NC0020591_Regional Office Historical File Pre 2018

ROY COOPER
Governor
AEL S.REGAN
Secretary
Water Resources r S.JAY ZIMMERMAN
Director
Environmental Quality
September 25,2017
Mr. Joe Hudson
Water Resources Director
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28687
Subject: Pretreatment Audit Inspection
City of Statesville
NPDES Permit No. NC0020591
Iredell County
Dear Mr. Hudson:
Enclosed is a copy of the Pretreatment Audit Inspection Report for the inspection of the City of
Statesville's Industrial Pretreatment Program on September 7, 2017,by Mr. Wes Bell of this Office.
Please inform the Pretreatment Coordinator of our findings by forwarding a copy of the enclosed report.
Should you have any questions concerning this report,please do not hesitate to contact Mr. Bell
at(704)235-2192,or via email at [e-mail].
Sincerely,
---1.14:41.41762"-44.47- •
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources,NCDEQ
Enclosure:
Inspection Report
cc: Deborah Gore, PERCS Unit
MSC-1617 Central-Basement
WB
State of North Carolina I Environmental Quality'Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1610 East Center Avenue,Suite 310 I Mooresville,North Carolina 28115
704-663-1699

NORTH CAROLINA DIVISION OF WATER RESOURCES
PRETREATMENT AUDIT REPORT
Background Information:
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s): Brandy Johnson
3. Title(s): Pretreatment Coordinator
4. Address of POTW:
Street/Post Office Box Post Office Box 1111
City/State/Zip Code Statesville,NC 28687
Phone Number: [phone] Fax Number: (704)-878-8655 E-Mail: [e-mail]
5. Audit Date: 9/7/2017
6. Last Inspection Date: 1/22/2016 Inspection Type: ®PCI ❑Audit
7. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ®Yes ❑ No
If No,Explain.
8. In the last year has the POTW experienced any NPDES or Sludge Permit compliance problems? ®Yes ❑ No
If Yes,Explain. Fourth Creek WWTP—Weekly Average BOD effluent limit violations reported in May 2016 and
October 2016.
9. Is POTW under an Order That Includes Pretreatment Conditions? ❑Yes ® No
Order Type and Number: Are Milestone Dates Being Met? ❑Yes ❑ No ® NA
Parameters Covered Under Order
PCS(WENDB)Codina:
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
I I INICI0 10 I2 ) 0I 5I 911 1 [ 09I07 I17I U ) S I I1 )
(DTIA) (TYPI) (INSP) (FACC)
10. Current Number of Significant Industrial Users(SIUS)? 11 SIUS
11. Current Number of Categorical Industrial Users(CIUS)? 9 CIUS
12. Number of SIUs Not Inspected by POTW in Last Calendar Year? 0
13. Number of SIUs Not Sampled by POTW in Last Calendar Year? 0
14. Enter Higher Number of 12 or 13 0 NOIN
15. Number of SIUs with No IUP,or with an Expired IUP 0 NOCM
16. Number of SIUs in SNC for Either Reporting or Limits Violations During Either of Last 2 1 PSNC
Semi-Annual Periods(Total Number of SIUs in SNC)
17. Number of SlUs in SNC for Reporting During Either of Last 2 Semi-Annual Periods 0 MSNC
18. Number of SIUs in SNC for Limits Violations During Either of Last 2 Semi-Annual Periods 1 SNPS
19. Number of SIUs in SNC for Both Reporting and Limits Violations During Either of Last 2 0
Semi-Annual Periods
20. Number of SIUs in SNC for Self-Monitoring Requirements that were Not Inspected or Sampled 0 SNIN
NC DWR Pretreatment Audit Form Revised: July 25,2007 Page 1

21. PRETREATMENT PROGRAM ELEMENTS REVIEW
Program Element: Last Submittal Last Approval Date Next Due,
NC0020591 Date In file? Date In file If Applicable
Headworks Analysis(HWA) 3/26/13 ®Yes❑ No 6/20/13 ®Yes❑ No 4/1/18
Industrial Waste Survey(IWS) 8/19/16 ®Yes ❑ No 8/30/16 Z Yes❑ No 7/1/21
Sewer Use Ordinance(SUO) 10/17/11 ® Yes❑ No 11/14/11 ®Yes❑ No
Enforcement Response Plan(ERP) 9/23/16 ®Yes❑ No 11/29/16 ®Yes ❑ No
Long Term Monitoring Plan(LTMP) 2/15/16 ®Yes ❑ No 5/9/16 ®Yes❑ No
Program Element: Last Submittal Last Approval - Date Next Due,
NC0031836 Date In file? Date In file If Applicable
Headworks Analysis(HWA) 6/5/17 ®Yes ❑ No 10/10/12 ®Yes❑ No In review
Industrial Waste Survey(IWS) 8/19/16 ® Yes ❑ No 8/30/16 ®Yes❑ No 7/1/21
Sewer Use Ordinance(SUO) 10/17/11 ®Yes❑ No 11/14/11 ®Yes❑ No
Enforcement Response Plan(ERP) 9/23/16 ®Yes❑ No 11/29/16 Z Yes❑ No
Long Term Monitoring Plan(LTMP) 2/15/16 ®Yes❑ No 5/9/16 ®Yes ❑ No
Legal Authority(Sewer Use Ordinance-SUO)
22. Do you have any towns and/or areas from which you receive wastewater which are not in your annexed jurisdiction?
®Yes❑ No If yes,Please list these towns and/or areas.Troutman
23. If yes to#22,Do you have current Interjurisdictional Agreements(IJAs)or other Contracts? ®Yes❑ No ❑NA
A copy,if not already submitted,should be sent to Division.
24. If yes to#22,Have you had any trouble working with these towns or districts? ❑Yes® No ❑NA
If yes,Explain.
25. Date of Last SUO Adoption by Local Council. 12/3/12
26. Have you had any problems interpreting or enforcing any part of the SUO? ❑Yes® No
If yes,Explain.
Enforcement(Enforcement Response Plan-ERP)
27. Did you send a copy of the ERP to your industries? ®Yes❑ No
If no,POTW must send copy within 30 days.
28. Have you had any problems interpreting or enforcing any part of the ERP(i.e.any adjudication,improper enforcement,etc?
❑Yes® No If yes,Explain.
29. List Industries under a Schedule or Order and Type of Schedule or Order
None
Resources
30. Please Rate the Following: S=Satisfactory M=Marginal U=Unsatisfactory
Rating Explanation,if Unsatisfactory
Personnel Available for Maintaining
POTW's Pretreatment Program ®S❑M❑U
Access to POTW Vehicles for
Sampling,Inspections,and ®S❑M❑U
Emergencies
NC DWR Pretreatment Audit Form Revised: July 25,2007 Page 2

Access to Operable Sampling
Equipment ®S❑M❑U
Availability of Funds if Needed for
Additional Sampling and/or Analysis ZS❑M❑U
Reference Materials
®S❑M❑U
Staff Training(i.e.Annual and
Regional Workshops,Etc.) ®S❑M❑U
Computer Equipment(Hardware and
Software) ®S❑M❑U
31. Does the POTW have an adequate data management system to run the pretreatment program?®Yes ❑ No
Explain Yes or No. Excel
32. How does the POTW recover the cost of the Pretreatment Program from their industries?Explain.
Surcharges;new permit fees; permit renewal fees;sampling/analytical costs
Public Perception/Participation:
33. Are there any local issues affecting the pretreatment program (e.g..odor,plant closing,new or proposed plants)?
❑Yes® No If yes,Explain.
34. Has any one from the public ever requested to review pretreatment program files? ®Yes ❑ No
If yes,Explain procedure. If no,How would the request be addressed?A written request would be submitted to Water
Resources Director. Copies would be provided for a fee and/or files would be reviewed at Fourth Creek WWTP with
Pretreatment Coordinator in attendance.
35. Has any industry ever requested that certain information remain confidential from the public? ❑Yes® No If yes,Explain
procedure for determining whether information qualified for confidential status,as well as procedure for keeping files confidential
from public. If no.how would the request be addressed?A written request would be submitted to Water Resources Director.
Water Resources Director and Pretreatment Coordinator would review request and associated documentation. Any
confidential files would be kept in a locked file cabinet.
36. In addition to annual inspection,does the POTW periodically meet with industries to discuss pretreatment? ®Yes❑ No
37. Is the public notified about changes in the SUO or Local Limits? ®Yes❑ No
38. Were all industries in SNC published in the last notice? ®Yes❑ No ❑NA
Permitting(Industrial Waste Survey-IWS):
39a...How does the POTW become aware of new or changed Users?The Chamber of Commerce and/or Planning
Department contacts the Pretreatment Coordinator of any potential users. The Pretreatment Coordinator also
attends Technical Review Criteria meetings for new projects/users with other City Departments.
39b.Once the POTW becomes aware of new or changed Users,how does the POTW determine which industries have the
reasonable potential to adversely impact the WWTP and therefore require a new permit or a permit revision? (Who is an
SIU?)Long/Short IWS forms reviewed and a site visit with sampling may be performed based on the information
provided. Flow volumes,type of products produced,categorical processes,discharge characteristics,and
information in the application are all evaluated during the SIU determinations.
40. Does the POTW receive waste from any groundwater remediation projects(petroleum,CERCLA)or landfill leachate?
®Yes❑No If Yes,How many are there?
Please list each site and how it is permitted,if applicable.County LandfiWno permit.
41. Does the POTW accept waste by(mark if applicable) ❑Truck [Dedicated Pipe ®NA
42. If the POTW accepts trucked waste,what controls are placed on this waste? (example. designated point,samples drawn,
manifests required)N/A
NC DWR Pretreatment Audit Form Revised: July 25.2007 Pace 3

43.. How does the POTW allocate its loading to industries?Mark all that apply
❑Uniform Limits ®Historical Industry Need ❑By Surcharge ®Categorical Limits ❑ Other
Explain Other:
44. Review POTW's copies of current allocation tables for each WWTP. Are there any over allocations? ❑Yes® No
If yes,What parameters are over allocated?
45. If yes to#44,What is being done to address the over allocations?(short-term IUPs,HWA to be revised,pollutant study,etc.)
46. Does the POTW keep pollutant loading in reserve for future growth/safety? Z Yes❑ No
If yes,what percentage of each parameter?5%
47. Has the POTW experienced any difficulty in allocation?(for example: adjudication by an industry) ❑Yes® No
If yes,Explain.
48. How does the POTW decide on which pollutants to limit in the permits?Monitor for? (for example:were only those pollutants
listed on the application limited;categorical parameters;NPDES Pollutants of Concern)Categorical parameters and NPDES
POCs.
49. How does the POTW decide what the monitoring frequency should be for the various pollutants in industry permits? Explain.
Monthly monitoring for new SIUs to determine baseline; monitoring may be reduced based on sample results; semi-annual
monitoring required at a minimum.
Permit Compliance:
50. Does the POTW currently have or during the past year had any permits under adjudication? ❑Yes ® No
If yes,which industries? What was(will be)the outcome of the adjudication?
51. Demonstrate how the POTW judges compliance.This should include compliance judgment on all violations of limits,reporting
requirements,and permit conditions,as well as for SNC.Compliance Judgement Worksheet for SNC determinations;ERP
followed for violations(limit,reporting,permit conditions,etc.).
52. Does the POTW use the Division's model inspection form or equivalent? ®Yes❑ No
If no,does the POTW form include all DWQ data? ❑Yes❑ No
53. Were all SIUs evaluated for the need of a slug/spill control plan during their most recent inspections? ®Yes❑ No
If no,Explain.
54. What criteria are used to determine if a slug/spill control plan is needed?Presence and locations of floor drains and the
facility's chemical storage practices.
55. What criteria does the POTW use to determine if a submitted slug/spill control plan is adequate?
Emergency contacts kept up to date; proper chemical storage practices and secondary containment; presence of emergency
response equipment; how floor drain locations are addressed.
56. How does the POTW decide where the sample point for an SIU should be located?
The effluent of the pretreatment wastewater treatment system for regulated waste streams.
57. Has the POTW established a procedure to ensure that representative samples will be taken by the POTW or SIU each time?
(example:correct location; proper programming of sampler; clean equipment;swirling the sample bucket uniformly)
POTW: ®Yes❑ No SIU: ®Yes❑ No If yes,Explain.POTW has sampler manuals and on-site training;
SIU—sampling practices reviewed during inspections.
58. Who performs sample analysis for the POTW for Metals—On-site lab,Statesville Analytical,Meritech
Conventional Parameters—On-site Lab,Statesville Analytical
Organics—Meritech
59. Explain the Chain of Custody Procedure used for both in house and commercial lab samples.
POTW uses internal COC and the contracted lab's COC; SIU—contracted lab's COC.
NC DWR Pretreatment Audit Form Revised: July 25,2007 Page 4

Long/Short Term Monitoring Plan(L/STMP)and Headworks Analysis(HWA):
60a. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ®YES ❑NO
60b. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? Z YES 0 NO
60c. Is LTMP/STMP Data Maintained in Table or Equivalent? ®YES ❑ NO Is Table Adequate? ®YES El NO
60d. All LTMP/STMP effluent data on Discharge Monitoring Report(DMR)? ®YES El NO DWQ Inspector,verify yourself!
60e. If NO to any above,list violations
60f. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑YES ®NO
If yes,which ones?Eliminated: Added:
61. Do you complete your own headworks analysis(HWA)? ® Yes El No
If no,Who completes your HWA?
62. Do you have plans to revise your HWA in the near future? ® Yes❑ No
If yes,What is the reason for the revision?(mark all that apply) ❑Increased average flow ❑NPDES limits change
❑More LTMP data available ❑Resolve over allocation Z5 year expiration ❑Other,explain.
63. In general,what is the most limiting criteria of your HWA?
®Inhibition ❑ Pass Through ®Sludge Quality
64. Do you see any way to increase your loading in the future(Example:obtaining more land for sludge disposal)? El Yes El No
Explain. N/A-sufficient capacity at the WWTPs.
Summary:
65. Do you plan any significant changes to the pretreatment program or changes to the WWTP that may affect pretreatment?No
INDUSTRIAL USER PERMIT(IUP)FILE REVIEW:
66. User Name 1.Paumac Tubing 2. Fischbein 3.Kewaunee Scientific
67. IUP Number 4003 4010 _ 3009
68. Does File Contain Current Permit? ®Yes El No ®Yes El No ®Yes El No
69. Permit Expiration Date 7/1/19 9/1/20 3/1/21
70. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A 433 433 433
71. Does File Contain Permit Application Completed Within One Year Prior ®Yes El No ®Yes El No ®Yes ❑ No
to Permit Issue Date?
72. Does File Contain Inspection Completed Within Last Calendar Year? ®Yes El No ® Yes El No ®Yes El No
73. a.Does File Contain Slug/Spill Control Plan? a. EYes ONo a. ❑Yes ENo a. ®Yes ONo
b. If No,is One Needed?(See Inspection Form from POTW) b. ❑Yes ONo b. ['Yes ONo b. ❑Yes ONo
74. For 40 CFR 413 and 433 TTO Certification,Does File Contain a Toxic ❑Yes❑NoEN/A ❑Yes❑NoEN/A ®Yes❑No❑N/A
Organic Management Plan(TOMP)?
75. a.Does File Contain Original Permit Review Letter from Division? a. EYes ❑No a. EYes❑No a. EYes ONo
b.All Issues Resolved? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
76. During Most Recent Semi-Annual Period,Did POTW Complete its ®Yes ❑ No ®Yes ❑ No ®Yes El No
Sampling as Required by RIP,including Flow?
77. Does File Contain POTW Sampling Chain-Of-Custody Forms? ®Yes El No ® Yes El No ®Yes ❑ No
78. During Most Recent Semi-Annual Period,Did SIU Complete its ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Sampling as Required by IUP, including Flow?
79. During Most Recent Semi-Annual Period,Did SIU submit all reports on ®Yes❑No❑N/A EYes❑No❑N/A ®Yes❑No❑N/A
time?
80a.For categorical His with Combined Wastestream Formula(CWF), does ❑Yes❑NoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
file include process/dilution flows as Required by IUP?
80b. For categorical IUs with Production based limits, does file include ❑Yes:NOON/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
production rates and/or flows as Required by IUP?
81. During Most Recent Semi-Annual Period,Did POTW Identify All ❑Yes❑NoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
Limits Non-Compliance from Both POTW and SIU Sampling?
82. During Most Recent Semi-Annual Period,Did POTW Identify All ❑Yes❑NoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
Reporting Non-Compliance from SIU Sampling?
83. a. Was POTW Notified by SIU(Within 24 Hours)of All Self- a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
NC DWR Pretreatment Audit Form Revised: July 25,2007 Page 5

