NC0021873_Annual Report_20180216

�[AYQQAN
Town of Mayodan. 210 W. Main Street. Mayodan. NC. 27027. [phone]. www.townoffnayodan.com �
James A. Collins Municipal Building
February 24, 2018
DWQ/PERCS Unit
1617 Mail Service Center
Raleigh, N. C. 27699-1617
RE: Town of Mayodan
NPDES Permit No. NCO021873
Rockingham County
To Whom It May Concern:
The Town of Mayodan is submitting the Pretreatment Annual Report (PAR) for the
period January 1, 2017 through December 31, 2017.
If you have any questions concerning this material, please contact me at (336) 427-
0241 or Ms. Nadine Blackwell at [phone].
Sincerely,
Town of Mayodan
Michael Brandt
Town Manager
cc: Jamie Whitten
Nadine Blackwell
Sent via email

PRETREATMENT ANNUAL REPORT (PAR)
POTW` NAME: Town of Mayodan
REPORT DATE: February 19, 2017
PERIOD COVERED BY THIS REPORT: from 1101117 to 12/31/17
NAME OF WASTEWATER TREATMENT PLANT(s) Town of Mayodan
NPDES Permit No: NCO021873
Person to contact concerning information contained in this report:
Name: Nadine Blackwell
Title: Pretreatment Coordinator
Mailing Address: P. O. Box 1279
Clemmons, NC 27012
Telephone #: [phone]
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, / believe that the submitted
information is true, accurate and complete. I am aware that there are significant
penalties for submitting false information.
02 -
DATE Signature of Offi& l
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Printed Name
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Pretreatment Performance Summary (PPS)
1.
Pretreatment Town Name: Town of Ma odan
2.
"Primary" NPDES Number
NCO021873
Or Non -Discharge Permit # if Applicable =>
3.
PAR begin Date, please enter 01/01/yy or 07101/yy
3.==>
01/01/17
4.
PAR end Date, please enter 06130/yy or 12/31/77
4.z*
12/31/17
5.
Total number of SIUs, includes CIUs
5.=:>
3
6.
Number SIUs with no IUP, or with an expired IUP
6.=>
0
7.
Number of SIUs not inspected by POTW
7.=:>
0
8.
Number of SIUs not sampled by POTW
8.=>
0
9.
Total Number of SIUs in SNC due to IUP Limit violations
9.=>
0
10.
Number of S1 Us in SNC due to Reporting violations
10.E
0
11.
Number SIUs in SNC due to compliance schedule, CO or similar
11,
0
12.
Number SIUs included in public notice
12.E
0
13.
Number SIUs on a compliance schedule, CO or similar
13.E
0
14.
Number NOVs, NNCs, AOs, or similar assessed to SIUs
14.E
0
15.
Number of AOS assess to SIUs
15„
0
16.
Number of Civil Penalties asses to SIUs
16.E
0
17.
Number Criminal Penalties assessed to SIUs
17.
0
18.
Number of CIUs
18,
1
19.
Number of CIUs in SNC
19.;
0
20.
Total Amount of Civil Penalties Collected
20.E
$1,700.00
21.
Number of SIUs form which penalties collected
21.E
0
Foot Notes: AO Administrative Order IUP Industrial User Pretreatment Permit POTW Public Operated 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

