NC0034967_Regional Office Historical File Pre 2018 (12)

r
To:
SOC PRIORITY PROJECT: Yes —No X
If Yes, SOC No.
Permits and Engineering Unit
Water Quality Section
Attention: Greg Nizich
Date: December 27, 1994
NPDES STAFF REPORT AND RECOMMENDATION
County: Alexander
Permit No. NC0034967
PART I - GENERAL INFORMATION
1. Facility and Address: Carolina Glove Company, Inc.
Route 7, Box 87
Taylorsville, N.C. 28681
2. Date of Investigation: December 22, 1994
3. Report Prepared By: Samar Bou-Ghazale, Env. Engineer I
4. Persons Contacted and Telephone Number: Mr. Brian Eades;
- Operator; Tel# [phone]
5. Directions to Site: The Company is located southwest of
Taylorsville at the junction of the Lower Little River and SR
1115 (Liledoun Road).
6. Discharge Point(s). List for all discharge points:
Latitude: 35°53'40" Longitude: 81°12'50"
Attach a U.S.G.S. map extract and indicate treatment facility
site and discharge point on map.
U.S.G.S. Quad No.:, D 14 NW U.S.G.S. Name: Taylorsville
7. Site size and expansion are consistent with application?
Yes X No If No`, explain:
8. Topography (relationship to flood plain included): Hilly, 5-
10% slopes; The facility is .not located within the 100 year
flood plain.
9. Location,of nearest dwelling: None within 500 feet of the
discharge location.

M1,
M. Receiving -stream or affected surface waters: Lower Little
River.
a. Classification: C
b. River Basin and Subbasin No.: Catawba; 03-08-32
C. Describe receiving stream features and pertinent
-downstream uses: The wastewater treatment plant
discharges into the Lower Little River which contains
excellent flow.. The Town of Taylorsville (NC0026271)
discharges approximately one mile downstream from
Carolina Glove. Pertinent downstream uses are those
typical for Class C. water (secondary recreation,
agriculture, etc.)
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted: 0.015 MGD
(Ultimate Design Capacity)
b. What is the current permitted capacity of the wastewater
treatment facility? 0.015 MGD
C. Actual treatment capacity of the current facility
(current design capacity)? 0.015 MGD
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two
years: N/A
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: The
existing treatment facility is a package type WWTP
consisting of a comminutor, aeration-- basin, clarifier
with sludge return, and effluent chlorinator.
f. Please provide a description of proposed wastewater
treatment facilities: N/A
g'. Possible toxic impacts to surface waters:' N/A
h. Pretreatment Program (POTWs only): N/A
2. Residuals handling and utilization/disposal scheme: The
Company contracts Precast Mecimore Company to remove and
dispose of sludge as needed. Sludge is disposed at a Division
of solid waste managment approved land application site (site
Number 00104) on State Road 1614, Alexander County.
3. Treatment plant classification (attach completed rating
sheet): Class II .
4. SIC Code(s): 3151
B
Wastewater Code(s) of actual wastewater, not particular

facilities, i.e., non -contact cooling water discharge from a
metal plating company would be 14, not 56.
Primary: 02 Secondary:
Main Treatment Unit Code: 06007
PAR'r III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant
Funds or are any public monies involved (municipals only)?
N/A
2, Special monitoring or "limitations (including toxicity)
requests: N/A
3. Important SOC, JOC or Compliance Schedule dates: (please
indicate) N/A
4. Alternative Analysis Evaluation: Has the facility evaluated
all of the non -discharge options available. Please provide
regional perspective for each option evaluated.
Spray Irrigation: N/A
Connection to Regional Sewer System: N/A
Subsurface: N/A
Other Disposal Options: N/A
5. Air Quality and/or Groundwater concerns or hazardous materials
utilized at this facility that may impact water quality, air
quality, or groundwater: No AQ or GW concerns nor are
hazardous materials utilized at this facility.
PART IV - EVALUATION AND RECOMMENDATIONS
The wastewater treatment' facility serving Carolina Glove
Company, Inc., was in good operating condition at the time of the
site inspection.
