NC0023876_Annual Report_20190212

CITY OF BURLINGTON
PRETREATMENT ANNUAL REPORT
2018
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PO BOX 1358, BURLINGTON, NC 27216-1358

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14. g Robert C. Patterson,Jr., P.E.
'Water Resources Director
February 12, 2019
Ms.Deborah Gore
NC-DENR,Division of Water Resources
PERCS Unit Supervisor
1617 Mail Service Center
Raleigh,N.C. 27699-1617
Subject:Pretreatment Annual Report for the City of Burlington.
Dear Ms. Gore,
Enclosed please find copies of the Pretreatment Annual Report for the City of Burlington. The contents
cover both the South Burlington Wastewater Treatment Plant(NC0023876)and the East Burlington
Wastewater Treatment Plant(NC0023868)for the reporting period of January 1,2018 to December 31,
2018.
Included for all significant industrial users are a brief narrative and an Industrial Data Summary Form.
Required reports include the Pretreatment Performance Summary report, Significant Non-Compliance
report and a current allocation table for both wastewater treatment plants.
I have personally examined and am familiar with the information submitted in these documents and
attachments. Based upon my inquiry of those individuals immediately responsible for obtaining the
information reported therein, I believe that the submitted information is true,accurate,and complete. I am
aware that there are significant penalties for submitting false information.
I trust you will find everything in order. If there are any questions,please contact me at(336)222-5133.
The City of Burlington would like to compliment you and your staff for the help you have afforded our
Pretreatment Program this past year.
Sincerely,
VJLkC PjJc2
Robert C. Patterson,Jr.,P.E.
Water Resources Director
City of Burlington
Cc: Kristy King
Connecting the Triad and the Triangle
1302 Belmont Street—PO Box 1358-Burlington, NC 27216
Phone [phone]—www.BurlingtonNC.gov

2018 Pretreatment Annual Report
Narrative Section
The City of Burlington is current with reports as follows:
> Allocation Tables are current as of May 8,2018 for East Burlington WWTP and
March 23,2018 for South Burlington WWTP.
> Long Term Monitoring Report is current and ongoing.
➢ Headworks Analyses for East Burlington WWTP and South Burlington WWTP
were approved February 2,2016 and the next due date is April 1,2020.
> The Sewer Use Ordinance was deemed adequate by the PERCS Unit of the
Division of Water Quality March 1,2013 and was adopted by the City of
Burlington City Council November 19,2013.
➢ The Enforcement Response Plan was deemed adequate by the PERCS Unit of the
Division of Water Quality October 3,2008.
> Industrial Waste Surveys for East Burlington WWTP and South Burlington
WWTP were approved September 19,2016 and the next due date is July 02,
2021.
The City of Burlington started the year with 17 permitted Significant Industrial Users,2 being
Categorical,and ended the year with 16 permitted Significant Industrial Users,2 being
Categorical.
The following is a brief discussion of the significant industrial users permitted by the City of
Burlington's pretreatment section. A discussion of permit holders is grouped by East Burlington
WWTP dischargers(NPDES Permit#NC0023868)followed by South Burlington WWTP
dischargers(NPDES Permit#NC0023876),with permit holders arranged from lowest to highest
permit number.
East Burlington WWTP NPDES # NC0023868
Carolina Dyeing and Finishing,LLC,220 Elmira Street,Burlington(IUP#0003)
• The IUP for this industry was renewed May 01,2016.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC,not on an Order,no construction activities.
Burlington Manufacturing Services, 1305 Graham Street,Burlington(IUP#0004)
• The IUP for this industryJanuary
was renewed 1,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC,not on an Order, no construction activities.
ITG Burlington Industries LLC-BHF Plant,906 Anthony Street,Burlington(IUP#0006)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC,not on an Order,no construction activities.

National Spinning Company, 142 Glen Raven Road,Glen Raven(IUP#0007)
• The IUP for this industry was issued January 01,2017.
• Semi-annual monitoring by the City of Burlington completed.
• No longer in operation and permit dropped as of May 18, 2018.
Shawmut Park Avenue,LLC, 1821 North Park Avenue,Glen Raven(IUP#0008)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC, not on an Order, no construction activities.
• As of September 26,2018,name changed from Glen Raven Technical Fabrics to
Shawmut Park Avenue, LLC.
Copland Fabrics, 1714 Carolina Mill Road,Burlington(IUP#0010)
• The IUP for this industry was renewed January 01, 2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Notice of Violation issued for copper on September 6,2018 for sampling event
occurring July 19,2018. Back in compliance October 2,2018.
• Notice of Violation issued for nickel on September 6,2018 for sampling event
occurring July 19,2018. Back in compliance October 2,2018.
• Notice of Violation issued for zinc on September 6,2018 for sampling event
occurring July 19,2018. Back in compliance October 2,2018.
• Not in SNC,not on an Order, no construction activities.
Graham Dyeing and Finishing,240 Hawkins Street,Burlington(IUP#0015)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not SNC, not on an Order,no construction activities.
Engineered Controls, 100 Rego Drive,Elon(IUP#0019)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not SNC,not on an Order,no construction activities.
Indulor America,LP,932 East Elm Street,Graham(IUP#0089)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Due to an elevated level of non-target organic compounds present in the samples,
the lab was unable to achieve lower detection limits for semi-volatile organic
analysis for sampling events occurring on 1/31/18,4/10/18, 8/9/2018,and
10/25/2018. A letter from the analyzing lab is included for each date.
• Notice of Violation issued for zinc on September 5,2018 for sampling event
occurring 8/9/2018. Back in compliance October 4,2018.
• Not in SNC, not on an Order.

South Burlington WWTP NPDES # NC0023876
Kayser Roth Corporation,714 Interstate Service Road,Graham(IUP#0052)
• The IUP for this industry was renewed July 01,2016.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC,not on an Order, no construction activities.
Carolina Hosiery Mills Inc.,Tucker Street Extension,Burlington(IUP#0055)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC,not on an Order,no construction activities.
Lemco Hosiery,766 Koury Drive,Burlington(IUP#0057)
• The RIP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Notice of Violation issued for copper on March 14,2018 for sampling event
occurring January 25,2018. Back in compliance March 27,2018.
• As of March 26,2018,Copper limit was increased from 0.10 lbs/day to 1.50
lbs/day.
• Not in SNC,not on an Order, no construction activities.
Carolina Biological Supply Inc.,2700 York Court,Burlington(IUP#0065)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC,not on an Order,and no construction activities.
Laboratory Corporation of America Inc., 1447 York Court,Burlington(HIP#0066)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Notice of Violation issued for zinc on September 5,2018 for sampling event
occurring July 19,2018. Back in compliance September 18,2018.
• Not in SNC,not on an Order.
• The Industry is in the process of constructing a new genomics facility,and the
city is aware of the expansion. An Authorization to Construct was not issued as
there have been no modifications to the pretreatment equipment at this industry
to date.
Alamance Foods 739 South Worth Street(IUP#0067)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Notice of Violation issued for nickel on September 6, 2018 for sampling event
occurring July 19,2018. Back in compliance October 5,2018.
• Not in SNC, on any Order,and no construction activities.
McComb Industries,LLLP 1311 Industry Drive,Burlington(IUP#0071)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC,not on an Order,no construction activities.

Pickett Hosiery Mills,741 East Webb Avenue,Burlington(IUP#0076)
• The IUP for this industry was renewed January 01,2017.
• Semi-annual monitoring by the City of Burlington and industry is completed.
• Not in SNC,not on an Order,no construction activities.
Comment: A Fats, Oils, and Grease Program summary is included.

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1. Pretreatment Town Name: City of Burlington
2. "Primary" NPDES Number NC00 23876
or Non_Discharge Permit# if applicable=>
3. PAR Begin Date, please enter 01/01/yyyy 3.=> 1/1/2018
4. PAR End Date, please enter 12/31/yyyy 4.=> 12/31/2018
5. Total number of SIUs, includes CIUs 5.=> 16
6. Number of CIUs 6.=> 2
7. Number of SIUs with no IUP, or with an expired IUP 7.=> 0
8. Number of SIUs not inspected by POTW 8.=> 0
9. Number of SIUs not sampled by POTW 9.=> 0
10. Number of SIUs in SNC due to IUP Limit violations 10.=> 0
11. Number of SIUs in SNC due to Reporting violations 11.=> 0
12. Number of SIUs in SNC due to violation of a Compliance Schedule,CO,AO or similar 12.=> 0
13. Number of CIUs in SNC 13.=> 0
14. Number of SIUs included in Public Notice 14.=> 0
15 Total number of SIUs on a compliance schedule, CO, AO or similar 15.=> 0
16. Number of NOVs,NNCs or similar assesed to SIUs 16.=> 7
17. Number of Civil Penalties assessed to SIUs 17.=> 0
18. Number of Criminal Penalties assessed to SIUs 18.=> 0
19. Total Amount of Civil Penalties Collected 19._> $ 0
20. Number of IUs from which penalties collected 20.=> 0
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
revised 1/2018: PAR PPS 2018

Pretreatment Program Info Database printed on: 12/12/2018
for Program Name Burlington
WWTP Name East Burlington Stream Information J IWC%at 7Q10 35.60
Program Approval Date 07/19/1984 7Q10 Flow cfs/mgd 33.6 / 21.71
Pretreatment Status Full 1 Q10 Flow cfs/mgd 27.64 / 17.86
Stream Classification C-NSW
Region WSRO Basin Number CPF02
County Alamance ` Receiving Stream Name HAW RIVER
NPDES Number NC0023868 mercury
NPDES Effective Date Last PAR Rec 02/26/2018 PAR Due Date 03/01/2018
07/01/2014 Current Fiscal 1631
NPDES Expire Date 06/30/2019 required 1
Year PCI Done
POT is Primary WWTP FALSE Last Audit on 09/02/2015 Audit Year Next19/20 yes
W
Design Flow mgd 12.0000 %Design mgd is SIU permitted 0.14 Permitted SIU flow(mgd)[Pt_SIU) .017
WWTP SIU's 9 Program SlUs 17 -ThWWTP CIU's 2 Program CIUs HWA" LTMP IWS SUO • ER
date Inactive Date Next Due 04/01/2020 07/02/2021
Date Received by DWR 11/16/2015 11/18/2005 08/02/2016 01/31/2013 07/29/2008
Date Approved 02/02/2016 01/27/2006 09/19/2016 03/01/2013 10/03/2008
Adopt Date Required
Date Adopted 11/19/2013
Info in this Box from Pt Contacts
Date Date Date
PT_Pro Attended Attended Attended
Formal Name g.Prime Phonel ext Fax HWA Wksp IUP Wksp PAR Wksp
Mr.Glenn McGirt I 11(336)222-5133 I' 1(336)570-6175 II 8/7/2002 15/17/2016 I I
(Lab Services Superintendent PO Box 1358 27216
Mr.Robert Patterson,Jr. (Prim 11(336)222-5133 I 1(336)570-6175 II I I I
[e-mail] Water Resources Director PO Box 1358 27216
Ms.Kristy Lester I 11336-222-5133 I 1336-570-6175 II 1/19/2017 I 11/18/2017 I
[e-mail] Pretreatment Specialist IPO Box 1358 27216
Ms.Kristy King I 11504-914-8050 1 I 1101/23/20181 101/22/20181
[e-mail] Industrial Pretreatment
Pretreatment Related NOVs from DWQ DWR Central Office Contact Vivien Zhong
I
4/17/1997 Discrepancies in SIUs. DWR Regional Contact Jim Gonsiewski

East Burlington Wastewater Treatment Plant
NPDES Permit #NC0023868
Pretreatment Program Information Database Corrections
1. Please remove Ms. Kristy Lester on the Pretreatment Contacts list. It is unknown where this
name came from. Kristy King is the Industrial Pretreatment Specialist.The information for Kristy
King should be the following:
Formal Name Phonel Fax Date Attended Date Date Attended
HWA Wksp Attended PAR Wksp
IUP Wksp
Ms. Kristy King 336-222-5133 336-570-6175 01/23/2018 01/22/2018
[e-mail] Industrial Pretreatment Specialist PO Box 1358 27216
2. Please change number of"Program SIUs" from 17 to 16 and number of"WWTP SIUs" from 9 to
8.

Pretreatment Annual Report (PAR) PAR covers this calendar year=> 2018
Significant Non-Compliance Report (SNCR) Control Authority=Program=Town Name => City of Burlington
WWTP = Wastewater Treatment Plant, use separate form for each WWTP. WWTP Name => East Burlington
SIU = Significant Industrial User NPDES # _> NC0023868
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.
None
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

East Burlington Wastewater Treatment Plant
NPDES Permit#NC0023868
SNC Report
No historical SNC was reported.

