NC0020401_Pretreatment_Annual_Report_20230127

HICKORY
North Camllna
Life. Well Crafted.
City of Hickory
2022
Pretreatment Annual
Report
Prepared By:
Morgan C. Bowers
Pretreatment Coordinator

Narrative

11 CITY OF HICKORY 2022 PRETREATMENT ANNUAL REPORT
The Pretreatment Annual report submitted by the City of Hickory contains
information from January 1, 2022 — December 31, 2022. During this period, 14
industries were monitored.
JANUARY - J U N E 2022
• POTW monitoring for fourteen (14) industries occurred. Thirty-six
(36) monitoring events were conducted by the City of Hickory.
• Self -monitoring by thirteen (13) industries occurred. Eighty-three
(83) self -monitoring events were conducted.
• Two (2) industries were in SNC for limits violations for Zinc and
Chromium. One (1) industry was in SNC for failure to self -monitor.
• Ten (10) industries were sent forty-four (44) [self -monitoring data —
twenty-five (25); City of Hickory data — nineteen (19)] notices of
noncompliance with the Industrial Monitoring Program.
JULY - DECEMBER 2022
• POTW monitoring for fourteen (14) industries occurred. Forty (40)
monitoring events were conducted by the City of Hickory.
• Self -monitoring by fourteen (14) industries occurred. Seventy-four
(74) self -monitoring events were conducted.
• Zero (0) industries were in SNC.
• Eleven (11) industries were sent thirty-four (34) [self -monitoring
data — seventeen (17); City of Hickory data — seventeen (17)]
notices of noncompliance with the Industrial Monitoring Program.

Other Information:
A copy of the Division's Historical SNC Report has been included. Please
note the following corrections that are needed:
The following SIU's do not need to appear on the report because
they are not SNC during the listed years:
■ Catawba Valley Medical Center (IUP# 0003)
• Century Furniture (IUP# 0034)
• Hickory Dyeing & Winding (IUP#0008)
• Hickory Springs Manufacturing Co. (IUP# 0033)
■ Maple Springs Laundry, Inc. (IUP#0015)
• Maple Springs Laundry, Inc. #2 (IUP#0051)
■ Shurtape Technologies, LLC (IUP# 0022)
2. Ward Hosiery (IUP# 0027) was in SNC for a permit violation of
exceeding the TRC limit for Ammonia during the 2nd semi-annual
period of 2021.
A copy of the Division's Pretreatment Program Database has been
included for each WWTF with an active PT program. The following
corrections need to be made.
1. David Cox new phone number is [phone].
2. Henry Fork WWTP SIUs number should be changed to 9.
3. Both Henry Fork's and Northeast's Program SIUs number should
be changed to 14.
IDSF data listed as "not required" for a semi-annual period indicates that
the corresponding industry does not have permit requirements for said
parameter and that the monitoring for the other semi-annual period was
conducted to satisfy LTMP and/or MMP requirements only.
David Cox, the previous pretreatment coordinator, became the
Environmental Manager for the City of Hickory effective October of 2022.
Morgan Bowers assumed the role of Pretreatment Coordinator in October
2022.

Previous SNC Information:
Ward Hosiery (#0027) was in SNC for a permit violation of
exceeding the TRC limit for Ammonia during the 2nd semi-annual
period of 2021. See Additional Information for more information.
Pretreatment Program Element Updates:
• IWS is due on October 1, 2023. Initial mailings were sent on
January 20, 2023.
• Henry Fork (NC0040797) HWA is due on April 1, 2023. Sampling is
complete and data calculations are currently in progress.
• Northeast (NC0020401) HWA is due on August 1, 2023. Sampling
is complete and data calculations are currently in progress.
• Northeast IU permit renewal applications expire on July 7, 2024.
Renewal applications will be sent to IU's in July 2023.

Additional Information:
2021:
Ward Hosiery #0027
Ward Hosiery was in SNC for a permit violation of exceeding the
TRC limit for Ammonia during the 2nd semi-annual period of 2021
An NOV was sent on January 4th, 2022 and collection of the civil
penalty was received on January 24th, 2022.
2022:
Frye Regional Medical Center #0007
• Frye Regional Medical Center was in SNC for exceeding the Zinc
permit limit during the first semi-annual period. The SIU was
contacted by phone and e-mail to be made aware of the violation.
An NOV was sent on July 15th, 2022 with a civil penalty of $100.00.
• Frye Regional Medical Center responded to the SNC on August 3,
2022. Civil penalty was collected on August 6, 2022.
Documentation is included below.
• On January 18th, 2023, Frye Regional Medical Center was listed
during public notice in the area newspaper for the January — June
2022 period.
• Frye Regional Medical Center IUP# 0007 contains the following
relevant limitations:
Parameter Limitation
Zinc 0.55 mg/L
• City of Hickory and self -monitoring reports for the 1 st semi-annual
period of 2022 revealed the following results:
Date
Zinc Result (mq/L)
1 /6/22
1.450
2/4122
0.543
2/15/22
0.520
2116/22
0.900
2/17/22
0,810
4/7/22
0.400
5/10/22
0.570
5/11/22
0.570

5/12/22 0.640
5/13/22 1.500
The Sock Factory, Inc. #0017
• The Sock Factory, Inc. was in SNC for exceeding the Chromium
permit limit in the first semi-annual period. The SIU was contacted
by phone and e-mail to be notified of the violation. An NOV was
sent on July 15tn, 2022 with a $100.00 civil penalty.
• The Sock Factory, Inc. submitted a letter of response to the SNC
on August 11, 2022. The civil penalty was collected on August 4tn
2022.
• On January 18'n, 2023, The Sock Factory, Inc. was listed during
public notice in the area newspaper for the January — June 2022
period.
• The Sock Factory, Inc. IUP#: 0017 contains the following relevant
limitations:
Parameter
Chromium
Limitation
0.15 mg/L
• City of Hickory and self -monitoring reports for the 1st semi-annual
period of 2022 revealed the following results:
Date
Chromium Result (mg/LA
1119/22
0.0903
3129/22
0.1990
4/21 /22
0.0240
4/27122
0.0829
5/19/22
4.7400
6/14/22
0.3300
6/15122
0.6270
6/24/22
0.0132
6/28122
0.1730
6/29/22
0.0154
6/29/22
0.2450
6/30122
0.1090
6/30/22
0.4510

Gusmer Enterprises, Inc. #0052
• Gusmer Enterprises, Inc. was in SNC for not completing self -
monitoring during the first semi-annual period. The SIU was
contacted by phone and e-mail to be made aware of the violation.
An NOV was sent on July 15th, 2022 with a civil penalty of $100.00.
• Gusmer Enterprises, Inc. responded to the SNC violation on August
12th, 2022. The civil penalty was collected on August 10t', 2022.
• Gusmer Enterprises, Inc. completed six self -monitoring events in
the second semi-annual period (three more than required) to make-
up for the three missed events in the first semi-annual period.
• On January 18th, 2023, Gusmer Enterprises, Inc. was listed during
public notice in the area newspaper for the January — June 2022
period.
• Gusmer Enterprises, Inc. IUP# 0052 contains the following relevant
requirements along with the self -monitoring report frequency:
Monitoring Frequency Required by Industry Times Self Monitored
3 times per 6 months 0

Pretreatment Program Information

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1.
Pretreatment Town Name: City of Hickory
2.
"Primary" NPDES Number NCO020401
or Non -Discharge Permit # if applicable =>
3.
PAR Begin Date, please enter 01/01/yyyy
3. =>
1/1/2022
4.
PAR End Date, please enter 12/31/yyyy
4. =>
12/31/2022
5.
Total number of SIUs, includes CIUs
5. =>
14
6.
Number of CIUs
6. =>
0
7.
Number of SIUs with no IUP, or with an expired IUP
7. =>
0
8.
Number of SIUs not inspected by POTW
S. =>
0
9.
Number of SIUs not sampled by POTW
9. =>
0
lo.
Number of SIUs in SNC due to IUP Limit violations
10. =>
2
11.
Number of SIUs in SNC due to Reporting violations
11. =>
1
12.
Number of SIUs in SNC due to Violation of a Compliance Schedule, CO, AO or similar
12. =>
0
13.
Number of CIUs in SNC
13. =>
0
14.
Number of SIUs included in Public Notice
14. =>
3
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. =>
83
17.
Number of Civil Penalties assessed to SIUs
17. =>
4
18.
Number of Criminal Penalties assessed to SIUs
18. =>
0
19.
Total Amount of Civil Penalties Collected 19. =>
$
400
20.
Number of IUs from which penalties collected
20. =>
4
POTW Publicly Owned Treatment Works
Notes:
AO Administrative Order IUP Industrial User Pretreatment Permit
CIU Categorical Industrial User NNC Notice of Non -Compliance SIU
Significant
Industrial User
CO Consent Order NOV Notice of Violation SNC
Significant
Non -Compliance
IU Industrial User PAR Pretreatment Annual Report
revised 112018: PAR_PPS_2018

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'P'xotroo.twoutPrQg aw. bilfw w0fbase printedon: 1/19/2023
for Program Name Hickory Stream► liifo�m�fion' IWc % at 7Q10 13.40
WWTP Name Northeast 60 / 38.76
Program Approval Date 01/01/1985 7UTOTFow cfs / mgd
g pp 1Q10 Flow cfs / mgd 49.15 / 31.77
Pretreatment Status Full Stream Classification WS-V & B
Region MRO Basin Number CTB32
County Catawba
l Receiving Stream Name CATAWBA RIVER
NPDES Number NCO020401
Last PAR Rec 01/31/2022
PAR Due Date03/01/2023 mercury
NPDES Effective Date 07/01/2021
Current Fiscal 12/14/2021
1631
required
NPDES Expire Date 04/30/2026
Year PCI Done
es
POTW is Primary WWTP TRUE
Last Audit on 07/12/2018
Audit Year Nex122/23
SIU)
Design Flow mgd 6.0000 % Design
mgd is SIU permitted
F 6.12
Permitted SIU flow (mgd) [Pt .367
WWTP SIU's
WWTP CIU's
5 Program SIUs 13
0 Program CIUsP F
—;=
FiY� LTMP
'
IWS- SUO n
date Inactive Date Next Due
08/01/2023
10/01/2023 J �_
-JI
Date Received by DWR
07/30/2018 06/01/2018 1 7
09/04/2018 1 1 0 2 /2012 F 11/13/26
DateApprovedF
8/09/2018 06/07/2018
10/09/2018 10 /22/2012' 1 11/13/2019
Adopt Date Required
Date Adopted
�4/2012
DWR Central Office Contact Pretreatment Staff
DWR Regional Contact Fes Bell

