NC0044121_Regional Office Historical File Pre 2018 (2)

'NPD PERMIT NO 00 < 2
FACILITY NAME: Hickory t
OWNER.NAME: SR 6 Hickory,
GRADE: PC-1
mMRrfmOl: y@ w_»:
PERMIT VERSION: 40
CLASS: PC )
ORC y ,E \\
O!C HASCHANGE
V E R)N 1.0
PERMIT STATUS: Acti
COUNTY; Catawba
ORrCE NUMBER: ;ya g
p E1v &mo
ST LS Processcd
SAMPIJNG LOCATION:EFFLUENT DISCHARGE NO2001 NO 9!
e_m ENFRUSE=m FlowmeR m2HR=wa waa Weather; ,wmw -1Fl mom AY=No 5day

NPDES PERMIT NO.: NC0044121
EACI NAME: Hick,ory WTP
OWNER NAME; City of Hickory
GRADE: PC-1
eDMR PERIOD: 08-2019 (August 2019)
COMPLIANCE STATUS: Compliant
ORC /Certifier
PERMIT V.ERS1ON 4.0
CLASS: PC-1
ORC: Mark E Haynes
ORC HAS CITANGED: No
VERSION; LO
CONACT PHONE 4: 828850'7503
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1007512
STATUS.: Processed
SUBMISSION DATE: 09/27t2019
09/04/2019
e: Haynes Mark E-Mail:mhaynes@hickor:yric,:.gov Phone #:[phone] Date
By this signature, t certify that this report is ccurate and compl•ctc to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any :noncompliance that potentially threatcr:s public; health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission ,shall also be
provided within 5 days of the time the p•ermittee becomes aware of the circurnstan.ces,
if the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.13,6 of
the NPDES permit;
0 9/2712019
Permittee/Submitter Signature:*** Michael Shawn-11e E-Mailispennell@hickorync:gov Phone #[phone] Date
Perrnittee Address; .15•60 Old :Lenoir Rd Hickory NC 28603 ,Permit Expiration Date: 04130/2020
I certify, under penalty of law, that this document and all attachments were prepared 'under my direction or supervision in accordance with a system designed
to assurethat qualified personnel properly: gather and evaluate the information submitted, Based on my inquiry of the person or persons Who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the hest (Amy knowledge and belief, true,
accurate, and complete:I; am aware that there are significant .penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
LAB NAME: Paee Anal). ical: Hickory Water ireatment
CERTIFIED LAB # 40, 5072
PERSON(s) COLLECTINGSAMPLES: Mark Haynes
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedennor reblwq/swp/psinnelesiforins.
FOOTNOTES
Use only units of measurement designated in the reporting 'facility's 'NPDES :permit for reporting data.
* .No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period,
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G ,0204,
*** Signature of Permittee; If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per ISA NCAC 2B
:0506(b)(2)(D),

TMITT NO.: N'COO44I2n PERMIT 1"IwRS
(IL 1Tk",NMJ.h.: Hickor W I P CLASS: PC-)
OWNER NAME: Cry of HieB a r
GRADE: P(,'-1
eDNIR PERIOD: 07-2019 (July
()RC: Mark L fJt �fncs
ORC; HAS CHAN
VERSION: ID
pv:Rmi 1" sTATIrSa Act'ilrc;
COUNTY: Catawba
OR(' CI RT NIItMBER kE?y)7.
sT,ATI.LS: Prt e ctiticd
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:NO
IN
iiII
MINIM
MINN
•
R•" No RefortiitgJRcason_ E NFR[. Si: = No 110w-IRcuE
F.N`r'V='G'HR No Visiuitinti -Adverse Weather. N(0 1 OV == No Flow; FI )I I4 V - Ro Visutatior

NPDFS L'ERMI'T NO.: NC0044'12I
FACILITY NAME: 1fk•kory'o-'I"
OWNER NAME: City of Hickory
GRADE: PC-1
cOMR PERIOD: 07.201r11Jaa10 20191
7411* 11 1,
4
2
7
lu
12
11
14
15
16
1.,
20
24
5I
PERS IT'I E
CLASS: P(-1
SIO\: 4.))
ORC: Mark I:: Haynes
ORC HAS CHANGE
VERSION: 1.0
PERMIT STATUS: Active
COUNTY; Catawba
ORC C:ER'P NUMBER: l0075.12
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCIG NO.: )I NO DISCI-IARGE*: NO
2406 clack lirs
80:00
raw"x No Ra'p:a2°ting Reason : 1?,Nl'
24
N
N
N
Y
7,1576051g .haera ea
1isaly R1aootiamd
Reuse
11411) !Ni1600o9 n.
55026
02702
0.6,7,
0_5NS
4)71t
0,425
0 6042415
11.4 02
604114
2 X 610T0h
6X4r
50
6. 75
6.75
6.57
2X 1004150
275
67096
1_ 140
C65666
0.21
0.2
0 0055
u rteTly 976airrty
61..640 ' Grub
520.51.1' (*1e ,41575,11017"4
11
al
741
01045
$7.5
01055
75,5
755

OO44)21
A7w1E: Ifiekor'tr W'IP
R. NAME: city of Hickory
GRADE: PC -'I
eD NT R PERIOD: 07-201 tiny 2010 )
COMPLIANCE ST'A`l t.S: Gorrrl�Iianl
PERMIT VERSION: 4,0
CLASS: PC-t
ORC„ Mark t:. Hoayracs
VERSION: 1,0
C;O\ I"AC"{" P110N1 #: 828323'75111
PERMIT STATUS: Acrice
COUNTY: Catawba
URC CER"E NUMBER: Itkt7512
STATES: Processed
St.rB I1SSION DATE 1)8 26/2019
3r"20 19
nhaynesio hickorync.goar Phone tt:828-323-7530 Date.
13y this signature, "certify that this report is accurate and complete to the best of my knowledge.
The t)crrnittee shal
approlm
Any information shall be provided orally within 24 hours from the tit
provided within 5 days of the tirate die pertttttee be.
if the Iitcility is noncompliant, please attach a list o
the NPDES permit.
a:omes aware. of the
PerattilteelSubrnitter Si natesre:' 19ie:laael Slrawst Pcrar
Penniitee Address: 1560 Old Lenoir Rd Hickory NC 28603
y noncompliance that poteutialiy threatens faublic health or the en irrartranent.
tnttice became aware of the circumstances. A written submission shall also be
oaken and a tune -table for imp
4
1 certify, under penalty of law, that this document and all attachments were prepared under my direetion or supers
to assure that qualified personnel properly ,gather and evaluate the information submitted.. Based on my inquiry of the
system, or those persons directly responsible for g
accurate, and complete, i aui av are that there are sig
knowin
I..Ai3 NAME:; Pace Analytieaal: Iliekory water
CERTIFIED LAB #•:40; 50'72
PERSON(s) COLLECTING SAMPLES: Mark
Parameter. Code a
Use only units
No Flow/1rs
for en'tir.e mom
nc
;y he made as required by part II.F.6 of
08/26 2019
Phone M;82g-323-7427 Date
ordance with a system tlec r ned
or person, who rnanaged the
the information submitted is, to the best of my 'knowledge and belief, trine,
enalties fur submitting false information, including the possibility of Imes and imprisonment for
ER`FIFIFD 1..ABORA`I`ORIES
PARAMI FI2,R CODES
ned by calling the NPDI°S Unit (919) 8117-.6300 or by visiting h[ifs:L° porRaredenr.tiorgiw hl°wq'`syslr psinpdes; fornns.
FOOTNOTES
IE.
fmeasurenaent designated in the reporting fac.r`lity"s NPDES pernaif for rc.ortiaag data.
tacg I raatn Site, Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
g 'pert
()R(i' on Site®?: ORC must v tsit Iac.ilit
*** Signature of Permittee: If signed by
,0506(h)(2)(I)).
nd document vis
perm
'equired per 15.,A NC°AC RCi ,02111.
t ol'the signatory authority must be on file
per I SA N('AC 211

\PDES PERMIT NO,,: N(UO44I2I
FACILITY NAME: IH.iek.or) W'TP
OWNER NAM I::: City itf Fli kc ey
GRADE: PC
e.D\IR. PERIOD: 0-6-20 9 ilune
PERMIT V'E.R,SIO\:4.0
CL.ik.SS: PC- I
ORC: Mark 15 I1ay i ''
OR( 11,1.S C.11A',GE.D:
'IRSION: 8 J0
PERMIT ST,FC1`i'S..4ct1v
COUNTY: Cataa��F+a
ORC CERT NUMBER: 1007 l.2
sseO
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC, , R
se/R cyck; 1'VWTIIR No17i5iaau.ran-rldtieose'Weatider; Vt,,, NoV-•t(tx¢aa:_..I3z1Vd

NPOES PERMIT NC00-14121
FACILITY NAME: bliekory WTP
OWNER NAME: City or tinckoi-:ii
GRADE: PC-1
eDAIR PERIOD: 06-2019 (June, 20(9)
COMPLIANCE STATUS: Compliant
PERMIT 'VERSION: 4,0
CLASS: PC -I
ORC: Mark Ili. Haynes
()RC HAS CHANGED; N •
VERSION: 1,0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER:
STATUS: Processed
SUBMISSION DATE: 07/24 2019
07/15/2019
ORC/Certifier Signat e: 'Haynes Mark E-Mail:mhaynes@hickorync,gov Phone. 4:8 28-3 2 3-7 5 3 0 Date
By this signature,. I certify that this report is accurate and compile to the best of my knowledge,.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,
Any information shall be provided orally within 24 hours from the time the pennittee became aware of the circumstances, A written submission shall also be
.provided 'within 5 days ofthe time the pennittee -becomes aware of the circumstances,
If the facility is noncompliant, please attach a list of corrective actions being taken .and a time -table for improvements (0 h rndc as required by part 11E6 of
the NPDES permit.
07/2412019
Pertnittee/Submitter Signature:*** Ntichael Shawn Pennell .E-Mail:[e-mail]„gov Phone [phone] Date
Perrnittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 0.4/30/2020
I certify, under penalty oflaw, that this document and all attachments were prepared under my direction or supervision .in accordance with a system designed
toitssure that qualified personnel properly gather and evaluate the information submitted, Based on nty inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to thebest of my knowledge and belief, true,
accurate, and complete. 1 a.rn aware that there are significant penalties for submitting false information, including the possibility of 'tines and .imprisonment for
knowing violations,
LAB NAME: Pace Analytical: Hickory Water treatment
CERT I II:1 ED LAB #i 40..5072
PE.RSON(s) COLLECTING SAMPLES: Mark Haynes
CERT1FIED LABORATORIES
PARRMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http:Pportaltiedennorglweb/wit'swpipsliipdcsilorms,
FOOTNOTES
Use only units of measurement desigmatedin the reporting facility's NPDES permit for reporting data.
* No 1- low Froin Site: Check this box if no discharge occurs and, as a result, there are no data to he entered for all 1 the parameters on the DMR.
for entire monitoring .period,
** OR( on Site?: ORC must visit facility and document. visitation of facility as required per 15A NC AC 8G ,0204,
*** Signatule 1 Pei:mince: If signed by otheT than the perm ttee, then delegation of the signatory authority must beon file with the state per 15.A NCAC 2B
.0506(b)(2)(D).

[ S PERMIT NO.: NC 0 4121.
FACILITY NAME: Hickory W P
OWNER NAME: Cusy of Hickory
GRADE: PC -I
eDMR PERIOD: 05-2019 (May 2019)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Mark E Haynes
ORC HAS CHANGED: Yes
VERSION: 1.0
PERMIT STATUS: .Active
COUNTY: Catawba
ORC CERT NUMBER: 1i7C17
STATUS: Prtc
SAMPLING LOC ,TION: EFFLUENT DISC}L&RGE NO.: 001 NO DISCWACIME
C10LU UNE
4
424
,704
24
ui
l 11
lI Y .6g5
24 4
17 24
18 �.
P4 l
10
1l24
24
III !'1
24 r
13.634 ,;
l0.5
Daily Aliimimn®__...,
6.6
ENFRUSE--No Flow-Reuse/Recycle; E.NV WTHR = No Visitation— Adverse Weather; NOFLOW = No Flow; HOLC1?AY = No Visitation — Holiday
TUrtarinm`
111111111111

PERMIT NO.: NC0044121
NAME: Hickory wT
OWNER NAME: City of
GRADE: PC_I
eDMR PERIOD: 05-2019 (May 20i91
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0 PERMIT STATUS: aactive
CLASS: PC-1 COUNTY: Catawba
ORC: Mark E Haynes ORC CERT NUMBER: 17
ORC HAS CHANGED: Y
VERSION: 1,0
CONTACT PHONE #: [phone] SUBMISSION DATE: 06:'24I2019
STATUS: Processed
06/03/2019
ORCiCertifier Signature: Andr• Fo [e-mail] Phone :[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Otiice any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submissionshall also be
provided within 5 days of the time the permittee becomes aware of the circumstances,
If the facility is noncompliant, please attach a list of corrective actions being taken and a e-table for improver arents to be made as required by part ILE,6 of
the NPDES permit.
PcrrnitteelSubSignature:*** Michael Shawn Pennell E,-Mail:sp
Perrnittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervis
06/24f20I.9
ickorync.gov Phone 4:828-323-7427 Date
nce witha system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person Or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best drily knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Pace Analytical; hickory 4later treatment
CERTI.FIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Mark Haynes
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting httpil/portalrncdenr.orglwebfwq/swp'ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for repotting data.
* No Flow/Discharge From. Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC an Site?: ORC must visit fhcdity and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permitfee: If signed by other than the perirnflee, then delegation of the signatory authority must be on tile with the state per l5A NCAC 2B
,0506(b)(2)(D).

NO.: NC0044121 PERMIT \ ERS'1O
TY TSAME::Hickory WTP CLASS: PC-1
PERMIT STATUS: Acti
COUNTY: Catawba
OWNER NAME: City at`Hickory ORC:.Andrew John Foy 1C V 0
GRADE: PC-1
eDMR PERIOD: 04-201" (April 2019)
0
ORC HAS CHANGED: AL FILE.
owl ECT O
VERSION: I.0
ORC CERT NUMBER: 1006'210
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCIIARGE NO.: 001 NO DISCHARGE*: NO
0.592
1111111111111111111111
1111111111111.111
--
Liaa111111111111.1111111111111111111
0,687
• 0763
®11111. 0.3
• 6,9
CFn,O1I1ML
I, S rrt�wat.6 �s8y �0.y
clan (Ira,
'TOT,AI. TOTAL P-cows AUJMLNeM
0,29
0,05
1040
rIt
24 ins 764 ismommiimilmi
MINN
1111.11111.11111111111111111
N 0.563
Monthly Avenyw Limit'
J9
Monthly Average- 0.653467
0d
5
0.29 0
1040 135 63,7
0 1040 135 617
nay NllalmaunaI 6.4
0 1040
"" No Reporting Reason: ENFRUSE = NIT Flow-Reuse/Recycle; ENVWTHR No Visitation - Adverse Weather; NOFLOW - NoFlow HOLI➢AY = No Visitation - Holiday
63.7

NPDES PERMIT NO.: NC0044121 PERMIT VERSION; 4,0
FACILITY NAME: Hickory 'WTP CLASS: PC-1
OWNER NAME: City of Hickory ORC: Andrew John Foy
GRADE: PC-1
eDMR.PERIOD: 4 2019 CApril 20
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1006210
STATUS: Pr
SAMPLING LOCATION: EFFLUENT DISC E RGE NO.: 001 NO DISCHARGE*: NO (Continue)
"'*s'NoReporting Reason: ENFRUSE No Flow-Reuse/Recycle: ENVWTHR,=NoVisdttion — Adverse Weather: N©FLOW= No Flow, HOLIDAY No Visitation Holiday

ES PERMIT NO,: NC0044121 PERMIT VERSION: 4,
FACILITY NAME: Hickory WCP CLASS: PC-1
OWNER NAME: City of Hickory ORC; .Andrew John Foy
GRADE: PC-1. ORC HAS CHA.NGED: No
eDMR PERIOD; 0472019 (April 201.9) VERSION: 1,0
COMPLIANCE STATUS: Compliant CONTACT PHONE #: 82)
0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1006210
STATUS: Prixessed
SUBMISSION DATE: 05/23/2019
0 512 2019il
ORC/Certifier Signature: Andrew Foy
:[e-mail] Phone #:[phone] Date
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
05/23/2019
Permittee/Submitter Signature:*" Michael Shawn PeniTell E- . [e-mail] Phone #:[phone] Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system., or those persons directly responsible for gathering theinformation. the .information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant .penalties for submitting false .information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME; Pace Analytical; City f :Hickory
CERTIFIED LAB 4: 40; 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwo
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting httpellportal.nedenr.orglwebiwq/Swpipsinpdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NTDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to beentered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0044121
FACILITY NAME: Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC-J
eDMR PERIOD: 03-2019 (March 2019)
PERMIT VERSION: 4.tJ
CLASS: PC-1
ORC: Andrew John Foy
ORC HAS CHANGED: No
VERSION: 1.t7
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1006210
STATUS: Processed
RSCEMEDINCOEN
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:
Al..: 0F
'1
t, !,.
5W50 '.: 88400 50060 C0530 : C0600
C0665
00070
Cun8nu©us ! 2 Y month 2 X mouth 2 X mpmth : Quarterly
Quarterl
2 X month
E1® .
FLOW, C}it..Ol11NE :TOTAL CI -Cone
TURBID'r'V
� 2480 d6ak El 2+600 daek
®RIMIII1
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:* No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Advers
OFLOW ='No Flow; HOLIDAY No Visitation— Holiday

NPDES PERMIT NO.: NC0044121 PERMIT VERSION: 4.0
FACILITY NAME: Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
COMPLIANCE STATUS: Compliant
CLASS: PC-1
ORC: Andrew John Foy
ORC HAS CHANGED: No
VERSION: 1.00
CONTACT PHONE #: [phone]
.. _.._ _. ._..
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: l006210
STATUS: Processed
SUBMISSION DATE: 04/18/2019
04/01/2019
ORC/Certifier Si iatut Andrew Foy E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certtfy that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
04/18/2019
Permittee/Subrnitter Signature:*** Michael Shawn Pen+ 11 [e-mail] Phone #:[phone] Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration. Date: 04/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
CERTIFIED LABORATORIES
LAI3 NAME: Pace Analytical; City of Hickory
CERTIFIED LAB #: 40 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwood
PARAME I"ER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation offacility as required per 15A NCAC 8G ,0204.
*** Signature of Permittee: If signed by other than the pen ittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D),

r
NPDES PER:
NO.: NC0044121
FACILITY NAME: Hickory WTP
OWNER NAME: City of Hicko
GRADE: PC--t
eDMR PERIOD:02-2019 (Febru:ar ° 20➢9)
PERMIT VERSIOiN:4.0
CLASS: PC-1
ORC: Andrew John Foy
ORC HAS CHANGED: No
'VERSION: 1
MAR 29 2.01
PERMIT STATUS: Active
COUNTY: : Catawba
ORC CERT NUMBER: 1006210
STATUS:
SAMPLING LOCATI©N: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
Etsofiy
Daily Nlutnnumc, 6.'A 6.6 23 8,1
*". No Re, rrling.Reason: ENFRLaSF= No Flow -Reuse w'ycke: ENVWTHR = No Visitation - Adverse'Weather; NOFLOW — No Flaw; HOLIF?.A,Y No Visita:on—Holiday
38

NPDES PERMIT NO.: NC0044121.
FACILITY NA_ME: Hickory. WTP
OWNER NAME: Fiick
GRADE:: PC-1
eDMR PERIOD: 02-2019 (February 20 .9)
COMPLIANCE STATUS: Compliant
PERMIT VERS1O. 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Catawba
ORC: Andrew John Foy ORC CERT NUMBER: 1006210
ORC HAS CHANGED: N
VERSION: 1„0 STATUS; Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 03/21/20 9
03/0412019
ORC/Certifie Signature: Andrew Foy E-Maikafoy(4,1hickorync,gov Phone #.[phone] Date
By this signature,1 certify that this
u a
lete t the bet o my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the pennittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances,
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11,E6 of
the NPDES permit,
03/2112019
Permittee/Submitter Signature:*** Michael SIVSWn Pennell [e-mail] Phone Th828-323-7427 Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 28.603 Permit Expiration Date: 04/30/2020
I certify, under penalty °flaw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the informationsubmitted is, to the best of my knowledge and belief true,.
accurate, and complete, 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
LAB NAME; Pace Analytical; Hicko
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwood
CERTIFIED LABORATORIES
PARAMITTER CODES
Parameter Code assistance may he obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdennorg/web/wq/swp/psinpdestforms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data,
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameter's on the DMR.
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee, If signed by other than the permittee, then delegation of the signatory authority must. he on file with the state per I5A. NCAC 2.13
.0506(b)(2)(D).

OWNER NAME: City of Hickory
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
PERMIT VERSION: 4r0
CLASS: PC-1
ORC: Andrew John Foy
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
Catawba
ORC CERT NUMBER: 1006210
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 0OI NO DISCHAR
Q 64
0.34
0.689
•" ` No Reporting Reason: ENFRUSE = No Flow-ReusefRecycle; ENVWTHR. — No Visitation —Adverse Weather: NUFL©W - No How; HOLIDAY = No Visitation— Holiday

NPI)ES PERMIT NO.:
FACILITY NAME: Hickory. WTP
OWNER NAME:. City of Hickory
GRADE: PC-1
eIIMR PERIOD: 01.2019 (JaKtua y 2019')
PER rII T VERSION: 4.0
CLASS: PC-1
ORC: Andrew John Foy
ORC HAS CHANGED: No
VERSION: 1,0
PERMIT STATUS: ,r c1ive
COUNTY: Catawba
ORC CERT NUMBER: 1006210
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue
Weimirm:
"" No Reporting Re€
E
No Flow-Reuse/Recycle; ENV WTHR =- No Visitat oo Adverse Weather; NOFLOW = No Flow; 'HOLIDAY No Visitation - Holiday

ES PERMIT NO.: NC0044
FACILITY NAME: Hickory W' P
OWNER NAME: City of Hickory
GRADE: PC -I
eDMR. PERIOD: 01-2019 (January 2019)
COMPLIANCE STATUS: Cum
ORCICertifier
By this signature, L certify
PERMIT VERSION: 4.0
CLASS: PC-➢
ORC: Andrew John Foy
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE if: 828323 7530
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: I t;
STATUS: Processed,
SUBMISSION DATE: 02/27/2019
02✓ 1 9/2019
gnature;r Andrew Foy E-Mail.a.foy(aib'icktrrync.gov Phone
cport is accurate and complete to the best of my knowledge.
7530 Date
The permport to the Director or the appropriate Regional Office any noncompliance that potentially threaten:; public health or the environment
Any information shall be provided orally within 24 hours from the time the perrnittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the perrnittee becomes aware of the circumstances,
if the facility i
the NPDES pe
I ce
ompliant, please attach a list of corrective actions being taken and, a time -table for improvements to be made as required by part CL 1.6 of
e/Submitter Signature;*** .Michael Shaw , nel
/2 7x 2019
ail:spennell@hickorync. gov Phone #:828-323-`7 427 Date
Address: 1.560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04130/2020
order penalty of law, that this document and, all attachments were prepared under my direction or supervision in accordance with a system designed.
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of :the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false. 'information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Pace Analytical„ Hickory Water Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwood
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.arg;'web/wy:'swp/p /rtpdes/forms,
FOOTNOTES
Use only units of measu.rerment designated in the reporting facility''s NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all (tithe parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facila`'ty° as required per 1 SA NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permiitee„ then delegation of the signatory authority must be on file with the state per LSA NCAC 2B
.0506(b)(2)(D)..

