NC0027197_Regional Office Historical File Pre 2018

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FILE
i'0Y COOPER
crrvr:
MICHAEL Sx R.EOA ,
LIND, CULPEPPER:
try
Certified Mail # 7018 0360 0002 2099 1574
Return Recei t Reguested,
Rick Howell, City Manager
City of Shelby
PO Box 207
Shelby, NC 28151-0207
NORTH CAAWNA
EAWMa entaf Quality
January 13, 2020
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2020-LV-0024
Permit No. NCO027197
Shelby WTP
Cleveland County
Dear Mr. Howell:
A review of the November 2019 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent pH (00400) 11/19/2019 6 4.8 Daily Minimum Not Reached
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent (SOC).
s �a� r � M 1 �lo la .s ��at�c ����a€� tti p. � sir �*,
704-4S

If you have any questions concerning this matter or to apply for an SOC, please contact Ori Tuvia of the
Mooresville Regional Office at 704-663-1699.
Sincerely,
DoeuSigned by:
EA+��G�cw H P4W4
for
F?61FB69A2D84A3...
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Mooresville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
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i '--- ROY COOPER
— Governor
it atf ei-Resources
ENVIR.OMMLNTAL QUALITY
February 9, 2018
Mr. David Hux
Asst. Utilities Director - Operations
Town of Shelby
P.O. Box 207
Shelby, NC 28151
Subject: Compliance Inspection
City of Shelby WTP
NPDES Permit No. NCO027197
Cleveland County
Dear Mr. Hux:
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Enclosed is a copy of the Compliance Inspection for the inspection conducted at the subject
facility on February 7, 2018, by Ori Tuvia and Maria Schutte. Billy Wilkie's cooperation during the
site visit was much appreciated. Please advise the staff involved with this NPDES Permit by
forwarding a copy of the enclosed report.
The main area of concern observed during the inspection was, Facility must verify on
COC that preservative is added to metals sampling & ensure bottles received from lab
contain preservative.
The report should be self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Ori Tuvia at [phone], or at
[e-mail].
Cc: NPDES Unit
MRO Files
Sincerely,
Ori Tuvia, Environmental Engineer
Mooresville Regional Office
Division of Water Resources, DEQ
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] `, Fax: [phone] Customer Service: 1-877-623-6748

F
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 1� I 3 I NCO027197 I11 121 18/02/07 I17 18 L,j 19 I S I 201 I
-I
f6
211 1 1 1 1 1 I I I I 11 I 1 I I I I I I I I I I I I I I I I I I l l l l l l l i l
Inspection Work Days Facility Seif-Monitoring Evaluation Rating 131 QA ----- -------Reserved---
67 1.0 70 �d � 71 I„ I 72 .i ti i 73 i I 74 751 1 1 1 1 1 J80
L—I L_l I I
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 Dermit Number)
01:25PM 18/02/07
15/06/01
Shelby WTP
Exit Time/Date
Permit Expiration Date
801 W Grover St
02:40PM 18/02/07
20/05/31
Shelby NC 28150
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Numbers)
Other Facility Data
Billy J Wilkie/ORC/704484-6885/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Ben Yarboro,824 W Grover St Shelby NC 28150//704-484-6840/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory Other
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
Maria Schutte Division of Water Quality//704-663-1699i
Ori A Tuvia MRO WQ//704-663-1699/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Andrew Pitner 04-"�
MRO WQ//704-663-1699 Ext.21
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES
yr/mo/day
31 NCO027197 I11 121 18/02/07 I17
Inspection Type
18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#

Permit: NCO027197
Inspection Date: 02/0712018
Permit
Owner - Facility: Shelby WTP
Inspection Type: Compliance Evaluation
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: The subject permit expires on May 31, 2020.
Other
Yes No NA NE
❑ ❑ ■ ❑
■ ❑ ❑ ❑
❑ M ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
Yes No NA NE
Comment: On -site groundwater monitoring wells were viewed for continued maintenance. The wells
were protected and maintained with locks present on the outer well casings. Utility poles
stored near MW7 have been shifted to increase distance to approx. 25ft.
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
0
❑
❑
❑
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?
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?
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
❑
❑
M
❑
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?
0
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
❑
Page# 3

Permit: NCO027197
Inspection Date: 02/07/2018
Record Keeping
Owner - Facility: Shelby WTP
Inspection Type: Compliance Evaluation
Yes No NA NE
Comment: The Dermittee's records were organized and well maintained. DMRs, COCs, ORC visitation
logs and calibration logs were reviewed for Oct 2017 - Dec 2017. Facility must verify on
COC that preservative is added to metals sampling & ensure bottles received from lab
contain preservative.. Dec. DMR shows facility failed Toxiicty of that quarter.
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: Last landfill of residuals was in 9-30-2016.
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
0
❑
Is sample collected below all treatment units?
M
❑
❑
❑
Is proper volume collected?
M
❑
❑
❑
Is the tubing clean?
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
0
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
M
❑
❑
❑
representative)?
Comment: The subiect permit requires grab sampling. Samplinq is performed below the lagoons before
discharge to the receiving stream.
Laboratory
Yes No NA NE
Are field parameters performed by certified personnel or laboratory?
N
❑
❑
❑
Are all other parameters(excluding field parameters) performed by a certified lab?
M
❑
❑
❑
# 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
0
❑
❑
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑ ❑ M ❑
❑ ❑ ■ ❑
Comment: pH and chlorine sampling are done by the facility. Shelby First Broad WWTP lab (Turbidity
and TSS), Pace (metals) and ETT Environmental (Toxicity) have all been contracted to
analyze samples. Facility needs to add certified lab ID #s to eDMR. TRC curve validation
was last performed on April 23, 2017.
De -chlorination
Type of system ?
Yes No NA NE
Liquid
Page# 4

Permit: NCO027197
Inspection Date: 02/0712018
De -chlorination
Owner - Facility: Shelby WTP
Inspection Type: Compliance Evaluation
Yes No NA NE
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑
❑
❑
Is storage appropriate for cylinders?
❑
❑
❑
# Is de -chlorination substance stored away from chlorine containers?
❑
❑
❑
Are the tablets the proper size and type?
❑
❑
M
❑
Comment: Liquid sodium thiosulfate is used for dechlorination. Disinfection Gas is used for water.
disinfection.
Are tablet de -chlorinators operational?
❑
❑
0
❑
Number of tubes in use?
Comment:
Lagoons
Yes No NA NE
Type of lagoons?
# Number of lagoons in operation at time of visit?
2
Are lagoons operated in?
Parallel
# Is a re -circulation line present?
0
❑
❑
❑
Is lagoon free of excessive floating materials?
0
❑
❑
❑
# Are baffles between ponds or effluent baffles adjustable?
❑
❑
M
❑
Are dike slopes clear of woody vegetation?
0
❑
❑
❑
Are weeds controlled around the edge of the lagoon?
0
❑
❑
❑
Are dikes free of seepage?
0
❑
❑
❑
Are dikes free of erosion?
M
❑
❑
❑
Are dikes free of burrowing animals?
M
❑
❑
❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple
❑
❑
0
❑
locations?
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑
M
❑
Is the lagoon surface free of weeds?
M
❑
❑
❑
Is the lagoon free of short circuiting?
0
❑
❑
❑
Comment: The facility is equipped with two 0.72 MGD lagoons.
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
0 ❑ ❑ ❑
Is flow meter calibrated annually?
M ❑ ❑ ❑
Is the flow meter operational?
M ❑ ❑ ❑
Page# 5

Permit: NCO027197 Owner -Facility: Shelby WTP
Inspection Date: 02/07/2018 Inspection Type: Compliance Evaluation
Flow Measurement - Effluent Yes No NA NE
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ N ❑
Comment: Flow meter was last calibrated on 4/24/2017 by Southern Meter Services.
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:
Yes No NA NE
■ ❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ M ❑
Page# 6

She
NORTH CAROLINA
Post Office Box 207 Shelby, NC 28151-0207l,
�..
RECEIVE1)/NCDENR/0WR
NOV 14 2016 - e
November 7, 2016
Mr. Ori Tuvia
Mooresville Regional Office
NCDEQ Division of Water Resources
Mooresville, NC 28115
Subject: NPDES NCO027197 Compliance Inspection
Dear Mr. Tuvia,
MOORESVILLE REGIOitsAL OFFICE
A compliance inspection was conducted on October 20, 2016 at the City of Shelby Water
Treatment Plant for the NPDES Permit NC0027197. There were some areas of concerns that
were noted in the inspection report and we would like to provide the following response to these
concerns:
The first area of concern noted was that a Chain of Custody was incomplete, "showing only the
pickup time of the samples and not showing the arrival time to the lab". Based on our records
that were reviewed during the inspection, the chain of custody from the Water Plant was missing
information documenting a TSS and Turbidity sample taken to the First Broad River WWTP Lab
#238 on April 5, 2016. 1 have attached a scan of the receiving Chain of Custody from the WWTP
Lab that does document the release time to the lab. The Water Plant has a procedure for Lagoon
Effluent Sampling and the procedure specifically provides instruction that the date and time the
sample is released to the receiving lab must be documented and then copied forthe WTP records.
Retraining of this procedure has been conducted to ensure all staff are aware of the requirement.
The -second area of concern noted that "Chain of Custodies must indicate samples were shipped
on ice". Your inspection included the review of a chain of custody documenting a sample transfer
to Pace Analytical Services #40 for Metals Analysis on April 19, 2016. The metals samples were
field preserved with Nitric Acid (HNO3) and are not required to be kept at <6"C if they are field
preserved with acid. Preservation Requirements can be referenced in 40 CFR, Part 136.3 Table
II -Required Containers, Preservation Techniques and Hold Times. However, we would like to note
that the samples were shipped to Pace Analytical on ice and this was documented on the
completed Chain of Custody for Pace Laboratories on page 8 and 9 of the analyses report. This
document is also attached.
I would like to request the following changes to your information for the City of Shelby:
www.cityofshelby.com

FirstjBroad River WWTP Chain of Custo�-
NPDES: NC0024538!
�Today's Date: :SAX
In-house Testing / Contract Analysis
j
I !Lab Cart #: 238-
j i I
site Start Date: '=
-
Sample Sample Grab
Container
Sample
Sample
Sample
Sample
i Sample
_
Sample
Analysis for/***
Type Time
I Type/ No.
Released
Received**
Temp
DO / by
i pH /by
Cl2 / by
C or G
P or G / #
by ! time
by / time
Celsius
mg
su
ug1L
1 Effluent i G
f (0
In Situ
In Situ
In Situ
�,
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27-
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t
COMPOSITE SAMPLES
—__.._.... _-.
STOP
EFF '4S
1NF
Trans orted to 1�3b;on Ice ;`
P .
START _
'�� �(� / �{ I 1 Q i( p L 1®1 —� 4
* Preservation added prior to collection: !Fecals-sodium thiosulfate
— ---
** My initials in the sample received column indicate that all applicable sample receipt criteria
per 40 CFR Part 136 Table 11, 15 A NCAC.0805(a)(7)(M) and WWT-3000.013 have been met.
-
IM
PRARY (�
� t5'Ii --r--------�---' --'----..._.. � --- '-o
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-'-
Any deviations are listed on the back .
-
Composite samples analysis include: BOD, TSS, 3�
effluent composite TRC check:
-- - - --- --- — --- -
present or absent . , !
--- - - —
*** Refrigerated upon arrival in lab: BOD TSS AMMONIA
--___— _ . %-�. _
THIS FOii IY
' __ ____ _ i
�Tt�L�IN OF CUSTODY FORMS) MUST BE COMPLi��)
_-
jIf not checked- sample_brought to appropriate temperature for analysis today.
PRIOR TO SAMPLES BEING TRANSPORTED FOR ANALYSIS. ��
PI n i ocu v irrrrn
��•-•
llqwl�

4nalytical
mw.pacela6s.=n
April 26, 2016
Mr. Billy Wilkie
City of Shelby WTP
PO Box 207
Shelby, NC 28151
RE: Project: APRIL METALS
Pace Project No.: 92294441
Dear Mr. Wilkie:
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on April 19, 2016. The
results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
we qq -
Angela Baioni
[e-mail]
Project Manager
Enclosures
pGGRFO�
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
e'. without the written consent of Pace Analytical Services, Inc.. Page 1 of 9
�or#t

/aceAnalytical'
www.pacelabs.com
I
Project: APRIL METALS
Pace Project No.: 92294441
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Page 2 of 9

Analytical
wKwpacelabs.com
SAMPLE ANALYTE COUNT
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: APRIL METALS
Pace Project No.: 92294441
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92294441001 APRIL METALS EPA200.7 JMW 3 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 9

aceAnalytical
wympacelabs.corn
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i
t
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: APRIL METALS
Pace Project No.: 92294441
Sample: APRIL METALS Lab ID: 92294441001 Collected: 04/19/16 08:10 Received: 04/19/16 10:22 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
200.7 MET ICP Analytical Method: EPA200.7 Preparation Method: EPA200.7
Aluminum 252 ug/L 100 1 04/20/1618:30 04/22/1619:31 7429-90-5
Copper ND ug/L 5.0 1 04/20/1618:30 04/22/1619:31 7440-50-8
Iron 54.7 ug/L 50.0 1 04/20/1618:30 04/22/1619:31 7439-89-6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/26/2016 04:29 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 9

Analytical
wwwpacelabs.com
QUALITY CONTROL DATA
Project: APRIL METALS
Pace Project No.: 92294441
QC Batch: MPRP/21448
QC Batch Method: EPA200.7
Associated Lab Samples: 92294441001
Analysis Method:
Analysis Description:
EPA200.7
200.7 MET
METHOD BLANK: 1715554
Matrix: Water
Associated Lab Samples: 92294441001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Aluminum
ug/L
ND
100 04/22/ 16 18:50
Copper
ug/L
ND
5.0 04/22/1618:50
Iron
ug/L
ND
50.0 04/22/1618:50
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
LABORATORY CONTROL SAMPLE:
1715555
Spike LCS LCS
% Rec
Parameter
Units
Conc. Result % Rec
Limits Qualifiers
Aluminum
ug/L
5000 5380 108
85-115
Copper
ug/L
500 523 105
85-115
Iron
ug/L
5000 5560 111
85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
1715556
1715557
MS
MSD
92294232019
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qual
Aluminum ug/L
ND
5000
5000
3740
3630
74
72
70-130
3
Copper ug/L
114
500
500
491
474
75
72
70-130
4
Iron ug/L
150
5000
5000
. 3900
3780
75
73
70-130
3
Results presented on this page are in the units indicated by the "Units" column except where an alte mate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/26/2016 04:29 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 9

ZAnalylical
j wimpacelabs.com
1
i
QUALIFIERS
Project: APRIL METALS
Pace Project No.: 92294441
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
S - Surrogate
1,2-Diphenyihydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TN accredited. Contact your Pace PM for the current list of accredited analytes.
TN - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/26/2016 04:29 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 9

Analytical
wimpacelabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: APRIL METALS
Pace Project No.: 92294441
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92294441001 APRIL METALS EPA 200.7 MPRP/21448 EPA200.7 ICP/19262
Date: 04/26/2016 04:29 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 7 of 9

