NC0020401_Pretreatment_Annual_Report_20210126

HICK
North Carolina
Life, Well Crafted.
City of Hickory
2020
Pretreatment Annual
Report
Prepared By:
David R. Cox
Pretreatment Coordinator

Narrative

1
CITY OF HICKORY 2020 PRETREATMENT ANNUAL REPORT
i
The Pretreatment Annual report submitted by the City of Hickory contains
information from January 1, 2020 — December 31 2020. During this period, 13
industries were monitored.
JANUARY - JUNE 2020
• POTW monitoring for thirteen (13) industries occurred. Thirty (30)
monitoring events were conducted by the City of Hickory
• Self -monitoring by thirteen (13) industries occurred Eighty-five
(85) self -monitoring events were conducted.
• Zero (0) industries were in SNC for limits or reporting.
• Twelve (12) industries were sent thirty-five (35) [self -monitoring
data — sixteen (16); City of Hickory data — nineteen (19)] notices of
noncompliance with the Industrial Monitoring Program.
• Kleen Tech (IUP# 0035) conducted TTO monitoring. (See
enclosures)
JULY - DECEMBER 2020
• POTW monitoring for thirteen (13) industries occurred. Thirty-one
(31) monitoring events were conducted by the City of Hickory.
• Self -monitoring by thirteen (13) industries occurred. Sixty-nine (69)
self -monitoring events were conducted.
• Zero (0) industries were in SNC for limits or reporting.
• Twelve (12) industries were sent thirty-four (34) [self -monitoring
data — seventeen (17); City of Hickory data — seventeen (17)]
notices of noncompliance with the Industrial Monitoring Program.
• The City of Hickory conducted TTO monitoring for Kleen Tech
(IUP# 0035). (See Enclosures)

• The following Henry Fork (NC0040797) IUP's were submitted for
renewal:
1. Compost (IUP# 0050)
- Submitted 7/24/20 and approved on 8/17/20
- No changes
2. Maple Springs Laundry — Plant 2 (IUP# 0051)
▪ Submitted 10/14/20 and approved on 11/12/20
- Removed IU & POTW monitoring requirement for MBAS
3. Catawba Valley Medical Center (IUP# 0003)
- Submitted 11/11/20 and pending approval
- No changes
4. Maple Springs Laundry — Plant 1 (IUP# 0015)
▪ Submitted 11/11/20 and pending approval
- Removed IU monitoring requirement for MBAS
5. The Sock Factory (IUP# 0017)
Submitted 11/11/20 and pending approval
Reduced IU monitoring frequency for Ag and removed IU
monitoring requirement for Color and MBAS
6. Ward Hosiery (IUP# 0027)
- Submitted 11/11/20 and pending approval
- Reduced IU monitoring frequency for Ag and removed IU
monitoring requirement for Color and MBAS
7. Hickory Springs Manufacturing (IUP# 0033)
- Submitted 11/11/20 and pending approval
- Removed IU monitoring requirement for MBAS
8. Kleen Tech (IUP# 0035)
- Submitted 11/11/20 and pending approval
• Removed IU & POTW monitoring requirement for Phenol,
Toluene, TTO, and MBAS

Other Information:
• A copy of the Division's Historical SNC Report has been included.
Please note the following correction that is needed:
1. Kleen Tech IUP# 0035 was in SNC for Oil and Grease
during the 2nd semi-annual period of 2017 and isn't listed on
the Historical SNC. This was noted in the 2018 & 2019 PAR
without correction.
• A copy of the Division's Pretreatment Program Database has been
included for each WWfF with an active PT program Please note
the following correction that is needed:
- Under PT contacts, Kevin Greer should be replaced with
Shawn Pennell with the title of Public Utilities Director.
His email is [e-mail] (Both databases)
• IDSF data listed as "not required" for a semi-annual period
indicates that the corresponding industry does not have permit
requirements for said parameter and that the monitoring for the
other semi-annual period was conducted to satisfy LTMP and/or
MMP requirements only.
Previous SNC Information:
NONE
Pretreatment Program Element Updates:
• The City of Hickory has implemented the Dental Amalgam Rule by
identifying all dental dischargers in the Hickory area. Survey efforts began
on 7/16/18 by sending packets that included the model cover letter
explaining the Dental Amalgam Rule, EPA fact sheet, and One -Time
Compliance Report to 37 dentists/practices Additional dentists/practices
were identified through a registry of NC active dentists obtained in 2019.
Additional OTCR's were sent to those dischargers. There are currently 40
active dental practices in the City of Hickory's service area. Please note
that each practice may have multiple active dentists at the same practice.
A summary table is maintained which indicates the dates that the One -
Time Compliance Reports were received Our response rate is 100%, as
all OTCR's for current practices in the City of Hickory's service area have
been received.

Pretreatment Program Information

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1. Pretreatment Town Name: City of Hickory
2. "Primary" NPDES Number NC0020401
or Non Discharge Permit # if applicable =>
3. PAR Begin Date, please enter O1/Ol/yyyy 3. => 1/1/2020
4. PAR End Date, please enter 12/31/yyyy 4. => 12/31/2020
5. Total number of SIUs, includes CIUs 5. _> 13
6. Number of CIUs 6. _> 0
7. Number of SIUs with no IUP, or with an expired IUP 7. => 0
8. Number of SIUs not inspected by POTW 8. _> 0
9. Number of SIUs not sampled by POTW 9. => 0
10. Number of SIUs in SNC due to IUP Limit violations 10. => 0
11. Number of SIUs in SNC due to Reporting violations 11. _> 0
12. Number of SIUs in SNC due to violation of a Compliance Schedule, CO, AO or similar 12. => 0
13. Number of CIUs in SNC 13. => 0
14. Number of SIUs included in Public Notice 14. => 0
15 Total number of SIUs on a compliance schedule, CO, AO or similar 15. => 0
16. Number of NOVs, NNCs or similar assesed to SIUs 16. _> 69
17. Number of Civil Penalties assessed to SIUs 17. => 0
18. Number of Criminal Penalties assessed to SIUs 18. => 0
19. Total Amount of Civil Penalties Collected 19. => $ 0
20. Number of IUs from which penalties collected 20 => 0
Foot Notes:
AO Administrative Order IUP Industrial User Pretreatment Permit
CIU Categorical Industrial User NNC Notice of Non -Compliance
CO Consent Order NOV Notice of Violation
IU Industrial User PAR Pretreatment Annual Report
POTW Publicly Owned Treatment Works
SIU Significant Industrial User
SNC Significant Non -Compliance
revised 1/2018: PAR PPS 2018

Pretreatment Program Info Database
for Program Name Hickory
WWTP Name Northeast
Program Approval Date
Pretreatment Status
Region
County
NPDES Number
NPDES Effective Date
NPDES Expire Date
POTW is Primary WWTP
Design Flow mgd
WWTP SIU's
WWTP CIU's
date Inactive
01/01/1985
Full
MRO
Catawba
NC0020401
11/01/2016
04/30/2020
TRUE
6.0000
•
Last PAR Rec 01/23/2020
Current Fiscal 02/18/2020
Year PCI Dane
Last Audit on 07/12/2018
printed on: 12/22/2020
w cfs / mgd
1010 Flow cfs / mgd
Stream Classification
IWC %at701013.40
60 / 38.76
49.15 / 31.77
WS-V & B
Basin Number CTB32
Receiving Stream Name CATAWBA RIVER
% Design mgd is SIU permitted
Program Sills I13
Program ClUs 0
Date Next Due
Date Received by DWR
Date Approved
Adopt Date Required
Date Adopted
08/01/2023
I 6.12
PAR Due Date 03/01/2021
Audit Year Next22/23
Permitted SIU flow (mgd) [Pt_SIU)
LTMP IW8. SU
10/01/2023
06/01/2018 09/04/2018 I
06/07/2018 10/09/2018..
07/30/2018
08/09/2018
mercury
1631
required
Ives I
1.367 I
09/20/2012 11/13/2019
10/22/2012 r 11/13/2019
r 12/04/2012
Info in this Box from Pt Contacts
PT_Po
Formal Name gPrime Phonel
ext
Fax
Date Date Date
Attended Attended Attended
HWA Wksp IUP Wkep PAR Wksp
I'rim
II828-322-4821
I828-322-4961
II 2/28/2013
1 1 1/18/2017
Mr. David Cox
[e-mail]
Pretreatment Coordinator
310
Cloninger
Mill Road
u28601
Mr. Kevin Greer, P.E.
11(828)
323-7427
I
II
I
I
I
Box 398
r8603
kgreer@hickorync
Public Services Director
IPO
gov
Pretreatment Related NOVs from DWQ
DWR Central Office Contact
DWR Regional Contact
Mvien Zhong
Ives Bell
*See Correction In Narrative*

Pretreatment Program Info; Database
for Program Name Hickory
WWTP Name Henry Fork
Program Approval Date 01/01/1985
Pretreatment Status Full
Region MRO
County Catawba
NPDES Number NC0040797
NPDES Effective Date 09/01/2018
NPDES Expire Date 07/31/2022
POTW is Primary WWTP FALSE
Design Flow mgd 9.0000
WWTP SIU's �8 Program Sills
WWTP CIU's Program CIUs
date Inactive
% Desl
13
0
Date Next Due
Date Received by DWR
Date Approved
Adopt Date Required
Date Adopted
le
printed on: 12/22/2020
ow cfs / mgd
1010 Flow cfs / mgd
Stream Classification
IWC % at 7Q10 34.04
27
22.24
C
/ 17.44
/ 14.37
Basin Number CTB35
Receiving Stream Name HENRY FORK RIVER
Last PAR Rec
Current Fiscal
Year PCI Done
Last Audit on
01/23/2020
02/18/2020
07/12/2018 Audit Year Next22/23
gn mgd is SIU permitted
06/27/2019
07/18/2019
12.17
LIMP t
07/01/2019
07/18/2019
PAR Due Date 03/01/2021
Permitted SIU flow (mgd) [Pt_SIU)
10/01 /2023
10/09/2018
09/20/2012
mercury
1631
required
kes
11.095
11/13/2019
10/22/2012I 11/13/2019
12/04/2012
Info in this Box from Pt Contacts
Fry 0
Formal Name
ime Phonel
ext
Fax
Date Date Date
Attended Attended Attended
HWA Wksp IUP Wks p PAR Wksl
IPrim
II828-322-4821 I
I828-322-4961
If 2/28/2013
11/18/2017
A.
Mr. David Cox
[e-mail]
Pretre tment Coordinator
310
Cloninger
Mill Road
u28601
Mr. Kevin Greer, P.E.
I
11(828)
323-7427 I
I
II
PO Box 398
0'8603.
[e-mail] f Public Services Director
V
Pretreatment Related NOVs from DYVQ
DWR Central Office Contact
DWR Regional Contact
Vlvlen Zhong
'Wes Bell
*See Correction In Narrative*