ES PERMIT NO,: NC0044 12 I
FACILITY NxkME: Dickoty
OWNER NAME: City or Hickory
GRADE: PC-1
eliMit PERIOD: 12-2018 (December 2018)
PERMIT VERSION: 4,
C.LASS: PC-1
ORC: Andrew John Foy
P Z 0 1 9
ORC HAS CHANGED: tte: r.-222;
22
VERSION: 1 0
PERMIT STA11.1S: Active
COUNTY: Cittawba
ORC CERT NUMBER: 1006210
STATUS: Processcd
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:
20:00.
(X :X.
444
020 ;
()(;44
b(
0(.0i
Mrt 0
0(2:0
b.( 0
Mondry Average Linger
Comb:us:ray
t(ecati(ler
0.655
0.735
0.641
0..602
• 0:24
02546
02725
03(15
:0,773
(.t2Y2(l
5286
0,526
Obeg
0.513
(.25965 16
Grab
5000 C05,41 CMOO
2 X motult
2 X ntantit
(4
TAN Core
Quart:01y
Grab
-tow, Coge
*b" No Reporting Reason; 1t.N NYt 1 Ioo Rwo'R 1. 1 N I;0R 2; No Visitation - Advarse WeaPtert NOFILOW t2 No How; HOLIDAY 2:- No Visitation -- Holsiay
2 X month
Grgh ; ;

NPDES PERMIT NO..: NC0044121
FACILITY NAME: Hickory .WTP
OWNER NAME; City- of Hickory
GRADE: PC-1
eDMR .PE.RIOD: 12-2018. (December 2018)
COMPIAANCE STATUS: Compliant
PERMIT VERSION; 4 0
CLASS: PC-1
ORC: Andrew John Foy
()RC HAS CHANGED: No
VERSION; 1 0
CONTACT PHONE #: [phone]
ORC/Certifier Signatu- Andrew .hoy [e-mail]
By this signature, 1 certify that tbis repLlrt 's accnrte and co iplek' to best of my knowledge,
PERMIT STATUS:. Active
COUNTY: Catawba
ORC CERT NUMBER: 1006.'210
STATUS: Processed
SUBMISSION DATE: 01(28/2019
01/03/201 9
e P:828.323:7530 Date
The permittee shall report. to the Director or the appropriate Regional Office any noncompliance .l.hat potentially threatens public health or the environment,
Any information shall be provided orally within. 24 hours from the time the pennittee became aware of the circumstances.. A written submission shall also be
provided within 5 days of the time the perrnittee becomes aware of the circumstances,
If the facility is noncompliant, please attach a list. of corrective actions being taken and a time -table for improvements to be made as requiredpart II,E:6 of
the NPDES permit.
Permitteet'Submitter Signaturet*** Michael
01 /281201 9
E-Mail:speurtelli@hickorytic,gov Phone [phone] Date
Perinittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
1 certify, .under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate. thc information submitted, Based on my inquiry of the person or persons Who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief true,
accurate, and complete, t am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
CERTIFIED LABORATORIES
LAB NAME: Pace Analytical: Hickory ‘VoIer:Treatolent
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPEES: Sandy Prestwood
PARAMETER CODES
Parameter Code assistance may be .obtaincd by. calling the NPDLS Unit [phone] or by .Nisiting hup://portal.nectenrorglwchAvq/swpipstimdes/forms,
FOOT.NOTES
Use only units of measurement designated in .the reporting facility's 'NPDES permit for reporting data.
* No Flow/Discharge From Site; Check this box if no discharge occurs and, as a result, there arc no data to he entered for all of the parameters on INC DMR
for entire monitoring period.,
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15,A NCAC 8C3 ,0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation attic signatory authority must be on file with the state per 1:5A Nt:'„AC 213
,0506(b)(2)(1))„

NPDES PERM EF NO.: NC004:4 I 21
FACILITY NAME: Hickory
OWNER NAM.F. City of FliQkory
GRADE: PG1
PERMIF V'ERS1ON: 4 0 PERMIT STATUS: Active
(T.ASS.! PC-1
COUNTY: Cauro.ba
OR( : Andrc,A John Fo.,: OR( CERT NUNIBER: 1006210
OR(II ‘S II'C,FD:No
(DAM PERIOD: 1)-2018 (November 20181 VERSI)N; 1 fi
2400 dock
16
22
20
211
27
222
2422
„J A N 0 4 /019
4LU 'S; Elocessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:
of4:K.E:
240ftvkpck
)2.24
00:00
24
OP 00
178,N
00:00 24 Y
(riiT 22 : 24 : Y
00 00 24 :N
00,1".0 24
01) 24
0000
00 00 22
00 00 21
2V)20
00 (X)
00 1)
10. 00
1.00042
0.0.0()
Averagc -1;
$4.1o.5.0
(. oral nliouA
RecOrd2',2
FLOW
m4d
4 592
020
0.661
0 468
0 525
0 .544
0,52B
O. 172
02626
0 R04
(s. 726
0 5154
CO I:
0 N.1
C0530
5.0921,0
X
xrab
pH
Sti
7 I 20 :
"" No Reportiny Rea:iem: ENFRt.„ISE - No HM-Reuse./Recycle:. ENV 22HIR No .Visitatiog Ad, etse Weadwr, :,j0FLOW =, No 1low: 1101.„11)A 2:" tio Visita600 — Holiday

NPD ES PERMrr NO.: NC004412
!EAU I LUTA' .NAME: I ickory
OWNER NAME: (It y of Flicko7
GRADE: PC-1
eDMR PERIOD 1 1 -201 8 (November 20183
COMPLIANCE STATUS: Compliant
()RC/Certifier Sinatuue
PERMIT VERSION; 4.0
CLASS: PC-1
ORC: Andrew John fov
ORC HAS CII k N GEM No
VERSION: 1 (1
CONTAC r ioNE #: 828,3237530
PERMIT STATUS: Active
COUNTY: aLo
ORC CERT NU.MBER: 1006210
sTATt IS: Processed
SUBMISSION DATE: 12/20/2018
12/07/201 8
Irew Foy E,-Mail.:afoyAhickorync,gov Phone ti:8 2 8,3 2,3,7 5 3 0 Date
By this signature. I certify that this report accurate and complete to the best or in knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,
Any information shall he prmided orally within 24 hours :from the time the permittee became aware of the circumstances,. /\ written submission shall also he
provided, within 5 days of the time the permittee becomes aware of the circumstances,
lithe facility is nonem»pliant, please attach a list of corrective actions heing„ taken and a time -table for improvements to he made as. required by part II 1 6 of
the NPDES permit,
2720/20 1
'Permittee/Submitter Signature:*** Michael Shan Pennell E- 4iiiksperinellhiekorync,gov Phone 4:828-323-7427 Date
Permince Address: 1560 0.1d Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04130/2020
1 certilY, under penalty of law, that this. document and all attachments were prepared under my direction OTsupervision in accordance with a system designed
to assure that qualified 'personnel properly gather and eValuate the information submitted, ,Based on my :inquiry of the 'person or persons who managed the
system, or those persons directly responsible for gathering the information, the intOrmation submitted is, to the best of my knowledge and helief, true,
accurate, and complete, 1 am aware t.hat there arc significant penalties tOr submitting false information, including the po.ssibility of fines a.n.d imprisonment lur
knowing violations.
LAB NA.ME: Pace An:dyne:3T .-ckors: ter Treatment
CERTIFIED LAB 4: 40; 5072
PERSONts)COLLFA71ING SAMPLES: Sandy Prestwood
CERTIFIED EABORATORI„ES
PARAMEIr R CODES
Parameter Code assistance may he obtained by calling the NP DES 1 nit (9193 807336300 or by 'siting Ihrtp://portal.nedenr.orgisvebfwgissvpipsinpdesiforms,
.FOCTINOTES
USO 6,1lly units of ineasuremern designated in the rep,orting Ina ity"s NPDES permit tor repl,irting data,
* No How/Discharge From. SitQl Check this hot if no discharge occurs and, as a resil0t, Mere are no data to be entered for all of the pazameters on the 'DMR.
for entire monitoring period.
ORC on Site OR(..! must vis.nfacility and document visitation of 1116 lity as. required per I 5.A NCAC 8(1 ,0204,
*** Signature of Permittec; If ,,.igned by other than the permittee, then delegation (lithe signatory authority must be on file with the sbrie per I5.A NCAC 211

. O: NC0044121
FACILTI Y NAa IE: Hickory WT P
OWNER NA : City of Hickory
GRAVE: PC-!
eDMlR PERIOD: 10-201!! (October 20!4!
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Andrew John Foy
ORC. HAS CHANGED. No
VERSION: 2.0
FERMI STATUS: Actire a a
COUNTY: Catawba
2 Li 1 `bRC CERT NUMBER: 00 I+r-1E!VE c +NCGntw
d
SAMPLING LOCATION. EFFLUENT DISCHARGE NO.: 061 NO DISCHARGE*.
***• No Reporting Reason: ENERUSE - No Flow-Reuse/Recycle; ENVWTHR No Visitation— Adverse Weather; NOFLOW No Flow; HOLIDAY No Visitation — Holiday
)F Ph1

NPDES PERMIT NO.: NC00441.21. PERMIT VERSION: 4.0 PERIGIIT STATUS: Active
FACILITY NAME: Hickory WTP CLASS: PC-1 COUNTY; Catawba
OWNER NAME City of Hickory ORC: Andrew John Foy ORC CERT NUMBER: 1006210
GRAVE: PC-1
eDMR PERIOD: 10-2018 (©c
ORC HAS CHANGED: No
VERSION: 2.0
STATUS: Prove id
SAMPLLNG LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Con
**'• No Reporting Reason. ENFRLSE Nu Flow-Reuse/Recycle; ENVWTifR,=No Visitation —Adverse Weather; NOFLO iNoFlow; 1IOLIDAY'--No Visitation Holiday
e

NC0044121 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Hickory WTP CLASS: PC-1 COUNTY: Catawba
OWNER NAME: City of Hickory ORC: Andrew John Foy ORC CERT NUMBER: 1006210
GRADE: PC-1 ORC HAS CHANGED; No
eDMR PERIOD: 10-2018 (October 2018) VERSION: 2.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION' DATE: 05/2112019
05/2112019
ORC/Certifier Signature: Andr w Foy E-MaWafoy@../hickorync,gov Phone [phone],7 53 0 Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment
Any information shall be provided orally within 24 hours from the dme the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time-tahle for improvements to be made as required by part II.E.6 of
the NPDES perrnit.
05/21/20 19
Permittee/Submitter Signature:"" Michael Shawn Pennell E-Mail;spennellAhickorync.gov Phone 4:828-323-7427 Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Perrnit Expiration Date: 04/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Pace Analytical: Hickoty Water Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwood
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting htp//poraLncdenrorg/web/wqtswpips/npdes/foii
FOOTNOTES
Usc only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the perminee, then delegation of the signatory authority must be on tile with the state per 15A NCAC 2B
.0506(b)(2)(D).

O.: NCOIW121 PERMIT VERSION: 4,0
Hickory WTP CLASS: PC-1
OWNER NAME: City of Hickory ORC: Andrew John Foy
ORC HAS CHANGED: No
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
PERMIT STATUS. Active
COUNTY: Catawba
ORC CE'RT NUMB N C !7€',3,Siftl
STATUS: Processed,
M OOI." S Ii i E REGIC).v>'A,?_ ?FFFIC E
SAMPLING LOCATION: EFFLUENT DISCHARGE NO,: 001 NO DISCHARGE*: N
VERSION: 2.•
c
01043
0.522
0 499
0.726
0,31
0.600
0.297
0.643
0.632
0.579
0.727
0.385
4
2 X month
ly c a eety � y t Iy
eATOOT„4l,. P - Cuue
1111111•11•1111111111
20
1111111111
7I 7Vy6
0,579poll1111117
0.62.2
91 57.4
96
24
24
Kuuaty A.argpe
Mental' Avenge:
Deity Mexlmua+a
Dolly Minimum
7.
.4
0.297 6.6 0 7<7 0 6 951
u"uu No Repo Reason: ENFRUSC No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT O.: NCO f1 1121. PERMIT VERSION: 4.0
FACILITY NAME: Hickory WTP CLASS: PC-1
OWNER NAME: City of Hickory ORC: Andrew John Foy
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 01-2019 (January 2019) VERSION: 2.0
PERMIT STATUS: Activ
COUNTY: Catawba
ORC CERT NUMBER: 1
STATUS; Pt cad
6210
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
.."• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTH R s No Visitation- Adverse Weather; NOFLOW = No now; HOLIDAY = No Visitation - Holiday

ERMIT NO NC0044121 PERMIT VERSION: 4.0 PERMIT STATUS: Active
'ACTT:III( NAME: Hickory WTP CLASS: PC-1 COUNTY: Catawba
OWNER NAME: City of Hickory ORC: Andrew John Foy ORC C.:ERT NUMBER: 1.006210
GRADE: PC-1 ORC HAS CHANGED: 'lo
eDMR PERIOD: 01-2019 (January 2019) VERSION: 2..0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE 4: 8283237530 SUBMISSION DATE: 05/21/2019
05/211201.9
ORC/Certifier Signature Andrew Foy E-Mail:afoy@hickorync,gov Phone #[phone] Date
By this signature. 1 certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission. shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
Utile facility is noncompliant, please attach a list of corrective actions being taken and a titne-table for improvements to. be made as required by part 1LE6 of
the NPDES permit.
5/21/2019
l'ermittee/Submitter ,Signature:*** Michael Shawn Pennell E-Mail: [e-mail] Phone #[phone] Date
Permittee Address: 1560 Old Lenoir Rd 'ckory NC 28603 Permit Expiration Date: 04/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines arid imprisonment for
knowing violations.
LAB NAME: Pace Analytical; Hickory Water Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwood
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://port.aLncdenr.orewebfwqlswp/psinpdesiforaris.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES pen -nit for reporting data.
* No Flow!Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per '1,5A NCAC 8G ,0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of .the signatory authority must be on file with the state per :I5A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC00441.21
FACILITY NAME: Hickory WTP
ON°NER NAME,: City of Hickory
GRADE: PC-1
reDMR PERIOD: 10-2018 (October 20318)
PERMIT V°FRSIONs 4^0
CLASS: PC -I.
ORC: Andrew John Fovv
ORC HAS CHANGED: No
VERSION: 1
PERMIT STATUS: Active
UN-EYY: Catawba
ORC CERTNUMBER: Iirtdi J'x':C
STATUS: Processed
SAMPLING; LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE
C
4
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.O0:Op. .
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"" No, Reporting Reason: E FRr SFi ., No Flora-Reuse/Recycle; ENWTHR
NOILOR`—Nti Flow; FIO:L.MAY —N'oVisitation —Holiday

NPDES I'ERMI"1' NO.: NC0044121
FACILITY NAME: Hickory WTP
OWNER NAME: City of'Hickory
GRADE: PG-1
eDMR PERIOD: 10-201.8 (October 201.8)
PERM IT \ ERSION: 4.0
CLASS: PC-1
ORC: Andrew John Foy
ORC HAS CHANCED: No
VERSION: 1,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER:
10ti210
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue
v
.0
a
c
T }MD
HMO 111092
Quarterly
2 2 n>ant}a Quarterly
Grata
Grab tdrrl'a
Ct.:JUMP',
("„955%a1iM
TlldlnaDT>
Y1h.Y -
IG C
4➢!JI
'N
z4
is
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a
s4
a
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:4
t'
4
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lb
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4
24
A
as
It
t7Q':Qt7
00:00
24
24
224
ti
k
II
.: _...._
Monthly ,4cenge Linnt:
Monthly Maniac.
:t
Daily Maximum.
Daily Mia nsnc
**** No Reporting Reason: ENFRt,'6E = 6o 1-lan-Rea.
R - No Visitation-- Aclvorse i7'oatherr NOFLOV> No Flo +a; HOLIDAY = No Visitation -- Holida

J4 121
F's%( 11.6T`i` NAME,: Hickory W'1`p
O'%'NI R NA NiEt City of Hickory
(RiRL: PC-)
eDNIR PERIOD; 10-21}1) lCtct ier 2I1I1))
COMPLIANCE STATUS: US: Ci'mphan1
gnatu
port
ort to the° 1)irectc:
PFR'_SII 1 VERSION: 1 ty
CLASS. PC-1
ORC: Andrea John Fero
ORC HAS CHANGED: t
VERSION: 1.0
CONTACT PHONE: t); 62t
tall he provided orally wsthin 24 hocu
provided within 5.. days of the time the permAttoe 1 uorn
uional ()Bice an
e the perm
mist. tce.s.
lithe faciilicv i:; not)caatm)hant talei e attach a Its crl'correctivo act being taken and a time
the'vf!DES pert
1*canaitteeCSta'brnitteri�tt:alc
1Perniitt e Address: 1560 Old Lenar
1 cattily, under penalty of law. that this cicleun)ent attd all attaclitttent ' cie p
to assure that qualified personnel properly gather evaluate tITc infor'naati€o
sste.nl, of those persons directly responsible hirgathe^ring the in1'armtat on, t1
accurate, and c°on'tpletc. 1. am aware that there arc significant penalties for stsl•
knowing violsttions.
LAIC NAME: pace
( 1' l 1`I1 ILD LAB l
P RSONIs) COLLECTING SAW', dy I'ro'onood
2
units of
" No 1tlotiv;'I)dscha gc Irro
5haew
rl: this bets of"tto diseh.t.rge
*w` ORC on Site'?: ,:,1RC must visit f'steilits ata
rod_ Signature cal l';trmiiiee 1r signed by € d e
i)Sdti(b){2)(D)•
it F
etl
L�l) 1.,r 1d( E 1TOR11' ;S
1 ' R 1v11i;'1'1,R CODE,
'nit (91 1) 80 °-6 3I)0 or 13
1'0t)1 NC)"I I
i'DES perm at fdtr repo
'1RT'NUMBER: 100 210
S l A°l t`S: P
SLIt11ISSION I)AT1'.: 11�26/2018
11/26 2018
323,7530 ].)ate
part I1 1 6 of
1 1 /26/2018
-7427 Date
I04/30/202(
der my direction or supervision in accordance vwit1) ra systern desigttecl
d. Based on my inquiry ot'the person or persons ti'vho managed the
tr€an rrl rtt'tied is, to the hest of it knowledge and belief, true.
c possibility of tines stud imprisonment fir
ncdcarr.crrt cveb.`€wel s o=1°lpstnpdes )arms
.re rat') data to be entered •roi all of the parameters on the DM
ermiuee, then dolegatim fthe signatory audio rigy ntnsi be oro fiix s ilh 111, stcate per 1''i NCAC ''13

NP()ES PERMIT NO.: NC(31)441.21
FACILITY NAME: Hickory ' 1P
OWNER NAME: City ot Hickory
GRADE: Pt:-4
PERMIT VERSIO' : 4
(:'LASS: PC -I
ORC: Andrew.Cohn Foy
ORC HAS CHANGED; No
cl.)MR PERIOD: 09-2018 (September '20I8) VERSION: 1.0
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO L MSCHAR+GE* NO
PERMIT STATI.7S: r\cti
(.,Or1N"I \ : Catawba
ORC CERT NCl>\IBER: 1006210
400511
k 641)U r'0,53.0 i ONA; CC$66,5 401170.
enucdd
D3'74k1 A ,K. Pil'nit9
FLOW p11 C•iti.C.t'&#i2'CK
uar¢e� l'w 1u:ra"t 2y . 2 X rn
C
4 n
4
"7
.4
4
24 Y'
CW
00410
4
2a
iV
00 0()
24
tti
usm11{e.yde; &NVW I{R::A ,.
A.dversc- Weather NOFLOW Flt rs; HOLMG7:V.' —No 1 is4,.

1PUES PER\IiT NO.: NC"0€ 44121
FACILITY NAME: 1E: ITiekory WT;P
OWNER NAME: City'0/Hickory
GRADE: PC -I
el)A'I R PERIOD: 09-2018 (Selaternbcr 201.8)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC:.-1 COUNTY: \ Catawba
ORC: Andrew John Fov, ORC CERT NUMBER: 1006210
ORC IlAS CHANGED: No
VERSION: 1,0 STATUS: Pro+essed
CONTACT PH IE 4. 8283237530 SUBMISSION i].ATE: 10126 2018,
10/02/2f)18
ORC/Certifier Signature: Andrew Fay E-Mail.al'oy(iailaiekorync,gov° Phone 4:828.323,7530 Date
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge.
I°ltc perznitteg shalt refsort t4M the Director or the appropriate Regional O1Ticc
Any information shall be provided orally vv°ithin 24 hours from the time the pennittee became aware of the circumstances: A written sut:amiscsotr shall
aware of the circumstances.
nr
provided within 5 days of the time the pert
If the facility is noncompl
the NPDE>S permit.
ase attach a list
rl`corr
Permittee/Suhmatier Signature:*** .Michael Sh<
y noncompliance that potentially' threatens public health or the environment.
table for it'll:
vernents to be made as required by part iL1 ,6 of
ail:spennel'lghickorync.ra
10/26/2018
8-323-7427 Date
Pernuttee Address. 1560 Old Lenoir Rd Hickory NC 28603 Pennit Expirauou Date 04/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision :dance with a syste.m designs €f
to assure that qualified personnel properly gather and evaluate the information submitted,. Based on my inquiry ofthe person tar" persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted, is, to the best of my ,knowledge and belief, true,
accurate, and complete. 1 am aware that there are significant penalties for submitting false nformation, including the possibility of fines and imprisonment for
knowing victlatit ns.
I,R.A.11 NAM
Pace An3lytucal: Ilackor),, water Treatment
CERTIFIED LAB 0: 40; 507
PERSON(s) COLLECTING: SAMPL1t".S
dv= I
CERTIFIED LABORATORIES
PARANII TUR COI)I35
Parameter Code assistance may be obtained by calling the, NPI)FS Unit [phone] or by visiting ht. tp://portrl,ncclenr orgrvsc:b"Tvesq' ssp'pst`npdes Dorm,,
FOOTNOTES
Use only units asurentcnt. desi n.tted in the reporting facility"s NPDFS permit for reporting data.
so Floes Discharge From Site: Check this box if nt discharge aaccurs and, as a result, there are no data to be entered for all of the parameters on the DhIR
lot entire monitoring period.
• ORC on Site?: ORC°. must visit facility and docutment visitation of facility as require l pe r i S at IC'AC 8G 4.
*** Signature of Pennittee: if signed by other than the penmittee, then delegation ofthe igitatory authority° must be tan .1c ttlt the stale per I5A NCAC 213
,0506(b)(23(17).