Document Name:
Document Revised: 18FEB2016
4-ace Analytical
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
F-CHR-CS-003-rev.18
Pace Huntersviile Quality Office
Client Name:
Project #:
Courier: ❑Fed Ex ❑UPS ❑USPS ❑Client
❑ Commercial QPace- ❑Other:
Custody Seal Present? ❑Yes [3No----'"Seals Intact? Dyes— ❑No
Date/Initials Person Examining Contents:
Packing Material: []Bubble Wrap ❑Bubble Bags ❑None ❑Other_.. (`C ..
Thermometer: r'-'1 T1505 ❑ Type of Ice: []wet []Blue []None �JSamples`on ice, cooling process has begun
Correction Factor: 0.0°C Cooler Temp Corrected ('C): Li Biological Tissue Frozen? ❑Yes ❑No ❑N/A
Temp should be above freezing to 6°C
USDA Regulated Soil (❑•fit/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally,
nYes F�Ncr-- inciudina Hawaii and Puerto Ricol? nYes i 17No—
COMMENTS:.
Chain of Custody Present?
]Yes— ❑No
❑N/A
1.
Chain of Custody Filled Out?
ELYes- []NO
❑N/A
2.
Chain of Custody Relinquished?
Yes"' []No
❑N/A
3.
Sampler Name and/or Signature on COC?
❑No"_ ❑N/A
[]Yest
4. C Y oa"'I' 1 C`-
Samples Arrived within Hold Time?
©Yes"' ❑No
❑N/A
5. J
Short Hold Time Analysis (<72 hr.)?
[--]Yes ©No'
❑N/A
6.
Rush Turn Around Time Requested?
❑Yes ONo
❑N/A
7.
Sufficient Volume?
[S]Y,(!� [:]No
❑N/A
8.
Correct Containers Used?
©yes ❑No
❑N/A
9.
-Pace Containers Used?
❑Ye3 ❑No
❑N/A
Containers Intact?
lYes- []No
❑N/A
10.
Filtered Volume Received for Dissolved Tests?
❑Yes ❑No
[I]NIA-
11. Note if sediment is visible in the dissolved container
Sample Labels Match COC?
®Yes ❑No
❑N/A
12.
-Includes Date/Time/ID/Analysis Matrix: Is '3
All containers needing acid/base preservation have been
checked?
Dyes' ❑No
❑N/A
13.
Ali.containers needing preservation are found to be in
compliance with EPA recommendation?
(HNO3, H2SO4, HCI<2; NaOH >9 Sulfide, NaOH>12 Cyanide)
Zyes"'- []No
❑NIA
Exceptions: VOA, Coliform, TOC, oil and Grease,
DRO/8015 (water) DOC,LLHg
[]Yes ❑No
ElN/A'-,
Samples checked for dechlorination
❑Yes ❑No
❑NIA-
14.
Headspace in VOA Vials (>5-6mm)?
[]Yes []No
[]N/A
15.
Trip Blank Present?
❑Yes ❑No
©N/A
16.
Trip Blank Custody Seals Present?
[]Yes [-]No
E3N/A
Pace Trip Blank Lot# (if purchased):
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Resolution:
Date/Time:
Field Data Required? ❑Yes ❑No
Project Manager SCURF Review: Date: up
Project Manager SRF Review: Date: LI � � ✓
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers)
Page 8 of 9

FaceAnalytical
www.pacetabs.cum
CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Section A Section B Section C ,
to
Page: of d
Required Client Information: Required Project Information: Invoice Information: -
Company:" Report To: Attention:
'Jr
Adtlress:
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Copy To:
Company Name:
REGULATORYjAGENCY
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Address:
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`t% NPDES €. GROUNDWATER � DRINKING WATER
UST RCRA OTHER
Email To:
Purchase Ordor No.:
Pace Quote
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Phone: {-
Fax:
Project Name:
Pace Project
Site Location
Manager:
STATE:
i —
Requested Due DatefTAT:
Project Number:
Pace Profile Ih
Requested
Analysis
Filtered
(YIN)
Section D Matrix Codes
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RequtretlCliOnl lntornta5on rofATRlx r CDDE
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ADDITIONAL COMMENTS
RELINQUISHED BY / AFFILIATION
DATE
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ACCEPTED BY / AFFILIATION
DATE
' TIME
SAMPLE CONDITIONS
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SAMPLER NAME AND SIGNATURE
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PRINT Name of SAMPLER:
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SIGNATURE of SAMPLER:
DATE Signed -
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(MMIDD/YY):
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lniparlant NOW By signing this form you are accepting Pacu's• NET 30 day payment terms and agreeing to late charges of 1.5% pef month for any invaicus not paid within 30 days.
F-ALL-Q-020rev.07, 15-May-2007

PAT MCCRORY
--�-, �� voee,rar
DONI LD R F V:ANL DER VAART
Sacrticrry
S. JAY ZIMMERMAN
Director
FUVIRONMENTAL QUALITY
October 24, 2016
Mr. David Hux
Asst. Utilities Director - Operations
Town of Shelby
P.O. Box 207
Shelby, NC 28151
Subject: Compliance Inspection
City of Shelby WTP
NPDES Permit No. NCO027197
Cleveland County
Dear Mr. Hux:
Enclosed is a copy of the Compliance Inspection for the inspection conducted at the subject
facility on October 20, 2016, by Ori Tuvia, Maria Schutte and Ed Watson. Wendell Leonard's.
cooperation during the site visit was much appreciated. Please advise the staff involved with this
NPDES Permit by forwarding a copy of the. enclosed report.
The following areas of concern were observed during the inspection:
1) Chain of Custody's (COC) reviewed during the inspection were incomplete, showing only the
pickup time of the samples, and not showing the arrival time to the lab.
2) COCs must indicate samples were shipped on ice.
The report should be self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Ori Tuvia at [phone], or at
ori.tuvia @ ncdenr.gov.
Cc: NPDES Unit
MRO Files
Sincerely,
Ori Tuvia, Environmental Engineer
. Mooresville Regional Office
Division of Water Resources, DEQ
Mooresville Regional Office
i ;�; „. a�n c, r. r�. nr.� Qrdfn in1 AA n newilln nit' oalls

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040.0057
Water Compliance Inspection Report
Approval expires 6=s1-98
Section A:.National Data System Coding (1.ei., P.,CS) .
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fee Type
1 i 2 IG I 3 I N00027197 I11 12 • 16iio/2D 17 18 LCJ 19 1 c I. 201 I
211111 I I I I I I II 1 I I I I .I I I I I I I I I I I I I I I I I I II I I I I 1 r6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
67
72 LNJ 73174 75 1 1 1 1 1
1.0 70 LJ 71 ilJ
80
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)
10:40AM 16/10/20
15/06/01
Shelby WTP
801 W Grover St
Exit Time/Date
Permit Expiration Date
Shelby NC 28150
12:45PM 16/10/20
20iO5/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Billy J Wilkie/ORC/704-484-6885/
Charles Wendell Leonard/ORC/704-484-6885/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
David W Hux,PO Box 207 Shelby NC 281510207/Asst Utilities Director/704-484-6840/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program. Sludge Handling Disposal Facility Site Review Efnuent/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 Inspectors) Agency/Office/Phone and Fax Numbers Date
Maria Schulte Division of Water Quality//704-663-1699,
Edward Watson. MRO GW/// �C
Od A Tuvia MRO WQ//704-663-1699/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W. Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
•1-.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 Nco027197 I11 12 16/10/20 17 18 I C
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
5

Permit: NCO027197 Owner - Facility: Shelby WTP
Inspection Date, 10120/2016 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?
Is the facility as described in the permit?
M
❑
❑
❑
# Are there any special conditions for the permit?
❑
❑
❑
Is access to the plant site restricted to the general public?
M,
❑
❑
❑
Is the inspector granted access to all areas for inspection?
M
❑
❑
❑
Comment: The subiect permit expires on May 31, 2020.
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?
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
0
❑
-❑
❑
Is the. chain -of -custody complete?
❑
❑,
❑ '"
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?
❑
❑
❑
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
❑
❑
V
11, -.
on each shift?
Is the ORC visitation log available and current?
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
❑
❑
❑
Is a copy of the current NPDES permit available on site?
M
.❑
. ❑
❑.
Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
Comment: . The mrmittee's records were organized and well maintained. DMRs. COCs, ORC visitation
dogs and calibration logs were reviewed for April 2016 - June 2016 COCs reviewed during
.
the inspection were incomplete showing only the pickup of the samples, and not showinia
the arrival time to the lab. Additionally, COCs must indicate samples were shipped
on ice.
.
Page#
3

Permit: NCO027197 Owner - Facility: Shelby WTP
Inspection Date: 10/20/2016. Inspection Type: Compliance Evaluation
Operations l 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:
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
M
❑
Is sample collected below all treatment units?
M
❑
❑
❑
Is proper volume collected?
0
❑
❑.
❑
Is the tubing clean?
❑
❑
M
❑
# Is proper temperature set for sample storage (kept at less than or.equal to 6.0 degrees
❑
❑
0
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
❑
❑
M
❑
representative)?
Comment: The subject permit requires -grab sampling. Sampling is performed below the lagoons before
discharge to the receiving stream.
Laboratory
Yes No NA NE
Are field parameters performed by certified personnel or laboratory?
❑
❑
❑
Are all other parameters(excluding field parameters) performed by a certified lab?
❑
❑
❑
# 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?
❑
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1:0 degrees?;
❑
❑
M
❑
Comment: DH and chlorine sampling are done by the facility. Shelby First Broad WWTP lab
(Turbidity
and TSS), Pace (metals) and ETT Environmental (Toxicity) have all been contracted to..
analyze samples.
TRC curve validation was last performed on December 22, 2015.
De -chlorination
Type of system ?
Is the feed ratio proportional to, chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Are the tablets the proper size and type?
Yes No NA NE
Liquid
0..
❑
❑
❑
Page# 4

Penult: ` NC0027197 Owner - Facility: Shelby WTP
Inspection Date: 10/20/2016 Inspection Type: Compliance Evaluation
De -chlorination Yes No WANE
Comment: Liquid sodium thiosulfate is used for dechlorination. Disinfection Gas is used for water
disinfection. Disinfection gas is stored under permit 1000-0002-6848. RMP plan was last
updated on 7/1/2016.
Are tablet de -chlorinators operational? ❑ ❑ M ❑
Number of tubes in use?
Comment:
Lagoons
Type of lagoons?
# Number of lagoons in operation at time of visit?
Are lagoons operated in?
# Is a re -circulation line present?
Is lagoon free of excessive floating materials?
# Are baffles between ponds or effluent baffles adjustable?
Are dike slopes clear of woody vegetation?
Are weeds controlled around the edge of the lagoon?
Are dikes free of seepage?
Are dikes free of erosion?
Are dikes free of burrowing animals?
# Has the sludge blanket in the lagoon (s) been measured periodically immultiple
locations?
# If excessive algae is present, has barley straw been used to help control the growth?
Is the lagoon surface free of weeds?
Is the lagoon free of short circuiting?
Comment: The facility is equipped with two 0.72 MGD lagoons;
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?
Yes No NA NE
2
Parallel
■.❑
❑❑
•
❑
❑
❑
•
❑
❑
❑
0
❑
❑
❑
❑
❑
❑
❑
❑
■
❑
❑
❑
0
❑
❑
❑
Yes No NA NE
■
❑
❑
❑
❑
❑
❑
M
❑
❑
"❑
❑
❑
®
❑
Comment: Flow meter was last calibrated on 3/18/2016 by Southern Meter Services.
Effluent Pipe Yes No NA NE
Page# 5

Permit: NC0027197 Owner - Facility: Shelby WTP
Inspection Date: 10/20/2016 Inspection Type: Compliance Evaluation
Effluent Piye
Yes No NA NE
Is right of way to the outfall properly maintained?
E
❑
❑
11.
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.
❑
0
❑
Comment:
Page# 6

Water Resources .
ENVIRONMENTAL QUALITY
October 28, 2016
Mr. David Hux
Asst. Utilities Director -Operations
Town of Shelby
P.O. Box 207
Shelby, NC 28151
PAT MCCRORY
Governor
DONALD R. VA [__--D-E. VAART=
t. F;i.Sgc e ary..;
S. JAY ZIMMERMAN
Director
Subject: Compliance Inspection
City of Shelby WTP
NPDES Permit No. NCO027197
Cleveland County
Dear Mr. Hux:
Enclosed is an amended copy of the Compliance Inspection for the inspection conducted at
the subject facility on October 20; 2016, by Ori Tuvia, Maria Schutte and Ed Watson. Wendell
Leonard's cooperation during the site visit was much appreciated. Please advise the staff involved
with this NPDES Permit by forwarding a copy of the enclosed report.
The following areas of concern were observed during the inspection:
1) Chain of Custody's (COC) reviewed during the inspection were incomplete, showing only the
pickup time of the samples, and not showing the arrival time to the lab.
2) COCs must indicate.samples were shipped on ice.
3) The utility poles located at well MW-7 appear to be leaching treatment from the poles into
the nearby ground surface. The.MRO has concerns that the.treatment from the poles may
eventually come into contact with groundwater. It also appears that, since the last.
inspection, additional utility poles. have been placed in the area of the MW-7 well.
The poles should be re -located to an area that will not allowed the treatment to be able to
potentially leach into the soils and possibly become in contact with groundwater.
4) Previous concerns of transformers being located near well MW-8 have been relieved as the
electrical boxes near -this well are actually cable junction boxes that would not have
contained materials such as PCBs.