•
Monitoring Violations?
b.Did Industry Resample and submit results to POTW within 30 Days? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
c.If applicable,did POTW resample and obtain results within 30 days of
becoming aware of SIU limit violations in the POTW's sampling of SIU? c.❑Yes❑No®N/A c.❑Yes❑No®N/A c.❑Yes❑No®N/A
84. During Most Recent Semi-Annual Period,Was SIU in SNC? ❑Yes ® No ❑Yes ® No ❑Yes ® No
85. During Most Recent Semi-Annual Period,Was Enforcement Taken as ❑Yes❑NOON/A ❑Yes❑No®N/A ❑Yes❑NoON/A
Specified in POTW's ERP(NOVs,Penalties,tuning, etc.)?
86. Does File Contain Penalty Assessment Notices? ❑Yes❑No®N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
87. Does File Contain Proof Of Penalty Collection? ❑Yes❑NOON/A ❑Yes❑No®N/A 0Yes❑No®N/A7
88. a.Does File Contain Any Current Enforcement Orders? a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b.Is SIU in Compliance with Order? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
89. Did POTW Representative Have Difficulty in Obtaining Any Requested ❑Yes ® No El Yes ® No ❑Yes ® No
Information For You?
FILE REVIEW COMMENTS:
16/18.JPS Composite Materials was in SNC during July—December 2016 period for BOD limit violation(TRC).
58. The analyses performed by the POTW include TSS,cadmium, silver,nickel,and lead. Statesville Analytical has been contracted to
performed metals and BOD and ammonia; however, the POTW will resume the BOD and ammonia analyses within the near future.
Meritech performs low-level mercury and bis(2-ethyhexyl)pthalate.
72.POTW performed SIU inspections on 9/15/16(Paumac Tubing),9/16/16(Fischbein),and 9/14/16(Kewaunee Scientific).
74.Fischbein had mailed a letter(dated 8/11/15)to the POTW indicating that the finishing processes at the facility did not fall under 40
CFR 433.10 that required TTO monitoring, and no chemicals listed on Toxic Organic Compounds list were used at the facility. The
POTW is in the process of determining if the SIU meets the criteria of a 433 Metal Finisher.
78. The following laboratories have been contracted by the SIUs to perform analyses: Prism Laboratories(Paumac Tubing), Statesville
Analytical(Fischbein),and Pace Analytical(Kewaunee Scientific).
INDUSTRY INSPECTION PCS CODING:
Trans.Code Main Program Permit Number MM/DD/YY Inspection type Inspector Facility Type
N N C 0 0 2 0 5 9 1 09 07 17 U S 2
(DTIA) (TYPI) (INSP) (FACC)
1.Industry Inspected:Paumac Tubing,LLC
2.Industry Address: 150 Intercraft Drive,Statesville,NC 28625
3.Type of Industry/Product: 433/Metal parts(racks,tailpipes,etc.)for ATVs,etc.
4.Industry Contact: Gerald Bennette Title:Pretreatment Phone: [phone]
5.Does the POTW Use the Division Model Inspection Form or Equivalent? ®Yes El No
6.Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview ®Yes El No
B. Plant Tour ® Yes El No
C. Pretreatment Tour ®Yes ❑ No
D. Sampling Review ®Yes El No
E. Exit Interview ® Yes El No
NC DWR Pretreatment Audit Form Revised: July 25,2007 Page 6

Industrial Inspection Comments:
The industrial facility currently operates one shift, five (5) days per week/eight (8)hours per day, and has approximately sixty-seven
(67) employees. The fabricated metal parts are conveyed through a five (5) stage process that includes cleaning (acidic), rinse, iron
phosphate coating,rinse, and non-chrome sealer. The first rinse stage is equipped with an oil/water skimmer. The Pretreatment system
includes pH adjustment (as-needed) and flow measurement. The POTW is contacted prior to any cleaning/dumping of the tanks.
Hazmat has been contracted to remove any sludge,used oils,and/or any hazardous waste.
The SIU's IUP requires composite sampling for specific parameters; however, the SIU does not discharge throughout a 24-hr. period.
In addition, the inspection revealed potential temperature preservation issues with the composite sampler due to elevated indoor
temperatures and inaccessibility of the sampler for the repacking of ice. The POTW will evaluate the SIU's IUP to potentially modify
the sample type from composite to grab.
SUMMARY AND COMMENTS:
The records reviewed during the inspection were organized and well maintained. The Pretreatment staff must ensure that all split
samples are appropriately averaged for compliance determinations and composite samples are properly preserved (<6°C)throughout
the 24-hr.period(40 CFR Part 136.3 Table II).
The POTW must complete the 433 verification on Fischbein by October 20,2017.
NOD: ❑Yes ® No
NOV: ❑Yes ® No
QNCR: ❑Yes ® No
POTW Rating:
Satisfactory ® M gi ❑ Unsatisfactory 0
Audit COMPLETED BY: (2-4 .tom .% e--- mot' DATE: September 25,2017
Wes Bell,Mooresville Regional Office
NC DWR Pretreatment Audit Form Revised: July 25,2007 Page 7

PAT MCCRORY
• Governor
F ILE
R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY Director
April 27,2016
Ms. Brandy Johnson
Pretreatment Coordinator
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28677
Subject: PAR Review
City of Statesville-Third Creek WWTP
NPDES Permit No.NC0020591
Iredell County
Dear Ms.Johnson:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report(PAR)for the
reporting period of January through December 2015. Based on the review,the POTW completed the
PAR in accordance with 15A NCAC 2H .0908(b)requirements and guidelines set forth in Comprehensive
Guidance for North Carolina Pretreatment Programs. The next PAR will be due March 1, 2017.
If you have any questions concerning your PAR,please do not hesitate to contact Mr.Wes Bell at
[phone] and/or Mr.Monti Hassan at(919) 807-6314 or at [e-mail] and
[e-mail].
Sincerely,
W"1t—
W. Corey Basinger,Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources,NCDEQ
cc: Monti Hassan,PERCS Unit
MSC-1617 Central-Basement
WB
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1610 East Center Avenue,Suite 301 I Mooresville,North Carolina 28115
704 663 1699

FILE
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald van der Vaart
Governor Secretary
April 15,2015
Ms. Brandy Johnson
Pretreatment Coordinator
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28677
Subject: PAR Review
City of Statesville-Third Creek WWTP
NPDES Permit No.NC0020591
Iredell County
Dear Ms. Johnson:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report(PAR) for the reporting
period of January through December 2014. Based on the review,the POTW completed the PAR in accordance
with 15A NCAC 2H .0908(b)requirements and guidelines set forth in Comprehensive Guidance for North Carolina
Pretreatment Programs. The next PAR will be due March 1,2016.
If you have any questions concerning your PAR, please do not hesitate to contact me at(704)235-2192 and/or
Monti Hassan at(919) 807-6314 or at [e-mail] and [e-mail].
Sincerely,
Wes Bell
Environmental Specialist
Water Quality Regional Operations Section
•
cc: Monti Hassan, PERCS Unit
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 1 Affirmative Action Employer-30%Recycled/10%Post Consumer paper

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, Ill
Governor Director Secretary
March 21, 2014
Ms. Brandy Johnson
Pretreatment Coordinator
City of Statesville •
Post Office Box 1111
Statesville, North Carolina 28677
Subject: PAR Review
City of Statesville
NPDES Permit No. NC0020591
Iredell County
Dear Ms. Johnson:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report(PAR)for the reporting
period of January through December 2013. Based on the review,the POTW completed the PAR in accordance
with 15A NCAC 2H .0908(b)requirements and guidelines set forth in Comprehensive Guidance for North Carolina
Pretreatment Programs. The next PAR will be due March 1,2015.
If you have any questions concerning your PAR, please do not hesitate to contact myself at(704)235-2192
and/or Monti Hassan at(919) 807-6314 or at [e-mail] and monti.hassannncdenr.gov
Sincerely,
Wes Bell
Environmental Specialist •
Water Quality Regional Operations Section .,,
cc: Monti Hassan, PERCS Unit
e.
Mooresville Regional Office One
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 NorthCarolina
Phone:[phone] Fax:[phone] Customer Service:1-877-623-6748 ���������
Internet:www.ncwaterquality.org
, An Equal Opportunity t Affirmative Action Employer—30%Recycled/10°io Post Consumer paper

Alp FILE
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Acting Director Secretary
July 30, 2013
Ms. Brandy Johnson
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28687
Subject: PAR Review
Statesville
NPDES Permit No. NC0020591
Iredell County
Dear Ms. Johnson:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report (PAR) for the
reporting period of January through December 2012. Based on the review, the POTW completed the PAR in
accordance with 15A NCAC 2H .0908(b) requirements and guidelines set forth in Comprehensive Guidance for
North Carolina Pretreatment Programs. The next PAR will be due March 1, 2014.
If you have any questions concerning your PAR, please do not hesitate to contact Wes Bell at (704) 663-
1699 or by email at wes.bell(@ncdenr.gov.
M1
SirpaCely,
onna Hood
Mooresville Regional Office Contact
Cc: Monti Hassan, PERCS Unit
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 One
Phone:[phone] Fax:[phone] Customer Service:1-877-623-6748 Noi�thCarolina
Internet:http://portal.ncdenr.orglweblwq /� t a 11
An Equal Opportunity Affirmative Action Employer-50%Recycled/10%Post Consumer paper ✓ ' au a "U

Collection System SSO 24-Hour Notification ��4,t=cti
Collection System: Number and Name WQCS# ik
Incident Number from BIMS
Incident Reviewed (Date):
Incident Action Taken: BPJ
NOV-2007-DV
Spill Date / ,bT Time am/ pm
Reported Date /e/ 9 Time //' :36 am/
Reported To SWP Staff or EM Staff 136
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Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad

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NCDENR •44)4,
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild,PE Dee Freeman
Governor Director Secretary
April 11, 2012
Ms. Brandy Johnson
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28687
Subject: Pretreatment Audit Inspection
Statesville 3rd Creek WWTP
NPDES Permit No. NC0020591
Iredell County,NC
Dear Ms. Johnson:
Enclosed is a copy of the Pretreatment Audit Inspection Report for the inspection of the Statesville
approved Industrial Pretreatment Program on April 10, 2012 by John Lesley, Wes Bell, and Donna Hood of this
Office.
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact Mr. Lesley at [phone].
Sincerely,
dilibk...
:? C -64.-- )„.„--
. '"obert B. Krebs
1 Regional Supervisor
1 Surface Water Protection Section
Enclosure
cc: Central Files
Monti Hassan, PERCS Unit
Mooresville Regional Office One
Location:610 East Center Ave..Suite 301 Mooresville.NC 28115 NorthCarolina
Phone:[phone]!Fax:[phone](1401Customer Service: 1-877-623-6748 Naturally
Internet:http://portal.nedenr.orgiwebiwq
4.r.- ;.,-` An Equal Opportunity'.Affirmative Action Employer-50%Recycled/10%Post Consumer paper i ...
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N�DENR NORTH CAROLINA DIVISION OF WATER QUALITY O�>rvnr�R
PRETREATMENT AUDIT REPORT Y
Background Information:
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s): Ms Brandy Johnson
3. Title(s): Pretreatment Program Coordinator
4. Address of POTW:
Street/Post Office Box PO Box 1111
City/State/Zip Code Statesville,NC 28687
Phone Number 704-878-3438 Fax Number E-Mail
5. Audit Date 04/10/2012
6. Last Inspection Date: 08/26/2011 Inspection Type: ®PCI ❑Audit
7. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ®Yes ❑ No
If No,Explain.NC0031836-No violations reported NC0020591 -dissolved oxygen, minimum not reached.
8. In the last year has the POTW experienced any NPDES or Sludge Permit compliance problems? ❑Yes ® No
If Yes,Explain.
9. Is POTW under an Order That Includes Pretreatment Conditions? ❑Yes ® No
Order Type and Number: Are Milestone Dates Being Met? ❑Yes ❑ No ® NA
Parameters Covered Under Order
PCS(WENDB)Coding:
Trans.Code Main Program Permit Number MMJDD/YY Inspec.Type Inspector Fac.Type
L J INIC10 10 12 10 1519 111 1 04 1 10 1 12 I I I Is I I I 1
(DTIA) (TYPI) (INSP) (FACC)
10. Current Number of Significant Industrial Users(SIUS)? 11 SIUS
11. Current Number of Categorical Industrial Users(CIUS)? 7 CIUS
12. Number of SIUs Not Inspected by POTW in Last Calendar Year? 0
13. Number of SIUS Not Sampled by POTW in Last Calendar Year? 0
14. Enter Higher Number of 12 or 13 0 NON
15. Number of SIUS with No IUP,or with an Expired IUP 0 NOCM
16. Number of SIUs in SNC for Either Reporting or Limits Violations During Either of Last 2 0 PSNC
Semi-Annual Periods(Total Number of SIUs in SNC)
17. Number of SIUs in SNC for Reporting During Either of Last 2 Semi-Annual Periods 0 MSNC
18. Number of SIUs in SNC for Limits Violations During Either of Last 2 Semi-Annual Periods 0 SNPS
19. Number of SIUs in SNC for Both Reporting and Limits Violations During Either of Last 2 0
Semi-Annual Periods
20. Number of SIUs in SNC for Self-Monitoring Requirements that were Not Inspected or Sampled 0 SNIN
NC flWCl Prptrratment Anrlit Fnrm RP.,iePd• Tnly'75 '7111-17 Pave I —

