NC0020401_Pretreatment_Annual_Report_Revision_20240322

HIk ,CKORY
North Cerollna
Life.Well Crafted.
it of H
2023
Pretreatment Annual
Report
Prepared By:
Morgan C. Bowers
Pretreatment Coordinator

Narrative

CITY OF HICKORY 2023 PRETREATMENT ANNUAL REPORT
The Pretreatment Annual report submitted by the City of Hickory contains
information from January 1, 2023 — December 31, 2023. During this period, 15
industries were monitored.
JANUARY - JUNE 2023
• POTW monitoring for fourteen (14) industries occurred. Thirty-one
(31) monitoring events were conducted by the City of Hickory.
• Self-monitoring by fourteen (14) industries occurred. Seventy-five
(75) self-monitoring events were conducted.
• Two (2) industries were in SNC for limits violations for cyanide and
phenol.
• One (1) industry was in SNC for reporting violation.
• Twelve (12) industries were sent thirty-nine (39) [self-monitoring
data —twenty-four (24); City of Hickory data —fifteen (15)] notices
of noncompliance with the Industrial Monitoring Program.
JULY - DECEMBER 2023
• POTW monitoring for fourteen (14) industries occurred. Thirty-three
(33) monitoring events were conducted by the City of Hickory.
• Self-monitoring by fourteen (14) industries occurred. Ninety-seven
(97) self-monitoring events were conducted.
• Two (2) industries were in SNC for limits violations for phenol and
pH.
• Thirteen (13) industries were sent thirty-eight (38) [self-monitoring
data —twenty-four (24); City of Hickory data —fourteen (14)] notices
of noncompliance with the Industrial Monitoring Program.

Other Information:
• 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. Changes are reflected on the sheets
attached.
1. Morgan Bowers is the primary contact. Her title is Pretreatment
Coordinator and she attended the PAR workshop on 219/2023.
2. David Cox new phone number is [phone]. His job title is
Public Utilities Environmental Manager.
3. Henry Fork WWTP CIU's number should be changed to 0.
4. Both Henry Fork's and Northeast's Program CIUs number should
be changed to 0.
5. Henry Fork's NPDES Effective Date should be 10/1/2023.
6. Henry Fork's NPDES Expire Date should be 7/31/2028.
7. Both Henry Fork and Northeast's Current Fiscal Year PCI Done
date should be 616/2023.
8. Both Henry Fork and Northeast's Last Audit date should be
6/6/2023.
9. Both Henry Fork and Northeast's Audit Year Next date should be
27/28.
• 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_
• Ward Hosiery (IUP#: 0027) closed on March 3, 2023. Their permit was
rescinded and approved on April 17, 2023. Additional documentation
attached, see Additional Information.
• Cataler North America was a new SIU with a permit start date of 7/1/2023
and an approval date of 4/17/2023.

Previous SNC Information:
NONE
Pretreatment Program Element Updates:
• IWS was due on October 1, 2023. Initial mailings were sent on
January 20, 2023. IWS was submitted on August 10, 2023.
• Henry Fork (NC0040797) HWA was due on April 1, 2023. Submittal
date was March 13, 2023.
• Northeast (NC0020401) HWA was due on August 1, 2023.
Submittal date was June 9, 2023.
• Northeast IU permit renewal applications expire on July 7, 2024.
Renewal applications have been received. Permits and other
documents are being prepared at this time for submittal.

Additional Information:
The Sock Factory #0017
• The Sock Factory was in SNC for a permit violation of exceeding the TRC
limit for cyanide during the 1st semi-annual period of 2023.
• The Sock Factory was also in SNC for permit violation of reporting for the
1st semi-annual period of 2023. Details for this violation can be found in
the Notice of Violation in Additional Information.
• The SIU was contacted by phone and made aware of these violations and
was sent an NOV with an assessment for civil penalties on July 7th, 2023.
Assessment and collection of the civil penalty is included in this PAR.
• On January 30th, 2024, The Sock Factory was listed during public notice in
the area newspaper for the January— June 2023 period.
• The Sock Factory submitted a 30-day response to the violations on
August 7th, 2023.
• The Sock Factory IUP#: 0017 contains the following relevant limitations:
Parameter Limitation
Cyanide 0.03 mg/I
• City of Hickory and self-monitoring reports for the 1st semi-annual period of
2023 revealed the following results:
Date Cyanide Result
1/18/23 0.058 mg/I
1/24/23 0.007 mg/l
1/25/23 0.072 mg/I
1/26/23 <0.005 mg/I
4/12/23 0.043 mg/I
5/15/23 0.078 mg/I
5/16/23 0.026 mg/I
5/17/23 0.013 mg/I
5/18/23 <0.005 mg/l
5/19/23 <0.005 mg/l

Frye Regional Medical Center #0007 (Pipe 2)
• Frye Regional Medical Center was in SNC for a permit violation of
exceeding the TRC limit for phenol during the 15t semi-annual period of
2023.
• The SIU was contacted by phone and made aware of the violation and
was sent an NOV with an assessment for civil penalties on July 191h, 2023.
Assessment and collection of the civil penalty is included in this PAR.
• On January 30th, 2024, Frye Regional Medical Center was listed during
public notice in the area newspaper for the January— June 2023 period.
• Frye Regional Medical Center submitted a 30-day response to the
violation on July 24th, 2023.
• Frye Regional Medical Center IUP#: 0007 (pipe 2) contains the following
relevant limitations:
Parameter Limitation
Phenol 0.10 mg/I
• City of Hickory and self-monitoring reports for the 111 semi-annual period of
2023 revealed the following results:
Date Phenol Result
1/4/23 0.0140 mg/I
2/23123 0.1600 mg/I
3/29/23 0.2900 mg/I
4/28/23 0.0310 mg/I
4/13/23 0.0240 mg/I
6/1/23 0.4400 mg/I
6/2/23 0.0880 mg/I
6/2/23 0.1100 mg/I
6/23/23 0.0880 mg/I
6/26/23 0.0510 mg/I
6/27/23 0.3400 mg/I

• Frye Regional Medical Center was in SNC for a permit violation of
exceeding the TRC limit for phenol during the 2"d semi-annual period of
2023.
• The SIU was contacted by phone and made aware of the violation and
was sent an NOV with an assessment for civil penalties on January 19t"
2024. Assessment and collection of the civil penalty will be included in the
2024 PAR.
• On January 30t", 2024, Frye Regional Medical Center was listed during
public notice in the area newspaper for the July— December 2023 period.
• Frye Regional Medical Center IUP#: 0007 (pipe 2) contains the following
relevant limitations:
Parameter Limitation
Phenol 0.10 mg/I
• City of Hickory and self-monitoring reports for the 2nd semi-annual period
of 2023 revealed the following results:
Date Phenol Result
7/13/23 <0.0100 mg/I
9/14/23 0.0350 mg/l
8122/23 0.5000 mg/I
8/23/23 0.1400 mg/I
8/24/23 0.0810 mg/I
10/11/23 0.0120 mg/l
11/1/23 0.1400 mg/I
12/19/23 0.0540 mg/I
12/20/23 0.1000 mg/l
12/21/23 0.3800 mg/I
• A Consent Order and Compliance Schedule is currently being developed
for Frye Regional Medical Center because they were in Significant Non-
Compliance for the same parameter for two consecutive semi-annual
periods. Further details will be included in the 2024 PAR.

Maple Springs Laundry (1) #0015
• Maple Springs Laundry (1) was in SNC for a permit violation of exceeding
the chronic limit for pH during the 2"d semi-annual period of 2023.
• The SIU was contacted by phone and made aware of the violation and
was sent an NOV with an assessment for civil penalties on January 11tn
2024. Assessment and collection of the civil penalty will be included in the
2024 PAR.
• On January 301n, 2024, Maple Springs Laundry (1) was listed during public
notice in the area newspaper for the July - December 2023 period.
• Maple Springs Laundry (1) IUP#: 0015 contains the following relevant
limitations:
Parameter Limitation
pH 6 — 10.5 units
• City of Hickory and self-monitoring reports for the 1 st semi-annual period of
2023 revealed the following results:
Date Cyanide Result
7/27/23 10.50 units
8/3/23 10.85 units
10/26/23 11.03 units
11/7/23 11.05 units
11/8/23 11.17 units
11/9/23 10.69 units
9112/23 10.50 units
9/13/23 10.40 units
9/14/23 10.50 units
12/11/23 10.85 units
12/12/23 10.79 units
12/13/23 10.85 units

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.-> 1/1/2023
4. PAR End Date, please enter 12/31/yyyy 4.=> 12/31/2023
5. Total number of SIUs, includes CIUs 5.=> 15
6. Number of CIUs 6.=> 0
7. Number of SIUs with no 1UP, or with an expired fUP 7._> 0
8. Number of SIUs not inspected by POTW 8.-> 0
9. Number of SIUs not sampled by POTW 9._> 0
10. Number of SIUs in SNC due to IUP Limit violations 10.=> 3
]1. 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.=> 80
17. Number of Civil Penalties assessed to SIUs 17.=> 2
18. Number of Criminal Penalties assessed to SIUs 18._> 0
19. Total Amount of Civil Penalties Collected 19.-> $ 300
20. Number of IUs from which penalties collected 20.=> 2
Foot Notes: AO Administrative Order IUP Industrial User Pretreatment Permit POTW Publicly Owned Treatment Works
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 PAIL Pretreatment Annual Report
revised 1/2018: PAR PPS 2018

Pretreatment Annual Report (PAR) PAR covers this calendar year=> 2023
Significant Non-Compliance Report (SNCR) Control Authority=—Program=Town Name => City of Hickory
WWTP =Wastewater Treatment Plant, use separate form for each WWTP. WWTP Name => Henry Fork
SIU= Significant Industrial User NPDES # _> NCO040797
SNC= Significant Non-Compliance
A SNCR Form must be submitted with every PAR,please write "None" if you had No SIUs in SNC during calendar year
SNC ? (Yes/No )
NP Pape Industry Name Parameter for each 6-month period.
# # or "Reporting" Jan. - June July- Dec.
17 1 The Sock Factory, Inc. Cyanide&Reporting YES NO
15 1 Maple Springs Laundry pH NO YES
Attach a copy of the Division's "SIUs in SNC Historical Report" for your POTW's SIUs behind this page .
Is the database correct ? Notify the Division of any errors ! Database indicates SNC history for previous years.
EVERY SNC MUST be explained in the Narrative, How was, is, or will it be resolved?
REPEAT SNCs are serious matters that MUST be explained in the Narrative.
Form name: PAR,SNCF,2001
Date Revised: 1/4/2001

Pretreatment Annual Report (PAR) PAR covers this calendar year=> 2023
Significant Non-Compliance Report (SNCR) Control Authority=Program=Town Name => City of Hickory
WWTP =Wastewater Treatment Plant,use separate form for each WWTP. WWTP Name => Northeast
SIU= Significant Industrial User NPDES # _> NCO020401
SNC = Significant Non-Compliance
A SNCR Form must be submitted with every PAR,please write "None" if you had No SIUs in SNC during calendar year
SNC ? (Yes/No )
rup Pipe Industry Name Parameter for each 6-month period.
# # or "Reporting" Jan. - June July- Dec.
7 1 Frye Regional Medical Center Phenol YES YES
Attach a copy of the Division's "SIUs in SNC Historical Report" for your POTW's SIUs behind this page .
Is the database correct ? Notify the Division of any errors ! Database indicates SNC history for previous years.
EVERY SNC MUST be explained in the Narrative, How was, is, or will it be resolved?
REPEAT SNCs are serious matters that MUST be explained in the Narrative.
Form name: PA2,SNCR,2001
Date Revised: 1/4/2001

Protreatm...ent Program Info.Database printed on: 12/22/2023
for Program Name Hickory Iwc%at 7Q10 13.40
�, r�>
WWTP Name Northeast -_=
Program Approval Date 01/01/1985 ow cfs/mgd 60 / 38.76
9 pp
Pretreatment Status Full
1 Q10 Flow cfs/mgd 49-15 / 31.77 Stream Classification WS-V& B.
Region MRO Basin Number CTB32
County Catawba Receiving Stream Name CATAWBA RIVER
NPDES Number NCO020401 mercury
NPDES Effective Date 07/01/2021 Last PAR Rec 01/27/2023 PAR Due Date03/01/2024 1631
Current Fiscal jTMvtp2M 6/6/2023 re uired
NPDES Expire Date 04/30/2026 Year PCI Done q
ry TRUE 6/6/2023 es
POTW is Prima WWTP Last Audit on 0�14li�948 Audit Year Nexi2*/*3 27/28
Design Flow mgd 6.0000 % Design mgd is SIU permitted 6.12 Permitted SIU flow(mgd)[Pt—SIU) •367
WWTP SIU'scius 5 Program SIUs 14 T �
WWTP CIU's 0 Program CIUs� LTMP IWS SUO
date Inactive Date Next Due
Date Received by DWR 1 06/09/2023 06/01/2018 1 08/10/2023 09/20/2012 11/13/2019
Date Approved 06/0712018 10/22/2012 111/13/2019
Adopt Date Required
Date Adopted 12/04/2012
Info in this Box from Pt Contacts
Date Date Date
PT—Pro Attended Attended Attended
Formal Name g.Prime Phonel ext Fax HWA Wksp IUP Wksp PAR Wksp
Mrs.Morgan Bowers I Prim 828-322-4821 828-322-4961 1 2/9/2023
[e-mail] Pretreatment Coordinator 1310 Cloninger Mill Road IF8601
Mr. Shawn Pennell 1 11(828)323-7427
[e-mail] Public Utilities Director PO Box 398 8603
Mr• David Cox [phone] 2/28/2013 1/18/2017
[e-mail] Public Utilities Environmental Mgr. 1310 Cloninger Mill Road —IF8601
Pretreatment Related NO Vs from DWQ DWR Central Office Contact JPretreatment Staff
DWR Regional Contact es Bell

Pretreatment Program Info;Dotabase printed on: 12/22/2023
for Program Name Hickory IWC%at 7Q10 34.04
WWTP Name Henry Fork Wow
mgd 27 / 17.44
Program Approval Date 01/01/1985 F1 Q10 Flow cfs/mgd 22.24 / 14,37
Pretreatment Status Full Stream Classification C
Region MRO Basin Number CT635
County Catawba Receiving Stream Name HENRY FORK RIVER
NPDES Number NCO040797 mercury
NPDES Effective Date gg�g}�g.I�10/1/2023 Last PAR Rec 01/27/2023 PAR Due Date03/01/2024 1631
..
Current Fiscal
I 6/6/2023 required
NPDES Expire Date ^��...:�:� 7/31/2028 re q
Year PC] Dane 6/6/2023
POTW is Primary WWTP FALSE Last Audit on l'S Audit Year NeA224�8 27/28 es
Design Flow mgd 9.0000 % Design mgd is SIU permitted 19.11 Permitted SIU flow(mgd)[Pt—SIU) 1.72
WWTP SIU's 19 Program SIUs 14 � �
WWTP CIU's 0 Program CIU'L1 LTM tWg 1 SUp
date I —
Inactive Date Next Due �
Date Received by DWR 03I13/2023 07/01/2019 08/10/2023 09/20/2012 11/13/2019
- -- ---
Date Approved _ j 07/18/2019 10/22/201.2 11/13/2019
Adopt Date Required E
Date Adopted 12/04/2012
Info in this Box from Pt Contacts
Date Date Date
PT Pro Attended Attended Attended
Formal Name g.Prime Phonel ext Fax HWA Wksp IUP Wksp PAR Wksp
Mrs. Morgan Bowers I Primp 828-322-4821 828-322-4961 11 4ffi9f94b I V9/2023
[e-mail] Pretreatment Coordinator 1310 Cloninger Mill Road 8601
Mr. Shawn Pennell 1 11(828)323-7427
[e-mail] Public Utilities Director PO Box 398 8603
Mr. David Cox .(M)323J689 2/26/2013 1/18/2017
[e-mail] Public Utilities Environmental Mgr. 1310 Cloninger Mill Road P876ol
Pretreatment Related NOVs from DWQ DWR Central Office Contact JPretreatment Staff
DWR Regional Contact es Bell

, N
�a STAB
�r� 16 ZOZ3
ROY COOPER
Governor e . ;��
ELIZABETH S.BISER ram'+ A• Publjc Ut111t`
Secretary ° m•
RICHARD E.ROGERS,JR. NORTH CAROLINA
t)Jrector Environmental Quality
i
June 12,2023
Shawn Pennell,Public Utilities Director
City of Hickory
Post Office Box 398
Hickory,North Carolina 28603
SUBJECT: Pretreatment Audit Inspection
City of Hickory
NPDES Permit No.NCO020401 i
Catawba County
i
Dear Mr.Pennell:
I
Enclosed is a copy of the Pretreatment Audit Inspection(PAI)Report for the inspection of the City of Hickory's Industrial
Pretreatment Program on,tune 6,2023, by Mr.Wes Bell of this Office. This Office would like to thank all Pretreatment staff
for the cooperation and the assistance provided throughout this inspection. Please advise the City's Pretreatment staff of our
findings by forwarding the enclosed report.
Should you have any questions concerning this report,please do not hesitate to contact Mr.Bell at(704)235-2192 or at
wes.be I l6Wcdeq.nc.gov.
Sincerely, I
Daau9lpned by.
A H A .�►
F1 f11 FD99A2DBEA3...
I
Andrew H.Pitner,P.G.
Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources,NCDEQ
Enclosure: Inspection Report
Cc: NPDES Program Files-Laserfiche
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ENorlll Carolina Deparlmenl of EwWfennirnml Qnallly l Dlvlslanof Waler Res OK0
MoarasWlk peganal Uff1ce16lD East Cemer Avenue SUIle 3Ul I MaoRartlk,Narlb[arol[na 281i5 i
7Dd.4L].Id99