1
The report should be self-explanatory; however, should you have any questions concerning this
report, please do not hesitate to contact Edward Watson at [phone], or at
edwa rd.watson @ ncde nr.gov.
Sincerely,
Edward Watson, Hydrogeologist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, DEQ
Cc: NPDES Unit
MRO Files

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 i,, i 2 15 1 3 I NCo027197 I11 12 16/10/20 17 18 i ,. i 19 I G I 20 —
L I
21111I I I I I I III I II I I I I I I I I I I I A l l l l l l l llI I I I II r6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------Reserved— ----
67 1"0 701a 1 71 1ti 1l72 1 N 1 731 I 174 75III 80
LJ Section B: Facility Data L_I
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) 10:40AM 16/10/20 15/06/01
Shelby WTP
Exit Time/Date permit Expiration Date
801 WGrover St
12:45PM 16/10/20 20/05/31
Shelby NC 28150
Name(s) of Onsite Representative(s)fritles(s)/Phone and.Fax Number(s) Other Facility Data
Billy J Wilkie/ORC1704484-6885/
Charles Wendell Leonard/ORC/704A84-6885/
Name, Address of Responsible Officiaifritle/Phone and Fax Number
Contacted
David W Hux,PO Box 207 Shelby NC 281510207/Asst. Utilities Direct6r/704-484-6840/
No
Section C: Areas Evaluated During lnspection`(Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Seif-Monitoring Program N Sludge Handling Disposal 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
Maria Schulte Division of Water Quality//704-663-1699/
Edward Watson MRO GW///
Ord A Tuvda MRO WQ//704663-1699/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W. Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.) 1
31 NCoo271 s7 I11 12 16/10/20 17 18 1,.1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
During the site visit,the on -site monitoring wells were reviewed and GPS locations were collected for
verification in BIMS. The wells were protected and maintained with locks present on the outer well
casings. MW 8 well .has a number of transformer cable junction boxes placed around this well with the
closest box situated at approx. 20 ft. from the well. As these are only cable junction boxes no PCB
were ever in these boxes.
The MW-7 has a large number of treated utility poles placed near this well. These utility poles have
been posiitoned near the well for over two years and it appears that the treatment for these poles has
leached -out over time. These utility poles need to be re -located to prevent leachate from potentially
entering into the soils and possibly impacting groundwater.
It alsomappears that additional utility poles have been placed at the MW-7 well location since the last
compliance inspection visit in 2015.
1

Permit NCO027197 Owner - Facility: Shelby WTP
Inspection Date: 10120/2016 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? ❑ ❑ ❑
# Are there any special conditions for the permit? ❑ ❑ ❑
Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑
Comment: The subject permit expires on May 31, 2020.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? 0 ❑ ❑ ❑
Is all required 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? N ❑ ❑ ❑
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 0
Are DMRs complete: do they include all permit parameters? ❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator '❑ ❑ M ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ ❑
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 EI ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ _ ❑
Comment: The permittee's records were organized and well maintained. DMRs, COCs, ORC visitation
logs and calibration logs were' reviewed for April 2016 - June 2016. COCs reviewed dunnq
the -inspection were incomplete showing only the pickup of the samples and not showing
the arrival time to the lab Additionally COCs must indicate samples were shipped on ice.
Page# 3

Permit NCO027197 Owner -Facility: ShelbyWrP
Inspection Date: 10/20/201'6 Inspection Type: Compliance'Evaluabon
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? N ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ M ❑
Is sample collected below all treatment units? 0 ❑ ❑ ❑
Is proper volume collected? ❑ ❑ .❑
Is the tubing clean? ❑ ❑ 0 ❑
# 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 ❑ _ ❑ M ❑
representative)?
Comment:. The subject permit requires grab sampling Sampling is performed below the lagoons before
discharge to the receiving stream:
Laboratory
Yes No NA NE
Are field parameters performed by certified personnel or laboratory?
M ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab?
0 ❑ ❑ ❑
# 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
0 ❑ ❑ ❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑ ❑' ❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
❑ ❑ M ❑
Comment: pH and chlorine sampling are done by the facility. Shelby First Broad WWTP lab
(Turbidity
and TSS) Pace (metals) and ETT Environmental (Toxicity) have all been contracted to
analyze samples.
TRC curve validation was last performed on December 22, 2015.
De -chlorination
Yes No NA NE
Type of system? -
Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑ ❑ ❑
Is storage appropriate for cylinders?
M ❑ ❑ ❑
# Is de -chlorination substance stored away from chlorine containers?
❑ ❑ ❑
Are the tablets the proper size and type?
❑ ❑ 0 ❑
1
Page# 4

Permit: NCO027197 Owner- Facility: Shelby WTP
Inspection Date: 10/20/2016 Inspection Type: Compliance Evaluation
De -chlorination Yes No NA NE
Comment: Liquid sodium thiosulfate is used for dechlorination. Disinfection Gas is used for water
disinfection Disinfection gas is stored under permit 1000-0002-6848. RMP plan was last
updated on 7/1/2016.
Are tablet de -chlorinators operational? ❑ ❑ 0 ❑
Number of tubes in use?
Comment:
Lagoons
Yes No NA NE
Type of lagoons?
# Number of lagoons in operation at time of visit?
2
Are lagoons operated in?
Parallel
# Is a re -circulation line present?
0
❑
❑
❑
Is lagoon free of excessive floating materials?
❑
❑
❑
# Are baffles between ponds or effluent baffles adjustable?
E
❑
❑
❑
Are dike slopes clear of woody vegetation?
0
❑
❑
❑
Are weeds controlled around the edge of the lagoon?
M
❑
❑
❑
Are dikes free of seepage?
M
❑
❑
0
Are dikes free of erosion?
0
❑
❑
❑
Are dikes free of burrowing animals?
0
❑
❑
❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple
❑
❑
M
❑
locations? -
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑
M
❑
Is the lagoon surface free of weeds?
M
❑
❑
❑
Is the lagoon free of short circuiting?
M
❑
❑
❑
Comment: The facility is equipped with two 0.72 MGD lagoons:
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
M
. ❑
❑
❑
Is flow meter calibrated annually?
M
❑
❑
❑
Is the flow meter operational?
M
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
0
❑
Comment: Flow meter was last calibrated on 3/18/2016 by Southern Meter Services.
Effluent Pipe Yes No. NA NE
Page# 5

Permit: NC0027197 Owner - Facility: Shelby WrP
Inspection Date: 10/20/2016 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ ❑ .11
Are the receiving water free of foam other than trace amounts. and other debris? M ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ M ❑
Comment:

Water Resources
ENVIRONMENTAL QUALITY
June 24, 2016
Rick Howell
City of Shelby
PO Box 207
Shelby, NC 28151-0207
Subject: NPDES Electronic Reporting Requirements
Shelby WTP
NPDES Permit Number: NCO027197
Dear NPDES Permittee:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
secretarn
S. JAY ZIMMERMAN
Director
RECEIVED/NCDENR/DWI
JUN 3 0 2016
wQROS
MOORESVILLE REGIONAL OFFICE
The U.S. Environmental Protection Agency (EPA) recently published the National Pollutant Discharge
Elimination System (NPDES) Electronic Reporting Rule. The rule requires NPDES regulated facilities to
report information electronically, instead of filing written paper reports. The rule does not change what
information is required from facilities. It only changes the method by which information is provided (i.e.,
electronic rather than paper -based).
EPA is phasing in the requirements of the rule over a 5-year period. The two phases of the rule, and their
key milestones, are:
• Phase 1—Starting on December 21, 2016, regulated entities that are required to submit Discharge
Monitoring Reports (DMRs) will begin submitting these reports electronically. If you are currently
reporting your DMR data electronically using eDMR, then you simply need to continue reporting
in the same way as you are now. The key change is that, starting on December 21, 2016,
electronicreporting of DMRs will be required, instead of voluntary.
• Phase 2—Starting on December 21, 2020, regulated entities that are required to submit certain
other NPDES reports will begin submitting these reports electronically. Reports covered in the
second phase include Notices of Intent to discharge in compliance with.an NPDES general permit,
Sewer Overflow/Bypass Event Reports, and a number of other NPDES program reports.
Incorporating Electronic Reporting Requirements into NPDES Permits
The NPDES Electronic Reporting Rule requires authorized NPDES programs to incorporate electronic
reporting requirements into NPDES permits beginning December 21, 2015. Under the new rule, the
electronic reporting process supersedes the paper reporting process. According to our files, your NPDES
permit became effective after November 2013, and should contain the requirement to electronically
report your Discharge Monitoring Reports using NC DWR's eDMR system.
In addition to requiring permittees to report information electronically, the rule also requires permittees
to identify the initial recipient for the NPDES electronic reporting data [see 40 CFR 122.41(1)(9)]. Initial
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617 _
919 807 6300

recipient of electronic NPDES information from NPDES-regulated facilities (initial recipient) means the
entity (EPA or the state authorized by EPA to implement the NPDES program) that is the designated entity
for receiving electronic NPDES Data [see 40 CFR 127.2(b)]. Permittees are required to electronically
submit the required NPDES information to the appropriate initial recipient, as determined by EPA. By July
18, 2016, EPA must identify and publish on its web site and in the Federal Register a listing of initial
recipients by state and by NPDES data group. Once available, you can use EPA's web site to find out or
determine the initial recipient of your electronic submission.
NC DWR has submitted a request to EPA to be the initial recipient for the following NPDES data groups:
1. Discharge Monitoring Reports;
2. General Permit Reports [Notices of Intent to discharge (NOls); Notices of Termination (NOTs)];
3. Pretreatment Program Reports; and
4. Sewer Overflow/Bypass Event Reports
EPA's web site will also link to the appropriate electronic reporting tool for each type of electronic
submission for each state. Instructions on how to access and use the appropriate electronic reporting
tool will be available as well.
For more information on EPA's NPDES Electronic Reporting Rule, visit
http://www2.epa.gov/compliance/final-national-pollutant-discharge-elimination-system-npdes-
electronic-reporting-rule. For more information on electronic reporting to NC DWR, visit
http://deg.hc.goy/about/divisions/water-resources/edmr/npdes-electronic-reporting or contact Vanessa
Manuel at 919-807-6392 or via email at [e-mail].
Sincerely,
Jof fYe,y O. pauvo-c
for S. Jay Zimmerman, P.G.
Cc: NPDES File
Central Files
`oor_es:vi'lle��egon�l �`ffic�."/=1iUater'Qua ity-. rogr

, f
She
NORTH CAROLINA
a>
Post Office Box 207 Shelby, NC 28151-0207i
November 20, 2014
:3
Point Source Branch
Surface Water Protection Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
City of Shelby FirstBroad Wastewater Treatment Plant NPDES NCO024538
City of Shelby Water Treatment Pland0,111D mzm
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
First Broad River WWTP and City of Shelby WTP as required by all applicable federal, state, and local
environmental agencies specifically with the requirements for signatory authority as specified in 15A
NCAC 213.0506.
Name' Title
David W. Hux Assistant Utilities Director - Operations
Julie R. McMurry Assistant Utilities Director -Administration
If you ha e any questions regarding -this letter, please feel free to contact me at 704-484-6800.
S41y,
ck`H.owell
_City Manager
cc: DWR, Mooresville Regional Office
Technical Assistance and Certification Unit
Justin Merritt, City Finance Director
Certified Mail 7012 2210 0000 1721 3656
www.cityofshelby.com

F�LEE'
NC®ENR P1,14
North Carolina Department of Environment and Natural Resources ,f
Pat McCrory John E. Skvarla, III
Governor Secretary
October 15, 2014
Mr. David Hux, Assistant Utilities Director
City of Shelby
P.O. Box 207
Shelby, North Carolina 28151
Subject: Compliance Evaluation Inspection
City of Shelby WTP
NPDES Permit No. NCO027197
Cleveland County
Dear Mr. Hux:
Enclosed please find a copy of the Compliance Evaluation Inspection report for the inspection
conducted at the subject. facility on September 15, 2014, by Ms. Marcia Allocco of this office. Please
advise the facility's Operator -in -Responsible Charge (ORC) of our findings by forwarding a copy of
the enclosed report and thank him and Mr. Michael Mull for their assistance during the site inspection.
The inspection report should be -self-explanatory; however, should you have any questions
concerning the report, please do not hesitate to contact me at [phone] or
[e-mail].
cc: Wastewater Branch
MSC 1617 — Central files basement
RUA
Sincerely,
Marcia Allocco, MS; Environmen. al Senior Specialist
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service:1-877-623-6748
Internet: liftp://portal.ncdenr.org/webtwq
Ate+;..., C-1—or _ VRI RPPYrlPriiif)Cn Pnct r'nncumar nnnar

F
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 1 3 I NP0027197 I11 12 14/09115 17 18 I S j 19 I � j 20I
21 11 1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I -66
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---Reserved--
67
1.0 70 I I 71 ) ti 72 L N J 73 I I I74 75Ill
�I I I
80
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)
01:10PM 14/09/15
08/10/01
Shelby
Shelby WTP
801 W Grover St
Exit Time/Date
Permit Expiration Date
Shelby NC 28150
02:45PM 14/09/15
13/08/31
Name(s) of Onsite Representative(s)Mtles(s)/Phone and Fax Number(s)
Other Facility Data
Billy J Wilkie/ORC/704-484-6885/
Name, Address of Responsible OfticialMtle/Phone and Fax Number
Contacted
Brad R Cornwell, PO Box 207 Shelby NC 281510207/Utilities Director//
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program N Sludge Handling Disposal Facility Site Review 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
j
Marcia Allocco MRO WQ//704-663-1699 Ext.2204/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES
yr/mo/day
31 NCO027197 I11 12 14/09/15 17
Inspection Type
18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
11
Page#

Permit: NCO027197 Owner -Facility: Shelby VVTP
Inspection Date: 09/15/2014 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? M ❑ ❑ ❑
# Are there any special conditions for the permit? ❑ . 0 ❑ ❑
Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑
Is the inspector granted access to all areas forinspection? 0. ❑ ❑ ❑
Comment: The current permit was effective as of October 1 2008 and expired on August 31, 2013: the
Division received a permit renewal application on January 23 2013. The WTP was last
inspected (compliance evaluation inspection) on March 23 2011. Please continue to
operate under the expired permit until it is reissued.
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:
Lagoons
Yes No NA NE
Type of lagoons?
# Number of lagoons in operation at time of visit?
1
Are lagoons operated in?
Parallel
# Is a re -circulation line present?
❑
M
❑
❑
Is lagoon free of excessive floating materials?
M
❑
❑
❑
# Are baffles between ponds or effluent baffles adjustable?
❑
❑
M
❑
Are dike slopes clear of woody vegetation?
M
❑
❑
❑
Are weeds controlled around the edge of the lagoon?
M
❑
❑
❑
Are dikes free of seepage?
0
❑
❑
❑
Are dikes free of erosion?
0
❑
❑
❑
Are dikes free of burrowing animals?
0
❑
❑
❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple
❑
❑
M
❑
locations?
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑M
❑
Is the lagoon surface free of weeds?
0
❑
❑
❑
Is the lagoon free of short circuiting?
0
❑
❑
❑
Page# 3

Permit: NCO027197
Inspection Date: 09/15/2014
Lagoons
Owner -Facility: ShelbyWTP
Inspection Type: Compliance Evaluation
Yes No NA NE
Comment: The facility is equipped with two 0.72 MGD lagoons: one lagoon was in use durinq the
inspection. Sludge is removed by a contractor and transDorted to the Cleveland County
landfill for disposal. Last disposal occurred on April 25-29 2014.
De -chlorination
Yes No NA NE
Type of system ?
Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑
❑
❑
Is storage appropriate for cylinders?
M
❑
❑
❑
# Is de -chlorination substance stored away from chlorine containers?
❑
❑
❑
Are the tablets the proper size and type?
❑
❑
0
❑
Comment: Liquid sodium thiosulfate is used for dechlorination.
Are tablet de -chlorinators operational? ❑ ❑ M ❑
Number of tubes in use?
Comment:
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
M
❑
❑
❑
Is flow meter calibrated annually?
❑
❑
❑
Is the flow meter operational?
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
0
❑
Comment: Calibration is currently completed with a contractor when meter is taken out of service:
current meter was calibrated on March 19 2013 and was
placed in service summer 2014.
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
M
❑
Is sample collected below all treatment units?
M
❑
❑
❑
Is proper volume collected?
M
❑
❑
❑
Is the tubing clean?
❑
❑
0
❑
# 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: Sampling is performed below the lagoons before discharge to the receiving stream
Laboratory
Yes No NA NE
Page# 4

Permit: NCO027197
Inspection Date: 09/15/2014
Owner -Facility: Shelby WrP
Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
Are field parameters performed by certified personnel or laboratory?
M
❑
❑
❑
Are all other parameters(excluding field parameters) performed by a certified lab?
M
❑
❑
❑
# Is the facility using a contract lab?
M
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
M
❑
❑
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑.
M
❑
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑
❑
0
❑
Comment: TRC curve validation was last performed on November 12, 2013.
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?
0
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
M
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
M
❑
❑
❑
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?
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 2417 with a certified operator
❑
❑
0
❑
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?
M
❑
❑
❑
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?
M
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
M
❑
Page# 5