Pi ettreat netnt P'ro ramp Jufp;-,atgtiase
printed on: 1 /19/2023
for Program Name Hickory
WWTP Name Henry Fork
Program Approval Date
01/01/1985
Pretreatment Status
Full
Region
MRO
m l{►foCmation IWC % at 7Q10 34.04
ow cfs / mgd 27 / 17.44
1Q10 Flow cfs / mgd 22.24 / 14.37
Stream Classification C
Basin Number CTB35
County Catawba
l Receiving Stream Name HENRY FORK RIVER J
NPDES Number NC0040797
NPDES Effective Date 09/01/2018
Last PAR Rec 01/31/2022
PAR Due Date03/01/2023
mercury
1831
NPDES Expire Date 07/31/2022
Current Fiscal
12/14/2021
Year PCI Done
required
es
POTW is Primary WWTP FALSE
Last Audit on 07/12/2018
Audit Year Nex122/23
Design Flow mgd 9.0000 % Design mgd is SIU permitted F1994
Permitted SIU flow (mgd) [Pt SIU) 1 795
WWTP SIU's
8
Program SIUs 13
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WWTP CIU's
Program CIUs�
,.)
t 2 Le`;i
date Inactive Date Next Due
04/01/2023
10/01/2023 !
Date Received by DWR j
06/27/2019
1:_07/01/2019 ]
09/04/2018 !, 09/20/2012 j
F1/13/2019
Date +Approved'
07/18/201
07/18/2019 710/09%201
j 10/22/2012
11/13/2019
Adopt Date Required
j
Date Adopted"
12I0 2
Info in this Box from Pt Contacts Date Date Date
PT Pro Attended Attended Attended
Formal Name ❑_Prime Phonel ext Fax HWA Wkso IIIP Wksn PAR Wksn
Mr. David Cox
1 11828-322-4821
828-322-4961
2/28/2013 1
1/18/2017
[e-mail]
Public Utilities Environmental Mgr.. 1310.
Cloninger Mill Road
8601
Mr. Shawn Pennell
1 11(828)
323-7427
[e-mail]
Public Utilities Director 1130
Box 398
8603
Ms. Morgan Bowers
jPrim
[phone]
[e-mail]
Pretreatment Coordinator
310 Cloninger Mill Road
8601
Pretreatment Related NOVs from DWQ
DWR Central Office Contact JPretreatment Staff
DWR Regional Contact Fes Bell

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C4SIAT4ROY COOPERDIONNE DELLI-GATTI
Secretary
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
December 20, 2021
Shawn Pennell
Public Utilities Director
City of Hickory
Post Office Box 398
Hickory, NC 28603
SUBJECT: Pretreatment Compliance Inspection
City of Hickory
NPDES Permit No. NCO020401
Catawba County
Dear Mr. Pennell:
\ Enclosed is a copy of the Pretreatment Compliance Inspection report for the inspection of the City of Hickory's approved
Industrial Pretreatment Program on December 14, 2021, by Mr. Wes Bell of this Office. Please advise the Pretreatment staff of
our findings by forwarding a copy of the enclosed report.
The report should be self-explanatory; however, should you have any questions concerning this report, please do not
hesitate to contact Mr. Bell at [phone] or via email at wes bellgncdenr. og_v.
Enclosure:
Inspection Report
l
Sincerely,
Oocu510ned by:
CAS 2142
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
A� Nonh Carolina DeperMem 16Emlronmenlel Quollly Who, lanI Weter Resources
\�`\'(�■% Moor<svAle 0.egknal Ot1ke610 Easl Cemer Avenuq Sulle]01 MoorcsWlk, Nonh Urollna 28115
m � I04b631699

NORTH CAROLINA DIVISION OF WATER RESOURCES
PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
BACKGROUND INFORMATION
1. Control Authority (POTW) Name: City of Hickory
2. Control Authority Representative(s): David Cox
3. Title(s): Pretreatment Coordinator
4. Last Inspection Date: 2/18/20 Inspection Type: N PCI ❑ Audit
5. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? N YES ❑ NO
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ YES N NO
Order Type, Number, Parameters: Are Milestone Dates Being Met? ❑ YES ❑ NO N NA
ICIS CODING
Main Program Permit Number MM/DD/YY
NCO020401 12/14/20
7. Current Number Of Significant Industrial Users SNs ?
13
8. Number of SNs With No NP, or With an Expired IUP
L
9. Number of S1Us Not Inspected By POTW in the Last Calendar Year?
0
10. Number of SIUs Not Sampled By POTW in the Last Calendar Year?
0
11. Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi -Annual Periods
0
12. Number of SIUs in SNC For Reporting During Either of the Last 2 Semi -Annual Periods
0
13. Number of SIUs in SNC with Pretreatment Schedule?
U
14. Number of SNs on Schedules?
0
15. Current Number Of Categorical Industrial Users CIUs)?
0
16. Number of CIUs in SNC?
0
POTW INTERVIEW
17. Since the Last PCI, has the POTW had any NPDES Limits Violations?
If Yes, What are the Parameters and How are these Problems Being Addressed?
18. Since the Last PCI, has the POTW had any Problems Related to an Industrial
Discharge (Interference, Pass -Through, Blockage, Citizens' Complaints, Increased
Sludge Production, Etc.)?
If Yes, How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during SNC for
either of the Last 2 Semi -Annual Periods? Not Been Published for SNC for
Public Notice?(May refer to PAR if Excessive SNs in SNC) Not Pul
20. Which Industries are on Compliance Schedules or Orders? For all SIUs on an
Order, Has a Signed Copy of the Order been sent to the Division?
21. Are Any Permits Or Civil Penalties Currently Under Adjudication? If Yes, Which
Ones?
N YES ❑ NO; Northeast
W WTP — monthly average
ammonia violation — April 2021.
❑ YES N NO
Limits: None
Reporting: None
blished: N/A
N/A
❑ YES ONO
LTMP/STMP FILE REVIEW:
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? N YES ❑ NO
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? N YES [:]NO
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? N YES ❑ NO Is Table Adequate? N YES ❑ NO
25. All LTMP/STMP effluent data reported on Discharge Monitoring Report? N YES ❑ NO
26. If NO to 23 - 26, list violations:
27. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑ YES N NO
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 1

28. PRETREATMENT PROGRAM ELEMENTS REVIEW
Program Element
Northeast W WTP (NC0020401)
Last Submittal Received
Date In file?
Last Approval
Date In file
Date Next Due,
If Applicable
Headworks Analysis (HWA)
7/30/18
® Yes ❑ No
8/9/18
® Yes ❑ No
8/1/23
Industrial Waste Suvve WS
9/4/18
® Yes ❑ No
10/9/18
® Yes ❑ No
1011/23
Sewer Use Ordinance (SUO)
9/20/12
® Yes ❑ No
10/22/12
® Yes ❑ No
Enforcement Response Plan ERP
8/16/1
0® Yes ❑ No
11/13/19
® Yes ❑ No
Long Term Monitoring Plan (LTMP)
6/1/18
® Yes ❑ No
6/7118
® Yes ❑ No
Program Element
Henry Fork W WTP (NC0040797)
Last Submittal Received
Date In file?
Last Approval
Date In file
Date Next Due,
If Applicable
Headworks Analysis WA
6/27/19
® Yes ❑ No
7/18/19
® Yes ❑ No
4/1/23
Industrial Waste Survey IWS
9/4/18
® Yes ❑ No
10/9/18
® Yes ❑ No
10/1/23
Sewer Use Ordinance (SUO)
9/20/12
® Yes ❑ No
10/22/12
® Yes ❑ No
Enforcement Response Plan (ERP)
8/16/19
® Yes ❑ No
11/13/19
® Yes ❑ No
Long Term Monitoring Plan (LTMP)
7/1/19
® Yes ❑ No
7/18/19
® Yes ❑ No
INDUSTRIAL USER PERMIT IUP FILE REVIEW
29. User Name
1. Catawba Valley Medical Center
2. Hickory Dyeing & Winding
3. Veolia Water NA
30. IUP Number
0003
0008
0050
31. Does File Contain Current Permit?
®Yes ❑ No
®Yes
❑ No
®Yes ❑ No
32. Permit Expiration Date
7/7/26
7/7/24
2/28/26
33. Categorical Standard Applied I.E. 40 CFR, Etc. Or N/A
460
410
N/A
4. Does File Contain Permit Application Completed Within One Year Prior
® Yes ❑ No
® Yes ❑ No
® Yes ❑ No
_ to Permit Issue Date?
35. Does File Contain an Inspection Completed Within Last Calendar Year?
I
® Yes ❑ No
®Yes ❑
No
® Yes ❑ No
36. a. Does the File Contain a Slug/Spill Control Plan?
a. ®Yes ❑No
a. ®Yes ❑No
a. ®Yes ❑No
b. If No, is One Needed? See Inspection Form from POTW
b. ❑Yes ❑No
b. ❑Yes ❑No
b. ❑Yes ❑No
37. For 40 CFR 413 and 433 TTO Certification, Does File Contain a Toxic
❑YespNo®N/A
❑YesONoZN/A
OYes❑No®N/A
Organic Management Plan TONT ?
38. a. Does File Contain Original Permit Review Letter from the Division?
a. ®Yes ❑No
a. ®Yes ❑No
a. ®Yes ❑No
b. All Issues Resolved?
I b.0Yes0No0N/A
b.OYesONo®N/A
b.OYesONo®N/A
39. During the Most Recent Semi -Annual Period, Did the POTW Complete
®Yes ❑ No
®Yes ❑ No
®Yes ❑ No
its Sampling as Required by IUP, including flow?
40. Does File Contain POTW Sampling Chain -Of -Custody Forms?
®Yes ❑ No
® Yes ❑ No
®Yes ❑ No
41a. During the Most Recent Semi -Annual Period, Did the SIU Complete its
®Yes❑NopN/A
®YespNo❑N/A
®YesONo�N/A
Sampling as Required by IUP, including flow?
41b. During the Most Recent Semi -Annual Period, Did SIU submit all reports
®YespNopN/A
®YespNopN/A
®YespNopN/A
on time?
42a. For categorical IUs with Combined Wastestream Formula (CWF), does
❑Yes❑No®N/A
pYespNo®N/A
❑YespNo®N/A
file includeprocess/dilution flows as Required by IUP?
42b. For categorical IUs with Production based limits, does file include
❑YespNo®N/A
pYespNo®N/A
pYespNo®N/A
production rates and/or flows as Required by IUP?
43a. During the Most Recent Semi -Annual Period, Did the POTW Identify
®Yes❑No❑NA
pYespNo®N/A
®Yes❑No❑N/A
All Limits Non -Compliance from Both POTW and SIU Sampling?
43b. During the Most Recent Semi -Annual Period, Did the POTW Identify
DYesONo®N/A
OYesONoON/A
0Yes0No0N/A
All Reporting Non -Compliance from SIU Sampling?
44. a. Was the POTW Notified by SIU (Within 24 Hours) of All Self-
amYesONoON/A
a.OYesONo®N/A
a.®YesONoON/A
Monitoring Violations?
b. Did Industry Resample and submit results to POTW Within 30 Days?
b.OYesONoON/A
b.OYes13No®N/A
b.®YesONoON/A
c. Did POTW resample within 30 days of knowledge of SIU limit
c.OYesONo®N/A
c.OYesONo®N/A
c.OYesONo®N/A
violations from the POTW sample event?
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 2

