NC0024333_Industrial User_20180607

1 onroe
North Carolina
June 7, 2018
Mr. Monti Hassan
NCDWQ PERCS Unit
1617 Mail Service Center
Raleigh,NC 27699-1617 RECEN DIDENRIDWR
JUN 15 2018
CERTIFIED MAIL
WateRETURN RECEIPT REQUESTED � nt►iermi tti�Permittingg Sect esources on
Dear Mr. Hassan:
Please find enclosed for your review a copy of the IUP's for Carolina HealthCare-Union; Great
American Snacks, Inc.; Glenmark Pharmaceuticals Inc. USA; 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

onroe
North Carolina
June 7, 2018
Mr. Matt Sonoski
Plant Operations and Maintenance
Carolina HealthCare System -Union
600 Hospital Drive
Monroe,North Carolina 28112
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear Mr. Sonoski:
Please find enclosed herein Industrial User Permit CM-14 authorizing Carolinas HealthCare
System—Union to continue to discharge wastewater to the City of Monroe sewer system for
further treatment at the City of Monroe Wastewater Treatment Plant through June 30, 2021 and
specifying the conditions governing this discharge. All Significant Industrial permits are subject
to review and approval by NCDWQ PERCS Unit. 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.
This IUP renewal includes an addition of Barium for monitor only.
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\CHS-Union
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-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:
Carolinas HealthCare System -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 1,2018
Expiration date,this permit and the authorization to discharge shall
expire at midnight on this date:
June 30,2021
Date Director of Water Resources
Page:1
Effective Date:July 1,2018

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:
Carolina HealthCare System-Union CM-14
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1,2018 01
IUP Expiration date: IUP 40 CFR#(if applicable),or N/A:
June 30,2021 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,NI13-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 1,2018

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.
IUP#=>CM-14
Page:2B
Effective Date:July 1,2018

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 1,2018

•
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 1,2018

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IUP, Part I, Section F: Receiving POTW name=>City of Monroe IU name=>CHS-Union
Effluent Limits and Monitoring Requirements Receiving POTW NPDES #_>NC0024333 IUP# _> CM-14
Effective date for these Limits=> 7/1/18 Pipe#_> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=>6/30/21 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 Collectio laboratory
Max Avg. Max Avg. n Method Detection
(C or G) Limits
Flow .090 MGD MGD Daily*
BOD mg/1 221 lbs/day 2/6 Months© 2/6 months C 2.0 mg/1
TSS mg/1 144 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 15 lbs/day 2/6 months 2/6 months C .5 mg/1
Barium monitor only mg/I lbs/day 2/6 months 2/6 months C .01 mg/1
Chromium mg/1 .069 lbs/day 2/6 months 2/6 months C .010 mg/1
Copper mg/1 .074 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/I lbs/day
mg/1 lbs/day
Silver mg/1 .43 lbs/day 2/6 months 2/6 months C .005 mg/1
Zinc mg/1 .80 lbs/day 2/6 months 2/6 months C .010 mg/1
OO 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 1,2018

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 1,2018

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
Outline of PART H,
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 1,2018

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 1,2018

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.
for the noncompliance. The
An upset mayconstitute an affirmative defense for action broughtp
P
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 1,2018

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 1,2018

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 1,2018

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 1,2018

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-14
Page :13
Effective Date:July 1,2018

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
Effective Date:July I,2018

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 1,2018

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. TheP ermittee 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-14
Page :16
Effective Date:July 1,2018

IUP Synopsis
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe NC0024333
IUP name: IUP Number:
Carolina HealthCare System-Union CM-14
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1, 2018 01
IUP expiration date: IUP 40 CFR#,if applicable:
June 30, 2021
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

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

C .c.) 3-z8-18 k -
Atrium Health
March 19, 2018
Kevin Keesler
Pretreatment Coordinator
City of Monroe
2401 Walkup Avenue
PO Box 69
Monroe, NC 28111-0069
RE: IUP #CM-14—2018 Permit Renewal—Carolinas HealthCare System Union
Dear Mr. Keesler,
Pursuant to the requirements of the Industrial User Permit, we have enclosed the completed
wastewater permit renewal application for the CHS Union facility. Also, we will send you a
name change request to amend the IUP when the name change for CHS Union is officially
completed on a Corporate level.
Matt Sonoski is the authorized representative for Carolinas HealthCare System 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 704-512-7279 or [e-mail] if you have any questions.
Best Regards,
Dilatok
Dave Anderson
Vice President of Administration
DA/glp
Enclosures

rec'J j-,7-5
COVER PAGE
Company Name: Carolinas HealthCare System-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:4 Title:EH&S Specialist Years with firm 7
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 information, including the possibility of fine and/or imprisonment for
knowing vio -
iipp
4- `° ®3 f ,7 Ot/r
of
Signature Authorivzed Representative Date
listed above (seal if applicable)
Title: IU Wastewater Survey&Permit Application
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City
of Monroe.doc
Revision date: 12/30/97 Page 1 of 18

1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
Carolinas HealthCare System-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.
151 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
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\20I8 IUP Permit-City
of Monroe.doc
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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
(1,092 pounds EPA HazWaste) (1,148 pounds EPA UnivWaste)
Republic Waste—5105 Suite A Morehead Rd Concord, NC 28027 [phone]
(37-49 tons per month non-medical)
Stericycle— 4403 Republic Ct NW, Concord, NC 28027 [phone]
(91,000 pounds per year—regulated medical waste)
Daniels - 1851 Chespark Drive, Gastonia,NC 28052 [phone]
(91,000 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
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City
of Monroe.doc
Revision date: 12/30/97 Page 3 of 18

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)3/16/2015—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 X
CHS Union—EPA ID# NCR000150862—RCRA Small Quantity Generator of Hazardous Waste Yes
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? CHS Wastewater Discharge Control Policy is on file with the
City of Monroe.
Yes X
No
Title: IU Wastewater Survey&Permit Application
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City
of Monroe.doc
Revision date: 12/30/97 Page 4 of 18

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 any spill
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 Box.
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—150gallon 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
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City
of Monroe.doc
Revision date: 12/30/97 Page 5 of 18

Industrial User Wastewater Survey & Permit Application
PART II - Water Supply, Use, & Disposal Worksheet:
Water Used for: Water Avg. Max. M E Disposal Avg. Max. M E
gal/day gal/day e st gal/day gal/day e st
Source(s) a i Method(s) a i
S m s m
u at u at
re e re e
d d d d
(see Source List below) (see Disposal List below)
1. Process water 1 500 X 2 500 X
2. Washdown water
3. Water into product
4. Air Quality Permitted units
5. Domestic-toilets, drinking, cafe 1 37750 X 2 37750 X
6. Cooling water, Process NON-Contact
7. Boiler/Cooling tower blowdown 1 1500 X 2,5 1500 X
8. Cooling water, HVAC 1 1000 X 5 1000 X
9. Other: 1 750 X 6 750 X
Totals => 41500 Totals=> 41500
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
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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 => X
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.
Title: IU Wastewater Survey&Permit Application
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City
of Monroe.doc
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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
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of Monroe.doc
Revision date: 12/30/97 Page 8 of 18

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
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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/I)
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 <0.001
Chromium 01034 X 0.0006
Copper 01042 X 0.0508
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 0.002
Thalium 00982 X X
Zinc 01092 X 0.26
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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)
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
1,2-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 343" 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
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City
of Monroe.doc
Revision date: 12/30/97 Page 12 of 18

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 => 2.0 mg/1 0.4-0.8 mg/1 0.046-0.34 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/I <? mg/1 <? mg/1
1 11/16/2017 M 47600 320 85 13
2 8/17/2017 M 62000 190 46 14
3 5/18/2017 M 47400 270 76 19
4 2/23/2017 M 48700 500 180 26
5 12/9/2016 M 38600 340 150 23
6 11/11/2016 M 45100 220 62 23
7 5/5/2016 M 48800 350 110 24
8 2/4/2016 M 16700 240 59 15
9
10
11 _
12
etc
TNS => Total number of samples => 8 8 8
Max. value => Maximum data value (mg/I) _> 500 180 26
Avg. (use 1/2 BDL) _> Avg. data value, Include BDL values as 1/2 detection limit=> 96 19.6
Title: IU Wastewater Survey&Permit Application
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City of Monroe.doc
Revision date: 12/30/97 Page 13 of 18

Data Summary Form
<= Receiving POTW
<= Receiving NPDES #
<= Specific Sample Location!
CM-14 i.e., Give IU Name, IUP#, and/or pipe #
Arsenic Copper Chromium Cadmium COD Copper
Lab => Prism Prism
MDL => 0.00015-0.00098 0.00013-0.005
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/I <? mg/1
1 11/16/2017 0.078 0.001
2 8/17/2017 0.047 0.0011
3 5/18/2017 0.05 BDL
4 2/23/2017 0.0414 0.0018
5 12/9/2016 0.046 BDL
6 11/11/2016 0.051 BDL
7 5/5/2016 0.041 BDL
8 2/4/2016 0.0517 0.0008
9
10
11
12
etc
TNS => 8 8
Max. Value => .078 .0018
Avg. (use 1/2 BDL) _> .0508 0.0006
Title: IU Wastewater Survey&Permit Application
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City of Monroe.doc
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 0.00002-0.000176 0.000586-0.00358
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/I <? mg/1 <? mg/1 <? mg/1 <? mg/l <? mg/1
1 11/16/2017 BDL 0.008 0.33
2 8/17/2017 BDL BDL 0.18
3 5/18/2017 BDL BDL 0.62
4 2/23/2017 BDL 0.0013 0.322
5 12/9/2016 BDL 0.0017 0.19
6 11/11/2016 BDL 0.0023 0.15
7 5/5/2016 BDL _ 0.0014 0.13
8 2/4/2016 BDL 0.00147 0.184
9
10
11
12
etc
TNS => 8 _ 8 8
Max. Value => .0006 .0080 .33
Avg. (use 1/2 BDL)_> .0006 .0020 .26
Title: IU Wastewater Survey&Permit Application
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\20I8 Renewal Permit Application\2018 IUP Permit-City of Monroe.doc
Revision date: 12/30/97 Page 15 of 18
L.__ _

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/I <? 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) _>
Title: IU Wastewater Survey&Permit Application
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City of Monroe.doc
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 W13 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
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
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City
of Monroe.doc
Revision date: 12/30/97 Page 17 of 18
J

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 design 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
File name: X:\Safety\Environmental Compliance\Water&Wastewater\Wastewater\CMC Union\2018 Renewal Permit Application\2018 IUP Permit-City of
Monroe.doc
Revision date: 12/30/97 Page 18 of 18

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MUFFIN MONSTER GRINDER
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SIU INSPECTION FORM
Name Of Industry: ,4 5 Uc „1 IUP #
Address Of Industry: (.q 00 (-4 nS i-1z>l 'Dr IUP Expiration Date:
pc\orAr'cre) C.0- 3(3—I8
Industry Representatives: Title
f c + Soho-A.\ Sup.Q.rvlSar JT POM
POTW Representatives:, Title
\ Y,eeskr C.-)urcl.
Date Of Inspection: 1 1 -01 Time Of Inspection: I 400 am/pm �" I
Purpose of Inspection: Annual ✓ Other(Describe)
POTW to which IU discharges C..k- o-f= man('Q2 NPDES# OOay 333
Is SIU currently in SNC? 1•30 If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product YES/yi
Raw materials used YES Pret0
Manufacturing processes YES
Categorical, if applicable YES/
Production rate YES/410,
Number of employees 4ES/ 0
Number of shifts YES 3 / L\/7
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? C)4-1
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? /NO Comments:
3. Are there floor drains in the storage area? �5�/NO Where do they go? C
4. Are storage tanks and areas diked, contained,o • erwise constructed in such a way as to prevent harm
to the WWTP, especially from spills or slugs? dr/NO Comments:
5. Are process and storage tanks and pipes labeled? '1E /NO
6. How are off-spec raw materials,and prodt1cts disposed of? EK p. ;Y�cp� pr`p�C:,rip-t-Jcirt 5
p\C LP by -ec, or yr
--
7. When is the production area cleaned? Co hn-
8. Is the wastewater from cleaning the production area discharged to the POTW? ES/NO.
9. What non-process wastewaters are discharged to POTW? t 1-fC ` .J � w,� f i (-era
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? NO Comments:
2. Are all units operational? 44/NO
3. How often does operator/maintenance erson check system? e.G C I
4. Is there an operator for each shift? /NO 7
5. How and when is sludge disposed of? circ
6. Is there a schedule for preventative maintenance?" /NO
Comments: 1-c ©Yvz V70 v p `l S r e J (
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. Pc 5 Or--
2. If industry completes sampling,ask the indusig representative to describe sampling procedures.
Comments: ok 14 r tt -Q
3. Is flow measurement equipment operational? NO Comments:
4. Is there a calibration log for the flow meter? forO NO Comments:
Comments:
PART III-EXIT INTERVIEW
Review monitoring records ••• •ther SIU records required by IUP.
1. Are files well organized? +' /NO Comments:
2. Are sample collection/cham-of-custody forms filled out properly? 6,NO Comments: _
3. Do results in files agree with reports sent to POTW?()/NO Comments:
4. Who has authority to shut down production should a spill or slug discharge occur? 4-y
5. How does SIU inform employees of whom to call at POTW in case of spill/slug? Ay„ru,rA1 —f-rr r tyt,5
If slug/spill plan is already required by POTW,review procedures.
6. Is SIU implementing slug/spill plan? VP NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES/ �O
Comments,Required Or Recommended Actions:
Signature Of Inspector(s) Oct.-`;4¢ Date:
Date:
Title: SN Inpsection Form
File name: COMPJNSP App 7-D
Revision data: August 1,1994 Page 2

onroe
North Carolina
June 7, 2018
Ms. Danielle Barack
EHS Manager
Glenmark Pharmaceuticals Inc., USA
4147 Goldmine Road
Monroe,N.C. 28110
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear Ms. Barrack:
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, 2021 and specifying the conditions governing this discharge. 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.
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] • Fax: [phone]
www.Monroenc.org