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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
David Cox
Pretreatment Coordinator
City of Hickory
310 Clohinger Mill Road
Hickory, North Carolina 28601
NORTH CAROLINA
Environmental Quality
February 19, 2020
Subject: Pretreatment Compliance Inspection
City of Hickory
NPDES Permit No. NC0020401
Catawba County
Dear Mr Cox:
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection of the City of Hickory's
approved Industrial Pretreatment Program on February 18, 2020, by Mr. Wes Bell of this Office.
The report should be self-explanatory; however, should you have any questions concerning this report, please do
not hesitate to contact Mr. Bell at [phone] or at wes.bella,ncdenr.gov.
Enclosure:
Inspection Report
D_E,into. ae i e
Sincerely,
DocuSIgned by:
c
,. go H P:tti
F161F969A2a 4A3..
for
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, DEQ
North Carolina Department of Environmental Quality I Division of Water Resources
Mooresville Regional Office j 610 East Center Avenue, Suite 301 : Mooresville, North Carolina 28115
704.663,1699

NORTH CAROLINA DIVISION OF WATER RESOURCES
PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
BACKGROUND INFORMATION
1. Control Authority (POTW) Name: City of Hickory
2. - Control Authority Representative(s): David Cox
3. Title(s): Pretreatment Coordinator
4.
5.
6.
Last Inspection Date: 7/12/18 Inspection Type: PCI // Audit.
Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? @/ YES • NO
Is POTW under an Order That Includes Pretreatment Conditions? • YES 1/ NO
Order Type, Number, Parameters: Are Milestone Dates Being Met? • YES ■ NO A/ NA
ICIS CODING
Main Program Permit Number MM/DD/YY
NC0020401 2/18/2020
7. Current Number Of Significant Industrial Users (SIUs)?
13
8. Number of SIUs With No IUP, or With an Expired HIP
0
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year?
0
10. Number of SIUs Not Sampled By POTW in the Last Calendar Year?
0
11. Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi -Annual Periods -
0
12. Number of SIUs in SNC For Reporting During Either of the Last 2 Semi -Annual Periods
0
13. Number of SIUs in SNC with Pretreatment Schedule?
0
14. Number of SIUs on Schedules?
- 0
15. Current Number Of Categorical Industrial Users (C1Us)?
0
16. Number of C1Us in SNC?
0
POTW INTERVIEW
17. Since the Last PCI, has the POTW had any NPDES Limits Violations?
If Yes, What are the Parameters and How are these Problems Being Addressed?
18. - Since the Last PCI, has the POTW had any Problems Related to an Industrial
Discharge (Interference, Pass -Through, Blockage, Citizens' Complaints, Increased
Sludge Production, Etc.)?
If Yes, How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during
either of the Last 2 Semi -Annual Periods? Not Been Published for
Public Notice?(May refer to PAR if Excessive SIUs in SNC)
SNC fo
SNC fo
Not Pu
20. Which Industries are on Compliance Schedules or Orders? For all SIUs on an
Order, Has a Signed Copy of the Order been sent to the Division?
21. Are Any Permits Or Civil Penalties Currently Under Adjudication? If Yes, Which
Ones?
❑ YES
A/
NO
❑ YES O
NO
• Limits: None
Reporting: None
blished: N/A
N/A
❑ YES
0/
NO
LTMP/STMP FILE REVIEW:
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ►1 YES • NO
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? 0 YES ■ NO
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? // YES ■ NO Is Table Adequate? // YES ■ NO
25. All LTMP/STMP effluent data reported on Discharge Monitoring Report? 0 YES ■ NO
26. If NO to 23 - 26, list violations:
27. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ■ YES 0 NO
■
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 1

28. PRETREATMENT PROGRAM ELEMENTS REVIEW
Program Element
Northeast WWTP (NC0020401)
Last Submittal
Date
Received
In file?
Last Approval _
Date In file
Date Next Due,
If Applicable
Headworks Analysis (HWA)
7/30/18
Yes ❑ No
8/9/18
0
Yes ❑ No
8/1/23
//
Industrial Waste Survey (IWS)
9/4/18
0
Yes ❑ No
10/9/18
//
Yes ❑ No
10/1/23
Sewer Use Ordinance(SUO)
9/20/12
//
Yes ❑ No
/1
Yes ❑ No
10/22/12
8/16/19
0
Yes ❑ No
11/13/19
//
Yes ❑ No
Enforcement Response Plan (ERP)
6/1/18
11
Yes ❑ No
6/7/18
01
Yes ❑ No
Long Term Monitoring Plan (LTMP)
Program Element
Henry Fork WWTP (NC0040797)
Last Submittal Received
Date In file?
Last Approval
Date In File
Date Next Due,
If Applicable
6/27/19
//
Yes ❑ No
7/18/19
►1
Yes ❑ No
4/1/23
Headworks Analysis (HWA)
Industrial Waste Survey (IWS) -
9/4/18
//
Yes ❑ No
10/9/18
0
Yes ❑. No
10/1/23
9/20/12
//
Yes ❑ No
IM
Yes ❑ No
Sewer Use Ordinance (SUO)
10/22/12
8/16/19
/1
Yes ❑ No
11/13/19
y
Yes ❑ No
Enforcement Response Plan (ERP)
Long Term Monitoring Plan (LTMP)
7/1/19
0
Yes ❑ No
7/18/19
0
Yes ❑ No
INDUSTRIAL USER YERM11
(WY)
FILE REVIEW
29. User Name
1.
Sock
Factory
2. Shurtape Technologies
3. Century Furniture
30. IUP Number
0017
0022
0034
-
01 Yes ❑ No
A/ Yes ❑
No
0 Yes ❑ No
31. Does File Contain Current Permit?
32. Permit Expiration Date
7/7/21
7/7/24
7/7/24
33. Categorical Standard Applied (I.E. 40 CFR, Etc.) Or N/A
410
N/A
N/A
34. Does File Contain Permit Application Completed Within One Year Prior
0/
-Yes ❑ No
/1
Yes ❑ No
/1
Yes ❑ No
to Permit Issue Date?
35. Does File Contain an Inspection Completed Within Last Calendar Year?
/1 Yes ❑ No
A/ Yes ❑ No
0
Yes
❑ No
.
36. a. Does the File Contain a Slug/Spill Control Plan?
b. If No, is One Needed? (See Inspection Form from POTW)
a.
b.
AYes
❑Yes
■No
•No
a.
b.
®Yes
['Yes
❑No
❑No
a.
b.
®Yes
❑Yes
•No
No
37. For 40 CFR 413 and 433 TTO Certification, Does File Contain a Toxic
Organic Management Plan (TOMP)?
❑Yes❑No®N/A
❑YeslNoNN/A
DYes❑No®N/A
38. a. Does File Contain Original Permit Review Letter from the Division?
b. All Issues Resolved?
a. _NYes ❑No
b DYesDNo®N/A
a. ®Yes ❑No
b.DYesoNo®N/A
a. ®Yes ❑No
b.DYesDNo®N/A
39. During the Most Recent Semi -Annual Period, Did the POTW Complete
//
Yes ❑ No
A/
Yes
❑ No
/1
Yes
❑ No
its Sampling as Required by IUP, including flow?
0 ❑ No
40. Does File Contain POTW Sampling Chain -Of -Custody Forms?
A/ Yes ❑ No
0 Yes ❑ No
Yes
41 a. During the Most Recent Semi -Annual Period, Did the SIU Complete its
Sampling as Required by IUP, including flow?
NYes❑No •N/A
NYes❑NoON/A
NYes❑NopN/A
41 b. During the Most Recent Semi -Annual Period, Did SIU submit all reports
on time?
OYesNNoDN/A
NYes❑NopN/A
NYespNopN/A
42a. For categorical IUs with Combined Wastestream Formula (CWF), does
file include process/dilution flows as Required by IUP? -
❑Yes❑NoNN/A
ElYes❑NoNN/A
❑Yesl_NoNN/A
•
- 42b. For categorical IUs with Production based limits, does file include
production rates and/or flows as Required by IUP?
OYes❑NoNN/A
ElYes❑NoNN/A
❑Yes❑NoNN/A
43a. During the Most Recent Semi -Annual Period, Did the POTW Identify
•Yes❑No
■NA
OYesINoNN/A
NYespNopN/A
All Limits Non -Compliance from Both POTW and SIU Sampling?
43b. During the Most Recent Semi -Annual Period, Did the POTW Identify
All Reporting Non -Compliance from SIU Sampling?
NYespNopN/A
❑Yes❑NoNN/A
OYesDNoZN/A.
44. a. Was the POTW Notified by SIU (Within 24 Hours),of All Self-
Monitoring Violations?
a.®YesONODN/A
b.®YesDNoDN/A
a.DYesDNo®N/A
b.DYesDNo®N/A
a.®YesDNoDN/A
b.®YesDNoDN/A
b. Did Ihdustry Resatnple and submit results to POTW Within 30 Days?
Did POTW resample within 30 days of knowledge of SIU limit
c.DYesONo®N/A
c.
violations from the POTW sample event? -
e.DYesDNo®N/A
c.DYesONo®N/A
NC D WR Pretreatment Compliance Inspection (PCI) Form
lipdaed December 2016 Page 2