Pretreatment Program Info Database printed on: 12/12/2018
for Program Name Burlington "—�
WWTP Name South Burlington Stream Information Iwc%at 7Q10 86.10
Program Approval Date 07/19/1984
7Q10 Flow cfs/mgd 3 / 1.94
Pretreatment Status 1 Q10 Flow cfs/mgd 2.51 / 1.62
Full Stream Classification C-NSW
Region WSRO Basin Number CPF02
County Alamance \ Receiving Stream Name BIG ALAMANCE CREEK
NPDES Number NC0023876
NPDES Effective Date Last PAR Rec 02/26/2018 PAR Due Date 03/01/2018 mercury
07/01/2014 Current Fiscal 1631
NPDES Expire Date 06/30/2019 required
Year PCI Done
POTW is Primary TP TRUE Last Audit on 09/02/2015 Audit Year Next 19/20 yes
WW
Design Flow mgd 12.0000 %Design mgd is SIU permitted 0.00 Permitted SIU flow(mgd)[Pt_SIU)
VWVfP SIU's 8 Program Sills 17 -��
WWTP CIU's 0 Program CIUs 2 HWA LTMP IWS SUO - kR
date Inactive Date Next Due 04/01/2020 07/02/2021
Date Received by DWR 11/16/2015 11/18/2005 08/02/2016 01/31/2013 07/29/2008
Date Approved 02/02/2016 01/27/2006 09/19/2016 03/01/2013 10/03/2008
Adopt Date Required
Date Adopted 11/19/2013
Info in this Box from Pt Contacts
Date Date Date
PT Pro Attended Attended Attended
Formal Name g.Prime Phonel ext Fax HWA Wksp IUP Wksp PAR Wksp
Mr.Glenn McGirt I 11(336)222-5133 J' 1(336)570-6175 II 8/7/2002 1 5/17/2016 1
Lab Services Superintendent PO Box 1358 27216
Mr. Robert Patterson,Jr. (Prim 11(336)222-5133 1 1(336)570-6175 II I I I
[e-mail] Water Resources Director PO Box 1358 27216
Ms.Kristy Lester I 11336-222-5133 1 1336-570-6175 II 1/19/2017 1 1 1/18/2017 I .
[e-mail] Pretreatment Specialist PO Box 1358 27216
Ms.Kristy King I 11504-914-8050 I I 1101/23/20181 101/22/2018I
[e-mail] Industrial Pretreatment
f Pretreatment Related NOVs from DWQ I , DWR Central Office Contact Vivien Zhong
4/17/1997 Discrepancies in SIUs.
DWR Regional Contact Jim Gonsiewski

South Burlington Wastewater Treatment Plant
NPDES Permit #NC0023876
Pretreatment Program Information Database Corrections
1. Please remove Ms. Kristy Lester on the Pretreatment Contacts list. It is unknown where this
name came from. Kristy King is the Industrial Pretreatment Specialist.The information for Kristy
King should be the following:
Formal Name Phonel Fax Date Attended Date Date Attended
HWA Wksp Attended PAR Wksp
IUP Wksp
Ms. Kristy King 336-222-5133 336-570-6175 01/23/2018 01/22/2018
[e-mail] Industrial Pretreatment Specialist PO Box 1358 27216
2. Please change number of"Program SIUs"from 17 to 16.

Pretreatment Annual Report (PAR) PAR covers this calendar year=> 2018
Significant Non-Compliance Report (SNCR) Control Authority—Program—Town Name => City of Burlington
WWTP = Wastewater Treatment Plant, use separate form for each WWTP. WWTP Name => South Burlington
SIU= Significant Industrial User NPDES # => NC0023876
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.
None
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,200I
Date Revised: 1/4/2001

SLSREPORT
Burlington
2011 2012 2013 2014 2015 2016 2017
1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half
Carolina Biological Supply Company PreviousNames:
IUP# 0065 Pipe# 01 ordsript
medical,SIUW LaboratoDecryion:
IUP Status:Active
Zinc I I 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 7
Contact the local pretreatment coordinator or state pretreatment staff if errors are noted.

Carolina Finishing of NC 0003
Pretreatment Annual Report(PAR) _ Control Authority, Industry 1
Industrial Data Summary Form(IDSF) Town Name=>'City of Burlington Name Carolina Dyeing and Finishing
Use separate forms for each industry/pipe WWTP Name=>East BurlingtonI IUP# 0003
Enter BDL values as<(value) I NPDES#=> NC0023868 Pipe# 01
1st 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months,dates=>July 01,2018 thru December 31,2018
l
Flow,mgd BOD TSS pH limit 5-11 SU
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=> 2 2 2 2 2 2 2 2
• Maximum (mg/I)=> 277 265 19.5 31.6 10.47 6.4
• or Maximum (Ib/d)=> 0.0933 0.0725 194.9 160.159 15.167 13.230
• or Average(mg/I)=> 195.5 146.35 12.3 22.8
• or Average Loading(Ib/d)_> 0.0888 0.0613 141.8 85.878 9.3 10.846
%vlolations,(chronic SNC is>=66%)_> n/a n/a n/a Na n/a n/a 0 0
%TRC violations,(SNC is>=33%)_> n/a n/a n/a n/a n/a Na Na n/a
Temperature deg C Nickel Zinc Molybdenum
_ limits i 50 Degree C Monitor only 2.5 lbs/day Monitor only
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 (mg/I)_*of samples=
• Maximum > 2 2 2 2 2 2 2 2
0.003 0.005 0.038 0.039 <0.005 <0.005
• or Maximum (Ib/d)=> 41.3 38 0.002 0.003 0.030 0.024 0.002 0.002
• or Average(mg/I)=> 0.003 0.004 0.028 0.033 0.003 0.003
• or Average Loading(Ib/d)_> 26.85 34 0.002 0.002 0.021 0.017 0.002 0.001
%violations,(chronic SNC is>=66%)_> 0 0 n/a Na 0 0 n/a n/a
%TRC violations,(SNC is>=33%)_> 0 0 n/a n/a 0 0 n/a Na
(Chromium r Copper i -.1-
limits Monitor only Extra Sample
_1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total*of samples=> 2 2 1 1
• Maximum (mgA)=> 0.015 0.007 0.015 0.073
• or Maximum (Ib/d)=> 0.012 0.004 0.011 0.044
• or Average(mg/I)_> 0.010 0.005 0.015 0.073
• or Average Loading(Ib/d)_> 0.007 0.003 0.011 0.044
%violations,(chronic SNC is>=66%)_> n/a n/a n/a n/a
%TRC violations,(SNC is>=33%)=> n/a n/a n/a Na ,
Averages calculated for 6 months.1/2 BDL Values were used BDL=>Below Dilation Limit mg/I=>milligrams per liter _
• POTW must enter at least one of these I RM=>Industrial User Permit Ib/d=>pounds per day
Sour rows,Please indicate how averages were calculated _ SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period cold be month,Qb,or 6-month&if BDL,12BDL,or zero values used TRC Tedmical Review Criteria WPM'=>wastewater treatment plant
Page 1

Burlington MFGR 0004
Pretreatment Annual Report(PAR) Control Authority, Industry 1
Industrial Data Summary Form (IDSF) Town Name=>City of Burlington Name Burlington Mfgr.Services
Use separate forms for each industry/pipe WWTP Name=>East Burlington IUP# 0004
Enter BDL values as<(value) NPDES#=> NC23868 Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018 -
2nd 6 months,dates=>July 01,2018 thru December 31,2018
Flow,mad BOD TSS pH limit 5-11
1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 2 2 2 2
• Maximum (mg/I)=> 132 106 42.3 17.6 10.82 10.1
• or Maximum (Ib/d)=> - 0.087 0.179 96.1672 158.007 13.0 22.1203
• or Average(mg/1)_> 106.5 75.95 25.65 11.3
• or Average Loading(lb/d)_> 0.062 0.165 60.483 107.848 9.8 14.7868
%violations,(chronic SNC is>=66%)=> n/a n/a n/a n/a n/a n/a 0 0
%TRC violations,(SNC is>=33%)=> I n/a n/a n/a n/a 1 n/a n/a n/a n/a
L _ _ , _ -
Temperature Chromium I Copper I Nickel J
LIMITS 50.0 Degree C .80 lbs./day 4.50 lbs./day 0.50 lbs./day
1st 6 month42nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 2 2 2 2
* Maximum (mg/1)=> 0.007 0.007 0.038 0.139 0.011 0.003
• or Maximum (Ib/d)=> 38.2 46.3 0.005 0.011 0.028 0.207 0.008 0.004
• or Average(mg/1)_> 0.005 0.005 0.029 0.135 0.007 0.003
• or Average Loading(lb/d)_> _ 31.45 39.15 0.003 0.007 0.017 0.185 0.004 0.004
%violations,(chronic SNC is>=88%)_> 0 0 0 0 0 0 0 0
%TRC violations,(SNC is>=33%)=> 0 I 0 0 0 - 0 0 _ 0 0
•
Zinc
LIMITS 2.00 lbs./day
1st 6 month42nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2
* Maximum (mg/I)=> 0.086 0.044
• or Maximum (lb/d)=> 0.063 0.055
• or _ Average(mg/1)=> 0.069 0.041
• or Average Loading(Ib/d)=> 0.039 0.055
%violations,(chronic SNC is>=66%)=> 0 0 -
%TRC violations,(SNC is>=33%)=> 0 0
Averages calculated for 6 months.1/2 BDL Values were used. BDL=>Below Detection Limit mg/I=>milligrams per bier
• POTW must enter at least one of these I 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,l/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
-
Page 1

B.H.F.0006
Pretreatment Annual Report(PAR) Control Authority, I Industryl.
Industrial Data Summary Form (IDSF) Town Name=>City of Burlington Name ITG Burlington Ind.LLC BHF
Use separate forms for each industry/pipe WWTP Name=>East Burlington IUP n 0006
Enter BDL values as<(value) _ NPDES#=>NC0023868 Pipe h 01
1st 6 months,dates=>January 01,2018 thru June 30,2018
-
2nd 6 months,dates=>July 01,2018 thru December 31,2018
Flow,an d BOD TSS p H limit 5-11.5
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=> 2 2 2 2 2 2 2 2
• Maximum (mgA)=> 184 220 8 10 9.96 10.6
• or Maximum (Ib/d)=> 0.388 0.536 514.77 953.179 23.96 44.70
or Average(mg/1)_> 171.5 132.6 7.7 9
• I or Average Loading(lb/d)_> 0.332 0.528 469.57 577.619 21.20 39.68
%violations,(chronic SNC is>=66%)_> n/a n/a n/a n/a n/a Na 0% 0
%TRC violations,(SNC is>=33%)=> n/a n/a n/a n/a n/a Na n/a n/a
1 I
Temperature !Chromium) Copper I Nickel
Limits 50.0 Degree C 1.00 lbs/day 1.00 lbs./day 0.50 lbs./day
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months l st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 2 2 2 2
• Maximum (mg/l)=> 0.050 0.013 0.012 0.019 0.017 0.032
• or Maximum (Ib/d)_> 36.7 39.7 0.115 0.055 0.027 0.082 0.038 0.139
or Average(mg/l)_> 0.026 0.010 0.007 0.014 0.010 0.017
or Average Loading(Ib/d)_> 31.55 38.35 0.062 0.045 0.018 0.061 0.023 0.075
%violations,(chronic SNC is>=66%)=> 0% 0 0 0 0 0 0 0
%TRC violations,(SNC is>=33%)_> 0 0 0 ( 0 0 0 0 0
Zinc
Limits 2.00 lbs./day
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 12nd 6 months
Total#of samples=> 2 2
• Maximum (mgA)=> 0.150 0.219
• or Maximum (Ib/d)=> 0.486 0.949
• or Average(mg/1)_> 0.117 0.210 _
• or Average Loading(Ib/d)_> 0.340 0.921 _
%violations,(chronic SNC is>=66%)=> 0 0
%TRC violations,(SNC is>=33%)_> 0 0 - 1
Averages calculated for 6 months.12 BDL Values were used. BDL=>Below Detection bout mg/I•.>milligremu per liter
• POTW must enter at least one of Ilese 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 dai
Avg period could be month,Qtr,or 6-month&if BDL,I/2BDL,or zero values used TRC=>Technical Review Criteria W WTP=>wastewater treatment plant
a
Page 1

National Spinning Co.0007
Pretreatment Annual Report(PAR) Control Authority, Industry
Industrial Data Summary Form(IDSF) -7 Town Name=>City of Burlington Name National Spinning Co.'
Use separate forms for each industry/pipe W WTP Name=>East Burlington, IUP#0007
Enter BDL values as<(value) I NPDES#=> NC0023868 Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months,dates=>July 01,2018 thru December 31,2018
I
Flow,mgd BOD TSS pH limit 5-11
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total*of samples=> 1 0 1 0 1 0 1 0
• Maximum (mgA)=> 149.0 412 7.2
• or Maximum (Ib/d)_> 0.163 202.4 559.5
• or Average(mg/1)=> 149 412
• or Average Loading(IWd)_> 0.163 202.4 559.5
%viok0ons,(chronic SNC Is>=66%)=> Na Na _ n/a n/a n/a Na 0 0
%TRC violations,(SNC is>=33%)=> n/a n/a Na Na Na Na n/a n/a
Temperature Chromium Copper 1 Nickel
Nmits 50.0 Degree C 1.00 lbs./day 1.00 lbs./day 0.50 lbs./day
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total*of samples=> 1 0 1 0 1 0 1 0
• Maximum (mgA)_> 0.094 0.117 0.010
• or Maximum (Ib/d)_> 13.2 0.127 0.159 0.0141
• or Average(mg/I)_> 0.094 0.117 0.010
• or Average Loading(IWd)_> 13.2 0.127 0.159 0.014
%violations,(chronic SNC is>=86%)=> 0 0 0 0 0 0 0 0 _
%TRC violations,(SNC is>=33%)=>. 0 0 0 0 0 0 0 0
limits I n
Total 0 of samples=> 1 s
• Maximum (mgA)=> 0
• or Maximum (Ib/d)=> 0.526
• or Average(mg/I)_> r
• or Average Loading(Ib/d)=> 0.526
%violations,(chronic SNC is>=88% => a a'
%TRC violations,(SNC is>=33%)=> a r'
As- calculated for 6 months 12 BDL Values were u ed.. Detection
• POTW must enter at least one of these 1__
four rows,Please indicate how averages were calculated - ,-
Avg period could be month,Qr,or 6-month&if BDL,I2BDL,or zero vahw unad. 1RC=>Technical Review Criteria
_W W7P'wastewater treatment plant
'No • •- in operation and•:rmit d•!,•:•as of May 18,2018
MIEN
Mallial. al= .
■����- ���■���
1
Page 1