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:
Process Wastewater flow equalization
Spill protection
pH adjust
Air Stripping
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#Ol Description of Discharge:
Process wastewater
Pipe#02,Description of Discharge:
IUP#=>CM-33
Page:3
Effective Date:July 1,2018

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 Annexure III on Page 4A and 4B.
IUP#=>CM-33
Page:4
Effective Date:July 1,2018

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DETAIL-FLOOR AND TRENCH
1 DRAIN PROTECTION 2 DETAIL-INTERIOR CLEANOUT 3 DETAIL-PIPE SLEEVE(CONCEALED) 4 DETAIL-PIPE SLEEVE THROUGH SLAB(EXPOSED)
1174S.; IIIIIMINEMINE
--� - -- . -' ry—� T ° m'
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9 DETAIL-WATER HEATER(ELECTRIC) „..�ice/4' ' k 11 . ,,. ,.. •• .-.....-.....-.-a,.....,.-+...... .:..-.�,,-...e.
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.--t---.-4,...;_ ' __•, - -- .SF- . na---- ••- -- ---- -
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GLENMARK
FORMULATION
$ obe! -. -.. FACILITY
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PLUMBING
DETAILS
•
1 . I.� I
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P6.01
5 L\ 3

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=7/1/18 Pipe#_> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=> 6/30/21 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' Daily Monthly Units Daily Monthly Units by Industry by POTW Collection laboratory
Max Avg. Max Avg. Method Detection
(C or G) Limits
Flow 0.017 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/I 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
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/I 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 .0001 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/I lbs/day 1/month 1/6 months G 5 mg/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 1,2018

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=7/1/18 Pipe#_> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=>6/30/21 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=> I 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 8.2 mg/1 1/month2 1/6 months G 20 ug/1
n-Amyl 8.2 mg/l 1/month 1/6 months G 5 ug/1
acetate
Ethyl acetate 8.2 mg/1 1/month 1/6 months G 10 ug/1
Isopropyl 8.2 mg/1 1/month G 10 ug/1
acetate
Methylene 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.
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: 5A
Effective Date:July 1,2018
i

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. 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-33
Page: 6
Effective Date:July 1,2018

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
Outline of PART H,
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 1,2018

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 1,2018

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 1,2018

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
Thepermittee shall retain records of all monitoringinformation, includingall 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 1,2018

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
gathering the information,the information submitted is,to the best of myknowledge and belief,
g g g
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:11
Effective Date:July 1,2018

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
P g
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 1,2018

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 1,2018

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-33
Page:14
Effective Date:July 1,2018

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 1,2018

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 1,2018

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 1,2018 01
IUP expiration date: IUP 40 CFR#,if applicable:
June 30, 2021 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 Avg SIU lbs/day 5% MAHL, lbs/day
H
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: 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
Danielle Barrack management..
Jason Woolley
Title:EHS Manager Years with firm<1 year Title:Executive Director of Operations Years with firm 1 year
Phone#:[phone] Fax II:NA Phone#:[phone] Fax#:NA
Physical street address of facility Official mailing address,if different. Note if same.
4147 Goldmine Road Samc
City Monroe State:NC Zip:28110 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.
(DIY\PA-R t
Signature of Authorized Representative Date
listed above (seal if applicable)
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\90400410\Downloads\IWSlongform City of Monroe.dOCX
Revision date: 12/30/97 Page 1 of 19

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.
2. List the primary products produced at this facility:
The primary products include pharmaceutical products such as tablets, capsules,
ointments, creams, injections, respiratory devices, syrups etc for use in various
therapies.
3. List raw materials and process additives used:
The primary raw materials and process additives are various inert powders (Partial list
provided in Annexure I for informational purposes) that are either bound together in
an oral solid, suspended in a liquid as a nebulizer or mixed with WFI (Water For
Injection).
4. Are biocides added to any water discharged to the POTW,
if yes describe:
Yes NA
No—Not applicable No
5. Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift.
We operate the plant daily in one shift & five working days per week. It may increase to
2 shifts per day and subsequently 3 shifts per day in the future, as and when regulatory
approvals are received from agency for manufacturing of pharmaceutical products.
There will be maximum 20 persons per shift to take care of manufacturing, packing
and quality control testing.
Title: IU Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 IUP Application\IWSlongform City of Monroe l3Mar18.docx
Revision date: 12/30/97 Page 2 of 19
II

6. Production process is: Check, if all continuous NA
Check, if all batch ,/
If both please enter, % continuous= % %Batch=
7. Does production vary significantly (+- 20 %) by season. Describe.
Yes NA
No ,/
8. Are any significant (+- 20 %) changes in production that will affect wastewater
discharge expected in the next 5 years. If yes, please describe.
Yes NA
No ,/
9. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled off.
Univar-ChemCare
Charlotte,NC 28273
[phone]
Material Name Total Disposed Quantity in last 12
months (Metric Tons)
Waste Perchloric Acid .004
Waste Flammable Liquids, .034
n.o.s. (Ethyl ether,
Diisopropyl ether)
Waste Flammable Liquids, 2.182
n.o.s. (Acetone, MEK)
Toxic, Liquids, Organic,
n.o.s. (Potassium .008
Pyroantimarate, Copper
Sulfate)
Waste Corrosive Liquids, .002
Toxic, n.o.s.
(Cupriethylenediamine)
Waste Flammable Liquids, .039
Corrosive, n.o.s. (Methanol,
Muriatic Acid)
Waste Oxidizing Liquid, .005
Corrosive, n.o.s. (Hydrogen
Peroxide, Silver Nitrate)
Title: IU Wastewater Survey & Permit Application
File name N:\City of Monroe\2018 IUP Application\IWSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 3 of 19
L _

Corrosive Solid, Basic, .005
Inorganic, n.o.s. (Sodium
Hydroxide, Ammonium
Chloride)
Waste Corrosive Liquid, .004
Acidic, Inorganic, n.o.s.
(Phosphoric Acid)
Waste Corrosive Liquid, .008
Acidic, Organic, n.o.s.
(Hydrochloric Acid,
Mercaptoacetic Acid)
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.
Laboratory Analyses for the last year are on file with the City of Monroe.
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
Please refer Annexure—III
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
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 NA
Yes
If yes: Permit,#,date,applicant name
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:
111P Number:CM-33;Effective Date:September I,2015;Applicant Name:Glenmark Generics Inc. Yes
If yes: Permit,#,date,applicant nameND N/A
Title: lU Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 IUP Application\lWslongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 4 of 19

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 NA
Yes
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?
Yes NA
No ,/
17. Is a Spill /Slug Control Plan required by the POTW, prepared for this
facility?
Yes ,/
No NA
Spill/Slug Control Plan is on file with the City of Monroe.
18. Do you have any underground storage tanks at your facility? If yes, list
contents and volume of each tank.
Yes NA
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 any spill
prevention or containment devices, such as dikes, and procedures for
draining any containment devices.
Potable water tank: 2640 Gal Yes #of Tanks 5
Purified water tank: 528 Gal
Boiler Feed water Tank: 400 Gal
Compressed air receiver: 795 Gal
Stand By Generator Diesel Tank~150 Gal
No NA
Title: IU Wastewater Survey & Permit Application
File name: N:\City ofMonroe\2018IUP Application\lWSlongform City of Monroe 13Marl8.docx
Revision date: 12/30/97 Page 5 of 19

Industrial User Wastewater Survey & Permit Application
PART II, Water Supply, Use, Sr Disposal Worksheet:
Water Used for: Water Avg. Max. M E Disposal Avg. Max. M E
gal/day gal/day e st gal/day gal/day e st
Source(s) a i Method(s) a i
s m s m
u at u at
re e re e
d d d d
(see Source List below) (see Disposal List below)
1. Process water 10700 15500 1 10700 15500
2. Washdown water 600 600 1 600 600
3. Water into product 200 200 10
4. Air Quality Permitted units
5. Domestic-toilets,drinking, cafe 1000 1000 2 1000 1000
6. Cooling water, Process NON-Contact 700 700 2 700 700
7. Boiler/Cooling tower blowdown 1000 1000 2 100 1000
8. Cooling water, HVAC 1000 1000 2
9. Other: 2400 2400 5
Totals=> 17600 22400 Totals=> 14000 18800
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: N:\City of Monroe\2018 IUP Application\lWSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 6 of 19

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=> NA
1. Flow equalization Aerated equalization=> NA
NON-Aerated equalization=> YES
Total volume of equalization (gal.)=> 270
2. Activated Carbon Yes No ,/ Describe any, if present.
3. Activated Sludge Yes No ,/
4. Air Stripping Yes ,/ No
5. Centrifugation Yes No ,/
6. Chemical Precipitation Yes No /
7. Chlorination Yes No f
8. Cyanide Destruction Yes No „/
•
9. Cyclone Yes No ,/
10. Dissolved Air Floatation Yes No ,/
11. Filtration Yes No ,/
12. Flocculation Yes No ,/
13. Grease Trap Yes No „/
14. Grit Removal Yes No „/
15. Ion Exchange Yes No ,/
16. Neutralize, pH adjust Yes / No
17. Other Biological Treatment Yes No ,/
18. Ozonation Yes No ./
19. Reverse Osmosis Yes No ,/
20. Screening Yes No /
21. Sedimentation Yes No ,/
22. Septic Tank Yes No ./
23. Silver Recovery Yes No ,/
24. Solvent Separation Yes No ,/
25. Spill protection Yes ,/ No
List any others.
Title: IU Wastewater Survey & Pcrmit Application
File name: N:\City of Monroe\2018 IUP Application\IWSlongform City of Monroe 15May18.docx
Revision date: 12/30/97 Page 7 of 19

PART IV, CATEGORICAL
INFORMATION:
1. When were operations started at this facility Facility startup date August 2015
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 3834 04
NAIC 325412
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=> 40 CFR
439.47
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 ,/
Title: ICJ Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 IUP Application\IWSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 8 of 19

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 CPR# 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
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: 111 Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 IUP Application\IWSlongform City of Monroe 1 3Marl 8.docx
Revision date: 12/30/97 Page 9 of 19
1

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 INn Yes No Yes
2.4-Dichlorophenol 34601 No Yes ,No Yes
2,4-Dimethylphenol 34606 No Yes No Yes
2.4-Dinitrophenol 34616 .No Yes No Yes
2-Methyl-4,6-dinitrophenol 34657 No Yes No Yes
4-Chloro-3-methylphenol 34452 No Yes No Yes
2-Nitrophenol 34591 No Yes No ,Yes
4-Nitrophenol 34646 No Yes No Yes
Pentachlorophenol 39032 No Yes No Yes
Phenol 34694 No Yes No Yes
2.4,6-Trichlorophenol 34621 No Yes No Yes
Base Neutral Organics
1.2,4-Trichlorobenzene 34551 No Yes No Yes
1,2-Dichlorobenzene 34536 No Yes No Yes
1.2-Diphenylhvdrazine 34346 No Yes No Yes
1,3-Dichlorobenzene 34566 No Yes No Yes
1,4-Dichlorobenzene 34571 No Yes No Yes
2,4-Dinitrotoluene 34611 No Yes ,No Yes
2,6-Dinitrotoluene 34626 No Yes No Yes
2-Chloronaphthalene 34581 No Yes No Yes
3,3-Dichlorobenzidine 34631 No Yes No Yes
4-Bromophenyl phenyl ether 34636 No Yes No Yes
4-Chlorophenyl phenyl ether 34641 No Yes No Yes
Acenaphthene 03405 No Yes No Yes
Acenaphthylene 34200 No Yes No Yes
Anthracene 34220 No Yes No Yes
Benzidine 39120 No Yes No Yes
Benzo(a)anthracene 34526 No Yes No Yes
Benzo(a) pyrene 34247 No Yes No Yes
Benzo (b)fluoranthene 34230 No yes No Yes
Benzo(ghi)perylene 34521 No Yes No Yes
Benzo(k)fluoranthene 34242 No Yes No Yes
Bis(2-chloroethoxy)methane 34278 No Yes No Yes
Bis(2-chloroethyl)ether 34273 No Yes No Yes
Bis(2-chloro isopropyl)ether 34283 No Yes No Yes
Bis(2-ethylhexyl)phthalate 39100 No Yes No Yes
Butyl benzyl phthalate 34292 No Yes No Yes
Chrysene 34320 No Yes No Yes
Di-n-butyl phthalate 39110 No Yes No Yes
Title: Ill Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 IUP Application\IWSlongform City of Monroe I.3Marl 8.docx
Revision date: 12/30/97 Page 10 of 19

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 No Yes No Yes
Dibenzo (a,h) anthracene 34556 No Yes No Yes
Diethyl phthalate 34336 No Yes No Yes
Dimethyl phthalate 34341 No Yes No Yes
Fluoranthene 34376 No Yes No Yes
Fluorene 34381 No Yes No Yes
Hexachlorobenzene 39700 No Yes No Yes
Hexachlorobutadiene 34391 No Yes No Yes
Hexachlorocyclopentadiene 34386 No Yes No Yes
Hexachloroethane 34396 No Yes No Yes
Indeno(1,2,3-cd) pyrene 34403 No Yes No Yes
Isophorone 34408 No Yes No Yes
N-nitroso-di-n-propylamine 34428 No Yes No Yes
N-nitrosodimethylamine 34438 No Yes No Yes
N-nitrosodiphenylamine 34433 No Yes (No Yes
Naphthalene 34696 No Yes No Yes
Nitrobenzene 34447 No Yes No Yes
Phenanthrene 34461 No Yes No Yes
Pyrene 34469 No Yes .No Yes
Metals
Aluminum 01104 No Yes _No Yes
Antimony 01°97 No Yes No Yes
Arsenic 01002 No Yes No Yes
Beryllium 01012 No Yes No Yes
Cadmium 01027 Yes No Yes No Below
Reportable Limit
Chromium 01034 Yes No Yes No 0.00455
Copper 01042 Yes No Yes No 0.15725
Lead 01051 yes No Yes No 0.0023
Mercury 71900 Yes No Yes No Below
Reportable Limit
Molybdenum 01062 No Yes No Yes
Nickel 01067 Yes No Yes No 0.00902
Selenium 01147 No Yes No Yes
Silver 01077 No Yes No Yes
Thalium 00982 No Yes No Yes _
Zinc 01092 Yes No Yes No 0.1843
Title: lU Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 111P Application\1WSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 11 of 19
L