It is recommended that the subject permit be renewed as
requested.
Sigrfature
Preparer
Water Quality Regional
V1
Date
upervisor

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RATING � SCALE FOR CLASSIFICATION OF WATER POLLUTION CONTROL SYSTEMS
Name of Facility:
Owner or Contact Person: Hz-
Mailing Address: eoUTer—: 7, 8ox $7 T L�,QcyiLGE s Al. C. 2 $G S I
County: ALExA�DE� Telephone: 764-- 63 z _ z /07
Present Classification: cGAsS ZV New Facility Existing Facility f
NPDES Pqr. No. NC00 Nondisc. Per. No.WO Health Dept.Per No.
Rated by: you-ehM LC Telephone: 764
Reviewed by: Health Dept. Telephone:
Regional Office Telephone:
Central Office Telephone:
ORC: 13RQA'/ Telephone: ,9-
Check Classification(s): Subsurface Spray Irrigation Land Application
Wastewater Classification: (Circle One) I II III iV . Total Points: Zr
-----------------------------------------------------------
CONSIDERED NASM TRFATt. e4T FOR THE PLIRPOSE OF CI_dM I ALSO SEPTIC TAW "TB45 00f*c7lhn ONLY OF SEPTIC TAW
e[yn ^�•^Tv �rMFJC TIOry I MS ARE EXEMPT FROM CLASSIFICATION_
--------------------------------------------
SUBSURFACE CLAS,StFiCATM
(check all units that apply)
1. septic tanks
2. pump tanks
3. siphon or pump -dosing systems
4. sand filters
5. grease trapfinterceptor
6_cil/water separadors
7_gmvhy subsurface treatment and disposal:
8. pressure subsurface treatment and disposal:
SPRAY IFFOG ATION CLiISSFiCAMN
(check
all units that apply)
1.
preliminary treatment (definition no. 32 )
2
lagoons
3.
septic tanks
4_pump
tanks
5,
pumps
6-sand
fiiteni
7.
grease trapfinterceptor
8.
oiVwater separators
S_disinfection
10.
chemical addition for nutrientlalgas control
11.
spray Irrigation of wastewater
In addition to the above classifications, pretreatment of westoweter In Ueats of these components shell
be rated using the- point rating system and will require on operator with on appropriate dual certification.
LAND APPMATiOKIRESIDLWLS CLASSIFICATION (Applies only to permit holder)
1. Ind application d biosd;ds, residuals or contaminated sails on a designated site.
WASTEWATER TREA11r e4T FAWN CASSIFICATION
The following systems shall be assigned a Class I dassAmation, unless the flow Is of a signtlicart quantity or the technology Is unusually
complex, to require consideration by the Commission on a case -by -case basis: (Check r Appropriate)
1,_0Wwaler Separator Systems consisting only of physical separation, pumps and disposal;
2. Septic TanklSand Fitter Systems consisting only of septic tanks, dosing apparatus, pumps,sand filters, disinfection
and dired dsdhaW:
3,_Lagoon Systems consisting only d preliminary treatment, lagoons, pumps, disinfection, necessary chemical treatment for
*as or mArient control, and deed dischargs;
4. t iosed-loop Recycle Systems:
S. _Groundwater Remediallon Systems consisting only of oMaater sepwalws, lumps, air -stripping, carbon adsorption, disintedion.
and disposal: '
6,—Aquaculturs operations with discharge to surface wrers;
7. _Water Plant sludge harhdring and back -wash water treatment:
11. Seafood processing consisting of screening and disposal.
o Single-famtf ditscharging systems, with the exception ofAarobla Treaimert Units, will ha dasstfied I parmRted after July 1,
IM or it upon (nspedton by the Wslon, it is found that the system Is not being adequately operaled or maintained. Such
systems will be notified of the dassirication or redasslfic"on by the Commission, in writing.

