NC0025984_Annual Report_20180215

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February 15, 2018
Tow4•'4 fo" evy
PO $" 729
fo" e4y., NC 25043
To: Vivien Zhong
NC PERCS Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
From: Jacob Hodge
Pretreatment Coordinator
Town of Forest City WWTP
Subject: PAR and other information
Mrs. Zhong,
The following items are enclosed:
?'EGSVeO1®pNpj®\NR
FEB % 8 N18
Nater Resoumes
eon
FerrneWeng
2 copies of Pretreatment Annual Report for FC WWTP, 2 copies of Pretreatment
Annual Report for Riverstone WWTP
Sincerely,
Jacob Hodge
Pretreatment Coordinator
Town of Forest City
PO Box 728 Forest City, NC 28043 Telephone [phone] Fax [phone]
Email address: [e-mail]
Visit our website
www.townofforesteity.com

0
Pretreatment Annual Report
POTW Name: Town of Forest City
Report Date: February 15, 2018
Period Covered by this report: January 1, 2017 thru December 31, 2017
Name of Treatment Plant: Forest City WWTP
NPDES Permit Number: NC 0025984
Contact Persons:
Jacob Hodge ---Pretreatment Coordinator
Jeff Dotson -------Dept. Head FCWWTP
Sonny Penson --- ORC
Mailing Address: Town of Forest City
P.O. Box 728
Forest City, NC 28043
Telephone #: [phone]
Fax # [phone]
E-mail jacobhodge_a,townofforestcrtycom
I have personally examined and am familiar with the information submitted
in this document and attachments. Based upon my inquiry of those
individuals immediately responsible for obtaining the information reported
herein, I believe that the submitted information is true, accurate, and
complete. I am aware that there are significant penalties for submitting false
information.
Signature Date d- 011
I

Town of Forest City
NPDES # NC 0025984
Narrative
During this PAR period (Jan. 1 2017 — Dec. 31 2017,) the following summarizes the
status of each Industrial User, and any changes that have occurred.
IUP #0002 Eaton Corporation:
No issues full compliance.
IUP #0004 Valley Fine Foods (VFF):
Valley fine foods had a continuous issue with Oil & Grease and PH. VFF was fined once
for PH during the first six months. VFF entered into a compliance agreement on May
12th for PH so they could install PH adjustment equipment. The compliance agreement
ended June 25th. VFF had one violation for Oil & Grease on January 12th and was fined
& surcharged. VFF has made great improvements this year to try and stay in compliance.
VFF completed sampling for a permit renewal in 2018.
IUP 90005 WestRock:
WestRock had one violation for BOD on January 27th. WestRock completed sampling
for a permit renewal in 2018. WestRock had full compliance
IUP #0006 Parker Hannifin:
Parker had 2 violations, for Zinc in the first six months. They were fined for the second
violation and was in full compliance the second six months. Parker completed sampling
for a permit renewal 2018
IUP 90009 Everest Textile:
Everest just started discharging in November 2017. They are on monitor only for all
metals. Everest has high limits for BOD, TSS, and Ammonia that we are going to reduce
once we have results to go by Everest had full compliance.
Forest City WWTP
Forest City WWTP had no compliance issues from the violations; however, we are
working hard with the industries to help correct the compliance issues. FC WWTP is still
waiting to upgrade the digesters. We are discharging strictly Class B sludge now.
Dennis Key is our hauler and we are under his permit Everest Textile just started
discharging in November of 2017.

F
Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1 Pretreatment Town Name: Town of Forest City
2 "Primary" NPDES Number NC00 25984
or Non Discharge Permit 4 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 =>
5
6
Number of SNs with no IUP, or with an expired IUP
6 =>
0
7
Number of SNs not inspected by POTW
7 =>
0
8
Number of SIUs not sampled by POTW
8 =>
0
9
Number of SIUs in SNC due to IUP Limit violation's
9 =>
0
10
Number of SIUs in SNC due to Reporting violations
10 =>
0
11
Number of SIUs in SNC due'to compliance schedule, CO or similar
11 =>
0
12
Number of SNs included in public notice
12. =>
0
13
Number of SIUs on a compliance schedule, CO or similar
13 =>
0
14
Number of NOVs, NNCs or similar assesed to SIUs
14 =>
7
15.
Number of AOs assesed to SIUs
15 =>
0
16
Number of Civil Penalties assessed to SIUs
16 =>
3
17
Number of Criminal Penalties assessed to SIUs
17. =>
0
18
Number of CIUs
18 =>
2
19
Number of CIUs in SNC
19 =>
0
20
Total Amount of Civil Penalties Collect( 20 => $ 4000
21
Number of IUs from which penalties collected
21 =>
2
Foot Notes
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
Chapter name PAR Guidance File name PAR_ PPSC)&nPwhsn3mvda18ruAgi&dptk99K Section B, Page 5 Blank PPS Form, Copy and use in your PAR

Ea
Pretreatment Annual Report (PAR)
Significant Non -Compliance Report (SNCR)
WWTP = Wastewater Treatment Plant, use separate form for each WWTP.
SIU = Significant Industrial User
SNC = Significant Non -Compliance
PAR covers this calendar year =>
Control Authority=Program=Town Name =>
WWTP Name =>
NPDES # _>
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.
1\11A-
NIA
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,SNCR,2001
Date Revised 1/4/2001

SNC HISTORY
IUP # PIPE # INDUSTRY NAME PARAMETER SNC YEAR
JAN. -JUN. JULY -DEC. - -
*0006 *001 Parker Zinc_ Yes No _ 2013
*0006 *001 Parker Zinc Yes Yes 2015

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each Industry/pipe
Enter BDL values as < (value)
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (Ib/d) -> _ _
* or Average (mg/1) =>
* or Average Loading (lb/d) _>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) => -
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC Is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Control Authority,
Town Name => Town of Forest City
WWTP Name => f Forest City
NPDES # =>
1st 6 months, dates => 1/1/2017 to 6/30/2017
2nd 6 months, dates => 7/1/2017 tol2/31/2017
Industry
Name Eaton
IUP # *0002
Pipe # *001
ow, mgu
uyanicle
Duli
Mercury
Ammonia
months T77 mont s
ist F months
2 -no 6 months
s MoMrs
2777 6 mon s
TsTrmInTrs 2nd
(3 months
TsTrMon'frs 2716
months
2 = _
_- 2
2
2
2
2
2
2
0 0123
0 0130
177
230
11500
16900
187
107
000325
-------
__ 16 09
1045
1045
1753
17
1 11
00116
00124
13735
152 1
805
10230
1225
8 1
Monitor Only
13 05
758
758
10 695
1 145
0 059
Arsenic
Uaclmium
Utiromium
UOJU
st -mont s-
n - mont s
I st 6 months
2nd 6 months
I st 6 months
2nd
6 months
2
2
00021
0 002
00002
0 002
- _ -
- -
0.00165
0 002
_
000015
00011
Monitor
Only
Copper
uyanicle
ILeacl
Mercury
st 6 months 2nd 6
months T77 mont s
2nd 6 months st mont s 2nd
6 months 'Ts"tT
mont s 2nd 6
months
2
2
2
2
2
2
0.069
0 034
0 006
0 006
00002
00002
00063
00035
00005
00006
000002
000002
0.0418
00206
000325
00055
00002
00002
00039
00021
00005
000055
000002
000002
Monitor Only
Monitor Only
BUL => Below Detection Limit mg/l => 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 , 1/21313L, or zero values used TRC => Technical Review Criteria WWTP => wastewater treatment plant
Chapter PAR Guidance File name P �orH�f��e�ra�¢�tllra¢tsi�ct1B, 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
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 %) =>
Total # of samples =>
* Maximum =>
* or Minimum =>
% 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 %) =>
Industry Name Eaton
IUP # *0002
Pipe # *001
I'NICKel
Selenium
Suver
inc
mont sst
s mon s n
mon s
s months n
mon s s mon s
n mon s s mon s n
mon s
2
2
2
2
2
2
0 023
223
001
0 0281
1 13
1 35
00021
00023
0 001
0 0029
0 1027
0 134
00165
00165
00075
001905
09555
10115
00013
00013
000075
000195
00913
0 1035
Flienol
st 6 months 2nd
6 months
I st 6 months 2nd
6 months I Ist6months !2nd6months Ist6months 2nd6months
2
2
Monitor Only
2
002
002
PH
I
Ist6months n
mont sst
mont s 2nd6mont
I st 6 months 2nd 6 months lst6months 2nd6months
2
2
74
75
6.5
7
N/A
Molybclenum
Flienol
st 6 months 2nd
6 months
I st 6 months 2nd
6 months I Ist6months !2nd6months Ist6months 2nd6months
2
2
2
2
002
002
0.45
0 076
00021
0.002
00409
0.008
0.01025
00125
02395
0.068
00013
0.00125
002195
00071
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 PFLRidfoEdhakRet(�uade0abafttq�iW*c1R94B, 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 => Town of Forest City Name Valley Fine Foods
WWTP Name => Forest City IUP # *0004
Use separate forms for each industry/pipe NPDES # _> Pipe # *001
Enter BDL values as < (value) 1st 6 months, dates => 1/1/2017 to6/30/2017
2nd 6 months, dates => 7/1/2017 to12/31/2017
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (]b/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations,(chronic SNC is >= 66%) =>
% TRC violations; (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (Ib/d) =>
* or Average (mg/1) =>
* or Average Loading (Ib/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
ow, mga
DUIJ
I no
Ammonia
mon s
n mon s
s
mon s
s mon n
mon s
s mon s n
mon ss
17
10
10
16
10
16
10
00853
00877
6245
940
430
510
485
2.48
00743
0.0706
3156063
3928
119 1125
209
2350667,
127
Arsenic
Uadmium
Uhromium
st 6 months
2nd 6
months
stmont srmont
s
0
5
0
5
0
5
0 013
0 002
0 005
00068
0 002
0 005
For Permit Renewal
For Permit Renewal
For Permit Renewal
opper
I
Uyanicle
Leacl
Mercury
st 6 months
2nd 6 months
T7`tw;OmmmoOnmtrs 2nd 6
mont sst
mont s 2nd 6
mont sst
mont n
mont s
0
5
0
5
0
5
10
0.018
001
0 004
000012
0 0002
0 015
001
0 003
0.00
0.0002
For Permit Renewal
For Permit Renewal
For Permit Renewal
Monitor Only
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 WWTP => wastewater treatment plant

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Total # of samples =>
* Maximum (mg/1) _>
* or Maximum (Ib/d) _>
* or Average (mg/1) _>
* or Average Loading (lb/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
* Maximum =>
* or Minimum =>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Total # of samples =>
Maximum (mg/1) _>
or Maximum (Ib/d) _>
or Average (mg/1) _>
or Average Loading (Ib/d) _>
% violations, (chronic SNC is >= 66%) _>
% TRC violations, (SNC is >= 33 %) _>
Industry Name Valley Fine Foods
IUP # *0004
Pipe # *001
a
SeleniumSliver
11
-mos
mon s- n
mon s
s mon s n
n
s months n
months
0
5
0
5
0
5
0 005
0 003
0 271
0.01
0 005
0.003
02374
For Permit Renewal
-
For Permit Renewal
For Permit Renewal
p
empera ure
o
-mment s 2nd 6
mont sst
mont s 2nd 6
months
I st 6 months 2nd 6
months
17
10
16
10
8 16
8 8
25
259
648
7.89
175375
2199
N/A
Jr-heno-t-
olynclenum
t.r
Uilrea"115;
mons n
months
st mon s n
months
st mont s n
mont s
st monthsmonths
0
5
0
5
0
5
16
0 041
002
20
217
0.0252
0.02
1099
53 9
6.3
63
- ---
For Permit Renewal
For Permit Renewal
For Permit Renewal
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

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name => Town of Forest City Name West Rock
WWTP Name => orest City IUP # *0005
Use separate forms for each industry/pipe NPDES # _> Pipe # *O1
Enter BDL values as < (value) 1st 6 months, dates => 1/1/2017 to6/30/2017
2nd 6 months, dates => 7/1/2017 to12/31/2017
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 %) =>
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 %) =>
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 %) =>
JV ow, mg
Ammonia
s months
n months
s mon s Zncl6months
s mon s n
mon s_
Ist6months 2nd0months
5
10
5
5
2
5
2
5
00098
001466
959
152
12
236
374
321
00044
00041
255.2
45
109
12.5
2 855
2 622
20
20
Monitor Only
Arsenic
Uadmium
Uhromium
UUV
-st 6 months
-2nd 6 months
I st 6 mont s n
mont s
st mont s nmont
sst
mont s n
mont s
2
5
2
5
2
5
0 005
0 005
0.005
0 002
0 005
0 005
0 005
0 005
00035
00056
0 005
0 005
Monitor Only
opper
Uyamde
iLead
IVIercury
st 6 months
2nd 6 months
st mont s 2nd
6 months
stmont s 2nd
6 months
st mont s 2nd
6 months
2
2
2
5
2
5
2
5
0.069
0.018
001
001
0.002
0 003
00002
00002
00375
00096
001
001
0 002
00022
00002
00002
Monitor Only
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

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Total # of samples >
* Maximum (mg/1) —>
* or Maximum (lb d) —>
* or Average (mg 1) —>
* or Average Loading (lb d)
0 o violations, (chronic SNC is 660 0) >
° o TRC violations, (SNC is >— 33 0 0)
Total # of samples >
* Maximum —>
* or Minimum —>
*
00 violations, (chronic SNC is > 660o)—>
° o TRC violations, (SNC is > 33%) >
Total # of samples —>
* Maximum (mg/1) —>
* or Maximum (lb/d) >
* or Average (mg/1) —>
* or Average Loading (lb/d) —>
0 o violations, (chronic SNC is >= 66%) —>
% TRC violations, (SNC is >— 33 %) —>
Industry Name West Rock
IUP # *0005
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

Pretreatment Annual Report (PAR)
Control Authority,
Industry
Industrial Data Summary Form (IDSF)
Town Name => Town of Forest City
Name Parker Hannifin
WWTP Name =>
orest City
IUP # *0006
Use separate forms for each industry/pipe
NPDES # _>
NC0025984
Ptpe # *001
Enter BDL values as <(value)
1st 6 months, dates =>
1/1/2017 to6/30/2017
2
6
2nd 6 months, dates =>
7/1/2017 to12/31/2017
2
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 %) =>
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 %) =>
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 %) =>
ow,
mmonia
Ist6montlis
n mon s
s mon s 2nciOmonttis
s mon s n
months,
s mon s 2no
15 montris
6
6
2
6
2
6
2
6
00964
000992
5 5
35 8
38
266
046
5 84
00066
00024
525
172167
224
93
044
1 945167
Monitor Onl
Arsenic
Uadmium
Uliromium
UUD
-st 6 months
n moats
t moat s -2nd
6 months
st mont s n
mont s
st mont s nmont
s
2
6
2
6
2
6
001
001
0 002
0 002
0.007
0 005
0 008
00092
00015
00012
0 006
0 005
Monitor Only
opper
Uyanlde
Lead
iviercury
st 6 months
2nd 6 months
stmont s 2nd
6 months
st mont s 2nd
6 months
st mont s nd
6 months
2
6
2
6
2
6
2
6
0 006
0.0076
0 013
0 028
0 005
0 005
00002
00002
00055
0005833
0.0115
0.016
0.0035
00035
00002
00002
Monitor Onl
BDL => Below Detection Limit mgA => 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

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Total # of samples —>
* Maximum (mg l) —>
* or Maximum (lb d) —>
* or Average (mg/1) >
* or Average Loading (lb d) —>
% violations, (chronic SNC is 660 0) —
0 o TRC violations, (SNC is > 330o)—>
Total # of samples —>
* Maximum >
* or Minimum =>
0 o 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 %) —>
Industry Name Parker Hannifin
IUP # *0006
Pipe # *001
INICKel
Sellemum
Suver
>< e
st
6 months 2 nci 6
months
Timmons rrTwmmom
s
s mon s 7norrmnoorrs
m
I st 6 months-- n
months
2
6
0
5
2
6
6
6
0.01
0 013
001
0 005
0 005
1.89
12
00075
0006333
001
0 004
00047
1 123833
0 778
33
For Permit Renewal
16
PH
empera ure
st
mont s 2nd6months
st mont s 2nd6months
st mont s 2nd6
months'
Ist6 months-
months
6
6
6
6
9.4
95
239
252
69
82
205
23
N/A
Fftenol
Molybdenum
Oil & Grease
st
6 months !2nd 6
months
st mont s n
months
st mont s n
months
st mont s n
mont s
0
5
0
5
0
6
0
5
0 017
0 005
7.31
10
00114
000
2718333
6.56
For Permit Renewal
For Permit Renewal
For Permit Renewal
For Permit Renewal
BDL => Below Detection Limit mg/l => milligrams per Mer
* 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

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name => Town of Forest City Name Everest Textile
WWTP Name => Forest City IUP # *0009
Use separate forms for each industry/pipe NPDES # _> Pipe # *001
Enter BDL values as < (value) 1st 6 months, dates => 1/1/2017 to6/30/2017
2nd 6 months, dates => 7/1/2017 tol2/31/2017
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (ib/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations,(chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) => _
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
Total # of samples =>
* Maximum (mg/1) =>
* or Maximum (lb/d) =>
* or Average (mg/1) =>
* or Average Loading (lb/d) =>
% violations, (chronic SNC is >= 66%) =>
% TRC violations, (SNC is >= 33 %) =>
ow, mga
D"M
I nono
Ammoma
ISt6MonthS
2ricitimontlis
Ist6monttis 2ticifirrionths
Ist6months 2nclOmontlis
IstOmonths -Znc[6montns
0
2
0
3
0
3
0
3
0.04
396
35
63000
0 029
1692
200333
3 1533
33
Arsenic
Uaammm
Uhromium
stmont s
n -moots
st mont s n
mont s
stmont sn
mont sst
mont s n
mont s
0
3
0
3
0
3
001
0002
001
00833
00013
0.0074
Monitor Only
Monitor Only
Monitor Only
opper
Uyanicle
Lead
IVIercury
st months
n months
s mont s 2nd
6 mont s
st mont s 2nd
6 months
st mont s 2nd
6 months
0
3
0
3
0
3
0
3
0.0097
001
001
00002
00079
00088
0.004
00002
Monitor Only
Monitor Onl
Monitor Only
Monitor Only
bL)L => tseiow uetection Limit mgii => 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, 1/21313L, or zero values used TRC => Technical Review Criteria W WTP => wastewater treatment plant

