NC0021491_Pretreatment_Annual_Report_20240301

ENVIRoLINK
Town of Mocksville Dutchman Creek WWTP (NC0021491)
2023 Pretreatment Annual Report (PAR)
March 1, 2024
Keyes McGee, Pretreatment Coordinator
Municipal Permitting Unit - NPDES, Pretreatment and Collection Systems
Division of Water Resources
Department of Environmental Quality
Subject: Town of Mocksville
2023 Pretreatment Annual Report (PAR)
Enclosed please find one original and one copy of the Town of Mocksville's Pretreatment
Annual Report (PAR) for the period of January 1, 2023 through December 31, 2023.
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 gathered and evaluated the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information,
including the possibilities of fines and imprisonment for knowing violations.
If you have any questions concerning this material, please contact Envirolink, Inc. at 252-235-
4900.
Sincerely,
Madelyn Mills
Envirolink, Inc.
Piedmont-Metrolina Area Compliance Coordinator
Envirolink, Inc.
(oat d'attaet In Vtdq dianapment
4700 Homewood Ct., Suite 108, Raleigh, North Carolina 27609
252-235-4900 (phone)

2
Town of Mocksville, Dutchman Creek WWTP (NC0021491)
2023 Pretreatment Annual Report (PAR)
NARRATIVE
GENERAL INFORMATION:
GENERAL PROGRAM INFORMATION:
➢ AT, LTMP, SUO, ERP, HWA, and IWS are up to date
➢ All Dates on the Division's Database Program Info Sheet are correct
➢ A copy of our Program Info sheet is enclosed with corrections
GENERAL PERMIT INFORMATION:
➢ The Brakebush Brothers Industrial User Permit (IUP #0004) was renewed in March
2022, effective through March 2025.
➢ The POTW's (Town of Mocksville — Dutchman Creek WWTP) NPDES Permit
(NC0021491) was renewed in March of 2023. No changes with concern to pretreatment
were made to the renewed permit.
➢ No new SIUs nor any name changes at any existing SIUs
IU INFORMATION:
➢ Brakebush Brothers, Inc. (IUP # 0004) (Poultry Plant)
• IUs in SNC INFORMATION:
The SIU was not in SNC during the 2023 year
• ORDERS AND SCHEDULE INFORMATION:
None
• A to C and CONSTRUCTION INFORMATION:
None
• MISSED DATA:
None
ENFORCEMENT ACTIONS by POTW, and Industry responses, for Non-SNC, Non -Order,
Non -Construction, Non -"missing" data events:
➢ The SIU incurred no fines for any compliance issues that occurred during the 2023 year
(description of violations available below). Overall, the Industry has been cooperative
with the Town in communicating about and resolving any emergent compliance issues.
Envirolink, Inc.
Yoat d'attnet In 9ftdq dfanapment
PO Box 670, Bailey, North Carolina 27807
252-235-4900 (phone) 2520235-2132 (fax)

3
NOW
SIU:
September 2023
• (1) TSS Dail Maximum Exceedance
The SIU stated that an upset occurred on September 13, 2023 that hydraulically overloaded the
DAF and negatively impacted TSS removal. To address this the SIU took measures to thicken
the polymer to better control TSS.
November 2023
• (2) BOD daily maximum exceedance(s)
• Flow daily maximum exceedance
• Flow monthly average exceedance
The SIU received (1) Notice of Violation during the 2023 year. On November 8, 2023, the SIU
had an abnormal high flow event, which in turn generated a high volume of soluble BOD that the
plant faculties did not have the ability to adequately remove. No penalties were imposed;
however, the SIU was required to submit a response.
POTW:
August 2023: Annual Pretreatment Compliance Inspection
NC-DEQ conducted an audit of the pretreatment program documentation on June 28, 2023. The
following deficiencies were found:
• Finding: Permittee did not conduct annual inspection of SIU (in 2022)
• Finding: PAR was inadequate and missing several required documents when submitted in
March 2023. Permittee submitted missing documentation after PAR was reviewed by the
Division, however, the allocation table was not submitted, and as of 7/27/2023, has not been
submitted.
A response letter to this violation addressing the findings above was submitted by the POTW to
NC-DEQ (Tricia Lowery) on August 25, 2023. To rectify these concerns, the missing documents
were submitted immediately upon awareness to Ms. Lowery, and the permittee has taken extra
measures to ensure that annual inspections are being conducted.
OTHER MISC. INFORMATION:
➢ In 2021, the facility requested increased permit limits for flow and BOD (lbs/day) for the
facility due to increased production. The Town of Mocksville, Dutchman Creek
Envirolink, Inc.
(oat d'attnet In 9ftdq dfanagpeinent
PO Box 670, Bailey, North Carolina 27807
252-235-4900 (phone) 2520235-2132 (fax)