NORTH CAROLINA DIVISION OF WATER RESOURCES
PRETREATMENT AUDIT REPORT
Background Information
1, Control Authority(POTW)Name: City of Hickory
2. Control Authority Representative(s);Moreau Bowers,David Cox
3. Titic(s):Pretreatment goordinator,Environmental Manager
4. Address of POTW;
Mailing: 310 Cloninger Mill Road
City: HielSory Zip Code: 28601
Phone Number 828 322-4821 Ext,204 Fax Number (8281322-4961 E-Mail mbowerso4hickorvne.eov
5. Audit Date 06/06/2023
6. Last Inspection Date: 12/14L2021 Inspection Type: ®PCI [] Audit
7. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)7 ®Yes ❑ No
If No,Explain.
8. In the last year has the POTW experienced any NPDES or Sludge Permit compliance problems? ®Yes ❑ No
If Yes,Explain,Northeast WWTP—Daily maximum effluent TRC violations(2-total)were repotted in October
2022;Henry Fork WWTP—No effluent limit violations reported since November 2012(Chronic Tox Failure).
9. Is POTW under an Order That Includes Pretreatment Conditions? ❑Yes ® No
Order Type and Number: Are Milestone Dates Being Met? ❑Yes ❑ No ® NA
Parameters Covered Under Order
I
ICIS Coding
Main Program Permit Number MMIDD/YY
I
C 01 2 10 1 4 1 6 1 06 106 1 23
10, Current Number of Significant Industrial Users SIUs ? 14
1.1....Number of SIUs'with No'IUP,or with an Ex i,r d.IUP?.....................................................'.-......-...,...,..........,............... ....,,,,. 0
. .......................................................................................................................�.,,..,........,.,..
12. Number of SIUs Not Inspected bx POTW inLast-Calendar Yesr?„ ............._.......................... „_„ 0
13. Number of SIUs Not Sampled by POTW in Last Calendar Year? .............................................. 0.
.._....._................,..,............................,.. ,.............,...................., .
14. Number of SIUs in SNC for Limits Violations During Either of Last 2 Semi-Annual Periods? 2
15. Number of S1Us in 5NC for1Re ortin Dunn I3ither of Last 2 Semt-Annual Periods? - 1
.S.,.......................-,,.,,,..,,.......,...,,...,,,.,,,....,,,,..,,,....,,,,.,,,,.p,........,,,�...,..,,,....,...�...,.......... ..
16. Number of SIUs in SNC with Pretreatment Schedule? - ............ ........................................................_ 0
„ ...................................................I.....
17. Number of SIUs on Schedules? ............. .,,................,............................-,.,..,,,..............................,..,...,..... ..................,,,,,„.., 0 I
Ig:,.Cw,rentNumberofCate oricalIndustrialUsers.(CIUs�?................................................................................................................... 0
19, Number-of CIUs in SNC?,,,,...., „ ,,,,,,,,,,,,,,,,,,,,,,,,-..,.^,,.,,,.......,......._....,,....,.............,......,..,,.,..........,.,,,,,....,.,...,,....,,,,,,..,,,,..,.,..,............................,... 0
.... . .. ...........................
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NC DWR Pretreatment Audit Form Revised: Decernki-20 t6 Page l I
i i

20. PRETREATMENT PROGRAM ELEMENTS REVIEW:
Program Clement Lost Submittal Last Approval Date Next Due,
Northeast WWTP(NC0020401) Date In file? Date In file If Applicable
Headworks Analysis(HWA) 07/30/18 ®Yes❑ No 08/09/18 ER Yes El No 08/01/23
Industrial Waste Survey(IWS) 09/04/19 ®-Yes❑ No 10/09/18 ®Yes❑ No 10/01/23
Sewer Use Ordinance(SUO) 09/20/12 Yes No 10/22/12 ®Yes❑ No
Enforcement Response Plan(ERP) 08/16/19 ®Yes No 11/13/19 ®Yes❑ No
Long Term Monitoring Plan(LTMP) 06/01/18 ®Yes❑ No 06/07/18 ®Yes 0 No
Program Clement Last Submittal Last Approval Date Next Due,
Henry Fork WWTP(NC0040797) Date In file? Date In file If Applicable
Headworks Analysis(HWA) 04/17/23 ®Yes❑ No 07/18/19 ®Yes❑ No 04/1/23
Industrial Waste Survey(iWS) 09/04/18 ®Yes❑ No 10/09/18 0 Yes❑ No 10/01/23
Sewer Use Ordinance(SUO) 09/20/12 ®Yes❑ No 10/22/12 ®Yes❑ No
Enforcement Response Plan(ERP) 08/16/19 ®Yes❑ No 11/13/19 ®Yes❑ No
Long Term Monitoring Plan(LTMP) 07/01/19 ®Yes❑ No 07/18/19 0 Yes❑ No
Legal Authority Sewer Use Ordinance-SUO
21. Do you have any towns and/or areas fi-om which you receive wastewater which are not in your annexed jurisdiction?
®Yes❑ No If yes,Please list these towns and/or areas.Hildebran,Longview,Brookford,and Catawba(Towns);
Alexander,Burke,and Caldwell Counties,
22. If yes to#21,Do you have current Interjurisdictional Agreements(IJAs)or other Contracts? ®Yes❑ No ❑NA
A copy,if not already submitted,should be sent to Division.
23. If yes to#21,Have you had any trouble working with these towns or districts? ❑Yes® No ❑NA
If yes,Explain.
24. Date of Last SUO Adoption by Local Council 12 04QL2
25. Have you had any problems interpreting or enforcing any part of the SUO? ❑Yes® No
If yes,Explain.
Enforcement Enforcement Response Plan-CRP
26. Did you send a copy of the ERP to your industries? ®Yes❑ No
If no,POTW must send copy within 30 days.
27. Have you had any problems interpreting or enforcing any part of the ERP(i.e,any adjudication,improper enforcement,etc?
❑Yes® No If yes,Explain.
28. List Industries under a Schedule or Order and Type of Schedule or Order.N/A
NC DWR Pretreatment Audit Form Revised: December 2016 Page 2

Resources
29. Please Rate the Following: S=Satisfactor M Mar final U=Unsatisfactor
Ratina Explanation,if Unsatisfactory
Personnel Available for Maintaining
POTW's Pretreatment Program ®S Elm Elu
Access to POTW Vehicles for
Sampling,Inspections,and ®S❑M❑U
Emer encies
Access to Operable Sampling
Equipment ®S❑M❑U
Availability of Funds if Needed for
Additional Sampling and/or Analysis_— ®S❑M❑U
Reference Materials
®s❑M❑U
Staff Training(i.e.Annual and
Regional Workshops,Etc.) ®S❑M❑U
Computer Equipment(Hardware and
Software) ®S❑M❑U
30, Does the POTW have an adequate data management system to run the pretreatment program? ®Yes❑ No
Explain Yes or No.Excell
F 31. How does the POTW recover the cost of the Pretreatment Program from their industries?Explain.
Surcharges,penalties,SIU performs resampling for violations found during POTW sampling event.
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i Public Perception/Participation
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32. Are there any local issues affecting the pretreatment program(e.g..odor,plant closing,new or proposed p ants
®Yes❑ No If yes,Explain.A SIU(Ward Hosiery)has closed.
I 33, Has any one from the public ever requested to review pretreatment program files? ❑Yes® No
If yes,Explain procedure.If no,how would the request be addressed?Written request would have to be submitted and
reviewed/approved by POTW's Attorney.Files would be reviewed at the Pretreatment Office under the supervision of
I the Pretreatment Coordinator and Environmental Manager.
I
34. Has any industry ever requested that certain information remain confidential from the public? ®Yes❑ No If yes,Explain
procedure for determining whether information qualified for confidential status,as well as procedure for keeping files confidential
i from public. Uno how would the request be addressed?Written request would have to be submitted and the documentation
i. would be reviewed by the POTW Attorney.,Public Services Managers(including Environmental Manager)and
Pretreatment Coordinator.Confidential files would be kept in a locked office and file cabinet.
I
35. In addition to annual inspection,does the POTW periodically meet with industries to discuss pretreatment? ®Yes❑ No
C36, Is the public notified about changes in the SUO or Local Limits? [0 Yes❑ No
37. Were all industries in SNC published in the last notice? ®Yes❑ No❑ N/A
'Permitting Industrial Waste Surve -IWS
i
38, How does the POTW become aware of new or changed Users?The Public Services Department Including
Pretreatment Coordinator meet monthly to discuss any new users. All satellite communities contact the
i
Pretreatment Coordinator of any new potential users,
.39. Once the POTW becomes aware of new or changed Users,how does the POTW determine which industries have the
t reasonable potential to adversely impact the W WTP and therefore require a new permit or a permit revision? (Who is an
SIU?)IWS Short/Long Form information reviewed for type of industrial activity,flow,loading,POCs(including
>5%of MAHL),and categorical parameters.
NC DWR Pretreatment Audit Form Revised: December 2016 Page 3
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40. Does the POTW receive waste from any groundwater VCmediation projects(petroleum,CERCLA)or landfill leachate?
®Yes❑No If Yes,How many are there?0
Please list each site and how it is permitted,if applicable.Caldwell County Landfill Leachate .
41. Does the POTW accept waste by(mark if applicable) ®Truck ®Dedicated Pipe ❑NA
42. If the POTW accepts trucked waste,what controls are placed on(his waste? (example.designated point,samples drawn,
manifests required)Henry Fork WWTP—Caldwell County Leachate hauled via tanker to designated point with
samples drawn and manifests maintained.Septage haulers have a designated point in the Henry Fork WWTP's
collection system(Brookford)with each hauler being tracked by an electronic monitoring system.
43. How does the POTW allocate its loading to industries?Mark all that apply
❑Uniform Limits ®Historical Industry Need ❑By Surcharge ®Categorical Limits ❑Other
Explain Other:
44. Review POTW's copies of current allocation tables for each W WTP, Are there any over allocations? ❑Yes® No
If yes,what parameters are over allocated?
45. If yes to#44,What is being done to address the over allocations?(short-term IUPs,HWA to be revised,pollutant study,etc.)
46. Does the POTW keep pollutant loading in reserve for future growth/safety? ®Yes❑ No
If yes,what percentage of each parameter 10%
47. Has the POTW experienced any difficulty in allocation?(for example: adjudication by an industry) ❑Yes® No
If yes,Explain.
48. How does the POTW decide on which pollutants to limit in the permits?Monitor for? (for example:were only those pollutants
listed on the application limited;categorical parameters;NPDES Pollutants of Concern)NPDES POCs,cntegorieal_pnrameters.
49. How does the POTW decide what the monitoring frequency should be for the various pollutants in industry permits? Explain.
The POTW requires potential SIUs to provide multiple sets of sampling data(if available)prior to issuance of IUPs. All
STUB are required to monitor three times per six-month period at a minimum.
Permit Compliance
50. Does the POTW currently have or during the past year had any permits under adjudication? ❑Yes® No
If yes,which industries? What was(will be)the outcome of the adjudication?
51. Demonstrate how the POTW judges compliance.This should include compliance judgment on all violations of limits,reporting
requirements,and permit conditions,as well as for SNC.Compliance Judgment Worksheet used for SNC determinations,
violations(limit,monitoring,reporting,permit conditions,etc.)are addressed per ERP,
52. Does the POTW use the Division's model inspection form or equivalent? ®Yes❑ No
If no,does the POTW form include all Division data? ❑Yes❑ No
53, Were all SIUs evaluated for the need of slug/spill control plan during their most recent inspections? ® Yes❑ No
If no,Explain
54. What criteria are used to determine if a slug/spill control plan is needed?POTW requires all STUB to have a slug/spill control
plan.
55. What criteria does the POTW use to determine if a submitted slug/spill control plan is adequate?All emergency contacts kept
updated,proper secondary containment/chemical storage practices,presence of emergency response equipment.
56. How does the POTW decide where the sample point for an SIU should be located?Sampling is preferred only at the regulated
waste stream.
57. Has the POTW established a procedure to ensure that representative samples will be taken by the POTW or SIU each time?
(example:correct location;proper programming of sampler;clean equipment;swirling the sample bucket uniformly)
POTW: ®Yes❑ No SIU: ®Yes❑ No If yes,Explain,Snmpling SOPS and sampler O&M manuals
NC DWR Pretreatment Audit Form Revised; December2016 Page 4

5S. Who performs sample analysis for the POTW for Metals; Pace Analytical Services
Conventional Parameters: POTW's on-site certified lab
Organics: Pace Analytical Services
59. Explain the Chain of Custody Procedure used for both in house and commercial lab samples,.
POTW uses internal COC and/or contracted lab's COC;SIU's used contracted lab's COC.
Long/Short Term Monitoring Plan(L/STMP)and Hendworks Analysis HWA
60a. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? M YES ❑NO
60b, Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ®YES ❑NO
60c. Is LTMP/STMP Data Maintained in Table or Equivalent? ®YES ❑NO Is Table Adequate? Z VES ❑NO
60d. All LTMP/STMP effluent data on Discharge Monitoring Report(DMR)?Z YES❑NO
60e. If NO to any above,list violations
60f Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑YES ®NO
If yes,which ones?Eliminated: Added:
61. Do you complete your own headworks analysis(HWA)7 ®Yes❑ No
if no,who completes your HWA? Phone U
62. Do you have plans to revise your HWA in the near future? ®Yes❑ No
If yes,what is the reason for the revision?(mark all that apply) ❑Increased average flow ❑NPDES limits change
❑More LTMP data available ❑Resolve over allocation ®5 year expiration ®Other
Explain.
63. In general,what is the most limiting criteria of your HWA? ❑Inhibition ❑Pass Through ®Sludge Quality
64. Do you see any way to increase your loading in the future(Example:obtaining more land for sludge disposal)? ❑Yes❑ No
Explain.N/A—both WWTPs have sufficient capacity.
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Page 5
NC DWR Pretreatment Audit Form Revised: December 2016
I

Summaey
65. Do you plan any significant changes to the pretreatment program or changes to the W WTP that may affect pretreatment?No;
however,the POTW will have a new SIU(Cataler)starting in.luly 2023.
INDUSTRIAL USER PERMIT(IUP)FILE REVIEW
66. User Name IF I.The Sock Faetory,Inc. 2. Catawba Valley Medical Center 11 3.Gusmer Enterprises,Inc.
67. lUP Number 0017 0003 0052
68, Does File Contain Current Permit? ®Yes No IFN Ycs ❑ N=01 M Yes No
69. Permit Expiration Date 11 07/07/2026 07/07/2026 03/13/2027.
70. Categorical Standard Applied LE.40 CFR,Etc. Or NIA 410 =1 460 463&430
71, Does File Contain Permit Application Completed Within One Year Prior M Yes El No ®Yes ❑ No ®Yes El No
to Pern>it Issue Date?
72, Does File Contain Inspection Completed Within Last Calendar Year? Yes ❑ No ®Yes ❑ No ®Yes No
73. a.Does File Contain Slug/Spill Control Plan? a. ®Ycs ONO a.®Ycs pNo a. ®Yes❑No
b.If No,is One Needed? See Inspection Form from POTW b.pYes ❑No b.❑Yes 0No b. ❑Yes pNo
74, For 40 CFR 413 and 433 TTO Certification,Does File Contain a Toxic ❑Yes❑No®N/A ❑Yes❑NO(@N/A ❑Yes❑NOON/A
Organic Management Plan TOMP)7
75. a.Does File Contain Original Permit Review Letter from Division? a. ®Yes pNo a. ®Yes LlNo a.®Yes❑No
b.All Issues Resolved? b.❑YesE1No6N/A b.❑Yes❑No®N/A b.❑Yes❑No1IN/A
76. During Most Recent Scmi-Annual Period,Did POTW Complete its ®Yes ❑ No ®Yes D No ®Ycs ❑ No
Sampling as Required by IUP,including Flow?
77. Does File Contain POTW Sampling Chain-Of-Custody Forms? ®Yes ❑ No ®Ycs No Yes No
78. During Most Recent Semi-Annual Period,Did SIU Complete its ®Ycs❑No❑N/A ElYes[INo❑N/A ❑Yes@No❑N/A
Sampling as Required by IUP,including Flow?
79. During Most Recent Semi-Annual Period,Did SIU submit all reports on ®YcsONoON/A Yes❑No❑N/A pYes❑No®N/A
time?
80a.For categorical]Us with Combined Wastestream Formula(CWF),does ❑Yes[JNo®N/A ❑Ycs0NoC9N/A ❑Ycs❑NoNN/A
file include processIdilution(lows as Required by RJP?
80b.For categorical IUs with Production based limits,does file include P
Yes❑No®N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
production rates and/or flows as Required b ILTP7
81. During Most Recent Semi-Annual Period,Did POTW Identify All ®Yes❑No❑N/A 0Yes❑No❑N/A C1Yes❑No®N/A
Limits Non-Compliance from Both POTW and SILT Sampling?
82. During Most Recent Semi-Annual Period,Did POTW Identify All ®Yes❑No❑N/A ❑Ycs❑No®N/A 0Yes❑No❑N1A
Re ortin Non-Com liance from SIU Sampling?
83. a.Was POTW Notified by S1L1(Within 24 Hours)of All Self- amYes❑No❑N/A a.NYes❑No❑N/A a.❑Ycs❑Nu®N/A
Monitoring Violations?
b.Did Industry R,esample and submit results to POTW within 30 Days? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.❑Yes❑NomN/A
e. If applicable,did POTW resample and obtain results within 30 days of o.0Ycs❑No❑N/A
becomingaware of SIU limit violations in the POTW's sampling of SIU? c.❑Ycs❑No®NIA c.❑Ycs❑No®N!A
84. DUfing Most Recent Semi-Annual Period,Was SIU in SNC? Yes ❑ No ❑Yes ® No ®Yes ❑ No
85. During Must Recent Semi-Annual Period,Was Enforcement Taken as MYes❑NoDWA MYes❑No❑N/A WYes❑No❑N/A
Specified in POTW's ERP NOVs,Penalties,timing,etc.)?
86. Does File Contain Penalty Assessment Notices? ®Yes❑No❑N/A ❑Yes❑No®N/A ElYes❑No❑N/A
87. Does File Contain Proof Of PenaltyCollection? 0YesE1No❑NJA ❑Yes❑NoRN/A 9Yes❑No❑N/A
89. a.Does Re Contain Any Current Nnforcement Orders? a.❑Ycs❑NoNN/A a.❑Yos[nNomN/A a.❑Yes❑No®N/A
b.Is SIU in Compliance with Order? KoYes❑NonN/A b.❑Ycs❑NomN/A b.❑Yes❑No®N/A
89. Did POTW Representative Have Difficulty in Obtaining Any Requested [-]Yes ® No ❑Yes ® No ❑Yes ® No
Information For You?
FILE REVIEW COMMENTS:
10.The POTW will have a total of fourteen(14)SIUs as of July 2023.
14.The Sock Factory,Inc.was in SNC for chromium limit violations during the first half of 2022, Gusmer Enterprises,Inc.was also in
SNC during first half of 2022 for reporting violations.
72.POTW performed S1U inspections on 8/30/2022(Sock Factory),8/4/2022(Catawba Valley Medical Center)and 2/3/2022(Gusmer
Enterprises).
NC DWR Pretreatment Audit Form Revised: Ileccrnbvr 2016 Page 6

