NC0020605_Pretreatment Annual Report_20190110

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EST 111 1 1760
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January 10, 2019
Vivian Zhong
NC-DENR, DWQ
Pretreatment Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Ms. Zhong:
I am enclosing two (2) copies of our PAR report. If you have any questions, please call me at
[phone].
Sincerely,
Oi264'--
Michael Allen
Wastewater Treatment Plant Supervisor
MA:Ik
RECEIVE®/DENR/DWR
Enclosures
JAN162019
Water Resources
Permitting Section

AL
Sly u 1760
Town of Tarboro (NPDES#NC0020605)
2018 PAR Narrative
General Information:
General program information:
The information on the historical SNC Sheet is correct.
General permit information:
All SIU permits are current. Glenoit Mills closed in March 2018. The Hillshire Brands
Company was bought out by KSLB Holdings, LLC and the name of industry was changed
to Sara Lee Frozen Bakery. There are now two SIU's and one CIU.
SIU Information:
Johnson Controls (IUP#TOT-006)
Johnson Controls had a NOV issued for COD in October and a Notice of Non-Compliance issued
in November,for failure to submit the semi-annual Total Toxic Organics (TTO) certification,for
the January 2018 thru June 2018 reporting period. A TTO certification for the January 2018 thru
June 2018 and one for the July 2018 thru December 2018 was provided later in November.
Glenoit Mills(IUP#TOT-002)
This industry closed in March. A SIU drop request was submitted and approved in May.
Mayo Knitting Mills(IUP#TOT-003)
Mayo Knitting Mills continues to be conscientious about complying with their permit limits.
Sara Lee Frozen Bakery(IUP#TOT-0010)
This industry was taken over by KSLB Holdings, LLC and the name change on their permit was
done on July 15, 2018. In October they requested that the name on permit be changed to Sara
Lee Frozen Bakery from KSLB Holdings, LLC. A second permit was issued on October 15, 2018.

1

Pretreatment Program Info Database printed on: 12/13/2018
for Program Name Tarboro
WWTP Name Town of Tarboro Stream Information IWC%at 7Q10 7.92
Program Approval Date 09/09/1983 7Q10 Flow cfs/mgd 90 / 58.14
Pretreatment Status 1Q10 Flow cfs/mgd 73.52 / 47.51
Full Stream Classification C-NSW
Region RRO Basin Number TAR03
County Edgecombe \ Receiving Stream Name TAR RIVER l
NPDES Number NC0020605
NPDES Effective Date Last PAR Rec 01/22/2018 PAR Due Date 03/01/2018 mercury
03/01/2016 1631
NPDES Expire Date Current Fiscal required
P 09/30/2019 Year PCI Done
POTW is Primary WWTP TRUE Last Audit on 09/19/2014 Audit Year Next 18/19 yes
Design Flow mgd 5.0000 %Design mgd is SIU permitted 11.80 Permitted SIU flow(mgd)[Pt_SIU) .59
WWTP SIU's 4 Program Sills 14
WWTP CIU's 1 Program CIUs 1 HWA LTMP IWS SUO ERP
date Inactive Date Next Due 11/01/2023 I 11/01/2019
Date Received by DWR 05/02/2018 02/24/2016 09/19/2014 10/19/2012 09/24/2008
Date Approved 06/28/2018 03/04/2016 02/16/2015 10/22/2012 11/24/2008
Adopt Date Required
Date Adopted 09/10/2012
Info in this Box from Pt Contacts
Date Date Date
PT Pro Attended Attended Attended
Formal Name g.Prime Phonel ext Fax HWA Wksp 1UP Wksp PAR Wksp
Mr.John Moore I 11(252)641-4204 I I II I I I —
[e-mail] Director of Public Works PO Box 220 27886
Mr.Miles Galloway I II I I II I I I
[e-mail] Project Engineer 301 West 14th Street 27834
Mr.Will Larsen I 11252.757.1096 1 1252.757.3221 II I I I
[e-mail] 301 West 14th Street 27834
Mr.Michael Allen (Prim 11252-641-4251 1 I II I 12/5/2013 I
[e-mail] Supervisor,WWTP PO Box 220 27886
Pretreatment Related NOVs from DWQ — DWR Central Office Contact Vivien Zhong
8/15/2008 PCI-implem stmp,stmp on DMRs. NOV-2008-PC DWR Regional Contact Cheng Zhang

n ist r
kg
ko REPORT
Tarboro
2011 2012 2013 2014 2015 2016 2017
1st half I 2nd half 1st half I 2nd half 1st half 12nd half 1st half I 2nd half 1st half 12nd half 1st half 12nd half 1st half 12nd half
Mayo Knitting Mill, Inc. PreviousNames:
IUP# TOT-003 Pipe# 001 SIU Word Description:
I UP_Status:Active textile
TSS I Ix
An'X'in a semi-annual period indicates snc for the period for the respective parameter.