45. Duringthe Most Recent Semi -Annual Period, Was the SIU in SNC?
❑ Yes N No
❑ Yes ®No
❑ Yes N No
46. During the Most Recent Semi -Annual Period, Was Enforcement Taken
0Yes0No0N/A
pYespNo®N/A
®Yes0No0N/A
as Specified in the POTW's ERP (NOVs, Penalties, timing, etc.)?
7. Does the File Contain Penalty Assessment Notices?
48. Does The File Contain Proof Of Penalty Collection?
DYesElNoON/A
pYespNo®N/A
0Ycs0No0N/A
DYespNoON/A
0Yes[1No9N/A
pYespNo®N/A
49. a. Does the File Contain Any Current Enforcement Orders?
a.OYesONo®N/A
a.OYesONo®N/A
a.0Ym0No19N/A
b. Is SIU in Compliance with Order?
b.OYesONo®N/A
b.OYesDMEN/A
b.OYesONo®N/A
50. Did the POTW Representative Have Difficulty in Obtaining Any of This
❑ Yes N No
❑ Yes N No
❑ Yes N No
Requested Information For You?
FILE REVIEW COMMENTS:
35. The POTW performed SIU inspections on 8/31/20 (Catawba Valley Medical Center), 7/1/20 (Hickory Dyeing & Winding) and
]0/9/20 (Veolia Water NA).
39. The POTW's certified laboratory performs analyses on conventional parameters, phenols, total phosphorus, and field parameters (pH
and temperature). The POTW also contracts Pace Analytical Services (metals, volatiles and cyanide) to perform IUP/LTMP analyses.
41a. The SIUs contract Statesville Analytical (Catawba Valley Medical Center), Water Tech Labs (Hickory Dyeing & Winding) and Pace
Analytical Services (Veolia Water NA) to perform IUP analyses.
46. The POTW issued Notices of Non -Compliance (NONC) to Catawba Valley Medical Center for zinc permit limit violations in January,
February, March and April 2021. Veolia Water NA was issued NoNCs for permit limit violations in January 2021 (BOD), February 2021
(ammonia) and April 2021 (ammonia, BOD, TSS and zinc).
SUMMARY AND COMMENTS:
The records reviewed during the inspection were organized and well maintained. The POTW's Industrial Pretreatment Program was being
properly implemented.
NOD: ❑ YES ONO
NOV: ❑ YES ONO
QNCR: ❑ YES N NO
POTW Rating:
Satisfactory N Marginal ❑ Unsatisfactory ❑
DmuSgned �by: Zl?LO' BsIG
PCI COMPLETED BY: tt DATE: 12/20/2021
ywte oe®eeesos
Wes Bell, Environmental Specialist II, MRO/WQROS, NC DEQ
DocuSlyned by.
CJ� 12/20/2021
PCI REVIEWED BY: A14ccee1AF27425... DATE:
W. Corey Basinger, Regional Supervisor, MRO/WQROS, NC DEQ
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 3