NPDES PERMIT NO.: NC00441.21 PERMIT VERSION: 4.0 .PERNITT STATUS: Active
FACILITY NAME: Hickory WTP CLASS: PC-1 RE .:,. ,,, COUNTY: Catawba
OWNER NAME: City of 'Hickory ORC:. Andrew John Foy ORC CERT NUMBER: IX
GRADE: PC -I ORC HAS CHANGED: NOtt tt
eDMR PERIOD: 08-2018 (Autitust 2018) VERSION: 10 L 1.I ,,„.E3 STATUS: Processed
CAIVIR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCH"
V'It:EF.104(„FOEFfnt,
Date
Cornpanite SatepleIthe
'rat 1 Cnitipstnit.'n”,..
Tna.
tn E4 tn r, r, tr.
Z Z
: 504$0
06.00
50060
C0550
C0600
C0665 i 2B
Gortin BOILS
Recorder
2 X rrumtli
Grk
2 X IllilIgh
Grab
2 X month
Grab
Quarorly
Grab
gu.artorly 2, X month
Gob Grob
FLOW
pH
CIFLORINE
TSB - Calk
TOTAL 0 *Co.
TOTAL P Cone TURBIDTY
' ruBd
0.51S
iu
LIP'
DI rl
mglm 'I PP13
i
0,685
0_771
Mail
0,578
0.30g
all0.635
11111.11111.11.11M
13/482
IIIIIIIIEIIIIMIIIIMIIMMIIMMIMIIIMIIOIIIIIIIIIIIIIIIMM
0,615
0.1 42
111 III
.
0.69
NENE'.
12 40143 24 43II10..072
00)0
0_423
00400
0.485
Milli
minim
04 00 24
0.382
0010 24
(301.1 I 24
0.80
0,488
(BUBO 0,77B
00:00 2 0.628
04100 24 0.641
I
04 ,I 24 0,4$6
6.4
' 20
7,9
: 8.2
l 0,696
500B D710
011tl ) 24 0.741
1111111111.511.= ' 0 5N6
00M0 21 0606
11111111111111111111.1111
IIIMIMIIIIIIIIIIII
MIMI' 30)00 24 111111
' I MEI.
,9 000 24 4
0,71
0 497
0 60 I .
=11111111MMIII=1
IMMIIMIIIIIIIIIIIIII.11111MI
.30 0000 I 0.61 I
31 'MOO 24 4 0.663
II
MEE
' Mon hly Avomge LIt61» ;
8.03
Blanthly Averge:
0..604387
Daily Maximum:
.
0.882
IL 2
6.S
6,6
0
0.2
798.2
11111111111111.1
000) Minimum,
"*. No Reporting Reason' ENFRUSE = No Flow-RensciRecyelc; ENVWTHR - No Vigitation - Adverse Weatlia; NOFLOW No Flow; HOLIDAY = No Visitation - Holiday

NPDES PERMIT NO..: NC0044121
FACILITY NAME: Hickory WTP
OWNER NAME: City of Hic.kory
GRADE: PCI PERIOD: 08-2018 (August 2018)
COMPLIANCE STATUS: Compliant
OR
Ccrtifi
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Andrew John Foy
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE. 4: 8283237530
PERAITU STATUS: Acttve
COUNTY: Catawba
ORC CERT NUMBER; 1006210
STATUS: Processed
SUBMISSION DATE: 09/2572018
0 9/2 472.01 8
Signature: Andrew Foy E-Mail:[e-mail] Phone 6,828 323 7 5 3 0 Date
By this signature,. I certify that this report is accurate and cornptete to the bcst of my knowledge..
The permittee shall report to the Director or the appropriate Regio.n.al Office any .noncompliance that .potentially threatens public health or the environment,
Any infomiation shall be provided orally within 24 hours from the time the pet -mince became aware attic circumstances. A written submission shall also be
provided within 5 days of the time the pennittee becomes aware of th.e circumstances.
It -the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for hinprovements to be made as required by part TI.E.6 of
the NPDES permit.
09/25/2018
Permittee/Submitter Signature:*** Michael Shawnnell E-Mail:spennelliaThickoryn.c.gov Phone #:[phone] Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
certify, under penalty of law, that this document. and all attachments were prepared under my direction or s.upervision itt accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the. information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting, false information, including the possibility of fines and imprisonment for
knowing 'violations.
LAB NAME; Pace Analytical: Hickory Water Treatment
CERTIFIED LAB 6: 40; 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwood
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting httpilportal.nedenr.org/web/wcilswp/psinpdes/fomis.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to he entered for all of the parameters on the DMR
for entire monitoring period,
** ORC on Site?: ORC must visit facility and document isitationvisitation of facility as required per 15A NCAC 8(i .0204.
*** Signature of Permittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC .213
.0506(b)(2)(D).

PDES PERMIT NO.: NC0044]21.
FACILITY NAME: Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC -I
eDMR PERIOD: 07-2(118 (July 2018)
SAMPLING LOCAT
t- N i r iL H)LE
DOIR SECTION'
N: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1006210
13cesscd
r;.
PERMIT VERSION: 4.
CLASS: 'PC -I
ORC: Andrew John Foy
ORC HAS CHANGED: No
VERSION: 1,0
SEAT
E
r
(j
S(}ffSd1
00400 50066 (615341
C06161
(;f1d45
01105
019k45
e
Cftantillunus
2 X month 2 X month 2 \month
Quarterly
IQuarterly
Quarterly
Quarterly
Quancrky
Rua,1nle(
Glatt lirh Grab
Grob
�Gna6
(,rah
('evb
'
Grab
•,fi '171A}VW
q41 CHLORINE TSS-(:nnc
"FCYf,n1.N -
TOTAL P-(:'onc
ACi1&TIYiTS(
IRON
S1.4NCNESE
24011416,k
, dims
2406 Meek
Hrs
17'YIRN
I' ut 0
sty 44f1 11151
tny.,'1
1:5 71
ug72
1101
up71
00:00
24
2
00:00
24
Y
0.611
.. ..
".
24
'Y
0,517
III j
4
24
N
0,512
5
110.(0
24
Y
0..571
..
6
00110
24
Y
! ((776
_
7
(bt1:011
24
N
0,531
a
f1C➢:01
24
N
! 0,321
9
t8(da,WY
24
Y
� It 407
7.1
t6
(01k1
24
V
0,596
24
Y
1( 214
24
0,774
24
645
2S
00,00
24
Y
0 412
26
00',00
24
N
0,555
27
'04:(10
24
Y
0.51'
20
It3(ID_01;A
24
N
0,345
E9
P(}i (21i
24
N
01.804
36
i 0121
24
Y
0 512
31
' 00:110
24
2'
.... 0.646.
..
... ..
..
..... ...
'elf 910 3` 0001'61&e t�,lkuit.
311
Alunlldy Average: II 540419
0 6,1
(i
h
13210
329
70
Dolly 11440nlunr (,04,4
7.1 0 9 ;
0
s1
1320
21
29 3
70
Way 41tn(mum0
1. V R7
6.9 0 3
ly
f�
1320
329
70
NoReporting* Reason:C'NFRUSII—NoFlow-Reuse/Recycle;'1s'NVW'Tt''IR=NoVisiation AAverse Weather; NUFLOW-NoFlow; HOLIDAY =N'rVisitatl
Holiday

NPDES PERMIT NO.: NC0044121.
FACILITY NAME: hickory WTP
OWNER NAME; City of Hickory
GRADE: PC-1
cDMR PERIOD: 07-2018 (July 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC; Andrew John Foy
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Colawba
ORC CERT NUMBER: 1006210
STATUS; Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
ca
n
l rl`3n
0
00074
01092
Quarterly
2 X month
Quarterly
Grab
(irate
Crab
CCR'1711PF
TURDIITY
TEN:
2400 clock
14rx
2400 c . k
11r,
Y!8/N
pass-441I
omit
mill
t
00:00
24
N
2
' 00,[l0
24
Y
„(X000
24
Y'
4
0000
24
N'
:.
$
00:00
24
Y
6
124
Y
7
0)000
L: 24
N
x
': I71?t00
: 24
N
9
i'H},00
24
Y
f0
00:00
24
Y
'..
tl
(10:00
24
Y
!'
12
00 0
24
Y
Li
00:00
24
Y
14
00:00
24
N'
15
00:00
24
N
16
00:00
24
Y
17
!IA
6000
041:00
24
24
Y
Y
19
C4C'YO
24
Y
20
: 00:t74i
24
Y
22
011"!10
24
N
22
:00:00
24
N
25
00'00
24
Y
PASS
7.4
24.4
24
,:.-0000
24
Y
25
00'00
24
Y
26
00:00
! 24
N
27
00:00
24
Y
20
00:00
24
ac
00:00
24
N
30
f10:Ot9
24
! Y
71
00:00
24
Y
''•
Mont0)y Average Lamp:
M o,uh1y Avcroge:
flol)y 1triaxttnitti:
[004 011n%alu30)
4.S
7,4
1,6
••'+a No Reporting, Reason: ENF,RUSE'=No Flow-Reuse/Recycle; ENVWTI-IR, v. No Visitant); Adverse Weather; N00LOW N
24.4
24.4
24.4
HOLIDAY = No ATisitatio

RMIT NO.: NC0044I21
FAC:IL1`I`'t NAME: IT cka ry ViTP
OWNER NAME: City of I
GRADE: PC-1
eDc\SIR PERIOD 07-2018d
COMPLIANCE STATUS: Comp
PER, 'F:RSION: 4
CLASS: PC,I
ORC: Andrew
ORC RAS CHANGE 0: No
VERSION: 1.0
CONTACT PHONE #: [phone]
ORC/Certifier .tgnat Andrew lwoy
UMW
I eertsfy that th
:;e
PER.MI"1` STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER; l008210
STA°I"1.14:
SUBMISSION DATE: L: 01'24/'
0812212
[e-mail] Phone ##:S2Ii.i23.7:)i) Date
o the best of eery knowledge,
The perm', ee shall report to the Director or' the approprta Regional 0ftic
Any infonnation shall be provided orally within 24 hours. front the Barre the
provided within 5 days of the time the permlttec becomes aware of the eircutnstances.
If the fheility is noncompliant, please attach a list of corrective a
the NPDPS permit.
oaken and
ny noncompliance that
table fo
otentta
lie health or the environment.
f the circttntsettnte,ti. A written submission shall also be
P
vein el'l.lS
be made as required by part 11..E.6 of
08124/2
Permitted" r S1i nature.*** Michae httuvn Pennell Ii-Mail:spennell4hickoryne,gov Phone ##:[phone] Date
Perinittee Address: 1560 Old Lenoir Rd Hickory NC."28603 Pc rtt it Expir
04/30 22020
"certify, under penalty of taw, that this document rind all attachments were prepared under my direction or supervrsaon in a¢ cordance with a system designed
to assure that qualified personnel properly gather and evaluate the 'information submitted. Based on my inquiry cat"the. pctson or persons who managed. the
system, or those persons directly responsible for gathering t
stccasrate, and complete. I an aware that there are sign)
knowing violations.
LAD NAME: Pace Analr Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLE',`: Stndv Prestwro7d
nation submitted is, to the best of my knowledge and belief, true,
uding the possibility of tines and imprisonment for
CERTIFIED LA.B01tA IC)Pr1P
PARAMETER CODES
Parameter Code ussrst:anee unay be obtained by calling the NPD1 S Unit: (919) 807-(130(1 or by visiting Milli/portal.ncdenr.org/web/wy/swp/ps/npdes/forms.
ntirC
f`OO"]`NU l`I S.
I in the reporling facility's NITDE S p(aanit fair rept)rting data.
^`Discharge from Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for alit' of the parameters on the DMR
noraitcrring period.
** ORC on Site?: ORC must visit facility and document visitatior1 of facility
*** Signature of Permittee: If signed by other than the pernrittee, then delegation
.0506(b)(2)(D).
15A NCAC 8(3 .0204,
atory authority must be on
with the state per 15.A NCAC 2E3

NO,: NC0044121 PERMIT VERSION: 4,0 PERMIT STATUS: Active
"Y NAME: Hickory WTP CLASS: PC-1 COUNTY: Catawba.
OWNER NAME: City of Hickory ORC: Andrew John Foy C ? ORC CERT NUMBER: h t"� NeD 4.1
GRADE: PC-1 ORC HAS CHANGED. No : ,
DNIR PERIOD: a0T-2018 (July 20113) VERSION: 2,0
STATUS: Processed
WC ROG
M C)t"wtESVfi. LREGIONAL OrrICE
SAMPLING LOCATION: EFFLUENT DISCHARGE Ni©.: 001 NO DISCHARGE*: NO
COS14
I r. LOW ,electa. 9n
24
Contimustus
Record=
FLOW
0,579
0.611
0,51h
0,497
24 0.646
C066,0 CO3H6
mails
Quarterly Quarterly Quilrtcrly Qtaxrtclly . .
i nh Grab
TOTAL P - Coax•
MIMEO Av
Daily Maxim-own
0.8e74
7.1
0
I, 70
Daily Minimum, A.187 6.9
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR No Visitation,- Adverse Weather, NOFLOW No Flow; HOLIDAY' No Visitation Holiday
70

NPDES PERMIT NO,: \C0044121 PERMIT VERSION: J, i PERMIT STATUS: Active
FACILITY NAME: 1 lckory WI'PCLASS: PC-1 COUNTY: Catawba
OWNER NAME: City of Hickory ORC: Andrew John Foy ORC CERT NUMOE;R: 1006210
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 07-20 (July 20181 VERSION: 2.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 00I NO DISCHARGE*: NO (Continue)
"*" No Reporting Reason: ENFRi1SE - NO F
I.6
24,4
ycle; 'ENVWTHR = No Visitation _ Adverse Weather, NOFLOW = Na Flow, HOLIDAY No Visitation— Holiday

IT NO.: NC0044121
ACILITY NAME; Hickory WTP
OWNER NAME; City of Hickory
GRADE. PC
eDNMR PERIODt 07-2018 (;lttly 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSId ti;, 4 0 PERMIT STATUS:.,gctive
[.:LASS; PC -I COUNTY; Catawba
ORC: Andrew John Foy ORC CERT NUMBER: 1006210
ORC HAS CHANGED: No
VERSION: 2.0 STATUS: Processed
CONTACT PHONE #: [phone]SUBMISSION DATE: 05/21,°2019
05/21/2019
ORC/Certifier Signature; Andrew oy E-Mail:afay(whickorync,gov Phone #:[phone] Date
I3y this signature, 1 certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the perntittee became aware of the circumstances. A written. submission shall also be
provided within 5 days of the time the perm -Mee becomes aware of the circumstances,
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for irrrprovemenis to be made as required by part 1LE.6 of
the NPDES permit.
Perm ittee;Subtnitter Signature.*** Michael Shawn Pit
45r`21'2019
ell E-Mail:spennell@hickor'ync.gov Phone #:828-323-'7427 Date
Permittee Address: 1560 aid ,Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the iation submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the infbr¢nation submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Pace Analytical: Hickory water Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwt
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr or,g/web/wq/swp/ps/npdestforrns.
FOOTNOTES
Use only units of measurement desigatated in the reporting facility"s NPDES permit for reporting data.
* No Flow/'Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all ofthe parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document. visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per .15A CAC 2B
.0506(b)(4DD).

O.: NC0044121 PERMIT VERSION: &0
AGILITY [SAME: Hickory WTP CLASS: PC, -.I
OWNER NAME: City of Hickory
GRADE: PC-1
eDMR PERIOD: C 4-2018 (April 2018).
1" No Re
ORC: Keith Douglas Rhyne
ORC HAS CHANGED: No
VERSION: 2,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 2 :t, 'j;EIVFty
STATUS: Prr:-esscd
SAMPLING LOCA"1`ION: EFFLUENT DISCHARGE NO.: 001 NO DIS
Hrs
Hrs
10000 24
... 24
500111 01dd00 54060 COs30 CO600 C0665 01.1.05 01045
0542
0..532
4
4 0 06
At 16
0,473
0,555
0.586
0.52
0.558
24 N 0,633
0000 24 i'4 0,.548
thllr 04.0rirn xs.
D1130 :Mtalmsme
0.44
X month t.5xxtant0t "�' X month t uartcr#y Quarterly
3u
4
(crab
TSS -Cast
Grab (drab
TOTAL'' - TOTAL r = C000'
r'ng0
0 S.4i 0
WCIA OS
01055
6
232 „0 l9.
0 232
Reston ENFRUSE .- No Flow-Reuse&Recycle; ENVWTHR No Visitation— Adverse Weather; NOFLOW = No Flow; HOLIDAY == No Visitatio
6

NP.D'ES PERMIT NO.: NCO 0 1 1 PERMIT VERSION: 4,.0 PERMIT STATUS:.4ctive
FACILITY NAME; .Hkk.ory WTP CLASS: PC-1 COUNTY: Catawba
OWNER NAME: City of Fli,ckory ORC: Keith Douglas Rhync ORC CERT NUMBER: 28 90
GRADE: PC -I
eDMR PERIOD: 04-2018 (April 2
ORC HAS CHANGED: No
VERSION: 2.0
STATUS; Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
2499 dark
5
6
A0
12
15
16
23
21
23
2s
16
29
Airs
0000
24
24
24
24
24
24
24
24
24
24
• 24
'24
24
WOO 24
0000
0000
24
24
4
24
24
24
24
24
00032 24
10000
24
Daily M66166919:
Dolly 911669 n<
1luartcrly
CKAUTDPE
pu6sfini l
s
60070
TLTR24OTY
olu
15.4
01092
ti
10
00625
Grab
TOT FUEL
rzAWI
<0,5
**** No Reporting Reason ENFRUSE - No Flow-Reuse/Recycle; ENVWTHR No Visitation Adverse Weather; NOFLOW = No Flow; HOLIDAY _ No Visitation
y

NO.: NC:0044121
E: hickory r"TP
OWNER NAME; City of HH'ickcry
GRADE: PC -I
eDMR PERIOD: 04-'2 18 (April 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4,0 PERMIT STATUS: Active
CLASS: PC -I COUNTY: Catawba
ORC: Kith Douglas Rhyne ORC CERT NUMBER: 28890
ORC HAS CHANGED: No
VERSION: 2,0
CONTACT PHONE
STATUS: Processed
SUBMISSION DATE: 05/21/2019
ORC/Certifier Signature: Andre' Foy E-Mail:afoyLhick.orync,gov Phone
By this signature, I certify that this report is accurate and complete to the best of tny knowledge.
05/21/'2019
323,7530 Date
The pemittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,
Any information shall be provided orally within 24 hours from the time the perrztittee became aware of the circumstances. A written submission shall also he
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements t:o 1te made as required by part ILE:6 of
the NPDES permit,
05/21/2019
Permitteer/Su'bmitter Signature:*** Michael Shawn Pen ell EMail:[e-mail] Phone 4:828-323-7427 Date
Permittee Address: 1560 Old Lenoir Rd hickory NC 28603 Permit Expiration Date: 04/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted_ Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
LAB NAME: Pace Analytical: Hickory Water Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Sandy Prestwood
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr,orglweblwq/swp/ps/npdesffonns,
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all ofthe patamete tarn the D, R
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required. per 15A NCAC 8G .0204,
*** Signature of Perrnittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A P CAC 2B
.0506(b,)(2)(D).

`.RMIT NO.: NC0O44121 PERMIT VERSION: 4.0
FACILITY NAME: Hickory V TP CLASS: PC-1
OWNER NAME: City of Hickory ORC: Paul E Herman
GRADE: PC-1 ORC HAS CHANGE.
VERSION: 2,0
eDMR PERIOD: 01-201.8 (Ianuary 2018)
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER:
3iif)
- "z!1`>dA (
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE 4: NO "
59060
CO530 CO660
61645 0f0.55
it
Fothirder
FLOW
2 X month Quarterly
Grab
TSS . C2u21 TOTAL N
h
Quarrr, ty „_,t ueetrsBy
Grab
[RON MA14CNKSE
21n
rW
m84
1.0.547
2121
m91
rogil 6.43
4
10
0,573
a
0,691
0,439
21
12
13
24
15
16
16
19
10
21
21
23
24
25
26
27
Y
0,617
0.621
0,52
.0 3'54
74
12
IIL716
0.588
0,6
20
29
0„747
30
31
61y
0.603
•`•' No Reporting Reason: ENF.RUSEm = No Flow-Reusei ecycle; ENV WTC-1R == No'Vis
0
0
0,26
0.26
680
680
680
69.9
69.9
89.9 18 8
Adverse Weather; NOFLOW = No Flow,; HOLIDAY = No Visitation-- Holiday

NPDES PERMIT NO.: NC0044121 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Hiek. Sk"' CLASS: PC-1 COUNTY': Catawba.
OWNER NAME: City of Hickory ORC: Paul E Herman ORC CERT NUMBER: 990458
GRADE: PC-1 ORC HAS CHANGED: N
eDMR PERIOD: 0 -2018(January 2018) VERSION: 2.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
TGPAH
CKR170 P
Daily MEttimurn,
01091
%WO
'ThRBIDTY
4.5 35 5
33
35.5
**** No Reporting Reason: ENFRUSE = No How-Reuse/Recycle; EN VWTHR - No Visitation - Adverse Weather; NOFLOW No Flow; HOLIDAY No Visitation - Holiday

MIT NO.; NC00441 21 PERMIT VERSION: 4.0
CLASS: PC -
OWNER NAME: City of Hickory ORC: Paul E He
GRADE: PC-1
PAC1LITY NAME: Hickory WTP
eDMR PER10'D: 01-2018 (lsuauary 0
COMPLIANCE STATUS: Compliant
ORC II AS CHANGED: No
VERSION: 2.0
CONTACT PHONE 4: 8283'237530
ORC/Certifier Signature: Andrew F"'y
By this signature, I certi
a
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATUS: Processed
SUBMISSION DATE: 05122/2019
I/2t')l9
oy(a�hickorync.gov Phone #:828,323.7530 Date
report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as requiredby part II,E.6 of
the NPDES permit.
Permittee/Submitter Signature:*** Michael Sha
n Pennell E-Mail:spennell(aihickorync„gov Phone #828-
0 5 /2:2,t 019
7427 Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date. 04/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the 'information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting fake information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Pace ,Analytical; Hickory Water Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPL
...nil Merman
CERTIFIED LABOR.ATORSES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.orgiweb/wq/swp/ps/npdesIforms.
Use only units of tnesurcment designated in the reporting
FOOTNOTES
NPDES permit for reporting data.
* No FlowlDisc;harge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204.
*** Signature of Permittee; If signed by other than the permittee, then delegation of the signatory authority must be on tile with the state per I5A NCAC 2I3
.0506(b)(2)(D).

! ES PERMIT NO.: NC00,14 I 2 I
CILITY NANIE: ,Hiek'ort, ,AITP
OWNER NAME: City of Hickory'
GRA Et PC- I
eDMR PERIO : 06-201
!
00
46044
1.0
114
46
24!
000
Kt
PERMIT VERSION: 4 0
CLASS: PC-1
OR C: Keith Douglas Rhyne
OR(' HAS CHANGED: Yes
VERSION 1)
'
PERMIT S'EATES: Acuve
TY: Catawba
ORC CERT NI7iger
SE6 1 Pmeessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISEIT
7'1
7.141144! lOn 2.440 fin 'STUN
00-0,0
! OBBB 24 IN
OBOB
0000
00500
00.4 2'
BOBO '33 N
1 BOBO
000k)
!!1400 !!!"!
00:00 24
00.00 24 : N
003 574
04T00
5)0'00
!!!!!!!..X! '4 N
BBB 24 N
00013 001 0)
()Boo IN
70
0
033.00
00 24
0000.00 • !!!1 !!!!!
L1411,440 24 !N
0,00 4 N
00:00 ! N
00.(.3+3
00..B7003 24 N
ATT44g4. Limit
Maathly T.54v540
D,Ottl M.111.1ar
DAIN Minimum
,5414-40
3444611
• 2 X month 1' r'00001
Riboarder Grab Grab
P244335 PH 7414040,NP,
roird
0 33
: 548
!1:13,12
661
0 .331
I 0 634
10 583
10 613
10 5565
0.48
1
10.647
225.
7 3 0 TO
0 6 r7
11
1 0 1538
0.625 '7 1
10 15140
607633
0 a 1 a
0.511
1
23
TOTAL r 000, 11.0410/1107
rnabl 10355
I Boom
CO!!!!!!$ owro
2. X mom!) brambly Quarterly 2 X month
0 1,42, Grab
!NS! Cfolv "RyrAk - Crow
JO
"“' No '1,27worting Reason: ENERLj$0 7, No 1 Reuse/Recyc1e! FNVWTFIR 7, Na 0)i7orati.on Weather; 001LOW 7, No Flow; 11(01,11 No. Visitant)!!! — I-1.011day
1.5

. ES PERMIT NO,r NC0044 [21
FACILELY" NAME: Itickory WTP
OWNER NA„VIE; City of Hickory
RA,DE: PC- I
cDAIR PERIOD: 06-2018 (June 2018)
COMPLLANCE.STATCS; Cornjy,111.
z
P.E..1iN1 IT VERSION: 40
CLASS: PC-1
ORCr Keith Douglas Rhyne
0 RC HAS CILA.NGED: Yes
VERSION: j
coNTACT PHONE 0: S283237530
PERMIT STATUS: Active
CO N Catawha
OIRC CERT. NUMBER: 28890
S: Processed
SUBMISSION DATE; 07/25121 S
07/2512018
ORC/Cert— er Signature: kith Rhyne E-MaiEkrhyne@hickorync,gov Phone [phone] Date
this signatun, I certify that ' is report is accurate and complete to the bestof my knowledge.
The perminee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours From the time the permittee became aware ate eireu.mstances, A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances,
if the facility is noncompliant, please attach a list of corrective actions being taken and ,a time -table for improvements to be made as required by par II.E.6 of
the ,PDES permit.
07125/2018
Permittee/Subinitter Signature:*** Michael Shavil Pennell. .E-MaiEspennellhickor,,ne.gov Phone 4,828-323-742.7 'Da t
Permittee ii.Vddress 1560 Old Lenoir Rd Hickory NC2.8603 Permit Expiration Date: 04/30/.2020
I certify, under penalty of law, that this document and all rmachinents were prepared under my direction or supervision. in accordance witha system designed
to assure that qualified personnel properly gather and evaluate the information submitted, [lased on my inquiry of the person or persons who managed the
sy-stem, or those persons directly responsible for gathering the information, the infortn.ation submitted. is., to the best of my knowledge and belief, true,
acc.urate, and coniplete 1 am aware that there are significant penalties for submitting false information, including the possibility of tines and imprisonment for
knowing violations.
LAB NAME: Pace Arlaytical. IlickoTy Water reatrrimt
CERTIFIE.D LAB #: 40., 5072
PERSON(s) COLLECTING SA.MP L ES: Sandy Prestwood
CERTi.111ED LABOR,XFORIES
PA R \\1I. TE R COOI 5
Parameter Code assistance may be obtained by calling the NPD.ES n [phone] or by visiting httpillportal.nedenr.orglweb/wq/swp/psinpilesliorms,
FOOT7NOTES
Lise only units of measurement designated in the reporting facility's NPDES permit tbr reporting data.
* No Flow/Disch.arge From Site: Check this box if no discharge occurs and, as a result, there are no data to he entered tbr all of' the parameters on the DMR
'for entire monitoring period,
()RC on Site?: ()RC must visit facility and document visitation of facility as required per 15A. NCAC :8(Ti ,0204,
*** Signature orrermittec: If signed by other than the perminee„ then delegation of the signatory authority must be on tile n 00 the state per I5A NCAC 211
.0506(b)(2)(D).