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF)
Use separate forms for each industry/pipe
Total # of samples
* Maximum (mg/1)
* or Maximum (lb d)
* or Average (mg/1)
* or Average Loading (lb d)
00 violations, (chronic SNC is 660o)
° o TRC violations, (SNC is > 33 0 o)
Total # of samples —>
* Maximum >
* or Minimum >
*
00 violations, (chronic SNC is > 660o)
0 o TRC violations, (SNC is > 33 0 o) >
Total # of samples >
* Maximum (mg/1) >
* or Maximum (lb d) >
* or Average (mg/1) —>
* or Average Loading (lb/d) >
% violations, (chronic SNC is >= 660 o) —>
0 o TRC violations, (SNC is >= 33 0 o) —>
Industry Name Everest Textile
IUP # *0009
Pipe # *001
IcKell
Selenium
nolliver
IMnc
s -rn s
momns'
s mon s
n mon s
s mon sn
mon s
ist 0 montns 2nd
0 montns
0
3
0
3
0
3
0
3
001
001
0 005
0 253
00071
00083
00043
0 1693
Monitor Only
Monitor Only
Monitor Only
Monitor Only
p
emera ure
st months - n
months
st mont s 2nd
6 mont sst
mont s nd
6 months
T777 mont s 2nd
6 months
0
3
0
3
99
245
66
212
N/A
NlolyDclenum
total 1rhosphorg's
Phenol
st 6 months- n
months
T77 mont s 2nd
6 months
T77mmomntrsm 2nd
6 mont sst
mont s 2nd
6 mont s
0
3
0
3
0
3
002
3 3
0 076
001
17267
00333
.Monitor -Only
Monitor Only
Monitor Only
ISVL —> below uetectton Limit mgn 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

VFF Compliance Judgment Spreadsheet Form
- - - - - - 1/12/2017{—
- - ---_- - = Iii-:-
�
- 00788
--
—__-
--- -- -- - - --- - - 1/20/201711----
51 1
Industry Name
IUP #/Pipe #
ortln2)Fordatarepim
goption
Penod
- - - - -
Ueleoucin Level
(DL) entered
LVods
2017
—'—
X
- 126/2017
1) Data entry In blue bordered cells only Aliothercellsprotected Password,s3 strongly Recommend only unprotect to make specdic charges
a"d tte re'ratte yr°te°k°" aya'"Re
d as "Below Detection' choose either to enter detection level or 12 detecton level and mark choice ,ncell B5(NoteuseseenP
only when detection level at or below time)--—
NOTE s read -1, ca-ded Feb Do to 1 aqjal to of greator ttwi
p pmpe y ...lUa Min—
eo
'F'aw Ghn e (>=wl) and! TRC (-331.) SNC Min—use tan polW'anl w -1-", no t y.u2a to apply to Sow
pH TRC (­.�) SNC.,r,.t-specdica'ly eaemp5 pH
_
--
- _--- 2/1/2017
---
v2 uetealon
____Level (DL) - _
-Not required to apply
Chroilc or TRC SNC to flow - - - - --
- - -- - T
0 0777
1
•'TRC doesn't apply to pH
T e - - - - _ -pally _ _ _ - _
YP Dady Flow Violation - - Volation' _
Sample Date P=POTW < ConeenlreUon --
MGD Type mgt Type
_ _ _ Daily� _ _--
-- - - Violation-
c i)oncent�atlon - _
mg/L Type
Dally
Violation
< Concentration
mg/L Type
Dally Grab Violation - -- - - - _' -
SU Type
1
- 2/15/2017
89
00763
1 :V,�i,,
------ _ - 2/22r20T/ICr-----}
11
0 Optional'
2r23/2017
F___
0 0712
Reg TRC Ran TRC
Re TRC
Req TRC
Req +146'
- - - - - - 1/12/2017{—
- - ---_- - = Iii-:-
�
- 00788
--
—__-
--- -- -- - - --- - - 1/20/201711----
51 1
_
00802
-
- 126/2017
00639
--
- _--- 2/1/2017
---
00752
2/2/2017
115
0 0777
2/9/2017
70
00588
%fir
- 2/15/2017
89
00763
1 :V,�i,,
------ _ - 2/22r20T/ICr-----}
11
- 00777-
2r23/2017
F___
0 0712
- - - 322017
`�—��
t -J
00853
�- - -- _---= 3/82017
��
00739
4/122017
- - - -- -- -- -
�(`y
0 0827
-
4272017
w�I!
0 06881
5/42017
F_
- -
5/11/2017
��
0 0757
-- 672017
U
0 0841
- -- - - - 71.5r20171F
1
00577
Average of Column
Total Samples
I uD/gol I 1 1
16 0 0 0 0
°o Violations' 0 0% %Violations
90 TRC Violations' 0 0% %TRC Violations
VFF Compliance Judgment Spreadsheet Form, SIU #
218/2018,1 34 PM
0 0 0 0_ 0 0
% Violations
% TRC Violations
Page 1
�]
71;
1
1
F_6 35
51 1
17
r___.____ P,
76
6 88
55
61
E=-=6
-------
6i2
115
I 6621
70
702
%fir
612
89
C 5 52
1 :V,�i,,
11
[::=6 93
-J
73
862
O
56
s
n
401
I uD/gol I 1 1
16 0 0 0 0
°o Violations' 0 0% %Violations
90 TRC Violations' 0 0% %TRC Violations
VFF Compliance Judgment Spreadsheet Form, SIU #
218/2018,1 34 PM
0 0 0 0_ 0 0
% Violations
% TRC Violations
Page 1
�]
71;
1
1
F_6 35
51 1
17
r___.____ P,
76
6 88
55
61
E=-=6
-------
6i2
115
I 6621
70
702
%fir
612
89
C 5 52
1 :V,�i,,
11
[::=6 93
-J
73
862
O
56
6
n
401
59
C1
54
56
�'- _01 I
F_6 35
17
r___.____ P,
6 88
61
E=-=6
-------
6i2
I 6621
702
%fir
612
1 t�' �
C 5 52
1 :V,�i,,
[::=6 93
1 03 Ul I b47`J411/til
0 16 1 1 17 2
%Violations 63% % Violations 118%
% TRC Violations 63% °d TRG Violations -

Industry Name WestRock j
IUP #/Pipe #1001/0005 _ ,
���— �—
Reporting
Period 1 1/1/2017-6/31/2017
Uetection Level
WestRock Compliance Judgment Spreadsheet Form
Instructions -
1) Data entry in blue bordered cells only All other cells protected Password is 3 Strongly Recommend only unprotect to make specific changes,
and the reinstate protection again
2) For data reported as "Below Detection;' choose either to enter detection level or 1/2 detection level and mark choice in cell B5 (Note use second
option only when detection level at or below limit)
NOTE- Spreadsheet corrected Feb 09 to properly assess TRC violations using "equal to or greater than'
'Flow Chronic (>=66%) and TRC (>=339%) SNC definitions use term "pollutant' so technically riot required to apply to flow
—pH TRC (>=331%) SNC definition specifically exempts pH
(DL) entered X
vl Uetection Not required to apply
Level (DL) Chronic or TRC SNC to flow
•
Type - Dally Flow Violation
Sample Date P=POTW MGD Type
1 -
Permit Limit
TRC Limit Optional*
Req TRC
3/10/2021
I
00098
4/27/2021^P�
0002815
6/2/2021
00066
6/7/2021E=
00009
6/22/2021
F1 --]
00021
Average of Column 000441
Total Samples 5 0 0
% Violations* 0 0%
% TRC Violations* 0 0%
WestRock Compliance Judgment Spreadsheet Form, SIU #
2/8/2018,1 27 PM
< Concentration tion Violation Conc aitratlon ly Violation
Type Type
mg/L mg/L
315 000
Reg TRC Reg TRC
0 5 1 1
% Violations 20 0%
% TRC Violations 20 0%
SNC ? NO
Page 1
0 0 0 0
% Violations
% TRC Violations
SNC

Industry Name IParker Hannifin
IUP #/Pipe #`i001/0006��
Reportingi
Period '11 /1 /2017-6/31/2017
L---�
Detection Level i
(DL) entered
vz Detection 'I-"
Level (DL)
Type -
Sample Date P=POTW
I-
Permlt Limit
TRC Limit
Average of Column
Total Samples
Parker Compliance Judgment Spreadsheet Form
Instructions -
1) Data entry in blue bordered cells only All other cells protected Password is 3 Strongly Recommend only unprotect to make specific changes,
and the reinstate protection again
2) For data reported as "Below Detection " choose either to enter detection level or 1/2 detection level and mark choice in cell B5 (Note use second
option only when detection level at or below limit)
NOTE Spreadsheet-Qoirected Feb 09 to properly assess CRC violations using equal to o, greater than
'Flow Chronic t-66%) and FRC (-33•'k) SNC definitions use term pollutant' so technically not required to apply to Flow
-pH- fRC(>=3a%ye#tr»E{ox�peetr+caNY-ex_empis-p!i
'Not requtreato apply
Chronic or TRC SNC to flow
Daily Flow Violation Concentration atlon Violation Con wily tion Violation
MGD Type mg/L TYPe mg/L Type
Reg TRC
000642
0001571
000683
000801
000711
000964
00066
6 0
% Violations* 00%
% TRC Violations* 00%
*SNC ? NO
Parker Compliance Judgment Spreadsheet Form, SIU #
2/8/2018,1 26 PM
0 0 0 0 0
% Violations
% TRC Violations
SNC ?
Page 1
Reg TRC
f=�.
r -----s F- _....-
EI� _
0 0 0 0
% Violations
% TRC Violations
SNC ?

Industry Name �`P�arker Hannifin
IUP #/Pipe # 001/0006 r
Reporting F J1
Period 11/1/2017-6/31/2017
Detection Level
(DL) entered X
uetection
Le
Level (DL)
Type -
Sample Date P=POTW
Permit Limit
TRC Limit
4/26/2021
5/27/2021
6/13/2021
6/6/2021
6/27/2021
Average of Column
Total Samples
Parker Compliance Judgment Spreadsheet Form
SELENIUM I1kVj:I-
Daily Violation Daily Violation7Concentration
Violation
< Concentration < Concentration T e
mg/L Type mg/L Type Type
1 776
Req TRC Req TRC
0 0
% Violations
% TF % TRC Violations
SNC ?
Parker Compliance Judgment Spreadsheet Form, SIU #
2/8/2018,1 26 PM
I I I
0 0 0
% Violations
% TRC Violations
SNC ?
Page 7
0 0
0 6 2 1
% Violations 333%
% TRC Violations 167%
SNC ? NO

Industry Name lEverest p
IUP #/Pipe # 0009/001
Reporting
Penod6/2017-12-31-2017
— =
Detection Level
(DL) entered
EX-1
I
Level (UL)
entered
[:=
' 0041
F 1 1
�=
I 1
Permit Limit
TRC Limit
Type -
Sample Date P=POTW
I -
Everest Compliance Judgment Spreadsheet Form
Instructions -
1) Data entry in blue bordered cells only All other cells protected Password is 3 Strongly Re
and the reinstate protection again
2) For data reported as "Below Detection," choose either to enter detection level or 1/2 detectio
option only when detection level at or below limit)
NOTE- Spreadsheet corrected Feb 09 to properly assess TRC violations using 'equal to or gre
'Flow Chronic (>=66%) and TRC (>=33%) SNC definitions use term' pollutant' so technically
'*pH TRC (>=33%) SNC definition specifically exempts pH
-Not required to apply
Chronic or TRC SNC to flow
Dally
Dally Flow Violation 7�_ Concentration Violation
MGD Type mg/L Type
�._ 1 500
1 800 Optional*
Req TRC Req TRC
11/14/2017
I
00180331
12/6/2017
12/15/20171=
[:=
' 0041
F 1 1
�=
I 1
I
r[_..a.._-J=
L =
Average of Column 00193
Total Samples 3 1
% Violations* 33 3%
% TRC Violations* 0 0%
*SNC ? NO
Everest Compliance Judgment Spreadsheet Form, SIU #
2/8/2018, 1 36 PM
0 0 0 0 0
% Violations
% TRC Violations
SNC ?
Page 1

IUP, Part I Section F:
= Effluent Limits and Monitoring -Requirements
—The Permittee may discharge from this specific
Pipe number according to these specific dates,
----effluent limits, and -monitoring requirements
Receiving POTW name =>
Forest City WWTP IU name =>
_ _Receiving POTW NPDES # _>
NC0025984 IUP # _>
-Effective date for these Limits =>
February 1, 2016 Pipe # _>
Expiration date for these Limits =>
February 1, 2020 40 CFR # _>
THE LIMITS ON THIS PAGE ARE, (Check one below)
LIMITS for ENTIRE permit period => YES
INTERIM Limits for period # 1 => NO
INTERIM Limits for period # 2 => NO
FINAL Limits Page => NO
Eaton Corporation
002
001
NA
if not applicable put N/A
Monitor = Monitor Only Levels of pH above 9 0 and below 6 0 will be surcharged. Levels of pH above 12 0 and below 5 0 will be in violation of this permit Please
round your PH up to the nearest decimal place **meter (water) shall be read at the beginning and end of the sample period Unless otherwise stated, sewage flow is
considered equal to metered flow
n
Concentration Limits
-Mass Limits
Monitoring Frequency
—
Daily Max
Monthly
Avera e
-Units
Monthly
-Daily-Max Average
Units
Industry
By POTW
Sample
Collection
Method
(C or G)
Required
Laboratory
Detection
Level
1
Flow
MGD
0 075
MGD
_Py
1/6 MONTHS
1/6 MONTHS
*meter
2
BOD
mg/1
156 38
lbs /day
1/6 MONTHS
1/6 MONTHS
C
2 m 1
— 3
TSS
78 19
lbs /day
1/6 MONTHS
1/6 MONTHS
C
2 m l
-4
Temperature
40
DEG C
1/6 MONTHS
1/6 MONTHS
G
5
PH
*5 0-12 0
Std units
1/6 MONTHS
1/6 MONTHS
G
-OTHER PARAMETERS; -Please List Al habeticall
6
Ammonia
mg/1
970
lbs /day
1/6 MONTHS
1/6 MONTHS
C
0 1 mg/1
7
Cadmium
mg/1
Monitor
lbs
1/6 MONTHS
1/6 MONTHS
C
0 001 mg/1
8
Copper
mg/1
Monitor
-/day
lbs /day
1/6 MONTHS
1/6 MONTHS
C
0 005 mg/1
9
Lead
Mg/1
0 1564
lbs /day
1/6 MONTHS
1/6 MONTHS
C
0 01 mg/1
10-
Mercury
_
m 1
Monitor _
lbs /day
1/6 MONTHS
1/6 MONTHS
C
0 002 m I
_11-
_Molybdenum _
_ _ ____m
L_____
___0.025.0 __ ___ __ _ _ __
.lbs /day
1/6 MONTHS
1/6 MONTHS
C _
0 1 mg/1
12
Nickel
_
_mg/1___ _
_ 00626
lbs./day
1/6 MONTHS
1/6 MONTHS
C
0 01 mg/1
13_
Phenol
_
mg/1_ _ _ _
_ 06255
_lbs /day
1/6 MONTHS
1/6 MONTHS
G
0 05 mg/1
14
Selenium
in 1_
Monitor
lbs /day
1/6 MONTHS
1/6 MONTHS
C
0.01 mg/1
15_
Zinc
_
_m 1__ _ _ _
__06255
_lbs./day
1/6 MONTHS
1/6 MONTHS
C
0 01 mg/1
16
17
18
Monitor = Monitor Only Levels of pH above 9 0 and below 6 0 will be surcharged. Levels of pH above 12 0 and below 5 0 will be in violation of this permit Please
round your PH up to the nearest decimal place **meter (water) shall be read at the beginning and end of the sample period Unless otherwise stated, sewage flow is
considered equal to metered flow
n

IUP, Part 1 Section F:
Effluent Limits and Monitoring Requirements
The Permittee may discharge from this specific
Pipe number according to these specific dates,
-- effluent limits, and monitoring requirements _
Receiving POTW name =>
Forest City WWTP IU name =>
Valley Fine Foods
Receiving POTW NPDES # _>
NC0025984 IUP # _>
0004
Effective date for these Limits =>
December 31, 2016 Pipe # _>
001
Expiration date for these Limits =>
February 28, 2018 40 CFR # _>
NA
Daily Max
Monthly
Average Units
if not applicable put N/A
THE LIMITS ON THIS PAGE ARE, (Check one below)
B POTW
LIMITS for ENTIRE permit period =>
YES
1
Flow
INTERIM Limits for -period # 1 =>
No
MGD
-
INTERIM Limits for period # 2 =>
No
**meter
FINAL Limits Page =>
No
-"
Concentration Limits
Mass Limits
Monitoring
Frequency
Daily Max
Monthly
Average Units
Monthly
Daily Max Average Units
By Industry
B POTW
Sample
Collection
Method
(C or G)
_ Required
Laboratory
Detection
Level
1
Flow
0.100
MGD
1/ months
1/6 months
**meter
2
BOD
1000
m
1/ months
1/6 months
C
2 m L
3
TSS
1000
mg/L
1/ months
1/6 months
C
2 m L
4
1 Temperature
40
Degrees C
- -
l/ months
1/6 months
G
-
5
1 PH
*5 0-12 0
Std Units
1/ months
1/6 months
G
OTHER PARAMETERS, Please List AI habetically
_
6
Ammonia
100
m
1/ months
1/6 months
C
0.1 m
7
Oil and Grease
150
m L
1/ months
1/6 months
G
5 m L
8
Mercury
Monitor
Only mg/L
-
1/ months
1/6 months
C
0 0002mg/
L
9
10
11
12
13
14
15
16
17
18
19
20
21
MO=Monitor Only *Levels of pH above 10 5 and below 6 0 will be surcharged. Levels of pH above 12 0 and below 5 0 will be in violation of this permit Please round
your PH up to the nearest decimal place **Water meter shall be read and recorded at the beginning and end of the sample period Unless otherwise stated, sewage flow is
Gol