M
Wastewater Treatment plant (receiving POTW) has had the capacity to accommodate the
increased BOD allowance and granted a new permit for the next three-year term to
accommodate the requested increase limits.
➢ No significant changes have occurred.
Envirolink, Inc.
Yoat d'attnet In 9ftdq dfanapment
PO Box 670, Bailey, North Carolina 27807
252-235-4900 (phone) 2520235-2132 (fax)

Pretreatment Program Info Database
for Program Name Mocksville
WWTP Name Dutchman
Program Approval Date 01/14/1985
Pretreatment Status Modified
Region WSRO
County Davie
printed on: 12/22/2023
Stream Information 1 IWC % at 7Q10 37.39
7Q10 Flow cfs / mgd 2.54 / 1.64
1Q10 Flow cfs / mgd 2.13 / 1.37
Stream Classification C
Basin Number YAD05
Receiving Stream Name DUTCHMAN CREEK
NPDES Number NC0021491
NPDES Effective Date
Last PAR Rec 06/29/2023
PAR Due Date03/01/2024
mercury
03/01 /2023
1631
NPDES Expire Date
p� 06/30/2027
Current Fiscal 04/10/2019
required
Year PCI Done
POTW is Primary WWTP TRUE
Last Audit on 06/23/2021
Audit Year Nex125/26
yes
Design Flow mgd 0.9800 % Design
mgd is SIU permitted
25.51
Permitted SIU flow (mgd) [Pt_SIU) 25
WWTP SIU's
1 Program SIUs 1
WWTP CIU's
0 Program CIUs10 I
HWA LTMP
IWS SUo
ERP
date Inactive Date Next Due
Date Received by DWR
01/11/2022 08/28/2018
05/04/2020 06/11/2014
03/04/2020
Date Approved
12/03/2018
07/28/2020 06/11/2014
03/17/2020
Adopt Date Required
Date Adopted
07/01/2014
Info in this Box from Pt Contacts
Date Date Date
PT —Pro Attended Attended Attended
Formal Name g.Prime Phonel ext Fax HWA Wksp IUP Wksp PAR Wksp
Ms. Madelyn Mills 1Prim
984-365-9160
[e-mail]
Envirolink, Inc. Compliance
1773 Sanford Ave.
27028
Mr. Kenneth Gamble
1 11(336)
753-6701
[e-mail]
Town Manager
1171 S. Clement Street
27028
Mr. Joshua Powers
Prim
[phone]
[e-mail]
Envirolink, Inc. Piedmont Area
773 Sanford Ave.
27028
Pretreatment Related NOVs from DWQ
6/24/1993
Itmp, hwa, erp, iws
9/23/1993
late SAR
3/9/1994
NCP 94-01
9/29/1994
program inadequate, late SAR
10/7/1996
late SAR
3/29/2001
IUPs, comp judge/enforce, pub not; 9/00 PCI
9/21/2001
enforce, imple stmp (from respon to 3/29 nov)
3/5/2003
failure to issue IUPs
4/9/2010
NOV-NOI for failure to submit PAR 2009
4/19/2010
NOV-NOI For PT elements (HWA, ERP, STM
9/7/2021 NOV for failure to submit HWA
12/15/2021 NOV for failure to submit HWA
07/27/2023 Failure to conduct annual inspi
on, incomplete PAR
DWR Central Office Contact JPretreatment Staff
DWR Regional Contact lex Lowe