21. PRETREATMENT PROGRAM ELEMENTS REVIEW: Statesville Third Creek WWTP NC0020591
Program Element Last Submittal Last Approval Date Next Due,
Date In file? Date In file If Applicable
Headworks Analysis(HWA) 11/11/08 ®Yes El No 2/4/09 ®Yes El No 4/1/13
Industrial Waste Survey(IWS) 6/4/10 ®Yes❑ No 8/11/10 ®Yes El No 7/1/16
Sewer Use Ordinance(SUO) 10/17/11 ®Yes❑ No 11/14/11 ®Yes El No
Enforcement Response Plan(ERP) 6/8/00 ®Yes 0 No 5/25/01 ®Yes❑ No
Long Term Monitoring Plan(LIMP) 6/6/11 ®Yes❑ No 8/18/11 ®Yes El No
PRETREATMENT PROGRAM ELEMENTS REVIEW: Statesville Fourth Creek WWTP NC0031836 _
Program Element Last Submittal Last Approval Date Next Due,
Date _ In file? Date In file If Applicable
Headworks Analysis(HWA) 9/20/07 ®Yes El No 7/2/08 ®Yes❑ No 7/1/12
Industrial Waste Survey(IWS) see above 0 Yes❑ No ❑Yes❑ No
Sewer Use Ordinance(SUO) see above ❑Yes El No ❑Yes El No
Enforcement Response Plan(ERP) see above ❑Yes 0 No El Yes El No
Long Term Monitoring Plan(LTMP) 6/6/11 ®Yes El No 8/18/11 ®Yes El No
Legal Authority(Sewer Use Ordinance-SUO)
22. Do you have any towns and/or areas from which you receive wastewater which are not in your annexed jurisdiction?
®Yes El No If yes,Please list these towns and/or areas.Troutman(Third Creek WWTP NC0020591)
23. If yes to#22,Do you have current Interjurisdictional Agreements(IJAs)or other Contracts? ®Yes❑ No 0 NA
A copy,if not already submitted,should be sent to Division.
24. If yes to#22,Have you had any trouble working with these towns or districts? El Yes® No El NA
If yes,Explain.
25. Date of Last SUO Adoption by Local Council 6/18/07
26. Have you had any problems interpreting or enforcing any part of the SUO? ❑Yes® No
If yes,Explain.
Enforcement(Enforcement Response Plan-ERP)
27. Did you send a copy of the ERP to your industries? Z Yes❑ No
If no,POTW must send copy within 30 days.
28. Have you had any problems interpreting or enforcing any part of the ERP(i.e.any adjudication,improper enforcement,etc?
❑Yes® No If yes,Explain.
29. List Industries under a Schedule or Order and Type of Schedule or Order
None
Resources
NC 1-1WC1 PrrtrPatmPrlt AnAit Pnrm RPVICP(1' T1111/')c ')nm PM OP 7 _

r30. Please Rate the Following: S=Satisfactory M=Marginal U=Unsatisfactory
Rating Explanation,if Unsatisfactory
Personnel Available for Maintaining 2 Full Time Employees
POTW's Pretreatment Program ®S ❑M ❑U
Access to POTW Vehicles for Vehicle has mechanical issues
Sampling,Inspections,and ❑S ®M ❑U
Emergencies
Access to Operable Sampling
Equipment ®S ❑M ❑U
Availability of Funds if Needed for
Additional Sampling and/or Analysis ®S ❑M ❑U
Reference Materials
®S ❑M ❑U
Staff Training(i.e.Annual and Host of PAR Workshop 2012
Regional Workshops,Etc.) ®S ❑M ❑U
Computer Equipment(Hardware and
Software) ®S ❑M❑U
31. Does the POTW have an adequate data management system to run the pretreatment program? ®Yes ❑ No
Explain Yes or No. Microsoft Office(Excel,Word etc.)
32. How does the POTW recover the cost of the Pretreatment Program from their industries?Explain.
Payment of fines, fees,sampling charges,and enforces a surcharge program.
Public Perception/Participation:
33. Are there any local issues affecting the pretreatment program (e.g.. odor,plant closing,new or proposed plants)?
❑ Yes® No If yes,Explain.
34. Has any one from the public ever requested to review pretreatment program files? ® Yes❑ No
If yes,Explain procedure.If no,How would the request be addressed?Requested appointment,paid for copies,staff present.
35. Has any industry ever requested that certain information remain confidential from the public? ❑Yes® No If yes,Explain
procedure for determining whether information qualified for confidential status, as well as procedure for keeping files confidential
from public. If no.how would the request be addressed?. Locked file in secure area.
36. In addition to annual inspection,does the POTW periodically meet with industries to discuss pretreatment? ®Yes❑ No
37. Is the public notified about changes in the SUO or Local Limits? ®Yes E No
38. Were all industries in SNC published in the last notice? ❑Yes ❑ No Z NA
Permitting(Industrial Waste Survey-IWS):
39a...How does the POTW become aware of new or changed Users?City Public Works Dept. notifies the Pretreatment
Coordinator. Also depends on Chamber of Commerce, Industrial Engineers.
39b. Once the POTW becomes aware of new or changed Users,how does the POTW determine which industries have the
reasonable potential to adversely impact the WWTP and therefore require a new permit or a permit revision? (Who is an
SIU?)Information taken from Survey Form (water use,constituents in discharge,categorical determination)and
on-site visit with sampling.
40. Does the POTW receive waste from any groundwater remediation projects(petroleum,CERCLA)or landfill leachate?
®Yes❑No If Yes,How many are there?Landfill leachate-POTW did not know if landfill leachate was
discharged to WWTP. Based on the location of the landfill and stormwater inspections, it would appear that the
leachate would most likely be discharged to the Statesville collection system.
Please list each site and how it is permitted, if applicable. NA
NC TlW(1 Prrtraatmvnt Anriit Pnrm PPvicrri• Tully 75 Wn117 PaaP 1 —

41. Does the POTW accept waste by(mark if applicable) El Truck ❑Dedicated Pipe ®NA
42. If the POTW accepts trucked waste,what controls are placed on this waste? (example. designated point,samples drawn,
manifests required)NA
43. How does the POTW allocate its loading to industries?Mark all that apply
❑Uniform Limits ®Historical Industry Need ❑By Surcharge ®Categorical Limits ❑Other
Explain Other:
44. Review POTW's copies of current allocation tables for each WWTP. Are there any over allocations? ❑Yes® No
If yes,What parameters are over allocated?
45. If yes to#43, What is being done to address the over allocations?(short-term IUPs,HWA to be revised,pollutant study,etc.)
NA
46. Does the POTW keep pollutant loading in reserve for future growth/safety? ®Yes❑ No
If yes,what percentage of each parameter 10%
47. Has the POTW experienced any difficulty in allocation?(for example: adjudication by an industry) ❑Yes® No
If yes,Explain.
48. How does the POTW decide on which pollutants to limit in the permits?Monitor for? (for example:were only those pollutants
listed on the application limited;categorical parameters;NPDES Pollutants of Concern)
IUP Application list of constituents in discharge,NPDES Permit Limited parameters,categorical parameters.
49. How does the POTW decide what the monitoring frequency should be for the various pollutants in industry permits? Explain.
Quarterly monitoring is standard for POTW and SIU monitoring. Monitoring may be reduced if no potential to impact the
WWTP is determined.
Permit Compliance:
50. Does the POTW currently have or during the past year had any permits under adjudication? ❑Yes® No
If yes,which industries? What was(will be)the outcome of the adjudication?
51. Demonstrate how the POTW judges compliance. This should include compliance judgment on all violations of limits,reporting
requirements,and permit conditions,as well as for SNC. Reporting-NOV and fine for 7-29 days late,SNC for over 30 days
late.
52. Does the POTW use the Division's model inspection form or equivalent? ®Yes ❑ No
If no,does the POTW form include all DWQ data? ❑ Yes El No
53. Were all SIUs evaluated for the need of a slug/spill control plan during their most recent inspections? ®Yes❑ No
If no,Explain.
54. What criteria are used to determine if a slug/spill control plan is needed?
All SIUs must have a plan.
55. What criteria does the POTW use to determine if a submitted slug/spill control plan is adequate?
Current contact information posted in facility, clean up procedures listed,chemicals used in manufacturing,location of
storage facilities, containment areas for chemical storage.
56. How does the POTW decide where the sample point for an SIU should be located?
Segregates the process line,sampling point with flow meter must be provided.
57. Has the POTW established a procedure to ensure that representative samples will be taken by the POTW or SIU each time?
(example: correct location; proper programming of sampler; clean equipment;swirling the sample bucket uniformly)
POTW: ®Yes❑ No SIU: ❑Yes ® No If yes,Explain. SIUs use commercial labs for sampling.
N( r)W(1 PratrPatrrant Am it Pnrm PPuicPrl• rnlv')S '711r11 Pa or d

V
Who performs sample analysis for the POTW for Metals In-House
Conventional Parameters In-House
Organics In-House
59. Explain the Chain of Custody Procedure used for both in house and commercial lab samples.
Chain of Custody Forms must accompany all samples,a copy of the completed chain of custody is maintained on file.
Long/Short Term Monitoring Plan(L/STMP)and Headworks Analysis(HWA):
60a. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ® YES ❑NO
60b. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ®YES ❑NO
60c. Is LTMP/STMP Data Maintained in Table or Equivalent? ® YES ❑NO Is Table Adequate? Z YES ❑NO
60d. All LTMP/STMP effluent data on Discharge Monitoring Report(DMR)? ®YES ❑NO DWQ Inspector,verify yourself!
60e. If NO to any above,list violations
60f. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑YES ® NO
If yes,which ones?Eliminated: Added:
61. Do you complete your own headworks analysis(HWA)? ® Yes❑ No
If no,Who completes your HWA? Phone( ) --
62. Do you have plans to revise your HWA in the near future? ® Yes ❑ No
If yes, What is the reason for the revision?(mark all that apply) ❑Increased average flow ❑NPDES limits change
❑More LTMP data available ❑Resolve over allocation 05 year expiration ❑Other
Explain.
63. In general,what is the most limiting criteria of your HWA? [Inhibition ®Pass Through ❑Sludge Quality
64. Do you see any way to increase your loading in the future(Example: obtaining more land for sludge disposal)? ❑Yes Z No
Explain.
Summary:
65. Do you plan any significant changes to the pretreatment program or changes to the WWTP that may affect pretreatment?
Expansion of the Third Creek WWTP(NC0020591).
NC T1Wf Pratrvatmnnt Audit Pnrm RPv ed' Tilly 15 111117 paQP 5 —

INDUSTRIAL USER PERMIT(IUP)FILE REVIEW:
66. User Name 1.Mocaro 2. Keco(Teknix Division) 3.Hi-Tech
67. IUP Number 3002 3004 3008
68. Does.File Contain Current Permit? ®Yes ❑ No ®Yes ❑ No ® Yes ❑ No
69. Permit Expiration Date 5/1/15 4/1/13 9/30/15
70. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A NA 433 433
71. Does File Contain Permit Application Completed Within One Year Prior ®Yes ❑ No Z Yes 0 No Z Yes ❑ No
to Permit Issue Date?
72. Does File Contain Inspection Completed Within Last Calendar Year? Z Yes ❑ No Z Yes ❑ No ®Yes ❑ No
73. a.Does File Contain Slug/Spill Control Plan? a. ®Yes❑No a. ®Yes ❑No a. ®Yes❑No
b. If No,is One Needed?(See Inspection Form from POTW) b. ❑Yes ❑No b. ❑Yes❑No b. ❑Yes❑No
74. For 40 CFR 413 and 433 TTO Certification,Does File Contain a Toxic ❑Yes❑NoON/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Organic Management Plan(TOMP)?
75. a.Does File Contain Original Permit Review Letter from Division? a. ®Yes ❑No a. ®Yes❑No a. ®Yes❑No
b.All Issues Resolved? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.®Yes❑No❑N/A _
76. During Most Recent Semi-Annual Period,Did POTW Complete its ®Yes ❑ No ®Yes ❑ No ®Yes ❑ No
Sampling as Required by IUP,including Flow?
77. Does File Contain POTW Sampling Chain-Of-Custody Forms? Z Yes ❑ No ®Yes ❑ No ®Yes ❑ No _
78. During Most Recent Semi-Annual Period,Did SIU Complete its ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Sampling as Required by IUP,including Flow?
79. During Most Recent Semi-Annual Period,Did SIU submit all reports on ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
time?
80a.For categorical lUs with Combined Wastestream Formula(CWF),does ❑Yes❑No®N/A ❑Yes❑NoON/A ❑Yes❑No®N/A
file include process/dilution flows as Required by IUP?
80b.For categorical lUs with Production based limits,does file include ❑Yes❑No®N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
production rates and/or flows as Required by HIP?
81. During Most Recent Semi-Annual Period,Did POTW Identify All ®Yes❑No❑N/A ❑Yes❑No®N/A ❑Yes❑No ON/A
Limits Non-Compliance from Both POTW and SIU Sampling? -
82. During Most Recent Semi-Annual Period,Did POTW Identify All ®Yes❑No❑N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
Reporting Non-Compliance from SIU Sampling?
83. a.Was POTW Notified by SIU(Within 24 Hours)of All Self- a.®Yes❑No❑N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
Monitoring Violations?
b.Did Industry Resample and submit results to POTW within 30 Days? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
c.If applicable,did POTW resample and obtain results within 30 days of c.®Yes❑No❑N/A
becoming aware of SIU limit violations in the POTW's sampling of SIU? c.❑Yes❑No®N/A c.❑Yes❑No®N/A
84. During Most Recent Semi-Annual Period,Was SIU in SNC? ❑Yes ® No ❑Yes ® No ❑Yes ® No
85. During Most Recent Semi-Annual Period,Was Enforcement Taken as ®Yes❑No❑N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
Specified in POTW's ERP(NOVs,Penalties,timing,etc.)?
86. Does File Contain Penalty Assessment Notices? ®Yes❑No❑N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
87. Does File Contain Proof Of Penalty Collection? ❑Yes®No❑N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
88. a.Does File Contain Any Current Enforcement Orders? a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b.Is SIU in Compliance with Order? b.❑Yes❑NOON/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
89. Did POTW Representative Have Difficulty in Obtaining Any Requested ❑Yes ® No ❑Yes Z No 0 Yes ® No
Information For You?
FILE REVIEW COMMENTS:
Mocaro: Textile/Dye House. IUP Application, 4/8/10; Inspection, 8/23/11 (Inspected as part of Audit); Spill Plan, 9/2010. Silver limit
violations,50%chronic no SNC,also had one flow violation.
Keco(Teknix Division): 40 CFR 433. IUP Application,9/15/08;Inspection, 8/19/11;no violations reported.
Hi-Tech: 40 CFR 433. IUP Application, 3/18/10; Inspection, 8/19/11; Batch discharge(no flow limit,based on tank volume)No discharge
July-January 2011,last discharge on 6/14/11 no violations reported in 2011.
NC T1Wf PrPtrnatmnnt !S,, Rnrm RPviCP11• bile 'nm PaaP F

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DUSTRY INSPECTION PCS CODING:
ans.Code Main Program Permit Number MM/DD/YY Inspection type Inspector Facility Type
N N C 0 0 2 0 5 9 1 04 10 12 U S 2
(DTIA) (TYPI) (INSP) (FACC)
1. Industry Inspected: Mocaro Dyeing
2. Industry Address: 2201 Macaro Drive
3. Type of Industry/Product: Dyed Goods
4. Industry Contact: Mr.Jody Austin Title: Vice President Phone: [phone] Fax: [phone]
5. Does the POTW Use the Division Model Inspection Form or Equivalent? ® Yes ❑ No
6. Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview ® Yes ❑ No
B. Plant Tour ®Yes ❑ No
C. Pretreatment Tour ® Yes ❑ No
D. Sampling Review ®Yes ❑ No
E. Exit Interview ®Yes ❑ No
Industrial Inspection Comments:
The manufacturing facility is a dye house with approximately 70 employees. The SW stores peroxide(bleaching agent),caustic,
fabric softener, and citric acid on site. The citric acid tank appeard be be leaking. Water is supplied for manufacting by wells.
Off-spec materials are taken off-site for disposal. There is no pretreatment prior to discharge to the POTW. The wastewater
storage tank was rusted and appeared to be poorly maintained. A "bubbler-tye" flow meter is used for flow measurement,
calibration records were readily available during the Industrial Inspection. The bubbler tubing appeard to be old and very
brittle and should be replaced.
SUMMARY AND COMMENTS:
Audit Comments: The POTW appeard to be managing the Industrial Pretreatment well. All records were complete and up-to-
date and easily accessible.
Requirements: See the Pretreatment Program Elements Review Section for submittal requirements.
Recommendations: POTW staff did not know if landfill leachate was being discharged to the WWTP. It is recommended that
the landfill leachate discharge be determined.
NOD: ❑Yes ® No
NOV: ❑ Yes ® No
QNCR: ❑Yes ® No
POTW Rating:
Satisfactory ® Marginal ❑ Unsatisfactory❑
Audit COMPLETED BY: 6 DATE: April 11,2012
Jo n L ley,Mooresville Regional f ce
Mr.1-1W(1 Prptrratmant Anait Pnrm PpvicPd• filly 75 7n07 Paap 7 —