Permit: NCO027197
Owner -Facility: ShelbyWTP
Inspection Date: 09/15/2014 Inspection Type: Compliance Evaluation
Record Keeping
C
Yes No NA NE
Comment: The permittee's records were organized and well maintained and records requested durin
the inspection were readily available. DMRs were reviewed for July 2013 through June 2014.
No limit violations were reported and all monitoring frequencies were correct. Please use
the following parameter codes should additional monitoring be conducted sulfates (00945)
turbidity (00070), and fluoride (00951). The October 2013 noted an "K for the toxicity testing
on October 15, 2013: record review noted that the test was passed and a T" should have
been entered (transcription error).
Page#

Pat McCrory
Governor
A
���
p&M.
NCDENR
North Carolina Department of Environment and
January 27, 2015
City of Shelby Utilities
Post Office Box 207
Shelby, North Carolina 28151
Attention: David Hux, Assistant Utilities Director
Dear Mr. Hux:
Natural Resources
Donald van der Vaart
Secretary
Subject: Inspection of Groundwater Monitoring Program
City of Shelby WTP — Alum Sludge Lagoons
Permit No.: NCO027197
Cleveland County
This letter is in reference to the compliance inspection that was conducted on December 51h, 2014 for the
Shelby WTP, groundwater monitoring program. The groundwater records reviewed appeared well
organized and complete at the time of inspection. The Alum Lagoon storage and monitoring wells
appeared to be maintained; however, there are a couple of concerns worth noting for continued integrity
of the groundwater monitoring program:
o There is significant land subsidence near MW-7 (photo attached). Inspection of the exposed
concrete and casing prior to sampling events is recommended, as degradation of either may
adversely affect sampling results.
The utilities department stores utility poles near MW-7 and new transformers around MW-8 (see both
attached photos). It is my understanding that these are new transformers, which do not contain
polychlorinated biphenyls (PCBs); however, the Mooresville Regional Office does not recommend
these items be stored so closely to the MWs as there remains a potential for additional contaminant
sources to be introduced.
For your convenience, I have noted below contact information for staff at EPA Region 4, who may be of
assistance with proper storage of new electric transformers.
Region 4 - Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina,
Tennessee
Ken Feely (Regional PCB Coordination/Cleanups) - phone: [phone], FAX: [phone]
Terri Crosby -Vega (Approvals) - phone: [phone], FAX: [phone]
Raj Aiyar (Enforcement) - phone: [phone], FAX: [phone]
This information was found at: http://www.epa.gov/epawaste/hazard/tsd/pobs/pubs/coordin.htm
Please contact me by phone [phone]) or email (maria.schutteOncdenr.gov) if I may be of further
assistance.
Sincerely,
r�,�
Maria Schutte, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
cc: Mike Mull, WTP Supervisor, Shelby WTP Plant (email)
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone] / Fax: [phone]/Customer Service 1-877-623-6748
Internet: www,ncdenr,gov
n- A.,.;6, % nre.,.,. HG AnK­ C..,nlrnicr_ hh,Hl in nart by rac 1c 1 nnner

Photo of MW-8 and transformers stored nearby.

Beverly Eaves Perdue
Governor
Mr. Brad Cornwell
Utilities Director
City of Shelby
P.O. Box 207
Shelby, NC 28151
Dear Mr. Cornwell:
NCDENR
North Carolina Department of Environment and Natura
Division of Water Quality
Coleen H. Sullins
.Director
May 12, 2011
Resources
Subject: Compliance Evaluation Inspection
Shelby WTP
NPDES Permit No. NCO027197
Cleveland County, North Carolina
i
Dee Freeman
Secretary
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection conducted at the
subject facility on March 23, 2011 by Ms. Donna Hood of this Office. Please inform the facility's Operator -in -
Responsible Charge of our findings by forwarding a copy of the enclosed report.
The report should be self-explanatory; however, should you have any questions concerning this report, please
do not hesitate to contact Ms. Hood or me at [phone].
Sincerely,
�J�--•'1--`-�'"a .ate-'�.,-__...__.._'
--0=Robert B. Krebs
Surface Water Protection Regional Supervisor
Enclosure
DH
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet: wwN.ncwaterquality.org
An Equal Opportunityi Affirmative Action Employer — 500/o Recycledl10% Post Consumer paper
NoithCarolina
atimally

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
ONIB 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 I NI 2 1 51 31 NCO027197 Ill 121 11/03/23 117 181 CI 191 SI 20I 1I
Remarks
21111111111111111111111111IIIIIIIIIIIIIIII111111Ill
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---- — - - - -Reserved----- — -- --
671 1.5 169 70141 71 11 721 N I 73I I 174 751 I I I I I I 180
I —I —I
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)
10:00 AM 11/03/23
08/10/01
Shelby WTP
Exit Time/Date
Permit Expiration Date
801 W Grover St
Shelby NC 28150
12:00 PM 11/03/23
13/08/31
Name(s) of Onsite Rep resentative(s)[Titles(s)/Phone and Fax Number(s)
Other Facility Data
Billy J Wilkie/ORC/704-484-6885/
Name, Address of Responsible Official/Title/Phone and Fax Number
Julie McMurry,PO Box 207 Shelby NC 281510207/Interim Utilities Contacted
Director/704-484-6840/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Flow Measurement ® Operations & Maintenance ® Records/Reports
Self -Monitoring Program ® Sludge Handling Disposal ® Facility Site Review 0 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 Inspectors) Agency/Office/Phone and Fax Numbers Date
Donna Hood MRO WQ//704-663-1699 Ext.2193/
nature of Management Q A Re re e ,Agency/Offce/Phone and Fax Numbers Daf
i
Marcia Allocco MRO WQ//704-663-1699 Ext.2204/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO027197 1
11 121 11/03/23 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCO027197
Inspection Date: 03/23/2011
M---:a
Owner - Facility: Shelby WTP
Inspection Type: Compliance Evaluation
(If the present permit expires in 6 months or less). Has the permittee submitted anew application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: Shelby WTP permit is effective from 10/1/2008-8/31/2013.
® D n D
n®nn
M n D n
® n n n
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ®❑ ❑ D
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ®n ❑ n
Judge, and other that are applicable?
Comment: . The facility has moved their sludge storage area uphill from the lagoons.
Storm water from the sludge discharges into the lagoons. Leachate infiltrates.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? D n
171
Is all required information readily available, complete and current?
®D
D
Are all records maintained for 3 years (lab. reg. required 5 years)?
®
❑
n
D
Are analytical results consistent with data reported on DMRs?
®
n
n
n
Is the chain -of -custody complete?
®
❑
D
❑
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
M
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
Page # 3

Permit: NCO027197 owner - Facility: Shelby WTP
Inspection Date: 03/2312011 Inspection Type: Compliance Evaluation
Yes No NA NE
Record Keeping
Is a copy of the current NPDES permit available on site? O
El
Facility has copy of previous year's Annual Report on file for review? ®❑ ❑ ❑
Comment: DMRs for January 2010-December 2010 were reviewed for the inspection.
On the October DMR the results of copper andiron had been transposed. Additional
analyses were performed on the effluent from 10/19/2010 (arsenic, cadmium, copper,
and zinc) that were not reported on the DMR. Please be advised that any analyses
performed on the effluent must be reported on the DMR. Please submit an amended
DMR for October 2010 correcting the transposition error and including the additional
sampling results.
Laboratory
Are field parameters performed by certified personnel or 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)?
nnn
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑ n ®
❑
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
fl ❑
n
Comment: -The facility performs on -site analyses under lab certification #5340. Other
analyses are performed by the City of Shelby VW TP (#238) or Tritest (#67).
Yes No NA
NE
Lagoons
Type of lagoons?
# Number of lagoons in operation at time of visit?
1
Are lagoons operated in?
Parallel
WHEW
# Is a re -circulation line present?
Is lagoon free of excessive floating materials?
�nnn
# Are baffles between ponds or effluent baffles adjustable?
❑ ❑ ®
❑
Are dike slopes clear of woody vegetation?
❑
Are weeds controlled around the edge of the lagoon?
❑ ❑
❑
�nnn
Are dikes free of seepage?
Are dikes free of erosion?
®n n
n
Are dikes free of burrowing animals?
❑ ❑
fl
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
0 n ®
n
# If excessive algae is present, has barley straw been used to help control the growth?
n n
n
Page # 4

Permit: NCO027197 Owner- Facility: Shelby V TP
Inspection Date: 03/23/2011 Inspection Type: Compliance Evaluation
Lagoons
Yes
No
NA
NE
Is the lagoon surface free of weeds?
❑
❑
❑
Is the lagoon free of short circuiting?
®n
❑
❑
Comment: One lagoon was in operation at the time of the inspection.
De -chlorination
Yes
No
NA
NE
Type of system ?
Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑
❑
M
❑
Is storage appropriate for cylinders?
❑
❑
M
❑
# Is de -chlorination substance stored away from chlorine containers?
®❑
❑
❑
Comment:
Are the tablets the proper size and type?
❑
n
■
❑
Are tablet de -chlorinators operational?
❑
❑
®
❑
Number of tubes in use?
Comment: Sodium thiosulfate is used for dechlorination at the facility
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
®❑
❑
❑
Is flow meter calibrated annually?
❑
❑
n
Is the flow meter operational?
®❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
®
❑
Comment:
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
®
n
n
❑
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
Page # 5

{
WCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
BRAD R CORNWELL
CITY OF SHELBY
PO BOX 207
SHELBY NC 281510207
Division of Water Quality
Coleen H. Sullins
Director
February 10, 2011
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
Shelby WTP
Permit Number: NCO027197
Case Number: MV-2011-0002
Cleveland County
Dear Mr. Cornwell:
Dee Freeman
Secretary
RECEIVED
DIVISION OF °J^,!A ER QUALITY
FEB 14 K'111
MOORES'v d-LE REGIONAL OFFICE
This letter is to acknowledge receipt of check number 00112548 in the amount of $235.06 received from you
dated January 27, 2011. This payment satisfies in full the above civil assessment levied against the subject
facility, and this case has been closed. Payment of this penalty in no way precludes future action by this
Division for additional violations of the applicable Statutes, Regulations, or Permits.
If you have any questions, please call Robert L Sledge at 919-807-6398.
cc: Central Files
DWQ Mooresville Regional Office Supervisor
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 �TOne
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748 1 v orth Qtrolina
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer a `ally

F,
Beverly Eaves Perdue
Governor
�oFILE/
H C -.0- F. H R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
January 14, 2011
CERTIFIED MAIL 7009 2250 0004 3266 2187
RETURN RECEIPT REQUESTED
Mr. David Hux, Assistant Utilities Director
City of Shelby
P.O. Box 207
Shelby, North Carolina 28151
SUBJECT: Notice of Violation and Assessment of Civil
Penalty for Violations of N.C. General Statute
143-215.1(a)(6) and NPDES Permit No. NCO027197
City of Shelby WTP
Cleveland County
Case No. MV-2011-0002
Dear Mr. Hux:
Dee Freeman
Secretary
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of
$235.06 ($150.00 civil penalty + $85.06 enforcement costs) against the City of Shelby.
This assessment is based upon the following facts: A review has been conducted of the self -
monitoring data reported for October 2010. This review has shown the subject facility to be in
violation of the monitoring requirements found in NPDES Permit No. NC0027197. The violations
that occurred are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that the City of Shelby violated the
terms, conditions, or requirements of NPDES Permit No. NCO027197 and North Carolina General
Statute (G.S.) 143-215.1(a)(6) in the manner and extent shown in Attachment A. A civil penalty may
be assessed in accordance with the maximums established by G.S. 143-215.6A(a)(2).
Based upon the above findings of fact and conclusions of law, and in accordance with authority
provided by the Secretary of the Department of Environment and Natural Resources and the Director
of the Division of Water Quality, I, Robert B. Krebs, Surface Water Protection Regional Supervisor
for the Mooresville Region, hereby make the following civil penalty assessment against the City of
Shelby:
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service:1-877-623-6748
Internet: http://portal.ncdenr.org/web/wq
No thCarolina

50.00 For 1 of the one (1) failure to monitor for total residual
chlorine (TRC) twice per month in violation of the terms of
NPDES Permit No. NC0027197.
$ 50.00 For 1 of the one (1) failure to monitor for total suspended
solids (TSS) twice per month in violation of the terms of NPDES
Permit No. NC0027197.
$ 50.00
$ 150.00
$ 85.06
$ 235.06
For 1_ of the one (1) failure to monitor for pH twice per month
in violation of the terms of NPDES Permit No. NC0027197.
TOTAL CIVIL PENALTY
Enforcement costs.
TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the
Findings of Fact and Conclusions of Law and the factors set forth at G.S. 143B-282. I (b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violations;
(2) The duration and gravity of the violations;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether'the violations were committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which
the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further
enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

F.
2. Submit a written request for remission including a detailed justification for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed
below as they may relate to the reasonableness of the amount of the penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy
of any of the factual statements contained in the civil penalty assessment document. Because a
remission request forecloses the option of an administrative hearing, such a request must be
accompanied by a waiver of your right to an administrative hearing and a stipulation that no factual or
legal issues are in dispute. Please prepare a detailed statement that establishes why you believe the
civil penalty should be remitted, and submit it to the Division of Water Quality at the address listed
below. In determining whether a remission request will be approved, the following factors shall be
considered:
(1) whether one or more of the civil penalty assessment factors in G.S. 143B-282. I (b) were
wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from
the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
Please note that all information presented in support of your request for remission must be
submitted in writing. The Director of the Division of Water Quality will review your evidence and
inform you of his decision in the matter of your remission request. The response will provide details
regarding case status, directions for payment, and provision for further appeal of the penalty to the
Environmental Management Commission's Committee on Civil Penalty Remissions (Committee).
Please be advised that the Committee cannot consider information that was not part of the original
remission request considered by the Director. Therefore, it is very important that you prepare a
complete and thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Waiver of Right to
an Administrative Hearing and Stipulation of Facts" form within thirty (30) days of receipt of this
notice. The Division of Water Quality also requests that you complete and submit the enclosed
"Justification for Remission Request." Both forms should be submitted to the following address:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a
petition for an administrative hearing. You may obtain the petition form from the Office of

Administrative Hearings. You must file the petition with the Office of Administrative Hearings
within thirty (30) days of receipt of this notice. A petition is considered filed when it is received in
the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.,
except for official state holidays. The petition may be filed by facsimile (fax) or electronic mail by an
attached file (with restrictions) - provided the signed original, one (1) copy and a filing fee (if a filing
fee is required by NCGS § 15013-23.2) is received in the Office of Administrative Hearings within
seven (7) business days following the faxed or electronic transmission. You should contact the
Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process. The mailing address and telephone and fax numbers for the Office of Administrative
Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone], Fax: [phone]
One (1) copy of the petition must also be served on DENR as follows:
Mary Penny Thompson, General Counsel
DENR
1601 Mail Service Center
Raleigh, NC 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this notice, as
evidenced by an internal date/time received stamp (not a postmark), will result in this matter being
referred to the Attorney General's Office for collection of the penalty through a civil action.
Please be advised that additional penalties may be assessed for violations that occur after the
review period of this assessment. If the violations are of a continuing nature not related to operation
and/or maintenance problems and you anticipate remedial construction activities then you may wish
to consider applyingfor or a Special Order by Consent. If you have any questions about this civil penalty
assessment or a Special Order by Consent, please contact the Water Quality Section staff of the
Mooresville Regional Office at [phone].
i Ae" fA y a
;(Date) Robert B. Krebs
Regional Supervisor
Surface Water Protection
Mooresville Regional Office
Division of Water Quality

