NC0020761_Industrial User_20200807

RECEIVED
AUG 17 2020
August 7,2020
NCDEQ/DWR/NPDES
Mr.Bob Whelan
PO Box 668
North Wilkesboro,NC 28659
Subject: Right To Adjudicate You Industrial User Pretreatment Permit(IUP)
Dear Mr.Whelan,
Enclosed you will fmd your Industrial User Permit(IUP#0002). This permit is issued in response to
your Industrial User Wastewater survey and Application,which was received by the POTW on 04-30-2020
This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
local Sewer Use Ordinance.
Please read this permit carefully. If any parts,measurement frequencies,or sampling requirements
contained in this permit are unacceptable to you,you have the right to an adjudicatory hearing upon written
request within thirty(30)days following receipt of this letter. Unless such demand is made,this decision
shall be fmal and binding.
Sincere ,
Justin Shell
Pretreatment Coordinator
Enclosure: IUP#0002

Permit Number 0002
Town of North Wilkesboro, North Carolina RECEIVED
AUG 17 2020
PERMIT NCDEQ/DWR/NPDES
To Discharge Wastewater Under The
Industrial Pretreatment Program
In compliance with the provisions of the Town of North Wilkesboro Sewer Use Ordinance, North Carolina General
Statute 143-215.1, US Code of Federal Regulations 40 CFR 433. Metal Finishing Point Source Category, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission,
and the Town of North Wilkesboro
Johnston Casuals, Inc.
is hereby authorized to discharge wastewater from a facility located at:
121 Shaver Street—P. 0. Box 668
North Wilkesboro. North Carolina 28659
into the Town of North Wilkesboro sanitary sewer system in accordance with effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II and III hereof
This permit shall become effective October 1st, 2020.
This permit and the authorization to discharge shall expire at midnight on September 30, 2025.
Signed this 7th day of August 2020
Pretreatment Coordinator,Town of North Wilkesboro

SUPPLEMENT TO PERMIT COVER SHEET
Johnston Casuals, Inc.
1. Discharge from the powdercoat washing system into the Town of North Wilkesboro Wastewater Treatment
Plant NPDES number NC0020761.
Permit History
10-17-03 Issued IUP.
09-30-2010 Renewal(No Changes)
09-30-15 Renewal (No Changes)
09-30-2020 Renewal (No Changes)
1

Part I. Effluent Limitations and Monitoring Requirements
A. Description of Discharges
Pipe
Pipe 01
Description
Pretreatment Metal Finishing wastewater regulated by 40
CFR 433.
The discharge of storm water is not permitted
The sampling point for Pipe 01 shall be inside the facility. See diagram on next page.

•
Part I. Effluent Limitations and Monitoring Requirements
A. Description of Discharges (continued)
x
Powdercoat Washing Tanks
x Sample Points Are From All 5 Tanks
Facility

•
B. 1. EFFLUENT LIMITS AND MONITORING REQUIREMENTS—Final
Effective immediately and lasting until the expiration of this permit, the permittee is authorized to discharge from pipe
01. This discharge shall be limited and monitored as specified below. Parameters not limited in this permit shall be
discharged in accordance with the Town of North Wilkesboro Sewer Use Ordinance.
Effluent Limitations Monitoring Frequency
In MG/L or as noted by
Limited Sample
Parameter Type
Daily Monthly
Maximum Average Permittee Town
Flow 9,500 GPD 9,500 GPD The entire ----
contents of all 5
tanks including
any wash down
Cadmium 0.07 mg/1 0.07mg/1 *Composite
+++Twice per
calendar year
Chromium 0.02 mg/1 0.02 mg/1 *Composite
+++Twice per
calendar year
Copper 0.40 mg/1 0.40mg/1 *Composite
+++Twice per
calendar year
Cyanide 0.10 mg/1 0.1 Omg/1 ***Grab
+++Twice per
calendar year
Lead 0.15 mg/1 0.15 mg/1 *Composite
+++Twice per
calendar year
Nickel 0.10 mg/1 0.10 mg/1 *Composite
+++Twice per
calendar year

Silver 0.15 mg/1 0.15 mg/1 *Composite
+++Twice per
calendar year
Zinc 0.50mg/1 0.50 mg/1 *Composite
+++Twice per
calendar year
#TTO 2.13 mg/1 ---- ***Grab Once per ----
calendar year
pH ** ***Grab
*** +++Twice per
calendar year
Temperature 140 Deg. F ***Grab
60 Deg. C +++Twice per
calendar year
*At least(1) one grab samples should be taken from each of the (5)five tanks every hour for at least(4) hours prior
to discharging into the sewer system.
** The pH shall not be less than 5.0 or greater than 9.0 standard units.
***A grab sample shall consist of(1) one representative sample from each of the (5)five tanks.
# See Part I, C., 3, E., and Part III,A., and B., of this permit.
++ There shall be no discharge of floating fats, oil& grease, mineral or animal
+++(The following shall meet the monitoring frequency requirements for the POTW). There shall be one sample
taken twice per calendar year. Before the permittee can discharge into the POTW's sewer system, the permittee
must give the POTW's Superintendent or the Pretreatment Coordinator(7)seven days notice, (seven days meaning,
seven scheduled working days)prior to any discharge. In order to meet all monitoring frequency requirements, the
permittee must have permission for the POTW's Superintendent or the Pretreatment Coordinator before the permittee
can take or analyzes any sample. Samples can only be collected and analyzed once during the months of January
through June and once during the months of July though December. (Once meaninw(1) one sample taken during the
months indicated for each parameter listed above). Any sample taken and analyzed by the permittee for any
parameters listed in this permit, beyond the monitoring frequencies listed above must always be approved and reported
to the POTW's Superintendent or the Pretreatment Coordinator.
C. Monitoring and Reporting
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 summarized and reported on Indirect Discharge
Monitoring Report Forms (IDMR), postmarked no later than
the fifteenth day of the month following the month in which the samples were taken. Two copies of each of these and all
other reports required herein shall be submitted to the Town of North Wilkesboro at the following address:

Attention: Supt. Waste Water or
Attention: Pretreatment Coordinator
TOWN OF NORTH WILKESBORO
P. 0. Box 218
North Wilkesboro, NC 28659
b. If the sampling performed by the permittee indicates a violation, the permittee
shall notify the Town 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 Town within 30 days after becoming aware of the violation.
c. If no self-monitoring is required by this IUP, and the sampling performed by the Town of
North Wilkesboro indicates a violation,the Town of North Wilkesboro shall repeat the sampling
and analysis and receive the results of the repeat analysis within 30 days after becoming aware of
the violation.
3. Definitions
In addition to the definitions in the Town of North Wilkesboro Sewer Use Ordinance,
the following definitions and requirements apply:
a. A"composite" sample for monitoring requirements, is defined as the collection
of a minimum of(1) one grab sample per hour of operation and shall be proportioned
according to the volume of each of the (5) tanks.
b. A"daily"monitoring frequency shall mean each day of discharge.
c. A "grab" sample, for monitoring requirements, is defined as a single "dip
and take" sample collected at a representative point in the Y
discharge system.
d. An "instantaneous" measurement, for monitoring requirements, is defined as
a single reading, observation, or measurement.
e. "TTO", or Total Toxic Organics. Is the sum of the concentrations of the toxic organic compounds listed
in 40 CFR 433.11(e) that arefound in the permittee's process discharge at a concentration greater than 0.01
MG/L.
4. Test Procedures
Test procedures for the analysis of pollutants shall be performed in accordance with the techniques prescribed in
40 CFR part 136 and amendments thereto unless specified otherwise in the monitoring conditions of this permit.