IUP, Part 1 Section F:
Effluent Limits and Monitoring Requirements
The Permittee may discharge from this specific
Pipe number according to these specific dates,
effluent limits, and monitoring requirements
Receiving POTW name => Forest City WWTP IU name =>
Receiving POTW NPDES # _>
NCO025984 IUP # _>
Effective date for these Limits =>
10/15/2015 Pipe # _>
Expiration date for these Limits =>
02/28/2018 40 CFR # _>
THE LIMITS ON THIS PAGE ARE,
(Check one below)
LIMITS for ENTIRE permit period
=>
Yes
Units
INTERIM Limits for period # 1 =>
Monthly
Average Units
No
By POTW
INTERIM Limits for period # 2 =>
Required
Laboratory
Detection
Level
No
Flow
FINAL Limits Page =>
MGD
No
WestRock
Converting Company
0005
001
433 & 463
if not applicable put N/A
Concentration Limits
Mass Limits
Monitoring
Frequency
Monthly
Daily Max Avera e
Units
Daily Max
Monthly
Average Units
By Industry
By POTW
Sample
Collection
Method
(C or G)
Required
Laboratory
Detection
Level
1
Flow
050
MGD
1/6 months
1/6 months
Metered
2
BOD
225
mg/1
1/6 months
1/6 months
C
2 mg/1
3
TSS
150
mg/1
1/6 months
1/6 months
C
2 m L
4
Temperature
54
Deg C
1/6 months
1/6 months
G
1 Deg C
5
1 PH
*5 0-12 0 1
Std Units
1/6 months
1/6 months
G
1 std unit
OTHER PARAMETERS, Please List Al habetically
6
Ammonia
Monitor
mg/1
1/6 months
1/6 months
C
0 500 mg/1
7
Arsenic
Monitor
mg/1
1/6 months
1/6 months
C
0 100 mg/1
8
Cadmium
0 100
mg/1
1/6 months
1/6 months
C
0 002 mg/1
9
Chromium
0 250
mg/1
1/6 months
1/6 months
C
0 005 mg/1
10
Copper
0 500
mg/1
1/6 months
1/6 months
C
0 002 m 1
11
Cyanide
0 150
Mg/1
1/6 months
1/6 months
G
0 010 mg/1
12
Lead
0 150
mg/I
1/6 months
1/6 months
C
0 010 mg/1
13
Mercury
Monitor
mg/1
1/6 months
1/6 months
C
0 0002 mg/1
14
Nickel
0 500
mg/1
1/6 months
1/6 months
C
0 010 mg/1
15
Phosphorus (T)
Monitor
mg/1
1/6 months
1/6 months
C
0 500 mg/1
16
Silver
0 100
mg/1
1/6 months
1/6 months
C
0 005 mg/1
17
TTO
2 130
mg/1
1/6 months
G/C
18
Zinc
148
mg/1
1/6 months
1/6 months
C
0 010 mg/1
19
20
21
22

Monitor = Monitor Only *Levels of pH above 9 0 and below 6 0 will be surcharged Levels of PH above 12 0 and below 5 0 will be in violation of this permit Please round your
PH- up to the nearest decimal place *meter (water) shall be read at the beginning and end of the sample period Unless otherwise stated, sewage flow is considered equal to
metered flow

IUP, Part 1 Section F:
Effluent Limits and Monitoring Requirements
The Permittee may discharge from this specific
Pipe number according to these specific dates,
- effluent -limits, and monitoring requirements
Receiving POTW name =>
Receiving POTW NPDES # _>
Effective date for these Limits =>
Expiration date for these Limits =>
Forest City WWTp
IU name =>
NC0025984
IUP # _>
05/01/2015
Pipe # _>
02/28/2018
40 CFR # _>
--� -
THE LIMITS ON THIS PAGE ARE, (Check one below).
LIMITS for ENTIRE permit period => Yes
INTERIM Limits for period # 1 => No
INTERIM Limits for period # 2 => No
FINAL Limits Page => No
Parker Hannifin
0006
001
433.17
if not applicable put N/A
Concentration Limits
Mass Limits
Monitoring Frec uenc
-
-
--� -
Monthly
Daily Max Average
Units
Monthly
Daily Max Average Units
By Industry
By POTW
Sample
Collection
Method
(C or G)
Required
Laboratory
Detection
Level
1
Flow
0 025
MGD
1/6 months
1/6 months
Metered
2
BOD
225
mg/I
1/6 months
1/6 months
C
2 mg/I
3
TSS
150
mg/I
1/6 months
1/6 months
C
2 m
4
Temperature
54
Deg C
1/6 months
1/6 months
G
1 Deg C
5
PH
*5 0-12 0
Std Units
1/6 months
1/6 months
G
1 std unit
OTHER PARAMETERS, Please List Al habeticall
6
Ammonia
Monitor
mg/I
1/6 months
1/6 months
C
0 500 mg/I
7=
- Arsenic
Monitor
mg/I
1/6 months
1/6 months
C
0 100 mg/1
-8—
-Cadmium
0 070
mg/I
1/6 months
1/6 months
C
0 002 mg/I
9
Chromium
0 250
mg/I
1/6 months
1/6 months
C
0 005 mg/1
10
Copper
1 250
mg/1
1/6 months
1/6 months
C
0 002 mg/1
1 I
Cyanide
0 150
mg/1
1/6 months
1/6 months
G
0 010 mg/I
12
Lead
0 150
mg/I
1/6 months
1/6 months
C
0 010 mg/I
13
Mercury
Monitor
mg/I
1/6 months
1/6 months
C
0 0002 mg/I
14
Nickel
0 500
mg/I
1/6 months
1/6 months
C
0 010 mg1l
15
1 Phosphorus (T)
Monitor
mg/I
1/6 months
1/6 months
C
0.500 mg/I
16
Silver
0 100
mg/I
1/6 months
1/6 months
C
0 005 mg/1
17
TTO
2 130
mg/1
1/6 months or certify no
toxic organics used on site
G/C
18
Zinc
148
mg/I
1/6 months
1/6 months
C
0 010 mg/I
19
20
21
22

MO=Monitor Only *Levels of PH above 10 5 and below 6 0 will be surcharged Levels of PH above 12 0 and below 5 0 will be in violation of the permit. Please round your PH
up to the nearest decimal place *Water meter shall be read and recorded at the beginning and the end of the sample period --Unless-otherwise stated, sewage flow is considered
equal to metered flow

IUP, Part 1 Section F:
Effluent Limits and Monitoring Requirements
The Permittee may discharge from this specific
Pipe number according to these specific dates,
— -effluent limits, and monitoring requirements
Receiving POTW name =>
Receiving POTW NPDES # _>
Effective date for these Limits =>
Expiration date for these Limits =>
Town of Forest CityIU name =>
W WTP
NC0025984 IUP # _>
4/l/2017 Pipe # _>
2/28/2020 40 CFR # _>
THE LIMITS ON THIS PAGE ARE, (Check one below
LIMITS for ENTIRE permit period => No
INTERIM Limits for period # I => Yes
INTERIM Limits for period # 2 => Yes
FINAL Limits Page => No
Everest Textile USA, LLC
0009
001
N/A
if not applicable put N/A
5
Concentration Limits
Mass Limits
Monitoring Frequency
--- --
Daily Max
Monthly
Average
Units
Monthly
Daily Max Average
Units
By Industry
B POTW
Sample
Collection
Method
C or G
Required
Laboratory
Detection
Level
I
Flow
1 5
MGD
Monthly
1/6 months
C
2
BOD
475
Mg/L
Monthly
1/6 months
C
2 mg/l
3
TSS
485
Mg/L
Monthly
1/6 months
C
2 5 mg/1
4
Temperature
54
Degree C
Monthly
1/6 months
G
5
1 PH
*5-12
Monthly
1/6 months
G
-OTHER PARAMETERS, Please List Al habeticall
6
Ammonia
49
Monthly
1/6 months
C
7—
Arsenic
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 01 mg/l
8
Cadmium
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 002 mg/l
9
Chromium
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 005 mg/l
10
Copper
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 002 mg/1
11
Cyanide
Monitor
Only
Mg/L
Monthly
1/6 months
G
0 010 mg/l
12
Lead
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 01 mg/l
13
Mercury
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 0002 mg/I
14
Molybdenum
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 1 mg/l
15
Nickel
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 01 mg/1
16
Selenium
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 01 mg/l
17
Silver
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 005 mg/1
18
Zinc
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 01 mg/1
19
Total Phosphorous
Monitor
Only
Mg/L
Monthly
1/6 months
C
0 5 mg/1
20
Phenols
Monitor
Only
Mg/L
1/6 months
Monthly
G
0 05 mg/1
21
*Levels of pH below 6 or above 10 5 will be surcharged Levels of pH below 5 and above 12 are in violation of permit Please round pH up to nearest decimal point
*Water meter shall be read and recorded at the beginning and end of sample period Unless otherwise stated, sewage flow is considered equal to metered flow
*This limits is an interim limits page and will be adjusted after six months of sampling
5

Eaton/Aerogwp Flow BOD BOD
Sample Date mgd mg/L lbs
4/12/207 00123 977 1001
4/27/2017 00109 1 177 1609
TSS
TSS
NH3 as N
NH3 as N
mg/I
lbs
mg/L
Itis
46
471
58
059
115
1045
187
1 7
Average
00116
137.3500
13.0500 ' 80.5000
7.5800
12.25
1 145
Maximum
00123
177
1609 115
1045
1870
1 7
Minimum
00109
977
1001 46
4 71
5 8
0 59
lbs/day
5.5
132878
#REF! #REF!
#REF'
1.1851
#REF!
MAHL, lbs/day
4951
0.8593
#REF'
MAHL, lbs/day
4 95
5% MAHL, Ibs/day 0247500
Influent, mg/L
Influent, lbs/day
Eaton/Aeroquip
Flow
BOD
BOD
Sample Date
mgd
mg/L
lbs
10/18/2017
0 013
I
742
805
10/18/2017
001244
230
2385
TSS
TSS
NH3 as N
NH3 as N
mg/I
lbs
mg/L
I
lbs
356
386
55
0059
169
1753
107
1 11
Average
00127
152.1000
159500
1023000
106960
81
05845
Maximum
0 013
230
23.85
169
1753
1070
1 11
Minimum
001244
74.2
805
356
3.86
5.5
0 059
lbs/day
16.1355
#REF'
#REF!
#REF'
0.8593
#REF'
MAHL, lbs/day
4 95
5% MAHL, lbs/day 0247600
Influent, mg/L
Influent, lbs/day
As As Cu
Cu
mg/I lbs mg/I
1,
lbs
00146
00015
0 069
00063
#DIV/01 #DIV/01 00418
00039
0 0 0 069
00063
0 0 00146
I
0 0015
#REFV #REFI #REFI
#REFI
As As
Cu
Cu
mgll Itis
mgll
lbs
00072
00007
0 034
00035
#DIV/01 #DIV/0!0
0206
0 0021
0 0
0 034
00036
0 0
00072
00007
#REF! #REF! IM #REF! #REFI
r
Cr Cr
mg/I lbs
#DIV/01 #DIV/01
0 0
0 0
#REFI #REFI
Cr Cr
mg/I lbs
#DIV/01 #DIV/01
0 0
0 0
#REF! #REFI

Cd
Cd
mg/L
lbs
00013
0000 1 0001
0 002
< 00002
000165
000016
0 002
00002
00013
00001
I
00002
#REFS
Cd Cd
mg/L lbs
0 002 0 002
0 002 < 00002
Cn Cn
mg/L lbs
#DIV/01 #DIVIOl
0 0
0 0
#DIV/01 *REFI
Cn Cn
mg/L lbs
Pb
Pb
mg/I
lbs
00005
< 00005
0 006
00005
000325
00005
0 006
00005
00005
00005
#REF!
*REFI
Pb
Pb
mg/l
lbs
0 005
< 00005
0 006
00006
0 002 #DIV/01 0.0055 000055
0 0 0.006 00006
0 0 0 005 00005
I #DIV/OI #REFS I #REFI #REF!
0 0011#DIV/01
0.002
0.002
0 002
00002
00002
#REFS
Hg
Hg
mg/L
lbs
00002
< 000002
00002
< 000002
00002
000002
00002
000002
00002
000002
00000
*REFS
Hg
Hg
mg/L
lbs
00002
< 00002
00002
< 000002
00002
000011
00002
00002
00002
000002 .
00000
*REFI
Zinc
Zinc Ag Ag
mg/I
lbs mg/L lbs
I
0 781
00799
1 13
01027
Ni
Ni
mg/I
lbs
001
< 00005
0 023
00021
09555
00913 #DIV/01 #DIV/0!
00165
00013
1.13
01027 0 0
0 023
00021
0 781
00799 1/0/1900 0
I I
001
00005
#REFI
#REF! #DIV/Of #REFS
#REFI
*REFI
Zinc
Zinc
mg/I
lbs
0 673
0 073
1 35
0 134
Ag Ag Ni Ni
mg/L lbs mgll lbs
< 0 005 < 00005
1
001 < 0 001
1 0115
01035
#DIV/01 #DIV/0f 00075
000075
1.35
0 134
0 0 001
0 001
0.673
0 073
I
1/0/1900 0 0 005
I
00005
#REFI
#REFS
#DIV/01 #REF! #REFI
#REFI

selenium
Seleniummolybdenum
molybdenu TP
TP O&G O&G Phenol
Phenol Color TEMP PH
mg/I
lbs
mg/I lbs mg/I
1
lbs mg/I lbs mg/I
1 I
lbs
001 <
0 001
< 0 0005 < 00005
0 029
0 003 243 74
0 005 <
00005
e 002 < 00021
045
00409 402 65
00075
000075
001
0 001
0 005
00005
00007
#REFI
001025
00013 #DIV/0f #DIV/01 #DIV/0I #DIV/01
0.2395
0 02195'
#DIV/O! 3226 695
002
00021 0 0, 0 0
045
00409
0 402 74
00005
00005 0 0 0 0
I
0 029
0 003
0 243 65
I I
0.0010
#REFS #REFI #REF! *REFI *REFI
#REFI
#REFI
#REF! #REFS #REF!
selenium
Seleniummolybdenum
molybdenu TP
TP O&G O&G Phenol
Phenol Color TEMP PH
mg/I
lbs
mg/I lbs mg/I
1
lbs mg/I lbs mg/I
1 1
lbs
001 <
0 001
< 0 005 < 00005
0 076
0 008 22 7 1
00281
00029
< 0 02 < 0 002
006
00062 276 75 U
0.01905
0.00195
0.0281
00029
001
0 001
00020
#REFI
00125
000125 #DIV/0f #DIV/0f #DIV/OI #DIV/01
0 068
00071 #DIV/O! 248 725
002
0 002 0 0 0 0
0.076
0 008 0 27.6 7.5
0 005
00005 0 0 0 0
I I I
0.06
0.0062 0 22 7
I I I
00013
#REFS #REFI #REFS #REF! #REFS
#REFI
#REF! #REF! #REF! #REFI

