NC0024252_Annual Report_20180205

CITY OF CONOVER
P.O. BOX 549
CONOVER, NC 28613
Vivien Zhong
NCDWQ PERCS Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Ms. Zhong:
[RECEIVE®/DENR/DWR
FEB 19 2018
`Dilater Resources
Permitting Section
February, 5, 2018
Enclosed for your review are two copies of the Pretreatment Annual Report for the City of
Conover. This data covers the reporting period beginning January 1, 2017 and ending December
31, 2017.
If any additional information is needed regarding this report, please contact Evan Rubins at 828-
465-2279.
Sincena46--�
Michael Fox
Wastewater Treatment and Collection Supervisor

CITY OF CONOVER
P.O. BOX 549
CONOVER, NC 28613
Vivien Zhong 2/6/2018
NCDWQ PERCS Unit
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Dear Ms. Zhong,
Included please find two copies of the City of Conover's pretreatment Annual Review. Each
report includes:
1) Cover page
2) Narrative (2 pages)
3) Conover PPID sheet
4) PPS form
5) Historical SNC report
6) Hickory Springs Manufacturing Company SNCR form
7) Engineered Controls Int. Inc SNCR form
8) Hickory Springs Manufacturing -Wire Tech Plant TTO certification for the first half of 2016
9) Hickory Springs Manufacturing -Wire Tech Plant TTO certification for the second half 2016
10) Engineered Controls Int. Inc. TTO certification for the first half of 2016
11) Engineered Controls Int. Inc. TTO certification for the second half of 2016
12) Hickory Springs Manufacturing Company IDSF sheets (2 pages)
13) Engineered Controls Int. Inc. IDSF sheets (2 pages)

The City of Conover currently has two state permits. One is for Engineered Controls, Int., and
the other is for Hickory Springs Manufacturing -Wire Tech Plant. The flow for both industries
goes to the Clark Creek Wastewater Treatment Plant in Newton, N.C. and we have a modified
program in association with Newton. Therefore, the IDSF forms for these industries are and
other information is included in the Newton PAR. This and other data has been sent to the
Newton wastewater treatment plant.
A walk through inspection of Engineered Controls Int. was done on 7/13/17. All appeared to be
in order.
Engineered Controls had a limits violation for Chromium for March 2017. A NOV was issued
for this violation.
Engineered did not notify me of this out of compliance event within 24 hrs and I noticed it on the
monthly report received on 4/19/17. I notified them on 5/16/17 of the failure to report. An NOV
was issued for the failure to report. The industry resampled on 4/24/17.
A POTW sampling event in 12/4/17 resulting in an NOV for Chromium.
As a result Engineered Controls was in SNC for a TRC for the second half of the year, and a
public disclosure was issued for this infraction. This disclosure ran in the 2/6/18 issue of the
Observer News Enterprise and a portion of this edition has been saved to file with the name of
the newspaper, date, and the disclosure ad itself.
As a result of having a limits violation for two consecutive half years, Engineered Controls has
been instructed to perform extra sampling for Chromium for each month of the first half of 2018,
and to report the results to me within twenty four hours of receiving the results. Engineered
Controls has also sent a letter to me describing corrective actions they have taken to ensure they
remain in compliance.
A walkthrough inspection of Hickory Springs Manufacturing Wire Tech Plant was conducted on
6/21/17. All appeared to be in order.
Hickory Springs applied for a permit renewal on 5/11/2017 with no changes to their operations
and had their permit renewed on 11/14/2017. Hickory Springs had one NOV issued for a late
report for the month of November. All other samplings and reports were in order. Hickory
Springs permit expired November of 2017 and a new permit was applied for and issued.
When figuring the averages for parameters that had some results that were below detection
limits, these results were considered "0" for determining averages for each six month period.
If there are any questions please contact me at [phone] or by email at any time.
Thank You,
Evan Rubins,
Conover Pretreatment