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Pretreatment Program Info Database printed on: 2/13/2018
for Program Name Ma odan
y
Stream lnformetion IWC % at 7Q10 4.91
WWTP Name Town of Mayodan
Attended Attended
Attended
Program Approval Date 06/30/1983
HWA Wksp IUP Wkep
-70T"ow cis ! mgd 75 / 48.45
Pretreatment Status1
Fuil
1 1/5/2005 6/16/2011
Q10 Flow cfs / mgd 61,34 / 39.65
Region WSRO
IPO Box 1279
Stream Classification C
1336) 766-0469
1 1
Basin Number ROA02
County Rockingham
)27ffi 2
Receiving Stream Name MAYO RIVER
NPDES Number NCO021873
NPDES Effective Date 08/01/2013
Last PAR Rec PAR Due Date 03/01/2018 mercury
NPDES Expire Date 05/31/2017
Current Fiscal 1631
Year PCI Done required
POTW is Primary WW Vrp TRUE
Last Audit on 06/27/2016 Audit Year Next20/21 es
Design Flow mgd 2.5000 % Design
mgd is SIU permitted . r-1-0-3-2-1 Permitted SIU flow (mgd) [Pt SIU) 258
WWTP SIU's Program SIUs
_, - __ _ -_
WWTP CIU's 1 Program CIUsEl
HWA LTMP #, IWS SUO a ERP
date Inactive Date Next Due
09/30/2020 i 1010112018
Date Received by DWR
0912512015 03/22/2_017
10/17/2013 02/04!2013 12/20!2012
Date Approved
12/17/2015 06/14/2017
[-111/2212013 02/21/2013 12/27/2012
Adopt Date Required
i
Date Adopted
11/13/2012
Info in this Box from Pt Contacts
PT_Pro
Formal Name g,Pdme Phonel
Ms. Nadine Blackwell-_rimt)0-722-0461:
Nadine, BiackwellQsuez-na.com
Ms. Lisa Morris _ i 100-722-0465
Lisa. [e-mail]
Mr. Michael Brandt Frim 1336-427-0241
[e-mail]
Manager 1210 West Main Street
Pretreatment Related NOVs from DWQ I
DWR Central Office ContactV.onti Hassan
DWR Regional Contact Pim Gonsiewski
Date Date
Date
Attended Attended
Attended
ext Pax
HWA Wksp IUP Wkep
PAR Wksp
22 [phone]
1 1/5/2005 6/16/2011
1/31/2013
Pretreatment Coordinator
IPO Box 1279
P7012
1336) 766-0469
1 1
1 1/2812003
Consultant - Administrative Assitant I PO Box 1279
)27ffi 2
Manager 1210 West Main Street
Pretreatment Related NOVs from DWQ I
DWR Central Office ContactV.onti Hassan
DWR Regional Contact Pim Gonsiewski

NARRATIVE SUMMARY
GENERAL INFORMATION:
GENERAL PROGRAM INFORMATION:
The Town did not modify any of the Pretreatment Program Elements during the
reporting period. A copy of the "Pretreatment Program Info Database" is attached
with no noted corrections.
GENERAL PERMIT INFORMATION:
The POTW did not modify the Industrial User Permits
SIU INFORMATION:
1. Sans Technical Fibers (0108)
SIGNIFICANT NONCOMPLIANCE (SNC) INFORMATION:
No SNC Events
OTHER INFORMATION:
Sans Technical did not experience any violations of the Permit conditions or
limits during this reporting period.
2. Strum, Ruger & Company (0109)
SIGNIFICANT NONCOMPLIANCE (SNC) INFORMATION:
No SNC Events
OTHER INFORMATION:
During the first compliance period, Strum Ruger & Company exceeded the
lead limit. In addition, Strum, Ruger & Company did not complete the
required self monitoring at Pipe 001 during the first compliance period. A
Notice of Violation was sent requiring them to "make-up" the missed
sampling.
During the previous reporting period, Strum Ruger & Company was in SNC
for lead violations at Pipe 001. They paid the penalty assessment during
this reporting period.
3. Unifi Corporation (0105)
SIGNIFICANT NONCOMPLIANCE (SNC) INFORMATION:
No SNC Events
OTHER INFORMATION:
During the reporting period, Unifi met all of the IUP conditions and
limitations.

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DATE: � � 9505
DOLLARS $
C)r-\ wc fy�
TOWN OF MAYODAN (7378)
OFFICE OF TOWN CLERK/TAX COLLECTOR
210 W. MAIN STREE
MAYODAN, NC, 27027
Date: D8/18/2017 Amount: 1,700.00
Number 1 PO Number I Gross Amount Discount } Net Amount J
$0.00
Total: