NC0020559_Pretreatment Annual Report_20220201

CITY OF HENDERSON
Water Reclamation Facility
Post Office Box 1434
Henderson, North Carolina 27536-1434
Phone: [phone] FAX: [phone]
Shipping Address-1646 West Andrews Avenue, Henderson NC 27537
February 1st, 2022
ELECTRONICALLY SUBMITTED
Mr. Keyes Mcgee
NCDEQ- Pretreatment
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: The 2021 Pretreatment Annual Report (PAR)
City of Henderson
Water Reclamation Facility
NC0020559
Dear Mr. Mcgee:
Submitted as an attached document by email, please find the Pretreatment Annual Report
(PAR period: January 1 through June 30, and July 1 through December 31, 2021) due
March 1, 2022.
If you have questions or need additional information please contact me at 252-431-6085
or Christy Lipscomb at 252-431-6081.
Sincerely,
Darrel Johri on
Pre-treatment Coordinator
C: Christy Lipscomb, WRF Director

City of Henderson 2021 PAR
1. Narrative

City of Henderson 2021 PAR
2021 PAR Narrative
GENERAL INFORMATION:
GENERAL PROGRAM INFORMATION:
• Change Clarissa (Christy) Lipscomb from Interim Director to Director
• All other dates and information on the Division's Pretreatment Program Information Sheet are
correct.
• A copy of our Program Info sheet is enclosed.
GENERAL PERMIT INFORMATION:
• No permits lapsed or expired prior to renewal
SIU INFORMATION:
Mars Petcare (IUP # 0011, Pet Foods)
SNC and other INFORMATION:
SIU was not in SNC this PAR Year.
Please note on the IDSF form that: Arsenic, Cadmium, Chromium, Lead, Mercury, Nickel, Selenium,
Silver, Molybdenum and Ammonia were listed as not required for the 1st 6 month period because
our LTMP annual monitoring requirements for these parameters were met in the 2°d 6 month period.
Cyanide is not required on our LTMP.

Pretreatment Program Info Database
for Program Name Henderson
WWTP Name Henderson Water Reclamation Facility
Program Approval Date
Pretreatment Status
Region
County
NPDES Number
NPDES Effective Date
NPDES Expire Date
POTW is Primary WWTP
Design Flow mgd
WWTP SIU's
WWTP CIU's
date Inactive
0
10/21/1983
Full
RRO
Vance
NC0020559
08/01/2019
03/31/2023
TRUE
4.1400
Program Sills
Program ClUs
•
Last PAR Rec 02/10/2021
Current Fiscal 08/24/2021
Year PCI Done
Last Audit on 05/24/2017
printed on: 1/18/2022
+11> IWC % at 7Q10 96.97
ow cfs / mgd 0.2 / 0.13
1Q10 Flow cfs / mgd 0.17 / 0.11
Stream Classification C
Basin Number ROA06
Receiving Stream Name NUTBUSH CREEK
% Design mgd is SIU permitted
04/01 /2022
03/23/2017 12/11/2019
06/15/2017 02/14/2020
1
0
Date Next Due
Date Received by DWR
Date Approved
Adopt Date Required
Date Adopted
1.81
PAR Due Date 03/01/2022
Audit Year Next21/22
Permitted SIU flow (mgd) [Pt_SIU)
IWS
04/30/2022
05/01/2017 11/09/2012 01/24/2020
06/14/2017 11/19/2012 02/13/2020
mercury
1631
required
yes
.075
SUO
05/13/2013
Info in this Box from Pt Contacts
PT_Pro
g.Prime
Formal Name
Phonel
ext
Fax
Date Date Date
Attended Attended Attended
HWA Wksp IUP Wksp PAR Wksp
Ms. Christy Lipscomb
11(252) 431-6081 I 1(252) 492-3324 II
son.nc.gov
ClarissaliDscome(5 hender
Intefi+nrDirector WRF
PO Box 1434
27536
Mr. Darrel Johnson
(Prim 11(252) 431-6085
DarreIJohnsonPhenderson.nc.eov
1252-492-3324 II 1/24/2017 1 4/18/2012 I 2/5/2013
Pretreatment Coordinator
PO Box 1434
27536
1.
Pretreatment Related NOVs from DWQ
7-1-1996
6/29/1999
4/13/2000
6/12/96 pci-no inspections
Central Office did PAR review
tox pretreatment sampling and enforcement
l
DWR Central Office Contact
DWR Regional Contact
McGee & Miller
Cheng Zhang

