NC0021601_Idustrial Waste Survey-Pretreatment Program_20230622

Town a Tryon
Wastewater Treatment Plant
301 N. Trade Street
Tryon, N.C. 28782
June 13, 2023
Keys McGee, Pretreatment Coordinator
PERCS-Pretreatment
NC Division of Water Resources
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Subject: Industrial Waste Survey
Tryon Wastewater Treatment Plant
Pretreatment Program
Polk County
Dear Mr. McGee:
RECEIVED
JUN 2 2 2023
NCDEQ/DWR/NPDES
Please find enclosed two different sources of information used to determine which users should be sent
IWS forms. I used the North Carolina Manufactures Register and their SIC codes and I also contacted the
billing clerk at Town Hall for water billing records as my second source. I've also included the IWS
checklist, IWS short and long forms, Chemical Addendum and the IWS submission form.
If you have questions, please call me at [phone] or my email [e-mail].
Sincerely,
Deborah Bradley,ORC
Tryon WWTP

=ACTURERS REGISTERO--2015
© Copyright 2015 Manufacturers' News, Inc. D537
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MEGAWOOD, INC.
960 N. Main St., P.O. Box 464
(27371-0464)
Phon"910) 572-3796
Fax—[phone]
Pres., pers. Mgr. —Bill Hamilton
Hum. Res. Mgr. —Sue Hamilton
Off. Mgr. —Megan Lemonds
SIC-2426; Southern yellow pine
remanufacturing
Employs-20; Estab.-1985
Sales—$1 Mil-$5Mil
7,200 sq ft site, Distrib.—Regional
Privately owned corporation
MONTGOMERY HERALD
139 Bruton St., P.O. Box 466
(27371)
Phone—[phone]
Fax—[phone]
www.montgomeryheraid.com
Email —advertise@
montgomeryherald.com
Pres., R & D Mgr. —Charles
Womack
Off. Mgr. —Tammy Haywood
Reporter —Tammy Dunn
SIG-2711; Newspaper
publishing
Employs-6; Estab.-1909
21,204 sq ft site, Distrib.—National
Privately owned corporation
PARSON'S MACHINE WORKS
890 Albemarle Rd. (27371)
Phone--[phone]
Owner—Coite Parsons
V-P.—Greg Parsons
SIC-3499; 3599; Metal
fabrication & machining job shop
Employs-2; Estab.-1962
Sales —under $500,000
Distrib.—Local
Privately owned corporation
ROBINWOOD ENTERPRISES
180 E. Glen Rd., P.O. Box 707
(27371)
Phone--[phone]
Fax—[phone]
Owner & GM —Terry Britts
Off. Mgr. —Renee Britts
SIC-2252; Socks
Employs-15; Estab.-1993
Sales—$1 Mil-$2.5Mi1
Distrib.—Regional
Sole ownership
S F K FURNITURE CORP.
191 Byrd St. (27371)
Phone-4910) 571-0461
Fax—[phone]
www.sfkfurniture.com
Email—sfkfurn @earthlink.net
Pres.—Thomas Kornegay, Jr.
V-P.—Stephanie Kornegay
SIC-2511; Outdoor wooden lawn
furniture, including porch
swings, benches, dining sets,
teak chairs & tables
Employs-2; Estab.-1999
Sales —under $500,000
Distrib.—Intl.
Privately owned corporation
TROY LUMBER CO.
110 Leslie St., P.O. Box 748
(27371)
Phone— [phone]
Fax—[phone]
Pres.—Fredrick H. Taylor
Hum. Res. Mgr. —Terry Brown
SIC-2421; Southern yellow pine
lumber processing
Employs-100; Estab.-1948
100,000 sq It site, Distrib.—
National
Privately owned corporation
TROY READY MIX, INC.
1739 Highway 24 at Highway 27
W.(27371)
Phone--[phone]
National—[phone]
Fax—[phone]
Pres., Put., Sales & Mktg. Mgr. —
James Macon
V-P.—Robert Foushee
Secy., Hum. Res. & IT Mgr. —
Jeffrey T. Macon
SIG-3272; 3273; NAICS-
327320; Precast concrete
products & ready -mixed
concrete
Employs-9; Estab.-1969
7,000 sq ft site, Distrib.—Local
Privately owned corporation
UWHARRIE LUMBER CO.
335 Page St., P.O. Box 533
(27371)
Phone—[phone]
Fax—[phone]
Pres.—Franklin R. Allen
CFO —Michelle Greene
SIC-2421; Hardwood lumber
processing
Employs-70
Sales-410Mil-$25Mil (est)
Distrib.—Local
Privately owned corporation
WHARRIE BLINDS & CUSTOM
CURTAINS
3076 Highway 109 (27371)
Phone—[phone]
www.uwharriecustomcurtains.com
Email—uwharriecurtains @
yahoo.com
Ptnr. & Floor Mgr. —Daniel
Threadgill
Ptnr.—Shirley Threadgill
SIC-2391; 2591; 2511; NAICS-
314121; Custom curtains, blinds
& wooden residential furniture
Employs-2; Estab.-1989
Distrib.—Local
WOOD RIGHT LUMBER CO.
225 Basswood Rd. (27371)
Mail addr: P.O. Box 618, Badin
(28009-0618)
Phone— [phone]
www.inskeep.orgg
Email—wrlcous @ yahoo.com
Pres.—Georgia Inskeep
Opers. Mgr. —Angela Inskeep
Burleson
SIC-2452; 2879; 5031; NAICS-
321992, Prefabricated post,
beam & geodesics, including
decking & flooring & insect mold
& mildew preventative/
preservative treatment &
wholesaler of rail & bridge
timbers & alternative energy
specification, installation &
energy auditing services
Employs--4; Estab.-1985
Sales —under $5Mil
Distrib.—Regional
Limited Liability Company
DBA: Dex N DOX
Tryon
(Polk—S.W.)
tANDWIN SCIENTIFIC, INC.
69 Pacolet St., Ste. 240 (28782)
Phone—[phone]
National—[phone]
Fax—[phone]
www.andwinsci.com
Email—[e-mail]
Sales Mgr. —Jason Seay
SIC-5049; Distributor of
laboratory microscopes
Employs-3; Estab.-1976
Distrib.—National
Privately owned corporation
Parent co.—Andwin Scientific, Inc.,
Woodland Hills, CA
Phone—[phone]
See Parent Co. Section for full profile.
ARLEDGE PRINTERS, INC.
225 N. Trade St. (28782)
Phone--[phone]
Fax
—(8 ) 859-5 45
Email—ar dg 9 tern@ �✓
windstrea .n
Pres.—Hub edge ��,
GM—Richa ardin
SIC-275 2 ;NAICS-
323100• om rcial & instant
printin .V
Employs-3; Est .-1940
Sales —under $500,000
2,400 sq ft site, Distrib.—Regional
Privately owned corporation
l /��/l���iN/�GZst✓�' cl!P
250 Scriven Rd., P.O. Box 1579 I
(28782)
Phone—[phone]
Fax—[phone]
Email—cypdyedyarn @ alltel.net
V-P.—Ginger Stone
SIC-2269; NAICS-313300; Yarn
dyeing & processing
Employs-80; Estab.-1957
Distrib.—National
Privately owned corporation
COOPER STUDIO, J. T.
P.O. Box 11 (28782)
Pho6e—[phone]
www.jtcool)erstudio.com
Email—info@itcooperstudiWm
Pres.—Joe Cooper
SIC-3648; NAICS-335129; '19 ':i�
Custom copper & textured C,
bronze lighting fixtures `V
Employs-2; Estab.-1994 �r -
Sales —under $500,000
Distrib.—National
Sole ownership
GLEASON POTTERY
35 Erskine Rd. (28782)
Phone—[phone]
www.southernhighlandcraftguild.c
om
Email—gleason.ann @gmail.com
Owner —Ann E. Gleason
SIC-3269; NAICS-327112,
Functional stoneware & ceramic
sculptures
Employs-1; Estab.-1985
Sales —under $100,000
Distrib.—National
Sole ownership
HENSONS', INC.
105 Ridge Rd., P.O. Box 1060
(28782
Phone—[phone]
Fax—[phone] /q/
www.hensonsinc.net �
Email-hensoi [e-mail]�
- Pres.,Ellis Fincher III
& IT)Dpers. Mgr. —Randy
IC-287 ; NAt( S-325314,
Mulch / `�
EmployA-60; Esta 1933
Sales—$10Mi1-$25MI
Distrib.—Regional
Privately owned corporation
PLAIN PATH PUBLISHERS
Henry Thompson Rd. (2878 q
Mail a r: P.O. ox 830, Columbus FQ/
(2872 r
Phone—(82 863-2736
www.plai th.org
Email—i of @pla ath.org
Secy-Treas.—Kathy aidaner
4/,V
�S
Principal —Gary Maldaner