78. The Sock Factory and Catawba Valley Medical Center.both contract Statesville Analytical to perform IUP analyses. Gusmer
Enterprises contracts Pace Analytical Services for IUP analyses.
81/85.The POTW issued Notice of Noncompliances (NoNCs) to The Sock Factory for pH limit violations(January and May 2022),
ammonia limit violation(May 2022)and chromium limit violations(March,May and June 2022). Catawba Valley Medical Center was
issued NoNCs for zinc limit violations from January through April 2022.
82/85.Gusmer Enterprises was issued a NoNC for failing to monitor according to the IUP during the first half of 2022. The Sock Factory
was also issued a NoNC for the late submittal of the March 2022 monitoring report.
INDUSTRY INSPECTION]CIS CODING:
Main Program Permit Number MM/DD/YY
N 0 10 12 4 1 0 1 I06I06I23I
I.Industry Inspected:Catawba Valley Medical Center
2.Industry Address:810 Fairgrove Church Road SE,Hickory,NC 28602
i
3.Type of Industry/Product; Hospital/Healthcare
4.Industry Contact:Jeffery Ayers Title:Director Facilities Management Phone:[phone]
5.Does the POTW Use the Division Model Inspection Form or Equivalent? N Yes ❑ No
6,Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview ®Yes ❑ No
B. Plant Tour ®Yes ❑ No
C. Pretreatment Tour ®Yes ❑ No T
D. Sampling Review ®Yes ❑ No
E. Exit Interview ®Yes ❑ No
Industrial inspection Comments:
The hospital currently has 258 beds and employs approximately 2,000 personnel. The clinical departments work
12-hr, shifts,seven days per week and the maintenance department operates during two 8-hr. shifts(first and
second). The Environmental Services staff work three 8-hr. shifts. There is no pretreatment provided to the
hospital's waste stream which includes discharges from domestic sources, boilers,cooling towers,morgue and
operating room. The Emergency Room is equipped with a decontamination room that is connected(via valve
system)to an outside holding tank for the separate collection and disposal of the waste stream.
i
i
I AUDIT COMMENTS:
This Office recommends that the Pretreatment Coordinator review the Slug/Spill control Plans during SIU
inspections to ensure the Plan is up to date including correct listing of all stored chemicals, storage practices,
floor drain locations,etc.
The POTW's records were organized and well maintained. The POTW's Industrial Pretreatment Program was
being properly implemented.
NOD: ❑Yes ® No
NOV: ❑Yes No
i QNCR: ❑Yes ® No
i
�f POD:
Satisfactory ® Marginal ❑ Unsatisfactory❑
fNC DWR Pretreatment Audit Form Revised: December 2016 Page 7
I

CIAO10900VOCC3437
�D/ocuSigned by;
4w 26
AUDIT COMPLETED BY: .. DATE: 6/12/2023
Wes Bell,Environmental Specialist II,Mooresville Regional Office,WQROS/DWR
E0 GU31dnOd by:
A,.rG,cw H put," 6/12/2023
AUDIT REVIEWED BY: F1etF6e9A2D$aA3... DATE.
Andrew H.Pitner,Regional Supervisor,Mooresville Regional Office,WQROS/DWR
NC DWR Pretreatment Audit Form Revised: Dccember2016 Page

Allocation Tables

Workbook Name : Northeast HWA 2023, Worksheet Name: AT Printed: 1/24/2024,8:37 AM
Page 1 of 5
Allocation Table Spreadsheet Instructions:
Headworks last approved. 08/09/18 t)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is"2".
Allocation Table updated: 02/06/19 2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
P 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load in this
Permits last modified: 09/01/18 AT worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in columns AT
through BK.
Pores=>Northeast WWTP
NPI)Esa-NC0020401
FLOW BOD TSS
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Cone. Load Conc. Load
Count (p1-i..1pbbekly) number number Industry Date Date Expires MGD izal/day 11194 lbs/da m lbs/da
1 Frye RMC 0007 0001 07/08/19 09/01/19 07/07/24 0.0950 95,000 500.00 396.15 250.00 198.08
2 Frye RMC 0007 0002 07/08/19 09/01/18 07/07/24 0.0950 95,0001 500.00 396.15 250.00 198.08
3 Hickory D&W 0008 0001 07/08/19 07/07/24 0.0800 80,000 500.00 333.60 250.00 16E80
4 HK Research 0011 0001 07/08/19 07/07/24 0.0030 3,000 350.00 8.76 250.00 6.26
5 Shurta e 0022 0001 07/08/19 07/07/24 0.0500 50,000 1500.00 625.50 250.00 104.25
6 Century Furniture 0034 1 0001 1 07/08/19 09/0VI6 07/07/24 0.0140 14,000 500.001 58.381 400.00 46.70
7 Cen Furniture 0034 1 0002 07/08/19 09/01/16 07/07/24 0.0300 30,000 500.00 125.10 500.00 125.I0
Column Totals=> 0.36701 367,000 1 1944 845
Basis=> NPDES Design Design
MARL from HWA(lbs/day)_> NPDES Permitted Flow=> 6.0000 13261 16013
Uncontrollable Loading(Ibs/day)=> 2.8328 5501 5906
Total Allowable for Industry(MAIL)(Ibs/day)_> 3.1672 7760 10106
Total Permitted to Industry(lbs/day)=> 0.3670 1944 845
MAIL left(lbs/day)y 2.8002 5816 9261
Percent Allow.Ind(MAIL)still available(%)_> 88.4% 75.0% 91.6%
Percent MAHL still available(%}_> 46.7% 43.9% 57.8%
5 Percent MARL lbs/da )_> 0.3000 663 80I
H WA.AT
Revised:November 2005

Workbook Name : Northeast HWA 2023, Worksheet Name: AT Printed: 1/24/2024, 8:37 AM
Page 2 of 5
Allocation Table
Headworks last approved: 08/09/9 B
Allocation Table updated: 02/06/19
Permits last modified: 09/01/18
Po,w4 NortheastMM
NPDEsrb NCO020401
Ammonia Arsenic Cadmium Chromium Copper
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Cone. Load Cone. Load Cone. Load Cone. Load Cone. Load
Count (p1--1i-o1pt b o-1) number number mg/1 lbs/da m lbs/day mWI lbs/dav mad lbs/da m Ibs/da
1 Frye RMC 0007 0001 16.00 12.68 0.2000 0.1585
2 Frye RMC 0007 0002 25.00 19.81 0.2000 0.1585
3 Hickory D&W 0008 0001 25.00 16.68 2.0000 1.3344 0.3000 0.2002
4 HK Research 0011 0001 50.00 1.25 0.3000 0.0075
5 Shurta e 0022 0001 25.00 10.43
6 Century Furniture 0034 0001 1 50.001 5.84p 0.00701 0.0008 0.3000 0.0350
7 lCentaryFurniture 0034 0002 16.001 4.00 0.0070 0.0018 0.0300 0.0075 0.3000 0.0751
Column Totals=> 71 0.0000 0.0026 1.3419 0.6347
Class A, Class A, AS/NitrrF Class A,
Basis=> NPDES Mon.Avg. Mon.Avg. inhibition Mon.Avg.
MAHL from HWA(Ibs/day)=> 4827.86 0.5182 0.3311 9.5109 9.6951
Uncontrollable Loading(Ibs/day)=> 626.08 0.1087 0.0031 0.0756 0.5387
Total Allowable for Industry(MAIL)(lbs/day)=> 4201.78 0.4095 0.3280 9.4353 9.1564
Total Permitted to Industry(Ibs/day)=> 70.68 0.0000 0.0026 1.3419 0.6347
MAIL left(lbs/day) 4131.10 0.4095 0.3254 8.0934 8.5218
Percent Allow.Ind.(MAIL)still available(%)_> 98.3% 100.0% 99.2% 85.8% 43.1 0.
Percent MAHL still available(%)=> 85.6% 79.0% 98.3% 85.1% 87.9%
5 Percent MARL(Ibs/da )_> 241.39 0.0259 0.0166 0.4755 0.4848
HWA.AT
Revised:November 2005

Workbook Name : Northeast HWA 2023, Worksheet Name: AT Printed: 1/24/2024, 8:37 AM
Page 3 of 5
Allocation Table
Headworks last approved: 08/09/18
Allocation Table updated: 02/06/19
Permits last modified: 09/01/18
PoTvv-Northeast WWTP
NPDEso- NCO020401
Lead Mercury Molybdenum Nickel Selenium Silver
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Cone. Load Cone. Load Cone. Load Cone. Load Cone. Load Conc. Load
Count (pk-11,t=Iphebn&Iy) number number mg/1 lbs/day MRA lbs/day MVA lbs/day mg/1 lbs/day m lbs/day m lbs/day
i Frye RMC 0007 0001
2 Frye RMC 0007 0002
3 Hickory D&W 0008 0001 0.0500 0.0334
4 HK Research 0011 0001 0.1000 0.0025
5 Shurta a 0022 0001
6 Century Furniture 1 0034 1 0001 j 0.05001 0.0058
7 lCenturyFurniture 1 0034 1 0002 1 0.0500 0.0125
Column Totals=> 0.0542 0.000000 0.0000 0.0000 0.0000 0.0000
Sludge Sludge
Basisy Stream Std Stream Std Ceiling Sludge Ceiling Ceiling Stream Sid
MAHL from HWA(lbs/day)=> 2.5832 0.034740 1.2927 5.6878 1.1376 0.0834
Uncontrollable Loading(lbs/day)=> 0.0732 0.002363 0.0473 0.0614 0.0189 0.0095
Total Allowable for Industry(MAIL)(lbs/day)_> 2.5100 0.032377 1.2454 5.6264 1.1187 0.0739
Total Permitted to Industry(lbs/day) 0.0542 0.000000 0.0000 0.0000 0.0000 0.0000
MAIL left(lbs/day)=> 2.4558 0.032377 1.2454 5.6264 1.1187 0.0739
Percent Allow.Ind.(MAIL)still available(%)=> 97.8% 100.0% 100.0% 100.0% I00.0% 100.0%
Percent MARL still available(%) 95.1% 93.2% 96.3% 98.9% 98.3% 88.7%
5 Percent MAHL(lbs/day)=> 0.1292 0.001737 0.0646 0.2844 0.0569 0.0042
H WA.AT
Revised:November 2005

Workbook Name : Northeast HWA 2023, Worksheet Name: AT Printed: 1/2412024,8:37 AM
Page 4 of 5
Allocation Table
Headworks last approved: 08/09/18
Allocation Table updated:1 02/06/19
Permits last modified:1 09/01/18
Po,w-Northeast WWTP
NPOE-q#- N00020401
Zinc Phenol Toluene Oil&Grease Total Nitrogen Total Phosphorus
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Cone. Load Cone. Load Cone. Load Cone. Load Cone. Load Conc. Load
Count (p1..1i,L4ph6n.1y) number number m lbs/day MR5 lbs/day m lbs/day mRA lbs/dav maA lbs/day mm lbs/day
1 Lae RMC 0007 0001 0.5500 0.4358 0.10 0.08 100.00 79.2300
2 Frye RMC 0007 0002 0.7000 0.5546 0.10 0.08 250.00 198.0750
3 Hickory D&W 0008 0001 0.7500 0.5004 250.00 166.8000
4 HK Research 0011 0001 0.7000 0.0175 100.00 2.5020
5 Shurta a 0022 0001 0.8500 0.3545 1.00 0.42 0.75 0.31 100.00 41.7000
6 Century Furniture 1 0034 1 0001 1 0.70001 0.09171 1 1 100.00 11.6760
7 ICenturyFurniture 1 0034 1 0002 1 0.7000 0.1751 i 100.00 1 25.0200
Column Totals 1 2.11961 1 0.58 0.31 1 525.0030 0.0000 1 0.00
Class A,
Basis- Mon.Avg. Stream Std Stream Std Design
MAHL from HWA(lbs/day)=> 20.6829 1042.1931 54.59 350.28
Uncontrollable Loading(lbs/day)_> 10.2606 0.3378 0.04 252.5572 945.0221 112.69
Total Allowable for Industry(MAIL)(lbs/day)_> 10.4223 1041.86 54.56 237.59
Total Permitted to Industry(lbs/day)_> 2.1196 0.58 0.31 525.0030 0.0000 0.0000
MAIL left(lbs/day)=> 8.3027 1041.28 54.24 237.59
Percent Allow.Ind.(MAIL)still available(%)_> 79.7% 99.9% 99.4% #VALUE! #VALUE! 100.0
Percent MAHL still available(%)=> 40.1% 99.9% 99.4% #VALUE! #VALUE! 67.8
5 Percent MAHL pbs/da }=> 1.0341 52.11 2.7296 17.51
HWA.AT
Revised:November 2005

Workbook Name : Northeast HWA 2023, Worksheet Name: AT Printed: 1/24/2024,8:37 AM
Page 5 of 5
Allocation Table
Headworks last approved: 08/09/18
Allocation Table updated: 02/06/19
Permits last modified: 09/01/18
Po,w=>Northeast WWTP
NPDrsAS> NCO020401
TKN
Industry Permit Limits
]UP INDUSTRY NAMES Permit Pipe PConc. Load
Count (P« ligflpub�tkly) number number lbs/da
1 Frye RMC 0007 0001
2 Frye RMC 0007 0002
3 Hickory D&W 0008 0001
4 HK Research 0011 0001
5 Shurta a 0022 0001
6 Century Furniture 0034 0001
7 lCenturyFurniture 0034 0001
Column Totals=> 0.0000
Basisy
MAHL from HWA(lbs/day)=>
Uncontrollable Loading(lbs/day)— 884.7769
Total Allowable for Industry(MAIL)(lbs/day)
Total Permitted to Industry(lbs/day)=> 0.0000
MAIL left(Ibs/day)
Percent Allow.Ind.(MAIL)still available(%)=> #VALUE!
Percent MAHL still available(%)— #VALUE!
5 Percent MAHL Ibs/da =>
HWA.AT
Revised:November 2005

Workbook Name : Henry Fork HWA 2023, Worksheet Name: AT Printed: 1/2412024,8:39AM
Page 1 of 4
Allocation Table Spreadsheet Instructions:
Headworks last approved: 06/07/18 1)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is"2".
2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
Allocation Table updated: 04/13/23 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load in this
Permits last modified: 05/01/23 AT worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in columns AT
through BK.
Po,w Henry Fork WWTP
NPDEss=> NCO040797
FLOW SOD TSS
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Cone. Load
CountbGusmerEnte
(plm.ulLaIph x���y) number number Ind Date Date Expires MGD al/da y m lbs/da m lbs/da
I Valle Medical Center 0003 0001 07/08/21 07/07/26 0.1800 180,000 384.00 576.46 250.00 375.30
2 0050 0001 03/01/21 02/28/26 0.2250 225,000 1000.00 1876.50 800.00 1501.20
3 Hickory Springs 0033 0001 07/08/21 07/07/26 0.0200 20,000 350.00 58.38 300.00 50.04
4 ch,Inc. 0035 0001 07/08/21 07/07/26 0.1100 110,000 1000.00 917.40 350.00 321.09
5 in 0015 0001 07/08/21 09/15/21 07/07/26 0.2000 200,000 200.00 333.60 100.00 166.80
6 -PIant 2 0051 0001 05/05/21 05/04/26 0.2000 200,000 200.00 333.60 100.00 166.80
7k Facto 0017 001 07/08/21 05/01/23 07/07/26 0.0350 35,000 250.00 72.98 250.00 72.98
8 Ente rises 0052 001 03/14/22 05/01/23 03/13/27 0.7000 700,000 200.00 1167.60 500.00 2919.00
9 orth America 0053 001 07/01/23 06/30/28 0.0500 50,000 200.00 83.40 250A0 104.25
Column Totals=> 1.7200 1,720,000 5420 5677
Basis=> NPDES Design Design
MARL from HWA(lbs/day)_> NPDES Permitted Flow=> 9.0000 19140 17039
Uncontrollable Loading(Ibs/day)- 2.2538 4699 4699
Total Allowable for Industry(MAIL)(Ibs/day)=> 6.7462 14441 12339
Total Permitted to Industry(Ibs/day)=> 1.7200 5420 5677
MAIL left(Ibs/day)=> 5.0262 9021 6662
Percent Allow.Ind.(MAIL)still available(%)=> 74.5% 62.5% 54.0%
Percent MAHL still available(%)y 55.8% 47.1% 39.1
5 Percent MAHL lbs/da )=> 0.4500 957 852
HWA.AT
Revised:November 2005

