NC0020605_Pretreatment Annual Report_20220225

Town of Tarboro Public Works Dept.
Wastewater Treatment Division PO Box 220,Tarboro,NC 27886
Telephone[phone] www.tarboro-nc.com
February 17, 2022
Vivian Zhong RECEIVED
NCDWQ
Pretreatment Unit r EB 2 5 2022
1617 Mail Service Center
Raleigh,NC 27699-1617 NCDEQ/DWR/NPDES
Dear Ms. Thong:
I am enclosing two copies of our PAR. If you have any questions,please call me at 252-641-
4251 or email me at [e-mail].
Sincerely,
Kevin Peaden
Wastewater Treatment Plant Supervisor
MA/kw
C:File

Abh Town of Tarboro Public Works Dept.
if
Wastewater Treatment Division PO Box 220,Tarboro,NC 27886
Telephone[phone] www.tarboro-nc.com
Town of Tarboro(NPDES#NC0020605)
2021 PAR Narrative
General Information:
General Program Information:
The information on the historical SNC sheet and the
Pretreatment Program Info Database sheet are correct.
General Permit Information:
All SIU permits are current.
SW Information:
Johnson Controls (IUP#TOT-006)
Johnson Controls had 1 NOV for the month of April for
exceeding their TSS Limit. They were notified immediately
and quickly resolved the issue. They have modified their
cleaning processes to resolve and potential future issues.
they have since been well within their permit limits.
Mayo Knitting Mills (IUP#TOT-003)
Mayo Knitting Mills has had no NOV's for this reporting
year. The industry continues to strive to comply within their
permit limits.
Sara Lee Frozen Bakery(IUP#TOT-0010)
Sara Lee Frozen Bakery has had no NOV's for this reporting
year. This industry is very cooperative and forthcoming with
their operations and complying with their permit limits.

Pretreatment Program Info Database printed on: 1/18/2022
for Program Name Tarboro
WWTP Name Town of Tarboro Stream Information IWC%at 7Q10 7.92
Program Approval Date 09/09/1983 7Q10 Flow cfs/mgd 90 / 58.14
Pretreatment Status Full 1Q10 Flow cfs/mgd 73.52 / 47.51
Stream Classification C-NSW
Region RRO Basin Number TAR03
County Edgecombe Receiving Stream Name TAR RIVER J
NPDES Number NC0020605
NPDES Effective Date Last PAR Rec 02/01/2021 PAR Due Date 03/01/2022 mercury
08/01/2020 1631
NPDES Expire Date Current Fiscal 08/30/2021 required
P 09/30/2024 Year PCI Done
POTW is Primary WWTP TRUE Last Audit on 09/25/2019 Audit Year Next23/24 yes
II
Design Flow mgd 5.0000 %Design mgd is SIU permitted 12.80 Permitted SIU flow(mgd)[Pt SIU) .64
WWTP SIU's 3 Program SIUs 3
WWTP CIU's 1 Program Cl Us 1 HWA LIMP IWS SUO ERP
C
date Inactive Date Next Due 11/01/2023 11/01/2024
Date Received by DWR 05/02/2018 02/24/2016 03/27/2019 10/19/2012 01/02/2020
Date Approved 06/28/2018 03/04/2016 . 07/03/2019 10/22/2012 02/12/2020
Adopt Date Required
Date Adopted 09/10/2012
Info in this Box from Pt Contacts
Date Date Date
PT_Pro Attended Attended Attended
Formal Name g.Prime Phonel ext Fax HWA Wksp IUP Wksp PAR Wksp
Mr.Jason Nichols I II(252)641-4229 I I II I I I -
[e-mail] (Director of Public Works !PO Box 220 27886
Mr.Miles Galloway I II I I II I I I
[e-mail] Project Engineer 1301 West 14th Street 1127834
Mr.Will Larsen I II252.757.1096 J 1252.757.3221 II I I I
[e-mail] 301 West 14th Street 1127834
(Prim II252-641-4251 I I II I 12/5/2013
rnaAcn@tarboro_nc.com_- Supervisor,WWTP PO Box 220 27886
Mr" Ke,./n Pc-.:,.(e-=-t
Key+r11<adeh 0. 1 trtx:: itc:. L-I-bl7
Pretreatment Related NOVs from DWQ DWR Central Office Contact McGee&Miller
r
8/15/2008 PCI-implem stmp,stmp on DMRs. NOV-2008-PC DWR Regional Contact Cheng Zhang

Po.hist +
�►7 REPORT
Tarboro
2014 2015 2016 2017 2018 2019 2020
1st half 12nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half 12nd half 1st half I 2nd half 1st half I 2nd half
Johnson Controls PreviousNames: Air System Components
IUP# TOT-006 Pipe# 001 SIU Word Description: I
metals
IUP Status: IUP# TOT-006
TSS I I I I I IX
An'X'in a semi-annual period indicates snc for the period for the respective parameter.
This information is compiled from manysources,and has not been verified. PAGE 66
PRINTED ON: 12/7/2021 p
Contact the local pretreatment coordinator or state pretreatment staff if errors are noted.

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
i. Pretreatment Town Name: I,Jfl 1 1 ct k of p
2. "Primary"NPDES Number NCOO 2 O Cot?S
or Non Discharge Permit# if applicable=>
3. PAR Begin Date, please enter 01/0l/yyyy 3.=> D1]C t/21
4. PAR End Date, please enter 12/31/yyyy 4._> 1 a/31/a
5. Total number of SIUs, includes CIUs 5.=> 3
6. Number of CIUs 6.=>
7. Number of SIUs with no IUP,or with an expired IUP 7.=>
8. Number of SIUs not inspected by POTW 8.=> Q
9. Number of SIUs not sampled by POTW 9._> 0
10. Number of SIUs in SNC due to IUP Limit violations lo.=> 0
11. Number of SIUs in SNC due to Reporting violations 11.=> 0
12. Number of SIUs in SNC due to violation of a Compliance Schedule,CO,AO or similar 12._>
13. Number of CIUs in SNC 13.=> v
14. Number of SIUs included in Public Notice 14._> (�
15 Total number of SIUs on a compliance schedule, CO,AO or similar 15.=> 0
16. Number of NOVs,NNCs or similar assesed to SIUs 16.=> 1
17. Number of Civil Penalties assessed to SIUs 17.=> a
18. Number of Criminal Penalties assessed to SIUs 18.=>
19. Total Amount of Civil Penalties Collected 19._> $ 0
20. Number of IUs from which penalties collected 20.=> Q
Foot Notes: AO Administrative Order IUP Industrial User Pretreatment Permit POTW Publicly Owned Treatment Works
CIU Categorical Industrial User NNC Notice of Non-Compliance SLU Significant Industrial User
CO Consent Order NOV Notice of Violation SNC Significant Non-Compliance
IU Industrial User PAR Pretreatment Annual Report
revised 1/2018: PAR PPS 2018

Pretreatment Annual Report (PAR) PAR covers this calendar year=> 09 I
Significant Non-Compliance Report (SNCR) Control Authority=Program=Town Name =>1 j c, z;c:Ta.rhc.)r"
WWTP=Wastewater Treatment Plant, use separate form for each WWTP. WWTP Name =>--retriocro w W rP
SIU = Significant Industrial User NPDES # _> /)r. 00:20 oil
SNC = Significant Non-Compliance
A SNCR Form must be submitted with every PAR,please write "None" if you had No SIUs in SNC during calendar year
SNC ? (Yes/No )
IUP Pipe Industry Name Parameter for each 6-month period.
# # or "Reporting" Jan. - June July - Dec.
/ on
Attach a copy of the Division's "SIUs in SNC Historical Report" for your POTW's SIUs behind this page .
Is the database correct ? Notify the Division of any errors ! Database indicates SNC history for previous years.
EVERY SNC MUST be explained in the Narrative, How was, is, or will it be resolved?
REPEAT SNCs are serious matters that MUST be explained in the Narrative.
Form name: PAR,SNCR,2001
Date Revised: 1/4/2001

Pretreatment Annual Report (PAR) Control Authority, Industry .