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1. Pretreatment Town Name: Town of Mocksville
2. "Primary" NPDES Number NC00 21491
or Non Discharge Permit # if applicable =>
3.
PAR Begin Date, please enter 01/01/yyyy
3. =>
l/l/2023
4.
PAR End Date, please enter 12/31 /yyyy
4. =>
12/31 /2023
5.
Total number of SIUs, includes CIUs
5. =>
1
6.
Number of CIUs
6. =>
0
7.
Number of SIUs with no IUP, or with an expired IUP
7. =>
0
8.
Number of SIUs not inspected by POTW
8. =>
0
9.
Number of SIUs not sampled by POTW
9. =>
0
10.
Number of SIUs in SNC due to IUP Limit violations
10. =>
0
11.
Number of SIUs in SNC due to Reporting violations
11. =>
0
12.
Number of SIUs in SNC due to violation of a Compliance Schedule, CO, AO or similar
12. =>
0
13.
Number of CIUs in SNC
13. =>
0
14.
Number of SIUs included in Public Notice
14. =>
0
15
Total number of SIUs on a compliance schedule, CO, AO or similar
15. =>
0
16.
Number of NOVs, NNCs or similar assesed to SIUs
16. =>
2
17.
Number of Civil Penalties assessed to SIUs
17. =>
0
18.
Number of Criminal Penalties assessed to SIUs
18. =>
0
19.
Total Amount of Civil Penalties Collected 19. =>
$
0.00
20.
Number of IUs from which penalties collected
20. =>
0
14otes:
AO Administrative Order IUP Industrial User Pretreatment Permit POTW
CIU Categorical Industrial User NNC Notice of Non -Compliance SIU
Publicly Owned Treatment Works
Significant Industrial User
CO Consent Order NOV Notice of Violation SNC
Significant
Non -Compliance
rU Industrial User PAR Pretreatment Annual Report
revised 1/2018: PAR PPS 2018

Pretreatment Annual Report (PAR)
WWTP = Wastewater Treatment Plant, use separate form for each WWTP.
SIU = Significant Industrial User
SNC = Significant Non -Compliance
PAR covers this calendar year => 2023
Control Authority=Program=Town Name => Town of Mocksville
WWTP Name => )utchman Creek WWTP
NPDES # _> NCO021491
A SNCR Form must be submitted with every PAR, please write "None " if you had No SIUs in SNC during calendar year
IUP
#
Pipe
#
Industry Name
Parameter
or "Reporting"
SNC? ( Yes / No)
for each 6-month period.
Jan. - June
July - Dec.
0004
001
Brakebush Brothers, Inc.
None
No
No
Attach a copy of the Division's "SIUs in SNC Historical Report" for your POTW's SIUs behind this page .
Is the database correct ? Notify the Division of any errors ! Database indicates SNC history for previous years.
EVERY SNC MUST be explained in the Narrative, How was, is, or will it be resolved?
REPEAT SNCs are serious matters that MUST be explained in the Narrative.
Form name: PAR,SNCR,2001
Date Revised: 1/4/2001

Pretreatment Annual Report (PAR) Control Authority, 'Town of Mocksv>lle Industry
Industrial Data Summary Form (IDSF) Town Name => Town of Mocksville Name Brakebush Brothers, Inc.
WWTP Name => Dutchman Creek W W'I'P IUP # 0004
Use separate forms for each industry/pipe NPDES # _> NUUU21491 Pipe # 0001
Enter BDL values as < (value) 1 st 6 months, dates => to 6 30 2023
2nd 6 months, dates => 7 1 2023 to 12/31 2023
Total # of samples =>
* Maximum (mgd) _>
* or Maximum (lb/d) _>
* or Monthly Average (mgd) _>
* or Average Loading (lb/d) _> _
% violations,(chronic SNC is >= 66%) _> ,
% TRC violations, (SNC is >= 33 %) _> ca
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _> _
% violations, (chronic SNC is >= 66%) _> ,
% TRC violations, (SNC is >= 33 %) _> ca
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _> _
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _> A
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
st 7 mon s
2na F mon s
s mon s
n mon s
s mon s
n mon s
s mon s
n mon s
50
42
50
42
50
42
1183.45
1,863.84
221.71
438.15
23.11
20.27
883.45
880.05
74.7
142.52
9.99
9.910
0%
0%
0.0%
11.6%
0.0%
4.7%
0.0%
0.0%
0%
0%
0.0%
2.3%
0.0%
0.0%
0.0%
0.0%
0.00%
0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0%1
0.0%1
0.0%1
0.0%1
0.0%1
0.0%1
0.0%1
0.0%
rsenic
Uaamium
Unromium
st 6 months
I st 6 months
1 st 6 months
I st 6 months
7n=months
opper
Uyaniae
Leaa
ercury
months
n month s
sst
st 6 month s
n months
BDL — Below Detection Limit mg/l — milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6-month & if BDL, 1/2BDL, or zero values used. TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter: PAR Guidance File name: PP PMlOF& kRev&b1ndaTh*tqt s1cclRfMB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe - Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* Maximum (mg/1) =>
* or Maximum (lb/d) => _
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) => 7
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
• violations, (chronic SNC is >= 66%) => ,
% TRC violations, (SNC is >= 33 %) => A
• violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %16) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
• violations, (chronic SNC is >= 66%) => ,
% TRC violations, (SNC is >= 33 %) => ca
• violations, (chronic SNC is >= 66%) => 7
% TRC violations, (SNC is >= 33 %) =>
Industry Name
IUP #
Pipe #
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BDL — Below Detection Limit mg/l => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC — Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6-month & if BDL, 1/2BDL, or zero values used. TRC — Technical Review Criteria WWTP => wastewater treatment plant
Chapter: PAR Guidance File name: slgclRfMB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each lUP pipe - Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
• violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
• violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum =>
* or Minimum =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
• violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
• violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name Brakebush Brothers, Inc.
IUP # 0004
Pipe # 0001
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BDL — Below Detection Limit mg/l — milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6-month & if BDL , 1/2BDL, or zero values used. TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter: PAR Guidance File name: PP PMlOF& kRev&b1ndaTh*tqt s1cclRfMB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe - Page of