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)
Other Inorganics
Barium 01007 No Yes No Yes
Chloride 00940 No Yes No Yes
Cyanide 00720 No Yes No Yes
Fluoride 00951 No Yes ,No Yes
Purgeable Volatile Organics
l,1,l-Trichloroethane 34506 No Yes No Yes
1 l,1,2,2-Tetrachloroethane 34516 No Yes No Yes
1,1,2-Trichloroethane 345H l No Yes No ,Yes
1,1-Dichloroethane 34496 No Yes No Yes
1,1-Dichloroethylene 34501 No Yes No Yes
1,2-Dichloroethane 34531 No Yes No Yes
1,2-Dichl_oropropane 34541 No Yes No Yes
2-Chloroethyl vinyl ether 34576 .No Yes No Yes
Acrolein 34210 No Yes No Yes
Acrylonitrile 34215 No Yes No Yes
Benzene 34030 No Yes ,No Yes
Brornodichloromethane 32101 No Yes No Yes
Bromoform 32104 No Yes No Yes
Bromomethane 34413 No Yes No Yes
Carbon tetrachloride 32102 No Yes No Yes
Chlorobenzene 34301 No Yes No Yes
1 Chloroethane 34311 No Yes No Yes
Chloroform 32106 No Yes No Yes
Chloromethane 34418 No Yes No Yes
cis 1,3-Dichlorop_ropene 34704 No Yes No Yes
Dibromochloromethane 32105 No Yes No Yes
Ethylbenzene 34371 No Y No Yes
Methylene chloride 34423 No Yes No Yes
Tetrachloroethylene 34475 No Yes No Yes
Toluene 34010 No Yes No Yes
trans 1,3-Dichloropropene 34699 No Yes No Yes
trans-1,2-Dichloroethylene 34546 No Yes No Yes
Trichloroethylene 39180 No Yes No Yes
Trichlorofluoromethane 34488 No Yes No Yes
Vinyl chloride 39175 No Yes .No Yes
Others
Xylene No Yes No Yes
Acetone Yes No Yes No 3.264916
n-Amyl acetate Yes No Yes No Below
Reportable Limit
Ethyl acetate Yes No Yes No Below
Reportable Limit
Isopropyl acetate Yes No Yes No Below
L Reportable Limit
Title: 111 Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 IUP Application\I WSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 12 of 19

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)
Others (continued)
Methylene chloride Yes No Yes No Below
Reportable Limit
Cyanide Yes No Yes No 0.003683
Title: IU Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 IUP Application\IWSlongform City of Monroe l3Mar18.docx
Revision date: 12/30/97 Page 13 of 19
I J

Data Summary Form
City of Monroe <= Receiving POTW
WWTP
NC0024333 <= Receiving NPDES #
Glenmark <= Specific Sample Location!
Pharmaceuticals Inc., i.e., Give IU Name, IUP#, and/or pipe#
USA, CM-33, Pipe#:
001
BOD TSS Ammonia
Lab => Laboratory performing analysis=> Prism Laboratories,Inc. Prism Laboratories, Inc. Prism Laboratories,Inc.
MDL=> Laboratory Method Detection Limits=> NA 0.40 0.0046
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 01/19/17 M 0.005189 30 14 0.20
2 02/15/17 M 0.000574 30 62 < 0.10
3 03/21/17 M 0.001906 39 < 25 < 0.10
4 04/19/17 M 0.002658 210 47 < 0.10
5 05/17/17 M 0.005165 200 35 0.25
6 06/15/17 M 0.003791 95 < 36 < 0.10
7 07/18/17 M 0.002823 43 35 < 0.10
8 08/17/17 M 0.004561 27 5.6 < 0.10
9 09/21/17 M 0.003142 22 < 12 < 0.10
10 10/20/17 M 0.006099 44 34 < 0.10
11 11/10/17 M 0.002344 110 16 < 0.10
12 12/07/17 M 0.001744 34, 14 < 0.10
TNS => Total number of samples=> 12 12 12
Max. value => Maximum data value (mg/1)=> 210 62 0.25
Avg. (use 1/2 BDL) => Avg. data value, Include BDL values as 1/2 73.7 24.925 0.08
detection limit=>
Title: [U Wastewater Survey & Permit Application
File name: N:\City of Monroe'‘2018[UP ApplicationJWSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 14 of 19

Data Summary Form
City of Monroe WWTP <= Receiving POTW
NC0024333 <= Receiving NPDES #
Glenmark <= Specific Sample Location!
Pharmaceuticals Inc.,
USA, Pipe#: 001
i.e., Give IU Name, IUP#, and/or pipe#
Arsenic I Copper Chromium Cadmium COD pH
Lab => Prism Laboratories,Inc. Prism Laboratories,Inc. Prism Laboratories, Inc. Prism Laboratories,Inc. Prism Laboratories, Inc. Prism Laboratories,Inc.
MDL=> 0.00042 0.00023 0.00015
Notes=> Qualifier=BL on
Sample 1
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 <? S.U.
1 01/19/17 ABSENT 0.038 0.0032 < 0.0010 SUSPECTED 7.49
2 02/15/17 ABSENT 0.095 0.0071 < 0.0010 SUSPECTED 7.00
3 03/21/17 ABSENT 0.027 0.0074 < 0.0010 SUSPECTED 7.02
4 04/19/17 ABSENT 0.068 0.0024 < 0.0010 SUSPECTED 6.90
5 05/17/17 ABSENT 0.079 0.011 < 0.0010 SUSPECTED 6.94
6 06/15/17 ABSENT 0.15 0.0029 < 0.0010 SUSPECTED 6.70
7 07/18/17 ABSENT 0.37 0.0067 < 0.0010 SUSPECTED 6.51
8 08/17/17 ABSENT 0.32 0.0062 < 0.0010 SUSPECTED 6.96
9 09/21/17 ABSENT 0.11 0.0013 < 0.0010 SUSPECTED 6.86
10 10/20/17 ABSENT 0.21 0.0021 < 0.0010 SUSPECTED , 6.98
11 11/10/17 ABSENT 0.22 0.0019 <1 0.0010 SUSPECTED 7.21
12 12/07/17 ABSENT 0.2 0.0024 < 0.0010 SUSPECTED 6.34
TNS => 0 12 12 12 0 12
Max. Value => 0.37 0.011 <0.0010 7.49
Avg. (usel/2 BDL) _> 0.15725 0.00455 0.0005 6.91
Title: lU Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 1UP Application\IWSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 15 of 19

Data Summary Form
City of Monroe WWTP <= Receiving POTW
NC0024333 <= Receiving NPDES #
Glenmark<= Specific Sample Location!
Pharmaceuticals Inc., i.e., Give IU Name, IUP#, and/or pipe#
USA, CM-33, Pipe#:
001
Cyanide Lead Mercury Nickel Silver Zinc
Lab => Prism Laboratories,Inc. Prism Laboratories,Inc. Prism Laboratories, Inc. Prism Laboratories, inc. Prism Laboratories, Inc.
MDL => 0.0010 0.00015 0.000036 0.00023 0.0010
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 01/19/17 < 0.0050 0.0046 < 0.00020 0.009 ABSENT 0.072
2 02/15/17 < 0.0050 0.0025 <I 0.00020 0.028 ABSENT 0.27
3 03/21/17 0.0082 0.0012 < 0.00020 0.012 ABSENT 0.11
4 04/19/17 < 0.0050 0.0017 < 0.00020 0.0083 ABSENT 0.26
5 05/17/17 0.0360 0.0027 <_ 0.00020 0.016 ABSENT 0.18
6 06/15/17 < 0.0050 0.0012 < 0.00020 0.0059 ABSENT 0.28
7 07/18/17 < 0.0050 0.0038 < 0.00020 0.0043 ABSENT 0.24
8 08/17/17 < 0.0050 0.0017 < 0.00020 0.0087 ABSENT 0.21
9 09/21/17 < 0.0050 < 0.0010 < 0.00020 0.0056 ABSENT 0.11
10 10/20/17 < 0.0050 0.0032 < 0.00020 0.005 ABSENT 0.14
11 11/10/17 < 0.0050 0.0023 < 0.00020 0.009 ABSENT 0.15
12 12/07/17 < 0.0050 0.0031 < 0.00020 < 0.0020 ABSENT f 0.19
TNS => 12 12 12 12 0 12
Max. Value => 0.036 0.0046 <0.00020 0.028 0.28
Avg. (use1/2 BDL) _> 0.0058 0.0024 0.00010 0.00715 0.18
Title [U Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018[UP Application\IWSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 16 of 19

Data Summary Form
City of Monroe WWTP<= Receiving POTW
NC0024333 <= Receiving NPDES #
Glenmark<= Specific Sample Location!
Pharmaceuticals Inc., i.e., Give IU Name, IUP#, and/or pipe#
USA, CM-33, Pipe#:
001
Oil and Grease Acetone Ethyl acetate Isopropyl acetate Methylene n-Amyl acetate
Chloride
Lab => Prism Laboratories, Inc. Prism Laboratories,Inc. Prism Laboratories, Inc. Prism Laboratories,Inc. Prism Laboratories,Inc. Prism Laboratories,Inc.
MDL => 0.98 0.036 0.0014 0.0016 0.00031- 0.00025
0.0012 0.0025 (#4)
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 01/19/17 5.4 0.025 < 0.010 < 0.010 < 0.0050 < 0.0050
2 02/15/17 < 5.0 1.700 < 0.010 < 0.010 < 0.0050 < 0.0050
3 03/21/17 < 5.0 0.120 < 0.010 < 0.010 < 0.0050 < 0.010
4 04/19/17 < 5.0 9.100 < 0.010 < 0.010 < 0.050 < 0.050
5 05/17/17 < 5.0 0.034 < 0.010 < 0.010 < 0.0050 < 0.0050
6 06/15/17 < 5.0 3.900 < 0.010 < 0.010 < 0.0050 < 0.010
7 07/18/17 < 5.0 0.190 < 0.010 < 0.010 < 0.0050 < 0.0050
8 08/17/17 < 5.0 0.730 < 0.010 < 0.010 < 0.0050 < 0.010
9 09/21/17 < 5.0 1.800 < 0.010 < 0.010 < 0.0050 < 0.0050
10 10/20/17 < 5.0 0.590 <) 0.010 < 0.010 < 0.0050 < 0.0050
11 11/10/17 < 5.0 20.000 < 0.010 < 0.010 < 0.0050 < 0.0050
12 12/07/17 < 5.0 0.990 < 0.010 < 0.010 < 0.0050 < 0.0050
TNS => 12 12 12 12 12 12
Max. Value => 5.4 20.000 <0.010 <0.010 <0.0050 <0.010
Avg. (use1/2 BDL) _> 2.7 3.265 0.005 0.005 0.0025 0.0050
Title: IU Wastewater Survey & Permit Application
Fife name: V:\City ofMonroet20IS IUP Application\lWSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 17 of 19

Part V, Waste Reduction Information :
State Pretreatment Rule 15A NCAC 214.0916 (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
W13 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
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
File name: N:\City of Monroe\2018(UP ApplicationUWSlongform City of Monroe 13Marl 8.docx
Revision date: 12/30/97 Page 18 of 18

Current Projected Code Description
W52 Modified equipment, layout, or piping
W53 Use of a different process catalyst
Yes W54 Instituted better controls on operating bulk containers to minimize
discarding of empty containers
Yes 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)
Title: IU Wastewater Survey & Permit Application
File name: N:\City of Monroe\2018 IUP Application\IWSlongform City of Monroe 13Mar18.docx
Revision date: 12/30/97 Page 19 of 19
I

.LSl 1. ! R'flI31YY1t. AAVII 1VIIIIVd
13N1l.XINNV

Raw Material List for Monroe Site:
Pravastatin Sodium USP
Crospovidone(Polyplasdone-XL)
Corn Starch(Purity 21 A)
Colloidal Silicon Dioxide
(Aerosil 200)
Diluted Nitroglycerine
(2%w/w Nitroglycerine in lactose)USP
Lactose Monohydrate
(Pharmatose 200M)NF
Hydrophobic Colloidal Silica
(Aerosil @R972 Pharma)NF
Glyceryl Behenate NF
Pregilatinized Starch(Starch 1500)NF
Croscarmellose Sodium
Glyceryl Behenate NF
(Ac-Di-Sol SD-711)NF
Calcium StearateNF
Sodium starch glycollate (Type A)(Primojel)USP-NF
Magnesium Stearate USP-NF
Ezetimibe
Lactose Monohydrate(Pharmatose 200M)
Sodium Lauryl Sulphate(Stepanol WA-100)
Sodium.Starch Glycolate(Primogel)
Povidone(Kollidon K-30)
c

Atovaquone
Proguanil Hydrochloride
Micro-crystalline Cellulose(Avicel PH101)
Low Substituted Hydroxypropyl Cellulose
(L-HPC LH-21)
Sodium Starch Glycolate(Primojel)
Poloxamer 188
(Lutrol F68)
Povidone K-30 (Kollidon 30)
Ursodiol USP
Acamprosate Calcium
Fenofibrate(micronized) USP
Lactose Monohydrate(Pharmatose 200 M) NF
Crospovidone(Polyplasdone XL 10) NF
Pregelatinized Starch(Starch 1500) NP
Povidone(Plasdone K 29/32) USP
Sodium Lauryl Sulphate(Stepanol WA100) NF
Lactose Monohydrate(Super Tab 11 SD) NF
Crospovidone(Polyplasdone XL 10) NF
Colloidal Silicon Dioxide(Aerosil 200) NF
Talc USP
Microcrys-talline cellulose USP-NF
Polyvinyl pyrrolidone(Plasdone K-90 D)USP