11
45. During the Most Recent Semi -Annual Period, Was the SIU .in SNC?
❑
Yes
0
No
❑
Yes
/1
No
❑
Yes
No
ElYesuNo&N/A
®YesONoDN/A
46. During the Most Recent Semi -Annual Period, Was Enforcement Taken
®YesONoDN/A
as Specified in the POTW's ERP (NOVs, Penalties, timing, etc.)?
DYesfNo®N/A
DYesINo®NfA
47. Does the File Contain Penalty Assessment Notices?
OYesDNoD8iN/A
48. Does The File Contain Proof Of Penalty Collection?
OYeslNoON/A
_iYesDNo a1N/A
OYesDNo®N/A
49. a. Does the File Contain Any Current Enforcement Orders?
b. Is SIU in Compliance with Order?
a.oYesoNo®N/A
b.DYesONo®N/A
a.DYesONolaN/A
b.OYesONo®N/A
a.DYesDNoON/A
b.OYesDNO®N/A
❑ Yes
0/
No
❑ Yes
E/ No
50. Did the POTW Representative Have Difficulty in Obtaining Any of This -
❑ Yes
/// No
Requested Information For You?
FILE REVIEW COMMENTS:
35. The POTW performed SIU inspections on 7/30/19 (Sock Factory), 8/9/19 (Shurtape Technologies) and 9/4/19 (Century Furniture).
39. The POTW's certified laboratory performs analyses on conventional parameters, phenols and field parameters (pH and temperature).
The POTW also contracts Pace Analytical Services (metals, volatiles) and Blue Ridge Labs (cyanide) to perform analyses.
41 a. Sock Factory, Shurtape Technologies and Century Furniture all contract Blue Ridge Labs to perform analyses.
46. Sock Factory was issued Notice of NonCompliances (NoNCs) for chromium limit violations (July and October 2019), BOD limit
violations (August and September 2019), a zinc limit violation (September 2019) and a late response to the NoNC (dated 9/20/19)
issued for the August 2019 chromium violation.
Century Furniture was issued a NoNC for BOD and lead limit violations (August 2019) at Pipe 001 and NoNCs for ammonia limit
violations (August and October 2019) at Pipe 002.
SUMMARY AND COMMENTS:
The records reviewed during the inspection were organized and well maintained. The POTW's Industrial Pretreatment Program was being
properly implemented.
NOD: ■ YES // NO
NOV: ■ YES ►1 NO
QNCR: ■ YES // NO
POTW Rating:
Satisfactory 0I Marginal ■ Unsatisfactory
PCI COMPLETED BY:
Docuslgne6 by:
CZIIU, Boll
A61696090CC3431..
■
Wes Bell, Environmental Specialist II
1Docu6Igned by:
A+,.a.wHpas.
DATE: 2/19/2020
PCI REVIEWED BY: ---r161r1369A2064A3_. DATE:
Andrew Pitner, Assistant Regional Supervisor
2.19.2020
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 3

