30/97

PART IV, CATEGORICAL INFORMATION:
(continued)
5. Check any activities listed below that are performed at your facility:
Check 40 Industrial Activity Check 40 Industrial Activity •
below CFR# below CFR#
467 Aluminum Forming 432 Meat products
427 Asbestos Manufacturing 433 Metal finishing
461 Battery Manufacturing 464 Metal molding and casting
431 Builders paper&board mills 436 Mineral mining and processing
407 Canned&preserved fruits&veg. 471 Nonferrous Metal,Form&Powders
408 Canned&preserved seafood 421 Nonferrous Metals Manufacturing
458 Carbon black Manufacturing 414 OCPSF,Organic Chemicals,Plastics,
411 Cement Manufacturing &Synthetic Fiber Manufacturing
437 Centralized Waste Treatment 435 Oil&gas extraction
434 Coal Mining 440 Ore mining and dressing
465 Coil Coating 446 Paint formulating
468 Copper Forming 443 Paving and roofing materials Mfg.
405 Dairy products processing 455 Pesticide Manufacturing
469 Electrical,electronic components 419 Petroleum Refining
413 Electroplating 439 Pharmaceutical Manufacturing
457 Explosives Manufacturing 422 Phosphate Manufacturing
412 Feedlots 459 Photographic supplies
424 Ferro allay Manufacturing 463 Plastics molding and forming
418 Fertilizer Manufacturing 466 Porcelain enameling
464 Foundries,Metal Mold&Casting 430 Pulp,paper,and paperboard
426 Glass Manufacturing 428 Rubber Manufacturing
406 Grain mills 417 Soap&Detergent Manufacturing
454 Gum&Wood Chemicals Mfg. 423 Steam Electric power Generation
X 460 Hospitals 409 Sugar processing
447 Ink formulating 410 Textile Mills
415 - Inorganic chemical Manufacturing 429 Timber products processing
420 Iron&Steel Manufacturing 442 Transportation Equipment Cleaning
425 Leather Tanning&Finishing Others
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Paae 9 of 18

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge , Discharge if Known
(mg/1)
Acid Extractable Organics
2-Chlorophenol 34586 X X
2,4-Dichlorophenol 34601 X X
2,4-Dimethylphenol 34606 X X
2,4-Dinitrophenol 34616 X X
2-Methyl-4,6-dinitrophenol 34657 X X
4-Chloro-3-methylphenol 34452 X X
2-Nitrophenol 34591 X X
4-Nitrophenol 34646 X X
Pentachlorophenol 39032 X X
Phenol 34694 X X
2,4,6-Trichlorophenol 34621 X X
Base Neutral Organics
1,2,4-Trichlorobenzene 34551 X X
1,2-Dichlorobenzene 34536 X X
1,2-Diphenylhydrazine 34346 X X
1,3-Dichlorobenzene 34566 X X
1,4-Dichlorobenzene 34571 X X
2,4-Dinitrotoluene 34611 X X
2,6-Dinitrotoluene 34626 X X
2-Chloronaphthalene 34581 X X
3,3-Dichlorobenzidine 34631 X X
4-Bromophenyl phenyl ether 34636 X X
4-Chlorophenyl phenyl ether 34641 X X
Acenaphthene 03405 X X
Acenaphthylene 34200 X X
Anthracene 34220 X X
Benzidine 39120 X X
Benzo(a)anthracene 34526 X X
Benzo (a)pyrene 34247 X X
Benzo(b)fluoranthene 34230 X X
Benzo(ghi)perylene 34521 X X
Benzo(k)fluoranthene 34242 X X
Bis(2-chloroethoxy)methane 34278 X X
Bis(2-chloroethyl)ether 34273 X X
Bis(2-chloroisopropyl)ether 34283 X X
Bis(2-ethylhexyl)phthalate 39100 X X
Butyl benzyl phthalate 34292 X X
Chrysene 34320 X X
Di-n-butyl phthalate 39110 X X
Title: IU Wastewater Survey&Permit Application
Page 10 of 18
Revision date: 12/30/97

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/1)
Base Neutral Organics (continued)
Di-n-octyl phthalate 34596 X X
Dibenzo (a,h) anthracene 34556 X X
Diethyl phthalate 34336 X _ X
Dimethyl phthalate 34341 X X
Fluoranthene 34376 X X
Fluorene 34381 X X
Hexachlorobenzene 39700 X X
Hexachlorobutadiene 34391 X X
Hexachlorocyclopentadiene 34386 X X
Hexachloroethane 34396 X X
Indeno(1,2,3-cd)pyrene 34403 X X
Isophorone 34408 X X
N-nitroso-di-n-propylamine 34428 " X X
N-nitrosodimethylamine 34438 X X
N-nitrosodiphenylamine 34433 X X
Naphthalene 34696 X X
Nitrobenzene 34447 X X
Phenanthrene 34461 X X
Pyrene 34469 X X
Metals
Aluminum - 01104 X X
Antimony 01097 X X
Arsenic 01002 X X
Beryllium 01012 X X
Cadmium 01027 X <0.001
Chromium 01034 X 0.0004
Copper 01042 X 0.047
Lead 01051 X 0.002
Mercury 71900 X <0.0002
Molybdenum 01062 " X X
Nickel 01067 X 0.002
Selenium 01147 X X
Silver 01077 X 0.0028
Thalium 00982 X X
Zinc 01092 X 0.20
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Pam. 11 of 1 R