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4611
NCDENR NORTH CAROLINA DIVISION OF WATER QUALITY
PRETREATMENT AUDIT REPORT ? d
+
Background Information:
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s): Ms Brandy Johnson
3. Title(s):Pretreatment Program Coordinator
4. Address of POTW:
Street/Post Office Box PO Box 1111
City/State/Zip Code Statesville,NC 28687
Phone Number 704-878-3438 Fax Number E-Mail
5. Audit Date 04/10/2012
6. Last Inspection Date: 08/26/2011 Inspection Type: ®PCI ❑Audit
7. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ®Yes ❑ No
If No,Explain.
8. In the last year has the POTW experienced any NPDES or Sludge Permit compliance problems? ❑Yes ❑ No
If Yes,Explain. N(,pp 2.1)S9 l - 111;+Myi>, 3 D >11 (t041' / NU SIVaq t tC CM,* V p1(4-1 DA 5
9. Is POTW under an Order That Includes Pretreatment Conditions? ❑Yes [T�No
Order Type and Number: Are Milestone Dates Being Met? ❑Yes ❑ No [> A
Parameters Covered Under Order
PCS(WENDB)Coding:
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
I I INICIo 0 ICIDISIg1 ) 1 I4I ?Di l )ZI IGI IsI LL_I
(DTIA) (TYPI) (INSP) (FACC)
10. Current Number of Significant Industrial Users(SIUS)? I I SIUS
11. Current Number of Categorical Industrial Users(CIUS)? 7 CIUS
12. Number of SIUs Not Inspected by POTW in Last Calendar Year? Q
13. Number of SIUs Not Sampled by POTW in Last Calendar Year? 0
14. Enter Higher Number of 12 or 13 () NOIN
15. Number of SIUs with No IUP,or with an Expired IUP Q NOCM
16. Number of SIUs in SNC for Either Reporting or Limits Violations During Either of Last 2 PSNC
Semi-Annual Periods(Total Number of SIUs in SNC)
17. Number of SIUs in SNC for Reporting During Either of Last 2 Semi-Annual Periods MSNC
18. Number of SIUs in SNC for Limits Violations During Either of Last 2 Semi-Annual Periods SNPS
19. Number of SIUs in SNC for Both Reporting and Limits Violations During Either of Last 2
Semi-Annual Periods
20. Number of SIUs in SNC for Self-Monitoring Requirements that were Not Inspected or Sampled SNIN
NC T1W(1 Prptraatrnrmt Amilt Pnrm P vicptl• Tilly 15 'nm PaoP 1

21. PRETREATMENT PROGRAM ELEMENTS REVIEW
Program Element Last Submittal Last Approval Date Next Due,
Date In file? Date In file If Applicable
Headworks Analysis(HWA) S', I 1- I t"C ❑Yes El No 7-- _07 ❑ Yes❑ No `� _ ' - '
4 n 9 -2bP i (77-z -*, 7- ) -)2-
Industrial Waste Survey(IWS) _lv 2 Yes El No -11 I() Q Yes El No 7- J lie
Sewer Use Ordinance(SUO) ❑Yes ❑ No 0 Yes El No Ke ,*
,/,5 'f - g 1 li'�f,
02-►1 , Q6c,IN,6t(--
Enforcement Response Plan(ERP) 6- `b El-Yes ❑ No -7S-6) 2 Yes❑ No
Long Term Monitoring Plan(LTMP) i `� i1 El Yes ❑ No 27 .)� [' Yes El Yes No
Legal Authority(Sewer Use Ordinance-SUO)
22.22. Doanne
xed jurisdiction?
Q Yes ❑ No If yes, Please list these towns and/or areas. T20u7 1r# P - 3(.1 C - ww)
23. If yes to#22,Do you have current Interjurisdictional Agreements(IJAs)or other Contracts? [ 'Yes El No El NA
A copy, if not already submitted,should be sent to Division.
24. If yes to#22, Have you had any trouble working with these towns or districts? El Yes 12/No El NA
If yes,Explain.
25. Date of Last SUO Adoption by Local Council to / /g/ hi
26. Have you had any problems interpreting or enforcing any part of the SUO? ❑Yes No
If yes, Explain.
Enforcement(Enforcement Response Plan-ERP)
27. Did you send a copy of the ERP to your industries? [2 Yes ❑ No
If no,POTW must send copy within 30 days.
28. Have you hid any problems interpreting or enforcing any part of the ERP(i.e. any adjudication, improper enforcement,etc?
❑ Yes['No If yes, Explain.
29. List Industries under a Schedule or Order and Type of Schedule or Order /v P IJ-
Resou rces
30. Please Rate the Following: S=Satisfactory M=Marginal U=Unsatisfactory
Rating Explanation,if Unsatisfactory
Personnel Available for Maintaining Z. Ft„114-‘-`rn t_
POTW's Pretreatment Program [}. ❑M ❑U
Access to POTW Vehicles for N�"p 1104-1Cl. - 'M•-c.). -0 ICAL 9,,S-V1P :lh-5
Sampling, Inspections,and ❑S [ I ❑U l
Emergencies N1,3 W 1 '' D\co D--t
Access to Operable Sampling
Equipment 12<❑M ❑U
Availability of Funds if Needed for ^l
Additional Sampling and/or Analysis Lids❑M ❑U
Reference Materials
S ❑M ❑U
Staff Training(i.e.Annual and
Regional Workshops, Etc.) OS ❑M ❑U
Computer Equipment(Hardware and
Software) E ❑M ❑U
NC TlWfl PrPtrPa tm Prlt Am-lit Fnrm RPvicprl- Tnly 15 1nm Pa oP 1

' 31. Does the POTW have an adequate data management system to run the pretreatment program? [j"Yes❑ No
Explain Yes or No. U1pQt) , i 1
32. How does the POTW recover the cost of the Pretreatment Program from their industries?Explain.
r-,ue-S 1 "ems c-a-5 vr pLWI 1 SA 2c wp i �-S -
Public Perception/Participation:
33. Are there apy local issues affecting the pretreatment program (e.g..odor,plant closing,new or proposed plants)?
❑Yes y No If yes,Explain.
34. Has any one from the public ever requested to review pretreatment program files? [Yes 0 No
If yes,Explain procedure. If no,How would th,g request b addressed?
SC,ge-tr.i v.r -7�7 (A-v- \-Cr-Ct - 9-v‘ `h (,1R,fo.sr f'- Zr d G„1 C, ( itc--
35. Has any industry ever requested that certain information remain confidential from the public? ❑Yes[ "o If yes,Explain
procedure for determining whether information qualified for confidential status,as well as procedure for keeping files confidential
from public. If no.how would the request be addressed?. - Lvc1U D l l= )vJ S t=Cti LbC&ii0ni
36. In addition to annual inspection,does the POTW periodically meet with industries to discuss pretreatment? [ Yes ❑ No
37. Is the public notified about changes in the SUO or Local Limits? "Yes ❑ No
38. Were all industries in SNC published in the last notice? ElYes ❑ No [►]'I�iiiA
Permitting(Industrial Waste Survey-IWS): r
39a...How does the POTW become aware of new or cha d Users? C c4- ,&CR , INo t c tj to(--
C;4- l I)� h�S prt . 'N Q yv, "dirlt"ykti"wy o Al�-1 USt�LS-
39b.Once the POTW becomes aware of new or changed Users,how does the POTW determine which industries have the
reasonable potential to adversely impact the WWTP and therefore req ire a new permit or a permit revision? (Who is an
s1U?) — S l-e c ►- Ito l oClL �r L 4 s 1 'Wee/y.lnttr.) A > C�.^P-�c,r YK,nvs vv Gv&-►de e,
bC° s -VPDc-S 9 c rMtt
40. Does the POTW receive waste from any groundwater remediation projects(petroleum,CERCLA)or landfill leachate?
❑Yes[ to If Yes,How many are there?
Please list each site and how it is permitted,if applicable.
41. Does the POTW accept waste by(mark if applicable) ❑Truck ❑Dedicated Pipe T‘t
42. If the POTW accepts trucked waste,what controls are placed on this waste? (example.designated point,samples drawn,
manifests required) ,N.-
43. How does the POTW allocate its loading to industries?Mark all that apply
❑Uniform Limits [Historical Industry Need ❑By Surcharge categorical Limits ❑Other
Explain Other:
44. Review POTW's copies of current allocation tables for each WWTP. Are there any over allocations? ❑Yes Et No
If yes,What parameters are over allocated?
45. If yes to#43,What is being done to address the over allocations?(short-term IUPs,HWA to be revised,pollutant study,etc.)
ti Pk'
46. Does the POTW keep pollutant loading in reserve for future growth/safety? ❑ Yes❑ No
If yes,what percentage of each parameter I()
D/
i
47. Has the POTW experienced any difficulty in allocation?(for example: adjudication by an industry) ❑ Yes No
If yes,Explain.
48. How does the POTW decide on which pollutants to limit in the permits?Monitor for? (for example:were only those pollu ants
listed on the application limited;cat
regorical pr meters;NPDES Pollutants of Concern)
-_.
49. How does the POTW decide what the monitoring frequency should be for the various pollutants in industry permits? Explain.
b,kw. , - - crsrpes,07t -C AD 1 '6 r1 NiA4i. -
S14 —
NC nWCl Pratrr>atmant Anrlit Pnrrn RPuicprl• Tilly 15 lnm Pa OP 1

Permit Compliance:
50. Does the POTW currently have or during the past year had any permits under adjudication? ❑ Yes O No
If yes,which industries? What was(will be)the outcome of the adjudication?
51. Demonstrate how the POTW judges compliance.This should include compliance judgment on all violations of limits,reporting
requirements,and permit conditions,as well as for SNC.- C.J Q'S "U t C.Y`rfrv^i t-
at-Qn - ION -1,'11G. 5NL- 3D days. PPfm;'-- (..54; S- SNG
52. Does the POTWuse the Division's model inspection form or equivalent? [ Yes❑ No
If no,does the POTW form include all DWQ data? ["Yes 0 No
53. Were all Sills evaluated for the need of a slug/spill control plan during their most recent inspections? Es❑ No
If no,Explain.
54. What criteria are used to determine if a slug/spill control plan is needed? _ Sl IA
55. What criteria does th POTW use to determine if a submitted slug/spill control plan is ade uat 9
c,.. cam,, — S9:)1 nAc t0(1,ac-5 f OR cv. , • Cv,..�.,,..-I- p
56. How does the POTW decide where the sample point for an SIU should be located?
S;.v.t ex7a, '0Loce Se, v.)\-J .a u''t,«- ,.ti•,,..r r.eS
57. Has the POTW established a procedure to ensure that representative samples will be taken by the POTW or SIU each time?
(example: correct location; proper programming of sampler; clean equipment;swirling the sample bucket uniformly)
POTW: EYes❑ No SIU: [ 'es❑ No( If yes,Explain.
A-Cowrweitiit a l LA lo S cc' v41 &r�....s I.T.S L 1.-C.
58. Who performs sample analysis for the POTW for Metals I N-�Ov.cli-
Conventional Parameters I A►-\Ap vt.St..
Organics 11�11-\.1.0 tA.Ct
59. Explain the Chain of Custody Procedure u d for both in house and c mmercial lab samples.
L C is g .. wUU /J rk - ��,ces
"'� v� b e
Long/Short Term Monitoring Plan(L/STMP)and Headworks Analysis(HWA):
60a. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ®'YES ❑NO
60b. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ITYES ❑NO
60c. Is LTMP/STMP Data Maintained in Table or Equivalent? ['YES ❑NO Is Table Adequate? YES ❑NO
60d. All LTMP/STMP effluent data on Discharge Monitoring Report(DMR)? [ZYES❑NO DWQ Inspector,verify yourself!
60e. If NO to any above,list violations
60f. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑YES 14O
If yes,which ones?Eliminated: Added:
61. Do you complete your own headworks analysis(HWA)? es ElNo
If no,Who completes your HWA? Phone( ) --
62. Do you have plans to revise your HWA in the near future? s❑ No
If yes,What is the reason for the revision?(mark all that apply) ['Increased average flow ❑NPDES limits change
['More LIMP data available ❑Resolve over allocation Fear expiration ❑Other
Explain.
63. In general,what is the most limiting criteria of your HWA? ❑Inhibition ass Through ❑Sludge Quality
64. Do you see any way to increase your loading in the future(Example:obtaining more land for sludge disposal)? ❑Yes V
Explain.
Summary:
65. Do you plan any significant changes to the pretreatment program or changes to the WWTP that may affect pretreatment?
5)(Q/1ig pJ ?L N S B 3 rRf-e)C INXNYTT
NC T1W(1 Pratraatm,,,t An(lit Form RPv;cp(d• Tidy 7c /nm Pao,.d

INDUSTRIAL USER PERMIT(IUP)FILE REVIEW:
66. User Name 1. i\AO4O 2. 3.
67. IUP Number 3Dp 2
68. Does File Contain Current Permit? KtYes El No El Yes El No El Yes ❑ No
69. Permit Expiration Date $-1- 15
70. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A NA
71. Does File Contain Permit Application Completed Within One Year Prior ❑Yes El No El Yes ❑ No ❑Yes El No
to Permit Issue Date? 11-9)-l O
72. Does File Contain Inspection Completed Within Last Calendar Year? [lYes ❑ No El Yes El No ['Yes El No
73. a.Does File Contain Slug/Spill Control Plan? q -ZOO a. Eyes❑No a. ❑Yes ❑No a. ❑Yes❑No
b. If No, is One Needed?(See Inspection Form from POTW) b. ❑Yes❑No b. ❑Yes❑No b. ❑Yes❑No
74. For 40 CFR 413 and 433 TTO Certification,Does File Contain a Toxic ❑Yes❑Nol/A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
Organic Management Plan(TOMP)?
75. a.Does File Contain Original Permit Review Letter from Division? a. Dries ❑No a. ❑Yes ❑No a. ❑Yes❑No
b.All Issues Resolved? b.12' es❑No❑N/A b.❑Yes❑No❑N/A b.❑Yes❑No❑N/A
76. During Most Recent Semi-Annual Period,Did POTW Complete its EYes El No El Yes ❑ No El Yes ❑ No
Sampling as Required by IUP,including Flow?
77. Does File Contain POTW Sampling Chain-Of-Custody Forms? D'Yes El No El Yes El No El Yes El No
78. During Most Recent Semi-Annual Period,Did SIU Complete its eYes❑No❑N/A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
Sampling as Required by IUP,including Flow?
79. During Most Recent Semi-Annual Period,Did SIU submit all reports on LL6es❑No❑N/A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
time? _
80a.For categorical IUs with Combined Wastestream Formula(CWF),does ElYes0Nol4 ❑Yes❑No❑N/A ❑Yes❑No❑N/A
file include process/dilution flows as Required by IUP?
80b.For categorical IUs with Production based limits,does file include ❑Yes❑Nof /A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
production rates and/or flows as Required by IUP?
81. During Most Recent Semi-Annual Period,Did POTW Identify All M6es❑No❑N/A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
Limits Non-Compliance from Both POTW and SIU Sampling?
82. During Most Recent Semi-Annual Period,Did POTW Identify All ❑Yes❑NoMfi/A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
Reporting Non-Compliance from SIU Sampling?
83. a. Was POTW Notified by SIU(Within 24 Hours)of All Self- a.ies❑Nc /A a.❑Yes❑No❑N/A a.❑Yes❑No❑N/A
Monitoring Violations? `
b. Did Industry Resample and submit results to POTW within 30 Days? b.liYes❑No /A b.❑Yes❑No❑N/A b.❑Yes❑No❑N/A
c. If applicable,did POTW resample and obtain results within 30 days of c.(dYes❑No❑N/A
becoming aware of SIU limit violations in the POTW's sampling of SIU? c.❑Yes❑No❑N/A c.❑Yes❑No❑N/A
84. During Most Recent Semi-Annual Period, Was S1U in SNC? ❑l Yes [ "No El Yes El No El Yes El No
85. During Most Recent Semi-Annual Period, Was Enforcement Taken as ®'Yes❑No❑N/A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
Specified in POTW's ERP(NOVs, Penalties,timing,etc.)?
86. Does File Contain Penalty Assessment Notices? 'es❑No❑N/A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
87. Does File Contain Proof Of Penalty Collection? Wit es[)eKo❑N/A ❑Yes❑No❑N/A ❑Yes❑No❑N/A
88. a. Does File Contain Any Current Enforcement Orders? a.❑Yes❑No a.❑yes❑No❑N/A a.❑Yes❑No❑N/A
b. Is SIU in Compliance with Order? b.❑Yes❑No /A b.❑Yes❑No❑N/A b.❑Yes❑No❑N/A
89. Did POTW Representative Have Difficulty in Obtaining Any Requested ❑Yes ID/No El Yes ❑ No El Yes El No
Information For You?
FILE REVIEW COMMENTS: l
le' icc16 tg lc. c",-6,11'04 11-y, ) )1.L.6
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NC fWfl PrrtrPatmant Anrlit Pnrm RPviced• hilu')S lnm Pa UP 5