5. 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 Town of
North Wilkesboro. The Town of North Wilkesboro may require more frequent
monitoring or the monitoring of other pollutants not required in this permit by written
notification.
6. Flow Measurement
1. Flow Measurement Method
a. Total flow— The permittee shall certify in writing the volume of each of the (5) tanks
in the discharge system. The permittee shall not change any of the tanks capacity without
prior written permission from the PTOW's Superintendent or the Pretreatment Coordinator.
2. Measurement and Frequency and Reporting
a. Pipe 01 Total Flow— The flow measurement for all (5)five tanks required by
this permit is during discharge. The permittee shall provide a summary of the daily
flow volume to the Town as stated on page (5)five of this permit. In addition, each
IDMR form completed by the permittee to report analytical data for other
monitoring at Pipe 01 shall include the daily total flow from Pipe 01 for the period
of sample collection. The value shall be reported in the total flow data entry blocks.
All flow measurement records shall be available during inspections by the Town, the
Department of Environment, and Natural Resources, and the EPA.

Part II. General Conditions
A. Duty to Comply
The permittee must comply with all conditions of this permit. Any permit
noncompliance constitutes a violation of the Town of North Wilkesboro Sewer Use
Ordinance and is grounds for possible enforcement action.
B. 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.
C. Facilities Operation
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
Town of North Wilkesboro. Bypass approval shall be given only when such bypass
is in compliance with 40 CFR 403.17.
D. 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 sewer system. 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.
E. 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 or proof to provide evidence and
demonstrate that none of the factors specifically listed above were responsible for
the noncompliance.

•
•
F. 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
Town of North Wilkesboro and/or their authorized representatives, 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.
G. 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 Town of North Wilkesboro. As required
by the Sewer Use Ordinance, effluent data shall not be considered confidential.
H. Duty to Provide Information

The permittee shall furnish to the Supt. Waste Water or his designees, within a
reasonable time, any information which the Supt., his designee, or the Division of
Water Quality may request to determine whether cause exists for modifying,
revoking and reissuing, or terminating this permit or to determine compliance with
this permit. The permittee shall also furnish, upon request, copies of records
required to be kept by this permit.
Signatory Requirements
All reports or information submitted pursuant to the requirements of this permit must
be signed and certified by the Authorized Representative as defined under the 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 [POTW Director] prior to or together with any reports to be signed by
an authorized representative a ranking official or duly authorized agent of the
permittee.
J. 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.
K. Civil and Criminal Liability
Nothing in this permit shall be construed to relieve the permittee from civil or
criminal penalties for noncompliance.
L. 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.

M. Penalties
The Town of North Wilkesboro Sewer Use Ordinance 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.
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.
N. 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.
0. 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 Town.
P. 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.
Q. 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.

R. Permit Modification, Revocation,Termination
This permit may be modified, revoked and reissued or terminated with cause in
accordance to the requirements of the Town of North Wilkesboro Sewer Use
Ordinance and North Carolina General Statute or implementing regulations.
S. Reapplication for Permit Renewal
The permittee is responsible for filing an application for reissuance of this permit at
least 180 days prior to its expiration date.
T. 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.
U. Notification of Production Changes
The permittee shall give notice to the Control Authority and/or Municipality 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 180 days before the change.
The permittee shall not begin the changes until receiving written approval from the
Control Authority and/or Municipality. Also see Part II, 30 below for additional
reporting requirements for spill/slug issues.
V. Construction
No construction of pretreatment facilities or additions
thereto shall be begun until Final Plans and
Specifications have been submitted to the Town of North
Wilkesboro and written approval and an Authorization to
Construct has been issued.
W. Sludge Management Plan
Ninety days prior to the initial disposal of sludge generated by any pretreatment
facility the permittee shall submit a sludge management plan. Permittee shall
maintain records indicating how much solid waste, in pounds, is being disposed of.

These figures should indicate the disposal site.
1. Slug/Spill Control Measures
In addition to the requirements in Part II, 30, the Permittee shall complete
installation and/or commence implementation, operation, and/or maintenance of the
following specific protection Measures, Activities, Plans. Etc. (Items without
specific completion dates, or marked as "Continuous." must be performed for the
entire duration of the permit):
Description of Activities ,Plan ,etc.
Any spill is to be directed to the appropriate trench for return to the holding tank.
Wastewater will then be treated in the normal manner. Anticipate increased solids
load on the clarifier(s).
Chemicals: In the event of the spill of any chemical all floor drains
should be plugged and all spills of any chemical should be rerouted and
placed in a manner where the chemical should not reach any floor
drains.
Countermeasures will be made in the following order:
Shut down main system, indentify and correct source of the spill,
notify appropriate management personnel, check pH of the spilled
chemical, determine proper corrective action
MANUFACTURING PLANTS
Any spills should be corrected and cleaned up at the source of the spill
In the event of a spill that enter the wastewater collection system, report nature
and volume of spill to supervisor.
Supervisor shall report spill to Human Resource Manager or General Manager.
All spills should be reported to the Town of North Wilkesboro's Pretreatment
Department.
Action
Shut down affected system
Notify appropriate management
personnel Determine impact of spill on
system Initiate corrective action by
either:
a) Dilution - allowing the dilution effects of holding tank to offset the spill's
effect.
b) Compensating treatment- addition of appropriate chemicals to counter the
spill.
The permittee shall provide updates to the Control Authority as required by Part II, 30, of
this IUP. Modifications to the measures shall be approved by the Control Authority prior to

installation/implementation. If a measure fails, the Control Authority shall be notified
within 24 hours.
The permittee shall provide updates to the Control Authority as required by Part II, 30, of
this IUP. Modifications to the measures shall be approved by the Control Authority prior to
installation/implementation. If a measure fails, the Control Authority shall be notified
within 24 hours.
X. Categorical Standard Reopener
This permit shall be modified, or alternatively, revoked and reissued, to comply with
any other requirements of the Act then applicable.
Y. 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.
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 POTW 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
Sewer Use Ordinance.
Additionally, the permittee shall notify by telephone the Control Authority and/or
Municipality 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 Control Authority and/or
Municipality immediately upon the first awareness of the commencement of the
discharge. 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 five (5) days,
unless waived by the Control Authority and/or Municipality.
Z. Accidental Discharges and Slug Loads
The permittee shall provide protection from accidental discharges of prohibited
materials or other substances regulated by this permit. The permittee shall develop,
obtain Town approval, and implement a written spill control and countermeasure
plan within 120 days of the effective date of this permit. This plan shall include, but
is not limited to, the construction of containment dikes around the pretreatment unit,
all process units containing water or oil, and the chemical storage area; the rerouting
of all floor drains in the manufacturing area to a holding area prior to connection