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/1)
Other Inorganics
Barium 01007 X X
Chloride 00940 X X
Cyanide 00720 X BDL
Fluoride 00951 X X
Purgeable Volatile Organics
1,1,1-Trichloroethane 34506 X X
1,1,2,2-Tetrachloroethane 34516 X X
1,1,2-Trichloroethane 34511 X X
1,1-Dichloroethane 34496 X X
1,1-Dichloroethylene 34501 X X
1,2-Dichloroethane 34531 X X 1
1,2-Dichloropropane 34541 X X
2-Chloroethyl vinyl ether 34576 X X
Acrolein 34210 X X
Acrylonitrile 34215 X X
Benzene 34030 X X
Bromodichloromethane 32101 X X
Bromoform 32104 X X
Bromomethane 34413 X X
Carbon tetrachloride 32102 X X
Chlorobenzene 34301 X X
Chloroethane 34311 X X
Chloroform 32106 X X
Chloromethane 34418 X - X
cis 1,3-Dichloropropene 34980 X X
Dibromochloromethane 32105 X X
Ethylbenzene 34371 X X
Methylene chloride 34423 X X
Tetrachloroethylene 34475 X X
Toluene 34010 X X
trans 1,3-Dichloropropene 34699 X X
trans-1,2-Dichloroethylene 34546 X X
Trichloroethylene 39180 X X
Trichlorofluoromethane 34488 X X
Vinyl chloride 39175 X X
Others
Xylene X X
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Page 12 of 18
l

Data Summary Form
<= Receiving POTW
<= Receiving NPDES #
CM-14 <= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe#
BOD TSS Ammonia
Lab=> Laboratory performing analysis=> Prism Prism Prism
MDL => Laboratory Method Detection Limits=> 0.2 mg/I 0.4-0.8 mg/I 0.49-0.64 mg/1
Notes=> Notes=>
Q = Flow
Sample Date Notes about Sample M=Metered Conc. Results Conc. Results Conc. Results
ID, or Sample E=Estimated " from Lab from Lab from Lab
Count Collected
mgd gal/day <? mg/1 <? mg/1 <? mg/1
1 8/13/2020 M 51500 170 72 13
2 5/14/2020 M 37500 150 36 16
3 2/20/2020 M 46300 200 120 20
4 11/21/2019 M 45400 320 110 21
5 5/15/2019 M 50100 240 69 16
6 3/5/2019 M 42900 190 47 20
7
8
9 _
10 _
11
12
etc
TNS => Total number of samples =>[ 6 6 6
Max. value => Maximum data value (mg/1)=> 320 120 21
Avg. (use 1/2 BDL) => Avg. data value,Include BDL values as 1/2 detection limit=> 76 18
Title: IU Wastewater Survey&Permit Application
Revicion date- 12/10/97 Pa2e 13 of 18

<=Receiving POTW
<= Receiving NPDES #
<= Specific Sample Location!
CM-14 i.e., Give IU Name, IUP#, and/or pipe #
Arsenic Copper Chromium Cadmium COD Barium
Lab => Prism Prism Prism
MDL => 0.00038-0.00098 0.00013-0.00013 0.00067-0.001
Notes =>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1 8/13/2020 0.048 BDL 0.026
1 2 5/14/2020 0.055 BDL 0.034
3 2/20/2020 0.047 BDL 0.047
4 11/21/2019 0.048 BDL 0.05
5 5/15/2019 0.04 0.002 0.03
6 3/5/2019 0.044 BDL 0.093
7
8
9
10
11
12
etc
TNS => 6 6 6
Max. Value=> .055 .002 0.093
Avg. (use1/2 BDL) _> .047 0.0007 0.047
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Page 14 of 18

Data Summary Form
<= Receiving POTW
<= Receiving NPDES #
<= Specific Sample Location!
CM-14 i.e., Give IU Name, IUP#, and/or pipe #
Cyanide Lead Mercury Nickel Silver Zinc
Lab=> Prism Prism Prism
MDL => 0.001-0.0019 0.000077-0.000077 0.0019-0.0019
Notes =>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1 8/13/2020 BDL 0.0058 0.17
2 5/14/2020 BDL 0.0018 0.23
3 2/20/2020 BDL 0.0014 0.21
4 11/21/2019 BDL 0.0036 0.29
5 5/15/2019 BDL BDL 0.15
6 3/5/2019 BDL 0.0012 0.12
7
8
9
10
11
12
etc
TNS => 6 6 6
Max.Value => BDL .0058 .29
Avg. (usel/2 BDL) _> .0018 .0028 .20
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Page 15 of 18

Data Summary Form
<= Receiving POTW
<= Receiving NPDES #
<= Specific Sample Location!
CM-14 i.e., Give IU Name, IUP#, and/or pipe #
Other Other Other Other Other Other
Lab =>
MDL =>
Notes=>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1
2
3
4
5
6
7
8
9
10
11
12
etc
TNS =>
Max. Value =>
Avg. (use l/2 BDL) _>
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Page 16 of 18