Allocation Tables

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IDSF's

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (1b/d) =>
* or 6 mo. Average (mg/1) —>
* or Average Loading (1b/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
WWTP Name =>
NPDES # _>
1st 6 months, dates =>
2nd 6 months, dates =>
low, MGD
City of Hickory
Henry Fork
NC0040797
1/1/20 - 6/30/20
7/1/20 - 12/31/20
BOD
TSS
Industry
Name
IUP#
Pipe #
Catawba Valley Medical Center
3
1
1
BDL = 1/2 det.
Ammonia
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
6
6
5
5
5
5
5
5
0.1286
0.1419
246
154
112
154
11.65
11.42
0.0903
0.1032
147
126
65.2
81.4
8.22
8.15
____
----
0/
0%
0%
0%
0%
0%
__--
----
0%
0%
0%
0%
0%
0%
Arsenic
Cadmium
Chromium
LL
Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1
1
1
Not
required
<0.010
Not
required
<0.00008
Not
required
<0.005
Not
required
0.00000625
0.005
0.00004
0.0025
0.00000625
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Cyanide
Lead
1
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
1
1
1
0.0280
0.0820
Not
required
0.007
Not required
<0.005
Not
required
<0.005
0.0198
0.0396
0.007
0.0025
0.0025
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL 1/2 BDL, or zero values used.
BDL => Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/l) —>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) _>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (lb/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Industry Name Catawba Valley Medical Center
IUP# 3
Pipe # 1
BDL = 1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
6
7
1
1
0.0007
<0.002
0.4730
0.6620
Not
Required
<0.0005
Not
Required
<0.005
0.0003
0.00054
0.2715
0.4227
0.00025
0.0025
N
N/A
N/A
17%
43%
N/A
N/A
N/A
N/A
0%
14%
N/A
N/A
Oil & Grease
pH
Total Phosphorus
11iiv
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
5
2
2
24.0
29.2
7.50/9.47
7.90/9.00
4.2
3.5
26.3
25.3
18.9
14.6
3.3
3.2
22.0
21.0
0a/
0%
0%
0%
N/A
N/A
N/A
N/A
0%
0%
--
N/A
N/A
N/A
N/A
1
1st 6 months
2nd 6 months
2
2
26.7
25.7
22.4
21.4
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/I => rmlhgrams per leer
lb/d => pounds per day
mgd => million gallons per day
W WTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Control Authority,
Town Name =>
WWTP Name =>
NPDES#=>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Northeast
NC0020401
1/1/20 - 6/30/20
7/1/20 - 12/31/20
BOD
TSS
Industry
Name
IUP #
Pipe #
Frye RMC
7
1
BDL= 1/2 det.
Ammonia
,
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
5
5
5
0.0753
0.0273
220
95.0
108
57.2
3.40
1.48
0.0278
0.0163
134
58.7
92.8
35.3
2.28
0.79
____
____
0%
0%
0%
0%
0%
0%
____
----
0%
0%
0%
0%
0%
0%
1
1
Chromium
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1
1
I
Not
required
<0.010
Not
required
<0.00008
Not
required
<0.005
Not
required
0.00000479
0.005
0.00004
0.0025
0.00000479
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
el
copper
ioluc,.o
.......
r
1st 6 months
1st 6
2nd 6 months
1st 6 months
2nd 6 months
2nd 6 months
1st 6 months
2nd 6 months
months
6
5
1
1
1
0.3430
0.1260
Not
Required
<0.001
Not required
<0.005
Not
required
<0.005
0.1537
0.0548
0.0005
0.0025
0.0025
17%
0%
N/A
N/A
N/A
17%
0%
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1 /2 BDL, or zero values used.
BDL => Below Det cfion Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/. .....s.a...., r.,. ....,.
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name
IUP #
Pipe #
Frye RMC
7
1
BDL = 1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
3
5
5
5
2
2
2
2
<0.0005
<0.0005
0.5800
0.4120
<0.0005
<0.0005
<0.005
<0.005
0.00023
0.00021
0.4982
0.3498
0.00025
0.00025
0.0025
0.0025
N
N/A
N/A
20%
0%
N/A
N/A
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
Oil & Grease
pH
Phenol
Total Phosprorus
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
7
5
5
5
2
2
54.1
23.1
4.80/10.10
5.10/9.80
0.0200
0.190
2.4
2.4
16.3
11.6
0.0124
0.044
2.2
2.1
0%
0%
43%
20%
0%
20%
N/A
N/A
0%
0%
__--
0%
20%
N/A
N/A
1
1
1st 6 monthsy
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
19.3
8.6
19.8
9.2
16.2
7.9
16.7
8.2
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg /l => nulhgrarns per titer
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) =>
or Maximum (1b/d) _>
or 6 mo. Average (mg/1) =>
or Average Loading (lb/d) =>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) —>
or Maximum (lb/d) _>
or 6 mo. Average (mg/1) =>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name —>
WWTP Name =>
NPDES # =>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Northeast
NC0020401
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name
IUP #
Pipe #
Frye RMC
7
2
BDL = 1/2 det.
BOD
TSS
Ammonia
Flow
MGD
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
7
6
5
5
0.0150
0.0308
285
409
328
425
18.4
15.7
0.0128
0.0147
178
224
215
194
15.8
14.1
----
----
0%
0%
57%
17%
0%
0%
----
----
0%
0%
0%
17%
0%
0%
Arsenic
Cadmium
Chromium
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
3
3
1
1
Not
required
<0.010
<0.0004
<0.0004
Not
required
<0.005
Not
required
0.0000204
0.005
0.000093
0.000093
0.0025
0.0000204
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Toluene
Lead
Nickel
,
1 st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
1
1
1
0.0614
0.0448
Not
Required
<0.001
Not
required
<0.005
Not
required
<0.005
0.0453
0.0423
0.0005
0.0025
0.0025
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculate&
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below Det ction Limit
IUP => Industrial U er Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/I => milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is>=66%) _>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (1b/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name
IUP #
Pipe #
Frye RMC
7
2
BDL = 1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
2
2
2
2
<0.002
<0.002
0.4220
0.4350
0.00077
<0.0025
<0.005
<0.005
0.00065
0.00049
0.3188
0.3750
0.00051
0.00092
0.0025
0.0025
N
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
Phenol
Total Phosprorus
NM ax va cciaa:
r--
r
-
1st 6 months
2nd 6
months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
6
5
5
2
2
34.8
13.2
7.24/7.70
7.16/8.15
0.15
0.064
4.9
6.4
11.3
9.3
0.07
0.049
4.7
4.8
0%
0%
0%
0%
20%
0%
N/A
N/A
0%
0%
20%
0%
N/A
N/A
tal Nitrogen
1
r
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
42.4
50.9
43.0
51.4
41.3
42.1
41.8
42.4
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL or zero values used.
BDL=> Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligrams per user
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (1b/d) _>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (1b/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Control Authority,
Town Name =>
WWTP Name =>
NPDES # =>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Northeast
NC0020401
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name Hickory Dyeing & Winding
IUP# 8
Pipe # 1
BDL= 1/2 det.
Flow
MGD
BOP
i
JJ
H111LLluula
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
5
5
5
0.0196
0.0197
117
116
7.4
10.3
0.36
0.98
0.0132
0.0124
62.5
46.1
4.0
5.8
0.13
0.54
____
----
0%
0%
0%
O%
0%
0%
__-_
----
0%
0%
0%
0%
0%
0%
Cadmium
Chromium
1
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1
5
5
1
Not required
<0.010
Not
required
<0.00008
<0.005
<0.005
Not
required
0.00000163
0.005
0.00004
0.0012
0.0014
0.00000163
N/A
N/A
0%
0%
N/A
N/A
N/A
0%
0%
N/A
Copper
Toluene
Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
1
5
5
4
4
0.0097
0.0537
Not
Required
<0.001
<0.005
<0.005
<0.005
<0.005
0.0062
0.0173
0.0005
0.0014
0.0017
0.0008
0.0016
0%
0%
N/A
0%
0%
N/A
N/A
0%
0%
N/A
0%
0%
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL 1/2 BDL, or zero values used.
BDL => Below Del ction Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
*
*
Total # of samples =>
Maximum (mg/1) =>
or Maximum (lb/d) _>
or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) a
Industry Name Hickory Dyeing & Winding
IUP# 8
Pipe #
1
BDL = 1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
6
2
2
2
2
Not required
<0.0005
0.4260
2.800
<0.0005
<0.0005
<0.005
<0.005
0.00025
0.3156
0.6873
0.00025
0.00025
0.0025
0.0025
N/A
0%
17%
N/A
N/A
N/A
N/A
N/A
0%
17%
N/A
N/A
N/A
N/A
Oil & Grease
Phenol
Total Phosprorus
r
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
2
2
2
2
<5.6
<5.6
6 20/7 81
7.20/7.84
0.1070
<0.010
0.61
0.48
2.7
2.7
0.0548
0.0038
0.51
0.45
0%
0%
0%
0%
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
l
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
<0.50
1.10
0.60
1.50
0.25
0.68
0.43
1.1
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & ifBDL 1/2 BDL, or zero values used.
BDL => Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1=> milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
'NWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) —>
* or Average Loading (lb/d) =>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%).=>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
WWTPName =>
NPDES#=>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Northeast
NC0020401
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name
IUP #
Pipe #
HK Research
BDL = 1/2 det.
MGD
BOD
TSS
Ammonia
Flow,
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
8
7
5
6
5
6
0.0016
0.0010
620
525
227
257
24.70
51.3
0.0010
0.0008
331
319
95.4
94.2
10.91
21.5
____
____
38%
29%
0%
17%
0%
17%
____
----
13%
14%
0%
0%
0%
0%
1
Cadmium
Chromium
1
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1
2
3
1
Not required
<0.010
Not
required
0.00022
<0.005
<0.005
Not
required
<0.000005
0.005
0.00022
0.0015
0.0023
0.0000025
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper
Toluene
Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
1
5
5
2
3
0.0286
0.0616
Not Required
<0.001
0.0470
0.0130
<0.005
<0.005
0.0224
0.0291
0.0005
0.0124
0.0056
0.0015
0.0018
0%
0%
N/A
0%
0%
N/A
N/A
0%
0%
N/A
0%
0%
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below Det ction Limit
1UP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) —>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Industry Name
IL-P #
Pipe #
HK Research
11
1
BDL = 1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
6
5
2
2
2
2
Not required
<0.0005
1.4300
0.4310
<0.0025
0.00067
<0.005
<0.005
0.00025
0.4132
0.2650
0.00075
0.00061
0.0025
0.0025
N/A
17%
0%
N/A
N/A
N/A
N/A
N/A
17%
0%
N/A
N/A
N/A
N/A
Oil & Grease
pH
Phenol
Total Phosprorus
1st 6 months
2nd 6 months
lst 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
1
2
2
59.1
75.5
6.50/7.45
7.38/8.10
Not
required
0.018
8.7
18.0
19.5
24.3
0.018
7.7
12.2
0%
0%
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
TKN
Total Nitrogen
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
3
2
2
2
76.2
85.8
76.6
86.0
44.5
76.0
59.5
76.1
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below D tection Limit
IUP a Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/I => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP —> wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) —>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (1b/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Control Authority,
Town Name =>
WWTP Name =>
NPDES # _>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Henry Fork
NC0040797
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name
ILP #
Pipe #
Maple Springs (Plant 1)
15
1
BDL = 1/2 det.
Flow, MGD
BOD
TSS
Ammonia
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
5
5
5
0.0909
0.2921
43.0
139
55.7
62.7
1.85
5.75
0.0824
0.1230
16.4
73.1
35.6
38.8
0.84
1.39
---_
_-__
0%
0%
0%
0%
0%
0%
____
---
0%
0%
0%
0%
0%
0%
Cadmium
Chromium
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1
1
1
Not
required
<0.010
Not
required
0.000089
Not
required
<0.005
Not
required
0.0000089
0.005
0.000089
0.0025
0.0000089
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper
Cyanide
Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
1
1
0.0254
0.0468
0.010
0.009
Not
required
<0.005
Not
required
<0.005
0.0169
0.0210
0.005
0.005
0.0025
0.0025
0%
0%
0%
0%
N/A
N/A
0%
0%
0%
0%
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1 /2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1=> milligrams per liter
lb/d=> pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (1b/d) =>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
• Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
• Maximum (mg/1) =>
• or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Industry Name
ILP #
Pipe #
Maple Springs (Plant 1)
15
1
BDL= 1/2 det.
Silver
Zinc
Selenium
ivioiybaenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
6
1
I
Not
required
<0.0005
0.4790
0.6640
Not
Required
<0.0005
Not
Required
<0.005
0.00025
0.3748
0.3520
0.00025
0.0025
N/A
0%
17%
N/A
N/A
N/A
0%
0%
N/A
N/A
Oil & Grease
pH
MBAS
Total Phosphorus
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
7
7
1
1
3
3
35.8
46.7
9.50/11.04
9.20/10.85
<0.100
<0.100
2.4
4.2
13.8
19.3
0.050
0.050
2.2
3.5
0%
0%
29%
29%
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
TKN
Total Nitrogen
1st 6 months
2nd 6 months
I st 6 months
2nd 6 months
2
2
2
2
14.6
17.4
15.4
18.1
11.5
16.2
12.2
17.0
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
" POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL or zero values used.
BDL => Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/I => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2of2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo Average (mg/1) _>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
WWTP Name =>
NPDES#=>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Henry Fork
NC0040797
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name
1UP#
Pipe #
The Sock Factory
17
1
BDL = 1/2 det.
Flow, MGD
BOD
TSS
Ammonia
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
8
8
5
6
5
5
6
5
0.0173
0.0190
225
690
34.0
152
21.2
9.52
0.0104
0.0141
108
184
17.1
45.9
6.82
5.42
____
----
0%
17%
0%
0%
17%
0%
_-__
_--_
0%
17%
0%
0%
17%
0%
Arsenic
Cadmium
Chromium
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
5
6
1
Not
required
<0.010
<0.0004
0.00068
0.0961
0.2140
Not
required
0.000737
0.005
0.0001
0.00021
0.0200
0.0668
0.000737
N/A
0%
0%
0%
17%
N/A
N/A
0%
0%
0%
17%
N/A
Copper
Cyanide
Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
1
1
0.4300
0.0511
0.009
0.009
Not
required
<0.005
Not
required
<0.005
0.1104
0.0328
0.007
0.008
0.0025
0.0025
0 /0
0%
0%
0%
N/A
N/A
0%
0%
0%
0%
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL 1/2 BDL, or zero values used.
BDL => Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1=> milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) ->
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is r- 33 %) =>
*
*
*
Total # of samples =>
Maximum (mg/1) _>
or Maximum (1b/d) _>
or 6 mo. Average (mg/1) ->
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
•
Industry Name The Sock Factory
IUP # 17
Pipe # 1
BDL 1/2 det.
Selenium
Molybdenum
1
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
8
8
5
7
1
1
0.2040
0.0195
0.5550
0.6980
Not
Required
<0.0025
Not
Required
<0.005
0.0280
0.0046
0.3756
0.5201
0.00125
0.0025
0%
0%
0%
29%
N/A
N/A
0%
0%
0%
0%
N/A
N/A
al Phosphorus
TKN
.,11 ..._,. saw., p r
---
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
2
2
2
2
42.2
10.4
6.40/9.03
6.31/9.40
2.3
1.4
27.7
42.2
12.8
7.5
1.6
1.2
16.1
25.9
0%
0%
0%
0%
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
Total Nitrogen
MBAS
ADMI Color
(units)
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
1
1
1
1
28.1
42.5
8.8
7.4
40.0
220
16.8
26.2
8.8
7.4
40.0
220
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligtams per user
lb/d => pounds per day
mgd => million gallons per day
W WTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) a
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
WWTP Name a
NPDES # _>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Northeast
NC0020401
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name Shurtape Technologies
Pipe #
1
BDL = 1/2 det.
Ammonia
MGD
BOD
TSS
Flow
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
7
6
5
5
5
5
5
5
0.0123
0.0087
490
848
16.8
19.2
7.12
15.5
0.0081
0.0052
329
590
8.6
11.4
4.42
12.3
____
____
0%
0%
0%
0%
0%
0%
_-__
---_
0%
0%
0%
0%
0%
0%
Arsenic
Cadmium
Chromium
1
LL Mercury
I
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1
1
1
Not
required
<0.010
Not
required
0.00011
Not
required
0.0079
Not
required
<0.000005
0.005
0.00011
0.0079
0.0000025
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
'd
copper
a-yatul C
snag.
r
-
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
3
2
2
2
1
1
0.0250
0.0210
<0.005
0.0060
Not
required
<0.005
Not required
0.0140
0.0197
0.0204
0.0025
0.0055
0.00250
0.0140
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 HDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1 => milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name Shurtape Technologies
IUP # 22
Pipe #
1
BDL = 1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
7
7
2
2
2
2
Not
required
<0.0005
0.9510
1.6400
<0.0005
<0.0005
0.7750
0.4300
0.00025
0.5719
0.6693
0.00025
0.00025
0.4700
0 2163
N/A
43%
29%
N/A
N/A
N/A
N/A
N/A
0%
29%
N/A
N/A
N/A
N/A
Oil & Grease
pH
Phenol
Total Phosprorus
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
4
4
5
5
5
6
2
2
3.1
5.3
6.60/7.83
6.89/8.60
0.0130
0.0130
4.8
2.7
2.3
3.3
0.0093
0.0075
3.2
1.4
0%
0%
0%
0%
0%
0%
N/A
N/A
0%
0%
0%
0%
N/A
N/A
1
Toluene
+
,
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
5
5
9.9
22.0
10.2
25.5
0.0240
<0.005
7.1
18.6
8.3
20.3
0.0069
0.0021
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
0%
0%
BDL -> Below Detection Limit
* POTW must enter at least one of these four rows. RIP => Industrial User Permit
Please indicate how averages were calculated. SNC => Significant Non -Compliance
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL or zero values used. TRC => Technical Review Criteria
mg/1 => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/I) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
W WTP Name =>
NPDES # =>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Henry Fork
NC0040797
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name
IUP #
Pipe #
Ward Hosiery
27
1
BDL = 1/2 det.
MGD
BOD
TSS
Ammonia
Flow,
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
9
8
5
5
5
5
6
5
0.0002
0.0002
180
126
24.5
28.8
47.4
15.60
0.0001
0.0002
106
60.7
19.0
15.4
11.1
7.91
----
----
0%
0%
0%
0%
17%
0%
-_-
_--
0%
0%
0%
0%
17%
0%
Arsenic
Cadmium
Chromium
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6
months
1
5
6
5
6
1
Not required
<0.010
<0.0004
<0.0016
0.0127
0.0470
Not
required
0.00134
0.005
0.000134
0.00025
0.0051
0.0113
0.00134
N/A
0%
0%
0%
0%
N/A
N/A
0%
0%
0%
0%
N/A
Copper
Cyanide
Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
6
5
5
5
6
5
6
0.0932
0.0791
0.018
0.076
<0.005
<0.005
0.0055
0.0050
0.0369
0.0451
0.008
0.016
0.0025
0.003
0.0031
0.0029
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) —>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) —>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Industry Name
IUP#
Pipe #
Ward Hosiery
27
1
BDL = 1/2 det.
Silver
Zinc
Selenium
lvioiynaenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
8
8
5
6
1
1
0.0278
0.0370
0.3460
0.5520
Not
Required
<0.0005
Not
Required
<0.005
0.0122
0.0118
0.2458
0.2337
0.0025
0.0025
0%
0%
0%
0%
N/A
N/A
0%
0%
0%
0%
N/A
N/A
Oil & Grease
pH
Total Phosphorus
TKN
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
9
8
2
2
2
2
12.7
23.2
6 20/9 08
6.10/7.46
2.6
1.1
42.8
37.8
5.1
8.9
2.5
1.1
30.0
36.2
0%
0%
0%
0%
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
Total Nitrogen
MBAS
ADMI Color
(units)
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
1
1
1
1
43.3
38.1
0.430
0.103
115
169
30.5
36.5
0.430
0.103
115
169
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
• POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL or zero values used.
BDL=> Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1 => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) —>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) —>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) —>
* or Average Loading (1b/d) _>
% violations (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
WWTP Name =>
NPDES # _>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Henry Fork
NC0040797
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name
IUP #
Pipe #
Hickory Springs Mfg.
33
1
BDL = 1/2 det.
Ammonia
Flow, MGD
BOD
TSS
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
6
5
8
5
5
0.0056
0.0084
275
570
222
492
7.97
47.2
0.0031
0.0067
170
268
76.8
254
5.84
36.5
____
----
0%
17%
0%
38%
0%
0%
___
___-
0%
17%
0%
13%
0%
0%
Arsenic
Cadmium
Chromium
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
1
1
Not required
<0.010
0.00018
<0.004
Not
required
0.0081
Not
required
<0.000005
0.005
0.000086
0.0010
0.0081
0.0000025
N/A
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
Conner
Cyanide
Lead
Nickel
r
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
6
5
1
4
1
5
5
0.4030
0.1060
0.009
<0.008
Not
required
<0.005
<0.005
0.0137
0.1031
0.0598
0.009
0.005
0.0025
0.0013
0.0096
1
17%
0%
N/A
N/A
N/A
0%
0%
17%
0%
N/A
N/A
N/A
0%
0%
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL or zero values used.
BDL => Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligrams per titer
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
• or Maximum (lb/d) _>
* or 6 mo. Average (mg/I) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) _>
* or Maximum (lb/d) _>
• or 6 mo. Average (mg/1) —>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Industry Name Hickory Springs Mfg.
IUP # 33
Pipe # 1
BDL 1/2 det.
Silver
Zinc
selenium
ivlulyuuvuum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
4
5
5
1
1
Not
required
<0.002
0.5560
0.5580
Not
Required
<0.0005
Not
Required
0.0065
0.0006
0.4482
0.4826
0.00025
0.0065
N/A
0%
0%
N/A
N/A
N/A
0%
0a/
N/A
N/A
1
MBAS
Total Phosphorus
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
6
1
3
2
2
19.8
18.5
6.50/7.60
7.25/8.90
2.26
5.37
6.3
7.1
9.2
9.1
2.26
2.86
5.1
6.6
O%
0%
0%
0%
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
TICN
Total Nitrogen
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
64.4
55.8
64.8
55.8
32.3
46.8
32.5
46.8
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
BDL => Below D tection Limit
* POTW must enter at least one of these four rows. 1UP => Industrial User Permit
Please indicate how averages were calculated. SNC => Significant Non -Compliance
Avg. period could be month, qtr., or 6-month & if BDL 1/2 BDL, or zero values used. TRC => Technical Review Criteria
mg/1=> milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) —>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average. Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
WWTP Name =>
NPDES#=>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Northeast
NC0020401
1/1/20 - 6/30/20
7/1/20 - 12/31/20
BOD
TSS
Industry
Name
IUP #
Pipe #
Century Furniture
34
1
BDL= 1/2 det.
Ammonia
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
6
5
6
0.0025
0.0025
286
337
380
436
34.7
57.1
0.0017
0.0020
150
133
103
108
20.0
30.9
----
----
0%
0%
0%
17%
0%
17%
----
----
0%
0%
0%
0%
0%
0%
Arsenic
Cadmium
Chromium
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
3
4
I
Not
required
<0.010
0.00016
0.00018
<0.001
<0.005
Not
required
0.0000372
0.005
0.000072
0.000088
0.0005
0.0011
0.0000372
N/A
0%
0%
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
Copper
Toluene
Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
1
5
5
1
0.0331
0.0454
Not
Required
<0.001
<0.010
<0.010
Not
required
<0.005
0.0145
0.0137
0.0005
0.0040
0.0040
0.0025
0%
0%
N/A
0%
0%
N/A
0%
0%
N/A
0%
0%
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial U er Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1=> milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/I) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) —>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name Century Furniture
IUP # 34
Pipe # 1
BDL = 1/2 det.
Molybdenum
Silver
Zinc
Selenium
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
2
2
2
2
Not
required
0.0022
0.6440
0.8510
0.00052
0.00067
0.0073
<0.005
0.0022
0.4276
0.4556
0.00039
0.00046
0 0049
0.0025
N/A
0%
20%
N/A
N/A
N/A
N/A
N/A
0%
20%
N/A
N/A
N/A
N/A
Phenol
Total Phosprorus
,
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
1
2
2
17.2
20.0
7.32/8.60
7.50/8.50
Not
required
0.023
8.5
12.0
12.1
11.9
0.023
6.0
8.4
0%
0%
0%
0%
N/A
N/A
N/A
0%
0%
--
N/A
N/A
N/A
1
y
1
1st 6 months2nd 6 months 1st 6 months 2nd 6 months
2 2 2 2
84.2 75.5 84.6 75.8
53.9 71.3 54.3 71.7
N/A N/A N/A N/A
N/A N/A N/A N/A
BDL => Below Detection Limit
* POTW must enter at least one of these four rows. IUP => Industrial User Permit
Please indicate how averages were calculated. SNC => Significant Non -Compliance
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL or zero values used. TRC => Technical Review Criteria
mg/1=> milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2
BDL => Below Detection Limit
* POTW must enter at least one of these four rows. IUP => Industrial User Permit
Please indicate how averages were calculated. SNC => Significant Non -Compliance
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL or zero values used. TRC => Technical Review Criteria
mg/1=> milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (lb/d) _>
or 6 mo. Average (mg/1) =>
or Average Loading (1b/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) —>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
WWTP Name =>
NPDES # =>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Northeast
NC0020401
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name
IUP#
Pipe #
Century Furniture
34
2
BDL= 1/2 det.
Flow
MGD
BOD
TSS
Ammonia
1st 6 months
2nd 6 months
lst 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
5
10
5
0.0003
0.0027
352
181
248
242
46.7
7.56
0.0003
0.0025
126
122
103
93.9
17.8
5.68
----
----
0%
0%
0%
0%
50%
0%
----
----
0%
0%
0%
0%
30%
0%
Arsenic
Cadmium
Chromium
LL
Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
5
5
1
Not
required
<0.010
0.00013
0.00017
<0.005
<0.005
Not required
0.0000119
0.005
0.000091
0.000091
0.0013
0.0014
0.0000119
N/A
0%
0%
0%
0%
N/A
N/A
0%
0%
0%
0%
N/A
Copper
Toluene
Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
1
5
5
1
0.0431
0.0220
Not
Required
<0.001
<0.010
0.010
Not
required
<0.005
0.0176
0.0173
0.0005
0.0040
0.0050
0.0025
0%
0%
N/A
0%
0%
N/A
0%
0%
N/A
0%
0%
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below Detection Lmit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) —>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/I) _>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name
IUP#
Pipe #
Century Furniture
34
2
BDL= 1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
2
2
2
2
Not
required
<0.0005
0.5950
0.5850
0.0011
0.00058
0.007
<0.005
0.00025
0.4370
0.4466
0.00068
0.00042
0.0048
0.0025
N/A
0%
OA
N/A
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
Oil & Grease
pH
Yhenol
i otai rnusprurus
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
1
2
2
12.5
12.2
6.70/8.26
7.20/8.60
Not
required
0.039
7.0
8.3
9.4
8.7
0.039
6.6
6.4
0%
0%
0
0%
N/A
N/A
N/A
0%
0%
----
N/A
N/A
N/A
1
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
63.3
72.7
64.0
73.0
62.9
47.5
63.6
47.8
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
BDL => Below Detection Limit
* POTW must enter at least one of these four rows. IUP => Industrial User Permit
Please indicate how averages were calculated. SNC => Significant Non -Compliance
Avg. period could be month, qtr., or 6-month & if BDL 1/2 BDL, or zero values used. TRC => Technical Review Criteria
mg/l => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) =>
or Maximum (lb/d) =>
or 6 mo. Average (mg/1) _>
or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) =>
or Maximum (lb/d) _>
or 6 m Average (mg/1) ->
or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Control Authority,
Town Name =>
WWTP Name =>
NPDES # _>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Henry Fork
NC0040797
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name
IUP #
Pipe #
Kleen Tech
35
1
BDL = 1/2 det.
Flow, MGD
BOD
1'SS
ammuula
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
6
6
6
6
6
6
5
5
0.0410
0.0651
1395
1153
1323
460
5.10
3.53
0.0303
0.0480
676
720
331
183
1.40
0.98
----
----
17%
17%
17%
17%
0%
0%
----
----
0%
0%
17%
0%
0%
0%
1
admium
Chromium
1
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
5
1
<0.010
<0.01
<0.00008
<0.002
0.0153
0.0133
Not
required
0.0000038
0.0022
0.0028
0.00004
0.00029
0.0101
0.0077
0.0000038
0%
0%
0%
0%
0%
0%
N/A
0%
0%
0%
0%
0%
0%
N/A
Cyanide
Lead
1
Nickel
1
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
5
5
5
0.0165
0.0228
0.0170
0.0130
<0.005
0.0079
0.0131
0.0078
0.0111
0.0139
0.0075
0.0065
0.0017
0.0028
0.0068
0.0041
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1 => milligrams per user
Ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (lb/d) =>
or 6 mo Average (mg/1) _>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name
11113 #
Pipe #
Zinc
Kleen Tech
35
1
BDL = 1/2 det.
Selenium
1
Molybdenum
,
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
1
1
Not
required
0.00055
0.4750
0.3310
Not
Required
<0.0005
Not
Required
<0.005
0.00055
0.2606
0.2570
0.00025
0.0025
N/A
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
Toluene
Total Phosphorus
1 st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
7
6
7
6
5
5
2
2
621
336
7.91/10.57
8.10/10.80
<0.010
<0.010
2.4
2.4
190
137
0.0032
0.0032
2.1
2.3
29%
17%
29%
17%
0%
0%
N/A
N/A
14%
0%
0%
0%
N/A
N/A
TKN
Total Nitrogen
Phenol
MBAS
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
1
1
5
5
10.9
7.3
11.8
8.0
2.05
2.36
0.0130
<0.025
8.6
7.2
9.3
7.8
2.05
2 36
0.0051
0.0055
N/A
N/A
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
N/A
N/A
0%
0%
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL=> Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1=> milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or 6 mo Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name
ILP #
Pipe #
Kleen Tech
35
1
BDL = 1/2 det.
TTO (1/12
Months)
1st 6 months
2nd 6 months
1
1
0.1630
0.0463
0.1630
0.0463
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1/2 BDL, or zero values used.
BDL => Below D tection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l=> milligrams per liter
lb/d => pounds per day •
mgd => million gallons per day
WWTP => wastewater treatment plant