,.‘
III
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DETAIL-FLOOR AND TRENCH
DRAIN PROTECTION 2 DETAIL-INTERIOR CLEANOUT 3 DETAIL-PIPE SLEEVE(CONCEALED) 4 DETAIL-PIPE SLEEVE THROUGH SLAB(EXPOSED) ' I.;. ':'-;.'a..:"::":-:--' (_
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5 DETAIL-PIPE SLEEVE BELOW GRADE 6 (ABOVE GROUND) 7 AREAS CLOSED)FINISHING SUITE 8 MIXING VALVE
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9 DETAIL-WATER HEATER(ELECTRIC) „.m.,,.. +•••�- �_•••
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C
'B t.f .-,........-. FA ILfTY FORMULATION
'• PLUMBING
.....,..,..,..-. DETAILS
i
P6.01

SIU INSPECTION FORM
Name Of Industry: G�e nr r. IUP# c nA - 3 3
Address Of Industry: I 1 W.1 leo lot r- lr.-e 0.c) IUP Expiration Date:
I`nor R/ N-C aye 1 I O (4>-3�J-1g
Ind)�stry Representatives: Title _
h 11e R- rrac.K `H (`��ill,c.e
130),..k !S 1.,k4A 1 t'4 f4 L ^iC
POTW Representatives: Title
�e.�.r. Keys\er t'-i C 00{c.A.
Date Of Inspection: I '9-(2 11 Time Of Inspection: ) am/pm dam" 1 I
Purpose of Inspection: Annual ,/ Other(Describe)
POTW to which IU discharges C;Ay o- fY-onto NPDES# NC.O0 a 4 3 3 3
Is SIU currently in SNC? /JO If yes,for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS,�if
Product S/0 '� p T c4..-k--k,2 5
Raw materials used /NO A kb4,74-dr‘42.5
Manufacturing processes /NS rtie"..t tti 42( k:,ve n l to I 5e
Categorical, if applicable YES 4,4, t 3\„M'1
Production rate YES/4j) -4e5-k (DIc+ S-c--
Number of employees ,-ES/NO i^ k 3
Number of shifts YES/ \ 56i-
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?
2. Are production areas diked,contained, therwise constructed in such a way as to prevent harm to the
WWTP, especially from spills or slugs? ES NO Comments:
3. Are there floor drains in the storage area? a NO Where do they go? ' 1
4. Are storage tanks and areas diked,contained,; otherwise constructed in such a way as to prevent harm+`4`
to the WWTP,especially from spills or slugs? +/NO Comments:
5. Are process and storage tanks and pipes labeled? YES/
6. How are off-spec raw materials,and products disposed of? 1,_r (t lk .- ,J p +
7. When is the production area cleaned? e-ot c l'
8. Is the wastewater from cleaning the production area discharged to the POTW? /NO
9. What non-process wastewaters are discharged to POTW? ekerre4 C t f R D 5'h
boAei
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 o ledggable about the system? 0/NO Comments:
2. Are all units operational? S NO
3. How often does operator/maintenance rson check system? elU-i k Y a- C-eas i
4. Is there an operator for each shift? /NO r
5. How and when is sludge disposed of? t•-)t) 5`�cA� 1,8
6. Is there a schedule for preventativeaintenance? /NO
( C,K t 1 S*-
Comments:
PART II-Plant Tour Section C- SAMPLING POINT(S)AND FLOW
MEASUREMENT
(Collect a sample if desired.) 1")
1. Does an outside lab complete sampling? ell4 NO If yes,name of lab. 1 r t S IY\
2. If industry completes sampling,ask the indus• rppresentaiive to describe isampling procedures.
Comments: 2�.z c-9 Z O re••n L..- 5 / co /
,:, c,1 (,-a3 3. Is flow measurement equipment operational? (NO Comments:
4. Is there a calibration log for the flow meter? 4 NO Comments:
Comments:
PART III-EXIT INTERVIEW
Review monitoring records anil.ather SIU records required by IUP.
1. Are files well organized /NO Comments:
2. Are sample collection/chain-of-custody forms filled out properly?©/NO Comments: _
3. Do results in files agree with reports sent to POTW? )/NO Comments:
4. Who hp authority to shut down production�1Lshould a spill or slug discharge occur? j p
eN..G C Yr'5 %.,--.111 `JY1 ,+ $XS-Wry^ C l'r ( Sec-v;,+y C/ I l b2 C u 1(ec
5. How does SIU inform employees of whom to call at POTW in case of spill/slug?
G.4e..rrv'5 ,/ CO( tis+'
If slug/spill plan is already required by P ,review procedures.
6. Is SIU implementing slug/spill plan? /NO Comments:
Comments: ►l a Co -C a(�, (t c vr•
vv, �� Copy
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES/ZIO
Comments,Required Or Recommended A ons:
Signature Of Inspectors) o(np 01,,,,a0, Date: !d�G--(%
CL
17 Date: IC)--a(e-17
Title: SN Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 2

\1 " Ionroe
North Carolina
June 7, 2018
Mr. Ken Bartlet
Plant Manager
Great American Snacks, Inc.
2701 Simpson Street
Monroe,North Carolina 28112
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear Mr. Bartlet:
Please find enclosed herein Industrial User Permit CM-32 authorizing Great American Snacks,
Inc. 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, 2021 and
specifying the conditions governing this discharge. All Significant Industrial User permits are
subject to review and approval by NCDWR PERCS Unit. 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.
Should you require additional information please do not hesitate to contact me at(704)-282-4632
Respectfully,
Kevin Keesler
Pretreatment Coordinator
c: WWTP/IUP file
Mr. Russell Colbath
I:\8040 WWTP and Collection\Pretreatment program\Industries\Great American Snacks
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-32 - N/A
SUP 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:
Great American Snacks,LLC
Facility Located at Street Address:
2701 Simpson Street
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 1,2018
Expiration date,this permit and the authorization to discharge shall
expire at midnight on this date:
June 30,2021
Date Director of Water Resources
Page:1
Effective Date:July 1,2018

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:
Great American Snacks,LLC CM-32
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1,2018 01
IUP Expiration date: LUP 40 CFR#(if applicable),or N/A:
June 30,2021 N/A
B. IUP History:
Effective Date: Renewal or Modification: Description of modifications.
July 23,2012 New Permit Permit Issued
July 1,2015 Renewal Permit issued; changed TSS detection
limit.
October 19,2016 Modification Name Change.
July 1,2018 Renewal Permit Issued
IUP#=>CM-32
Page: 2
Effective Date:July 1,2018

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
non-aerated equalization
pH adjust
Aerated equalization
Flocculation
DAF
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#O1 Description of Discharge:
Process wastewater,Cooling water and Boiler blowdown
Pipe#Q.Z.,Description of Discharge:
IUP#=>CM-32
Page:3
Effective Date:July 1,2018

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.
IUP#=>CM-32
Page:4
Effective Date:July 1,2018

Part 1
Part 1. Effluent Limitations and Monitoring Requirements
A. Description of Discharge (s)
Pipe No. Description
01 Process Wastewater
Simpson St.
2701
— -- -� -- — Pretreatment
Unit
01 Sample Point
City Sewer
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IUP,Part I, Section F: Receiving POTW name=>City of Monroe IU name=>Great American Snacks,LLC
Effluent Limits and Monitoring Requirements Receiving POTW NPDES#_>NC0024333 IUP#_> CM-32
Effective date for these Limits=>7/1/18 Pipe#_> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=>6/30/21 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=> 1
Conventional Concentration Limits Mass-Based Limits Monitoring Freguenc Sample Required
Y P
Parameters* Daily Weekly Units Daily Monthly Units by Industry by POTW Collection laboratory
Max Avg. Max Avg. Method Detection
(C or G) Limits
Flow*** 0.125 MGD MGD Daily** ,
BOD mg/1 750 lbs/dayMonthly4/6 months C 2.0 m 1
P� �
TSS mg/1 250 lbs/day Monthly 4/6 months C 2.5 mg/1
Temperature Deg. C Deg. C
pH 6 to 11 Std. Units Std.Units Monthly 4/6 months _ G
Other Parameters,Please list alphabetically
Ammonia mg/1 15 lbs/day Monthly 4/6 months C 1 mg/1
TKN monitor mg/1 monitor lbs/day Monthly 4/6 months C .5 mg/1
mg/1 lbs/day
mg/1 lbs/day
mg/1 lbs/day
Nickel monitor mg/1 monitor lbs/day 1/6 months 2/6 months C .010 mg/1
Zinc monitor mg/1 monitor lbs/day 1/6 months 2/6 months C .010 mg/1
Oil&Grease 50 mg/1 lbs/day Monthly 4/6 months G 5 mg/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:
** The flow meter totalizer shall be recorded each day of discharge with the data submitted as required in PART II(2).
*** Permitee is advised that if average day flow for normal process operation is less than 85 % of the flow limit the permit may be modified and the flow
limit reduced to avoid stranding POTW capacity.
IUP,PART I,Page: 5
Effective Date:July 1,2018

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. 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-32
Page 6
Effective Date:July 1,2018

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.
approval by,thepermit issuingauthority.
Monitoring points shall not be changed without notification to ,and ty
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,
form with the phrase "no discharge" shall be submitted under the signatory requirements of Part II,
a og g
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-32
Page 7
Effective Date:July 1,2018

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
c) Laboratory reports for monitoring by Industry and by POTW 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-32
Page 8
Effective Date:July 1,2018

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 H,Section 30,of this permit
4. The permittee complied with any remedial measures required under Part H, Section 5,of this permit
IUP#=>CM-32
Page 9
Effective Date:July 1,2018

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 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. "
IUP#=>CM-32
Page 10
Effective Date:July 1,2018

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
n d bythe Cityof Monroe Sewer Use Ordinance. If the designation
The Authorized Representative shall be as defined g
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.
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.
IUP#=>CM-32
Page 11
Effective Date:July 1,2018

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
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 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.
IUP#=>CM-32
Page 12
Effective Date:July 1,2018

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
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 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.
IUPI >CM-32
Page 13
Effective Date:July 1,2018

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 anwer,the Wastewater Treatment Plant Superintendent,telephone number(704) 226-6093 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-32
Page 14
Effective Date:July 1,2018

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 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 at least
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-32
Page 15
Effective Date:July 1,2018

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. 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. Special Reopener
The City of Monroe reserves the right to reopen and modify/change limits and or sampling frequency as deemed
necessary.
Plan
Sludge Management P an
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.
IUP#=>CM-32
Page 16
Effective Date:July I,2018

PART III
Special Conditions
Industrial User Pretreatment Permit (IUP)
7. 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-32
Page 17
Effective Date:July 1,2018

IUP Synopsis
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe NC0024333
IUP name: IUP Number:
Great American Snacks,Inc. CM-32
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1, 2018 01
IUP expiration date: IUP 40 CFR#,if applicable:
June 30, 2021
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
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,
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/day5% MAHL, lbs/day
RATIONALE#5b:
Categorical Parameters with Waived Monitoring:
Monitoring is waived for the following categorical parameters (attach
documentation of waiver justification).
3
J

e,c c.) 1- 25-I (�
COVER PACE
Company Name: Great American Snacks,Inc.1ixmerly Great American
Appetilor,Inc-
Mune of rospunsihle pees=on she at the facility audutirized to mirrcaent the Name of alternative on site peen familiar with the day to day operations.
company in official dealings with the Sewer Authority antltor the City, etwirontneutal permitting requirements, monitoring. record keeping, and
Mr.Kenny Barnett data managcmrnt..
Robert Moore
Title Plant Manager Years with firm 3 Title Maintenance Supervisor Ytars with rtm, 2
Phoned 704-291-4194 Flre u Pltt>Ptc# 704-221-2669 [Fat
Physi al street address of facility Official ntailine address,ifdi:1iecn1 Note i rsanic.
Same
2701 Simpson Street
City Monroe I ate NC Zip 28112 City State Gp
The information provided by you on this questionnaire serves two functions:
1. The inform}ation 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 mation 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
submit, g fa s information including the possibility of fine and/or imprisonment for
.kpowi -g violation's.
. I A zore,
f . •
t�' + u of ' ut t 'r. i •sentaytive bate
iistcdd,bove f:. applicable
{
Page I of 188

1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
Manufacturing of cheese, vegetable, bread and onion ring appetizers for Retail and Food
Service Chains.
2. List the primary products produced at this facility:
Appetizers include breading and battering of vegetables,par-frying breaded broccoli and
Cheddar nuggets,cheeseapenos, cheese sticks/curds/triangles,zucchini,okra,pickle
Slices/spears, cauliflower, mushrooms,French toast and various veggies.
3. List raw materials and process additives used:
Dehydrated onion,whole mushroom, whole zucchini an slices along with stuffed peppers
Pickles,okra,macaroni, batter,predtist and breader coatings in conjunction with spices
Powders,cheese items,natural sugars and sweetinrs and bread_
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.
2 shifts per day, 125 employees per day spread across the two process shift.
Working 5 days per week and some Saturdays depending upon customer demand.
6. Production process is: Check, if all continuous ME
Check, if all batch
If both please enter. %continuous= % %Batch= %I •
Pare 2 of IRS
f

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.
' 3
Yes
No x
9. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled oft
Valley Protein, Inc. (1) Trailer for daily production
PO Box 718 (1) Trailer for daily DAF residue
[phone]
o`laboratoryanalyses performed in the last year on the wastewater
1 Q. Attach a copy 1 ) pe
discharge(s) from your facilities. Summarize data on the attached Data Summary
Form.
Refer to the sample data transmitted to the City of Monroe for 2013.
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
Included
•
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
x
Pow 3 of UM
1

13. Do you have, or have you ever applied for, been issued, or been denied
al? 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 a ply for them,or reason denied.
tt'ycs: Ppnrrit,#,date.applicant name timet American Appetizers 2791.yimpx ii Swot 14k'nmr NC 2812 X
Gwen]P rntit Iv�s1.NCC O60U(n; COC NO.W.110 03O August 2G.2(6I 1 es
tat
If yes: Permit.i},date.applicant name
NO
1.4. 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. ambers,
dates,and blames used to apply for them. . .
11'yes: Permit. ,date,applicant name Great American AppetizerOnc. Monroe CM-32XYds
NC0024333 Jnty 1,201
If yam: Pe7nait. date,applieteet mom Grca1/ii criean Appetizers- No
1.5. 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 appiy.for them,.
11} Pend tree,k,date.applicant name
I
Yes
IIMMI
II'yin-, Pimnit type,it.due,applicant name X
No
if yes: Permit type. .date.applicant mime
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 liral •
No
18, Do you have any underground storage tanks at your facility? If yes, list
contents and volume of each tank.
M.Yes .
No 11111.
•r
rag, 4of188

