NC0055786_Pretreatment_Annual_Report_20200217

Fr--1
LEXINGTON
NORTH CAROLI NA
WATER RESOURCES
QUALITY FI RS'I'
2/17/20
Mr. Monti Hassan
NC DENR
DWQ/PERCS Unit
Pretreatment Unit
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Re: City of Lexington's Pretreatment Program Annual Report 2019
Dear Sir,
Attached is a copy of the City of Lexington's Pretreatment Program Annual Report
for the period of January 1, 2019 to December 31, 2019.
Sincerely,
Eglantina Minerali
Lab Supervisor/ Pretreatment Program Coordinator
cc: WSRO
500 Glendale Road - Lexington, NC 27292 - 336.357.7889
\X7\X !-1A?YINGTONNC.GO\'

City of Lexington
Pretreatment Program Annual Report
January 1, 2019 to December 31, 2019

Annual Pretreatment Program Report
POTW Name: City of Lexington
Report Date: February 17, 2020
Report Covered By This Report: From 01/01/2019 to 12/31/2019
Period Covered By Previous Report: From O1/01/2018 to 12/31/2018
Name of Wastewater Treatment Plant(s): Lexington Regional WWTP
NPDES Permit Number: NC00SS786
Person to Contact Concerning Information Contained In This Report: Eglantina Minerali
Title: Lab Supervisor/Pretreatment Program Coordinator
Mailing Address: 28 West Center Street, Lexington, NC 27292
Telephone: [phone]
I have personally examined and am familiar with the information submitted in this document and
attachments. Based upon my inquiry of those individuals immediately responsible for obtaining the
information reported herein, I believe that the submitted information is true, accurate, and complete.
I am aware that there are significant penalties for submitting false information.
51V--1
i J� t •
Signature of Official
Title: Lab Supervisor/Pretreatment Program Coordinator
Date: 02/17/2020

sI
LEXINGTON
NORTH CAROLINA
WATER RESOURCES
QITALITY FIRST
January 28, 2019
NC Division of Water Resources - PERCS Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Pretreatment Program Signatory Authority
City of Lexington (NPDES Permit NC0055786)
Davidson County
Dear PERCS:
As the Mayor of City of Lexington, I hereby delegate responsibility for overall operation of the
City of Lexington's Pretreatment Program to Eelantina M_inerah, Laboratory Supervisor /
Pretreatment Coordinator.
This designation will provide Ms. Minerali with the authority to sign all required documents
under the Pretreatment Program, including the authority to sign the Pretreatment Annual Report
(PAR) and submit it to NC DWR PERCS.
If you have any questions, please contact me at [phone] or Eglantina Minerali at
[phone].
Sincerely,
Newell Clark,
Mayor
cc: Tom Johnson, Water Resources Utility Director, Public Services Admin
500 Glendale lioad Lexington, NC 27292 - 336.35 7.7NN9

Narrative Summary
January 1, 2019 — December 31, 2019
City of Lexington
General Program Information:
A. AT, LTMP, HWA, SUO, ERP, IWS and IUP are up to date.
B. IUPs were renewed on May 1st 2019 and became effective on May 315t2019 for: Asco Power
Technologies, Cardinal Container Service, Matcor Metal Fabrication, Leggett & Platt Plant #1,
Leggett & Platt Plant #2 and Tier Rack.
C. No permits lapsed or expired prior to renewal.
D. All dates on the Divisions Database Program Info Sheet are correct. A copy of our Program Info
Sheet is enclosed.
E. IUP for Leggett and Platt #1 was dropped, effective on July 17112019.
F. IUP for Leggett & Platt #2 was modified, effective on August 16th 2019 with the name changed to
Proctor LLC.
G. IUP for Proctor LLC was modified and became effective on November 181h 2019 with the name
changed to Linwood Hospitality LLC
II. Toxicity Bioassay Analyses
During the year of 2019, Lexington Regional WWTP has passed February (Ceriodaphnia Dubia,
Pimephales promelas), May (Ceriodaphnia Dubia, Pimephales promelas ), August (Ceriodaphnia
Dubia) and November (Ceriodaphnia Dubia) bioassay.
III. Letter of Delegation of Pretreatment Signatory Authority: Enclosed
IV. Asco Power Technologies — IUP #0038
A. SIU was not on SNC this PAR year.
B. Half of the BDL was used for the IDSF.
C. A NOV was issued on 4/26/2019 for exceeding the Flow daily Max limit on 3/6/2019, 3/7/2019
and pH limit on 4/26/2019. The situation was assessed and corrected measurements were
taken to resolve and prevent the problems.
D. IUP was renewed on May 15t 2019 and became effective on May 315t2019. The daily flow max
limit was increased from 0.008 MGD to 0.012 MGD.
E. Annual inspection was performed on 12/3/2019. Inspection form is enclosed.
F. Certification letters for TTO are enclosed.