City of Henderson 2021 PAR
2. Pretreatment program
Summary (PPS)

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1. Pretreatment Town Name: City of Henderson WRF
2. "Primary" NPDES Number NCO() 20559
or Non Discharge Permit # if applicable =>
3. PAR Begin Date, please enter 01 /01 /yyyy
4. PAR End Date, please enter 12/31/yyyy
5. Total number of SIUs, includes CIUs
6. Number of CIUs
7. Number of SIUs with no IUP, or with an expired IUP
8. Number of SIUs not inspected by POTW
9. Number of SIUs not sampled by POTW
10. Number of SIUs in SNC due to IUP Limit violations
11. Number of SIUs in SNC due to Reporting violations
12. Number of SIUs in SNC due to violation of a Compliance Schedule, CO, AO or similar
13. Number of CIUs in SNC
14. Number of SIUs included in Public Notice
15 Total number of SIUs on a compliance schedule, CO, AO or similar
16. Number of NOVs, NNCs or similar assesed to SIUs
17. Number of Civil Penalties assessed to SIUs
18. Number of Criminal Penalties assessed to SIUs
19. Total Amount of Civil Penalties Collected
20. Number of IUs from which penalties collected
19. =>
3. => 1/1/2021
4. => 12/31/2021
5. => 1
6. => 0
7. => 0
8. => 0
9. => 0
10. => 0
11. => 0
12. => 0
13. => 0
14. => 0
15. => 0
16. => 0
17. => 0
18. => 0
$ $0.00
20. => 0
Foot Notes:
AO
CIU
CO
IU
Administrative Order
Categorical Industrial User
Consent Order
Industrial User
IUP Industrial User Pretreatment Permit
NNC Notice of Non -Compliance
NOV Notice of Violation
PAR Pretreatment Annual Report
POTW Publicly Owned Treatment W
SIU Significant Industrial User
SNC Significant Non -Compliance
orks
revised 1/2018: PAR PPS 2018

City of Henderson 2021 PAR
3. Significant Non -
Compliance Report
(SNCR)

WWTP = Wastewater Treatment Plant, use separate form for each WWTP
NPDES # => NC 0020559
SIU = Significant Industrial User
SNC = Significant Non -Compliance
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City of Henderson 2021 PAR
4. Industrial Data
Summary Form (IDSF)

PAR Guidance File name: PAR IDSF.xls Re
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City of Henderson 2021 PAR
5. Allocation Table

0
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Allocation Table
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Permits last modified:
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Permit Limits
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Permit Limits
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Allocation Table updated:
Permits last modified:
Molybdenum
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INDUSTRY NAMES
(please list alphabeticly)
MARS PETCARE 1
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Allocation Table
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Allocation Table updated:
Permits last modified:
Permit L mits
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Permit Limits
Load
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Nickel
Permit Limits
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Allocation Table
to
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Headworks last approved:
Allocation Table updated:
Permits last modified:
Oil and Grease
Permit Limits
ca "d
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COD
Permit Limits
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City of Henderson 2021 PAR
6. Significant Industrial
User (SIU)
Compliance Schedules

City of Henderson 2021 PAR
None

City of Henderson 2021 PAR
7. Public Notice

City of Henderson 2021 PAR
None

City of Henderson 2021 PAR
8. Other Information

City of Henderson 2021 PAR
None