Shawmut(Glen Raven)008
Pretreatment Annual Report(PAR) I Control Authority, I Industry
Industrial Data Summary Form(IDSF) _ I Town Name=>City of Burlington Name Shawmut Park Averse,LLC
Use separate forms for each industry/pipe WWTP Name=>East Burlington lUP#0008
Enter BDL values as<(value) I NPDES#=> NC0023868 Pipe#01
_ 1st 6 months,dates=>January 01,2018 thru June 30,2018
J 2nd 6 months,dates=>Aly 01,2018 thru December 31,2018
Flow,mgd BOD ITSS pH limit 5-11
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
1 Total#of samples=> 3 2 2 2 2 2 3 2
• Maximum (mgll)_> 266 414 29.1 60 9.71 10.2
• or Maximum (Ib/d)_> 0.3373 0.4284 639.41 1479.16 81.86 771.12
• or Average(mg/I)=> 231 275.5 22.55 44.65
• or Average Loading(Ib/d)_> 0.2285 0.4005 595.38 952.46 60.16 549.33
%violations,(chronic SNC is>=66%)=> Na n/a n/a n/a _ n/a n/a 0 0
%TRC violations,(SNC is>=33%)_> Na n/a n/a n/a n/a n/a n/a n/a
i
'Temperature' Chromium ' Copper Nickel $
Limits 50.0 Degree C 1.75 lbs./day 1.00 Ibslday 0.70 lbsJday
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=> 3 2 2 2 2 2 2 2
• Maximum (mgll)=> 0.012 0.030 0.011 0.013 0.011 0.089
• or Maximum (Ib/d)=> 44.7 43.4 0.028 0.380 0.027 0.048 0.026 0.318
• or Average(mg/1)_> 0.007 0.016 0.010 0.0096 0.007 0.046
• or Average Loading(Ib/d)_> 33.7 39.7 0.017 0.204 0.024 0.016 0.016 0.163
%violations,(chronic SNC is>=66%)=> 0 0 0 0 0 0 0 0
%TRC violations,(SNC is>=33%)_> 0 0 0 0 0 0 0 0
'Zinc Aluminum Cadmium , ,
Limits 1.00 LBS./DAY Extra Extra
1st 6 months 2nd 6 months List 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2
• Maximum (mgll)_> 0.095 0.0707
• or Maximum (I1/d)_> 0.228 0.253
• or Average(mg/1)_> 0.063 0.065
• or Average Loading(Ib/d)_> 0.151 0.218
%violations,(chronic SNC is>=66%)=> 0 0 n/a n/a Na n/a 1
%TRC violations,(SNC is>=33%)=> 0 0 n/a n/a n/a Na
Averages calculated for 6 month.12 BDL Values were used. _ BDL Below Octennial Limit me=>milligrams per him _
• POTW must enter at least one of these I IUP Industrial User Permit INd=>pounds per day _
four rows,Please indicate how averages were calculated SNC»significant Non-Compliance mgd o minion gallons per day -- —
Avg period could he month,Qtr,or 6-month&if BDL,12BDL,or a ro values used. TRC•>Technical Review Criteria W WTP=>wastewater treatment plain
11
Page 1

Copland Fabrics 0010
Pretreatment Annual Report(PAR) Control Authority, I Industry I
Industrial Data Summary Form(IDSF) I TownName=>City of Burlington Name Copland Fabrics
Use separate forms for each industry/pipe WWTP Name=>East Burlington IUP#0010
Enter BDL values as<(value) NPDES#=> NC00238681 Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months,dates=>July 01,2018 thru December 31,2018
•
Flow,mgd BOD ,TSS pH limit 5-11
1st 6 months 2nd 6 months _1st 6 months _2nd 6 months 1st 6 months 12nd 6 months 1st 6 months ' 2nd 6 months
Total#of samples=> 2 4 2 2 2 2 2 4
• Maximum (mgll)_> 2350 3320 1380 61170 8.09 8.9
• or Maximum (Ib/d)_> 0.0367 0.0476 719.473 1285.3 277.706 23681.2
• or Average(mg/1)_> 1621.5 1680.6 1022.5 30783
• or Average Loading(lb/d)_> 0.0304 0.0473 449.588 650.828 240.651 11919.22
%violations,(chronic SNC is>=66%)=> Na Na n/a n/a n/a n/a 0 0
%TRC violations,(SNC is>=33%)_> n/a Na n/a n/a Na n/a Na Na
Temperature deg C Chromium , Copper Nickel
lints 50.0 De�_C 0.60 lbs./day 0.90 lbs,/day 0.50 lbs./day
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=> 2 4 2 2 2 4 2 4
• Maximum (mg/1)=> 0.021 1.327 0.248 7.411* 0.009 1.459**
• or Maximum (lb/d)=> 43.3 35 0.004 0.514 0.050 2.869 0.003 0.565
* or Average(mg/1)=> 0.014 0.665 0.184 1.910 0.009 0.368
• or Average Loading(lb/d)_> 26.45 31.2 0.003 0.257 0.043 0.740 0.002 0.143
%violations,(chronic SNC is>=66%)=> 0 0 0 0 0 25% 0 25%
%TRC violations,(SNC is>=33%)=> 0 0 0 0 0 25% 0 0%
Zinc i ' -
limits 0.60 lbsJday
1st 6 months 2nd 6 months ,l st 6 months 2nd 6 months 1st 6 months ,2nd 6 months
Total#of samples=> 2 4 .
* Maximum (mgll)=> 0.115 9.678***
* or Maximum (lb/d)_> 0.034 0.027
-
• _ or Average(mg/1)_> 0.113 0.029
or Average Loading(lb/d)_> 0.028 0.032 . •
%violations,(chronic SNC is>=66%)=> 0 25% - --
%TRC violations,(SNC is>=33%)=> 0 25%
Averages calodated for 6 months.1/2 BDL Values were used. BDL=>Below Detection Limit mg/I milligrams per lila
• POT W must attar at least one of these j _ 1 tUp Industrial User Pemnil Paid o pounds per day
tour 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,oreoro values used. TRC v Technical Review Criteria WWTP eo.wastewater treatment plant
*NOV for Copper issued September 6,2018 for sampling event occurring 7/19/2018. Back in compliance 10/2/2018.
**NOV for Nickel issued September 8,2018 for sampling event occurring 7/19/2018. Back in compliance 10/2/2018.
***NOV for Zinc issued September 6,2018 for sampling event occurring 7/19/2018. Back in compliance 10/2/2018.
•
•
Page 1

Graham Dye.&Fin.0015
Pretreatment Annual Report(PAR) _ Control Authority, _ Industry I
Industrial Data Summary Form(IDSF) I Town Name=>City of Burlington Name Graham Dye and Finishing
Use separate forms for each industry/pipe WWTPName=>East Burlington IUP#0015
Enter BDL values as<(value) I NPDES#=> NC0023868I Pipe 01
1st 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months,dates=>July 01,2018 thru December 31,2018
Flow,mgd BOD ITSS Ph limit 5-11
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=> 2 2 2 2 2 1 2 4
• Maximum (mg/1)_> 126 352 66 24 9.6 10.6
• or Maximum (Ib/d)_> 0.010 0.012 9.317 24.855 5.633 2.422
• or Average(mg/1)_> 90.15 222 35.5 15.9
• or Average Loading(lb/d)_> 0.010 0.010 6.976 17.070 3.001 1.486
%violations,(chronic SNC is>=66%)_> n/a n/a n/a n/a n/a n/a 0 0%
%TRC violations,(SNC Is>=33%)_>L I n/a n/a n/a n/a n/a n/a n/a n/a
Temperature' ;Chromium i Kopper I Nickel
LIMITS 50.0 Degree C 10.29 IbsJday i ,0.75 Ibs./day �0.10 lbsJdayy
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=> 2 2 2 2 2 2 2 2
• Maximum (mgA)_> 0.038 0.036 0.344 0.436 0.003 0.079
• or Maximum (lb/d)_> 17.2 38.9 0.003 0.004 0.025 0.044 0.000 0.008
• or Average(mg/1)_> 0.027 0.028 0.219 0.264 0.003 0.041
• or Average Loading(lb/d)_> 26.3 32.45 0.002 0.003 0.017 0.025 0.000 0.004
%violations,(chronic SNC is>=66%)=> _ 0 0 0 0 0 0 0 0
%TRC violations,(SNC Is>=33%)_> 0 0 0 0 0 0 0 I 0
Zinc
LIMITS 0.75 LBS./dAY
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total*of samples=> 2 2
•_ Maximum (mgA)_> 0.072 0.055
or Maximum (Ib/d)_> 0.006 0.004
• or Average(mg/1)=> 0.052 0.040
• or Average Loading(Ib/d)_> 0.004 0.003
%violations,(chronic SNC is>=66%)_> 0 0
_ %TRC violations,(SNC is>=33%)_> 0 0
Averages calculated for months 1/2 BDL Values were used BDL=>Below Detection Lima _'mg/1=>milligrams per liter
•POTW must enter at least one of these_ - � IUP a Industrial User Permit_._.. lb/d-0pounds pe
r day
_ ---
four rows.Please indicate how avenges were caludated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could he month,Qtr,or 6-month&if BDL,I/2BDL,or zero values used TRC=>Tedudcal Review Criteria WWTP ou wastewater treatment plant
.
Page 1

Engineered Controls 0019
Pretreatment Annual Report(PAR) caawi Asthoriy, Industry 1
Industrial Data Summary Form(IDSF) 1 Town Nasso=>City of Burlington Name,Engineered Cardroe
Use separate forms for each industry/pipe WWTP Name a East Burlington _ II IP 8 0019
I Enter BDL values as<(value) _ _ NPDES M->NC0023868 PIp<N 01
_ Ist6 months,dates->January 01,2018 thru June 30,2018
2nd 6 months,dates o July 01.2018 thin December 31,2018
Flow,mgd DOD TSS pH
limits 0.012 mid 6.11 SU
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months tad 6 months 1st 6 months 2nd 6 months
Total i of samples•> 4 3 2 2 2 2 3 3
• Maximum(mill)-o 18.7 14 8 1.5 8.89 8.89
• or Maximum (bid)-> 0.0041 0.0004 0.06 0.047 0.02 0.005
Average(mg/)0 14.6 7.0035 4.625 0.75075
• Or Average Loading Qdd)- 0.0020 0.0002 0.04 0.023 0.01 0.003
%violabors,(draic SNC is>.66%).a 0 0 Na Na Ws ri/e _ 0% 0%
%TRC violations,(SNC is>•33%).a 0 0 Na Na Na i
Na NaNaTemperature' Cadmium Chromium Copper
limits 40.0 Degree C 0.07 mg/L dais,max. 1.71 mg/L daily mu. 2.07 mg/L daffy max.
in 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Toteltof samples-' 3 3 3 3 3 3 3 3
• Maximum(mgl).o 24 24 <0.002 <0.005 0.659 1.610 0.630 0.517
• or Maximum (bid)e
• a
____ A�Be(n%9)-> 20.2 21 0.0007 0.001 0.319 0.596 0.397 0.422
_
or Avenge Loading(1b/d)b
%violations,(honic SNC Is>•66%)a> 0% 0% 0% 0% _ 0% _0% 0% 0%
%TRC vseOons,(SNC s>•33%)•> 0% 0% 0% 0% 0% 0% 0% 0%
a 'Cyanide Total Lead Nickel Silver _
imis 0.65 mg/L daily max. 0.43 mg/L dairy max. 2.38 mg/L daily max. 0.24 mg/L daily max.
1st6 in,inlhs 2nd6 months Ist6 months 2nd6 months 1st months 2nd6 months 1st months 2nd6 months
Total 0 of samples u 3 3 3 3 3 3 3 3
• Maximum(m9A).a 0,0380 0.08 <0.005 0.0053 0.0270 0.0798 <0.010 <0.005
• or Maximsan (bid)o
• or Average(mg/1)0> 0.0357 0.03283 0.0025 0.004 0.0107 0.0336 0.003 0.003
• or Average Loading(Ib/d)->
%violations,(damns SNC s>•66%).. 0 0 _ 0 0 0 _ 0 0 0
%TRC violations,(SNC s>a 33%)d 0 0 0 0 0 0 0 0
Zinc Total Metals mg/I Oil&Grease TTO
imis 1.48 m daily max. 10.5 mg/L daily max 52.0 mg/L daily max.
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months let 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total It ofsam 3 3 3 3 3 3
• _ Maximum(mph)•> 0.135 1.320 1.432 3.0438 <5 <4.8 'Certifies for TTO as
• or Meximlm (Ib/d)•> Not Being Present
• or Avenge(mg/I).< 0.094 1.023 0.8276 2.08137 2.5 2.4
• a Averano Loading(Ib/d)->
%violations.Optic 8NC is<-66%).> 0% _ 0 _ 0 0 0 0 _ 0 0
%TRC volatlals,(l3NC s>a 33%)d 0% 0 0 0 0 0 0 0
I I -
MarvanlwW meth
.lR BCC Velma woo woo owl BDL->BalmDdaslimLillla _ ..p I .<II.eams per h,cr
• POTW and.r.s lam or attire I Itry->I.arecid Um Pena _._ Iba-•pamn+per de,
bar rats,Ptmo Wis.M.swaps wa•rislwd SNC.>airacas No.Caa/Ise .e6->ailis.vitals per de,
Ana...1.d owldbe sod!,01r.or 6-ante t if BIM,1/mut a ma vai.ord. TRC"Teheel Review Criteria WWIP-=„-,sw.ter w<5>0 I.
•
•
•
•
Page 1