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or 6 mo. Average (mg/1) =>
* or Average Loading (1b/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) =>
% violations (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
WWTP Name =>
NPDES # =>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Henry Fork
NC0040797
1/1/20 - 6/30/20
7/1/20 - 12/31/20
Industry
Name Hickory Regional Compost Facility
IUP # 50
Pipe # 1
BDL= 1/2 det.
Ammonia
Flow, MGD
BOD
TSS
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
6
6
5
5
6
5
6
6
0.1025
0.1223
960
515
1230
298
502
412
0.0722
0.0807
766
280
402
208
287
223
--__
__-
0%
0%
17%
0%
17%
17%
_-_
--__
0%
0%
17%
0%
17%
17%
Cadmium
Chromium
1
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1
2
2
3
1
Not
required
<0.010
<0.001
<0.001
0.0063
<0.005
Not
required
0.000011
0.005
0.0005
0.00029
0.0044
0.0025
0.000011
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper
Cyanide
Lead
IN
eke'
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
1
2
3
2
3
0.1480
0.0179
Not required
0.019
<0.005
<0.005
0.0122
0.0107
0.0648
0.0138
0.019
0.0025
0.0025
0 0112
0.0097
0%
0%
N/A
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL , 1 /2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/I => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
*
*
*
Total # of samples =>
Maximum (mg/1) _>
or Maximum (lb/d) _>
or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) _>
Industry Name Hickory Regional Compost Facility
IUP#
Pipe #
50
1
BDL = 1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
6
5
1
1
<0.005
<0.005
1.07
0.1180
Not
Required
0.0042
Not
Required
0.0134
0.0017
0.0017
0.3394
0.0677
0.0042
0 0134
N/A
N/A
17%
0%
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
Oil & Grease
Total Phosphorus
TEN
pH
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
6
6
2
2
4
37.1
5.5
7.18/8.03
7.15/8.08
Not
required
22.0
292
306
12.8
3.1
19.5
288
210
0%
0%
0
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
Total Nitrogen
1st 6 months
2nd 6 months
1
Not required
328
328
N
N/A
N/A
N/A
N/A
BDL => Below De ection Limit
* POTW must enter at least one of these four rows. IUP => Industrial User Permit
Please indicate how averages were calculated. SNC => Significant Non -Compliance
Avg. period could be month, qtr., or 6-month & if BDL 1/2 BDL, or zero values used. TRC => Technical Review Criteria
mg/l => milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2of2