PRINTED ON:12/12/2018 This information is compiled from many sources,and has not been verified. PAGE 60
Contact the local pretreatment coordinator or state pretreatment staff if errors are noted.

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1. Pretreatment Town Name: -row b-rk 1r 16 rd
2. "Primary"NPDES Number NCO() '?L)to O5
or Non Discharge Permit#if applicable=>
3. PAR begin Date, please enter 0 l/0 l/yy 3._> O//O
4. PAR end Date, please enter 12/31/yy 4.=> j,Z/3///?
5. Total number of SIUs,includes CIUs 5.=> >-�-
6. Number of SIUs with no RIP,or with an expired IUP 6.=>
7. Number of SIUs not inspected by POTW 7.=> Q
8. Number of Sills not sampled by POTW 8.=>
9. Number of SIUs in SNC due to IUP Limit violations 9.=> O
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 SIUs included in public notice 12.=> O
13 Number of SIUs on a compliance schedule, CO or similar 13.=>
14. Number of NOVs,NNCs or similar assesed to SIUs 14.=> ,Z
15. Number of AOs assesed to SIUs 15_=>
16. Number of Civil Penalties assessed to SIUs 16.=>
17. Number of Criminal Penalties assessed to SIUs 17.=>
18. Number of CIUs 18.=> I
19. Number of CIUs in SNC 19.=> 0
20. Total Amount of Civil Penalties Collect( 20.=> $ (�
21. Number of IUs from which penalties collected 21._> Q
Foot Notes: AO Administrative Order IUP Industrial User Pretreatment Permit POTW Publicly Owned Treatment Works
CIU Categorical Industrial User NNC Notice of Non-Compliance SIU Significant Industrial User
CO Consent Order NOV Notice of Violation SNC Significant Non-Compliance
IU Industrial User PAR Pretreatment Annual Report
Chapter name: PAR Guidance File name: PAR PPSEkle4bphainividtgtoillegigilidpttfiS915 Section B, Page 5 Blank PPS Form,Copy and use in vow PAR

Pretreatment Annual Report (PAR) PAR covers this calendar year=> 961Y
Significant Non-Compliance Report (SNCR) Control Authority=Program=Town Name => Jo(Am a !�h�
WWTP = Wastewater Treatment Plant, use separate form for each WWTP. WWTP Name => LT?
SIU= Significant Industrial User NPDES # =>
R1C` ®0�o66s
SNC = Significant Non-Compliance
A SNCR Form must be submitted with every PAR, please write "None " if you had No SIUs in SNC during calendar year
SNC ? ( Yes /No )
IUP Pipe Industry Name Parameter for each 6-month period.