VFF
Flow
Sample Date
mgtl
1/12/2017
00788
1/20/2017
00802
1/26/2017
00639
2/1/2017
00752
2/2/2017
00777
2/9/2017
0 0588
2/15/2017
00763
2/22/2017
00777
2/23/2017
00712
3/2/2017
00853
3/8/2017
00739
4/12/2017
00827
427/2017
006881
5/4/2017
5/11/2017
00757
6/7/2017
00841
7/5/2017
00577
Average
00743
Maximum
00853
Minimum
00577
Ibs/day
MAHL, Ibs/day4
95
5% MAHL lbs/day
0247500
Influent, mg1L
Influent, lbs/day
VFF
Flow
Sample Date
mgtl
8/9/2017
0 0696
8/16/2017
00756
8/23/2017
00796
8/30/2017
00776
9/62017
00877
9/12/2017
00085
10/4/2017
00775
10/182017
006616
11/82017
00839
12/6/2017
0 08
Average
00706
Maximum
00877
Minimum
00085
lbs/day
MAHL, lbs/day
495
5% MAHL, lb./day
0247500
Influent, mg/L
Influent, lbs/day
BOD BOD
mg/L lbs
2725
3246
155
225
150 6
3383
4205
327
3335
6245
285
161
194
250
493
495
3156063 #DIV/01
6245 0
1508 0
1954392 #REFI
BOD BOD
mg1L lbs
940
349
605
250
218
123
506
507
182
248
3928000 #DIV/01
940 0
123 0
2314001 #REFI
TSS TSS
mg/l lbs
1462
74 5
61 5
64
132 7
149 4
111
76
62
1308
94
77
132
46
188
430
1191125 #DIV/01
430 0
77 0
#REFI #REFI
TSS TSS
mg/l Ibs
510
81
146
117
132
128
264
404
148
160
209 0000 #DIV/OI
510 0
81 0
#REFI #REFI
NH3 as N NH3 as N
mgtL Ibs
23
23
19
244
16
2
1 64
1 54
22
23
331
321
245
485
214
138
23507#DIVI01!,
485
01
138 0
14557 #REFI
NH3 as N NH3 as N
mg/L Ibs
1 59
0 75
2 48
161
066
O6
1O1
155
1 05
141
1 271 #DIV/01
248 0
06 0
07488 #REFI
As As
mg/I lbs
#DIVl01#DIVI01
0 0
_0— ----
0
#REFI #REFI
As As
mg/l lbs
00 5
0 005
0 013
0 006
0 005
00068 #DIV/01
0013 0
0005 OI
#REFI #REFI !
Cu Cu
mg/l lbs
#DIV/01 #DIV/01
0 0
0 0
#REFI #REFI
Cu Cu
mgtl lbs
0 018
0 017
00 1 5
00 1 6
0 009
0 015 #DIV/0I
0 018 0
0 009 0
#REFI #REFI
Cr Cr
mg/I lbs
#DIVI91 #DIV/01
0 0
0 0
#REFI #REFI
Cr Cr
mgtl lbs
0 005
0 005
0 005
0 005
0 005
0 005 #DIV/01
0 005 0 -
0 005 0
#REFI #REFI
(I Cd Cd I
mg1L lbs
#DIV/OI #DIV/01
0 0
0 0
#DIV/01 #REFI
Cd Cd
mg/L lbs
0 002
0 002
0 002
0 002
0 002
0 002 #DIVI01
0002 0',
0 002 0'..
0 0012 #REFI
Cn Cn
mgIL lbs
#DIV/01#DIV/01
0 0!
0 0
#DIVI01 #REFI
Cn Cn
mg/L lbs
001
001
001
001
001
001 #DIV/01
0 01 0
0 01 0
00059 #REFI
Pb Pb
mg/l Ibs
#DIV/01 #DIV/01
0 O,
0 0!
t #REFI #REFI !.
Pb Pb
mg/I lb,
00 3
00 2
00 2
00 4
0 004
0 003 #DIV/01
00 04 0
0 002 0
#REFI REFI

Hg Hg
mg/L lbs
00002
00002
0 0002
0 002
00002
00002
002
00002
0002
00002
00
02
00002
00002
00 02
00002
00002
00002 #DIV/01
00002 0
..002 0
00001 #REFI
Hg Hg
mg/L Ibs
00002
00002
00002
00002
00002
00002
00002
00002
00002
00002
Zinc be
mgll Ibs
#DIV/01 #DIV/01
0 O
0 0
#REFI #REFI!
Zinc Zinc
mg/I lbs
0 247
0 219
023
0 271
022
Ag Ag
mg/L lbs
#DIW01 MV101
0 0
1/0/1900 0
#DIV/01 #REFI
Ag Ag
mglL lb.
0 003
0 003
0 003
0 003
0 003
00002 #DIV/01 IM 02374 #DIVI010 003 #DIVI01
0 0002 0 0 271 0 0 003 0
00002 0 0 219 0 1/011900 0
00001 #REFI #REFI #REFI 00018 #REFI
NI NI
mgll lbs
#DIV/01#DIV/01
0 0
0 0
I.E.#REFI
Ni Ni
mg/I lbs
001
001
001
001
001
001 #DIVl01
0 01 0
0 01 0
#REFI #REFI
selenium Selenium
mg/I Ihs
#DIVI01 #DIV101
0 0
0 0
#DIV101 #REFI
selenium Selenium
mgll lb.
00 5
0 005
0 005
0 005
0 005
0005 #DIVI01
0 005 0
0005 0"
00029 #REFI
molybdenum molybdenu TP TP
mg/I lbs mg/I lbs
#DIV701#DIV/01 #DIV701 #DIV101
0 0 0 0
0 0 0 0
#DIVI01 ORE#REFI #REFI
molybdenum molybdenu
TP
TP
mg/1 Ibs
mg/I
lbs
002
847
0 02
113
002
131
002
20
0 02
208
002 #DP//01
1099
#DIVI01
002
0 20
0
0 02
0 208
0
00118 #REFI
#REFI
I.E.
O&G O&G
mgll lbs
51 1
76
55
115
0
89
11
73
862
56
6
401
59
54
56
539000 #DIV/01
217 0
54 0
#REFI #REFI
O&G O&G
mg/'
We
69
16
52
31
11
176
32
69
11
13
1526 11DIV101
32 0
52 0
#REFI #REFI
Phenol Phenol
mgll bs ,
#DIVI01 #DIVI01
0 0
0 0
#REFI #REFI
Phenol Phenol
mgn lbs
0 026
0 023
0 041
0 018
0 018
00252 #DIVI01
0 041 0
0 018 0
#REFI #REFI
Color 0,
#DIVI01
0
0
#REFI
a Color I
TEMP
174 m
184
189
52
175
185
15
183
185
197
222
173
205
6
25
222
1753751
25
52
#REFI
TEMP
229
254
214
235
21 6
201
21
25 9
198
183
2199
25 9
183
#REFI

P
m u m m L G S •� m W OI Oi m m O� Oi OI Oi Ol L
T N b T m u a v v co v w �o � �n u� _
m m �p _ C — — _ — — r,� m v
U � � � U

1 �
As As
mg/I lbs
0 005
'1 0 005
0 005 #DIV/01 "
0 005 0
0 005 0
#REFI # R E F I
As As
mg/I lbs
0 005
0 005
0 005
0 005
0 005
0 005#DIV/01
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0 005 0
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F
Cu Cu
i mg/I lbs
I 0 006
41 0 069
0 0375#DIV/01
0 069 0 -
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#REFI #REFI
Cu Cu
mg/I lbs
0 007
001
0 006
0 007
0 018
00096 #DIV/01
0018 p
0 006 0
#REFI #REFI
Cr Cr
jj mg/I lbs
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j 0 005
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0 005 0
0 005 0
i
3 #REFI #REF'
Cr Cr
Cr
mg/I - lbs
0 005
0 005
0 005
0 005
0 005
0 005#DIV/01
0 005 0
0 005 0
#REFI #REF!
Cd
mg/L
0 005
i 0002
00035
0 005
0 002
00001
Cd
mg/L
00002
00004
00001
00001
0 002
000056
0 002
00001
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I
WEST ROCK
Flow
BOD
BOD j
TSS
TSS
3
j
Sample Date
mgd
mg/L
lbs
mgll
lbs
,
NH3 as N
NH3 as N
3/9/2017
00098
16
7
98
III
mg/L
lbs
4/27/2017
0002815
a i9
qq
12
3 74
6/1/2017
00066
52
>I
'
197
6/6/2017
00009 /<
204
�
6/21/2017
00021 {, (
45
Average
00044
2552000
#DIV/0'
109000
#DIV101
2 855
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Maximum
00098 ,--
959
- - - 0
',g
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Minimum
00009
- -- 16-
_ 0
98
0
0
3 74
1
0
97
0
lbs/day
- 9 4563 -
#REF'
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_ #REFS
;
01058
#REF!
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4 95
5% MAHL, lbs/day
0247500
@
Influent, mg/L
Influent, lbs/day
WEST ROCK
Flow' -
BOD
BOD
- TSS
TSS
NH3 as N
NH3 as N
Sample Date
mgd
mg/L:-
lbs -
mg/I
Itis
_
mg/L
lbs
8/16/2017
00043
15 _ _
---
— g 7--- =
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3 21
8/17/2017
00031- - -
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2 24
8/22/2017
00051---
18
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8/29/2017
0 0071 __
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7 6 T
2 04
10/18/2017
001466
-152
17
3
10/23/2017
000207
-
262
10/24/2017
0 001
10/25/2017
00011
-
10/26/2017
000123
10/27/2017
0 0014
Average
00041
450000
#DIV/01
125000
#DIV/0f
2 622
#DIV/OI
Maximum
001466
152
0
236
0
Minimum
0 001
15
0
56
3 21
0
0
204
0
lbs/day
15410
#REFI
#REFI
#REFI
0 0898
#REFI
MAHL, lbs/day
495
5% MAHL, lbs/day
0247500
Influent, mg/L
Influent, lbs/day
1 �
As As
mg/I lbs
0 005
'1 0 005
0 005 #DIV/01 "
0 005 0
0 005 0
#REFI # R E F I
As As
mg/I lbs
0 005
0 005
0 005
0 005
0 005
0 005#DIV/01
0 005 0
0 005 0
#REFI #REFI
F
Cu Cu
i mg/I lbs
I 0 006
41 0 069
0 0375#DIV/01
0 069 0 -
0 006 0
#REFI #REFI
Cu Cu
mg/I lbs
0 007
001
0 006
0 007
0 018
00096 #DIV/01
0018 p
0 006 0
#REFI #REFI
Cr Cr
jj mg/I lbs
,j 0 005
j 0 005
0 005 #DIV/0I
0 005 0
0 005 0
i
3 #REFI #REF'
Cr Cr
Cr
mg/I - lbs
0 005
0 005
0 005
0 005
0 005
0 005#DIV/01
0 005 0
0 005 0
#REFI #REF!
Cd
mg/L
0 005
i 0002
00035
0 005
0 002
00001
Cd
mg/L
00002
00004
00001
00001
0 002
000056
0 002
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1
i BODBODy
TSS TSS NH3 as N NH3 €,
t
Sample Date mgd"
I
m /L IItismg/I
g
as N
lbI s mg/L lbs
As
4/25/2017 0 00642
5 5
3 6 80
mg/I
4/27/2016 0 001571.,
5
3 42 (�
38
001
5/26/2017 0 00683
_
; 0 46
,( 0 006
MAHL, lbs/day 495
5% MAHL, lbs/day 0247500
Influent, mg/L
Influent, lbs/day
PARKER
Flow Im
BOD
BOD
Sample Date
mgd
mg/L
6/12/2017
0 00801
0001013
6
0
8/29/2017
0000967
6/5/2017
0 00711
9/12/2017
_
82
(�
9/19/2017
6/26/2017
000964
#REFI
9/26/2017
000992
#
00076
10/18/2017
00004
32
Average
00024
172167
#DIV/01
Maximum
000992
35,8
0
Minimum
00004
Average
9
0 0066
�52500
#DIV/01 :#
224000
#DIV/01
044 #DIV/0I
Maximum
0 00964
-,' 56
0 g
38
00
#REFI
Minimum
0 001571
5
2
0 d
.y
68
0 j"
t
46 0
042 0[
lbs/day
02888
#REFI Vt
#REF!
#REFS
00242 #REFI
MAHL, lbs/day 495
5% MAHL, lbs/day 0247500
Influent, mg/L
Influent, lbs/day
PARKER
Flow Im
BOD
BOD
Sample Date
mgd
mg/L
lbs
8/22/2017
0001013
6
0
8/29/2017
0000967
39
001
9/12/2017
0001014
82
< 0 005
9/19/2017
0000997
174
#REFI
9/26/2017
000992
358
00076
10/18/2017
00004
32
Average
00024
172167
#DIV/01
Maximum
000992
35,8
0
Minimum
00004
39
0
lbs/day
#REFI
03425
#REFI
MAHL, lbs/day
495
0 005
0
5% MAHL, lbs/day
0247500
0 005
#REFI
Influent, mg/L
#REFI
#REFI
#REFI
Influent, lbs/day
TSS
TSS
NH3 as N
NH3 as N
mg/I
lbs
mg/L
lbs
266
0 007
1 7
0
93
0
11
001
144
00051
Oil
< 0 005
154
#REFI'#REF!
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#REFI
11
001
29
00076
11
t 0 005
584
146167
#DIV/01
1 9451667
#DIV/01
266
0
684
0
93
0
0 021
0
#REFI
#REFI
00387
#REFI
I
As Cu
Ibs mg/I
< 0 005
0 006
r
Cu ^; Cr
lbs mg/I
< 0 005
.. t 0 007
0 008
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00055
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0 006
001 -
0
0 006
0
0 007
0 006
0
0 005
0
0 005
001
00051
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#REFI
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#REFI
#REFS
As
As
Cu
Cu
Cr
mg/I _ _ _
lbs
mg/I
lbs
mg/I
001 _
00066
< 0 005
001
00051
< 0 005
001
0 005
< 0 005
001
00076
t 0 005
001
00057
0 005
0 005
0 005
0 005
0 0091667
#DIV/01
0 0058333
#DIV/01
0 005
- 0.01 -
0
00076
0
0 005
0 005
0
0 005
0
0 005
#REFI
#REFI
#REFI
#REFI
#REFI

f
Cr ( Cd
lbs mg/L
c € 0 001
< 0 002
#DIV/0€
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0;
#REF€
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lb,
#DIV/01
0
0
#REF€
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Ibs mg/L Ibs
0 013
<q 001
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0 002 0 r.
0 001 0
00001 #REFI
Cd
Cd
mg/L
lbs
0 001
mg/I
0 001
Zinc
0 001
Ag
0 001
#' ,
0 001
lbs
0 002
#DIV/01
000116667
#DIV/01
0.002
0
0 001
0
00000
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mg/I lbs mg/L
< 0 005 2 00002
0 002 < 00002
00115 #DIVIOI
0013 0
001 0
00006 #REF€<
Cn Cn
mg/L lbs
0 022
0 028
002
0 008
0 008
001
0 016 #DIV/OI
0 028 0
0 008 0
00003 #REF€
00035 #DIV/01
0 005 0
0 002 0 ,
#REFI #REFI `
Pb
Pb
mg/I
lbs
0 005
mg/I
0 005
Zinc
0 005
Ag
0 005
#' ,
0 005
lbs
0 005
#DIV/01
0 005
0
0 005
0
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#REFI
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lbs
00002 #DIV/01
00002 0 <
00002 0 F
00000 #REF€ F,
Hg
Hg
mg/L
lbs
00002
mg/I
00002
Zinc
00002
Ag
00002
#' ,
00002
lbs
00002
mg/L
00002
#DIV/01
00002
0
0.0002
0
00000
#REFI
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Zinc
Ag
Ag
mg/I
i Zinc
Zinc
a
Ag
Ag
#' ,
mg/I
lbs
<
mg/L
lbs
}
a 0567
<
12
0 005
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1 89
0 794
<
0 003
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1 62
< 0 005
<
1
1 17
< 0 003
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1 25
#DIV/01
1 2
0
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0 246
0
0 562
0
1/0/1900
1 1238333
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0 004
#DIV/01
1 89
0
0 005
0
0 246
0 , ;
1/0/1900
0
r
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00002
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Ag
Ag
mg/I
lbs
mg/L
lbs
0 775
0 005
<
0 562
0 005
<
12
[ 0 005
0 794
< 0 005
0 651
< 0 005
<
0 686
< 0 003
0 778
#DIV/01
00046667
#DIV/01
1 2
0
0 005
0
0 562
0
1/0/1900
0
#REFI
#REFI
00001
#REF!

Ni
m g/I
0 005
001
Ni selenium Selenium molybdenum molybdenu
lbs mg/I lbsmg/I lbs n,
00075 #DIV/01 #DIV/01 #DIV/01 #DIV/01
001 0- 0 0 0
0 005 0 0 0 0
#REFI #REFS #DIV/01 #REFI I #DIV/01
Ni
Ni
mg/I
lbs
0 005
TP
0 005
lbs
0 005
lbs
0 005
lbs
0 005
001
0 013
0.0063333
#DIV/01
0 013
0
0.005
0
#REFI
#REFI
TP
mg/I
25
204
f �s
TP,1 O&G O&G i Phenol Phenol
lbs mg/I lbs ,; mg/I lbs
227 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01
25 0 0 0 0 0
204 0 0 0 0 0
#REFI #REFf I #REFI #REFI #REFI #REFI
selenium
Seleniummolybdenum
mg/I Ibs
molybdenu
TP
TP
mg/l
lbs
mg/I
lbs
mg/I -
lbs
001
001
0 005
1 7
001
0 005
14
001
0 005
18
001
0 005
1 8
001
0005
23
731
001
#DIV/01
0 005
#DIV/01
27183333-
#DIV/01
001
0
0005
0
731
0
001
0
0 005
0
1.4
0
0.0002
#REF!
00001
#REF!
#REFI
#REFI
O&G O&G
Phenol Phenol
mg/I Ibs
mg/I lbs
52
0017
5
1
001
10
001
76
001
5
001
6.56 #DIV/01
10 0
5 0
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00114 #DIV/01
0.017 0
001 0
#REFI #REF!
; Color
R #DIV/01
0
0'
#REFI
Color
#DIV/01
0
0
#REF!