Workbook Name : Henry Fork HWA 2023, Worksheet Name: AT Printed: 1/24/2024,8:39 AM
Page 2 of 4
Allocation Table
Headworks last approved:r 06/07/18
Allocation Table updated: 04/13/23
Permits last modified: 05/01/23
POTw-HenKy Fork WWTP
NPOEs#=> NCO040797
Ammonia Arsenic Cadmium Chromium Copper Cyanide
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Cone. Load Cone. Load Cone. Load Cone. Load Cone. Load Cone. Load
Count (;k.¢a)a)°nutou.Jy) number number m lbs/day m lbs/day m lbs/day nigA lbs/day m lbs/day rnpj lbs/day
1 Catawba Valley Medical Center 0003 0001 25.00 37.53 0.3500 0.5254
2 Compost 0050 0001 300.00 562.95 1 0.3200 0.6005
3 Hickory Springs 0033 0001 75.00 12.51 0.0100 0.00171 0.2500 0.0417
4 Kleen Tech,Inc. 0035 0001 16.00 14.68 0.0500 0.0459 0.0250 0.0229 0.2500 0.2294 0.5000 0.4587 0.0250 0.0229
5 ffCata.ler
s 0015 0001 16.00 26.69 0.2000 0.3336 0.0350 0.0584
6 s-Plant 2 0051 0001 I6.00 26.69 0.2000 0.3336 0.0350 0.0584
7to 0017 001 16.00 4.67 0.0150 0.0044 0.1500 0.0438 0.2000 0.0584 0.0300 0.0088
8 Enterprises 0052 001 5.00 29.19 0.1000 0.5838
9 America 0053 001 60.00 25.02 0.1000 0.0417
Column Totals=> 740 0.0459 0.02901 0.2731 2.9774 0.1485
Class A.
Basis=> Design Mon.Avg. Stream Std Stream Std Stream Std Stream Std
MARL from HWA(lbs/day)_> 1576.26 0.7148 0.4263 10.2647 13.I975 2.7092
Uncontrollable Loading(lbs/day)=> 567.66 0.0865 0.0038 0.0526 0.4699 0.2387
Total Allowable for Industry(MAIL)(lbs/day)=> 1008.60 0.6283 0.4225 10.2121 12.7275 2,4704
Total Permitted to Industry(lbs/day)=> 739.92 0.0459 0.0290 0.2731 2.9774 0.1485
MAIL left(lbs/day)=> 268.68 0.5825 0.3935 9.9389'1 9.7502 2.3220
Percent Allow.Ind.(MAIL)still available(%)=> 26.6% M81.5
2923
97.3% 76.6% 94.0%
Percent MARL still available(%)=> 17.0% 96.8% 73.9%5 Percent MA1IL(lbs/da => 78.81 0.5132 0.6599 0.1355
H WA.AT
Revised:November 2005

Workbook Name : Henry Fork HWA 2023, Worksheet Name: AT Printed: 1/24/2024,8:39 AM
Page 3 of 4
Allocation Table
Headworks last approved: 06/07/18
Allocation Table updated: 04/13/23
Permits last modified. 05/01/23
P07W=>HenryFork WWTP
NPnEs#.- NCO040797
Lead Mercury Molybdenum Nickel Selenium Silver
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count �Plm.rs Iph b.6.1y) number number m lbs/day me lbs/dav m LTA lbs/day m lbs/day m lbs/day m--,l lbs/day
I Catawba VaUcy Medical Center 0003 0001
2 compost 0050 0001
3 Hickory Springs 0033 0001 0.1500 0.0250
4 Kleen Tech,Inc. 0035 0001 0.0600 0.0550 0.1000 0.0917
5 Maple Springs 0015 0001
6 Maple Springs-Plant 2 0051 0001
7 The Sock Factory 0017 001 0.0500 0.0146
8 Gusmer Enterprises 0052 001
9 Cataler North America 0053 001
Column Totals=> 0.0550 0.000000 0.0000 0.1168 0.0000 0.0146
Sludge Sludge
Basis=> Stream Std Stream Std Ceiling Stream Std Ceiling Stream Std
MARL from HWA(lbs/day)=> 2.1104 0.018324 1.7830 7.2400 1.5691 0.1008
Uncontrollable Loading(lbs/day)=> 0.0545 0.001880 0.1767 0.0865 0.0207 0.0395
Total Allowable for Industry(MAIL)(lbs/day)=> 2.0559 0.016444 1.6063 7.1535 1.5484 0,0613
Total Permitted to Industry(lbs/day)=> 0.0550 0.000000 0.0000 0.1168 0.0000 0.0146
MAIL left(lbs/day)=> 2.0008 0.016444 1.6063 7.0368 1.5484 0.0467
Percent Allow.Ind.(MAIL)still available(%) 97.3% 100.0% 100.0% 98.4% 100.0% 76.2%
Percent MAHL still available(%)_> 94.9% 99.7% 90.1% 97.2% 98.7% 46�Qi
4%
5 Percent MAHL(lbs/day)_> 0.1055 0.000916 0.0892 0.3620 0.0785
HWA.AT
Revised:November 2005

Workbook Name : Henry Fork HWA 2023, Worksheet Name: AT Printed: 1/24/2024,8:39 AM
Page 4 of 4
Allocation Table
Headworks last approved: 06/07/18
Allocation Table updated: 04/13/23
Permits last modified: 05/01/23
Po7w=>Henry Fork WWTP
NPoes#--. NCO040797
Zinc Total Nitrogen Total Phos. Oil&Grease
Industry Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Cone. Load Cone. Load Cone. Load Cone. Load
Count Cpl..lat Iph.btlkly) number number m lbs/day mM lbsiday MWA lbs/dav mgA Ibs/da
1 Catawba Valley Medical Center 0003 0001 0.4500 0.6755 100.00 150.1200
2 Compost 0050 0001 0.9000 1.6889 100.00 187.6500
3 Hickory SDrinRs 0033 0001 0.8000 0.1334 100.00 16.6800
4 Kleen Tech,Inc. 0035 0001 0.8000 0.7339 250.00 229.3500
5 Maple Sprines 0015 0001 0.6500 1.0842 150.00 250.2000
6 Maple S -Plant 2 0051 0001 1 0.6500 1.0842 1 1 150.00 250.2000
7 The Sock Factory 0017 001 0.6500 0.1897 200.00 58.3800
8 Gusmer Enterprises 0052 001 0.8000 4.6704 200.00 1167.6000
9 Cataler North America 0053 001 0.4500 0.1877 150.00 62.5500
Column Totals=> 10.4479 0.00 0.00 2372.7300
Class A,
Basis=> Mon.Avg. Design Design
MAHL from HWA abs/day)_> 32.7862 1576.2600 547.94
Uncontrollable Loading Ubs/day)_> 7.5939 140.04 275.2155
Total Allowable for Industry(MAIL)(lbs/day)--> 25.1923 #VALUE! 407.90
Total Permitted to Industry(lbs/day)_> 10.4479 0.00 0.00 2372.7300
MAIL left(lbs/day)_> 14,7444 #VALUE! 407.90
Percent Allow.Ind.(MAIL)still available(%)y 58.5% #VALUE! 100.0% #VALUE!
Percent MAHL still available(%)_> 45.0% #VALUE! 74.4% #VALUE!
5 Percent MAHL lbs/da )_> 1.6393 78.81 27.3969
HWA.AT
Revised:November 2005