Industrial Data Summary Form (IDSF) Town Name=> I oL,..)in GC ��,t-bed f�, Name 'try Lac. i-co . ' T,5
WWTP Name=>
Use separate forms for each industry/pipe rbv:�u ts)LUT't IUP# - — c.i
Enter BDL values as < (value) NPDES#=> NC �JD'Z oGv Pipe# ©i..) •
1st 6 months, dates=> 1-i.-Z j to L,-30-Z l
2nd 6 months, dates=> -Z_i -'L I to i 2.-. t-z.I
now, mga 13U1) -Ian -Ammonia
1st 6 months 2nd 6 months 1st 6 months -2nd 6 months 1st 6 months 2nd 6 months 1st 6 months Ind 6 months
Total#of samples=> (12 (.,, (,, La j,, Cu 6
* Maximum (mg/1)=> , ` .26j,ci 2 2 La. 11 Z Z?s / g l '7, `I t9 5
* or Maximum (lb/d)=> bi,I SZ, 0, I 'lb
* or 11 Average(mg/1)=> cl 7, Z L2'?, 13 j Zs:5 =;"L,, j , 0, Z
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, ri 7. v 7„ 0 2., U 7- 01. 07. /d n f /
%TRC violations, (SNC is>=33 %)_> o U 7- O7 C,�7 0'7 WSJ, (�1, Jt'' �"/
%violations,(chronic SNC is>=66%)_> i C 7. (,;7 . .1 9l/t NI A AIM ,� 1 fA A/i �j//1
%TRC violations,(SNC is>=33 %)_> 0 /- ()7 /v /t�l /V/ /t// /`�
Arsenic J Cadmium (Chromium- -CUD
1st 6 months 2nd 6-months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months it nd 6 months
Total#of samples=> (.v (�
* Maximum (mg/1)=> S-.1 a /0/'
* or Maximum (lb/d)=>
* or t., Average(mg/1)=> Li 6 3 Z 2-(;,
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, / l
%TRC violations,(SNC is>=33 %)_> Q /! ` A-
%violations,(chronic SNC is>=66%)_> $ AIM
A A)/,4
%TRC violations,(SNC is>=33 %)=> 2
Copper 'Cyanide Lead 'Mercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/1)=>
* or Maximum (lb/d)=>
* or Average(mg/1)=>
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,,
%TRC violations, (SNC is>=33 %)=> a
%violations,(chronic SNC is>=66%)=> i
%TRC violations,(SNC is>=33 %)=> i
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL,1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAFCRigiFekenkarifiaiddatehttpgArsi,lseb9fiTh B,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Pretreatment Annual Report (PAR) Industry Name 5ck,rek i_ 1 -(:Zr:-, ,-z-)
Industrial Data Summary Form (IDSF) RIP# "—an— c 1 t.,
Use separate forms for each industry/pipe Pipe# I^,0 1
1N icKe1 15elenium - 11ver -L1te
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months I2nd 6 months
Total#of samples=>
* Maximum (mg/I)_>
* or Maximum (lb/d)=>
* or Average(mg/1)=>
* or Average Loading(lb/d)_> ,
%violations, (chronic SNC is>=66%)_> ,,
%TRC violations,(SNC is>=33 %)_> o
%violations,(chronic SNC is>=66%)_>
%TRC violations, (SNC is>=33 %)_> 2
'H.
st 6 months -2nd 6 months 1st 6 months 2nd 6 months [1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> (o Lo
* Maximum => ?,5 1.5
* or Minimum=> '7, 10 l9
*
*
%violations,(chronic SNC is>=66%)_> ,, 0'2, o 7.
%TRC violations,(SNC is>=33 %)_> a N/A
%violations,(chronic SNC is>=66%)_> $ N/A
%TRC violations, (SNC is>=33%)_> N/A
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/1)_>
* or Maximum (lb/d)_>
* or Average(mg/1)_>
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> ,,
%TRC violations,(SNC is>=33 %)_> o .
%violations,(chronic SNC is>=66%)_> .c
%TRC violations,(SNC is>=33 %)_>
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit lb/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL, 1/2BDL,or zero valuesused. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAWba,:Pekin)iieviEiailddatChtap@ars,lsel b B,pages 12, 13,14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Pretreatment Annual Report (PAR) Control Authority, Industry .
Industrial Data Summary Form (IDSF) Town Name=> o1,,,,-, (;fr -1-tk rincrc.:. Name , 1, 'VI t (
Use separate forms for each industry/pipe WWTP Name=> --`axtoD,Li i 0 tz,-r- IUP# ;0
Enter BDL values as < (value) NPDES#_> iv a�e•L0f,c5 •
Pipe#
1st 6 months,dates=> 1-1-Z 1 to b-3 o-z I
2nd 6 months,dates=> -7-1-2_1 to 12-31 zi
r low, mga "um) I INN Ammonia
1st b months 2nd 6 months lst 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> (,r 4, (D 4, (J 1.., to L.,
* Maximum (mg/1)=> / )7,•?it 2.2-e,g44 eiLI i S 0 .5 q.
* or Maximum (lb/d)_>
* or tp Average(mg/I)=> 0, oO'i D, 00S.- la1,&Z 4 1. v1 4 3,3 •-52.`o:5 0,3 2. 13
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ,, 0 7 0 74 =+ 7 v Z. U 7.- 0 Z NIA A 4
%TRC violations,(SNC is>=33 %)_> c 07.• 0 7 0 7 0 7. 0 IA, E.) 74 / `
%violations,(chronic SNC is>=66%)_> E 07„ 0 7, 0 7 0 Z. 014 0 7. I1)//L �Ri}�
%TRC violations,(SNC is>=33 %)_> 07, o 7 07. c. 1, 0 7 D 7, D/ T rT
Arsenic Cadmium - Chromium CUD
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 Lv Co
* Maximum (mg/l)=> <, 67, ou; <0,001 0 .0473L f;' .GU-Z c5ZL. 4-1zLI
* or Maximum (lb/d)=>
* or (, Average(mg/I)=> <0 Uo i G, 7C \ 0 ,ou32- 0 , OOL-YZ ..- 30'1
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, ...1 A 0 2.. v 7,. i.> 2,, j� PA
%TRC violations,(SNC is>=33 %)_> a 0 7e- v a C...)7,. v `2, (
violations,(chronic SNC is>=66%)_> $ v 7„ 0 7. !>76 f 74 �� n 1 Vl!
%TRC violations,(SNC is>=33 %)_> i 01. 0 7. 07` 0 7. /
ii
Copper -Cyanide -Lead Mercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months ,1st 6 months 2nd 6 months
Total#of samples=> f I I I
* Maximum (mg/1)=> 0,00'7-f 0. yob i--J < 0.tJ0 < G, OC'5
* or Maximum (lb/d)=>
* or (p Average(mg/1)=> �, c ci14 d, ooL ii <U,Lw < ,. tom
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, 0 7, c.. ?„, 0 1 u ?..
%TRC violations,(SNC is>=33 %)=> A 0"7., e.) Z. 0 7 v 2
%violations,(chronic SNC is>=66%)_> i U 2, 0 7,, 0 70 t.i 7c
%TRC violations, (SNC is>=33 %)_> v 7, Li',i 0 7,, J 7,
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Ott.,or 6-month&if BDL,1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAIOIligiFeltlnliieeiEiarzidatChhpgus4,IseLila#,B,pages 12,13,14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Pretreatment Annual Report (PAR) Industry Name ill oit, 0 Vh 1 41 nc. rr►k 15
Industrial Data Summary Form (IDSF) RIP# B — vo-.
Use separate forms for each industry/pipe Pipe# C c) ) •
INIcKet - aelenium -Sliver IL1nc
1st 6 months '2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 I i I
* Maximum (mg/1)_> < 0,oIc 4O, ©1U 0. OtoI 0. 0(C)
* or Maximum (lb/d)=>
* or Average(mg/1)=> 01 v <L O , 010 0,D 61 o, UG
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, J?.> U 2, 0 7c., v
%TRC violations,(SNC is>=33 %)_> c U 74 o 4 0 2, U 2,
%violations,(chronic SNC is>=66%)=> S D 7,, c) 7, 0 7., v
%TRC violations,(SNC is>=33 %)_> U Z. e, 'fir 0 7` Q 7,
1H
st 6 months -2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months ,1st 6 months 2nd 6 months
Total#of samples=> W to
* Maximum => q,(,, 1,4
* or Minimum=> u,q i,,
*
*
0/0 violations,(chronic SNC is>=66%)_> t.Y7 C 2-
%TRC violations,(SNC is>=33 %)_> a N/A
%violations,(chronic SNC is>=66%)_> i N/A