INDUSTRY INSPECTION PCS CODING:
Trans.Code Main Program Permit Number MM/DD/YY Inspection type Inspector Facility Type
N N C O O Z Q 9 / 64 10 12 U S 2
(DTIA) (TYPI) (INSP) (FACC)
1. Industry Inspected: 1N18C r U
2. Industry Address: 2.:0/ )11 v 1 ye, 'o Z' i/L
3.Type of Indus /Product: 11�(S)Lt=S - y►t'`4
cn' Fax: ?o4 S1-r� 70V 4/ f- - o // )39
4. Industry C nt c : Title: Vp Phone: Fax: (7-, -6 1-
5. Does the POTW Use the Division Model Inspection Form or Equivalent? g4es ❑ No
6. Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview ❑Yes ❑ No
B. Plant Tour ❑Yes ❑ No
C. Pretreatment Tour ❑Yes ❑ No
D. Sampling Review ❑ Yes ❑ No
E. Exit Interview ❑Yes ❑ No
Industrial Inspection Comments: t y
- (5 p,6, r'x 1)5 {
SUMMARY AND COMMENTS: 1 1N) IYv.�-rn 04 1. Lc,,....9 �)
Audit Comments: '.n ; _ {3
Requirements:
Recommendations: '- 6 M c )6 P.14
.WA'S-Idot 5b4.
NOD: ❑ Yes ❑ No ,Q,��
NOV: ❑ Yes CI No C` ' �� C '/ v1D
QNCR: ❑ Yes ❑ No
POTW Rating:
Satisfactory ❑ Marginal ❑ Unsatisfactory❑
Audit COMPLETED BY: DATE:
John Lesley,Mooresville Regional Office
NC TlWfl Prrtrpatmant Audit Form RPViCPd' T11ly 75 1nm Pn OP A

461,111 FILE
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 30, 2011
Ms. Brandy Johnson
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28687
Subject: Pretreatment Compliance
Inspection
Statesville 3rd Creek WWTP
NPDES Permit No. NC0020591
Iredell County,NC
Dear Ms. Johnson: •
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection of the
Statesville approved Industrial Pretreatment Program on August 26, 2011 by John Lesley of this Office.
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact Mr. Lesley at(704) 663-1699.
Sincerely,
6270,,
Pn Robert B. Krebs
.. Regional Supervisor •
Surface Water Protection Section
Enclosure
cc: Central Files
Monti Hassan, PERCS Unit
Mooresville Regional Office One
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 NorthCarolina
Phone:[phone]\Fax:[phone]\Customer Service: 1-877-623-6748 Naturally
Internet:http:llportal.ncdenr.org/webfwq
-.,Fnnal flnnnrtnnity i Affirmative Ae ion f.nttth,ver-50%Recvcledf10°,Post Consumer Hauer

AIF."A W ATEq
NORTH CAROLINA DIVISION OF WATER QUALITY �-yy
NCDENR. ..PRET/EATMENT COMPLIANCE INSPECTION(PCI) REPORT
> JUJ�•7�
BACKGROUND INFORMATION [Complete Prior To PCI; Review Program Info Database Sheet(s)1
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s):Ms. Brandy Johnson
3. Title(s): Pretreatment Program Coordinator
4. Last Inspection Date: 8/25/10 Inspection Type: ® PCI ❑ Audit
5. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ❑YES ®NO
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ YES ® NO
Order Type,Number,Parameters: Are Milestone Dates Being Met? 0 YES ❑ NO ®NA
PCS CODING
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
N NC0020591 08/26/11 P S 1
(DTIA) (TYPI) (INSP) (FACC)
7. Current Number Of Significant Industrial Users(SIUs)? 11 SIUS
8. Current Number Of Categorical Industrial Users(CIUs)? 8 CIUS
9. Number of SIUS Not Inspected By POTW in the Last Calendar Year? 0
10.Number of SIUs Not Sampled By POTW in the Last Calendar Year? 0
11. Enter the Higher Number of 9 or 10 0 NOIN
12.Number of SIUs With No IUP,or With an Expired IUP 0 NOCM
13.Number of SIUs in SNC for Either Reporting or Limits Violations During Either of the Last 2 0 PSNC
Semi-Annual Periods(Total Number of SIUs in SNC)
14.Number of SIUs in SNC For Reporting During Either of the Last 2 Semi-Annual Periods 0 MSNC
15.Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi-Annual Periods 0 SNPS
16.Number of SIUS In SNC For Both Reporting and Limits Violations During Either of the Last 2 0
Semi-annual Periods
POTW INTERVIEW
17. Since the Last PCI,has the POTW had any NPDES Limits Violations? ®YES ❑NO
If Yes, What are the Parameters and How are these Problems Being Addressed? Fecal Coliform 12/10 3`1 Crk
18. Since the Last PCI,has the POTW had any Problems Related to an Industrial ®YES ❑NO
Discharge(Interference,Pass-Through,Blockage,Citizens' Complaints,Increased PRATT low flow causing odors in
Sludge Production,Etc.)? sewer collection system
If Yes,How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during SNC for Limits:None
either of the Last 2 Semi-Annual Periods?Not Been Published for SNC for Reporting:None
Public Notice?(May refer to PAR if Excessive SIUs in SNC) Not Published: None
20. Which Industries are on Compliance Schedules or Orders?For all SIUs on an
Order,Has a Signed Copy of the Order been sent to the Division? None
21. Are Any Permits Or Civil Penalties Currently Under Adjudication?If Yes,Which ❑YES Z NO
Ones?
LTMP/STMP FILE REVIEW:
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ®YES ❑NO
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ®YES ❑NO
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? ®YES ❑NO Is Table Adequate? ®YES ❑NO
25. All LTMP/STMP effluent data reported on Discharge Monitoring Report? ®YES❑NO
26. If NO to 23 -26,list violations:
27. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑YES ®NO
If yes,which ones?Eliminated: Added:
NC DWQ Pretreatment Compliance Inspection(PCI)Form Updated 7125/07 Page 1

r28. PRETREATMENT PROGRAM ELEMENTS REVIEW— Please review POTW files,verify POTW has copy of Program Element in
their files,complete with supporting documents and copy of PERCS Approval Letter,and dates consistent with Program Info:
Program Element Last Submittal Received Last Approval - Date Next Due,
3`d Creek WWTP Date In file? Date In file If Applicable
Headworks Analysis(HWA) 11/11/08 ®Yes❑ No 02/04/09 ® Yes❑ No 4/1/13
Industrial Waste Survey(IWS) _ 6/4/10 ®Yes❑ No 8/11/10 Z Yes❑ No 7/1/16
Sewer Use Ordinance(SUO) 10/19/06 ®Yes❑ No 10/31/06 ® Yes❑ No
Enforcement Response Plan(ERP) 6/8/00 ®Yes❑ No 5/25/01 ®Yes❑ No
Long Term Monitoring Plan(LTMP) 6/6/11 ®Yes❑ No 8/18/11 ®Yes❑ No
Program Element Last Submittal Received Last Approval Date Next Due,
46 Creek WWTP Date In file? Date In file If Applicable
Headworks Analysis(HWA) 9/20/07 ®Yes❑ No 7/2/08 ® Yes❑ No 7/1/12
Industrial Waste Survey(IWS) ❑Yes❑ No ❑ Yes❑ No
Sewer Use Ordinance(SUO) ❑Yes❑ No ❑Yes❑ No _
Enforcement Response Plan(ERP) ❑Yes ❑ No ❑Yes❑ No
Long Term Monitoring Plan(LTMP) 6/6/11 ®Yes❑ No 8/18/11 ®Yes❑ No
•
INDUSTRIAL USER PERMIT(IUP)FILE REVIEW(3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
29. User Name 1.JPS Composites 2.MoCaro 3. Rental Uniform
30. IUP Number 3005 3002 3001
31. Does File Contain Current Permit? ®Yes ❑ No ®Yes ❑ No ®Yes ❑ No
32. Permit Expiration Date 3/1/16 5/1/15 5/1/15
33. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A 410 NA NA
34. Does File Contain Permit Application Completed Within One Year Prior ®Yes ❑ No ®Yes ❑ No ®Yes ❑ No
to Permit Issue Date?
35. Does File Contain an Inspection Completed Within Last Calendar Year? ®Yes ❑ No ® Yes ❑ No ®Yes ❑ No
36. a.Does the File Contain a Slug/Spill Control Plan? a. ®Yes ONo a. ( Yes ONo a. ®Yes ONo
b.If No,is One Needed?(See Inspection Form from POTW) b. ❑Yes ONo b. ❑Yes ONo b. ❑Yes ONo
37. For 40 CFR 413 and 433 TTO Certification,Does File Contain a Toxic ❑Yes❑NoON/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
Organic Management Plan(TOMP)?
38. a.Does File Contain Original Permit Review Letter from the Division? a. ®Yes ONo a. ®Yes ONo a. ®Yes ONo
b.All Issues Resolved? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.®Yes❑No❑N/A
39. During the Most Recent Semi-Annual Period,Did the POTW Complete ®Yes ❑ No ®Yes ❑ No ®Yes ❑ No
its Sampling as Required by IUP, including flow?
40. Does File Contain POTW Sampling Chain-Of-Custody Forms? ®Yes ❑ No ®Yes ❑ No ®Yes ❑ No
41a.During the Most Recent Semi-Annual Period,Did the SIU Complete its ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Sampling as Required by IUP, including flow?
41b. During the Most Recent Semi-Annual Period,Did SIU submit all reports ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
on time?
42a. For categorical IUs with Combined Wastestream Formula(CWF),does ❑Yes❑NoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
file include process/dilution flows as Required by IUP?
42b.For categorical IUs with Production based limits,does file include ❑Yes❑NoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
production rates and/or flows as Required by IUP?
43a. During the Most Recent Semi-Annual Period,Did the POTW Identify ❑Yes❑NoENA ®Yes❑No❑N/A ®Yes❑No❑N/A
All Limits Non-Compliance from Both POTW and SIU Sampling?
43b. During the Most Recent Semi-Annual Period,Did the POTW Identify ❑Yes❑NoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
All Reporting Non-Compliance from SIU Sampling?
NC DWQ Pretreatment Compliance Inspection(PCI)Form Updated 7125/07 Page 2

44. a. Was the POTW Notified by SIU(Within 24 Hours)of All Self- a.❑Yes❑NotaN/A a.❑Yes❑No®N/A a.❑Yes❑NotaN/A
Monitoring Violations?
b. Did Industry Resample and submit results to POTW Within 30 Days? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
c.Did POTW resample within 30 days of knowledge of SIU limit c.❑Yes❑No®N/A c.❑Yes❑No®N/A c.❑Yes❑No®N/A
violations from the POTW sample event?
45. During the Most Recent Semi-Annual Period, Was the SIU in SNC? ❑ Yes ® No ❑ Yes ® No ❑ Yes ❑ No
46. During the Most Recent Semi-Annual Period, Was Enforcement Taken ❑Yes❑No®N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
as Specified in the POTW's ERP(NOVs, Penalties,timing,etc.)?
47. Does the File Contain Penalty Assessment Notices? ❑Yes❑No®N/A ❑Yes❑No®N/A ®Yes❑No❑N/A
48. Does The File Contain Proof Of Penalty Collection? ❑Yes❑No®N/A ❑Yes❑No®N/A ®Yes❑No❑N/A
49. a. Does the File Contain Any Current Enforcement Orders? a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b. Is SIU in Compliance with Order? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
50. Did the POTW Representative Have Difficulty in Obtaining Any of This ❑Yes ® No ❑ Yes ® No ❑Yes ® No
Requested Information For You?
FILE REVIEW COMMENTS:
34. IUP Applications: JPS Composites, 1/31/11; MoCaro,4/8/10; and Rental Uniform,2/8/10.
35. SIU Inspections: JPS Composites,8/25/11; MoCaro,8/23/11; and Rental Uniform,8/18/11.
38. Approval Letters: JPS Composites,3/8/11; MoCaro,5/4/10; and Rental Uniform,3/22/10.
46. JPS Composites,no violations; MoCaro,flow limit violation(NOV sent 7/19/11);and Rental Uniform,COD limit violation(NOV
sent 7/6/11).
47 and 48. Rental Uniform was assessed$50 for the COD violation,receipt of payment on file.
SUMMARY AND COMMENTS:
Comments:
The POTW has received updated Spill/Slug Control Plans from the SIUs.
Requirements:
See the Program Elements Review Section of this report for due dates.
Recommendations:
NOD: ❑ YES ® NO
NOV: ❑YES ® NO
QNCR: ❑ YES® NO
POTW Rating:
Satisfactory ® Marginal ❑ Unsatisfactory_❑
C
PCI COMPLETED BY: V 1AAC
- .7 DATE: August 29,2011
John Lesley,Mooresville Rggtonal Office
NC DWQ Pretreatment Compliance Inspection(PCI)Form Updated 7125/07 Page 3

Aids, FILE
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 26, 2011
Ms. Brandy Johnson
Pretreatment Coordinator
City of Statesville
Post Office Box 1111
Statesville,NC 28687
Subject: PAR Review
City of Statesville
NPDES Permit No. NC0020591
Iredell County,NC
Dear Ms. Johnson:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report (PAR) for the
• reporting period of January through December 2010. Based on the review, the POTW completed the PAR in
accordance with 15A NCAC 2H .0908(b) requirements and guidelines set forth in Comprehensive Guidance for
North Carolina Pretreatment Programs. The next PAR will be due March 1, 2012.
If you have any questions concerning your PAR, please do not hesitate to contact me at [phone]
or by email at [e-mail].
Sincerely,
Ohn Lesley
Mooresville Regional Office Contact
Cc: Monti Hassan, PERCS Unit
Mooresville Regional Office One
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 NprthCarolina
Phone:[phone]\Fax:[phone]\Customer Service:1-877-623-6748 Naturally
Internet:http:/loortal.ncdenr.orq/web/wq
An Equal Opportunity\Affirmative Action Employer—50%Recycled/10%Post Consumer paper