IDSF'S

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Catawba Valley Medical Center
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 3
Enter BDL values as < (value) NPDES#=> NCO040797 Pipe# 1
1st 6 months,dates=> 1/l/23 -6/30/23
2nd 6 months,dates=> 7/1/23 - 12/31/23 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
Total#of samples=> 6 5 6 5 5 5 5 5
* Maximum (mg/1)=> 0.0941 0.0809 435 225 235 231 21.00 31.47
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0642 0.0693 196 139 108 107 14.44 25.13
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 17% 0% 0% 0% 0% 40%
%TRC violations, (SNC is>=33 %)=> ---- ---- 0% 0% 0% 0% 0% 20%
Arsenic Cadmium Chromium LL Mercury
I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 I 1 1
Maximum (mg/1)=> Not required <0.0010 Not required 0.000110 Not required 0.0013 Not required 0.000066200
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000110 0.0013 0.000066200
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A
Copper Cyanide Lead Nickel
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 1 1 1
* Maximum (mg/1)=> 0.0416 0.0388 Not required <01.0050 Not required <0.0010 Not required 0.0017
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0333 0.0348 0.0030 0.0005 0.0017
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% 0% N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% N/A N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. ]UP-->Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Catawba Valley Medical Center
Use separate forms for each industry/pipe lUP# 3
Enter BDL values as < (value) Pipe# 1
BDL= 1/2 det.
Silver Zinc Selenium Molybdenum
1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 1 1
* Maximum (mg/1)=> 0.0187 0.0005 0.4510 0.3600 Not Required 0.00090 Not Required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00393 0.00029 0.3706 0.2878 0.00090 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A 20% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A 0% 0% N/A N/A
Oil & Grease PH Total Phosphorus TKN
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 2 2 2 2
Maximum (mg/1)=> 26.4 30.3 6.71/8.56 7.33/8.81 5.6 4.1 60.0 41.5
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 10.8 27.4 5.5 3.9 55.5 39.4
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A NIA N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% ---- ---- N/A N/A N/A X/A
Total Nitrogen
1 st 6 months 2nd 6 months
Total#of samples=> 2 2
* Maximum (mg/1)=> 60.5 41.8
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 56.0 39.6
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A
BDL=>Below Detection Limit mgA=>milligrams per liter
* POTW must enter at least one of these four rows. IUP—Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Frye RMC
Use separate forms for each industry/pipe WWTP Name=> Northeast [UP# 7
Enter BDL values as < (value) NPDES#=> NCO020401 Pipe# 1
1st 6 months, dates=> 1/l/23 -6/30/23
2nd 6 months, dates=> 7/l/23 - 12/31/23 BDL= 1/2 det.
Flow,MGD SOD TSS Ammonia
1 st 6 months 2nd 6 months I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 5 5 5 5
Maximum (mg/1)=> 0.0013 0.0013 207 152 173 68.0 2.91 2.20
or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0009 0.0009 151 110 69.6 36.3 2.33 1.51
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 0% 0% 0% 0% 0% 0%
%TRC violations, (SNC is>=33 %)=> ---- ---- 0% 0% 0% 0% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1
* Maximum (mg/1)=> Not required <0.0010 Not required <0.000200 Not required <0.0010 Not required 0.000001910
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000100 0.0005 0.000001910
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A
Co per Toluene Lead Nickel
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 1 1 1
* Maximum (mg/1)=> 0.1690 0.0516 Not Required <0.0010 Not required <0.0010 Not required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.1134 0.0335 0.0005 0.0005 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% N/A N/A N/A
BDL=>Below Detection Limit mg/I=>milligrams per liter
POTW must enter at least one of these four rows. 1UP—Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd—million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name PryeRMC
Use separate forms for each industry/pipe 1UP# 7
Enter BDL values as < (value) Pipe# 1
BDL= 1%2 det.
Silver Zinc Selenium Molybdenum
I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 3 3 5 5 1 1
* Maximum (mg/1)=> <0.0050 <0.0005 0.5220 0.5180 Not required <0.00500 Not required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00097 0.00022 0.3300 0.4512 0.00250 0.0005
* or Average Loading(1b/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A 0% 0% N/A N/A
%TRC violations, (SNC is>=33 %)=> 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 I st 6 months 2nd 6 months
Total#of samples=> 5 5 6 5 5 5 2 2
* Maximum (mg/1)=> 31.6 20.6 5.70/6.70 6.10/8.11 0.0280 10.9000 3.1 2.2
* or Maximum (1b/d)=>
* or 6 mo.Average(mg/1)=> 11.2 6.7 0.0130 2.1998 2.8 1.7
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 33% 0% 0% 20% N/A N/A
%TRC violations, (SNC is>=33 %)=> 0% 0% ---- ---- 0% 20% N/A N/A
TKN Total Nitrogen
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2
* Maximum (mg/1)=> 22.8 16.1 23.1 16.5
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 19.3 10.1 19.8 10.5
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations, (SNC is>=33 %)=> N/A N/A N/A N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these four rows. ]UP=>Industrial User Permit lb/d-pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL, 1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Frye RMC
Use separate forms for each industry/pipe WWTP Name=> Northeast IUP# 7
Enter BDL values as < (value) NPDES#=> NCO020401 Pipe# 2
1st 6 months,dates=> 1/l/23 -6/30/23
2nd 6 months,dates=> 7/l/23 - 12/31/23 BDL= 1/2 det.
Flow,MGD SOD TSS Ammonia
1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 7 7 5 6 5 7 5 5
* Maximum (mg/1)=> 0.0284 0.0318 553 550 254 733 24.60 17.90
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0237 0.0263 294 270 132 276 15.68 17.44
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 20% 17% 20% 43% 0% 0%
%TRC violations, (SNC is>=33 %)=> ---- ---- 0% 0% 0% 29% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 2 3 1 1
* Maximum (mg/1)=> Not required <0.0010 0.000089 <0.000200 Not required <0.0010 Not required 0.006350000
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000089 0.0000800 0,0005 0.006350000
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A N/A
Copper Toluene Lead Nickel
1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 5 5 1 1 1
* Maximum (mg/1)=> 0.0535 0.0534 Not Required <0.0010 Not required 0.0016 Not required 0.0017
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0362 0.0469 0.0005 0.0016 0.0017
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% N/A N/A N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these four rows. IUP—Industrial User Permit lb/d—pounds per day
Please indicate bow averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Frye RMC
Use separate forms for each industry/pipe IUP# 7
Enter BDL values as < (value) Pipe# 2
BDL= 1/2 det.
Silver Zinc Selenium Molybdenum
I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 1 1
* Maximum (mg/1)=> <0.0050 <0.0050 0.4450 0.5230 Not required <0.00500 Not required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00097 0.00111 0.3850 0.4660 0.00250 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A 0% 0% N/A N/A
Oil& Grease H Phenol Total Phosprorus
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 11 10 2 2
* Maximum (mg/1)=> 11.8 10.4 7.37/8.40 6.96/7.81 0.4400 0.5000 6.5 4.4
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 4.3 4.6 0.1487 6.1447 5.6 4.3
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% 45% 40% N/A N/A
%TRC violations, (SNC is>=33 %)=> 0% 0% ---- ---- 36% 40% N/A N/A
TKIN Total Nitrogen
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2
* Maximum (mg/1)=> 64.9 49.7 65.3 49.3
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 60.2 48.1 60.6 47.9
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL, 112 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Hickory Dyeing&Winding
Use separate forms for each industry/pipe WWTP Name=> Northeast lUP# 8
Enter BDL values as < (value) NPDES#=> NCO020401 Pipe# 1
1st 6 months,dates=> l/l/23 -6/30/23
2nd 6 months, dates=> 7/1/23 - 12/31/23 BDL= 1/2 det.
Flow,M D BOD TSS Ammonia
1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 5 5 5 5
* Maximum (mg/1)=> 0.0161 0.0154 4.8 6.1 5.0 <2.7 1.09 0.34
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0A097 0.0042 2.7 2.7 2.0 1.3 0.31 0.11
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 0% 0% 0% 0% 0% 0%
%TRC violations,(SNC is>=33 %)=> ---- ---- 0% 0% 0% 0% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 1 1 5 5 1
* Maximum (mg/1)=> Not required <0.0010 Not required <0.00500 <0.0050 <0.0010 Not required 0.0000013 80
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.00250 0.0012 0.0005 0.000001380
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A N/A 0% 0% N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A 0% 0% N/A
Copper Toluene Lead Nickel
1 st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 5 5 1 5 5 4 4
Maximum (mg/l)=> 0.0182 0.0036 Not Required <0.0010 <0.0010 <0.0010 <0.0050 <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)_> 0.0090 0.0023 0.0005 0.0004 0.0005 0.0008 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% N/A 0% 0% N/A N/A
%TRC violations, (SNC is>=33 %)=> 0% 0% N/A 0% 0% N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. rUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg,period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Hickory Dyeing&Winding
Use separate forms for each industry/pipe IUP# 8
Enter BDL values as < (value) 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 1 st 6 months 2nd 6 months
Total#of samples=> 1 5 5 1 1
* Maximum (mg/I)=> Not required <0.0004 0.3890 0.5920 Not required <0.02500 Not required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00020 0.3052 0.5272 0.01250 0.0005
* or Average Loading(Ib/d)=>
%violations,(chronic SNC is>=66%)=> N/A 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 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 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 4 2 2 2
* Maximum (mg/1)=> <5.3 <5.3 6.76/8.35 7.51/8.03 <0.0100 0.0310 0.4 0.6
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 2.5 2.5 0.0050 0.0250 0.4 0.6
* or Average Loading(Ib/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% ---- ---- N/A N/A N/A N/A
TKN Total Nitrogen
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2
* Maximum (mg/1)=> 1.8 <0.5 1.9 0.32
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 1.0 0.25 1.3 0.24
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d-->pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd—million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name HKResearch
Use separate forms for each industry/pipe WWTP Name=> Northeast IUP# 11
Enter BDL values as < (value) NPDES#=> NCO020401 Pipe# 1
1st 6 months,dates=> 1/l/23 -6/30/23
2nd 6 months,dates=> 7/l/23 - 12/31/23 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
Total#of samples=> 6 5 6 5 5 5 5 5
Maximum (mg/1)=> 0.0018 0.0084 712 271 236 207 26.77 71.00
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0013 0.0031 241 141 94.9 110 14.60 24.26
or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 17% 0% 0% 0% 0% 20%
%TRC violations, (SNC is>=33 %)=> ---- ---- 17% 0% 0% 0% 0% 20%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months i st 6 months 2nd 6 months
Total#of samples=> 1 2 2 3 2
* Maximum (mg/1)=> Not required <0.0010 Not required <0.000500 <0.0050 0.1030 Not required <0.000200000
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000175 0.0018 0.0348 0.00005092
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 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
Total#of samples=> 5 5 1 5 5 2 3
* Maximum (mg/1)=> 0.0430 0.0370 Not Required <0.0010 0.0011 0.0034 <0.0050 0.0023
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0275 0.0281 0.0005 0.0006 0.0015 0.0022 0.0023
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% N/A 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% N/A 0% 0% N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC-Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL, 1/2 BDL,or zero values used. TRC-Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name HKResearch
Use separate forms for each industry/pipe IUP# 11
Enter BDL values as < (value) Pipe# 1
BDL= 1/2 det.
Silver Zinc Selenium Molybdenum
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 2 5 5 1 1
Maximum (mg/1)=> Not required <0.0005 0.6350 0.4220 Not required <0.00500 Not Required <0.0010
or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00023 0.4856 0.3734 0.00250 0.0005
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A 0% 0% N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A 0% 0% N/A N/A N/A N/A
Oil& Grease pH Phenol Total Phosprorus
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 1 2 2
* Maximum (mg/1)=> 7.6 <5.4 6.89/8.41 7.53/8.26 Not required 0.0190 5.7 9.8
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 4.4 3.0 0.0190 5.7 6.9
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A N/A
%TRC violations,(SNC is x 33 %)=> 0% 0% ---- ---- N/A N/A N/A
TKN Total Nitrogen
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2
* Maximum (mg/1)=> 58.3 77.9 56.6 78.0
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 48.6 57.5 48.9 57.6
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL, 112 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Maple Springs(Plant 1)
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 15
Enter BDL values as < (value) NPDES#=> NCO040797 Pipe# 1
1st 6 months, dates=> 1/1/23 -6/30/23
2nd 6 months, dates=> 7/1/23 - 12/3 1123 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
Total#of samples=> 5 8 5 8 5 8 5 8
* Maximum (mg/1)=> 0.0898 0.1080 243 416 34.2 91.7 0.80 2.90
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0780 0.0768 108 177 28.8 41.4 0.48 1.22
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 20% 3 8% 0% 0% 0% 0%
%TRC violations,(SNC is>=33 %)=> ---- ---- 20% 13% 0% 0% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1
* Maximum (mg/1)=> Not required <0.0010 Not required <0.000200 Not required 0.0027 Not required 0.000000782
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000100 0.0027 0.000000782
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A NIA N/A
Copper Cyanide Lead Nickel
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 8 5 8 1 1
* Maximum (mg/1)=> 0.0330 0.0370 <0.0100 <0.0080 Not required 0.0016 Not required 0.0021
or Maximum (lb/d)=>
* or 6 mo.Average(mg/L)=> 0.0225 0.0197 0.0040 0.0030 0.0016 0.0021
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% 0% 0% N/A N/A
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL, 1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Pagel of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Maple Springs(Plant 1)
Use separate forms for each industry/pipe IUP# 15
Enter BDL values as < (value) 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 1 st 6 months 2nd 6 months
Total#of samples=> 1 6 8 1 1
* Maximum (mg/1)=> Not required 0.0011 0.7270 0.8900 Not Required <0.00500 Not Required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00110 0.5730 0.6343 0.00250 0.0005
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A 17% 25% N/A N/A
%TRC violations, (SNC is>=33 %)=> I N/A 0% 13% 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
Total#of samples=> 5 8 5 12 2 2 2 2
* Maximum (mg/1)=> 37.7 42.7 10.20/1090 10.40/11.17 2.9 2.5 12.6 16.3
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 19.0 21.9 2.6 2.3 9.5 12.8
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 40% 67% N/A NIA N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% ---- ---- N/A N/A N/A N/A
Total Nitrogen
1st 6 months 2nd 6 months
Total#of samples=> 2 2
* Maximum (mg/1)=> 13.6 17.1
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 10.4 13.5
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A NIA
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name The Sock Factory
Use separate forms for each industry/pipe WWTP Name=> Henry Fork rup# 17
Enter BDL values as < (value) NPDES#=> NCO040797 Pipe# 1
1st 6 months,dates=> 1/l/23 -6/30/23
2nd 6 months, dates=> 7/l/23 _ 12/31/23 BDL= 1/2 det.
Flow, MGD BOD T S 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
Total#of samples=> 5 14 5 8 5 5 5 6
* Maximum (mg/1)=> 0.0105 0.3010 467 271 86.7 64.3 45.70 6.72
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0068 0.0129 160 167 23.8 30.8 12.89 3.83
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 20% 25% 0% 0% 20% 0%
%TRC violations,(SNC is>=33 %)=> ---- ---- 20% 0% 0% 0% 20% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 5 5 5 13 1
* Maximum (mg/1)=> Not required <0.0010 <0.000150 <0.000200 0.1670 3.0600 Not required 0.000001260
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000061 0.000100 0.0525 0.3655 0.000001260
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> NIA N/A 0% 0% 20% 3 8% N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A 0% 0% 0% 31% 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
Total#of samples=> 5 5 10 5 1 1
* Maximum (mg/1)=> 0.1220 0.2120 0.0780 <0.0080 Not required 0.0015 Not required 0.0018
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0507 0.0895 0.0300 0.0040 0.0015 0.0018
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 20% 40% 0% N/A NIA
%TRC violations,(SNC is>=33 %)=> 0% 0% 40% 0% N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Pagel of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name The Sock Factory
Use separate forms for each industry/pipe IUP# 17
Enter BDL values as < (value) 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
Total#of samples=> 5 5 5 5 1 1
* Maximum (mg/1)=> 0.0005 0.0134 2.0000 0.4860 Not Required <0.02500 Not Required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00044 0.00379 0.7664 0.3208 0.01250 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 20% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% 20% 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
Total#of samples=> 5 5 5 5 2 2 2 2
* Maximum (mg/1)=> 10.2 15.2 6.15/8.20 6.89/8.40 3.8 3.7 55.1 64.3
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 5.8 6.2 2.7 3.5 33.2 30.8
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% ---- ---- 'QUA N`A N/A N/A
Total Nitrogen
1 st 6 months 2nd 6 months
Total#of samples=> 2 2
* Maximum (mg/1)=> 55.7 26.5
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 33.8 24.4
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. ]UP=>Industrial User Permit lb/d—pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Shurtape Technologies
Use separate forms for each industry/pipe WWTP Name=> Northeast IUP# 22
Enter BDL values as < (value) NPDES#_> NC0020401 Pipe# 1
1st 6 months,dates=> 1/1/23 -6/30/23
2nd 6 months,dates=> 7/l/23 - 12/31/23 BDL= 1/2 det.
Flow,M D B4D TSS Ammonia
I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 5 5 5 5
* Maximum (mg/1)_> 0.0115 0.0111 212 401 7.9 7.0 11.05 6.40
* or Maximum (lb/d)_>
* or 6 mo.Average(mg/1)_> 0.0088 0.0069 105 218 4.1 3.6 5.14 3.89
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> ---- -- 0% 0% 0% 0% 0% 0%
%TRC violations,(SNC is>=33 %)_> ---- -- 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 1 st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1
* Maximum (mg/1)_> Not required <0.0010 Not required <0.000500 Not required <0.0010 Not required 0.000001100
* or Maximum (lb/d)_>
* or 6 mo.Average(mg/1)_> 0.0005 0.000250 0.0005 0.000001100
* or Average Loading(lb/d)_>
%violations, (chronic SNC is>=66%)_> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)_> N/A N/A N/A N/A
Co per Cyanide Lead Nickel
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 2 3 4 3 1 1
* Maximum (mg/1)_> 0.0059 0.0092 0.0220 0.0340 Not required <0.0010 Not required <0.0010
* or Maximum (lb/d)_>
* or 6 mo.Average(mg/1)_> 0.0043 0.0084 0.0113 0.0155 0.0005 0.0005
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> N/A N/A N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)_> N/A N/A N/A N/A N/A N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
' POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL, 1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Shurtape Technologies
Use separate forms for each industry/pipe lul'# 22
Enter BDL values as < (value) Pipe# 1
BDL= 1/2 det.
Silver Zinc Selenium Molybdenum
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 5 5 1 1
* Maximum (mg/1)=> Not required <0.0004 0.7260 0.5830 Not required <0.00250 Not required 0.0812
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00020 0.4513 0.3178 0.00125 0.0812
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A 0% 0% N/A N/A
Oil& Grease pH Phcnol Total Phosprorus
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 5 5 2 2
* Maximum (mg/1)=> <4.9 <4.8 8.00/6.69 6.20/8.05 <0.0200 <0.0200 0.7 1.2
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 2.2 2.4 0.0095 0.0090 0.6 1.2
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 0°0 0% ---- ---- 0% 0% N/A N/A
TKN Total Nitrogen Toluene
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 5 5
* Maximum (mg/1)=> 11.8 5.5 12.0 5.7 0.0046 <0.0250
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 8.3 3.7 8.6 4.2 0.0027 0.0035
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A 0% 0%
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A 0% 0%
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. rUP=>Industrial User Permit lb/d-pounds per day
Please indicate how averages were calculated. SNC-Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 3

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Ward Hosiery
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 27
Enter BDL values as < (value) NPDES#=> NCO040797 Pipe# 1
1st 6 months,dates=> l/l/23 -6/30/23
2nd 6 months,dates=> Permit Rescinded 4/17/23 BDL= 1/2 det.
Flow, M D 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
Total#of samples=> 4 4 4 4
* Maximum (mg/1)=> 0.0125 >225 26.7 5.20
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0106 72.4 11.4 2.67
or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- 0% 0% 0%
%TRC violations,(SNC is>=33 %)=> ---- 0% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 4 3
* Maximum (mg/1)=> Not required <0.001000 0.1240 Not required
or Maximum (lb/d)=>
or 6 mo.Average(mg/1)=> 0.000181 0.0684
or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 17%
%TRC violations,(SNC is>=33 %)=> 0% 17%
Co per 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
Total#of samples=> 4 4 3 3
* Maximum (mg/1)=> 0.0692 0.0520 <0.0050 0.0037
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0398 0.0230 0.0012 0.0029
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0%
%TRC violations,(SNC is>=33 %)=> 0% 0% 0% 0%
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. [UP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP—wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Ward Hosiery
Use separate forms for each industry/pipe IUP# 27
Enter BDL values as < (value) Pipe# 1
BDL— 1/2 det.
Silver Zinc Selenium Molybdenum
I st 6 months 2nd 6 months I st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 4 3
* Maximum (mg/1)=> 0.0255 0.4210 Not Required Not Required
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.01310 0.2563
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% 0%
%TRC violations, (SNC is>=33 %)=> 0% 0%
Oil& Grease pH Total Phosphorus TKN
1 st 6 months 2nd 6 months I st 6 months 12nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 4 4 1 1
* Maximum (mg/1)=> <49 7.90/8.60 1.I 8.0
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 2.2 1.1 8.0
or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% ---- N/A N/A
Total Nitrogen
1 st 6 months 2nd 6 months
Total#of samples=> 1
* Maximum (mg/1)=> 8.4
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 8.4
* or Average Loading(Ib/d)=>
%violations,(chronic SNC is>=66%)=> N/A
%TRC violations,(SNC is>=33 %)=> N/A
BDL=>Below Detection Limit mg/I—milligrams per liter
POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC—Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Hickory Springs Mfg.
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 33
Enter BDL values as < (value) NPDES#_> NC0040797 Pipe# 1
1 st 6 months,dates=> 1/1/23 -6/30/23
2nd 6 months,dates=> 7/1/23 - 12/31/23 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 I st 6 months 2nd 6 months
Total#of samples=> 5 8 5 6 5 8 5 6
* Maximum (mg/1)_> 0.0120 0.0118 165 331 261 910 46.10 62.00
* or Maximum (lb/d)_>
* or 6 mo.Average(mg/1)_> 0.0063 0.0069 119 164 144 319 35.26 42.82
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> ---- ---- 0% 0% 0% 38% 0% 0%
%TRC violations, (SNC is>=33 %)_> ---- -- 0% 0% 0% 25% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 5 5 1 1
* Maximum (mg/1)_> Not required 0.0011 <0.001000 <0.00100 Not required 0.0015 Not required 0.000003980
* or Maximum (lb/d)_>
* or 6 mo.Average(mg/1)_> 0.0011 0.000350 0.000340 0.0015 0.000003980
* or Average Loading(lb/d)_>
%violations, (chronic SNC is>=66%)_> N/A 0% 0% N/A N/A
%TRC violations, (SNC is>=33 %)_> N/A 0% 0% N/A N/A
Copper Cyanide Lead Nickel
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 3 4 1 5 5
* Maximum (mg/1)_> 0.2200 0.0873 <0.0080 <0.0080 Not required 0.0025 0.0097 0.0316
* or Maximum (lb/d)_>
* or 6 mo.Average(mg/1)_> 0.0889 0.0578 0.0040 0.0040 0.0025 0.0061 0.0I31
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> 0% 0% N/A N/A N/A 0% 0%
%TRC violations, (SNC is>=33 %)_> 0% 0% N/A N/A N/A 0% 0%
BDL-Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. IUP-Industrial User Permit lb/d-pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Pagel of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Hickory Springs Mfg.
Use separate forms for each industry/pipe IUP# 33
Enter BDL values as < (value) 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
Total#of samples=> 1 5 5 1 1
* Maximum (mg/1)=> Not required <0.0004 0.5380 0.4930 Not Required <0.00500 Not Required 0.0016
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00020 0.3950 0.4262 0.00250 0.0016
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A 0% 0% N/A N/A
Oil& Grease pH Total Phosphorus TKN
1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 5 5 5 8 2 2 2 2
* Maximum (mg/1)=> 18.8 11.2 7.50/8.35 7.62/8.66 10.0 7.3 55.7 63.7
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 11.7 4.8 8.8 5.7 51.6 46.3
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A N/A N/A
%TRC violations, (SNC is>=33 %)=> 0% 0% ---- ---- N/A N/A N/A N/A
Total Nitrogen
1 st 6 months 2nd 6 months
Total#of samples=> 2 2
* Maximum (mg/I)=> 55.7 63.8
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 51.7 46.4
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A
BDL—Below Detection Limit mg/l-->milligrams per liter
* POTW must enter at least one of these four rows. IUP—Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (1DSF) Town Name=> City of Hickory Name Century Furniture
Use separate forms for each industry/pipe WWTP Name=> Northeast IUP# 34
Enter BDL values as < (value) NPDES#=> NCO020401 Pipe# 1
1st 6 months,dates=> l/1/23 -6/30/23
2nd 6 months,dates=> 7/l/23 - 12/31/23 BDL= 1/2 det.
Flow,MGD BOD TSS Ammonia
I st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 7 7 5 5 7 6 5 6
* Maximum (mg/1)=> 0.0046 0.009I 255 193 600 960 52.64 61.20
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0028 0.0048 146 173 221 255 30.69 43.50
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 00/0 0% 29% 17% 20% 50%
%TRC violations, (SNC is>=33 %)=> ---- ---- 0% 0% 14% 17% 0% 17%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 5 5 1 1
* Maximum (mg/1)=> Not required <0.0010 0.000110 <0.000400 Not required <0.0010 Not required 0.000003670
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000085 0.000105 0.0005 0.000003670
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A 0% 0% N/A N/A
Copper Toluene Lead Nickel
1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 5 5 1 5 5 1
* Maximum (mg/1)=> 0.0178 0.0160 Not Required <0.0010 0.0019 0.0013 Not required 0.0014
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0111 0.0130 0.0005 0.0008 0.0006 0.0014
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% 0% N/A 0% 0% N/A
%TRC violations, (SNC is>=33 %)=> 0% 0% N/A 0% 0% N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry>\Tame Century Furniture
Use separate forms for each industry/pipe iUP n 34
Enter BDL values as < (value) Pipe 4 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
Total#of samples=> 1 5 5 1 1
* Maximum (mg/1)=> Not required <0.0004 0.6120 0.5280 Not required <0.00500 Not required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00020 0.3436 0.3494 0.00250 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A 0% 0% N/A N/A
Oil& Grease pH Phenol Total Phosprorus
I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 1 2 2
* Maximum (mg/1)=> 12.8 9.6 7.92/8.73 6.98/8.35 Not required 0.0580 9.7 7.5
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 5.6 5.5 0.0580 8.9 7.3
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A N/A
%TRC violations, (SNC is>=33 %)=> 0% 0% -- ---- N/A N/A N/A
TKN Total Nitrogen
I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2
* Maximum (mg/1)=> 87.1 80.3 87.7 80.4
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 83.8 67.1 84.3 67.2
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC—Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Century Furniture
Use separate forms for each industry/pipe WWTP Name=> Northeast IUP# 34
Enter BDL values as < (value) NPDES#=> NCO020401 Pipe# 2
1 st 6 months,dates=> 1/l/23 -6/30/23
2nd 6 months,dates=> 7/l/23 - 12/31/23 BDL= 1/2 det.
Flow,M D 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
Total#of samples=> 5 14 5 5 5 5 5 14
* Maximum (mg/1)=> 0.0057 0.0096 200 ill 164 113 10.75 29.34
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/I)=> 0.0032 0.0036 169 95.9 74.0 50.3 5.61 11.30
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 0% 0% 0% 0% 0% 29%
%TRC violations, (SNC is>=33 %)=> ---- ---- 0% 0% 0% 0% 0% 29%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 5 5 5 5 1
* Maximum (mg/1)=> Not required <0.0010 0.000220 <0.000400 0.0060 <0.0020 Not required 0.000000884
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000150 0.000110 0.0029 0.0009 0.000000884
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A 0% 0% 0% 0% N/A
%TRC violations,(SNC is>=33 %)=> N/A 0% 0% 0% 0% N/A
Copper Toluene Lead Nickel
1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 1 5 5 1
* Maximum (mg/1)=> 0.0450 0.0300 Not Required <0.0010 0.0027 0.0013 Not required 0.0062
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0221 0.0220 0.0005 0.0013 0.0009 0.0062
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% N/A 0% 0% N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% N/A 0% 0% N/A
BDL=>Below Detection Limit mgA=>milligrams per liter
POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d-pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Century Furniture
Use separate forms for each industry/pipe IUP# 34
Enter BDL values as < (value) Pipe# 2
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 lst 6 months 2nd 6 months
Total#of samples=> 1 5 5 1 1
Maximum (mg/1)=> Not required <0.0004 0.5000 0.5050 Not required <0,00500 Not required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00020 0.4254 0.2600 0.00250 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 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 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 1 2 2
* Maximum (mg/1)=> 14.8 10.0 7.24/8.97 7.47/8.28 Not required 0.0130 8.3 4.4
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 7.5 4.0 0.0130 7.1 2.8
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% NIA N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% ---- ---- N/A N/A N/A
TKN Total Nitrogen
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2
* Maximum (mg/1)=> 63.6 37.1 64.0 37.4
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 48.7 24.5 49.1 24.7
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d-->pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Kleen Tech
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 35
Enter BDL values as < (value) NPDES#=> NCO040797 Pipe# 1
1st 6 months,dates=> l/1/23 -6/30/23
2nd 6 months,dates=> 7/l/23- 12/31/23 BDL= 1/2 det.
Flow,MGD BOD TSS Ammonia
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 6 5 6 5 6 5 6 5
* Maximum (mg/1)=> 0.0692 0.0694 2040 1080 1086 289 1.16 0.88
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0607 0.0602 661 499 265 163 0.47 0.61
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 17% 20% 17% 0% 0% 0%
%TRC violations, (SNC is>=33 %)=> ---- ---- 17% 0% 17% 0% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 6 5 6 5 6 5 1
* Maximum (mg/1)=> <0.0100 <0.0100 <0.010000 <0.001000 0.0161 0.0124 Not required 0.000004710
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0040 0.0020 0.000440 0.000250 0.0063 0.0083 0.000004710
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% 0% 0% N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% 0% 0% 0% 0% N/A
Copper Cyanide Lead Nickel
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 6 5 6 10 6 5 6 5
* Maximum (mg/1)=> 0.0450 0.0340 0.0200 0.0700 <0.0100 <0.0100 0.0093 0.0080
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0196 0.0187 0.0108 0.0195 0.0026 0.0026 0.0036 0.0049
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% 0% 0% 30% 0% 0% 0% 0%
%TRC violations,(SNC is>=33 %)=> 0% 0% 0% 30% 0% 0% 0% 0%
BDL=>Below Detection Limit mgfl=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd-million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 3