Allocation Tables

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IDSF's

Pretreatment Annual Report (PAR)
Control Authority,
Industrial Data Summary Form (IDSF)
Town Name=>
City ofI-ckory
Use separate forms for each industry/pipe
WWTP Name =>
Henry Fork
Enter BDL values as < (value)
NPDES # _>
NC0040797
1st 6 months, dates =>
1/1/22 - 6/30/22
2nd 6 months, dates =>
7/1/22 - 12/31/22
Total # of samples =>
* Maximum (mg/l) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total If of samples =>
* Maximum (mg/1) _>
* or Maximum (1b/d) _>
* or bing. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or C mo. Average (mg4) _>
* or Average Loading Qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry
Name Catawba Valley Medical Center
IUP # 3
Pipe #
BDL = 1/2 det.
Flow, MGD BOD TSS
Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
10
7 5
6 5
5
5
5
0.1425
0.1298 239
371 224
204
12.20
15.90
0.0963
0.0711 170
216 163
104
8.57
13.74
---
-- 0%
0% 1 0%
0%
0%
0%
--
-- 0%
6% 5%
6%
0%
0%
Arsenic Cadmium Chromium LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
1
1
1
Not required
<0.010 Not required
<0.00008 Not required
<0.0050 Not required
0.0003090
0.005
0.000040
0.0025
0.0003090
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper
Cyanide Lead Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
1
1
1
0.0310
0.0410
Not required
<0.010 Not required
<0.0050 Not required
<0.0050
0.0275
0.0334
0.005
0.0025
0.0025
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC * Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
W WrP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 ma Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum Qb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading Qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTWmust enter atleast one Ofthese four TOWS.
IndustryName Catawba Valley Medical Center
IDP # 3
Pipe # 1
BDL =1/2 det.
Silver Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
I 2nd 6 months
1st 6 months
2nd 6 months
5
5 10
6
1
1
<0.0020
0.0010 0.5800
0.5100
Not Required
<0.0020
Not Required
<0.0050
0.00055
0.00063 0.4424
0.3798
0.00100
0.0025
N/A
N/A 40%
17%
N/A
N/A
N/A
N/A 30%
0%
N/A
N/A
Oil & Grease
pH
Total Phosphorus TKN
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
5
5 5
5 2
4
26.3
31.2
7.04/8.27
7.59/7.86 3.2
4.8 33.2
55.1
14.7
14.2
1.9
1.6 31.2
39.6
0%
0%
0%
0% N/A
N/A N/A
N/A
0%
0%
1 --
I -- N/A
N/A N/A
N/A
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC * Technical Review Criteria
mg/l * milligrams per liter
ib/d *pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/l) _>
= or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/I) _>
* or Maximum Qb/d) _>
= or 6 ma Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
City of I-Eckory
W vqT Name =>
Northeast
NPDES # _>
NC0020401
1st 6 months, dates =>
1/1/22 - 6/30/22
2nd 6 months, dates =>
7/1/22 - 12/31/22
Industry
Name
WP#
Pipe #
Ulm
BDL =1/2 det.
Flow, MGD BOD
TSS
Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months I
2nd 6 months
9
10 5
5
5
5
5
5
0.0011
0.0026 215
195
96.3
132
3.13
5.65
0.0010
0.0013 149
145
60.4
79.2
2.31
2.50
—
— 0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
1 0%
0%
Arsenic
Cadmium
Chromium LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
4
1
1
Not required
<0.0100
Not required
<0.000200
Not required
<0.0050 Not required
0.0000078
0.005
0.00007
0.0025
0.0000078
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper
Toluene Lead Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
6
5
1
1
1
0.2890
0.1160
Not Required
<0.0010 Not required
<0.0050 Not required
<0.0050
0.0858
0.5810
0.0005
0.0025
0.0025
17%
0%
N/A
N/A
N/A
17%
0%
N/A
N/A
N/A
* POTW must enter atleast one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
di)L => aetow uetemon Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
lb/d => pounds per day
mgd => million gallons per day
`YIWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) =>
or Maximum (lb/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 6601o) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) =>
or Maximum (Ib/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 6601b) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) =>
or Maximum (Ib/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 6601o) =>
% TRC violations, (SNC is >= 33 %) =>
Industry Name Frye RMC
IUP # 7
Pipe # 1
BDL = 1/2 det.
Silver
Zinc Selenium Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
10
7
1
1
<0.0050
<0.0050
1.5000
1.8000 Not required
<0.0020 Not required
<0.0050
0.00128
0.00022
0.7903
0.6753
0.00100
0.0025
N/A
N/A
70%
29%
N/A
N/A
N/A
N/A
40%
29%
N/A
N/A
Oil & Grease pH Phenol
Total Phosprorus
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months I
2nd 6 months
5
5 5
6 5
5
2
2
41.4
8.6 6.10/6.93
4.80/7.04 0.0860
0.1200
4.4
2.1
17.0
4.6
0.0272
0.0512
3.8
1.6
0%
0% 0%
33% 0 -
20%
N/A
N/A
0%
0% -
-- 0%
20%
N/A
N/A
TKN
Total Nitrogen
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
15.7
15.3
16.2
15.4
14.9
14.1
15.5
14.3
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
* POTWmust enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL=> Below Detection Limn
IUP => Industrial User Permit
SNC => Significant Nan -Compliance
TRC => Technical Review Criteria
mgn mungrams Per met
lb/d => pounds per day
mgd => million gallons per day
VVWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) =>
or Maximum (lb/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (Ib/d) =>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) =>
or Maximum Qb/d) =>
or 6 ma Average (mg/1) =>
or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (Ib/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
* POTWmust enter atleast one ofthese four Tows
.
Please indicate how averages were calculated.
Control Authority,
Town Name => City of FTickory
W WTP Name => Northeast
NPDES # => NCO020401
1st 6 months, dates => 1/1/22 - 6/30/22
2nd 6 months, dates => 7/1/22-12/31/22
Industry
Name Frye RMC
rup # 7
Pipe # 2
BDL =1/2 det.
Flow, MGD BOD
TSS
Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
7
10 5
5
6
5
5
5
0.1598
0.0509 390
265
271
221
18.10
21.20
0.0433
0.0244 214
184
154
142
12.00
12.16
0%
0%
17%
0%
0%
0%
--
— 0%
0%
0%
0%
0%
0%
Arsenic
Cadmium Chromium LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
3
5
1
1
Not required
<0.0100
<0.0010
<0.000500 Not required
<0.0050 Not required
0.0000150
0.005
0.00021
0.00010
0.0025
0.0000150
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper
Toluene
Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
1
1
1
0.0735
0.0736
Not Required
<0.0010
Not required
0.0060
Not required
<0.0050
0.0634
0.0539
0.0005
0.0060
0.0025
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
Avg, period could be month, qtr., or 6-month & if BDL, IJ2 BDL, or zero values used.
BDL *Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Nan -Compliance
TRC => Technical Review Criteria
Tagil => milligrams per liter
Ibld => pounds per day
mgd => million gallons pet day
WWTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) =>
or Maximum (Ib/d) =>
or 6 ma Average (mg/1) =>
or Average Loading Qb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
' Maximum (mg/1) =>
* or Maximum (Ib/d) =>
= or 6-mg- Average (mg/1) =>
* or Average Loading ([b/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
* POTW must enter atleast one of these four rows.
Please indicate how averages were calculated.
Industry Name Frye RMC
IUP # 7
Pipe #
BDL =1/2 det.
Silver
Zinc Selenium Molybdenum
Isf6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
5
5
1
1
<0.0020
<0.0050
0.5680
0.4100 Not required
0.0024 Not required
<0.0050
0.00069
0.00066
0.4588
0.3600
0.00240
0.0025
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
un to crease
pri I
rnenor I
i mai ruosprorus
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
6
5
7
2
2
12.0
45.6
7.64/9.41
7.50/7.85
0.1600
0.2000
3.4
2.9
7.4
20.9
0.0764
0.0719
2.9
2.4
0%
0%
0%
0%
20%
29%
N/A
N/A
0%
0%
--
I --
1 20%
29%
N/A
N/A
TKN I Total Nitrogen
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC * Technical Review Criteria
mg/l => milligrams per liter
!b/d => pounds per day
mgd => million gallons per day
WWTP * wastewater treatmentplant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum Qb/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading Qb/d) _>
% violations,(chronic SNC is >= 6617o) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mm Average (mgA) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mgA) _>
or Maximum Qb/d) _>
or 6 mn. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 6601o) _>
% TRC violations, (SNC is >= 33 %) _>
POTW must enter atleast one of these four rows.
Please indicate how averages were calculated.
Control Authority,
Town Name =>
City of Hickory
W WTP Name =>
Northeast
NPDES # _> NC0020401
1st 6 months, dates => 1/1/22 - 6/30/22
2nd 6 months, dates => 7/1/22-12/31/22
Industry
Name Hickory Dyeing & Winding
NP# 8
Pipe #
BDL =1/2 det.
Flow, MGD BOD I TSS Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 monthsMO%
2nd 6 months 1st 6 months
2nd 6 months
5
5 5
5
5 5
5
0.0217
0.0191 39.2
136
17.0 <1.0
<1.0
0.0158
0.0151 13.8
57.7
7.1 0.32
0.35
---
-- 0%
0%
0% ?%
0%
-
- 0%
0%
0% 1 0%
070
Arsenic Cadmium Chromium
LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1 5
5
1
Not required
<0.0100 Not required
<0.000080 <0.0050
<0.0050
Not required
<0.0000005
0.005
0.00004 0.0025
0.0013
0.00000025
N/A
N/A 0%
0%
N/A
N/A
N/A 0%
0%
N/A
Copper Toluene
Lead Nickel
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
1
5
5 5
4
0.0115
0.0311 Not Required
<0.0010
<0.0050
<0.0050 <0.0050
<0.0050
0.0052
0.0165
0.0005
0.0025
0.0020 0.0025
0.0010
0%
0%
N/A
0%
0% 1 N/A
N/A
0%
0%
N/A
0%
0% 1 N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, a zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC* Significant Non -Compliance
TRC => Technical Review Criteria
mgA => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
Viz TP * wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mgA) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/l) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mgA) _>
* or Average Loading Qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mgA) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter atleast one of these four rows.
Please indicate how averages were calculated.
Industry Name Hickory Dyeing & Winding
IUP # 8
Pipe #
BDL =1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
1
1
Not required
<0.0004
0.3180
0.4120
Not required
<0.0020
Not required
<0.0050
0.00020
0.2174
0.3002
0.00100
0.0025
N/A
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
Oil & Grease I pH I Phenol I Total Phosprorus
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
2
2
2
2
<4.9
<5.2
7.40/7.44
7.43/7.80
<0.0200
<0.0200
0.3
0.6
2.4
2.5
0.0075
0.0075
0.3
0.4
0%
0%
0%
0%
N/A
N/A
N/A
N/A
0%
0%
--
--
N/A
N/A
N/A
N/A
TKN Total Nitrogen
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
2
2 2
2
<0.5
1.6 0.8
1.8
03
1.4 0.7
1.7
N/A
N/A N/A
N/A
N/A
N/A N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, In BDL, or zero values used.
BDL => Below Detection Limit
]UP * Industrial User Permit
SNC => Significant Non -Compliance
TRC * Technical Review Criteria
mgA => milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatmentplant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name
Use separate forms for each industry/pipe WWTP Name => Northeast IUP #
Enter BDL values as < (value) NPDES # _> NC0020401 Pipe #
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum Ob/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 660/v) _>
% TRC violations, (SNC is >= 33 %) _>
1st 6 months, dates => 1/1/22 - 6/30/22
2nd 6 months, dates => 7/1/22-12/31/22
HK Research
11
1
BDL =1/2 det.
Flow, MGD BOD TSS I Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
6 5
6 5
6 5
5
0.0013
0.0126 198
658 380
832 35.70
31.10
0.0009
0.0030 105
222 176
264 24.70
19.03
0%
17% 20%
33% 0%
0%
0%
1 17% 20%
17% 0%
0%
Arsenic Cadmium
Chromium LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
2
3
4
1
Not required
<0.0025 Not required
<0.000400
<0.0050
<0.0100 Not required
0.0000061
0.00125
0.00014
0.0020
0.0024
0.0000061
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper Toluene Lead Nickel
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
1 5
5 3
4
0.0400
0.0501 Not Required
<0.0010 <0.0050
0.0030 <0.0050
0.0030
0.0250
0.0306
0.0005 0.0016
0.0015 0.0021
0.0026
0%
0%
N/A 0%
0% N/A
N/A
0%
0%
N/A 0%
0% N/A
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC * Significant Non -Compliance
TRC => Technical Review Criteria
mg/! _> milligrams per liter
ib/d => pounds per day
mgd => million gallons per day
W WTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or time, Average (mg/l) _>
or Average Loading Qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name
IUP #
Pipe #
HK Research
u
1
BDL =1/2 det.
Silver Zinc
I Selenium Molybdenum
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1 6
5
1
1
Not required
<0.0025 0.9400
0.6400
Not required
<0.0025 Not Required
<0.0025
0.00125 0.4923
0.4262
0.00125
0.00125
N/A 17%
0%
N/A
N/A N/A
N/A
N/A 17%
0%
N/A
N/A N/A
N/A
Oil & Grease i H
Phenol
Total Phosprorus
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5 5
6
1
2
2
19.6
35.3 7.94/8.34
6.94/9.24
Not required
0.0320
13.0
20.0
11.3
21.0
0.0320
11.3
12.4
0%
00/0 0%
0%
N/A
N/A
N/A
0%
07---
--
I
I N/A
N/A
I N/A
TKN
Total Nitrogen
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
128
102
128
103
112
82.1
112
82.7
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL * Below Detection Limit
IUP => Industrial User Permit
SNC=> Significant Non-Comphance
TRC => Technical Review Criteria
me => milligrams per liter
ib/d => pounds per day
mgd => million gallons per day
W WTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum Ob/d) =>
* or 6 mn. Average (mg/1) =>
* or Average Loading (Ib/d) =>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) =>
* or Maximum (Ib/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (1b/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (Ib/d) =>
* or 6 mo. Average (mg/I) =>
* or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
* POTWmust enter atleast one of these four rows.
Control Authority, Industry
Town Name => City of Hickory Name Maple Springs (Plant 1)
V VTP Name => Henry Fork IUP # 15
NPDES # => NCO040797 Pipe # 1
1st 6 months, dates => 1/1/22 - 6/30/22
2nd 6 months, dates => 7/1/22-12/31/22
BDL =1/2 det.
Flow, MGD BOD
TSS
Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5 5
5
5
5
5
5
0.1646
0.0940 152
258
45.1
53.0
<1.0
1.30
0.0585
0.0732 70.1
121
29.3
39.5
0.53
0.70
__
_—_ 0%
20%
0%
0%
0%
0%
--
i --- 0%
0%
0%
1 0%
0%
00/0
Arsenic
Cadmium
Chromium LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
1
1
1
Not required
<0.0100
Not required
0.00009
Not required
<0.0050 Not required
<0.0000050
0.005
0.00009
0.0025
0.0000025
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper Cyanide Lead
Nickel
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
7nd 6 months
5
5 5
5
1
1
0.0294
0.0172 <0.008
<0.008 Not required
<0.0050
Not required
<0.0050
0.0153
0.0133 0.004
0.004
0.0025
0.0025
0%
0% 0%
0%
N/A
N/A
N/A
N/A
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC * Technical Review Criteria
mgll => milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
`I TiP => wastewater treatmentplant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/l) _>
or Maximum (lb/d) _>
or 6 mo. Average (mg/l) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 6601o) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 ma Average (mg/l) _>
or Average Loading (lb/d) _>
violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
%violations, (chronic SNC is >= 6601o) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW most enter at least one of these four rows.
Please indicate how averages were calculated.
Industry Name Maple Springs (Plant 1)
IUP # 15
Pipe #
BDL =1/2 det.
Silver
Line Selenium Molyb enum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
5
5
1
1
Not required
<0.0004
0.4710
0.6310 Not Required
<0.0020 Not Required
<0.0050
0.00020
0.3054
0.4668
0.00100
0.0025
N/A
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
Oil & Grease pH
Total Phosphorus TKN
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5 7
6
3
3 2
2
15.7
33.3 930/10.70
9.60/11.13
1.2
2.3 9.2
17.4
7.4
23.5
0.8
1.8 9.0
15.1
0%
0% 29%
33%
N/A
N/A N/A
N/A
0%
0% --
—
N/A
N/A N/A
N/A
f�------
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC=> Significant Non -Compliance
TRC => Technical Review Criteria
mg/l => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) =>
or Maximum (lb/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (Ib/d) =>
% violations,(chronic SNC is >= 6601o) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/l) =>
or Maximum (Ib/d) =>
or (mo. Average (mg/1) =>
or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (Ib/d) =>
* or 6 no. Average (mg/I) =>
or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Control Authority,
Town Name =>
City of Hickory
W WTP Name =>
Henry Fork
NPDES # =>
NCO040797
1st 6 months, dates => 1/1/22 - 6/30/22
2nd 6 months, dates => 7/1/22 - 12/31/22
Industry
Name The Sock Factory
IUP # 17
Pipe #
BDL = 1/2 det.
Flow, MGD
BOD TSS Ammonia
1st 6 months I
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
I 2nd 6 months 1st 6 months
2nd 6 months
13
5
5
5 5
5 6
5
0.0263
0.0189
119
413 61.0
31.3 66.86
17.36
0.0181
0.0153
76.4
213 24.1
16.4 12.10
5.93
---
--
0%
40% 0%
0% 17%
20%
-
--
0%
20% 0%
0% 17%
0%
Arsenic Cadmium Chromium
LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
1 5
5 13
5
1
<0.0025
<0.0100 0.0010
0.0002 4.74
0.1230
Not required
<0.0000050
0.00125
0.005 0.00038
0.00008 0.5461
0.0560
0.0000025
N/A
N/A 2%
0% 54%
0%
N/A
N/A
N/A 0%
070 1 46%
0%
N/A
Copper
Cyanide
I Lead
Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
1
1
0.1860
0.0937
0.031
<0.0050
Not required
<0.0050
0.0728
0.0540
0.011
10W.033Notrequfired
0.0025
0.0025
0%
0%
0%
N/A
N/A
0%
0%
0%
N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC=> Technical Review Criteria
mgA => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
W'PTTP * wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mQ Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6—mg, Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Industry Name The Sock Factory
IUP # 17
Pipe # 1
BDL =1/2 det.
Silver Zinc
I Selenium Molybdenum
1st 6 months
2nd 6 months
2nd 6 months 1st fi months
2nd 6 months tat 6 months
2nd 6 months
5
5
5
1
1
0.2000
71st6onths
<0.0020 60
0.6360 Not Required
<0.0100 Not Required
<0.0050
0.04080
0.00050 78
0.4948
0.00500
0.0025
0%
0% 0%
0%
N/A
N/A
0%
0% 0%
0%
N/A
N/A
Oil & Grease
pH Total Phosphorus TKN
1st 6 months
2nd6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
7
5 2
2 2
2
18.7
23.5
5.06/7.85
3.99/8.31 1.2
4.5 80.9
25.4
11.2
12.0
1.2
2.7 44.7
18.3
0%
0%
29%
20% N/A
N/A N/A
N/A
n
0%
---
— N/A
N/A N/A
N/A
`j
..
------.ff
Avg. period could be month, qh., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
lUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgA * milligrams per liter
lb/d => pounds per day
mgd * million gallons per day
W WTP * wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/I) _>
* or Maximum Qb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violadons,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg:A) _>
* or Maximum Qb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 6601b) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading Qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Control Authority, Industry
Town Name => City of fEekory Name Shurtape Technologies
W WTP Name => Northeast 1UP # 22
NPDES # _> NC0020401 Pipe # 1
1st 6 months, dates => 1/V22 - 6/30/22
2nd 6 months, dates => 7/1/22-12/31/22
BDL =1/2 der.
MAW Mrn I SOD I TSS I Ammonia
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5
5
5
5
5
0.0164
0.0104
1,487
1,297
17.7
18.4
8.10
8.37
0.0113
0.0089
794
729
10.7
10.7
3.60
5.46
---
--
02
0%
0%
0%
0%
0%
--
—
0%
0%
0 6
0%
0%
0%a
Arsenic Cadmium Chromium LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months I
2nd 6 months 1st 6 months
2nd 6 months
1
1
1
1
Not required
<0.0025 Not required
<0.000400 Not required
<0.0100 Not required
<0.0001000
0.00125
0.00020
0.0050
0.0000500
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper Cyanide Lead
Nickel
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months I
2nd 6 months
3
3 3
2
1
1
0.0106
0.0070 0.0145
0.018 Not required
<0.0025
Not required
<0.0025
0.0067
0.0075 0.0078
0.012
0.00125
0.00125
N/A
N/A N/A
N/A
N/A
N/A
N/A
N/A
N/A
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-mordh & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC=> Significant Nan -Compliance
TRC => Technical Review Criteria
mgjl * milligrams per trter
lb/d => pounds per day
mgd => million gallons per day
W WTP * wastewater treatment plant
Page 1 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/I) _>
* or Maximum Ob/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading Oln/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Industry Name Shurtape Technologies
IUP # 22
Pipe # 1
BDL =1/2 det.
Silver Zinc
Selenium Molybdenum
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1 6
5
1
1
Not required
<0.0025 1.0400
0.3440 Not required
<0.0025 Not required
0.2510
0.00125 0.8373
0.2396
0.00125
0.2510
N/A 50%
0%
N/A
N/A
N/A 17%
0%
N/A
N/A
Oil & Grease pH Phenol Total Phosprorus
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
4
4 4
4 5
5 2
2
<5.0
<4.9 6.27/7.90
6.14/7.51 <0.0200
<0.0200 2.2
1.0
2.4
2.4
0.0090
0.0090 1.6
1.0
0%
0% 0%
0% 0%
0% N/A
N/A
0%
0% ---
--- 1 0%
0% N/A
I N/A
TKN
Total Nitrogen
Toluene
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
5
5
18.2
15.3
18.7
17.1
<0.0500
0.6258
11.9
14.9
12.4
16.1
0.0117
0.2178
N/A
N/A
N/A
N/A
0%
0%
N/A
N/A
N/A
N/A
0%
0%
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgh => milligrams per liter
ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatmentplant
Page 2 of 3