Indulor 0089
Pretreatment Annual Report(PAR) Control Authority, Industry
Industrial Data Summary Form(IDSF) To Name=>City of Burlington Name Indulor America,LP
Use separate forms for each industry/pipe WWrp Name=>East Burlington IUP#0089
Enter BDL values as<(value) NPDES#_>NC23868 Pipe#01
let 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months.dates=>July 01,2018 thru December 31,2018
1st 6 months 2nd 6 months
% ya
violations, %TRC violations, %TRC
Total ft (chronic violations, (chronic violations,
of SNC is>_ (SNC is>= Total 9 of SNC is>_ (SNC is>_
Limit Unit samples Maximum Average 66%) 33%) samples Maximum Average 66%) 33%)
Flow MGD 2 0.0041 0.004085 Na n/a 2 0.004 0.0037467 n/a n/a
BOD mg/L 2 235 223.5 n/a n/a 2 196 171 n/a n/a
TSS mg/L 2 164 114 n/a n/a 2 510 475 n/a n/a
Temperature 50 Degree C 2 12.1 12.05 0 0 2 26 20 0 0
pH 5-11 Standard Units 2 9.3 0 n/a 2 7.9 0 n/a
.Ammonia Nitrogen Monitor Only mg/L 2 125 111.3 n/a n/a 2 20.6 17.95 n/a n/a
Chromium Monitor Only mg/L 2 0.0117 0,0071 n/a n/a 4 0.13 0.042125 n/a n/a
Copper Monitor Only mg/L 2 0.176 0.1015 n/a n/a 4 1.65 0.67225 n/a n/a
Cyanide Total 0.3444 mg/L 3 0.005 0.00375 0 0 2 0.005 0.00375 0 0
Lead 0.2624 mg/L 2 <0.010 0.005 0 0 4 <0.010 0.005 0 0
Nickel Monitor Only mg/L 2 0.0176 0.0113 n/a n/a 4 0.115 0.0365 n/a n/a
jj��cc 0.861 mg/L 2 0.41 0.21675 0 0 4 0.993" 0.53025 25% 0
�benaphthene 15.58 ug/L 2 :100' 1275 0 0 2 <20' 30 0 0
Anthracene 15.58 ug/L 2 -.100' 1275 0 0 2 -20' 30 0 0
Benzene 46.74 ug/L 2 <10 5 0 0 2 <10 5 0 0
Bis phthalate 77.9 ug/L 2 <L00' 1275 0 0 2 <20 30 0 0
carbon tetrachloride 116.44 ug/L 2 <10 5 0 0 2 <10 5 0 0
l Chlorobenzene 116.44 ug/L 2 <10 5 0 0 2 <10 5 0 0
Chloroethane 90.2 ug/L 2 <10 15 0 0 2 <50 25 0 0
Chloroform 91.02 ug/L 2 <10 5 0 0 2 <10 5 0 0
'ph-butyl phthalate 16.4 ug/L 2 100' 1275 0 0 2 <20' 30 0 0
9,2 dichlorobenzene 160.72 ug/L 2 <10 27.5 0 0 2 <20 30 0 0
1,3-dichlorobenzene 116.44 ug/L _ 2 <10 27.5 0 0 2 <20 30 0 0
J4-dichorobenzene 116.44 ug/L 2 <10 27.5 0 0 2 <20 30 0 0
1,1 Dichloroethane 18.04 ug/L 2 <10 5 0 0 2 <10 5 0 0
1,2 Dichloroethane 147.6 ug/L 2 <10 5 0 0 2 <10 5 0 0
1,1 Dichloroethylene 18.04 ug/L 2 <10 5 0 0 2 <10 5 0 0
1,2transDicholoroethylene 20.5 ug/L 2 <10 5 0 0 2 <10 5 0 0
1,2 Dichloropropane 160.72 ug/L 2 <10 5 0 0 2 <10 5 0 0
1,3 Dichloropropene 160.72 ug/L 2 <10 5 0 0 2 <10 5 0 0
Diethyl phthalate 37.72 ug/L 2 <100' 1275 0 0 2 <20 30 0 0
Dimethly phthalate 15.58 ug/L 2 <100' 1275 0 0 2 <20' 30 0 0
4,6 Dinitro-o cresol 63.96 ug/L 2 <500' 6375 0 0 2 <100' 50 0 0
Ethylbenzene 116.44 ug/L 2 <10.0 5 0 0 2 <10 5 0 0
Fluoranthene 18.04 ug/L 2 <100' 1275 0 0 2 <20• 50 0 0
Fluorene 15.58 ug/L 2 <100' 1275 0 0 2 <20' 50 0 0
Hexachlorobenzene 160.72 ug/L 2 <100 1275 0 0 2 <20 30 0 0
Hexachlorobutadiene 116.44 ug/L 2 <100 1275 0 0 2 <20 30 0 0
hexachloroethane 160.72 ug/L 2 <100 1275 0 0 2 <20 30 0 0
Methyl chloride 90.2 ug/L 2 <50 25 0 0 2 <50 25 0 0
i Methylene chloride 29.52 ug/L 2 <10 5 0 0 2 <10 5 0 0
Naphthalene 15.58 ug/L 2 <100' 1275 0 0 2 <20' 30 0 0
Nitrobenzene 1834.34 ug/L 2 <100 1275 0 0 2 <20 30 0 0
''2-Nitrophenol 53.3 ug/L 2 <100' 1275 0 0 2 <20 30 0 0
4-Nitrophenol 132.84 ug/L 2 <500' 6375 0 0 2 <100 150 0 0
Phenanthrene 15.58 ug/L 2 <100' 1275 0 0 2 <20• 30 0 0
%yrene 16.4 ug/L 2 <100' 1275 0 0 2 <20' 30 0 0
tlatrachloroethylene 42.64 ug/L 2 <10 5 0 0 2 <10 5 0 0
toluene 22.96 ug/L 2 <10 5 0 0 2 <10 5 0 0
1,2,4 Trichlorobenzene 160.72 ug/L 2 <100 1275 0 0 2 <10 7.5 0 0
1,1,1 Trichloroethane 18.04 ug/L 2 <10 5 0 0 2 <10 5 0 0
1,1,2 Trichloroethane 26.24 ug/L 2 <10 5 0 0 2 <10 5 0 0
Tnchloroethylene 21.32 ug/L 2 <10 5 0 0 2 <10 5 0 0
Vinyl chloride 79.54 ug/L 2 <50 25 0 0 2 <50 25 0 0
Averages calculated foe 6 months.12 BDI.values were used. BDL •Below Detection Limit n&I. milligrams per liter
• PO1W must enter at Imo me of these IUP -Industrial User Permit lb d- palls per dap
four rows,Please indicate how avenges were calculated SNC •Significant NonComploece mad--million gallons per dap
Avg period could be month.Qtr.or 6-month&if gm,I.2BDL,or zero values used. TRC-'Technical Rosiew Criteria W WTP-•wastewater Ireatmmt plant
•Due to an elevated level of non-target organic compounds present in the samples,the labs were unable to achieve lower detection limits for semi-volatile organic analysis (See letters on the following pages
"NOV for Zinc issued September 5,2018 for sampling event occurring 8/9/2018. Back in compliance 10/4/2018.
Page 1

M 1 IT INs..1
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
February 11, 2019
City of Burlington
Attn: Kristy King
1302 Belmont Street
Burlington,NC 27215
RE: Volatile and Semi-volatile Data Detection Limits—January 31, 2018 INDULOR
sample
Dear Ms. King:
Due to an elevated level of non-target organic compounds present in the above referenced
sample we were unable to achieve lower detection limits for volatile and semi-volatile
organic analysis. This sample required x 10 dilution.
If you have any questions concerning this matter, please give me a call. We appreciate
your business and look forward to working with you in the future.
Sincerely,
s Yloun L,
Amanda Hancock
Technical Services Supervisor
Meritech, Inc.
Ph: 336 342 4748
Fax: [phone]
642 Tamco Road • P.O. Box 27 • Reidsville, NC 27320
[phone] • [phone] Fax

M IITECH, IN.. 1
ENVIRONMENTAL LABORATORIES
A Division of Water Technology ogy and Controls; Inc.
February 11, 2019
City of Burlington
Attn: Kristy King
1302 Belmont Street
Burlington,NC 27215
RE: Volatile and Semi-volatile Data Detection Limits—April 10,2018 INDULOR
sample
Dear Ms. King:
Due to an elevated level of non-target organic compounds present in the above referenced
sample we were unable to achieve lower detection limits for volatile and semi-volatile
organic analysis. This sample required x10 dilution for volatile analysis and x500 for
semi-volatile analysis.
If you have any questions concerning this matter,please give me a call. We appreciate
your business and look forward to working with you in the future.
Sincerely,
,54Thaindk CMCCO,L
Amanda Hancock
Technical Services Supervisor
Meritech,Inc.
Ph: 336 342 4748
Fax: [phone]
642 Tamco Road • P.O. Box 27 • Reidsville, NC 27320
[phone] • [phone] Fax

. ;= ME, PI TECH, INM
' ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, inc.
February 11,2019
City of Burlington
Attn: Kristy King
1302 Belmont Street
Burlington,NC 27215
RE: Semi-volatile Data Detection Limits—August 9,2018 INDULOR sample
Dear Ms. King:
Due to an elevated level of non-target organic compounds present in the above referenced
sample we were unable to achieve lower detection limits for semi-volatile organic
analysis. This sample required x2 dilution.
If you have any questions concerning this matter,please give me a call. We appreciate
your business and look forward to working with you in the future.
Sincerely,
. x n�a�f��L.�S.Jtu
Amanda Hancock
Technical Services Supervisor
Meritech, Inc.
Ph: 336 342 4748
Fax: [phone]
642 Tamco Road • P.O. Box 27 • Reidsville, NC 27320
[phone] • [phone] Fax

MERI TECH INC.
jr " '� ENVIRONMENTAL LABORATORIES
iiir A Division of Water Technology and Controls, Inc.
February 11, 2019
City of Burlington
Attn: Kristy King
1302 Belmont Street
Burlington,NC 27215
RE: Volatile and Semi-volatile Data Detection Limits-October 25,2018 INDULOR
sample
Dear Ms. King:
Due to an elevated level of non-target organic compounds present in the above referenced
sample we were unable to achieve lower detection limits for volatile and semi-volatile
organic analysis. This sample required x10 dilution.
If you have any questions concerning this matter,please give me a call. We appreciate
your business and look forward to working with you in the future.
Sincerely,
Jirnard - HOMCilai
Amanda Hancock
Technical Services Supervisor
Meritech, Inc.
Ph: 336 342 4748
Fax: [phone]
642 Tamco Road • P.O. Box 27 • Reidsville, NC 27320
[phone] • [phone] Fax

•
Kayser Roth 1-85 0052
Pretreatment Annual Report(PAR) Control Authority. Indusay
Industrial Data Summary Form(lDSF) I Town Name=>City of Burlington Name Kayser Roth Corporation
Use separate forms for each industry/pipe WWTP Name=>South Burlington IUP#0062
Enter BDL values as<(value) I NPDESa=>NC0023876 Pipe#01
1st 6 nnnlss.dates=>January 01,2018 thru June 30,2018 -
_ 2nd 6 months.data=>July 01,2018 thru December 31,2018
Flow,mgd BOD TSS pH limit 5-11
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=> 2 2 2 2 2 2 2 2
• Maximum(mg/I)_> 169 139 331 592 7.3 7.3
• or Maximum (Ib/d)on 0.121 0.107 137.384 124.195 333.936 474.143
• or Average(mg/1)_> 162.5 111.3 241.5 320.9
• or Average Loading(Ib/d)_•> 0.115 0.102 154.871 95.736 235.484 259.320
%viblatlene,(Claonic SNC is>=88%)a> a/a a/a n/a s/a n/a n/a 0 0 _
%TRC violations,(SNC is>=33%)_> nta n/a n/a n/a n/a n/a n/a We
Temperature Chromium Copper Nickel
Limits 50.0 Degree C 8.0 lbs/day 1.50 lbs/day 0.801bs/day
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months I2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 2 2 2 2
• Maximum(MA a> 0.732 0.490 0.278 0.200 0.035 0.018
• or Maximum (Ibld)=> 30.2 28 0.660 0.392 0.251 0.160 0.031 0.014
• or Average(mg/1)=> t 0.631 0.390 0.214 0.136 0.025 0.012
• or Average Loading(1b/d)_> 23.3 274 0.597 0.326 0.201 0.112 0.023 0.010
%violations,(chronic SNC is>=88%)a> 0 0___ _ 0 0 0 0 _ 0 0
%TRC violations,(SNC is>=33%)a> 0 0 0 0 0 0 0 0
•
_ Limits 2.60 lbs/day
1st 6 months 2nd 6 months
i Total#of samples=> 2 2
• Maximum(moll)_> 0.059 0.120
• _ or Maximum (Ib/d)=> 0.053 0.107
• or Average(mg/1)_> 0.038 0.106
• or Average Loading(Ib/d)=> 0.035
%violations,(chronic SNC is>=68%)a> 0 0
%TRC violations,(SNC is>=33%)_> 0 0
Averages alculatcd for 6 months.I2 BDL Values were used. BDL->Below Detection Limn mg1l milligrams per liter
• 1'OTW most enter at least one of three IIIP->Industrial User Permit lad->pounds per des
four rows.Please althea.how twang.were calculated SNC->Significant Non-Cmnpliuoce mgd^•mdh.n gallons per day-
Avg penod could be month.Qtr.car 6-month a if BDL.1,2E104 m zero values used. TRC->Technical Review Criteria WWII' wastewater treatment plant
Page 1