•
to the pretreatment unit; and the plugging of all floor drains in the chemical storage
area.
The permittee shall notify the Town immediately of all discharges that could cause
problems to the POTW including any slug loadings as defined by 40 CFR 403.5(b).
If the permittee experiences such a discharge, they shall inform the Supt Waste
Water or Pretreatment Coordinator immediately upon the first awareness of the
commencement of the discharge. A written follow-up report thereof shall be filed by
the permittee within five (5)days.
Part III. Special Conditions
A. Total Toxic Organics (TTO)
In lieu of monitoring for TTO, the permittee may, upon submitting to the Town of North Wilkesboro one sample
showing TTO compliance and a toxic organic management plan, make the following certification every six
months:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit
limitation for total toxic organics (TTO). I certify that, to the best of my knowledge, no dumping of concentrated
toxic organics into the wastewaters has occurred since filing of the last monitoring report. I further certify that
this facility is implementing the toxic organic management plan submitted to the Town of North Wilkesboro.
B. Toxic Organic Management Plan
Within ninety days of the issuance of this permit, the permittee shall develop and submit to the Town a toxic
organic management plan.

A. Total Toxic Organics (TTO)
In lieu of monitoring for TTO, the permittee may, upon submitting to the Town of
North Wilkesboro one sample showing TTO compliance and a toxic organic
management plan, make the following certification every six months:
"Based upon my inquiry of the person or persons directly responsible for managing
compliance with the permit limitation for total toxic organics (110). I certify that, to
the best of my knowledge, no dumping of concentrated toxic organics into the
wastewaters has occurred since filing of the last monitoring report. I further certify
that this facility is implementing the toxic organic management plan submitted to the
Town of North Wilkesboro.
B. Toxic Organic Management Plan
Within ninety days of the issuance of this permit, the permittee shall develop and
submit to the Town a toxic organic management plan.
Production Records
(for Categorical Industrial Users Covered by Production Based
Categorical Standards only)
The permittee shall keep records of the number of off-pounds of metal processed
each day of production for each core and ancillary operation covered by 40 CFR
403.6(c)(9). These records shall be submitted to the Control Authority by June 30th
and December 30th and shall cover the previous six month report period (January
through June and July through December). Additionally, the applicable daily
production data shall be recorded in all submittals of sampling data.
Additionally, the permittee shall notify the [POTW Director] within two (2) business
days after the User has a reasonable basis to know that the production level will
significantly change within the next calendar month. 40 CFR 403.6(c)(9).
Combined Wastestream Formula Flow Condition
(for Categorical Industrial Users only)
See B section 1 FLOW(effluent limitations and monitoring requirements)
C. Reopener
The permittee shall be modified or, alternatively, revoked and reissued to comply
with any applicable effluent standard or limitation for the control of 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.
D. Monitoring Waiver Parameters
Monitoring by the permittee and the Control Authority has been waived for the
following parameters in accordance with 40 CFR 403.12(e)(2).
Parameter Name 40 CFR 433 Standards
N/A
N/A
N/A
N/A
N/A
The permittee shall provide the following certification with each report required by
Part II, 2, of this IUP, but in no case less than once every six months.
"Based upon my inquiry of the person or persons directly responsible for
managing compliance with the Pretreatment Standards for 40 CFR 433. I certify
that, to the best of my knowledge, there has been no increase in the level of any
parameters in the wastewater due to the activities at the facility since filing of
the [[[last monitoring report]]] [[[last periodic report under 40 CFR
403.12(e)(1).]]]"
In the event that a waived parameter is found to be present or is expected to be
present based on changes that occur in the permittee's operations, the permittee shall
immediately notify the Control Authority and sample for the parameter within fifteen
days of the notification.

TOWN OF NORTH WILKESBORO
PERMIT SYNOPSIS
APPLICATION FOR
PERMIT TO DISCHARGE WASTEWATER
TO A PUBLICLY-OWNED TREATMENT WORKS (POTW)
Application No. 0002-Al Date: June 5, 2015
1. SUMMARY OF APPLICATION, GENERAL INFORMATION ABOUT DISCHARGE
A. Name and Address of Facility
Johnston Casuals Inc.
121 Shaver St. /. P. 0. Box 1570
North Wilkesboro, NC 28659
B. Description of Applicant's Operation
Metal finishing operation, regulated under 40 CFR 433, Subpart A, Metal Finishing, specifically 40 CFR
433.15
Existing Source (commenced discharge July 1, 1985) Facility completed DEM verification form to
determine applicability of 40 CFR 433. Facility has completed BMR and 90 day compliance reports.
SIC code 2514
40 CRF 433 core unit operations in use: coating other 40 CFR 433 ancillary operations in use:
powdercoating, metal cleaning, rinse,phosphoric acid& rust inhibitor metal furniture

C. Production Capacity of Facility:
Metal furniture manufacturing
D. Applicant's Receiving Waters
Town of North Wilkesboro Wastewater Treatment Plant
E. Description of Existing Pollution Abatement Facilities:
Chemical precipitation(powdercoating)

F. Description of Discharges (as reported by applicant)
The permittee indicated 6,590 gallons per discharge of process wastewater regulated
under 40 CFR 433, 250 gallons per day domestic wastewater(total dilution waste
flows 6840 gpd).
The permittee completed the application checklist all of the 129 priority pollutants
as either known present, suspected present, known absent, or suspected absent.
The applicant as known present in the discharge checked the following parameters,
with concentrations reported:
PARAMETER MG/L
Cadmium <0.002
Chromium <0.005
Copper 0.072
Nickel <0.010
Zinc 0.037
Cyanide <0.010
Silver 0.063
Lead <0.010
G. Pollutants which are present in significant quantities or which are subject to effluent limitation are as
follows:
pH. Cadmium, Chromium, Copper, Lead,Nickel, Silver, Zinc, Cyanide
2A. PROPOSED INTERIM EFFLUENT LIMITATIONS.
NONE
2B. PROPOSED FINAL EFFLUENT LIMITATIONS.