# Source
1 NC Manufacturers Register ✓`
2 Water Billiing Record
3 IndustrySelect (formerly EZ Select)
4 Sewer Connection Permit
5 Chamber of Commerce Roster etc.
6 Telephone Directory
7 Google Maps
8
9
10

Firefox https:Houtlook.live.com/mail/O/
From: Billing Clerk <[e-mail]>
Sent: Thursday, April 13, 2023 9:15 AM
To: [e-mail] <debmbrad [e-mail]>
Subject: industrial sewer
Good morning Deborah,
The only business that we have in the Town that dumps industrial waste is Tryon Finishing Corporation
and that is the only business for the past 5 years as well.
Let me know if you need any more information.
Have a great day,
Jordan McKeown
Billing Clerk/ Tax Collector
Town of Tryon
1 of 1 6/13/2023, 11:00 AM

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Pretreatment
X Close Previous Next
Re: industrial sewer C!
isBilling Clerk <[e-mail]>
To: You
Good morning Deborah,
TRYON NEWS MEDIA LLC
16 N TRADE ST
AVERAGE MONTHLY USAGE 2675
Yes, 69 Pacolet St is currently in the name of Bank of America, I do not have
business name Andwin Scientific Inc.
Have a great day,
Jordan Mckeown
From: Deborah Bradley <[e-mail]>
Sent: Thursday, May 11, 2023 8:55 AM
To: Billing Clerk <[e-mail]>
Subject: Re: industrial sewer
Good Morning Jordon,
I have one more business I need average water usage for the Tryon Daily Bull
I also noticed that Andwin Scientific, Inc. was listed as Bank of America - 69 P;
Thanks, for all your help,
Deborah
From: Billing Clerk <[e-mail]>
Sent: Tuesday, May 9, 2023 10:13 AM
To: Deborah Bradley <[e-mail]>
Subject: Re: industrial sewer
I am basing this average off of the last 4 bills:
® Upgrade to
Microsoft 365 with BANK OF AMERICA
premium Outlook 69 Pacolet Street
features 1525 gal
1 of 1 6/13/2023, 10:26 AM

Mail - Deborah Bradley - Outlook
https:Houtlook.live.com/mai]/O/inbox/id/AQMkADAwATY3ZmYA...
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Home View Help
8
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Folders
B inbox 777
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L1 eDMR rec... 9
FOG 1
�] Gary Miliage
e] John Lassiter
Jonathan H...
e3 Kelley keenan
Land Applic...
e] Nationwide ...
Pretreatment
Public Not... 1
Sewer Use ...
State Retir... 2
l� State Stuff 5
Town Mana...
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premium Outlook
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Close Previous Next
Re: industrial sewer G°
0 Billing Clerk < bi Ili [e-mail]> (--� *-1 r> "'
To: You Thu 5/11/2023 9:34 AM
Good morning Deborah,
TRYON NEWS MEDIA LLC
16 N TRADE ST
AVERAGE MONTHLY USAGE 2675
Yes, 69 Pacolet St is currently in the name of Bank of America, I do not have any accounts under the
business name Andwin Scientific Inc.
Have a great day,
Jordan Mckeown
From: Deborah Bradley <[e-mail]>
Sent: Thursday, May 11, 2023 8:55 AM
To: Billing Clerk <[e-mail]>
Subject: Re: industrial sewer
Good Morning Jordon,
I have one more business I need average water usage for the Tryon Daily Bulletin.
I also noticed that Andwin Scientific, Inc. was listed as Bank of America - 69 Pacolet St.
Thanks, for all your help,
Deborah
From: Billing Clerk <[e-mail]>
Sent: Tuesday, May 9, 2023 10:13 AM
To: Deborah Bradley <debmbrad [e-mail]>
Subject: Re: industrial sewer
I am basing this average off of the last 4 bills:
69 Pacolet Street
1525 gal
Gleason Pottery
35 Erskine Rd.
Tryon, NC
700 gal
Saluda Forge
73 Ola Mae Way
Tryon, NC
-
2825 gal
Turner MFG. Co. Inc.
1081 S. Trade St.
Tryon, N.C.
325 gal
I Of I
6/13/2023, 10:29 AM