# # or "Reporting" Jan. - June July - Dec.
Nov7e
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

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> T�Jn OP /eir ld Name Jo1,iv- �(Nel .fiirol5
WWTP Name=>
Use separate forms for each industry/pipe Tarbe re, GJ1 J� IUP# -oT_ vp to
Enter BDL values as < (value) NPDES#=> HC 00 do4O5 Pipe# p�/ rt- Ang
1st 6 months,dates=> /. /. '/g, to (0_36_'/Y
2nd 6 months,dates=> 7/-!8 to /a_?y/_'/g
r tow, mga -tsvli t as Ammoma
I st 6 months 2nd 6 months 1st b mon-tns 2nd b months 1 sf 6 months 2nd 6 months 1st 6 months -2nd 6 months
Total#of samples=> (n (b (o G Co 0 fa 1L
* Maximum (mg/1)=> 753.'o c (,z PSO Off-/ 2LI:.4- i 9,c
* or Maximum (lb/d)_>
* or (p Average(mg/1)=> i O/O 0,04y 57 O9 67/,'34 i 3 ( / tf 1 0.4 /4.T
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, A/M ///I NIA NIA
M N/A �/� NIA
%TRC violations, (SNC is>=33 %)_> 2 �v f"1 /V f-� /`i /. /V
%violations,(chronic SNC is>=66%)_> i d i Ali ej f O % 0'4 CO!. /V
//A NIA
%TRC violations, (SNC is>=33 %)_> 2 Q • 0 ,7- Q O% 0'4 C i
Arsenic Cadmium - Chromium- CUD
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months I2nd 6 months
Total#of samples=> I I I I CO 6
* Maximum (mg/1)_> eD,OOf t'?,Oc i 46.6(35 4 6.0a6 /62O /9
* or Maximum (lb/d)=>
* or (p Average(mg/I)=> 4 O.OG t L 61,OCR l 0.005 4 0.00 .7 g54- I i 5
* or Average Loading(lb/d)_>
violations,TRCiviol(chrations,
SNC is = % _> . N/A N/A ! llA NIA N/A , N/A
%TRC violations, (SNC is>=33 %) > f't
%violations,(chronic SNC is>=66%)_> i p Y• 0`4 Q n'/.. D /.7%
%TRC violations,(SNC is>=33 %)=> (y i O`t O x 6/ O , O'1..
Copper Cyanide Lead lVlercury
1st 6 months -2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> I I I I I I
* Maximum (mg/1)=> Q.OS4 O.6 i 2 .eO.Ov5 t Ll, 605 , < 0.0 S L 0, 065
* or Maximum (lb/d)=>
* or (p Average(mg/l)=> O.61r4- O.0) 46.66s .c 6,O05 46.6O5' c40,6b 5
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, , //� . //4 IA I //A , //A NIA
%TRC violations, (SNC is>=33 %)_> p /V JV NIA j�/ /�/ lV
%violations,(chronic SNC is>=66%)_> i 0-': Cr- O'": O i di G7/,
%TRC violations,(SNC is>=33 %)_> i b 4 CA Q 4 CY% O'; 0
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these [UP=>Industrial User Permit lb/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance ingd=>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: PisilbilignakitaihiiiirdailhaptcgatsIzetliNB,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each lUP pipe-Page of

Pretreatment Annual Report (PAR)
Industrial Data Summary Form (IDSF) Industry Name j vT"ad�`�,rnt 5
Use separate forms for each industry/pipe Pipe# no I q. ao
1"1cxe>< I ae><en><um auver Lim
1st 6 months 2nd 6 montns 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months -2nd 6 months
Total#of samples=> I i I I I i
* Maximum (mg/1)=> D. 615 46.010 4 6.466 U.CC: 0.177 0,034-
* or Maximum (lb/d)_>
* or & Average(mg/1)=> 0. p/' 4 6, j l 0 { 6.665 L e, c 6 0.177 0.c13 i#-
* or Average Loading(1b/d)_>
violations, (chronic SNC is>=66%)_> , iii N/A
//N NIA � I�/j .//rl �1 IA
TRC violations,(SNC is>=33 %)_> Q /� /� /`t 'v /,► /'� /v i JV ff
%violations,(chronic SNC is>=66%)_> i O ©% n%. 0 i Q a'i
%TRC violations,(SNC is>=33 %)_> Q i i Q 0' 0 -
pH
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> Co 6
* Maximum => 7.4 I
* or Minimum=> (a.g 60,-e
*
*
%violations,(chronic SNC is>=66%)=> p i r:?,
%TRC violations, (SNC is>=33 %)_> o N/A
%violations,(chronic SNC is>=66%)=> N/A
%TRC violations,(SNC is>=33 %)_> N/A
1st 6 months -2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/I)=>
* or Maximum (lb/d)=>
* or Average(mg/1)_>
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_> ,,
%TRC violations,(SNC is>=33 %)_> Q
%violations,(chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33 %)_>
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL,1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PARoilipalliciisiteACtaiizirclaithafttegatskci144B,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, n _ Industry
Industrial Data Summary Form (IDSF) Town Name=> / )e�n v+ /arho�� Name lila o / ilt•rtsrr Xs
WWTP Name=>
Use separate forms for each industry/pipe l ar5c5,.o LA)L4J i�� IUP# --aT- 6,63
Enter BDL values as < (value) NPDES#=> /VG 456 adeod S Pipe# Oc)
1st 6 months, dates=> /_/..77 to Co_34_j g
2nd 6 months, dates=> 7,..,/ g to /a.swig
r iow, mga uvv I< jlst
Ammonia
1st b months lnd 6 months I st b months lnd 6 months I st 6 months -2nd 6 months 6 months lnd b months
Total #of samples=> CO 473 Co 6 CO Co (A 6
* Maximum (mg/1)_> 7g. f3 a?69. 7 5 I Ceg (0.9 5, 3
* or Maximum (lb/d)_>
* or lD Average(mg/1)_> p,66 3 0.oo 3 4 S.iqr g'7,ay 33 IVO 1.8 , I
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, p s 0' 0! 0 . Q i C)'/ N/A
WA
%TRC violations, (SNC is>=33 %)_> Q X �3.' 0' O%: 0'4 0P ,V
%violations,(chronic SNC is>=66%)=> i Q i a!- Q' n'r. a', (0./ ��� NIA
//"I%TRC violations, (SNC is>=33 %)_> 0-40' Q 4 0.1 D i 6 '
Arsenic -Cadmium - Chromium' 'CUD
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months r 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> / I / I (p 6
* Maximum (mg/1)_> <O. OO I 4 D, Q0/ O.O?2' ©,f)3 a I a
* or Maximum (lb/d)_>
* or Co Average(mg/1)=> <O.0o I < 0,00 If O. O a 8 0.o3 7 13-7 ,52
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, p% '' p'% ©i AIM
AN%TRC violations,(SNC is>=33 %)_> p'i 0 ' 0. al !V /`f
%violations,(chronic SNC is>=66%)=> i OS'. O''. O i. 6:: //Q NIA
%TRC violations, (SNC is>=33 %)=> Q% O`! Se !
Copper Cyanide Lead Mercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> / / / I
* Maximum (mg/1)=> O.D u7 g C,6 25 L D.ino 5 C. 6765
* or Maximum (lb/d)=>
* or (p Average(mg/1)=> O. O9V O. 6 t 6.005 <C,cos
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, O i 0% p i c".
%TRC violations, (SNC is>=33 %)_> Q Q''• O'! o i 0.`%violations,(chronic SNC is>=66%)_> i 4'1 0'' O i i (�`r.