See Part I. B, 1 of the permit.
3. PROPOSED COMPLIANCE SCHEDULE FOR ATTAINING EFFLUENT LIMITATIONS
NONE
4. PROPOSED SPECIAL CONDITIONS WHICH WILL HAVE A SIGNIFICANT IMPACT ON THE
DISCHARGE
None other than accidental spill and slug discharge prevention plans that must be developed and implemented
at all times.
5. POTW INSPECTION
POTW staff inspected the permittee on February 24, 2020. All areas of the facility were inspected. All
information in Section 1 of this fact sheet was confirmed. In general, each individual section of the fact sheet
contains a discussion of differences or additions noted with respect to the information submitted by the
permittee in the application. No comment in the individual section indicates no conflicting or additional
information was obtained. The major items noted in the inspection are as follows:
The permittee's facility was evaluated and determined to need spill prevention and countermeasure plans and
equipment.
Special conditions to develop and implement a spill prevention plan are found in Part II, Y., of the permit.
6. FLOW MEASUREMENT
Flow measurement methods were evaluated and indicated the permittee measurements of all of the discharge
tanks are adequate and true.

7. RATIONALE FOR LIMITATIONS
A. Conventional pollutant limitations for BOD, TSS and FOG were based on the
local limits for these parameters as determined by the headworks analysis.
Compliance data available for the permittee was reviewed to determine what range
of concentrations were presently being discharged.
B. Limits for Temperature and pH were set based on Sewer Use Ordinance
prohibitive standards.
C. Limitations for parameters regulated by 40 CFR 433 were decided as follows:
For all other parameters regulated under 433. The headworks analysis and the
permitted Pollutant load allocations for all Significant Industrial users discharging
into the WWTP showed sufficient pollutant load capacity to allow for the
Alternative limits to be assigned(see Allocation Table).
The organic compounds listed as known present in the discharge are covered by the
above listed TTO limit. Due to the structure of the definition of TTO any one of the
individual compounds can be discharged up to the limit at any given time, as long as
it is the only compound being discharged at that time. The allocation table reflects
this.

Modification History
Permit #0002
Date Modified
January 01, 2004 issued
Reason: Found to be categorical during the IWS
Description:
Date Modified
12-13-04
Reason: Increased BOD limits from 450 mg/1 to 650 mg/1
Description
Date Modified
08-29-05
Reason: Removal of BOD, TSS and FOG limits and monitoring requirements.
Removed Permittee monitoring requirements.
Description:
Date Modified
Reason:
Description:

Industrial User Wastewater Survey
& Permit Application
Company Name: /?
ro,,/ ` i45U4 ...$ �,e.✓/rt/.'f
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 management. �� )
Title //t f S I D f ? Years with firm 3? Title /,� �G, Years with firm /9
Phone# 334,,Fe3$ I7Er Fax# 334.447_ BQQ' Phone# 534 '3� 5 78, Fax
#336 647_egi,
Physical street address of facility Official mailing address,if different. Note if same.
/a/ S/l,4V(,c Si D 06ex 44 f'
City LrJWe S 6axe StateN Zip _S'lo S% City ) 1/tKf soca° State NC Zip 4 se-y
The information provided by you on this questionnaire serves two functions:
RECEIVED
1. The information is used to determine if your facility needs an IndustrialAUG 17 2020
User Pretreatment Permit (IUP) for the discharge of wastewater to the
local sewer. NCDEQ/DWRINPDES
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
4 le4 P"CSI"CD
S enatiure of Autho zed Representative Date
listed above (seal if applicable)

Industrial User Wastewater Survey
& Permit Application
PART I. GENERAL INFORMATION:
1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
1144 ,C,4 .7 a MI-Tat govsf/,I o ) va�,ry t£ . �`c""> /,S
11141a£ F2oo, .2'4 w -srfft/ ,ci48e/t�Tf/ 'Ta -S/ e£/ tJfs,D fD/
62c2v ni "Rcubf,c 6,ar �,,,,sa �„►ac ,45.5fntal.y -SN/ppFb,
2. List the primary products produced at this facility:
£7-41. I4d0SF Piccn r✓2.J,rixt,
3. Listis/ raw materials and process additives used:
ST£F L T'
, 46e.sc, / ,&, ed fc.b,.✓c A?4.Tfa"44) d<fc.).61,,c_ 64-7 /41kTf eih+-
( AcJ Df/ic / A ssec, c,4fAtici.tS l W�/&a#) A,lO i.)Q O 61'/1SH 4Tr.tr•L4
ST,4I,vf, CA �r�c, St.-1 sus,, /455fntRcy /^1c1 U latt c400 ..Rene-Es �2 -�k1�.✓E
4. Are biocides added to any water discharged to the POTW,
if yes describe:
Yes
No
5. Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift. \
AltOr�A4� — Fa t �.¢� (01 Tli 44 —3 ci�pr2) At/ Zelh.- /U/t.Yc�J/)
•
14)0iLK D N�7r s ffl F� �c'rs S.4A Go.1.cd%
his'
A-a y Dieu 4rriod flzf / _tThL ifews£.fla 1..D �u ,1,7yic-£•
6. Production process is: Check, if all continuous
Check, if all batch
If both please enter, % continuous= % %Batch=

Industrial User Wastewater Survey
& Permit Application
PART I. GENERAL INFORMATION: (continued)
7. Does production vary significantly (+-20 %)by season. Describe.
Yes
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
No
9. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled off.
/ ictx 175
EJMN� , 1(JI AA)7 16S /`Kor Liar, 1 v
SL24x41,4 SC agtsi , (NO3) 7? 3- %4404
REf tov o $504-1rf/2fS1L1cL /..),5H Ax.cTf,c/4L 4)41 ivies
Velv..t.t ,+t4 ) 01.4tr 4-5 Alga E '''sr.✓q /ZCATfitr.tt fern,.( -Cyr1 131)ccccrs. E`iav� .,2cr
$ il3v ./� .'co.7f,.'4 c ,,� l,.sr s rtax .
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. ,v fA.
Pp TcJ !-f Q A i fs A-u r�o G.4 B ,4.✓.c�y s IS,
A PE c d,z p ,etTInJ T,o/1).
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
12. Complete the Wastewater Pollutants Checklist attached to this Survey.

Industrial User Wastewater Survey
& Permit Application
PART I. GENERAL INFORMATION: (continued)
13. Do you have, or have you ever applied for, been issued, or been denied
an NPDES permit to discharge to the surface waters or storm sewers of
North Carolina? If yes, list all other NPDES permits, permit numbers,
dates, and names used to apply for them, or reason denied.
If yes: Permit,#,date,applicant name
Yes /
If yes: Permit,#,date,applicant name
No 1./
v appliedfor or issued an Industrial
14. Doyou have, or haveyou ever been
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
vao2, 747 f ' J'-oNJsT�J E.�suAcLS FuttAl rv'.-'E s al c— 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
4, 1 t o a z5 2 t si CA Jow,�3ID A) s��.c�.s ��.t.,. r+i� a C 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 E34]
No
17. Is a Spill /Slug Control Plan required by the POTW, prepared for this
facility?
Yes
No
PART I. GENERAL INFORMATION: (continued)

Industrial User Wastewater Survey
& Permit Application
18, Do you have any underground storage tanks at your facility? If yes, list
contents and volume of each tank.
Yes yNo
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 # of Tanks
No

