NC0085871_Regional Office Historical File Pre 2016

o
MCDENR
North Carolina Department of Environment and Natural_ Resources
Pat McCrory
Governor
August 19, 2015
ABB, Inc.
Attn: Melody B. Christopher
5 Waterside Crossing
Windsor, CT 06095
Subject: Compliance Evaluation Inspection
Permittee: Flakt Products, Inc.
Facility: Flakt Products Remediation Site
NPDES Permit #:' NC0085871,
Forsyth County
Dear Ms. Christopher:
Donald R. van der Vaart
Secretary
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or
the Division) conducted a compliance evaluation inspection (CEI) of the Flakt Products Remediation Site on
August 18, 2015. The assistance and cooperation of Glenn Price, Operator in Responsible Charge (ORC),
was greatly appreciated. An inspection checklist is attached for your records and spection findings ings are
summarized below.
General Information
The Flakt Products Remediation Site is located at the former Flakt Products manufacturing facility
at 2000 Lowery Street, Winston Salem, Forsyth County, NC. The approximate coordinates of the treatment
building are 36.0917430N,-80.2153770W. It is located on the southwest corner of the facility. The permit
authorizes Flakt Products, Inc. to operate this 0.0864 MGD groundwater remediation system, which
consists of extraction wells, an iron sequestering feed pump, an equalization tank with feed pump, an air
stripper, and a flow monitoring device. The permit authorizes Flakt Products, Inc. to discharge the treated
effluent into Brushy Fork via outfall 001. Brushy Fork is currently classified as Class C waters in the Yadkin
Pee -Dee River basin.
Site Review ,
Mr. Price has done a good job of operating and maintaining the plant. The entire plant was clean
and appeared to be well maintained. The right-of-way to the outfall was clear and ready for inspection. The
effluent was flowing at the time of the inspection and the water was clear and odorless with only minor foam
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 450 West Hanes Mill Road, Suite 9300, Winston-Salem, North Carolina 27105
Phone: [phone] FAX: [phone] Customer Service;1-877-623-6748
Internet: www.ncwaterquality.org
One
NorthCarolina
Adwa1liff
An Equal Opportunity 1 Affirmative Action Employer

production, likely caused from aeration of the effluent. Mr. Boone noted no discrepancies or permit
violations.
Documentation Review
All required documentation was reviewed. All of Mr. Price's records were available, in order,
complete and current; this includes operations and visitation logs, discharge monitoring reports, laboratory
records, chains of custody, etc. No discrepancies were noted.
If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at
[phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Quality
Attachments:
1. BIMS Inspection Report
CC: +
Central Files
NPDES Unit
AMEC
Attn: Joe Deatherage, Senior Environmental Engineer
Environment & Infrastructure
9725 Cogdill Road
Knoxville, TN 37932
R&A Labs
Attn: Jim Cheshire
106 Short Street
Kernersville, NC 27284

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C.20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector
Fac Type
1 IN 1 2 15 I 3 I NCO085871 111 12 15/08/18 17 18 i CJ 19 i G j
20 LJ
2111111111111111111111111,1111111111111111111
f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------------ —Reserved------------
671
70 I I 71 I I 72 I N I 73 L [I74 75
L—I u L1J
80
Section B: FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:00AM 15/08/18
09/08/01
Flakt Products remediation site
Exit Time/Date
Permit Expiration Date
200 Lowery St
10:OOAM 15/08/18
14/05/31
Winston Salem NC 27106
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Glenn Fredrick Price/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Melody B Christopher,5 Waterside Crossing Windsor CT 06095//860-687-4907/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance 0 Records/Reports
Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signatures fllspector(s) Agency/Office/Phone and Fax Numbers
Date
Ron Boone // WSRO WQ#336-776-9690/
Signature off, Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
_'hy ,�tl ]�-1. p9 }�T may' 5 a• 4 t'°.1 P'a �-,re� 44 s9`a 3' � f ?: f.','.>�y'q i .'T
�n'.?'�r'G :y„4n`"he S1Y `Te✓�1�. R.�,:s. ....._r �t'!.�"$..v� ' 4^'F":5{'�� n.. �ati �f �'F� Q��y:..`" � A
8
7
�"'�.'; � c','�i � '!
A �
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

It
r
NPDES yr/mo/day Inspection Type 1
31 NCO085871 I11 12 15/08/18 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page#

Permit: NCO085871 Owner - Facility: Flakt Products remediation site
Inspection Date: 08/18/2015 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
0
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
M
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment: None
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
❑
❑
❑
Is all required information readily available, complete and current?
M
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
0
❑
❑
❑
Is the chain -of -custody complete?
M
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
M
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
M
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
❑
❑
on each shift?
Is the ORC visitation log available and current?
M
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
0
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
0
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
, ❑
M
❑
Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ❑ ❑ 0 ❑
Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑
Page# 3

J
Permit: NCO085871 Owner -Facility: Flakt Products remediation site
Inspection Date: 08/18/2015 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
# Is the facility using a contract lab?
N
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
_�
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑
❑
0
❑
Comment: None
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
❑
❑
❑
Is flow meter calibrated annually?
0
❑
❑
❑
Is the flow meter operational?
N
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
N
❑
❑
❑
Comment: None
Effluent Pine
Yes No NA NE
Is right of way to the outfall properly maintained?
0
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
❑
❑
❑
If effluent (diffuser pipes are required) are they operating properly?
❑
❑
0
❑
Comment: None
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: None
Page# 4

A' Pq �_ PAZ
4 1A
CEN
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
September 25, 2014
ABB, Inc.
Attn: Melody B. Christopher
5 Waterside Crossing
Windsor, CT 06095
Subject:. Compliance Evaluation inspection
Permittee: Flakt_Products, Inc.
Facility: Flakt Products Remediation Site
NPDES Permit#: NCO085871
Forsyth County
Dear Ms. Christopher:
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or the
Division) conducted a compliance evaluation inspection (CEI) of the Flakt Products Remediation Site on
September 23, 2014. The assistance and cooperation of Glenn Price, Operator in Responsible Charge
(ORC), was greatly appreciated. An inspection checklist is attached for your records and inspection findings
are summarized below.
General Information
The Flakt Products Remediation Site is located at the former Flakt Products manufacturing facility
at 2000 Lowery Street, Winston Salem, Forsyth County, NC. The approximate coordinates of the treatment
building are 36.0917430N,-80.2153770W. It is located on the southwest corner of the facility. The permit
authorizes Flakt Products, Inc. to operate this 0.0864 MGD groundwater remediation system, which
consists of extraction wells, an iron sequestering feed pump, an equalization tank with feed pump, an air
stripper, and a flow monitoring device. The permit authorizes Flakt Products, Inc. to discharge the treated
effluent into Brushy Fork via outfall 001. Brushy Fork is currently classified as Class C waters in the Yadkin
Pee -Dee River basin.
Site Review
Mr. Price has done a good job of operating and maintaining the plant. The entire plant was clean
and appeared to be well maintained. The right-of-way to the outfall was clear and ready for inspection. The
effluent was flowing at the time of the inspection and the water was clear and odorless with only minor foam
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St, Winston-Salem, North Carolina 27107
Phone: [phone] \ FAX: [phone] \ Customer Service; 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer
NorthCarohna
Adarally

production, likely caused from aeration of the effluent. Mr. Boone noted no discrepancies or permit
violations.
Documentation Review
All required documentation was reviewed. All of Mr. 'Price's records were available, in order,
complete and current; this includes operations and .visitation logs, discharge monitoring reports, laboratory
records, chains of custody, etc. No discrepancies were noted.
If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at
[phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Quality
Attachments:
1. BIMS Inspection Report
CC: V!SRO - S:WP r
Central Files
NPDES Unit
AMEC
Attn: Joe Deatherage, Senior Environmental Engineer
Environment & Infrastructure
9125 Cogdill Road
Knoxville, TN 37932

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB.No. 2040-0057
Water'Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding. (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type
Inspector Fac Type'
1 IN .I 2 IF I 3 I NC0085871 Ill 1'2 1 14/09/23 17 18 LC i
19.1 S I 20I
Uj
2111II I I I I I I.II I I I I I I I I I III I I I I II I III
III I I I I 1 I66
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ---Reserved
67 70I I 71 I il� 72 I N I 73I I 174 711
LJ LJ I I I I I I I IISO
Section B: Facility Data
Name and Location of -Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
1o:oom 14/09/23
09/08/01
Flakt Products remediation site
Exit Time/Date
Permit Expiration Date
200 Lowery St
Winston Salem NC 27106
11:OOAM 14/09/23
14/05/31
Name(s) of Onsite Representative(s)/Tifles(s)/Phone and Fax Number(s)
Other Facility Data
Glenn Fredrick Price/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Melody B Christopher,5 Waterside Crossing Windsor CT 06095//860-687-4907/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance 0 Records/Reports
Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date -
Ron Boone ' WSRO WQ//336-771-4967/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
a
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

r
NPDES yr/mo/day Inspection Type
31 NCO085871 I11 12 14/09/23 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
1
Page# 2

Permit: NCO086871 Owner - Facility: FlaktProducts-remediation`site
Inspection Date: 09/23/2014 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new,
0-
❑
❑
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
❑
E
❑
❑
Is access to the plant site restricted to the general public?
❑
❑
❑
Is the inspector granted access to all areas for inspection?
N
❑
❑
❑
Comment: None
Record Keeping
Yes No NA NE '
Are records kept and maintained as required by the permit?
M
❑
❑
❑
Is all requited information readily available, complete and current?
M
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
M
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
❑
❑
❑
Is the chain-of-custody.'complete?
0
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis {
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
N
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
0
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
❑
❑
on each shift?
Is the ORC visitation log available and current?
0
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
0
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
E
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
❑
Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ❑ ❑ 0 ❑
Are all other parameters(excluding field parameters) performed by a certified lab? M ❑ ❑ ❑
Page# 3