%TRC violations,(SNC is>=33 %)_> z� p'� C ./' 0-4 0'
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL, 1/2BDL,_or zero values used. TRC=>Technical Review Criteria W WTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAPodfi£fiats;iteNGaiidetldtlhafttEgtikt*et8Br1B,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) Industry Name
/�I�/- k6-,,•t�C /'n, l iS
Use separate forms for each industry/pipe Pipe# "6/
'lvlcxell ',eienium I diver Line
1st 6 months lnd 0 months 1st 6 months lnd 6 months 1st b months litnd 6 months 1st b months lnd 6 months
Total#of samples=> I i I I
* Maximum (mg/I)_> .e D. 6 /O C 0,010 D.6 a 6,4:5 i
* or Maximum (lb/d)=>
* or (p Average(mg/I)=> t 6 . Q 1 o L 6.0 I fl Q.6 t/-V 0.0 I
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_> ,, Q >' [>i_ p2: Q'•
%TRC violations,(SNC is>=33 %)_> Q 0 i 6 " Q'.4 Q`
%violations,(chronic SNC is>=66%)_> i 6 i n',. 0% C`"-
%TRC violations,(SNC is>=33 %)_> 0 CC"- O. O
'pn
1 st 6 months 2nd 6 months 1st 6 months 2nd 6 months '1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> CO 6,
* Maximum => got 0,5
* or Minimum=> Cp,$ 6,-3
*
*
%violations,(chronic SNC is>=66%)_> Q Q
%TRC violations,(SNC is>=33 %)_> o N/A
%violations,(chronic SNC is>=66%)_> i. N/A
%TRC violations,(SNC is>=33 %)_> i N/A
1st 6 months 2nd 6 months 1 st 6 months 2nd 6 months 1st 6 months Ind 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/I)_>
* or Maximum (lb/d)_>
* or Average(mg/1)=>
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,,
%TRC violations,(SNC is>=33 %)_> a
%violations,(chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33 %)=> i
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL. 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PPLbdiifkdhmisidedikiudedaitaiStcfk slectlig4B,pages 12, 13,14 Blank MST'Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Pretreatment Annual Report (PAR) Control Audhority, Industry
Industrial Data Summary Form (IDSF) Town Name=> Twn o- /4rbow Name Sara Lee. e.,-, ,VEr1
WWTP Name=>
Use separate forms for each industry/pipe Ta r4o�e ta.l IUP# Td i d
Enter BDL values as < (value) NPDES#_> me 60Ro604- Pipe# p /
1st 6 months,dates=> /_/..'/7 to 4_3,3_y g
2nd 6 months,dates=> 7—,_ y g to /v_3f_V
r low, mga -Dv; t as jAmmonia
1 st b months -2nd b months I st 6 months 2nd b months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> CO 65 w (t, Co (-i l
* Maximum (mg/1)=> /5`l.5v 36 ,(1-1 /0/ (plc /c.; I 3 a
* or Maximum (lb/d)=>
* or CD Average(mg/1)=> O./37 O./30 56. 34- 93, 76 54 5.2 Q:r'
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> ,, o% i O.% Q pY. O /� �/�
%TRC violations, (SNC is>=33 %)_> 2 QY n i en% t�`! Q y /Y• 0
violations,(chronic SNC is>=66%)_> i d'''. 0 i t44 /ig / dhyl �l� /• ////
%TRC violations, (SNC is>=33 %)_> i 6`! 0 `� ` K /�/ r/f 1
Arsenic - -Cadmium - Chromium ICOl)
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months tl I st 6 months 2nd 6 months
Total#of samples=> et, C&
* Maximum (mg/I)=> 3cx oZ i 75
* or Maximum (lb/d)=>
* or Cp Average(mg/I)=> a2C 95
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, n/ f`
%TRC violations,(SNC is>=33 %)=> A / `//4 "/,4
%violations,(chronic SNC is>=66%)=> /v A' - NIA
TRC violations, (SNC is>=33 %)_> i fII /
Copper Cyanide Lead IVtercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months -2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/I)_>
* or Maximum (lb/d)_>
* or Average(mg/I)=>
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,,
%TRC violations,(SNC is>=33 %)_> Q
%violations,(chronic SNC is>=66%)_>
%TRC violations, (SNC is>=33 %)_>
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, l/2BDL or zero values used, TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PARoliffiFdheattsidaikiiriedalihatitEgattctiNvIB,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) Industry Name 5c.r6. Lee Try-zerl—Ecz'e�/
Industrial Data Summary Form (IDSF) IUP# Te)-r — o ,
Use separate forms for each industry/pipe Pipe# oo /
��etenium diver Line
1st 6 months 2nd b months 1st 6 months ihlnd 6 months 1st 6 months 2nd b months st 6 months lnd 6 months
Total #of samples=>
* Maximum (mg/1)_>
* or Maximum (lb/d)=>
* or Average(mg/1)=>
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33 %)_> A
%violations,(chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33%)_>
PH
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> Co Co
* Maximum =>
* or Minimum=>
*
*
%violations,(chronic SNC is>=66%)_> ,, C3'4
%TRC violations,(SNC is>=33 %)_> A N/A
%violations,(chronic SNC is>=66%)_> N/A
%TRC violations,(SNC is>=33 %)_> N/A
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/I)_>
* or Maximum (lb/d)_>
* or Average(mg/1)=>
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,,
%TRC violations,(SNC is>=33 %)_>
%violations,(chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33 %)=>
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit 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 Ll/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PP4vdlOfrihsisitev aiaieditt haQugi4;tslectl rlB,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=> w�:-1 0. is cbvr0 Name t I eelo;t VI I 15
WWTP Name=>
Use separate forms for each industry/pipe �a�(�o. � � IUP# --i-�-�-_ p
Enter BDL values as < (value) 1st 6 mo hs,dates=> NC u ' " Pipe#3i= I
�•- i aF to to 3-- ,?