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Everest Textile Flow BOD BOD [` TSS
Sample Date mgd mg/L lbs mg/I
5/31/2017
6/30/2017
7/31/2017 e
TSS NH3 as N NH3 as N
lbs mg/L lbs
Average - #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01
Maximum 0 0 0 0 0 000- 0
Minimum 0 0 0 0 0 0 0
lbs/day #DIVI01 #REFI #REFI #REFI #DIV/01 #REFI
MAHL, lbs/day 4 95
5% MAHL, lbs/day 0.247500
Influent, mg/L
Influent, lbs/day
Everest
Flow
BOD
BOD
TSS
TSS
NH3 as N
NH3 as N
Sample Date
mgd
mg/L
lbs
mg/I
lbs
mg/L
lbs
8/31/2017
#DIV/01
9/30/2017
#DIV/01 _=
#DIV/01
#DIV/01 =#DIV/0'
0
0
0
0
10/31/2017
0
0
0
0
0
0
0
11/14/2017
0018033
195
#REFI
98
#REFI
036
12/6/2017
004
396
35
As
63
Cu
12/15/2017
Cr
921
lbs
153
lbs
28
lbs
Average
0.0290
1692000
#DIVI01
200333
#DIV/O!
31533333 -
#DIV/01
Maximum
0.04
396
0
35
0
6.30'
0
Minimum
0.018033
19.5
0
9.8
0
0.36
0
Itis/day
0
409460
#REF!
#REF!
#REFI
07631
#REF!
MAHL, lbs/day
495
"
0
#REFI
�F
#REFI
#REFI
#REF!
5% MAHL, lbs/day
0.247500
Influent, mg/L
Influent, lbs/day
As
As
Cu
Cu "
- Cr -_ - Cr . �-
mgll
lbs i
mg/I
lbs
mg/I --
lbs
r
os,
#DIV/01
#DIV/01
#DIV/01 _=
#DIV/01
#DIV/01 =#DIV/0'
0
0
0
0
0
0
0
0
0
0
0
0
#REFI
#REFI
#REFI
#REFI
#REFI
#REFI
As
As
Cu
Cu
Cr
Cr
mg/I
lbs
mg/I
lbs
mg/I
lbs
001
00097
001
0 005
0 009
0 006
001
0 005
00062
<
0.0083333 ',
#DIV/01
0.0079
#DIVI01
00074
#DIV/01
001
0
00097
0
001
0
0.005 -
0
0.005
0
0.006
0
#REFI
�F
#REFI
#REFI
#REF!
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#REFI
V-- _

Cd Cd ` Cn Cn
mg/L lbs f e mg/L lbs'
#DIV/01 #DIV/01 #DIV/01 #DIV/01
0 0 0 0
0 0 0 0
#DIV/01 #REFI #DIV/01 #REFI
Cd
Cd
Cn
Cn
mg/L
lbs
mg/L
lbs
0 001
00084
#DIVI01
0002
0
001
0
0 001
1
0 008
00059
0.0013333-
#DIV/01
0.0088
#DIV/01
0 002
0
001
0
0 001
0
0.008
0
0.0003
#REFI
00021
#REFI
Pb Pb II Hg Hg
mg/I lbs 1, mg/L lbs
#DIV/01 #DIV/0I #DIV/01 #DIV/01
0 0 0 0
0 0 0 0
#REFI #REFI #DIV/01 #REFI
Pb
Pb
mg/l
Itis
0 005
Ni
0 002
mg/I
0 005
0.004
#DIVI01
0.005
0
0.002
0
#REFI
#REFI
Hg
Hg
mg/L
lbs
00002
Ni
00002
mg/I
00002
00002
#DIV/01
00002
0
00002
0
00000
#REFI
Zinc Zinc 1 I Ag Ag �,S Ni Ni
mg/I lbs mg/L lbs mg/I lbs z
i
1 #DIV/01 #DIV/01' #DIV/0! #DIV/01 #DIV/01 #DIV/0l
0 0 0 0 0 0
0 0 1/0/1900 0 0 0
#REFI #REFI #DIV/01 #REFI #REFI #REFI
Zinc
Zinc
Ag
Ag
Ni
NI
mg/I
lbs
mg/L
lbs
mg/I
lbs
0 112
'4
0 005
00059
0 253
0 003
001
0 143
e
0 005
I
00055
01693333
#DIV/01
0.0043333
#DIV/01
0.0071333
#DIV/01
0.253
0
0.005
0
Dol
0
0.112
0
1/0/1900
0
00056
0
#REFI
#REFS
00010
#REF!
#REFI
#REFS

r 2 I
selenium Selenium !molybdenum molybdenum TP TP
mg/I lbs(,-mg/I lbs mg/I lbs
#DIV/0I _ #DIV/01
0 0
0 0<
#DIV/01 #REFI
selenium
Selenium
mg/I
lbs
001
<
0 005
<
001
<
000833
#DIV/01
001
0
0.005
0
-00020
#REFI
#DIVI01 #DIV/01 r�, #DIV/OI #DIV/01
0 0 0 0
0 0 0 0�
#DIV/01 #REFI #REFI #REFI
molybdenum
molybdenu
TP
TP
mg/I
lbs
mg/I
lbs
0 005
8 5333333
33
#DIVI01
002
0
098
0
0 005
#REFI
09
0.01
#DIV/0117266667
#DIV/01
002
0
33
0
0 005
0
0 9
0
00024
#REFI
#REFI
#REFI
O&G O&G
mg/I lbs is
#DIV/0I #DIV/01
0 0'
0 0
#REFI #REFI
O&G O&G
mg/I lbs
#DIV/01 #DIV/01
0 0
0 0
#REFI #REFI
A Phenol Phenol
A, mg/I Ibs d_
#DIV/01 #DIV/01
0 0�
0 0
#REFI #REFI
Phenol
Phenol
mg/I
lbs
0 011
66 U
0 076
99 1
0 013
8 5333333
00333333
#DIVI01
0 076
0
0 011
0
#REFI
#REFI
I Color
Color
#DIV/0I
0
0
#REFI
TEMP {I PH —
13
#DIV/01 #DIV/01
0 � 0
0 0
#REFI #REFI
TEMP
PH _
245
91 1
212
66 U
215
99 1
22.4
8 5333333
245
99
212
66
#REFI
#REFI

Industrial User Wastewater Survey 000 a`
& Permit Application
y
Part V, Waste Reduction Information
State Pretreatment Rule 15A NCAC 2H.091.6 (c)(1)(NI) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge. F
lloerrintinn
�Ml ■ L.11L
W 13
Improved maintenance scheduling recordkee in , or procedures
W14
Changed production schedule to minimize equipment and feedstock
changeovers
W19
Other changes in operating ractices (explain briefly in comments)
W21
Instituted procedures to ensure that materials do not stay in inventory
beyond shelf -life
W22
Began to test outdated material -continue to use if still effective
W23
Eliminated shelf -life requirements for stable materials
W24
Instituted better labeling procedures
W25
Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29
Other changes in Inventory control (explain briefl in comments
W31
Improved storage or stacking procedures
W32
improved rocedures for loading, unloading and transfer operations
W33
Installed overflow alarms or automatic shutoff valves
W34
Installed secondary containment
W35
Installed vapor recovery systems
W36
Implemented inspection or monitoring program of potential spill or
leak sources
W39
Others ill and leak prevention (explain briefly in comments)
W41
Increased purity of raw materials
W42
Substituted raw materials
W49
Other raw material modifications (explain briefly in comments)
W51
Instituted recirculation within a process
I ule IU Wastewater Survey & Permit Application
Filename C \Documents and Settings\Admnistrator\Desktop\FCWWTP Pretreatment FilesTretreatment Fdes\Downloads\[WS_Permrt App doc

fa 4°'\ Industrial User Wastewater Survey
0 00 & Permit Application
Current
Projected
Code
escry tionV
Description V
W52
Modified equipment, layout, or piping'
W53
Use of a different process catalyst
W54
Instituted better controls on operating bulk containers to minimi. .
discarding of empty containers _
W55
Changed from small volume containers to bulk containers to
minimize discarding of empty containers
W58
Other process modifications (explain briefly in comments)
W59
Modified stripping / cleaning equipment
W60
Changed to mechanical stripping / cleaning devices (from solvents of
other materials)
W61
Chan ed to a ueous cleaners from solvents or other materials)
W62
Reduced the number of solvents used to make waste more amenahlc
to rec cling _
W63
Modified containment procedures for cleaning units
W64
Improved draining procedures
W65
Redesigned parts racks to reduce dry out
W66
Modified or installed rinses stems
W67
Improved rinse equipment. design_
W68
Improved rinse a ui mentoperation
W71
Other cleaning and degreasing operation (explain briefly in comments)
W72
Modified spray sstems orequipment —
W73
Substituted coating materials used
W74
improved a licatton techniques
W75
Changed from s ra to others stem
W78
Other surface preparation and finishing (explain briefly in comment,
W81
Changed product specifications
W82
Modified design or composition of product
W83
Modified packaging._...
W89
Other roduct modifications (ex lain briefly in comments)
W99
Other (specify in comments.).,.
Comments (Please list corresponding code)
I the IU Wastewater Survey & Permit Application
File name C \Documents and Settmm
gs�AdmistratorlDesktoplFCW W TP Pretreatment FdesTretreatmen[ Files�Do�mloads\IWS_ Permit AppPavgc I h 1

V FF 0oo`'
Industrial User' Wastewater Survey
& Permit Application
Part V, Waste Reduction Information
State Pretreatment Rule 15A NCAC 21-1.0916 (c)(1)(M) requires Significant industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Proiected Code Description
ritle lU Wastewater Survey & Pernut Application
Filename C1UserslMPatnckiAppDatalLocallMlcrosofllWmdowslTemporary Internet FlleslCon[ent outlookTSR2PJOMlWS_Penn Ii App I .docs
W13
Improved maintenance scheduling recordkee in , or procedures
W14
Changed production schedule to minimize equipment and feedstock
changeovers
W19
Other changes in operating practices (explain briefly in comments)
W21
Instituted procedures to ensure that materials do not stay in inventon
beyond shelf -life
W22
Began to test outdated matenal-continue to use if still effective
W23
Eliminated shelf -life requirements for stable materials
W24
Instituted better labeling procedures
W25
Instituted clearinghouse to exchange materials that would otherw i ,c
be discarded
W29
Other changes in Inventory control (explain briefly to comments)
W31
improved storage or stacking procedures
W32
Improved procedures for loading, unloading and transfer operation,,,
W33
Installed overflow alarms or automatic shutoff valves
W34
Installed secondary containment _
W35
Installed vapor recovery systems
W36
Implemented inspection or monitoring program of potential spill or
leak sources
W39
Others ill and leak prevention (explain brieft in comments)
W41
Increased punity of raw materials
W42
Substituted raw materials
W49
Other raw material modifications (explain briefly in comments)
W51
Instituted recirculation within a process
ritle lU Wastewater Survey & Pernut Application
Filename C1UserslMPatnckiAppDatalLocallMlcrosofllWmdowslTemporary Internet FlleslCon[ent outlookTSR2PJOMlWS_Penn Ii App I .docs

Qoo�-
Industrial [User Wastewater Survey
& Permit Application
Current
Projected
Code
Description
W52
Modified equipment, layout, or piptnS
W53
Use of a different process catalyst
.�
W54
Instituted better controls on operating bulk containers to minimize
discarding of empty containers
W55
Changed from small volume containers to bulk containers to
minimize discarding of empty containers
W58
Other process modifications (explain briefly in comments)
W59
Modified stripping / cleaning equipment
W60
Changed to mechanical stripping / cleaning devices (from solvents or
other materials)
W61
Changed to aqueous cleaners ( from solvents or other materials)
W62
Reduced the number of solvents used to make waste more amenable
to recycling
W63
Modified containment procedures for cleaning units
W64
Im roved drainin rocedures
W65
Redesi ed parts racks to reduce dra out
W66
Modified or installed rinses stems
W67
improved rinse equipment desi nom, _
W68
Improved rinse equipment operation
W71
Other cleaning and deEeasing operation (explain briefly in comments)
W72
Modified spray sstems orequipment
W73
Substituted coating materials used
W74
improved application techniques.
W75
Changed from spray to other system
W78
Other surface preparation and finishing (ex lain briefly in comrnct�t�}
W81
Chan ed roduct s ecifications
W82
Modified design or composition of product
W83
Modified packaging
W89
Other product modifications (explain briefly in comments)
W99
Other (specify in comments )
Comments (Please list corresponding code)
Title KJ Wastewater Survey & Permit Application I docs
1.. ,1_ r, . u nna.. Rnx�.,d.,.��1Tcmnnrary intemet Files Content 0ut1(KQl3S82PJ06VWS Permit APPI

W04 ROC �
Industrial User Wastewater Survey o 0 p S
& Permit Application
Part V, Waste Reduction Information
State Pretreatment Rule 15A NCAC 2H.0916 (c)(1)(M) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Pro'ected Code Description
W13 Im roved maintenance schedulin recordkee in , or rocedures
W14 Changed production schedule to minimize equipment and feedstock
_L__ - -
W19
Other changes in operating ractices (ex Iain briefl in comments)
W21
Instituted procedures to ensure that materials do not stay in inventory
beyond shelf -life
W22
Bean to test outdated material -continue to use if still effective
W23
Eliminated shelf -life requirements for stable materials
W24
Instituted better labelffiLl cedures
W25
Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29
Other changes in Inventoa control (explain briefly in comments)
X W31
Improved stora a or stacking rocedures
W32
Improved rocedures for loading, unloading and transfer operations
W33
Installed overflow alarms or automatic shutoff valves
X W34
Installed secondary containment
W35
Installed vapor recovery systems
W36
Implemented inspection or monitoring program of potential spill or
leak sources
_ W39
Others ill and leak prevention (explain briefl in comments)
W41
Increased uriof raw materials
W42
Substituted raw materials
W49
Other raw material modifications (explain briefly in comments)
W51
Instituted recirculation within a process
Title lU Wastewater Survcy &Permit Application
File name C 1USerslwg717091AppDataAppli lMicrosoftlWmdowslTemporary I%C et FileslContmt Outlook1Q64BMC1IWs_Permtt App AGI Instorc
2012Nov doc
Revision date 12/30/97
Page 17 of 18

I,{Je5 � RdGf'( 000 s
Industrial User Wastewater Survey
& Permit Application
Current
Projected
Code
Description
W52
Modified equipment, la out, or piping
W53
Use of a different process catalyst
W54
Instituted better controls on operating bulk containers to minimize
discarding of err_tpty containers
W55
Changed from small volume containers to bulk containers to
minimize discardingof empty containers
W58
Other process modifications (explain briefly in comments)
W59
Modified stripping / cleaning equipment
W60
Changed to mechanical stripping / cleaning devices (from solvents or
other materials)
W61
Changed to aqueous cleaners ( from solvents or other materials)
W62
Reduced the number of solvents used to make waste more amenable
to recycling
W63
Modified containment procedures for cleaning units
X
W64
Improved draini!!g procedures
W65
Redesigned parts racks to reduce dra out E
W66
Modified or installed rinses stems
W67
Improved rinse equipment desi
W68
Improved rinse equipment oeration
W71
Other cleaning and degmasing operation (explain briefly in comments)
W72
Modified spray systems orequipment
W73
Substituted coating materials used
W74
Improved application techniques
W75
Changed from spray to other system
W78
Other surfacere aration and finishing (explain briefly in comments)
W81
Changed product specifications
W82
Modified desi2 or com osition of product
W83
Modified packaging
W89
Other product modifications (explain briefly in comments)
W99
Other (specify in comments )
Comments (Please list corresponding code)
Page 18 of 18

PCi. r K-e
Industrial User Wastewater Survey
& Permit Application
Part V, Waste Reduction Information :
State Pretreatment Rule 15A NCAC 2H.0916 (c)(l)(M) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Proiected Cnrle nocerintinn
W24
Instituted better labelin procedures
W13
lin roved maintenance scheduling recordkee in , or procedures
W29
Other char es in Inventory control (explain briefly in comments)
W14
�Changcd production schedule to minimize equipment and feedstock
changeovers
W32
Improved procedures for loading, unloading and transfer operations
W19
Other cha>a es in operatipg practices (explain briefly in comments)
W34
Installed secon,4M containment
W21
Instituted procedures to ensure that materials do not stay in inventory
beyond shelf -life
W36
Implemented inspection or monitoring program of potential spill or
leak sources
W22
Began to test outdated material -continue to use if still effective
W41
W23
Eliminated shelf -life requirements for stable materials
W24
Instituted better labelin procedures
W25
Instituted cleannghouse to exchange materials that would otherwise
be discarded
W29
Other char es in Inventory control (explain briefly in comments)
W31
1
Improved storage or stacking procedures
W32
Improved procedures for loading, unloading and transfer operations
4� W33
Installed overflow alarms or automatic shutoff valves
W34
Installed secon,4M containment
W35
Installed vapor recovery systems
W36
Implemented inspection or monitoring program of potential spill or
leak sources
W39
Others ill and leak prevention (explain briefly in comments) `
W41
Increased punity of raw materials
W42
Substituted raw materials ,
W49
Other raw material modifications (explain briefly in comments)
W51
Instituted recirculation within a process ►'
Title IU Wastewater Survey & Pernttt Application
File name C \Users\Sonny\Desktop\FCWWTP PIetreatment\Pretreatment Flles\Downloads\IWS Permit App doc
Revision date 12/30/97
Pag(, ) 7 of 18

Industrial User Wastewater Survey
& Permit Application
Pa" r�r
C7 0 0 G
Current Pro'ected Code
W52
W53
W54
W55
W58
W59
Description
Modified equipment, la out, or nining
Use of a different process catalyst
Instituted better controls on operating bulk containers to minimize
discardmg of empty containers
Changed from small volume containers to bulk containers to
minimize discarding of empty containers
Other process modifications (explain briefly in comments)
Modified stn in / cleaning a ut rnent
W60
Changed to mechanical stripping / cleaning devices (from solvents or
other materials
W61
Changed to aqueous cleaners ( from solvents or other materials)
W62
Reduced the number of solvents used to make waste more amenable
to recycling
W63
Modified containment procedures for cleaning units
W64
_
__Improved draining procedures
W65
Redesigned, parts racks to reduce dra out j
W66
Modified or installed rinse systems
W67
Im roved rinse a ui ment desi
W68
lmm roved nnse equipment oeration
W71
Other cleaning and degreasing operation (explain briefly in comments)
W72
Modified spray systems or eq ui ment
W73
Substituted coatillg materials used
W74
Improved application techniques
W75
Changed from spLay sprayto other s stem
W78
Other surface re aration and finishrn (explain briefly to comments)
W81
Changed product specifications
W82
Modified design or coin ositron of roduct
W83
Modified packaging
W89
Other product modifications (explain briefly in comments)
W99
Other (specify in comments )
Comments (Please list corresponding code)
ip o - Pi,
-1 the M Wastewater Survey & Permit Application
File name C•\Users\Sonny\Desktop\PCWWTP Pretreatment\Pretreatment Fdes\DownloadsllWS Perinit App doc
Revision date, 12/30/97 Page 19 of 18