Carolina Hosiery 0055
Pretreatment Annual Report(PAR) Control Authority, Industry [
Industrial Data Summary Form(IDSF) I Town Name=>City of Burlington Name Carolina Hosiery Mills Inc.
Use separate forms for each industry/pipe WWII'Name=>South Burlington IUP#0055
Enter BDL values as<(value) I NPDES#=> NC23876 Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
I 2nd 6 months,dates=>July 01,2018 thru December 31,2018
l
Flow,mgd BOD TSS Ph limit 5-11
1st 6 months 2nd 6 months 1st 6 months 12nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 2 2 2 2
• Maximum (mgll)_> 188 196.0 80.0 78.3 8.2 7.41
• or Maximum (lb/d)=> 0.0561 0.0309 87.9 50.5 37.4 20.18
• or Average(mg/1)_> 187.0 161.0 67.3 76.15
• or Average Loading(Ib/d)=> 0.0528 0.0292 82.4 39.7 30.0 18.59
%violations,(chronic SNC is>=66%)_> n/a n/a Na Na n/a n/a 0 _ 0 1
%TRC violations,(SNC is>=33%)_> n/a n/a n/a ) Na n/a Na Na Na
Temperature' Chromium I Copper Nickel
LIMITS 50.0 Degree C 0.60 IbsJday j 030 IbsJday 0.10 lbs.day '
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 m> 2 2
• Maximum (mgA)_ 0.265 0.092 0.056 0.076 0.016 0.079
• or Maximum (Ib/d)_> 24.6 36.5 0.123 0.021 0.026 0.018 0.007 0.018
• or Average(mg/1)_> 0.163 0.053 0.049 0.074 0.009 0.041
• or Average Loading(Ib/d)_> 20.15 33.25 0.075 0.012 0.022 0.018 0.004 0.009
%violations,(chronic SNC is>=66%)=> 0 0 0 0 0 0 0 0
%TRC violations,(SNC Is>=33%)_> 0 I 0 0 1 0 0 0 0 0
Zinc -
LIMB'S 0.66 lbsJda ,
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 2 2
• Maximum (mgA)=> 0.120 0.071 ,
• or Maximum (Ib/d)_> 0.050 0.018
• or Average(mg/1)_> _ 0.105 0.071
• or Average Loading(Ib/d)_> 0.046 0.017
%violations,(chronic SNC is>=66%)_> 0 0
%TRC violations,(SNC is>=33%)_> 0 0
Averages calculated for 6 months.l2 BDL Values were used BDL=>Below Delecvon Limn mg/I=>milligrams per loer
• POT W must enter at least one of these I _ IUP->Industrial User Peanut Ili/d>pmmds per day.
fore rows,Please indicate how averages were calculated SNC=>Significant Nan-Compliance mid=>million gallons per day
Avg period could be month,Qtr,or 6-month 8c if BDL,12BDL,or zero values used TRC=>Tedmical Review Criteria WWI? wastewater vestment plant
Page 1

Lemco Mills 0057
Pretreatment Annual Report(PAR) I Control Authority, I Industry
Industrial Data Summary Form (IDSF) Town Name=>City of Burlington Name Lemco Mills
Use separate forms for each industry/pipe WWTP Name=>South Burlington IUP#0057
Enter BDL values as<(value) NPDES#=> NC0023876. Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
I 2nd 6 months,dates=>'July 01,2018 thru December 31,2018 _
Flow,mgd BOD TSS pH limit 5-11
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 4 2 2 2 2 2 4 2
• Maximum (mg/I)=> 170.0 108.0 59.1 25 9.37 7.6
• or Maximum (lb/d)=> 0.021 0.013 18.5 9.9 6.079 2.459
• or Average(mg/1)_> 138.5 62.2 35.55 24.2
• or Average Loading(lb/d)_> 0.016 0.012 18.0 5.8 4.08 2.376
%violations,(chronic SNC is>=66%)=> n/a r n/a n/a n/a Na n/a 0% 0
%TRC violations,(SNC is>=33%)=>^ Na n/a n/a Na n/a n/a n/a n/a
Temperature JChromium Copper I Nickel
Limits 50.0 Degree C 0.26 lbs./day 0.10 Ibstday;1.50 Ihs/day as of 3/26/tS 0.04 lbs./day
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total*of samples=> 4 2 2 2 4 2 2 2
• Maximum (mg/I)=> 0.300 0.214 0.808 0.030 0.008 0.022
• or Maximum (Ib✓d)=> 27.1 33 0.050 0.020 0.140* 0.003 0.001 0.002
• or Average(mg/1)=> 0.296 0.114 0.189 0.027 0.005 0.012
• or Average Loading(lb/d)=> 22.4 32.3 0.041 0.011 0.044 0.003 0.001 0.001
%violations,(chronic SNC is>=66%)=> 0 0 0 0 25% 0 0 0
%TRC violations,(SNC is>=33%)=> 0 0 I 0 0 25% 0 0 0
Zinc
Limits 0.50lbs./day
1 1st 6 months 2nd 6 months_
• Total#of samples=> 2 2
• Maximum (mg/I)=> 0.150 0.130
• or Maximum (Ib/d)=> 0.019 0.014
• or Average(mg/1)_> 0.131 0.092
• or Average Loading(lb/d)_> 0.017 0.009
%violations,(chronic SNC is>=66%)=> 0 _0 -
%TRC violations,(SNC is>=33%)=> 0 0
Averages calculated for 6 months.1/2 BDL Values were used 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,l2BDL,or zero values used. TRC=>Technical Review Criteria W WTP=>wastewater treatment plant
_ _ I
*NOV for Copper issued March 14,2018 for sampline event occurring 1/25/2018. Back in compliance 3/27/2018.
•
Page 1

Carolina Bio.Supply 0065
Pretreatment Annual Report(PAR) Control Authority, I Industry
Industrial Data Summary Form(IDSF) I Town Name=>City of Burlington Name CaroHnaB• ••teal Supply
Use separate forms for each industry/pipe WWTP Name=>South Burlington IUP#0065
Enter BDL values as<(value) I NPDES#=>NC0023876 I Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months,dates=>July 01,2018 thru December 31,2018
Flow,mgd BOD TSS ill limit 5-11
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=> 2 2 2 2 2 2 2 2
• Maximum (mg/1)=> 2090 726 31 148 8.3 8.9
• or Maximum (Ib/d)_> 0.0407 0.0509 255.234 284.2 7.199 35.8
• or Average(mg/I)_> 1258 698 26.1 88.6
• or Average Loading(Ib/d)_> 0.0277 0.0399 199.943 229.8 5.492
24.1
%violations,(chronic SNC is>=66%)_> n/a n/a n/a n/a n/a _ 0 0
%TRC violations,(SNC is>=33%)=> n/a n/a n/a n/a n/a n/a
Temperaturtl Chromium I Copper Nickel
units 50.0 Degree C 0.10 Ibs✓day 0.04 lbsJday I I
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 sam•les=> 2 2 2 2 2 2
• Maximum (mg/1)_>I 0.061 0.036 0.039 0.038 0.054 0.027
• or Maximum OW)=> 16 5 27 0.007 0.0087 0.013 0.009 0.007 0.007
• or Average(mg/I)_> 0.033 0.019 0.028 0.030 0.028 0.015
• or Average Loading(IWd)=> 10.9 24.9 0.005 0.0049 ° 004 r
04
%violations,(chronic SNC is>=66% _> ' t ' ' I
%TRC violations,(SNC is>=33%)=>MI ' r ' ' ' 0 0 0
I.
inc Mercu
limitlimit �1.00 Onl
IIII 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 sam•--_>
• Maximum mgA)_>MIMEMI t t ,IM 0.00 0003 0.00005 i
• or Maximum Ib/d)_>�®®
• or Aver.•e(m: )_> 0.080 0.0001 0.00015
• or Average Loadin'(Ib/d)=>MI=ME= 0.039 0.00002 0.00005 --==
%violations,(chronicSNC is>=86%;>:��� rya
%TRC violations, SNC is>=33% —> ' ' rya
ME IIII
Averages calculated for 6 months.12 BDL Values were used--__ •
n Limit MEI ml =>milli, o per liter
• POTW must enter at least one of there `Permit
finer rows,Please indicate how averages were calculated ---SNC=>Si,.iticent Non-C• tame MI
Avg period could be month,Qtr,or 6-month&if BDL,I2BDL,or zero values used. TRC=>TechnicalReview Criteria WWTP=>wastewater treatment
_ 1111 ---
1 - _ ill
--------
-_-— ------ —
III
MI
11.
Page 1

-0066
Pretreatment Annual Report(PAR) Control Authority, I Industry I
Industrial Data Summary Form(IDSF) Town Name=>City of Burlington Name Laboratory Corp.of America
Use separate forms for each industry/pipe WWTP Name=>South Burlin4ton IUP#0066
Enter BDL values as<(value) I NPDES#=>NC0023876 I Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months,dates=>July 01,2018 thru December 31,2018
Flow,mgd BOD TSS pH limit 5-11
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=> 2 4 2 2 2 2 2 2
• Maximum (mg/I)_> 201 226 53 67 8.5 9.1
• or Maximum (Ib/d)_> 0.0420 0.0770 70.5 145.196 17.879 43.045
or Average(mg I)=> 184.5 134.2 52 56.2
• pr Average Loading(1b/d)=> _ 0.0400 0.0592 61.9 82.3752 17.338 31.969
/iolations,(chronic SNC is>=66%)=> n/a n/a n/a n/a n/a n/a 0 0
TRC violations,(SNC is>=33%)=> n/a n/a n/a n/a n/a n/a n/a n/a
Temperature Chromium Copper Nickel J
limits 50.0 Degree C 0.10 lbsJday 0.10 lbsJday 0.015 lbsJday 1
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
Maximuum (mg/1)=#
2 2 2 2 2 2
• M samples=> 2 2 0.008 0.014 0.120 0.079 0.003 0.009
• or Maximum (Ib/d)=> 19.7 26.5 0.002 0.009 0.042 0.051 0.001 0.006
• or Average(mg/1)=> 0.005 0.008 0.095 0.077 0.003 0.006
• or Average Loading(lb/d)=> 16.45 25.525 0.002 0.005 0.032 0.043 0.001 0.003
iolations,(chronic SNC is>=66%)=> 0 0 0 0 0 0 0 0
TRC violations,(SNC is>=33%)_> 0 0 0 0 0 0 0 0
'Zinc fig
limits 0.25 lbsJday 0.0011 lbsJday
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1
Total#of samples=> 2 4 2 2
• Maximum (mg/I)=> 0.188 0.595 0.0020 0.0021
• or Maximum (Ib/d)=> 0.060 0.3823* 0.0006 0.0010
• or_Average(mg/1)_> 0.169 0.241 0.0019 0.0012
• pr Average Loading(Ib/d)_> 0.056 0.137 0.0006 0.0006
iolations,(chronic SNC is>=66%)_> _ 0 0 0 0
TRC violations,(SNC is>=33%)=> 0 0 0 0
Averages calculated for 6 months.1/2 BDL Values were used. BDL=>Below Detection Limit mg/I=>milligrams per liter
• POTW must enter at least one of these I 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 t TRC=>Technical Review Criteria WW1?=>wastewater treatment plant
*NOV for Zinc issued September 5,2018 for sampling event occurring 7/19/2018. Back in compliance 9/18/2018.
Page I

Labcarp 0066(2)
Pretreatment Annual Report(PAR) Control Authority, 1 Industry 1 J
Industrial Data Summary Form(IDSF) Town Name=>City of Burlington Name Laboratory Corp.of America
Use separate forms for each industry/pipe WWTP Name=>South Burlington IUP#0088
Enter BDL values as<(value) NPDES#_>NC0023876 Pipe#02
1st 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months,dates=>July 01,2018 thru December 31,2018
I Flow,mgd COD TSS pH limit 5-11
1st 6 months 2nd 6 months 1st 6 months_2nd 6 months 1st 6 months 2nd 6 months 1st 6 month.7 2nd 6 months
Total#of samples=> 2 2 2 2 2 2 2 2
Maximum (mg/I)_> 4733 8761 227 192 8.8 9.5
• or Maximum (b/d)_> 0.0220 0.0569 770.4 4159.93 36.95 91.17
• or Average(mg/1)_> 2762.5 4381 123.4 130.1
• pr Average Loading(lb/d)_> 0.0207 0.0486 457.7 2080.13 20.29 57.03
riolations,(chronic SNC is>=88%)=> Na n/a n/a n/a Na Na 0 0
TRC violations,(SNC is>=33%)_> Na n/a Na Na Na n/a Na Na i
Temperature Chromium Copper Nickel
limits 50.0 Degree C 0.10lbs✓Jay, 0.10lbs✓day 0.015lbsJdax
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=> 2 2 2 2 2 2 2 2
• Maximum (mg/I)=> 0.003 0.006 0.150 0.180 0.003 0.003
• or Maximum (b/d)_> 20 30 0.001 0.003 0.027 0.085 0.001 0.001
• or Average(mg/1)_> 0.003 0.004 0.100 0.150 0.003 0.003
• pr Average Loading(Ib/d)_> 11.3 28.1 0.001 0.002 0.018 0.063 0.000 0.001
elation,(chronic SNC is a=88%)=> 0 0 0 0 0 0 0 0 _
TRC violations,(SNC is>=33%)_> 0 0 0 0 0 0 0 0
Zinc Hg 1
limits 0.25 IbsJday 0.0004lbsday
1st 6 months 2nd 6 months 1st 6 months 1.2nd 6 months'1 st 6 months 2nd 6 months l st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 .
• Maximum (mg/I)=> 0.095 0.279 <0.0001 0.00093
• or Maximum (b/d)_> 0.017 0.132 0.00002 0.00031
• or Average(mg/I)_> , 0.079 0.183 <0.0001 0.00057
• rr Average Loading(1b/d)_> 0.014 0.081 0.00002 0.00020
iolations,(chronic SNC is>=88%)=> 0 0 0 0
TRC violations,(SNC is>=33%)_> 0 0 0 0
Averages calculated for 6 months.1/2 BDL Values were used. BDL=>Below Detection Limit mg/I=>millig ems per liter
• POTW must enter at least one of these I IUP=>Industrial User Pennit 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 TRC=>Technical Review Criteria W WTP=>wastewater treatment plant
Papal