Part V, Waste Reduction Information:
State Pretreatment Rule 15A NCAC 2H.0916 (c)(1)(M) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Projected Code Description
X W 13 Im roved maintenance schedulin recordkeeping, or procedures
W14 Changed production sche• to minimize equipment and feedstock
changeovers
W19 Other changes in operating practices (explain briefly in comments)
W21 Instituted procedures to ensure that materials do not stayin inventory
beyond shelf-life
W22 Began to test outdated material-continue to use if still effective
W23 Eliminated shelf-life requirements for stable materials
W24 Instituted better labeling procedures
W25 Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29 _ Other changes in Inventory control (explain briefly in comments)
W31 Improved storage or stacking procedures
W32 Improved procedures for loading, unloading and transfer operations
W33 Installed overflow alarms or automatic shutoff valves
W34 Installed secondary containment
W35 Installed vapor recovery systems
W36 Implemented inspection or monitoring program of potential spill or
leak sources
W39 Other spill and leak prevention(explain briefly in comments)
W41 Increased purity of raw materials
W42 Substituted raw materials
W49 Other raw material modifications (explain briefly in comments)
W51 Instituted recirculation within a process
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Page 17 of 18

Current Projected Code Description
W52 Modified equipment, layout, or piping
W53 Use of a different process catalyst
W54 Instituted better controls on operating bulk containers to minimize
discarding of empty containers
W55 Changed from small volume containers to bulk containers to
minimize discarding of empty containers
W58 Other process modifications (explain briefly in comments)
W59 Modified stripping/cleaning equipment
W60 Changed to mechanical stripping/cleaning devices (from solvents or
other materials)
W61 Changed to aqueous cleaners ( from solvents or other materials)
W62 Reduced the number of solvents used to make waste more amenable
to recycling
W63 Modified containment procedures for cleaning units
W64 Improved draining procedures
W65 Redesigned parts racks to reduce dragout
W66 Modified or installed rinse systems
W67 Improved rinse equipment design
W68 Improved rinse equipment operation
X W71 Other cleaning and degreasing operation(explain briefly in comments)
W72 Modified spray systems or equipment
W73 Substituted coating materials used
W74 Improved application techniques
W75 Changed from spray to other system
W78 Other surface preparation and finishing (explain briefly in comments)
•
W81 Changed product specifications
W82 Modified desi n or composition of product
W83 Modified packaging
W89 Other product modifications (explain briefly in comments)
X W99 Other(specify in comments )
Comments (Please list corresponding code)
*W13—Reduced daily blow down of boilers by operating automatic skimmers.
**W71 —Stanley Environmental Solutions pumps grease trap once a month, Filta-Fry completes
cleaning and screening of kitchen fryer oils which cuts down on oil and grease sludge
production.
Title: IU Wastewater Survey&Permit Application
Revision date: 12/30/97 Page 18 of 18
� I

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i
SIU INSPECTION FORM
Name Of Industry: A4-ri+ . - I�.;, -1# ,' Ur i 0 rN IUP# C I—1 Li
Address Of Industry: (p('x"3 1-6 ,.-6.1 Or IUP Expiration Date:
fY\ n(, CCU ii i) D (o-3 O -a l
Industry Representatives: Title �7' �
1 +"T' �C7f1 :'�i r ..1E P rv'is O I \
P IcTW Repres n tives• Title
�;,� �`;ker P I Coo cc).
Date Of Inspection: I 0 �D
— 7-0 Time Of Inspection: i`-24)(3 am/ •
m ��/"�, O:
Purpose of Inspection: Annual ,/ Other(Describe)
POTW to which IU discharges e-c-4-y ,-X- fr r\P '- NPDES# 70C_60a4 333
Is SIU currently in SNC? .1.•1d If yes,for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product YES/A_
Raw materials used YES/ CO
Manufacturing processes YES/
Categorical,if applicable YES/ on
Production rate YES/
Number of employees S/
Number of shifts YES/ a\-1 l' 7 4:‘ k- 5
Comments:
PART II - PLANT TOUR- Visit all areas where wastewater is generated or where there
are drains to the POTW.
Plant Tour Section A- PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? 0
NO Where do they go? L,o.A..e-r ,5r'i (
2. Are production areas diked,contained, . . erwise constructed in such a way as to prevent harm to the
WWTP,especially from spills or slugs? si'� /NO Comments:
3. Are there floor drains in the storage area? Fo NO Where do they go? ye....'er" j V`i rCler
4. Are storage tanks and areas diked,contained,/. . herwise constructed in such a way as to prevent harm
to the WWTP,especially from spills or slugs? ` /NO Comments:
5. Are process and storage tanks and pipes labeled? YE /NO
6. How are off-spec raw materials,and products disposed of? C Pc� Otfrh4{$
7. When is the production area cleaned? e\ck1 y
8. Is the wastewater from cleaning the production area discharged to the POTW? YES/N
9. What non-process wastewaters are discharged to POTW? 'a\ef b\ C)wr /0,.4evs
Comments:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 1