I
Part V, Wasi
Industrial, User Wastewater Survey
I& Permit Application
Reduction Information
State Pretreatment Rule 15A NCAC 21-1 0916 .(c)(1)(M) ,requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Proiected Code nescrintion
Title IU Wastewater Survey;& Pernut Application
File name C 1Users\allisonl\AppData\Loca1\Microsoft\Windows\'temporary Internet Files\Content Outlook\AOCQLUlMWastewater discharge
survey - 170202.docx
Revision date 12/30/97 , Page 17 of 18
W13
Improved maintenance scheduling recordkee ing, or procedures
W14
Changed production schedule to minimize equipment and feedstock
changeovers
W19
Other changes in operating practices (explain briefly In comments)
W21
Instituted procedures to ensure that materials do not stay in inventory
beyond shelf -life
W22
Began to test outdated material -continue to use if still effective
W23
Eliminated shelf -life requirements for stable materials
W24
Instituted better labeling procedures
W25
Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29
Other changes in Inventory control (explain briefly in comments)
W31
Improved storage or stacking procedures
W32
Improved procedures for loading, unloading and transfer operations
W33
Installed overflow alarms or automatic shutoff valves
W34
Installed secondary containment
X
W35
Installed vapor recovery systems
W36
Implemented inspection or monitoring program of potential spill or
leak sources
W39
Others ill and leak prevention (explain briefly in comments)
W41
Increased purity of raw materials
W42
' Substituted raw materials
W49
Other raw material modifications (explain briefly in comments)
X
W51
Instituted recirculation within a process
Title IU Wastewater Survey;& Pernut Application
File name C 1Users\allisonl\AppData\Loca1\Microsoft\Windows\'temporary Internet Files\Content Outlook\AOCQLUlMWastewater discharge
survey - 170202.docx
Revision date 12/30/97 , Page 17 of 18

i
Industrial ,User Wastewater Survey
&Permit Application
I Current I Proiected I Code I nescrintinn
00C)l
Comments (Please list corresponding code)
7 rtle IU Wastewater Survey & Permit Application
file name C\Userslalhsonl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content Outlook\AOCQGULV\Wastewater discharge survey -
170202.docx
Revision date 12/30/97 Page 18 o1 18
W52
Modified e ui ment, layout, or piping
W53
Use of a different process catalyst
W54
I
Instituted be'tter'eontrols on operating bulk containers to minimize
discarding of empty containers
W55
Changed from small volume containers to bulk containers to
minimize discarding of empty containers
W58
Other process modifications (explain briefly in comments)
W59
Modified stripping / cleaning equipment
W60
Changed to mechanical stripping / cleaning devices (from solvents or
other materials)
X
W61
Changed to aqueous cleaners ( from solvents or other materials)
W62
Reduced the number of solvents used to make waste more amenable
to recycling
W63
Modified containment procedures for cleaning units
W64
Improved draining procedures
W65
Redesigned parts racks to reduce dragout
W66
Modified or installed rinse systems
W67
Improved rinse e ui ment,design
W68
Improved rinse equipment operation
W71
Other cleaning and degreasing operation (explain briefly to comments)
W72
Modified spray systems or equipment
W73
Substituted coating materials used
W74
Improved application techniques
W75
Changed from spray to other system
W78
Other surface preparation and finishing (explain briefly In comments)
W81
Changed product specifications
W82
Modified design or composition of product
W83
Modified packaging
W89
Other product modifications (explain briefly in comments)
W99' I
Other (specify in comments )
Comments (Please list corresponding code)
7 rtle IU Wastewater Survey & Permit Application
file name C\Userslalhsonl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content Outlook\AOCQGULV\Wastewater discharge survey -
170202.docx
Revision date 12/30/97 Page 18 o1 18

Workbook Name: 2017 9-29-2017 Forest City. HWAATDes ig n. 2016 modification; Worksheet Namp,ntjdyl1A1811e59 PM
Modeled after Chapter 5-HWA Guidance, Appendix 5-A
Revision Date February 2008
A I B
C
D
E F I G I H I
J K
1
Headworks Analysts Spreadsheet
2
POTW Name FGR W1 P
Spreadsheet Instructions
1) Applicable Values should be entered in the Heavy Bordered Blue cells The rest of worksheet is
3
Date
10 10 2016
protected password is 2"
4
POTW NPDES # =>
NCO025984
2) Additional pollutants can be added in cells A34 to A42 Note all Pollutant names
are linked from
5
POTW Sludge Permit # =>
WQ0010926
here to other pages in HWA worksheet and also to AT worksheet (i e , automatically entered into
other pages in HWA worksheet and also AT worksheet from HWA worksheet)
7
POTW NPDES Permitted Flow(MGD) 4 95 -sed m AT ai,
3) Formulas are discussed in the Comprehensive Guidance HWA Chapter
8
POTW Average Flow(MGD)
1 45e
-dui HWA talc an ns 4) HWA AT and HASL worksheets are linked MAHLs Basis, and Uncontrollable load are
9
Uncontrollable Flow(MGD)
1 3481
automatically entered into AT from this worksheet
5) If red tab notes are not visible, they can be turned on in the "Tools" menu under'
options", in the
10
7Q 10 Stream Flow(MGD)
2248
"view" tab click the "comment indicator only" button
11
StreatnClassification
WS4V
13
Class of Sludge generated (A, or B)
14
Sludge to Dtgestor Flow(MGD)
15
Sludge to Disposal Flow(MGD)
Through calc for different POTW
use Design
16
° oSohds to Disposal—
Flows
Design Values Average Floes I Permitted Flow
Criteria
Loading
17
Sludge Site Area(acres)
WWTF Influent BOD (mg/1) 300 1314 4 3864
X
18
Sludge Site Life(yrs)
WWTF Influent TSS (mg/I) 300 1345 3 3954
X
19
Age of Sludge Site(yrs)
WWTF Influent NH3 (mg/1) 30 1515 2 445.4
X
20
WWTF Influent Total N(mg/1)
21
Pass -Through Loading Calculations
WWTF Influent Total P (mg/1)
Stream Standard
Pass-Thru Minimum
NPDES LIMIT
Plant Removal
Removal rate
NPDES Loading Standard StreamLoading Design Criteria
Loading Pass-Thru
23
Pollutant (mg/I)
Rate (%)
Source
(lbs/day) (mg/1) Standard Source (lbs/day) Loading (lbs/day)
(lbs/day) Basis
24
BOD 25 5
9806
DMR
1595025 12,385
12,385 Design
25
TSS 30
97 77
DMR
1632471 12,385
12,385 Design
26
Ammonia 10
9934
LTMP
18385 91 1,238
1,238 Design
27
Arsenic
45
LIT
0 001 CLASS WS 03629
03629 Stream Std
28
Cadmium
67
LIT
0 002 CLASS WS 1 2098
1 2098 Stream Std
29
Chromium
82
LIT
005 CLASS WS 554494
554494 Stream Std
30
Copper
77 92
L1 MP
31
Cyanide 0 022
69
DMR
08612
08612 NPDES
32
Lead
61
DMR/LTMP
0 025 CLASS WS 127960
127960 Stream Std
33
Mercury
60
LIT
0000012 CLASS WS 000599
000599 Stream Std
34
Molybdenum
33
LIT
35
Nickel
42
LIT
0 025 CLASS WS 86042
86042 Stream Std
36
Selenium
50
LTMP/LIT
0 005 CLASS WS 1 9962
19962 Stream Std
37
Silver
75
LIT
38
Zinc
7485
LTMP
39
Total Nitrogen
40
Total Phos 1
43 15 LTMP
41
Phenol
724 LTMP
0 3 CLASS WS 2169760
216 9760 Stream Std
42
d
43
e
44
f
45
46
It
47
1
Modeled after Chapter 5-HWA Guidance, Appendix 5-A
Revision Date February 2008

Workbook Name: 2017 9-29-2017 Forest City.HWAATDesign. 2016 modification; Worksheet Namp,nt,Hyg&8, 11e59 PM
A
B
C
D E
F
G
H I
1 K
49
50
51 Inhibition Loading Calculations
Average hifluent NHI (mg/1)
Average Anaerobic Digester NH, (mg/1)
only enter when have ANAEROBIC digester
52 Pollutant
Primary
Removal Rate
(%)
Primary
Removal Rate
Source
A S /Nit fT F A S /Nit, lr F
Inhibition Inhibition
Concentration Concentration
(mg/1) Source
A S /Nit,/T F
Inhibition
Loading
(lbs/day)
Digestor
Inhibition
Concentration
(mg/1)
Digestor
Inhibition Digestor Inhibition
Cone Source Loading(Ibs/day)
Minimum Minimum
Inhibition inhibition
Loading Loading
(lbs/day) Source
53 BOD
54 TSS
55 Ammonia
480 Act Sludge
5824 6560
582466 AS/Nit/TF i
56 Arsenic
0 1 Act Sludge
1 2135
1 2135 AS/Nit/TF i
57 Cadmium
1 Act Sludge
12 1347
12 1347 AS/Nit/TF i
58 Chromium
1
0 394 Nitrification
47811
47811 AS/Nit/TF ir
59 Copper
048 Nitrification
58247
58247 AS/Nit/TF i
60 Cyanide
0 1 Act Sludge
12135
1 2135 AS/Nit/TF i
61 Lead
05 Nitrification
60674
60674 AS/Nit/TF i
62 Mercury
0 1 Act Sludge
12135
1 2135 AS/Nit/TF i
63 Molybdenum
64 Nickel
025 Nitrification
30337
30337 AS/Nit/TF i
65 Selenium
66 Silver
025 Act Sludge
30337
30337 AS/Nit/TF i
67 Zinc
1 Act Sludge
12 1347
12 1347 AS/Nit/TF it
68 Total Nitrogen
69 Total Phos
70 Phenol
71 d
72 e
73 f
74 g
75 It
76 I
Modeled after Chapter 5-HWA Guidance, Appendix 5-A
Revision Date February 2008

Workbook Name: 2017 9-29-2017 Forest City.HWAATDesign. 2016 modification; Worksheet NamKAYNA18a159PM
A
B
C
D
E
F
G
H
I
J
K
77
78 Sludge Loading Calculations
79 Pollutant
Sludge Ceding
Concentration
Limit (mg/kg)
Sludge Ceding
Load
(lbstday)
Sludge Ceding
Load
- HASL Calc -
(lbs day)
Cumulative Sludge
Rate Limit
(lbs (acre -life))
Cumulative
Sludge Loading
(lbs day)
Class A Limits
Monthly
Average Rate
Limit (mg/kg)
Class A Limits
Monthly Avg
Loading
(lbs day)
Class A Limits
Mon As g Load -
HASL Calc -
(lbs day)
Minimum
Sludge
Loading
(lbs day)
Minimum
Sludge
Loading
Sorce
80 IBOD
81 ITSS
82 Anunoma
83 Arsenic
75
36
41
No Criteria
84 Cadrnnun
85
0 46
34
39
No Criteria
85 Chromium
86 Copper
4300
1338
1500
No Criteria
87 Cyanide
88 Lead
840
267
300
No Criteria
89 Mercury
571
15
17
No Criteria
90 Mol bdenum
751
No Criteria
91 Nickel
420
374
420
No Criteria
92 Selemum
100
89
100
No Criteria
93 Silver
94 Zinc
7500
1 1 12
2498
2800
No Criteria
95 Total Nitro en
96 Total Phos
97 Phenol
98 d
99 e
100 f
101
102 It
1031
104
Modeled after Chapter 5-HWA Guidance, Appendix 5-A
Revision Date February 2008

Workbook Name: 2017 9-29-2017 Forest City.HWAATDesign. 2016 modification; Worksheet Namgnn,Hft1$a,,4of1 59 5
A t3 C
105 Maximum Allowable Headworks Loading Calculations
D E F G
H
I J K
Allowable Maximum Allowable
Headworks Headworks Loading
Loading (lbs day)
Source
12384 9 Design
12384 9 Desi
1238 5 Desi
0 3629 Stream Std
1 2098 Stream Std
-47811 AS/N,% inhibition
5 8247 AS/N!t/TF inhibition
0 8612 NPDES
60674 AS/Nit/TF inhibition
0 00599 Stream Std
3 0337 AS/Nit/TF inhibition
1 9962 Stream Std
3 0337 AS/Nit/TF inhibition
12 1347 AS/Ntt/TF inhibition
2169760 Stream Std
Minimum Pass Minimum Minimum Minimum Minimum
Through Loading Pass Through Inhibition Loading Inhibition Loading Sludge Loading Sludge Loading
106 (lbs day) Source (lbs da) Source (lbs day) Sorce
BOD 12384 9 Des
108 TSS12384 9.Design
109 Ammonia1238 5 Desi 5824 6.)60 AS/Nit TF inhibiti
110 Arsenic 03629 Stream Std 1 2135 AS/Nit/TF inhibits
111 Cadmmm1 2098 Stream Std 12 1347 AS/Nit/TF inhibits
11 2 Cliromium 55 4494 Stream Std 47811 AS/Nit/TF inhibits
Co er -58247 AS/Nit/TF inhibits
114 Cyanide 113
0 8612 NPDES 1 2135 AS/Nit/TF inlubiti
115 Lead 12 7960 Stream Std 60674 AS/Nit/TF inhibits
116 Merc 0 00599 Stream Std -12135 AS/Nit/TF ndtibiti
117 Molybdenum
118 Nickel 8 6042 Stream Std 3 0337 AS/Ni[/TF inhibin
119 Selemum 1 9962 Stream Std
120 Silver 3 0337 AS/Nit/TF inhibin
121 Zinc 12 1347 AS/Nit/TF itihibih
122 Total Nitro en
123 Total Phos
124 Phenol 217 0 Stream Std
125 d
126 e
127 f
128ig
129 h
130 I
131
Modeled after Chapter 5-HWA Guidance, Appendix 5-A
Revision Date February 2008

Workbook Name: 2017 9.29-2017 Forest City.HWAATDesign. 2016 modification; Worksheet Namg, tHW, ,AI 9e59 f 5 `
Modeled after Chapter 5-HWA Guidance, Appendix 5-A
Revision Date February 2008

Workbook Name : 2017 9-29-2017 Forest City. HWAATDesig n. 2016 modification, Worksheet Ngiwl� jkEr201-8, 159 PM
Page 1 of 5
Allocation Table
NCO025984
Headworks last approved
10/10!16
Allocation Table updated
10/29/17
Permits last modified
04/01/17
dPDES#=>
NCO025984
Design Design
12385 12395
2811 2811
9574 9574
7073 7073
2501 2501
261%26.1 /
0. 22 o/
o
49500
FLOW
BOD
Industry
Type
IUP
Count
INDUSTRY NAMES
(please list alphabetsii)
Permit
number
Pipe
number
1
WestRock Converting Company
0005
0001
2
EATON AEROQUIP
0002
0001
3
PARKER HANNIFIN
0006
0001
4
VALLEY FINE FOODS
0002
0001
5
Everest
0009
0001
6
lbs/da
mg/1
lbs/da
7
02/28/18
5/1/15, 10/1
02/28/18 1
005001
50,000
8
93 83
15000
6255
02/01/16
9
02/01/20 1
00750
75,000
15638
10
78 19
433
02/28/13
05/01/15
02/28/18
00250
Column Totals =>
225 0046
Basis=>
MAHL from HWA (lbs/day) =>
Uncontrollable Loading (lbs/day) =>
Total Allowable for Industry (MAIL) (lbs/day) =>
Total Permitted to Industry (lbs/day) =>
MAIL left (lbs/day) =>
Percent Allow Ind (MAIL) still available (%) =>
Percent MAHL still available (%) =>
5 Percent MARL (lbs/dav) =>
HWA AT
Revised November 2005
Spreadsheet Instructions
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
3) HWA and AT worksheets in this workbook are linked Pollutant Names, MAHI-s, Basis, and Uncontrollable load
in this AT worksheet are automatically entered from the HWA spreadsheet This includes pollutant names in
columns AT through BK
175001 1,7
NPDES Permitted Flow-->
NPDES
Design Design
12385 12395
2811 2811
9574 9574
7073 7073
2501 2501
261%26.1 /
0. 22 o/
o
49500
FLOW
BOD
TSS
Type
Renewal
Modification
Date
Permit Limits
Permit
Limits
Pernvt
Limits
of
Effective
Effective
Permit
Conc
Load
Conc
Load
idustry
Date
Date
Expires
MGD
al/da
mg/1
lbs/da
mg/1
lbs/da
3 &46
02/28/18
5/1/15, 10/1
02/28/18 1
005001
50,000
22500
93 83
15000
6255
02/01/16
02/01/20 1
00750
75,000
15638
78 19
433
02/28/13
05/01/15
02/28/18
00250
25,000
225 0046
91
15000
3128
02/02/13
0/15, 5/1/15,
02/28/18
0 1000
100,000
100000
E834 00
100000
83400
04/01/17
02/28/20
1 5000
1,500,000
475 00
594225
485 00
6067 35
175001 1,7
NPDES Permitted Flow-->
NPDES
Design Design
12385 12395
2811 2811
9574 9574
7073 7073
2501 2501
261%26.1 /
0. 22 o/
o
49500
13481
36019
1 7500
1 8519
514%
37.4%
024751 J 619 r 619