I
Permit: NCO085871 Owner - Facility: Flakt Products remediation site
Inspection Date: 09/23/2014 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
# Is the facility using a contract lab?
0❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
N
❑
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑
❑
N
❑
Comment: None
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
❑
❑
❑
Is flow meter calibrated annually?
❑
❑
❑
Is the flow meter operational?
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
N
❑
❑
❑
Comment: None
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: None
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ 0 ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: None
Page# 4

)Wv' *0)4 Qf'WAtt A si r -elsou'rees,
MEMORANDMI
To:
CorqyyBasingert
Water Quality Supervislor,'WSRO
Through-
Cindy A. Moore
-supervisor, Aquatic Toxicology Branch
'From:
Carol ;HolOnkaipp'
,Quality Assu'raiioe,'Officer;,AquaticToxicology. Branch
-S I IN'
jept:
I lc�c� d4tt
Who, dkicityu'st'ro§UlIt§
F1ak-f-Pr6ducisi hic.
1
.NP15ES Penni t: 6 1
ForsYth County
The. -aquatic. toxic Wit41Ur, COPPOSIf cfleffiuQit:dlg&hAfged:from FlaktYroducts, Inc:
hO,40 pn -domplote�dl". 'FIakt'Prdducts-J-nc.ba s -a permitted.,flowlh4 ra is 0.004'"
illion gallons per:day (MGD,)
disdharging:.into;Brushyv Fork '(7Q 10 of '2.9­',C- Pganiptes. word,,collected.,0n'.Mdrdh.44nd
M4rph,6by !er fer Carter and facility represenfative Glen Price ,for :use j n achronia, Ceritdqphniadiibia
passdailtoxi&ity-teThe,testu ing,,&se': samplesresulted -in a passToxicity informaAows-
Tbst,TypeTest Concentratians-
T60 Resitit,
.Control Mean -Reproduction
Test Treatraen't.-S'uryiv#1
Treatm,ept,gein.Reproductioii
First 'Sanple,pH.
First Sample -,.Conductivity
First 9 np ": otal-, si at CN6fine
Second.$ample,,pH
,,Second Sample -;Conductivity
,8edbnd SaTnp-'le,,TQtaLk,'esidual Chlorine,
3-Brood CeHodaphnia dubia pass/fail,
Pass
00%
'30.9,
29.5
7.49�SU
-31.4 inidt6nihos,/c,
cO. 10 mg/L
,1 -45 SU.
136.1,huidrioftih
<0.10,mg/L
,,test results 1, - .the above., s4 le§ ',lifidicat.e that the effluent, would not .be vat predicted., to have= water quality
-impacts,on,recei,Ving, water, , Thesa.samples were-split.a nd tested - by. Research arid, A#4lYtWLabqrAtori 1 0 9.
The, chronic 1�!� W-64izphnid dt�bjq ass/i I tbkicity,,te$t':r`u"n--'b .Research Analytical Laboratories, also
P, , arch And Analyt at
-,�ro 'he'd - t
resulte-dii P�le;a�l�,,.6oniact,,,us�if'fufther.,,c'ffl�enttox'lcit.y,,,moriito We el 1 4'
jn..apass,,,. ring i, , sired
[phone]
Basin: Y--A-D,04
coCentral Files,
Carter,�WSRU
Aquatic 7'oxicologyRranck YYater Sciences ; ectipfi"

[UU)UUA'fY SAWL E COLLECTION FORM page I of ARO FRO IRO RRO. _ W2RO WiRO WSR
f� j
Facility/Water BodyEr-70/-/71 I'd'li�.r'(/l C=� � lil C�
NPDES # NC I 0 To� Outfall.#
County Basin/Sub-basin
Receiving Stream
//-,
Collector(s) (print). 13-- ai, r/ev- U; It
Grab Sample-❑ Composite Sample ❑� Composite Type: �<<���EF�4�r�
-� 0
❑ Constant Time/Constant Volume: � samples/hour for; 1, � hours � �
❑ Flow Proportional 11X
Sampling Equipment Used: ❑ DWQ Portable Sampler or ❑ Facility's Sampler
Date Began Time Began Date End Time End
` 1
Sampling Site rg-f le-1/j}
Description
Container: r 4L (1 gal) PE'oubita. er ❑Other (describe) # of containers_
i .. Chlorinated: ❑ Yes ©/No Collected on Ice or in Refrigerated Sampler: [ -V es ❑ No Shipped on Ice: �es ❑ No
Method of Shipment: Courier ' Bus ❑ .Staff ❑ Other. (explain):
Date/time of transfer to shipper or courier box: G1 '- U31= ZU' y l % l : ', . ' 4- rv-
ents: �� i� zkComm4�z ' �s-G;ru
/i V 4 i l % 3'r' �'�.1 l % {���(.{ 5 f `✓C�i . C��iJ L �1 Yf i1� C� ( � C! [ /� �J 1 ��.
04'Splif' sample, splitting lab name: ,1 P TP411r14
Did DWQ staff perform the split? 6)S. op— c If NO, then did DWQ staff witness the split?
Collectors)
Si ature: f� C / .���t '` _-_.._ .. Date:
/z
Additional s - nle lldndler recordq
Relinquished by:
Received. by:
Date:
Time:
Relin wished by:
Received by:
Date:
Time:
Relinquished by:
Received by:
Date:
Time:
Relinquished b:
Received -by:
Date:
Time:
> DWQ/Environmental Sciences Section
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
ESS Courier #: 520101
Use street address 'only if shipping FedFx or UPS
Street address: 4401 Reedy Creek Road
Raleigh, NC 27607
phone: [phone]

A Lf'.­4 A �Z�&.LVJU A-,-mi �.4_Y,uu,JP�kk.JLu'j.ulg mUJL%_LVJL page i or AJKU kRU 1V91t U IL KU WaRU WEJ U ZnP �J, Ip
Facility/Water Body ������ j�li0�G(C%�S
NPDES # INCJOJO�a6j�ljoutfall#
Basin/Sub-basin
County
Receiving Stream(,
Collector(s) (print) J. (a
-1 0
Grab Sample ❑ Composite Sample H' Composite Type:
0-constant Time/Constant Volume: Z-1 samples/hour for � hours
❑ Flow Proportional
/ Sampling Equipment Used: ❑ DWQ Portable Sampler or [/_'acft s Sampler
Date Began Time Began Date End Time End
Z: e Ga
Sampling Site
Description
Container: 0 4L (1 gal) PE cubitainer ❑Other (describe) # .of containers
Chlorinated; ❑ Yes 0,N�6 Collected on Ice or in Refrigerated Sampler: O-Yes ❑ No Shipped on Ice: []-Yes ❑ No
Method of Shipment: Courier Q' Bus ❑ Staff ❑ Other, (explain):
Date/time of transfer to skinner or courier hnx G' �.
Comments: f: �� :Y" l dui : �r� `` %�('d?f� �%cf, 1CJ G/ t Si�� Ems? j
v < <
"Split" sample, splitting lab name: �7
Did DWQ staff erform the split? �� �,�1'� V� �� y If NO, then did DWQ staff witness the split?
Collectors) 2Si
afi Date:Additional satlinle l�a'nd er records
Relinquished by:
Received. by:
Date:
Time:
Relinquished by:
Received by:
Date:
Time:
Relinquished by:
Received by:
Date:
Time:
Relinquished by:
Received -by:
Date:
Time:
DWQ/Environmental Sciences Section
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
ESS Courier #: 520101
Use street address only if shipping FedEx or UPS
Street address: 4401 Reedy Creek Road
Raleigh, NC 27607
phone: [phone]

MCDER
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
ABB, Inc.
Attn: Melody B. Christopher
5 Waterside Crossing
Windsor, CT 06095
Division of Water Quality
Charles Wakild, P. E.
Director
May 1,2013
Subject: Compliance Evaluation Inspection
Permittee: Flakt Products, Inc.
Facility: Flakt Products Remediation Site
NPDES Permit #: NCO085871
Forsyth County
Dear Ms. Christopher:
John E. Skvarla, III
Secretary
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or the
Division) conducted a compliance evaluation inspection (CEI) of the Flakt Products Remediation Site on
April 24, 2013. The assistance and cooperation of Glenn Price, Operator in Responsible Charge (ORC),
was greatly appreciated. An inspection checklist is attached for your records and inspection findings are
summarized below.
General Information
The Flakt Products Remediation Site is located at the former Flakt Products manufacturing facility
at 2000 Lowery Street, Winston Salem, Forsyth County, NC. The approximate coordinates of the treatment
building are 36.0917430N,-80.2153770W. It is located on the southwest corner of the facility. The permit
authorizes Flakt Products, Inc. to operate this 0.0864 MGD groundwater remediation system, which
consists of extraction wells, an iron sequestering feed pump, an equalization tank with feed pump, an air
stripper, and a flow monitoring device. The permit authorizes Flakt Products, Inc. to discharge the treated
effluent into Brushy Fork via outfall 001. Brushy Fork is currently classified as Class C waters in the Yadkin
Pee -Dee River basin.
Site Review
Mr. Price has done a good job of operating and maintaining the plant. The entire plant was clean
and appeared to be well maintained. Mr. Boone noted no discrepancies or permit violations. Mr. Price had
in his possession during the inspection the newly calibrated replacement meter, which he was going to
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service;1-877-623-6748
Internet: www.ncwaterquality.org j�TOne
An Equal Opportunity 1 Affirmative Action Employer 1 orthC arolina

