NC0023876_Burlington_PCI_20220818

NORTH CAROLINA DIVISION OF WATER RESOURCES
PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
Water Resources
ENVIRONMENTAL QUALITY
BACKGROUND INFORMATION [Complete Prior To PCI; Review Program Info Database Sheet(s)I
1. Control Authority (POTW) Name: City of Burlington
2. Control Authority Representative(s): Kristy King
3. Title(s): Industrial Pretreatment Supervisor
4. Last Inspection Date: 8/12/2021 Inspection Type (Check One): ® PCI ❑ Audit
5. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? © YES ❑ NO
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ YES • NO
Order Type, Number, Parameters: na
Are Milestone Dates Being Met? ❑ YES ❑ NO
ICIS CODING
Main Program Permit Number
NC 0023876
MM/DD/YY
07/02/2018
7. Current Number Of Significant Industrial Users (SIUs)?
12
8. Number of SIUs With No IUP, or With an Expired IUP?
0
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year?
0
10. Number of SIUs Not Sampled By POTW in the Last Calendar Year?
0
11. Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi -Annual
Periods?
1
12. Number of SIUs in SNC For Reporting During Either of the Last 2 Semi -Annual Periods?
0
13. Number of SIUs in SNC with Pretreatment Schedule?
0
14. Number of SIUs on Schedules?
0
15. Current Number Of Categorical Industrial Users (CIUs)?
2
16. Number of CIUs in SNC?
1
POTW INTERVIEW
17. Since the Last PCI, has the POTW had any NPDES Limits Violations?
If Yes, What are the Parameters and How are these Problems Being Addressed?
18. Since the Last PCI, has the POTW had any Problems Related to an Industrial
Discharge (Interference, Pass -Through, Blockage, Citizens' Complaints, Increased
Sludge Production, Etc.)?
If Yes, How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during either of the Last
2 Semi -Annual Periods? Not Been Published for Public Notice? (May refer to PAR
if Excessive SIUs in SNC)
20. Which Industries are on Compliance Schedules or Orders? For all SIUs on an Order,
Has a Signed Copy of the Order been sent to the Division?
21. Are Any Permits or Civil Penalties Currently Under Adjudication? If Yes, Which
Ones?
❑ YES @ NO
❑ YES @_1.
SNC for Limits: Indulor (for Zinc)
SNC for Reporting: N/A
Not Published: N/A
N/A
• YES
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated August 2022
Page 1

LTMP/STMP FILE REVIEW:
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ©YES ❑ NO
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ®YES ❑ NO
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? ©YES ❑ NO Is Table Adequate? ®YES ❑ NO
25. All LTMP/STMP effluent data reported on Discharge Monitoring Report? EYES ❑ NO (Division Inspector, please verify yourself!)
26. If NO to 23 - 26, list violations na
27. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? E YES
If yes, which ones? Eliminated: na
Added: na
28. PRETREATMENT PROGRAM ELEMENTS REVIEW— Please review POTW files, verify POTW has copy of Program Element
in their files, complete with supporting documents and copy of PERCS Approval Letter, and dates consistent with Program Info:
Program Element
Last Submittal
Date In file?
Last Approval
Date In file
Date Next Due,
If Applicable
Headworks Analysis (HWA)
3/17/2020
® Yes ❑ No
Awaiting
approval
❑ Yes E No
Awaiting
approval
Industrial Waste Survey (IWS)
7/1/2021
® Yes E No
8/10/2022
© Yes E No
8/9/2027
Sewer Use Ordinance (SUO)
12/5/2013
® Yes ❑ No
3/1/2013
❑x Yes ❑ No
**
Enforcement Response Plan (ERP)
11/12/2019
® Yes ❑ No
2/5/2020
© Yes ❑ No
**
Long Term Monitoring Plan (LTMP)
11/18/2005
® Yes ❑ No
1/27/2006
® Yes ❑ No
**
NC DWR Pretreatment Compliance Inspection (PCI) Form
Updated August 2022 Page 2