F.
ATTACHMENTS
cc: Mooresville Regional Office Compliance File w/ attachments
Raleigh Compliance/Enforcement File w/ attachments
Central Files w/ attachments
rk/ma

ATTACHMENT A
CASE NO. MV-2011-0002
®utfall
Date
Parameter
Reported Value
Monitoring Requirement
001
10/31/10
TRC
Ix/month
Monitor 2x/month
001
10/31/10
TSS
Ix/month
Monitor 2x/month
001
10/31/10
pH
Ix/month
Monitor 2x/month

F.
STATE OF NORTH CAROLINA
COUNTY OF CLEVELAND
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTY AGAINST
CITY OF SHELBY
PERMIT NO. NCO027197
DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
WAIVER OF RIGHT TO AN
ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
FILE NO. MV-2011-0002
Having been assessed civil penalties totaling $235.06 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated January 14, 2011, the undersigned,
desiring to seek remission of the civil penalties, does hereby waive the right to an administrative
hearing in the above -stated matter and does stipulate that the facts are as alleged in the assessment
document. The undersigned further understands that all evidence presented in support of remission of
this civil penalty must be submitted to the Director of the Division of Water Quality within 30 days of
receipt of the notice of assessment. No new evidence in support of a remission request will be allowed
after 30 days from the receipt of the notice of assessment.
This the day of , 2011
BY
ADDRESS
TELEPHONE

JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: MV-2011-0002
Assessed Party: City of Shelby
County: Cleveland
Permit Number: NC0027197
Amount Assessed: $235.06
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts"
form to request remission of this civil penalty. You should attach any documents that you believe
support your request and are necessary for the Director to consider in evaluating your request for
remission. Please be aware that a request for remission is limited to consideration of the five factors
listed below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s) occurred or
the accuracy of any of the factual statements contained in the civil penalty assessment document.
Pursuant to N.C.G.S. § 14313-282.1(c), remission of a civil penalty may be granted only when one or
more of the following five factors applies. Please check each factor that you believe applies to your
case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
(b) the violator promptly abated continuing environmental' damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent facture occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i.e., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION: (use additional pages as necessary)

NORTH CAROLINA DIVISION OF WATER QUALITY
ASSESSMENT FACTORS
Violator: Citv of Shel
Facility: City of Shelby WTP
County: Cleveland
Case Number: MV-2011-0002
Permit Number: NCO027197
1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
No harm has been established.
2) The duration and gravity of the violation;
Total suspended solids (TSS), total residual chlorine (TRC), and pH were not monitored twice per
month as required by NCO027197 (monitored once during the month).
3) The effect on ground or surface water quantity or quality or on air quality;
The effect on the receiving stream is unknown.
4) The cost of rectifying the damage;
No damage has been established
5) The amount of money saved by noncompliance;
The amount of money saved by noncompliance is equivalent to the cost of conducting TSS, TRC,
and pH monitoring.
6) Whether the violation was committed willfully or intentionally;
The Division has no evidence that the violations were committed willfully or intentionally.
7) The prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority; and
There has been one previous CPA for the City of Shelby WTP during the life of the permit, which was
not issued in the past twelve months.
8) The cost to the State of the enforcement procedures.
The cost to the Mooresville Regional Office was $85.06.
1 /1 I
D to Robert B. Krebs, Regional Supervisor
Surface Water Protection - Division of Water Quality

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 01/06/11 Page: 3 of 11
PERMIT: NCO044253
FACILITY: North Carolina Lions Foundation Inc - Camp Dogwood
COUNTY: Catawba
REGION: Mooresville
WWTP
Monitoring Violation
= )\j
MONITORING OUTFALL/
VIOLATION UNIT OF
CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT
VALUE % OVER LIMIT
VIOLATION TYPE VIOLATION ACTION
10 -2010 001
Effluent pH 10/02/10 Weekly su
Frequency Violation None
PERMIT: NCO027197
FACILITY: City of Shelby - Shelby WTP
COUNTY: Cleveland
REGION: Mooresville
Monitoring Violation'��
(-7C71\
MONITORING OUTFALL/
VIOLATION UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER DATE FREQUENCY MEASURE LIMIT
VALUE % OVER LIMIT
VIOLATION TYPE VIOLATION ACTION
10 -2010 001
Effluent Chlorine, Total Residual 10/31/10 2 X month ug/I
Frequency Violation None
10 -2010 001
Effluent Solids, Total Suspended - 10/31/10 2 X month mg/I
Frequency Violation None
Concentration
10 -2010 001
Effluent pH 10/31/10 2 X month su
Frequency Violation None
PERMIT: NCO079740
FACILITY: City of Kings Mountain - Ellison WTP
COUNTY: Cleveland
REGION: Mooresville?' -`
Monitoring Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF CALCULATED
REPORT PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE LIMIT VALUE % OVER LIMIT
VIOLATION TYPE VIOLATION ACTION
10 -2010 001 Effluent
Flow, in conduit or thru
10/09/10
Weekly
mgd
Frequency Violation None
treatment plant
10 -2010 001 Effluent
Flow, in conduit or thru
10/30/10
Weekly
mgd
Frequency Violation None
treatment plant

4 �;
NC®ENR
North Carolina Department of Environment and Natural
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
City of Shelby Utilities
Post Office Box 207
Shelby, North carolina 28151
Attention: David Hux, Assistant Utilities Director
Dear Mr. Hux:
Resources
RE: Request to Modify Groundwater Monitoring
City of Shelby WTP — Alum Sludge Lagoons
NCO027179
Cleveland County
Dee Freeman
Secretary
August 26, 2010
This letter is in response to your request to consider changes to the groundwater compliance monitoring schedule that
has been associated with the referenced permit. A review of DWQ files revealed that in 1990, the city installed
monitoring wells associated with two alum sludge lagoons at.the facility. These wells were required in the original
Authorization to Construct because the lagoons were built on a former city landfill. Several constituents of concern
(coliform, VOCs) were quickly detected in the samples from these wells. Additional monitoring wells were installed to
assess groundwater contamination believed to be associated with the landfill. The city has continued to monitor six of
these wells in accordance with language in previous versions of its permit. However, the current permit issued August 29,
2008, lacks specific language regarding sampling requirements.
Many of the parameters that have been sampled for and reported are related to the suspected former landfill impacts and
not directly associated with the lagoons. In the last year or so, the landfill has come under the regulatory authority of the
Division of Waste Management through its Pre -Regulatory Landfill Unit (Facility #NCD986176451). This group will direct
any further groundwater investigation related to the landfill.
In consideration of these factors, this office prescribes the following sampling schedule for the alum sludge lagoons:
1. Sample wells MW-5, MW-6, MW-7 and MW-8 in July and November.
2. Measure the water level in each well and conduct field monitoring (pH, Specific Conductivity) prior to sampling.
3. Sample each well for TDS and Aluminum
4. Submit a Form GW-59 for each well and a Form GW-59A for each sampling event to the DWQ Information
Processing Unit by the last day of August and December.
Should you have any questions, feel free to call me at 704/235-2183 or contact me via email at pegg .finley ncdenr.gov.
Sincerely,
Peyir� y
Environmental Specialist
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] \ Fax: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled/10% Post Consumer paper
Nne
orthCarohna
NaAmally

City of Shelby
August 26, 2010
Page Two
Enclosure — Form GW-59 (1/07)
Cc: Debra Watts - APS Groundwater Protection Unit
Charles Weaver - SWPS NPDES Permitting/BIMS
VMT
Krebs MR a . U1/atar Rrdt�ectaora ecfi <
MAF/City of Shelby gw mon req 8-26-10

Page 1 of 3
-!,Attachments can contain. viruses that may harm your cot
Billy Wilkie
From: Wendell Leonard
To: Bill Lovern
Cc: Billy Wilkie; David Hux
Subject: FW: wastewater well locations
Attachments: WTP Lagoon Monitoring Wells.odf(4MB)
From: Doug Hasman
Sent: Wed 8/26/200912:36 PM
To: Wendell Leonard
Cc: Mike Mull
Subject: RE: wastewater well locations
Here you go...
Coordinates
5
-81.561690 35.303937
6
-81.561683 35.303344
7
-81.562066 35.303004
8
-81.563227 35.303341
11
-81.563514 35.302032
14
-81.563061 35.301477
I also attached a new pdf with the correct name.
Let me know if we can be of further assistance.
Thanks,
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Sent: Wed 8/26/20091:16 PM
Doug Hasman
GI5 Coordinator
City of 5616,9 atilitica
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January 28, 2009
Ms. Marica Allocco
Acting Surface Water Protection Regional Supervisor
N.C. Division of Water Quality
Mooresville Regional Office
610 East Center Avenue
Suite 301
Mooresville, N.C. 28115
Subject: City of Shelby — Shelby WTP
NPDES Inspection — Permit NC0027197
Dear Ms. Allocco:
+*5�1r, I F,,U
.my c;r
F F B - 2 2009
The City of Shelby has received the Notice of Violation as a result of the Compliance Evaluation
Inspection NOV Letter dated Jan, 2, 2009. Please accept this letter to be our response in
addressing the deficiencies noted in Compliance Evaluation Inspection conducted on December
12, 2008 by Ms Donna Hood.
In reference to the comments under Solids Handling equipment °The facility has no sludge
processing capabilities. Current Practice includes letting the sludge dewater on the ground
without proper storm water controls or leachate collection prior to final disposal at the county
landfill. Alternative dewatering practices that include proper sludge processing should be sought
immediately."
The City of Shelby has periodically cleaned the lagoons and allowed the residuals to dry prior to
being disposed of at an approved landfill. Currently there are no facilities in place for the drying
of the residuals. The sludge presently on site is the result of a cleaning that was conducted in
December. It has been over 18 months since the last lagoon cleaning.
The City of Shelby is working to obtain quotes and also working with landfills to determine if the
material will be acceptable in its current state. In the mean time, run-off from the area is
controlled to some extent and staff is working to improve any run-off potential. For a long term
solution we have contacted an engineering firm to help identify viable long term options. We will
continue to keep the Mooresville Regional Office up to date with our activities with this issue.
PO Box 207 - 824 W. Grover St. - Shellnj, NC 28151-0207
Phone [phone] - Fax [phone]
Visit us at www.ciWofshel e .com

In reference to the comments under Flow Measurement — effluent "The facility is measuring flow
by filter back wash cycles. Additional flow, including but not limited to roof drains, is being
dechlorinated and discharged to the settling lagoons. The additional flow is not included in the
reported flow. Effluent flow measurement should be a measurement of all water discharged to
the receiving stream".
In our previous NPDES permit we were allowed to use the backwash flow or influent into the
lagoon to report the amount of water discharged into the receiving stream. This at the time was
feasible because the City was not given a flow limitation. With the new permit we were given a
flow limitation; however we had not considered the issue of additional flow contributions with the
permit changes.
The City of Shelby has installed a meter at the effluent of the alum sludge lagoon and will use the
meter for monthly readings when discharging water from the lagoon into the receiving stream.
Again the City of Shelby will keep you informed of the progress of the solids removal and long
term plans for handling and disposal of the alum sludge.
If you have any questions concerning this letter do not hesitate to contact me at 704.484.6840.
Sincerely,
City of Shelby
Duane Sando, Plant Operations Superintendent
Cc: Brad R. Cornwell, PLS, El Public Utilities Director
David Hux; Assistant Utilities Director
Certified Mail:
PO Box 207 - 824 W. Grover St. - Shelby, NC 28151-0207
Phone [phone] - Fax [phone]
Visit us at www.ci ofshelby.com

IV
OF W A TFR Michael F. Easley, Governor
\O? QG William G. Ross Jr., Secretary
y North Carolina Department of Environment and Natural Resources
r
� Coleen Sullins, Director
O , Division of Water Quality
January 2, 2009
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
70071490 0004 4509 6093
Mr. Brad Cornwell
Utilities Director
City of Shelby
P.O. BOX 207
Shelby, NC 28151
Subject: NOTICE OF VIOLATION
Compliance Evaluation Inspection
Shelby WTP
NPDES Permit No. NCO027197
NOV-2009-PC-0001
Cleveland County, North Carolina
Dear Mr. Cornwell:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection
conducted at the subject facility on December 12, 2008 by Ms. Donna Hood of this Office. Please
inform the facility's Operator -in -Responsible Charge of our findings by forwarding a copy of the
enclosed report.
This report is being issued as allotice of Violation (NOV) because of the violations of the subject
NPDES permit and North Carolina General Statute (G.S..) 143-215.1 as detailed in the Operations
.and Maintenance Section of the attached report. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty five -thousand dollars (25,000.00) per violation per day may be assessed against any
person who violates or fails to act in accordance with the terms, conditions, or requirements of any
permit issued pursuant to G.S. 143-215.1.
It is requested that a written response be submitted to this Office by February 1, 2009,
addressing the deficiencies noted in the Operations and Maintenance and Effluent Flow
Measurement sections of the report. In responding, please address your comments to the attention of
Ms. Marcia Allocco.
N. C. Division of Water Quality, Mooresville Regional Office, 610 East Center Avenue, Suite 301, Mooresville NC 28115 [phone] Customer Service
1-877-623-6748

s
Page Two
NOV-2009-PC-0001
NCO027197
Shelby WTP
The report should be self-explanatory; however, should you have any questions concerning this
report, please do not hesitate to contact Ms. Hood or me at [phone].
Sincerely,
Marica Allocco
Acting Surface Water Protection Regional Supervisor
Enclosure
cc: Cleveland County Health Department
DH
N. C. Division of Water Quality, Mooresville Regional Office, 610 East Center Avenue, Suite 301, Mooresville NC 28115 [phone] Customer Service
1-877-623-6748

United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
EPA
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-9 8
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 NCO027197 111 121 08/12/12 117 181 CI 191 SI 20� II
Remarks
211IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA --- - - —------- --- Reserved ----------------------
67 I 2. o 169 70131 711 I 72I N I 73 I I 174 711 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)
08/10/01'
12:30 PM 08/12/12
Shelby WTP
801 W Grover St
Exit Time/Date
Permit Expiration Date
Shelby NC 28150
03:30 PM 08/12/12
13/08/,31`
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Billy J Wilkie/ORC/704-484-6885/
Name, Address of Responsible Official/Title/Phone and Fax Number
Julie McMurry,PC Box 207 Shelby NC 28150/Interim Utilities Contacted
No
Director/704-484-6840/
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 18 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal ® Facility Site Review ® Effluent/Receiving Waters
Laboratory I
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Siignature(s) of Inspector(s) Agency/office/Phone and Fax Numbers Date
Q//704-663-1699
Donna Hood .' MRO_; Ext.2193/
raj ///� /fJ F• `-/y-
i
ignature of Management Q A Revi ver: Agency/Office/Phone and Fax Numbers Date
Marc' Allocco MRO WQ//704-663-1699 Ext.2204/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

v
NPDES yr/mo/day Inspection Type 1
3I NCO027197 I11 12I 08/12/12 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCO027197 Owner -Facility: Shelby WTP
Inspection Date: 12/12/2008 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 fl
# 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?
71
— ❑ —
Comment: Shelby WTP permit is effective from 10.1.2008-8.31.2013.
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?
®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 n
Is the chain -of -custody complete?
13
❑ ❑ n
Dates, times and location of sampling
121
Name of individual performing the sampling
0
Results of analysis and calibration
0
Dates of analysis
El
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?
®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
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?
12
n n n
Is the backup operator certified at one grade less or greater than the facility classification?
®
n ❑ n
Is a copy of the current NPDES permit available on site?
13
0 n
Facility has copy of previous year's Annual Report on file for review?
®
n n n
Comment: DMRs for September 2007-August 2008 were reviewed for the inspection.
One violation for TRC was reported on 1.24.2008, which was handled under prior
cover. No other violations were reported for the review period
Laboratory
Yes
No NA NE
Page # 3