G. A formal request letter, plans and specification for Authorization to construct a new
paint/wash line and a new pretreatment system was submitted on November 20th 2019. All
the information submitted will be reviewed in the next couple of months.
V. Cardinal Container Service — IUP #0010
A. The IDSF for Cardinal's reflects monthly averages and half of BDL
B. A NOV was issued on January 10th 2019 for failing to monitor the discharged flow on 12/17-
20/2018 and failing to report the monthly report of daily flow. The situation was assessed and
corrected measurements were taken to resolve and prevent the problems.
C. Annual inspection was performed on 12/10/2019. Inspection form is enclosed
D. IUP was renewed on May 11t 2019 and became effective on May 31" 2019
VI. Leggett & Platt Plant #1— IUP #0027
A. Half of the BDL was used for the IDSF.
B. Certification letter for TTO is enclosed for the first six months.
C. IUP was renewed on May 11t 2019 and became effective on May 31112019. The daily Flow Max
Limit was decreased from 0.020MGD to 0.010 MGD.
D. The production ended on 3/30/2019 and the IUP was dropped, effective on July 17th 2019.
Approval letter is enclosed.
E. The close-out inspection was performed on 7/1/19 and 7/3/2019. Inspection form is enclosed.
VII. Leg ett& Platt Plant #2 — IUP #0028
A. Half of the BDL was used for the IDSF.
B. Annual inspection was performed on Inspections enclosed
C. Certification letters for TTO are enclosed
D. IUP was renewed on May 1st 2019 and became effective on May 31112019
E. IUP was modified effective on August 161h 2019 with the name changed to Proctor LLC.
F. IUP was modified for Proctor LLC effective on November 18th 2019 with the name changed to
Linwood Hospitality LLC. Approval letters are enclosed.
Vill. Matcor Metal Fabrication — IUP #0012
A. Half of the BDL was used for the IDSF.
B. IUP was renewed on May 1st 2019 and became effective on May 31`2019
C. A NOV was issued on 6/3/2019 for pH limit exceedance and another one on 11/12/2019 for
exceeding their Zn and Cu permit during routine monitoring from the City of Lexington. The

situation was assessed and corrected measurements were taken to resolve and prevent the
problems.
D. Annual inspection was performed on 12/22/2019. Inspection form is enclosed
E. Certification letters for TTO are enclosed
IX. Tier Rack— IUP #0045
A. The IDSF for Tier Rack is not enclosed, no discharge has occurred and Tier Rack is pumping and
hauling to HAZMAT. The manifest is enclosed.
B. Annual inspection was performed on 11/26/2019. Inspections enclosed.
C. Certification letters for TTO are enclosed.

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1. Pretreatment Town Name: City of Lexington
2. "Primary" NPDES Number NC00 55786
or Non -Discharge Permit # if applicable =>
3.
PAR Begin Date, please enter 01/01/yyyy
3. =>
1/1/2019
4.
PAR End Date, please enter 12/31/yyyy
4. =>
12/31/2019
5.
Total number of SIUs, includes CIUs
5. =>
5
6.
Number of CIUs
6. =>
4
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. =>
4
17.
Number of Civil Penalties assessed to SIUs
17. =>
0
18.
Number of Criminal Penalties assessed to SIUs
18. =>
0
19.
Total Amount of Civil Penalties Collected 19. =>
$
0
20.
Number of IUs from which penalties collected
20. _>
0
votes:
AO Administrative Order IUP Industrial User Pretreatment Permit POTW
CIU Categorical Industrial User NNC Notice of Non -Compliance SIU
Publicly Owned'rreatment Works
Significant Industrial User
CO Consent Order NOV Notice of Violation SNC
Significant
Non -Compliance
IU Industrial User PAR Pretreatment Annual Report
revised 1/2018: PAR PPS 2018

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Pretreatm put Program Info attbase
for Program Name Lexington
VWV -P Name City of Lexington
Program Approval Date 06/10/1983
Pretreatment Status Full
Region WSRO
County Davidson
printed on: 12/20/2019
Stream Information IWC % at 7Q10 60.03
7Q10 Flow cfs / mgd 6.7 / 4.33
1 Q10 Flow cfs / mgd 5.57 / 3.60
Stream Classification WS-V & B
Basin Number YAD07
Receiving Stream Name ABBOTTS CREEK
NPDES Number NC0055786
Last PAR Rec 02/18/2019
PAR Due Date 03/01/2020
mercury
NPDES Effective Date 02/01/2016
NPDES Expire Date 04/30/2019
Current Fiscal
Year PCI Done 09/10/2019
required
es
POTW is Primary VWVTP TRUE
Last Audit on 09/21/2017
Audit YearNext21/22
Design Flow mgd 6.5000 % Design mgd is SIU permitted 1.78
Permitted SIU flow (mgd) [Pt SIU) • 116
WWTP SIU's
�
Program SIUs
W WTP CIU's
Program CIUsF1
HWA LTMP
IWS SUO
ERP
date Inactive Date Next Due
01/06/2020
04/01/2020
Date Received by DWR
01/09/2015 10/07/2016
01/09/2015 i 01/08/2013
06/01/2010
Date Approved
06/10/2015 11/04/2016
02/06/2015 01/09/2013
07/02/2010
Adopt Date Required
Date Adopted
Info in this Box from Pt Contacts Date Date Date
PT Pro Attended Attended Attended
Formal Name n Prime Phonel ext Fax HWA Wkso IIJP Wksn PAR Wksn
Ms. Eglantina Minerali
Prim
[phone]
1/30/2019 1 5/17/2016 1/29/2019
[e-mail] Chemist 128 W. Center Street 7292
Pretreatment Related NOVs from
DWR Central Office Contact Monti Hassan
DWR Regional Contact Ijim Gonsiewski
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ASCO POWER TECHNOLOGIES
IM1M:�iI�x�:�

ASCOPower
Technologles
June 3, 2019
Mrs. Eglantina Minerali
Pretreatment Coordinator
Water Resources Department
500 Glendale Road
Lexington, NC 27292
RE: Permit (I UP #0038) TTO Statement
Dear Mrs. Minerali,
Per the requirements of our TTO program I am submitting the following statement:
ASCO Power Technologies
P.O. Box 689
325 Welcome Center Blvd.
Welcome, NC 27374
T [phone]
F [phone]
"Based on my inquiry of the person or persons directly responsible for managing compliance with the
standards for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of
concentrated organics into the waste -streams has occurred since filing the last discharge monitoring report.
I further certify that this facility is implementing the toxic organic management plans submitted to the Control
Authority."
Best regards,
Van Sullivan
Environmental Health and Safety Manager

ASCOer
TePochnologles
November 20, 2019
Mrs. Eglantina Minerali
Pretreatment Coordinator
Water Resources Department
500 Glendale Road
Lexington, NC 27292
RE: Permit (IUP #0038) TTO Statement
Dear Mrs. Minerali,
Per the requirements of our TTO program I am submitting the following statement:
ASCO Power Technologies
P.O. Box 689
325 Welcome Center Blvd.
Welcome, NC 27374
T [phone]
F [phone]
"Based on my inquiry of the person or persons directly responsible for managing compliance with the
standards for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of
concentrated organics into the waste -streams has occurred since filing the last discharge monitoring report.
I further certify that this facility is implementing the toxic organic management plans submitted to the Control
Authority."
Best regard
an Ivan
Environmental Health and Safety Manager

SIU INSPECTION FORM
Name Of Industry: �„�CJ z = —__ IUP # 00 3 S
Address Of Industry: IUP Expiratio Date:
SA s �. 2 v
WP S CD1=Q'� Av C_ 024. TS14
Industry Representatives: Title
�, q
POTW epresegtatives: � Title
:I -k K a � _J.,,
Date Of Inspection: .P-311 Time Of Inspection: / o ' �, O Ak am/pm
Purpose of Inspection: Annual Other scribe) NPDES#POTW to which IU discharges__Z_�/ GoO-
Is SIU currently in SNC? If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product
YES /
Raw materials used
YES
Manufacturing processes
YES N
Categorical, if applicable
YES / N
Production rate
YES
Number of employees
S N
l9
Number of shifts YES /�
Comments:
�-
3 — cl
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there are
drains to the POTW.
Plant Tour Section A - PRODUCTION
1. Are there floor drains in the production area?
AGE AREAS
Where do they go?
2. Are production areas diked, co to , or otherwise constructed in such a way as to prevent harm to the WWTP,
especially from spills or slugs? E / NO Comm"en.
3. Are there floor drains in the storage area? YES ((NC) Where do they go?
4. Are storage tanks and areas diked, contaked, br otherwise constructed in such a way as to prevent harm to the
WWTP, especially from spills or slugs? „' ' / NO _,C�rnents:
5. Are process and storage tanks and pipes labeled? . (YES NO
6. How are off -spec raw materials, and products dispose of?
7. When is the production area cleaned?
8. Is the wastewater from cleaning the productio area discharged to the POTW? 'ES /
9. What non -process wastewaters are discharged to POTW?
Comments:
Title: SIU lnpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1, 1994 Page I

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? ES / NO Comments:
2. Are all units operational? YE / NO
3. How often does operator/ma enance ers check system? ems----
4. Is there an operator for each shift? Y / NO
5. How and when is sludge disposed of? f t
6. Is there a schedule for preventative maintenance? ES NO
Comments:
PART II - Plant Tour Section C - SAMPLING POINT(S) AND FLOW MEASUREMENT
(Collect a sample if desired.) ^ LO g
1. Does an outside lab complete sampling? gryryeprekentative
NO If yes, name of lab. (
2. If industry completes sampling, ask the in to describe sampling procedures. Comments:
3. Is flow measurement equipment operational? l Y1V/ NO Comments:
4. Is there a calibration log for the flow meter?
Comments:
Comments: C/�^ a
PART III - EXIT INTERVIEW
Review monitoring records and gd1ZN SIU records required by IUP.
1. Are files well organized? (!g5� NO Comments: _
2. Are sample collection / chain -of -custody forms filled out properly? CIES NO Comments:
3. Do results in files agree with reports sent to POTW? ES O Comments:
4. Who had• au hority to shutpwn production should a spill or slugdischarge occu
6 c,. )' _ � r iJrs C qA (ol�,e�5 T E" P S b % .e -, S -Lo o
5. How does SIU inform employees of whom to call at POTW in
If slug/spill plan is already required by POD, review procedures.
6. Is SIU implementing slug/spill plan? E / NO Comments:
Comments:
INSPECTION RESULTS Q
Slug/Spill Control Plan Needed? NO
Comments, Required Or Recommen ed Actions:
Signature Of Inspector(s)
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1, 1994
Date:
Date:
Page 2
n.' -