The following scale is used for rating wastewater treatment facilities: (circle appropriate
point
REM POINTS
(1) findustrial,Pratreatmanl Units or Industrial Pretreatment Program (see definition No. 33)....................... ........ ................. A
(2) DESIGN FLOW OF PLANT IN gpd [rot aWkAbts to non oorriamnaud cooing waters, sludge handing facilities for
water pwifiration plants, totally dosed hyda sysssms(see deruhWon No. IIL-and tadllliss comKting only of hem
(4)(d) or Items (4)(d)' and- (11.)(d))
0 - 20.000........ ... __. ».».�»....».................»...»....�.........»..... «....»..« 1
.20,001 - 60 000.. «...... ....................._........................ _.......
............ .... ...� »..».............3
50 001 - 100 000r .......... _.........».... .......»......».».«...«......_...«............_.......».
100.001 - 250.000............. ........... ».... «»»............ .......... ....... .......».. ».».. _«. A ..»....... .............A
• 250.001 - 500.000... ...............» ....«»......_.«...«..»...«». «.«» ..»..». ..._-............... .............
500.001 - 1.000,000...........»»....»..«......»_..........».«.«....:«............»..»..»....».....�....«..................10
1,000,001 - 2.000,000.................... :..... _................................. :.................. .......«....................
r 2.000.001 (and up) rate I Point additional for each 200.000 gpd *=11Y upto a maxlrthum of ..30
Design Flow (gpd)
(3) PRELIMINARY LINITS/PROCESSES ( dedefirMon No32) ................1
(a) BvScreerss.«...».»...».....».»».«.«.:_.....
.... _.:......... «....«.«_.».. »._».».......».....».«.».».
or
(b) Mechanical Scream. Static Screens or comminuting Devices ..-»._-_._-_ .._:«...._.»...__.. _.__._._:._..... 2O
(c) Grt Removal .....«.».».».......................... .......... ................... »..».. _.... ....................
(d) eMecharical or Aerated Oft Removal ...... ».».«......
».......».....».«._«............».•...»....»� «. �•.«.«» .......-�
....
(a) Fbw M"wri+g Devbe» .«»...-.....
» ^.«�.. ».._ :«.� »».......»»..,».«.«.._...
or
(1) instrumented Flow Meawnntent.».................... ...«.....».». _....._ ....�.....«.«.. .« »....................2
(g) Preaeratlon.. .«.:...»..........«.««..» »..»....«.«..»........ .«.__»»�«.«.............»......................_2
(h) Influent Flow Equalization....._.........»..»......»......«....»..........»_.»._..._...._..._........._..._........._.......2
(I) Grease or Oil Separators • GravMy.»».«..__..«..._.__...._..._... _ «». ........«.»..«............. «... ......3
Mechanical»....»...«»»»«.............»»..».».....»»»»...«..»..» .».........d
Dissolved Air Fiotstion....... «...«..••-••-••...........»........«..»...»..» »..........».............»..« . »
([) PreehbrInatbn.......................................»r»..««......«.:....„......._«.._....»...»._.».»...«.......»......_..........5
(4) PRIMkRYTREATMEJTLNRSIPROCESSFS _ 2
(a) Septic Tank (see defInItbn No.»..�»»«.».. »... .»....:..........5
««»»
(b) 4nhofl Tank ...........................«............._....»» ....«.............». ••••
(c) Primary ClarNiers...... _.............. »»..».... _....................... ».............................. «.» ...
..«......:.......»...»« .......5
(d) Settling Ponds or Settling Tanks for Inorganic Non -toxic Materials (sludge handling facNMMs for water
purification plarss, sand, gravel, stone. and other mining operuiors except recreational &Oldies such as gem
or gold mining) ...... ..... _... ».......
......»..»....»..» 2
(5) SECONDARY TFIEA7MEJT UN75PROCESSE-S
(a) Carbonaceous Stage _...... ......... 20
(I) Aeration -High Purtty Oxygen System.........«.... ^•«• «..««.....»_.10
Defused Air System....:«. ...».«... .....»««
Mechanical Air System plied. foaling or rotor)_ «_ .......—•—•••---»•-«- .3
Separate Sludge Reaeraslon. ....«»....».»..««.»......«....»«............«..«.......................
Trickling Rker
Fligh
Standard Rate..»..».»..«..»»....»»...«........._.......«»««......................«..»...»...» ..5
Packed Tower.. »».... ».»...... «.»»»............ »..»»..........