Permit: NCO027197 Owner - Facility: Shelby wTP
Inspection Date: 12/12/2008 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? 2 n n
Are all other parameters(excluding field parameters) performed by a certified lab? ® n 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
■ n
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑ n
■ n
Comment: The facility performs on -site analyses under certification #5340. Other
analyses are performed by the City of Shelby WV TP (#238) or Pace (#40). A
laboratory inspection was performed concurrently with the NPDES inspection. Please
refer to the report by Mr. Chet Whiting, of this Office, for any laboratory
recommendations.
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 ® n n n
Judge, and other that are applicable?
Comment: The facility had removed the sludge from one settling lagoon, stored it
on -site, on the soil without stormwater controls or leachate collection capabilities.
Vnc Mn NA NF
Type of system ?
Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)?
n
n
■
n
Is storage appropriate for cylinders?
❑
n
■
# Is de -chlorination substance stored away from chlorine containers?
®
n
n
n
Comment:
Are the tablets the proper size and type?
n
n
■
n
Are tablet de -chlorinators operational?
n
n
■
n
Number of tubes in use?
Comment: Sodium thiosulfate is used for dechlorination at the facility.
Lagoons Yes No NA NE
Type of lagoons?
# Number of lagoons in operation at time of visit? 1
Are lagoons operated in?
# Is a re -circulation line present? ❑ ❑ ■ ❑
Page # 4

Permit: NCO027197
Inspection Date: 12/12/2008
Lagoons
Is lagoon free of excessive floating materials?
# Are baffles between ponds or effluent baffles adjustable?
Are dike slopes clear of woody vegetation?
Are weeds controlled around the edge of the lagoon?
Are dikes free of seepage?
Are dikes free of erosion?
Owner -Facility: Shelby WTP
Inspection Type: Compliance Evaluation
Are dikes free of burrowing animals?
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
# If excessive algae is present, has barley straw been used to help control the growth?
Is the lagoon surface free of weeds?
Is the lagoon free of short circuiting?
Comment: One lagoon was in operation at the time of the inspection.
Solids Handling Equipment
Is the equipment operational?
Is the chemical feed equipment operational?
Is storage adequate?
Is the site free of high level of solids in filtrate from filter presses or vacuum filters?
Is the site free of sludge buildup on belts and/or rollers of filter press?
Is the site free of excessive moisture in belt filter press sludge cake?
The facility has an approved sludge management plan?
Comment: The facility has no sludge processing capabilities. Current practice
includes letting the sludge dewater on the ground without proper stormwater controls or
leachate collection prior to final disposal at the county landfill. Alternative dewatering
practices that include proper sludge processing should be sought immediately.
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)?
Yes No NA NE
®nnn
nn®n
®nnn
nnn
nnn
®nnn
®nnn
0 0 M 0
n0E0
®nnn
®nnn
nn®n
n 0 E)
nn®n
nn®n
nn®n
nn®n
nn®n
n0Ea0
®nnn
mnnn
nn®n
HOOD
®nnn
Page # 5

Permit: NC0027197
Inspection Date: 12/12/2008
Effluent Sampling
Comment:
Flow (Measurement - Effluent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Owner -Facility: Shelby WTP
Inspection Type: Compliance Evaluation
Yes
No
NA
NE
Yes
No
NA
NE
nn®n
nn13n
nn
n
Is the flow meter operational? — — —
(If units are separated) Does the chart recorder match the flow meter? n f_1 ❑
Comment: The facility is measuring flow by filter backwash cycles. Additional flow,
including but not limited to roof drains, is being dechlorinated and discharged to the
settling lagoons. The additional flow is not included in the reported flow. Effluent flow
measurement should be a measurement of all water discharged to the receiving stream.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ® ❑ n ❑
Comment: Stream sampling has been removed from the most recent permit.
Page # 6

aOF W ATF9
\( Q�
� r
o -c
July 2, 2008
Mr. David Hux, Assistant Utilities Director
P.O. Box 207
Shelby, North Carolina 28151
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Subject: Draft NPDES
Permit NCO027197
City of Shelby WTP
Cleveland County
Dear Mr. Hux:
Coleen H. Sullins Director
Division of Water Quality
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 as required by the attached "DWQ-
NPDES Permitting Strategies For Potable Water Treatment Plants (September 2007)":
➢ Limits added
o Flow at 0.200 MGD
➢ Limits / Monitoring deleted
o Settleable Solids .
o Turbidity
➢ MonitoringAdditions R L
IVE D
o Aluminum
o pH J U L - 3 2008
o 'Calcium
o Manganese
o Fluoride NC ®ENR MRC
o Total Copper
➢ Whole Effluent Toxicity M& -Surface Water Protection
o Quarterly Monitoring Purposes Only
■ IWC may change after receiving USGS 7010 flows.
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 Cleveland County area. Should you wish to
correct errors or provide comments regarding this draft please contact the DENR / DWQ / NPDES Program no
later than 30 days after receiving this document.
Please review this draft carefully to ensure thorough understanding of the information, conditions, and
requirements contained therein. 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], extension 539.
Resp� ctfu yy� f����
Bob Guerra
NPDES Unit, Western Program
Enclosure: NPDES Permit NCO027197 (DRAFT)
cc: Moor_esuLLeF3egi_ona iO,ffive / Surface Water Protection
NPDES Unit
Aquatic Toxic Unit
NoLCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone]
Internet: www.ncwaterouality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal Opportunity/Affirmative Action Employer —50% Recyclecill0% Post Consumer Paper
Customer Service
1-877-623-6748

}
Permit NCO027197
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
In compliance with the _provision of North Carolina General Statute 143-215.1, other
lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act,
as amended, the
is hereby
ty locat(
of Shell
to receiving waters designated as a unnamed tributary to the First Broad River in the
Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III and'IV hereof.
This permit shall become effective xxxxx, 2008.
This permit and authorization to discharge shall expire at midnight on xxxxxx 2013.
Signed this day xxxxx, 2008.
DRAFT
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

O
Permit NCO027197
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.
The City of Shelby -is hereby authorized to:
M-
1. Continue to operate a Conventional potable water treatment plant with a discharge of
filter -backwash wastewater. -
2. This facility is located at 801 West Grover Street NW of Shelby in Cleveland County.
3. Discharge from said treatment works at the location specified on the attached map
into a UT of the First Broad River, classified C waters in the Broad River Basin.

i % II II'I1�111=
/ ! •un Ili I
1 I•�Il,I I11171I III,I �I
)I),�� Outfa11001
4
01
City of Shelby
Shelby WTP
Latitude:
35' 18' 07" N State Grid:
Shelby
Longitude:
81° 33' 30" W Permitted Flow:
0.200 MGD
Receiving Stream:
UT to First Broad River Drainage Basin:
Broad River Basin
Stream Class:
C Sub -Basin:
03-08-04
ff
r 305
Y
Facility
6TI" 5 A kg
Location
not to scale
N�TOYt�
orth
NPDES Permit No. NC0027197
Cleveland -County

Permit NCO027197
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge filter backwash from outfall 001. Such discharges shall be limited and monitored by
tl,P PermitteP ac CT1PM�1 Pf� }1P�(1W'
' EFFLUENT:
CHARACTERISTICS
LYMITS
MONITORING REQUIREMENTS
Monthly
Average;"
Weekly ,
Average
Daily
.Maximum"
Measurement
Frequency ',
Sample
Type'
Sample,;
Location`
Flow
0.200 MGD
2/Month
Continuous
Effluent
TSS
30 mg/L
45 m /L
2/Month
Grab
Effluent
pH
6.0 -'9.0 s.u.
2/Month
Grab
Effluent
Total Residual
Chlorine s
17 µg/ L
2/Month
Grab
Effluent
Ammonia Nitrogen2
Monitor & Report
Monthly
Grab
Effluent
Aluminum3
Monitor & Report
Quarterly
Grab
Effluent
Calcium3
Monitor & Report
Quarterly
Grab
Effluent
Magnesium3
Monitor & Report
Quarterly
Grab
Effluent
Manganese3
Monitor & Report
Quarterly
Grab
Effluent
Zinc4
Monitor & Report
Monthly
Grab
Effluent
Fluoride
Monitor & Report
Monthly
Grab
Effluent
Total Copper
Monitor & Report
Monthly
Grab
Effluent
Total Iron
Monitor & Report
Monthly
Grab
Effluent
Whole Effluent
Toxicity Monitoring5
Monitor & Report
Quarterly
Grab
Effluent
Footnotes:
1. Limit and monitor only if facility adds chlorine to water that is eventually discharged.
2. Quarterly monitoring is required only if chloramination is utilized.
3. Parameter should be monitored in conjunction with toxicity test.
4. Zinc monitoring is required if Permittee uses zinc orthophosphate as a corrosion inhibitor.
5. See Attachment A. (2.).
All samples collected should -be from a representative discharge event.
There shall be no discharge of floating solids or visible foam in other than trace
amounts.

Permit NCO027197
A. (2.) CHRONIC TOXICITY MONITORING (QRTRLY)
The permittee shall conduct quarterly chronic toxicity tests using test procedures outlined in the
"North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure", Revised February 1998, or
subsequent versions.
The effluent concentration defined as treatment two in the procedure document is 90%. The
testing shall be performed as a Ceriodaphnia dubia day pass/fail test. The tests will be performed -
during the months of January, April, July, and October. Effluent sampling for this testing
shall be performed at the NPDES permitted final effluent discharge below all treatment
processes.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR-1) for the month in which it was performed, using the parameter
code TGP3B. Additionally, DWQ Form AT-1 (original) is to be sent to the following address:
Attention: North Carolina Division of Water
Environmental Sciences Section-
Completed Aquatic Toxicity�Test F,„orm
later than 30 days after the�end Hof the
C. 27699=1621
the Environmental Sciences Section no
which;`the report is made.
Test data shall be complete,and a ,, ccurate d include all supporting chemical/physical
measurements p�'rformed m association with the°toxicity tests, as well as all dose/response.data.
Total residual chlorine of tft effluent toxicity sample rn tstkbe measured and reported if chlorine
is employed for disinfection of the waste stream
3 E y.
Should there be no discharge offlow from the facility during a month in which toxiCiiity
monitoring is re`quir'ed, 'the permrttee will complete the information located at the top of the
aquatic toxicity (AT) Pest 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,
then monthly monitoring will begin immediately. Upon submission of.a valid test, this monthly
test requirement will revert to quarterly in the months specified above.
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 & reporting of the data submitted on the
DMR & 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.

William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director /
Division of Water Quality
May 22, 2008
CERTIFIED MAIL #70071490 0004 4509 5188
RETURN RECEIPT REQUESTED
Mr. David Hux
Assisstant Utilities Director -Operations
PO Box 207
Shelby, North Carolina 28151-0207
Subject: Notice of Violation - Effluent Limitation
Tracking #: NOV-2008-LV-0236
City of Shelby WTP
NPDES Permit No. NCO027197
Cleveland County
Dear Mr. Hux:
A review of the January 2008 self -monitoring report for the subject facility revealed a
violation of the following parameter at Outfall 001:
Date Parameter Reported Value
Permit Limit
1/24/08 Total residual chlorine 119 µg/L 17 µg/L (Daily maximum)
Remedial actions, if not already implemented, should be taken to correct any problems.
Since the comments section on the reverse of the relevant Discharge Monitoring Report provided
an explanation for the noted effluent limit violation, it is not requested that a response be
submitted; however, should you have additional information concerning the violations or
comments which you wish to present, please submit them to the attention of Ms. Marcia Allocco.
The Division of Water Quality may pursue enforcement actions for this and any
additional violations. If the violations are of a continuing nature, not related to operation and/or
maintenance problems, and you anticipate remedial construction activities, then you may wish to
consider applying for a Special Order by Consent. You may contact Ms. Allocco of this Office
for additional information.
AAA
NCDENR
oe NCarolina
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: w%vAv.ncvvaterquality.ororg 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

Mr. David Hux, Shelby WTP
NOV-2008-LV-0236, Page 2
May 22, 2008
ri
If you have questions concerning this matter, please do not hesitate to contact Ms.
Allocco or me at 704/663-1699.
Sincerely,
T A f
t
Robert B. Krebs
Regional Supervisor
Surface Water Protection
cc: Point Source Branch
Cleveland County Health Department
MA

�0� W a r�RP
O G
r
t7 �
December 14, 2006
Ms. Julie McMurry, Interim Utilities Director
City of Shelby
Post Office Box 207
Shelby, North Carolina 28151
Dear Ms. McMurry:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: Results from Effluent Sampling Analyses
Shelby WTP
NPDES Permit No. NCO027197
Cleveland County, N.C.
Enclosed please find the results from the laboratory analyses performed on the effluent samples
from the City of Shelby's Water Treatment Plant (WTP). The samples analyzed were grab samples
collected during the Compliance Sampling Inspection performed by Mr. Wes Bell on October 19, 2006.
The results of the effluent sampling analyses show compliance with the effluent permit limits.
Please attach this letter to the inspection report dated October 24, 2006 to complete your records on the
inspection.
The report should be self-explanatory; however, should you have any questions concerning the
report, please do not hesitate to contact Mr. Bell or me at [phone].
Sincerely,
k-Z'Samar Bou-Ghazale
Action Regional Supervisor
Surface Water Protection
Enclosure
cc: Cleveland County Health Department
G `tAr No�r hCarolina
NCDENR Uhzrally
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: www.newaterquality.org 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper

ANALYTICAL RESULTS SHEET
NAME OF FACILITY: Shelby WTP
Grab: X - Composite:
Sample Date(s): 10/19/06
NPDES Permit No. NC0027197
Sample Location: Effluent
County: Cleveland
BOD5, mg/1
Phenols, ug/l
COD: High, mg/l
Sulfate, mg/l
COD: Low, mg/l
Sulfide, mg/1
Coliform: Fecal, #/100 ml
Biomass: Dry Weight
Coliform: Total, 9/100 ml
Biomass: Peri Ash Free
Coliform: Tube Fecal, MPN
NH,-N, mg/l
Coliform: Tube Total, MPN
TKN, mg/l
Residue: Total, mg/l
NO, + NO, mg/l
Volatile, mg/1
PO'; mg/l
Fixed, mg/l
P: Total, mg/l
Residue: Suspended, mg/1
2.5
P: Dissolved, mg/l
Volatile, mg/l
Ag-Silver, ug/l
Fixed, mg/l
Al -Aluminum, ug/l
220
Settleable Solids, ml/l
As -Arsenic, ug/l
pH, s.u.
Hg-Mercury, ug/l
Color, True 80, c.u.
Cd-Cadmium, ug/l
Color (pH) 83, c.u. pH = 7.8
Co -Cobalt, ug/l
Color, pH 7.6 82, c.u.
Cr-Chromium: Total, ug/1
Oil and Grease, mg/l
Cu-Copper, ug/l
5.1
Cyanide, mg/l
Fe -Iron, ug/l
230
Fluoride, mg/l
Pb-Lead, ug/l
<10
MBAS, ug/l
Mn-Manganese, ug/l
300
Total Residual Chlorine, ug/l
Zn-Zinc, ug/l
Turbidity, NTU
1.7
Ni-Nickel, ug/l
Dissolved Oxygen, mg/l
Se -Selenium, ug/l
Temperature, °C