Industrial User Wastewater Survey & Permit Application
PART II, Water Supply, Use, & Disposal Worksheet:
Source(s)Used Water ocu
f r: ource s Disposal Max. -ti -d Dis osal Avg. Max. -b .ti
gal/clay gal/day gal/day gal/day
Method(s) A E
a) a.)
(see Source List below) (see Disposal List below)
1. Process water .2!9 it 4 00 2 I 1..4. ©o ✓
2. Washdown water
3. Water into product
4. Air Quality Permitted units
5. Domestic-toilets,drinking, café / 1240 (2do Z i 240 l 2-40
6. Cooling water, Process NON-Contact
7. Boiler/Cooling tower blowdown
8. Cooling water,HVAC
9. Other:
Totals => <4 vi -gLet; Totals => 14 ?$4D
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
Chapter: IWS Guidance Chapter 3
File name:Chi IWS Appendix 3-B
Revision Date: August 15,2005 Page 6

•
Industrial User Wastewater Survey
& Permit Application
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=>
I. Flow equalization Aerated equalization=>
NON-Aerated equalization=>
Total volume of equalization (million gal.) _>
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
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.
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date:August 15,2005 Page 7

Industrial User Wastewater Survey
& Permit Application
PART IV, CATEGORICAL INFORMATION:
1. When were operations started at this facility Facility start up date /` Si
©ta latic CDC% rQ i/t4Trn,�S > Q� (T )R 4
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.
a-5-i
considered a 3. Has this facility ever been co Categorical Industrial User e
(CIU) as described by the Code of Federal Regulations (40 CFR)?
If yes, give complete 40 CFR number=> 33
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 v/
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date:August 15,2005 Page 8

Industrial User Wastewater Survey
& Permit Application
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
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
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date:August 15,2005 • Page 9

Industrial User Wastewater Survey
& Permit Application
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 1
2-Chlorophenol 34586
2,4-Dichlorophenol 34601 /
2,4-Dimethylphenol 34606
2,4-Dinitrophenol 34616 /
2-Methyl-4,6-dinitrophenol 34657 l
4-Chloro-3-methylphenol 34452
2-Nitrophenol 34591
4-N itrophenol 34646 -
Pentachlorophenol 39032 /
Phenol 34694 /
2,4,6-Trichlorophenol 34621
Base Neutral Organics
1,2,4-Trichlorobenzene 34551
1,2-Dichlorobenzene 34536 /
1,2-Diphenylhydrazine 34346
I,3-Dichlorobenzene 34566 i
1,4-Dichlorobenzene 34571 /
2,4-Dinitrotoluene 34611
2,6-Dinitrotoluene 34626
2-Chloronaphthalene 34581
3,3-Dichlorobenzidine 34631 /
4-Bromophenyl phenyl ether 34636 /
4-Chlorophenyl phenyl ether 34641
Acenaphthene 03405
Acenaphthylene 34200 /
Anthracene 34220 /
Benzidine 39120
Benzo(a)anthracene 34526 _--'.-
Benzo(a)pyrene 34247 /
Benzo(b)fluoranthene 34230 /
Benzo(ghi)perylene 34521
Benzo(k)fluoranthene 34242
Bis(2-chloroethoxy)methane 34278
Bis(2-chloroethyl)ether 34273
Bis(2-chloroisopropyl)ether 34283
Bis(2-ethylhexyl)phthalate 39100
Butyl benzyl phthalate 34292 V.
Chrysene 34320 /
Di-n-butyl phthalate 39110 V.
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date:August 15,2005 Page 10

Industrial User Wastewater Survey
& Permit Application
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
Dibenzo(a,h)anthracene 34556 ✓
Diethyl phthalate 34336
Dimethyl phthalate 34341
Fluoranthene 34376
Fluorene 34381
Hexachlorobenzene 39700 /
Hexachlorobutadiene 34391
Hexachlorocyclopentadiene 34386
Hexachloroethane 34396
Indeno(1,2,3-cd)pyrene 34403
Isophorone 34408
N-nitroso-di-n-propylamine 34428
N-nitrosodimethylamine 34438
N-nitrosodiphenylamine 34433
Naphthalene 34696
Nitrobenzene 34447
Phenanthrene 34461
Pyrene 34469
Metals
Aluminum 01104
Antimony 01097
Arsenic 01002
Beryllium 01012
Cadmium 01027
Chromium 01034
Copper 01042
Lead 01051
Mercury 71900
Molybdenum 01062
Nickel 01067 ✓ /
Selenium 01147
Silver 01077
Thalium 00982
Zinc 01092
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date:August 15,2005 Page 1 I

Industrial User Wastewater Survey
& Permit Application
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 l
Chloride 00940 ..--
Cyanide 00720
Fluoride 00951
Purgeable Volatile Organics
1,1,1-Trichloroethane 34506
1,1,2,2-Tetrachloroethane 34516
1,1,2-Trichloroethane 34511
1,1-Dichloroethane 34496 i
1,1-Dichloroethvlene 34501 /
1,2-Dichloroethane 34531
1,2-Dichloropropene 34541
2-Chloroethyl vinyl ether 34576 ✓
Acrolein 34210
Acrvlonitrile 34215
Benzene 34030 i
Bromodichloromethane 32101 i
Bromoform 32104 /
Bromomethane 34413 ,---
Carbon tetrachloride 32102
Chlorobenzene 34301
Chloroethane 34311 /
Chloroform 32106
Chloromethane 34418 .----
cis 1,3-Dichloropropene 34704 /
Dibromochloromethane 32105
Ethvlbenzene 34371 .""---
Methylene chloride 34423 i
Tetrachloroethylene 34475 /
Toluene 34010 /
trans 1,3-Dichloropropene 34699
trans-1,2-Dichloroethvlene 34546 i
Trichloroethvlene 39180 i
Trichlorofluoromethane 34488
Vinyl chloride 39175 /
Others
Xylene /
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date:August 15,2005 Page 12

Industrial User Wastewater Survey & Permit Application
Data Summary Form
d or; 1j .1 <=Receiving POTW
c. too.07'4 J <= Receiving NPDES #
paws 1)EP <= Specific Sample Location
Lo P Ai oao.;-. i.e., Give IU Name, IUP#, and/or pipe#
BOD TSS Ammonia
Lab=> Laboratory performing analysis=>
MDL => Laboratory Method Detection Limits=>
Notes=> Notes =>
Q = Flow
Sample Date Notes about Sample M=Metered Conc. Results Conc. Results Conc. Results
ID, or Sample E=Estimated from Lab from Lab from Lab
Count Collected
mgd gal/day <? mg/1 <? mg/1 <? mg/1
1 SA•.4.eL�dC. L��L- 6 Z! 9
2 161 Qo--w
3
4
5
6
7
8
9
10
11
12
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=>
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date: August 15,2005 Page 13