«............«.10
(Ip) Biological Aerated Filter or Aerated Biological Filter
(N) Aerated Lagoons............»«.»»........_.........._.»»».N.._.....«..».. «»......».......10
(v) Rotating Biobgiosl Coryadors..... ...;_ _.»_-»._«._-- «. ».._....»....».»...._.»..2
(VI) Sand Fitters -Intermittent Hiologlcal ............».»....«...«..»M .«......«................. «..» . »«..3
Reebculating blologleal..«««« .»..»«»...«•-•»---.•-••••--•• .. «.. »
(vp) Stabilization
(vei) Career...................
(ix) Single stage system for combined cwbonaceous ramwal of DOD and nitrogenous removal by
ntrt'catbn (see deftion No. 12)(Points for this Rem, have to be in addition to Items
(6)(a)(1) through (5)(a)(vlii),
(see definition No
yffilzing the extended aeration process 3a)..»....»-•...»--•»—«.••«••••»..Z
Irtttzing other than the extended aeration process... •' •••It
(x) Noriert.additions to enhance DOD removal...«�«....«»......... »=...».«.»..........«»...» «5
(XI) Bbbgieat Cuturs ('Super
rears
(b) (g1f0� lion - High Purity Oxygen System_ ...._...MM......»M•-»•-•w-«Z0
Defused Ain System..««. - -• »-• ».-•—« -«•�•• «•.150
Mechanical Air System Plaod. fioatkV or rotor)_«._«._.««,.-»•-»• _.w«3
Separau Sludge Reaenabn.«.^.»««.»....«.«.«.«.«.««..«._�_...«..««.-.—«.»«.«.... .».».7
(f) TAektkhg Feur•Hlgh Rate..
Standard Rau....»...._.......««....._....�._..«».«.. ..._.5
Packed Taver.._.............._�. �..._r .....» ....r...r««».._.«.«..«... 10
Bbboicat Aerated Filter or Aerated Biological FlIter.�.__: •--•--- «'10
�
do
) Rotating Biological Cordan...».»»...».».._«....«»....».—«..»««..««...._..».....«...«.
(v) Sand Peter - IntennturY biobgfeal......«.«..............«...»...............�..........»«.»...« — .3
Recirculating bbiogieal. » «•--- ««""""""' r•«5
({) TEFr[IARYOROf
MICEDTRFJhTMBNTLR�AT5�PFCCEMB
.«....«« _.« « .« .»-.«....«.......«....«-».
(a) Ac vated Carbon Bede - s
erthout carbon regenamlion._•-_.._.«.««.............«««.M.«..-- .,•„••,,..»«16
with carbon regsneratbn.».._.«_.«.» ......----.»_.-«__ «»-
(b) Powdered or Granular Activated Carbon Food- �� 5
twfhout carbon regenerallon..._ «---•«-•••M'«'«'•"•""" 5
with carbon rpeneratlon»».»..«_.«.........«.»»._......... .-
(a) Air sing- «...�.«...............»_».—..._......«.«__......M».»..»._».......«....«»... �_...«..«..10
(.' ' ponit,lficatbn�Prno.ss... .� �.� � w.�...�� »�........w« m....._.�.�� ..w» ..» �..._........... � .5
f) foam
IonFsdhange..«««.«........ ».._.. «.... _.».»
(h) Land Appfcatbn of Treated Effluent (ses.defWdon No. 22b) (rot applicable for sand, gravel, stothe :._...A
and other slmtlaat mining "rations) by high rate fnfetMflcrL_..._...r___-_-_.. _ ..
_ ....»»•_«..»�w .»w •... _.:.»«.•...ZO
(L) Phosphorous Rorno cal by BiOtoglcaf Processes (See def rjkn No.2d).r » _ .....» «.«�.......... «Z
() Poflihing Ponds - without
withuradon..................... �............» ...»«_. ..»a

(I)
Post Aeration cascade ...................... »............................................. ........................................