S PERI1L
'4Oi4
FACILITY iNF+.M1 a Hickory
OWNER NAME: C
GRADE: PC -I
et1 IR PERIODt CtS
ONO
0000
9
2
PERMIT VERSIO' : 4
(►RU, Keith Douglas Rhyne
(1RC 11 AS CHANGED: No
'. 1 RSION:
PERM I'I` STA,TGS: Active
COUNTY: Catawba
OR(.:. (ART I. IIIL:R:
12.
INC I OCATION: E 'FI I N'T` DISCHAR( NO.: 001 NO DISCHA
Monithie
F vib 7. Ure4u.�e
p,'�wi8ry 4?in4m,
***' No Report ng Reason: TR,USE _ No Flow-Rcus
Nn rIoN HOLE N
tlt i:44
Quarterlv
1, Grab _ Cata
1)0TA L.P -Com. ITl'R.£sIDT'i'

NPIIIS PERMIT NO!. NC004412
FAcuirry NAM.E: HickoryWTP
OWNER NA ME: City a ick:ory
GRADE: PC- I
1ER.10fh 05-2018 (7vtay 2018)
coMPLLANCE STATUS; Complmt
PERM IF ERSION:
CLASS: PC -I
°RC: 'Keith Douglas Rhyne
OR( HAS CLIANGFAI: No
VERSION: I .9
CON1ACT PRONE g: 828.3237530
IF STAT.' I„;S: Active
COUNTY: Catawba
ORC CERT NUMBER: 28890
STATUS: Processed
SUBMISSION 1)i-V.1'E: O6 25/2018
0 6.12 5/2 0 I 8
ORCiCertifier ignatui Keith Rhyne E-Mail:krhyne@hickoryne,gov Phone 4:8283 22 5075 Date
By this signature, I. certify that this report is accurate and complete to die best of Trly knowledge.
The permittec shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environme
Any information shall be provided orally 'within 21 hours froin the tittle the permittee became aware of the circumstances, A. written submission shall also he
provided within 5 days of the time the pet -mince becomes tinvare of the circumstances.
fr the facility is noncompliant, please attach a list of corrective actions being, taken and a time -table for improvements to he made as required by part 111,6 of
the NPDES permit,
06/2512018
Permittee/Submitter Signature,' Michael Shaw Pennell E-Mailennellhickorync,gov Phone 0:82 8-3 2 3-7,12 7 Date
Permittee Address: 1560 Old Lenoir ((0 Hickory NC 28603 Perrnit Expiration Date: ot2020
f certify, under penalty of law, tilat this document ',Ind a 11 Ittnehrilents were prepared tinder my direction or supervision in 'accordance with a system designed.
to assure that qualified personne1 paver ly gather aiid evaluate the information slibmitted. Ehised. on my inquiry of the person or persons 1-00 managed the
ystem, or those persons directly responsible for gathering the information, the information submined is. to the best of 'my kruiWiedge and belie( true,
accurate,. and. complete, I am 30qtre that there. are signitleant petialttes for submitting false information, includin.g the possibility of fines and imprisonm.ent for
knowing violations,
LAB NAN! E: I'ace iiiekory V'llter Treatment
CERTIFIED LAB 0: 40., 5072
PERSON(s) COI J.,E,CTING SA.MPI,,ES: Sandy Prestv,vod
CFR I II 1E1) LABORATORIES
PA RAME 1ER CODES
Parameter Code i:issista cc 'may be obtained hys calling the NPDES Unit [phone] or by visitgig intrilportatnedenr,orgAvebilwq/svi:pipsfinpdestfomls
R„RITNOTES
Use only units cif nichisurement designated in the repotting NPOES 'permit 'thr reporting data.
* No Flow/Discharge From Site: Cheek. this box if no discharge occurs and, as a result, there are no dalki to be entered 1)1 tll of the parameters on 'the DMR
-for entire monitoring period.
0.1(1 On Site? ORC MaSt. Visit facility and document visitation of facility as required per 15A NCAC 8( ,0204,
*** Signature. of Permittee: f signed by other than the perrnittee, then delegation of the signatory authority must be on file 'with the state per 15A NCAC 2B
.0506(b)(2)(0).

SPFR\Im NC < a
Hickory w fP
OWNER NAME: C G Hickory
GRADE: PC -I
q#RPOmDO4-2S 63
PERMIT VERSION: ,
C SS: PC
ORRD«
Rhyne
OR( HAS qR NG O:No
VERSION: TO
PERMIT STATES:
J
ORC CERINLHeg:28890
STATUS: Pro »
R� E
SAMPLL LOCATION:EFFLUENT DISC KRG£ NO300! NO DISCHARGE NO
_mp
G
•_AL
®gym RtportinsRa aRaE=we*R, 7zRov HRNo wads W(,ather,m&OW-Noma:

;YPDES PERM TT NO.: NC: 4044121
FACILITY NAME: F ckory WTP
OWNER NAME: Cit of. Nickell`
GRADE: PC -I
eDMR PERIOD:04-2018 (April 2Ci
PER 44IT 4`ERSION :4,0
CLASS: I'C-
ORC: Keith L)oug1°as Rhyne
ORC HAS CHANGED: No
VERSION: 1.0
PERM IT S IAT"I_°S, €1chvt
COUNTY: Cataurha
ORC CERT NUMBER: 28890
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI{ARGE*: NO (Continue)
T P313
2480
00,50
24 N
24 N
za
4
'4
4
24
4
SE mm No Flow-Reuse,Recycle: ENV N"1HR -4'isitatzoin - dve
ather,
"LOW _ No Flow, Hl`1I14 t - No Vis4eanoat - Ho

NPDES PERMIT NO.: NC:0044121
FACILITY NAME; Hiekory WM'
OWNER NAME; City of Hickory
GRADE: PC -I
eD%IR PERIOD: 04-20 I 8 (April 20 IS)
COMPLIANCE STATUS: Compliant
ORC/Certifier Signature
PERMIT VERSION: 4 0
CLASS PCT
ORC: Keith Douglas Rhyne
ORC IIAS CITA NGED: No
VERSION: I 0
CONTACT PHONE #: [phone]G
PERMIT STATUS: Active
COUNTY: Catawba
ORC CER°T NUMBER: 28890
STAT1S: Processed
SUBMISSION DATE: 20S
05/24/2018
h Rhyne E-Mail:krhyncghickorync.gov Phone #[phone] Date
By this signature,' certify that this report is accurate and complete to the best of my knowledge,
The permit -tee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,.
Any informationshall be provided orally within 24. hours from the time the permittee becalnc aware of the circumstances, A written submission shall also be
provided within .5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of con-cctive actions being taken and a time -table for improvements. to be made as required by part 11...E.6 of
the NPDES permit,
05/2472018
Pcrmittee/Subrnittcr Signature,' Michael Shawn Pennell E-Mail:spennellhicko' ry .gov Phone #,828-323-7427 Date
Pennittee Address: 15.60 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/3012020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly, responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and .complete, I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment Cur
knowing violations,
LAB NAME: Pace Analytical: Hickory Water Treatment
CERTIFIED LAB It 40, 5072
PERSON(s) COLLECTINC SA NWT ES; Sandy Prot -wood
CER'.' ED All JRATORIES
PARAMETER CODES
Parameter .Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http,flportal.ncdeur,orgiweb/wq fps/npdeslfo
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDIES permit for reporting data,
* No Flow/Discharge From Site: Cheek this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring periodL
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Pennittee: If signed by other than the. pet -mince, then delegation of the signatory authority must he on file with the state per 15A NCAC 2B
.0506(h)(2)(D),

NPDES PERMIT NO.: 'NC0044 121
FA.CILITY NAME: Hickory WTP
OWNER NAME: City ofHickory
:GRAD E: PC- I
eDMR PERIOD:: 03-20March '2018 )
2.40 2114455
111
11
t2
13
14
45!
14,
14
25
PERMTE VERSION: 4 0
CLASS: PC-1
ORC: Paid E, Herrman
00 00 0
ORC HAS CHANGED: Ns
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC C ER'T N UMBER: nfit- N ow a
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS1RF WONAL OP-'tCe
240 dock
0600
0600
06,00
1540
0600
0600
:0600
0600
!!D&X)_.
11010
0600
600
Otra_
0600
0600
VP"
1
Mnlsotrn A5c
Mothh Att.
444413,1444.4itmew
144f5 MOM 1111,
1401
ecorder:
FLOW pH
mgd
502
0,54
0519
0 558
54155)
0,6 4
. 47,4
0 5,97
0411
0.5005)
0 54'2
0,5q
0.636
0,632
0,534
.542
0.459_
0 529
0.645
.542
0 464
0,472
01145.5444
CHI
7.5
0 4,57 7
QuartedY
Grab
TS$ Cahe Tour N -emu'
2,5
Grab
nyl
**** NO Reporting Rea.tioir ENFR.4..,SE No Flcr,v-ReuieiRccy0c ENV 11THR a No 'Visitation Adverse Weath.c1 NOF L OW No Fhr.v; 1401 E DAY No V - Holiday

NPDES PERMIT NO.: NC0044121
FACILITY NAME: Hickory' WIT
OWNER NAME: City of Hickory,
GRADE: PC-1
ef)MR PE.RIOTI; 03-2018 ([vlarsh
COMPLIANCE STATUS: Compliant.
O11.C/Certifi
By this signature,
PERMIT YE SION: 4t.0
CLASS: PC-1
OR(": Paul F Herman
()RC IL4S CHANGED: No
VERSION: 1.0
CONTACT PHONE tt,; 8283237530
PERM IT STATUS: Active
COUNTCOUNTN Catawb0
ORC CER'T Nt 11BFR; 99{t458
STATUS: Pr
SUBMISSION DALE: 054'25120I8
use= Keith Rhyne E-N4ail:krhyne@hick ync.gov Phone #;8283225075
y that t is report is accurate and complete to the best of my knovv°ledge.
`1`he pennittec shall report to the Director or the appropriate 1
04125/2018
Date
Office any noncompliance that potent alit' threatens public health or the een%iroFun
Any intormation shall be provided orally within 24 hours from the baste the pertnrt(ee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances,
lfthe facility is noncompliant, please attach a list or corrective actions being taken and to time -table for improvements to he made as rep red by part II.Es:6 of
the NPDES permit.
PermitteeiSuubmitter Signature:*** Michael Shaw
04 25,<2018
nne5 hickorync.gov Phone *:828-323.7427 Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Fypiration lute: 041'30a'2020
1 certify, under penalty of law, that this document and all attachments were prepared. under my direction or supervision in stC.cord to with a. System designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on mi inquiry of the person or persons who man:a,ged the
system, or those persons directly, responsible for gathering the information, the information submitted, is, to the best (Amy knowledge and belief; true,
accurate, and complete. 1 any aware that there are signilueant penalties for submitting false information, including the possibility of tines and imprisonment for
knowing violations.
TAME: Pace Analytical
r Treatment
CERTIFIED LABOR„ATC}IUE S
CERTIFIER LAB #: 40, 5072
PERSON(s) COLLECTING SAMPLES : Paull Ilerntan„ +tn ly !testy <jd
PARAMETER (O1.)FS
Parameter Code assistance toast' be obtained by calling the NPDES tsinst [phone] or by visiti http://portal.nedentior, bli,,,q/swpipsinpdesiTorms.
Use only units ofrnca
No Flow/Discharge
*** Signature of Permittee
.0506(b)(2)(D).
ent designated in the re
Mite: Check this box
and document v
;cd by other than the pes
FOOTNOTES
NPDES permit for reporting data.
and, as a result, there_ are no data to be entered for all of the parameters on the DN°IR
taatttan of'fa.eility a required per 15A NCAC 812 .0204,,
ittee, then delegation ofthe signator'+„ authority must be on file vv'ath the st.a'te per 15A NCAC 2f3

NPDES PERMIT NO: NC0044121
FACILITY NAME; Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC-1
eDMR PERIOD: 02-2018 (February 2018)
PERMIT VERSION: 4,0
CLASS: PC-1
ORC: Paul E Herman
ORC HAS CHANGED: No
VERSION: 1.0
'HI
PERMIT STATUS: .Active
COUNTY: Catawba.
ORC CERT NUMBER: 990458
C EIVEDINCDR4R/D'A'
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCifAMGE,
CILLNAL
1
=,
I A ;
1 1
i =
I ;
.-..
g .,
1
S. ;
2 v
.200 dolt Firs 1490 clock
1111111111111111
30
20
31
22
0600
0600
0600
0600
0600
0600
Y
Y
37
0600
0600 Y
0600 Y
0600
0600
0600
0600
0600
So Reporting Reason....
Monthly hverne
sorsa
00400 50069 C0.520
70000
C06.65 411070
Continuous 2 X month 2 X month 2 X month
Grab Grub Recoolet Grab
CH LOR.INE Tgli - Calle
FLOW pH
mud
0.825
0.58
..625
0513
0, 763
0.4 74
0.494
0627
0.669
0.6 43
.549
0.355
0,622
0.692
0.627
0.715
0.604
0,681
-8' 20
30
"""thl""""' 0.61807 I 0 L
Daily Mallimon, .0 J336
7.5 0 . .
Daily NEWF.. t1375
7. i 0 0
•"'"' No Reporting Reason: ENFRUSE = No Flow-Reuset Recycle; ENVWTHR. — No Visitation — Adverse 'Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
Quartuty
Grab
T0TtLNC4or -
quarterly
Grab
2 X month
Grab
TOTAL P Conc 1111001GY
In:J1 ntu
1111111111111111111111111111111111111
.8
125
27
8

NPDES PERMIT NO.: NC0044121
FACILITY NAME: Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC -I.
eDMR PERIOD: 02-2018 (February 20
COMPLIANCE STATUS: Compliant
PERMIT 5f'ERSIOaN: 4.0
CLASS: PC71
ORC: Paul E Herman
ORC HAS CHANGED: No
VERSION: 1,0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990451
STATUS: Processed
SUBMISSION DATE: 03/28/2018
ORC/Certifier Signature: Paul. Herman E-Mail:phermanhickorync.gov Phone
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
03 /01 /201 8
23,7530 Date
The perm shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the perrittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a timetable for improvementus to be made as required by part 11.E.6 of
the NPDES permit.
03/28/20.
Perinittee/Submitter Signature:*** Michael. Shawn Pennell E-Mail:spennrll(c ltickorync.gov Phone #:[phone] Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC :28603 Permit Expiration Date: 04/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Pace Analytical: Hickory Wate
CERTIFIED LAB t: 40; 5072
PERSON(s) COLLECTING SAMPLES: Paul Herman
n
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NF''➢ES Unit [phone] or by visiting http://partal.ncd
eb/q/swp/ps/npdes/fonns.
FOOTNOTES
Use only units ofineasurement designated in the reporting facility's NPDES permit for reporting data,
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the perrnittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 28
.0506(b)(2)(D)..

NPDES PERMIT NO.: NC0044121
FACILITY NAME: :Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC-1
eDMR. PERIOD: 0.17201.8 tJanuary 201'8)
PERMIT VERSION: 4,0
CLASS: PC-1
ORC: Paul E Hennan
ORC HAS CHANGED: No
VERSIONi 1,0
MIT STATUS: Active
Catawba
M.4 0 0 8 2 ORC CERT NUMBER: 99045 8
CENTRAL FiLES
EMIR SECTIONSTATUS:. Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
11' :2
i
1 2 e
1 ,
1 1
1.
.,
1
1.00 6166,k, MI 2060661e 1•16.• V,H6S
:! 19 0606
064)0
el 10 I06i
•
No Roportiog kessma..*.
50050
! 52
747
60,041,,
50110
co5a0
2 X month '2 X month
(Nab
C171,0 N Q.700*
0, 2
erl
01 165
01055
atontitty Nyttage Lilatia
M0.6151y Avern66
M61160,660, : 2
7..3 0
•6.2 :0
0 0
650
69,9
t664), MI6:1mm, 0A39
7.2 0 3.4
0
6S0 699 1 13.0
•*** No Rerwiing :Reason: ENFRLSE. No Flow-ReuseiRceycle; ENVWTHR, No Visitation- Adverse WilatIer„ NOFI.,0:W - No Flow; HOLIDAY:. No Visitation - Holiday

NPDES PERMIT NO.: NC0044121
FACILITY NAME: Hickory WTP
OWNER NAME: City otFlicko ry,
GRADE: PC-1
eDMR PERIOD: 21 -20 1. 8 (January' 2018)
.PERMIT VERSION: 4.
CLASS: PC-1
ORC: E Henna
ORC IRS CHANCE.D: No
VERSION 1
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
00070 0002
(Earlet [v 2 X mcnoth • quandrly
Cirat, Grab
CERI7OPF
24.00 duck 54i 2454idsk WEN
rurcBlatv
001111 IIIIIM111111.111111111111=111111=11
1111111111111111111111111
11111110454515
IIIIIIIIIIIMIIII1111111111111111.1111111111111111111111111111111111111111111111
044
04154 1111111111111
111111111111111=111111111111111
Daily' M110 A10000:
Eaity 741000000
1.5 35.5
355
***• NO Reporting Reason: ENFRUSE - No Flow-Ruseliteeyele LN-VWTHR.- No Visitation - Adverse Weather; NOFIOW - No Flow; HOLIDAY ,-No 'Visitation - Holiday

NPDE I'E:Rb3IT NO.,: \C004412l PERMIT VER51d) ti: 4.0
CLASS: PC-1
ORC: Paul C Herman
ORC IIAS CDANGEI): No
VERSION: 1.0
FACILITY NAME:. Hickory WIT
OWNER NAME: City of Hickory
GRADE: PC-1
el)MIR PERIOD: tit-2018 f3anuar5
COMPLIANCE STATUS: Compliant
ORC/Certifier Signature: Paul
By this Si
PERMIT STATUS: Active
COUNTY: Catawba
OR.0 CERT NUMBER: 990458
STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 021191201.8
02! 12/2018
E-\1ail:p'herman4.hickorync.gov Phone
curate and complete to the best oi`my knowledge.
Date
The pernaittee shall report to the Director or the appropriate Regional Oliice any noncompliance that potentia3iv th[eans public health or the en vircrt ent.
Any inf°or`niation shall be provided orally within 24 hours from the time the permittee became aware of the c cum tances. A. wri en submission shall also he
provided within 5 days of the time the pcnnittee becomes aware of the circumstances,
lithe facility is non:compliiant, please attach a list of corrective actions being taken and a tint
the'N'PDES permit,
ode as required by part II:F.6 of
9120
PerntltteetSubtxti'ter Signature:*** Michael Sbaru.n Pennell E-Mail;apennelt rz'ltickorync,gou° Phone #:[phone] Date
Fermittee Address: 1560 Old Lenoir Rd Hickory° N( 28603 Permit Expiration Date: 041.3,0/2020
I certify, under penalty of law, that this document and all :au.achments were prepared under my direction or supervision in acedardance with a system designed
to assure that qualified personnel properly gather and evaluate the informattoar submitted., Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the
accurate, and complete. I am aware that there are significant penalties for „submitting false
knowing violations.
LAB !NAME: Pace Analytical: l fickoty water Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Paul Herman
C:ERT1h`IED LABORA.TOR1ES
PARAMETER CODES
the information submitted is, to the best, of my knowledge and belief,, true,
he possibility of fines and imprisonment for
Parameter Code assistance may he Obtained by calling die NPDES Unit [phone] or by visiting http:'1'portal.ncdenr.nrg/web/wq/swpt
Use only units of
FC)O'I"NOTES
tt designated in the reporting facility's NPD} S permit for rep.
* No Flow.EDischarge From Site: Check this box ifno discharge. occurs and, as a result, thei
for entice monitoring period.
ORC:` on Site?: ORC must visit facility and docun
in,g data
dc:t:'forms.
a be entered for all of the parameters on the .OMR
non of facility as required per '05A NC:AC;' 8G .0204,
*** Signature of Peniiittce: If signed by other than the penrutttee, then delegation of the signatory authority must be on tilt with the state per I5A NC A(' 2B
.0506(h)(2)(.D),

NPDES PERMYMIT NO.: NC0044121
FACILITY" NAME: Hickory WTP
OWNER. NAME: City of Hickory
GRADE: PC-1
eDMR PERIOD: 12-2017 U)ece[ober 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: 'Patel E Haman
ORC HAS CHANGED: No
VERSION: Y.0
PERMIT STATUS: Active
UNTY: Catawba
CERT NUMBER: 9904
'•TS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCH:;
''.
pp
54050
60466
56666
C12530
OWN C"0663
"ammu`e onooIIn '2S
1 2 X mouth
2 X month
.. rn0000n
Quarterly Quarterly
2 X month
� ab
OFF&b
(0.16
Cs3"M • Grab
Grab
FLOW'iAEi
CHLORINE
'TGYyAt,°3.C;uase 'rC5''CrAGP-{."fiZ£
`tTISa@1tDr1`
6440 clock
Ws 24t141 slack Nrs VP" MO
Su
tign
orn 1
ioigt1 YSog 1
CtGiI
t
06110 1 0 0.623
0
0600 1 Y 10.899
'..
0600 fi Y 0 640
i
•
alli
al
111,
0830
V
3,3
IZNIIUMIR--
- II
III
iiI
20
0.407
0601) 1 Y 0.296
=OM=
as
0600 Y
0600 E Y fl_66'1
• 27
0 d 3` 10.472
Y ' 0.466
0.321
Monthly .Menge 61041:.
".
.
aathly ,ver*
10491y W[axVtuum:• 0.898
7,1
=6.9
3,3
ttn4ly Minimum ' 0,20
7
0
'', t)
**** No Reporting Reason: ENFRUSE No Flow-Reusc,Rccycte, EN v 60 THR = No Visitat
her, 'OFI.OW = No Flow; HOLIDAY No Visilati
ay.