ABB, Inc.
Attn: Melody B, Christopher
Compliance Evaluation Inspection NCO085871
May 1, 2013, Page 2 of 2
install in the effluent line later that day. According. to Mr. Price, meters are switched out each year and
calibrated when replaced with the newly calibrated meter. Calibration documentation was available.
Documentation Review
All required documentation was reviewed. All of Mr. Price's records were available, in order,
complete and current; this includes operations and visitation logs, discharge monitoring reports, laboratory
records, chains of custody, etc. No discrepancies were noted.
If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at
[phone].
Sincerely,
4 C'
W. Corey Basinger
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
1. BIMS Inspection Report
CC: (aSR® SUUP
Central Files
NPDES Unit
AMEC
Attn: Joe Deatherage, Senior Environmental Engineer
Environment & Infrastructure
9725 Cogdill Road
Knoxville, TN 37932

t;
United States Environmental Protection Agency
Form Approved.
EPA Washington, D:C. 20460
OMB No. 2040=0057
Approval expires 8-31-98
Section A: National Data. System Coding (i.e.,� PCS)
Transaction Code NPDES yr/mo/day- Inspection Type Inspector Fac Type
1 I N I 2 15 I 31 NCO085871 111 121 13/04/24 117 18I C I 19I S I .20IU
Remarks
211IIIIIII IIII111I.IIII IIII IIIIIIII I I I I I I I I I I I I II16
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --- ------------------------ Reserved —--- _-------- _-----
67I 169 70 I I 71 I_I 72I N I 73 L 74 75I I I I I I I 180
Section B:. Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Flakt Products remediation site
11:00 AM 13/04/24
09/08/01
Exit Time/Date
Permit Expiration Date
200 Lowery St
Winston Salem NC 27106
12:00 PM 13/04/24
14/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Glenn Fredrick Price/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Andy Karlbergs,501 Merrit 7 Norwalk CT 06851.//203-750-2211/2037502268 No
Section C: Areas Evaluated During Inspection (Check only those area evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//336-771-4967/
�e ze) 13
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
"g� vetj�2e) ofl� r "Apt& ova r $<
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type 1
3 NCO085879 _I 1
11 12I 13/04/24 117 18I CI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page # 2

a
Permit: NCO085871 Owner - Facility: Flakt Products remediation site
Inspection Date: 04/24/2013 Inspection Type: Compliance Evaluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
n
Is the facility as described in the permit?
®
n
n
# Are there any special conditions for the permit?
fl
®❑
171
Is access to the plant site restricted to, the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n01
Comment: Please refer to the attached inspection summary letter.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
fl
n
n
Is the chain -of -custody complete?
■
❑
❑
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
Cl
n
n
Has the facility submitted its annual compliance report to users and DWQ?
ri
n
■
Cl
(If the facility is = or>'5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
■
n
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
®
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Is a -copy of the current NPDES permit available on site?
■
n
n
n
Facility has copy of previous year's Annual Report on file for review?
Q
n
■
n
Comment: Please refer to the attached inspection summary letter.
Laboratory
Yes No
NA
NE
Are field parameters performed by certified personnel or laboratory?
n
n
■
n
Page # 3

Permit: NCO085871 Owner - Facility: Flakt Products remediation site
Inspection Date: 04/24/2013 Inspection Type: Compliance Evaluation
Laboratory
Are all other parameters(excluding field parameters) performed by a certified lab?
# Is the facility using a contract lab?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
Incubator (BOD) set to 20.0 degrees Celsius +1- 1.0 degrees?
Comment: Please refer to the attached inspection summary letter.
Flow Measurement - Effluent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment: Please refer to the attached inspection summary letter.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Yes No NA NE
Yes No NA NE
Yes No NA NE
■nnn
■nnn
nn■n
Comment: Please refer to the attached inspection summary letter.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® n n n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n n n
Judge, and other that are applicable?
Comment: Please refer to the attached inspection summary letter.
Page # 4

A�i.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory
Governor
Attn: Ricky A. Ryan, PE
AMEC
9725 COGDILL RD
Knoxville, TX 37932
Dear Mr. Ryan:
Thomas A. Reeder
Director
December 5, 2013
N.0 I''F ENR
DEC 10 2013
Winston-Salem
Regional Office
John E. Skvarla, III
Secretary
Subject: Receipt of permit renewal
Permit NCO085871
Forsyth County
The NPDES Unit received your permit renewal application on December 2, 2013. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to
complete your permit renewal. You should expect to receive a draft permit approximately 30-45 days
before your existing permit expires.
If you have any additional questions concerning renewal of the subject permit, please contact Ron
Berry [phone].
Sincerely,
�t�a3 pmfali
Wren Thedford
Point Source Branch
cc: Central Files
W_iristonj'S`.ale is RegiunglmOffice
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] Fax: [phone]Customer Service:1-877-623-6748
Internet:: www.ncwater.org
An Equal OpportunityWfirmative Action Employer

:::am
eO
COP, Y
November 26, 2013
North Carolina Departmentof Environment and Natural Resources
ATTN: Wren Thedford.
DWR/NPDES Unit
1617.Mail Service Center.
:.Raleigh NC 27699-1617
Subject: Renewal Notice DEC 0.2.2013
NPDES Permit No. NCO085871
Flakt. Products, Inc.: DENR-Wfi„ER QUALITY
POINT souRCE BRANCH
Winston-Salem, North Carolina
AMEC No. 3031052007
Enclosed please find an application for renewal of NPDES permit no. NCO085871 .using
ShortForm C-GW. The permitted facility does not generate any solids. Please note That
the treatment facility is: owned by theformer property. owner, Flakt Products, Inc.
Should you have any questions regarding. this submission; please. direct them -to. my
attention at [phone].
Sincerely,.
AMECC Environment & Infrastructure, Inc.
.Ricky A. Ryon, PE
Senior Principal. Project Manager
Enclosure
c:... Melody B. Christopher, ABB
Nelson Walter, AMEC
...
wo
Correspondence:
AMEC Environment & Infrastructure, Inc.
9725.Cogdill Road
Knoxville, Tennessee 37932
Tel [phone]
Fax [phone] --.. amec.com

NPDES PERMIT APPLICATION - SHORT FORM C - -GW
For discharges associated with groundwatertreatment facilities:
Mail the complete .application to:
N::C. Department of Environment and Natural Resources.:
Division of Water Quality / NPDES Unit
1617 Mail Service Center,. Raleigh, NC 276004617
NPDES Permit Number NC0085871
If you are completing this form incomputer use the TAB key or the up = down. arrows to move from one
field. to, the next. To check the .boxes, click your mouse on top of the box. Otherwise; ,please, print or type.
1. Contact Information:
Owner -Name Flakt Products,. Inc.
Facility Name.: Former: Flakt Products, Inc. Site
_.
Mailing Address 5 Waterside Crossing
City Windsor
State / Zip Code Connecticut/06095
Telephone Number [phone] :
Fax Number (860.)28570228
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑ sp
Street Address or State Road .2000 Lowery Street
City Winston-Salam
State / zip Code North:Carolina/27101
County Forsyth
3. Operator Information:
Name of the firm; consultant or other: entity that operates. the facility. (Note that this is not referring to the
Operator in Responsible Charge'or ORC)
Name AMEC. Environment 8ti Infrastructure, Inc.
Mailing Address 9725:C6gdill Road
city.. Knoxville
State / Zip Code Tennessee/37932
Telephone Number. [phone]
Fax. Number [phone].q.
4. Ownership Status:
Federal ❑ State ❑ Private ® Public ❑
Page 1: of 3 C-GW 03/05

NPDES PERMIT APPLICATION - SHORT FORM C -.GW
For discharges associated with groundwater treatment facilities:
5: Products recovered:
Gasoline ❑ Diesel fuel ❑ Solvents ® Other.
6.. Number of separate discharge points: 1
Outfall:Identification numbers) 001
7. Frequency of discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 20 minute intervals
8. Treatment, System Design flow 0.0864 MGD,
9. Name of receiving streani(s) (Provide a map showing the exact location. of, each outfall, including„
latitude and longitude):
Brushy. Fork
10:-:Please list all additives to the treatment system, including chemicals or nutrients, that have
the potential to be discharged.
FeREMEDE, a non -toxic iron -sequestering agent, used to reduce iron coagulation/clogging:
11. Is this facility located on Indian country? (check one)
Yes ❑ :No
12. Additional Information
All applicants (including renewals):
➢ A USGS topographical ma or p ( copy of the relevant portion) which shows all outfalls
A summary of the most recerit analytical results (effluent_ data, if available) containing the -
maximum values for each chemical detected,
NEW Applicants only:
➢ Engineering•Alternative Analysis...
> Description of remediation treatment system components, capacities, and removal efficiency .
for detected compounds.
➢ If the treatment system will discharge to; a storm sewer, written approval from ;the
municipality responsible for the sewer.
➢: A list of any chemicals found in detectable amounts at the site, with the maximum observed
concentration reported for each chemical (the most recent sample must. be collected less'
than; one year prior to; the date of this application)
➢ For petroleum -contaminated sites - Analyses for Volatile Organic Compounds (VOC) should
be performed. Analyses for any fuel additives likely :to be present at the site and for phenol,
and lead should also be performed.
➢ For sites contaminated with solvents orother contaminants EPA.Method 624/625
analysis should be performed.
Page 2 of 3 C-GW 03/0.5