Blusedor meehanlcal....._....................».....»............»................................................2
O0
•
(m)
Roverse Osmosis ................ .................... .......«......_............»».............».....«......................_....................5
(n)
Sand or Mixed -Media Filters rate...._». _ «.._..__...._..._....«..._.».»...._..._...._..............._..2
Highrate ......................... «.................... :...................... 5
(0)
Treatment processes for removal of metal or cyanide ................ ».........................»......................................15
(p)
treatment processes for removal of toxic materials other than metal or ryanfde..:...._»......__._«.. _. _.__....t 5
(7)
SLLOGETREATIEfi
(a)
Sludge Digestion Tank =Pleated(anurob:»».... »»....»»..... »........ _.... t 0
Aerobic«...».._.._..........»......»... ».....».«.«...._:...»......«....»...».......»...................................:........5
..... ...... ..... 3
Unheated (anaerobic)............................... »......................».... ..»............ ....... ..._.....................
(b)
Sludge Stabilization (chernicai or thermal) ............... ............„...»....»«....»...__..........».»....»«...:..............5
(r: )
sludge Drying Beds - Gravity ........... ..»..»....».............._.»......._.»»._..........»...».«_.... .................. 2
Vacuum Assisted .... :........ ............. ___ ..... ........... ....... ..........»...................:-..-..........................5
(d)
Sludge...... ................. ».... .•........................ »..... »....,..».........-..«.-.-...»... ............. 5
(e)
Sludge Conditioner (chemical or thermal) ........... ....».....»»»�.«...»«...._:.».._»..«».»«»...... ._..................5
(f)
Sludge Thickener (gravity) ........................ _._........ .................... ..... ..........». .._...................
*
(g).
Dissolved Air Flotation Unit [not applicable to a unh rated as (3)(1))............................... .............ts
(h)
Sludge Gas Utilization (including gas storage) ....... »......... _......... _....».._...................... _..._........_........2
(I)
Sludge Holding Tank - Aerated ........... .......... ............ ».»._..«««»...................... ».... »»»»..........................5
Non -aerated .............. ».................. «............................................. ......... »........... .... ..................... ......... 2
())
Sludge Incinerator (not Including -activated carbon regeneration). _. _...................... ..............:.10
(k)
Vacuum Finer. Centrtfuge• or Flher Press or other similar dewatering dew 0
(0)
RESIDUALS UTILiZATIOWDISPOSAL(ndudingi,cho tWash)
(a)
Lagoons ................ «................................ ».......................... ».«.»............ .....,........................................... 2
(b)
Land Application (surface and subsurface) (see definition 22a)
by contracting to a land application operator or landfill operator who holds the land application permit
(c)
Dedicated Landfill(burial) by the permutes of the wastewater vestment faeUhy»._.._.«:._.._........ ».......... 5
(g1
(b)
D+ehbrfnation.....».»._...:..«.........._.._...::..........».««.».»......._�_«.«...»....._..............»...._:.............
(c)
(d)
Ozone...».......«.»..»:......«...»»........_._».»............»_.»»_..»«»...».»«»..»»».».......»..»..».................5
Radiation ...... ........................................ ......„..-.................»........_........_......................._..... ._».«...5
(10)
CHEMICAL ADDITION SYSTEM(S) ( see definition No. g) [rot applicable to chemical additions rated as Rem (3)Q).
(5)(a)(0),
(s)(a). (6)(b). (71(b). (7)(a)• (ga). (0)(b) or (g)(c) 6 points each:
List
».».........»......_».....»..�..
......«...»...»...............ww..�.....�.�� .....»�»........s
............
...........
(11)
WSCEL ANECI UNTSrPFOCESSES
(a) Holding Ponds, Holding Tanks or Settling Ponds for Organic or Toxic Materials Including wastes from mining
operations containing nitrogen or phosphorus compounds. In amounts significantly greater than Is common
for domestic wastewater ..................................... »................... «.«..«.......»..».......................... ....... ......_..4
(b)
Effluent Flow Equaltzatbn (rot applicable to storage basins which are Inherent In land application systams)..«.2
(c)
Stage Discharge (not applicable to storage basirs Inherent In land application
(a)
»..»...»