%TRC violations,(SNC is>=33 %)_> N/A
1st 6 months 2nd 6 months , 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/I)=>
* or Maximum (lb/d)=>
* or Average(mg/1)_>
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_>
%TRC violations, (SNC is>=33 %)_> o
%violations,(chronic SNC is>=66%)_>
%TRC violations, (SNC is>=33 %)_> i
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit lb/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL,1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAIC494iFekis lareifiaiddatClttpgus9,lse B,pages 12, 13,14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Pretreatment Annual Report (PAR) Control Authority, Industr •
y
Industrial Data Summary Form (IDSF) Town Name=> � ,, c.� tcaSl4)(»L; Name i 1 1nn � ;� ,, . (5
Use separate forms for each industry/pipe WWTP Name=> c" ,rt,c 4., V :i.173' IUP# —_—
Enter BDL values as < (value) NPDES#=> /Je, p p 2. (.2o� Pipe# C p 2
1st 6 months, dates=> 1_‘-1.i to (Q-3a-.l
2nd 6 months, dates=> -7-1- Z 1 to ►2.-3 i -21
It IOW, mga IiUU I SS Ammonia
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> (,r 6 1 (0 (o
* Maximum (mg/I)=> (,i-2„ '-I 5►,ti S SS 'Z7 7 13,'4 Zy.3
* or Maximum (1b/d)_>
* or (a Average(mg/1)=> 0, 0'2.9 t ,6),-1$ Ll')o,t.;2 2c{'3 R 2. 1 Z. D i l 5,33 '4 , 1 i0,9
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> n 1/ n'I / n jO - /1 IA19/LI AVA1%TRC violations,(SNC is>=33 %)_> 81 / 1 V NA /(/ AIM- NIA /v l'f !�
%violations,(chronic SNC is>=66%)_> 0 2„ (7 'le. 0 7„ L,'2„ 11°;1, e'7,. ,/1 NIA
f/1
%TRC violations,(SNC is>=33 %)_> i 0 7, V 2.. o 7<. 4)-4 1'2, 024
I�/11 /"(11
Arsenic ` -Cadmium Chromium CUD
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> I 1 ( 1 149 Co
* Maximum (mg/I)=> <tiJ,vvi <0, 00) , <C,,,Uv`5 ` 0,00..)5" —75S 15Z
* or Maximum (1b/d)_>
* or l0 Average(mgI)=> < 0,00i <v. t)oI 40.ov,:,— 0,o05.- 7 i9 LI o4J
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> 1 )� ��r� N/A"' �17/�. A1/ NM
TRC violations, (SNC is>=33 %)_> c" /�I /v
%violations,(chronic SNC is>=66%)_> i D 7. 0-4, e7a o >. 07. G'7.
%TRC violations,(SNC is>=33 %)_> 0 P. 07, u`9c 07, C)2,, 02,
Copper -Cyanide Lead Mercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months '2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 I I I 1
* Maximum (mg/I)=> D, OI% o, 02- <0,ov 1 <C),t)01 �'D,6705- < U,0LJ
* or Maximum (lb/d)=>
* or Average(mg/1)=> 0,o Z Cv, VZ 2 < U, Qi)1 e 0,CO 1 < v,Do T <D,oo S
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> ^ /A A)/ y/ 4/4 kli4 /11/A
%TRC violations,(SNC is>=33 %)_> 2 ,v /� /V /
%violations,(chronic SNC is>=66%)_> $ o 2 0 7., C) 7, 0 ?c 0 7,. v ?_
%TRC violations,(SNC is>=33 %)_> u X c!7c c..,'7, 0 7G 0 7, 0 Z
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit lb/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL,I./2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAFCRiXtiFeksililenziOaiddatehtpgars9,1setiliS41 B,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of__

Pretreatment Annual Report (PAR) Industry Name
Industrial Data Summary Form (IDSF) IUP# mil, -- ('x:',� r `�
�-1 c�i— E0(4,
Use separate forms for each industry/pipe Pipe# 0 0 i -A- cc•Z
Nickel 7 Selenium Silver zinc