Mail - Deborah Bradley - Outlook
https://outlook.live.com/mail/O/inbox/id/AQMkADAwATY3ZmYA...
v
Home View Help
V
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Folders
B Inbox 777
Junk Em... 301
v
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Debs Stuff
E3 eDMR rec... 9
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n Gary Miliage
e] John Lassiter
lD Jonathan H...
e] Kelley keenan
C:) Land Applic...
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e] Public Not... 1
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e] State Stuff 5
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Close Previous Next
Re: industrial sewer L°
0 Billing Clerk <[e-mail]> (--` *` /4 "'
To: You Thu 5/11/2023 9:34 AM
Good morning Deborah,
TRYON NEWS MEDIA LLC
16 N TRADE ST
AVERAGE MONTHLY USAGE 2675
Yes, 69 Pacolet St is currently in the name of Bank of America, I do not have any accounts under the
business name Andwin Scientific Inc.
Have a great day,
Jordan Mckeown
From: Deborah Bradley <debmbrad [e-mail]>
Sent: Thursday, May 11, 2023 8:55 AM
To: Billing Clerk <[e-mail]>
Subject: Re: industrial sewer
Good Morning Jordon,
I have one more business I need average water usage for the Tryon Daily Bulletin.
I also noticed that Andwin Scientific, Inc. was listed as Bank of America - 69 Pacolet St.
Thanks, for all your help,
Deborah
From: Billing Clerk <[e-mail]>
Sent: Tuesday, May 9, 2023 10:13 AM
To: Deborah Bradley <debmbrad [e-mail]>
Subject: Re: industrial sewer
I am basing this average off of the last 4 bills:
BANK OF AMERICA
69 Pacolet Street
1525 gal
Gleason Pottery
35 Erskine Rd.
Tryon, NC
700 gal
Saluda Forge
73 Ola Mae Way
Tryon, NC
2825 gal
Turner MFG. Co. Inc.
1081 S. Trade St.
Tryon, N.C.
325 gal
From: Deborah Bradley <[e-mail]>
Sent: Tuesday, May 9, 2023 10:05 AM
To: Billing Clerk <[e-mail]>
Subject: Re: industrial sewer
Thank you. I also need for each business listed below, except Cooper Studio there average monthly water
usage.
From: Billing Clerk <[e-mail]>
Sent: Tuesday, May 9, 2023 9:13 AM
To: Deborah Bradley <[e-mail]>
Subject: Re: industrial sewer
Good morning,
® Upgrade to Please see my responses below:
Microsoft 365 with
premium Outlook Andwin Scientific, Inc.
features 69 Pacolet Street
THIS ACCOIINT IS IINDFR RANK OF AMFRICAN RI IT IT IS ACTIVF ANn HAS SFWFR
1 of 1 6/13/2023, 10:32 AM

Re: industrial sewer - Deborah Bradley - Outlook
https://outlook.live.com/mail/O/inbox/id/AQMkADAwATY3ZmYA...
'iiT Delete 8 Archive (E) Report <---, Reply v 0 Read / Unread 0 Categorize - R Fla( v
Re: industrial sewer
J You replied on Thu 5/11/2023 8:55 AM
0Billing Clerk <[e-mail]>
To: You
I am basing this average off of the last 4 bills:
BANK OF AMERICA
69 Pacolet Street
1525 gal
Gleason Pottery
35 Erskine Rd.
Tryon, NC
700 gal
Saluda Forge
73 Ola Mae Way
----------------------------
Tryon, NC
----------------
2825 gal
Turner MFG. Co. Inc.
1081 S. Trade St.
Tryon, N.C.
325 gal
From: Deborah Bradley <[e-mail]>
Sent: Tuesday, May 9, 2023 10:05 AM
To: Billing Clerk <[e-mail]>
Subject: Re: industrial sewer
<---� «1 r-) ...
Tue 5/9/2023 10:13 AM
Thank you. I also need for each business listed below, except Cooper Studio there average monthly
water usage.
From: Billing Clerk <[e-mail]>
Sent: Tuesday, May 9, 2023 9:13 AM
To: Deborah Bradley <[e-mail]>
Subject: Re: industrial sewer
Good morning,
Please see my responses below:
Andwin Scientific, Inc.
69 Pacolet Street
THIS ACCOUNT IS UNDER BANK OF AMERICAN BUT IT IS ACTIVE AND HAS SEWER
Cooper Studio
P.O. Box 11
Tryon, NC
I DONT HAVE A BUSINESS NAME IN THE SOFTWARE FOR COOPER STUDIO, DO YOU KNOW WHAT THE
PHYSICAL LOCATION IS?
Gleason Pottery
35 Erskine Rd.
1 of 1 6/13/2023, 10:34 AM

iws
RECEIVED
Checklist JUN 2 2 2023
NCDEQ/DWR/NPDES
Approx
Check if not
Process or
in service
Check if No
Check if
other non-
Why SIU
area or not in
Sewer
Date long
Domestic
domestic
Business
Permit is
Names
business
Service
Date form
Date of site
form was
Flow only
flow
Description
Or isn't
Industry
X
X
was received
visit
received
X
(gpd)
needed
Tryon
5/15/23
5/15/23
Printing
Has permit
Finishing
Cloth
#001
Turner Mfg
5/11/23
5/11/23
X
Sales
No process
water
Saluda Forge
5/15/23
5/15/23
X
Welding
No W & S
Service
Andwin
5/11/23
X
Distributor of
No Process
Scientific,
Laboratory
water
Inc.
microscopes
Tryon Daily
5/11/23
5/11/23
X
Newspaper
No process
Bulletin
Publishing
water
Gleason
5/16/23
5/16/23
X
Ceramic
No process
Pottery
sculptures
water
Arledge
X
N/A
No longer
Printers
In business
Cooper
X
N/A
No longer
Studio
In business
Henson's inc.
X
N/A
No W&S
service.
Business in
SC