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,
Y`es X #of Tanks 13
1 Soybean Oil 10,000 gal. w/containinent No
1 Soybean Oil 20,000 gal. w/containment
l Meisel Fuel 5Q0 gal w/containment
I Used oil tank 500 gal. vecontainment
2 Chilled water 10,000 gal. not in use
I CO2 tank 100.000 Ib.
1 N1-13 high pressure 12,000 lb. in use
l NH3 high pressure 6.000 lb. not in use
I R4 Vessel 4,000 ib. in use
I Low Prissur�; Vessel 4,000 lb. in use
2 Polymer Tanks 500 gal. w/containment
}
{
•
•
•
Para 5 of FSS

r
i
i.
industr al User Wastewater Survey&Permit Application
PART 4, Water Supply,Use,& Disposal Worksheet:
Water Used fax-: Water Avg. Max. M : F Disposal Avg. Max, M F •
1 galfday sal/day e st gal/day gal/day e st
t SOurce(sa i i Method(s) a i
$ iu • s tit
ti ' at u at
re @ re e •
d d d d
i (see Source List below) (see Disposal List below) n
1.. Process water City of Monroe 40,000 50,000 X City of Monroe 40,000 50,000 x
?_ Walihdown water 'City of Monroe 60,000 80,000 X City of Monroe 60,000 80,000 x
3. Watijjer into product City of Monroe 10,000 - 15,000 X City of Monroe 10,000 15,000 x
4, Air Quality Permitted units None _.,..4
5. Do.r estic -toilets,drinking.cafe City of Monroe 3,800 4,500 X City of Monroe .3,800 4,500 x
L...„6, Cooking water,Process NON-Contact None
7. Bonet/Cooling tower blowdown �''-
q g City ot't�lonroe 1,x00 2,500 X City of Monroe •�1,500 � 2,500 � x
f a ,
8. Coing water,HVAC
9, Othir;
r a
.
Tota is :> 115,000 152,000 Totals,.. 1115,000 152,000
I Typical Water Sources:.__ Possible Water Disposal Methods
I. City f Public supply 1, Sanitary sewer.with pretreatment _.
2. Private wells,drinking 2. sanitary scwer.,without pretreatment
3. Groundwater remediation wells 3, Storm sewer
4. Private ponds 4, surface waters ofNC
i 5. Surface waters of NC,please identify 5. Evaporation
r
t 6. Include others if applicable 6. Land applied
7. E'o. i'ourLcfwuicr
5. Scptic"funk
itd- waste 1-laukrs(ideritifv)
ltl. Wafter into Product
I1 1. Include others, if applicable
Pagyc 15 oft 84
i
5

PART III PRETREATMEW FACILITIES:
Arc 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—` ISM
,
NON-Aerated equalization=> x
Total volume of equalization (million gal.)=> , A 6
2. Activated Carbon Ycs E No Describe any,if present_
3. Activated Sludge Yes lill No IIIII
4. Air Stripping Yes No 11111
5. Centrifugation Yes MI No t
6. Chemical Precipitation Yes No 1111
7- Chlorination Yes Ell No IN.
R_ Cyanide Destruction Yes No
9. Cyclone Yes MI No
10. Dissolved Air Floatation Yes x No IIIII
1 I. Filtration Yes No 1111
12. Flocculation Yes 1111 No 1111
13. Grease Trap Yes MI No 111111
14_ Grit Removal Yes i x No
15. Ion Exchange Yes 111. No
16, Neutralize,p1-1 adjust Yes x , No
17. Other Biological Treatment Yes IIII No
13. Ozonation Yes No
19. Reverse Osmosis Yes 111111 No
20. Screening Yes MI No
21. Sedimentation Yes - No •
22. Septic Tank Yes - No ••
23, Silver Recovery Yes 111111 No
24. Solvent Separation Yes 11111 No
25. Spill protection Yes x . No
List any others.
ram 7 of MB

PART IV, CATEGORICAL INFORMATION:
When were operations started at this facility- Facility startup date
Operations began prior to 1983, multiple GAA began process
owners_ in July of20l2,
GAS assumed
ownership in Sept.
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 frcw the Chamber of Commerce.
2038
3. I-ias this facility ever been considered a Categorical Industrial laser
(CM)as described by the Code of Federal Regulations(40 CFR)?
•
If yes, give complete 40 CFR number
No, k
4. Are any other facilities owned and/or operated by your company
permitted as Categorical industrial Users(CITA)as described by the
Code of Federal Regulations(40 CTR)?
If yes please give name(s), location, and 40 CFR number. Yes
^ k
No
{
rue 13 of i81C

PART W, CATEGORICAL INFORMATION:
(continued)
5. Check any activities listed below that are performed at your facility:
Check 40 Check 40
below C1 Ril Industrial Activitybelow C:�"its Industrial Activity
467 Aiuinintint Fon ming s 432 Meat products
427 Asbestos Manufacturing 433 Metal finishing
461 Battery Manufacturing 111111 464 Metal molding and casting
431 Builders paper&.board mills 436 Mineral mining and processing
407 Canned&preserved fiuits&veg, I= 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 O1]&gas extraction
434 Coat Mining 440 Ore mining and dressing
465 Coil Coating 446 Paint formulating
468 Copper Footling 443 Paving and rooting materials Mfg.
405 Daily 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 1 459 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 Own Wood Chemicals Mfg. 423 Steam Electric power Generation
460 Hospitals -. 409 Sugar processing
447 Ink formulating 410 Textile Mills
£ 415 Inorganic chemical Manufacturing n. 429 Timber products processing
420 Iron&Steel Manufacturing 442 Transportation Equipment Cleaning
425 Leather Tanning& Finishing x Others
Page 9 of IRS

Wastewater Pollutant Checklist
Chemical Name EPA f 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
(nn,811)
Acid Extractable Or;anics
. .. .....
2-Chloro henol 34536 x _
2..4-Dichlorophenol 3 601 x Y- .. .
2.4-Dirnetlhvinhenoi 146x
2.4 t?initr©.henol 34616 x
2-lwIethr1-4,6-dinitr°i)henct 346571
1 -Chloro-3-rrrCtiMptlenOl.._- 34452 X x .. . . ...__... .......
2-Nitrophenol 3454E S.M , X . ._
4-14itropheno{ 34646
Pentachlorophenol 39132 x....._.., x ,
Phenol .3.-A.-4.
2 4 6-Trichloro)henol 34621 Y
Base Neutral Or_anics
12A-Trichlorohenzene. ... `
±
3454
1?-i�ichiarc+benzene - -
1111111.011111 .11
I 2-Di henvlhvcirazine IZEZIIIIIIIIIIIIIIIIIMIIIIIIIMIMIIIIIIWIIIMIIIIIIIIIMIIIIIIMI
13-Bich1orobenzene 34566 MEI 1111=11111111111.111.11
IA-Dichlorobenzene , 3�1''i
.2 4-D{nitrotoluene . . 346;]
1111111111.111==
24-D nitrotnlaene 34E-6
2-Chloronaphthalene 3,1; '
33-Disrhlorobenzictinc
4-Srorl;opl3enyl phenyl ether INA
IMIEMIIIIMIN
4-Chlorophenol phenyl ether ® x
Acenaphthene 03405 xx
Acenaphthylene 3-42at x x
Anthracene ,a_2i,
X
Benzidine. ryi7lI
Benzo(a)anthracene 34.526 x
Benz°(a)pyrene x
Benzo(b) luoranthene gignimmorM
Benzo(ghi)peryiene II
Benzo(k)f7uorrunlliene `#24'
Bis(2-clito ctl14%V)i31ethan 3x278 •
ais(2-chlo octhyl)ether -
'Bis(2-chloroisopropyl)ether gai IMIIIIII1==nMINIIIIII .
t3is(.�eth_yll�exyl)phthalate� MMEN k i
Butyl benzyl phthalate ® x
C:lrrysene KM' ''�
Di-n-butyl phthalate 3 tin x
M 10QrISS
L

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
(nig/l)
Base Neutral Organics (continued)
Di-n-oct I •hthalate 3459' x x
l hemi a;]1 a>2tllracene '4"6 x x
offillsommismimm
Fluoranthene 34176 x x
Fluot�ctze 343R1 X
Hexaehloroben?cne 1970° x x
Hexachlorobutadiene 34391 X x
Hexachlorocvclo -ntadiene 31386 x x
Ilexachloroethane 34396 X X
Indeno(i 2.3-cd) pyretic 34103 x X
Isophorone 34108 x x
.
N-nitroso-di-n-.ro•viam `a�1
ine 38 x X
N-nitrosodirneth famine 34438 x x
N-nitrosodi her larnine ' 34433 X X
Na htha1ene 34 X X
N itrobeuzene 34447 X X
Phenanthrene 1 34461 I x x
Pyrene I 4469 x X ... .. .
Metals
Aluminum u1 um x X
Antimony 01097 X X
Arsenic G1002 x x
Beryllium 01012 X X .. .
Cadmium 01027 x x
Chromium 01134 x x
•Copper 0R-42 x x
Lead 01051 x x
Mercer 71900 x x
Mol bdenum 111062 . X X 1111111.11 ;
Nickel 01067 x x .. 3
Selenium 01147 x x
Silver E 41077 X x
Thal i urn 00982 X a
Zinc 01092 x x `
P igc 1 E or 188 i

Wastewater Pollutant Checklist
Chemical Name EPA ` Check if [ Check if I Check if Check if Concentration
Storet Present at Absent at I Present in Absent in in Discharge,
Code Facility Facility I Discharge Discharge if Known
r (3ng/1)
Other Inorganics
01007
Barium
. X . . .r. •4-
Chloride _ . 00940 , - X • .
Cyanide 00720 X ._- X
Fluoride .. .. _ cyst X. . .. x
Purgeable Volatile Organics
1.1.1-Trichloroethane 345% i . ...X i _ .X.
i,l?.2-Tetrachloroethane 34518 _ x
1,i,2-Trichloroethane 34511 X________—_---A—......—
I ___.._.
1.1-Dichloroethane 344% X . x
1 I-Dichloroeth leve 3.1501
I i-Dichloroethane 34531 x . .... .. ..
1,2-Dichloroprooane 34$41 - S _ x
2-Chloroethvl vinyl ether 345:6
licroleiti 44210
,ACINIoniti:ile. 34215 N. . ._�_ . x
lacnzene 34030 X i X _
13romodiehlOrt)inethane 32101X, X
Bromofonn 32104 .
'Bromoineihane 34413
'Carbon tetrachloride 32102 � .._ X x
Ch1©rolfenzens 34341 X x
Chloroethane 431 r ., _ . .. .. .. . x
Chloroform 32100 .
,C:hloromcthalle 31418 X _ r__ ,'c :
oro
cis l,3-Dichlororcne 704 _ ?S 1.... . . X
Dibrontochlorotnethane 32105 ,
Ethyl benrcne 34371 X________----X---,
Methylene chloride 3344; - X . .x
Te timehloroethvlene 34475 _ 1c x . - .
`toluene34010
trans I 3-Dia +ro ,iK aac, x .
trans-12-Dichloloethylene 34546 x X
Trichlnroeth Ilene 39114
Trichlorofluoromethane 34488 Y . . . ... X..
Vinyl chloride 39175 .. .. . ._ „X .. ._ .. ... x
Others
Xylene X
_..
Fame 12 of 118

t
„
1 Data Summary Form
City of <= Receiving POTW All sample inforrynnion on Clic
in thc City of Monrok Waste,
Monroe
:
—
Wattr Trait-nom Plank.
....—T----
<= Receiving NPDES #
flitun Fiumc
i <= Specific Sample Location!
t
i.e., Give It”Name, IL/P#,and/or pipe#
i
ROD TSS Ammonia
4 Lab => Laboratory performing analysis=>
J
1 MDL '-'-> Laboratory Method Detection Limits=>
.i Notes => Notes=>
Q = Flow
—.,..,.....4
• Sample! Date Notes about Sample M=Metered Cone. Results ! Cone.. Results from. Conc. Results :
ID,or i Sample E =Estimated from Lab Lab from Lab
Count Collected •
„
i.
rrigd gal/day <? mg/1 ‹? mg/I mg/I
i •
1 • •
• __ ____„_4 ..
1 i
2 i • I
) . I
4
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e
1
1*••• '
71
i
8 . I
•
10 I
11 I
12 1
,
INS => Total number of samples,-..,> _
•
1 :
Max, value Maximum data value (mg/0=>
Aug. use 112 IOW—> Avg. data value, Include BDL values as 1/2 detection limit=>
i
i
i
, .

i
Data Summary Form
I
......,
City oi Monroe '<.-4 Receiving POTW Savanic information
i on Re at thc City of
Monro4.WttS1cvetar
- Tneatnuat Mont.
< Receiving NPDES #
t
..,
Plant 11 ern
< Specific Sample Location!
i.e.,Give 1U Name, IUP#, and/or pipe#
i
i
1
I Arsenic Copper Chromium Cadmium COD Copper
Lab--->
MDL=>- . .
i . .• .
Notes---->
Sar4le Date Sample Cone. Results Cone. Results Cone, Results Cone.Results• <? Com Results Cone. Results.
ID tr
Collected from Lab
‹?
. from Lab
‹? from Lab
ing/1 <i :from Lab
mei from Lab
om Lab
.<? from Lab
Couht
infill : nie
mei
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, .II
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.III _
4i • MEM
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.
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6 IIIIIII.IIIIII Ili '''''-
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' 1.11
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11 .
-,
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TNS ----->
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Max. Value --i> ------‘-',,__J 11111111.1111 __ ___A 111111111111111
Ails. (use 1/2 I3DL)•----> MIMI 7-- 111111.1111 IIIIIIIMI
i _
1
1
i
, .4.- . •