NPDES :PERMIT APPLICATION - SHORT FORM C .-: GW:
For discharges associated with groundwater treatment facilities.:
13. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief: such information is, true, complete, and accurate.
R. Keith ICnauerhase Chief Counsel
Printed name of Person S' g Title
Signature of AppAcant Date
North Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or 'other document files or
required to be.. maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who .falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained. under Article 21 or regulations of. the
Environmental Management Commission implementing that Article;: shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides, a punishment by a fine of not more than $Z5,000.or imprisonment not more than 5 years, or.both,
for a similar offense.)
Page 3 of GGW 03105

Am

Summary of Recent Effluent,Reporting Results .
Former Flakt Products Site
NODES Permit NC0085871
Winston-Salem, North Carolina
-Parameter
Results
Sep-12
Dec-12,
Mar-13
Aug-13
Sep-13..
Units
Benzene
<1
<1
<1..
<1
<1
irg/L
Chloroform
<...:..
1 ...
<1
<1
<1
<1
p9 /L .. .
Carbon -.Tetrachloride
51
<1 :.
<1
<1
<1
pg/L
111=Dichloroethene
<1 _ .._
<1
<1.
<1
<1
pg/L....
1,2-Dichloroethane
<1 ::
<1
<1
<1
<1
pg/L.:
Methylene. Chloride
<5
z5
<5
<5
<5
Ng/L
Trichloroethene
.<1
<1
<1
<1
<1.
pg/L
Tetrachloroethene
<1 =
<1
.<1
<1
<1:
pg/L
1,1,2,2-Tetrachloroethane
<1
<1 _
<1
<1
<1
p'g/L
1,1,2-Trichloroethane
<1
<9
<1
<1. ,.
<1
pg/L
Total Suspend ed:Solids
5 38;°n ;
<1.09
<1:11
1.11
<1;
mg/L':
Notes: This table represents a summary of.analytical results as submitted in the last five: Discharge
Monitoring Reports. Shaded cells indicate themaximum concentration detected from the
reporting period.
Prepared by/Date: KJD 11-15-13.. .
µg/L = micrograms per liter Checked by/Date: AOS 11-15-13
mg/L = milligrams per liter
NPDES = National Pollutant Discharge Elimination System

Boone, Ron
From: Deatherage, Joe [[e-mail]]
Sent: Thursday, April 25, 2013 9:52 AM
To: Boone, Ron
Subject: Yesterday's Inspection - 2000 Lowery St. Winston-Salem
Hi Ron, I understand from our ORC, Glenn Price, that you completed an inspection of our groundwater treatment facility
at 2000 Lowery St. in Winston-Salem yesterday. Glenn indicated everything went well. If you have any follow-up
questions please let me know.
The last inspection report was sent to Mr. Keith Knauerhase with ABB. I would like to change the contact person as
follows:
ABB, Inc.
Melody B. Christopher
5 Waterside Crossing
Windsor, CT 06095
Also, if you could copy me on the inspection report that would be great.
Thanks Ron,
Joe Deatherage
Senior Environmental Engineer
AMEC
Environment & Infrastructure
9725 Cogdill Road, Knoxville, TN 37932
Tel [phone] x1149
Direct [phone]
[e-mail]
amec.com
The information contained in this e-mail is intended only for the individual or entity to whom it is addressed.
Its contents (including any attachments) may contain confidential and/or privileged information.
If you are not an intended recipient you must not use, disclose, disseminate, copy or print its contents.
If you receive this e-mail in error, please notify the sender by reply e-mail and delete and destroy the message.

AL
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 21St, 2011
ABB, Inc.
Attn: R. Keith Knauerhase
5 Waterside Crossing
Windsor, CT 06095
Subject: Compliance Evaluation Inspection
Permittee: Flakt Products, Inc.
Facility: Flakt Products Remediation Site
NPDES Permit #: NCO085871
Forsyth County
Dear Mr. Knauerhase:
Dee Freeman
Secretary
Mr. Ron Boone of the Winston-Salem Regional Office of the, NC Division of Water
Quality (DWQ or the Division) conducted a compliance evaluation inspection (CEI) of the Flakt
Products Remediation Site on February 16th, 2011. The assistance and cooperation of Mr.
Glenn Price, Operator in Responsible Charge (ORC), and Courtney Fox with Mactec
Engineering, was greatly appreciated. An inspection checklist is attached for your records and
inspection findings are summarized below.
General Information
The' Flakt Products Remediation Site is located at the former Flakt Products
manufacturing facility at 2000 Lowery Street, Winston Salem, Forsyth County, NC. The
approximate coordinates of the treatment building are 36.0917430N,-80.2153770W. It is
located on the southwest corner of the facility. The permit authorizes Flakt Products, Inc. to
operate this 0.0864 MGD groundwater remediation system, which consists of extraction wells,
an iron sequestering feed pump, an equalization tank with feed pump, an air stripper, and a
flow monitoring device. The per authorizes Flakt Products, Inc. to discharge the treated
effluent into Brushy Fork via outfall 001. Brushy Fork is currently classified as Class C waters
in the Yadkin Pee Dee River basin.
Site Review
Mr. Price has done a good job of operating and maintaining the plant. The entire plant
was clean and appeared to be well maintained. Mr. Boone noted no discrepancies or permit
violations.
Documentation Review
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
Nne
orthCarolina
An Equal Opportunity 1 Affirmative Action Employer

ABB, Inc.
Attn: R. Keith Knauerhause
Compliance Evaluation Inspection
NC0085871, Flakt Products Remediation Site
Page 2 of 2, February 21". 2011
All required documentation was reviewed. All of Mr. Price's records were available, in
order, complete and current. This includes his operations and visitation logs, his discharge
monitoring reports and laboratory and field laboratory records, chains of custody, etc. No
discrepancies were noted.
If you have any questions regarding the inspection or this letter, please call Mr. Boone
or me at [phone]. Thank you for your cooperation in this matter.
Sincerely,
i
JAMt I&PItr,
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
Attachments:
BIMS Inspection Report
CC: W, .�3+3LSiW
Central Files .
NPDES Unit
.11

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C.20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 N00085871 Ill 121 11/02/16 117 18I CI 191 SI 20III
Remarks
2,111111111111111111111111111111111111111111111"6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -- - -- ------------Reserved-----------------
67I 169 701 I 711 I 72 I N I 73 W 74 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:00 AM 11/02/16
09/08/01
Elalct Products remediation site
Exit Time/Date
Permit Expiration Date
200 Lowery St
Winston Salem NC 27106
10:00 AM 11/02/16
14/05/31
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Glenn Fredrick Price/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Andy Karlbergs,501 Merrit 7 Norwalk CT 06851//203-750-2211/20375022V
V.-
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program ■ Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//704-663-1699 Ext.2202/
G-32—/ ` Z Z�// s'
V
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
w'p�Il
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

M
NPDES yr/mo/day Inspection Type
3I NCO085871 I11 12I 11/02/16 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page # 2

Permit: NCO085871 Owner - Facility: Flakt Products remediation site
Inspection Date: 02/16/2011 Inspection Type: Compliance Evaluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Cl
n
■
0
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
'Is the inspector granted access to all areas for inspection?
■
❑
n
❑
Comment: Please refer to the attached inspection summary letter.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
n
❑
n
Is the chain -of -custody complete?
■
n
❑
❑
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
n
n
■
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
■
n
n
Is the ORC visitation log available and current?
■
n
❑
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
❑
❑
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Facility has copy of previous year's Annual Report on file for review?
n
❑
■
Comment: Please refer to the attached inspection summary letter.
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
n
n
■
n
Page # 3

Permit: NCO085871 Owner - Facility: Flakt Products remediation site
Inspection Date: 02/16/2011 Inspection Type: Compliance Evaluation
Laboratory
Yes
No
NA
NE
Are all other parameters(excluding field parameters) performed by a certified lab?
■
13
n
n
# Is the facility using a contract lab?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
n
■
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n
■
n
Comment: Please refer to the attached inspection summary letter.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
n
■
n
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean? .
®
n
n
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
n
n
n
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
n
n
n
Is flow meter calibrated annually?
■
n
n
n
Is the flow meter operational?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
■
n
n
n
Comment: Meter calibrated 3/18/2010. Please refer to the attached inspection
summary letter.
Effluent Pipe
Yes
No
NA NE
Is right of way to the outfall properly maintained?
■
Are the receiving water free of foam other than trace amounts and other debris?
■
n
n
n
If effluent (diffuser pipes are required) are they operating properly? n ❑ ■ ❑
Comment: Please refer to the attached inspection summary letter.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ ❑ ❑ ■
Judge, and other that are applicable?
Comment: Please refer to the attached inspection summary letter.
Page # 4

r�
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 10/21/10
Facility: FLAXT PRODUCTS NPDES#: NC0085871 Pipe#: 001 County: FORSYTH
Laboratory Performing Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
Sianditure o .Operator in Responsible Charge I Mactec Project
S nat o oratory Supervisor I * PASSED: 8.16% Reduction *
A
Work Order: 686147/68637 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
iorr-n uarotina ceL-Lyuc jruilu
Chronic Pass/Fail Reproduction Toxicity Test
:ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1121122126125126124124122123124122123
Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
Effluent %: 4.5%
CREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1123121123122119121120121121123122123
Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t = 3.181
Tabular t = 2.508
% Reduction = 8.16
% Mortality
Avg.Reprod.
0.00
23.50
Control
Control
0.00
21.58
Treatment 2
Treatment 2
Control CV
6.90996
PASS FAIL
% control orgs
X
producing 3rd
brood
Check50ne
100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 10/13/10
Control 6.92 7.01 E94 7.03 6.95 7.03 Collection (Start) Date
Sample 1:. 10/11/10 Sample 2: 10/14/10
Treatment 2 6.96 7.07 7.05 6.98 7.05 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
r d r d r d U M M
t t t Sample 2 X 22.9 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg /1} 4$ .........
Control 8.6 8.2 8.5 8.1 8.5 8.2
Spec. Cond.(umhos) 182 147 128
Treatment 2 8-6 8.2 8.5 8.1 8.5 8.2
Chlorine (mg/1) ........ 0.04 0.02
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ........ 2.1 3.4
(Mortality expressed as %, combininq replicates)
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
LC50 = % Method of Determination
95% Confidence Limits Moving Average _ Probit
Spearman Karber ` Other
Organism Tested: Ceriodaphnia dubia Duration(hrs):,
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32.)
Control
High
Conc.
pH D.O.