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Kleen Tech
Use separate forms for each industry/pipe IUP# 35
Enter BDL values as < (value) 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 1 st 6 months 2nd 6 months
Total#of samples=> 1 6 5 1 1
* Maximum (mg/1)=> Not required <0.0004 0.8580 0.6400 Not Required <0.00500 Not Required <0.0010
* or Maximum (1b/d)=>
* or 6 mo.Average(mg/1)=> 0.00020 0.5890 0.5690 0.00250 0.0005
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A 17% 0% N/A N/A
%TRC violations, (SNC is>=33 %)=> N/A 0% 0% N/A N/A
Oil& Grease pH Total Phosphorus TKN
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 6 5 6 7 2 2 2 2
* Maximum (mg/1)=> 497 129 7.90/11.37 7.13/10.72 3.4 1.8 16.9 6.8
g or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 92.1 55.4 2.4 1.4 11.0 5.2
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 17% 0% 50% 13% N/A NIA NIA N/A
%TRC violations, (SNC is>=33 %)=> 17% 0% ---- ---- N/A NIA NIA N/A
Total Nitrogen
1st 6 months 2nd 6 months
Total#of samples=> 2 2
* Maximum (mg/1)=> 17.8 7.1
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 11.7 5.5
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A N/A
%TRC violations, (SNC is>=33 %)=> N/A N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit Ib/d=>pounds per day
Please indicate how averages were calculated. SNC—Significant Mon-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL, 1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 3

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Hickory Regional Compost Facility
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 50
Enter BDL values as < (value) NPDES#=> NCO040797 Pipe# 1
1st 6 months, dates=> 1/1/23-6/30/23
2nd 6 months, dates=> 7/1/23 - 12/31/23 BDL= 1/2 det.
Flow,MGD BOD TSS Ammonia
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 7 5 6 5 7 5 5 5
* Maximum (mg/1)=> 0.1126 0.1044 1,590 475 1090 513 652 311
* or Maximum (lb/d)=>
or 6 mo.Average(mg/1)=> 0.1012 0.0740 971 227 694 304 340 192
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 50% 0% 43% 0% 20% 20%
%TRC violations,(SNC is>=33 %)=> ---- -- 17% 0% 0% 0% 20% 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
Total#of samples=> 1 1 2 1 2 1
* Maximum (mg/1)=> Not required 0.0071 0.005400 0.000190 0.1140 0.0025 Not required 0.000035000
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0071 0.005400 0.000133 0.1140 0.0018 0.000035000
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A NIA N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> NIA N/A NIA NIA N/A N/A
Copper Cyanide Lead Nickel
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 1 1 2 1 2
* Maximum (mg/1)=> 13.5000 0.0208 Not required <0.0050 1.0800 0.0020 0.1320 0.0094
* or Maximum (1b/d)=>
* or 6 mo.Average(mg/1)=> 2.7505 0.0143 0.0025 1.0800 0.0016 0.1320 0.0086
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 20% 0% N/A N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 20% 0% N/A N/A N/A N/A N/A
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these four rows. IUP—Industrial User Permit Ib/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria W WTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Hickory Regional Compost Facility
Use separate forms for each industry/pipe IUP# 50
Enter BDL values as < (value) 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
Total#of samples=> 5 5 5 5 1 1
* Maximum (mg/1)=> <0.0020 <0.0005 0.5750 0.2490 Not Required 0.00420 Not Required 0.0033
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00039 0.00024 0.4288 0.1286 0.00420 0.0033
* or Average Loading(Ib/d)=>
%violations,(chronic SNC is>=66%)=> N/A NIA 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 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 I st 6 months 2nd 6 months
Total#of samples=> 5 5 7 5 1 1 3
* Maximum (mg/1)=> 7.1 9.2 6.51/7.86 7.69/8.04 Not required 36.0 316 330
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 3.4 4.0 36.0 316 205
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% ---- ---- N/A N/A N/A
Total Nitrogen
1 st 6 months 2nd 6 months
Total#of samples=> I
* Maximum (mg/1)=> Not required 330
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 330
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A
%TRC violations,(SNC is>=33 %)=> N/A
BDL=>BeIow Detection Limit mg/i=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit Ib/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd y million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC—Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Maple Springs(Plant 2)
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 51
Enter BDL values as < (value) NPDES#=> NCO040797 Pipe# 1
1 st 6 months, dates=> l/l/23 -6/30/23
2nd 6 months, dates=> 7/l/23 - 12/31/23 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
Total#of samples=> 5 5 5 8 5 8 5 8
* Maximum (mg/1)=> 0.1100 0.1010 137 149 35.6 54.7 0.92 0.59
or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.1060 0.0824 61.9 65.1 26.1 25.0 0.50 0.44
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- ---- 0% 0% 0% 0% 0% 0%
%TRC violations,(SNC is>=33 %)=> ---- ---- 0% 0% 0% 0% 0% 0%
Arsenic Cadmium Chromium LL Mercury
I st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 1 1 I 1
* Maximum (mg/1)=> Not required <0.0010 Not required <0.000200 Not required 0.0019 Not required 0.000000508
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000100 0.0019 0.000000508
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations, (SNC is>=33 %)=> N/A N/A N/A N/A
Copper Cyanide Lead Nickel
1st 6 months 2nd 6 months I st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 5 8 5 8 1 1
* Maximum (mg/1)=> 0.0360 0.0082 <0.0080 <0.0080 Not required <0.0010 Not required 0.0013
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0153 0.0067 0.0040 0.0040 0.0005 0.0013
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% 0% 0% N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Maple Springs(Plant 2)
Use separate forms for each industry/pipe LUP# 51
Enter BDL values as < (value) Pipe# 1
BDL= 1/2 det.
Silver Zinc Selenium Molybdenum
1.st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 5 8 1 1
* Maximum (mg/1)=> Not required 0.0011 2.5800 0.6500 Not Required <0.00500 Not Required <0.0010
or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00110 0.9560 0.5626 0.00250 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A 25% 0% N/A N/A
%TRC violations, (SNC is>=33 %)=> N/A 25% 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
Total#of samples=> 5 8 5 1.2 2 2 2 2
* Maximum (mg/l)=> 37.3 30.7 10.30/10.67 10.30/11.38 2.1 1.9 8.4 7.3
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 20.6 9.1 1.8 1.6 7.5 7.2
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> 0% 0% 40% 50% NT-A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% ---- ---- N/A A N/A N/A N/A
Total Nitrogen
1 st 6 months 2nd 6 months
Total#of samples=> 2 2
* Maximum (mg/1)=> 8.9 7.9
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 8.2 7.7
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A
%TRC violations, (SNC is>=33 %)=> N/A N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit Ib/d—pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Gusmer Enterprises
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 52
Enter BDL values as < (value) NPDES#_> NC0040797 Pipe# 1
1st 6 months,dates=> 1/l/23 -6/30/23
2nd 6 months, dates=> 7/l/23 - 12/31/23 BDL= 1/2 det.
Flow, MGD B D TSS Ammonia
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 5 5 5 5
* Maximum (mg/1)_> 0.3115 0.3897 3.7 24.0 817 455 <0.10 0.32
* or Maximum (lb/d)_>
* or 6 mo.Average(mg/1)_> 0.2736 0.2549 2.3 8.9 455 237 0.05 0.10
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> ---- ---- 0% 0% 20% 0% 0% 0%
%TRC violations, (SNC is>=33 %)_> ---- ---- 0% 0% 20% 0% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1
* Maximum (mg/1)_> Not required 0.0021 Not required <0.000200 Not required 0.0027 Not required 0.000009050
* or Maximum (lb/d)_>
* or 6 mo.Average(mg/1)_> 0.0021 0.000100 0.0027 0.000009050
* or Average Loading(lb/d)_>
%violations, (chronic SNC is>=66%)_> N/A N/A N/A N/A
%TRC violations, (SNC is>=33 %)_> 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 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 1 1 1
* Maximum (mg/1)_> 0.0058 0.0082 Not required <0.0080 Not required <0.0010 Not required 0.0027
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)_> 0.0042 0.0051 0.0040 0.0005 0.0027
* or Average Loading(lb/d)_>
%violations, (chronic SNC is>=66%)_> 0% 0% N/A N/A N/A
%TRC violations,(SNC is>=33 %)_> 0% 0% N/A N/A N/A
BDL—Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these four rows. IUP—Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC—Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC—Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) lndustryName GusmerEnterprises
Use separate forms for each industry/pipe IUP# 52
Enter BDL values as < (value) 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
Total#of samples=> 1. 5 5 1 1
* Maximum (mg/1)=> Not required <0.0004 0.5120 0.8700 Not Required <0.00250 Not Required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00020 0.4688 0.6026 0.00125 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A 0% 20% N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A 0% 0% N/A N/A
Oil& Grease pH Total Phosphorus TKN
1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 5 5 2 2 2 2
* Maximum (mg/1)=> <4.9 <4.8 6.90/7.91 6.90/7.67 1.0 1.1 7.6 12.0
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 2.4 2.4 0.9 1.0 5.0 6.7
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% 0% 0% 0% N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% 0% ---- ---- N/A N/A N/A N/A
Total Nitrogen
1 st 6 months 2nd 6 months
Total#of samples=> 2 2
* Maximum (mg/1)=> 7.9 12.1
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 5.2 6.9
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A N/A
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these four rows. IUP—Industrial User Permit lb/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Hickory Name Cataler North America
Use separate forms for each industry/pipe WWTP Name=> Henry Fork IUP# 53
Enter BDL values as < (value) NPDES#=> NCO040797 Pipe# 1
Ist 6 months,dates=> Permit Start Date 7/1/23
2nd 6 months,dates=> 7/l/23 - 12/31/23 BDL= 1/2 det.
Flow, MGD BOD TSS Ammonia
1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 6 6 5 5
* Maximum (mg/1)=> 0.0030 219 25.0 10.30
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0011 107 15.0 8.37
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ---- 17% 0% 0%
%TRC violations, (SNC is>=33 %)=> ---- 0% 0% 0%
Arsenic Cadmium Chromium LL Mercury
1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1
* Maximum (mg/1)=> Not Required <0.0010 Not Required <0.000080 Not Required <0.0010 Not Required 0.000001530
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0005 0.000040 0.0005 0.000001530
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A N/A N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A 'QUA N/A N/A
Copper Cyanide Lead Nickel
1 st 6 months 2nd 6 months I st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 1 1 1
* Maximum (mg/1)=> 0.0025 Not Required <0.0080 Not Required <0.0010 Not Required 0.0023
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.0011 0.0040 0.0005 0.0023
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% N/A N/A N/A
%TRC violations, (SNC is>=33 %)=> 0% N/A N/A N/A
BDL=>Below Detection Limit mg/l=>milligrams per liter
POTW must enter at least one of these four rows. IUP-->Industrial User Permit Ib/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL, 1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1 of 2

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name Cataler North America
Use separate forms for each industry/pipe rUP# 53
Enter BDL values as < (value) Pipe# I
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 I st 6 months 2nd 6 months
Total#of samples=> 1 5 1 1
* Maximum (mg/1)=> Not Required <0.0004 0.0387 Not Required 0.00160 Not Required <0.0010
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 0.00020 0.0269 0.00160 0.0005
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> N/A 0% N/A N/A
Oil& Grease pH Total Phosphorus TKN
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=> 5 5 2 2
* Maximum (mg/1)=> <5.6 7.29/7.81 <0.3 10.8
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 2.5 0.2 10.6
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)=> 0% 0% N/A N/A
%TRC violations,(SNC is>=33 %)=> 0% ---- N/A N/A
Total Nitrogen
1st 6 months 2nd 6 months
Total#of samples=> 2
Maximum (mg/1)=> 10.9
* or Maximum (lb/d)=>
* or 6 mo.Average(mg/1)=> 10.7
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> N/A
%TRC violations,(SNC is>=33 %)=> N/A
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these four rows. IUP=>Industrial User Permit Ib/d=>pounds per day
Please indicate how averages were calculated. SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg.period could be month,qtr.,or 6-month&if BDL,1/2 BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Page 2 of 2

Public Notice

HICKORY
Worth Caroline
Life.Well Crafted.
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 (SNQ with national pretreatment regulations, 40 CFR Part 403, state
pretreatment regulations, 15 NCAC 2H .0900, and local pretreatment regulations during
the period of January 1 through December 31,2023:
Henry Fork WWTF: January—June 2023
The Sock Factory—Cyanide and Reporting
July—December 2023
Maple Springs Laundry Plant 1 —pH
Northeast WWTF: January—June 2023
Frye Regional Medical Center—Phenol
July—December 2023
Frye Regional Medical Center—Phenol
Publish: January 30,2024

Hickory Daily Record
See Proof on Next Page
AFFIDAVIT OF PUBLICATION
Hickory Daily Record
1100 11th Ave Blvd SE
[phone]
State of Florida,County of Orange,ss:
Before the undersigned,a Notary Public duly commissioned,
qualified, and authorized by law to administer oaths, personally
appeared the Publisher's Representative, Emily Meffert,who by
being duly sworn 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 Hickory Daily Record 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 all the requirements and qualifications of
Section 1-597 of the General Statutes of North Carolina.
PUBLICATION DATES:
Jan.30, 2024
NOTICE 1D:z3g5mpNkGfolUBfLdFV0
PUBLISHER ID:COL-NC-300008
NOTICE NAME:Wastewater Permit Violations
Publication Fee:$128.22
ft N
(Signed)
�U tlih
pY pV PAMEIA BAE
Notary Public-State f Florida
VERIFICATION a Commission#HH 11 8700
•�._..... °ate Expires on od,Wr 4,2W5
State of Florida °`"
rum
County of Orange
Subscribed in my presence and sworn to before me on this: 01/30/20 4
Notary Public
Notarized online using audio-video communication
Wastewater Permit Violations - Page 1 of 2