;
1
Data Summary Form
,
City of.Monroe <= Receiving POTW All$aimple
iritiarritatirmi um file ra
the.City or Monne
Wastewater
Trcotraemt Platt
<= Receiving NPDES#
Plan Flume <= Specific Sample Location!
IIIIIIIIIIIIIIIIIIII i.e.,Give IU Name, IUP#,and/or pipe i#
1 ,
r . Cyanide r--- Lead Mercury Nickel Silver Zinc
Lab----->'--
I MDL
1
Notes ---> '
Sami)ke Date Sample Conc. Results! Cone.Results Conc, Results Cone. Results Cone. Results Cone. Results
ID ebr Collected from Lab : from Lab from Lab from Lab from Lab from Lab
k...oupt — _____
---
<
mg/I < rrigli <? mg/I < • mg/1 <? mg/I .< mgil
1
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-): . .
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9.
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Max. Value==> = _
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1
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;

,
I
Data Summary Form
i
Cityl'of Monroe <= Receiving POTW
....
<= Receiving NPDES #
Plant Flume
<= Specific Sample Location!
Le.,Give IU Name, [UN, and/or pipe 4 All sample
infurmatiort oni(11c at
thy City orlvtaorac
Wastewater
TreatmcnPlant
t
i
Other Other Other Other Other Other
Lab =>
i MDL=>
Notes=>
Sample Date Sample Cone. Results Cone.Results Cone. Results Cone,Results Cone, Results Cone. Results
IDti)r Collected from Lab from Lab from Lab from Lab from Lab from Lab
Cot1t ._
1 el mg/1 IN mg/I 111 mg/I ,<A)
, mg/I mg/1 gli nighI
– 1
MI_
21 IMINAIIII1111111111.1111.11111111111111 —
"ti III IIII 111. IN
4,1 111111111111111111 II 111111111 M
5! MI Mill1111111•111111111111111111111111111111111111
111
6! NIIIIIIIIIINIINIIIIIIIIIMIIMIIIIIIIIHINIIIIIIIIIIIIIIIIIIIIIIIIIII
7 Iri
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9i
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, - ........____
i TNS => S
Max. Value=>
. , . .
A4g. (use1/2 BDL) => ,
IL 00
- _ 1
,
s
1

Part V, Waste Reduction Information
State Pretreatment Rule ISA NCAC 214.0916 (c)(1)(Ivi) 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
;t J 1 W13 Improved maintenance scheduling recordkecping, or procedures
x
W14 Changed production schedule to minimize equipment and feedstock
chart =covers
W2I 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
I W23 Eliminated shelf-life re uirements for stable materials
x W24 Instituted better labelinkprocedures
W25 Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29 Other changes in Inventory control(explain briefly in comments)
x W31 Im roved stora to or stacki n e. t rocetiur.es
x W32 Improved procedures for loading,unloading and transfir operations
x W33 Installed overflow alarms or automatic shutoff valves
x W34 Installed secondary containment
W35 Installed vapor recover'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
WMW49 Other raw material modifications(ex•lain bneflv in comments
Instituted recirculation within a rocess
•
'tide: Il)Wustcwaltii S[nvr3°&1'1=11 t pplivaiitm
File name: lV;siu►dtkrdirecletlVold Ationc13ah1'o1y l)ocurents\Waste Water GAA42018 Waste Water
__Ze 1il!> W.Sloni a71,.CC} ,.'S pylic t mi,20..18,.;do£N.. � . ...� .._, . ... . .. _...._.__
Revision elate: 12,+30.'97 Page 17 of 18

Current 'Projected Code Description
W52 Modified equipment, layout,or piping
x W53 Use of a different process catalyst
x 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 em t containers
W58 Other process modifications(explain briefly in comments)
W59 Modified stripping f cleanin F e pment ...
W60 Changed to mechanical stripping i cleaning devices (from solvents or
other materials)
W6l Changed to aqueous cleaners(from solvents or other materials)
W62 Reduced the number of solvents used to make waste more amenable
to roe cling
W63 Modified containment procedures for cleaning units
x W64 Improved draining procedures
W65 € Redesigned parts racks to reduce dragout
W66 C Modified or installed rinse systems
Im roved rinse e ui-invent desi m
W68 Improved rinse equipment o.eration
k 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 Chan ed from s+ray to other s rstern . . .
W78 Other surface preparation and finishing(explain briefly in comments)
W8 I Changed product specifications
W82 Modified desi or coma sition of product
W83 Modified packaging
W89 Other product modifications(explain briefly in comments)
W99 Other(specify in comments)
Comments (Please list corresponding code)
•..+.,-:-...,._ R _�--,. .��.,..,....,-_., r.. ,.,-'.,-. -r-.... ...-.. r. ..,-._.. ................ a ....-.... ....�. .�,.. ..,....-..,...,_._. .-......,..,_,.-........,,-,......... .�.-,.sr.-. r.... ...,.�..�y
Page 13 of t*8

noNnoE PLANT
SLUDGE •i0
➢ -�
WASTEWATER PRE-THEA9' "'" BLOCK DIAGRAM SLUr,
TANKTANK �--RENDERING.COMPANY
POL •
TIRS. I "PH ADJUST OPTION
1N7P1 N OPTION Fi7R CCJWu 1MSj
• FLOC1 DAP TANK n
TUBES '
• • . PH ADJUST ! I SLUDGE —'
L—
Tom, _
SLUD�$ TO
RECYCLE
_ RENDERING
REND c
'OPTION COMPANY
MIRING
DECANT
• PLANT SOLIDSI
INFLUENT
^ • •SCHEENING I, PTOAT 1;, !ttw
lZZ�000 qu,
PLANT t.o,... " C II
•
SOLIDS
INFLUENT - Screening �I
--PUHP ,— PUMP /t,r 7S7i ii li
•
SOLIDS TO gQUALLEATION �5`CHARCE�1
RENDERING - WELL TREATED
COMPANY (wi}049 EFFLUENT TANK OPTIONS
` DISCHARGE R AGITATION
• AND STRIPPING •
Pre_Treatment Steps for Process/Washdovn Wastewater: • • OPTION
1. Solids separation and equalization of flows DISCHARGE
• T. PH adjustment DW�9TIC OPTION
3. Polymers addition in floctubes
4. DAP treatment, with sludge removal to rendering company 1lisFLUNE ,
5. Final PH adjustment and air atripping'options .
6. Treated effluent discharge to city
1 .
TO CITY

Part 1
Part 1. Effluent Limitations and Monitoring Requirements
A. Description of Discharge (s)
Pipe No. Description
01 Process Wastewater
Simpson St.
2701
-- -- -- •-- -- -- -- Pretreatment
Unit
x .01 Sample Point
City Sewer

SIU INSPECTION FORM
Name Of Industry: ,iCe * lArr-er tc c, Sv IUP # CAI\ -
Address Of Industry: a--)c)1 1 irvils1 5c, c&. IUP Expiratio I/ate:
(\f\ontb-e N Ck I k) • -
Ind tryRepresentatives: Title
Vv�� Iainc ��d fv\a.i (Ic) rlt.
POTW Representatives: ,,,��!!
PV 1/1 tir
e:1�cGs�� Vti-
T: K- ts1N0r\ r. ok0 r r y .e . n ' T-e€l-.
Date Of Inspection: ►t-LI- 1'1 - Time Of Inspection: 1'10 0 am/pm 15 h
Purpose of Inspection: Annual v/ Other(Describe)
POTW to which IU discharges C 4-/ o IY\on(Df NPDES# N CO O D\ 3 3
Is SIU currently in SNC? pc, •I F 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 <TS/NO A4114. `,S\‘ y
Number of employees YES/ gji1 36
Number of shifts /NO ' SM",- 4 Co c)l4 y 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? P
2. Are production areas diked, contained, o otherwise constructed in such a way as to prevent harm to the
WWTP,especially from spills or slugs? ' ./NO Comments:
3. Are there floor drains in the storage area? /NO Where do they go? a 2-7
4. Are storage tanks and areas diked, contained,or •therwise constructed in such a way as to prevent harm
to the WWTP,especially from spills or slugs? NO Comment :
kyar c�.(te ni ( -1v�ln �avc,1 S •rte# i�.pn-tn1 t . iclrcA I [L �nc�i�� ro0el-
5. Are process and storage tanks and pipes labeled? YES/NO
6. How are off-spec raw materials,and products disposed of? c-t\.Q y a \n 5
7. When is the production area cleaned? Aa; (t
8. Is the wastewater from cleaning the production area discharged to the POTW? M/NO
9. What non-process wastewaters are discharged to POTW?
Comments: c.0 2n rzemv�� �er�i Act.ris
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? ®/NO Comments:
2. Are all units operational? '/NO `
3. How often does-operator/maintenance rson check system? N o c.a,r- 1 y
4. Is there an operator for each shift? F/NO _ ` 1 /
5. How and when is sludge disposed of? \.t 4 -Pc l n5
6. Is there a schedule for preventative maintenance? 6,NO
Comments: C'.\ec -r-brF 4}e ,t'b� 1�1 °� ^',"(P', c rt a V 5
PART II-Plant Tour Section C - SAMPLING POINT(S)AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? (0/NO If yes,name of lab. PAR
2. If industry completes sampling,ask the industry representative to describe sampling procedures.
Comments: a 1.1 hr -4-tr,,eG) c-o rrpo,t k
3. Is flow measurement equipment operational? /NO Comments:
4. Is there a calibration log for the flow meter? ®/NO Comments:
Comments:
PART III-EXIT INTERVIEW
Review monitoring records ther SIU records required by IUP.
1. Are files well organized/NO Comments:
2. Are sample collection/chain-of-custody forms filled out properly? e S NO Comments: _
3. Do results in files agree with reports sent to POTW? NO Comments:
4. Who has authority_to shut down production should a spill or slug discharge occur? Wu, .5 -o(`,
1'`n4c mer 5u(No('5't v o f 5
5. How does SIU inform employees of whom to call at POTW in case of spill/slug? FoskeG1 "t r-.
1...)0t`1s. cpoea.S
If slug/spill plan is already required byP't./ ,review procedures.
6. Is SIU implementing slug/spill plan. /NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES/0
Comments,Required Or Recommended Ac ons:
Signature Of Inspector(s) 0 amm* e(or2 -/ Date: 1(-(t4�11
l'',.,� //fi..r..-i .;: Date: )J-Pi '/
Title: SN Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 2

onroe
\forth Carolina
June 7, 2018
Mr. Arthur Lankford
Complex Manager
Pilgrim's Pride Corporation
Post Office Box 668
5901 Hwy 74 East
Marshville,N.C. 28103
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear Mr. Lankford:
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, 2021 and
specifying the conditions governing this discharge. All Significant Industrial User permits are
subject to review and approval by NCDWR PERCS Unit. 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.
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
l I

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#91,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 HI 10).
Pipe#02,Description of Discharge:
IUP#=> CM-28
Page:3
Effective Date July 1,2018

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 1,2018

'Date: FEB. 2013 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=>7/01/18 Pipe#=> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=>6/30/21 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/I
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/I 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/I 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 1,2018

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 1,2018

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 1,2018

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 1,2018

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 1,2018

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 1,2018

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 1,2018

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 1,2018

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 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 1,2018

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 1,2018

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 1,2018

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 1,2018

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 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.
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 1,2018

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, 2018 01
IUP expiration date: IUP 40 CFR#,if applicable:
June 30, 2021
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
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%MARL, lbs/day
L
RATIONALE#5b:
Categorical Parameters with Waived Monitoring:
Monitoring is waived for the following categorical parameters (attach
documentation of waiver justification).
3

v_v„
pilgrims®
g s®
December 29, 2017
Mr. Kevin Keesler,Pretreatment Coordinator
City of Monroe, Water Resources
P.O. Box 69
Monroe,North Carolina 28111-0069
Subject: Renewal Application and Modification to Waste Water Pretreatment Permit No. CM-28
Pilgrim's Pride Corporation,Marshville,NC
Dear Mr. Keesler:
Pilgrim's Pride Corporation is pleased to submit the following permit applications for your
review and approval:
1. Renewal Application: To comply with Industrial User Pretreatment Permit(IUP) No.
CM-28, Part II, Condition No. 23,which states in part, "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....";
2. Permit Modification: There has been one change since the last application in 2015. The
change is an addition of the first flush collection for waste water from refrigeration trailer
red water collection pads. We will still comply with the total volume limit in our permit
of effluent flow. The system is designed to be turned off and allow the storm water to be
discharged through Stormwater Outfall#001 when needed. The collection system is not
designed to keep up with large rainfall events and is to be used for first flush operations
only. The Wastewater Supervisor will monitor the system.
If you have any questions or need additional information, please feel free to call Yin-Pong
George Chang, P. E. @ [phone] or me @ [phone].
Sincerely,
Arthur H. Lankford
Complex Manager
704-624-2171
P.O. Box 668
Marshville, NC 28103-0668
USA

COVER PAGE
Company Name: Pilgrim's Pride Corporation
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
Arthur H. Lankford data management..
Stan Hildreth
Title Complex Manager Years with firm 1 Title Waste Water Supervisor Years with firm 29
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.
C� ► - 2 -
Signature of Authorized Representative Date
listed above (seal if applicable)
Title: IU Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit ApplicationTinal Renewal Application 2017.docx
Revision date: 12/30/97 Page 1 of 188

1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
Poultry Slaughter and Processing with a sanitation period once a day.
2. List the primary products produced at this facility:
Raw Poultry products, cut up, deboned, and ice packed process
3. List raw materials and process additives used:
Live chicken, disinfectants, pH adjustment, microbials.
4. Are biocides added to any water discharged to the POTW,
if yes describe:
As part of process yes. We use a biocide on our product.
Yes X
No
5. Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift.
Typically slaughter and process 5 days a week 700,000 chickens/week.
Will also kill and debone on Saturdays on occasion.
Slaughter and process during first and third shifts with second shift
clean up/sanitation.
Three shifts per day
First Shift -5:45 am first slaughter and process—400 employees
Second Shift-3:30 pm sanitation -40 sanitation
Third Shift -8:45 pm slaughter and process 3rd shift starts - 370
employees
6. Production process is: Check, if all continuous X
Check, if all batch
If both please enter, % continuous = 66% % Batch =
7. Does production vary significantly(+- 20 %) by season. Describe.
Yes
No X
Title: N Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 2 of 188