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are
entering the _Mr U P 1,4 14- S Lt.l i eY P/ e:.jq-f This form must be completed
`s (POTW Name)
in accordance with section '/_1-
B)of our Sewer Use Ordinance (NC Model Section 5.7). Our
Sewer Use Ordinance can be examined during normal business hours at the address listed below.
If you have ``any question or concerns while completing the form please contact
ZC i 5rcf.d(aa:f
(Pretreatmant Contact and Phone Number)
Name of Business
Address
City/State/ZipCode-:-I—*n% /1 (
Telephone: �Sl - Sys �_ g,��-� Fax:
Number of Employees S'
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed
Please list all water uses and approximate volume used in gallons per day for each use,
including facility washdown water.
Water Use
Volume Used (gallons
day)
Process:
.per
Facility Washdown
Domestic(bathrooms, cafeteria
Total:
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports
to the Sewer Authority. Authorized Representative is defined as a Person responsible for
Principle Business decisions or other policy decisions for the facility.
To the Best of my owlel3ge the information on this form is true and accurate,
Signature Date 5
Title ✓ pler k/ " q viti 54 Y-
Return this form by
to:
(Wastewater Treatment Plant)
(Street)
(City/State/Zip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
-uayici. IVY o vuMance Chapter Filename: Chi er 3
IWS Appendix er 3
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are
entering the Tr i 1 e r4 f i,ck�e,' PI 4.n1•[ This form must be completed
(POTW Name)
in accordance with section "/.4 )of our Sewer Use Ordinance (NC Model Section 5.7). Our
Sewer Use Ordinance can be examined during normal business hours at the address listed below.
If you have any question or concerns while completing the form please contact
13e rr,a rc (e:,t
(Pretreatrn&t Contact and Phone Number)
Name of Business I L,04/e
Address 7l t-ad e S7`,
City/State/Zip Code �rYo/L /J , C , 2$' 2
Telephone: '�ZZ'7 - ` -51 "9 2 V7 Fax: Y 2S (a
Number of Employees
What Standard Industrial Classification (SIC) Code(s) do you report under:
3 z z ,�3 7 - — — — — , -----
Briefly describe your business include products manufactured or services performed
LA-1- --t S �C_- 14)
Please list all water uses and approximate volume used in gallons per day for each use,
including facility washdown water.
Water Use
Volume Used (gallons
per day)
Process:
U
Facility Washdown
Domestic(bathrooms, cafeteria)
/
Total:
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports
to the Sewer Authority. Authorized Representative is defined as a Person responsible for
Principle Business decisions or other policy decisions for the facility.
To the Best of my knowledge the information on this form is true and accurate,
Signature Date �1 2
Title `' W AJ %
Return this form by
to:
(Wastewater Treatment Plant)
(Street)
(City/State/Zip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
Chapter: IWS Guidance Chapter 3
Filename: Chi IWS Appendix 3-A
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are entering the
Tryon Wastewater Treatment Plant. This form must be completed
(POTW Name)
in accordance with section 51.64 B of our Sewer Use Ordinance (NC Model Section 5.7). Our Sewer Use
Ordinance can be examined during normal business hours at the address listed below. If you have any
question or concerns while completing the form please contact: Deborah Bradley [phone]
Name of Business
Address
City/State/Zip Code % U�/✓ /V�'
Telephone:;, - - �S �/'�13� 7 Fax:
Number of Employees /
What Standard Industrial Classification (SIC) Code(s) do you report under:
_a -Z A 2, ---- , ---- , ---
Briefly describe your business include products manufactured or services performed
,.�,,,.�►7�`..,,;,.,/i �i�ir��.laJy� . �G%� O1�.L[.G C. �KC��XQD
Please list all water uses and approximate volume used in gallons per day for each use, including facility
washdown water.
Water Use
Volume Used (gallons per
day)
Process:
Facility Washdown
Domestic(bathrooms; cafeteria)
a
Total:
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports to the
Sewer Authority. Authorized Representative is defined as a Person responsible for Principle Business
decisions or other policy decisions for the facility.
To the Bed of my knowle ge�the information on this form is true and accurate,
Title
Return this form within 30 days to:
(Wastewater Treatment Plant)
(Street)
(City/StatdZIP)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
IWS Short Form
Filename: IWS Short Form
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are
entering the -rr i l o tJ 1j%5 fc.u7C. t✓ P/ li rJ f This form must be completed
(POTW Name)
in accordance with section /.4 g)of our Sewer Use Ordinance (NC Model Section 5.7). Our
Sewer Use Ordinance can be examined during normal business hours at the address listed below.
If you have any question or concerns while completing the form please contact
(PretreatmAnt Contact and Phone Number)
Name of Business
Address
City/State/Zip Code r an/, n%. L 3 9 7S'2-
Telephone: r 228) 91::0-4-996 Fax:
Number of Employees S
What Standard Industrial Classification (SIC) Code(s) do you report under:
Asr 04 9
Briefly describe your business include products manufactured or services performed
Please list all water uses and approximate volume used in gallons per day for each use,
including facility washdown water.
Water Use
Volume Used (gallons
per day)
Process:
Facility Washdown
Domestic bathrooms, cafeteria
Lj
Total:
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports
to the Sewer Authority. Authorized Representative is defined as a Person responsible for
Principle Business decisions or other policy decisions for the facility.
�To the B st of r31y lrnowledge formation onthis form is a and accurate,
Signature }Jute 2
I Title
xeturn tms Corm oy to:
(Wastewater Treatment Plant)
(Street)
(City/State/Zip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
Chapter: IWS Guidance Chapter 3
Filename: Ch3 IWS Appendix 3-A
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are
entering the Tr u a �f 1�% s tc,t,elefu- P/ tc N•1t . This form must be completed
(POTW Name)
in accordance with section)°f our Sewer Use Ordinance (NC Model Section 5.7). Our
Sewer Use Ordinance can be examined during normal business hours at the address listed below.
If you have any question or concerns while completing the form please contact
(Pretreatm4nt Contact and Phone Number)
Name of Business
Address
City/State/Zip Code
Telephone:
Number of Employees
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed
Please list all water uses and approximate volume used in gallons per day for each use,
including facility washdown water.
Water Use
Volume Used (gallons
r day)
Process:
Facility Washdown
Domestic(bathrooms, cafeteria
9S
Total:
Our Sewer Use Ordinance requires that
to the Sewer Authority. Authorized
Principle Business decisons or other p'
To the Best of
Signature
Title
l Representative of the User sign all reports!
e is defined as a Person responsible for
for the facility.
on this form is true and accurate,
Dat �' ` /
Return this form by to: 1 !'tionJ in> 77r-'
(Wa tewater Treatment Plant)
3v / W Tac/
(street)
gQ,N1 AIL Ag79'Z
(CityState/Zip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
Chapter: IWS Guidance Chapter 3
Filename: Chi 1WS Appendix 3-A
Revision Date: September 1, 1993

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Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are
entering the `Tr u n r4 ukfe.r P1 "4 This form must be completed
(POTW Name)
in accordance with sectionSj.4CB)of our Sewer Use Ordinance (NC Model Section 5.7). Our
Sewer Use Ordinance can be examined during normal business hours at the address listed below.
If you have any question or concerns while completing the form please contact
ZC61M ?�-r ip e
(Pretreatm&t Contact and Phone Number) t
Name of Business _ TV 1°'^
Address eL.So 5 c-reve— ?-oc, J
City/State/Zip Code -Try -9 ^ la L 'tom 15 -L-
Telephone: �'2,8 -`d -S 1 Fax: "t
Number of Employees `two
What Standard Industrial Classification (SIC) Code(s) do you report under:
2 Z(o n. z z(0 1 > — — — — - ----
Briefly describe your business include products manufactured or services performed
N, n +LGlj� Ir t, �5 k of- w �,.. cl.. t VY �l �
` VvPN>i 7�CiV:�
Please list all water uses and approximate volume used in gallons per day for each use,
1 din f '1' hdown water
Inc u gact t was
Water Use
Volume Used (gallons
er day)
Process: er2-2� 5 �v� ✓v1
3'0 t.000
W a5�• G�LG.�� r' tL� t �cv
FacilityWashdown
S'.000
Domestic(bathrooms, cafeteria
1 �000
Total:
7 f t o o�
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports'.
to the Sewer Authority. Authorized Representative is defined as a Person responsible fori
Principle Business decisions or other policy decisions for the facility.
To the Best of y led a th information on this form is true and accurate,
Signature kn Date '5- 1 ;1 1 Z
Title f vc ' ,
Return this form by to:
(Wastewater Treatment Plant)
(Street)
(City/stateJzip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
Chapter: IWS Guidance Chapter 3
Filename: Chi IWS
Appendix 3-A
Revision Date: September 1, 1993
I