A FILE
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 26, 2010
Ms. Brandy Johnson
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28687
Subject: Pretreatment Compliance
• Inspection
Statesville 3rd Creek WWTP
NPDES Permit No. NC0020591
Iredell County, NC
Dear Ms. Johnson:
•
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection of the
Statesville approved Industrial Pretreatment Program on August 25, 2010 by Mr. John Lesley of this Office.
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact Mr. Lesley at(704) 663-1699.
Sincerely,
Robert B. Krebs
Regional Supervisor
Surface Water Protection Section
Enclosure
• cc: Central Files
Monti Hassan, PERCS Unit
Mooresville Regional Office One
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 NorthCarolina
Phone:[phone]\Fax:[phone]\Customer Service: 1-877-623-6748 Naturally
Internet:http://portal.ncdenr.ortiMeb/wq

��� NORTH CAROLINA DIVISION OF WATER QUALITY
o.o�WarF9oG
NCDENR PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT o
BACKGROUND INFORMATION IComplete Prior To PCI; Review Program Info Database Sheet(s)j
1. Control Authority(POTW)Name: Statesville
2. Control Authority Representative(s): Brandy Johnson
3. Title(s):Pretreatment Program Coordinator
4. Last Inspection Date: 8/11/09 Inspection Type: ® PCI ❑ Audit
5. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ® YES ❑ NO
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑YES ® NO
Order Type,Number,Parameters: Are Milestone Dates Being Met? ❑ YES ❑NO ® NA
PCS CODING
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
N NC0020591 08/25/10 P S 1
(DTIA) (TYPI) (INSP) (FACC)
7. Current Number Of Significant Industrial Users(SIUs)? 8 SIUS
8. Current Number Of Categorical Industrial Users(CIUs)? 11 CIUS
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year? 0
10.Number of SIUs Not Sampled By POTW in the Last Calendar Year? 0
11.Enter the Higher Number of 9 or 10 0 NOIN
12.Number of SIUs With No IUP,or With an Expired IUP 0 NOCM
13.Number of SIUs in SNC for Either Reporting or Limits Violations During Either of the Last 2 0 PSNC
Semi-Annual Periods(Total Number of SIUs in SNC)
14.Number of SIUs in SNC For Reporting During Either of the Last 2 Semi-Annual Periods 0 MSNC
15.Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi-Annual Periods 0 SAPS
16.Number of SIUs In SNC For Both Reporting and Limits Violations During Either of the Last 2 0
Semi-annual Periods
POTW INTERVIEW
17. Since the Last PCI,has the POTW had any NPDES Limits Violations? ® YES ❑ NO
If Yes,What are the Parameters and How are these Problems Being Addressed? NC0020591 -01/09 Toxicity Fail
NC0031836-none reported
18. Since the Last PCI,has the POTW had any Problems Related to an Industrial ❑ YES ® NO
Discharge(Interference,Pass-Through,Blockage,Citizens' Complaints,Increased
Sludge Production,Etc.)?
If Yes,How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during SNC for Limits: None
either of the Last 2 Semi-Annual Periods?Not Been Published for SNC for Reporting:None
Public Notice?(May refer to PAR if Excessive SIUs in SNC) Not Published: None
20. Which Industries are on Compliance Schedules or Orders?For all SIUs on an None
Order,Has a Signed Copy of the Order been sent to the Division?
21. Are Any Permits Or Civil Penalties Currently Under Adjudication?If Yes,Which ❑ YES Z NO
Ones?
LTMP/STMP FILE REVIEW:
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ®YES ❑NO
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ®YES ❑NO
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? ® YES ❑ NO Is Table Adequate? ®YES ❑NO
25. All LTMP/STMP effluent data reported on Discharge Monitoring Report? ® YES❑NO
26. If NO to 23 -26,list violations:
27. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑YES Z NO
If yes,which ones?Eliminated: Added:
Mr nwn pretreatment Cnmnliance Tnsnection(PC11 Form Updated 7/25/07 Page 1

F28. PRETREATMENT PROGRAM ELEMENTS REVIEW—Please review POTW files,verify POTW has copy of Program Element in
their files,complete with supporting documents and copy of PERCS Approval Letter,and dates consistent with Program Info:
Program Element Last Submittal Received Last Approval Date Next Due,
Date In file? Date In file If Applicable
Headworks Analysis(HWA) 10/10/07 ® Yes❑ No 7/2/08 ® Yes ❑ No 7/1/12
Industrial Waste Survey(IWS) 6/4/10 ® Yes❑ No 8/11/10 ® Yes❑ No 7/1/16
Sewer Use Ordinance(SUO) 10/19/06 ® Yes ❑ No 10/31/06 ® Yes❑ No
Enforcement Response Plan (ERP) 6/8/00 ® Yes❑ No _ 5/25/01 - ® Yes❑ No
Long Term Monitoring Plan(LTNIP) 6/4/10 ® Yes ❑ No 8/11/10 ® Yes ❑ No
Program Element Last Submittal Received Last Approval Date Next Due,
Date In file? Date In file If Applicable
Headworks Analysis(HWA) 11/11/08 ® Yes❑ No 2/4/09 ® Yes E No 4/1,'13
Industrial Waste Survey(IWS) ❑ Yes❑ No ❑ Yes ❑ No
Sewer Use Ordinance(SUO) ❑ Yes❑ No ❑ Yes ❑ No
Enforcement Response Plan(ERP) ❑ Yes❑ No ❑ Yes ❑ No
Long Term Monitoring Plan (LTMP) 6/4/10 ® Yes❑ No 8/11/10 ® Yes ❑ No
INDUSTRIAL USER PERMIT(IUP) FILE REVIEW(3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
29. User Name 1. ASMO-North Carolina 2. Tube Tech 3. Hi-Tech Plating
30. IUP Number 4014 4003 3008
31. Does File Contain Current Permit? ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No
32. Permit Expiration Date 7/1/11 5/1/14 9/30/15
33. Categorical Standard Applied(I.E.40 CFR, Etc.)Or N/A 433 433 433.15
34. Does File Contain Permit Application Completed Within One Year Prior ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No
to Permit Issue Date?
35. Does File Contain an Inspection Completed Within Last Calendar Year? ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No
36. a.Does the File Contain a Slug/Spill Control Plan? a. ®Yes❑No a. ®Yes ❑No a. ®Yes❑No
b. If No, is One Needed?(See Inspection Form from POTW) b. ❑Yes❑No b. ❑Yes❑No b. ❑Yes❑No
37. For 40 CFR 413 and 433 TTO Certification,Does File Contain a Toxic ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Organic Management Plan(TOMP)?
38. a.Does File Contain Original Permit Review Letter from the Division? a. ®Yes❑No a. ®Yes❑No a. ZYes❑No
b.All Issues Resolved? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.®Yes❑No❑N/A
39. During the Most Recent Semi-Annual Period,Did the POTW Complete ®Yes ❑ No ® Yes ❑ No ® Yes ❑ No
its Sampling as Required by IUP, including flow?
40. Does File Contain POTW Sampling Chain-Of-Custody Forms? ®Yes ❑ No ® Yes ❑ No ® Yes ❑ No
41a. During the Most Recent Semi-Annual Period,Did the SIU Complete its ®Yes❑No❑N/A EYes❑No❑N/A ®Yes❑No❑N/A
Sampling as Required by IUP, including flow?
41b. During the Most Recent Semi-Annual Period,Did SIU submit all reports EYes❑No❑N/A ❑YesENo❑N/A ❑YesENo❑N/A
on time?
42a. For categorical lUs with Combined Wastestream Formula(CWF),does ❑Yes❑NoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
file include process/dilution flows as Required by IUP?
42b. For categorical IUs with Production based limits, does file include ❑Yes❑NoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
production rates and/or flows as Required by IUP?
43a. During the Most Recent Semi-Annual Period,Did the POTW Identify ❑Yes❑No®NA ❑Yes❑NoEN/A ❑Yes❑NoEN/A
All Limits Non-Compliance from Both POTW and SIU Sampling?
43b. During the Most Recent Semi-Annual Period, Did the POTW Identify ❑Yes❑NoEN/A EYes❑No❑N/A EYes❑No❑N/A
All Reporting Non-Compliance from SIU Sampling?
44. a. Was the POTW Notified by SIU(Within 24 Hours)of All Self- a.❑Yes❑NoEN/A a.❑Yes❑NoEN/A a.❑Yes❑NoaN/A
Monitoring Violations?
b. Did Industry Resample and submit results to POTW Within 30 Days? b❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
c.Did POTW resample within 30 days of knowledge of SIU limit c.❑Yes❑No®N!A c.❑Yes❑No®N/A c.❑Yes❑No®N/A
NC MVO Pretreatment Comnliance Inspection(PCII Form Updated 7/25/07 Page 2

violations from the POTW sample event?
45. During the Most Recent Semi-Annual Period, Was the SIU in SNC? ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No
46. During the Most Recent Semi-Annual Period,Was Enforcement Taken ❑Yes❑No®N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
as Specified in the POTW's ERP(NOVs,Penalties,timing,etc.)?
47. Does the File Contain Penalty Assessment Notices? ❑Yes❑No®N/A ❑Yes❑NoON/A ❑Yes❑No®N/A
48. Does The File Contain Proof Of Penalty Collection? ❑Yes❑NoON/A ❑Yes❑No®N/A ❑Yes❑No®N/A
49. a.Does the File Contain Any Current Enforcement Orders? a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b. Is SIU in Compliance with Order? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
50. Did the POTW Representative Have Difficulty in Obtaining Any of This ❑ Yes ® No ❑Yes ® No ❑ Yes ® No
Requested Information For You?
FILE REVIEW COMMENTS:
28. The Fourth Creek WWTP HWA correspondence does not match the Program Information Database. The Third Creek LTMP
correspondence does not match the Program Information Database.
34. IUP Application date: ASMO,6/13/06;Tube Tech,3/26/09;Hi-Tech Plating,3/18/10.
35. SIU Inspection date: ASMO, 10/19/09;Tube Tech, 10/20/09; Hi-Tech Plating,10/6/09.
37. The TOMP for Hi-Tech Plating is included in their Spill and Slug Control Plan.
38. IUP approval: ASMO,7/18/06; Tube Tech,4/24/09; Hi-Tech Plating,8/12/10.
41b. and 46. Tube Tech and Hi-Tech Plating,did not submit a Certification Statement with their most recent data.
SUMMARY AND COMMENTS:
Comments:
In 2009 MDLs some LTMP data reported on the discharge monitoring reports were in MDLs that did not coincide with the LTMP
requirements. The POTW has corrected the discrepency.
SUO adopted on 6/18/07.
Requirements:
See the Program Elements Review Section of this report.
Tube Tech and Hi-Tech Plating must be required to submit Ceritifcation Statements for TTO with each sample data submission(once each six
month period). Regarding the recent data submittals,require that the Certification Statement be issued in a timely manner.
Recommendations:
Review the laboratory procedures to ensure that the proper sample types(composite/grab)are being used for each parameter being tested.
NOD: ❑ YES Z NO
NOV: ❑ YES ® NO
QNCR: ❑ YES® NO
POTW Rating:
Satisfactory Z Marginal ❑ Unsatisfactory_❑
PCI COMPLETED BY: -017 / �`'' DATE: August 26,2010
Joh ey,Mooresville Regional Of e
NC DWQ Pretreatment Compliance Inspection(PCI)Form Updated 7/25/07 Page 3

A:•
•
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 31, 2010
Ms. Brandy Johnson
Pretreatment Program Coordinator
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28677
Subject: PAR Review
City of Statesville
NPDES Permit No.NC0020591
Iredell County,NC
Dear Ms. Johnson:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report(PAR) for the
reporting period of January through December 2009. Based on the review, the POTW completed the PAR in
accordance with 15A NCAC 2H .0908(b)requirements and guidelines set forth in Comprehensive Guidance for
North Carolina Pretreatment Programs. The next PAR will be due March 1, 2011.
If you have any questions concerning your PAR,please do not hesitate to contact me at(704) 663-1699
or by email at [e-mail].
Sin rely,
ohn Lesley
Mooresville Regional Office Contact
Cc: Monti Hassan, PERCS Unit
Mooresville Regional Office One
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 NorthCarolina
Phone:[phone]\Fax:[phone]\Customer Service: 1-877-623-6748 7aturall,y
Internet:www.ncwaterquality.org
An Equal Opportunity\Affirmative Action Employer—50%Recycled/10%Post Consumer paper

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 12, 2009
Mr. Joe Hudson
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28687
Subject: Pretreatment Compliance
Inspection
Statesville 3rd Creek WWTP
NPDES Permit No. NC0020591
Iredell County,NC
Dear Mr. Hudson:
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection of the
Statesville approved Industrial Pretreatment Program on August 11, 2009 by Mr. John Lesley of this Office.
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact Mr. Lesley at(704) 663-1699.
Sincerely,
obert B. Krebs
S Regional Supervisor
Surface Water Protection Section
Enclosure
cc: Central Files
Monti Hassan, PERCS Unit
Mooresville Regional Office One
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 NorthCarolina
Phone:[phone]\Fax:[phone]\Customer Service:1-877-623-6748 Naturally
Internet:www.ncwaterquality.org
I& An Equal Opportunity\Affirmative Action Employer—50%Recycled/I 0%Post Consumer paper

OFW�'E 9
__r A t NORTH CAROLINA DIVISION OF WATER QUALITY o�/��°G
NCDENR PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
BACKGROUND INFORMATION [Complete Prior To PCI; Review Program Info Database Sheet(s)1
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s):Ms. Brandy Johnson
3. Title(s):Pretreatment Program Coordinator
4. Last Inspection Date: 1/8/08 Inspection Type: ❑ PCI ® Audit
5. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ®YES ❑ NO
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ YES ® NO
Order Type,Number,Parameters: Are Milestone Dates Being Met? ❑ YES ❑ NO ®NA
PCS CODING
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
N NC0020591 08/11/09 P S 1
(DTIA) (TYPI) (INSP) (FACC)
7. Current Number Of Significant Industrial Users(SIUs)? 11 SIUS
8. Current Number Of Categorical Industrial Users(CIUs)? 8 CIUS
9. Number of SIUS Not Inspected By POTW in the Last Calendar Year? 0
10.Number of SIUs Not Sampled By POTW in the Last Calendar Year? 0
11.Enter the Higher Number of 9 or 10 0 NOIN
12.Number of SIUS With No IUP,or With an Expired IUP 0 NOCM
13.Number of SIUS in SNC for Either Reporting or Limits Violations During Either of the Last 2 0 PSNC
Semi-Annual Periods(Total Number of SIUS in SNC)
14.Number of SIUS in SNC For Reporting During Either of the Last 2 Semi-Annual Periods 0 MSNC
15.Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi-Annual Periods 0 SNPS
16.Number of SIUS In SNC For Both Reporting and Limits Violations During Either of the Last 2 0
Semi-annual Periods
POTW INTERVIEW
17. Since the Last PCI,has the POTW had any NPDES Limits Violations? ®YES El NO
If Yes,What are the Parameters and How are these Problems Being Addressed? See Comments
18. Since the Last PCI,has the POTW had any Problems Related to an Industrial ❑YES ®NO
Discharge(Interference,Pass-Through,Blockage,Citizens' Complaints,Increased
Sludge Production,Etc.)?
If Yes,How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during SNC for Limits: None
either of the Last 2 Semi-Annual Periods?Not Been Published for SNC for Reporting:None
Public Notice?(May refer to PAR if Excessive SIUs in SNC) Not Published: NA
20. Which Industries are on Compliance Schedules or Orders?For all SIUs on an
Order,Has a Signed Copy of the Order been sent to the Division? None
21. Are Any Permits Or Civil Penalties Currently Under Adjudication?If Yes,Which ❑YES ®NO
Ones?
LTMP/STMP FILE REVIEW:
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ® YES ❑NO
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ®YES ❑ NO
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? ®YES ❑NO Is Table Adequate? ®YES El NO
25. All LTMP/STMP effluent data reported on Discharge Monitoring Report? Z YES ❑NO
26. If NO to 23 -26,list violations:
27. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑YES ®NO
If yes,which ones?Eliminated: Added: •
NC DWQ Pretreatment Compliance Inspection(PCI)Form Updated 7/25/07 Page 1