0
RESFARch & ANA1yTICA[
LABORATORIES, INC.
Analytical/Process Consultations
L BIOASSAY CHAIN OF CUSTODY RECORD
Client: 1 ��C C ^ ��>A <� County: Pipe #1 Ud NPDES #:
Collector (Print): -._- Pitt Contact Person:--..--. —
Collector (Signature: Address:
Phone Number:
Lab #
(RAL only)
Sample
Description
(see note*)
Sample Collection
Sample Type
No. of
containers
sent
Temp
Upon
Arrival
(°C)
Analysis
Required
(acute, chronic
bioassay)
Date/
Time
Started
Date/
Time
Ended
Temp
(°C)
End
Comp.
Grab
Lo
*- for Sample Description please use Effluent, Influent, Upstream, Post CIZ, Etc.
Relinquished by: (Sig ature)
Received by: (Signature)
Date/Time
Relinquished by: (Signature)
Received by: (Signature)
Date/Time
Method of Shipment:
y. ept.
MQ-V! bioaSOY
:.._ O �5 .a
4Z
Initials Date Time
Note: Original sent with shipment
Copy retained by collector
_. P n Rnx 47:i . ins .3hnrt �;rP-P-t . KarnPrwille Nnrth C.RrnlinR ?7;)A4 - 336-996-2841.• Fax 339-9.]f3-n:3?F,

4'
4
RESEARA & ANAlyTICA1
LAbORATORIES, INC.
Analytical/Process Consultations
BIOASSAY CHAIN OF CUSTODY RECORD
Client: gLlel c (ec — 651,4` County: /-5YWI Pipe #: 60 / NPOES #:_
Collector (Print): _�. Contact Person:_
Collector (Signature:`Address:
Phone !Number:
Lab #
(RAL only)
Sample
Description
(see note'}
Sample Collection
Sample Type
No. of
containers
sent
Temp
Upon
Arrival
(0C)
Analysis
Required
(acute, chronic
bioassay)
Date/
Time
1 Started
Date/
Time
Ended
Temp
("C)
End
Comp.
Grab
41
for Sample Description please use Effluent, Influent, Upstream, Post CIz, Etc.
Relinquished by: (Sirinature)
Received by• . ignature)
h
Oat /Time
f'75/�� }230
Relinquished by: (Signature)
Received by: (Signature)
Date/Time
Method of Shipment:
. 30�,,.�
M � bioas aj d feetjo
A114
I tials Date Time
Note: Original sent with shipment
Copy retained by collector
Q -.,, — . hl--kk c-,... 1;— 7700A . 'IQ R-OOR-0QA 4 . r.

Boone, Ron
From:
Tedder, Steve
Sent:
Thursday, October 14, 2010 11:00 AM
To:
Boone, Ron
Cc:
Weaver, Charles
Subject:
RE: Flakt Products, NCO085871
I concur. Continue with Quarterly submittals. If permit changes in the future this will need to be revisited.
E-mail correspondence to and from this address
may be subject to the North Carolina Public Records
Law and may be disclosed to third parties.
Steve Tedder
Steve.Tedder@NCDENR:Bov
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
(336)-771-4950
Fax [phone]
From: Boone, Ron
Sent: Thursday, October 14, 2010 10:50 AM
To: Tedder, Steve
Cc: Weaver, Charles
Subject: Flakt Products, NCO085871
Steve,
The subject permittee has been submitting three DMRs at a time every quarter for quite some time now, I assume
primarily because most of their monitoring requirements (all except flow) have quarterly frequencies, including tox and
a group of compounds. I don't see a problem with this but wanted to get something into the permit folder that officially
allows them to do so and prevents any reporting violations. So far, the practice has generated some
monitoring/reporting violations, but NPDES in CO have overridden them for various and legitimate reasons. Do you
concur that we can continue to allow them to do so?
Thanks,
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.

Boone, Ron
From: Tedder, Steve
Sent: Friday, October 08, 2010 6:53 AM
To: Boone, Ron
Subject: FW: September 2010 CTOX Sampling
Fyi...
E-mail correspondence to and from this address
may be subject to the North Carolina Public Records
Law and may be disclosed to third parties.
Steve Tedder
[e-mail]
NC DEN Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
(336)-771-4950
Fax [phone]
From: Grzyb, Julie
Sent: Thursday, October 07, 2010 3:15 PM
To: Tedder, Steve; Weaver, Charles
Subject: FW: September 2010 CTOX Sampling
Steve and Charles,
FYI, please read the email below on Flakt Products, Permit #NC0085871, in Forsyth County.
Thanks,
Julie
From: Wolf, Courtney [mailto:[e-mail]]
Sent: Thursday, October 07, 2010 2:41 PM
To: Meadows, Susan
Cc: Grzyb, Julie
Subject: September 2010 CTOX Sampling
Susan and Julie,
J
We have an NPDES permit (#NC0085871) for discharge of treated extracted groundwater. We had scheduled
our September CTOX and effluent sampling for the week of September 20-24 (Mon/Tues and Thur/Fri). Our
system shut down before the 20th due to a maintenance problem. When our system is down, we have no
discharge and therefore cannot collect any samples. We are currently in the process of getting the system up and
running again.
Per my conversation today with Susan, we will plan to collect our samples as soon as the system is operational
again. Once our results are in we will submit the appropriate NM- 1.1 and AT-1 forms as soon as possible. With
submittal of this email documentation we understand the DWQ will grant an extension for submittal of the MR-
1.1 and AT-1 forms. We will keep you updated as the sampling events develop.

Thanks.
Courtney Wolf I Staff Engineer
MACTEC Engineering and Consulting, Inc. I Knoxville, TN
Office 865-218-1086 1 Fax [phone]
Email crwolfCa�-mactec.com I Web www.mactec.com
t'�o Please consider the environment before printing this email.

ANNA��
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. R. Keith Knauerhase
US Environmental Counsel
Flakt Products, Inc.
2000 Day Hill Road, CEP 880-1911
Windsor, CT 06095
Dear Mr. Knauerhase,
Division of Water Quality
Coleen H. Sullins
Director
May 6, 2009
Dee Freeman
Secretary
FN.C�,
IVED
of ENR
7 2009
Salem
Regional Office
Subject: Draft NPDES Permit
Permit NCO085871
Flakt Products
Remediation Site
Forsyth County
Enclosed with this letter is a copy of the draft permit for your facility. Please review the
draft very carefully to ensure thorough understanding of the conditions and requirements it
contains.
The draft permit contains the following changes from your current permit.
➢ Changed facility street address from 200 to 2000 Lowery Street to match application
and Tax records.
➢ There is no reasonable potential for a standards violation for Arsenic, Copper, Iron
Lead, Manganese or Zinc. Metals monitoring was removed from the permit.
➢ The wording in Section A. (2.) has been changed and the following paragraph added:
If the Permittee monitors any pollutant more frequently then required by this permit,
the results of such monitoring shall be included in the calculation and reporting of the
data submitted on the DMR and all AT Forms submitted.
Concurrent with this transmittal, the Division will solicit public comment on this draft as required
by the EPA by publishing a notice in newspapers having circulation in the general Forsyth County
area. Please review this draft carefully to ensure thorough understanding of the information,
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NofthCarohna
Internet: v✓ww.ncwaterquality.org ����Nn //�
An Equal Opportunity 1 Affirmative Action Employer `W

conditions, and requirements contained therein. Should you wish to correct errors or provide
comments regarding this draft please contact the DENR / DWQ / NPDES Program no later than
June 12, 2009.
Following the 30-day public comment period, the Division will review all pertinent comments and
take appropriate action prior to issuing a final NPDES permit. If you have questions concerning
the draft permit for your facility, please contact me by e-mail [e-mail]) or call me
at [phone].
Respectfully,
&he A. Grzy
NPDES Unit, Western Program
cc: NPDES Unit
�ivastcon=S�alem Regiona fflTV,xco-/ Surface Water Protection (draft permit, fact sheet & RPA)
Ricky A. Ryan, P.E. (draft permit)
MACTEC Engineering and Consulting, Inc.
9725 Cogdill Road, Knoxville, TN 37932
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NorthCuohna
Internet: www.ncwaterquality.org
An Equal Opportunity 1Affirmative Action Employer [% [`

Permit No. NCO085871
STATE OF NORTH - CAROLINA .
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO.DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
Incompliance with the provision of North Carolina General Statute 143-215;.l oiher lawful standards
and regulations promulgated and adopted by the North Carolina (Environmental -Management
Commission, and the Federal Water Pollution Control Act, as amended. -
is hereby
to receiving waters designated as Brushy Fork in the Yadkin Pee Dee River Basin in accordance with
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, H, III, and IV
hereof.
The permit shall become effective XXXX, 2009.
This permit and the authorization to discharge shall expire at midnight on May 31, 2014.
Signed this day XXXX, 2009.
DRAFT
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit No. NCO085871
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the
permit conditions, requirements, terms, and provisions included herein.
Flakt Products, Inc.
is here
1. Co
of
flo
treat en system consisting
tr sfer ump, air stripper,
ors h C , unty.
2. Discharge treated wastewater (via Outfall 001) from said facility into Brushy Fork, currently a Class
C water in the Yadkin -Pee Dee River Basin, at the location specified on the attached map.