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.
Valley Proteins Inc. - 6-9 trailers per day of feathers, offal,
P.O. Box 718 and DOA.
Wadesboro, NC 28170
704 694- 3701
Terra Renewal Services (TRS) - 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.
Refer to monthly DMR on file at the City of Monroe's wastewater treatment Plant.
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
Sampling at discharge flume from 2nd lagoon on Pilgrim's Pride property.
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
Yes
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
Stormwater Permit No. NCG060182 (November 16,2017—October 31, 2018) Yes X
Pilgrim's Pride Corp.
If yes: Permit,#,date,applicant name
No
Title: N Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 3 of 188

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 Yes X
City of Monroe , CM -28 July 1, 2015
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
Yes
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?
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
Title: N Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 4 of 188

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 9
No
1. Sulfuric Acid: 5,000 gallons with Secondary Containment;
2. Ammonia Receiver: 4,500 gallons without Containment;
3. Diesel Fuel: 1,000 gallons with Double Wall Containment;
4. No. 2 Fuel Oil (New): 2,000 gallons with Double Wall Containment;
5. Gasoline: 500 gallons with Double Wall Containment;
6. Used Oil: 1,000 gallons with Secondary Containment;
7. DAF Sludge Tank: 8,000 gallons without Containment;
8. Lime Slurry: 2,100 gallons without Containment; and
9. Lime Slurry(New): 3,000 gallons without Containment.
Title: LU Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 5 of 188

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 Union Count 1 752,765 X Union County 1 752,765 X
2. Washdown water Union County 1 150,000 X Union County 1 150,000 X
3. Water into product
4. Air Quality Permitted units
5. Domestic -toilets, drinking, cafe Union County 1 20,000 X Union County 1 20,000 X
6. Cooling water, Process NON-Contact Union County 1 3500 X Union County 1 3500 X
7. Boiler/Cooling tower blowdown Union County 1 15,000 X Union County 1 15,000 X
8. Cooling water, HVAC Union County 1 4,000 X Union County 1 4,000 X
9. Other: Feedmill/Boiler Wingate 6 1,500 X Union County 1 1,500 X
Contaminated Storm Water Rain Water 5 2,550 X Union County 1 . 2,550 X
Trailer Parking Pad 5 381 381
1
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: 1U Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewaterwermit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 6 of 188

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.
NoP retreatment facilities =>
1. 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
11. Filtration Yes No X
12. Flocculation Yes X No
13. Grease Trap Yes No X
14. Grit Removal Yes X No
15. Ion Exchange Yes No X
16. Neutralize, pH adjust Yes X No
17. Other Biological Treatment Yes X No
18. Ozonation Yes No X
19. Reverse Osmosis Yes No X
20. Screening Yes X No
21. Sedimentation Yes X No
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: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 7 of 188

PART IV, CATEGORICAL INFORMATION:
1. When were operations started at this facility Facility start up date Unknown
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.
2015
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=> 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
No
40 plus processing facilities owned by Pilgrim's Pride across the United States
Title: N Wastewater Survey & Permit Application
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Revision date: 12/30/97 Page 8 of 188

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 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 4b3 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: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docX
Revision date: 12/30/97 Page 9 of 188

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 I
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
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 10 of 188

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
Hex achlorocyclopentadiene 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 31447 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
Title: IU Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 11 of 188

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)
Other Inorganics
Barium 01007 X X
Chloride 00940 X X
Cyanide 00720 X X
Fluoride 00951 X X
Purgeable Volatile Organics
I,1,I-Trichloroethane 34506 X X
-
1,1,2,2-Tetrachloroethane 34516 X X
1,1,2-Trichloroethane 345H 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-Dichlaropropene 34704 X X
Dibromochloromethane 32105 X X
Ethylbenzene 34371 X X -
Methylene chloride 344223 X X
Tetrachloroethylene 34475 X X
Toluene 34010 X X
trans 1,3-Dichloropropene 34499 X X
trans-1,2-Dichloroethvlene 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(minutequanta})
f
Cleaners used for sanitation X �l(minutcyuantity)
Title. IU Wastewater Survey & Permit Application
File name, G\Processing-Marshville\Wastewater\Permn\Permit Application\Final Renewal Application 2017.docx
Revision date. 12/30/97 Page 12 of 188

Data Summary Form
Union County <= Receiving POTW
City of Monroe <= Receiving NPDES #
Pilgrim's Pride <= Specific Sample Location!
Discharge Point i.e., Give IU Name, IUP#, and/or pipe#
001
BOD TSS Ammonia
Lab => EnviroChem 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
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 13 of 188

Data Summary Form
Union County <= Receiving POTW
City of Monroe <= Receiving NPDES #
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) =>
Title: IU Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 14 of 188

f

Data Summary Form
Union County <= Receiving POTW
City of Monroe <= Receiving NPDES #
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. (usel/2 BDL) =>
Title: IU Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 15 of 188

Data Summary Form
Union County <= Receiving POTW
City of Monroe <= Receiving NPDES #
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) =>
Title: IU Wastewater Survey & Permit Application
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
Revision date: 12/30/97 Page 16 of 188

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
W13 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
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
File name: G:\Processing-Marshville\Wastewater\Permit\Permit Application\Final Renewal Application 2017.docx
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
WI 1 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 W99 Other(specify in comments )
Comments (Please list corresponding code)
W99 : Dissolved Air Flotation (DAF), Primary Screens, Aeration
Title: IU Wastewater Survey & Permit Application
File name G.\Processing-Marshville\Wastewater\Permitwermit Application\Final Renewal Application 2017.docx
Revision date. 12/30/97 Page 18 or IBB

DOMESTIC WASTE
LIME SLURRY - BIO AUGMENTATION
(pH ADJUSTMENT) ADDITIVE
��i
PLANT INFLUENT (---1") - ��_�_��� \ /
DAF UNIT
pH AERATION
ED
ADJUSTMENT LAGOON
TANK AND (AEROBIC)
PRIMARY SECONDARY FLOCCULATION
SOLIDS SOLIDS TANK
SCREENING SCREENING
AIR SUPPLY SOLID/GREASE TO
RENDERING COMPANY
(IRS)
i
N _BONED MEAT/FEATHER/BLOOD
(AMERICAN PROTEINS, INC.)
1
k TREATED EFFLUENT TO _ �_ \ / \ /- TRAILER PARKING PAD
COUNTY/CIN - /
h , I
S-- FLUME SECONDARY FACULTATIVE PRIMARY FACULTATIVE
LAGOON LAGOON
No. 2 No. 1
3
eIt
6
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4 5901 WEST MARSHVILLE BLVD.
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MARSHVILLE,NORTH CAROLINA 28103
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PROCESS FLOW DIAGRAM
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SIU INSPECTION FORM
Name Of Industry: P;\yt im'S Pri C_-1f p IUP # C-m-: &
Address Of Industry: SC O_l 1-1% v-.L,,c.y '1`{ IUP Expiration Date:
Hard-v Ile PC_ ' S 1.4 3 -3d-18
Industry Representatives: Title
tr-1 t..&\3 C-1-lor•-c� C (,-eor5-e) l:.c',rel3 eg. 'e—r'. 6\r5ri
POTW Representatives:t Title 1
'CLQ i n `<e c ?1 Cr?
`71' i�r.--5oerer 1>-1-- Tech
Date Of Inspection: i -( -11 Time Of Inspection: 04\1-1,5 am/pm ()LAI 115
Purpose of Inspection: Annual ✓ Other(Describe)
POTW to which IU discharges C.i- o-C Mort NPDES# t4L6V'Al-l3-3
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 4.
S
Raw materials used YES iiri
Manufacturing processes YES/a)
Categorical, if applicable YES/ lin
Production rate YES/0r 13O Y l�c vNumber of employees YES/' • ic'j Q
Number of shifts YES/0 `
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? PI-
2.
J l2. Are production areas diked,contained, Ins. erwise constructed in such a way as to prevent harm to the
WWTP,especially from spills or slugs? 1 /NO Comments:
3. Are there floor drains in the storage area? ogtNO Where do they go? h
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? CR ES/NO Comments:
5. Are process and storage tanks and pipes labeled? /NO +
6. How are off-spec raw materials, and products disposed of? ('erN \Q('i P''c
7. When is the production area cleaned? 1 .±61,..o OP r cXC, J
8. Is the wastewater from cleaning the production area discharged to th8 POTW? �/NO
9. What non-process wastewaters are discharged to POTW? caar,�e.41 1),1L
(TO
4D owJ-0t-"e"--
-0,(ry L.,4-1-e,r --F\k c 5-A- -( l k bL• L
/ ��r-r��t sc..�...�r..c 1 ,
Comments:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 1

r
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? S NO Comments: 4 rc.„---- -5
2. Are all units operational? /NO
3. How often does operator/maintenanc_:-..on check system? f L 1 y
4. Is there an operator for each shift? liWI NO ,—,
5. How and when is sludge disposed of? ( 'rr .
6. Is there a schedule for preventative maintenance? /NO P '5
Comments: t,..c..cJ. oor ) b.e (N3 (--\e-c--'
Plt'r.rN or\ C e-c,ri ivi Stsr.-e 4^� 1--e,.`zarN ( . `"ew ` C__ r .J T'2 , be (ssu,eci,
PART II-Plant Tour Section C - SAMPLING POINT(S)AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? a/NO If yes,name of lab. 6";k.v;saran e.. ,( C_ r'e‘A s Sr,c
2. If industry completes sampling,ask the industry representative to describe sampling procedures.
Comments: 0-14 hru-,/ -F / ca 05(c
3. Is flow measurement equipment operational? NO Comments:
4. Is there a calibration log for the flow meter.7
/NO Comments:
Comments:
PART III-EXIT INTERVIEW
Review monitoring records an' er SIU records required by IUP.
1. Are files well organized? WI NO Comments:
2. Are sample collection/chain-of-custody forms filled out properly? d/NO Comments: _
3. Do results in files agree with reports sent to POTW?6)/NO Comments:
4. Who has authority to shut down production should a spill or slug discharge occur?
TAO.,-,-k- l' Q C' c-on—PI/es( trot
5. How dos SIU inform employees ofwhomto call at POTW in=f spill/slug? r-,ar,u-c. 1 +Ia-i n C3
If slug/spill plan is already required by PO ,review procedures:✓ J
6. Is SIU implementing slug/spill plan? /NO Comments:
(;ar`crt_:4t 5koc net""--1-4 r -ror ip toad Aro.• ,-4-D-e fl,. -4
5 -A \D,e
Comments: cov-ere w
c) ‘k� ca-r, Tb pr�ev..e,,-" ç-,,-..,.-c-€ A---t, S (-T wc- r-
-
INSPECTION RESULTS ;1r 0.c)a blood ar•c-inc.5.e -b 15-e 4'r�,-j- as pfxes5vssieu,,r,,1
Slug/Spill Control Plan Needed? YES/NO
Comments,Required Or Recommended A ons:
Signature Of Inspector(s) -_- P'\ ,Lo„j2a., Date: ‘D-( 'S -17
Date:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 2

Workbook Name : PERCS Approved HWA AT_Monroe_Revised 5-31-18, Worksheet Nam6F:riA9d 5/31/2018, 9:13 AM
Page 1 of 6
Allocation Table Spreadsheet Instructions:
Headworks last approved: 05/29/15 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: 03/22/18 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load in this AT
Permits last modified: 07/01/18 worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in columns AT through BK.
Pores=>City of Monroe
NPDESA > NC0024333
FLOW BOD TSS
Industry Type Renewal Vlodificatiot Date 1 Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Conc. Load
Count (please ria alphabeticly) number number Industry Date Date Expires MGD gal/day lbs/day mg/ lbs/day
1 ATI AIIvac 01 CM-15 0001 CFR 471 07/01/16 04/16/I8 06/30/19
ATI Allvac 02 CM-15 0002 CFR 471 07/01/16 04/1618 06/30/19 ' 0.1240 124,000 310.00 310.00
2 ATI Specialty Materials-Bakers South CM-30 01,02 CFR 471 02/06/17 06/30/20 0.0623 62,300
3 NC BioGas,LLC CM-35 0001 Biogas/Power 03/01/19 03/01/20 0.0250 25,000 52.00 41.00
4 ELG Utica Alloys,LLC CM-34 0001 CFR 433 02/06/17 06/30/20 0.0050 5,000 monitor monitor
5 Great American Snacks CM-32 0001 appetizers/food 07/01/15 10/19/16 06/30/18 0.1250 125,000 750.00 250.00
6 Charlotte Pipe&Foundry Co.Plastics D CM-29 0001 plastic pipe(463) 07/01/16 06/30/19 0.0500 50,000
7 CHS-Union CM-14 0001 hospital 03/16/15 06/30/18 0.0900 90,000 221.00 144.00
8 Glenmark Pharmaceuticals Inc.USA CM-33 0001 CFR 439 09/01/15 07/01/18 06/30/18 0.0170 17,000 monitor monitor
9 GM Nameplate CM-20 0002 CFR 433 07/01/17 06/30/20 0.0200 20,000 47.00 42.00
10 Goulston Company CM-01 0002 chem blend _ 07/01/16 06/30/19 0.0300 30,000 65.00 50.00
11 Norton Door Controls CM-16 0001 CFR 433-door closers 07/01/16 06/30/19 0.0100 10,000�� 30.00...130.00
12 ORO Manufacturing company CM-25 0001 CFR 433 07/01/16 06/30/19 0.0040 4,000
13 Pilgrims Pride Corporation CM-28 0001 chicken 07/01/15 06/30/18 0.9500 950,000� ,i 1980.00 1585.00
14 Tyson Farms CM-1l 0001 chicken 01/01/18 06/30/21 2.1000 2,100,000^ - 5004.00 3750.00
Column Totals=> 3.61231 3,612,3001 8459 62021
Basis=> NPDES Design Design
MAHL from HWA(lbs/day)=> NPDES Permitted Flow=> 10.4000 21857 20817
Uncontrollable Loading(lbs/day)_> 3.7893 6321 8154
Total Allowable for Industry(MAIL)(lbs/day)=> 6.6107 15537 12663
Total Permitted to Industry(lbs/day)=> 3.6123 8459 6202
MAIL left(lbs/day)_> 2.9984 7078 6461
Percent Allow.Ind.(MAIL)still available(%)=> 45.4% 45.6% 51.0%
Percent MAHL still available(%)_> 28.8% 32.4% 31.0%
5 Percent MAHL(lbs/day)_> 0.5200 1093 1041
1
PERCS Approved HWA AT_Monroe_Revised 5-31-18