Pretreatment Annual Report (PAR) Control Authority,
Industrial Data Summary Form (IDSF) Town Name=> City oflEckory
Use separate forms for each industry/pipe WWTP Name => Henry Fork
Enter BDL values as < (value) NPDES # _> NC0040797
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum Qb/d) _>
or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
1st 6 months, dates => V1/22 - 6/30/22
2nd 6 months, dates => 7/1/22 - 12/31/22
Industry
Name Ward Hosiery
IUP # 27
Pipe # 1
BDL =1/2 det.
Flow, MGD
BOD TSS Ammonia
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
6
5
6
5 6
5 6
5
0.0206
0.2160
91.0
41.0 38.4
9.7 25.90
1.20
0.0131
0.0161
22.9
17.1 16.2
5.8 5.71
0.51
---
-
0%
0% 0%
0% 17%
0%
--
--
1 0%
0% 0%
0% 17%
0%
Arsenic I Cadmium I Chromium I LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1 6
5 6
5
1
Not required
<0.0100 <0.0020
0.00009 0.1390
0.0286 Not required
0.0001720
0.005 0.00039
0.00006 0.0419
0.0115
0.0001720
N/A 0%
0% 17%
0%
N/A
N/A 0%
0% 17%
0% 1
N/A
Copper Cyanide Lead
Nickel
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
6
5 6
5 6
5
6
5
0.1390
0.0227 0.130
0.014 <0.0050
<0.0050
0.0080
0.0090
0.0622
0.0095 0.028
0.007 0.0025
0.0017
0.0034
0.0038
0%
0% 17%
0% 0%
0%
0%
0%
0%
0% 17%
0% 0%
0%
0%
0%
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/l * milligrams per liter
ib/d *pounds per day
mgd => million gallons per day
W WTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg4) =>
or Maximum Qb/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) =>
or Maximum (Ib/d) =>
or 6 mo. Average (mgA) =>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mgA) =>
or Maximum (lb/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 6617b) =>
% TRC violations, (SNC is >= 33 %) =>
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Industry Name Ward Hosiery
IUP # 27
Pipe #
BDL = 1/2 det.
Silver Zinc Selenium I Molybdenum
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
6
5 6
5
1
1
0.0223
0.0024 0.6090
0.4550 Not Required
<0.0020 Not Required
<0.0050
0.0095
0.0011 0.3963
0.3898
0.00100
0.0025
0%
0% 0%
0%
N/A
N/A
0%
0% 0%
0%
N/A
N/A
Oil & Grease
pH
Total Phosphorus TKN
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
hs
2nd 6 months7X/A
2nd 6 months
6
5
6
5
2
2
2
8.9
4.8
6.11/8.10
6.20/8.40
2.6
0.7
4.0
4.4
2.7
1.6
0.6
4.0
0%
0%
0%
0%
N/A
N/A
N/A
0%
0%
--
--
N/A
N/A
N/A
. ...
Avg. period couldbe month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgA => milligrams per liter
ib/d => pounds per day
mgd * million gallons per day
C{ WTP * wastewater treatment plant
Page 2 of 2
Avg. period couldbe month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgA => milligrams per liter
ib/d => pounds per day
mgd * million gallons per day
C{ WTP * wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/I) _>
or Maximum Ob/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/I) _>
or Maximum (lb/d) _>
or 6 mo- Average (mg/1) _>
or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Control Authority,
Town Name =>
City of Hickory
W WTP Name =>
Henry Fork
NPDES # _>
NC0040797
1st 6 months, dates => 1/1/22 - 6/30/22
2nd 6 months, dates => 7/1/22 - 12/31/22
Industry
Name Hickory Springs Mfg.
IUP # 33
Pipe # 1
BDL =1/2 det.
Flow, MGD BOD
TSS
Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
7nd 6 months
5
5 5
5
7
6
5
5
0.0073
0.0094 278
450
773
730
30.60
35.90
0.0054
0.0080 170
190
328
262
17.30
20.66
---
— 0%
20%
29%
33%
0%
0%
--
-- 0%
0%
29%
14T
0%
0%
Arsenic
Cadmium Chromium LL Mercury
1st 6 months
2nd 6 monthsFlst6months
2nd6months 1st6months
2nd6months 1st6months
2nd 6 months
15
5
1
1
Not required
<0.01000010
0.00014 Not required
<0.0050 Not required
0.0000111
0.005
0 337
0.00019
0.0025
0.0000111
N/A
2%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
Copper
Cyanide
I Lead Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months I
7d 6 months
5
5
3
4
1 5
5
0.0330
0.0491
<0.0080
<0.010
Not required
<0.0050 0.0165
0.0082
0.0232
0.0291
0.0040
0.005
0.0025 0.0090
0.0050
0%
0%
N/A
N/A
N/A 0%
0%
0%
0%
N/A
N/A
N/A 0%
n%
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgJl => milligrams per liter
ibld * pounds per day
mgd => million gallons per day
W WTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
* or Average Loading Ob/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mgA) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
- or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTWmust enter atleast one of these four rows.
Please indicate how averages were calculated.
Industry Name Hickory Springs Mfg.
IUP # 33
Pipe #
BDL =1/2 det.
Silver Zinc Selenium Molybdenum
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1 5
5
1
1
Not required
<0.0004 0.6890
0.4260 Not Required
<0.0020 Not Required
<0.0050
0.00020 0.5456
0.3826
0.00100
0.0025
N/A 0%
0%
N/A
N/A
N/A 0%
0%
N/A
N/A
Oil & Grease pH
Total Phosphorus TKN
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5 5
6 2
2 2
2
27.3
10.5 7.70/8.53
5.70/8.16 12.0
7.6 66.0
53.9
17.3
6.0
9.7
4.8 64.9
53.3
0%
0% 0%
17% N/A
N/A N/A
N/A
0%
0% --
I --- N/A
N/A N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgA => milligrams per liter
ib/d => pounds per day
mgd * million gallons per day
W WTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/I) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/I) _>
* or Average Loading Qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name =>
City of Hickory
W WTP Name =>
Northeast
NPDES # _>
NC0020401
1st 6 months, dates => 1/1/22 - 6/30/22
2nd 6 months, dates => 7/1/22-12/31/22
Industry
Name Century Furniture
W? # 34
Pipe # 1
BDL =1/2 det.
Flow, MGD BOD
TSS
Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
6 5
5
5
6
5
5
0.0034
0.0072 440
469
370
1,676
44.00
46.60
0.0026
0.0041 214
315
216
527
34.20
34.14
0%
0%
0%
33%
0%
0%
---
-- 0%
0%
0%
17%
0%
1 0%
Arsenic Cadmium Chromium
LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1 5
5
3
1
Not required
<0.0100 <0.0010
0.00025 Not required
<0.0050
Not required
0.0001010
0.005 0.00035
0.00012
0.0015
0.0001010
N/A 0%
0%
N/A
N/A
N/A 0%
0%
N/A
N/A
Copper
Toluene
Lead Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
1
5
5
1
0.0177
02590
Not Required
<0.0010
<0.0050
0.0040 Not required
<0.0050
0.0134
0.0671
0.0005
0.0016
0.0028
0.0025
0%
0%
N/A
0%
0%
N/A
0%
0%
N/A
0%
0%
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgf l => milligrams per liter
ib/d => pounds per day
mgd * million gallons per day
W WTP *wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6-mo_ Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 6601o) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (lb/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 669o) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading Qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Industry Name Century Furniture
IUP # 34
Pipe #
BDL =1/2 det.
Silver
Zinc
Selenium
Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
I 2nd 6 months
1st 6 months
2nd 6 months
1
5
6
1
1
Not required
<0.0004
0.6340
0.8050
Not required
<0.0020
Not required
<0.0050
0.00020
0.4962
0.4253
0.00100
0.0025
N/A
0%
20%
N/A
N/A
N/A
0%
0%
N/A
N/A
Oil & Grease
pH
Phenol Total Phosprorus
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
5
5
1 2
2
16.9
41.1
7.71/8.72
7.58/8.34
Not required
0.0270 11.0
11.9
10.6
12.9
0.0270 9.4
10.3
0%
0%
0%
0%
N/A N/A
N/A
0%
0%
---
--
N/A N/A
N/A
TKN Total Nitrogen
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
2
2 2
2
98.3
106 88.8
106
78.7
90.9 79.1
91.0
N/A
N/A N/A
N/A
N/A
N/A N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
NIP => Industrial User Permit
SNC * Significant Non -Compliance
TRC * Technical Review Criteria
mg/1=> milligrams per nter
ib/d * pounds per day
mgd => million gallons per day
WWTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (Ib/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading Qb/d) =>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or 6 mo. Average (mg/1) =>
* or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 6601b) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum Qb/d) =>
* or 6 me. Average (mg/1) =>
* or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) =>
Control Authority, Industry
Town Name => City of Hickory Name Century Furniture
W WTP Name => Northeast ]LIP # 34
NPDES # => NCO020401 Pipe # 2
1st 6 months, dates => V1/22 - 6/30/22
2nd 6 months, dates => 7/1/22 -12/3 1/22
BDL = 1/2 det.
Flow, MGD BOD TSS
Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
7
13 6
5 6
5
5
13
0.0078
0.0654 855
393 780
289
8.18
28.00
0.0041
0.0105 275
321 233
143
3.94
11.96
--
- 17%
0% 17%
0%
0%
38%
-
-- 17%
0% 17%
0%
0%
31%
Arsenic Cadmium Chromium I LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1 5
5 5
5
1
Not required
<0.0100 <0.0010
0.00015 0.0070
0.0040 Not required
0.0000317
0.005 0.00039
0.00010 0.0028
0.0022
0.0000317
N/A 0%
0% 0%
0%
N/A
N/A 0%
0% 0%
0%
N/A
Copper Toluene Lead Nickel
1st 6 months 1
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
1 5
5
1
0.0610
0.0290 Not Required
<0.0010 <0.0050
<0.0050 Not required
<0.0050
0.0329
0.0217
0.0005 0.0016
0.0013
0.0025
0%
0%
N/A 0%
0%
N/A
0%
0%
N/A 0%
0%
N/A
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL=> Below Detection Limit
IUP => Industrial User Permit
SNC * Significant Non -Compliance
TRC => Technical Review Criteria
mg/1 => mutigrams per liter
ib/d => pounds per day
mgd => million gallons per day
W WTP => wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading pb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum ob/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 6617b) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 660/F) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Industry Name Century Furniture
IUP # 34
Pipe #
BDL =1/2 det.
Silver
Zinc
Selenium Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
7
5
1
1
Not required
<0.0004
0.8930
0.5860
Not required
<0.0020 Not required
<0.0050
0.00020
0.5783
0.5258
0.00100
0.0025
N/A
29%
0%
N/A
N/A
N/A
29%
0%
N/A
N/A
Oil & Grease pH Phenol Total Phosprorus
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5 5
5
1 2
2
75.6
21.8 7.22/8.44
7.12/8.08 Not required
0.0110 11.0
7.9
30.8
14.6
0.0110 6.8
5.9
0%
0% 0%
0%
N/A N/A
N/A
0%
0% ---
---
N/A N/A
N/A
TKN
Total Nitrogen
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
2
2
2
2
93.3
49.5
93.7
49.7
55.1
44.2
55.5
44.6
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC * Significant Non -Compliance
TRC * Technical Review Criteria
mg/1=> milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
W WTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading ([b/d) _>
% violations, (chronic SNC is >= 6601b) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or C mQ Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 6617b) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter atlewtone of these four rows.
Control Authority,
Industry
Town Name =>
City of Hickory
Name
W NTP Name =>
Henry Fork
IIIP #
NPDES # _>
NC0040797
Pipe #
1st 6 months, dates => V1/22 - 6/30/22
2nd 6 months, dates => 7/1/22 - 12/31/22
Kleen Tech
35
1
BDL =1/2 det.
Flow, MGD BOD
TSS Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
I 2nd 6 months 1st 6 months
2nd 6 months
5
5 5
5
5
5 5
5
0.0595
0.0733 688
872
280
170 <1.0
0.40
0.0465
0.0646 359
357
108
84.5 0.47
0.46
---
-- 2%
0%
0%
0% 0%
0%
--
--- 10%
0%
1 0%
0% 0%
0%
Arsenic
Cadmium Chromium
LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5
5
5 5
5
1
<0.0300
<0.0100
<0.0100
0.00010 <0.0100
0.0077
Not required
0.0000271
0.006
0.001
0.00110
0.00008 0.0049
0.0043
0.0000271
0%
0%
0%
0% 0%
0%
N/A
0%
0%
0%
0% 0%
09'
N/A
Copper
I Cyanide Lead Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
7
5 5
5 5
5
0.0610
0.0141
0.0300
0.009 <0.0250
0.0021 <0.0200
0.0043
0.0204
0.0087
0.0139
0.006 0.0041
0.0016 0.0055
0.0029
0%
0%
29%
0% 0%
2% 0%
0%
% 0%
070%
0%
Please indicate haw averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgll => milligrams per liter
lb/d => pounds per day
mgd => million gallons per day
W WTP * wastewater treatmentplant
Page 1 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
or Maximum Olo/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum Gb/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Industry Name
RT #
Pipe #
Kleen Tech
35
1
BDL =1/2 det.
Silver
Zinc Selenium Molybdenum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months Is16 months
2nd 6 months
1
5
5
1
1
Not required
<0.0020
0.4580
0.6440 Not Required
<0.0100 Not Required
<0.0050
0.00100
0.3656
0.5376
0.00500
0.0025
N/A
0%
0%
N/A
N/A
N/A
0%
0%
N/A
N/A
Oil & Grease
pH
Total Phosphorus TKN
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
I 2nd 6 months
5
5
7
6
2
2 2
2
248
53.9
8.05/11.09
8.60/10.69
1.1
1.1 3.4
3.7
70.3
18.9
1.0
1.0 3.1
3.2
0%
0%
14%
17%
t N/A
N/A N/A
N/A
0%
0%
1 ---
--
I N/A
N/A I N/A
N/A
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgR => milligrams per liter
lb/d *pounds per day
mgd => million gallons per day
W WTP * wastewater treatment plant
Page 2 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/l) _>
* or Maximum Qb/d) _>
or 6-mg, Average (mg/1) _>
or Average Loading Qb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum Qb/d) _>
= or 6mo. Average (mg/1) _>
• or Average Loading Ob/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
* or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading Ob/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Control Authority,
Town Name =>
City of Hickory
W WTP Name =>
Henry Fork
NPDES # _>
NC0040797
1st 6 months, dates =>
2nd 6 months, dates =>
1/1/22 - 6/30/22
7/1/22-12/31/22
Industry
Name Hickory Regional Compost Facility
IUP # 50
Pipe # 1
BDL = 1/2 det.
Flow, MGD
BOD TSS Ammonia
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
6
6
5 6
5 6
5
0.1221
0.1939
1,180
549 980
228 365
310
0.1054
0.1090
488
353 323
194 222
307
--
--
17%
0% 17%
0% 33%
20%
---
I ---
1 0%
0% 0%
0%a 17%
0%
Arsenic Cadmium Chromium LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
I 2nd 6 months
1 3
4 3
4
1
Not required
<0.0100 <0.00050
<0.000150 0.0440
0.0030 Not required
<0.0000500
0.005 0.00013
0.00007 0.0240
0.0021
0.0000250
N/A N/A
N/A N/A
N/A
N/A
N/A N/A
N/A N/A
N/A
N/A
Copper Cyanide
Lead Nickel
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
1
3
4 3
4
0.1690
0.0270 Not required
<0.010
0.0030
<0.0050 0.0100
0.0090
0.0700
0.0194
0.005
0.0017
0.0016 0.0080
0.0057
0%
0%
N/A
N/A
N/A N/A
N/A
0%
0%
N/A
N/A
N/A N/A
N/A
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC * Technical Review Criteria
mg(l => milligrams per liter
ib/d => pounds per day
mgd => million gallons per day
WUTIP => wastewater treatmentplant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mgll) _>
* or Maximum (Ib/d) _>
* or 6 mo. Average (mg/1) _>
* or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/l) _>
* or Maximum Qb/d) _>
* or 6 mo. Average (mg/l) _>
° or Average Loading Qb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum Qb/d) _>
or 6 mo. Average (mg/1) _>
• or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Industry Name Hickory Regional Compost Facility
IUP # 50
Pipe # 1
BDL = 1/2 det.
Silver Zinc I Selenium
Molybdenum
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5 7
5
1
1
<0.0020
<0.0020 1.7500
0.3300 Not Required
<0.0100
Not Required
<0.0050
0.00039
0.00046 0.5233
0.1737
0.0050
0.0025
N/A
N/A 29%
0%
N/A
N/A
N/A
N/A 14%
0%
N/A
N/A
Oil & Grease pH
Total Phosphorus TKN
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5 5
6
1 3
4
55.7
42.1 7.01/7.94
6.58/8.01
Not required
24.0 348
414
13.1
13.5
24.0 293
228
0%
0% 0%
0%
N/A N/A
N/A
0%
0% --
---
N/A N/A
N/A
ff
Please indicate how averages were calculated.
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgA => milligrams per liter
lbld * pounds per day
mgd => million gallons per day
WWTP => wastewater treatmentplant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (lb/d) _>
or 6 mo. Average (mg/l) _>
or Average Loading (Ib/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/l) _>
or Maximum (lb/d) _>
or 6 mo. Average (mg/l) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (lb/d) _>
or 6-mg. Average (mg/l) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter atleast one of these four rows.
Please indicate how averages were calculated.
Control Authority,
Town Name =>
City of Hickory
WWI? Name =>
Henry Fork
NPDES # _>
NC0040797
1st 6 months, dates => 1/1/22 - 6/30/22
2nd 6 months, dates => 7/1/22-12/31/22
Industry
Name Maple Springs (Plant 2)
IUP # 51
Pipe #
BDL =1/2 det.
Flow, MGD BOD TSS
Ammonia
1st 6 months
2nd 6 months. 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
5
5 5
5 5
5
5
5
0.0830
0.0950 88.0
282 24.0
48.0
<1.0
1.03
0.0742
0.0918 49.6
112 21.0
36.9
0.48
0.67
-
--- 0%
20% 0%
0%
0%
0%
-
-- 0%
20% 0%
0%
0%
0%
Arsenic
Cadmium Chromium LL Mercury
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
1
1
1
Not required
<0.0100
Not required
<0.000080 Not required
<0.0050 Not required
<0.0000050
0.005
0.00004
0.0025
0.0000025
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper
Cyanide
Lead Nickel
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5
5
5
1
1
0.0072
0.0106
<0.0080
<0.008
Not required
<0.0050 Not required
<0.0050
0.0040
0.0060
0.0040
0.004
0.0025
0.0025
0%
0%
0%
0%
N/A
N/A
0%
0%
0%
070
N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgA => milligrams per liter
lb/d => pounds per day
mgd => million gallons pet day
VYTWTP => wastewater treatmentplant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) =>
or Maximum (Ib/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg4) =>
or Maximum (Ib/d) =>
or 6 mo. Average (mgA) =>
or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
Maximum (mg/1) =>
or Maximum (lb/d) =>
or 6 mo. Average (mg/1) =>
or Average Loading (lb
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
* POTW must enter at least one of these four rows.
Please indicate how avet ages were calculated.
Industry Name Maple Springs (Plant 2)
IUP # 51
Pipe #
BDL =1/2 det.
Silver
Line Selenium
Mo y denum
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months
1
5
5
1
1
Not required
<0.0020
0.4660
0.8560 Not Required
<0.0100
Not Required
<0.0050
0.0010
0.2804
0.5256
0.00500
0.0025
N/A
2%
20%
N/A
N/A
N/A
0%
20%
N/A
N/A
QII & Grease PH
Total Phosphorus TKN
1st 6 months
2nd 6 months 1st 6 months 1
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
5
5 5
6
3
3 2
2
30.8
30.6 9.40/10.45
9.30/10.94
1.2
2.3 7.1
12.7
19.4
19.1
0.7
1.8 6.0
9.5
0%
0% 0%
33%
N/A
N/A N/A
N/A
0%
0% --
--
N/A
N/A N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, 112 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial user Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgA => milligrams per liter
ib/d => pounds per day
mgd => million gallons per day
WVVTP => wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mgA) _>
or Average Loading Qb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg4) _>
or Maximum (lb/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mgA) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Control Authority,
Town Name =>
ONEVA" vai;mmmEll
NPDES # _>
1st 6 months, dates =>
2nd 6 months, dates =>
City of Hickory
Henry Fork
NC0040797
1/1/22 - 6/30/22
7/1/22-12/31/22
Industry
Name Gusmer Enterprises
IUP # 52
Pipe #
BDL = 1/2 det.
Flow, MGD BOD TSS Ammonia
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
2
8 2
8 2
8 2
8
0.1009
0.2455 <2.0
<2.0 121
1080 <0.10
<0.10
0.0851
0.1393 1.0
1.0 113
365 0.05
0.05
—
-- 0%
0% 0%
25% 0%
0%
--
--- 0%
0% 0%
13% 0%
1 0%
Arsenic Cadmium
Chromium LL Mercury
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1
1
1
1
Not required
<0.0100 Not required
0.00021
Not required
0.0063 Not required
0.0000008
0.005
0.00021
0.0063
0.0000008
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Copper Cyanide Lead Nickel
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months 2nd 6 months
2
8
1
1 1
<0.0020
<0.0200 Not required
<0.008 Not required
<0.0050 Not required <0.0050
0.0010
0.0082
0.004
0.0025 0.0025
0%
0%
N/A
N/A N/A
0%
0%
N/A
N/A N/A
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL => Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mgA => milligrams per liter
Ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatmentplant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mgA) _>
or Average Loading Gb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mgA) _>
or Maximum Qb/d) _>
or 6 mo. Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 6601b) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or 6 mo. Average (mgA) _>
or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
* POTW must enter at least one of these four rows.
Please indicate how averages were calculated.
Industry Name Gusmer Enterprises
NP # 52
Pipe # 1
BDL =1/2 det.
Silver Line Selenium Molybdenum
1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months 1st 6 months
2nd 6 months
1 2
8
1
1
Not required
<0.0004 0.4110
0.5110 Not Required
<0.0020 Not Required
0.0061
0.00020 0.3975
0.4500
0.00100
0.0061
N/A 0%
0%
N/A
N/A
N/A 0%
0% t
N/A
N/A
Oil & Grease
pH
Total Phosphorus
TKN
1st 6 months
2nd 6 months
1st 6 months
2nd 6 months 1st 6 months
I 2nd 6 months
1st 6 months
2nd 6 months
2
8
2
8 2
2
2
2
<4.8
15.3
7.53/7.77
7.32/8.60 0.4
0.8
4.4
3.9
2.4
4.0
0.4
0.7
3.7
2.9
0%
0%
0%
0% N/A
N/A
N/A
N/A
0%
0%
—
-- N/A
N/A
N/A
N/A
Avg. period could be month, qtr., or 6-month & if BDL, 1/2 BDL, or zero values used.
BDL=> Below Detection Limit
IUP => Industrial User Permit
SNC => Significant Non -Compliance
TRC => Technical Review Criteria
mg/1 => milligrams per liter
ib/d => pounds per day
mgd => million gallons per day
WWTP => wastewater treatmentplant
Page 2 of 2

Public Notice

DAILY RECORD
HICKORY
oi�. w.o Derma.
PUBLIC NOTICE
OF SIGNIFICANT INDUSTRIAL
WASTEWATER PERMIT
VIOLATIONS
The City of Hickory, in accordance with Federal and State Regulations is
hereby giving Public Notice. Listed below are Significant Industrial Users -
that were in Significant Non -Compliance (SNC) with national pretreat-
ment regulations, 40 CFR Part 403, state pretreatment regulations, 15
NCAC 2H .0900, and local pretreatment regulations during the period of
January 1 through December 31, 2022:
Henry Fork WWTF: January -June 2022
Gusmer Enterprises, Inc. -
failure to self -monitor as required by industrial user permit
The Sock Factory -Chromium I
Northeast WWTR January -June 2022'
Frye Regional Medical Center -jInc
Publish: January 18, 2023
STATE OF NORTH CAROLINA
COUNTY OF CATAWBA
NOTICE TO CREDITORS AND
DEBTORS
Having qualified - as Administrator of
the Estate of David L Chandler, de-
ceased, of Catawba County, North
Carolina, this is to notify all persons,
firms,- and corporations having
claims against the estate of. said de-
ceased to exhibit them to the under-
signed, Gregory S McIntyre, Admin-
istrator, on or before the 5th day of
April, 2023 or this notice will be
pleaded in bar of their recovery. All
persons, firms, and corporations in-
debted to the said estate to please
make immediate payment to the un-
dersigned.
This the 4th. day of January, 2023.
Gregory 5 McIntyre, Administrator
Estate of: David L Chandler
112 S Tryon Street, Suite 760
Charlotte, NC 28284
Counsel for the Administrator:
McIntyre Elder Law
Publish: January 4, 11, 18, 25, 2023.
Your Ticket to.
BUY.
SELL.
AVE ■
11
1
1
1
1
1
1
1
1
1
1
1
1
1
Find '
Look
Class
• cars 4
• boats
• apart
• bikes
• applit
• electl
• Colle(
•&sot
C1<
Concortl In
The M.DO
Mooresville

Hickory Daily Record
Advertising Affidavit
PO Box 988
Hickory, NC 28603
HICKORY, CITY OF
ATTN: ACCOUNTS PAYABLE
PO BOX 398
HICKORY, NC 28603
JAN 2 U 2028
Puulic IItIlM1irs
Account Number
3175407
Dale
January 18. 2023
Date Category Description Ad Number Ad Size
01/18/2023 Legal Notices PUBLIC NOTICE OF SIGNIFICANT INDUSTRIAL WASTEWAT 0000818527 2 x 34 L
Publlsher of
Hickory Daily Record
Catawba County
Before the undersigned, a Notary Public duly commissioned, qualified,
and authorized by law to administer oaths, personally appeared the
Publisher's Representative who by being duly swom deposes and says:
that he/she is authorized to make this affidavit and sworn statement; that
the notice or other legal advertisement, a copy of which is attached hereto,
was published in the Daily Record on the following dales:
01/1812023
and that the said newspaper in which such notice, paper document, or
legal advertisement was published, was at the time of each and every such
publication, a newspaper meeting a8 the requirements and qualifications
of Section 1-597 of the General Statutes of North Ce line.
BIIIIngR rerenla lve
Newspaper reference: 0000918527
Swom to and subscribed before me, this 18th day of January, 2023.
NolaryPublic
State of Virginia Richard A. Hugdley
County of Hanover .Notary Public
My commission expires: Commonwealth of Virginia
' Noltuy'fl0glatrett0h No. 7904041
Commission Exp. Jan 31, 2024
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

HICKORY
PUBUCNOTICE
OF SIGNIFICANT INDUSTIMAL
WASTEWATER PERMIT
VIOLATIONS
The City of Hickory, in accordance with Federal and state Regulations Is
hereby giving Public Notice. Listed below are Significant Industrial Users
that were In Significant Non -Compliance (SNC) with national pretreat-
ment regulations, 40 CFR Part 403, state pretreatment regulations, 15
NCAC 2H .0900, and local pretreatment regulations during the period of
January 1 through December 31, 2022:
HenryFotkWWTF: January -June 2022
Gusmer Enterprises, Inc. -
failure to self•manitdr as required by industrial user permit
The Sock Factory -Chromium
Northeast WWTF: January -June 2022
Frye Regional Medical Center - Zinc
Publish: January 18, 2023

Additional Information

HICKORY
i
North Carolina w
Life. Well Crafted.
Public Utilities
July 15, 2022
Mr. Todd Cook
Frye Regional Medical Center
420 North Center Street
Hickory, NC 28601
RE: Notice of Violation with Assessment of Civil Penalties
Pretreatment Permit #0007
City of Hickory
Hickory Regional Laboratory
310 Cloninger Mill Rd.
Hickory, NC 28601
Phone: [phone]
Fax: [phone]
Email: [e-mail]
This letter transmits notice of violation with a civil penalty assessed against Frye Regional
Medical Center in the amount of $100.00 for violations of permit limitations for Zn.
Within thirty days of receipt of this notice, you must do the following:
1. Submit payment of the penalty to:
City of Hickory
Public Utilities Department
PO Box 398
Hickory, NC 28603
2. Submit a narrative stating the cause of and time needed to correct the violation(s).
The payment of this penalty will not foreclose further enforcement action for any continuing or
new violation(s).
Remedial actions, if not already implemented, should be taken to correct the problem(s).
If you have questions, please call this office at [phone].
Sincerely,
David R. Cox
Pretreatment Coordinator

FRYE REGIONAL
MEDICAL CENTER
A Duke LifePoint Hospital
420 N Center Street I Hickory, NC 28601
August 03, 2022
Mr. David Cox
Pretreatment Coordinator
City Of Hickory
310 Cloninger Mill Road
Hickory, NC 28602
Mr. Cox,
This letter is to acknowledge the notice of Significant Noncompliance sent on July 15, 2022 for high
zinc in Pipe 001. We continue to investigate to see if there are any products or processes that are
causing the high zinc in Pipe 001. We will retest immediately to monitor our compliance.
(('- Thanks
Todd Cook
Director of Plant Operations
828-315-3825

Compliance Judgment Worksheet For SNC With Limits
Use separate sheets for each Industry I SNC detemdnation for Flow optional see Section 7-E Use separate sheets for each Pollutant
SIU Name: Ft,- ( g fh c I[JP Number: °O o 7 Pi e Number: gel
Parameter: 2 ti Six Month SNC Detemrinat on Period: Tea_ -ao 5! Zv Ll
Daily Limit Compliance
—[
Daily Max Limits BJP Limit * TRC criteria = TRC Limit Circle which units apply
from IUP Circle 1.4 For TRC for BOD, TSS, oil, fat, grease; Circle 1.2 for all other pollutants to Limits
TRC compliance judgment not required for H:
Daily Maximum Limit: O-S3 * 1.2 or 1.4 = TRC Daily Limit: 06 t mg/1 or lbs/day
Column 1: I - Industry self P-POTW
Column 6: Use only if IUP has daily limits in lbs/day. Formula to use is ( mgd * mgfl * 8.34 = lbs/day ).
Column 8: Put "I" for each daily maximum value, tally up at bottom as "A."
Column 9: Compare daily values to ]UP limits above,put "0" if at or below limit, "1" if above, tally at bottom as 'B."
Column 10: Compare daily values to TRC limits above,put "0" if below limit, "1" if at or above, tally at bottom as "C."
Col. 1:
From
IDMRs
From
IDMRs
From
IDMRs
Col. 5:
Col6:
Coll:
Cola:
Col9:
Col 10:
Sample
Type
Sample
Date
Daily
Flow,
mgd
Daily
Cone. mg/1
Daily
Load
Ibs/day
Count
Regular
Violation
7
TRC
Violation
?
I GA)ti
I-VS-0
I
I
I
i i/LL
°., Y°a
f
p
0
/l�LZ
o,S i
I
d
o
z/n/2A
�c.sl
'
►
'
�/ LL
o., ,7
I
I
D
// LL
O_S-)
sl I At
1-r
I
I
I
List these Totals on next page => A= f U B = C= Y
Title: SNC With Limits Compliance Judgment Worksheet
Filename: ComphmcejudgmmL Worksheet-for_SNC_With Limits FOrm-mar_2013
Revision date: 1/5/O1

Compliance Judgment Worksheet For SNC With Limits
Use separate sheets for each Indastry SNC determination for Flow optional see Section 7-E Use separate sheets for each Pollutant_
SILT Name: Fv ( /21n L IUP Number: OOo) I Pipe Number: Oa /
Parameter: '?h Six Month SNC Determination Period: Lda v
1) Daily: Calculate the % of Regular violations:
2) Is B/A greater than or equal to 0.66 (or 66 %) ?
3) Average: Calculate the % of Regular violations:
4) Is E/D greater than or equal to 0.66 (or 66 %) ?
5) Daily: Calculate the % of TRC Violations:
6) Is C/A greater than or equal to 0.33 (or 33 %) ?
6) Average: Calculate the % of TRC Violations:
7) Is F/D greater than or equal to 0.33 (or 33 %) ?
B/A= 0
Daily Chronic violator?
E/D =
Average Chronic violator?
CIA = Nb yi
Daily TRC Violator?
F/D =
Average TRC Violator?
8) Did any violation, alone or in combination with other discharges, cause pass -through
or interference at the POTW, or endanger the health of POTW workers or the public?
9) Did any violation cause imminent endangerment to human health / welfare or to the
environment or has resulted in the POTW's exercise of its emergency authority to
halt or prevent such discharge?
0/ No
Yes / No
es / No
Yes / No
Yes /
Yes /
10) If the answer to any of these questions is yes, the SIU is in Signficant Non -Compliance (SNC) for this
parameter. They must be listed on the Significant Non -Compliance Report (SNCR) form in the Pretreatment
Annual Report (PAR), described in the PAR narrative (including parameter, period, and POTW actions), and
the POTW must take adequate enforcement as outlined in its Enforcement Responce Plan (ERP).
Is the SHJ in SNC for this six month period? CIRCLE ONE: OYES NO
Was the S11U in SNC for THE SAME PARAMETER in the previous six month compliance
period? CIRCLE ONE: YES NO
If YES to EITHER question, DESCRIBE IN NARRATIVE.
Please note if SIU was in SNC for the previous six month compliance period and is also in SNC for this six month
compliance period, escalated enforcement actions must be taken as soon as possible, preferably before the
end of the second consecutive period. Failure to take the action within 2 months after the end of the second
consecutive period will subject the POTW to enforcement by the Division. The options are:
Consent Order with Enforceable schedule;
Administrative Order with Enforceable schedule;
Formal notice to comply issued, or
Permit modification.
See Chapter 9 - Pretreatment Annual Reports, Chapter 8 - Enforcement, and the POTW's Enforcement Response
Plan (ERP).
Definitions:
Count The number of daily sample data values or the number of average sampling events used for checking
compliance with average limits.
TRC Technical Review Criteria, Multiply the actual RN limits by the proper TRC Criteria value to get a
TRC Limit: TRC Criteria= 1.4 for DOD, TSS, oil, fat, grease
TRC Criteria =1.2 for all other pollutants
Not required to perform TRC compliance judgment for pI3.
SNCR Significant Non -Compliance Report
SNC Significant Non -Compliance
Title: SNC With Limits Comphmce Judgment Worksheet
Filename: Compliance_judgment__Worksheet_for_SNC_Witl'—Limits Porm_Mar--2013
Revision date: 1/5/01