PUBLIC NOTICE OF SIGNIFICANT
INDUSTRIAL WASTEWATER PERMIT
VIOLATIONS
The City of Hickory,in accordance with Federal and Stale Regulatlona
Is hereby giving public Notice. Listed below are Significant Indugtrl-
al Users that were in Significant Non-Compliance(SNC)with national
pretreatment regulations,40 CFR Part 403,state pretreatment regula-
tions,15 NCAC 2H.04D0,and local pretreatment regulations during the
period of January 1 through December 31,2023:
Henry Fork WWTF:
January June 2023
The Sock Factory-Cyanide and Reporting
July-December 2023
Maple Springs Laundry Plant 1-pH
Northeast WWTF:
January-June 2023
Frye Regional Medical Center-Phenol
July-December 2023
Frye Reeggional Medical Center-Phenol
Publication Dates;January 30,2024.COL-NC-300008
Wastewater Permit Violations - Page 2 of 2

Additional Information

April 3, 2023
City of Hickory
Morgan Bowers
[e-mail]
Dear Ms. Bowers
I am writing this letter to inform you of the closing of Ward Hosiery Company, Inc.
The last day of operation was March 3, 2023. 1 am requesting Permit 40027 to be
cancelled.
Best regards,
Ward Hosiery Company, Inc.
Richard S. Ward
President

HICKORY City a Hickory
Hickory Regional Laboratory
310 Cloninger Mill Rd.
Hickory, NC 28601
North Carolina - Phone: [phone]
Fax: [phone]
Life, Well Crafted. Email: [e-mail]
Public Utilities
April 17, 2023
NCDEQ
Division of Water Resources
Pretreatment Unit
Dear Mr. Keyes,
The City of Hickory requests that Ward Hosiery Co., Inc. (IUP#:0027) be dropped from the City of
Hickory Pretreatment Program. Ward Hosiery Co., Inc. ceased process discharge on March 3, 2023. On
April 3, 2023,Ward Hosiery Co., Inc.submitted a formal request to rescind their wastewater permit.An
on-site inspection was conducted on April 14, 2023 and no evidence of process discharge was found
going into the sanitary sewer.Therefore,we request that Ward Hosiery Co., Inc. be dropped from the
City of Hickory Pretreatment Program.
Let me know if you have any questions or require additional information.
Enclosures:
- Formal request from SIU to rescind IUP
-Revised Henry Fork Allocation Table
Sincerely,
r�
Morgan Bowers
Pretreatment Coordinator

DocuSign Envelope I13:550768B6-1FF3-479C-BC4E-C4874E091FB7
ROY COOPER
Governor
ELIZABETH S.BISER
Secretary 411
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
4/17/2023
Via Electronic Mail([e-mail])
Ms.Morgan Bowers
Pretreatment Coordinator
City of Hickory
310 Cloninger Mill Road
Hickory,NC 28601
Subject: Pretreatment Review of Industrial User Pretreatment Permit Drop
Program:City of Hickory
Wastewater Treatment Plant:Henry Fork WWTP
NPDES#:NC0040797,Catawba County
Dear Ms.Bowers:
The Municipal Unit of the Division of Water Resources has reviewed the new Industrial User Pretreatment Permit
(IUP)drop request submitted by the City of Hickory(NC0040797)for the following Significant Industrial User
(SIU).The submission was received by the Division on April 17'`,2023.
IUP# I SIU NAME
0027 1 Ward Hosiery Co.,Inc.
The review indicates the IUP has been dropped by the City of Hickory Pretreatment Program and the
documentation meets the minimum requirements of 15A NCAC 2H .0916 and 40 CFR 403.8(f)(1)(iii). The
allocation table, maintained in the Division's database,has been updated accordingly.
Within 180 days of the effective date of any reissued or modified NPDES permit the permittee would be required
to submit to the Division a written technical evaluation of the need to revise local limits(i.e.,an updated IWS,or
documentation of why one is not needed). This action may include revising, updating, or adding to the list of
Significant Industrial Users(SIUs).Pursuant to 15A NCAC 2H.0907(b)either the Division or the permittee may
initiate pretreatment program revisions.
Federal and State pretreatment regulations require the local delegated pretreatment program to effectively
control and document the discharge of wastewater from Significant/Categorical Industrial Users to the POTW.It
is the POTW's responsibility to ensure that these objectives are consistently met.
If you have any questions or comments, please contact Keyes McGee at (919) 707-3626 [email:
ke es.mcgee a,nedelingovl or Octavio Henriquez at [phone] [email: [e-mail]
Thank you for your continued support of the Pretreatment Program.
Sincerely,
oih/hky_henry_ward_i up_drop_050 DocuSigned by,
Ec: Municipal Unit File AuW&et uh
Wes Bell,MRO C484531435644FE...
Central Files(Laserfiche) for Richard E.Rogers,Jr.,Director
Division of Water Resources
D��--\\ North Carolina Department of Environmental Quality I Division of Water Resources
512 Nash Salisbury Sheet 1 1611 Mail Service Center I Raleigh,North Carolina 27699-1 6 1 1
i OlR
` 919.707.9000
d GAawWYOOMII�

HICKORY Morgan Bowers
310 Cloninger Mil! Road
' Hickory, NC 28601
North Carolina Phone: [phone]
Life.Well Crafted. Fax: [phone]
Email: [e-mail]
Public Utilities
March 17, 2023
Chad Reynolds
Cataler North America
1761 Trivium Parkway
Newton, NC 28658
RE: Industrial User Pretreatment Permit
Dear Mr. Reynolds:
Your Industrial User Pretreatment Permit is enclosed. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1
and the City of Hickory's Sewer Use Ordinance.
Please read this permit carefully. If any parts, measurements, or frequencies
of sampling requirements contained in this permit are unacceptable to you,
you have the right to an adjudicatory hearing upon written request to the
Public Services Director within thirty (30) days of receipt of this letter.
Unless such demand is made, this decision shall be final and binding.
Sincerely,
Morgan Bowers
Pretreatment Coordinator

DocuSign Envelope ID:DD72D483-7A3E-4F58-9840-6585E7A43274
ROY COOPER
Governor
ELIZABETH S.BISER
Secretary 4!0
RI CHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
4/17/2023
Via Electronic Mail(lnbowers ci,hickotync.gov)
Ms. Morgan Bowers
Pretreatment Coordinator
City of Hickory
310 Cloninger Mill Road
Hickory,NC 28601
Subject: Pretreatment Review of Industrial User Pretreatment Permit
Program: City of Hickory
Wastewater Treatment Plant:Henry Fork W WTP
NPDES#:NC0040797, Catawba County
Dear Ms.Bowers:
The Municipal Unit of the Division of Water Resources has reviewed the new Industrial User Pretreatment Permit
([UP) submitted by the City of Hickory (NC0040797) for the following Significant Industrial User (SIU). The
submission was received by the Division on March ITh,2023.
SIU# SIU NAME
0053 1 Cataler North America
The review indicates that the IUP is adequate and meets the minimum requirements of 15A NCAC 2H.0916 and
40 CFR 403.8(f)(1)(iii).The allocation table,maintained in the Division's database,has been updated accordingly.
Within 180 days of the effective date of any reissued or modified NPDES permit the permittee would be required
to submit to the Division a written technical evaluation of the need to revise local limits(i.e.,an updated IWS,or
documentation of why one is not needed). This action may include revising, updating, or adding to the list of
Significant Industrial Users(SIUs).Pursuant to 15A NCAC 2H .0907(b)either the Division or the permittee may
initiate pretreatment program revisions.
Federal and State pretreatment regulations require the local delegated pretreatment program to effectively
control and document the discharge of wastewater from Significant/Categorical Industrial Users to the POTW. It
is the POTW's responsibility to ensure that these objectives are consistently met.
If you have any questions or comments, please contact Keyes McGee at (919) 707-3626 [email:
keyes.me ee e,nedenr.gov] or Octavio Henriquez at [phone] [email: octavio.henriquez(2ncdenr.goy]
Thank you for your continued support of the Pretreatment Program.
Sincerely,
oih/hky_henry_cataler_iup_new_048 DocuSlpned by:
Ec: Municipal Unit File EAC464631431644FE.
_r 1 kh
Wes Bell,MRO (�A.�,�
Central Files(Laserfiche) _
for Richard E.Rogers,Jr., Director
Division of Water Resources
D512
North Carolina Department ofEnviromnen[al Quality I Division ofWater Resources
North Salisbury Street 11611 Mail Service Center I Raleigh,North Carolina 27699-1 61 1
rxaTM o^"°L'r'g 919.707.9000
owm.Marrmao.�ma.�

Significant Non-Compliance
Morgan Sowers <[e-mail]>
Mon 7/17/2023 8:07 AM
To:[e-mail] <[e-mail]>
1 attachments(103 KB)
Sock Factory NOV 2023.pdf;
Good morning, Michael
The Sock Factory is in Significant Non-Compliance for the 1st semi-annual period for 2023 for exceeding
the TRC limit for CN as well as reporting violations. I have attached a copy of the Notice of Violation with
civil penalty in the amount of$200.00 that was originally sent via a-mall and USPS on 7/7/2023. The
required actions detailed in the NOV are due 30 days from notification on 7/7/2023. Please take note
that one of your requirements is submitting resample data with can take time from your contract lab. I
urge you to contact them as soon as possible to ensure the report can be submitted in the time frame
required.
The violations will also be listed in the Pretreatment Annual Report that is submitted to NCDEQ.The
facility and accompanying violations will also go to Public Notice in the local newspaper in January 2024.
Please ensure that the facility isn't in Significant Non-Comp[iance for the same violations during the
current period. If this happens,then the facility will be required to be under a consent order/compliance
schedule. NCDEQ takes Significant Non-Compliance very seriously and the best way to avoid these
situations is to become familiar with your Industrial User Permit and keep and open line of
communication so that any issues can be taken care of promptly.
Please let me know if you have any questions.
Morgan C. Bowers
Pretreatment Coordinator
mbowers jjickorync.gov
City of Hickory
[phone]
www_hickoryncgovv
HICKORY
NwU -
Lite,Weil Crafted,

KORY
City Hickory
Hickory Regional Laboratory
310 Cloninger Mill Rd.
Hickory, NC 28601
North Carolina v Phone: [phone]
Email: [e-mail]
Life. Well Crafted.
Public Utilities
July 7, 2023
Mr. Michael Banks Jr_
The Sock Factory, Inc.
1371 131' St SW
Hickory, NC 28602
RE: Notice of Violation with Assessment of Civil Penalties
Pretreatment Permit#0017
This letter transmits notice of violation with a civil penalty assessed against The Sock Factory,
Inc. in the amount of$200.00 for violations of permit limitations for CN as well as reporting
violations detailed below.
Reporting Violation Details:
1. The Sock Factory, Inc. has failed to resample for ammonia as notified in the
Notice on Non-Compliance (NNC) sent on 4/26/2023. In addition, no
response letter was submitted for this NNC. Resample report, IDMR, and
response letter for this NNC was due on 5/2612023.
2. The Sock Factory, Inc. has failed to submit the IDMR's for five cyanide
sampling events on 5/15/2023, 5/16/2023, 5/17/2023, 5/1812023, and
5/19/2023.
Required Actions:
Within thirty days of receipt of this notice, you must do the following:
1. Respond to this Notice of Violation with a written response detailing the
corrective actions that will be taken to ensure future compliance of the
following items:
a. Actions taken past and future to ensure cyanide sampling results
will comply with permit limits.
b. Plan of action to ensure future reporting requirements are met as
required by your Industrial User Permit.
2. Submit the five correct and complete IDMR's for the cyanide sampling
detailed above.

HICKORY City a Hickory
Hickory Regional Laboratory
310 Cloninger Mill Rd.
Hickory, NC 28601
North Carolina Y Phone: [phone]
Life. Well Crafted, Email: [e-mail]
3. Submit a written response to the NNC sent on 4/26/2023 for the ammonia
and cyanide limits violations. This written response must detail reasons
for the non-compliance, actions already taken or proposed to achieve
compliance, and the date that compliance will be achieved.
4. Submit resample data and an IDMR showing a return to compliance for
ammonia.
5. Submit payment of the penalty to:
City of Hickory
Public Utilities Department
PO Box 398
Hickory, NC 28603
The payment of this penalty will not foreclose further enforcement action for any continuing or
new violation(s).
Failure to respond to this NOV within thirty days as well as failure to complete the required
actions as listed above will result in escalated action according to the City of Hickory's
Enforcement Response Plan.
If you have questions, please call this office at [phone].
Sincerely,
Morgan Bowers
Pretreatment Coordinator
PC: Mr. David Cox, Utilities Environmental Manager
Ms. Morgan Bowers, Pretreatment Coordinator

Compliance Judgment Worksheet For SNC With Limits
Use separate sheets for each industry SNC determination for Flow optional,see SeCIJDn 7-E Usc se crate sheets for EcachPollutant
SIT7 Name: Sw)& I�o-L&acw IUP Number: Pipe Number:
Parameter' CINSix Month SNC Determination Period:
Daily Limit Compliance
Daily Max Limits TUP Limit * TR.0 criteria = TRC Limit Circle which units apply
from IUP Circle i.4 For TRC for BOD,TSS,oil,fat,grease; Circle 1.2 for all other pollutants to Limits
TRC compliance judgment not required for pH:
Daily Maximum Limit: 1+�~ * 1 2 4 = TRC Daily Limit: 0--"10 mg/l or lbs/day
Column l: 1-Industry self P-POTW
Column 6: Use only if IUP has daily limits in lbs/day. Formula to use is(rngd*mg/l*8.34 = lbs/day).
Column 8: Put"1"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,"I"if above,tally at bottom as"B."
Column 10: Compare daily valuer to TRC limits above,put"0"if below limit,"1"if at or above,tally at bottom as"C."
Col. 1: From From From Col. 5: Col 6: Col7: Col 8: Col 9: Col 10:
IDMRe IDMRs IDMRs
Sample Sample Daily Daily Daily Count Regular TRC
Type Date Flow, Conc.mg/1 Load Violation Violation
mgd lbs/day 2 2
►-«-V3 0,066 t k
1-2 -z3 0, 00-1 1 0 0
-25-z3 0. 0-11 l 1 k
1 -2i0- Z t p,oo 5 L 0
LI-Iz-23 0,o LA 3 ( t 1
5-�e-Z3 0. 0210 + 0 0
-�`1-Z� O, 013 0
17,oos i O Q
5-1 -2 10, 05 I 0 0
List these Totals on next page=> A—I() B=—lam C= 400/10
Title; SNC With Limits Compliance Judgment Worksheet
Filename: Compliance-Judgment Workeheet-for_SNC Witkv-Limits_Ponn_Mar.2013
Revision date: 1/5101

Compliance Judgment Worksheet For SNC With Limits
Use separate sheets for each Industry SNC delennination for Flow optional,see Section 7-F Use separate sheets for each Pollutant
SJU Name: SOLYS TUP Number: Pi e Number:
Parameter: 1\4 I Six Month SNC Determination Period: — S
1) Daily: Calculate the%of Regular violations: B/A= L�0'5k
2) Is B/A greater than or equal to 0.66(or 66%)? Daily Chronic violator? Yes / to
3) Average:Calculate the%of Regular violations: E/D
4) Is B/D greater than or equal to 0.66(or 66%)? Average Chronic violator? Yes / No
5) Daily:Calculate the%of TRC Violations: C/A= '�0%
6) Is C/A greater than or equal to 0.33 (or 33%)? Daily TRC Violator? es / No
6) Average:Calculate the%of TRC Violations; F/D=
7) Ts r/D greater than or equal to 0.33 (or 33%)? Average TRC Violator`? Yes / No
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? Yes / 10
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 / �Io
10) If the answer to any of these questions is Yes, the SIU is in Signficant Non-Complianee (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 Response Plan(ERP).
Is the SIU in SNC for this six monthperiod? CIRCLE ONE: YES NO
Was the SIU in SNC for THE SANM PARAMETER in the previous six month compliance
eriod? 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
and 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 arc:
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 pB.
SNCR Significant Non-Compliance Report
SNC Significant Non-Compliance
Title: SNC With Limits Compliance Judgment Worksheet
File name: Compliance—judgment Worksheet_for_SNC_With_I.imits—Form-viar-2013
Revision date: 1/5/m

*&I
THE SOCK FACTORY
EST 3975
137113th Street SW, Hickory NC 28602
PH:828-328-5207, FAX:[phone]
RE: NNC
08/17/2023
Pretreatment Permit 40017
To: The City of Hickory Public Utilities Dept:
The Chromium and Copper levels of The Sock Factory that have fallen out of the permitted limits on
07/25, 07/26/, and 07/27 are being monitored presently and will be monitored closely in future sampling
events.
The Sock Factory plans to comply presently and, in the future, having our designated staff member keep
track of any parameters that exceed limitations. Any reporting that exceeds The Sock Factory's
parameter limits will immediately be resampled until compliance is met. As of today, The Sock Factory
has understood The City of Hickory conducted a monitoring event on 07/27/2023. The Sock Factory is
waiting on those results to verify any further testing that needs to be conducted along with the Cr and
Cu. We will continue to monitor our water and actively participate with guidelines imposed by The City
of Hickory.
Sincerely,
Michael Banks Jr.
President

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- ���- '�-_:_�:_- -�' � ,_ � ��' ,,�j��+#l,���:, ,,:.-. ��3:�'`�:�: ':fir :•s_ .,_
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THE SOCK FACTORY,INC. 4796
City of Rckory 81 12023
6390 Utilities:6393 ' Water Penatly Payment for CN violation 200.00
Peoples Bank Operati Pretreatment Permit#0017 200.00

SNC for TRC Violation
Morgan Bowers <[e-mail]>
Wed 7/19/2023 11:25 AM
To:Todd Cook <[e-mail]>
0 1 attachments(47 KB)
Rye RMC NOV 2023.pdf;
Good morning, Todd
Due to the facility being in Significant Non-Compliance for the 1st semi-annual period for 2023
for exceeding the TRC limits for Phenol, I have attached a Notice of Violation with civil penalty
in the amount of$100.00.
We are awaiting results from the City of Hickory monitoring on 7/13/2023 to determine if there
has been a return to compliance.
The violation will be listed in the Pretreatment Annual Report that is submitted to NCDEQ. The
facility and accompanying violation will also go to Public Notice in the local newspaper in
January 2024. Please ensure that the facility isn't in Significant Non-Compliance for the same
violations during the current semi-annual period. If this happens, then the facility will be required
to be under a consent order/compliance schedule. NCDEQ takes Significant Non-Compliance
very seriously and the best way to avoid these situations is to become familiar with your
Industrial User Permit and keep and open line of communication so that any issues can be
taken care of promptly.
Please let me know if you have any questions,
Morgan C. Bowers
Pretreatment Coordinator
mbowers@h ickorync.gov
City of Hickory
[phone]
www.hickorync.gov
HICKORY
rvonn annonnu -
Life.WO Crafted.