LL
L
Michael F. Easley, tbvernor I}�
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
October 24, 2006
Ms. Julie McMurry, Interim Utilities Director
City of Shelby
Post Office Box 207
Shelby, North Carolina 28151
Subject: Compliance Sampling Inspection
Shelby WTP
NPDES Permit No. NCO027197
Cleveland County, NC
Dear Ms. McMurry:
Enclosed is a copy of the Compliance Sampling Inspection Report for the inspection
conducted at the subject facility on October 19, 2006 by Mr. Wes Bell of this Office. Please
advise the facility's Operator -in -Responsible Charge of our findings by forwarding a copy of the
enclosed report to him. The results of the effluent sampling will be forwarded to you under
separate letter.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Mr. Bell or me at [phone].
Sincerely,
D. Rex Gleason, P.E.
Surface Water Protection Regional Supervisor
Enclosure
cc: Cleveland County Health Department
vCDENR
Mooresville Regional Office Division of Water Quality Phone [phone]
Internet: www.newatergtiality.org 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
Nor` hcarolina
lalffra!!y
Customer Service
1-877-623-6748

United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
EPA
!'�
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 2 151 31 N00027197 111 121 06/10/19 117 181SI 191SI 20I
Remarks
211111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ----------------------
67 I 1.5 169 7014 I 711 NJ .721 NJ 73 I I 174 751 I I I I I Li
W
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)
Shelby WTP
01:35 PM 06/10/19
05/05/01
Exit Time/Date
Permit Expiration Date
801 W Grover St
Shelby NC 28150
02:22 PM 06/10/19
08/08/31
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Billy J Wilkie/ORC/704-484-6885/
Name, Address of Responsible Official/Title/Phone and Fax Number
Julie McMurry,PO Box 207 Shelby NC 28150/Interim Utilities Contacted
Director/704-484-6840/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal 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
Wesley N Bell �./; %�%% MRO WQ//704-663-1699 Ext.231/
Sig ature of Management Q A viewer Agency/Office/Phone and Fax Numbers Date
d
Marcia Allocco
MRO WQ//704-235-2204/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO027197
Inspection Date: 10/19/2006
Owner - Facility: Shelby WTP
Inspection Type: Compliance Sampling
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
ri
n
■
n
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
n
Comment:
Record Keepin
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
n
Is the chain -of -custody complete?
■
n
n
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
Cl
■
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
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
❑
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?
n
Cl
■
Cl
Comment: , DMRs were reviewed for the period January 06 through July 06. No limit
violations were reported. All monitoring frequencies were correct. The facility staff must
ensure that the days the Backup ORC serves as the ORC are documented on the
appropriate DMRs. The facility staff incorporate a commendable record keeping
system.
Page # 3

Permit: NCO027197
Inspection Date: 10/19/2006
Owner -Facility: Shelby VVTP
Inspection Type: Compliance Sampling
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
®
n
Is proper temperature set for sample storage (kept at 1.0 to 4.4 degrees Celsius)?
❑
❑
■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
®n
n
n
Comment:
Upstream / Downstream Sampling
Yes
No
NA
NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? E
n
n
n
Comment:
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
ROD
❑
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
®
❑
❑
❑
Is proper temperature set for sample storage (kept at 1.0 to 4.4 degrees Celsius)?
n
n
■
n
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
■
n
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? ❑ ❑ ■
Comment: Please refer to Mr. Chet Whiting's (Division's Laboratory Certification Unit)
inspection report regarding the facility's on -site laboratory practices.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® n ❑ 0
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge fl fl ® n
Judge, and other that are applicable?
Comment: The facility appeared to be properly operated and well maintained.
no-rhinrinnfirm Yes No NA NE
Type of system ? Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)? n ❑ ■ n
Is storage appropriate for cylinders? n ❑ ■ n
# Is de -chlorination substance stored away from chlorine containers? n 0 011
Are the tablets the proper size and type? ❑ ❑ ■ ❑
Page # 4

Permit: NCO027197
Inspection Date: 10/19/2006
De -chlorination
Owner -Facility: Shelby WTP
Inspection Type: Compliance Sampling
Comment: The facility utililzes sodium thiosulfate to dechlorinate the wastewater prior
to the settling lagoons.
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
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: The flow meter is calibrated twice per year. The flow meter was last
calibrated by Ken Nash Co. on 4/25/06,
Lagoons
Type of lagoons?
# Number of lagoons in operation at time of visit?
Are lagoons operated in?
# Is a re -circulation line present?
Is lagoon free of excessive floating materials?.
# Are baffles between ponds or effluent baffles adjustable?
Are dike slopes clear of woody vegetation?
Are weeds controlled around the edge of the lagoon?
Are dikes free of seepage?
Are dikes free of erosion?
Are dikes free of burrowing animals?
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
# If excessive algae is present, has barley straw been used to help control the growth?
Is the lagoon surface free of weeds?
Is the lagoon free of short circuiting?
Comment: The facility has two settling lagoons; however, only one lagoon is placed
into operation. The lagoons are periodically switched and the off-line lagoon is drained
to allow the sludge to dry and be disposed to the county landfill.
Yes No NA NE
❑n■n
Yes No NA NE
L 1
,.A -e-
n 171 E L
■nnn
nn■n
snnn
■nnn
®nnn
®nnn
■nnn
nn■n
nn■n
® n n n
■nnn
Page # 5

Permit: NC0027197
Inspection Date: 10/19/2006
Owner -Facility: Shelby WTP
Inspection Type: Compliance Sampling
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? n n F11
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? ❑ ❑ ■
Comment: The effluent was clear with no floatable solids or foam. The receiving
stream was not evaluated during the inspection.
III
Page # 6

Michael F. Easley, #v�/J�/
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
March 9, 2006
Mr. Duane D. Sando
City of Shelby
PO Box 207
Shelby, NC 28151
Subject: Compliance Evaluation Inspection
Shelby WTP
NPDES Permit NCO027197
Cleveland County
Dear Mr. Sando:
Enclosed is a copy of the Compliance Evaluation Inspection Report for the -inspection
conducted at the subject facility on March 3, 2006, by James B. Bealle III of this office. Please
inform the facility's Operator -in -Responsible Charge of our findings by forwarding a copy of the
enclosed report.
The report should be self-explanatory; however, should you have any questions
concerning this report, please contact Mr. Bealle or meat [phone].
Sincerely,
f 6> t_K
7 "ex Gleason, P.E.
Surface Water Protection Regional Supervisor
enclosure
cc: Central Files
Cleveland County Environmental Health Department
jb
North Carolina Division of Water Quality, Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone] / Fax: [phone] / Internet: www.ncwaterquality.org
An Equal Opportunity / Affirmative Action Employer — 50% Recycled / 10% Post Consumer Paper
NorthCarohna
Naturally

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 NU2 I5I 31 NCO027197 111 121 06/03/03 117 181rl 19U 201
L! lJ LJ U IJ
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------Reserved--- —
671 2.0 169 70 71 UN72 U N) 73 � 74 751 I I I I I I 180
t--' �--�
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)
02:15 PM 06/03/03
05/05/01
Shelby WTP
Exit Time/Date
Permit Expiration Date
801 W Grover St
Shelby NC 28150
04:30 PM 06/03/03
08/08/31
Name(s) of Onsite Representative(s)/ritles(s)/Phone and Fax Number(s)
Other Facility Data
Billy J Wilkie/ORC/704-484-6885/
Charles Wendell Leonard/ORC/704-484-6885/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Duane D Sando,PO Box 207 Shelby NC 281510207//704-.484-6885/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 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
James Bea lle __. MRO WQ//704-6.63-1699/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
J Ci gDo�
John E Lesle MRO WQ//704-663-1699 Ext.270/
v
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO027197 Owner - Facility: Shelby WTP
Inspection Date: 03/03/2006 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?
00011
Is the facility as described in the permit?
■ ❑ ❑
❑
# Are there any special conditions for the permit?
. ❑ ■ ❑
❑
Is access to the plant site restricted to the general public?
■ ❑ ❑
❑
Is the inspector granted access to all areas for inspection?
■ ❑ ❑
❑
Comment:
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?
■ ❑ ❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
■ ❑ ❑
❑
Are analytical results consistent with data reported on DMRs?
■ ❑ ❑
❑
Is the chain -of -custody complete?
■ ❑ ❑
❑
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? 001113
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ■ ❑
(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? ■ ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? ■ ❑ ❑ ❑
Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ ❑ ❑
Is a copy of the current NPDES permit available on site? ■ ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ■ ❑
Comment: Discharge Monitoring Reports (DMRs) were reviewed for January 2005
though December 2005. An effluent limit violation for Total Residual Chlorine was
reported in May 2005, and has been addressed in prior correspondence. Procedures
have been implemented to prevent recurrence of the violation.
Effluent Sampling Yes No NA NE
Page # 3

FL
Permit: NCO027197 Owner - Facility: Shelby WTP
Inspection Date: 03/03/2006 Inspection Type: Compliance Evaluation
Effluent Sampling
Yes No
NA
NE
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 1.0 to 4.4 degrees Celsius)?
■ ❑
❑
❑
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
■ ❑
❑
❑
Comment:
Laboratory
Tes No
NA N
Are field parameters performed by certified personnel or 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 1.0 to 4.4 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?
❑ ❑
■ ❑
Comment: The facility utilizes the City of Shelby Broad River WWTP (Certificate No.
238) and Pace Analytical Services, Inc. (Certificate No. 40) for analytical support.
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:
Lagoons Yes No NA NE
Type of lagoons?
# Number of lagoons in operation at time of visit?
Are lagoons operated in?
# Is a re -circulation line present?
Is lagoon free of excessive floating materials?
# Are baffles between ponds or effluent baffles adjustable?
Are dike slopes clear of woody vegetation?
Are weeds controlled around the edge of the lagoon?
Are dikes free of seepage?
1
0000
■❑❑❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
0000
Page # 4

Permit: NC0027197 Owner - Facility: Shelby WTP
Inspection Date: 03/03/2006 Inspection Type: Compliance Evaluation
Lagoons
Yes No NA NE
Are dikes free of erosion?
■ ❑ ❑ ❑
Are dikes free of burrowing animals?
■ ❑ ❑ ❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
❑ ■ ❑ ❑
# If excessive algae is present, has barley straw been used to help control the growth?
❑ ❑ ■ ❑
Is the lagoon surface free of weeds?
■ 000
Is the lagoon free of short circuiting?
■ 11110
Comment:
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
■ 11110
Is flow meter calibrated annually?
■ ❑ ❑ ❑
Is the flow meter operational?
■ 000
(If units are separated) Does the chart recorder match the flow meter?
❑ ❑ ■ ❑
Comment:
Effluent Pipe
Yes No NA NE
Is right of way to the outfall properly maintained?
■ 1100
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:
Page # 5

P wh,, D AT 117? Nff- `�'213 R, C E S
MAR 0 9 2006
IT'S ABOUT THE PEOPLE
Fax Transmission Cover a n et
To:
James Bealle
From:
Billy Wilkie @ City of Shelby
Company:
N.0 DENR
Date:
March 8,2006
Fax:
704-663-6040
Dept:
Water Plant
Phone: Re: Designation Form
Message:
Number of pages transmitted (including cover sheet) 3
If you do not receive all the pages, please call 704.484.6885
Revised 11612005
PO Box 207 - 801 W. Grover St. - Shelby, NC 28151-0207
Phone [phone] - Fax [phone]

PV
Water Pollution Control System Designation Porffi,
WPCSOCC
NCAC 1SA:08G .0201 ,
General Information:
MAR 0 9 200E
Permittee Owner/Offices Name. G� A / 16' 5,A•A- 'V a
Mailing Address: ' ° ° i` '2 v 7
IN
City: S�/-' C State:.IV_C Zip:
Telephone Number: '770 `f It �r `t =
Signature:
Date: /a l0 —Z/6 5
4L4L7. �L3449.S.t �Ai7�is 7.it'L445L.14i 444446'9�114'L 4i 7�i'Lb°ib'8'L'bS4b1�7�1�44�i'�:1 �+iii:�it�i�f5
Facility Information:
Facility: 5/N c C- Z?% 11-- T 1-r�'
Permit Number. Ale o o 27 15 7 County: C L EyE U /AA/li
! SUBMIT A SEPARATE FORM FOR EACH TYPE OF SYSTEM!
Mark (3G Tyge of Facility Class (1— 4)
Wastewater Plant
Physical/Chemical X 3
Collection System
Class
Spray Irrigation N/A
Land Application N/A
Subsurface N/A
■■rrrrrrrrrrrrrrrrrrrrrrarremnrrrrrerrnrrrrrrrflrrrrrerrrarrrrererrerrrrri
Operator in Responsible Charge:
Print Name: Ol e-t-j. 2 v! k / Social Security # :
Certificate Type and Grade: ''/C Certificate #: 3 7 7
Work Telephone: Mo'f q- TIt— 6r6,9S Signature: .�nr� .o
■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrree�
Back -Up Operator in Responsible Charge:
Print Name: CNAti c c- s (tOW'A n J9 n Social Security #
Certificate Type and Grade: 2'Zc -1 Certificate #: S 3 6-1!�
Work Telephone: 70 4 4 5-It- G S- i<S Signature:
Mail or Fax to: WPCSOCC
1618 Mail Service Center
Raleigh, N.C. 27699-1618
Fax: [phone]
Revised 10/2000

ar 08 06 09:18a
AQ
IT'S ABOUT THE PEOPLE
Fax Transmission Cover Sheet
To: James Bealle
From: Billy Wilkie Q City of Shelby
Company: N.0 DENR Date: March 8, 2006
Fax: [phone] Dept: Water Plant
Phone: Re: Designation Form
Message:
11II1L0 llllllUlllllllll LUIII Ulllll) J
Ifyou do not receive all the pages, please call 704.484.6885
Revised 11612005
PO Box 207 - 801 W. Groner St. - Siwllnj, NC 28151-0207
Plwne 704-484-6885 - Fax [phone]