Pretreatment Program Info Database
for Program Name Conover
WWTP Name Northeast
Program Approval Date 03/26/1985
Pretreatment Status Modified
Region MRO
County Catawba
NPDES N b
printed on: 1/16/2018
_ Stream Information
IWC % at 7Q10 31 71
7Qf0 Flow cfs / mgd
5 / 323
1Q10 Flow cfs / mgd
417 / 269
Stream Classification
C
Basin Number
CTB32
Receiving Stream Name
LYLE CREEK
um er NC0024252
Last PAR Rec 03/03/2017
PAR Due Date 03/01/2018
mercury
NPDES Effective Date 05/01 /2010
[phone]
4/27/2000
1631
NPDES Expire Date
P 04/30/2015
Current Fiscal 07/27/2017
Year PCI Done
PO Box 549
required
es
OTW is Primary WWTP TRUE
Last Audit on 05/19/2015
Audit Year Next 19/20
11/18/2017
Design Flow mgd 1 5000 % Design mgd is SIU permitted 3 13
Permitted SIU flow (mgd) [Pt—SIU) 047
NWTP SIU's
IP8613
Program SIUs-�
µ
SUo
ERP
NWTPCIU's
Program CIUs
HWA LTMP
IWS
late Inactive Date Next Due
01/01/2999
01/05/2018
Date Received by DWR
11/23/1993 12/11/2000
12/28/2012 01/15/2013
07/02/2015
Date Approved
12/20/1993 11/28/2001
04/10/2013 04/02/2013
08/19/2015
Adopt Date Required
Date Adopted
07/02/2013
nfo in this Box from Pt Contacts
PT Pro
Formal Name g Prime Phonel
ext Fax
Date Date
Attended Attended
HWA Wksp IUP Wksp
Date
Attended
PAR Wksp
Ir. Michael Fox 1 11(828) 465-2279
[phone]
4/27/2000
nke fox@conovemc gov
Supervisor
PO Box 549
8613
Ir Evan Rubins 'Prim II(828) 465-2279
I 1(828) 466-5106
11 2/24/2009 1 4/16/2014
11/18/2017
van rubins @conovernc gov
Pretreatment Coordinator
1P0 Box 549
IP8613
1/9/1990
3/2005
5/2015
4/2017
Related NOVs from
failure to enforce (5/19/05 audit)
NOD -2015 -PC -0128 Failure to properly implement
NOD -2017 -PC -2017 enforcement (one SIU failed to
DWR Central Office Contact Mvien Zhong
DWR Regional Contact es Bell

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1.
Pretreatment Town Name: City of Conover
2.
"Primary" NPDES Number NC00 24252
or Non—Discharge Permit # if applicable =>
3.
PAR begin Date, please enter 01/01/yy
3 =>
1/1/2017
4
PAR end Date, please enter 12/31/yy
4. =>12/31/2017
5
Total number of SIUs, includes CIUs
5 =>
2
6.
Number of CIUs
6. =>
2
7.
Number of SIUs with no IUP, or with an expired IUP
7. =>
0
8.
Number of SIUs not inspected by POTW
8. =>
0
9
Number of SIUs not sampled by POTW
9. =>
0
1o.
Number of SIUs in SNC due to IUP Limit violations
10. =>
1
11.
Number of SIUs in SNC due to Reporting violations
11. =>
0
12
Number of SIUs in SNC due to violation of a compliance schedule, CO, AO or similar
12. =>
0
13.
Number of CIUs in SNC
13. =>
1
14
Number of SIUs included in public notice
14 =>
1
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. =>
4
17
Number of Civil Penalties assessed to SIUs
17. =>
0
18.
Number of Criminal Penalties assessed to SIUs
18. =>
0
19
Total Amount of Civil Penalties Collected 19 =>
$
0
20
Number of IUs from which penalties collected
20. =>
0
VoteS
AO Administrative Order IUP Industrial User Pretreatment Permit POTW
CIU Categorical Industrial User NNC Notice of Non -Compliance SIU
Publicly Owned Treatment Works
Significant Industrial User
CO Consent Order NOV Notice of Violation SNC
Significant Non -Compliance
IU Industrial User PAR Pretreatment Annual Report
revised 1/2018 PAR—PPS-2018

hist 99 i eftl
REPORT
2010 2011 2012 2013 2014 2015 2016
1st half 12nd half 1st half 12nd half 1st half 12nd half 1st half l 2nd half 1st half l 2nd half 1st half i 2nd half 1st half 12nd half
Engineered Controls International Inc. PrevlousNames
IUP # 101J Pipe # 001 SIU Word Description
metals -met fin gas regulators
IUP—Status Active
Zinc I ( I I X1
Hickory Springs Manufacturing Co. PrevlousNames
IUP # 101 HS Pipe # 001 SIU Word Description
metals -steel wire
IUP—Status Active
Zinc I I IX I I I I
An W in a semi-annual period indicates snc for the period for the respective parameter.
PRINTED ON 1/16/2018 This information is compiled from many sources, and has not been verified. PAGE 21
Contact the local pretreatment coordinator or state pretreatment staff if errors are noted.

Pretreatment Annual Report (PAR)
Significant Non -Compliance Report (SNCR)
WWTP = Wastewater Treatment Plant, use separate form for each WWTP.
SILT = Significant Industrial User
SNC = Significant Non -Compliance
PAR covers this calendar year =>
Authority=Program=Town Name =>
WWTP Name =>
NPDES # _>
2017
City of conover
NE WWTP
NCO024252
A SNCR Form must be submitted with every PAR, please write "None " if you had No SIUs in SNC during calendar year
IUP
#
Pipe
#
Industry Name
Parameter
or "Reporting"
SNC ? ( Yes / No)
for each 6 -month period.
Jan. - June
July - Dec.
101H
1
Hickory Springs Wire Plant
NONE
Attach a copy ofthe Division's "SlUs in SNC; Historical Report" for your FOTW's S1Us behind this page.
Is the database correct ? Notify the Division of any errors ! Database indicates SNC history for previous years.
EVERY SNC MUST be explained in the Narrative, How was, is, or will it be resolved?
REPEAT SNCs are serious matters that MUST be explained in the Narrative.
Form name PAR SNCR,2001
Date Revised 1/4/2001

Pretreatment Annual Report (PAR)
Significant Non -Compliance Report (SNCR)
WWTP = Wastewater Treatment Plant, use separate form for each WWTP.
PAR covers this calendar year =>
Authority--Program--Town Name =>
WWTP Name =>
2017
City of conover
NE WWTP
SIU = Significant Industrial User NPDES # => NCO024252
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
IUP
#
Pipe
#
Industry Name
Parameter
or "Reporting"
SNC ? ( Yes / No)
for each 6 -month period.
Jan. - June
July - Dec.
loij
1
Engineered Controls International
No
Yes
Attach a copy of the Division's "SiUs in SNC Historical Report" for your POTW's SlUs behind this page .
Is the database correct ? Notify the Division of any errors ! Database indicates SNC history for previous years.
EVERY SNC MUST be explained in the Narrative, How was, is, or will it be resolved?
REPEAT SNCs are serious matters that MUST be explained in the Narrative.
Form name PAR SNCR,2001
Date Revised 1/4/2001

M*M
SOLUTIONS
VIA CERTIFIED MAIL
7015 3430 0000 5275 5773
June 30, 2017
Mr Evan Rubins
Pretreatment Coordinator
City of Conover
PO Box 549
Conover, NC 28613
RE: Total Toxic Organics (TTO) Certification
Reporting Period January — June, 2017
Hickory Springs Manufacturing Co.
Wire Technology Plant
IUP # 101HS
Hickory Springs — Conover Complex
Conover, North Carolina
Dear Mr Rubins
UL 0 5 201
kv4�
Steve Hannah
Health, Safety and Environmental Manager
HSM
235 2"d Avenue NW
P O Box 128
Hickory, North Carolina 28603
828 328 2213 Office
sghannah@hsmsolutions corn
Below is the Total Toxic Organics (TTO) Certification for the six month reporting period of January through
June, 2017
"Based upon my inquiry of the person or persons directly responsible for managing compliance
with the permit limitation for total toxic organics (TTO), I certify that, to the best of my knowledge,
no dumping of concentrated toxic organics into the wastewaters has occurred since filing of the
last monitoring report. l further certify that this facility is implementing the toxic organic
management plan submitted to the Control Authority."
If you have any questions or require additional information, please contact me
Steve Hannah

VIA CERTIFIED MAIL
7017 0660 0000 7474 4652
December 6, 2017
Mr Evan Rubins
Pretreatment Coordinator
City of Conover
PO Box 549
Conover, NC 28613
VDEC 0
n 2017 Steve Hannah
Health, Safety and Environmental Manager
RE: Total Toxic Organics (TTO) Certification
Reporting Period July - December, 2017
Hickory Springs Manufacturing Co,
Wire Technology Plant
IUP # 101HS
Hickory Springs — Conover Complex
Conover, North Carolina
Dear Mr Rubins
R 5, 1 mu -C` e.� G � 7 �(�� HSM
2 235 2nd Avenue NW
P O Box 128
Hickory, North Carolina 28603
828 328 2213 Office
sghannah@hsmsolutions corn
Below is the Total Toxic Organics (TTO) Certification for the six month reporting period of July through
Deember, 2017
"Based upon my inquiry of the person or persons directly responsible for managing compliance
with the permit limitation for total toxic organics (TTO), I certify that, to the best of my knowledge,
no dumping of concentrated toxic organics into the wastewaters has occurred since filing of the
last monitoring report l further certify that this facility is implementing the toxic organic
management plan submitted to the Control Authority."
If you have any questions or require additional information, please contact me
3"Z,11�
Steve Hannah