Pretreatment Annual Report (PAR)
Industrial Data SummaryIndustry Name
Form (IDSF ) luP #
Use separate forms for each industry/pipe Pipe #
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
• violations, (chronic SNC is >= 66%) => ,
% TRC violations, (SNC is >= 33 %) =>
• violations, (chronic SNC is >= 66%) => 7
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
• violations, (chronic SNC is >= 66%) => ,
% TRC violations, (SNC is >= 33 %) => A
• violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %16) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
• violations, (chronic SNC is >= 66%) => ,
% TRC violations, (SNC is >= 33 %) => ca
• violations, (chronic SNC is >= 66%) => 7
% TRC violations, (SNC is >= 33 %) =>
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BDL — Below Detection Limit mg/l => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC — Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6-month & if BDL, 1/2BDL, or zero values used. TRC — Technical Review Criteria WWTP => wastewater treatment plant
Chapter: PAR Guidance File name: slgclRfMB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each lUP pipe - Page of

SIU
INSPECTION FORM
Name Of Industry: Brakebush Brothers
IUP # 0004
Address Of Industry: 251 Eaton Dr.
IUP Expiration Date:
Mocksvi0e, NC 27028
03/08/2025
Industry Representatives:
Title
Cody Chambers
Lead Tech
Plant Engineer
Title
Roy Huffman
POTW Representatives:
Josh Powers
Assistant Director of Western Operations
Assistant Area Man er
Todd Robinson
Date Of Inspection: 08/08/2023
Purpose of Inspection: Annual SIT
Time Of Inspection: 09:00 am / pm
Other (Describe)
POTW to which IU discharges Dutchman
Creek WWTP, Town of Mocksvillle NPDES # NCO021491
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
Manufacturing processes YES
Categorical, if applicable YES /
Production rate YES
O
Increased lant flow rates on permit renewal 3/8/2022 from
.135 monthly averagel. 200 daily to 200 month
aver e/ 250 daily
Number of employees YES
Number of shifts YES / NO 3 shifs
Comments:
PART II - PLANT TOUR - Visit ali
areas
where wastewater is generated or where there are
drains to the POTW.
Plant Tour Section A - PRODUCT
ON
AND STORAGE AREAS
1. Are there floor drains in the production ai
ea?
(S)NO Where do they go?
To designated pit area
2. Are production areas diked, contained, or
otherwise
constructed in such away as to prevent harm to the WWTP,
especially from spills or slugs? YES NO
C
mments: Brakebush sweeps production areas of excess
materials before wash downs to assist Pre-
r
tment process.
3. Are there floor drains in the storage area
S / NO Where do they go?
To designated pit area
4. Are storage tanks and areas diked, conta�"Wldlor
otherwise constructed in such away as to prevent harm to the
WWTP, especially from spills or slugs? YE§JNO
Comments:
5. Are process and storage tanks and pipes labeled?
YE / NO
6. How are off -spec raw materials, and products
disposed of? Brakebush sends these products to a local
protein company
7. When is the production area cleaned?
Yd s
ift
8. Is the wastewater from cleaning the production
area discharged to the POTW? YE / NO
9. What non -process wastewaters are discharged
to POTW?
Normal drainage to City sewer athrooms
toilets,
and sinks).
Comments:
Title: SlU lnpsection Form
Filename: 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 knowledgeable about the system? YES O Comments:
2. Are all units operational? (_)P /
3. How often does operator/maintenance n check system? Daily
4. Is there an operator for each shift? YES NO
5. How and when is sludge disposed of? Brakebush performs pump & haul Tuesday through Friday
averaging 24,000 gallons per week (6,000 allon truck
6. Is there a schedule for preventative maintenance? YES NO
Comments:
Normally 2nd shift during shutdown
PART II - Plant Tour Section C - SAMPLING POINT(S) AND FLOW MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES O If yes, name of lab. Statesville Analytical
2. If industry completes sampling, ask the industry representative to describe sampling procedures. Comments:
N/A
3. Is flow measurement equipment operational? YES NO Comments:
4. Is there a calibration log for the flow meter?
Comments:
Comments: Annual flow meter
PART III - EXIT INTERVIEW
Review monitoring records and other SIU records required by IUP.
1. Are files well organized? YES NO Comments:
2. Are sample collection / chain -of -custody forms filled out properly? OV NO Comments:
3. Do results in files agree with reports sent to POTW? YES NO Comments:
4. Who has authority to shut down production should a spill or slug discharge occur?
Cody Chambers TT Armstrong Roy Huffman
5. How does SIU inform employees of whom to call at POTW in case of spill/slug? Brakebush has phone &
If slug/spill plan is already required by POTW review procedures.
6. Is SIU implementing slug/spill plan? (F `NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES NO
Comments, Required Or Recommended Actions:
Signature Of
Title: SIU lnpsection Form
File name: COMRINSP App 7-D
Revision data: August 1, 1994
Date: 8/8/2023
Date: 8/8/2023
rrfY
Page 2