Workbook Name : PERCS Approved HWA AT_Monroe_ �
Revised 5-31-18, Worksheet NamErif ' 5/31/2018, 9:13 AM
Page 2 of 6
Allocation Table
Headworks last approved: 05/29/15
Allocation Table updated: 03/22/18
Permits last modified: 07/01/18
POTw=> City of Monroe
NPDESS > 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 (please list alvh.bc)icl,) number number mg/I lbs/day mg/1 lbs/day mg/I lbs/day . mg/I lbs/day mg/I lbs/day mg/I lbs/day
l ATI Allvac 01 CM-15 0001 I 100.00 0.2500 0.3600
ATI Allvac 02 CM-I5 0002 24.00 0.2600 0.2600 0.0500
2 ATI S.ecialt'Materials-Bakers South CM-30 01,02 18.00 9.35 0.2800 0.1455 monitor 0.1200 0.0623
3 NC BioGas,LLC CM-35 0001 4.00 monitor monitor monitor
4 ELG Utica Alloys.LLC CM-34 _ 0001 1112 5.00 0.0030 0.0001 1.5000 0.0626 1.5000 0.0626 0.5000 0.0209
5 Great American Snacks CM-32 0001 4 .. 15.00 _
6 Charlotte Pi.e&Found 'Co.Plastics D CM-29 0001 0.001250 monitor 0.1100
7 CHS-Union CM-I4 0001 15.00 0.0690 0.0740 0.0080
8 Glenmark Pharmaceuticals Inc.USA CM-33 0001 monitor monitor monitor monitor monitor
9 GM Nameplate CM-20 0002 - 8.00 0.0030 0.0005 0.5000 0.0834 0.0834 0.0334
10 ,GM
Company CM-01 0002 4.00 0.0500 0.0060
11 Norton Door Controls CM-16 0001 1.80 0.0030 0.0003 1.5000 0.1251 1.5000 0.1251 0.5000 0.0417
12 ORO Manufacturing company CM-25 0001 0.0030 0.0001, 1.5000 0.0500 1.5000 0.0500 0.3000 0.0100
13 Pilgrims Pride Corporation CM-28 0001 �� 730.00 0.0400
14 Tyson Farms CM-11 0001 1 550.00 monitor monitor
Column Totals=> 1366 0.00001 0.0022 0.7956 0.81511 1 0.2723
Sludge Stream Stream AS/Nit/TF
Basis=> Design Ceiling Std Std inhibition NPDES
MAHL from HWA(lbs/day)_> 2203.09 1.0456 0.3503 16.0568 26.6253 0.9126
Uncontrollable Loading(lbs/day)_> 638.38 0.0200 0.0009 0.2212 1.6497 0.4740
Total Allowable for Industry(MAIL)(lbs/day)_> 1564.72 1.0256 0.3494 15.8356 24.9756 0.4385
Total Permitted to Industry(lbs/day)_> 1366.16 0.0000 0.0022 0.7956 0.8151 0.2723
MAIL left(lbs/day)_> 198.56 1.0256 0.3472 15.0400 24.1605 0.1663
Percent Allow. Ind.(MAIL)still available(%)_> 12.7% 100.0% 99.4% 95.0% 96.7% 37.9%
Percent MARL still available(%)_> 9.0% 98.1 % 99.1 % 93.7% 90.7% 18.2
5 Percent MAHL(lbs/day)_> 110.15 0.0523 0.0175 _ 0.8028 1.3313 0.0456
PERCS Approved HWA AT_Monroe_Revised 5-31-18

Workbook Name : PERCS Approved HWA AT_Monroe_Revised 5-31-18, Worksheet Namd°A9d 5/31/2018, 9:13 AM
Page 3 of 6
Allocation Table
Headworks last approved: 05/29/15
Allocation Table updated: 03/22/18
Permits last modified: 07/01/18
POTw=>City of Monroe
NPDEStt=> 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 (pic r,i alp s cyi number 1 number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/1 lbs/day
1 ATI Allvac 01 CM-15 0001 • 0.1500 �6 .....
ATI Allvac 02 CM-15 0002 0.1000 1-, monitor 0.6300
2 ATI Specialty Materials-Bakers South CM-30 01,02 0.1500 0.0779_ monitor 0.6000 0.3117_
3 NC BioGas,LLC CM-35 0001 mo ii
0.-.....m.
4 ELG Utica Alloys,LLC CM-34 0001 0.2000 0.0083 0.0992 0.2000 0.0083
5 Great American Snacks CM-32 0001 monitor
6 Charlotte Pipe&Foundry Co.Plastics 1) CM-29 _ 0001 0.0370 monitor monitor
7 CHS-Union CM-14 0001 0.4300
8 Glenmark Pharmaceuticals Inc.USA CM-33 0001 monitor monitor monitor
9 GM Nameplate CM-20 0002 ' 0.0500 0.0083 0.5000 0.0834 0.1800 0.0300
10 Goulston Company CM-01 0002
t-..... r -b
11 Norton Door Controls CM-16 0001 0.2000 0.0167 2.3800 0.1985 0.2000 0.0167
12 ORO Manufacturing company CM-25 0001 _ 0.2000 0006 i 1.0000 0.0334 0.2000 0.0067
13 Pilgrims Pride Corporation CM-28 0001 , - `
14 Tyson Farms _ CM-11 0001 monitor
Column Totals=> 1 0.2550 0.000000 I 0.0000 1 1.3562 0.0000 t 0.49171
Stream Sludge Sludge Stream AS/Nit/TF
Basis=> Std Stream Std Ceiling Ceiling Std inhibition
MAHL from HWA(lbs/day)=> 3.7054 0.069365 1.2512 7.1874 0.5780 13.8673
Uncontrollable Loading(lbs/day)=> _ 0.1201 0.009481 0.1580 0.3192 0.0190 0.0695
Total Allowable for Industry(MAIL)(lbs/day)=> - 3.5853 0.059885 1.0932 6.8682 0.5591 13.7978
Total Permitted to Industry(lbs/day)=> 0.2550 0.000000 0.0000 1.3562 0.0000 0.4917
MAIL left(lbs/day)=> 3.3304 0.059885 1.0932 5.5120 0.5591 13.3061
Percent Allow.Ind.(MAIL)still available(%)_> 92.9% 100.0% 100.0% 80.3% 100.0% 96.4%
Percent MAHL still available(%)=> 89.9% 86.3% 87.4% 76.7% 96.7% 96.0%
5 Percent MAHL(lbs/day)_> 0.1853 0.003468 0.0626 0.3594 0.0289 0.6934
PERCS Approved HWA AT_Monroe_Revised 5-31-18

Workbook Name : PERCS Approved HWA AT_Monroe_Revised 5-31-18, Worksheet Nam&riyeyd 5/31/2018, 9:13 AM
Page 4 of 6
Allocation Table
Headworks last approved: 05/29/15
Allocation Table updated: 03/22/18
Permits last modified: 07/01/18
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 alphabeticly) number n umber mg/I lbs/day mg/I lbs/day mg/I lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day
I ATI Allvac 01 CM-15 0001 1.0000 1- .r 5 .0 0000
ATI Allvac 02 CM-15 0002 0.3000 monitor ..-12 ATI Specialty Materials-Bakers South CM-30 _ 01,02 1.0000 0.5196~� `� monitor 50.0000 25.9791
3 NC BioGas,LLC CM-35 0001 4monitor ~� ii ... 75.00 15.6375,
4 ELG Utica Alloys,LLC CM-34 0001 1.4800 0.0617 monitor 15.0000 0.6255 monitor
5 Great American Snacks CM-32 0001 onitor .monitor 50.0000 52.1250
6 Charlotte Pipe&Foundry Co.Plastid U CM-29 0001 0.4100
7 CHS-Union CM-14 0001 0.8000 r
8 Glenmark Pharmaceuticals Inc.USA CM-33 0001 monitor monitor
9 GM eplate CM-20 0002 0.5000 0.0834 monitor `_
10 Goulston Company CM-0l 0002 , 0.0700
11 Norton Door Controls CM-16 0001 1.4800 0.1234 monitor '
I
12 OROManufacturing company CM-25 0001 1.4800 0.0494 monitormon _�
13 Pilgrims Pride Corporation CM-28 0001 onitor •• 50.0000 396.1500
14 Tyson Farms CM-11 0001 onitor onitor F30.0000 525.4200
Column Totals=> 2.4175 (1.0(1 (1.00 1 26.6046 15.6375 973.6950
AS/Nit/TF
Basis=> inhibition
MAHL from HWA(lbs/day)=> 55.4693
Uncontrollable Loading(lbs/day)=> 9.4682 29.2484 794.0668
Total Allowable for Industry(MAIL)(lbs/day)_> 46.0012
Total Permitted to Industry(lbs/day)_> 2.4175 0.00 0.00 - 26.6046 15.6375 973.6950
MAIL left(lbs/day)_> 43.5836
Percent Allow.Ind.(MAIL)still available(%)_> 94.7% #VALUE! ######## #VALUE! ####### #VALUE!
Percent MAHL still available(%)_> 78.6% #VALUE! ######## #VALUE! ####### #VALUE!
5 Percent MARL(lbs/day)_> 2.7735
PERCS Approved HWA AT_Monroe_Revised 5-31-18

Workbook Name : PERCS Approved HWA AT_Monroe_Revised 5-31-18, Worksheet Nam riXTI: 5/31/2018, 9:13AM
Page 5 of 6
Allocation Table
Headworks last approved 05/29/15
Allocation Table updated 03/22/18
Permits last modified 07/01/18
POTw=, City of Monroe
NPDES > NC0024333
TTO Acetone n-Amylacetate Ethyl acetate Isopropyl acetate
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits _
IUPINDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count I (please list dgnxriey) number number mg/I lbs/day mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/1 lbs/day
1 ATI Allvac 01 CM-15 0001 2.1300
ATI Allvac 02 CM-15 0002
2 ATI Specialty Materials-Bakers South CM-30 01,02 2.1300 1.1067
3 NC BioGas,LLC CM-35 0001
4 ELG Utica Alloys,LLC CM-34 0001 2.130011111 0.0888 IIIMM it —
5 Great American Snacks CM-32 0001
6 Charlotte Pipe&Foundry Co.Plastics D CM-29 0001
7 CHS-Union CM-14 0001
8 Glenmark Pharmaceuticals Inc.USA CM-33 0001 8.2000 1.1626 8.2000 1.1626 8.2000 1.1626 8.2000 1.1626
9 GM Name•late CM-20 0002 ik 1.5000 0.2502
10 Goulston Company CM-01 0002
11 Norton Door Controls CM-16 0001 2.1300 0.1776
12 ORO Manufacturing company CM-25 0001 ^2.1300 0.071 1 _
13 Pilgrims Pride Corporation CM-28 0001
I
14 Tyson Farms CM-11 0001
Column Totals=> 1.6944 1.16261 1.1626 1.1626 1.1626
Basis=>
MAHL from HWA(lbs/day)=>
Uncontrollable Loading(lbs/day)=>
Total Allowable for Industry(MAIL)(lbs/day)_>
Total Permitted to Industry(lbs/day)=> 1.6944 1.1626 1.1626 1.1626 1.1626
MAIL left(lbs/day)_>
Percent Allow.Ind.(MAIL)still available(%)_> #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
Percent MAHL still available(%)_> #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
5 Percent MAHL(lbs/day)_>
PERCS Approved HWA AT_Monroe_Revised 5-31-18

Workbook Name : PERCS Approved HWA AT_Monroe_Revised 5-31-18, Worksheet Nam&:riXerl 5/31/2018, 9:13 AM
Page 6 of 6
Allocation Table
Headworks last approved: 05/29/15
Allocation Table updated: 03/22/18
Permits last modified: 07/01/18
Porw=> City of Monroe
NPDEStI=> NC0024333
Methylene Chloride Total Phosphorus
Industry Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load
Count (plc sc llstalphabcticly) number number mg/1 lbs/day mg/I lbs/day
1 ATI Allvac 01 CM-I5 0001
ATI Allvac 02 CM-I5 0002
2 ATI Specialty Materials-Bakers South CM-30 , 01,02
3 NC BioGas.LLC CM-35 0001 5.0000 1.0425
4 ELG Utica Alloys,LLC CM-34 0001
5 Great American Snacks CM-32 0001
6 Charlotte Pipe&Foundry Co.Plastics D CM-29 0001
7 CHS-Union CM-I4 0001
8 Glenmark Pharmaceuticals Inc.USA CM-33 0001 8.2000 1.1626
9 GM Nameplate CM-20 0002
10 Goulston Company CM-01 0002
11 Norton Door Controls CM-16 0001
12 ORO Manufacturing company CM-25 0001
13 Pilgrims Pride Corporation CM-28 0001
14 Tyson Farms CM-I I 0001
Column Totals=> 1.1626 1.0425
Basis=>
MAHL from HWA(lbs/day)_>
Uncontrollable Loading(lbs/day)=>
Total Allowable for Industry(MAIL)(lbs/day)_>
Total Permitted to Industry(lbs/day)_> 1.1626 1.0425
MAIL left(lbs/day)_>
Percent Allow.Ind.(MAIL)still available(%)_> #VALUE! #VALUE!
Percent MARL still available(%)_> #VALUE! #VALUE!
5 Percent MARL(lbs/day)_>
PERCS Approved HWA AT_Monroe_Revised 5-31-18