Alamance Foods 0067 I
1,
Pretreatment Annual Report(PAR)
Control Authority, 1 Industry i _
Industrial Data Summary Form(IDSF) 1 Town Name=>City of Burlington Name Alamance Foods
Use separate forms for each industry/pipe - WWI?Name=>South Burlington IUP#0067
Enter BDL values as<(value) I NPDES#=>NC0023876 [ Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
I- 2nd 6 months,dates=>July 01,2018 thru December 31,2018 1
Flow,mgd BOD TSS hpH limit 5-11
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 i of samples_=> 2 2 2
M
• Maximum (mg/I) 8220 3920 2340 2485 7.4 10.61
• or Maximum (lb/8)=> 0.133 0.170 7686.98 5552.5 2188.27 3519.89
• or Average(mg/I)_> 5260 3255 1452 2267.5
• or Average Loading(Ib/d)_> 0.123 0.128 5123.43 4004.35 1407.99 2731.99
%violations,(chronic SNC is>=66%)_>_ n/a n/a n/a n/a n/a n/a 0 0
%TRC violations,(SNC is>=33%)_> n/a n/a n/a n/a n/a n/a n/a n/a
Temperatu Chromium Copper r 44ickel
limits �50.0 Degree C 0.20 IbsJday 0.40 IbsJday 0.05 IbJday
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 i of samples=> 2 2
• Maximum (mgll)=> 0.016 0.045 0.020 0.068 0.009 0.040
• or Maximum (Ib/d)=> 45.9 40.9 0.018 0.064 0.019 0.096 0.009 0.0565*
• or Average(mg/1)_> 0.014 0.026 0.019 0.048 0.008 0.019
• or Average Loading(Ib/d)_> 29 34.0 0.015 0.036 0.019 0.061 0.008 0.229
%violations,(chronic SNC is>=66%)_> 0 0 -4 0 0 _ 0 0 0 25%
%TRC violations,(SNC is>=33%)_> 0 0 0 0 0 I 0 0 0%
Zinc '
limits 1.50Ibs./day
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total i of samples=> 2 2
• Maximum (mg/)=> 0.140 0.184
• or Maximum (lb/d)_> 0.131 0.261
• or Average(mg/I)=> 0.122 - 0.167
• or Average Loading(Ib/d)=> 0.123 0.201
%violations,(chronic SNC is>=66%)=> 0 0
%TRC violations,(SNC is>=33%)_> 0 0
Averages calculated for 6 months.I2 BDL Values were used BDL=>Below Detection Limit mg/I=>milligrams per Iincr
• POT W must enter at least one of these I 1UP=>Industrial User Permit Ib/d es pounds per day
tau rows,Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd million gallons per day
Avg period could be month,Qtr,orb-month&if BDL,12BDL,or ono values used. TRC=>Technical Review Criteria WWI,=>wastewater trutment plan
i
•
*NOV for nickel issued September 6,2018 for sampling event occurring 7/19/2018. Back in compliance 10/5/2018.
II
Page 1

McComb 0071
•
Pretreatment Annual Report(PAR) _ Control Authority, I Industry
•
Industrial Data Summary Form(IDSF) I Town Name=>City of Burlington Name MCCOIt1b Industries,LLLP
Use separate forms for each industry/pipe WWTP Name=>South Burlington IUP#0071
Enter BDL values as<(value) I NPDES#=>NC0023876 I Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
2nd 6 months,dates=>July 01,2018 thru December 31,2018
1
Flow,mgd BOD TSS ,pH limit 5-11 SU
l 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=> 2 2 2 2 _ 2 2 2 2
• Maximum (mg/)=> 213 200 18 6.000 7.9 7.0
. • or Maximum (Ib/d)=> 0.141 0.239 227.382 155.791 21.201 7.189 ,
• or Average(mg/1)_> 159.500 121.550 17.900 4.800
• or Average Loading(Ib/d)_> 0.135 0.166 176.116 120.932 20.101 5.932
1 %violations,(chronic SNC is>=86%)=> n/a Na Na n/a Na Na 0 0
%TRC violations,(SNC is>=33%)=> Na Na n/a Na Na Na Na Na
Temperature Chromium Copper I Nickel
limits 50 Degree C 1.83 lbs./day 0.40 lbs./day 0.14 lbs./dayl
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 12nd 6 months
Total#of samples=> 2 2 2 2 2 2 2 2
• Maximum (mgll)=> 0.169 0.224 0.016 0.050 0.003 0.171
•• or Maximum (Ib/d)=> 35.1 32.9 0.199 0.174 0.018 0.039 0.003 0.133
• or Average(mg/1)=> 0.106 0.113 0.012 0.030 0.002 0.087
• or Average Loading(Ib/d)=> 26.2 31.45 0.122 0.113 0.013 0.029 0.003 0.069
%violations,(chronic SNC is>=66%)=> 0 0 0 _ 0 0 0 0 0
•
%TRC violations,(SNC is>=33%)=> 0 0 0 0 0 0 0 0
1
Zinc
limits _0.80 lbs./day ,
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2
• Maximum (mgll)=> 0.017 0.034
• or Maximum (lb/d)=> 0.018 0.032
• or Average(mg/1)=> _ 0.014 0.025
• or Average Loading(1b/d)_> 0.015 0.029
%violations,(chronic SNC is>=66%)=> 0 0 ,
%TRC violations,(SNC is>=33%)=> 0 0
Averages calm/sad for 6 months 1/2 BDL Values vswe used BDL..Below Detection Limit mg/I a milligrams pa liter
• POTW must enter at least one of these I RIP=>Industrial Usa Permit INd=>pounds pa day -
four rows,Please indicate boo masses Rene calculated SNC=>Significant Noncompliance mgd million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL,l/2BIx„or ono values used. MC=>Teclmicd Review Criteria wwrP=>wastewater treatment plant
•
Page 1

Pickett Hosiery 0076
Pretreatment Annual Report(PAR) Control Authority,,
I Industry I _
Industrial Data Summary Form(IDSF) 1 Town Name=>City ofBudinglon Name Pickett Hosiery Mills
Use separate forms for each industry/pipe WWTP Name=>South Burlington IUP#0076
Enter BDL values as<(value) I NPDES#=>NC0023876 I Pipe#01
1st 6 months,dates=>January 01,2018 thru June 30,2018
-
2nd 6 months,dates=>July 01,2018 thru December 31,2018 -
I Flow,mgd BOD TSS pH limit 5-11
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=> 2 2 2 2 2 2 2 2
• Maximum (mgll)_> 79 268 123 120 9.38 9.5
* or Maximum (Ib/d)=> 0.038 0.046 18.0 82.926 39.3 46.070
• or _Average(mg/1)=> 84.4 242 93.5 63.8
• or Average Loading(1b/d)_> 0.033 0.038 17.0 74.990 27.0 23.986
%violations,(chronic SNC is>=66%)=> n/a n/a n/a n/a n/a n/a 0 0
%TRC violations,(SNC is>=33%)=> Na Na n/a Na Na Na n/a Na
Temperaturet Chromium I Copper Nickel I
LIMITS 60.0 Degree C 1.00 lbs./day 0.82 lbs./day 0.08 lbs./day
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=> 2 2 2 2 2 2 2 2
• Maximum (mg/i)=> 0.220 0.260 0.300 0.284 0.004 0.089
• or Maximum (IWd)=> 52 7 37.1 0.070 0.065 0.096 0.109 0.001 0.034
• or Average(mg/1)=> 0.170 0.183 0.203 0.168 0.003 0.046
* or Average Loading(Ib/d)_> 31.9 34.6 0.049 0.053 0.060 0.061 0.001 0.017
%violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations,(SNC is>=33%)=> 0 0 0 0 0 0 0 0
-i•Ziac ,
LIMITS 0.40 IbsJday
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2
• Maximum (mg#)=> 0.110 0.052
• or Maximum (lb/d)=> 0.035 0.017
• or Average(mg/1)=> 0.072 0.049 .
• or Average Loading(Ib/d)_> 0.021 0.015
%violations,(chronic SNC is>=66%)=> 0 0 _ __ -
%TRC violations,(SNC is>=33%)=> 0 0
Averages calculated for 6 months 1/2 BDL Values were used. BDL w•Below Detection Limit mg/I=>milligram.Nr liter
• POTW must enter at least one of these L_ MP o>Industrial User Permit Ibid=>pot mis to>,Ia, -_
fur mws,Please indicate how averages were calculated SNC o>Significant Non-Compliance mgd=>minion gallons per dm,
Avg period could In month,Qtr,or 6-month&if BDL,I/2BDL,or zero values used. TRC a>Technical Review Criteria WWTP=>wastewater treatment plant
Page 1

Workbook Name : 2018_update_allocation_noNatSpin, Worksheet Name: AT Printed:2/4/2019,9:52 AM
Page 1 of 4
Allocation Table Spreadsheet Instructions:
Headworks last approved: 02/02/16 1)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is
Allocation Table updated: 05/08/18 2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
Permits last modified: 01/01/17 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load
in this AT worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in
columns AT through BK.
POTW=> East Burlington
NPDES#=> NC0023868
FLOW BOD TSS Amn
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits Permit
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Conc. Load Conc.
Count pi serstalphn'uI„ number number Industry Date Date Expires MGD gal/day m 1 lbs/da mg/1 lbs/day mg/I
1 Burlington Mfg.Services 0004 0001 Textile 01/01/17 12/31/21
2 Carolina Dyeing and Fin. 0003 0001 Textile 05/01/16 01/01/17 04/30/21 _
3 Copland Industries 0010 0001 Textile 01/01/17 12/31/21 « ... ..
4 Engineered Controls 0019 0001 433 01/01/17 12/31/21 0.0120 12,000
5 Glen Raven Tech.Fabrics 0008 0001 Textile 01/01/17 12/31/21
6 Graham Dyeing&Finishing 0015 0001 Textile 01/01/17 12/31/21
7 ITG Burlington House Fin. 0006 0001 Textile 01/01/17 12/01/21
8 lndulor 0089 0001 414.111 01/01/17 12/31/21 0.0050 5,000
Column Totals=> 0.0170, 17,000 , of
Basis=> NPDES Design Design
MARL from HWA(lbs/day)=> NPDES Permitted Flow=> 12.0000 45036 22518
Uncontrollable Loading(lbs/day)_> 2.4835 7258 7539
Total Allowable for Industry(MAIL)(lbs/day)=> 9.5165 37778 14979
Total Permitted to Industry(lbs/day)_> 0.0170 0 0
MAIL left(lbs/day)_> 9.4995 37778 14979
Percent Allow.Ind.(MAIL)still available(%)_> 99.8% 100.0% 100.0%
Percent MARL still available(%)_> 79.2% 83.9% 66.5%
5 Percent MAHL(lbs/day)_> 0.6000 2252 1126
HWA.AT
Revised:November 2005

Workbook Name : 2018_update_allocation_noNatSpin, Worksheet Name: AT Printed:2/4/2019,9:52 AM
Page 2 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 05/08/18
Permits last modified: 01/01/17
Pony., East Burlington '
NPDESC> NC0023868
Ionia Arsenic Cadmium Chromium Copper Cyanide Lead
Industry Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count (please laadlplwtxrock1 number number lbs/day mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/1 lbs/day mg/I lbs/day mg/1 Ibs/da
1 Burlington Mfg.Services 0004 0001 0.80 2.00
2 Carolina Dyeing and Fin. 0003 0001
3 Copland Industries 0010 0001 0.60 0.90
4 Engineered Controls 0019 0001 0.0700 0.01 1.7100 0.17 2.0700 0.21, 0.6500 0.07 0.4300 0.04
5 Glen Raven Tech.Fabrics 0008 0001 1.75 1.00
6 Graham Dyeing&Finishing 0015 0001 0.29 0.75
7 ITG Burlington House Fin. 0006 0001 1.00
8 lndulor 0089 0001 I 0.3444 0.01 0.2624 0.01
Column Totals=> I___ DI I 0.0000 0.0070 4.6111 4.8572 0.0794 I 0.0540
Sludge Sludge AS/Nit/TF AS/Nit/TF Sludge
Basis=> Design Ceiling Ceiling inhibition inhibition Stream Std Ceiling
MAHL from HWA(lbs/day)_> 3002.40 1.5482 1.1784 37.2251 31.0490 3.5122 12.7913
Uncontrollable Loading(Ibs/day)=> 528.17 0.0621 0.0621 0.3790 1.8289 0.8492 0.2423
Total Allowable for Industry(MAIL)(Ibs/day)=> 2474.23 1.4860 1.1163 36.8461 29.2201 2.6630 12.5489
Total Permitted to Industry(lbs/day)_> 0.00 0.0000 0.0070 4.6111 4.8572 0.0794 0.0540
MAIL left(lbs/day)_> 2474.23 1.4860 1.1093 32.2349 24.3629 2.5836 12.4950
Percent Allow.Ind.(MAIL)still available(%)_> 100.0% 100.0% 99.4% 87.5% 83.4% 97.0% 99.6%
Percent MARL still available(%)_> 82.4% 96.0% 94.1 % 86.6% 78.5% 73.6°A) 97.7%
5 Percent MAHL(lbs/day)_> 150.12 0.0774 0.0589 1.8613 1.5524 0.1756 0.6396
HWA.AT
Revised:November 2005