xi
0
0
T
0
0
z
1/1/20 - 6/30/20
1st 6 months, dates =>
BDL = 1/2 det.
2nd 6 months, dates =>
ID I ISS sinum it
2nd 6 months 1st 6 months I2nd 6 months 1st 6 months I 2nd 6 months
co
c
c
0.20
00
o0
^�
o
in
o
cr!
28.0 I 0.41
0
0
0
0
an
0
0e
0
0
4
in
M
O
N
•fl
e
O
N
e
O
��
�
00
0
0
vi
Lin
0.0680 I 46.0 I
00
in00
, _,
an
In
1
1
Inc
0
N
0
I 0.0849
I
I
8
U
2nd 6 months I
In
�o
co
co
O
O
GO
oo
0
0
O
z;
I N/A I I N/A
I2nd 6 months 1st 6 months I
<0.005 I N
kel
N
o
0
Q'
z
2nd 6 months! 1st 6 months
0.00012 I Not required
0.00012 I
a¢
zz
1st 6 months 12nd 6 months! 1st 6 months I
<0.010 I Not required I
o
o
d<4
zz
INot reauired I
b
U
x
°
0
N
o
N
o
Q
d
zz
2nd 6 months 11st 6 months I
<0.005 I Not required I
9z00.o
d
zz
2nd 6 months! 1st 6 months I
0.012 Not required I
VI
E
0
00
o
O
11st 6 months 12nd 6 months! 1st 6 months I
kn
an
0.0067 I 0.006 I
0
0
0
0
0
0
N
o
0e
o
O
o
0
I 0.0093 I
0.0068
0
0
e
0
C
L
•a
lb/d => pounds per day
il
o
co
co 3
o
3
A
4
C
o 6
I0
°a. o 8 • <22
- O
w 5 I;
II A IICa Ca
POTW must enter at least one of these four rows.
0
N
a

wl
N o
Q 0 Q
a Ca
i N
J To
d Il c
aIalaU V
ca Nco
co
E
c E ° 0)
C co To
ay
co °o
R a m
E o `° ',
f0 C
la l6 w
L w N
co N
L =
C
Silver Zinc Selenium Molybdenum
1st 6 months 1 2nd 6 months 1st 6 months 1 2nd 6 months 1st 6 months 1 2nd 6 months 1st 6 months 1 2nd 6 months
O
V
O
0 o
I N/A I I N/A
z
<0.0005 Not Required
in
o
o
O
d
z
Not Required
too
vn
6
N
6
e
O
o
O
to
I 0.2890 I
0.2612
o
O
e
O
I 0.0012
o
O
zz
I Not reauired I
A A AA AAA
II II II II II II II
E t— C ' d \on
1(1" 0 p 0 P
pd M
M y OD II II
ova 0 bD A m
xt .04 j o Q V
a At 'zz
lei
o� o
0 U a
O O
O
O
>e
2nd 6 months!
m
o
dd
d'
zz
M
up
d
It
O
z
z
2nd 6 months! 1st 6 months 1 2nd 6 months!
o
o
dd
0
.
7 5
9.50/10.90 n <0.100
O
o
0
zz
g
N
1st 6 months 12nd 6 months! 1st 6 months
0% I 29"/
O
O1
up
O\
In
M
;;;C.N
rz
4-4O
to
h
`D
N
eo
O
O
AAAA AAA
II I II I II I II
aa
* *
* *
N
c
dd
z
z
TEN I Total N
11st 6 months 12nd 6 months 1st 6 months 1
N
N
7.3 I 14.9
N
O
¢'
Q
Z
z
d
zz
N
t
dd
zz
mg I => milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
U
z
t
1
w
r
03
A
a.
TRC => Technical Review Criteria
d
7
71.
ro
G]
0.l
o
m
7
ta
U O
w 3 m
au a 4
0
ta 3
eo
u d
C 'C
O§
a a d
0
cd

TTO's

aceAnalytical
www.psc I bs.com
e
ANALYTICAL RESULTS
Project: Industries
Pace Project No.: 92492026
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
TTo-a.-oY63'
Sample: Kleen Tech Grab
Parameters
Lab ID: 92492026001 Collected: 08/19/20 10:10
Results
Units Report Limit DF
Received: 08/21/20 10:30 Matrix: Water
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Oil and Grease
1631E Mercury,Low Level
Mercury
624 Volatile Organics
Acetone
Acrolein
Acrylonitrile
Ally! chloride
Benzene
Bromobenzene
Bromochloromethane
Bromodichloromethane
Bromoform
2-Butanone (MEK)
n-Butylbenzene
sec-Butylbenzene
tert-Butylbenzene
Carbon disulfide
Carbon tetrachloride
Chlorobenzene
Chloroethane
2-Chloroethylvinyl ether
Chloroform
Chloromethane
Chloroprene
2-Chlorotoluene
4-Chlorotoluene
Cyclohexane
1,2-Dibromo-3-chloropropane
Di bromochloromethane
1,2-Dibromoethane (EDB)
Dibromomethane
1,2-Dichlorobenzene
1,3-Dichlorobenzene
1,4-Dichlorobenzene
Dichlorodifluoromethane
111-Dichloroethane
1,2-Dichloroethane
111-Dichloroethene
cis-1,2-Dichloroethene
trans-1,2-Dichloroethene
Date: 09/04/2020 02:59 PM
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
336 mg/L 5.0 1
Analytical Method: EPA 1631E Preparation Method: EPA 1631E
Pace Analytical Services - Asheville
3.80 ng/L
Analytical Method: EPA 624.1
Pace Analytical Services - Charlotte
34.5
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
9.5
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
Ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
08/31/20 10:26
2.5 1 08/30/20 10:00 09/03/20 15:59 7439-97-6 BC
10.0
5.0
5.0
50.0
1.0
2.0
2.0
2.0
2.0
5.0
5.0
5.0
5.0
5.0
2.0
2.0
2.0
5.0
2.0
2.0
5.0
2.0
2.0
5.0
5.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
REPORT OF LABORATORY ANALYSIS
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
67-64-1
107-02-8 1g
107-13-1
107-05-1
71-43-2
108-86-1
74-97-5
75-27-4
75-25-2
78-93-3
104-51-8
135-98-8
98-06-6
75-15-0
56-23-5
108-90-7
75-00-3
110-75-8
67-66-3
74-87-3
126-99-8
95-49-8
106-434
110-82-7
96-12-8
124-48-1
106-93-4
74-95-3
95-50-1
541-73-1
10646-7
75-71-8
75-34-3
107-06-2
75-35-4
156-59-2
156-60-5
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 4 of 38