911 Industrial Dnve, SW Conover, NC 28613 USA www regoproducts coni Phone [phone] Fax [phone]
Mr. Evan Rubins
Pretreatment Coordinator
City of Conover
P.O. Box 549
3860 Hill view Drive
Conover, NC 28613
June 1, 2017
Subject: Total Toxic Organics June 1, 2017
Dear Mr. Rubins:
Based on my inquiry of the persons directly responsible for managing compliance with
the permit limitation for Total Toxic Organics (TTO), I certify that, to the best of my
knowledge, no dumping of concentrated toxic organics into the wastewaters has occurred
since filing of the last TTO discharge monitoring report. I further certify that this facility
is implementing the toxic organic management plan submitted to the City.
�Z
Sincerely, -`
Michael Shepherd
Manufacturing Technician
Engineered Controls International, LLC
911 Industrial Drive S W
Conover, NC 28613
Phone[phone]
Fax[phone]
Cell(828)291-7785
Email mshepherd@regoproducts corn

RECEIVED DEC 0.8 2017
919 Industrial Die, SIN Conover, NC 28613 USA www iegoproducts coin Phone [phone] Fax [phone]G9
Mr. Evan Rubins
Pretreatment Coordinator
City of Conover
P.O. Box 549
3860 Hill view Drive
Conover, NC 28613
December 1, 2017
Subject: Total Toxic Organics: December 1, 2017
Dear Mr. Rubins:
Based on my inquiry of the persons directly responsible for managing compliance with
the permit limitation for Total Toxic Organics (TTO), I certify that, to the best of my
knowledge, no dumping of concentrated toxic organics into the wastewaters has occurred
since filing of the last TTO discharge monitoring report. I further certify that this facility
is implementing the toxic organic management plan submitted to the City.
Sincerely,
Michael Shepherd
EHS Manager
Engineered Controls International, LLC
911 Industrial Dnve S W
Conover, NC 28613
Phone[phone]
Fax[phone]
Cell(828)291-7785
Email mshepherd a,regoproducts coin

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name => Conover Name Eng Controls Int
Use separate forms for each Industry/pipe WWTP Name => NEWWFP IUP # 1017
Enter BDL values as < (value) NPDES # _> NUU024252 Pipe # 001
1st 6 months, dates => 1/1/2017 6/31/2017
2nd 6 months, dates => 7/1/2017 21/31/2017
Total # of samples =>
* max MGD
* ave MGD
* or Average (mg/l) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chromc: SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
BDL => Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name Pt8iBkLdIOSMmh%Relimluoi�Ma¢tgiW si,clBfiilB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of
oW, mgAmmonia
Uacimium
Uliromium
s months
n mon
s mon s n months' s months
n months s months n months
Tst mont sn
95
129
2
2
0 004
0 005
<2.0
<2.0
4
<0 002
<0.002
2.45
4.74
0
0
NA
NA
a
0
0
NA
NA
0
0
NA
NA
0
0
NA
NA
BDL => Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name Pt8iBkLdIOSMmh%Relimluoi�Ma¢tgiW si,clBfiilB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of
Arsenic
Uacimium
Uliromium
UUJJ
st 6 mo nt s
n wont s
Tst mont sn
mont s
77 months
2nd 6 months 77 mont s n mont s
4
3
4
4
<0 002
<0.002
2.45
4.74
<0 002
<0.002
1 409
2.493
0
0
0
0
Q
0
0
0
0
'
0
0
0
0
0
0
0
0
opper
Uyanide
Lead
IVIercury
1st 6 months
2nd 6 months
Ts?mont s
n months
st mon s
n mont s months st n moat hs
4
4
4
4
4
4
<0.005
<0.005
<0.005
<0.005
<0.005
<0 005
<0.005
<0.005
<0.005
<0.005
<0.005
<0.005
0
0
0
0
0
0
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
BDL => Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name Pt8iBkLdIOSMmh%Relimluoi�Ma¢tgiW si,clBfiilB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _> _
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _> Q
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _> _
% violations, (chronic SN/C is >= 66%) _> ,
% TRC violations, (SNC is >= 33 %) _> o
% violations, (chronic SNC is >= 66%) _> T
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _> _
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _> A
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name Engineered Controls
IUP # / ( j
Pipe # DO ,
BDL => Below Detection Limit mg/l => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name PAiDidipSMakReN&aab t ,2 rafttqp-ksi;cIWB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe - Page of
Grease
st months
n monthsff<756
nt s n
months
n months
ff7.
ont s
n mont s
4
4
2
7
7
<0.005
<0.005
<5.6
1
9.3
<0.005
<0.005
0
0
N/A
N/A
0
0
0
0
N/A
N/A
0
0
0
0
N/A
N/A
0
0
0
0
N/A
N/A
0
0
st 6 months
12nd 6 mont sst
mont s 2nd
6 months
st mont s 12nd 6 months stmont
s
2nd 6 months
4
4
4
4
0.767
0.834
<0 005
<0.005
034
0.478
<0 005
<0.005
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
st 6 months
2nd 6 months
T77 mont s '2nd
6 mont s
I st 6 months 2nd 6 months I st 6
months
2nd 6 months
BDL => Below Detection Limit mg/l => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name PAiDidipSMakReN&aab t ,2 rafttqp-ksi;cIWB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe - Page of