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Industrial User Wastewater Survey
& Permit Application
COVER PAGE
Company Name: Tryon Finishing Corporation
Name of responsible person on site at the facility authorized to represent the
Name of alternative on site person familiar with the day to day operations,
company in official dealings with the Sewer Authority and/or the City.
environmental permitting requirements, monitoring, record keeping, and data
Naiden Kremenliev
management.
James Bradlev
Title President
Years with firm 3
Title Director of Manufacturing
Years with firm 3
Phone # [phone]
Fax #
Phone # [phone]
Fax #
Physical street address of facility
Official mailing address, if different. Note if same.
250 Screvens Road
City Tryon
State NC
Zip 28782
City
State
Zip
The information provided by you on this questionnaire serves two functions:
The information is used to determine if your facility needs an Industrial
User Pretreatment Permit (IUP) for the discharge of wastewater to the local
sewer.
2. If an Industrial User Pretreatment Permit (IUP) is required, this survey
serves as the application for an Industrial User Pretreatment Permit (IUP).
Requests for confidential treatment of information provided on this form shall be governed by procedures
specified in 40 CFR Part 2. In accordance with Title 40 of the Code of Federal Regulations Part 403,
Section 403.14 and the Local Sewer Use Ordinance (SUO), information and data provided in this
questionnaire which identifies the content, volume and frequency of discharge shall be available to the
public without restriction.
This is to be signed by an authorized official of your firm, as defined in the Local Sewer Use Ordinance or the NC Model
Sewer Use Ordinance, Section 1.2, after completion of this form.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based upon my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true,
accurate and complete. I am aware that there are significant penalties for submitting false
infortnati , in u . g t possibility of fine and/or imprisonment for knowing violations.
June 6, 2023
Signature of Authorized Representative Date
listed above (seal if
Title: III wastewater Survey & Permit Application
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Industrial User Wastewater Survey
& Permit Application
1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
Printing of cloth — most of which is used to manufacture bandannas
2. List the primary products produced at this facility:
Printed cloth
List raw materials and process additives used:
Cotton and polyester/cotton cloth
Dyes, bleach, salt, caustic, hydrogen peroxide, acetic acid, softeners
4. Are biocides added to any water discharged to the POTW,
if yes describe:
Yes
No X
Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift.
1 shift per day, 10 hours, 4 days/week. 22 employees total
6. Production process is: Check, if all continuous
Check, if all batch x
If both please enter, % continuous = % % Batch = %
Title: IU Wastewater Sun-ey & Pemut Application
File name: httpsl-tryonfinishmLy-my.sharepointcom- rsonaUnaiden_trymfim hiog_com/Documents✓Licenses and Permits/Town
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Revision date: 12/30/97 Page 2 of 198
Industrial User Wastewater Survey
& Permit Application
7. Does production vary significantly (+- 20 %) by season. Describe.
Yes
No x
8. Are any significant (+- 20 %) changes in production that will affect wastewater
discharge expected in the next 5 years. If yes, please describe.
Yes
No x
9. List all current waste haulers. Give name, address, phone numbers. volume and
materials hauled off.
GFL Environmental
PO Box 791519
Baltimore, MD 21279
864-269-1065
10. Attach a copy of laboratory analyses performed in the last year on the wastewater
discharge(s) from your facilities. Summarize data on the attached Data Summary
Form.
See lab reports from July 2022 to April 2023
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
See attached
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
See checklist
Title: N Wastewater survey & Permit Application
File name: https:// ryonsnishing_my..h.,,p.int. ✓pets.n.y..ide. tryonfinish;ng_com/Documents/Licenses and Permits/Town
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Industrial User Wastewater Survey
& Permit Application
13. Do you have, or have you ever applied for, been issued, or been denied an
NPDES permit to discharge to the surface waters or storm sewers of North
Carolina? If yes, list all other NPDES permits, permit numbers, dates, and
names used to apply for them, or reason denied.
If yes: Permit , #, date, applicant name
NCO049305 July 1, 2020 Tryon Finishing Corporation
If yes: Permit , #, date, applicant name
Yes
No
14. Do you have, or have you ever applied for or been issued an Industrial
User Pretreatment Permit (IUP) to discharge wastewater to the sewer
collection system. If yes, list all other IUP permits, permit numbers, dates,
_ and names used to apply for them.
if yes: Permit , #, date, applicant name
#001 January 1, 2022 Tryon Finishing Corporation
If yes: Permit, #, date, applicant name
Yes x
No
15. Do you have, or have you ever applied for or been issued any other
Environmental Permits (for example; air, RCRA, groundwater,
stormwater, general, Non -Discharge, septic tank, etc.). If yes, list all other
permits, permit numbers, dates and names used to apply for them.
If Yes: Permit type, #, date, applicant name
Air Permit # 03977RIO October 15, 202 Tryon Finishing Corporation
if yea: Permit type, #, date, applicant name
if yes: Permit type, #, date, applicant name
Yes x
No
16. Is a Spill Prevention Control and Countermeasure (SPCC) Plan prepared
for this facility?
Yes
No X
17. Is a Spill /Slug Control Plan required by the POTW, prepared for this
facility?
Yes
No Y
Title: IU Wasteurater Surrey & Permit Application
File name: httpsJ/tryonfmshmg-my.sharepointcom'penonaL,naiden_tryonf.&.g_Com/Documents/Licenses and Permits/Town
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Revision date: 12/30/97 Page 4 of 198
Industrial User Wastewater Survey
& Permit Application
18. Do you have any underground storage tanks at your facility? If yes, list
contents and volume of each tank.
19. Do you have any above ground storage tanks at your facility? If yes, for
each tank, list the contents, volume, whether the tank has any spill
prevention or containment devices, such as dikes, and procedures for
draining any containment devices.
#1 Oil 10,000 Gal Containment —No longer in use
#2 Oil 10,000 Gal Containment — No longer in use
#3 Diesel 2,000 Gal — No longer in use
#4 Poh•mer 4,000 Gal - No longer in use
#5 Kerosene 300 Gal - No longer in use
#6 Peroxide 3,000 Gal - No longer in use
#7 Peroxide 3,000 Gal - No longer in use
#8 Caustic 5,000 Gal - No longer in use
#9 Hot Rater 20,000 Gal - No longer in use
#10 Hot Water 4,000 Gal - No longer in use
#11 Liquid wax 3,000 Gal - No longer in use
#12 Liquid Wax 3,000 Gal - No longer in use
Yes
No X
Yes # of Tanks 12
No
RECEIVED
JUN � 2 �M
NCDEQ/DWR/NPDES
Title: M Wastewater Survey & Permit Application
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Industrial User Wastewater Survey & Permit Application
PART II, Water Supply, Use, & Disposal Worksheet:
2.
3.
4.
5.
6.
8.
9.
Water Used for:
Water
Source(s)
Avg.
gal/day
Max.
gal/day
M
a
a
s
u
re
d
E
st
i
In
at
a
d
Disposal
Method(s)
Avg.
gal/day
Max.
gal/day
M
a
a
s
u
re
d
E
St
i
In
at
e
d
Process water
Washdown water
Water into product
Air Quality Permitted units
Domestic - toilets, drinking, cafe
Cooling water, Process NON -Contact
Boiler / Cooling tower blowdown
Cooling water, HVAC
Other:
(see Source List below)
(see Disposal List below)
4/1
30,000
40,000
1
30,000
40,000
4/1
500
2,000
1
500
2,000
4/1
1,500
3,000
5/10
1,500
3,000
1
1,000
2,000
2 City Water
1,000
2,000
4/1
2,500
5,000
1 Basin
2,500
5,000
4/1
500
1,000
5/1 Basin
500
1,000
Evaporation
Storm Water Runoff
Totals =>
36,000
53,000
Totals =>I
369000
53,000
Typical Water Sources:
Possible Water Disposal Methods
1.
City / Public supply
1.
Sanitary sewer, with pretreatment
2.
Private wells, drinking
2.
Sanitary sewer, without pretreatment
3.
Groundwater remediation wells
3.
Storm sewer
4.
Private ponds
4.
Surface waters of NC
5.
Surface waters of NC, please identify
5.
Evaporation
&
Include others if applicable
6.
Land applied
7.
To groundwater
8.
Septic Tank
9.
Waste Haulers (identify)
Tide: IU Wastewater Survey & Permit Application
File name: https://tryonfinishing-my.sharepoint.com/personal/naiden_tryonsnishing_com/Documents/Licenses and Permitsfrown of Tryon/Industrial Wastewater Survey &
IUP Permit Application (Long Form) - 06.06.23.docx
Revision date: 12/30/97 Page 6 of 198