Stand ByPower Supply;»».».«..»�.»...-»....».«_...».».
(f )
Themal Pollution Control Devioe............................. .»».»... «.»..»».......»....»......»...._�.«».». ' rt9
TOTALPO{NTS......».......»»..»_......»...._.».»....»...«....»��.,+-i_
t� ASSFlG1TCN
62S Points
points
»»
lass tl...«�»....»....».
»...«». �».»»................»...«..�»�26.50.
»• ».......
...61.65 Points
clmfv......_..------ ----------- .-------------- ........... ...__.».»._.».•--.-__ WUp Points
Facilities having a rating of one through bur points. InclusM, do not require a ceriffled operator.
Facilities htving an activated sludge process will be assigned a minimum classification o/ Clefs IL
Facilities havktg treatment proosrms for the rernoval d metal or cyanide will be assigned a minimum classification of Class IL
Fadities having tmairrart processes for the bbbgkif removal of phosphorus will be assigned a minimum clasaFicatlon of Class III.
-------------------------------------------------------------
A= DEFwn ICNS
The following definitions shall apply throughout title Subehapter.
(1) Activated Carbon Beds. A physloallchsmloal rrtathod for reducing soluble organic munertat from wastewater affluent; The column -type beds used in this
method win have a flow reds varying from two to eight gallons per minute per square toot and may be either upfbw or downfbw carbon beds. Carbon may or
may not be rsgererated on the wastewater treatment plant sins;
(2) Aerated lagoons. A basin In which as solkis are naJnWrwd in suspension and by which biological oxidation or organic matter Is reduced through artificially
accelerated transfer of oxygen on a flow -through bask;
(3) Aeration. A process of bringing about Intknats contact between air or high purity oxygen In a liquid by spraying, apltation or dtffusbnXU) Extended
Aeration. An acovated sludge process utilizing a minimum hydraulic detention time of 19 hours.
(4) Agriculturally managed she. Any she on which a crop Is produced, managed, and harvested (Crop Includes grasses, grabs, Dees, ado•):
(5) Air Strtppirg. A process by which the ammonium Ion Is first convened to dissolved ammonia (pH adjustment) with the ammonia then released to the
.auncephers by physical meta; or other similar proomes which remove petroleum products such as bertzene, toluene, and xyiane;
teRe ration. The regeneration of exhausted carbon by the use of a furnace to provide extremely nigh temperatures whtd, volatilize and oxidize the
alembed
en Canbonamous Stage. A stage of wastewater treatment designed to achieve 1secordany effluent grids:
(8) Centrifuge. A mechanics! device ki which centrifugal force is used to separate solids from Aqukk or to separate liquids of different dert ldn;
(9) Chemical Addrdon Systems- The addition of chemical(s) to wastewater at an application point for purposes of Irprnvlg Bonds removal, pH adjustmem.
akannhy conbol, etc,; the capability to experiment wIth different dwnicals and di feren appliation.poirte to achleve a specft result win be considered one
system; the apabiiity to add dwmical(s) to dual urths wit be rated as onus system; capability to add a chemical at a different application ports for different
orp C�s Will result In the systems bokV rated as amparals tysterm
( ) Sludge Co vInioning. Tie addition of a chemical compound such as Ime. ferric chloride. or a polymer to wet sludge to coafesce the mass prior to
its application to a dawater4tg dew ; .
t11) Closed Cycle System Use of holding ponds or holding tanks for containment of wastewater oontalnbV Inorganic, non -toxic materials from sand, gavel.
crushed store or other similar open diem Such systems "arty a maximum of two points regardless of pumping fatithles or any other appurtemanoss;
(12) Combined Removal of Carbonaceous BOD and Nhrogerous Removal by Nhrtficatiort• A single stage system required to achieve pom-A effluent Gnhs on SOD
and ammonia nftrogan within the same biological reactor.
(13) Dechlodr ation. The partial or complete reduction of residual chlorins in a liquid by any chemial or physkal prooep:
(14) Denhrificatbn process. The conversion of nkraze•nhrogen to nitrogen gas;

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State of North Carolina SIV
Department of. Environment,
Health and Natural Resources 1 • •
Division of Environmental Management �
James B. Hunt, Jr., Governor l
Jonathan B. Howes, Secretary E
' A. Preston Howard, Jr., P.E., Director DE FF
ENVIRONMENT, HEo.LTF,
v , NATURAL RESr)U
December 2, 1994
L
Mrs obertAbernethy, President
Carolina Glove, Company
Route 7, Box 87 DIVISIC-1I JF EPI!�l!Qi;:,lE;l?t:L 1%ilftSE,PEPId
Taylorsville, NC 28681 P GUfiES'dILLE IIEGIGHAL GFFICE
Subject: Permit Renewal
NPDES Permit NCO034967
Carolina Glove Company
Alexander County
Dear Mr. Abernethy:
This is to acknowledge receipt of the following documents on 11/28/94: '
• NPDES Permit Application
• Application Processing Fee of $200.00
I am, by copy of this letter, requesting that the Mooresville Regional Office Supervisor prepare a staff
report and recommendations regarding this discharge. 'If you have any questions regarding this
application, please contact Mr. Greg Nizich at 919-733-5083, ext. 541.
Sincerely,
David A. Goodrich, Supervisor
NPDES Permits Group
cc: Mooresville Regional Office
Permit File
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
irOOJ�`�67
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D
J
To be filed only by services,.wholesale and retail trade, �(
and other commercial establishments including vessels
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and telephone number of facility producing discharge
A. Name Carolina Glove Company
B: Street address Rt . 7 Box 87
C. City Taylorsville D. State NU
E. County Alexander F. Z[p
G. Telephone No. 704 63 2 - 210 7
Area Code
2. SIC (if known)
2 3 1 8 1
3. Number of employees: 140
4. Nature of business: Manufacture work gloves.
5. (a) Check here if discharge occurs all year or
(b) Check the month(s) discharge occurs:
1. ❑ January 2. February 3. 0 March 4. April 5. C May
6. June 7. ❑ July 8. R August 9. September 10. ❑ October
11. ❑ November 12. ❑ December
(c) . How many days per week:
1.�1 2.F—] 2-3 3.74-5 4.6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day
Volume treated before discharging
i.e., 4500 in proper box)
i.e., 85% in pro er box
Dischar e per
0.1-999
1000 -
5000-
10,000 -
50,000
None
0.1-
30-
65-
.95 -
operating day
4999
9999
49,999
or more
29.9 .
64.9
94.9
100
i(z)
3)
4)
(5)
(6)
(7)
(8)
9)
10
A. Sanitary,
X
X
daily average
B. Cooling
water, etc.,
daily average
C. Other
discharge(s),
daily average;
s ecify
D. Maximum per
operating day
X
for combined
discharge (all
tv es)
hbhh1h,-

I=
7. If any of the types of waste identified in item 6, either treated or untreated, are discharged to places other
than surface waters, check below as applicable.
Waste water is discharged to:
0.1-999
i)
1000-4999
2
5000-9999
(3)
10,000-
49,999
4
50,000 or
more
5
A. Municipal sewer system
B. Underground well
C. Septic tank
D. Evaporation lagoon or pond
E. Other, specify:
8. Nuinbc. of separate discha, ^^ Yoir
A. 0 1 B. 2-3 C. .4-5 D. 6 or more
9. Name of receiving water or waters Lower Little River
10. Does your discharge contain or is it possible for your discharge to contain one or more of the following
substances added as a result of your operations, activities, or processes: ammonia, cyanide, aluminum,
beryllium, cadmium, chromium, copper, lead, mercury, nickel, selenium, zinc, phenols, oil and grease, and
chlorine (residual).
A. yes B. 7 no
I certify that I am familiar with the information contained in the application and that to the best of my
knowle)d�ge and b�eli�ef such ' ormation is true, complete, and accurate.
Robert C. Abernet`
Printed name of Person Signing
President
Ti tle
11-22-94
Date Application Signed
Signature of Applicant
North Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21' or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor
Punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18
U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than
5 years, or both for a similar offense.)
� A