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) TovrlName => Conover Name Hickory Springs mfg Wire
Use separate forms for each industry/pipe WWTP Name => IUP # 101HS
Enter BDL values as < (value) NPDES # _> NC0024252 Pipe # 001
1st 6 months, dates => 1/1/2017 to 6/31/17
2nd 6 months, dates => 7/1/2017 to 12/31/2017
Total # of samples =>
* maximum (mg/1) _>
* or Maximum (lb/d)=>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
BDL => Below Detection Limit mg/1 => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL , 1/2BDL, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name PtGodiPEEmkReNGuab�Ozfflh*ttg**ctWB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of
ow, mgAmmonia
s months
n months
s mon s
n months
s mon s
n months
s Months n mon s
71
66
1
0.0008
0.002
35
0
0
NA
NA
A
0
0
NA
NA
0
0
NA
NA
0
0
NA
NA
Arsenic
a mium
rommm
UUD
st month s
n months
st mont s
n months
st mont s
n months
st mont s n months
3
3
7
7
0.002
<0 002
0.005
0.015
0
0
0
0
Q
0
0
0
0
F
0
0
0
0
0
0
0
0
opper
I
Uyamcle
04
Leact
IVJLercury
st 6 months
2ndmonths
Tsmt mon s
2nd 6 mont sst
mont s
2nd 6 months
st 6 month s n months
7
7
3
3
3
3
0.005
0.040
0.008
0
<0.001
<0.001
0
0
0
0
0
0
A
0
0
0
0
0
0
s
0
0
0
0
0
0
0
0
0
0
0
0
BDL => Below Detection Limit mg/1 => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL , 1/2BDL, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name PtGodiPEEmkReNGuab�Ozfflh*ttg**ctWB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>_
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) => Q
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) => _
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) => ra
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) => A
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Indusity Name Hickory Springs
IUP # 101 HS
Pipe # 001
BDL => Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP — Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name PFIDorHli>i�ide�rade�iaQtegdst#scl&fir1B, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of
1111L�1111y�rrrrnl
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0
1
0
1
0
1
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BDL => Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP — Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name PFIDorHli>i�ide�rade�iaQtegdst#scl&fir1B, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name => Conover Name Hickory Springs mfg Wire
Use separate forms for each industry/pipe WWTP Name => IUP # 101HS
Enter BDL values as < (value) NPDES # _> N C0024252 Pipe # 001
1st 6 months, dates => 1/1/2017 to 6/31/17
2nd 6 months, dates => 7/1/2017 to 12/31/2017
Total # of samples =>
* maximum (mg/1) _>
* or Maximum (lb/d)=>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
BDL — Below Detection Limit mgtl => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name PPiBodin£Mm6Rev@uck iEfflia¢tq itW*cIFAMB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of
f -low, mg
mmoma
s months
n months
s mon s
n months
s mon s
n months
s mon s n mon s
71
66
1
0.0008
0 002
35
0
0
NA
NA
ra
0
0
NA
NA
0
0
NA
NA
0
1 0
NA
NA
Arsenic
Uactnuum
Uhromium
UUV
st 6 monts
n mon s
stmont s
n moots
st months
2nd 6 months
st mont s TJ 7 mont s
3
3
7
7
0.002
<0 002
0.005
0.015
0
0
0
0
Q
0
0
0
0
0
0
0
0
0
0
0
0
opper
Uyanide
Leacl
Mercury
st mon s
n mont s
st mont s
2nd. 6 months
st mont s
2nd 6 months
stmont s 2nd 6 months
7
7
3
3
3
3
0.005
0.040
0.008
0
<0.001
<0.001
0
0
0
0
0
0
Q
0
0
0
0
0
0
'
0
0
0
0
0
0
0
0
0
0
0
0
BDL — Below Detection Limit mgtl => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name PPiBodin£Mm6Rev@uck iEfflia¢tq itW*cIFAMB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) => ra
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) => ,
% TRC violations, (SNC is >= 33 %) => ra
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) => A
% violations, (chronic SNC is >= 66%) => Z
% TRC violations, (SNC is >= 33 %) =>
Industry Name Hickory Springs
IUP # 101 HS
Pipe # 001
BDL — Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP — Industrial User Permit Ib/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name P)ULdioMmkReiara heOEMh*tq�i**cIR99B, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of
IR3rrtrr��
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•• • • i�
IRS. n • � i� Nom[.
iTiTiiifii� fR�, .'i'T•Tii9i1�
f►�[. i'iiTiTifiii�
BDL — Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP — Industrial User Permit Ib/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name P)ULdioMmkReiara heOEMh*tq�i**cIR99B, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each Industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* max MGD
* ave MGD
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (lb/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
% violations,(chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Control Authority,
Town Name => Conover
WWTP Name =>
NPDES # _>
1st 6 months, dates => 1/1/2017 6/31/2017
2nd 6 months, dates => 7/1/2017 21/31/2017
Industry
Name Eng Controls Int
IUP # 101J
Pipe # 001
BDL => Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit Ib/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of
ow, MgClmmoma
Ist 6 months
Zncl 6 months
MrMoMMs
MI. 6 months
MrMoMMS
2ncl o months
s mon s 2na o months
95
129
2
2
0.004
0.005
<2.0
<2.0
0
0
NA
NA
a
0
0
NA
NA
0
0
NA
NA
0
0
NA
NA
Arsenic
Uactinium
Uhroinium
UUD
st 6 mont s
n mon s
Ist 6 months
2nd 0 mont sst
mont s
2nd 6 mont sst
mon s 2nd 6 months
4
3
4
4
<0 002
<0.002
245
4.74
<0.002
<0 002
1.409
2 493
0
0
0
0
A
0
0
0
0
0
0
0
0
0
0
0
0
opper
Uyanide
Leact
IVIercury
st mont s
2nd6months
stmont s
2nd 6 months I
st 7 mont s
2nd 6 mont sst
mont s nd 6 months
4
4
4
4
4
4
<0.005
<0.005
<0.005
<0.005
<0 005
<0.005
<0 005
<0.005
<0.005
<0.005
<0.005
<0.005
0
0
0
0
0
0
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
BDL => Below Detection Limit mg/I => milligrams per liter
* POTW must enter at least one of these IUP => Industrial User Permit Ib/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant
Chapter PAR Guidance File name pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) => _
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) => ra
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) => A
% violations, (chronic SNC is >= 66%) => s
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
ra
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Industry Name Engineered Controls
IUP # /o!
Pipe # D
Ilii . n • • i� Pte[. i'iiT•7ifiil� IR3�. i'i'iT•i'ifili� f��6 a .. its IR�'i[. n • i i� f►�G u • i i� i�3r. u • • its f►�G i? iT•Tiflil�
r� �►w<
BDL => Below Detection Limit mg/1 => milligrams per liter
* POTW must enter at least one of these IUP — Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name PA(BkLdipMm6i3evSmdr¢2MhafttfgtW*cIWB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of
Ig I ryy as
��[. �� . • �
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0
1
0
1
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0
1
0
1
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0
1
0
1
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0
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�►�rrs�.rr��
BDL => Below Detection Limit mg/1 => milligrams per liter
* POTW must enter at least one of these IUP — Industrial User Permit lb/d => pounds per day
four rows, Please indicate how averages were calculated SNC => Significant Non -Compliance mgd => million gallons per day
Avg period could be month, Qtr, or 6 -month & if BDL, 1/2BDL, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name PA(BkLdipMm6i3evSmdr¢2MhafttfgtW*cIWB, pages 12, 13, 14 Blank IDSF Form, Copy and use in your PAR Number each set for each IUP pipe -Page of