2nd 6 months,dates=> to —
r low, mga -Mill —i Da 'Ammonia
1st b montns 2nd 6 montns 1st 6 months 2nd b months 1st 6 months -2na 6 months nst b months lnd 6 montns
Total#of samples=> '3 — J -- 3 _
* Maximum (mg/I)_> a? / i i '79,gi
* or Maximum (lb/d)=>
* or 3 Average(mg/I)_> cri,004 93,G.I cy 9
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> 2, G' " �`,
%TRC violations,(SNC is>=33 %)_> O'! p '• �'vI J
%violations,(chronic SNC is>=66%)=> i 0'' 0 /
%TRC violations,(SNC is>=33 %)=> i O.' Q,' Q Y 1"�'f4
Arsenic - ICadmium - Chromium! LUD
1st 6 months 2nd 6 months 1 l st 6 months A 2nd 6 months 1st 6monfhs 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> I — f' ._
* Maximum (mg/1)_> z Q,OO I <v;(.>c)S_ "76Y
* or Maximum (lb/d)_>
* or (.v Average(mg/I) >
* or Average Loading(Ib/d)_>
%violations,(chronic SNC is>=66%)=> , ci'' ' /Lf
%TRC violations,(SNC is>=33 %)_> r Q i ..' Jet/
%violations,(chronic SNC is>=66%)=> O ''. 6' . ,, /
%TRC violations,(SNC is>=33 %)=> i o',- Q•,. /W/4
Lopper Cyanme !Lead Mercury
1st 6 months -2nd 6 months JI st 6 months -2-nd 6 months .I st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> I — j
* Maximum (mg/I)_> �, O;�,- i G.C* k�
or Maximum (Ib/d)_>
* or ( Average(mg/1)_> 0, p 7 2 0.065.
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)=> ,, p'' p-S,,
%TRC violations,(SNC is>=33 %)=> 2 d' n`,
violations,(chronic SNC is>=66%)=> i d.
%TRC violations, (SNC is>=33%)=> I 6)`' o
BDL=>Below Detection Limit m@/ milligrams milli rams per liter
* POTW must enter at least one of these [UP=>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, 1/2BDLor zero values used. TRC=>Technical Review Criteria WW'rP=>wastewater treatment plant
Chapter: PAR Guidance File name: PARoti1it&ihaiisidektikiboleddtlhaQtgtlUsiGci B,pages 12, l3, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Pretreatment Annual Report (PAR) Industry Name C�e�"lc,� ff\s 1I
Industrial Data Summary Form (IDSF) 1UP# ,, CC 9-
Use separate forms for each industry/pipe Pipe#
1 i eienium j aiiver - Lime
I st 6 months lnd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd b months 1st 6 months 2nd b months
Total#of samples=> I -- i •e—
* Maximum (mg/I)_> p, 0 I
* or Maximum (lb/d)=>
* or co Average(mg/1)=> 0. 0 I �(c
1 c/
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, Q Q`
%TRC violations,(SNC is>=33 %)_>
%violations,(chronic SNC is>=66%)_> n%'
%TRC violations,(SNC is>=33 %)_>
PH
1st 6 months -2nd 6 months J 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 3
* Maximum => (6),
* or Minimum=> ((:5
*
*
%violations,(chronic SNC is>=66%)=> ,,
%TRC violations,(SNC is>=33 %)_> Q N/A
%violations,(chronic SNC is>=66%)=> i N/A
%TRC violations,(SNC is>=33 %)_> N/A
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/1)_>
* or Maximum (lb/d)=>
* or Average(mg/1)=>
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_>
%TRC violations, (SNC is>=33 %)_> a
%violations,(chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33 %)_>
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL, 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAPorlipdlictisRaikiderlifflhafitegialsWRR4B,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each 1UP pipe-Page of

Page 6 of 9
Allocation Table Spreadsheet Instructions:
Headworks last approved: 4/2S/2018 1)Applicable Values should be entered m the Heavy Bordered cells. Rest of worksheet is protected,password to"2".