28. PRETREATMENT PROGRAM ELEMENTS REVIEW-Please review POTW files,verify POTW has copy of Program Element in
their files,complete with supporting documents and copy of PERCS Approval Letter,and dates consistent with Program Info:
46 Creek: Last Submittal Received Last Approval Date Next Due,
Program Element Date In file? Date In file If Applicable
Headworks Analysis(HWA) 9/20/07 ® Yes ❑ No 7/2/08 ® Yes ❑ No 7/1/12
Industrial Waste Survey(IWS) 5/24/05 ®Yes❑ No 10/13/05 ® Yes ❑ No 7/1/10
Sewer Use Ordinance(SUO) 10/19/06 ®Yes ❑ No 10/31/06 ®Yes ❑ No
Enforcement Response Plan(ERP) 6/8/00 ® Yes ❑ No 5/25/01 ® Yes❑ No
Long Term Monitoring Plan(LTMP) 5/7/08 ® Yes ❑ No 5/16/08 ®Yes ❑ No
3rd Creek: Last Submittal Received Last Approval Date Next Due,
Program Element Date In file? Date In file If Applicable
Headworks Analysis(HWA) 11/11/08 ®Yes❑ No 2/4/09 ®Yes ❑ No 4/1/13
Industrial Waste Survey(IWS) 5/24/05 ®Yes ❑ No 10/13/05 ® Yes❑ No 7/1/10
Sewer Use Ordinance(SUO) 10/19/06 ®Yes ❑ No 10/31/06 ® Yes ❑ No
Enforcement Response Plan(ERP) 6/8/00 ®Yes❑ No 5/25/01 ®Yes ❑ No
Long Term Monitoring Plan(LIMP) 5/7/08 ®Yes❑ No 5/16/08 ®Yes ❑ No
INDUSTRIAL USER PERMIT(IUP)FILE REVIEW(3 RIP FILE REVIEWS OR 1 FILE REVIEW AND 1 RI INSPECTION)
29. User Name 1. Mocaro 2.JPS Composites 3. Keco Coatings-Teknix
30. IUP Number 3002 3005 3004
31. Does File Contain Current Permit? ® Yes ❑ No ® Yes ❑ No ®Yes ❑ No
32. Permit Expiration Date 5/1/10 3/1/11 4/1/13
33. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A NA NA 433
34. Does File Contain Permit Application Completed Within One Year Prior ®Yes ❑ No ® Yes ❑ No ®Yes ❑ No
to Permit Issue Date?
35. Does File Contain an Inspection Completed Within Last Calendar Year? ® Yes ❑ No ® Yes ❑ No ®Yes ❑ No
36. a.Does the File Contain a Slug/Spill Control Plan? a. ®Yes No a. ®Yes ONo a. ®Yes ONo
b.If No, is One Needed?(See Inspection Form from POTW) b. ❑Yes ONo b. ❑Yes ONo b. ❑Yes ONo
37. For 40 CFR 413 and 433 TTO Certification,Does File Contain a Toxic ❑Yes❑No®N/A ❑Yes❑NoON/A ®Yes❑No❑N/A
Organic Management Plan(TOMP)?
38. a.Does File Contain Original Permit Review Letter from the Division? a. ®Yes ONo a. ®Yes ONo a. ®Yes ONo
b.All Issues Resolved? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.®Yes❑No❑N/A
39. During the Most Recent Semi-Annual Period,Did the POTW Complete ® Yes ❑ No ® Yes ❑ No ®Yes ❑ No
its Sampling as Required by IUP,including flow?
40. Does File Contain POTW Sampling Chain-Of-Custody Forms? ®Yes ❑ No ®Yes ❑ No ® Yes ❑ No
41a. During the Most Recent Semi-Annual Period,Did the SIU Complete its ®Yes❑No❑N/A ❑Yes❑No®N/A ®Yes❑No❑N/A
Sampling as Required by IUP,including flow?
41b.During the Most Recent Semi-Annual Period,Did SIU submit all reports ®Yes❑No❑N/A ❑Yes❑No®N/A ®Yes❑No❑N/A
on time?
42a.For categorical Ms with Combined Wastestream Formula(CWF),does ❑Yes❑No®N/A ❑Yes❑NOON/A ❑Yes❑No®N/A
file include process/dilution flows as Required by IUP?
42b.For categorical Ms with Production based limits,does file include ❑Yes❑No®N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
production rates and/or flows as Required by IUP?
43a. During the Most Recent Semi-Annual Period,Did the POTW Identify ❑Yes❑No❑NA ❑Yes❑No❑N/A ❑Yes❑No❑N/A
All Limits Non-Compliance from Both POTW and SIU Sampling?
43b. During the Most Recent Semi-Annual Period,Did the POTW Identify ®Yes❑No❑N/A ❑Yes❑No®N/A ❑Yes❑No®N/A
All Reporting Non-Compliance from SIU Sampling?
44. a.Was the POTW Notified by SM(Within 24 Hours)of All Self- a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No❑N/A
Monitoring Violations?
b.Did Industry Resample and submit results to POTW Within 30 Days? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
c. Did POTW resample within 30 days of knowledge of SIU limit c.❑Yes❑No®N/A
NC DWQ Pretreatment Compliance Inspection(PCI)Form Updated 7/25/07 Page 2

violations from the POTW sample event? c.❑Yes❑NogN/A c.❑Yes❑No❑N/A
5. During the Most Recent Semi-Annual Period,Was the SIU in SNC? ❑Yes ® No ❑ Yes ® No ❑Yes ❑ No
46. During the Most Recent Semi-Annual Period, Was Enforcement Taken OYes❑No❑N/A ❑Yes❑NogN/A ❑Yes❑No©N/A
as Specified in the POTW's ERP(NOVs, Penalties,timing,etc.)?
47. Does the File Contain Penalty Assessment Notices? ®Yes❑No❑N/A ❑Yes❑No®N/A ❑Yes❑NogN/A
48. Does The File Contain Proof Of Penalty Collection? ❑Yes®No❑N/A ❑Yes❑No®N/A I ❑Yes❑NogN/A
49. a. Does the File Contain Any Current Enforcement Orders? a.❑Yes❑NogN/A a.❑Yes❑NogN/A a.❑Yes❑NogN/A
b. Is SIU in Compliance with Order? b.❑Yes❑NogN/A b.❑Yes❑NogN/A b.❑Yes❑NogN/A
50. Did the POTW Representative Have Difficulty in Obtaining Any of This ❑Yes ® No ❑Yes ® No ❑ Yes ® No
Requested Information For You?
FILE REVIEW COMMENTS:
34. HIP application dates: Mocaro 11/29/04 JPS Composites 12/21/05 Keco-Teknix 9/22/08
35. Inspection dates: Mocaro 9/24/08 JPS Composites 8/13/08 Keco-Teknix 7/16/08
37. Keco-Teknix has a TOMP and performs annual TTO analyses and metals 1/6 months. TOMP last updated 8/10/09.
46. Mocaro was noncompliant for silver on 1/12/09 and assessed a$50 civil penalty. JPS Composites was noncompliant for COD on
2/10/09. Keco-Teknix had no violations.
SUMMARY AND COMMENTS: •
Comments:
NPDES Permit Limit Violations: 4th Creek WWTP no violations. 3rd Creek WWTP, DO less than 5mg/1 on 6/5/09 and 5/8/09,pH 5.8 su on
7/5/08.
Requirements:
Proof of penalty collection must be maintained as part of the Pretreatment Program file for each SIU. The proof of payment is currently
maintained at City Hall.
See the Program Elements Review Section of this report for program due dates.
Recommendations:
The Industrial Pretreatment Program is well managed and organized. Keep up the good work.
NOD: ❑YES ®NO
NOV: ❑YES ® NO .
QNCR: ❑YES®NO
POTW Rating:
Satisfactory ® Marginal ❑ Unsatisfactory_❑
/ ----
PCI COMPLETED BY: /, ( , - DATE:August 12,2009
oh esley,Mooresvil Regi,Ial Office
•
NC DWQ Pretreatment Compliance Inspection(PCI)Form Updated 7/25/07 Page 3

toF 'a A rF,9Q Michael F.Easley,Governor
William G.Ross Jr.,Secretary
`Q G North Carolina Department of Environment and Natural Resources
=� j 1�_ Alan W. Klimek,P.E. Director
—i Division of Water Quality
Nmgop-
April 23, 2007
Ms. Brandy Johnson
Pretreatment Program Coordinator
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28677
Subject: PAR Review
City of Statesville
NPDES Permit No.NC0020591
Iredell County,NC
Dear Ms. Johnson:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report (PAR)
for the reporting period of January through December 2006. Based on the review, it appears that
the POTW completed the PAR in accordance with 15A NCAC 2H .0908(b) requirements and
guidelines set forth in Comprehensive Guidance for North Carolina Pretreatment Programs. The
next PAR will be due March 1, 2008.
If you have any questions concerning your PAR,please do not hesitate to contact me at
[phone] or by email at [e-mail].
Sincefely, /2
,.,fohn Lesley
Mooresville Regional Office Contact
Cc: Tom Ascenzo, PERCS Unit
Central Files
N"'ne
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N.C. Division of Water Quality,Mooresville Regional Office,610 E.Center Ave.Suite 301,Mooresville NC 28115 [phone] Customer Service
1-877-623-6748

V\J A 7-� Michael F. Easley,Govern--
V
\0 RG William G.Ross Jr.,Secret
North Carolina Department of Environment and Natural Resources
!f Alan W.Klimek,P. E.Director
> Division of Water Quality
14,
February 9, 2007
Mr. Joe Hudson
City of Statesville
Post Office Box 1111
Statesville, North Carolina 28677
Subject: Pretreatment Compliance
Inspection
City of Statesville
NPDES Permit No. NC0020591
Iredell County,NC
Dear Mr. Hudson:
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection
of the City of Statesville's approved Industrial Pretreatment Program on February 6, 2007 by
John Lesley of this Office.
The report should be self-explanatory; however, should you have any questions
concerning this report,please do not hesitate to contact me at(704) 663-1699.
Sincerely,
am_-__.... ,.
John Lesley
Acting Regional Supervisor
Surface Water Protection Section
Enclosure
cc: Central Files
Tom Ascenzo, PERCS Unit
Iredell County Health Department
No arolina
NehCaturally #J
NCL)L
N.C.Division of Water Quality,Mooresville Regional Office,610 E.Center Ave.Suite 301,Mooresville NC 28115 [phone] Customer Service
1-877-623-6748
1

61A� �FWarFR
1, NORTH CAROLINA DIVISION OF WATER QUALITY o, ` o�
NCDENR PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORTDLOW-
Nowrr.GwOr.isw Dv. RESrt]M O '=:=3 •v, C
ENVINCJNNEM.wo N.mnu RewuM;[s
BACKGROUND INFORMATION :
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s): Ms. Brandy Johnson Telephone: [phone] Fax: [phone]
3. Title(s): Pretreatment Program Coordinator E-mail: [e-mail]
4. Last Inspection Date: 01/19/2006 Inspection Type: ®PCI ❑Audit
5. Has Program Completed All Requirements from the Previous Inspection or Program Info Sheet(s)? ®Yes ❑ No
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ Yes ® No
Order Type and Number: Are Milestone Dates Being Met? ❑ Yes ❑ No ® NA
PCS CODING
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
Lei INICIO 1012 10 IS I9 I1 I I02106I071 I I Is I I I
(DTIA) (TYPI) (INSP) (FACC)
7. Current Number Of Significant Industrial Users(SIUs)? 11 SIUS
8. Current Number Of Categorical Industrial Users(CIUs)? 8 CIUS
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year? 0
10.Number of SIUs Not Sampled By POTW in the Last Calendar Year? 0
11.Enter the Higher Number of 9 or 10 0 NOIN
12.Number of SIUS With No IUP,or With an Expired IUP 0 NOCM
13.Number of SIUs in SNC for Either Reporting or Limits Violations During Either of the Last 2
Semi-Annual Periods(Total Number of SIUs in SNC) 0 PSNC
14.Number of SIUs in SNC For Reporting During Either of the Last 2 Semi-Annual Periods L 0 MSNC
15.Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi-Annual Periods r 0 SNPS
16.Number of SIUs In SNC For Both Reporting and Limits Violations During Either of the Last 2
Semi-annual Periods 0
POTW INTERVIEW
17. Since the Last PCI,has the POTW had any POTW Permit Limits Violations? ® Yes ❑ No
If Yes, What are the Parameters and How are these Problems Being Addressed? Third Creek WWTP:
(See Comments Section) fecal coliform 9/06(weekly avg.)
Fourth Creek WWTP: NA
18. Since the Last PCI,has the POTW had any Problems Related to an Industrial ❑ Yes ® No
Discharge(Interference,Pass-Through,Blockage,Citizens' Complaints, Increased
Sludge Production,Etc.)?
If Yes,How are these Problems Being Addressed?
19. Which Industries have been in SNC during either of the Last 2 Semi- SNC for Limits: NA
Annual Periods?Have any Industries in SNC(During Either of the Last SNC for Reporting: NA
2 Semi-Annual Periods)Not Been Published for Public Notice? Not Published: NA
(May refer to PAR if Excessive SIUs in SNC)
20. Which Industries are on Compliance Schedules or Orders?For all SIUs on an
Order,Has a Signed Copy of the Order been sent to the Division? Comm Scope SOC pending
21. Are Any Permits Or Civil Penalties Currently Under Adjudication?If Yes,Which ❑ Yes ® No
Ones?
Filename: Statesville PCI 0607 Page 1
Revised: 6/30/98