Industrial User Wastewater Survey & Permit Application
Data Summary Form
C, <= Receiving POTW
No- cc�o70 <= Receiving NPDES #
<= Specific Sample Location
coo� 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/I mg/I
1
2
3
4
5
6
7
8
9
10
11
12
TNS =>
Max. Value=>
Avg. (use1/2 BDL) _>
Chapter: IWS Guidance C Chapter 3
File name:Ch3_IWS
v h'L 1 G �p�� y Appendix 3-B
Revision Date: August 15,2005 ( Page 14

Industrial User Wastewater Survey & Permit Application
Data Summary Form
o` t• <= Receiving POTW
Ne en 9.o-74. 1 <= Receiving NPDES #
"ptk. ,; , r <= Specific Sample Location
-roe41 coca- i.e., Give IU Name, IUP#, and/or pipe#
Cyanide Lead Mercury Nickel Silver Zinc
Lab =>
MDL =>
Notes =>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/I
1
2
3
4
5
6
7
8
9
10
11
12
TNS =>
Max. Value =>
Avg. (use 1/2 BDL) _>
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS -•—CA/►1 n I w G �,£ Port-) Appendix 3-B
Revision Date: August 15,2005 Page 15

Industrial User Wastewater Survey & Permit Application
Data Summary Form
(ocJ c r N v.) <= Receiving POTW
00 no <= Receiving NPDES #
; r <= Specific Sample Location
/JP coo 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/I
1
2
3
4
5
6
7
8
9
10
11
12
TNS =>
Max. Value =>
Avg. (usel/2 BDL) _>
Chapter: IWS Guidance `` Chapter 3
File name:Ch3_IWS R � GE,,� �y �7 GcJ Appendix 3-B
Revision Date: August 15,2005 1 Page 16

Industrial User Wastewater Survey & Permit Application
Part V, Waste Reduction Information:
State Pretreatment Rule 15 A NCAC 2H.0916 (c)(1)(M) requires Significant Industrial Users
to include a description of current and projected waste reduction (pollution prevention)
activities. The codes listed are standard EPA codes found on Toxic Release Inventory and
other environmental forms. Please check all applicable codes for your facility related to
wastewater discharge.
Current Projected Code Description
W 13 Improved maintenance scheduling recordkeeping,or procedures
W 14 Changed production schedule to minimize equipment and feedstock
changeovers
W 19 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
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
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date: August 15,2005 Page 17

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Industrial User Wastewater Survey & Permit Application
Part V, Waste Reduction Information: (continued)
Current Projected Code Description
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)
Chapter: IWS Guidance Chapter 3
File name:Ch3_IWS Appendix 3-B
Revision Date: August 15,2005 Page 18

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WATER SUPPLY, USE & DISPOSAL
The powder coat system contains a preparation section consisting of 5 stages. Each of
these stages drain to a common line which in turn drains to the sewer system. The total
capacity of all 5 stages is 6,600 gallons and would represent our maximum gal/day for both
water source and disposal. Those stages are:
1. Clean - is a 2,200 gallon tank, this cleaning stage uses GX Clean 5190, a mild alkaline
cleaner, and the largest of the 5 stages. This tank is filled and drained every 3-6
months.
2. Rinse - is a 1,100 gallon tank containing water which is changed every 2 weeks.
3. Prep - is a 1,600 gallon containing our surface pretreatment using Duratec 400. Also an
additive, GF Adjust Up — mild neutralizing agent, is used to balance Ph. This tank is
changed every 3 months.
4. Rinse - is a 1,100 gallon tank containing water which is changed every 2 weeks.
5. Rust Prevent - is a 590 gallon tank containing a corrosion inhibitor. The corrosion
inhibitor is GF Seal 6107. This tank is changed every 4 weeks.
Since some tanks are heated, evaporation will occur and residual liquid will remain on the
product. For the disposal daily usage figure, we assumed that 15% of the average daily
usage will be lost to evaporation and residuals.
Domestic:
We assume all water discharged for domestic purposes will be equal to the source amount.
1/16/19

ASSUMPTIONS USED FOR CALCULATIONS
PART II WATER SUPPLY, USE & DISPOSAL AND
DATA SUMMARY FORM = FLOW CATEGORY
Part II:
Line 1 process water:
The powder coat system contains a preparation section consisting of 5 stages. Each of
these stages drain to a common line which in turn drains to the sewer system. The total
capacity of all 5 stages is 6,600 gallons and would represent our maximum gal/day for both
water source and disposal. Those stages are:
1. Clean - is a 2,200 gallon tank and the largest of the 5 stages. This tank is filled and
drained every 3-6 months. For purposes of calculations, we used 90 days (assume 30
days/month) to calculate an average daily usage as this would maximum usage. When
dividing 2,200 gallons by 90 days, you get an average daily usage of 24 gallons/day.
2. Rinse - is a 1,100 gallon tank containing water which is changed every 2 weeks. Using
14 days, you get an average daily usage of 78 gallons/day.
3. Prep - is a 1,600 gallon tank and is changed every 3 months. Using 90 days, you get
an average daily usage of 18 gallons/day.
4. Rinse - is a 1,100 gallon tank containing water which is changed every 2 weeks. As in
stage 2, using 14 days, you get an average usage of 78 gallons/day.
5. Rust Prevent - is a 590 gallon tank containing a rust prevention solution. This tank is
changed every 4 weeks. Using 28 days, you get an average daily usage of 21
gallons/day.
Adding the five stages together you get an average daily intake of 219 gallons/day. Since
Stage 1 is heated to 130 F, evaporation will occur and some residual liquid will remain on
the product. For the disposal daily usage figure, we assumed that 15% of the average daily
usage will be lost to evaporation and residuals. If you take 219 gallons/day and multiply it
by 85% you arrive at our average disposal number of 186 gallons/day.
Line 5 Domestic:
We assume all water discharged for domestic purposes will be equal to the source amount.
We have 45 employees. Looking at the prior water bills representing 2019, we on average
use approximately 29,180 gal/month. Since an average month contains 20 working days,
we arrive at an overall daily water usage average of 1.459 gallons. Subtracting the 219
gal/day average for process water, we arrive at a domestic usage of 1,240 gal/day. Water
usage is up due to our conversion to a complete RO water process.
Data Summary Form Flow column:
Used 219 gals/day average daily as calculated above for water source numbers. Again,
this represents only an estimate as we do not actual fill/discharge daily.
4/22/20