2)Formulas are discussed In the Comprehensive Guidance,Chapter 6,Section C.
Allocation Table updated: 11/7/2017 3)HWA and AT woiksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load in thy AT
worksheet are automatically entered from the HWA spreadsheet.This includes pollutant names in columns AT through BK.
Permits last modified:, 11/7/2017
Fore,.Tarboro
worse.,NC0020605
FLOW BOD TSS Ammonia Arsenic
Industry TYPe Renewal Modification Date Permit Limits Permit Limits Permit Limns Permit Limits Permit Limits
'GP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Cone, Loud Colic. Load Cone. Load Conc. Load
Count _ N _ ___ number number __,_,I ndust_ Date_. , Date ,_ .,_ ___ Expires , MGD_ gal/day m g/I Ibs/day mg/I Ibsd in
aY in I lbs/day 1 Ibs/day
I Johnson Controls icri,nt aa0l&wm Ductwork aasnvm rrzv2me 6/24)2023 0.0400 40,000 900.00 300.24 300.00. 10008`
2 Glenoit Mills WOO 0001 7csilk. lit/1'KYn + I/In017 12/31/2021 _ 0.1880 188,000 350.00 548.77 300,00r 470.38
3 Hillslire Brands Tednul 0001 _ 0akcq 12/1n994 11/1/2017 .. 12/31nai2l 0.3000 300,00C1 600.00 1501.20 422,00 1055.84
4 Mayo Knitting Mill 3b'n03 Own Tasek. 1/1/1904 I/I/2017 ` 12/3/0021 0.2509 250,00N 350.00 729.75 300,00 625.50
5 _
6 . • I
7
8
9
Column Totals=> 1 0.7780 778,0001 I 1080] 2252] 1 0] r 0.0000,
Digester
Ilasis% NPDhs Design Design Design Inhibition
MA111,from IIWA(Ibs/day).. NI'DI/S Permuted Plow- 5.0000 12510 10425 1043 0.1509
llncunlmllablc loading(lls/dny)',- 1.9105 2953 2780 291.27 0.0478
'total Allowable for lulusity(MAIL.)(Ihs/limy)"= 3,0895 9557 7645 751.23 0.1031
Total Permitted to Industry pbs/ILayl"> 0.7780 3080 2252 0,00 0.000D
MAIL Ieb(lbs/May)r> 2.3115 6477 5393 751.23 0.1031
Percent Allow.Ind.(MAIL)still available I%)a> 74,8% 67.8% 70.5% 100.0% 100.0%
Percent MARL still available(`IL)_> 46.2% 51.8% 51,7% 72.1% _ 68.3%
5 Percent MAUL(lbs/day)=> 0.2500 626 521 52.13 0.0075
HWA.AT

1
Page 7 of 9
Allocation Table
Headworks last approved: 4/25/2018
Allocation Table updated: 11/7/2017
Permits last modified: 11/7/2017
POTw.>Tarboro
sPOEsa.,NC0020605
Cadmium Chromium Copper Cyanide Lead Mercury Molybdenum Nickel
Industry Permit Limits Permit Lamas Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Cana. Load Conc. Load Conc. Load Conc. Load Canc. Load Conc. Load Conc. Load Costa, Load
Count ipiw..iwatw.win number number mg/I Ibs/day mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/1 lbs/day mg/I lbs/day mg/1 lbs/day mg/1 lbs/day
1 Johroon Commis TO't'ta6 taou0aa 0,0700 0.0234 0.0200 0.0067 1.2000� 0.4003 0.6500 0.2168 0.0100 0.0033 0.2200 0.0734