Workbook Name : 2018_update_allocation_noNatSpin, Worksheet Name: AT Printed:2/4/2019,9:52 AM
Page 3 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 05/08/18
Permits last modified: 01/01/17
Pores., East Burlington
NPDES*=> NC0023868
Mercury Molybdenum Nickel Selenium Silver Zinc
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 fist alptwMray, number number mg/1 lbs/day mg/I lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day
1 Burlington Mfg.Services 0004 0001 0.50 2.00
2 Carolina Dyeing and Fin. 0003 0001 _ 2.50
3 Copland Industries 0010 0001 0.50_ 0.60
4 Engineered Controls 0019 0001 �� 2.3800 0.24 0.02, 1.4800 0.15
5 Glen Raven Tech.Fabrics 0008 0001 �-• i 0.70 ` �� 1.00
6 Graham Dyeing&Finishing 0015 0001 0.10 0.75
7 ITG Burlington House Fin. 0006 0001 / 0.50 1. ---,,, , 2.00
8 Indulor 0089 0001 0.8610 0.04
Column Totals=> 0.000000 0.0000! f 2.5382 0.0000 0.0240 9.03401
Sludge Sludge Sludge AS/Nit/rF AS/Nit/TF
Basis=> Stream Std Ceiling Ceiling Ceiling inhibition inhibition
MAHL from HWA(lbs/day)=> 0.148471 3.6822 7.3389 1.8720 11.4675 69.6055
Uncontrollable Loading(lbs/day)=> 0.006214 0.0228 0.1595 0.0228 0.1036 6.2655
Total Allowable for Industry(MAIL)(lbs/day)_> 0.142257 3.6594 7.1794 1.8492 11.3639 63.3400
Total Permitted to Industry(lbs/day)=> 0.000000 0.0000 2.5382 0.0000 0.0240 9.0340
MAIL left(lbs/day)=> 0.142257 3.6594 4.6412 1.8492 11.3399 54.3059
Percent Allow.Ind.(MAIL)still available(%)_> 100.0% 100.0% 64.6% 100.0% 99.8% 85.7%
Percent MAHL still available(%)_> 95.8% 99.4% 63.2% 98.8% 98.9% 78.0%
5 Percent MAHL(lbs/day)_> 0.007424 0.1841 0.3669 0.0936 0.5734 3.4803
HWA.AT
Revised:November 2005

Workbook Name : 2018_update_allocation_noNatSpin, Worksheet Name: AT Printed:2/4/2019,9:52 AM
Page 4 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 05/08/18
Permits last modified: 01/01/17
pow East Burlington
NPDESI�> NC0023868
Total Nitrogen Total Phos. I Aluminum
Industry Permit Limits Permit Limits Permit Limits
11.113 I INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load
Count (please list aiphanetteiy) number number mg/I lbs/day mg/1 Ibs/day mg/1 lbs/day
I Burlington Mfg.Services 0004 0001
2 Carolina Dyeing and Fin. 0003 0001 • _
3 Copland Industries 0010 0001
4 Engineered Controls 0019 0001
5 Glen Raven Tech. Fabrics 0008 0001
6 Graham Dyeing&Finishing 0015 0001
r
7 ITG Burlington House Fin. 0006 0001
8 lndulor 0089 0001
Column Totals=> 0.00n 0.00 0.0000
Basis=> NPDES
MAHL from HWA(Ibs/day)_> 225.12
Uncontrollable Loading(lbs/day)=> 112.78 16.6652
Total Allowable for Industry(MAIL)(lbs/day)_> 112.34
Total Permitted to Industry(Ibs/day)_> 0.00 0.00 0.0000
MAIL left(lbs/day)_> 112.34
Percent Allow.Ind.(MAIL)still available(%)_> ####### 100.0% #######
Percent MAHL still available(%)_> ####### 49.9% #######
5 Percent MAHL(Ibs/day)_> 11.2559
HWA.AT
Revised:November 2005

Workbook Name : 2018Update_South_allocation, Worksheet Name: AT Printed:2/12/2019, 11:13 AM
Page 1 of 4
Allocation Table Spreadsheet Instructions:
Headworks last approved: 02/02/16 1)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is
Allocation Table updated: 03/23/18 2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
Permits last modified: 03/23/18 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load
in this AT worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in
columns AT through BK.
Po,w=> South Burlington
NPDES$t=> NC0023786
FLOW BOD TSS
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Conc. Load
Count (please Itstalphabwiclp) number number Industry Date Date Expires MGD gal/day m 1 Ibs/da m 1 Ibs/da
1 Alamance Foods 67 0001 Dairy 01/01/17 12/31/21
2 McComb Industries 71 0001 Textile 01/01/17 12/31/21 _
3 Carolina Biological Supply 65 0001 aboraton 01/01/17 12/31/21 _
4 Carolina Hosiery 55 0001 Textile 01/01/17 12/31/21
5 Kayser Roth 52 0001 Textile 07/01/16 01/01/17 06/30/21
6 Labcorp 66 0001 aborator� 01/01/17 12/31/21 �MII
Labcorp 66 0002 Laboratorn 01/01/17 12/31/21 ,.. --_
7 Lemco Hosiery 57 0001 Textile 01/01/17 03/26/18 12/31/21
8 Pickett Hosiery 76 0001 Textile 01/01/17 12/31/21
Column Totals=> ( 0 0
Basis=> NPDES Design Design
MAHL from HWA(Ibs/day)_> NPDES Permitted Flow=> 12.0000 45036 22518
Uncontrollable Loading(Ibs/day)_> 4.9900 12110 9031
Total Allowable for Industry(MAIL)(Ibs/day)_> 7.0100 32926 13487
Total Permitted to Industry(lbs/day)_> 0 0
MAIL left(Ibs/day)_> #VALUE! 32926 13487
Percent Allow.Ind.(MAIL)still available(o/u)_> 100.0% 100.0%
Percent MAHL still available(o/u)_> _ 73.1 % 59.9%
5 Percent MAHL(lbs/day)=> 0.6000 2252 1126
HWA.AT
Revised:November 2005

Workbook Name : 2018Update_South_allocation, Worksheet Name: AT Printed:2/12/2019, 11:13 AM
Page 2 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 03/23/18
Permits last modified: 03/23/18
POTw=> South Burlington
NPDEsit=> NC0023786
Ammonia Arsenic Cadmium Chromium Copper Cyanide
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 rst alph bench)) number number mg/1 lbs/day mg/I lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/I lbs/day
l Alamance Foods 67 0001 , 0.2000 0.4000
2 McComb Industries 71 0001 1.8300 0.4000
3 Carolina Biological Supply 65 0001 , 0.1000 0.0400
4 Carolina Hosiery 55 0001 0.6000 0.3000
5 Kayser Roth 52 0001 A 8.0000 1.5000
6 Labco . 66 0001 0.1000 0.1000
Labco 66 0002 0.1000 0.1000
7 Lemco Hosiery 57 0001 0.2600 1.5000
8 Pickett Hosiery 76 0001 1.0000, 0.8200
Column Totals=> 01 0.00001 0.00001 ( 12.19001 5.16001 ( 0.0000
Stream Stream AS/Nit/TF AS/Nit/IF Stream
Basis=> Design Std Std inhibition inhibition Std
MAHL from HWA(lbs/day)=> 3002.40 1.2207 0.4069 24.7867 34.9422 1.0829
Uncontrollable Loading(lbs/day)=> 1082.03 0.1248 0.1248 0.4495 1.9477 0.2081
Total Allowable for Industry(MAIL)(lbs/day)=> 1920.37 1.0958 0.2820 24.3372 32.9946 0.8748
Total Permitted to Industry(lbs/day)=> 0.00 0.0000 0.0000 12.1900 5.1600 0.0000
MAIL left(lbs/day)=> 1920.37 1.0958 0.2820 12.1472 27.8346 0.8748
Percent Allow.Ind.(MAIL)still available(%)=> 100.0% 100.0% 100.0% 49.9% 84.4% 100.0%
Percent MAHL still available(%)=> 64.0% 89.8% 69.3% 49.0(1/0 79.7% 80.8
5 Percent MAHL(Ibs/day)_> 150.12 0.0610 0.0203 1.2393 1.7471 0.0541
HWA.AT
Revised:November 2005

Workbook Name : 2018Update_South_allocation, Worksheet Name: AT Printed:2/12/2019, 11:13 AM
Page 3 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 03/23/18
Permits last modified: 03/23/18
Po-rw=> South Burlington
NPDESi > NC0023786
Lead Mercury Molybdenum Nickel Selenium
Industry 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
Count (please list alphabeticlr) number number mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/I lbs/day mg/I lbs/day
1 Alamance Foods 67 0001 1 0.0500
2 McComb Industries 71 0001 0.1400
3 Carolina Biological Supply 65 0001 0.0100,
4 Carolina Hosiery 55 0001 0.1000
5 Kayser Roth 52 0001 0.8000
6 Labcorp 66 0001 0.00110 , 0.015e
Labcorp 66 0002 0.00040 0.0150
7 Lemco Hosiery 57 0001 F._ 4
_ 0.0400
8 Pickett Hosiery 76 0001 0.0800[
Column Totals=> 0.0000 0.0015001 0.0000 1.2500 0.0000
Stream Sludge Stream Stream
Basis=> Std Stream Std Ceiling Std Std
MARL from HWA(lbs/day)=> 4.3037 0.063437 1.6953 4.7480 0.6714
Uncontrollable Loading(lbs/day)=> 0.1540 0.012485 0.0541 0.5036 0.0541
Total Allowable for Industry(MAIL)(lbs/day)=> 4.1497 0.050952 1.6412 4.2445 0.6173
Total Permitted to Industry(lbs/day)=> 0.0000 0.001500 0.0000 1.2500 0.0000
MAIL left(lbs/day)=> 4.1497 0.049452 1.6412 2.9945 0.6173
Percent Allow.Ind.(MAIL)still available(%)=> 100.0% 97.1 % 100.0% 70.5% 100.0%
Percent MAHL still available(%)=> 96.4% 78.0% 96.8% 63.1 % 91.9%
5 Percent MAHL(lbs/day)=> 0.2152 0.003172 0.0848 0.2374 0.0336
HWA.AT
Revised:November 2005

Workbook Name : 2018Update_South_allocation, Worksheet Name: AT Printed: 2/12/2019, 11:13 AM
Page 4 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 03/23/18
Permits last modified: 03/23/18
POTw=> South Burlington
NPDES# > NC0023786
Silver Zinc Total Nitrogen Total Phos. Aluminum
Industry 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
Count (please rst eiPnexeoi) number number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day
1 Alamance Foods 67 0001 1.5000 0 r
2 McComb Industries 71 0001 0.8000
3 Carolina Biological Supply 65 0001 1.0000
4 Carolina Hosiery 55 0001 4 0.6600
5 Kayser Roth 52 0001 2.6000
6 Labcorp 66 0001 , 0.2500 ,
Labcorp 66 0002 0.2500
��
7 Lemco Hosiery 57 0001 0.5000
8 Pickett Hosiery 76 0001 0.4000
Column Totals=> 0.00001 7.9600 0.001 0.00 0.0000
AS/Nit/TF AS/Nit/TF
Basis=> inhibition inhibition NPDES
MAHL from HWA(lbs/day)_> 15.9242 74.9374 546.56
Uncontrollable Loading(lbs/day)=> 0.2081 7.9404 _ 188.78 36.5893
Total Allowable for Industry(MAIL)(lbs/day)=> 15.7161 66.9969 357.78
Total Permitted to Industry(lbs/day)=> 0.0000 7.9600 0.00 0.00 0.0000
MAIL left(lbs/day)=> 15.7161 59.0369 357.78
Percent Allow.Ind.(MAIL)still available(%)=> 100.0% 88.1 % ####### 100.0% #######
Percent MARL still available(%)=> 98.7% 78.8% ####### 65.5% #######
5 Percent MAHL(lbs/day)=> 0.7962 3.7469 27.3280
HWA.AT
Revised:November 2005

February 5, 2019
Robert C. Patterson Jr., P.E.
Water Resources Director
Subject: Progress of the Fats, Oil& Grease Program:
➢ The City of Burlington's Fats, Oils and Grease Program was implemented as a
two-phase program December 15, 2000. Phase I consisted of a cooperative effort
relying on the participation of the food establishme
nts.
➢ Beginning January 01, 2001 all food establishments that have grease traps or
interceptors are required to maintain pumping records on site.
> Identified food establishments must maintain an annual pumping schedule, and
are required to keep records that identify who performed the pumping or clean
out, when it was done and where the waste was disposed.
➢ Inspections for O&G interceptors (grease traps, pits or under counter units)will
begin within the areas of historically high incidence of sewer overflows and then
expand inspections to include the remaining food establishments.
➢ The main efforts for the year 2018 were education and inspections. Past
workshop materials have been delivered to all establishments that were inspected
and The City of Burlington Fats, Oils and Grease Policy and Sewer Use
Ordinance were discussed.
> The City of Burlington City Council approved a fee schedule that includes a
$30.00 fee for Fats, Oils and Grease inspections.
➢ Inspections have been made at 48 full service restaurants January 1, 2018 to
December 31, 2018. These inspections have addressed employee education in
regards to grease disposal techniques,record keeping, and location of grease traps
or interceptors if existing.
➢ A program for the Alamance-Burlington school system consisting of 17 school
cafeterias is being implemented.
> The City of Burlington's efforts to reduce residential Fats, Oils, and Grease into
its sewer system consist of educational information inserts added to customer's
water bills and information being published in the City's quarterly publication
"City Works".