10. Water into Product
Title: Iil Wastewater Survey & Permit Application
Filename: https:/,tyonfuiishing-my.gha l int.c m/personai/naidep_tryonfnishing_com/Documents/Licenses and Permits/Town of Tryon/Indu;
IUP Permit Application (Long Form) - 06.06.23.docx
Recision date: 12/30/97
Page 7 of 198
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PART III, PRETREATMENT FACILITIES:
Are there any pretreatment devices or processes used for treating wastewater
before being discharged to the sewer? Check all that are present, and describe.
No pretreatment facilities =>
Flow equalization Aerated equalization =>
NON -Aerated equalization => X
Total volume of equalization (million gal.) => 0.66
2. Activated Carbon Yes
3. Activated Sludge Yes
4. Air Stripping Yes
5. Centrifugation Yes
6. Chemical Precipitation Yes
7. Chlorination Yes
8. Cyanide Destruction Yes
9. Cyclone Yes
10. Dissolved Air Floatation Yes
11. Filtration Yes
12. Flocculation Yes
13. Grease Trap Yes
14. Grit Removal Yes
15. Ion Exchange Yes
16. Neutralize, pH adjust Yes
17. Other Biological Treatment Yes
18. Ozonation Yes
19. Reverse Osmosis Yes
20. Screening Yes
21. Sedimentation Yes
22. Septic Tank Yes
23. Silver Recovery Yes
24. Solvent Separation Yes
25. Spill protection Yes
List any others.
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
X
Describe any, if present.
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
pH and Flow Monitoring -
YES
Title: IU wastewater Survey R Petmit Application
File name: https:/,Iryonsni4iing-my.sharepoint_c4Dm-personatnai&t tryonfnishing—corr/Documents/Licenses and Permits/Town
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PART IV, CATEGORICAL INFORMATION:
When were operations started at this facility
Facility start up date 1957
2. List all Standard Industrial Classification (SIC) codes for your facility.
These may be found on State Unemployment forms, tax forms,
accounting records, or from the Chamber of Commerce.
2269 2261
3. Has this facility ever been considered a Categorical Industrial User
(CIU) as described by the Code of Federal Regulations (40 CFR)?
If yes, give complete 40 CFR number =>
No
4. Are any other facilities owned and/or operated by your company
permitted as Categorical Industrial Users (CIUs) as described by the
Code of Federal Regulations (40 CFR)?
If yes please give name(s), location, and 40 CFR number.
Yes
No
Title: lU Wastewater Surrey & Permit Application
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Revision date: 12/30/97 Paee 9 of 198
PART IV, CATEGORICAL INFORMATION:
(continued)
5. Check any activities listed below that are performed at your facility:
Check
below
40
CFR# I
Industrial Activity
Check
I below
40
CFR#
Industrial Activity
467 Aluminum Forming
427 Asbestos Manufacturing
461 Battery Manufacturing
431 Builders paper & board mills
407 Canned & preserved fruits & veg.
408 Canned & preserved seafood
458 Carbon black Manufacturing
411 Cement Manufacturing
437 Centralized Waste Treatment
434 Coal Mining
465 Coil Coating
468 Copper Forming
405 Dairy products processing
469 Electrical, electronic components
413 Electroplating
457 Explosives Manufacturing
412 Feedlots
424 Ferro allay Manufacturing
418 Fertilizer Manufacturing
464 Foundries, Metal Mold & Casting
426 Glass Manufacturing
406 Grain mills
454 Gum & Wood Chemicals Mfg.
460 Hospitals
447 Ink formulating
415 Inorganic chemical Manufacturing
420 Iron & Steel Manufacturing
425 Leather Tanning & Finishing
432 Meat products
433 Metal finishing
464 Metal molding and casting
436 Mineral mining and processing
471 Nonferrous Metal, Form & Powders
421 Nonferrous Metals Manufacturing
414 OCPSF, Organic Chemicals, Plastics,
& Synthetic Fiber Manufacturing
435 Oil & gas extraction
440 Ore mining and dressing
446 Paint formulating
443 Paving and roofing materials Mfg.
455 Pesticide Manufacturing
419 Petroleum Refining
439 Pharmaceutical Manufacturing
422 Phosphate Manufacturing
459 Photographic supplies
463 Plastics molding and forming
466 Porcelain enameling
430 Pulp, paper, and paperboard
428 Rubber Manufacturing
417 Soap & Detergent Manufacturing
423 Steam Electric power Generation
409 Sugar processing
410 Textile Mills
429 Timber products processing
442 Transportation Equipment Cleaning
Others
X
Title: IU Wastewater survey & Permit Application
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Wastewater Pollutant Checklist
Chemical Name
EPA
Check if
Check if
Check if
Check if
Concentration
Storet
Present at
Absent at
Present in
Absent in
in Discharge,
Code
Facility
Facility
Discharge
Discharge
if Known
(m 1)
Acid Extractable Or anics
2-Chloro henol
34586
2 4-Dichloro henol
34601
2 4-Dimeth 1 henol
34606
4-Dinitro henol
34616
2-Meth 1-4 6-dinitro henol
34657
4-Chloro-3-meth 1 henol
34452
2-Nitro henol
34591
4-Nitrot3henol
34646
Pentachloro henol
39032
Phenol
34694
x'
2A, 6-Trichloro henol
34621
Race Neutral Oroanics
1 2 4-Triclilorobenzene
34551
1 2-Dichlorobenzene
34536
1 2-Di hen lh drazine
34346
1 3-Dichlorobenzene
34566
1 4-Dichlorobenzene
34571
2 4-Dinitrotoluene
34611
2 6-Dinitrotoluene
34626
2-Chloronaphthalene
34581
X
X
3,3-Dichlorobenzidine
34631
X
X
4-Bromophenyl phenyl ether
34636
X
X
4-Chlorophenyl phenyl ether
34641
X
X
Acenaphthene
03405
x
X
Acenaphthylene
34200
x
X
Anthracene
34220
h
X
Benzidine
39120
X
X
Benzo (a) anthracene
34526
h
X
Benzo (a) pyrene
34247
X
X
Benzo (b) fluoranthene
34230
X
X
Benzo (ghi) perylene
34521
X
Y
Benzo (k) fluoranthene
34242
X
X
Bis(2-chloroethoxy) methane
34278
Y
X
Bis(2-chloroethyl) ether
34273
X
X
Bis(2-chloroisopropyl) ether
34283
X
X
Bis(2-ethylhexyl) phthalate
39100
X
X
Butyl benzyl phthalate
34292
X
X
Chrysene
34320
X
X
Di-n-butyl phthalate
39110
X
X
Title: IU Wastewater Survey & Permit Application
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Recision date: 12/30/97 Page 11 of 198
Wastewater Pollutant Checklist
Chemical Name
EPA
Check if
Check if
Check if
Check if
Concentration
Storet
Present at
Absent at
Present in
Absent in
in Discharge,
Code
Facility
Facility
Discharge
Discharge
if Known
(m 1)
Base Neutral Organics (continued)
Di-n-octyl phthalate
34596
X
X
Dibenzo (a,h) anthracene
34556
X
X
Diethyl phthalate
34336
X
X
Dimeth 1 plithalate
34341
X
X
Fluoranthene
34376
X
X
Fluorene
34381
X
X
Hexachlorobenzene
39700
X
x
Hexachlorobutadiene
34391
X
X
Hexachloroc clo entadiene
34386
X
X
Hexachloroethane
34396
X
X
Indeno(1,2,3-cd) pyrene
34403
X
X
Iso horone
34408
X
X
N-nitroso-di-n- ro lamine
34428
X
X
N-nitrosodimeth lamine
34438
X
X
N-nitrosodi hen lamine
34433
X
X
Naphthalene
34696
X
X
Nitrobenzene
34447
X
X
Phenanthrene
34461
X
X
P rene
34469
X
X
Metals
Aluminum
01104
X
X
Antimony
01097
X
X
Arsenic
01002
X
X
Beryllium
01012
X
X
Cadmium
01027
X
X
Chromium
01034
X
X
Copper
01042
X
X
0.045
Lead
01051
X
X
Mercury
71900
X
X
Molybdenum
01062
X
X
Nickel
01067
X
X
Selenium
01147
X
X
Silver
01077
X
X
Thalium
00982
X
I
X
Zinc
01092
X
X
1 0.052
Title: rU Wastevmter Survey & Pemut Application
File name: https://tzyonfinishing-my.sharepoint eom/pe wmUnaidea_uyonfinish* com/Documents/Licenses and Permits/Town
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Wastewater Pollutant Checklist
Chemical Name
EPA
Check if
Check if
Check if
Check if
Concentration
Storet
Present at
Absent at
Present in
Absent in
in Discharge,
Code
Facility
Facility
Discharge
Discharge
if Known
(mg/1)
Other Inorganics
Barium 01007
Chloride 00940
Cyanide 00720
Fluoride 00951
Purgeable Volatile Organics
1 1 1-Trichloroethane
34506
1 1 2 2-Tetrachloroethane
34516
1 1 2-Trichloroethane
34511
1 1-Dichloroethane
34496
1 1-Dichloroeth lene
34501
1 2-Dichloroethane
34531
1 2-Dichloro ro ane
34541
2-Chloroeth 1 vinyl ether
34576
Acrolein
34210
Acrylonitrile
34215
Benzene
34030
Bromodichloromethane
32101
Bromofonn
32104
Bromomethane
34413
Carbon tetrachloride
32102
Chlorobenzene
34301
Chloroethane
34311
Chloroform
32106
Chloromethane
34418
cis 1 3-Dichloro ro ene
34704
Dibromochloromethane
32105
Eth lbenzene
34371
Methylene chloride
34423
Tetrachloroeth lene
34475
Toluene
34010
trans 1 3-Dichloro ro ene
34699
trans-1 2-Dichloroeth lene
3asa6
Trichloroeth lene
39180
Trichlorofluoromethane
34488
Vinyl chloride
39175
Others
Xylene X X
Title: IU Wastewater Survey & Permit Application
File name: httpsJ/hyonSnishmg-my.sharepoint_comp,,mai/naiden tryonfimd ing_com/Documents/Licenses and Permits/Town
r-r it t . r — . - n -- s. . . 1. . it r 1 ni ni n1 t
13 of21
6/12/2023, 9:24 AM