2 Glenoit Mills 'I'oTlet2 oast 0,0100 0.0157r 0.5000 0.784( 1.2000 1.8815, 0.1000 0.1568 1 0.1500 0.2352
3 HillshireBrards Tonsil oat y
4 Mayo Knitting Mill 1011103 oust 0.0100 0.0209 0.8000 1.6681' 0.5000 1.0425` i 0.1000 0.2085` 0.1500 0.3128
5
r
6
,7
8 t
9
10
Column Totals 0.05951 24586 3.32431 0.2168 0.3686 0.000000 0.0000' 0.62131
:
Stulgs Digester Digester Digester Stage Digester
Dasis=> Ceiling Inhibition Inhibition Inhibition Ceiling Stream Std Sludge Cairng Inhibition
MAHI.from HWA(lbs/day)-, 0.2608 6.7270 7.7149 0.6286 2.8308 0.0151 0.4672 1.0103
Uncontrollable Loading(Mania y)=> 0.0080 0.2749 0.4492 0.0070 0.0476 0.004780 0.0889 0.0849
Total Allowable l'ur Industry(MAIL)Ilbs/dayl w> 0.2528 6.4521 7.2657 0.6216 2.7832 0.010282 0.3783 0.9254
Total Permitted to Industry(lbs/day)-> 0.0599 2.4586 3.3243 0.2168 0.3686 0.000000 0.0000 0.6213
MAIL left(lbs/day)-> 0.1930 3.9935 3.9414 0.4048 2.4146 0.0102112 0.3783 0.3040
Percent Allow.Ind.(MAIL)still available(%)w> 76.3% 61.9% 54,2% 65.1% 86.8% 100.0% 100.0% 32.9%
Percent MARL still available(%)-> 74.0% 59.4% 51.1 V. 64.4 V. 85.3% 68.3% 81.0% 30.1%
5 Percent MAUL(lbs/day)-> 0.0130 0.3363 0.3857 0.0314 0.1415 0.000753 0.0234 0.0505
HWA.AT

)
Page 8ofS
Allocation Table
Headwork//last approved: 4/Z5/2018
Allocation Table updated: 11/7/2017
Permits last modified: 11/7/2017
vo1w.,Tarboro
aaorse..NC0020605
Selenium Sliver Zinc Total Nitrogen Total Phoi.
Industry Permit Limits Permit Limits Permit Limits Pennit Limits Permit Limbs
IUP INDUSTRY NAMES Pennit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Coat. Load
Count (pka.iW.a„M.1n number number mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/I lbs/day my/1 lbs/dayam I Johnson Conrols ttrrt 0001 Ca p0o2 0.2400� 0.0801 0.6600 0.2202
, 2 Glentott Milla TDUA2 pout 2.0000 3.135<
3 Hillshire Brands Tonal pool
4 Mayo Knitting Mill TU1Wa toot 1.0000 2,0850`
5
6
7 •
8
9
10
Cotutmt Tot ids=> 0.0000 0.0001 1 5,44101 ) 0,00. 0.001
Sludge Digests Sludge
llnsis-> Cadre Inhibition Ceding Design Design
MAIII.Rom IIWA(lbs/tlay)-> 0.4111 0.7355 20.4482 1668.0000 333.6000
Uncontrollable Loading(lba/duy)=> 0.0787 0.0416 1.8886
Total Allowable Ibr Industry(MAIL)Ilbs/day)=> 0.3324 0.6939 18.5595 //VALUE! eVALUE!
Total Pcmtitttal to Industry(lbe/day)_> 0.0000 0.0801 1.4410 0.00' 0.00
MAIL left(lbs/tlity)_> 0.3324 0.6138 13.1185 //VALUE! ((VALUE!
Percent Allow.Ind.(MAIL)still available(%)a> 100.0% 88.5% 70.7% //VALUE! I/VALUE!
Percent MARL still available(Vs)_> 80.9% 83.5% 64.2% //VALUE! #VALUE!
5 Percent MARL(lbs/day)_> 0.0206 0.0368 1.0224 83.40 16.6800
HWA.AT