Permit No. NCO085871
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to
discharge treated wastewater from Outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
"UE .�LUENT.� �:
>-
� CHARACTERISTICS
.,
EFFLUENT:LIMITATIONSi
MONITORING REQUIREMENTS `
H<r.
Monthly
Average
Daily
Maximum
Measu�einent'
..:,_-,t,:,.:
ue c
Freq n y
Sample
Type
t'.. P16.Wcatio`n'�,.
:.x
Flow
0.0864 MGD
Continuous
Recorder
Influent or Effluent
Total Suspended Solids
30.0 mg/L
Quarterly
Grab
Effluent
Benzene
Quarterly
Grab
Effluent
Carbon tetrachloride
uarterl
luent
Chloroform
uarter
b
qffluent
1,1-dichloroethene
quarteft
r
ffluent
1,2-dichloroethane
uart ly Y.
rab
Effluent
Methylene chloride
art rly
Grab
Effluent
Trichloroethene
Q a rly
Grab
Effluent
Tetrachloroethene
Q a erly
Grab
Effluent
1,1,2,2-tetrachlor ethane
Q a erl
Gra
Effluent
1,1,2-trichloroeth
Gra
Effluent .
Chronic Toxicityz
Quarterly
Composite
Effluent
Footnotes:
1. If the discharge is not continuous, flow may be monitored weekly by an instantaneous flow measurement.
2. Chronic Toxicity (Ceriodaphnia) P/F at 4.5%, March, June, September, December [see A. (2)].
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Quarterly samples for monitored parameters shall coincide with the chronic toxicity test.

Permit No. NCO085871
A. (2) CHRONIC TOXICITY PASS/FAIL PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to
Ceriodaphnia dubia at an effluent concentration of 4.5. %.
The permit holder shall perform at a minimum, quarterly monitoring using test procedures outlined in the "North
Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or subsequent versions or "North
Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions.
The tests will be performed during the months of March, June, September, and December. Effluent sampling for this
testing shall be performed at the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit
limit, then multiple -concentration testing shall be performed at a minimum, in each of the two following months
as described in "North Carolina Phase H Chronic Whole Effluent Toxicity Test Procedure" (Revised -February
1998) or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the highest
concentration having no detectable impairment of reproduction or survival and the lowest concentration that does have a
detectable impairment of reproduction or survival. The definition of "detectable impairment," collection methods,
exposure regimes, and further statistical methods are specified in the "North Carolina Phase II Chronic Whole Effluent
Toxicity Test Procedure" (Revised -February 1998) or subsequent versions.
All toxicity testing requIl
Form (MR-1) for the o
TGP3B, DWQ For A
parameter code THt B,
lui d as art of this
in w ich ests were pe
ngi al is s nt t the
Fo AT 3 (oiq6n
1621
lei
EEO will e entered
If re ortin pass/fail
ires . If rporfnig C
selit tote fo lowm
Center
1621
Effluent Discharge Monitoring
using the 11arameter code
Yalu is using the
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no later than 30 days
after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate signature. Total
residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for disinfection of
the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the
permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating the facility
name, permit number, pipe number, county, and the month/year of the report with the notation of "No Flow" in the
comment area of the form. The report shall be submitted to the Environmental Sciences Section at the address cited
above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be required
during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of Water
Quality indicate potential impacts to the receiving stream, this permit may be re -opened and modified to include alternate
monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently then required by this permit, the results of such monitoring shall
be included in the calculation and reporting of the data submitted on the DMR and all AT Forms submitted.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism survival,
minimum control organism reproduction, and appropriate environmental controls, shall constitute an invalid test and
will require immediate follow-up testing to be completed no later than the last day of the month following the
month of the initial monitoring.

. NCDENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
o
Flakt Products, hie.
NPDES No. N00085871
sx
' FacilityInfi renaton'�;w -31
Facility Name:
Flakt Products, Inc, 2000 Lowery St., Winston-Salem, NC
Permitted Flow (MGD):
0.0864
County:
Forsyth
Facility. Class:
- I"
Regional Office:
Winston Salem
Facility Status:
Renewal
USGS Topo Quad:
C18SW
Winston-Salem East
Permit Status:
Renewal
Permit Writer:
Julie Grzyb
r
Streas i.ChalracteristiC;
Receiving Stream:
Brushy Fork
Subbasin:
030704
Drainage Area (mi2):
7.3
Index No.:
12-94-12-6
Summer 7Q10 (cfs)
2.9
Stream Classification:
C
Winter 7Q10 (cfs):
NA
303(d) Listed:
NO
30Q2 (cfs):
NA
305(b) Status:
NA
Average Flow (cfs):
NA
Use Support:
IWC (%):
4.5%
Background and Summary
Flakt Products manufacturing ceased operation in 1986. The site is vacant and the
contamination resulted from metal fabricationactivities and the use of solvents at two
degreasing baths and a 7000 gallon above ground storage tank. Site assessments showed that
trichlororethene and/or 1,1,1—trichloroethane were released at some time during the
operation of the facility. In -situ volatilization was used to remediate soil. Soil clean-up
ceased in 1/93 when VOC concentrations of soil were reduced below specified cleanup
concentrations.
In 11/97 an ATC was issued to address the groundwater contamination. The proposed
treatment system consisted of about 60 extraction wells, iron sequestering (citric acid) feed
pump, 1000 gallon equalization tank, transfer pump, air stripper, bag filters, granular
activated carbon filters, flow monitoring device, and a 1500 foot outfall. The bag and GAC
filters were to be installed if the effluent failed to meet TSS or toxicity permit limits. The
consultants at MACTEC do not believe the filters were ever needed. The current system
consists of 7 extraction wells, iron sequestering, equalization and high pressure air strippers.
Records document that the original permit was issued in January 1997 and the groundwater
treatment facility started operation in 7/98. A modification request was received in 1998 to
increase flow from 0.0288 MGD to 0.0864 MGD. The permit was renewed in August 1999
with the increase in flow as requested and an expiration date of 5/31/04. The facility asked to

NPDES PERMIT FACT SHEET
Page 2
NPDES No. NCO085871
have the monitoring frequency reduced and in 1/2000 a new Effluent Limitations and
Monitoring page was issued reducing all parameter monitoring from monthly to quarterly.
Flow remained as a continuous recording, influent or effluent. The permit was renewed
again in June 2004 with an expiration date of May 31, 2009. No changes were made to the
permit except in the wording of the Chronic Toxicity Permit Page, Section A. (2.).
The facility discharges to Brushy Fork, a Class C stream, in the Yadkin -Pee Dee River Basin. Brushy
Fork is not on the 303(d) list for. impaired streams. Brushy Fork has a 7Q10 flow of 2.9 cfs and joins with
Salem Creek approximately 1,500-ft downstream.
DMR Data, Compliance and Permit Developement
Initial samples taken during the first year of remediation detected the following parameters in the waste -
stream: 1, 1 -dichloroethene, zinc, copper, lead and iron. FeREMEDE, a non -toxic iron -sequestering agent
is currently used to reduce iron coagulation and clogging. This facility is not subject to any Categorical
Effluent Guideline Limitations but is subject to the DENR, Division of Waste Management, Superfund
Section, Inactive Hazardous Sites Branch, Implementation Guidance published in August 2008. This
means the facility must meet "Remediation Goals for Groundwater" which are essentially safe drinking
water standards before it can stop the remediation process. VOC's must be monitored by the facility as
part of this requirement.
A compliance inspection was performed on March 12, 2008 by Winston-Salem Regional personnel and
operations & maintenance, record keeping, monitoring, site review and flow measurement were all found
to be satisfactory.
The only parameter limited in the permit is TSS with a daily maximum of 30 mg/L. TSS has been below
detectable levels for the last five years.
Chronic Toxicity
• Since its initial operation in 7/98 the facility has consistently passed its toxicity limit with only one
exception. One NOV was issued during the first permit cycle for a toxicity violation in 1999. It is
recommended that chronic toxicity sampling remain in the permit.
Metals and RPA
• A review of the last two permit cycles, Aug. 1999 through March 2009, show the maximum
concentration of all detected metals never exceeded standards or action levels. Metals detected
during the previous permit cycles included zinc, copper, lead, manganese and iron. DMR's reviewed
for the most recent permit cycle found only copper and manganese in detectable levels. All other
metals, arsenic, iron, lead, and zinc, were below detection levels for five years. There is no
reasonable potential for a metals violation for As, Fe, Pb or Zn. It is recommended that monitoring
for these metals be removed from the permit.
A Reasonable Potential Analysis performed on copper and manganese resulted in maximum
predicted -levels of 0.0002 ug/L for Cu and 0.05 ug/L for Mn "(see RPA attached). Therefore, copper
and manganese have no reasonable potential for a standards violation and should be removed from
the permit. The only water quality based standard for manganese is for a water supply classified
stream which has a limit of 200 ug/L. Brushy Fork is not a water supply classified stream but the
RPA show_ s manganese has no potential to violate this standard.
Organics
• No organic contaminants have been detected in effluent samples (below detection levels) taken since
Aug. 1999. Quarterly monitoring for particular organics should remain in the permit due to the
nature of the discharge.
Page 2
Version: May 5, 2009