SIU INSPECTION FORM
PART II - Plant Tour Section B- PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? ES NO Comments:
2. Are all units operational? 0/NO
3. How often does o erator/mamtenan = . on check system? \ -C cJ
P Y
4. Is there an operator for each shift?Or/NO , `
5. How and when is sludge disposed o . 5,e t nu J -6 5..9w-e .
6. Is there a schedule for preventative maintenance? el/NO
Comments: Pl-ke r rv- S Q -N Y
PART II - Plant Tour Section C - SAMPLING POINT(S)AND FLOW
MEASUREMENT
(Collect a sample if desired.) y ` 1� y�
1. Does an outside lab complete sampling? YE /NO If yes,name of lab. W r.��/grcia r_1 un l _ p 1'
2. If industry completes sampling,ask the indut�try11r presentative todescribe s plitlg'procedures.
Comments: _i(AA— I�r�l s 42 (,1.7,,,,45 30o,,.i-s
3. Is flow measurement equipment operational? E /NO Comments:
4. Is there a calibration log for the flow meter? YES/NO Comments:
Comments:
PART III - EXIT INTERVIEW
Review monitoring records .- her SIU records required by IUP.
1. Are files well organized? : /NO Comments:
2. Are sample collection/chain-of-custody forms filled out properly? ES/NO Comments: _
3. Do results in files agree with reports sent to POTW?op
/NO Comments:
4. Who has authority to sh't down production should a spill or slug discharge occur? ar„+ r / n, cf
e,rreM +/- Ii,G,,erit5
5. Htlw does SILT inform emplpyees of woiR to call at POTW in case of spill/slug? \rpc-4-or /M,.n��ear
If slug/spill plan is already required by P W,review procedures.
6. Is SIU implementing slug/spill plan? E /NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES/lii0 J
Comments,Required Or Recommended Acti ns:
Signature Of Inspector(s) '-)06u.-k...� pan�4 Date: I -G- 2.Q
Date:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 2
l

onroe
North Carolina
May 28, 2021
Mr. Anwar Shareef
LLC Manager p ECE�NED
NC Biogas LLC f
8601 Six Forks Road i NI 0 2 Z021
Suite 400
Raleigh, North Carolina 27615 NCDEQIDWRINPDES
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear Mr. Shareef:
Please find enclosed herein pages reflecting a one-year extension of Industrial User Permit CM-
35 NC Biogas LLC to develop final plans and initiate construction through June 30, 2022. Please
replace the old pages of IUP CM-35 with the enclosed, and keep the old pages on file with
current permit. All other pages of CM-35 remain in effect. Please review this permit carefully in
order to meet all requirements.
Consistent with the provisions of§ 52.051 of the City's Sewer Use Ordinance, the terms and
conditions of this permit are binding upon the industrial user.
§ 52.051 WASTEWATER PERMITS.
(I) Hearings.
(1) Initial Adjudicatory Hearings. An applicant whose permit is denied, or is granted
subject to conditions he deems unacceptable, a permittee/user assessed a civil penalty under §
52.999, or one issued an administrative order under § 52.120 shall have the right to an
adjudicatory hearing before the POTW Director or other hearing officer appointed by the POTW
Director upon making written demand, identifying the specific issues to be contested, to the
POTW Director within 30 days following receipt of the significant industrial user permit, civil
penalty assessment, or administrative order. Unless such written demand is made, within the time
specified herein, the action shall be final and binding and further appeal is barred. For modified
permits, only those parts of the permit being modified may be adjudicated. The hearing officer
shall make a final decision on the contested permit penalty, or order within 45 days of the receipt
City of Monroe • PC)Box 69 • Monroe,NC 28111-0069
Tel: [phone] • Fax: [phone]
www.monroenc.org

of the written demand for a hearing. The POTW Director shall transmit a copy of the hearing
officer's decision by registered or certified mail.
Should you require additional information please do not hesitate to contact me.
Respectfully,
Kevin Keesler
Pretreatment Coordinator
c: WWTP/IUP file
I:\8040 WWTP and Collection\Pretreatment program\Industries\NC Biogas

City of Monroe WWTP
Municipality Name
hereafter in this permit to as the
Control Authority
PERMIT
Industrial User Pretreatment Permit(IUP)
To Discharge Wastewater Under the
Industrial Pretreatment Program
CM-35 - N/A
IUP Number 40 CFR Category
6 ry
(if Applicable)
In compliance with the provisions of North Carolina General Statute 143-215.1, any applicable
federal categorical pretreatment regulations, all other lawful standards and regulations promulgated
and adopted by the North Carolina Environmental Management Commission,and the City of Monroe
Sewer Use Ordinance. The following Industry, hereafter referred to by name or as the permittee:
Industry name,permittee:
NC BioGas,LLC
Facility Located at Street Address:
325 Acme Dr.
City
Monroe
State,Zip
North Carolina, 28110
is hereby authorized to discharge wastewater from the facility located at the above listed address into
the sanitary sewer collection system and the wastewater treatment facility of the City of Monroe
listed below:
IUP Control Authority WWTP name:
City of Monroe WWTP
NPDES Number:
NC0024333
WWTP Address:
Post Office Box 69
State,Zip
Monroe,NC 28111-0069
in accordance with effluent limitations, monitoring requirements, and all other conditions set forth
in Parts I, II, and III of this Industrial User Pretreatment Permit(IUP).
Effective date,this permit and the authorization to discharge shall
become effective at midnight on this date:
July 1,2021
Expiration date,this permit and the authorization to discharge shall
expire at midnight on this date:
June 30,2022
3-772c- 2/
Date Director of Water Resources
Page:1
Effective Date:July 1,2021