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months ''2nd 6 months
Total#of samples=> i t 1 i i /
* Maximum (mg/I)_> <G, r�10 <o,01 L� <0,uil ©,0f.,I D o
•
* ��,bU 'j
orJ Maximum (lb/d)_>1
* or , Average(mg/l)_> 4e, Div < 0:0I0 <U,vo5 (U,uae� 0 ,061 0 : 01
* or Average Loading(lb/d)=>
violations, (chronic SNC is>=66%)_> ,, ,� y�n
TRC violations, (SNC is>=33 %)_> o /v I� A N/A it)/ - AliA ilii/
%violations,(chronic SNC is>=66%)_> $ 0)r, rz, o•7` 0.2, O. 0'2
%TRC violations,(SNC is>=33 %)_> 07„ 1)77, O')` 0Z 07, t..)2,
pH
1st 6 months 2nd 6 months I1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> L W
* Maximum =>
-1.1 7. �
* or Minimum=>
1 (P, 'z
*
*
%violations,(chronic SNC is>=66%)_> ,, u7. 7,
%TRC violations, (SNC is>=33 %)_> Q N/A
%violations,(chronic SNC is>=66%)=> i N/A
%TRC violations, (SNC is>=33 %)_> i N/A
'1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months -2nd 6 months
Total#of samples=>
* Maximum (mg/1)=>
* or Maximum (lb/d)=>
*
or Average(mg/I)=>
* or Average Loading(1b/d)=>
%violations, (chronic SNC is>=66%)_> ,,
%TRC violations,(SNC is>=33 %)_> A
%violations,(chronic SNC is>=66%)_> i
%TRC violations,(SNC is>=33 %)_>
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit lb/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL,1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAR_dBt¢Feklmliimeifioiddatehkpton4,1get41bh B,pages 12,13,14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Page 1 of 3
Allocation Table Spreadsheet Instructions:
Headworks lest approved: 62e/2018 1)Applicable Values should be entered In the fbavy Bordered cells.Rest of worksheet is protected,password Is
Allocation Table updated: 10/1201/3 2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
Permits last modified: 11172017 3)HWA and AT worksheets In this workbook art linked.Pollutant Names MAHLe,Basis,and Uncontrollable load in
k this AT worksheet we automatically entered ton the HWA spreadsheet This Includes pollutant names in columns
AT through BK.
Forw'.Tarboro
mesas..NC0020605
FLOW BOD TSS Ammonia Arsenic
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits Permit limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Come. Load Conc. Load Conc. Load Cone. Load
Count ,pi..ussou.HI number numb« Industry Date Date Expires MGD al/de' man lbs/dav mg/I Ibs/da• mg/I Ibs/dav mg/I Ibs/da•
I Johnson Controls TDT0116 0001 a 0002 D cteark 6250uts _ 6242023 0.0400 40,000 900.00 300.24 300.00 100.0E
2 Sara Leo Frozen Bakery,LLC TOToot omit Bakery 1/12017 u/12o17 t2/312o2t 0.3000 300,000 600.00 1501.20 422.00 1055.84
3 Mayo Knitting Mill TOT003 0001 Testae. 1/12017 12012021 0.2500 250,000 350.00 729.75 300.00 625.50
4
5
6 k
7
8 l
9 - 4 K ,
10
Column Totals=> 0.5900 590,000 2531 1781 0 I 0.00001
Moms
Basis=> NPDES Design De a m lehbkm
MARL from HWA(lbs/day)_> NPDES Pcmtitcd Flow=> 5.0000 12510 10425 1043 0.1509
Uncontrollable Loading(Ibs/day)=> 1.9200 3539 3731 222.58 0.0480
Total Allowable for Industry(MAIL)(Ibe/day)_> 3.0800 8971 6694 819.92 0.102E
Total Permitted to Industry(Ibs/day)_> 0.5900 2531 1781 0.00 0.0000
MAIL left(Ibs/doy)_> 2.4900 6440 4913 819.92 0.1028
Percent Allow.Ind.(MAIL)still available(%)=> 80.8% 71.8% 73.4% 100.0% 100.0%