NPDES PERMIT NO.: NC0044121 PERMIT VERSION: 4,0
FACILITY NAME: Hickory WTP CLASS: PC-1
OWNER NAME: City of Hickory ORC: Paul E Herman
GRADE: PC-1 ORC HAS CHANGED No
eDMR PERIOD: 12-201.7 (December 2017) VERSION: 1.0
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 4904
STATUS: Processed.
SUBMISSION DATE: 01/25/.
ORCI .ertifier Signature: Paul Herman. E-Mail:pherman hickoryne,gov Phone #:828,323.7530
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
01/03/2018
Date
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the pennittee became aware of the circumstances, A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
0112512018
Permittee/Subtaritter Signature:*** Mictftael 5 awn Pennell E-Mail:spennellcr)hickorync,gov Phone #:828-323-'7427 Date
Permittee Address. 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04130/2020
1 certify, under penalty of law, that, this document and all attachments were prepared under my direction or supervision in accordance with a system designed.
to assure that qualified personnel properly gather andevaluate the information submitted, Basedon my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete, 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABOR.ATO
LAB NAME; Pace Analytical. Hickory Water Treatment
CERTIFIED LAB #: 40; 5072
PERSON(s) COLLECTING SAMPLES: Paul Herman
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting'http://portal.ncdenr.orgiweb/wq/swp/ps/npdes/forms,
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 1SA NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC00442 2
FACILITY NAME: Hickory wrp
OWNER NAME: City of Hickory
GRADE: PC-1
eDMR PERIOD: 1-20 7 (November 2017)
PERMIT VERSION: 4.0
CLASS.: PC-1
' PERMIT STATUS: Active
Lttt f 1777
ORC; Paul E Herman jAN (11 6 881118 oftc CERT NUMBER: 99040
ORC HAS CHANGED: No
VERSION: 1 0
668 1686 eti
1.1ROCC.:SSNG MITE'S: Processed
rc:;01,,jttlorrte
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001. NO DISCHAR; E*; NO- - -
8
22
1
9.
„6.
LI
11
4
—
62,
/9
.1'
1
'14
2
58859
98469
SOW
005.19
4292699
10268
.9212061.
2 016109 Ott .
'.1 X 0661
: 2 X month
3 X Month
Quarterly
(10.14219
2 X 143/0111
20990,108
51
(Lob
Oratw
C091/
Orah
ira
FLOE
911
CHLORINE
T2320302
TOTAL 9t, 2292
TOTAL It 2 C4.
113819112T2
2499 6989 !
129
64 dock
Hrl
87928
"n2121
9.6
: 99.8
IRV
He
mei
Hu
10
0.67
ON
Odd
002
2
9 t 2
22968
,
1429
292)
2
936
ORO
1.283
2 2.9
0815
0602
(1
ORO
,
28
06(2
0.597
9
06045
2,
0324
16
(4660
021
12
4
0600
1
2
0662
0.76 t
13
,
0600
0.280
14
9606
J.2.49 1
!
!
12
!
, O2
16
17
18
!.62
0690
,
(2292
, 0,8
06202
15
0,68
12
(460)
1
2'
105458
,
2282
060
6,812
12!
!
0600
t2
WHO
10,62
.2
:
8 'NI
! 4
2 2
1
, 05575
a
116410
15
14918
24
060
2'
IS
26026
2
2.6
!
6626215
27
,
15...
n
d
29
!
.I900
10
322
!
81262918
6426698 2880:
!
! !
!
419800 Average,
a 1997
1
9
MIN NtatfIlUIS,
n si
)28
3,4
2,7
126119 Mloirattn 1
7
*".610 Ropodaig Reason: ENFRUSE = N, Flow-Rolsediteeyelet ENVWTHR = No Visitation - .Advemo Weather, NOFLOW =No floor, HOLIDAY = No Vitatation Holiday

NPDES PERMIT NO,: NC0044121
FA.C:iLITY NAME: Hickory'WTP
OWNER NAME: City of Hickory
GRADE: PC.-1
eDMR, PERIOD: 1 I-2017 (November 20)7)
PERMIT VERSION: 4.0 PERMIT ST4 1'L1S: Active
CLASS: PC -I COUNTY: Catawba
O,RC: Paul E Herman ORC CERT NUMBER: 900458
ORC HAS CHANGED:
VERSION: 1.0
IANCE STATUS: Costa rliant CONTACT PHONE #: [phone] SUBMISSION DATE: 12121/201.7
STATUS: Processed
RCICcrtificr Signature: Paul Herman E-hrtail:pherrnan4 hick.orync.gov Phone P:828.323.7530
By this signature, I certify that this report e and complete to the best
The permittee shall report to the Director or' the appropriate Regional Office
12/0112017
Date
plianee that Potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the pernaitfee became aware of the eircumsta.nees. A written submission shall also be
provided within 5 days of the time the pennittec becomes aware of the circumstances.
If the facility is noncompliant,. please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part Ii.1.6 of
the NPDES permit.
20)
PcrtnittcelSubmitter Signature:*** Michael Shawn nnell E-Mail:spennell hickorync.gov Phone 4:828-323-7427 Date
Perrrritt Address: 1560 Old Lenoir Rd Hiekooy NC 28603 Permit Expiration Date: 04/30(2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the hest of my knowledge and belief, true,
accurate, and complete. l am aware that there are significant penalties for submitting false information, including the possibility of tines and imprisonment for
knowing violations,
LAB NAME: Pace Analytical: Hickory water 1'r tmenl
CERTIFIED LAB #: 40, 5072
PERSON(s) COLLECTING SAMPLES: Paul Herman
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter (,.ode assistance may be obtained by calling the NPDES Unit [phone] or by vlsitin
F'O()1 M)`I ES
b/wgrswp psfnpdcshforms.
Use only units of measurement designated in the reporting facility's 'NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if DO distharg,e occurs and, as a result, there are no data to be entered for all of the parameters on. the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8,0 .0204.
*** Signature of Perrnittee. 1f signed by other than the permiftee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

N.PDES PERMIT NO,: NC00441 21,
FACILITY NAME: H1ckory WIT
OWNER NAME: Ckv Iliekcy:'
GRADE; PC -I
..;DMR PERIOD; `October 2017)
PERmyr VERSION; 4„
CLASS:
OR( : Paul E Herman
OR( HAS CHANGED: Folt;
VERSION; 1,0
PERMEr STATUS: Active
COUNTY: Cana whit
ORCCERT NUMBER:. 990458
STATUS; Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
TAM dock
(4440
WHY
0.9.X
NOS
(d(v(al:
044841
ConOsoosis ' 2 X month
PLOW
"ORM ssel
0374
0632
0,4S2
' 0349
Montila So.Tragy ieftitl;
4,0. s,
esok, MsOsoos,
bat, heissswe
wanly
Sarah
TOTAL !N*
0,1k
(Ash
I4/4,4I1,01m
s 0.05
o.wr
ro7
0.0,3
0,555
0.5.59
S..694
.0,7757
'0.532
0,625
11.556
ti.495
0719S
C7539
0„19:4
77S
' 4)444
0.56S
0 554
r440*44
7„3
(-nab (is
OWN
011 90A
611. 90,1
613
9111
No Reponang Reason: ENFRIISE n No F krA,NzuseiR 1111IFfR — A ,osrst. sa thes, N40F1 No How: 1.1.01:11aA No 01'44mst11444- hday:
Qrs
MAINGNESE

Nmw mRMR NO,: NOW
FACILITY NAME:. k *m
OWNER e
GRADE: PC- !
eDMI4 PERIOD: 6>
k
ham
F R VERSION.:
oar Pt!
o : PaulEwe r
ORS CHAS CHANGED: No
VERSION:9
PERMITS c Active
c U C6zdvana
ORC CERT NUMBER: AwK
STATUS: Ta
SAMPLING LOCATION: EFFLUENT DISCHARGE NO:001 NO DISCHARGE*: NO(Co.
—.v 6 ww_mw «=v mw _ :mmm*=sVisitation LOW —
day

NPDES PLIDWIT NO.: NC.11044121
VACUITY NAME: [Eckert WIT
OWNER NAME: City of Hickory
GRADE: PC -I
eDMIR PERIOD: 10-2017 (October 2017)
COMPLIANCE STATUS: Corlip1 Ian
OPC/Certifier Signature: Pau
PERMIT VERSION: 4.0
CLASS:
ORC: Paul E
ORC IIAS CHANGED: No
VERSION: I .0
CONTAL.IT PHONE #: [phone]
PLRMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATUS: Processcii
SUBMISSION DATE: I I/27;2017
Herman E-Mail:[e-mail] Phone. #:828.323,7530
By this signature, I certify that this report is accurate and complete to the best of my knowledge,
1/06/20 7
Date
1The permittee shall report to the 'Director or the appropriate Regional Office any noncompliance that potentially threatens public, health or the environment
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the perrnittee becomes aware of the circumstances,
lithe fa,cility is noncompliantplease attach a list of corrective actions being takenand a time -table for improvements to be made a,s re .uired bs parof
the NPDES permit.
27 201 7
Permittee/Submitter Sitlinaiure:*** Michael Shawn Pennell? E-MaiLspennell@hickoryne,gor Phone 6,828-323-7427
Permittee Address? I 560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date 04130/2020
certify, under penalty of law, that thisdocument and all attachments were :prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of thc person or persons who managed :the
system, or those persons directly: responsible for gathering the information, die information submitted is, to the hest ()limy knowledge and belief true,
accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of tines and irnprisomnent for
knoiwing viItions
LAB NAME: Puce .Ainalytical; Hickory Water Treatment
CERTIFIED LAB #: 40, 5072
PERSON(H COLLECTING SAMPLES: 'Paul 'Fle nar
CER"FTHED 1 A BOR ATOR IFS
PAR.AMETER. CODES
Date
Parameter Code assistance may he obtained by calling the NPDES Unit [phone] or by visiting http:/;`portatnedenrorgiweb/wq/,swpfpsinpdes/fonns,
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data,
No Flowl.Disharge From Site Check this box it'll() discharge occurs and, as a result there are no data to he entered for all of the parameters on the DMR.
for entire monitoring period,
** ORC on Site ORC must visit :facility and document visitation of -facility as required per 1.5A NCAC 8G .0204,
*** Signature of Perminee: If signed by other than the perm Mee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b),(2)(1)),

NPDES PERMIT NO.: NC0044121
FACILITY NAME: Hickory WTP
OWN -ER. NAME: City of Hickory
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
PERMIT VERSION: 4,0
CLASS: PC-1
ORC: Paul E Herman
ORC HAS CHANGED: No
VERSION: I
PFR,MIT STATUS: Active
COUNTY: CauI% ba
ORC CERT NUMBER: 99045E
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO. .
50(55
00400
7, X month
C0030 710646 12044,5 00070
2 X rnnnlh 1 X ,nnrvt0 Qoarrcrly Ouarterly 2 X month
+;a 140cordnl
Ili
(drab
Grab Grab . Crab Crab Grab
FLOW
p4T4
34
C L1LOWNE TSS - Cone TOTAL.N -Cone TIITAL, I' - Corti' Ft RBIDTI"
Ino.1 mgl mTl� nIU
.u`4IMY tl'10C:e Mama tX.d�'R, 'Y(k7tV rn 4
ObtYO I 0,629
OCs00 7 04429
I10600 Y 0.749'
0000 V t7.d'2t3
0600 tl 0A70
012)10 1 0.4 4 '.
0600 i 0,456
7.3
- 20
®
Ib
()6011 E 0.571
i7o00 1 0,648
-.
i i
0ti00 ' 1 0.601
La
0600 0.S x
i b
t7600 1 0,312
I a
'0600 1 0.519
1 0d*00 0.: 55
C1t 1 43,549
G1600 0.421
� I
0&00 0.746
1)61(t'i 0-09
000)11 0.545
ti S3'_.
IIIIIIIIIIIilfi0tii
046.0
t3fw170 0.45
0 433
LIIIIIII
0, � A 7
11111111111111111111111111111111
#rl
i76(XY 1 5" j i}.4R3
____.
J0 _.....
ta.571;:t5'7
0 S,S
9.4
.
! U,SO4
7
4.7
3.6
LD40y N(nlcn um.;.'
ENF'RUSE - No Flow-Reusss7 Recycle; ENS"w`THR "= Nu Vigil ati n A3v dyers 4&' tl'rer, NOFLOV' = No: Flow: E'i©LID.\Y =- No Visitat10tt- Holiday

NPDES PERMIT NO.: NC0044121
FACILITY NAME: Hickory WTI'
OWNER NAME: City of Hickory
GRADE: PC-1
eDMR. PERIOD: 09-2017 (September 2017)
COMPLIANCE STATUS:
ORC/Certifier
Signature: Paul
I'ER IIT VERSION 4,0
CLASS; PC-1
ORC: Paul E Herman
ORC HAS CHANCED: No
VERSION: 1.0
CONTACT PHONE #: 828323?':3t
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATUS: Processed
SUBMISSION DAT7
0/09/ 201 7
Herman E-Mail:pherrnan hhick.©rync,gov Phone 4:828.323.7530 Date
By this signature, 1 cet'ttfy that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potcntiall.y threatens public health or the environment,
Anyinformation. shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission. shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances,
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part Ii.E.6 of
the NPDES permit,
10r'2`f'2017
Per.
/Submitter Signature;*** Michael Shawn Pennell E-Mail:spennell(axhickor.ync,gov Phone #:[phone] Date
Permittee Address: 1560 Old 'Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
! certify, under penalty of law, that this document and all attachments were prepared under my direct
tpervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief true,
accurate, and complete. I am aware that there are significant penalties For submitting false information„ including the possibility of tines and imprisonment for
knowing violations.
LAB NAME: face Analytical, I{tckory Water Treatment
CERTIFIED LAB q: 40; 5072
PERSON(s) COLLECTING SAMPLES: Paul Ilcnuan
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visi
g
p://portal . ncden r,org/weblwq/swTp/pstnpdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data,
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility° and document visitation of facility as required per I.SA NCAC 8G ,0204.
ation of the signatory authority must be on wile with the state per 15A NCAC 2B
*** Signature of Permittee; ifsigned by other' than the permittee, then
.0506(b)(2)(D),

NPDES PCJIMIT „ O,: Nc 00441.21
FACILITY NAME: Hickory V 1 P
OWNER NAME: City al Hickory
GRADE:PC:-I
eDMR PERIOD: 08-2.0I7 (Axt :at ?0171
PERMIT VERSION: i10
CLASS: PC -I
ORC: Paul F k1 rettaex
ORC HAS CHANGED: No
AVERSION; 1..0
PERMIT STATUS: Ac
T NUMBER: 990458
SAM11PLING LOC T1O1ti: EFFLUENT DISCH R : NO.: 001 NO DISCHARGE*
**** No Repo Reason_ ENFRI.,'E-° No Flowkc2a::c,Recycle; ENL"\\ IIR No 4'Lvitation -Adverse Weatiicr. NGIFL.)1\` =' o Flow; t1(1U DAY = ;h'co

NPDES PERMIT NO.; NCt11)441
FACILITY NAME: Hickory NIP
OWNER NAME: City of Iickory
GRADE: PC-1
eD\IR PERIOD: 08-2017 L4.ugust
COMPILIANCE STA
US: C
iant
PERMIT VERSION:4,0
CLASS: PC-1
ORC: Paul F Il Ti
ORC HAS CHANGED: Nil
VERSION: 1,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC C'ERT NUMBER; 990458
STATUS: Preeeisec
CONTACT PHONE 4: 828323 7i30 SUBMISSION .DATE,": 09?260017
ORC/Certifier Signature: Paul Herman
09/01 /20 I
•ln(u:=hickorync.gov Phone :828.323,75.30 Date
.13y this signature, I certify that this report is accurate and complete to the best of try knowledge.
The pea nittee shall report to the Director or
An) info r"sra slaors shall be provided orally wi
provided within 5 days of the time the perm
1f the facility is noncompliant, lalease attach
the NPDES permit.
Permmittee/Su.bin ter Sig
Perrnittee Address: 1560 Old 1
I certify, under penalty of law,
appropriate Regional. Office any no, compliance that potentially threatens public health or the en
n 24 hours from the tim . t)'te permitter became ,aware cs1 the circumstances,..A. written su.bmiasic za
becomes aware of the eireu
a
ature:*** Michae
stances
a
table for
a
required by part ILE.6 of
.'Pennell E-Ma,il.spennellrulhickorync,gov Phone 4:8:28-323-7427
Rd Hickory NC 28603 Pero
4=30,=2020
is document and all a(Lichments were prepared, under my direction or super
ordance will[ a system de
Date
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering, the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. 1 ant aware that there are significa.nt penalties for submitting' false information, including the possibility of tines and imprisonment for
knowing violatisans.
LAB NAME: 40; 5072
CERTIFIED LAB M. Pace
PERSON(s) COLLECTING SAMPLES. Paul Ile
1 a
CERTIFIED L. I3ORATORI; S
PARAMETER CODES
Parameter Code assistance tatay be obtained b,y calling 'the NPt2ES Unit [phone] or by visiting http://portaLrredetrr•,o'rgl ehlwcl/surpfps/
P
FOOTNOTES
Llse only units of asurement desutn.atcd in the reporting faeili s NPDES permit for reporting data.
* No Flow/Discharge From Site: Cheek this boa, if no discharge curs and, as a result, there are no data to be entered for all of the parameters on the DMR.
for entire monitoring period,
ORC on Site`': ORC. must visit facility and document
*** Signature ofPennittee:, If signed by other than the per nuttee,then delegation of
.0306(b)(2)(D),
of facility as required per 15A NCAC 4Ci .0204.
ary authority must be on file with the slate irez T SA NCAC 2,B

PERMIT NO.: NC00441 21
FACILITY NAME: Hickory. WTP
OWNER NAME; City of Hickory
GRADE: PC-1
eDMR PERIOD: 07-2017 (July 2017)
75
717
r 7
77.
10,
2(1
11
77
24
7177
be
1.7
7111
15
(47
t
PERMIT VERSION: 4.
CLASS: PC- I
ORC; Paul F Ilcrman
ORC HAS CHANGED:
VERSION: 1.0
( 9VED
PERMIT STATUS: Active
COUNTY: Catawba
s 1 7 ORC CEIEF NUMBER: 990458
l\L'OENTRAL PILES
172ANR, SECTION
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
UII11O.1,17
0(xt
7171,.th1 Avy
e Um&
Nrobibryy ,Vrturrrer
Derry Mayintreetr
Daily Ntrytyrityru
..599111 ODOM
PLOW
.594919
2 X month 2 X month
6,04b. Grab
.01 CEILDRISt
bred SU
0.633
CI 606
47 tr1
0:40
17771
r) 903
rr, 491
r1.456
0.70
0.60
0.4N8
0.56
rl„rti5
fr.,59
(1.77:
175414
.506
0.3V
0.6306 t 3
1495'
4271) 7,2
0
CO3,10
COMM
400.60
X 44 7717 Quarterly VZarbyll,^
Grab
HY; b
In MS
Cymb Grab (.rah
Inart$
.arterty
Grab
TOTAL . T4T41.. Cory AL1,14.IND7r4 DION
, tnerl 9S,1
15t
0
0 1
1010
177114
1010
0711
169
169
169
• **• No Reporting Reason :ENFRUSE b No Flow-Rcusc/Recycle 1NV 71in -,- No Vibnation - AriverSe Wrr arbor; NOFLOW GNe Flow; 11(71 7D4' NO 'Vbritation Holiday
91055
Gra b
t .64
1714

NPDES PERMIT NO.: NC0044121
FACILITYNAME: Iliekory \VIP
OWNER NAME: City of° ickory
GRADE: PC-1
eDAIR PERIOD: 07-2t
,PERMIT. VERSION: 4.0
CLASS: PC-1 Paul E Herman
ORC HAS CHANGE : No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY.: Catawba
ORC CERT NUMBER: 990458
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHAR NO.: 001 NO DISCHARGE*: NO (Continue)
MINIM
161'114 0078
Qaartealy
Grab
CIERIMPF
taairlaid
Mo'lattbrAVentxt Liptak,
Monthly Abersgv,
2 X month
2 2
QtrAr,erl
b
7,1
Dal1 Ntiethount; • 2.X 17 1
Dail, Minimulbt
17
_ A
****No Repnriing Reason 1N FRUSE =N4 Flow-Reuse:Recycle; ENVWTHR -N Visitation— Advcii Wcatlier NOFLOW - No Honk; HOLiDAY = No Visitation - Holiday

1CPID'ES PERMIT NO,; NC004412I
FACILITY NAME; Hickory WTP
OWNER NAME: City of 1-I ckory°
GR:tI)F:: PC -I.
eD iR PERIOD: 07•20 7 (July 2017)
COMPLIANCE STATUS: Compliant
PERMIT YE,R.*;ION: 4.0 PER.ti1IT STATUS: Active
CLASS: PC -I
ORC: Paul E Iet°n era
ORC HAS (.:H,A.NGED: £vo
VERSION: 1.0
CONTACT" PHONE #: 82S3237530 SUBMISSION DATE; 08125J2017
COUNTY: Catawba
ORC; CERT NUMBER: 990458
51 t°Fl1S: Processed
ORCI'Certificr Signature: Paul Herman Ei-Nlail:[e-mail] Phone
By th
that this rc rear is accurate and complete to the beat csfrny kno
rl
The perntittee shall report to the Director or the appropriate Regional CU-ice any noncompliance that pow]
Any inform.ati.on shall be provided orally. within 24 hours from the tint
:ns public health or the environment.
became aware of the circumstances. A written submission shall also be
provided within 5 days o'rthc time the permittee becomes a.wFarc of the: circumstances.
If Me facility is noncompliant, please attach a lust ofcorrective actions being taken and a tine -table for improvements to be made as required by part I1.E.6 of
the NPDES permit.
PermitteelSub.ntitter Signature:*** Michael
Permittee Address: 1560 Old Lenoir' Rd Hickory N(.' 28603. Permit
08/25/2017
il:spennelltu;.hickoryne.gov Phone ?t:828-323-'7427 Date
e: 04/3012020
I certify, under penalty of law=, that this. document and all attachments were prepared under my direction or supervision itt ttccon an with a system designed
to assure that qualified personnel properly gather and evaluate the iaaformation submitted.. Based on my inquiry, o'fthe person Aged the
system, or those persons directly responsible for gathering. the information, the itvfc rrntrtion submitted is, to the best of rray knowledge and belief, true,
accurate, and complete, l ant aware that there are signifreant penalties for su.bmi
knowing violations.
LAB ' NAME: Pace Analytical, }-lickcriy 4Vtrer, E'TT
CERTIFIED LAB 4: 40, 5972.. 022
PERSON(s) COLLECTING SAMPLES: Paul Hem
r Pals
Formation, including the possibility of tines and imprisonment for
CE.RTITI.ET) L,AF3ORATORIES
PA.RAME:TER CODES
Parameter Code assistance. may be obtained by calling tits NPD,E.S Unit [phone] or by visiting hi al.rtedenr,ot ,°eweh,'wq swplpsinpdes,'foni s.
Use only units o
* No Flow/Discharge 1 toatr Site: Check this boo if no disc
for entire monitoring period.
** OR.0 on Site?: ORC must visi
F°OOTNO'f E:S
Pe sa lit for reportin data_
i:sult, there .are no data to be entered for all of the parameters on the D.MR
and document visitation of"ftcilaty as required per 15A NCAC 8G.0204.
*`* Signature of Pertnittec. If signed by other than the permittee, tl'
.05060i(2)(D ).
d
ienatoty authority must be on file with the store pet ISA NCAC '2'I3

NPDES PERMIT NO.: NC0044121,
FACILITY NAME: Hickory WTP
OWNER NAME: Cityof litakory.
GRADE: PC-1
eDM R PERIOD: 06-2017 (Ione 2017)
MOORESViLLE REGIQMAL OFRCE
SAMPLING LOCAT ON: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
PERMIT VERSION 4,0 PERMIT STATUS: Active 42
)
CLASS: PC.] COUNTY: Catawba
PET' Er: EEN nc7.NRITAVR
ORC: Paul E Herman 1-7" ""'" ORC CERT NUMBER: 940451
ORC HAS CAGED; NoAti 0 3 2. OP
VE,RSION: 1.0 STATUS: Processod
,a2;207r.l'Opot„ I1121027O:2'2 WOHOS
I.122'171"1k, SECTiON
6,226
, 6.4N3
0.4133
.0.645
0 303
Monthly Luang. Limit
(Mix 'Maximum,
Mifth0111.11,
*"."' No Reporting Ro.a3oir ENF-RuSE11 7, No Flow-ReuselRecycle; ENVWTHR -7 No Visitotion Adve'rie Wc'eher, NOFLOW 7, No Flo,c. HOLIDAY = No Vhitalion Holiday