JOHNSTON CASUALS
WASTEWATER TREATMENT PERMIT
SLUDGE MANAGEMENT PLAN
Under the current operating system, Johnston Casuals does not generate
sludge with the powder coat system. As a result of this no sludge control
plan is being developed. If operating conditions were to change in the
future, which resulted in the production of sludge, a sludge management
plan would be developed and submitted to the town of North Wilkesboro.
SPILL CONTROL PLAN
Johnston Casuals is committed to preventing an accidental release of
wastewater. However, if a spill should take place Johnston Casuals has
adopted the following containment procedures. A concrete dike surrounds
the entire washing stage of the powder coat system. This dike is capable of
handling over 4,500 gallons. The containment dike drains to the sanitary
sewer, as would a normal discharge. In the event of a significant spill, the
washing system would be shut down and the town of North Wilkesboro
contacted as to the volume and nature of the spill. Corrective action would
then be undertaken to correct the cause of the spill. Minor spills should be
corrected and cleaned up at the source.
For tanks 2, and 4, the proper procedure will be to shut down system and
notify appropriate management personnel who will identify and determine
the impact of the spill. (Since these tanks contain only rinse water, they will
not be a significant source of contamination.) Determine proper corrective
action. Restart system and monitor for proper operation.
For tanks 1, 3, and 5, those containing the mild alkaline cleaner, phosphate
free pretreatment and final sealant, the proper procedure will be to shut
down system and notify appropriate management personnel who will
identify and determine the impact of the spill. Check pH of spill volume, if
possible, and tank volume. Determine proper corrective action, including

the possibility of adding further chemicals/water to achieve proper dilution.
Restart system and monitor for proper operation.
Facility contacts:
Main phone line [phone]. Switchboard operates 8:00 a.m. — 5:00
p.m. Monday through Friday. For after hour's operation follow instruction
of the voice mail system.
Joseph Johnston, President, extension 222 — (home) 336-467-7166
Bob Whelan, FIR Manager, extension 230 — (home) 336-667-3752
Andrew Shepherd, Plant Manager, extension 223 — (cell) 336-902-7267
Kenneth Brown, Maintenance Supervisor, extension 242
Town of North Wilkesboro:
Justin Shell, [phone]
TOXIC ORGANIC MANAGEMENT PLAN
Under the current operating system, Johnston Casuals does not generate
toxic organic material with the powder coat system. This conclusion is
based on the certification of the manufacturer that as of 1/16/2019 no TTO
chemical was present in any of the chemicals purchased by Johnston
Casuals for use in the powder coat system. We have not changed suppliers
nor chemicals purchased since that certification. As a result, no toxic
organic management plan is being developed. If operating conditions were
to change in the future, which resulted in a TTO chemical being used, a
toxic organic management plan would be developed and submitted to the
town of North Wilkesboro.
1/16/19

•
SIU INSPECTION FORM
Name Of Industry: InAS+4n ((xi,4.15 IUP# n00
• Address Of Industry: IUP Expiration Date:
Indust Representatives: Title
'Rob W‘Ne,\ev.. rtR.- Ma..a.ser-
POTW Representatives- Title
LAS41' n SkI I cPo?' .+ G.. Y+.f COo^OfJ N et far-
Date Of Inspection: Ofo- 2 LI- 202 0 Time Of Inspection: //60 wpm
Purpose of Inspection: Annual Ls"- Other(Describe)
POTW to which IU discharges AAA/wT 7 NPDES# AJC DD Zo 7 61
Is SIU currently in SNC? N D If yes,for what?
PART I-INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product YES/e
Raw materials used YES/
Manufacturing processes YES I i )
Categorical,if applicable YES/
Production rate • /NO Dow r. o Cpv c
Number of employees 1J /NO Dq tor. -1-0
Number of shifts YES/60 / S h:{--/-
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? illeP 0 Where do they go?
2. Are production areas diked,contained,or otherwise constructed in such a way as to prevent harm to the WWTP,
especially from spills or slugs? C/NO Comments:
3. Are there floor drains in the storage area? 681/NO Where do they go?
St��
4. Are storage tanks and areas diked,containd�or otherwise constructed in such a way as to prevent harm to the
WWTP,especially from spills or slugs? tEE NO Comments:
5. Are process and storage tanks and pipes labeled? Inv NO �"
6. How are off-spec raw materials,and products disposed of? ,t)on t' Ctr•-ci`.c
7. When is the production area cleaned? Pkj J
8. Is the wastewater from cleaning the production area'discharged to th POTW? NO
9. What non-process wastewatersP POTW? �.
p are to O �O eSJC-
Comments:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 1

SIU INSPECTION FORM
4
PART II -Plant Tour Section B -PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system. ^
1. Does operator seem knowledgable about the system? kti'/NO Comments:
2. Are all units operational? 'F /NO -7-�
3. How often does operator/maintenance erson check system? // . I
4. Is there an operator for each shift? /NO 1 /+
5. How and when is sludge disposed of? A.)0n.0 (VC tira-i-td
6. Is there a schedule for preventative maintenance? 63)/NO
Comments:
PART II-Plant Tour Section C- SAMPLING POINT(S)AND FLOW MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES/a If yes,name of lab. Met t L. 4-Wrw
2. If industry completes sampling,ask the industry representative to describe sampling procedures. Comments:
POT w 4A,r t-e o w-t- CO C,
3. Is flow measurement equipment operational? YES/NO Comments:
A) Pr
4. Is there a calibration log for the flow meter? YES/NO Comments:
Nth
Comments:
PART III-EXIT INTERVIEW
Review monitoring records and other SIU records required by IUP.
1. Are files well organized? 0),'NO Comments:
2. Are sample collection/chain-of-custody forms filled out properly? YES/NO Comments:
t?oT w - ,`t1S ' Coe
3. Do results in files agree with reports sent to POTW? YES/NO Comments:
�A
4. Who has authority to shut down proqduction should a spill or slug discharge occur?
3/)b Wka_lt^ 44re-) Skt kerCA
5. How does SIU inform employees of whom to call at POTW in case of spill/slug?
vet be)
If slug/spill plan is already required by POT.W. review procedures.
6. Is SIU implementing slug/spill plan? /NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES/65)
Comments,Required Or Recommended Actions:
Signature Of Inspector(s) Date: 0 -
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1,1994 Page 2

Workbook Name : Allocation Table 2019.xls, Worksheet Name: AT Printed: 8/10/2020,2:09 PM
Page 1 of 6
Allocation Table Spreadsheet Instructions:
Headworks last approved: 10/02/1: 1)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is
Allocation Table updated: 10/02/1: 2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
Permits last modified: 09/30/17 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load
in this AT worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in
columns AT through BK.
POTW=> NWWTP
NPDES#> NC0020761
FLOW BOD TSS
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Conc. Load
Count (please fist apbabewciy) number number Industry Date Date Expires MGD gal/day m 1 lbs/da m 1 lbs/da
_
1 Gardner Glass Products 0001 1 433 09/30/17 09/30/22 0.0750 75,000 150 93.83 150 93.83
2 Johnston Casuals 0002 1 433 09/30/15 09/30/20 0.0095 9,500
3 4
4
5
6
7 4
I
9
10
Column Totals=> 0.08451 84,5001 94r 94
Basis=> NPDES Design Design
MARL from HWA(lbs/day)_> NPDES Permitted Flow=>— 2.0000 2752 2502
Uncontrollable Loading(lbs/day)_> 0.9990 975 1120
Total Allowable for Industry(MAIL)(lbs/day)_> 1.0010 1777 1382
Total Permitted to Industry(lbs/day)_> 0.0845 94 94
MAIL left(lbs/day)=> 0.9165 1684 1288
Percent Allow.Ind.(MAIL)still available(%)=> 91.6% 94.7% 93.2%
Percent MAHL still available(%)=> 45.8% 61.2% 51.5%
5 Percent MAHL(lbs/day)=> 0.1000 138 125
HWA.AT
Revised:November 2005