Percent MARL still available(%)» 49.8% 51.5% 47.1% 78.6% 68.2%
5 Percent MAHL(Ibe/dav)_> 02500 626 521 52.13 0.0075
HWA.AT

Page 2 of 3
a
Allocation Table
Headworks last approved: 8/282018
Allocation Table updated: 10/1/2018
Permits last modified: 11/72017
rorw.,Tarboro
naoeer.,NC0020605
Cadmium Chromium Copper Cyanide Lead Mercury Molybdenum Nickel
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Linuts Permit Limits
1UP INDUSTRY NAMES Permit Pipe Conc. Load Cone. Load Cone. Load Cone. Load Conc. Load Cone. Load Cone. Load Cone Load
Count rp rn weer number number mg/I lbs/day mg/I lbs/day mgI Ibs/dev m24/1 Ibs/dav mg/I lbs/day mg/I lbs/day mg/1 lbs/day mg/I lbs/day
1 Johnson Controls 107006 0001 6 0002 0.0700 0.0234 0.0200 0.0067° 1.2000 0.4003 0.6500 0.2168 0.0100 0.0033 0.2200 0.0734
2 Sera Lee Frozen Bakery,LLC T070ot 0001 , r
3 Mew Knitting Mill 101003 trot 0.0100 0.0209 0.8000 1.6680 0.3000 1.0425. 0.1000 0.2085 s 0.1500 0.3128
4
5 . s
s 6
7
8
9
10
Column Totals b 0.0442 1.6747 `1.4428 0.2168 r 0.2118. 0.000000 0.0000 0.3861
Sludaa A81MtlTF Nester Digester Sledge Sludge Digester
Basis-> GAing Inhibition Inhibition Inhibition Cling Steam Std Ceding Inhibition
MARL from HWA(lbs/day)rm 0.2570 9.1377 2.9725 0.6286 3,1396 0.0120 0.4672 1.4632
Uncontrollable Loading(lbs/day)-> 0.0080 0.1153 0.3891 0.0400 0.0512 0.004804 0.0801 0.0801
Total Allowable for Industry(MAIL)(lbs/day)_> 0.2490 9.0224 2.5833 0.5886 3.0884 0.007246 0.3871 1.3831
Total Permitted to biretta•(lbs/day)_> 0.0442 1.6747 1.4428 0.2168 0.2118 0.000000 0.0000 0.3861 I
MAIL left(lbs/day)r> 0.2048 7.3477 1.1405 0.3717 2.8766 0.007246 0.3871 0.9970 :.
Percent Allow.Ind.(MAIL)still available(%)=> 82.2% 81.4% 44.1% 63.2% 93.1% 100.0% 100.0% 72.1%
Percent MAHL still available(%)o> 79.7% 80.4 V. 38.4% 39.1% 91.6% 60.1% 82.9% 68.1%
5 Percent MAUL(lbs/day)_> 0.0128 0.4569 0.1486 0.0314 0.1570 0.000602 0.0234 0.0732
HWA.AT

Page 2 of 3
Allocation Table
Headworks last approved: e/2er201e
Allocation Table updated: 1nf VS01e
Permits last modified: 11/7R017
rorw.>Tarboro
ucoeee.>I C0020605
Selenium Silver Zinc Total Nitrogen Total Phos.
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Cone. Load Cone. Load Cone. Load Cone. Load
Count rww penosa.xes number number not/I lbs/dav mg/I Ibs/dav mall Ibs/dav mall b� / mall Ibs/dav
I Johnson Controls T01006 000t a 0002 0.2400 0.0801 0.6600 0.2202 S.
2 Sera Lee Frozen Bakery,LLC Talent 0061
3 Mayo Knitting Mill 1a7003 0001 ' 1.0000 2.0850
4
5
6
7
8 __
9
It) is
Column Totals=> 0.0000 0.0801 2.3052 0.00 0.001
Stodge agester Sludge
Basis=> ce l�Mr_ inhblane Citing Design Design
MAHL from HWA(lbs/day)=> 0.4111 0.8338 20.4482 1668.0000 333.6000
Uncontrollable Loading(lbs/day)=> 0,0801 0.0400 1.4604
Total Allowable for Industry(MAIL)(lbs/day)_> 0.3311 0.7957 18.9878 MVALUEI MVALUEI
Total Permitted to Industry(lbs/day)=> 0.0000 0.0801 2,3052 0.00 0.00
MAIL left(lbs/day)en 0.3311 0.7157 16.6826 MVALUEI MVALUEI
Percent Allow.Ind.(MAIL)still available(%)=> 100.0% 89.9% 87,9% MVALUEI MVALUEI
Percent MAHL still available(%)=> 80.5% 85.6% 81.6% MVALUEI MVALUEI
5 Percent MAHL(lbs/day)=> 0.0206 0,0418 1.0224 83.40 16,6800
HWA.AT