CARDINAL CONTAINER SERVICE
I U P #0010

SIU INSPECTION FORM
Name Of Industry: -�� � to IUP # Go 1 O
Address Of Industry: _ IUP Ex irati n Date:
31 2oZy
Industry Representatives: Title
a�,,wtn • P�� M4n4�
POTW epresentatives: Title
Date Of Inspection: 1 0 1 Time Of Inspection: ! n I- 30 (29pm
Purpose of Inspection: Annual %-Z_ Other (Des 'be}
POTW to which IU discharges NPDES # /L C, 00 5 � j6
Is SIU currently in SNC? Nn If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product
YES
Raw materials used
YES /
Manufacturing processes
YES /
Categorical, if applicable
YES / NO
Production rate
/ NO
Number of employees 13�
Number of shifts YES /
Comments:
2
At
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there are
drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? (6 NO Where do they go? s,; �,, 4p--
2. Are production areas diked, co Id, or otherwise constructed in such a way as to prevent harm to the WWTP,
especially from spills or slugs? Y S NO Comments:
3. Are there floor drains in the storage area? (' YES.%/ NO Where do they go?
4. Are storage tanks and areas diked, conta' , or otherwise constructed in such a way as to prevent harm to the
WWTP, especially from spills or slugs? YES NO Comments:
5. Are process and storage tanks and pipes labeled? YES / NO
6. How are off -spec raw materials, and products disp , of?
7. When is the production area cleaned?
S. Is the wastewater from cleaning the production area dischar&Zd to the POTW?
9. What non -process wastewaters are discharged to POTW?
Comments:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1, 1994 Page I

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? ES NO Comments:
2.
3.
4.
5.
Are all units operational? 'IES N
How often does operator/mat nance
Is there an operator for each shift?
How and when is sludge disposed of?
6. Is there a schedule for preventative
Comments:
person c ck system? f
YES /
/NO
PART II - Plant Tour Section C - SAMPLING POINTS) AND FLOW MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES% If yes, name of lab.
2. If industry completes sampling, ask the industry representative to describe sampling procedures. Comments:
3. Is flow measurement equipment operational?
NO Comments:
4. Is there a calibration log for the flow meter? 11ES / NO Comments:
Comments:
T C ,' ,¢mod !lI f 12p
PART III - EXIT INTERVIEW
Review monitoring records an�V/
r SIU records required by IUP.
1. Are files well organized? NO Comments: _
2. Are sample collection / chain -of -custody forms filled out properly? _ YES / NO
3. Do results in files agree with reports sent to POTW? YES / NO Comments:
4. Who has authority to shut down production should a spill or slug discharge
Comments:
5. How does SIU inform employees of whom to call at POTW in case of spill/slug? PO
If slug/spill plan is already required by POTW-,,review procedures.
6. Is SIU implementing slug/spill plan?/ NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? 'E / NO
Comments, Required Or Recommen ed Actions:
Signature Of Inspector(s)
Date: Z g
Date: �� a
Title: SIU Inpsection Form
File name: COMRINSP App 7-D
Revision data: August I, 1994
Page 2

LEGGETT & PLATT #1
I U P #0027

® INCORPORATED
TOTAL TOXIC ORGANICS CERTIFICATION STATEMENT
Based on my inquiry of the person or persons directly responsible for managing compliance with
pretreatment standard for TTOs, I certify that to the best of my knowledge and belief, this
facility, Leggett & Platt, # I (Linwood) does not store, use, or discharge to the sanitary sewer
system any toxic organic chemicals.
CERTIFYING OFFICIAL:
6y19
Signature Date
Printed Name and Title
P.O. BOX 140 • LINWOOD, NORTH CAROLINA 27299.336/956-5000

SIU INSPECTION FORM C&V�_ al"',A." SneCl�
Name Of Industry: IUP # ©O;_ -1-
Address Of Industry: IUP Ex irati n Date:
Of
u— c- 2—
Industry Represe tatives: Title y
Date Of Inspection: IN I I
Purpose of Inspection: Annual
POTW to which IU discharges
Title
Time Of Inspection: an m
(Describe)
NPDES # p( r• A 65
Is SIU currently in SNC? p(n If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product 12 CF$ / NO
Raw materials used / NO
Manufacturing processes / NO
Categorical, if applicable NO
Production rate NO
Number of employees O
Number of shifts YES /
Comments:
pL.r� M10 V ('L5-i
PART II - PLANT TOUR - Visit all areas where wa`s#ewater is generated or where there are
drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? YES / NO Where do they go?
2. Are production areas diked, contained, or otherwise constructed in such a way as to prevent harm to the WWTP,
especially from spills or slugs? YES / NO Comments:
3. Are there floor drains in the storage area? YES / NO Where do they go?
4. Are storage tanks and areas diked, contained, or otherwise constructed in such a way as to prevent harm to the
WWTP, especially from spills or slugs? YES / NO Comments:
5. Are process and storage tanks and pipes labeled? YES / NO
6. How are off -spec raw materials, and products disposed of? —
7. When is the production area cleaned?
S. Is the wastewater from cleaning the production area discharged to the POTW?
9. What non -process wastewaters are discharged to POTW?
YES / NO
Comments: PAQL OL C—'4"04" eAA -P—a qA-- 3 / —7'0 / do /
Title: SlU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1. 1994 Page I