IUP, Part I
Industrial User (IU) Specific Conditions
IUP, PART I, OUTLINE:
A) IUP Basic Information
B) IUP Modification History
C) Authorization Statement
D) Description of Discharges
E) Schematic and Monitoring Locations
F) Effluent Limits&Monitoring Requirements
G) Definitions and Limit Page(s)notes
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe Wastewater Treatment Plant NC0024333
IUP Name: IUP Number:
NC BioGas LLC CM-35
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1,2021 01
IUP Expiration date: IUP 40 CFR#(if applicable),or N/A:
June 30,2022 N/A
B. IUP History:
Effective Date: Renewal or Modification: Description of modifications.
3/1/19 New Permit Permit issued
3/2/20 Renewal Permit extension/Modification: added
street address
7/1/21 Renewal Permit extension
IUP#=>CM-35
Page:2
Effective Date:July 1,2021

IUP,Part I, Section F: Receiving POTW name=>City of Monroe IU name=>NC BioGas,LLC
Effluent Limits and Monitoring Requirements Receiving POTW NPDES#=>NC0024333 IUP#=> CM-35
Effective date for these Limits=7/1/21 Pipe#=> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=>6/30/22 40 CFR#=>N/A
number according to these specific dates,effluent if not applicable put N/A
limits,and monitoring requirements. THE LIMITS ON THIS ARE,(Check one below):
LIMITS for ENTIRE permit period=> X
INTERIM Limits for period# 1 =>
INTERIM Limits for period#2=>
FINAL Limits Page=>
Conventional Concentration Limits Mass-Based Limits Monitoring Frequency Sample Required
Parameters1 Daily Monthly Units Daily Monthly Units by Industry by POTW Collection laboratory
Max Avg. Max Avg. Method Detection
(C or G) Limits
Flow 0.025 MGD MGD Daily* Every Sample
BOD mg/1 52 lbs/day 1/month 1/6 months C 2.0 mg/1
TSS mg/1 41 lbs/day 1/month 1/6 months C 2.5 mg/1
Temperature Deg. C Deg.C
pH 6 to 11 Std.Units 6 to 11 Std.Units 1/month 1/6 months G
Other Parameters,Please list alphabetically
Ammonia mg/1 4 lbs/day 1/month 1/6 months C .5 mg/1
Chloride 75 mg/1 lbs/day 1/month 1/6 months C 10mg/1
Chromium monitor only mg/1 lbs/day 1/month 1/6 months C .010 mg/1
Copper monitor only mg/1 lbs/day 1/month 1/6 months C .010 mg/1
Cyanide monitor only mg/1 lbs/day 1/month 1/6 months G .010 mg/1
Nickel monitor only mg/1 lbs/day 1/month 1/6 months C .010 mg/1
Zinc monitor only mg/1 lbs/day 1/month 1/6 months C .010 mg/1
Total P 5 mg/1 lbs/day 1/month 1/6 months C 0.5mg/1
Oil&Grease monitor only mg/1 lbs/day 1/month 1/6 months G 5 mg/1
1 Parameters and Prohibitions not specified above are regulated and limited by the (See next section,IUP,Part I, Section G.)
City of Monroe Sewer Use Ordinance. for Definitions and Limits Page(s) notes:
2 1 month shall be 1 sampling event consisting of one day every month. IUP,PART I,Page: 5
*The flow meter totalizer shall be recorded each day of discharge with the data submitted as required in PART II(2).
Effective Date:July 1,2021