•
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary
LINDA CULPEPPER
Interim Director September 18, 2018
Mr. Robert C. Patterson, Jr., P.E.
Water Resources Director
City of Burlington
P.O. Box 1358
Burlington,North Carolina 27216
SUBJECT: Pretreatment Compliance Inspection (PCI)
City of Burlington
NPDES#NC0023876/South WWTP &NC0023868/East WWTP
Alamance County
Dear Mr. Patterson:
On August 2,2018 a Pretreatment Compliance Inspection(PCI)was performed by Jim Gonsiewski
of the Winston-Salem Regional Office. Ms. Kristy King was present for the inspection. The
purpose of this inspection was to determine the effectiveness of the Town's pretreatment program,
which includes reviewing the files,including industrial monitoring data,POTW plant performance,
industry monitoring data, and adherence to the enforcement response plan(ERP).
Background
The City has sixteen (16) Significant Industrial Users (SIUs), two (2) of which are categorical.
Both treatment plants are permitted for 12 MGD. One(1) SIU (National Spinning)was closed in
March 2018.
POTW Interview
There are no plant problems related to pretreatment.
Pretreatment Program Elements Review
The Headworks Analysis (HWA)renewal was submitted on November 16,2015. The HWA was
approved on February 2, 2016. The next HWA is due on April 1, 2020.
The last Industrial Waste Survey(IWS)was submitted on August 2,2016. The IWS was approved
on September 19, 2016. The next IWS is due on July 2, 2020.
The Sewer Use Ordinance (SUO)was approved on March 1, 2013.
The Enforcement Response Plan(ERP) was approved on October 3,2008:
EQNORT �nqp�NA�
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1450 Hanes Mill Road,Suite 300 I Winston-Salem,North Carolina 27103
336.776.9800

The Long Term Monitoring Plan(LTMP)was approved on January 27, 2006.
LTMP File Review
The Long Term Monitoring Plan (LTMP) is being conducted at the proper locations and
frequencies.
Industrial User Permit(IUP) File Review
None of the sixteen(16) Sills were in significant noncompliance(SNC) in 2017.
A review of the file for Indulor America LP (#0089) revealed that the monitoring data was well
organized and compliant.
A review of the file for Glen Raven Mills (#0008) revealed that the monitoring data was well
organized and compliant.
A review of the file for Alamance Foods (#0067) revealed that the monitoring data was well
organized and compliant.
The slug control plan for Indulor America LP (#0089) was in good order.
The slug control plan for Glen Raven Mills (#0008) was in good order.
The slug control plan for Alamance Foods (#0067)was in good order.
Action Items
No other action items were noted.
The pretreatment program is considered satisfactory. Ms. King continues to maintain an effective
pretreatment program. If you have any questions please contact Jim Gonsiewski or me at (336)
776-9800.
Sincerely,
VT �2` 1-
Sherri V. Knight, PE
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources,NCDEQ—WSRO
Enclosure—PCI Report
cc: PERCS Unit—Vivien Zhong
Kristy King—City of Burlington
Central Files
WSRO Files

NORTH CAROLINA DIVISION OF WATER RESOURCES
- PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
Water Resources
iMvROHMEN r nL COAL.!,
BACKGROUND INFORMATION [Complete Prior To PCI; Review Program Info Database Sheet(s)1
1. Control Authority(POTW)Name: City of Burlington
2. Control Authority Representative(s): Kristy King
3. Title(s):Industrial Pretreatment Specialist
4. Last Inspection Date: 09/18/2017 Inspection Type(Check One): ® PCI ❑ Audit
5. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ® YES ❑ NO
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ YES ®NO
Order Type,Number, Parameters: Are Milestone Dates Being Met? ❑ YES ❑ NO
ICIS CODING
Main Program Permit Number MM/DD/YY
J N I C I 0 10 12 1 3 1 8 17 1 6 l 1 08 102 I 18
7. Current Number Of Significant Industrial Users(S[Us)? 16
8. Number of SIUs With No IUP,or With an Expired IUP? 0
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year? 0
10.Number of SIUs Not Sampled By POTW in the Last Calendar Year? 0
11.Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi-Annual Periods? 0
12.Number of SIUs in SNC For Reporting During Either of the Last 2 Semi-Annual Periods? 0
13.Number of SIUs in SNC with Pretreatment Schedule? 0
14.Number of SIUs on Schedules? 0
•
15.Current Number Of Categorical Industrial Users(CIUs)? 2
16. Number of CIUs in SNC? 0
POTW INTERVIEW
17. Since the Last PCI,has the POTW had any NPDES Limits Violations? ❑ YES ® NO
If Yes, What are the Parameters and How are these Problems Being Addressed?
18. Since the Last PCI,has the POTW had any Problems Related to an Industrial ❑YES ® NO
Discharge(Interference,Pass-Through, Blockage,Citizens' Complaints, Increased
Sludge Production,Etc.)?
If Yes, How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during SNC for Limits:N/A
either of the Last 2 Semi-Annual Periods?Not Been Published for SNC for Reporting:N/A
Public Notice?(May refer to PAR if Excessive SIUs in SNC) Not Published: N/A
20. Which Industries are on Compliance Schedules or Orders?For all SIUs on an
Order,Has a Signed Copy of the Order been sent to the Division? N/A
21. Are Any Permits or Civil Penalties Currently Under Adjudication? If Yes,Which ❑ YES ® NO
Ones?
LTMP/STMP FILE REVIEW:
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? Z YES ❑ NO
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ® YES ❑ NO
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? ® YES ❑ NO Is Table Adequate? ® YES ❑ NO
25. All LTMP/STMP effluent data reported on Discharge Monitoring Report? ®YES❑NO Division Inspector,please verify yourself?
26. If NO to 23-26,list violations
27. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? Cl YES ® NO
If yes,which ones? Eliminated: Added:
NC DWR Pretreatment Compliance Inspection(PCI)Form Updated December2016 Page 1

28. PRETREATMENT PROGRAM ELEMENTS REVIEW—Please review POTW files,verify POTW has copy of Program Elernent in
their files,complete with supporting documents and copy of PERCS Approval Letter,and dates consistent with Program Info:
Program Element Last Submittal Last Approval Date Next Due,
Date In file? Date In file If Applicable
Headworks Analysis(HWA) 11/16/2015 ®Yes ❑ No 02/02/2016 ® Yes ❑ No 04/01/2020
Industrial Waste Survey(IWS) 08/02/2016 ® Yes ❑ No 09/19/2016 _ ®Yes❑ No 07/02/2021
Sewer Use Ordinance(SUO) 01/31/2013 ®Yes❑ No 03/01/2013 _ ® Yes ❑ No
Enforcement Response Plan(ERP) 07/29/2008 ®Yes ❑ No 10/03/2008 ®Yes❑ No
Long Term Monitoring Plan(LTMP) 11/18/2005 ® Yes❑ No 01/27/2006 ®Yes ❑ No
INDUSTRIAL USER PERMIT(IUP) FILE REVIEW(3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
29. User Name 1. Indulor America LP 2.Glen Raven Mills 3. Alamance Foods
0. IUP Number 0089 0008 0067
s 1. Does File Contain Current Permit? ®Yes ❑ No ®Yes ❑ No 06/30/Yes ❑
No
2. Permit Expiration Date 12/31/21 12/31/21 12/31/21
33. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A 414.11 ----
'4. Does File Contain Permit Application Completed Within One Year Prior ®Yes ❑ No ®Yes ❑ No ® Yes ❑ No
to Permit Issue Date? •
.i5. Does File Contain an Inspection Completed Within Last Calendar Year? ®Yes ❑ No ®Yes ❑ No ®Yes ❑ No
'6. a. Does the File Contain a Slug/Spill Control Plan? a. ®Yes ONo a. ®Yes❑No a. ®Yes ❑No
b. If No,is One Needed?(See Inspection Form from POTW) b. ['Yes ❑No b. ❑Yes❑No b. ❑Yes❑No
s7. For 40 CFR 413 and 433 TTO Certification,Does File Contain a Toxic ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Organic Management Plan(TOMP)?
8. a. Does File Contain Original Permit Review Letter from the Division? a. ®Yes ❑No a. ®Yes❑No a. ®Yes ❑No
b.All Issues Resolved? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
19. During the Most Recent Semi-Annual Period,Did the POTW Complete ®Yes ❑ No ®Yes ❑ No ®Yes ❑ No
its Sampling as Required by IUP, including flow?
Y0. Does File Contain POTW Sampling Chain-Of-Custody Forms? ®Yes ❑ No ®Yes ❑ No ® Yes ❑ No
d l. During the Most Recent Semi-Annual Period,Did the SIU Complete its ElYes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Sampling as Required by IUP, including flow?
lb. During the Most Recent Semi-Annual Period,Did SIU submit all reports ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
on time?
2a.For categorical IUs with Combined Wastestream Formula(CWF),does ❑Yes❑No®N/A ❑Yes❑NoON/A ❑Yes❑No®N/A
file include process/dilution flows as Required by IUP?
42b. For categorical His with Production based limits,does file include ❑Yes❑NoON/A ❑Yes❑NoEIN/A ❑Yes❑No®N/A
production rates and/or flows as Required by IUP?
•3a. During the Most Recent Semi-Annual Period,Did the POTW Identify ❑Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
All Limits Non-Compliance from Both POTW and SIU Sampling? N/A N/A N/A
.3b. During the Most Recent Semi-Annual Period,Did the POTW Identify ❑Yes❑No®N/A ❑Yes❑NoION/A ❑Yes❑No®N/A
All Reporting Non-Compliance from SIU Sampling?
44. a. Was the POTW Notified by SIU(Within 24 Hours)of All Self- a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
Monitoring Violations?
b. Did Industry Resample and submit results to POTW Within 30 Days? b.(Tires❑No ON/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
c. If applicable,Did POTW resample within 30 days of becoming aware c.❑Yes❑No®N/A
of SIU limit violations in the POTW's sampling of the SIU? c.❑Yes❑No®N/A c.❑Yes❑No®N/A
[6. During the Most Recent Semi-Annual Period, Was the SIU in SNC? ElYes ® No ❑ Yes ® No ❑ Yes ® No
47. During the Most Recent Semi-Annual Period, Was Enforcement Taken ❑Yes❑No®N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
as Specified in the POTW's ERP(NOVs, Penalties,timing,etc.)?
18. Does the File Contain Penalty Assessment Notices? ❑Yes❑NoON/A ❑Yes❑No®N/A ❑Yes❑No®N/A
49. Does The File Contain Proof Of Penalty Collection? ❑Yes❑NoON/A ❑Yes❑No®N/A ❑Yes❑NoION/A
50. a. Does the File Contain Any Current Enforcement Orders? a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b. Is SIU in Compliance with Order? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
51. Did the POTW Representative Have Difficulty in Obtaining Any of This ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No
Requested Information For You?
NC DWR Pretreatment Compliance Inspection(PCI)Form Updated December 2016 Page 2

FILE REVIEW COMMENTS:
Well organized files. All information was readily available. One SIU(National Spinning)was bought out and was closed 3/18. Lemco
was in non-compliance several times for copper that is used in a sock brand. The POTW is increasing the limits for copper from 0.1 lbs
to 1.5 lbs.
INDUSTRY INSPECTION ICIS CODING:
Main Program Permit Number MM/DD/YY
l I I I I I l l I l l ► I
1. Industry Inspected:
2. Industry Address:
3.Type of Industry/Product:
4. Industry Contact: Title:
Phone: Fax:
5. Does the POTW Use the Division Model Inspection Form or Equivalent? ❑ YES ❑ NO
6.Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview El YES ❑ NO
B. Plant Tour ❑ YES El NO
C. Pretreatment Tour ❑ YES ❑ NO
D. Sampling Review ❑ YES ❑ NO
E. Exit Interview ❑ YES ❑ NO
Industrial Inspection Comments:
OVERALL SUMMARY AND COMMENTS:
Comments: A very well run program
Requirements:
Recommendations:
NOD: ❑ YES ® NO
NOV: ❑ YES ® NO
QNCR: ❑ YES ® NO
POTW Rating:
Satisfactory X Marginal Unsatisfactory
PCI COMPLETED BY: Jim Gonsiewski DATE: 9 J I
NC DWR Pretreatment Compliance Inspection(PCI)Form Updated December 2016 Page 3