\PDES PERMIT NO.: N0004412
FACILITY NAME: Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC-1
eDVFR PEERIOD:06-20f7 iJune 2tit7)
COMPLIANCE ST
ORC/C.
By this signature, I
PERMIT VERSION, 4,0
CLASS: Pf"-I.
ORC: Paul F Hennan
ORC HAS CHANGED: Nn
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY; Catawba
ORC CERT NUMBER: 990458
STATUS; ATUS; Processed
SUBMISSION DATE:0 7/271200.7
07/06.201 7
Signature. Pau!.Herman E-Mail:[e-mail] Phone
LI"y that this report is accurate and complete to the best of "my knowledge.
Date
The per s *tee shall report to the Director or the appropriate Regional Office any nroncornpliancc that potentially threatens public health or the environment,
Any information shall be provided orally within 24 horns from. the time die perrnittce became aware of the circumstances. A written submission shall also he
provided within 5 days of the time the permitter becomes aware of the circumstances.
lithe facility is noncompliant, please attach a list of con-ect.lve actions being taken and a tim
the NPDEnS permit.
/Su!'tti"fter Signature;*** Michael Shawn Pe
.hle for improvements to be made a., required by part 11.E.6 of
27"201 7
11 E-Mail.:spennell(ulhickcarync.g<av Phone ##:[phone] Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 2 603 Permit I x.p ra.tion Date. 04 `20=2020
I certify, under penalty of law, that this document and all attachments were prepared under my (Erc
to assure that qualified, personnel properly gather and evaluate the it
system, or those persons directly responsible for gathering the infor
accurate, and complete. 1 am aware that there
knowing violations.
LAB N ME: Pace Analytical, Hickory Water, ETT
CERTIFIED LAB 4: 40, 5072, 022
PERSON(s) COLLECTING SAMPLES. Pa+all Flersxaan
enaltie
supervision in accordance with a system designed
nation submitted. Based on uiy in ' of the person or persons who managed the
lion, .the irafornaat
submitted. is, tea the best of nay knowledge and belief, true,
ttormation, including the possibility of rules and imprisonment for
CERTIFIED LABOR) TORTES
PARAMETER CODES
Parameter Code assistance may he obtained by calling the NPC)1w Iinn (91 9) 807-6300 or by
Use only units of measurement
ed in the reportin,
F001-NOTES
permit for reporting data.
http.,. portal.ncdenr.or ;iwebfwq/swpi'ps/npdes='fornas,
* No FiowiDisciiarge f riatn Site. Check this box Km) discharge occurs. and, as a result, there are no data to be entered for all of the pararnete
fear entire trtanitoring period,
** ORC on Situ?, ORC must v
document. visitation of t2ic.iliry as required per 15.E NC A.0 50 .0204.
***Signature of Permittee: if signed by other than the peuni
.0506(b)(2)(D).
on the DMR
delegat;on of the signatory authority must be on file with the state leer 15A NCAC 28

NPI)ES PERMIT NO.: NCO( 44121
FACILITY YAM: Hickory WTP
OWNER NAME: Cora of H-Iiekory
GRADE.: PC-1
tl1)MR PERIOt) C w'l01 i 4\Ia + 0➢
PERMIT VERSION 4,0
CLASS: PC -I
ORC: Patel Edlerman
ORC HAS CHANGED; No
VERSION; l.)
PERMIT STATUSI AcTi e
C.MO[INT\"t Catawba
ORC CERT NUM REll; 99045
i EEu
ST;ATC IS
DEN (DWf'
SAMPLING LOCATION: EFFLUENT SCH, RG ; NO.: 001 NO DISCHARGE*: N ,QpQL
MOORESVILLE REGioNAf, 0 'F1(
• No PePif1 U 4 Rea,knt: ENF R1-SL Neu Flow-Reuse/Recycle:. ENSJ1tiILIR T-- 1 fstralion — Adverse We:ath. c; NOFLOW No Floor, Ii(M MAY' TT. 3\ A'i icaf

NPDES PERMIT NO,: NC0044121 PERMIT VERSION: 40 PERMIT STATUS: Active
FACILITY NAME: Hickory WTP CLASS: PC-1 COUNTY: Catawba
OWNER NAME: City of Hickory ORC: Paul F Herman ORC CERT NUMBER: 990458
GRADE PC-1 ORC HAS CHANGE : No
eDAIR PERIOD: 05-2017 (May 2017) VERSION: 1,0 STATUS:: .Processed
COMPLIANCE STATUS: ,C(.ipliant CONTACT PHONE #: [phone]() SUBMISSION DATE: 06/2312017
06/03120 7
0 „ Certifier Signature: Paul Herman E-Mail:[e-mail] Phone 4828,323.7530 Date
By this signature, 1. certify that. this repoi is accurate asid ci.np etc,' to the best of my knowledge.
The pennittee shall: report to the Director or the. appropriate Regional Office any noncompliance that potentially threatens public health or the environment
Any inairmation shall be provided orally within 24 hours from the tune the permittee became aware ul circumstances. A INtritten. Submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances,
If the 'facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 111,6 of
the NPDES ,permit,
PermitteetSubmittcr Signature:*** Michael Sha
06/23/2017
cli E-Mail,spennelIghickoryne,gov Phone #[phone] Date
Permittee Address: 15,60 Old Lenoir Rd Hickory NC 2,8603 Permit Expiration Date: 04/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualifiedpersonnel properly gather and evaluate .the information submitted, Based on my inquiry of the person or persons who managed the
system, or those persons directly- responsible 'for gathering the information, the information submitted is, to the hest of my knowledge and belief, true,
accurate, and complete, I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
LAB NAME: Pace .Anatytical, Ilkkory Wale . EIT
CERTIFIED LAB 40, 5072, 022
PERSON(s) COLLECTING SAMPLES: Paul 1knuar
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6.300 or by visiting http://portal,nedenr.OreWeblwev'swp/psitipdes,'Iornis.,
FOOTNOTES
Use only units of measurement designated in the reporting facility'NPDES permit for reporting data.
* No 1-low Diseharge From Site: Check this box if no discharge occurs and, as a result, there are no data to he entered for all of thc parameters on the DMR
for entire monitoring period,
** ORC on Site?: ORC must visit facility and document visitation of facility as required per I 5A NCAC 8G „0204.
*** Signature of Permittee: .1f signed by other than the permittee, then delegation of the signatory authority must he on file with the state per I 5A NCAC 213
,0506(b)(2)(1)).

¥mFS PERMIT N Nc m 21
FACILITY NAME: Hickory P
OWNER NA:City Ilk:Wry
GRADE: PC-1
m¥RPERmm 21(April ym
PERMIT 'VER ION RE
c S P( l
ORCPau1E!km
ORC liA(MANGE ''E AL FILES
/R SECTION
VFRSIO : w
\/\
JE D
29/
PERM) STATUS: AcLive
COUNTY: Catawba
ORC CERT NUMBER: 990#5
STATUS: eases
SAMPL£NG LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCH, RGE*:\0 y2
®®m R WRY aL0No frt: ,Iccyc> m

NPDES PERMIT NO.: NC0044121 PERMIT VERSION: 4.0
FACILITY NAME: Hickory WTP CLASS: PC-1
OWNER NAME: City of Hickory ORC: Paul E Herman
GRADE: PC-1 ORC HAS CHANGED: No
eDNIR PERIOD: 04-2017 (April 2017) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
a
Compo+lle SrmpIs Time
Taal Composite Time
H
t.
i
s
O
Operator Time Oa She
—
$
O
9
z.
TGP38
00070
01092
Quarterly
2 X month
Quarterly
Grab
Grab
Grab
CERI70PF
TUROIDTY
ZINC
2400 clock
Hn
1400 clock
Hn
YFUN
pass/fail
nrll
ugA
I
0600
1
Y
1
0600
1
Y
3
0600
1
Y
4
0900
0600
I
Y
12.3
5
0600
I
Y
6
0600
1
Y
7
0600
I
Y
0
0600
I
Y
9
0600
1
Y
10
0600
I
Y
11
0600
1
Y
t1
0600
I
Y
13
0600
1
Y
14
0600
0
Y
15
0600
1
Y
16
0600
1
Y
17
0600
1
Y
18
0915
0600
1
Y
PASS
9.8
57.4
10
0600
1
V
so
0600
I
Y
21
0600
1
Y
21
0600
1
Y
23
0600
1
Y
24
0600
1
Y
15
0600
1
Y
26
0600
1
Y
27
0600
1
Y
23
0600
1
Y
29
0600
1
Y
30
0600
y -
Y
-
- -
Mammy Average Limit
hlaalhly Avenge:
11.05
57.4
Daily Mailman:
I2.3
57.4
Daily hlialmu 1
9.8
57.4
'""• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR — No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday

11°"°'
NPDES PERMIT NO.; NCd0044121 10N: 4,0 PERMIT STATUS:
FACILITY NAME: Hickory WIT CLASS; PC-1 COUNTY: Catawk a
OWNER NAME: City of Hickory ORCr. Paul E ricrrnan ORC CERT NLMBER: 990.458
GRADE: PC-1 ORC HAS CHANGED: No
eDM.R. PERIOD: 04-2017 (April 2017) VERSION: 1.0
COIlIPI lIANCE STATUS: 'ompliaro
05t'09/201.7
ORCICertifier Signature; Paul hlerntan @hk.earync.gov Phone h 828.323.753;0 Date
STATUS: Process
CO\TAcr PHONE. #: E283'23753( SUBMISSION DATE: OS'26r2017
Eiy this signature, 1 cent fy that this report is a ccuratc and complete to the best of nay knowledge.
The per shall teport to the Dnectctr or the appropriate Regional Office any noncompliance that potentially thneatens public health or the environment,
Any information shall be provided orally within 24 hours from: the tirge the permittce became aware of the cweumstaances, A written submission shall also be
provided within: 5 days of the time thee periniuee becomes aware oldie circumstaracew.
It the facility is noncompliant, please attach a list rafcianeetive actions being taken ar:d
the N.
dr improvements to be made as required by part h1.E.6 of
naitteelSub
ure, * * * Kevin. Boyd
Perrnittee Address: [560 Old. Lenoir Rd Hickory NC 28603 Permit Ex
05726f201 7
\iail:kgrecr(a hicktarync.tov Phone #:[phone] Date
ors Date: 0413012020
1 certify, sander penalty of law, that this document and all attachments were prepared under my direct
in accordance with a system designed
to assure that qualified personnel paope.rly gather and evaluate the information submitted. Based on my irtyunrperson or persons who managed the
system, or those persons directly responsible for gathering the information, the information ;;ubntitted is, to the hest of my knowledge ,.and belief, true,
accurate, and comptete. I am aware that there are significant penalties for submitting false information, including the pt. 'ty of fines and imprisonment for
knowing violations.
(.1 RTIFIF D L BUR.A1'OR.I2
LAB NAME: 40i 5072
CERTIFIE➢ LAB #: Pace Analytical, Hickory Water 111eatn
PERSON([) COLLECTING SAMPLES: Paul Merman
Parameter Code assistance may be obtained by calling the NPDI
PARA\tE1 LR CODES
9) 80 7-6.300 or by visitin
vehlw=t'Ilswplps'npctesltorms.
FOOTNOTES
Use only [snits ofsa'teusurement designaited on the reporting tactility"s NPlDI:;s permit for repotting data.
* No Flow/Discharge From Site. ('he-c.k this box if no discharge occurs and, as ri result, there are no data to be entered for all oparameters on the DMR
for entire narataaWring period.
** ORC on Site?: ORC must visit facility and document visitaticatt t f f acility as retiuitcal pep' l5A lC:
*** Signature ofPernalttec,. lfsisgaled. by other than the permittof the sag*oast ir'y autk
.0506(b)(2)(D).
G .0204.
t be on file with the state tacr la"A NCAC" 2B

PERMIT NO.: NC0044121
FACILTIN NAME: Hickory wrp
OWNER NAME: City 01 Hickory
GRADE: PC-1
eDNIR PERIOD:: 03-2017 (March 2017)
204 clod:
PERMIT STATUSz Active
COUNTY: Catawba
RECEIVEDA
C CERT NUMBER: 99041
MAY 03 nr/
CENTRAL FILES STATUS: Pmce''sed
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO A1C1: NO
2406 clotik
(0,6(1
000
0600
0600
0600
0001)
060n
0600
!USIA)
G600
0,604/
0600
0k.00
0600
0600
0609
0600
0600
0600
0600
(atop
r
PERMIT vmsios: 4,o
CI ASS: PC
OR(': Paul E Herman
ORC HAS CHANGE
vERsioN:
AlTrigt UWE
Moothly ,,kterap,
Continautus 2 X tti011th
M
Yttrw
FPI 9
0413
0.64i
0,495
9.752
0.739
0
.76)
1,555
)A63
1;540
t 432
0.71
0.766,
0,774
9625
02)411
J.641
0.605
0,03
6.933
07475
0,562
6763
OM)
CTILORNE
7,4 ,22
X (00'
Grab tAral,
T,S$ Caw MIA I, 16(Caw
Quarterly
:(1fab
TOTAL P = Cou00.
IC:RH:MTN"
6 95 5 45
**.*N,, ReporlitT Reason ENTRUST No Elow-Reuse/Recycle FNVWT1111 No Visitalion — Adverse Witallrute, NOFLOW — No Flow HOLEIDAY ss No Visitation ssfloliclay

ES PERMIT NO.: 'N0)044121
FACILITY NAME: Hickory WTP
OWNER NAME: City of Ilickmy
.GRADE: PC- I
eDNIR PERIOD: 03-2017 (March 201
COMPLIANCE STAT S: Compliant
ORC
PERMIT vERSION:
CLASS: PC-1
ORC: .Paul EIlerman
ORC HAS CHA.NCED: F.dn
VERSION: 10
CONTACT PHONE #: [phone]
PERM IF SEAMS: Active
COUNTY: Catawba
ORC CERT NUMBER: 9904513
STATUS: Processed
SUBMISSION DATE: 04/2412017
04/04/201 7
Signature: Paul Berman E-Mailipherman@hickorync:gov Phone #:828,323,7530 Date
By this signature, .1 certify that this report is accurate and complete to the best of my knowledge,
The permit -tee shall report to the Director or the appropriate Regional Office airy noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware attic circumstances, A written submission shall also be
provided within 5 days of the time the :permittee becomes aware of the circumstances:
If the facility is noncompliant., please attach a list of corrective actions being taken and a time -table for improvements to be made as :required by part 11...E.,6 of
the NPDES permit.
041241201 7
Permittee/Submitter Signaturc:*** Michael Shawn 'Pennell E-Mailispennell@hickoryncgov Phone #:[phone] Date
Permittec Address i 560 Old Lenoir Rd Hickrity NC 28603 Permit Expiration. Date.: 0413012020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the
system, or those personsdirectly responsible for gathering the information, the infomiation submitted is, to the best of my knowledge and belief, tnie,
accurate, and complete, I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB N. 40; 5072
CERTIFIED LAB #: Pace Analytical; Ilickory Water Treatment
PERSON(s) COLLECTING SAME Paul Hennan
CERTIFIED LABORATORIES
PAR A MET FR CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (9191 8.07-6300 or by visiting latp://poittiLnedent.org/webiwq/swpipsinpdesifornis
FOOTNOl'ES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data,
* No:Flow/Discharge From Site: Check this box. if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must .visit facility and document visitation of facility as required per I 5A NCAC 1(G .0204.
*** Signature of Permit:tee: If signed by other than the permiRee, then delegation of the signatory authority must .F„ie on file with the state per 15A NCAC 2B
,0506(b)(2)(D).

t" PDES PERMIT NO.: NCS4 .2I
FACILITY NAME: Hickory 'WTP
OWNER NAME: City of Hickory
GRADE: PC -I..
cD%IR PERIOD: 02-20V'' (Febru4 7
P'ERM'IT VERSION: 4,0
CLASS: PC-1
°RC: Psul E Flotas to
()RC HAS CHAE(GEI): N
VERSION:
REC
PERMIT STATUS: ,Act
COUNTY: Catawba
ORC CERT NUMBER 990458
CENTRAL FILES
DW R sEcilor4 S 1 A T U S: Pt as c c d.
SAMPLING L©C TI©N: EFFLUENT DISCHARGE NO.: 001 NO ©ISCH�t,
it e�
1111111111111
17 "tl't E
1111111111111111111111111
11111111111111
II MI
{kh4b£3 tp ifi9
®_. _.. ®�
y8i
®�I_■' _ I�®
1111111•11111 t1MUM
tl art"_
®__.
.111111111111111
MIME
I11•=110 MOM
1111111111111111
11111111111111' _ ®-
Nfinedly=Average°
Daily MWiumm,
"•" No Reporting Reas'oti, ENFRL'C No Flow-Reur,e1Recyelec ENVWTiIR No Visitation - Advcrie Weather, rV`aw L0 No Flow; HOLIDAY 'No Visitation ..•

NPDES PERMIT NO.: NC0044121 PERMIT VERSION: 4.0
FACILITY NAME: Hickory WTP CLASS: PC-1
OWNER NAME: City of Hickory ORC: Paul E Herman
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
A
e
a
H
II
1.X
U
9
g.
EF
r3
I-'
OperaIor Arrival Time
It
g
O
ORC Oa S11e'••
!
a
E
8
oC
Z
MOSS
TGP3B
01092
Calculated
Calculated
Calculated
MA01CNESE
CERIn1PF
ZINC
2400 clock
'In
2400 dock
Hn
Y/B/N
ma/I
pass/fail
kg/day
1
0600
1
Y
1
0600
1
Y
3
0600
1
Y
4
0600
1
Y
S
0600
1
Y
6
0600
I
Y
7
0815
0600
1
Y
e
0600
1
Y
9
0600
1
Y
10
0600
1
Y
11
0600
1
Y
11
0600
1
Y
13
0600
1
Y
14
0600
1
Y
is
0600
t
Y
16
0600
I
Y
11
0600
1
Y
18
0600
I
Y
19
0600
I
Y
20
0600
1
Y
21
0815
0600
1
Y
12
0600
1
Y
23
0600
1
Y
24
0600
1
Y
15
0600
1
Y
26
0600
1
Y
17
0600
1
Y
28
0600
1
Y
Monthly Avenge Limit:
Monthly Avenge.
Bally Maximum:
Daily Minimum:
"•' No Reporting Reason: ENFRUSE = No Flow-ReuseIRecycle; ENVWTHR = No Visitation— Adverse Weather; NOFLOW =No Flow; HOLIDAY = No Visitation — Holiday

at
FACLLITV' NAME: Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC -I
eDMR PERIO
t)2-2017 (1 ebsuary 2017)
COMPLIANCE STATUS: Compliant
OR '/Certifier
PE RASIT%ERSIO\: 4.0
CLASS: 'PCm'l
ORC: Paul E; Hcrt vrt a
O.RC HAS CEIAN'GFD: No
VERSION: TO
CONTACT PHONE #: [phone]
PERMIT STATL.tS: xcti e
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATUS: Processed
SUBMISSION DATE:
7 {2017
03/02/2017
nature: Paul Herman FE:-Mail: pherman(iia'hickoryne,gov Phone
By this stgnature, 1 certify that this report is a eeurate uad col 1ete to the best of my knowledge,
The permittee shall report to the Director or the appropriate Regional ©Rice any noncompliance that. poten
Any information shall he provided orally within 24 hours from the time the perrnittee became aware of the submission shall also be
provided within 5 days of the time the pennittce becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a tirne-table for improvements to he tnade as required by part dl.h_6 of
the N,PDES pennit_
753(1 Date
ublic health or the environment,
03a/271201'7
I ce
Ne,Submitter Signature:*** Kevin I3oyd Greer E-Ma:il:kgreer(:hick
Address: 1 ShO Old Lenoir Rd Hickory° NC 2 603 Permit Expiration Date; 04 30/2020
under penalty of law, that this document and all attachments were prepared under my direction or supe
to assure that qualified personnel properly gather and evaluate the information submitted, Based on nay inquiry
system, or those persons directly responsible forgathering the information, the information submitted is, to the best o'
accurate, and complete, 1 am. aware that there are significant penalties for submitting false iniorruatiota, imeluding the 1
knowing violations,
(LRTIFa'Ii D LABORs TOR_lES
LAB NNALME: Pace Analytical, ETT Ens,ironrnental„ Hickory water Treatment Lab
CERTIFIED LAB it: 40,9,022,5'07..2,
PERSON(s) COLLECTING SAMPLES: Paul Herman
Parameter Code assistance m
PARAMETER CODES
ync.gov Phone #:[phone]
Date
ac eordatice vwitlt a system designed
or persons who managed the
,y knowledge and belief, true,
ssibitit' of limes and imprisonment for
btained, by calling the N.PDES Unit [phone] or by visiting lrttp. `:`po. raaLncdenr.org?
FOOTNOTES
Use. only units ofattc.asurementdesignated in the r porting facility's NPDLS permit fo°rrept
data,
* No Flow/Discharge Frorn Site: Check this box if no discharge occurs and, as a result, therc arc no data to be entered.
for e ratirt monitoring period,
** ORC on Site'?: ORC must visit facility and document ation of Facility as required per 115A'NC,AC 8G .0204.,
*** Signature ofPermittee, If signed by other than the pen
.0506(b)(2)(D),
q sw"pips. npdes,i forms.
for all of the parameters on the DrbR
delegation. of the signatory authority must be on file with the state per 15 A NCAC 2B

NPDES PERMIT NO.: N('0044 1 21
FACILTEV NAME: hickory W7"1'
OWNER NAME: City of Iiickoiy
GRADE: PC -I.
deDF1R PERIOD: 01-2017 (Jauuary
PERMIT VERSION. 4
CLASS. P('-1
OR(:': C nthidNicole Hairston
ORC HAS CHANGED: No
VERSION: 2.0
PERMIT STATUS. Active
COUNTY: Catawba
ORC CERT NUMBER: 1002731
STATI.?St Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 N() DISC'HARG
""' No Reporting Re
1 NFRUII<- No 1'1
ReusetRecycle, EN
No Visitation— Adserse Weather; NOF1 OW No flow; HOLIDAY' -n Nu kieithF
Holiday

NPL)ES PERMIT NO.: NC00442
'FACILITY NAME: Hickory WTP
OWNER NAME: City of -Hickory
GRADE: PC -I
ell/MR PERIOD: 0I-20I7 (January201 7)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC; Cynthia Nicole Hairston
ORC HAS CHANGED; No
VERSION: 2.0
PERMIT STATUS: Active
courore: Catawba
ORC CERT NUMBER: 1002731
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
00( 0
0000
000.0
0400
000 1
0000
10000
)1600
00 I:
0600
KKK)
(AK;
0000
00110
010004 000-14:g, 11*111.
110 0010 rt 4gc.:
1010 MIA3mnat
PASS
X Km.th
X1,1
**"" No Reporting Reasorr ENFRUSE No Flow-ReuseiReeyele, ENV WI -FIR, ,,--- No Viskation Adverse Weather, NOFLOW No 1low; HOLIDAY No V IsitKlion — Holiday

NPDES PERMIT NO.: NC0044121
FACILITA: NAME: Hickory WTP
OWNER NAME: City of Iiickory
GRADE: PC-1
eDNIR PERIOD: 01-2017 (January 2017)
COMPLIANCE STATUS: Comp
PERMIT VERSION: i4.0 .PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Catawba
ORC: Cynthia Nicole .Flairston ORC CFRT NUMBER: 100.2731
ORC HAS CHANGED: No
VERSION: 2,0 STAil-US: Processed
CONTACT PHONE #: [phone] SU BM ISSION DATE: 0211412017
0.211312017
( RC/Certifier SlgrtLlte: Paul Herman E-Mail:phermanghickoryne.gov Phone #:828.323,7530 Date
By this signature, 1 certify that this re. ort is accul-ate and ,C0111 the best of my knowledge,
The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,
Any information. shall be provided orally within 24 hours from the time the perminec became aware of the circumstances. A written submission shall also be
provided within 5 days (lithe time the perm ittee becomes aware of the circumstan.ces.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to he made as required by part 11,F.6 of
the NPDES permit.
02/14/2017
PermitteciSubmitter Signature:*** Kevin Boyd Greer [e-mail] Phou t 528 - 32.3 - 7 4 27 Daze
Permiitee Address: 1560 Old Lenoir Rd Hickory. NC 28603 Permit Expiration Date: 04130/2020
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to .assure that qualified;personnel properly gather and evaluate the information submitted, Based on tny inquiry of the person or persons who managed the
system, or those persons directly responsible for ,gathering the information., the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there ate significant penalties for submittingfalse information, including the possibility of fines and imprisonment for
knowing violations.
1,AB NAME; Pace ,Analytiealt Hick.° 'ater, [TT
CERTIFIED LAB #: 40, 5072, 022
PERSON(s) COLLECTING SAMPLES: Paul Ilertnian
CERTIFIED EA.BORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visitp://portaInedenr,orglweblwq/swpfpsfripdestfomis.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No ElowiDisch.arge From Site: Check this box if no discharge occurs and, as a result, there are no data tohe entered for till of the parameters on the MIR
for entire monitoring period,
ORC on Site?: ORC must visit facility and doeutnent visitation of .facility as required per 5A NCAC 8G .0204„
*** Signature of Permittee: If signed by other than the permittee„ then delegation ol the signatory authority must he on file with the stale per I 5A. NCA.0 213
.0506(b)(2)(D).

PERMIT NO.: NCO044121
PAC iIs1T ' NAME;lia«:kr
OWNER NAME: Citr
GRADE: PC -I
eDMR PERIOD: 1 "_?-2016 (Do:
t bet 201 h
*.** No Re
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: tool 1 F&'rra tt
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS:
11S"l`Y: Cat.rarlru
ORC CFRT NUMBER: 9904,51
E N R A M;F. STATUS: Pr, cti:
1A/R SECTtON
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: ON NO DISCHARGE*:
rl...p Ram': ENTRUST': No F Gow•RausLRecyc le:; ENVWT R `. Nor VISI
iOFI

'S PERMIT NO.: NCO( 4
FACILITY NAME: Hickory WTP
OWNER NAME: City of Hickory
GRADE: PC-1
eDMR PERIOD: 12-2016 (December 2016)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CTLASS: PC-1
ORC: Paul E Herman
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNT. Catawba
()RC CERT NUMBER: 990458
STATUS: Proce,ssed
SUBMISSION IDATE 01104'20 7
0 .1 20 17
ORCICertifier Signature: Paul Herman [e-mail] Phone #:828.323,7530 Date
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge.
The perrnittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the en.vironment
Any information shall be provided orally within 24 hours from the time the permittee became aware of the eircum.stances. A written submission shall also be
provided within 5 days (tithe time the perminee becomes aware of the circumstances:
If the facility is noncompliant, please attach a list of correetive actions being taken and a time -table for improvements to be made as required by part II..F.6 of
the NPDES permit
/04/2017
Permittee/Submitter Signature:*" Michael Shawn Pennell E-Mail.spennelhiekoryne,gov Phone #:[phone] Date
Permittee Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
I. certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel 'properly gather and evaluate the information submitted. Based on my inquiry of the person:or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowingviolations.
CERTIFIED LABORATORIES
LAB NAME; Pace .Analytical, FIT Environ -ntal., Hickory Water Treatment Tab
CERTIFIED LAB #: 40,9,022,5072
PERSON(s) COLLECTING SAMPLES: Paul Hemian.
PARAMETER CODES
Parameter Code assistance may: he obtained by calling the NPDES Unit [phone] or by visiting http://portal:nedenr:orglweb/wq/swp/psinpdes/fcrms.
FOOTNOTES
Use only 'units of measurement designated in die reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box &no discharge occurs and, is a result, there, are no data to be enteredfor all of the parameters on the DMR
for entire monitoring period,
" ORC on Site?: ORC must visit facility and document visitation of facility as required per I..5A NCAC 86 .0204.
*** Signature of Permittec: If signedby other than the no -mince, then delegation of the signatory authority must be on file With the state per 15A NCAC 2B
.0506(b)(2)(0).

FNPDES. IP,
PERMIT NO,: Nak, 4121
FACILITY NAME: Hickory WTP
OWNER NAME: City ot'Fhkor
GRADE2 PC-1
cUMR PERIOD; H-2016 (November 2 6)
• 30
PERMIT VERSION: 4 0
CLASS: PC-1 t"1
ORC: Paul E Herman DEC 3 0 70W
ORCHAS CHANG ETh No
FILES
VERSION: 1.0 DVIR SE CI
PERMIT STATUS t Acflve
COUNTY: Catawba
ORC CERT NUMBER: 9'l)0458
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
Moothly Average U010, •
Coniinunin
Recorder
121.„0511
100
0,624
0,675
(4533
0,501
0 733
11,463
PPP 49
COW COW 110011
2 X womb 2 X 10006 2 X 1.0onill 7hwa7o02 1111R2X250040
Calculated Grab Grb Grub Grab !Grab
111A1P411 <f t,ORINE TSS.Caor
10126 B2.6
0.7212
05,25
517
075,57
V.021
""444 .0575207P
((01(074,411001 11 (104
Maly 11411,00100,0,
030
14_35
7 1
421 mg/
17 /1
TOTAt N. Cane Tol AL C..(41101011)
**** Nii Reporting Rmsort; ENFRIJSE, Flow,R. euse/Recy: - No Visiranon - Ailverne Weather; NOEli3OW No Flrivir, HOLMAN' - No Visitation Holiday
0,0
5.4,5
100
0

PERMIT Nf?.: NC0044121
FACI.LfI'Y NAME: Hick
OWNER NAME: City of Hickory
GRADE: PC -I
eDMR PERIOD: 11-2016 (November 2t
COMPLIANCE STATUS: Compliant.
C1,R'; r'
t3y" this signatur
PERMIT VERSION: 4,0 PERMIT STATUS: Active
CLASS: PC-.1 COUNTY`: Catawba
ORC: Paul E Herman ORC CERT NUMBER: 990458
ORC HAS CHANGE No
VERSION: 1.11
CONTACT PHONE #: [phone],10
Signature: Paul llernlan
"lt
report. is
STATUS: Processed
SURMISSION DATE: 11'21,2016
n(ahic'korync.gov Phone ti:828,32
he best. of my knowledge.
6
Date
The perminee shall repoo the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environ►nenl
Any information Shall be provided orally winter 24 hours from the time the permiltee became aware of the t:ireuna.stances. A written submission shall also he
es Aware ofthe circumstance,,
If the facility is noncompliant, please attach a list of crrreetav°,i actions being taken and a titne-table forimprovements to be atade as required by part ll.fi.6 of
the 'NPDES permit.
p'
'ithin 5 days of the time the permit
Permittee,'Submutter Signature:*** Michael Shawn Penne
i-Mai.l:spenuellg hickoryne,gov Phone #:828-3'23-7427
Pcrmittec Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
1. certify', under penalty of law, tl'tat this document and all attachments were prepared under my dtrecnon or super
to assure that qualified personnel properly gather .and evaluate th.e information submitted. Bases] on my inquiry o
Date
'ion in accordance a system designed
he person or persons who tnanaged the
system,. or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, Inc.0
accurate, and complete, 1 am. aware that there are sign'. cant penalties for submitting false information, including the possibility of fines and imprisonme
knowing violations.
CERT IFIL[J'C AL3ORATORI'FS
LAR'NA:ME: trace Analsneal, LT i Environmental, Hickory Water Treat' 1-
CERTIFIED LAB #: 40,9,022,5072
PERSONts) COLLECTING SAMPLES: Paul Herman
PARAMETER CODES
Parameter Code assistants may be ohtuined by co the. NPDES t nit [phone] or by visiting http://portal.ncdenr.orgt'wehlwq/swp/psln
Use only units of measurement cicsignatcd in the repo
* No Plow/Discharge From Site: (:'heck this box if
for entire monitoring period,
**ORC on Site?: ORC must vise
document visit
FOOTNOTES
s
ty's NPDI-S permit for reporting ';lra'a,
occurs and, as a result., there are no data to be entered for all of the parameters on the Dtvl'R
iliry as required per 15.A NCAC; 8G .0204.
*** Signature ofPermittec: 1f signed by other than the permeate, 'then delegation of the signatory authority must he on file w'itl
.0506(b)(2)(D)

NPDE'S PERMIT NO.: ,+1C UO44121
FACILITY NAME: Hickory WIT
OWNER NAME: Cary of>liekt ry
GRADE: PC71.
eDMRPERIOD: 10-2016(Oct hex20)6)
PERMIT VERSION:4,0
CLASS:
OR(:': Panel. E Merman
PERMIT STATUS: Active
COUNTY: Catawba
ORC; CERT NUMBER: 990458
ORC HAS (HANGED: No
VERSION: 2,dl CENTRAL �'' �" STATUS I'DVVI', SECTION)
r rcc sct
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCILRGE*: NO
••"•• No Reporting Reason: &:NFRUS1: No Flow-ReuseJRcasyete, ENVWTRR a- Plow Viwitation t c ela erse Weather: NOF1

NPDES PERMIT NO.: NC0044121
EACILEIV NAME; :Hickory wTp
OWNER NAME: City of Hickory
GRADE: PC -I
eDMR PERIOD: 10-20[6 (October 201(i)
PE/Mt I VERSION: 4,0
CLASS: PC-1
ORC: Paul E lkrnurn
ORC HAS CHANGED; No
VERSION: 2.1
PERMIT STATUS: Active
COUNIFY: Catawba
ORC CERT NUMBER: 990458
S FATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.; 001 NO DISCHARGE*: NO (Continue
2404 clock
013 „
0600
0600
0600
0600
013011
0600
5600
WOO
0600
Or303i
0601)
0606
0600
06100
0600,
0601)
MtortiDy Ayttop hi*,
Momitly AkVtr
lanai. Q1iIirfiEriy 7 X m‘330.11
(1ra. ,1333 Grab
ANGNVDE Ckirti7OPF Thuotirrx
uu' asufait in u
to3
103 7.3 12.3
i 03 13.4 1123
1.7.3
**** No Reporting Rett;son;PNIRI FST: No Flour-ReitstelRecycle; ENVWTHR No Visitation — Adverm, Weather; NOES.,OW N6Flow; HOLIDAY No Visitation — Holiday

NPDES PERMIT NO.: NC0044121
PACT:LEVY NAME: Hickory WIP
OWNER NAME: City of Hickory
GRADE: PC-!
eDMR PERIOD: 10-2016 (October 2016)
CO)MILLANCI STATUS: C unpliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Paul E Herman
ORC HAS CHANGED: No
VERSION: 2,0
CONTACT PHONE #: [phone]
PERMIT STATES: Active
COUNTY: Catawba
ORC CERT NUMRER: 990458
STATUS: Processed
SUBMISSION DATE: 04/27/2017
04/ 1 /2 0 1 7
ORC/Certifier Signature: Paul Herman E-Matl:phermanghiekoryne„gov Phone #:828.323,7530 Date
By this signature, 1 certify -that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance thatpotentially threatens public, health or the environment.
Any information shall be provided orally within 24 hours from. the time thc permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the bine the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part I ,E.6 of
the NPDES permit.
04127/2017
PermittectSubmitter Sig -nature:*** Miehael Shasn Pennell E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address; 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 04/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared 'under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiryof the person or persons who managed the
system, or those persons directly responsiblefor gathering the information, the information submitted is, to. the best. (limy knowledge and belief, true,
accurate, and complete 1 am aware that there are significant penalties for submitting false information, including the possibility of tines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAR NAME: Hickory Water 1 rcaimcnl LibPacc Aii.ilytical ETT Environmental., Inc,
CERTIFIED LAB #: 5072,40,9,022
PERSON(s) COLLECTING SAMPLES: Paul t1errnan,NcoIe11dusLon
PARAMETER CODES
Parameter Code assistance may he obtained by calling the NPL)ES Unit (919) 8.07-6300 or by visiting http://portalnedenr,orglweblwq/sr,vpipstricidestforms„
FOOTNOTES
Use only units of measurementdesignated in. the reporting facility's NPDES permit for reporting data,
* No Flow/Discharge From Site: Check this box. if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on die [)MR
for entire monitoring period,
ORC on Site?: ORC must visit facility and document visitation of facility as required per 1.5A NCAC SG 020.4.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2(3
,0506(b)(2)(D).

NPDES PERMIT NO.: Tw 004411
FACILITY NAME: :Hick ory TP
OWNER NAME: City of' Hickory
GRADE.: PC-1
eDNIR PERIOD: 09-2016 (September 2016)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Paul E Herman
ORC HAS CHANCED: I
VERSION: 1,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 0 I NO DIS
Monthly Avevaye:
Daily Ma'amun
0,748
00010 00400 50040 C0530
1FMr-C nt9 CFILORINE
DAily htfiulnwua. d7. 24.1
sr.. No Report Reas nt ENI-RI;SE = _Ni,7 F` Iow=ReusetiRe-cyc le; 1„SN\ WTHR No Visi
— Adverse Weather; ;NClFI lW. No Flow; HOLIDAY No A'ia'itdti o — Hotlday
CENTRAL EILEs
DvvR SECTION

NPDES PERMIT NO.: NC0044121 PERMIT VERSION: 4,0
FACILITY NAME: Hickory WTI'
OWNER NAME: City ofFlickory. ORC: Paul E Flerrcum
GRADE: PC-4 ORC HAS CHANGED: No
eDF4IR PERIOD: 09-2ti16 ESeplernber 2t)16) VERSION: 1.0
CONTACT PHONE #:. [phone]S30
COMPLIANCE: Cm
OR
Paul.
CLASS: PC-1
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 990458
STATI
SUBMISSION DATE: 10/05/2016
03/2016
E;°-Mai'I_phermanghickorync.gov Phone 0:828.323,75:30 Date
By this signature,.1 certify that this report is accurate and complete to the best of my knowledge.
The 'pertninee shall report to the Director or the appropriate Regional Office any noncompliance 'that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circurttstances. A wvtitten submission shall also be
provided within 5 days of the time the permi..ttee becomes aware of the circumstances.
lithe facility is noncompliant, please attach a list of con°eetive actions being taken and a titzte-table for improvements to be made as required by part ILF.6 of
the NPDES permit.
10/0512016
Permitteer`Submitter SignaFure:*** Kevin Boyd Greer E-Mail;kgrecrbc taickoryn.c.gov Phone '0:82S-323-'7427 Date
Permit Address: 1560 Old Lenoir Rd Hickory NC 28603 Permit Expiration Date: 044/30/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision rn accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or ,persons who managed the
system, or those persons directly responsible for gathering the inftartnation, the information submitted is, to the he of my knowledge and belief, true,
accurate, and complete. I ant aware that there are significant penalties for submitting false infcrrntation, including the possibility of tines and imprisonment for
knowing violation's..
CERTIFIED LABORA'I"OI~iIE'S
LAB NAME: Pace analytical, Hickory °+ ".ter Treatment Plant Lab
CERTIFIED LAB #: Pae:e;40,9 llickary:5072
PERSON(s) COLLECTING SAMPLES:. Paul Heenan
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiti http://portal.ncdenr.org/web wq/sw t xs/npdet
FOOTNOTES
Use only unit of measurement designated in the'rcportin) facility`s NPDES permit for reprartiug data,
* No Flow/Discharge From Site; Check this box if no discharge occurs and, as a result, €l re are no data to be entered for all ofthe parameters on the DMR
far entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 1.5A NCAC SG .0204.
*** Signature of Petinitt:ee: If signed by other than the pent:tit:tee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(h)(2)(D).

NPDES PERMIT NO.
FACILITY NAME
CERTIFIED LASORATOR
044121
DISCHARGE O. 0
TY OF HICKORY WTP
CITY OF HICKORY WTP LAB
MONTH
1
(list additional Laboratories on the backsidelpage 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Paul Harman
PERSONS) COLLECTING SAMPLES WTP OPERATORS
CHECK BOX. IF ORC HAS CHANGED
Mall ORIGINAL. a"d ONE COPY to
ATTN. CENTRAL FILES
DIWISI4NJ OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH. NC 27614.101T
Sampling Location a Effluent Discharge
August
COUNT'
YEAR 2016
CATAWBA
CERTIFICATION NO. 5072
GRADE 1
{"�1uMw NATURE'OF CrPERATOR NRESPCTN' BLe.C1ARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS.
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWL,EIIQE,
ORC PHONE
CERTIFICATION NO.
23 -7530
MO FLOW/D1$CHARGE FROM 6ITE'
©ATE

Facility Status', (Please check one of the following)
in
arid. sampling frequcmcaes meet permit requirements
uding weekly averages. if aptrlicable)
d sampling frequencies do NOT meet permit requirements
Noncompliant
The permitt shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the perniittce becornes aware
of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is n.oncomplianl, please attach a last ofeeetive actions bein
as required by Pail lI E.6 ofthe NPDES permit
d a tune -table for improvements to be made
ty under penalty of law, that this document and all attachments were prepared under my direction or supervision in
rdance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.
'aced on my inquiry of the person or persons who managed the system, or those persons directly responsible thr gathering the
information, the information submitted is, to the best of my knowledge and belief, time, accurate, and complete. I ant. aware that.
there are significant ,penalties for subtnitting false information, including the possible of tines and imprisonment for knowing
eiolmi ors."
Permttiee Address
P. 0. l3ox 398, 1-Ticko , NC 286 .
e Number
[phone]
Kevin i3. Greer, P,Ix
Permitt:ee (Please printor type
nature o
Required unless
d
d electronically)
Expiration Date
April 30, 2020
AD[MTIONAL CERTIFIED LAI3ORATOI
Certified Laboratory (2) Pace Labs Inc.
Certified Laboratory (3) Pace Labs, Inc.
Certified Laboratory (4) FIT Environmental, Inc.
Certified Laboratory (5) Hickory Water Treatment Lab
PAPA tviF.TFR CODES
S
Certification No.
itication No. 40
9
Certification No. 022
Certification No. 5072
Parameter Code assistance may be obtained by calling the NPDES unit at (919) 7,33-5083 or by 'isiting the Surface Water Protection Section's
rveh site at h20.enr.state„ne uslwgs and linking to the unit's ittfornodion pages,
tise only units of measurement designated in the reportirig facility's NPDES permit for refxartuag dal
No Flow/Discharge from Site: Check this box if no discharge occurs and,, as a result, there are no data to be entered for all attic
parameters on the DMR for the entire monitoring period.
ORC OR Site?: ORC must visit facility and document visitation of facility asrequired per 15A NCAC 8G 0204.
*•* Signature of Pennitte: If signed by other than the pemtitteee, then the delegation of the s"t rtatory authority must be on file with the state per
15A NCAC 2110506 (b) (2) (D).
Page 2

NPDES PERMIT NO
FACILITY NAME CITY OF
CERTIFIED LABORATORIES (1)
(fist addlh©nal laboratories on the backsidedpag
OPERATOR ON RESPONSIBLE CHARGE (ORC)
PERSON(S) COLLECTING SAMPLES
CHECK BOX IF ORC HAS CHANGED
NC0044121
Ns ORIGINAL push ONE COPY to
ATTN; CENTRAL FIDES
WIS1ON OF WATER ouaa.1TY
1617 MAIL SERVICE CENTER
RALEIGH, NC 2F698,1617
Sanpltng Location: Effluent
HICKORY WTP
DISCHARGE NO.
CITY OF HICKORY WTP LAB
CLASS 1
2 of lhls form)
Paul Herman
WTP OPERATORS
ATHARGEI
SY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE,
GRADE
©lecharge it 001 ...
50050
0
0
1»d disu
4
50068
08070 j G0600
MONTH July
COUNTY
YEAR 2018
CATAWBA
CERTIFICATION NO, 5072
CERTIFICATION NO. 990458
ORC PHONE (828 } 3 3 • 7530
C0530
C0865
NO FLOW/DISCHARGE FROM SITE'
01105 01045 01042

Facility Stams: (Please check one of the follmving)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling, frequencies do NOT meet permit re.quirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall he 'provided orally within 24 hours from the time the permittee becomes aware
(tithe circumstances, A writtensubmission shall also be provided within 5 days attic time the 'pennittee becomes aware of the
circumstances,
lf the facility is noncompliant, please attach a list of corrective actions. being
as required by Part II E.,6 (tithe NPDES permit,
aken and a time-ta.ble for improvements to be made
"I certify under penalty co -flaw, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed. to assure that qualified personnel properly gather and evaluate the information submitted.
Based on my inquiry of the person or persons who managed the system., or those persons directly :responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, time, accurate, and complete. 1 am aware that
there are significant penalties for submitting false information., including the possible of fines and imprisonment for knowing,
violations."
Permittee Address
P. 0. .Box. 398, Hickory, NC 28.603
Kevin B. Greer, P.E.
Permittce (Please print
vo
ignature Permittec*** Date.
(Required unless submitted electronically)
Phone Number
[phone]
email address Permit Expiration Date
April 30, 2020
ADDIT 1054A1, CERTIFIED LABORATORIES
Certified Laboratory (2) Pace Labs, Inc. Certification No. 40
Certified Laboratory (3) Pace Labs, Inc. Certification No. 9 ,
Certified I AI bonito ry (4) El 'T L n v ironm e n t a E Inc, Certification No, 021
Certified Laboratory (5) Hickory Water Treatment 1 Certification No,
PARAMETER CODES
Pmrameter Code assistance may be obtained by calling the NPDIS Unit at (919) 73.3-5083 or b7.,, visiting the Surface Water Protect . Section's
web site at h2tientstatenc,us/wqs and linking to the unitinformation page,.
tt.w. only units of measurement designated in the reporting facility's NPDES penntt for reporting data..
* NoFlow/Discharge from Site: Cheek this box if no discharge occurs and, as a result, there are no data 'to, be entered for all of the
mutimeters on the DNIR for the entire monitoring period.
URC (hi Site ORC must visit 'facility and document visitation of facility .is required per 15A NCAC 86:0204,
*** Signature of Perrniner: if signed. by other than the permittee, then the delegation of the signatory authority must be on 'file with the :state per
15A 'NCAC 21-3 0506 (h) (2) (D).
Page 2

NPDES PERMIT NO. NC0044121
FACILITY NAME CITY OF HICKORY WTP
CERTIFIED LABORATORIES (1) CITY OF HICKORY WTP LAB
DISCHARGE NO.
(list additional laboratories an the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (©RC) Paul Herman
PERSONS) COLLECTING SAMPLES
CHECK BOX IF ORC HAS CHANGED
MO ORIGINAL aro ONE COPY to:
ATTIC CENTRAL FILES
DIVISION or WATER QUALITY
1017 MAIL SERVICE CENTER
RALEIGH, NC 27090.1417
Sampling Location:
sr
CLASS
WTP OPERATORS
0,6©5
MONTH June YEAR 2016
! COUNTY CATAWRA
CERTIFICATION NO. 5072
GRADE 1
(Si3NATLIRE ' AT IN RERPC N$ 5LJE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE Te THE REST OF MY KNOWLEDGE,
ORC PHONE
CERTIFICATION NO 9,90458
2
530
NO FLOWIOISCHAROE FROM SITE`
A
TGP3

Facility Status: (Please check one of the following)
All monitoring data and sampling frequenicies meet peniiit requirements
(including weekly aveniges, if applicable)
monitoring data and sampling. frequencies do NOT meet pennit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permittee becomes aware
of the circumstances, A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
lithe facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made
as required by Part II E,6 of the NPDLS permit,
"I certify under penalty of law„ that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified. personnel properly gather and evaluate the information submitted,
Based on my inquiry of the person or persons who managed the system, or those persons directly .responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, time, accurate, and uomplete, I ant aware that
there are significant penalties for submitting false information, including the possible of fines and imprisonment for knowing
violations.."
Kevin B. Greer,P.}',.
Permittee Ilse print or type)
;nature of Pemnttee* Date
Required unless submitted electronically)
Permittee Address
P. O. Box 398, Hickory, NC 28603
Phone Number
[phone]
email address Permit Expiration etc
April 30, 2020
ITIONAL CERTIFLED LABORATORIES
Certified Laboratory (2) Pace Labs, Inc.
Certified Laboratory (3) Pace Labs, Inc.
Certified Laboratory (4) ETr Environrnejjlinc.
Certified Laboratory (5) HickoryWater 't reatment :Lab
PARAMETER CODES
Certification No. 40
Certification. No. 9
Certification No. 022
Certification No, 5072
Parameter Code assistance may be obtained by calling the NP1)ES Unit at (919) 733,5083 or by visiting the Suriacc Water Protection Section's
web site at h20,enirstateticvisharqs and linking to the uni(s information pages.
Use only: units of measurement designated in the reporting facility's NPI)ES permit for reporting data,.
'1No flow/Discharge from Site: Check this box if no discharge occurs and, its a result, there are no data to be entered for all of the
parameters on the D1vIR for the entire monitoring period,
ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8(1 02614:
*** Signature of Pervaince: If signed by other tban the permittee, then the delegation of the signatory .authority must be on file with the state per
15A NCAC 213 050(i (h) (2) (D).
Page 2

NPDES PERMIT NO
FACILITY NAME
CERTIFIED LASORATOR
NC0044121
CITY OF HICKORY WTP
DISCHARGE NO,
CITY OF HICKORY WTP LAB
Mist additional laboratories an the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Paul Herman
PERSONS COLLECTING SAMPLES WTP OPERATORS
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY 1©:
ATTN: CENTRAL FILES
DIVIlltO+ Of WATER QUALITY
1917 NAIL SERVICE CENTER
RALENJN, NC 11659=1EI7
URE Of OPERATOR 6N RE P0tdRiPt.E C 1ARt>E)
Set3NAPURE.ICERTtfaTI1ATT t REPORT IS
ACRA'1'E A
Sampling Location, Effluent Discharge 4 ...,, 001 ..,._...
niitl Avtt 'a Remova
MONTH
1
GRAD
and d May
COUNTY
YEAR
CATA
A
CERTIFICATION NO. 5072
1
ORC PH
CERTYFICATION NO. 900455
2 ?. 2 -7530
HO FLOW/OISCHARGE FROM 81TE'
01105 0
YI0f$ 17rgld dag u ug 'u Ttgr"I rgr mg dl ugi9.
0.702
0,644
0,502
gai t. 70
20
R GR GR GR

Facility Status: (Please check cae
All monitoring data and sampling frequencies meet penult 'requirements
(including weekly averages; if applicable)
All monitoring data and sampling frequencies do NOT meet permit riquirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment, Any information shall be provided orally within 24 hours from the time the permittee becomes aware
ofthe .eircumstances. A written submission shall also be provided 'within 5 days ofthe time the permittee becomes aware of the
circumstances,.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made
as required by Part 11 E6 of the NPDES permit.
"I certify under penalty of law, that this document. and all attachments. were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the inferrnation submitted,
Based on my inquiry of the person or peNons who managed the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, time„ accurate, and complete. I am aware that
there are significant penalties for submitting ifalse information, including the possible of fines and imprisonment for knowing
violations.-
Permittee Address
P. O. Box 398, Hickory, NC 28603
Phone Number
[phone]
keyi B. Greer .IL.
Perriu e (Please print r
Signature of Permittee***
(Required unless submitted e
te
email address Permit Expiration Date
April 30, 2020
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Pacel„,abst Certification No.
Certified Laboratory (3) Pace Labs, Inc. Certification No, 9
Certified Laboratory (4) E11 Environmental, Inc. Certification No. 022
Certified Laboratory (5) Hickory Water Treatment Lab
PARAMETER CODES
40
Certification No, 5072
Parameter Code 'assistance may be obtained by calling the NPDES Unit at (9 9) '733-5083 or by visiting
web site at h20enrstate.n.c.,uslwqs and linking to the units interrnation pages.
rotection Section's
Use only units IA measurement designated in the reporting facility's NPDES pennit for reporting data,
No Flow/Discharge from Site: Cheek this box lino discharge occurs and,o data to be entered for all of the
parameters on the DMR for the entire, monitoring period..
** ORC On Site? ORC must visit facility and document visitation of facility as required per 1.5A NCAC 8G 0204..
*** Signature of Perrnittet: :If signed by other than the permittee, then the delegation of the signatory authority mast be on hie with the state pet
1.5.A NCAC 213 0506 (b) (2) (D).
Page 2

A
NP©E$ PERMIT NO. NC0044121
FACILITY NAME CITY OF HICKORY WTP
DISCHARGE NO.
CERTIFIED LABORATORIES (1) CITY OF HICKORY WTP LAB
Mist additsonal laboratories on the Ibacksidefpage 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Paul Herman
PERSON(S) COLLECTING SAMPLES WTP OPERATORS
CHECK BOX IF ORC HAS CHANGED)
M¢t4f ORIGINAL and ONE COPY to.
ATTN: CENTRAL FILES
©rosdoN Of WATER QUALITY
ISI1 MAIL SERVICE CENTER
RALEIGH, NC 2/W3901E17
Sampling Location:
Discharge
URE OF OPEN ATCW IN R'E5 C
MONTH
CLASS 1
GRADE
SY THIS SI MATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE REST OF MY KNOWLEDGE.
May YEAR 2
COUNTY CATAWBA
CERTIFICATION NO, 5072
CERTIFICATION NO, 990458
ORC PHONE 120 } 3223 - 7530
NO FLOW/DISCHARGE FROM 81TE'
01105 01045 01042 01055 01092
R GR GR GR GR GR GR GR GR GR GR GR GR GR
PO I0CE CHARGE)

Facility Status: (Please check one ofthe following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling. frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the en.vironment. Any information shalt be provided orally within 24 hours from the time the pennittee becomes aware
of the circumstances. A written submission shall also be provided within 5 days of the time the pennittee becomes aware of the
circumstances,
Utile facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made
as required by Part II .E.6 of the NPDES permit,
"I certify under penalty of law, that this doewnent and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.
Rased on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the
information, the information submitted is,. to the best of my knowledge and belief,, time, accurate, and complete. 1 am aware that
there are significant penalties for submitting false information, including the possibleof fines and imprisonment for knowing
violations,"
Perrnittee Address
P. O. Box 398., Hickory, NC 28603
PhoneNurnber
[phone]
Kevin B. Greer, P.E.
Permittee (Please print or
Signature of Permittee*** Date
(Required unless submitted electronically)
entail address Permit Expiration Date
April 30, 2020
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Pace Labs Inc.
Certified Laboratory (3) 'Pace Labs, Inc.
Certified 'Laboratory (4) 'ETT Environmental, Inc.
Certified I..aboratory (5) Hickory Water Treatment
PARAMETER ('(DES
Certification No. 4
Certification No. 9
Certification No. 02"
Certification No. 5072
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or hy visiting S face Water Proiection Section's
web site ath20..enr,statericits/wq.s and linking to the unit's information pages.
Use only units .of measurement designated in the reporting facility's -NPEHriS .pcmiit for reporting data,
* No Flow/Discharge from Site: Check this box„if no discharge occurs and, as a result, there arc no data to he entered for all oldie
parameters on the DMR .for the entiremonitoring period,
()RC On Site?: ()RC must visit facility: and document visitation of facility as required per 15A NCAC 800204.
*** Signature of Permittee: If signed by other than the permittee, that the delegation of the signatory authority must be on file with the state per
. 15A NCAC 213 0506 (b) (2) (D),
Page 2

ERTIFICATION NO. 5072
CERTIFICATION NO. 990458
NE (828) 2
NO FLOW/OI$C
M srT€
NPDES PERMIT NO
FACILITY NAME
CERTIFIED LAAON A
NC0044121
DISCHARGE NO.
CITY OF HICKORY WTP
CITY OF HICKORY WTP LAB
(list additional laboratories on the backsideipage 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Paul Herman
PERSON(S) COLLECTING SAMPLES WTP OPERATORS
CHECK BOX If ORC HAS CHANGED
Mail ORIGINAL and ONE COPY 4r
ATTN: CENTRAL FILES
DIVISION OF WATER OUALTTY
1917 MAIL SERVICE.•CEMTER
RALEIGH, NC 27899=15I7
Sempting Location, Etfluet Discharge #
001 MONTH Aprll YEAR 2018
CLASS 1 COUNTY CATAWBA
GRADE
P 3NE;RLE CHARCEE
BY THIS' SIGNATURE', I CERTIFY THAT THIS REPORT IB
ACCURATE AND COMPLETE TO THE. BEST OF MY KNOWLEDGE,
A

Facility Status: (Please cheek one of the following)
All monitoring data and sampling frequencies meetpermit requirements
(including weekly averages, if applicable)
All monitoring data and sampling finquencies, do NOT meet permit requirements
Noncompliant
The pin-mitt:cc shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permittec becomes aware
of the circumstances, A written submission shall also be provided within: 5 days of the time the perrnittee becomes aware ofthe
circumstances.
lithe facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made
as required by Part II E.6 of the NPDES permit
"I certify under pcn.alty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified ,personnel properly gather and evaluate the information sub.rnitted„
Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, time, accurate, and complete. I. am aware that
there are significant penalties for submitting false information, includingthe possible of fines and imprisonment far knowing
violations,"
Perinittee Address
P. O. Box 398, Hickory, NC 28603
Phone Number
[phone]
Kevin fl. Greer, PX.
Permitter (Please print or ty
e
-I 6
Signature of Permittee Date
(Required unless submitted electronically)
mail address
Permit Expiration .Date
April 30, 2020
ADDITIONAL CERBFIED LABORATORIES
Certified Laboratory (2) Pacc ibsJnc. Certification No. 40
Certified Laboratory (3) Pace Labs, Inc. Certification No. 9
Certified 'Laboratory (4) ETr EnvironmentalIne. Certification No. 022
Certified Laboratory (5) Hickory Water Treatment Lab Certification No, 5072
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733,5083 or by visiting the Surface Water Protection Section's
web site at h20enr,statemc„ushwqs and linking to the unit's information. pages.
Use only units of .measurement designated in the reporting facility's NPDES permit for reporting data.,
No Flow/Discharge from Site; Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
ORC On Site?: ORC 'must visit -facility and document visitation of facility as required per 15A NCAC 8G 0204.
Signature of Permittee: if signed by other than the .pernitttee„then the delegation of the signatory authority must be on file with the state per
15A NCAC 211 0506 (b) (2) (D),
Page .2

NPDES PERMIT NO. NC0044121 DISCHARGE NO, 001 MONTH March YEAR 2016
FACILITY NAME CITY OF HICKORY WTP CLASS 1 COUNTY CATAWBA
CERTIFIED LABORATORIES CITY OF HICKORY WTP LAB CERTIFICATION NO. 5072
(iist additional laboratories on the backside/page 2 of this focal)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Paul Herman GRADE 1 CERTIFICATION NO, 990458
PERSON(S) COLLECTING SAMPLES WTP OPERATORS
CHECK BOX IF ORC HAS CHANGED
Mall ORIGINAL and ONE COY to
ATTN.: CENTRAL FILES
DIVISION OF WATER QUALITY
I 617 MAIL SERVICE CENTER
RALEIGH, NC 276991617
Sampling Location: Effluent
(SIGNATURE OF OPERATOR IN RE SPONSeLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
Discharge 0_ 001
ORC PHONE ( 82 ) 323 - 7530
NO FLOWIOISCHARGE FROM SITE"
44— —
OATE
cs
1-4
C0600 C0530 C0665 01105 01045
E
TGP3B
0800
0024 '
1IISFI11
0,
0.
0, 7
0.494
' Y 0,673
0.599
0 0,592
.549
22
0820
6.7
6.8
ComposIte(C)/Grab(G), GR
GR GR GR GR OR GR GR GR GR GR GR
Month Avera-e
Akat 0,018
um; 0 792
040 , Mt Mum: 0.404
11,2 7,0 4280 6,4 13,0
12,5 7.1 <26.0 7.1 16,8 ,

Facility Satus: (Please check one ofthe 'following)
Alt monitoring data and sampling frequencies meet permit requirements
(including, weekly averages, if applicable)
All monitoring data and sampling frequencies do NOT meet perrntit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the pertnittee becomes aware
of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances,
If the facility is noncompliant, please attach a list ,of corrective ac
as required by Part II E.6 of the NPDES permit.
"I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.
Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, time, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possible of fines and imprisonment for knowing
violations."
d a time -table for improvements to be made
Kevin B. (ircer, Y.I.
Permittee (Please print or type)
Signature of Perrnittee* * * Date
(Required unless submitted electronically)
Permittee Address
P. O. Box 398, Hickory, NC 28603
Phone Number
[phone]
email address
Permit Expiration Date
April 30, 2020
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Pace ,abs, Inc.
Certified Laboratory (3) Pace Labs, Inc.
Certified Laboratory (4) North East WWTP Lab
Certified Laboratory (5) Hickory Water "Treatment Lab
PARAMETER CODES
Certification. No. 40
Certification No.
9
Certification No.. 203
Certification No. 5072
Parameter Code assistance may he obtained by calling the NPDES Unit at [phone] or by visiting the Surface Water Protection Section's
web site at h20.enr.state.ne us/wqs and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's 'NPDES permit for reporting data.
*a*
No Flow/Discharge from Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the
parauneters on the DMR for the entire monitoring period.
ORC On Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G 0204.
Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per
15A NCAC 213 050fi (b) (2) (D).
Page 2

NPDES PERMIT NO, NC0044121 DISCHARGE NO 001 MONTH February YEAR 2016
FACILITY NAME elfYOF "HICKORY WTP CLASS 1 COUNTY 5ATA A
CERTIFIED LABORATORIES (1) CITY OF 14ICKORY WTP LAB
(iist additional laboratories on the baoksidelpage 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Pau Herman
PERSONS) COLLECTING SAMPLES WTP OPERATORS
CHECK BOX IF ORO HAS CHANGED
Lich ORIGINAL Foul ONE C,OPY
ATTN: CENTRAL FILES
DIVISION OF WATER QUALM
1817 MAIL SERVICE CENTER
RAL EIGH, NC 278994617
Sampling Location',
I
(s wuru E OFOPMT'OR tN N tBs_C
BY THIS SIGNATURE, CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST Of MY KNOWLEDGE
CERTIFICATION NO.
5072
, —
GRADE 1 CERTIFICATION NO « 990458
Discharge001
'OWN m .c1
0 43.5
0,452
0.561
0,759
0 662
0,723
0 559
1I 0 634
1 0,359
0,532
1 0,433
1, 0,777
1 0.813
0.624
1 0645
I 0,474
1
0,674
Com °site C lGra G
Month Aver.eLImit
Oat Maxl MAIM:
otthI A • % 6
0,487
0173
0,595
0110
0 641
0,973
008
00400
<28 0
<28 0
<28.0 4,10
<28 0 4,50
<28,0 3,70
ORC PHONE [phone]
NO FLOW/DISCHARGE FROM SITE*
102
15,0
6.3
01045
'1- I
CATE
01042 01055

there are significant penalties for su
irIaticvns."
Address
398, Hicko
NC 28603
The perrnittce sha
health or the environ
of the circunastances, a
circumstances.
Facility Stags, (Please check one of following)
Atl' araonit(aring data and
sru
tg wee
to .t permit requirements
ptalic bee)
do NOT meet
p'
nit requi:
the appropriate Regional Office any noncontpliance
f be provided orally within 24 hours from the tam,
shall also he provided within 5 days of the time the pea anittee
public
aware
fthe
II"the facility is noncompliant, please at't tch a list of corrective tions being taken and a time -table fiar irttprov-ements to he made
as required by Part hl E.6 of the NPDES permit,
l certify under .penalty of law, that this 'ierrcnt vv re prepared under my direction or superv=ision ixt
accordance with a system. designed to as sure that qualified personnel properly gather and evaluate the information submitted.
Based on my inquiry of the person or persons who rtranaged the system, or those persons directly responsible for gathering the
itatiarttration, the information submitted is, to the hest of rnv knowledge and belief, time, accurate, and complete, l ani aware that
e information„ including the possible, of tines and imprisonment for knowing
(828')2-7427
Kevin 13
Perrnille
ce:
('Please print or type)
e of Per
3
ate
(Required carless submitted electranicttl
CUM il' address
y)
Permit 'Expiration Bate
April 30, 2015
tsd 1.*trboratory (2) Pace:
fled Laboratory (3
icd Laboratory (4) North last !vL
tied Laboratory (5) Bide J e La
ssasta
ustwgs an
NAL CI";
PARAMETER CODES
ATORIES
NPDES Unn at [phone] or by vas
intOrm31km pages.
No.
atiott No.
ification No.
cation No.
40
9
ctflln's
onli, unitseatn
No Flow/Disc
parameters on
ORC On Site?: ()RC must v
•'•• Signature ofPermittcc: if signed by
15A NCAC 2B 0506 (b) (2) (D),
t designated in the repur
Check this box if no diteh
aconite period.
.and document
than the p' ern
o data to be tittered for all of the
A NCAC $C, 0204,
ry authority must be on f Ve with the state per

NPDES PERMIT NO NC0044121 DISCHARGE NO. 001 MONTH
FACILITY NAME CITY OF HICKORY WTP CLASS 1
CERTIFIED LABORATORIES CITY OF HICKORY WTP LAB
(list additional lanoratorias on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (OKI Paul Herman
PERSON(S) COLLECTING SAMPLES WTP OPERATORS
CHECK BOX IF ORC HAS CHANG
Mut! ORIGINAL arm ONE DOPY al;
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1817 MAIL SERVICE CENTER
RALEIGH, NC 27899,1817
Sampling Locetloo.
19 0740
'**,,,wo, rt.
0500
0600
o'16
,January YEAR 2016
COUNTY CATAWBA
CERTIFICATION NO, 5072
GRADE 1 CERTIFICATION NO 0458
,NATURE OF GPEFIATOR IN REEPONSIE LE CHARGE
BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS
ACCURATE AlD COMPLETE TO THE BEST OF MY KNOWLEDGE
Discharge # 001
0 531
1 0560
0.550
L698 10.2 68 ZS 0
0 570
1 0,768
0 605
i 0,450
0,639
0,427
0,912
OE750
0872 8,3
0,613
0.545
0,707
0.755
0521
Com C) 13(G), GR
t:
y 1.040
Oltity 1101'11011W*. 0,427
Avg % Removal (85%),
A
10,
53
7,0 — <28,0
<28 0
6.8
c28,0
6,5
0,20.
ORC PHONE ( 826)323 - 7530
HO FLOW/OISCHARGE FROM SITE*
ct-tc.
DATE
1105 1 01045
1650 601. 182
1
2
L

ity Status: (Please check one of the following)
darta arxd sampling firquencies meet permit requirements
yiraelttding weekly averages, if applicable)
Ali monitoring data and sampling frequencies do NOT meet permtit requi
The permittee shall report' to the Director or the appropriate Regional Office any noncompliance that potentially threatens public,
health. or the environment. Any inforrrtation shall be provided orally within 24 hours from the time the permittre becomes aware
of the circumstances, A written submission shall also be provided within 5 days of the time the permitter becomes aware of the
circumstances.
If the facility is nmptiani, please attach a list ofcorrecti'actions hr ing taken and a le for improvements tea be made
as required by Part: II E.6 of the l*tPDES permit.
"I certify' under penalty of law, that this document and all. attach trtents were prepared under my direction or supervision in
aceordanoe with a system designed to assure that qualified personnel properly gather and evaluate the information submitted,
Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, time, accurate, and complete. I am aware that
there are significant penalties for submitting false information., including the possible of fines and imprisonment for knowing
violations."
Permit -tee Addrem
P. O. Box 398, 'hickory, NC 28603
Phone Number
[phone]
ase print or type)
Date
(Required unless submitted electronically)
email address
ermit arpir tion
April 30, 2015
Certified Laborato
A!)DITI()NAI., C EICIAFII?1)
Pace Labs, Inc.
Certified Laboratory (3') Pace Labs Inc,
Certified Laboratory (4) North East WWII) i.,ab ......__
Certified Laboratory (5) Blue Ridge Labs, Inc.
Parameter Code assistance ma
PARAMETER CODES
Certification No. 40
Certification No. 9
Certification No. 203
Certification No. 275
anted by codling theNPDES Unit at [phone] or by vt
t h20.enr.state.nc.usiwgs and linking to the uni1's information pages,
n ition's
Use only
tt
* No I tow(Discharge from Site: t
parameters oti'the Dlflt 'fear tine a
•" ()RC On Site?: ORC must visit f
*'`* Signature of Pennittee: If signed by
15A NCAC 2B 050 (b) (2) (fl),
the reporting facility's NPDES permit for reporting data,
his box. if`tirr ttis
enitoring pert
d document vis
ban the perminee,
and, as a result, there are no data' to he entered for .all of the
.acility as r+
he delegati
mired pet 15A NCAC KG 0204.
r o°f the signatory authority must be on file with the state per
Page

CKORY
iVKINVe
North Carolina
Public Utilities
February 11, 2016
ATTN: Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Noncompliance Notification for Violation o
City of Hickory WTP (NPDES NC0044121
Dear Sir or Madam:
City of Hickory
PO Box 398
Hickory, NC 28603
Phone: [phone]
Fax: [phone]
Email: u,. , t;; a1:11c:
aximum Daily Limit of TSS
The purpose of this correspondence is to inform you that the City of Hickory WTP
(Permit # NC0044121) was noncompliant for Total Suspended Solids for the month
January with a 51.0 mg/L test result on January 19"'
The Treatment Plant staff collected samples at 7:40 am on January 19th for this
compliance sample. From this sample all tests were analyzed including metals, toxicity,
turbidity, temperature, pH, and TSS. All testing, including turbidity at a 1.4 NTU, were in
the allowable range. Toxicity passed with a 0% mortality rate. At this time we feel this
violation may be an error due for unknown reasons reviewing all of the other test results.
To remedy this situation, we are closely monitoring all test results and reviewing
sampling and testing methods.
Thank you in advance for your cooperation and understanding. Should you have any
questions or additional concerns, please do not hesitate contacting me via email or at (828)
459-1092,
M. Shawn Pennell
Utilities Environmental Manager
PC: Mr, Kevin B. Greer, P.E., City of Hickory
Mr. Rick Stine, ORC, City of Hickory

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Date: 01/25/16
Facility: CITY OF HICKORY WTP NPDES#: NC0044121 Pipe#: 001 County: CATAWBA
Lab tory Performing Tet: PACE ANALYTICAL
X ep)LOP
gnature of perator"Tn Responsible Charge
Comments:
Signature of-L=boratry Supervisor * PASSED: 2.73% Reduction *
Work Order: 92283433
MAIL ORIGINAL TO:
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
18
29
31
28
30
30
24
29
27
28
29
27
Adult (L)ive (D)ead
Effluent %: 1.27%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
23
26
29
29
24
28
28
24
25
29
29
27
Adult (L)ive (D)ead
Chronic Test Results
Calculated t =
Tabular t =
% Reduction = 2.73
% Mortality
Avg.Reprod.
0.00
Control
27.50
Control
0.00
Treatment 2
26.75
Treatment
2
Control CV
12.739%
% control orgs
producing 3rd
brood
100%
PASS FAIL
X
Check One
pH
Control
Treatment 2
D.O.
Control
Treatment 2
1st sample 1st sample 2nd sample
7.68
7.82
7.66
7.94
s
t
a
r
t
1st sample
e
n
d
7.99
7.92
7.86
7.27
7.78
7.99
7.89
7.94
7.78
7.70
7.85
7.79
s s
t e t e
a n a n
✓ d r d
t t
1st sample 2nd sample
8.00
6.79
7.55
6.63
7.77
7.67
6.98
6.49
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates
Complete This For Either Test
Test Start Date: 01/20/16
Collection (Start) Date
Sample 1: 01/19/16 Sample 2: 01/21/16
Sample Type/Duration 2nd
1st P/F
Grab Comp. Duration D
I S S
Sample 1 X hrs L A A
LT M M
Sample 2 X hrs T P P
Hardness(mg/1)
spec. Cond.(µmhos)
Chlorine(mg/1)
Sample temp. at receipt(°C)
48
279
90.1
201.5
<0.1
<0.1
0.9
1.8
%
%
%
%
%
%
%
%
t
%
%
%
%
%
%
%
%.
%
%
%
Concentration
Mortality
LC50 =
95% Confidence Limits
Method of Determination
Moving Average Probit
Spearman Karber - Other
start/end
Note: Please
Complete This
Section Also
start/end
Control
pH
Organism Tested: Ceriodaphnia dubia
Duration(hrs):
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
High
Conc.
D.O.