Data Summary Form
Town of Tryon <= Receiving POTW
NCO021601 <= Receiving NPDES #
Equalization
Basin 001
i.e., Give IU Name, IUP#, and/or pipe#
Lab => Laboratory performing analysis =>
MDL => Laboratory Method Detection Limits =>
Notes => Notes =>
Q = Flow
BOD
TSS
Ammonia
ETS
2.0 mg/L
Conc. Results
from Lab
<? mg/I
ETS
50 mg/L
Conc. Results
from Lab
<? mg/I
Conc. Results
from Lab
<? mg/I
Sample
ID, or
Count
Date
Sample
Collected
Notes about Sample
M = Metered
E = Estimated
mgd gal/day
1
7/12/22
M
210
72
2
10/25/22
M
63
56
3
1/11/23
NI
200
4.6
4
3/15/23
M
5
4/12/23
M
12
1 93
6
7
8
9
10
I
12
etc
TNS — Total number of samples => 4 4
Max. value => Maximum data value (mg/1) => 210 93
Avg. (use 1/2 BDL) => Avg. data value, Include BDL values as 1/2 detection limit => 56.4
Title: R1 Wastewater Survey & Permit Application
File name: htrps://tryonfinishing-my.sharepoint.Qom/persmal/naiden_trymfinishing_com/Documents/Licenses and Permits/Town of Tryon/Industrial Wastewater Survey &
IUP Permit Application (Long Form) - 06.06.23.docx
Revision daze: 12/30/97 Page 14 of 198

Data Summary Form
Town of Tryon <= Receiving POTW
NCO021601 <= Receiving NPDES #
Equalization Basin 001 <= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe #
Lab =>
MDL =>
Notes =>
Arsenic
Copper
Chromium
Cadmium
COD
Copper
ETS
0.01 mg/L
Cone. Results
from Lab
<? mg/I
ETS
0.001 mg/L
Cone. Results
from Lab
<? mg/I
ETS
0.005 mg/L
Cone. Results
from Lab
<? mg/I
ETS
0.001 mg/L
Cone. Results
from Lab
<? mg/1
Cone. Results
from Lab
<? mg/1
Cone. Results
from Lab
<? mg/I
Sample
ID or
Count
Date Sample
Collected
1
7/12/22
0.455
2
10/25/22
0.297
3
1111/23
0.0139
4
3/15/23
<1
0.001
0.001
<
0.001
5
4/12/23
0.28
6
7
8
9
10
11
12
etc
TNS => 1 1 Max. Value => <0.001 0.455 0.001 <0.001
Title: lUWastewater Survey & Permit Application
File name: https:/Aryonfinishing-my.sharepointcom/personal/naiden_tryonfinishing_com/Documents/Llcenses and Permits/Town of Tryon/Industrial Wastewater Survey &
IUP Permit Application (Long Form) - 06.06.23.docx
Revision date: 12/30/97 Page 15 of 198