INDUSTRIAL USER PERMIT (IUP) FILE REVIEW (3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION
29. User Name
1. Engineer Controls
2. Carolina Hosiery
Mill
3. LabCorp
30. IUP Number
0019
0055
0066
31. Does File Contain Current Permit?
© Yes E No
© Yes ❑ No
❑X Yes ❑ No
32. Permit Expiration Date
12/31/2026
12/31/2026
12/31/2026
33. Categorical Standard Applied (I.E. 40 CFR, Etc.) Or
N/A
433.17
NA
NA
34. Does File Contain Permit Application Completed
Within One Year Prior to Permit Issue Date?
❑X Yes E No
❑ No
❑X Yes ❑ No
35. Does File Contain an Inspection Completed Within
Last Calendar Year?
❑X Yes ❑ No
w ❑ No
❑X Yes D No
36. a. Does the File Contain a Slug/Spill Control Plan?
b. If No, is One Needed? (See Inspection Form from
POTW)
a ® Yes ❑ No
b. Yes ❑ No
a. In Yes ❑ No
b. ❑ Yes ❑ No
a. © yid ❑ No
b. ❑ Yes E No
37. For 40 CFR 413 and 433 TTO Certification, Does
File Contain a Toxic Organic Management Plan
(TOMP)?
®i. ❑ No E NA
❑ Yes E No Mk
E Yes ❑ No
38. a. Does File Contain Original Permit Review Letter
from the Division?
b. All Issues Resolved?
a. Mc ❑No
b.❑ Yes ❑ No =
a. - No
a. - No
b.❑ Yes ❑ No
b.❑ Yes ❑ No FA El
39. During the Most Recent Semi -Annual Period, Did the
POTW Complete its Sampling as Required by IUP,
including flow?
❑x Yes ❑ No
nil ❑ No
LI Y es ❑ No
40. Does File Contain POTW Sampling Chain -Of-
Custody Forms?
❑X Yes E No
El Y, ❑ No
Ilz YI ❑ No
41. During the Most Recent Semi -Annual Period, Did the
SIU Complete its Sampling as Required by IUP,
including flow?
❑X Yes ❑ No ❑ NA
® Yes ❑ No ❑ NA
F Yes ❑ No ❑ NA
41b. During the Most Recent Semi -Annual Period, Did
SIU submit all reports on time?
❑X Yes ❑ No E NA
E No ❑ NA
❑ No E NA
42a. For categorical IUs with Combined Wastestream
Formula (CWF), does file include process/dilution
flows as Required by IUP?
❑ Yes ❑ No ® NA
❑ Yes E No _
E Yes ❑ No
42b. For categorical IUs with Production based limits,
does file include production rates and/or flows as
Required by IUP?
❑ Yes ❑ No ❑X NA
❑ Yes ❑ No _
❑ Yes ❑ No
43a. During the Most Recent Semi -Annual Period, Did
the POTW Identify All Limits Non -Compliance from
Both POTW and SIU Sampling?
-Iles ❑ No
❑ No
E No
43b. During the
the POTW Identify
from SIU Sampling?
Most Recent Semi -Annual Period, Did
All Reporting Non -Compliance
E Yes ❑ No ❑X NA
❑ Yes E No _
E Yes ❑ No
44. a. Was the POTW Notified by SIU (Within 24 Hours)
of All Self- Monitoring Violations?
b. Did Industry Resample and submit results to POTW
Within 30 Days?
c. If applicable, Did POTW resample within 30 days
of becoming aware of SIU limit violations in the
POTW's sampling of the SIU?
a.- ❑ No ❑ NA
b - ❑ No ❑ N/A
. Yes ❑ No ❑ N/A
a. E Yes ❑ No A
b ❑ Yes ❑ No 1 N/A
c. ❑ Yes ❑ No -A
a. E Yes ❑ No
b ❑ Yes ❑ No
c. ❑ Yes ❑ No
46. During the Most Recent Semi -Annual Period, Was
the SIU in SNC?
❑ Yes I No
❑ Yes ® No
❑ Yes No
47. During the Most Recent Semi -Annual Period, Was
Enforcement Taken as Specified in the POTW's ERP
(NOVs, Penalties, timing, etc.)?
❑Yes ❑x No ❑ N/A
❑Yes ❑ No _
❑Yes ❑ No ❑x N/A
48. Does the File Contain Penalty Assessment Notices?
❑ Yes ❑ No ❑X NA
❑ Yes ❑ No _
❑ Yes ❑ No F NA
49. Does The File Contain Proof Of Penalty Collection?
E Yes ❑ No © NA
❑ Yes ❑ No
E Yes ❑ No V NA
NC DWR Pretreatment Compliance Inspection (PCI) Form
Updated August 2022
Page 3

50. a. Does the File Contain Any Current Enforcement
Orders?
b. Is SIU in Compliance with Order?
51. Did the POTW Representative Have Difficulty in
Obtaining Any of This Requested Information For
You?
a. ❑ Yes - N/A ❑
b❑Yes ❑No A❑N
a. ❑ Yes ❑ No FA ❑x
b❑Yes ❑NoN/A ®
a. ❑ Yes ❑ No N/A ��
b❑Yes ❑No MA
❑ Yes ® No
❑ Yes ❑x No
❑ Yes ® No
FILE REVIEW COMMENTS:
Files are in order and complete. Inspector had no trouble finding relevant information in the files. LTMP in order. Currently awaiting
approval
FORA UDIT ONLY ****AUDIT WAS NOT D UE THEREFORE NOT CONDUCTED * * * *
INDUSTRY INSPECTION ICIS C�
Main Program Permit Number Click or tap here to enter MOM
1.IndustryInspected:_Click or tap here to enter text.
2. Industry Address: Click or tap here to enter text.
3. Type of Industry/ProductC lick or tap here to enter text.
4. Industry Contact: Click or tap here to enter text. Title:Click or tap here to enter
Phone:
tap here to enter tEt . Fax:_Click or tap here to enter text.
5. Does the POTW Use the Division Model Inspection Form or Equivalent? E YES ❑ NO
6. Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview E YES ❑ NO
B. Plant Tour ❑ YES ❑ NO
C. Pretreatment Tour E YES ❑ NO
D. Sampling Review E YES ❑ NO
E. Exit Interview E YES ❑ NO
Industrial Inspection Comments:
NC DWR Pretreatment Compliance Inspection (PCI) Form
Updated August 2022 Page 4

OVERALL SUMMARY AND COMMENTS:
Comments: All files were in excellent order. No issues were found during the inspection. Ms. King operates a very good Pretreatment
program.
Requirements: none
Recommendations: none
NOD: OYES ❑ NO
NOV: OYES ❑ NO
QNCR: OYES ❑ NO
POTW Rating:
►1 Marginal ❑ Unsatisfactory ❑
PCI COMPLETED BY: Tricia Lowery DATE: 8/18/2022
NC DWR Pretreatment Compliance Inspection (PCI) Form
Updated August 2022 Page 5