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? YES / NO Comments: IV
2. Are all units operational? YES / NO
3. How often does operator/maintenance person check system?
4. Is there an operator for each shift? YES / NO
5. How and when is sludge disposed of?
Is there a schedule for preventative maintenance?
Comm11ent__s:P1a�g -
�AsZ`Y�2 W OI PA,1 A V
YES / NO
�A"J -
7 i PAA�114eA
PART II - Plant Tour Section C - SAMPLING POINTS) AND FLOW MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES / 1, If yes, name of lab.
2. If industry completes sampling, ask the industry representative to describe sampling procedures. Comments:
W 1.19=
3. Is flow measurement equipment operational? YES / NO Comments:
4. Is there a calibration log for the flow meter? YES / NO Comments:
Comments: ` wa'-� t c:� C'6j •
PART III - EXIT INTERVIEW
Review monitoring records and of r SIU records required by ]UP.
1. Are files well organized? / NO Comments:
2. Are sample collection / chain -of -custody forms filed out properly? YES / NO Comments:
ly 1
3. Do results in files agree with reports sent to POTW? YES / NO Comments:
11
4. Who has authority to shutdown production should a spill or slug discharge occur?
5. How does SIU inform employees of whom to call at POTW in case of spill/slug?
If slug/spill plan is already required by POTX review procedures.
6. Is SIU implementing slug/spill plan? J�'L� )S NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES /�t60)
Comments, Required Or Recommended Ac ns:
Signature Of Inspector(s)
Date:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D �/ f
Revision data: August 1, 1994 �%' Page 2

RO'Y COOPER
Governor
MICHIAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
EhVhVM*Mtcl Qudlty
July 17, 2019
(sent via email: [e-mail])
Eglantina Minerali
Pretreatment Program Coordinator
City of Lexington
28 W. Center Street
Lexington, NC 27292
Subject: Pretreatment Review of Industrial User Permit Drop Request
City of Lexington (NPDES Permit #NC0055786)
Davidson County
Dear Ms. Minerali:
The PERCS Unit of the Division of Water Resources has reviewed the Industrial User Pretreatment Permit
(IUP) drop request submitted by the City of Lexington for the following Significant Industrial User (SIU).
The IUP drop request was initially received by the Division on June 19, 2019, followed by more information
received on July 3, 2019.
IUP No.
0027
SIU Name
40 CFR
& Platt, Inc. #1 1 433
The review indicates that the IUP drop request is adequate, as the industry closed down and moved
out, and the minimum requirements of 15A NCAC 02H .0905 and .0916 and 40 CFR 403.8(f)(1)(iii) are
met. Our database has been updated to reflect the change.
Thank you for your continued support of the Pretreatment Program. If you have any questions or
comments, please contact Monti Hassan at [phone], or email at [e-mail].
m h/Lexington.i up.drop.017
cc: Central Files (LF)
Jim Gonsiewski (email)
PERCS Unit (e-Copy)
Hoo-U Ham.
-,866374CA4137482...
Monti Hassan, PERCS Unit
Q FM 3
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

Linwood Hospitality LLC.
I U P #0028

® INCORPORATED
TOTAL TOXIC ORGANICS CERTIFICATION STATEMENT
Based on my inquiry of the person or persons directly responsible for managing compliance with
pretreatment standard for TTOs, I certify that to the best of my knowledge and belief, this
facility, Leggett & Platt, # 2 (Proctor) does not store, use, or discharge to the sanitary sewer
system any toxic organic chemicals.
CERTIFYING OFFICIAL:
Signature
Printed Name and Title
Date
P.O. BOX 140 • LINWOOD, NORTH CAROLINA 27299.336/956-5000

INCORPORATED
TOTAL TOXIC ORGANICS CERTIFICATION STATEMENT
Based on my inquiry of the person or persons directly responsible for managing compliance with
pretreatment standard for TTOs, I certify that to the best of my knowledge and belief, this
facility, Leggett & Platt, # 2 (Proctor) does not store, use, or discharge to the sanitary sewer
system any toxic organic chemicals.
CERTIFYING OFFICIAL:
Signa
R'APND` l�Utc2lPtlZ 1� 14
Printed N me and Title
I Z- - 2---- l
Date
P.O. BOX 140 • LINWOOD, NORTH CAROLINA 27299.336/956-5000

SIU INSPECTION FORM
Name Of Industry: IUP # t40 g
Address Of Industry: IUP Expiration Date:
Industry Represe tatives: , Title
POTW ,Re sentatives:le _ J
Date Of Inspection: Time Of Inspection: ti., m C*pm
Purpose of Inspection: Annual �/ Other (Describe)
POTW to which IU discharges NPDES # Nc- W ss 7?6
Is SIU currently in SNC? � t ) _ If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product YES
Raw materials used YES /00
Manufacturing processes YES --
Categorical, if applicable YES
Production rate YE NO
Number of employees NO
Number of shifts YES /
Comments: r (�, ; 0
(4 p�1. -- 3 ; r1
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there are
drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? YE / NO Where do they go?
2. Are production areas diked, c9;�
or otherwise constructed in such a way as to prevent harm to the WWTP,
especially from spills or slugs? O Comments:
3. Are there floor drains in the storage area? YES ( Nt) i) Where do they go?
4. Are storage tanks and areas diked, con otherwise constructed in such a way as to prevent harm to the
WWTP, especially from spills or slugs? Comments:
�y,�1 ClZ
5.
6.
7
8
9
Are process and storage tanks and pipes labeled? CYIE I NO J,Q - '
How are off -spec raw materials, and products disposed of? Cam -
When is the production area cleaned?
Is the wastewater from cleaning the production area discha'PAd to the POTW? YES' NO
What non -process wastewaters are discharged to POTW?
Continents:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1, 1994 Page I