16 09:16a
Water Pollution Control System Designation Form
WPCSOCC
NCAC 15A:08G .0201
General Information:
Permittee Owner/Officer Name: _ C, L' N c �� �' 1P v
Mailing Address: 29 o 2> 0 1` 2, c' 7
City: & calk State: ,v_C. Zip: 2 S
Telephone Number. 7( 0 `f
Signature:
� M
Date: /-2/0 d-,-/6' 5
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Facility Information:
Facility: S/-/ e e- ,V y ?y T y
Permit Number ,v C o 0 2- 7 1 15 7 County: Z-- L E-y E I- A"
! SUBMPP A SEPARATE FORM FOR EACH TYPE OF SYSTEM!
Mark (M TyW of Facility Class (I -4)
Wastewater Plant
Physical/Chemical X I -
Collection System
Class
Spray Irrigation N/A
Land Application N/A
Subsurface N/A
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Operator in Responsible Charge:
Print Name: V l L,y ?y! 1- k / Social Security # : 4 Y - 2 3 - f dSrl
Certificate Type and Grade:'P/'e 2 Certificate* `7�� S 3 7 '7
Work Telephone: f7a q- 1 4 92/ - 6 -Ss r Signature:
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Back -Up Operator in Responsible Charge:
Print Name: c-Vn c c ,r o n Social Security # : 22 V 5/-3 ! - 3 9 S l
Certificate Type and Grade: ?°/c 1 Certificate #: '7-Sr S 3 6 gr
Work Telephone: - `r q fr4- 6 Ss I< S Signature:
Mail or Fax to: WPCSOCC
1619 Mail Service Center
Raleigh, N.C. 27699-1618
F= 919n33-1338
Revised 10/2000
p.2

16 09:10a
P.3
Quality
Always
K
UTILIT
IT'S ABOUT THE PEOPLE
Fax Transmission Cover Sheet
To: WPCSOCC From: SHELBY WATER PLANT
Company: Date: December 5, 2005
Fax: [phone] Dept:
Phone: Re: SYSTEM DESIGNATION FORM
Message:
Number of pages transmitted (including cover sheet) 2
If you do not receive all the pages, please call 704.484.6885
Revised 1161200S
PO Box 207 - 801 W. Groner St. - Shelby, NC 28151-0207
Phone [phone] - Fax [phone]

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
December 2, 2004
5340
Mr. Billy Wilkie
City of Shelby WTP
PO Box 207
Shelby, NC 28151-
SUBJECT: Wastewater/Groundwater Laboratory Certification Renewal
FIELD PARAMETERS ONLY
Dear Mr. Wilkie:
The Department of Environment and Natural Resources, in accordance with the provisions of NC GS 143-215-
.3 (a) (10), 15 NCAC 2H .0800, is pleased to renew certification for your laboratory to perform specified
environmental analyses required by EMC monitoring and reporting regulations 15 NCAC 2B .0500, 2H .0900 and
2L .0100, .0200, .0300, and 2N .0100 through .0800.
Enclosed for your use is a certificate describing the requirements and limits of your certification. Please review
this certificate to insure that your laboratory is certified for all parameters required to properly meet your
certification needs.
Please contact us at 919-733-3908 if you have questions or need additional information.
Sincerely,
James W. Meyer
Laboratory Section
Enclosure
cc: Chet Whiting
Mooresville Regional Office
iT `�vfr�l,"�?isrt
Laboratory Section 1623 Mail Service Center; Raleigh, NC 27699-1623
4405 Reedy Creek Road; Raleigh, NC 27607
Phone [phone] / FAX [phone] / Internet; www.dwqlab.org
DEC C, 6 ain"
No thCarolina
AqA( a!!y
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Certificate No. 5340
STATE OF NORTH CAROLINA DEPARTMENT OF THE
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
LABORATORY CERTIFICATION PROGRAM
In accordance with the provisions of N.C.G.S. 143-215.3 (a) (1), 143-215.3 (a)(10) and NCAC 2H.0800:
Field Parameter
CITY OF SHELBY WTP
Is hereby certified to perform environmental analysis as listed on A#tachment I and report monitoring data to DWQ for
compliance with NPDES effluent, surface water, groundwater, and pretreatment regulations.
By reference 15A NCAC 2H .0800 is made a part of this certificate.
This certificate does not guarantee validity of data generated, but indicated the methodology, equipment, quality control procedures,
records, and proficiency of the laboratory have been gxamined and found to be acceptable.
This certificate shall be valid until becember 31, 2005
James W. Meyer

Attachment
North Carolina Wastewater/Groundwater Laboratory Certification
pr Certified Parameters Listing
FIELD PARAMETERS ONLY
Lab Name: City of Shelby WTP Certificate Number: 5340
Address: PO Box 207 Effective Date: 01/01/2005
Shelby, NC 28151- Expiration Date: 12/31/2005
Date of Last Amendment:
The above named laboratory, having duly met the requirements of 15A NCAC 21-1.0800, is hereby certified for the measurement of the parameters listed below.
CERTIFIED PARAMETERS
INORGANICS
RESIDUAL CHLORINE
Std Method 4500 Cl G
RESIDUE SETTLEABLE
Std Method 2540F
This certification requires maintance of an acceptable quality assurance program, use of approved methodology, and satisfactory performance on evaluation samples. Laboratories are
subject to civil penalties and/or decertification for infractions as set forth in 15A NCAC 21-1.0807.

W1II15ENGINEERS
June 3, 2005
6 ��?
f Cvt P I, F 2�I MRC -
!JUN 1 0 200')' 925.005 (34)
Construction Grants & Loans
Department of Environment and Natural Resources
Division of Water Quality
1633 Mail Service Center
Raleigh, North Carolina 27699-1633
Subject: Engineer's Certification
Dechlorination Facilities
City of Shelby Water Treatment Plant
Gentlemen:
I, Charles A. Willis, as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe periodically the construction of the
modifications and improvements to the Shelby Water Treatment Plant, located on West
Grover Street in Cleveland County for the City of Shelby, hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the following
construction:
Sodium thiosulfate storage and chemical feed system, with schedule 80
PVC chemical feed piping to provide dechlorination, pursuant to the fast
track application received on November 8, 2004, and in conformity with the
Minimum Design Criteria for Dechlorination Facilities.
I certify that the construction of the above referenced project was observed to be built
within substantial compliance and intent of the approved plans and specifications.
Yours very truly,
WiLLiS_ENGI'NE gro
Ilk
Charles A. Willis, P.E., DEE 7"A �
4,. your
cc: Mr. Jay C. Stowe, P.E. °' g
Mr. Duane Sando
1520 South Boulevard
Charlotte, North Carolina 28203
704.377.9844 Fax [phone]

I -1-11�'
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. John E. Rhom
City of Shelby
P.O. Box 207
Shelby, NC 28151-0207
Dear Mr. Rhom:
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
September 13, 2005
7003 2260 00013492 6771
Subject: Notice of Violation - EMnent Limitations
Tracking*: NOV-2005-LV 0438
City of Shelby WTP
NPDES Permit No. NCO027197
Cleveland County
A review of the May 2005 self -monitoring report for the subject facility revealed a violation of the
following parameter:
Pipe Parameter
001 Total Residual Chlorine
Reported Value Limit
26 µg/L 17 pgIL -FIN
Remedial actions, if not already implemented, should'be taken to correct any problems. The Division
of Water Quality may pursue enforcement actions for this and any additional violations. If the violations are
of a continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent. You may
contact Richard Bridgeman of this Office for additional information.
If you have questions concerning this matter, please do.not hesitate to contact'Mr. Bridgeman or me
at 704/663-1699.
Sincerely,
Z)
D. Rex Gleason, P.E.
Surface Water Protection Regional Supervisor
cc: Point Source Branch
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone] / Fax: [phone] / Internet: h2o.encstate.nc.us
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

PF OcWA7FA !
Michael F. Easley
7n.."
QG Governor
rWilliam G. Ross, Jr.,Secretary
> North Carolina Department of Environment and Natural Resources
5 Alan W. 10i reek, Director
Division of Water Quality
January 10, 2003
Mr. Harlow L. Brown, City Engineer
City of Shelby
P.O. Box 207
Shelby, NC 28151
Subject: Compliance Evaluation Inspection
Shelby Water Treatment Plant
NPDES Permit No. NC0027197
Cleveland County, N.C.
Dear Mr. Brown,
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection
conducted at subject facility on November 26, 2002, by Ms. Sonja Williams of this office. Please
inform the facility's Operator -in -Responsible -Charge (ORC) of our findings by forwarding a
copy of the enclosed report.
The report should be self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Ms. Williams or me at [phone].
Enclosure
cc: Cleveland County Health Department
SW
*
NZHE dR -
Customer Service
800 62 S-7748
Sincerely,
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
Mooresville Regional Office, 919 North Main Street. Mooresville, NC 28115 PHONE— C-704) fic:�-1o99
FAX k704) 563-6040

United States nvironmenProtection Agency
Form Approved.
Washington, D.C. 20460
EPA
f- /"i
OMB No. 204"057
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„ I 2 19 tu 20 t_
LJ IL=I 3 111 12 18uI NCO027197 02/11/26 1, t
Remarks
211111111111111111111111111111111111111111111111166
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
67115 169 70 L.71 it„ 72 l„J 73 I I I74 751 I I I ( I I 180
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)
10:00 AM 02/11/26
99/01/01
Shelby WTP
Exit Time/Date
Permit Expiration Date
S01 West Grover Street
Shelby NC 28150
12:30 PM 02/11/26
03/08/31
Name(s) of Onsite Representative(s)mties(s)/Phone and Fax Number(s)
Other Facility Data
Lanny B. 011is/ORC/704-480-7863/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contato
Contacted
Harlow L Brown,PO Box 207 Shelbv NC 28151//704-484-6852/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Miscellaneous Questions Permit Flow Measurement Operations S Maintenance
Records/Reports Self -Monitoring Program Sludge Handling Disposal Facility Site Review
Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
e facility was last inspected by Wes Bell of this office on August 24, 2000.
PERMIT:
The permit adequately describes the treatment facility.
RECORDS AND REPORTS:
_Records and Reports consisting of monthly monitoring reports, chain -of custody forms, laboratory
— _ (cant..):
reports, operator log',` -maintenance 7769,J field -parameter
Name(s) and Signature(s) oflnspector(s) Agency/Office/Phone and Fax Numbers Date -
Sonja Williams MRO WQ//704-663-1699/704-663-6040
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete

NPDES yr/mo/day Inspection Type (cont.)
31 NCO027197 111 121 02/11/26 117 181 (
Section D: Summary of Funding/Comments (Attach additional sheets of narrative and checklists as necessary)
equipment calibration log, and sludge records are maintained in accordance to permit requirements.
FACILITY SITE REVIEW / OPERATIONS AND MAINTENANCE:
The facility appeared to be well operated and maintained. The WTP's standby generator is serviced
quarterly by Carolina Engine.
The facility is staffed with a certified Grade II Biological wastewater ORC. Two designated certified
back-up operators are available when needed.
The facility received notification of classification as a Grade 1 Physical/ Chemical System on August
17, 2001. In accordance with.Rule 15A NCAC 8G .0306(a), Classification of a Grade 1 Physical/ Chemical
System, and subject permit, a certified ORC and back-up operator of the appropriate type and grade must
be designated for each classified system by December 31, 2003.
LABORATORY:
Field parameters were evaluated during the inspection. Settleable solids and Total Residual Chlorine
were added to the City of Shelby's Wastewater Treatment Plant Laboratory Certification( # 238).
Laboratory equipment calibration records and quality control data were found to be satisfactory.
SELF -MONITORING PROGRAM:
Self -monitoring reports were reviewed for the'neriod of September 2001 through August 2002. No limits
or monitoring violations were noted. Grab samples are collected and analyzed in accordance to permit
=eauiremerts.
FLOP? MEASUREMENT:
Plop; to the settling basins is measured by a Rosemount differential pressure meter. The meter was
_ast ca-iibrated on 6/27/2002 by E.H. Wright Company ©f Huntersville, NC.
SLUDGEDISPOSAL:
The sludge is taken to CMS Landfill in Harrisburg, NC, for final disposal. Records show sludge was
last :Hauled on 8/6/2002.
EFFLUENT / RECEIVING WATERS:.,
The facility discharges effluent into an unnamed tributary to the First Broad River, Class C waters
of the state. The effluent was clear with no visible solids or foam. The receiving stream did not appear
impacted on the day of the inspection.

Michael F. Easley
OF WATFR Governor
NCDENR William G. Ross, Jr., Secretary
C North Carolina Department of Environment and Natural_ Res ourCO
s^
C Alan W. Klimek, P :'E Dire'^GM
Div isiori-of-Wate'rJQ �a y
January 3, 2003 1
a;
Harlow L. Brown
City of Shelby
P.O. Box 207 '
Shelby, NC 28151 Ni
Subject: Renewal Notice T pi
NPDES Permit NCO027197
Shelby WTP
Cleveland County
Dear Permittee:
The subject permit expires on August 31, 2003..,North Carolina Administrative Code (15A NCAC 2H.0105(e)) requires
that an application for permit renewal be filed at least 180 days prior to expiration of the current permit. If you have already
mailed your renewal application, you may disregard this notice.
To satisfy this requirement, your renewal package must be sent to the Division postmarked no later than March 4, 2003.
Failure to request renewal of the permit by this date may result in a civil assessment of at least $500.00. Larger penalties may be
assessed depending upon the delinquency of the request.
If any wastewater discharge will occur after August 31, 2003 (or if continuation of the permit is desired), the current
permit must be renewed. Discharge of wastewater without a valid permit would violate North Carolina General Statute 143-215.1
and could result in assessment of civil penalties of up to $25,000 per day.
If all wastewater discharge has ceased at your facility and you wish to rescind this permit, contact Bob Sledge of the
Division's Compliance Enforcement Unit at [phone], extension 547. You may also contact the Mooresville Regional
Office at [phone] to begin the rescission process.
Use the enclosed checklist to complete your renewal package. The checklist identifies the items you must submit with
the permit renewal application. If you have any questions, please contact Valery Stephens at [phone], extension 520.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
MMootesvillerRegional Office Waternuality Section-�
NPDES File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 733-5083, extension 520 (fax) 919 733-0719
VISIT us ON THE INTERNET @ http://h2o.enr.state.nc.us/NPDES e-mail: [e-mail]

NPDES Permit NCO027197
Shelby WTP
Cleveland County
The following items are REQUIRED for all renewal packages:
❑ A cover letter requesting renewal of the permit and documenting any changes at the facility since
issuance of the last permit. Submit one signed original and two copies.
❑ The completed application form (copy attached), signed by the permittee or an 'Authorized
Representative. Submit one signed original and two copies.
❑ If an Authorized Representative (such as a consulting engineer or environmental consultant) prepares
the renewal package, written documentation must be provided showing the authority delegated to any
such Authorized Representative (see Part II.B.11.b of the existing NPDES permit).
❑ A narrative description of the sludge management plan for the facility. Describe how sludge (or other
solids) generated during wastewater treatment are handled and disposed. If your facility has no such
plan (or the permitted facility does not generate any solids), explain this in writing. Submit one signed
original and two copies.
The following items must be submitted by any Municipal or Industrial facilities discharging
process wastewater:
Industrial facilities classified as Primary Industries (see Appendices A-D to Title 40 of the Code of Federal
Regulations, Part 122) and ALL Municipal facilities with a permitted flow >_ 1.0 MGD must submit a
Priority Pollutant Analysis (PPA) in accordance with 40 CFR Part 122.21.
The above requirement does NOT apply to privately owned facilities treating 100%
domestic wastewater, or facilities which discharge non process wastewater (cooling
water, filter backwash, etc.)
PLEASE NOTE:
Due to a change in fees effective January 1, 1999, there is no renewal fee required with your
application package.
Send the completed renewal package to:
Mrs. Valery Stephens
NC DENR / Water Quality / Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617