aceAnalytical e
www.p c I In.com
ANALYTICAL RESULTS
Project: Industries
Pace Project No.: 92492026
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: Kleen Tech Grab
Parameters
Lab ID: 92492026001
Results
Collected: 08/19/20 10:10 Received: 08/21/20 10:30 Matrix: Water
Units Report Limit DF Prepared
Analyzed CAS No. Qual
624 Volatile Organics
112-Dichloropropane
1,3-Dichloropropane
2,2-Dichloropropane
1,1-Dichloropropene
cis-113-Dichloropropene
trans-1,3-Dichloropropene
Diethyl ether (Ethyl ether)
Ethyl acetate
Ethylbenzene
Hexachloro-1,3-butadlene
2-Hexanone
lodomethane
Isopropyl acetate
Isopropylbenzene (Cumene)
p-Isopropyltoluene
Methylene Chloride
4-Methyl-2-pentanone (MIBK)
Methyl-tert-butyl ether
Naphthalene
n-Propylbenzene
Styrene
1,11112-Tetrachloroethane
1,1,2,2-Tetrachloroethane
Tetrachloroethene
Toluene
1,2,3-Trichlorobenzene
1,2,4-Trichlorobenzene
1,111-Trichloroethane
1,1,2-Trichloroethane
Trichloroethene
Trichlorofuoromethane
1,2,3-Trichloropropane
1,1,2-Trichlorotrituoroethane
1,214-Trimethylbenzene
1,3,5-Trimethylbenzene
Vinyl acetate
Vinyl chloride
m&p-Xylene
o-Xylene
Surrogates
4-Bromofluorobenzene (S)
Toluene-d8 (S)
1,2-Dichloroethane-d4 (S)
Date: 09/04/2020 02:59 PM
Analytical Method: EPA 624.1
Pace Analytical Services - Charlotte
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
2.3
ND
ND
ND
ND
ND
96
99
92
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
2.0
2.0
5.0
2.0
2.0
2.0
2.0
100
1.0
5.0
10.0
20.0
100
5.0
5.0
2.0
10.0
5.0
5.0
5.0
2.0
2.0
2.0
2.0
1.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
5.0
2.0
5.0
5.0
70-130
70-130
70-130
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
08/24/20 14:00
78-87-5
142-28-9
594-20-7
563-58-6
10061-01-5
10061-02-6
60-29-7
141-78-6
100-41-4
87-68-3
591-78-6
74-88-4
108-21-4
98-82-8
99-87-6
75-09-2
108-10-1
1634-04-4
91-20-3
103-65-1
100-42-5
630-20-6
79-34-5
127-18-4
108-88-3
87-61-6
120-82-1
71-55-6
79-00-5
79-01-6
75-69-4
96-18-4
76-13-1
95-63-6
108-67-8
108-05-4
75-01-4
179601-23-1
95-47-6
08/24/20 14:00 460-00-4
08/24/20 14:00 2037-26-5
08/24/20 14:00 17060-07-0
Page 5 of 38

aceAnalytical
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ANALYTICAL RESULTS
Project: Industries
Pace Project No.: 92492026
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: Kleen Tech Grab Lab ID: 92492026001 Collected: 08/19/20 10:10 Received: 08/21/20 10:30 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
420.4 Phenolics, Total
Phenol
4500CNE Cyanide, Total
Cyanide
Date: 09/04/2020 02:59 PM
Analytical Method: EPA420.4 Rev 1.0 1993 Preparation Method: EPA420.4 Rev 1.0 1993
Pace Analytical Services - Asheville
0.022 mg/L
0.020 1 09/01 /20 07:25 09/01 /20 11:13 108-95-2 M 1
Analytical Method: SM 4500-CN-E-2011 Preparation Method: SM 4500-CN-E-2011
Pace Analytical Services - Asheville
0.018 mg/L
0.0080 1 08/27/20 22:45 08/28/20 03:36 57-12-5
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 38

aceAnalytical®
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ANALYTICAL RESULTS
Project: Industries
Pace Project No.: 92492026
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
Sample: Kleen Tech Comp
Parameters
Lab ID: 92492026002 Collected: 08/19/20 10:05
Results
Units Report Limit DF
Received: 08/21/20 10:30 Matrix: Water
Prepared Analyzed
CAS No.
Qual
608 PCB Pest RVE
Aldrin
alpha-BHC
beta-BHC
delta-BHC
gamma-BHC (Lindane)
Chlordane (Technical)
alpha -Chlordane
gamma -Chlordane
4,4'-DDD
4,4'-DDE
4,4'-DDT
Dieldrin
Endosulfan I
Endosulfan II
Endosulfan sulfate
Endrin
Endrin aldehyde
Heptachlor
Heptachlor epoxide
PCB-1016 (Aroclor 1016)
PCB-1221 (Aroclor 1221)
PCB-1232 (Aroclor 1232)
PCB-1242 (Aroclor 1242)
PCB-1248 (Aroclor 1248)
PCB-1254 (Aroclor 1254)
PCB-1260 (Aroclor 1260)
PCB, Total
Toxaphene
Surrogates
Tetrachloro-m-xylene (S)
Decachlorobiphenyl (S)
200.7 MET ICP
Antimony
Arsenic
Beryllium
Chromium
Lead
Molybdenum
Nickel
Thallium
Zinc
Date: 09/04/2020 02:59 PM
Analytical Method: EPA 608.3 Preparation Method: EPA 608.3
Pace Analytical Services - Charlotte
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
63
58
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
uglL
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
uglL
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
Analytical Method: EPA200.7 Rev4,
Pace Analytical Services -Asheville
7.6
ND
ND
11.2
ND
ND
5.7
ND
331
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19.28
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19:28
0.50 1 08/25/20 19-28
0.050 1 08/25/20 1928
0.050 1 08/25/20 1928
0.050 1 08/25/20 1928
0.050 1 08/25/20 19:28
0.050 1 08/25/20 1928
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19:28
0.050 1 08/25/20 19:28
0.050 1 08/25/20 1928
0.50 1 08/25/20 19:28
0.50 1 08/25/20 19:28
0.50 1 08/25/20 19:28
0.50 1 08/25/20 19:28
0.50 1 08/25/20 1928
0.50 1 08/25/20 19:28
0.50 1 08/25/20 19'28
0.50 1 08/25/20 1928
0.50 1 08/25/20 1928
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
013/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
08/26/20 07:45
309-00-2 M1
319-84-6
319-85-7 M1,R1
319-86-8
58-89-9 R1
57-74-9
5103-71-9 M1,R1
5103-74-2 M1,R1
72-54-8 R1
72-55-9 R1
50-29-3
60-57-1 M1
959-98-8 M1,R1
33213-65-9
1031-07-8 R1
72-20-8 M1,R1
7421-93-4
76-44-8
1024-57-3
12674-11-2 M1,R1
11104-28-2
11141-16-5
53469-21-9
12672-29-6
11097-69-1
11096-82-5 R1
1336-36-3
8001-35-2
10-130 1 08/25/20 19:28 08/26/20 07:45 877-09-8
10-130 1 08/25/20 19:28 08/26/20 07:45 2051-24-3
4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994
5.0 1
10.0 1
1.0 1
5.0 1
5.0 1
5.0 1
5.0 1
10.0 1
10.0 1
08/25/20 01:23
08/25/20 01:23
08/25/20 01:23
08/25/20 01:23
08/25/20 01:23
08/25/20 01:23
08/25/20 01:23
08/25/20 01:23
08/25/20 01:23
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
08/26/20 17:17
08/26/20 17:17
08/26/20 17:17
08/26/20 17:17
08/26/20 17:17
08/26/20 17:17
08/26/20 17:17
08/26/20 17:17
08/26/20 17:17
7440-36-0
7440-38-2
7440-41-7
7440-47-3
7439-92-1
7439-98-7
7440-02-0
7440-28-0
7440 66 6
Page 7 of 38

aceAnalytical®
www.poc 1 atom
ANALYTICAL RESULTS
Project: Industries
Pace Project No.: 92492026
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: Kleen Tech Comp
Parameters
Lab ID: 92492026002 Collected: 08/19/2010:05 Received: 08/21/20 10:30 Matrix: Water
Results
Units Report Limit DF Prepared Analyzed CAS No.
Qual
200.8 MET ICPMS
Cadmium
Copper
Selenium
Silver
625 RVE
Acenaphthene
Acenaphthylene
Anthracene
Benzo(a)anthracene
Benzo(a)pyrene
Benzo(b)fluoranlhene
Benzo(g,h,i)perylene
Benzo(k)Fluoranthene
4-Bromophenylphenyl ether
Butylbenzylphthalate
4-Chloro-3-methylphenol
bis(2-Chloroethoxy)methane
bis(2-Chloroethyl) ether
2-Chloronaphthalene
2-Chlorophenol
4-Chlorophenylphenyl ether
Chrysene
Dibenz(a,h)anlhracene
3,3'-Dichlorobenzidine
2,4-Dlchlorophenol
Dielhylphthalate
2,4-Dimethylphenol
Dlmethylphthalale
Di-n-bulylphthalate
4,6-Dlnilro-2-methylphenol
2,4-Dinitrophenol
2,4-Dinitrotoluene
216-Dinitrotoluene
Di-n-octylphthalate
bis(2-Ethylhexyl)phthalate
Fluoranthene
Fluorene
Hexachloro-1,3-buladiene
Hexachlorobenzene
Hexachlorocyclopentadiene
Hexachloroethane
Indeno(1,2,3-cd)pyrene
Isophorone
Naphthalene
Date: 09/04/2020 02:59 PM
Analytical Method: EPA 200.8 Preparation Method: EPA 200.8
Pace Analytical Services - Minneapolis
0.11
22.8
ND
0.55
ug/L
ug/L
ug/L
ug/L
0.080
1.0
0.50
0.50
1
1
1
1
08/28/20 13:52 09/01/20 16:23 7440-43-9
08/28/20 13:52 09/01/20 16:23 7440-50-8
08/28/20 13:52 09/01/20 16:23 7782-49-2
08/28/20 13:52 09/01/20 16:23 7440-22-4
Analytical Method: EPA 625.1 Preparation Method: EPA 625 1
Pace Analytical Services - Charlotte
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ug/L
ug/L
ug/L
ug/L
ug/L
uglL
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/2015.36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
50.0 5 08/25/20 15:36
25.0 5 08/25/2015'36
25.0 5 08/25/2015.36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
50.0 5 08(25/2015.36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
50.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
50.0 5 08/25/20 15:36
250 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/2015.36
25.0 5 08/25/2015.36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/2015.36
50.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
25.0 5 08/25/20 15:36
50.0 5 08/25/20 15:36
25.0 5 08/25/2015'36
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
08/26/20 16:23
08/26/20 16:23
08/26/20 16'23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 1623
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16.23
08/26/20 1623
08/26/20 16.23
08/26/20 16:23
08/26/20 16:23
08/26/20 16.23
08/26/20 16:23
08/26/20 16.23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 1623
08/26/20 16'23
83-32-9
208-96-8
120-12-7
56-55-3
50-32-8
205-99-2
191-24-2
207-08-9
101-55-3
85-68-7
59-50-7
111-91-1
111-44-4
91-58-7
95-57-8
7005-72-3
218-01-9
53-70-3
91-94-1
120-83-2
84-66-2
105-67-9
131-11-3
84-74-2
534-52-1
51-28-5
121-14-2
606-20-2
117-84-0
117-81-7
206-44-0
86-73-7
87-68-3
118-74-1
77-47-4
67-72-1
193-39-5
78-59-1
91-20-3
Page 8 of 38