Analytical Results
Envirolink
PO Box 670
Bailey, NC
Receive Date: 03/23/2023
Reported: 06/27/2023
For: Brakebush
Comments:
STATESVILLE
ANALYTICAL
Sample Number
Parameter
Sample ID
Result
Unit Method
Analyzed
Analyst
230323-20-01
BOD
Eff-Brakebush
410
mg/L SM5210 B-2016
03/24/2023
TP
230323-20-01
Oil and Grease
Eff-Brakebush
9.7
mg/L EPA1664RevB
03/27/2023
TP
230323-20-01
TSS
Eff-Brakebush
46.33
mg/L SM2540 D-2015
03/24/2023
LE
Respectfully submitted,
Melissa Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 230323-20-01 Temp on Arrival: 3.2
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: BOD
Received on Ice
Parameter Schedule: TSS
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

/ _dim 0)
Client:—'i
Adore
STATESVILLE
ANALYTICAL
122 Caul Sind • P.O. Box 228
Z' Slocsvilk. NC 28687
[phone]
Chain of
Custody Record
—
Contact Person: Phone # FAX#
PO 0 Requisitioned by: gift+e>
sw114
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(Grab Only)
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Time begin 01 : ui am, pm Date L/ Z & 2 3
Time end D%; O'i gip, pm Date / l_
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Time begin am, pm Date
Time end am. pm Date / /
Time m pm Date i 23 Sampled by: C C
Time m, p Date J Transported by: S
Time :am), m Date 3A� Holding times met: )(
'NCB Time I, ff3Qpm Date 3 g:3 J
Compliance work: X
Non-compliance work:'
Lab Comments. Samples Transported on ice
—
Ininats.
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Analytical Results
Town of Mocksville-Envirolink
771 Sanford Ave
Mocksville, NC 27028
Receive Date: 09/07/2023
Reported: 09/19/2023
For: Brakebush
Comments:
STATESVILLE
ANALYTICAL
Sample Number
Parameter
Sample ID
Result
Unit Method
Analyzed
Analyst
230907-21-01
BOD
Eff-Brakebush
454
mg/L SM5210B-2016
09/08/2023
TP
230907-21-01
Oil and Grease
Eff-Brakebush
<5.1
mg/L EPA1664RevB
09/15/2023
TP
230907-21-01
TSS
Eff-Brakebush
18.2
mg/L SM2540D-2015
09/08/2023
LE
Respectfully submitted,
Melissa Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 230907-21-01 Temp on Arrival: 3.2
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: BOD
Received on Ice
Parameter Schedule: TSS
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

uoniact Person;
PQ #
ct.SiCmff Lso-10 P
Sample to*
00
3quisitioned by:
Dale Sampled
(Grab Only)
FAX#
,TATESVI LLE
1 ANALYTICAL
it 122 Corot 5Dat • 1!0- Box 228
StalesuilleNC 28M
I� 470419724697
Chain of
Custody Record
Pn—Iftt, mqucxWfaro.. I.,.,
Relinquished by:�-- Time lX/�im�Dm Date /z 3
Received by: Time am, m Data/%
Relinquished by: Time, pm Date /
Received by:.... , I 1 . Time B em pm Date —q/� 3
Composite Sampling #1: tt
Time begin 03- OC a_, pm Date � v ! 23
Time end '0'1' 05 am, pm Date i li
Sampled by: 7l—
Transported by:
Holding times met:
Compliance work: J/
Non-compliance work:
Lab Comments: Samples Transported On Ice:
Composite Sampling #2:
Time begin am, pm Date
Time end am, pm Date �h/_ f l
Initials:
M
IZT M
N p
M
00
o a
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00
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POTW=>
NPDES#=>
IUP
Count
9
10
Workbook Name : 6. Brakebush-Mocksville AT - PAR 2021, Worksheet Name: AT Printed: 3/5/2024, 11:31 AM
Page 1 of 4
Allocation Table
Dutchman L;reeK 77
NCO021491
Spreadsheet Instructions:
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.
3) HWA and AT worksheets in this workbook are linked. Pollutant Names, MAHLs, Basis, and
Uncontrollable load in this AT worksheet are automatically entered from the HWA spreadsheet. This
includes pollutant names in columns AT through BK.
FLOW B D
Type Original Modification Date Permit Limits Permit Limits
of Effective Effective Permit Conc. Load
I industry Date Date Expi res M GD gal/d m I I bs/d
Headworks last approved: 2/19/2016
--
Allocation Table updated: 2 9 2 222
I Permits last modified: 2/11/2022
TSS Ammonia
Permit Limits Permit Limits
Conc. Load Conc. Load
m I I bs/d m 1 I bs/day
Industry
INDUSTRY NAMES Permit/Pipe
(plEacelist alphabaidy) number
Brakebush Brothers
0004
3/1/2019
2/1/2022
0.2500
250,000
Col umn Totals =>
0.25001
250,000
Basis=>
MAHL from HWA (lbstday) =>
NPOES Permitted Flow=>
0.98
Uncontrollable Loading (lbstday) =>
0.30
Total Allowablefor Industry (lbstday) =>
0.67
Total Permitted to Industry (Ibs/day) =>
0.25
Allowable loading left (lbstday) =>
0.42
Percent Allow. Ind. sti I I avai I abl a (%) =>
62.9
Percent MAHL still available(%) =>
43.3
5 Percent MAHL (I bstdav) =>
HWA.AT.linked,8,99
Revised:August 1999

Workbook Name : 6. Brakebush-Mocksville AT - PAR 2021, Worksheet Name: AT Printed: 3/5/2024, 11:31 AM
Page 2 of 4
Arsenic
Permit Limits
Cadmium
Permit Limits
Chromium
Permit Limits
Copper
Permit Limits
Cyanide
Permit Limits
Lead
Permit Limits
Mercury
Permit Limits
Molybdenum
Permit Limits
Nickel
Permit Limits
Conc. Load
mg/I Ibsida
Conc. Load
mg/I Ibsida
Conc. Load
mg/I Ibs/da
Conc. Load
mg/I Ibsida
Conc. Load
mg/I Ibsida
Conc. Load
mg/I Ibsida
Conc. Load
mg/I Ibsida
Conc. Load
mg/I Ibsida
Conc. Load
mg/I Ibsida
HWA.AT.linked,8,99
Revised:August 1999

Workbook Name : 6. Brakebush-Mocksville AT - PAR 2021, Worksheet Name: AT Printed: 3/5/2024, 11:31 AM
Page 3 of 4
Permit Limits
Silver
Permit Limits
Zinc
Permit Limits
BOD
Permit Limits
TSS
Permit Limits
Conc.Selenium
...
. . ..
Conc....
. . ..
Conc....
. . ..
Conc....
. . ..
Conc....
. . ..
Conc,...
. . ..
Conc....
. . ..
Conc....
. . ..
Conc....
. . day
-
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HWA.AT.linked,8,99
Revised:August 1999

Workbook Name : 6. Brakebush-Mocksville AT - PAR 2021, Worksheet Name: AT Printed: 3/5/2024, 11:31 AM
Page 4 of 4
Oil/Grease
Permit limils
M .M. �
Conc. L oad
./I IbsIdAj
Conc. Load
. bsIdaA
I Conc. L oad
I mg/I.day
1111
1111
----
HWA.AT.linked,8,99
Revised:August 1999