Workbook Name : HWA AT 2020 updated 5-27-21, Worksheet Name: AT Printed: 5/27/2021, 3:19 PM
Page 1 of 6
Allocation Table Spreadsheet Instructions:
Headworks last approved: 1)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is"2".
2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
Allocation Table updated: 05/27/21 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load in this AT
Permits last modified: 07/01/21 worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in columns AT through BK.
POTW=> City of Monroe
NPDES#=> NC0024333
FLOW BOD TSS
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Conc. Load
Count (please bstelphzbafcly) number number Industry Date Date Expires MGD gal/day m 1 Ibs/da m 1 Ibs/da
1 ATI Allvac 01 CM-15 0001 CFR 471 05/03/19 07/01/20 06/30/22
ATI Allvac 02 CM-15 0002 CFR 471 05/03/19 07/01/20 06/30/22 0.1240 124,000 310.00 310.00
2 Allvac Bakers/Specialty Mat'I CM-30 01,02 CFR 471 07/01/20 06/30/23 0.0623 62,300
3 Atrium Health-Union CM-14 0001 hospital 07/01/21 06/30/24 0.0700 70,000 172.00 112.00
4 Charlotte Pipe&Foundry Co.Plas CM-29 0001 plastic pipe(463) - 07/01/19 06/30/22 0.0500 50,000
5 Duke Sandwich Productions CM-36 0001 food 08/12/19 06/30/22 0.0400 40,000 240.00 80.00
-
6 GM Nameplate02 CM-20 - 0002 CFR 433 07/01/20 06/30/23 0.0200 20,000�� 47.00 42.00
7 Glenmark Phamaceutical USA CM33 0001 CFR 439 07/01/21 10/20/20 06/30/24 0.0100 10,000 monitor monitor
8 Goulston Company CM-01 0002 chem blend 07/01/19 06/30/22 0.0300 30,000 65.00 50.00
9 NC Biogas CM-35 0001 Biogas/Power 03/02/20 07/01/21 06/30/22 0.0250 25,000 52.00 41.00
- i
10 Norton Door Controls CM-16 0001 CFR 433-door closers 07/01/19 06/30/22 0.0100 10,000 30.00 30.00
11 ORO Manufacturing company CM-25 - 0001 CFR 433 - 07/01/19 06/30/22 ' 0.0040 4,000
12 Pilgrims Pride Corporation CM-28 0001 chicken 07/01/21 06/30/24 0.9500 950,000 1980.00~� 1585.00
13 Tyson Farms CM-11 0001 chicken 07/01/20 06/30/23 2.1000 2,100,000 5004.00 3750.00
Column Totals=> 3.4953 3,495,300 79001 6000
Basis=> NPDES Design Design
MAHL from HWA(Ibs/day)=> NPDES Permitted Flow=> 10.4000 21857 20817
Uncontrollable Loading(lbs/day)=> 3.9179 6698 10195
Total Allowable for Industry(MAIL)(lbs/day)=> 6.4821 15159 10622
Total Permitted to Industry(lbs/day)=> 3.4953 7900 6000
MAIL left(lbs/day)=> 2.9868 7259 4622
Percent Allow.Ind.(MAIL)still available(%)=> 46.1 % 47.9% 43.5%
Percent MAHL still available(%)=> 28.7% 33.2% 22.2%
5 Percent MAHL(lbs/day)=> 0.5200 1093 1041
HWA AT 2020 updated 5-27-21

Workbook Name : HWA AT 2020 updated 5-27-21, Worksheet Name: AT Printed: 5/27/2021, 3:19 PM
Page 2 of 6
Allocation Table
Headworks last approved:
Allocation Table updated: 05/27/21
Permits last modified: 07/01/21
Pores=> City of Monroe
NPDES#" NC0024333
• Ammonia Arsenic Cadmium Chromium Copper Cyanide
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count (phrase listalpbabeticly) number number mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/1 lbs/day mg/I lbs/day mg/1 lbs/day
1 ATI Allvac 01 CM-15 0001 70.00 0.1800 0.1400
ATI Allvac 02 - CM-15 0002 24.00 0.1900 0.2600 0.0500
2 Allvac Bakers/Specialty Mat'! CM-30 01,02 11.00 5.72 �� 0.2800 0.1455 monitor 0.0104
3 Atrium Health-Union CM-14 0001 12.00 �� 0.0540 0.0580 0.0080
,ii4 Charlotte Pipe&Foundry Co.Plas CM-29 0001 e 0.001250 monitor 0.1100
_
5 Duke Sandwich Productions CM-36 0001 5.00
6 GM Nameplate02 CM-20 0002 8.00 0.0030 0.0005 0.5000 0.0834 0.0834 0.0334
7 Glenmark Phamaceutical USA CM33 0001 monitor monitor monitor monitor monitor
8 Goulston Company CM-01 0002 4.00 J~ 0.0500 0.0060
9 NC Biogas CM-35 0001 4.00 monitor monitor monitor
10 Norton Door Controls CM-16 0001 1.80�.....ii 0.00301 0.0003 1.5000 0.125 5~ 0.1251 0.5000 0.0417
11 ORO Manufacturing company CM-25 0001 0.0030 0.0001 1.5000 0.0500 1.5000 0.0500 i� 0.0100
12 Pilgrims Pride Corporation CM-28 0001 730.00 �- 0.0400
13 Tyson Farms CM-11 0001 550.00I monitor ~� monitor
Column Totals=> I 1345 0.00001 0.00211 0.6480 , 0.73651 0.19951
Stream Stream Stream Stream
Basis=> Design Std Std Std Std NPDES
MAHL from HWA(lbs/day)=> 2203.09 1.0891 0.3630 3.6605 9.6251 0.9470
Uncontrollable Loading(lbs/day)=> 773.75 0.0327 0.0082 0.2222 1.3397 0.2516
Total Allowable for Industry(MAIL)(lbs/day)=> 1429.34 1.0564 0.3549 3.4383 8.2854 0.6954
Total Permitted to Industry(lbs/day)=> 1344.52 0.0000 0.0021 0.6480 0.7365 0.1995
MAIL left(lbs/day)=> 84.83 1.0564 0.3528 2.7903 7.5489 0.4960
Percent Allow.Ind.(MAIL)still available(%)=> 5.9% 100.0% 99.4% 81.2% 91.1 % 71.3%
Percent MAHL still available(%)=> 3.9% 97.0% 97.2% 76.2% 78.4% 52.4%
5 Percent MAHL(lbs/day)=> _ 110.15 0.0545 0.0182 0.1830 0.4813 0.0474
HWA AT 2020 updated 5-27-21