HICKORY
North Caroll��
Life. Well Crafted.
Public Utilities
July 15, 2022
Mr. Michael Banks Sr.
The Sock Factory, Inc.
1371 131' St. SW
Hickory, NC 28602
RE: Notice of Violation with Assessment of Civil Penalties
Pretreatment Permit #0017
City of Hickory
Hickory Regional Laboratory
310 Cloninger Mill Rd.
Hickory, NC 28601
Phone: [phone]
Fax: [phone]
Email: [e-mail]
This letter transmits notice of violation with a civil penalty assessed against The Sock Factory,
Inc. in the amount of $100.00 for violations of permit limitations for Cr.
Within thirty days of receipt of this notice, you must do the following:
1. Submit payment of the penalty to:
City of Hickory
Public Utilities Department
PO Box 398
Hickory, NC 28603
2. Submit a narrative stating the cause of and time needed to correct the violation(s).
The payment of this penalty will not foreclose further enforcement action for any continuing or
new violation(s).
Remedial actions, if not already implemented, should be taken to correct the problem(s).
If you have questions, please call this office at [phone].
Sincerely,
David R. Cox
Pretreatment Coordinator

THE SOCK FACTORY
�w
1371 13`h St. SW, Hickory, NC 28602 11 PH: 828.328.5207 11 Fax: [phone]
8/11/22
RE: NOV with Civil Penalties
Pretreatment Permit #0017
To The City of Hickory Public Utilities Department:
The cause of violation of permit limitations of chromium discharge was multiple runs of black dye which
contains chromium. We are in the process of testing a new chemical that should reduce the amount of
dye required in processing hosiery. The chemical allows the material to absorb more dye, reducing the
amount of residual dye in the dye bath, thus reducing chromium discharge. In addition to using this new
chemical we are diluting the tub with at a 40-50% ratio of clear water multiple times before discharge.
We are awaiting more test results which will determine our timeline in reaching remedy. At the time of
this response we expect to have the violation remedied in three months time (11/15/22), and aim for
sooner.
Sincerely,
Michael Banks, Jr.
President

Compliance Judgment Worksheet For SNC With Limits
Use separate sheets for each Industry SNC determination for Flow optional see Section 7-E Use separate sheets for each Pollutant
SIU Name:
Sack Fgt,VrK
IUPNumber: 44001
1 Pipe Number:
o0/
Parameter
Ct-
dSix
Month SNC Determination Period: Ton --J
w4 e 2 o2L
Daily Limit Compliance
Daily Max Limits IUP Limit * TRC criteria = TRC Limit Circle which units apply
from IUP Circle 1.4 For TRC for BOD, TSS, oil, fat, grease; Circle 1.2 for all other pollutants to Limits
TRC compliance judgment not required for H;
Daily Maximum Limit: 0, L"' * 1.2 or 1.4 = TRC Daily Limit: ? /4 mg/1 or lbs/day
Column 1: I - Industry self P-POTW
Column 6: Use only if HIP has daily limits in lbs/day. Formula to use is ( mgd * mg(1 * 8.34 = lbs/day ).
Column 8: Put "i" for each daily maximum value, tally up at bottom as "A."
Column 9: Compare daily values to IUP limits above,put "0" if at or below limit, "1" if above, tally at bottom as "B."
Column 10: Compare daily values to TRC limits above,put "0" if below limit, "1" if at or above, tally at bottom as "C."
Col. 1:
From
IDMFa
From
IDMRs
From
IDMRS
Col. 5:
Col6:
Coll:
Col8:
Col9:
Col 10:
Sample
Type
Sample
Date
Daily
Flow,
mgd
Daily
Cone. mg/1
Daily
Load
lbs/day
Count
Regular
Violation
?
TRC
Violation
?
z7hl
0 0 ft?
I
0
0
G Y az
0,0131
I
0
0
G /2 1vt
0 0
I
d
o
G a aL
o o
I
a
0
31zyla:
a,lyy
►
I
1
21A
a ozy
I
0
0
G /Y/zz
0,33a
I
I
�
G 2Y/LZ
0,1�3
I
!
0
G/2 /a 7-
a z r
I
I
1
List these Totals on next page => A = ) B = 7 C
Title: SNC With Limits Compliance Judgment Worksheet
Filename: ComplimceJudgmerd_Worksheet_for_$NC With —Limits Porm_Mu_2013
Reviaion date: 1/5/01

Compliance Judgment Worksheet For SNC With Limits
Use separate sheets for each Industry SNC d t munation for Flow optional see Section 7-E Use separate sheets for each Pollutant
SILT Name:
Sic%(
RT Number: 001,17
pipe Number:
001
Parameter
Co-
Six Month SNC Determination Period: ,TToy _ Jy,Y,
2osL
1) Daily: Calculate the % of Regular violations:
2) Is B/A greater than or equal to 0.66 (or 66 %) 7
3) Average: Calculate the % of Regular violations:
4) Is E/D greater than or equal to 0.66 (or 66 %) ?
5) Daily: Calculate the % of TRC Violations:
6) Is C/A greater than or equal to 0.33 (or 33 %) ?
6) Average: Calculate the % of TRC Violations:
7) Is F/D greater than or equal to 0.33 (or 33 %) ?
B/A= '�'y/
Daily Chronic violator?
E/D =
Average Chronic violator?
C/A= 'fb°o
Daily TRC Violator?
F/D =
Average TRC Violator?
8) Did any violation, alone or in combination with other discharges, cause pass -through
or interference at the POTW, or endanger the health of POTW workers or the public?
9) Did any violation cause imminent endangerment to human health / welfare or to the
environment or has resulted in the POTW's exercise of its emergency authority to
halt or prevent such discharge?
Yes /0
Yes / No
es / No
Yes / No
Yes /
Yes /
10) If the answer to any of these questions is yes, the SID is in Signficant Non -Compliance (SNC) for this
parameter. They must be listed on the Significant Non -Compliance Report (SNCR) form in the Pretreatment
Annual Report (PAR), described in the PAR narrative (including parameter, period, and POTW actions), and
the POTW must take adequate enforcement as outlined in its Enforcement Responce Plan (ERP).
Is the SH) in SNC for this six month period? CIRCLE ONE: � NO
Was the SIU in SNC for THE SAME PARAMETER in the previous six month compliance
ep riod? CIRCLE ONE: YES N �
If YES to EITHER question, DESCRIBE IN NARRATIVE.
Please note if SIU was in SNC for the previous six month compliance period and is also in SNC for this six month
compliance period, escalated enforcement actions must be taken as soon as possible, preferably before the
end of the second consecutive period. Failure to take the action within 2 months after the end of the second
consecutive period will subject the POTW to enforcement by the Division. The options are:
Consent Order with Enforceable schedule;
Administrative Order with Enforceable schedule;
Formal notice to comply issued, or
Permit modification.
See Chapter 9 - Pretreatment Annual Reports, Chapter 8 - Enforcement, and the POTW's Enforcement Response
Plan (ERP).
Definitions:
Count The number of daily sample data values or the number of average sampling events used for checking
compliance with average limits.
TRC Technical Review Criteria, Multiply the actual IUP limits by the proper TRC Criteria value to get a
TRC Limit: TRC Criteria = 1.4 for BOD, TSS, oil, fat, grease
TRC Criteria =1.2 for all other pollutants
Not required to perform TRC compliance judgment for pH.
SNCR Significant Non -Compliance Report
SNC Significant Non -Compliance
Title: SNC With Limits Compliance Judgment Worksbeet
Pile name: Compliance-judgment_Worksheet-for_SNC_WitlL-Limits_Form_Mar--2013
Revision date: 1/5/01

HICKORY
µNorth Carolina
Life. Well Crafted.
Public Utilities
July 15, 2022
Mr. Darrin Pearson
Gusmer Enterprises, Inc.
1774 Lutetium Circle SE
Newton, NC 28658
RE: Notice of Violation with Assessment of Civil Penalties
Pretreatment Permit #0052
City of Hickory
Hickory Regional Laboratory
310 Cloninger Mill Rd.
Hickory, NC 28601
Phone: [phone]
Fax: [phone]
Email: [e-mail]
This letter transmits notice of violation with a civil penalty assessed against Gusmer
Enterprises, Inc. in the amount of $100.00 for failure to self -monitor as required by industrial
user permit [defined as conducting less than 80% of the sampling and analyses required in a 6-
month period].
Within thirty days of receipt of this notice, you must do the following:
1. Submit payment of the penalty to:
City of Hickory
Public Utilities Department
PO Box 398
Hickory, NC 28603
2. Submit a narrative stating the cause of and time needed to correct the violation(s).
The payment of this penalty will not foreclose further enforcement action for any continuing or
new violation(s).
Remedial actions, if not already implemented, should be taken to correct the problem(s).
If you have questions, please call this office at [phone].
Sincerely,
David R. Cox
Pretreatment Coordinator

mGusmer Enterprises, Inc.
Date: 12AUG22
Subject: Notice of Non -Compliance for Water Sampling from Hickory, NC
To: David Cox, City of Hickory
From: Gusmer Enterprises
Mr. Cox,
On 15JUL22, Gusmer Enterprises Hickory, NC location was served a notice of non-compliance in regard
to wastewater testing, citing that no valid results for wastewater testing were submitted to the City of
Hickory in 2Q2022. A fee of $100 and response was requested explaining why no valid results were
submitted.
Testing was initially completed by Culligan Water of Charlotte from 22MAY22-24MAY22, though testing
for BOD and TSS was inadvertently not completed at the time, and Gusmer Enterprises was notified of
such by David Cox. Pace Analytical laboratories completed water testing for BOD and TSS on 16JUN22-
21JUN22. The results were submitted David Cox of City of Hickory. However, upon submission it was
noted that all testing should be completed at the same time, across three sequential days. Ultimately, it
was determined that the root cause of issue was a misunderstanding in the wastewater testing to be
performed as required by Gusmer Enterprises Wastewater permit.
Sampling was performed by Pace Analytical Labs on 08AUG22-10AUG22 to represent testing completed
in 2Q2022. These dates were the soonest they could come onsite and perform testing using an
autosampler. Per Pace Analytical Labs, testing of the water collected 08AUG22-10AUG22 should be
completed by 26AUG22, after which the results will be forwarded to the city to represent water
sampling from 2Q2022. Sampling for 3Q2022 is scheduled to be completed 22AUG22-24AUG22.
Best,
Whitney McCaskill
Quality Manager
Gusmer Enterprises, Inc
Office: 828-944-0105, Ext. 628 1 Mobile: [phone] Fax: [phone]
Email: wmccaskill(cDeusmerenterprises.com