Avg. (use1/2 BDL) => 0 0.261 1 -1 1
Data Summary Form
Town of Tryon <= Receiving POTW
NCO021601 <= Receiving NPDES #
Equalization Basin 001 <= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe #
Lab —
MDL =>
Notes =>
Cyanide
Lead
Mercury
Nickel
Silver
Zinc
Conc. Results
from Lab
<? mg/l
ETS
0.05 mg/L
Conc. Results
from Lab
<? mg/1
ETS
0.0002 mg/L
Conc. Results
from Lab
<? mg/l
ETS
0.01 mg/L
Conc. Results
from Lab
<? mg/1
ETS
0.005 mg/L
Conc. Results
from Lab
<? mg/l
ETS
0.01 mg/L
Conc. Results
from Lab
<? mg/l
Sample
ID or
Count
Date Sample
Collected
1
7/12/22
<
0.0002
0.082
2
10/25/22
<
0.0002
1
0.042
3
1/11/23
<1
0.0002
0.082
4
3/15/23
<1
0.005
0.001
0.002
<
0.001
5
4/12/23
0.0006
0.093
7
x
y
10
11
12
etc
TNS=> 0 � ® F— 0
Tide- fU Wastewater Survey & Permit Application
File name: haps:/hryonfinishing-my.sharepoint.com/personal/naiden_tryonfinishing_COm/DOcuments/Licenses and Permits/Town Of Tryon/industrial Wastewater Survey &
IUP Permit Application (Long Form) - 06.06.23.docx
Revision date: 12/30/97 Page 16 of 198

Max. Value => <.005 0.001 0.0006 0.002 <0.001 0.093
Avg. (usel/2 BDL) => �-100-005 0.001 0.0003 0.002 <0.001 1 0.075
Data Summary Form
Town of Tryon <= Receiving POTW
NCO021601 <= Receiving NPDES #
Equalization Basin 001 <= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe #
Phosphorus
Other
Other
Other
Other
Other
Lab =>
MDL =>
Notes =>
ETS
0.02 mg/L
Conc. Results
from Lab
<? mg/l
Conc. Results
from Lab
<? mg/I
Conc. Results
from Lab
<'? mg/I
Cone. Results
from Lab
<? mg/l
Conc. Results
from Lab
<? mg/l
Conc. Results
from Lab
<? mg/l
Sample
ID or
Count
Date Sample
Collected
1
7/12/22
10/25/22
3
1/11/23
4
3/15/23
1.21
5
4/12/23
6
7
8
9
10
11
12
etc
Title: N Wastewater Survey & Permit Application
File name: https://tryonfinishing-my.shmepoint.com/personal/naiden_tryonfinishing_COM/DOCuments/Licenses and Permits/Town Of Tryon/Industrial Wastewater Survey &
IUP Permit Application (Long Form) - 06.06.23.docx
Revision date: 12/30/97 Page 17 of 198

TNS => 1
Max. Value => 1.21
Avg. (use1/2 BDL) => 1.21
Tide: W Wastewater Survey & Permit Application
File name: htips://tryonsnishing-my.sharepoint.Qom/personal/naiden_nyonsnishing_com/Documents/Licenses and Permits/Town of Tryon/Industrial Wastewater Survey &
IUP Permit Application (Long Form) - 06.06.23.docx
Revision date: 12/30/97 Page 18 of 198

Industrial User Wastewater Survey
& Permit Application
Part V, Waste Reduction Information :
State Pretreatment Rule 15A NCAC 211.0916 (c)(1)(M) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Projected Code Description
W 13
Improved maintenance scheduling recordkee in , or procedures
W 14
Changed production schedule to minimize equipment and feedstock
changeovers
W 19
Other changes in operating ractices (explain briefly in comments)
W21
Instituted procedures to ensure that materials do not stay in inventory
beyond shelf -life
W22
Began to test outdated material -continue to use if still effective
W23
Eliminated shelf -life requirements for stable materials
W24
Instituted better labeling procedures
W25
Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29
Other changes in Inventory control (explain briefly in comments
W31
1 Improved storage or stacking procedures
W32
Improved procedures for loading, unloading and transfer operations
W33
Installed overflow alarms or automatic shutoff valves
W34
Installed secondary containment
W35
Installed vapor recovery systems
W36
Implemented inspection or monitoring program of potential spill or
leak sources
W39
Others ill and leak prevention (explain briefly in comments)
W41
Increased purity of raw materials
W42
Substituted raw materials
W49
Other raw material modifications (explain briefly in comments)
W51
Instituted recirculation within a process
Title: N waste- ater Survey & permit Application
File name: https:/,+hyoufmishing-my_sharepoint.com/personatinaiden_tryonfmishing_com/Documents/Licenses and Permits/Town
of Tryon/Industrial Wastewater Survey & IUP Permit Application (Long Form) - 06.06.23.doex
Revision date: 12/30/97 Page 19 of 18
19 of 21 6/12/2023, 9:24 AM

Firefox
about:blank
Industrial User Wastewater Survey
& Permit Application
Current
Projected
Code
Description
W52
Modified equipment, layout, or piping
W53
Use of a different process catalyst
W54
Instituted better controls on operating bulk containers to minimize
discarding of empty containers
W55
Changed from small volume containers to bulk containers to
minimize discarding of empty containers
W58
Other process modifications (explain briefly in comments)
W59
Modified stripping / cleaning equipment
W60
Changed to mechanical stripping / cleaning devices (from solvents or
other materials)
W61
Changed to aqueous cleaners ( from solvents or other materials)
W62
Reduced the number of solvents used to make waste more amenable
to recycling
W63
Modified containment procedures for cleaning units
W64
Improved draining procedures
W65
Redesigned parts racks to reduce dra out
W66
Modified or installed rinses stems
W67
Improved rinse equipment design
W68
Improved rinse equipment operation
W71
Other cleaning and degreasing operation (explain briefly in continents)
W72
Modified spray systems orequipment
W73
Substituted coating materials used
W74
Improved application techniques
W75
Changed from spray to others stein
W78
Other surface preparation and finishing (explain briefly in comments)
W81
Changed product specifications
W82
Modified design or composition of product
W83
Modified packaging
W89
Other product modifications (explain briefly in comments)
W99
Other (specify in comments )
Comments (Please list corresponding code)
Title: M Wastewater Survey & Pemut Application
Filename: https://tryonfmishmg-my.sharepointcom!persondnaiden tryonfmshmg_com/Documents/Licenses and Permits/Town of
Tryon/Industrial Wastewater Survey & IUP Permit Application (Long Form) - 06.06.23.docx
Revision date: 12/30/97 Page 20 of 208
20 of 21 6/12/2023, 9:24 AM

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