NPDES PERMIT FACT SHEET
Page 3 NPDES No. NC0085871
Proposed Permit Changes
Remove all metals sampling (As, Fe, Pb, Cu, Mn and Zn), no potential for a standards violation.
'Proposed Schedule for Permit Issuance
Draft Permit to Public Notice: 5/06/2009 (est.) .
Permit Scheduled to Issue: 6/29/2009 (est.)
State Contact
If you have any questions on any of the above information or on the attached permit,
please contact Julie Grzyb at [phone].
Regional Office Comments
Regional Recommendation by:
Signature Date
Reviewed and accepted by:
Regional Supervisor:
Signature
Date
NPDES Unit Supervisor:
Signature
Date
, Page 3
Version: May 5, 2009

REASONABLE POTENTIAL ANALYSIS
NCO085871
Time Period 0
Qw (MGD) 0.0864
WWTP Class
7Q10S (cfs) 2.9 '
IWC (%) Q 7Q10S 4.41409134
'7Q10W (cfs) 0
Q 761OW N/A:.
30Q2 (cfs) 0
@ 3002 N/A
Avg. Stream Flow, QA (cfs) 0
@ QA N/A
Reeving Stream Brushy Fork
Stream Class C
Ow = 0.0864 MGD
STANDARDS &
PARAMETER
TYPE
' CRITERIA (2)
PQL
Units
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
NCWQSi %FAV/
n ADo! MuPndCW AllowahbLb
U)
'
'
chmnle Acute
-
Acute: 7
Copper
NC
7, AL 7.3
ugiL
13 10
0.0
_ - _ - -
-_`159
No_reasonable-potenllal lo.glolate
_ _ _ _
Chronic:-
Remov- rn toring from
Acute: WA
WatecSup6tystbndaM200:�.a,;�=;�,_
Manganese
NC .
200
ug/L
. 13 13
0:0
No rbasoriable; tentlal to,Adate standards ;'+:'. '
_ _ _ _ _
hronic - - - - 4,531 ----
Rem06b,monitoring frbtb,per o
• Legend:
"Freshwater Discharge
'
C = Carcinogenic
NC = Non-cercinogenic
A =Aesthetic
5
7 '
Copper
Manganese
Date Data,
BDL=1/2DL
Results.
Date
Data
BDL=112DL
Results
0.0015
1
2005 0.0000155
0.0000155
Std Dev.
0.0000
1
2005 �= 0.000248
0.0002480
Std Dev.
0.0007
2
2005 0.0000135
0.0000135
Mean
0.0000
2
2005
0.0D0194
0.0001940
•Mean
C.V.
2.0951
3
2005 0.000022
0.0000220
C.V.
0.8381
3 '
2005
0.000205
0.0002060
4
2006 0.0000158
0.0000158
n
13
4
2006
0.000156
0.0001560
It
.13
5
2006 0.000021
0.0000210
5
6
2006
2006
0.00351
0.00475
0.0035100
0.0047500
Mutt Factor =
10.2900
6 .
2006 0.0000604
0.0000604
0.0000050
Mult;Factor =
Max. Value
3.7100
0.0000604 ug)L
7
2007
0.0000775
0.0000775
Max. Value
0.0047500 ug/L
7-'•
8
2007 0.00001
2007 0.0000117
0.0000117..
Max. Pred Cw
0.0002241 ug/L
8
2007
0.0000847
0.0000847
Max. Pred Cw
0.0488775 ug/L
9
2007 0.0000131
0.0000131
9
2007
" 0.0000571
0.0000571
10
2007 : 0.0000131
0.0000131
10
2007
0.0000484
0.0000484
:
11
2008 0.00001
0.0000050
11
2008
0.0000588
0.0000588,
,
12
2008 0.0000201
0.0000201
12
2008
0.0000561
0.0000561
13
2008 ��: 0.00001
0.0000050
13
2008
0.000054
0.0000540

Whole Effluent Toxicity Testing Self -Monitoring Summary January 13, 2009
FACILITY REQUIREMENT YEAR JAN FEB MAR APR MAY JUN JUL AUG SEP_ OCT NOV DEC
Fayetteville -Rockfish W WTP chr lim: 3.5%; 24 MGD (a) 4.6%; 24 MGD a@ 5 Ceri7dPF
y 2005 Pass
-
-
Pass,Fall
-
- Pass
-
Pasa>14(P)
Pass>14(P)
-
-
NCO050105/001 Begin:3/l/2007 Frequency:Q Jan Apr Jul Oct
+ NonComp:Single
2006 Pess,>14(P)
-
-
Pass>14(P)
-
- Pass
-
-
Pass
-
-
County: Cumberland Region: FRO Subbasin: CPF15
2007 Pass
-
-
Pass
-
- Pass
Pass
-
Pass
M2
>18.4
PF: 16.0 Special
2008 Pass
-
-
Fail
>18.4
>18.4 Pass
-
-
Pass
-
7Q10: 675.0 IWC(%) 3.5 Order:
2009
Feldspar Corp. chr lim: 11%
Ceri7dPF
¥ 2005 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
-
NC0000353/001 Begin: 10/1/2006 Frequency: Q Jan Apr Jul Oct
+ NonComp:Single
2006 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
-
County: Mitchell Region: ARO Subbasin: FRB06
2007 Pass
-
-
Pass
-
- Pass
-.
-
Pass
-
-
PF: 3.5 Special
2008 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
7QI0: 43 IWC(a/o) 11.18 Order.
2009
'
Fieldcrest Mills chr lim: 90%
Ced7dPF
2005 -
H
-
-
H
- -
H
-
-
H
-
NC0004286/001 Begin.7/1/2005 Frequency: Q Feb May Aug Nov
+ NonComp:Single
2006 -
H
-
-
H
- -
H
-
-
H
-
County: Rowan Region: MRO Subbasin: YAD04
2007 -
H
-
-
H
- -
H
-
-
H
-
PF: 0.05 Special
2008 -
H
-
-
H
- - -
H
-"
H
7Q10: 0.0 IWC(a/o) 100 Order.
2009
First Craven Sanitary District W WTP Chr Monit: 90% •
Mysd7dPF
2005
NCO0603211001 Begin:l l/1/2008 Frequency: Q • Jan Apr Jul Oct
NonComp:
2006
County: Craven Region: WARO Subbasin: NEU10
2007
. PF: 0. 120 special
"-
2008
7Q)O:' IWC(%) Order:
2009
Flakt Products, Inc. chr lim: 4.5%
Ceri7dPF
2005 Pass
-
Pass
-
-
Pass -
-
Pass
-
-
Pass
NCO0858711001 Begin 6/l/2004 Frequency: Q Mar Jun Sep Dec
+ NonComp:Single
2006 -
-
Pass
-
-
Pass -
-
Pass
-
-
Pass
County: Forsyth Region: WSRO Subbasin: YAD04
2007 -
. -
Pass
-
-
Pass -
-
Pass
-
-
Pass
PF: 0.0864 Special
2008 -
-
Pass
-
-
Pass -
-
Pass
-
-
7Q10:2.9 IWC(%)4.5 Order:
2009
Flint Hills Resources, LP W WTP 24hr p/f ac lim: 90%
Fthd24PF
2005 Pass
-
-
H
-
- H
-
-
Pass
-
-
NCO076732/001 Begin:8/1/2007 Frequency: Q + Jan Apr Jul Oct
NonComp:Single
2006 Imalld
Pass
-
Pass
-
- Late
Pass
-
H
-
-
County: New Hanover Region: WIRO Subbasin: CPF17
2007 H
-
-
H
-
- H
-
-
H
-
-
PF: 0.1 Special
2008 H
-
-
H
-
H
-
-
H
7Q10: Tidal IWC(a/)NA Order
2009
,
Forest City W WTP chr lim: 18%
Ceri7dPF
¥ 2005 Pass
-
-
Pass
-
- Pass
-
-
Fall
42A
25.4
NCO025984/001 Begin:1/1/2004 Frequency:Q Jan Apr Jul Oct
+ NonComp:Single
2006 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
-
County: Rutherford Region: ARO Subbasin: BRD02
2007 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
-
PF: 4.95 special
2008 Fall
25A
<9,<9
Pass,>50(P)
-
Pass
-
-
Pass
-
7Q10: 34.8 IWC(a/o) 18.0 Order:
2009
Forest City-Riverstone Ind Park WWTP Acute P/FLim: 90% Fathead
Fthd24PF
2005 -
-
H
-
-
H -
-
H
-
-
H
NCO087084/001 Begin• 1/1/2004 Frequency: Q P/F + MarJun Sep Dec
+ NonComp:Single
2006 -
-
H
-
-
H -
-
H
-
-
H
County: Rutherford Region: ARO Subbasin: BRD02
2007 -
-
H
-
-
H -
-
H
-
-
H
PR 0.1 Special
2008 -
-
H
-
-
H - .,
-
H
-
-
7Q10: 195 IWC(o/) 0.08 Order:
2009
Fort BraggWWTP/001 chr lim: 26%
Ceri7dPF
2005 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
-
NC0003964/001 Begin:9/l/2006 Frequency: Q Jan Apr Jul Oct
+ NonComp:Single
2006 Fell
37.9
78
Pass
-
- Pass
-
-
Pass
-
-
County: Cumberland Region: FRO Subbasin: CPF14
2007 Pass
-
-
Pass
,-
- Invalid,Pass
-
-
Pass
-
-
PF: 8.0 Special
2008 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
7Q10: 35.8 IWC(a/) 26 Order.
2009
Fortran lndustries/001 chr lim: 0.9%
Ceri7dPF
2005 -
Pass
-
-
Pass
- -
Pass
-
-
Pass
-
NCO082295/001 Begin-1/1/2009 Frequency: Q Feb May Aug Nov
+ NonComp:Sirigle
2005 -
Pass
-
-
Pasa
- -
Pass
-
-
Pass
-
County: New Hanover Region: WIRO Subbasin: CPF17
2007 -
Pass
-
-
Pass
- -
Pass
-
-
Pass
-
PF: 0.834 Special
2008 -
Pass
-
-
Pass
- -
Pass
Invalid,Pass
-
Pass
7Q10: 910 IWC(%) 0.9 Order:
2009
Franklin Co. WASA chrlim: 74%
Ceri7dPF
2005 Pass
-
-
Pass
-
- Pass
-
,-
Pass
-
-
NCO069311/001 Begin.1/1/2005 Frequency:Q Jan Apr Jul Oct
+ NonComp:Single
2006 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
-
County: Franklin Region: RRO Subbasin: TARO
2007 Pass
-
-
Pass
-
- Pass
-
-
Pass
-
-
PF: 3.0 Special
"2008 Pass
-
>100(P)
Pass
-
- Pass >loo(P) -
-
Pass,>100(P) -
7QI0: 1.6 IWC(e/)74.4 'Order:
2009
31 Pre 2005 Data Available
LEGEND:
PERM= Permit Requirement LET = Administrative Letter - Target Frequency =Monitoring frequency: Q- Quarterly; M- Monthly; BM- Bimonthly; SA- Semiannually; A- Annually; OWD- Only when discharging; D- Discontinued monitoring requirement
Begin =First month required 7Q10 -Receiving stream low flow criterion (cfs) += quarter) monitoring increases to monthly upon failure or NR Months that testing must occur - -,Jan, Apr, Jul, Oct NonComp - Current Compliance Requirement
PF=Permitted flow (MOD), IWC%=lnstream waste concentration P/F=Pass/Fail test AC=Acute CHR=Chronic
Data Notation: f - Fathead Minnow, • - Ceriodaphnia sp.; my - Mysid shrimp; ChV - Chronic value; P - Mortality of stated percentage at highest concentration; at - Performed by DWQ Aquatic Tax Unit; bt- Bad test
Reporting Notation: --= Data not required; NR- Not reported Facility Activity Status: I -Inactive, N - Newly Issued(To construct); H -.Active but not discharging; t-More data available for month in question; = ORC signature needed
20