Workbook Name : HWA AT 2020 updated 5-27-21, Worksheet Name: AT Printed:5/27/2021, 3:19 PM
Page 3 of 6
Allocation Table
Headworks last approved:
Allocation Table updated: 05/27/21
Permits last modified: 07/01/21
Pores=> City of Monroe
NPDESt > NC0024333
Lead Mercury Molybdenum Nickel Selenium Silver
Industry Permit Limits _ Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count (please listalphabeticly) number I number mg/I lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/1 lbs/day
1 ATI Allvac 01 CM-15 0001 0.1500 0.4300
ATI Allvac 02 CM-15 0002 0.1000 monitor 0.4400
i
2 Allvac Bakers/Specialty Mat'l CM-30 01,02 0.0400 0.0208 monitor 0.6000 0.3117
3 Atrium Health-Union CM-14 0001 -� 0.0900
4 Charlotte Pipe&Foundry Co.Plas CM-29 0001 0.0370 monitor monitor
5 Duke Sandwich Productions CM-36 0001 -� monitor i
6 GM Nameplate02 CM-20 0002 0.0500 0.0083 0.5000 0.0834 0.1800 0.0300_
7 Glenmark Phamaceutical USA CM33 0001 monitormonitor monitor `�.,
8 Goulston Company CM-01 0002
9 NC Biogas CM-35 0001 monitor
10 Norton Door Controls CM-16 0001 0.2000 0.0167 2.3800 0.1985 0.2000 0.0167
11
11 ORO Manufacturing company CM-25 0001 0.2000 0.0067 1.0000 0.0334 0.2000 0.0067
12 Pilgrims Pride Corporation CM-28 0001
13 Tyson Farms CM-11 0001 ir monitor 1 ...,
1 Column Totals=> 0.18951 0.000000 1 0.0000 1.06701 I 0.0000 0.1434
Stream Sludge Stream Stream
Basis=> Std Stream Std Ceiling Std Std Stream Std
MAHL from HWA(lbs/day)=> 2.7492 0.050266 2.0073 12.2379 0.5990 0.0144
Uncontrollable Loading(lbs/day)=> 0.0784 0.002859 0.1634 0.3660 0.0888 0.0000
Total Allowable for Industry(MAIL)(Ibs/day)=> 2.6708 0.047406 1.8439 11.8720 0.5102 0.0144
Total Permitted to Industry(Ibs/day)=> _ 0.1895 0.000000 0.0000 1.0670 0.0000 0.1434
MAIL left(Ibs/day)=> 2.4813 0.047406 1.8439 10.8050 0.5102 -0.1290
Percent Allow.Ind.(MAIL)still available(%)=> 92.9% 100.0% 100.0% 91.0% 100.0% -897.3%
Percent MARL still available(%)=> 90.3% 94.3% 91.9% 88.3% 85.2% -897.3%
5 Percent MAHL(Ibs/day)=> 0.1375 0.002513 0.1004 0.6119 0.0299 0.0007
HWA AT 2020 updated 5-27-21

Workbook Name : HWA AT 2020 updated 5-27-21, Worksheet Name: AT Printed: 5/27/2021, 3:19 PM
Page 4 of 6
Allocation Table
Headworks last approved:
Allocation Table updated: 05/27/21
Permits last modified: 07/01/21
Pores=> City of Monroe
NPDEs#=' NC0024333
Zinc TKN Aluminum Fluoride Chloride Oil&Grease
Industry Permit Limits Permit Limits _ Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count (please list alptubaicly) number number mg/I lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/1 lbs/day mg/1 lbs/day
1 ATI Allvac 01 CM-15 0001 0.7200 35.0000
ATI Allvac 02 CM-15 0002 0.3000 monitor
2 Allvac Bakers/Specialty Mat'l CM-30 01,02 0.1200 0.0623 monitor 50.0000 25.9791
I
3 Atrium Health-Union CM-14 0001 0.6200
4 Charlotte Pipe&Foundry Co.Plas CM-29 0001 0.4100
I
5 Duke Sandwich Productions CM-36 0001 monitor monitor 50.0000 16.6800
6 GM Nameplate02 CM-20 0002 0.5000 0.0834 monitor
7 Glenmark Phamaceutical USA CM33 0001 monitor monitor monitor
8 Goulston Company CM-01 0002 0.0700
9 NC Biogas CM-35 0001 monitor 75.0000 15.6375 monitor
10 Norton Door Controls CM-16 0001 1.4800 0.1234 monitor i ,
11 ORO Manufacturing company CM-25 0001 1.4800 0.0494 monitor monitor _
12 Pilgrims Pride Corporation CM-28 0001 monitor ~- ~ 50.0000 396.1500
p-
13 Tyson Farms CM-11 0001 monitor monitor 30.0000 525.4200
Column Totals=> 1.7186 0.001 0.001 , 25.97911 15.63751 938.2500
AS/Nit/TF Stream
Basis=> inhibition Std
MAHL from HWA(lbs/day)=> 57.5645 _ 134.8081
Uncontrollable Loading(lbs/day)=> 7.5513 41.1578 _ 757.42.62
Total Allowable for Industry(MAIL)(lbs/day)=> 50.0133 93.6503
Total Permitted to Industry(lbs/day)=> 1.7186 0.00 0.00 25.9791 15.6375 938.2500
MAIL left(lbs/day)=> 48.2947 67.6712
Percent Allow.Ind.(MAIL)still available(%)=> 96.6% /INII////// #VALUE! 72.3% ####### #VALUE!
Percent MAHL still available(%)=> 83.9% Il//Illlll/i t #VALUE! 50.2% I/1/8/IIIINt #VALUE!
5 Percent MARL(lbs/day)=> 2.8782 6.7404
HWA AT 2020 updated 5-27-21