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATME T SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? 'YE NO Comments:
2. Are all units operational? YES / NO
3. How often does operator/maintenance on check system?
4. Is there an operator for each shift? / NO
5. How and when is sludge disposed of? ( S J
6. Is there a schedule for preventative maintenance? �/ NO
Comments:
PART II - Plant Tour Section C - SAMPLING POINT(S) AND FLOW MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES a If yes, name of lab.
2. If industry completes sampling, ask the industry representative to describe sampling procedures. Comments:
.� Nl%4-
3. Is flow measurement equipment operational?}'E/ NO Comments:
4. Is there a calibration log for the flow meter? ES NO Comments:
Comments: � � i ( I
PART III - EXIT INTERVIEW
Review monitoring records and SIU records required by IUP.
1. Are files well organized? ES NO Comments:
2. Are sample collection / chain -of -custody forms filled out properly? _YES / NO Comments:
3. Do results in files agree with reports sent to POTW? YES / NO Comments
4. Who has authority to shut down production should a spill or slug discharge occur?
5. How does SIU inform employees of whom to call at POTW in case of spill/slug?
If slug/spill plan is already required by PCZT}'eview procedures.
6. Is SIU implementing slug/spill plan? / NO Comments:
e2a S�
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? E / NO
Comments, Required Or Recommen Actions:
Signature Of Inspector(s)
Date:
Date:
V
Title: SIU Inpsection Form
Filename: COMP.INSP App 7-D
Revision data: August 1, 1994 Page 2

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
&ft&WW e W QUdiny
August 16, 2019
(sent via email: [e-mail])
Eglantina Minerali
Pretreatment Program Coordinator
City of Lexington
28 W. Center Street
Lexington, NC 27292
Subject: Pretreatment Review of Industrial User Permit Modification
City of Lexington (NPDES Permit #NC0055786)
Davidson County
Dear Ms. Minerali:
The PERCS Unit of the Division of Water Resources has reviewed the Industrial User Pretreatment Permit
(IUP) modification (name change) submitted by the City of Lexington for the following Significant
Industrial User (SIU) from Leggett & Platt, Inc. #2 to Proctor, LLC. The IUP modification was received by
the Division on July 25, 2019.
IUP No. SIU Name l 40 CFR
0028 Proctor, LLC 433
The review indicates that the IUP is adequate and the minimum requirements of 15A NCAC 02H .0905
and .0916 and 40 CFR 403.8(f)(1)(iii) are met.
Federal and State pretreatment regulations require the local delegated pretreatment program to
effectively control and document the discharge of wastewater from Significant/Categorical Industrial
Users to the POTW. It is the POTW's responsibility to ensure that these objectives are consistently met.
Thank you for your continued support of the Pretreatment Program. If you have any questions or
comments, please contact Monti Hassan at [phone], or email at nonti.hassanCd)ncdenr.pov.
Sbaearelypy:
Z=Ham.
wA$M9, PERCS Unit
mh/Lexington.iup. mod.018
cc: Central Files (LF)
Jim Gonsiewski (email)
PERCS Unit (e-copy)
North Caroling, Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street! 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Ea YVwkm mto! Qretathy
November 18, 2019
(sent via email: [e-mail])
Eglantina Minerali
Pretreatment Program Coordinator
City of Lexington
28 W. Center Street
Lexington, NC 27292
Subject: Pretreatment Review of Industrial User Permit Modification
City of Lexington (NPDES Permit #NC0055786)
Davidson County
Dear Ms. Minerali:
The PERCS Unit of the Division of Water Resources has reviewed the Industrial User Pretreatment Permit
(IUP) modification (name change) submitted by the City of Lexington for the following Significant
Industrial User (SIU) from Proctor, LLC to Linwood Hospitality, LLC. The IUP modification was received by
the Division on November 7, 2019.
IUP No. SIU Name 40 CFR _
0028 Linwood Hospitality, LLC 433
The review indicates that the IUP is adequate and the minimum requirements of 15A NCAC 02H .0905
and .0916 and 40 CFR 403.8(f)(1)(iii) are met.
Federal and State pretreatment regulations require the local delegated pretreatment program to
effectively control and document the discharge of wastewater from Significant/Categorical Industrial
Users to the POTW. It is the POTW's responsibility to ensure that these objectives are consistently met.
Thank you for your continued support of the Pretreatment Program. If you have any questions or
comments, please contact Monti Hassan at [phone], or email at monti.hassanL ncdenr.go_v.
.`,tRwralypy:
M..r.-. H
�€�fiiEklisin, PERCS Unit
m h/Lexi ngto n.iup. mod.019
cc: Central Files (LF)
Jim Gonsiewski (email)
PERCS Unit (e-copy)
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