aceAnalytical e
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ANALYTICAL RESULTS
Project: Industries
Pace Project No.: 92492026
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersvllle, NC 28078
[phone]
Sample: Kleen Tech Comp
Parameters
Lab ID: 92492026002 Collected: 08/19/20 10:05 Received: 08/21/20 10:30 Matrix: Water
Results
Units
Report Limit DF Prepared
Analyzed
CAS No.
Dual
625 RVE Analytical Method: EPA 625.1 Preparation Method: EPA 625.1
Pace Analytical Services - Charlotte
Nitrobenzene
2-Nitrophenol
4-Nitrophenol
N-N itrosodimethylami ne
N-Nitroso-di-n-propylamine
N-Nitrosodiphenylamine
2,2'-Oxybis(1-chloropropane)
Pentachlorophenol
Phenanthrene
Phenol
Pyrene
1,2,4-Trichlorobenzene
2,4,6-Trichlorophenol
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
Terphenyl-d14 (S)
Phenol-d6 (S)
2-Fluorophenol (S)
2,416-Tribromophenol (S)
Total Nitrogen Calculation
Total Nitrogen
351.2 Total KJeldahl Nitrogen
Nitrogen, Kjeldahl, Total
353.2 Nitrogen, NO2/NO3 pres.
Nitrogen, NO2 plus NO3
Date: 09/04/2020 02:59 PM
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
22
21
28
12
10
19
Ok
25.0 08/26/20 16:23
25.0 08/26/20 16:23
50.0 08/26/20 16.23
25.0 08/26/20 16-23
25.0 08/26/20 16:23
50.0 08/26/20 16:23
25.0 08/26/20 16:23
50.0 08/26/20 16:23
25.0 08/26/20 16:23
25.0 08/26/20 16:23
25.0 08/25/20 15:36 08/26/20 16.23
25.0 08/25/20 15:36 08/26/20 16.23
50.0 08/25/20 15:36 08/26/20 16'23
10-120
15-120
11-131
10-120
10-120
10-137
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services - Asheville
7.6 mg/L
5 08/25/20 15:36
5 08/25/20 15:36
5 08/25/20 15:36
5 08/25/20 15:36
5 08/25/20 15:36
5 08/25/2015.36
5 08/25/2015.36
5 08/25/20 15:36
5 08/25/20 15:36
5 08/25/2015.36
5
5
5
5
5
5
5
5
5
0.52 1
08/25/20 15:36
08/25/20 15:36
08/25/20 15-36
08/25/20 15:36
08/25/20 15:36
08/25/20 15:36
08/26/20 16:23
08/26/20 16-23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/26/20 16:23
08/31/20 15:34
98-95-3
88-75-5
100-02-7
62-75-9
621-64-7
86-30-6
108-60-1
87-86-5 L2
85-01-8
108-95-2
129-00-0
120-82-1
88-06-2 L2
4165-60-0 D3
321-60-8
1718-51-0
13127-88-3
367-12-4
118-79-6
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services -Asheville
7.1 mg/L
0.50 1 08/28/20 14:15 08/29/20 05:26 7727-37-9
Analytical Method: EPA353.2 Rev 2.0 1993
Pace Analytical Services - Asheville
0.52 mg/L
0.040 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
without the written consent of Pace Analytical Services, LLC.
08/26/20 12:21
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LAbORATORiES, INC.
Analytical/Process Consultations
ChemicalAnalasis for Selected Parameters and Water Sample Identified as %teen Tech
(A Water Tech Labs, Inc, Project, collected 06 February 2020) -T0 - o_ l6 3 n,.
1, Volatile Organics
EPA Method 624,1
Parameter
Methylene Chloride
'hialiarofumomo hand
1,1•Diahioroothopo
1,1-Diohlaroethene
Chloroform
Carbon Tetrachloride
112•Die loroprapane
'l'riahloroeetheno
Dlbromachlommethana
I,1,2-Trichloroethnnc
Tetmchlomelhana
Chlorobmunnc
Tmns-1,2•D1ohlomerhano
1,2-Dlehloromhone
1,1,1-Trlobloroothene
Bromodlohf oromethano
Cis-1,3-Dic➢loropropone
Benzene
'trans-1,3•Diobloropropene
Bromofamr
1,1,2,2.1'a0nchloroolhane
Toluene
Ethyl Benzene.
Chloromethono
Brommnclhunu
Vinyl Chlorido
Chloroelhane
Total Xylcnes
Magnin
Aorylonlirila
2-Chloraelhyl vinyl other
Dilution Dialer
SampleNumber
Sample Date
Sample Time (hrs)
Qunntilallon
Limit
(meal
0,010
0,010
0.010
0.010
0.010
0.010
0.010
0.010
0,010
0010
0.010
0.010
0.010
0.010
0.010
0.010
0.010
0.010
0.010
0.010
0.010
0,010
0,010
0.010
0,010
0.010
0.010
0.010
0.100
0.100
0.010
Klan Tech
(rne/L)
BQL
BQL
BQL
BQI,
0,119
BQL
BQL
BQL
BQL
SQL
SQL
BQL
BQI,
BQL
BQL
BQL
BQL
DQL
BQL
BQI.
BQL
BQL
BQL
BQL
BQL
SQL
BQL
1344
BQL
BQL
]1Q1.
78266-03
02/06/20
1045
Semi-volatlte Orgmdes
Method 625.1
Parameter
4-Chlato4-melhylphnmol
2-Ciloroph000l
2,4•13lchlorophenol
2,4-Dimathylphenol
2,4bluluophonol
2•Me1hyl-4,6-dlnitrophmml
2-Nltmphonol
44lrophmnal
Pentnohlorophenol
Phenol
2,4,6.11iohloraphenol
Acennphthane
AcenupbOrylene
Anthrnceno
Benaldlno
Benzo(a)nnthraceno
Benzo(a)pyrcue
Be zo(b)Buaranthwte
Benm(ghi)perylono
Be1101f40uomnlhene
Bonnyllutyl phlhnlum
Bis(2•obloroethoxy)methane
Bis(2-ohloroelhyl)edier
aluiLnhloroisopropyl)alhcr
B is(2-ethyl-hexyl)phth oleic
413romophenyl phenyl other
2•Chloronuphthelena
4-Chloroplmnyl phenyl Mbar
Chryscno
Dlhmao(a,h)unlhmeaac
1,2•Dlohlorobenzone
1,3-Dlohiorobanzene
1,4•Dlahiorobenzene
313-Dichlarobenzidlno
Di-Ndiutyl phthalate
2,4-Dinilrotoluene
2,6-Dinitrotolnono
Di-N-Cclyl phthalate
Pluomnlhena
liexaahloroben2ene
Hexaublorohutadiune
lioxachtorocycloponradimtc
Haxaehloroolhnno
Indcno(1,213•wl) pyruno
lxaphurono
Naphthalene
NIlrobenzono
N-Nltrodedimethylmnino
N-niir vgd6roptopyluminc
N-NllrosadiphonylamIne
Phcnanthrmm
Pyretic
12,4•frichlorobenzcne
Diethyl phthalate
Dimothyl phthalate
Pluorcno
1,2.dlplmnylhydmeine
Dilution Sector
Sample Number
Sample Date
Sample Time (brit)
Quantitntion
Limit
nr /L
0.010
0.010•
0.010
0.010
0.050
0.050
0.010
0,050
0,050
0.010
0.010
0,010
0.010
0,010
0050
0.010
0.010
0.010
0.010
0.010
0.010
0,010
0.010
0.010
0.010
0.010
0.010
0.010
0.010
0.010
0,010
0.010
0.010
0.020
0.010
0.010
0.010
0.010
D.010
0.010
0.010
0.010
0.01.0
0.010
0,010
0.010
0,010
0.010
0,010
0.010
0.010
0,010
0.010
0.010
0.010
0.010
0.050
IQeen Tech
fine/Ll
SQL
BQL
BQL
BQL
BQL
BQL
BQL
SQL
SQL
BQL
BQL
DQL
SQL
DQL
DQL
BQL
BQL
BQL
BQL
BQL
BQL
BQL
BQL
BQL
0.044
BQL
BQL
BQL
SQL
BQL
DQL
BQL
BQL
BQL
BQL
SQL
SQL
BQL
SQL
BQL
SQL
DQL
BQL
BQL
BQL
BQL
BQI.
BQL
BQL
BQL
BQL
DQL
BQL
DQL
BQL
BQL
BQL
1
78266104
02/06/20
1030
SQL = Below Qonn5mlon Llmtls
Quuntimtion limit must be multiplied by thediludon factor
mgtL lamilligrams per Liter=parts per million (ppm)

Public Notice

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Hickory Daily Record
Advertising Affidavit
PO Box 968
Hickory, NC 28603
HICKORY, CITY OF
ATTN: ACCOUNTS PAYABLE
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Date
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My commission expires:
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HICKORY
PUBLIC NOTICE OF SIGNIFICANT INDUSTRIAL
WASTEWATER PERMIT VIOLATIONS
The City of Hickory in ccord n with rede al and State Regulations is
hereby giving Public Notice. Listed below are Significant Industrial Users
that were In Significant Non -Compliance (SNC) with national pretreat-
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