CKORY
City Hickory
IHickory Regional Laboratory
310 Cloninger Mill Rd.
Hickory, NC 28601
North Caroline r Phone: [phone]
Fax: [phone]
Life. Well Crafted.
Email: [e-mail]
Public Utilities
July 19, 2023
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
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 Phenol.
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(828) 322-4821.
Sincerely,
Morgan Bowers
Pretreatment Coordinator

Compliance Judgment Worksheet For SNC With Limits
Use separate sheets for each Indl4gy SNC deterruipalioa for Flow optional,see Section 7-E Use se irate sheets for each Poitatant
STU Name: gal e RP Number: Pi e Numbcr:
Parameter: Six Month SNC Determination Period: 2
Daily Limit Compliance
Daily Max Limits iUP Limit r 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 r wired for H:
Daily Maximum Limit: O A O * .2 or 1.4 = TRC Daily Limit: fQ•L mg/1 or lbs/day
Column 1: I-Industry self P-POTW
Column b: Use only if IUP has daily limits in lbs/day. Formula to use is(mgd*mg/l*8.34 = lbs/day).
Columm 8: Put"1"for each daily maximum value,tally up at bottom as"A,"
Column 9: Compare daily values to WP limits above,put"0"if at or below limit,"I"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 From From Col. 5: Col b: Col 7: Col 8: Col 9: Col 10:
IDMRs MMRs IDMRs
Sample Sample Daily Daily Daily Count Regular TRC
Type Date Flow, Conc,mg/1 Load Violation Violation
mgd lbs/day 7
►-t4.-L3 0 ► 0 0
2-z3-Z 0 .t Ip
3-2q-2.3 D• 2G i 1
y-13•z3 , 07.40 t 0 0
y-2-S-z3 0 031 t a O
- 0. 4 1 1 I
0 0
1 O
-Z3�23 0. o s l 0 C)
-210-fl O
List these Totals on next page=> A=k t B=q5plD
Title: SNC With limits Compliance Judgment Worksheet
File name: Courpliancejudgment`Worksheet-for SNC With_Limits3oruLMar_2013
Revision date: 1/5/41

Compliance Judgment Worksheet For SNC With Limits
Use se ante sheets for each laduBtry SNC determination for Flow optional,see Section 7-E Use separate sheets for each Pollutant
S1U Name: N el z IUP Number: —1 I Pipe Number: 2
Parameter: Six Month SNC Determination Period: j
1) Daily:Calculate the%of Regular violations: B/A= LA'6 a/0
2) Is B/A greater than or equal to 0.66(or 66%)? Daily Chronic violator? Yes / Il`
3) Average:Calculate the%of Regular violations: E/D
4) Is B/D greater than or equal to 0.66(or 66%)? Average Chronic violator? Yes / No
5) DaiIy: Calculate the%of TRC Violations: C/A= 3�oI0
6) Is C/A greater than or equal to 0.33 (or 33 a/o)? Daily TRC Violator? es / No
6) Average:Calculate the%of TRC Violations: P/D= __
7) Is F/D greater than or equal to 0.33 (or 33%)? Average TRC Violator? Yes / No
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? Yes / to
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 /9
10) If the answer to any of these questions is ygs, 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 SIU in SNC for this six month period? CIRCLE ONE: YE NO
Was the SIU in SNC for THE SAME PARAMETER in the previous six month compliance
period? CIRCLE ONE: 'YES 9
If YES to EITHER question,DESCRIBE IN NARRATIVE.
Please note if S1U 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 MP limits by the proper'FRC 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 SigtuficantNon-Compliance Report
SNC Significant Non-Compliance
Title: SNC With Limits Compliance Judgment Worksheet
Filename: Compliunce Judgment Worksheet for SNC With-Limits—Porn—Mar-2013
Revision date: 1/5/01

FRYE REGIONAL
MEDICAL CENTER
A Duke LifePoint Hospital
420 N Center Street I Hickory, NC 28601
July 24, 2023
Morgan Bowers
Pretreatment Coordinator
City Of Hickory
310 Cloninger Mill Road
Hickory, NC 28602
Morgan,
This letter is to acknowledge the notice of Significant Noncompliance sent on July 19, 2023 for high
Phenol in Pipe 002. We have investigated many causes and now believe our high discharge level is
due to a newer cleaning agent used in our floor care program.We will continue to test and investigate
what is causing the high Phenol in Pipe 002. Frye also acknowledges the two samples that resulted in
out of compliance readings for Phenol from June 22 and 27, 2023.
Thanks
Todd Cook
Director of Plant Operations
828-315-3825

.+TE GROSS DISCOUNT NETAMOUNT INVOICE NO, INVDATE GROSS DISCOUNT NET AMOUNTAMOUNT AMOUNT AMOUNT AMOUNT
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51rNli-Mr FORI f 4Tk

NOV
Morgan Bowers <[e-mail]>
Fri 1/19/2024 7:24 AM
To:Todd Cook <tod d.cook@ I ifepointhealth.net>;Steve Gardner<[e-mail]>
01 1 attachments(48 KB)
Frye RMC NOV 2023 (2nd Semi-Annual Period).pdf,
Hi Todd,
Please see the attached Notice of Violation for Frye Regional Medical Center for being in Significant Non-
Compliance for the second semi-annual period of 2023. This notice gives you instructions on how to
submit payment and the response requirement. Frye Regional Medical Center will be in the paper for
the violation and a detailed report will be submitted with my Pretreatment Annual Report to NCDEQ.
Frye Regional Medical Center (pipe 2) was in Significant Non-Compliance for two consecutive semi-
annual periods. This requires a compliance schedule and consent order. Once those have been
approved, I will set up a meeting with your staff to go over the requirements. NCDEQ takes this very
seriously and there will be multiple additional requirements other than your regular permit
requirements.
Please let me know if you have any questions,
Morgan C. Bowers
Pretreatment Coordinator
[e-mail]
City of Hickory
[phone]
www,hickorync.gov
HICKORY
Na+th Oaroifa-
Life,Well Crafted.

c-.KORY City Hickory
Hickory Regional Laboratory
310 Cloninger Mill Rd.
Hickory, NC 28601
North Carolina Phone: [phone]
Fax: [phone]
Life. Well Crafted. Email: [e-mail]
Public Utilities
January 19, 2024
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
This letter transmits notice of violation with a civil penalty assessed against Frye Regional
Medical Center in the amount of$200.00 for violations of permit limitations for Phenol.
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).
A compliance schedule is required of industries that are in Significant Non-Compliance
for two consecutive semi-annual periods for the same parameter. Frye Regional Medical
Center (pipe 2) was in Significant Non-Compliance for both semi-annual periods during
2023 for phenol. Once a compliant schedule is approved you will be contacted by the
Pretreatment Coordinator with instructions on moving forward.
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(828) 322-4821.
Sincerely,
Morgan Bowers
Pretreatment Coordinator

Compliance Judgment Worksheet For SNC With Limits
Use se arato sheets for Inch Industry SNC determination for Flow uptional,see Section 7-B Use scpmuLe sheets for each Pollutant
SIU Name: rfu to, (`(ti C t P—Z 1UP Number: 0 0 0 1 Pipe Number 2
Parameter: Six Month SNC Determination Period; .
Daily Limit Compliance
Daily Max Limits MP Limit " TRC criteria = TRC Limit Circle which units apply
from RT Circle 1.4 For TRC for BOD,TSS,oil,fat,grease; Circle 1.2 for all other pollutants to Limits
TRC compliance judgment not r uired for H:
Daily Maximum Limit: 0,1 0 * IMX IA = TRC Daily Limit: ,< mg/1 or Ibs/day
Column 1: 1-Industry self P-POTW
Column 6: Use only if"has daily limits in lbs(day- Formula to use is(mgd•mg/I*8.34 = lbs/day).
Column 8: Put"1"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,"I"if at or above,tally at bottom as"C."
Col. 1: From From From CA 5: Col 6: Col 7: Col 8: Cot 9: Col 10:
IDNMS IDMRs IDMRs
Sample Sample Daily Daily Daily Count Regular TRC
Type Dais Flow, Conc.mg/1 Load Violation Violation
mgd lbs/day 7 7
4? O�o$1 1 c!� 0
01 -14 p, 035 1 0 0
0 - n 0, 012 1 O a
1i- 1 0, 14 t
I2.4q 0. 064 0 0
,-Z.-10 0 . 10 o
0" 3 l ti
List these Totals on next page=> A=10 B=4cr/d C= q DIV
Fide: SNC With Limits Compliance judgment Worksheet
File name: Complianm judgment Worksheet fox SNC Witb_Limits_Fcnm_Mar_2013
Revision date: 1./5/01

Compliance Judgment Worksheet For SNC With Limits
TJsv separate sheets for eat;h Industry SNC determivatian for Flow optional,see Section TE Use Separate sbeets for each Pollutant
SIU Name: RT Number: Pipe Number. Z
Parameter; Six Month SNC Determination Period:
1) Daily: Calculate the%of Regular violations: B/A- 40%
2) Is B/A greater than or equal to 0.66(or 66%)? Daily Chronic violator? Yes /
3) Average:Calculate the%of Regular violations: E/D=
4) Is E/D greater than or equal to 0.66(or 66%)? Average Chronic violator? Yes / No
5) Daily:Calculate the%of TRC Violations: C/A= 410'/0
6) Is C/A greater than or equal to 0.33 (or 33 %)? Daily TRC Violator? Yes / No
6) Average: Calculate the%of TRC Violations: F/D=
7) Is F/D greater than or equal to 0.33 (or 33%)? Average TRC Violator? Yes / No
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? Yes /
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 /tom'
10) If the answer to M of these questions is yew, , the SIU is in Signficant Non-Compliance (SNC) for this
parameter. They must be listed on the Significant Nan-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 Response Plan(ERP).
Is the SIU in SNC for this six month period? CIRCLE ONE: NO
Was the SIU in SNC for TfM SAAM PARAMETER in the previous six month compliance
period? CIRCLE ONE: NO
If YES to EITHER question,DESCRIBE IN NARRATIVE.
Please note if SID 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
Pamit modification. — - - -
See Chapter 9-Pretreat=nt 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 1UP 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
11fie: SNC With Limits Compliance Judgment Worksheet
Filename: Compliance,Judgment_Worksheet-for SNC Wit!LLimits-FornLMar-A73
Revision date: 1/5/01

Notice of Violation
Morgan Bowers <[e-mail]>
Thu 1/11/2024 8:17 AM
To:Chris Daughtry <chris-maplespring s@ earthI ink.net>
Cc:[e-mail] <Darrin-maplesp ring s@earth link.net>;'Rita' <rita-ma plesprings@earthI ink.net>;foshua
Fox(josh-maplesprings@earthlinknet) <[e-mail]>
Ql 1 attachments(47 KB)
Maple Springs 1 NOV 2023.pdf;
Hi Chris,
Maple Springs Laundry(Plant 1) is in Significant Non-Compliance for the second semi-annual period of
2023 for exceeding the Chronic Violation Percentage for pH. I have attached a copy of the Notice of
Violation with civil penalty in the amount of$100.00. Previous Notices of Non-Compliance outline
requirement to show a return to compliance.
The violations will also be listed in my Pretreatment Annual Report that is submitted to NCDEQ.The
facility and accompanying violations will also go to Public Notice in the local newspaper this month.
Please ensure that the facility isn't in Significant Non-Compliance for the same violation during the
current period. If this happens,the facility will be required to be under a consent order/compliance
schedule, NCDEQ takes Significant Non-Compliance very seriously and the best way to avoid these
situations is to become familiar with your Industrial User Permit and keep an open line of
communication so that any issues can be taken care of promptly.
Please contact me if you have any questions,
Morgan C. Bowers
Pretreatment Coordinator
mbowers@h ickorync.gov
City of Hickory
[phone]
www.hick-oi-yM.gov
HICKORY
Math 4ntWina
Life,Well Crafted.

HICKORY City a Hickory
Hickory Regional Laboratory
310 Cloninger Mill Rd.
- Hickory, NC 28601
North Carailna Phone: [phone]
Fax: [phone]
Life. Well Crafted. Email. [e-mail]
Public Utilities
January 11, 2024
Mr. Chris Daughtry
Maple Springs Laundry
161 301h St. PI. NW
Hickory, NC 28601
RE: Notice of Violation with Assessment of Civil Penalties
Pretreatment Permit#0015 (Plant 1)
This letter transmits notice of violation with a civil penalty assessed against Maple Springs
Laundry in the amount of$100.00 for violations of permit limitations for pH.
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(828) 322-4821.
Sincerely,
Morgan Bowers
Pretreatment Coordinator

Compliance Judgment Worksheet For SNC With Limits
Use separate abeets for each industry SNC determination for Plow optional,see Section 7-E Use se state sbeW for each Polhitant
SIU Name: , S on oo j ILI'P Number: Oni6Pipe Number:
Parameter: Six Montb SNC Determination Period.,
Daily Limit Compliance
Daily Max Limits IUP Limit * TRC criteria = TRC Limit Circle whieh units apply
from M' Circle 1.4 For TRC for DOD,TSS,oil,fat,grease; Circle 1.2 for all other pollutantz to Limits
TRC compliance judgment not required for H:
Daily Maximum Limit: (a 10,6 * 1.2 or 1.4 — TRC Daily Limit: mg/1 or lbs/day
Column 1: 1-Industry self P-POTW
Column 6: Use only if IUP has daily limits in lbs/day. Formula to use is(mgd*mg/l*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 atbottom as'B."
Column 10: Compare daily values to TRC limits above,put"0"ifbelow limit, "1"if at or above,tally at bottom as"C."
CoL 1: From From From Col. 5: Col 6: Col 7: Col 8: Col 9: Col 10:
IDMRs IDNfRs IDMRs
Sample Sample Daily Daily Daily Count Regular TRC
Type Date Flow, Cone.zug/1 Load
Violation Violation
ingd lbs/day ? ?
-3I o ,
-q
List dress Totals on next page=> A= B�"�a C-
Title: SNC With Limits Compliance Judgment Worksbeet
Fileirame: Compliame ludgment_Worksheet-for SNC With_Lmuts Fonn-Ma-2013
Revision date: 1/5/M

Compliance Judgment Worksheet For SNC With Limits
Use se orate sheets for oarh Industry SNC determination for Flow optional,see Section 7-E Use separate sheets for eacb Pollutant
SIU Name: MaPps ('i JJP Number OOJ Z, I Pip,Number: (
Parameter: P1Six Month SNC Determination`Period:U 4 -Dec 3
1) Daily:Calculate the%of Regular violations: BIA= Q b/v
2) Is B/A greater than or equal to 0.66(or 66%)7 Daily Chronic violator? De / No
3) Average: Calculate the%of Regular violations: E/D=
4) 18 RID greater than or equal to 0.66(or 66%)? Average Chronic violator? Yes / No
S) Daily: Calculate the%of TRC Violations: C/A= �
6) Is C/A greater than or equal to 0.33 (or 33 %)7 Daily TRC Violator? Yes / No
6) Average:Calculate the%of TRC Violations: F/D= NIA
7) Is F/D greater than or equal to 0.33 (or 33%)7 Average TRC Violator? Yes / No
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? Yes /
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 / No
t
10) Tf the answer to any of these questions is yes the STU 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 SM in SNC for this six month period? CIRCLE ONE: 'YES NO
Was the SIEJ in SNC for THE SAME PARAMETER in the'previous six month compliance
ep riod? CIRCLE ONE: YES NU
If YES to EITHER question,DESCRIBE IN NARRATIVE.
Please note if STU 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 arc:
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&-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 10P 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 retluired to perform TRC compliance judgment for pH.
SNCR Significant Non-Compliance Report
SNC Significant Non-Compliance
Title: SNC With Limits Compliance Judgment Worksheet
Filename: CDmpliance.Judgmerrf Works cet for SNC WitlLLimits„Form.Mar.2013
Revision date: 1/5/D1