Workbook Name: 2017 9-29-2017 Forest City. HWAATDesig n. 2016 modification, Worksheet Named AEt2018, 159 PM
Page 2 of 5
Allocation Table
Headworks last approved
10/10/16
Allocation Table updated
10/29/17
Permits last modified
04/01/17
VPDES#=>I NC0025984
HWA AT
Revised November 2005
Ammonia
Arsenic
Cadmium
Chromium
Copper
1UP
Industry
INDUSTRY NAMES Permit
Permit Limits
Permit Limits
Permit Limits
Permit Limits
--- -
Permit Limits
Count (pl-.IMWph.bnd3) number
Pipe
number
Cone Load
mg/1 lbs/da
Cone Load
Cone Load
Cone Load
Cone Load
1
WestRock Converting Com an 0005
0001
mg/I lbs/da
mg/1 lbs/da
mg/1 lbs/da
mg/1 lbs/da
2
EATON AEROQUIP 0002
0001
Monitor
Monitor
0 1000 00417
02500 0 1043
05 000 02085
3
PARKER HANNIFIN 0006
0001
970
Monitor
Monitor
Monitor
4
VALLEY FINE FOODS 0002
0001
10000 83 40
Monitor
02500 00521
1 2500 02606
5
Everest 0009
0001
490 61299
Monitor
Monitor
Monitor
6
Monitor
7
8
9
10
Column Totals =>
706
00000
0 0417
0.15641
046911
Basis=>Stream
Design
Stream Std
Std
AS/NIVTF
AS/Nit/TF
MAHL from HWA (lbs/day) =>
123849
03629
inhibition
inhibition
Uncontrollable Loading (lbs/day) =>
281 08
12098
47811
5.8247
=
Total Allowable for Indus MAIL lbs/da >
(MAIL) (
0 0337
0 0337
0 0292
0 6858
y)
Total Permitted to Industry (lbs/day) =>
957 41
03292
1 1761
47518
5 1388
MAIL left (lbs/day) =>
706
251.32
0
0 3292
00417
0 1564
0 4691
Percent Allow Ind (MAIL) still available (%) =>
1 1344
45955
46697
Percent MAHL still available (%) =>
263 %
1000 /°
965%
96.7%
203%
90.7%
938%96.1
.1
%5
mn",
Percent MAHL (lbs/da =>
61 92
0 0181
0.0605
0
HWA AT
Revised November 2005

Workbook Name : 2017 9-29-2017 Forest City. HWAATDesig n. 2016 modification, Worksheet Naifd AEV2-018, 1 59 PM
Page 3 of 5
Allocation Table
Headworks last approved 10/10/16
Allocation Table updated 10/29/17
Permits last modified 04/01/17
POTW=> r q– w w it
NPDES#=> NC0025984
Permit Limits Permit Limits
Cone Load
Industry
mg/1 lbs/da
IUP
INDUSTRY NAMES
Permit
Pipe
Count
(please hst alphabeua)
number
number
1
WestRock Converting Com any
0005
0001
2
EATON AEROQUIP
0002
0001
3
PARKER HANNIFIN
00060001
0002616
4
VALLEY FINE FOODS
0002
0001
5
Everest
0009
0001
6
0002616
Percent Allow Ind (MAIL) still available (%) –>
7
95 8%
1000%
#######
8
356%
950%
437%
9
5 Percent MAHL (lbs/day) =>
001 1
03034
10
Column Totals =>
Permit Limits Permit Limits
Cone Load
Cone Load
mg/1 lbs/da
m I lbs/da
0 1500 00626
0 1500 0 062
Cone Load
0 156
0 1500 003131
0 15001 0 031
iviercury
Molybdenum
Nickel
Permit Limits
Permit Limits
Permit Limits
Cone Load
Cone Load
Cone Load
mg/1 lbs/da
m l lbs/da
m l lbs/da
Monitor
Momtor0
50-0-01-0 2085
Monitor
00250
0 062-6
Momtor
00371
0 50001 0 1043
HWA AT
Revised November 2005
03751
AS/Nit/TF
inhibition
3 033;
0 088E
2944S
03754
2 569f
873°/
847°/
0-1-51 i
AS/Nit/TF
Basis=>
NPDES
inhibition
Stream Std
MAHL from HWA (lbs/day) =>
08612
60674
0005989
Uncontrollable Loading (lbs/day) =>
04610
00551
0003373
00371
Total Allowable for Industry (MAIL) (lbs/day) =>
04002
6.0123
0002616
Total Permitted to Industry (lbs/day) =>
00938
02502
0
00250
MAIL left (lbs/day) =>
03064
57620
0002616
Percent Allow Ind (MAIL) still available (%) –>
766%1
95 8%
1000%
#######
Percent MARL still available (%) =>
356%
950%
437%
#######
5 Percent MAHL (lbs/day) =>
001 1
03034
0 Oon299
HWA AT
Revised November 2005
03751
AS/Nit/TF
inhibition
3 033;
0 088E
2944S
03754
2 569f
873°/
847°/
0-1-51 i

Workbook Name: 2017 9-29-2017 Forest City. HWAATDesig n. 2016 modification, Worksheet NEW61 AT2018, 1 59 PM
Page 4 of 5
Allocation Table
Headworks last approved
10/10/16
Allocation Table updated
10/29/17
Permits last modified
r 04/01/17
JPDES#—>I NC0025984
HWA AT
Revised November 2005
Selenium
Silver
Zinc
Total Nitrogen
Total Phos.
Phenol
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
(please Inst oIphabemi)) number
number
m I lbs/da
mg/1 lbs/da
mg/1 lbs/da
mg/1 lbs/da
m I lbs/da
m I lbs/da
1
WestRock Convertin Com any 0005
0001
0 1000 00417
148001 06172
250
Monitor
2
EATON AEROQUIP 0002
0001 1
Monitor
1 06255
06255
3
PARKER HANNIFIN 0006
0001
148001 03086
1000
Monitor
4
VALLEY FINE FOODS 0002
0001
5
Everest 0009
0001
Monitor
Monitor
I Monitor
I
--Morutorl
Monitor'
6
7
8
9
IZi�
-
Column Totals =>
00000
0 0417
1 5512
1 000
000
06255
Stream
AS/Nlt/TF
AS/NIt/TF
Stream
Basis=>
Std
lnhlbdlon
lnhlblhon
Std
MAHL from HWA (lbs/day) =>
1 9962
30337
12.1347
2169760
Uncontrollable Loading (lbs/day) =>
00540
00562
19676
7236
03553
Total Allowable for Industry (MAIL) (lbs/day) =>
1 9422
29775
10 1671
2166207
Total Permitted to Industry (lbs/day) =>
0
00417
15512
000
0
06255
MAIL left (lbs/day) =>
1 9422
29358
86159
2159952
Percent
Allow Ind (MAIL) still available (%) =>
1000%
9860/(
8470%
#######
#######
997%
Percent MAHL still available (%) =>
97 3 °o
96 8 %
710 %
#######
#######
99 5
5 Percent MAHL (lbs/da =>
0 0998
0 1517
0 6067
10.8488
HWA AT
Revised November 2005

Workbook Name : 2017 9-29-2017 Forest City. HWAATDesig n. 2016 modification, Worksheet NPah%d AIY2018, 1 59 PM
Page 5 of 5
Allocation Table
Headworks last approved
1 10/10/16
Allocation Table updated
F 10/29/17
Permits last modified
04/01/17
NCO025984
Column Totals =>
Basis=>
MAHL from HWA (lbs/day) _>
Uncontrollable Loading (lbs/day) =>
Total Allowable for Industry (MAIL) (lbs/day) =>
Total Permitted to Industry (lbs/day) =>
MAIL left (lbs/day) =>
Percent Allow Ind (MAIL) still available (°o) =>
Percent MAHL still available (%) =>
5 Percent MAHL (lbs/dav) =>
HWA AT
Revised November 2005
TTO OIL & GREASE
Permit Limits Permit Limits
Pipe Conc Load Conc Load
number mg/1 lbs day mg/1 lbs da
0001 2 1300 08882 500000 208500
0001
0001 2 1300 04441 Monitor
0001 1 150 0000 125 1000
1 3323
562 1577
1.33231 1 1459500
####### I #VALUE1
#######I I #VALUEi
Industry
IUP
INDUSTRY NAMES
Permit
Count
(please list alphabeuciy)
number
1
WestRock Converting Com any
0005
2
EATON AEROQUIP
0002
3
PARKER HANNIFIN
0006
4
VALLEY FINE FOODS
0002
5
Everest
0009
6
7
8
9
10
Column Totals =>
Basis=>
MAHL from HWA (lbs/day) _>
Uncontrollable Loading (lbs/day) =>
Total Allowable for Industry (MAIL) (lbs/day) =>
Total Permitted to Industry (lbs/day) =>
MAIL left (lbs/day) =>
Percent Allow Ind (MAIL) still available (°o) =>
Percent MAHL still available (%) =>
5 Percent MAHL (lbs/dav) =>
HWA AT
Revised November 2005
TTO OIL & GREASE
Permit Limits Permit Limits
Pipe Conc Load Conc Load
number mg/1 lbs day mg/1 lbs da
0001 2 1300 08882 500000 208500
0001
0001 2 1300 04441 Monitor
0001 1 150 0000 125 1000
1 3323
562 1577
1.33231 1 1459500
####### I #VALUE1
#######I I #VALUEi

Name 2017 9-29-2017 Forest City HWAATDeslgn 2016 modification, Worksheet Name HASL
Headworks Addendum for Sludge Loadings (HASL) worksheet
POTW Name =>
FC\\ "ITP
Lead
EEt
POTW NPDES # =>
Mercury
\C 0025984
from most recent
POTW Sludge Permit # =>
Flag if
\\'00010926
% of
Date =>
the most heavily
10/10/2016
than
POTW Average Flow =>
Limit
1 46
mgd
Avg sludge flow to Disposal =>
Concentrations
0
mgd
Average % Solids to Disposal =>
100% of
0 00
%
Sludge Site Area permitted =>
Limit
0
acres
CUMULATIVE
SLUDGE
POLLUTANT I LOADING LIMITS
lbs/acre
Cadmium
Spreadsheet Instructions
=
I ) Data entered only in Heav} Bordered cells Rest of v%orksheet is protected MAHL_sv
password is "2"
This spreadsheet changes based on the class of sludge generated inputted in
II C13 of the HWA spreadsheet The title and the limits in column G of this
readsheet are updated automatically
3) Formulas in Comprehensive Guidance HWA Chapter Section K
CUMULATIVE
428 000
Lead
EEt
LOADING data
Mercury
from most recent
1 000
Flag if
Sludge Report for
% of
Greater
the most heavily
Cumulative
than
loaded field'
Limit
80%
lbs/acre
Flag if >
Concentrations
t-opper
428 000
Lead
EEt
Mercury
Molybdenum
1 000
Nickel
374
Selemum
Zinc
89
')dou
IF Greater than 80% Flag POTW MUST SUBMIT
LAND APP & METALS MANAGEMENT PLANn/a
Page 1 of 1
Printed 2/8/2018 1 59 PM
8 34) / ( %_adl )
Q_potw = Average POTW flow (mgd)
C_mf = Average influent concentration (mgd)
%_adl = Per percentage of Sludge Limit as decimal
(example enter 117% as 1 17)
8 34 = Conversion Farfnr
4300
428 000
100 %
Flag if >
167 obb
199 %
Enter actual
1 000
80% of
75
0619
MAXIMUM SLUDGE
% of
Applicable
26
Sludge Ceding
CONC from most
Applicable
Ceiling
Flag if >
Concentrations
recent Sludge Report
Ceding Cone
Cone
100% of
or LTMP Data
Limit
Limit
the Limit
mg/dry kg
m /d k
%
Flag
Flag
ELimits
75
0 250
03 %
85
0 649
0 8
4300
428 000
100 %
840
167 obb
199 %
57
1 000
18 %
75
0619
08 %
420
11 100
26
100
10 300
103 %
7500 1
1842 000
246 %
If Greater than 80% of the concentration limit POTW
MUST SUBMIT METALS MANAGEMENT PLAN n/a
Calculate MAHL_sv
based on % of
Monthly Average
Concentration Limits
Enter Average to Protect Sludge
POTW Influent Quality (insert these
Cone values into HWA)
010501 18.2021
0 001 0 7946
If over ceding cone
POTW must reduce
MAHLn/a
The most heavily loaded field is determined for each polluntant indivlsually, and 1s the field that contains the highest amount (lbs/acre) of that polluntant

Pretreatment Program Info )Mabase
for Program Name Forest City
WWTP Name Town of Forest City
Program Approval Date 03/15/1983
Pretreatment Status Full
Region ARO
County Rutherford
NPDES Number
printed on: 12/18/2017
�, /o at 7Q10 18 05 IWC
Stream Information °
7Q10 Flow cfs / mgd 348 / 2248
1Q10 Flow cfs / mgd 2862 / 1849
Stream Classification WS -IV
Basin Number BRD02
Receiving Stream Name SECOND BROAD RIVER
NC0025984
NPDES Effective Date 04/01/2016
Last PAR Rec 02/15/2017
PAR Due Date 03/01/2018
mercury
NPDES Expire Date 07/31/2019
Current; Fiscal
spenson@townofforestcity com
1631
required
ORC
Year PCI Done
8043
es
POTW is Primary WWTP TRUE
Last Audit on 02/09/2017
Audit Year �ext21/22
11 1/26/2010
Design Flow mgd 49500 % Design mgd is SIU permitted 35 35
Permitted SIU flow (mgd) [Pt SIU) 1 75
WWTP SIU's Program SIUs
1
P O Box 728
8043
WWTP CI U's Program CIUs
Mr Jacob Hodge jPrim
HWA LTMP�
IWS SUO
ERP
date Inactive Date Next Due
03/01/2019
09/01/2018
lacobhodge@townofforestcity com
Date Received by DWR
08/17/2016 02/22/2013
09/18/2013 12/31/2012
02/22/2013
Date Approved
10/10/2016 05/01/2013
12/12/2013 02/25/2013
05/01/2013
Adopt Date Required
thomwilson 1 @gmail com
Date Adopted
PO Box 728
02/18/2013
Info in this Box from Fit Contacts
Date
Date Date
PT Pro
Attended
Attended Attended
Formal Name g Prime Phonel
ext Fax HWA Wkso
IUP Wksn PAR Wkcn
Mr Sonny Penson 1 11(828)
248-5217
[phone]
11 1 1/26/2010
spenson@townofforestcity com
ORC
I PO Box 728 1
8043
Mr Jeff Dotson 1 11(828)
248-5217
1 1(828) 247-1626
11 1/26/2010
1
P O Box 728
8043
Mr Jacob Hodge jPrim
828-223-9138
11 10/24/2013 6/13/2012
lacobhodge@townofforestcity com
Pretreatment Coordinator
PO Box 728
8043
Mr Thomas Wilson
6/13/2012
thomwilson 1 @gmail com
PO Box 728
8043
WI
Pretreatment Related NOVs from
DWR Central Office Contact Mvien Zhong
DWR Regional Contact Linda Wiggs

§rk6
REPORT
•
2010 2011 2012 2013 2014 2015 2016
1st half 12nd half 1st half 12nd half 1st half 12nd half 1st half 12nd half 1st half 12nd half 1st half 12nd half 1st half 12nd half
arker Hannifin PrevlousNames
IUP # 0006 Pipe # 1 SIU Word Description
metals
IUP—Status Active
Reporting Ix I I I I
Zinc I I I XI XIX
An 'X' in a semi-annual period indicates snc for the period for the respective parameter
RINTED ON 12/18/2017 This information is compiled from many sources, and has not been verified PAGE 26
Contact the local pretreatment coordinator or state pretreatment staff if errors are noted.