Workbook Name : Allocation Table 2019.xls, Worksheet Name: AT Printed: 8/10/2020, 2:09 PM
Page 2 of 6
Allocation Table
Headworks last approved: 10/02/18
Allocation Table updated: 10/02/18
Permits last modified: 09/30/17
Porw=> NWWTP
NPDESrfr> NC0020761
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 en,lPh.beticy) number number mg/I lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/1 lbs/day
1 Gardner Glass Products 0001 1 0.050 0.03 0.06 0.04 1.5 0.938 0.10 0.063
2 Johnston Casuals 0002 1 0.07 0.006 0.02 0.002 0.40 0.032 0.10 0.008
3
4 ,
5
6 1 .- 11 1..............
7 -4
8
9
10 r
Column Totals=> ____11 0.00001 0.03681 0.0391 0.9699) l 0.0705
Sludge Sludge AS/NiVTF Sludge AS/Nit/TF
Basis=> NPDES Ceiling Ceiling inhibition Ceiling inhibition
MAHL from HWA(Ibs/day)_> 260.11 0.0753 0.0954, 3.4437 3.4288 0.8740
Uncontrollable Loading(lbs/day)_> 102.48 0.0433 0.0083, 0.0433 0.4541 0.0208
Total Allowable for Industry(MAIL)(lbs/day)_> 157.63 0.0320 0.0871 3.4004 2.9747 0.8532
Total Permitted to Industry(lbs/day)=> 0.00 0.0000 0.0368 0.0391 0.9699 0.0705
MAIL left(lbs/day)_> 157.63 0.0320 0.0503 3.3612 2.0048 0.7827
Percent Allow.Ind.(MAIL)still available(%)=> 100.0% 100.0% 57.7% 98.8% 67.4% 91.7%
Percent MARL still available(%)=> 60.6% 42.5% 52.7%, 97.6% 58.5% 89.6%
5 Percent MAHL(lbs/day)=> 13.01 0.0038 0.0048 0.1722 0.1714 0.0437
HWA.AT
Revised:November 2005

Workbook Name : Allocation Table 2019.xls, Worksheet Name: AT Printed: 8/10/2020,2:09 PM
Page 3 of 6
Allocation Table
Headworks last approved: 10/02/18
Allocation Table updated: 10/02/18
Permits last modified: 09/30/17
PoTw=>NWWTP
NPDES > NC0020761
Lead Mercury Molybdenum Nickel Selenium Sil.
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc.
Count cam it Apn,xaar) number number mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/1 lbs/day mg/I lbs/day mg/1
1 Gardner Glass Products 0001 1 0.05 0.031 0.4 0.250 0.07
2 Johnston Casuals 0002 1 0.15 0.012 0.10 0.008 0.15
3
4
5
6
7 _
8
9
10 - 4 -
Column Totals=> 1 0.0432 10.000000 0.0000 0.2581 I 0.0000
Sludge Sludge AS/Nit/TF Sludge Sludge
Basis=> Ceiling Ceiling inhibition Ceiling Ceiling
MAHL from HWA(lbs/day)_> 1.0359 0.043947 0.1027 0.7523 0.1433
Uncontrollable Loading(lbs/day)_> 0.0408 0.002499 0.0217 0.0417 0.0433
Total Allowable for Industry(MAIL)(lbs/day)_> 0.9951 0.041448 0.0810 0.7106 0.1000
Total Permitted to Industry(lbs/day)_> 0.0432 0.000000 0.0000 0.2581 0.0000
MAIL left(lbs/day)=> 0.9519 0.041448 0.0810 0.4525 0.1000
Percent Allow.Ind.(MAIL)still available(%)=> 95.7% 100.0% 100.0% 63.7% 100.0%
Percent MAHL still available(%)_> 91.9% 94.3% 78.9% 60.1% 69.8%
5 Percent MAHL(lbs/day)_> 0.0518 0.002197 0.0051 0.0376 0.0072
HWA.AT
Revised:November 2005

Workbook Name : Allocation Table 2019.xls, Worksheet Name: AT Printed: 8/10/2020, 2:09 PM
Page 4 of 6
Allocation Table
Headworks last approved: 10/02/18
Allocation Table updated: 10/02/18
Permits last modified: 09/30/17
Pores=>NWWTP
NPDESi s NC0020761
ver
Industry Limits
RIP INDUSTRY NAMES Permit Pipe Load
Count (please list upt eticly) number number lbs/day
1 Gardner Glass Products 0001 1 0.044
2 Johnston Casuals 0002 1 0.012
3 _
4
5
6
7
8
9
10
Column Totals=> 1 0.0557
AS/Nit/TF
Basis=> inhibition
MAHL from HWA(lbs/day)_> 1.7097
Uncontrollable Loading(lbs/day)_> 0.0208
Total Allowable for Industry(MAIL)(lbs/day)_> 1.6889
Total Permitted to Industry(lbs/day)_> 0.0557
MAIL left(lbs/day)_> 1.6332
Percent Allow.Ind.(MAIL)still available(%)=> 96.7%
Percent MARL still available(%)=> 95.5%
5 Percent MAI-IL,(lbs/day)=> 0.0855
HWA.AT
Revised:November 2005

Workbook Name : Allocation Table 2019.xls, Worksheet Name: AT Printed: 8/10/2020,2:09 PM
Page 5 of 6
Allocation Table
Headworks last approved: 10/02/1;
Allocation Table updated: 10/02/1;
Permits last modified: 09/30/17
POTw=> NWWTP _
NPDESi1=> NC0020761
Zinc Total Nitrogen Total Phos. c d e
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 (place Get dphebeticly) number number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day
1 Gardner Glass Products 0001 Iit 0.3 0.188
2 Johnston Casuals 0002 1 0.50 0.040 i 4 _
3
4
ii
5 1 11 __ __ 11
6 11
7
8 it ii � i
il i
9
10
Column Totals=> I 0.2273 0.001 1 0.00) 0.0000 l 0.0000 0.0000
Sludge
Basis=> Ceiling
MAHL from HWA(lbs/day)=> 6.1420
Uncontrollable Loading(lbs/day)=> 1.5830 31.24.37
Total Allowable for Industry(MAIL)(lbs/day)_> 4.5590
Total Permitted to Industry(lbs/day)=> 0.2273 0.00 0.00 0.0000 0.0000 0.0000
MAIL left(lbs/day)=> 4.3317
Percent Allow.Ind.(MAIL)still available(%)=> 95.0% ####### ####### ####### ####### #######
Percent MAHL still available(%)=> 70.5% ####### ####### ####### ####### #######
5 Percent MAIL(lbs/day)_> 0.3071
HWA.AT
Revised:November 2005