Workbook Name : HWA AT 2020 updated 5-27-21, Worksheet Name: AT Printed: 5/27/2021, 3:19 PM
Page 5 of 6
Allocation Table
Headworks last approved:
Allocation Table updated: 05/27/21
Permits last modified: 07/01/21
Porw= City of Monroe
NPDEs#=> NC0024333
TTO Acetone n-Amylacetate Ethyl acetate Isopropyl acetate
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count (pleaseiistalphabeticly) number number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/1 lbs/day
1 ATI Allvac 01 i CM-15 0001 2.1300
ATI Allvac 02 CM-15 0002
2 Allvac Bakers/Specialty Mat'! CM-30 01,02 2.1300 1.1067 —
•
3 Atrium Health-Union CM-14 0001
4 Charlotte Pipe&Foundry Co.Plas CM-29 0001
air I
5 Duke Sandwich Productions CM-36 0001
6 GM Nameplate02 CM-20 0002 1.5000 0.2502
7 Glenmark Phamaceutical USA CM33 0001 20.7000 1.7264 I 20.7000 1.7264 20.7000 1.7264 20.7000 1.7264
I
8 Goulston Company CM-01 0002
I
9 NC Biogas CM-35 0001 _
10 Norton Door Controls CM-16 0001 2.1300 0.1776 —~
—
11 ORO Manufacturing company CM-25 0001 2.1300 0.0711 _
12 Pilgrims Pride Corporation CM-28 0001 r i
i
13 Tyson Farms CM-11 0001
Column Totals=> I 1.60561 1.7264( 1.7264 1.7264 1.7264
I
Basis=>
MAHL from HWA(lbs/day)=>
Uncontrollable Loading(lbs/day)=>
Total Allowable for Industry(MAIL)(lbs/day)=>
Total Permitted to Industry(lbs/day)=> 1.6056 1.7264 1.7264 1.7264 1.7264
MAIL left(lbs/day)_>
Percent Allow.Ind.(MAIL)still available(%)=> _##ttttlttttt #VALUE! #VALUE! #VALUE! #VALUE!
Percent MAHL still available(%)=> tllllllllltllt #VALUE! #VALUE! #VALUE! #VALUE!
5 Percent MARL(lbs/day)=>
HWA AT 2020 updated 5-27-21

Workbook Name : HWA AT 2020 updated 5-27-21, Worksheet Name: AT Printed: 5/27/2021, 3:19 PM
Page 6 of 6
Allocation Table
Headworks last approved:
Allocation Table updated: 05/27/21
Permits last modified: 07/01/21
POTw=>,City of Monroe
NPDESiK> NC0024333
Methylene Chloride Total Phosphorus
Industry Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load
Count (please listalphsbetidy) number number mg/1 lbs/day mg/1 lbs/day
1 ATI Allvac 01 CM-15 0001
ATI Allvac 02 CM-15 0002
2 Allvac Bakers/Specialty Mat'! CM-30 01,02
3 Atrium Health-Union CM-14 0001
4 Charlotte Pipe&Foundry Co.Plas CM-29 0001
5 Duke Sandwich Productions CM-36 0001
6 GM Nameplate02 CM-20 0002
7 Glenmark Phamaceutical USA CM33 0001 3.0000 0.2502
8 Goulston Company CM-01 0002
9 NC Biogas CM-35 0001 5.0000 1.0425
10 Norton Door Controls CM-16 0001
11 ORO Manufacturing company CM-25 0001
12 Pilgrims Pride Corporation CM-28 0001
13 Tyson Farms CM-11 0001
Column Totals=> 0.2502 1.0425
Basis=> _
MAHL from HWA(lbs/day)=>
Uncontrollable Loading(lbs/day)=>
Total Allowable for Industry(MAIL)(lbs/day)=>
Total Permitted to Industry(Ibs/day)=> 0.2502 1.0425
MAIL left(lbs/day)=>
Percent Allow.Ind.(MAIL)still available(%)=> #VALUE! #VALUE!
Percent MAHL still available(%)=> #VALUE! #VALUE!
5 Percent MAHL(lbs/day)=>
HWA AT 2020 updated 5-27-21