MATCOR METAL FABRICATIONS
I U P #0012

835 Salem Road
Post Office Box 729
Welcome, NC 27374
Phone: [phone]
June 4, 2019
City of Lexington
Ms. Eglantina Minerali
Pretreatment Program Coordinator
28 W. Center Street
Lexington, NC 27292
"I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fine and imprisonment for knowing violations."
"Based upon my inquiry of the person or persons directly responsible for managing compliance
with the permit limitation for Total Toxic Organics (TTO), I certify that, to the best of my
knowledge, no dumping of concentrated toxic organics into the wastewater has occurred since
filing of the last monitoring report. I further certify that this facility is implementing the Toxic
Organic Management plan submitted to the Control Authority".
Signed: G.
Print Name: Joe Edwards
Title: EHS/Maintenance Supervisor
Date Signed: June 4, 2019

mprcoR
METAL FABRICATION
11-19-2019
City of Lexington
Ms. Eglantina Minerali
Pretreatment Program Coordinator
28 W. Center Street
Lexington, NC 27292
835 Salem Road
Post Office Box 729
Welcome, NC 27374
Phone: [phone]
"I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fine and imprisonment for knowing violations."
"Based upon my inquiry of the person or persons directly responsible for managing compliance
with the permit limitation for Total Toxic Organics (TTO), I certify that, to the best of my
knowledge, no dumping of concentrated toxic organics into the wastewater has occurred since
filing of the last monitoring report. I further certify that this facility is implementing the Toxic
Organic Management plan submitted to the Control Authority".
Signed: 1;��
Print Name: Joe Edwards
Title: EHS Coordinator/Maintenance Supervisor
Date Signed: November 19, 2019

SIU INSPECTION FORM
Name Of Industry: Cai .1—fb1, d P l ,.6 IUP # OD t -2-
Address Of Industry: IUP Expiration Date:
iurd I— — —
Industry Representatives: Title
POTW Representatives: ` Title
ow et 4rl Q. Ql r' % w
Date Of Inspection: Time Of Inspection: 11400 (j n1 m
Purpose of Inspection: Annual Other escribe)
POTW to which IU discharges 1 L1/ 1y T� NPDES # 61 C en -:s�
Is SIU currently in SNC? If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product
Raw materials used
Manufacturing processes
Categorical, if applicable
Production rate
Number of employees
Number of shifts YES(
Comments:
YES
YES
YES
'3 SA'� 0 --)
3�
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there are
drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? YES 49 Where do they go?
2. Are production areas diked, contoneq, or otherwise constructed in such a way as to prevent harm to the WWTP,
especially from spills or slugs? S / O Comments:
3. Are there floor drains in the storage area? YES /(,4.N6 �' Where do they go?
4. Are storage tanks and areas diked, containA or otherwise constructed in such a way as to prevent harm to the
WWTP, especially from spills or slugs? � E / NO Comments:
5. Are process and storage tanks and pipes labeled? YES NO A
6. How are off -spec raw materials, and products dispose o . [i[R
7. When is the production area cleaned? 1
S. Is the wastewater from cleaning the production area Mharged to the POTW? YES / O
9. What non -process wastewaters are discharged to POT,W9
Af C
Comments:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-13
Revision data: August 1, 1994 Page 1

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? OYESNO Comments:
2. Are all units operational? YES / NO
3. How often does operator/maintenance on check system?
4. Is there an operator for each shift? S NO
5. How and when is sludge disposed of?
6. Is there a schedule for preventative maintenance? /YES / NO
Comments:
PART II - Plant Tour Section C - SAMPLING POINTS) AND FLOW MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES At?)) If yes, name of lab.
2. If industry completes sampling, ask the industry representative to describe sampling procedures. Comments:
3. Is flow measurement equipment operational? YES / NO Comments:
4. Is there a calibration log for the flow meter? E / NO Comments:
Comments:
PART III - EXIT INTERVIEW
Review monitoring records and Qlbzr SIU records required by IUP.
1. Are files well organized? NO Comments:
2. Are sample collection / chain -of -custody forms filled out propel
3. Do results in files agree with reports sent to POTW?
YES / NO Comments:
NO Comments:
4. Who has authority to shut down production should a spill or slug discharge occur?
5. How does SIU inform employees of whom to call at POTW in case of spill/slug?
If slug/spill plan is already required by POTI;y-eview procedures.
6. Is SIU implementing slug/spill plan? OS / NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? OeActions:
NOComments, Required Or Recommen
Signature Of Inspectors)
Date: //
©;1
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1, 1994
Page 2

TIER RACK
I U #0045

NAME OF FACILITY: TIER -RACK
Business Address: 200 Prospect Drive, Lexington, NC 27292
Discharge Address (if different from above):
TOTAL TOXIC ORGANICS CERTIFICATION STATEMENT
Based on my inquiry of the person or person directly responsible for managing compliance with
pretreatment standard for T10s, I certify that to the best of my knowledge and belief, this
facility does not store, use, or discharge to the sanitary sewer system any toxic organic
chemicals.
CERTIFYING OFFICAL:
Signature
Printed Name & Title
EXECUTIVE OFFICER:
Signature
Printed Name & Title
Date
Date
e2/I —�'/

NAME OF FACILITY: TIER -RACK
Business Address: 200 Prospect Drive, Lexington, NC 27292
Discharge Address (if different from above):
TOTAL TOXIC ORGANICS CERTIFICATION STATEMENT
i
Based on my inquiry of the person or person directly responsible for managing compliance with
pretreatment standard for TTOs, I certify that to the best of my knowledge and belief, this
facility does not store, use, or discharge to the sanitary sewer system any toxic organic
chemicals.
CERTIFYING OFFICAL:
Signature Date
Printed Name & Title
EXECUTIVE OFFICER:
d
Signature Date
Printed Name & Title
IP/Ps/197- 0/�

SIU INSPECTION FORM
Name Of Industry: i eA
Address Of Industry:
POTW
Date Of Inspection: [tom
Purpose of Inspection: Annua
POTW to which IU discharges
Is SIU currently in SNC?
IUP # 00 't 5
IUP Expirati n Date:
J2
Title ,
� J C
Title,,,,
Time Of Inspection: 1 pm
If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product
YES /
Raw materials used
YES / O
Manufacturing processes
YES / O
Categorical, if applicable
YES / N
Production rate
YES /
Number of employees
�S ' O
Number of shifts YES
O_
Comments:
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there are
drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? S / NO Where do they go?
2. Are production areas diked, co i d, or otherwise constructed in such a way as to prevent harm to the W WTP,
especially from spills or slugs`? YE / NO Comments:
3. Are there floor drains in the storage area? YES 'NO Where do they go?
4. Are storage tanks and areas diked, contaivp.4. or otherwise constructed in such a way as to prevent harm to the
WWTP, especially from spills or slugs? ES NO Comments:
5. Are process and storage tanks and pipes labeled? QE NO
6. How are off -spec raw materials, and products disposed of?
7. When is the production area cleaned?
8. Is the wastewater from cleaning the production area disbAarged to the POTW? YES
9. What non -process wastewaters are discharged to POTW? wam
Continents:
Title: SIU Inpsection Form
File name: COMP.INSP App 7-D
Revision data: August 1, 1994 Page l

SIU INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgable about the system? YE / NO Comments:
2. Are all units operational? YE / NO
3. How often does operator/main enance .'n check system`?
4. Is there an operator for each shift? ES NO
5. How and when is sludge disposed of?
6. Is there a schedule for preventative maintenance? ES NO
Comments:
PART II - Plant Tour Section C - SAMPLING POINT(S) AND FLOW MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES O If yes, name of lab.
2. If industry completes sampling, ask the industry representative to describe sampling procedures. Comments:
3. Is flow measurement equipment operational? YES /(fi-D ) Comments:
4. Is there a calibration log for the flow meter? YES O Comments:
Comments: p(,� Z( 126 402— — I"I
PART III - EXIT INTERVIEW
Review monitoring records an r SIU records required by IUP.
1. Are files well organized'. YES / NO Comments:
2. Are sample collection / c of -custody forms filled out properly?
YES / NO Comments:
3. Do results in files agree with reports sent to POTW? YES / NO Comments:
4. Who has authority to shut down production should a spill or slug discharge occur?
5. How does SIU inform employees of whom to call at POTW in case of spill/slug?
If slug/spill plan is already required by POTW, review procedures. r
6. Is SIU implementing slug/spill plan? (!!� / NO Comments:
Comments:
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YE / NO
Comments, Required Or Recomme Actions:
Signature Of Inspector(s)
Date:
Date:
Title: SIU Inpsection Forth
Filename: COMP.INSP App 7-D
Revision data: August 1, 1994
Page 2

m"^o"
HAZ-MAT
t•�`,.It _,I lr. .; r<<t_ �t':: l�:t ;;
BCC}: 7 �92 - r � IARL�TTE N C. 82�' I
BMW&M YrAI-
FAY, 1704 ; 375 - j i 53
NON -HAZARDOUS SPECIAL WASTE
section 1.
GENERATOR LOCATION WORK CONTRACTED 8't
E : 7- 11 l.L.. i
Manifest N(: 89379
P.O. Nc.
19-6744
Job No. -
96?44- --
` L ler_Rack Com. eny
200 Prospect Street =- Tier -Ruck Compimy
D;, 425.Sovereigu Q.
T W eexi_ngton — aT, ; N_ C 27292 Ballwin — -- = MO. 63011
�_:,E ;•336-248-4992 I,_NE: 14.
'!4Ts;;T ".), ^ iF Ji1i:A — _ G'3TIT;.CT ----- •• - —-------- --
�-Non-Hazardous oily liquids and sludge J
e_ t�,s r - - -
SeaioIt. I ti'VOICE 1NK)R\iA_F1()N _ — GALLONS DRU N' -- - —
DESCRIPTION
I PETROLEUM CON?AC i VVATEF- --
- OPF-SPEC LIGHT OIL DIESELCFG'S- -�-- - — _ -
1,10P47IAZARDCLd GLIOJIDS--
-t. SEDIMENT OR SOLID:'_....-
55-GALLON DRUM REMOVED) _ SOLID OR EMPTi —_
15 GALLON +;JFTUM REtAQ'V'F_ R - LIQUID- - --- --J-- -
Gveran, -r
i
- - HAZ-- MAT
TRANSPORTER 11^—
.7NI IRONMENTA.L SERVICE`
/D_riq C r_
__W
RT♦.
`iazardas Nas!a Transc,"e• c�e-i t-
Site Name tin -Mat Envlronmontal Sr:ices iuri�T..
- 71.,•I-Y32-`nG
Physical Address. 2 1 Q Dalton Avenue b faall;.... ,;
.; __..; P.Q Box 373L;
Chariotte N C 28206
t,har:uttr. N C 28237
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