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM ^
Ask the operator to describe pretreatment system.
I • , Does operator seem knowledgable about the system? ES NO Comments.
2•( Are all units operational?. )V/ NO
3.How often does operator/maintenance erson check system?
4. Is there an operator for each shift? ( N
5.`1 How and when is sludge disposed of9 ow a
6. 1� there a schedule for preventative maintenance? To/ NO coo/• L-5 4,.,.,o-,-
Com ments:
PART II - Plant Tour Section C - SAMPLING POINTS) AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? )0qO If yes, name of lab.
2. If industry completes sampling, ask he industry representative to describe sampling procedures.
Comments:
3. Is flow measurement equipment operational? *E&4+4G-,Comments: u h'�
4. Is there a calibration log for the flow meter? ents:
Comments:
PART III - EXIT INTERVIEW
Review monitoring records and oder SIU records required by IUP.
1. Are files well organized? YkW NO Comments:
2. Are sample collection / chain -of -custody forms filled out properly? e NO Comments: _
3. Do results in files agree with reports sent to POTW? e
NO Comments:
4. Who hauthorityto shut down production should a spill or slug discharge oc ur9
$� h MN -S
Ali 6(4. 10 E-
5. How does SIU inform employees of whom to tali at POTW In case of spill/slug?
t= S S t.�e.�— if slug/spill plan is already required by POTW, review procedures.
6. Is SIU implementing slug/spill plan? Ye/ NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed?
Comments, Required Or Recommended Actions:g.—
Signature Of Inspectors)
Date-
Date:
Title SIU Inpsection Form
File name COMP.INSP App 7-D
Revision data. August 1. 1994 Page
r'1

/"",1
SIU INSPECTION FORM
Name Of Industry: Foc( IUP # 000 !4
Address Of industry: IUP Expiration Date:
asoy tit
Industry Representatives: / Till�} t 1 1
7A40,16 `'foo�4�i r�i7'itc.'Iy�.�w� BOG
POTW Reresentatives: Title
4 F b re. tl H e,y. 1,-Qe.�✓
Date Of Inspection: 11- a k — 1-7 Time Of Inspection: 00(or) 4 wpm
Purpose of Inspection: Annual Other Describe)
POTW to which IU discharges F't.y
C 1v 77 NPDES # AIC oo aS 9drK
Is SIU currently in SNC? NC) If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product
YES / t&
Raw materials used
YES /
Manufacturing processes
YES/W
T
Categorical, if applicable
YES / NO
Production rate
YES /
Number of employees
YES /
Number of shifts YES / NO cL4:.# , 01
Comments.
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there
are drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1. Are there flfloor drat in the production area? ��NO Wherp do they go?
2. Are production areas diked, contained, or othe"e constructed in
W WTP, especially from spills or slugs? YES / M Comments: _
6001 ICIa
a wayas to prevent harm to the
3. Are there floor drains in the storage area? YES / NO Where do they go?
4. Are storage tanks and areas diked, contained, or otherwise constructed in such a way as torevent harm
to the W WTP, especially from spills or slugs? In/NO Comments: 0-% Ap- 01^
5. Are process and storage tanks and pipes labeled? jfs / NO
6. How are off -spec raw materials, and products disposed of? -fare l•
7.• When is the production area cleaned? 31A chi 14-
8. Is the wastewater from cleaning the production area discharged tone POTW? / NO
9. What non -process wastewaters are discharged to POTW? oma, 4.,C -
Comments: <<
Comments:
Title SIU Inpsecuon Forth
File name COMP INSP App 7-D
Revision data August 1. 1994
Page I

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? FPNO Comments:
2. Are all units operational? 1LEt / NO
3. How often does operator/maintenance person check system? I
4. Is there an operator for each shift? Y45$/ NO /
5. How and when is sludge disposed of?/VC' 164e
4e
6. Is there a schedule for preventative maintenance? YES f -Ne /ti tine a rif'C
Comments:
PART II - Plant Tour Section C - SAMPLING POINT(S) AND FLOW
MEASUREMENT
(Collect a sample if desired.)
I. Does an outside lab complete sampling? YQIO If yes, name of lab. ar-
t. If industry completes sampling, ask the industry representative to describe sampling procedures.
Comments:
3. Is flow measurement equipment operational? -N&- Comments: W v
4. Is there a calibration log for the flow meter? YE371MI Comments:
Comments:
PART III - EXIT INTERVIEW
Review monitoring records aner SIU records required by IUP.
1. Are files well organized? AT.V1 NO Comments:
2. Are sample collection / chain -of -custody forms filled out properly? W..99 / NO Comments:
3 Do results in files agree with reports sent to POTW? Yt�' / NO Comments:
4. Who has authority, to,shgt dqwn production shpuld a spill orlslug dischar&e occur?
5. How does SIU inform employeeWf v,Ihohi to`scall at POTW in case of spill/slug?
Pl kac
If slug/spill plan is already required by POTW, review procedures.
6. Is SIU implementing,slug/spill plan? VZ�) _NO Comments: r.,1061
Ae-w f e / +tit r
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YaJ NO l
Comments, Required Or Recommended Actions: (' a•ti� lit a 6 e0%er
Signature Of Inspectors) Date:
Date: /11•.1
Title SIU Inpsection Form
File name. COMP MSP App 7-D
Revision data: August 1, 1994 Page 2

SI U INSPECTION FORM
Name Of Industry:
W floe k IUP # __ o�
Address Of Industry: R76
r
ilt 5 t�. E,r� lUP Expiration Date:
F%, -,o31-
cit u .UG afrU�f 3 aiaur� If
Industry Representatives:
Title
A/1-esn b6p-Av-
POTWse_niptives. . 1r
6t0A
J Title 1 La
oLGCv
f �K.+ ' Coodf!l•
Date Of Inspection: I I - 0-1k Time Of inspection: /O:aa wpm
Purpose of Inspection: Annual
I-,,- Other (Describe)
POTW to which IU discharges
—To F L ryW7'1-'l NPDES # Cao x jcfyq—
Is SIU currently in SNC? NU
If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
Product
YES /Q COMMENTS
Raw materials used
YES/0
Manufacturing processes
YES / NO
Categorical, if applicable
YE / NO
Production rate
&/ NO I eadoti
Number of employees
YES / NO 30
Number of shifts YES/NO 3 kd lion ^&
Comments.
5 ki f b l y vaccwyl�w+:�
PART ti - PLANT TOUR - Visit all areas where wastewater is generated or where there
are drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1 Are there floor drains in the production area? / NO Where do they go?
2 Arc production areas diked, contained, or otherwise constructed in such a way as preve tt harm to the
W WTP, especially from spills or slugs? YES / IQComments: ^ Irn,Wc 6ik�l� )_
W W —�-r
3 Are there floor drains to the storage area? �S NO Where do they go? To 1='C W W j5-
4 Are storage tanks and areas diked, contained, or otherwise constructed in such a way as to prevent harm
to the W WTP, especially from spills or slugs? �/ NO Comments:
5. Are process and storage tanks and pipes labeled? ice/ NO
6. How are off -spec raw materials, and products disposed of? U-Aeaa,/ Wad ls—
7.• When is the production area cleaned? 0wi l
8. Is the wastewater from cleaning the production area disch ed to -the--POTW?
9 What non -process wastewaters are discharged to POTW? /
t
Comments:
f ►tle SIU lnpsectton Form
File name COMP INSP App )-D
Revision data August I. 1994 pap I

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? )Q/ NO Comments:
2.
3.
4.
5.
Are all units operational?. / NO
How often does operator/maintenance person check system?
Is there an operator for each shift? Ygl NO
How and when is sludge disposed of?
bow OA g r,a1i4n
6. Is there a schedule for preventative maintenance? YES / NO AJIA- S �
Comments:
PART 19 - Plant Tour Section C - SAMPLING POINT(S) AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? � NO If yes, name of lab. R#56,,s ti-- Ca Uco.�
2. If industry completes sampling, ask the industry representative to describe sampling procedures.
Comments:
3. Is flow measurement equipment operational? / NO Comments:
4. Is there a calibration log for the flow meter? Y LW NO Comments:
Comments:
PART III - EXIT INTERVIEW
Review monitoring records and other SIU records required by IUP.
I Are files well organized? �,E / NO Comments:
2. Are sample collection / cham-of-custody forms filled out properly? )19/ NO Comments: .
3. Do results in files agree with reports sent to POTW? � /NO Comments:
If slug/spm plan is already "64u. I%- POTW, review procedures
6. Is SIU implementing slug/spill plan? j. / NO Comments:
Comments:
INSPECTION RESULTS �
Slug/Spill Control Plan Needed? YES / NO
Comments, Required Or Recommended Actions: Tti A 4GG Sale- 0% a 4 o Ne
Signature Of Inspector(s)
Title. SIU �psection Forth
File name COMP.1NSP App 7-D
Revision d LM: August 1, 1494
I
Date: 1 f - 01-0 -1 :;z
Date:
Page 2
/..s
/09�
ka

G
SI U INSPECTION FORINT
Name Of Industry: IUP # man s
Address Of Industry: ,;« S f
r"h • G� ti oY 3 IUP Expiration Date:
Indus? Representatives:t�
Title ,
POTW Re resentatiX ` Tit®le 1 1 /
f> _ Pre�JG�f,%to l{ CooedfA&16,,
Date Of Inspection: 11- a-1-1'] Time Of Inspection: D 9 C, G
Purpose of Inspection: Annual Offer (Describe) wpm
POTW to which IU discharges __FC W !v r NPDES # A,1 C 0 o J -S q y
Is SIU currently in SNC? R D Ifyes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
Product YES/W COMMENTS
Raw materials used YES /
Manufacturing processes YES / NO
Categorical, if applicable YES / NO
Production rate YES / XD
Number of employees YES / NO —�
Number of shifts YES/ NO l
y a Kl d- 3 A/
Comments. Phr4 jute dit1-1 VA res
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there
are drains to the,POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
I . Are there floor drains in the production area? YES / e Where do they go?
2. Are production areas diked, contained, or otherwise constructed in such a way as to preveltt harm to the
W WTP, especially from spills or slugs? NO Comments:
3 Are there floor drains in the storage area? YES/ Where do they go?
4. Are storage tanks and areas diked, contained, or otherwise constructed in such away as to prevent harm
to the W WTP, especially from spills or slugs? Yom.©/ NO Comments:
5. Are process and storage tanks and pipes labeled?
6. How are off -spec raw materials, and products dist
P/ I? NO
O-JL. -aL16�
i.• when is the production area cleaned?
8 Is the wastewater from cleaning the production area aischarged to the/ POTW? YES / NO
W?
9. What non -process wastewaters are discharged to POT_lJextrL7 . e M,
p r o iG.•
Comments:
7 file' SIU Inpsecuon Form
File name COMP INSP App 7-D
Revision data August 1. 1994
Page 1

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM /'+ti
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? `9 / NO Comments:
2. Are all units operational? / NO ,
3. How often does operator/maintenance person check system? l o�l�'i rl r v S to il" k /wAyi.1
4. Is there an operator for each shift? 1/ NO
5. How and when is sludge disposed of? ✓L S
6. Is there a schedule for preventative maintenance? �/ NO
Comments: U,n r -e, u 1 eon 1-4 oy Inc 4116; YK µ;f -1'5
PART II - Plant Tour Section C - SAMPLING POINT(S) AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling?/ NO If yes, name of lab. P"' ot
2. If industry completes sampling, ask the ind� w
representative to describe sampling procedures.
Comments:
3. Is flow measurement equipment operational? Ye/ NO Comments:
4. Is there a calibration log for the flow metef? E / NO Comments:
Continents:
PART III - EXIT INTERVIEW
Review monitoring records and other SIU records required by IUP.
I . Are files well organized? <!=—Ep/ NO Comments:
2. Are sample collection / chain -of -custody forms filled out properly?/ NO Comments: .
3. Do results in files agree with reports sent to POTW? arO/ NO Comments.
4. Who has authority to shut down production should a spill or slug discharge occur?
r� 5e, PM 94. 1. v-4&UE:� -"7
5. How does SIU inform employees of whom to call at POTW in case of s ill/slug?
E Vi 5 G -e-4 'A4"A-
lf slug/spill plan is already required by POTW, review procedures.
6. Is SIU implementing slug/spill plan? 4PNO Comments:hiaor,
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? jfg�,/ NO U i
Comments, Required Or Recommended Actions: F10- gilt' A!$ JV c A G o 0�
Signature Of Inspectors)
Date: fl- 9-1-1.?
Date:
Title S[U Inpsecnon Form
File name. COMP.INSP App 7-13
Revision data. August 1, 1994 1' Z
Gly

W414�j $jV41'5
Sa w p ILk 600k
-
l r'3 4
6
ciorc,
/+\
SIU INSPECTION FORM
Name Of Industry:
Address Of Industry: IUP # O010 Cl
l�oirrf G: H , l IUP Expiration Date:
Industry Representativ s: Tit e
D l2ML G I 4W1 1Z. e. 11 MOA
POTW Re resentatives: Title
Date Of'Inspection: I I - a a -1-7 Time Of Inspection: 13 7 U
Purpose of Inspection: Annual Other (Describe),,, r ems"
POTW to which IU discharges _�� W w 'r!° —�'
Is SIU currently in SNC? A10If yes, for what? NPDES # _,v
PART I -INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product
YES /
Raw materials used
YES / NO
Manufacturing processes
XM NO
p (� Categorical, if applicable
Production
YES / NO
rate
W/ NO
Number of employees
YES / NO
Number of shifts YES / NO
Comments.
I g,
gpp �• 1
praac
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there
are drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
I Are there floor drains in the production area?<tor NO Where do they go?
2. Are production areas diked, contained, or otherwise constructed in such a way as to prevent harm to the
W WTP, especially from spills or slugs? YES / N -Comments: rk., Id
tw
J. n,G mere poor drams in the storage area? YES / NO Where do they go? rt
4 Are storage tanks and areas diked, contained, or oche se constructed in such a way as to prevent harm
to the W WTP, especially from spills or slugs? YES/ >� Comments:
5. Are process and storage tanks and pipes labeled? YES / NO
6 How are off -spec raw materials, and products disposed or
,/1 CoItS lvcf,'„t
7.• When is the production area cleaned? -
8. is the wastewater from cleaning the productionarea discharged to the POTW?
9. What non -process wastewaters are discharged to POTW? _QUA" r c 10
Comments:
Title SlU Inpsecnon Form
File name- COMP INSP App 7-1)
Revision data August I. 1994

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? / NO Comments:
2. Are all units operational? YES /(SD
3. How often does operator/maintenance rson check system? N. '- `1
4. Is there an operator for each shin? II,/ NO ^'S 1� 3� #A P14,4-
5. How and when is sludge disposed ofd
6. Is there a schedule for preventative maintenance? YES /W cz-,d ¢,-.-L 4v. -,j
Comments:
PART II - Plant Tour Section C - SAMPLING POINTS) AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES / NO If yes, name of lab. PA Ce
2. If industry completes sampling, ask the industry representative to describe sampling procedures.
Comments:
3. Is flow measurement equipment operational? YES / NO Comments:
4. is there a calibration log for the flow meter`? YES / NO Comments:
Comments:
W
PART III - EXIT INTERVIEW
Review monitoring records and other SIU records required by IUP. m
1. Are files well organized? YES /M� , Comments: . S !- G.4- rv:•r/tts..�., yr►oKA S a/' r h 1" �P�
2. Are sample collection / chain -o ody forms fill out props y? )(M NO Comments: _
3. Do results in files agree with reportslsent to f oTW? ents:
4. Who hhppthgri(y to shut down production should a spill or slug discharge occur?
5. How does SIU inform dmplojecs oAwhgm to call at POTW i6 case of spill/slug?
If slug/spill plan is already required by POTW, review procedures.
6. Is SIU implementing slug/spill plan?(:g5/ NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES / NO
Comments, Required Or Recommended Actions,
Signature Of Inspector(s)
Title SIU Inpseclton Fonn
File name COMP.NSP App 7-D
Revision data August I. 1994
Date:
ate:
Page 2
/"1

i
SIU INSPECTION FORM
Name Of Industry: ed ed IUP # 00 C
� Address Of Industry: o —�'-
Crg �tlC ahUK 3 IUP Expiration Date:
a -a g d• a v
A
lnduj Representatives:
Saw Je I Wallno4
POTW Representatives: l��(
Title
NV'ai w•J�"l
Twe
r/e fear ac, � C[�✓G�
Date Of Inspection. 3 -1-1 b Time Of Inspe ion:
Purpose of Inspection: Annual Othe;(Describe) wAk
POTW to which IU discharges FC wU/ V NPC
Is SIU currently in SNC? NO If yes, for what?
ae*
# AIC 00 k 17 Sit
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or lUP application in the following:
COMMENTS
Product YES / NO
Raw materials used YES / NO
Manufacturing processes YES / NO
Categorical, if applicable YES / NO
Production rate YES / NO�a;
Number of employees YES / AVO Q
Number of shifts YES / NO
Comments:
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there
are drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? �/ NO Where do they go?
L. Are production areas diked, contained, or otherwise constructed in such a way as Lto prevent h to the
WWTP, especially from spills or slugs? YES /M Comments: Sk�li woi tC;tc, p,,, �(o•,-.
Y/
3 Are there floor drains in the storage area? YES / NO Where do they go?
. A. 1
4. Are storage tanks and areasf_Se'e
iiked, contained, orth
oerwise constructed in such a way as to prevent harm
to the WWTP, especially from lls or sl gs? YES / 10 Comments:
A &.6
5. Are process and storage tanks and pipes labeled? YES / NO
6 How are off -spec raw materials, and products disposed or ___$ { t�(� relit r'n, P1.a!L11
7 • When is the production area cleaned?—
�
B. Is the wastewater from cleaning the production area discharged to the POTW? / NO
9. What non -process wastewaters are discharged to POTW? C
Comments. a yl 1',t e
(.(/a f � . i q (.t%x.A ✓ r'.�� nt — -f
(5 d; (�✓ .a C -a pku 17
lire aiu mpsecuon roan
File name COMP 1NSP App 7-D
Revision data August I. 1994
Page I

A
SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? W—/ NO Comments:
2. Are all units operational? YES /
3. How often does operator/mainten�
4. Is there an operator for each shift?
5. How and when is sludge disposed
person check system? S , * l 1 '1R+a r`ti i
01 NO 55
d//A-
6, is there a schedule for preventative maintenance? YES / XV
Comments:
PART II - Plant Tour Section C - SAMPLING POINT(S) AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES / NO If yes, name of lab.
2. If industry completes sampling, ask the industry representative to describe sampling procedure?.
Comments: �/� 4e.- rM a 41 A to l ir, be- rod 7, 2 L ar y S 4 A X
3. Is flow measureQ en equit iprnpnt operational? YES/NO Comments:
4 Is there a calibration log for the flow meter? YES / NO Comments:
Comments: /`e ^-, 4"'1114 + 5a'-11 � C -016,, -
PART
cr
PART III - EXIT INTERVIEW
Review monitoring records and other SIU records required by IU.
1. Are files well organized? YES/NO Comments: Ne; Aon
2. Are sample collection /chain -of -custody forms filled out properly? /NO''Comments:
3. Do results in fries agree with reports sent to POTW? 4$ / NO Comments:
4. Who has authorA'tyto,ght#,down puction should�spi); or slug disch ge occur?
1•7 w # 'to i clow, w e- GIVA 30L 10% Q i, I�ll�n�oN
5. How does SIU inform employees of whom td call at POTW in case of spill/slug?-
If slug/spill plan is already required by POTW, review procedures.
6. Is SIU implementing slug/spill plan? YAP NO Continents: T T��_-�c
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES / NO
Comments, Required Or Recommended Actions:
Signature Of Inspectors)
Date:
Date:
Title, S1U Inpsection Form
File name: COMP.INSP App 7-D
Revision data. August 1, 1994 Page 2
rm—Q
W