A
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
R Keith Knauerhase
ABB, Inc.
501 Merrit 7 /
Norwalk, CT 06851
April 21, 20091
Oil
Y�
SUBJECT: Compliance Evaluation Inspection
Flakt Products Remediation Site
Permit No. NCO085871
Forsyth County
Dear Mr. Knauerhase:
A compliance Evaluation Inspection was performed on the Flakt Products remediation site on April 21, 2009 by Rose Pruitt of the
Winston-Salem Regional Office. Mr. Glen Price, ORC, and Joe Deatherage, Senior Engineer of MACTEC Engineering, were present
for the inspection. The inspection consisted of two parts: an on -site inspection of the treatment facility and a file review. The
following are the findings from. the subject inspection: The facility was found to be in compliance.
Permit
The current permit became effective June 1, 2004 and expires on May 31, 2009. A renewal application has been received by the
Division.
The remediation site has a permitted flow of .0864 MGD.
Operations and Maintenance
Chemicals are stored indoors in clearly labeled barrels.
Maintenance is performed as needed. There is a routine maintenance program in place.
• At the time of the inspection the facility was not in operation. Repairs were being made to fix a plumbing leak.
Record Keeping
A review of laboratory reports and Discharge Monitoring Reports (DMRs) revealed no discrepancy between the generated data and
the data submitted to DWQ.
A copy of the laboratory data and historical flow charts are kept on file.
Maintenance records are available for review.
Self -Monitoring Program
There were no NPDES limits violations from January 2008 thru December 2008.
Facility Site Review
Facilities are well maintained. "
There was no effluent at the time of the inspection.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
NonrthCarolina
An Equal Opportunity 1 Affirmative Action Employer

r 1 Y
Flow Measurement
An inline flow meter is used, and is calibrated annually. The Amco Water Meter was last calibrated on November 14, 2008 by JRB
Controls.
Circular flow charts are changed regularly, and are available for review. The flow meter shows the facility has been out of service
since April 16.
The compliance inspection was satisfactory. The Division appreciates your continued efforts to maintain compliance. If you have any
questions, feel free. to call Rose Pruitt at [phone].
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
attachments
cc: SWP central files
WSRO files
Ricky A. Ryan, MACTEC, 9725 Cogdill Rd, Knoxville Tn 37932
Joe Deatherage, MACTEC, 9725 Cogdill Rd, Knoxville Tn 37932
Glen Price, 188 Town Park Dr, Advance NC 27006

d
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 NCO085871 111 121 09/04/21 117 18I CI 19I SI 20I I
Remarks
2,111111111111111111111111111111111111111111111_116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---- -------- --------Reserved------ -------- ----
67 I 169 701 I 711 I 721 NJ 73 I I 174 751 I I I I I I 180
�-�--�
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
08:30 AM 09/04/21
05/05/01
Flakt Products remediation site
Exit Time/Date
Permit Expiration Date
200 Lowery St
Winston Salem NC 27106
09:00 AM 09/04/21
09/05/31
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Glenn Fredrick Price/ORC/336-996-2841/
Name, Address of Responsible Officialrritle/Phdne and Fax Number
Contacted
Andy Karlbergs,501 Merrit 7 Norwalk CT 06851//203-750-2211/20375022V
0
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit. ® Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program ® Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Rose Pruitt WSRO WQ//336-771-5000/
Signature of Management A Reviewer Agency/Office/Phone and Fax Numbers Date
CAL/ r.,P— -rlC-
lV
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

,41
NPDES yr/mo/day Inspection Type 1
3I NC0085871 I11 12I 09/04/21 I17 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The inspector was met at the facility by Joe Deatherage with Mactec and Glenn Price, ORC with R&A labs.
At the time of the inspection the facility was shut down for repairs. A leak was being repaired.
Page # 2

Permit: NCO085871 Owner - Facility: Flakt Products remediation site
Inspection Date: 0412112009 Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes
No
NA NE
Is the plant generally clean with acceptable housekeeping?
■
n
n
n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n
n
■
n
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
■
n
n
n
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
❑
❑
■
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment: "
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
❑
n
Is all required information readily available, complete and current?
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
n
n
n
■
Are analytical results consistent with data reported on DMRs?
■
Is the chain -of -custody complete?
■
❑
❑
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
n
n
■
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
Cl
❑
®
n
Is the ORC visitation log available and current?
■
n
n
❑
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
®n
n
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Page # 3

Permit: NCO085871
Inspection Date: 04/21/2009
Owner - Facility: Flakt Products remediation site
Inspection Type: Compliance Evaluation
Record Keeping
Facility has copy of previous year's Annual Report on file for review?
Comment:
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: Facility undergoing repairs, no discharge at time of inspection
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated)'Does the chart recorder match the flow meter?
Comment: Amac flow meter -last calibrated 11/14/2008 by JRB Controls
Effluent Sampling
Is composite sampling flow proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
Comment: portable sampler used but not in operation at time of inspection
Yes
No
NA
NE
❑
❑
■
❑
Yes
No
NA
NE
n
n
n
■
nnn.
nn■n
Yes
No
NA
NE
Yes No NA NE
nnn■
nnn■
nnn■
❑❑n■
n❑❑■
nnn■
Page # 4

0
Faxed To: -
Fax #: 0(0G - 90Z- p Phone [phone]
VWWTP Annual Inspection Checklist
This information should be available to the inspector at inspection time.
Facility:
Flakt NPDES: NC0085871
Permit
Effective Dates: 510112005 to 513112009
Inspection Date: April 2009 Inspection Time: l5 5V am
---.1)
DMRs (Dates: January 2008 to December 2008 )
✓2)
✓3)
Lab Data (per DMR dates) 7
Laboratories used for analysis & certification #'s
✓4)
Chain of Custody forms (per DMR dates)
--5)
Complete copy of current NPDES permit
a us o oratorium issuance (if applicable) n,.
AQe ✓�-� v Y I
✓7)
ORC and Back-up ORC current certification G� n C�
eport (fiscal or calendar year - if applicable)
.,-9)
Daily Operator's log / ORC visitation log
�-(0)
Maintenance log
J_14---P+eees&-eentr
_data (which includes field parameters tested and equipment
calibrations)
12)
v<3)
ZiweP^r er certification (if applicable)
Flow meter calibration records (if applicable)
A40.— 14)
Influent and/or effluent samplersr-�
-�15)
Flow charts (if applicable) 40-
or nspec io under load checks
✓17)
Spill Response Plan (with current emergency contact numbers)
1
ling records (if applicable)
v19)
Plant visual inspection of treatment units
20)
Stream accessible fospe�t�iion (fit effluent discharge pipe)
Please call with questions:
Rose Pruitt
NC Department of Environment & Natural Resources
Division of Water Quality
Winston-Salem Regional Office
[phone]
Fax: [phone]
I