TREATMENT PROGRAM ELEMENTS REVIEW— Statesville Third Creek WWTP:
Program Element Last Submittal Last Approval Date Next Due,
Date In file? Date In file If Applicable
Headworks Analysis(HWA) 12/17/03 ® Yes❑ No 01/29/04 ® Yes❑ N• o 12/31/08
Industrial Waste Survey(IWS) 05/24/05 ® Yes❑ No 10/13/05 ® Yes❑ N• o 07/01/10
Sewer Use Ordinance(SUO) 10/19/06 ®Yes❑ No 10/31/06 ® Yes❑ No
Enforcement Response Plan (ERP) 06/08/00 ® Yes❑ No 05/25/01 ®Yes❑ N• o
Long Term Monitoring Plan(LTMP) 10/01/20 ® Yes❑ No 10/26/02 ® Yes❑ No
PRETREATMENT PROGRAM ELEMENTS REVIEW— Statesville Fourth Creek WWTP:
Program Element Last Submittal Last Approval Date Next Due,
Date In file? Date In file If Applicable
Headworks Analysis(HWA) 09/16/02 ®Yes❑ No 03/25/03 ®Yes❑ N• o 10/01/07
Industrial Waste Survey(IWS) 05/24/05 ® Yes❑ No 10/13/05 ® Yes❑ No 07/01/10
Sewer Use Ordinance(SUO) 10/19/06 ❑Yes❑ No 10/31/06 ®Yes❑ No
Enforcement Response Plan (ERP) 06/08/00 ®Yes ❑ No 05/25/01 ® Yes❑ N• o
Long Term Monitoring Plan(LTMP) 11/07/03 ®Yes❑ No 01/22/04 ®Yes❑ No
LTMP FILE REVIEW:
22. Is the LIMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ® Yes ❑ No
23. Should any Pollutants of Concern be Eliminated from or Added to the LTMP? ❑ Yes ® No
If yes,which ones?Eliminated: Added:
24. Are Correct Detection Levels being used for all LTMP Monitoring? ®Yes ❑ No
25. Is the LIMP Data Maintained in a Table or Equivalent? ® Yes ❑ No Is the Table Adequate? ® Yes ❑ No
INDUSTRIAL USER PERMIT(IUP)FILE REVIEW(3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
26. User Name 1. Hi Tech Plating 2. Kewaunee Scientific 3. Tube Specialties
27. IUP Number 3008 3009 4002
28. Does File Contain Current Permit? ® Yes ❑ No ®Yes ❑ No ® Yes ❑ No
29. Permit Expiration Date 9/30/10 3/1/11 4/15/08
30. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A 433 433 433
31. Does File Contain Permit Application Completed Within One Year Prior ® Yes ❑ No Z Yes ❑ No EZI Yes ❑ No
to Permit Issue Date?
32. Does File Contain an Inspection Completed Within Last Calendar Year? ® Yes ❑ No ®Yes ❑ No ® Yes ❑ No
33. a.Does the File Contain a Slug Control Plan? a. ®Yes❑No a. ®Yes ❑No a. ®Yes❑No
b. If No,is One Needed?(See Inspection Form from POTW) b. ❑Yes ❑No b. "Wes❑No b. ['Yes❑No
34. For 40 CFR 413 and 433 TTO Certifiers,Does File Contain a Toxic ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Organic Management Plan(TOMP)?
35. a. Does File Contain Original Permit Review Letter from the Division? a. ®Yes ❑No a. ®Yes❑No a. ®Yes❑No
b.All Issues Resolved? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.®Yes❑No❑N/A
36. During the Most Recent Semi-Annual Period,Did the POTW Complete ®Yes ❑ No ®Yes ❑ No ® Yes ❑ No
its Sampling as Required by IUP?
37. Does File Contain POTW Sampling Chain-Of-Custody Forms? ® Yes ❑ No ®Yes ❑ No ®Yes ❑ No
38. During the Most Recent Semi-Annual Period,Did the SIU Complete its ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Sampling as Required by IUP?
39. Does Sampling Indicate Flow or Production? ®Yes❑No❑N/A ®Yes❑No❑N/A i ®Yes❑No❑N/A
40. During the Most Recent Semi-Annual Period,Did the POTW Identify ❑ Yes ❑ No ®Yes ❑ No ®Yes ❑ No
All Non-Compliance from Both POTW and SIU Sampling? ®NA ❑NA ❑NA
41. a. Was the POTW Notified by SIU(Within 24 Hours)of All Self- I a.❑Yes❑No®N/A II a.❑Yes❑No®N/A II a.❑Yes❑No®N/A I
Filename: Statesville PCI 0607 Page 2
Revised: 6/30/98

Monitoring Violations?
b. Did Industry Resample Within 30 Days? b. ❑Yes[No b. ❑Yes❑No b. ❑Yes❑No
42. Was the SIU Promptly Notified of Any Violations(Per ERP)? ❑Yes❑NogN/A ! ❑Yes❑NogN/A II ❑Yes❑No N/A
43. During the Most Recent Semi-Annual Period, Was the SIU in SNC? 9 ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No I
44. During the Most Recent Semi-Annual Period,Was Enforcement Taken ❑Yes❑NogN/A ❑Yes❑NogN/A ❑Yes❑NogN/A
as Specified in the POTWs ERP?
45. Does the File Contain Penalty Assessment Notices? ❑Yes❑NogN/A ❑Yes❑NogN/A ❑Yes❑NogN/A
46. Does The File Contain Proof Of Penalty Collection? ❑Yes❑NogN/A ❑Yes❑NogN/A ❑Yes❑NogN/A
47. a. Does the File Contain Any Current Enforcement Orders? a.❑Yes❑NogN/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b. Is SIU in Compliance with Order? b.❑Yes❑NogN/A b.❑Yes❑No®N/A b.❑Yes❑NogN/A
48. Did the POTW Representative Have Difficulty in Obtaining Any of This ❑ Yes ® No ❑Yes ® No ❑ Yes ® No
Requested Information For You?
FILE REVIEW COMMENTS:
1. #38 Hi Tech Plating notifies the POTW when a discharge is generated from the batch treatment system. The POTW takes full
responsibility for the sampling at this SIU due to the nature of the discharge. The SIU did not generate a discharge in the last
quarter of 2006.
PCI SUMMARY AND COMMENTS:
PCI Comments: The Pretreatment Program is well organized and managed. Files were in excellent shape.
Requirements: See the Program Elements Review Section of this report for important due dates.
Recommendations: Great progress has been made in the management and organization of the City's Industrial Pretreatment Program.
Continue to attend training sessions relative to Pretreatment Program elements such as HWA Workshops,PAR Workshops,IUP Writing
Workshops,and the Annual Pretreatment Conference. Membership in the Pretreatment Consortium is advised for networking opportunities.
NOD: El Yes ® No
NOV: ❑Yes ® No
QNCR: ❑ Yes ® No
POTW Rating:
Satisfactory ® Marginal ❑ Unsatisfactory ❑
PCI COMPLETED BY: '-- T CJ'..,s_ L '�' � DATE: February 8,2007
John Lesley,Mooresville Regional Office
Filename: Statesville PCI 0607 Page 3
Revised: 6/30/98

WC(yr
� W A T� Michael F.Easley,Governor
!7 William G.Ross Jr.,Secretary
\ North Carolina Department of Environment and Natural Resources
U) Alan W.Klimek,P.E.Director> .7: Division of Water Quality
p `"
January 23, 2006
Mr. Joe Hudson
City of Statesville
Post Office Box 1111
Statesville, North Carolina 28677
Subject: Pretreatment Compliance
Inspection
City of Statesville
NPDES Permit No. NC0020591
Iredell County, NC
Dear Mr. Hudson:
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection
of the City of Statesville's approved Industrial Pretreatment Program on January 19, 2006 by
John Lesley of this Office.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Mr. Lesley or me at [phone].
Sincerely,
Ti4-- l''''. -der
D. Rex Gleason, P.E.
C Surface Water Protection Regional Supervisor
Enclosure
cc: Central Files
Jon Risgaard, PERCS Unit
Iredell County Health Department
JL
No e hCartura!!y olina Ai+•��
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NLUENR
N.C.Division of Water Quality,Mooresville Regional Office,610 E.Center Ave.Suite 301,Mooresville NC 28115 [phone] Customer Service
1-877-623-6748

FI�
' NORTH CAROLINA DIVISION OF WATER QUALITY o�°�w arFRoG
NCDENR PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT fl
NwTM Cawouwn Denwrwcrvr of
Ewviwowwcxr uo NcuwK Reaouwces
BACKGROUND INFORMATION[Complete Prior To PCI; Review Program Info Database Sheet(s)1
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s): Ms.Brandy Johnson Telephone: [phone]. Fax: [phone]
3. Title(s): Pretreatment Program Coordinator E-mail: [e-mail]
4. Last Inspection Date: 12/06/2004 Inspection Type: ®PCI ❑Audit
5. Has Program Completed All Requirements from the Previous Inspection or Program Info Sheet(s)? ®Yes ❑ No
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑Yes ® No
Order Type and Number: Are Milestone Dates Being Met? ❑Yes ❑ No ® NA
PCS CODING
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
INI INIC. IO ! OH 10 15 19 11 I 101 1191061 I I IS I Lii
(DTIA) (TYPI) (INSP) (FACC)
7. Current Number Of Significant Industrial Users(SIUs)? L 11 SIDS
8. Current Number Of Categorical Industrial Users(CIUs)? 8 CIUS
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year? 0
10.Number of SIUs Not Sampled By POTW in the Last Calendar Year? 0
11.Enter the Higher Number of 9 or 10 0 NOIN
12.Number of SIUs With No IUP, or With an Expired IUP 0 NOCM
13.Number of SIUs in SNC for Either Reporting or Limits Violations During Either of the Last 2
Semi-Annual Periods(Total Number of SIUs in SNC) 0 PSNC
14.Number of SIUs in SNC For Reporting During Either of the Last 2 Semi-Annual Periods 0 MSNC
15.Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi-Annual Periods 0 SNPS
16.Number of SIUs In SNC For Both Reporting and Limits Violations During Either of the Last 2
Semi-annual Periods 0
POTW INTERVIEW
17. Since the Last PCI,has the POTW had any POTW Permit Limits Violations? ® Yes ❑ No
If Yes,What are the Parameters and How are these Problems Being Addressed? See Comments
(See Comments Section) •
18. Since the Last PCI,has the POTW had any Problems Related to an Industrial ® Yes ❑ No
Discharge(Interference,Pass-Through,Blockage,Citizens' Complaints,Increased Cadmium pass through at 3`d
Sludge Production,Etc.)? Creek WWTP
If Yes,How are these Problems Being Addressed?
19. Which Industries have been in SNC during either of the Last 2 Semi- SNC for Limits: None
Annual Periods?Have any Industries in SNC(During Either of the Last SNC for Reporting: None
2 Semi-Annual Periods)Not Been Published for Public Notice? Not Published: NA
(May refer to PAR if Excessive SIUs in SNC)
20. Which Industries are on Compliance Schedules or Orders?For all SIUs on an
Order,Has a Signed Copy of the Order been sent to the Division? None
21. Are Any Permits Or Civil Penalties Currently Under Adjudication?If Yes,Which ❑ Yes ® No
Ones?
Filename: Statesville PCI 0506 Page I
Revised: 6/30/98

REATMENT PROGRAM ELEMENTS REVIEW— Please review POTW files and complete the following:
Program Element Date of Last Approval Date Next Due,If Applicable
Headworks Analysis(HWA) 3/25/03 10/1/07
Industrial Waste Survey(IWS) 10/13/05 7/1/10
Sewer Use Ordinance(SUO) 9/26/00 12/1/06
Enforcement Response Plan(ERP) 5/25/01
Long Term Monitoring Plan(LTMP) 1/22/04
LTMP FILE REVIEW:
22. Is the LTMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ® Yes ❑ No
23. Should any Pollutants of Concern be Eliminated from or Added to the LTMP? ❑ Yes ® No
If yes,which ones?Eliminated: Added:
24. Are Correct Detection Levels being used for all LTMP Monitoring? ®Yes ❑ No
25. Is the LTMP Data Maintained in a Table or Equivalent? ®Yes ❑ No Is the Table Adequate? ®Yes ❑ No
INDUSTRIAL USER PERMIT(IUP)FILE REVIEW(3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
26. User Name 1. Hexcel Scwebel 2. Teknix 3. Slane Glass
27. IUP Number 3005 3004 4017
28. Does File Contain Current Permit? ® Yes ❑ No ® Yes ❑ No ®Yes ❑ No
29. Permit Expiration Date 3/1/06 4/1/08 1/12/11
30. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A NA 433 ' 433
31. Does File Contain Permit Application Completed Within One Year Prior ®Yes ❑ No ®Yes ❑ No ®Yes ❑ No
to Permit Issue Date? • _
22. Does File Contain an Inspection Completed Within Last Calendar Year? Z Yes ❑ No ® Yes ❑ No ® Yes ❑ No
33. a.Does the File Contain a Slug Control Plan? a. ®Yes ❑No a. ®Yes ONo a. ®Yes❑No
b.If No,is One Needed? (See Inspection Form from POTW) b. ❑Yes ❑No b. ❑Yes DNo b. ❑Yes DNo
34. For 40 CFR 413 and 433 TTO Certifiers,Does File Contain a Toxic ❑Yes❑NoEN/A EYes❑No❑N/A EYes❑No❑N/A
Organic Management Plan(TOMP)?
35. a.Does File Contain Original Permit Review Letter from the Division? a. ®Yes ❑No a. ZYes DNo a. ❑Yes ENo
b. All Issues Resolved? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.❑Yes❑No❑N/A
36. During the Most Recent Semi-Annual Period,Did the POTW Complete ®Yes ❑ No ® Yes ❑ No ®Yes ❑ No
its Sampling as Required by IUP?
37. Does File Contain POTW Sampling Chain-Of-Custody Forms? ®Yes ❑ No ®Yes ❑ No ®Yes Cl No
38. During the Most Recent Semi-Annual Period,Did the SIU Complete its EYes❑No❑N/A ®Yes❑No❑N/A EYes❑No❑N/A
Sampling as Required by IUP?
39. Does Sampling Indicate Flow or Production? El Yes❑N°ON/A E Yes❑No❑N/A EYes❑No❑N/A
40. During the Most Recent Semi-Annual Period,Did the POTW Identify ®Yes ❑ No ®Yes ❑ No ® Yes ❑ No
All Non-Compliance from Both POTW and SIU Sampling? ❑NA ❑NA ❑NA
41. a.Was the POTW Notified by SIU(Within 24 Hours)of All Self- a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
Monitoring Violations?
b.Did Industry Resample Within 30 Days? b. ❑Yes DNo b. ❑Yes DNo b. ❑Yes❑No
42. Was the SIU Promptly Notified of Any Violations(Per ERP)? ❑YesDNoEN/A ❑YesDNoEN/A ❑YesDNo®N/A
43. During the Most Recent Semi-Annual Period,Was the SIU in SNC? ❑Yes ® No ❑ Yes ® No ❑Yes ® No
44. During the Most Recent Semi-Annual Period,Was Enforcement Taken ❑Yes❑NoEN/A DYes❑NoON/A ❑Yes❑NoEN/A
as Specified in the POTWs ERP?
45. Does the File Contain Penalty Assessment Notices? ❑YesDNoEN/A ❑Yes❑NoEN/A ❑Yes❑NoEN/A
46. Does The File Contain Proof Of Penalty Collection? ❑YesDNoEN/A ❑Yes❑NoEN/A ❑YesDNoEN/A
47. a.Does the File Contain Any Current Enforcement Orders? a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b. Is SIU in Compliance with Order? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
48. Did the POTW Representative Have Difficulty in Obtaining Any of This ❑Yes ® No ❑Yes ® No ❑Yes ® No
Requested Information For You?
Filename: Statesville PCI 0506 Page 2
Revised: 6/30/9R

FILE REVIEW COMMENTS:
Question 35: There was no approval letter on file for Slane Glass due the recent issuance (1/13/2005) and insufficient time for
conducting a revew of the permit.
PCI SUMMARY AND COMMENTS:
PCI Comments: Ms.Brandy Johnson became the City's Pretreatment Coordinator in January 2006,
Requirements: Review all Spill Prevention Control Contingency(SPCC)plans and Toxic Organic Management Plans(TOMP)for
current information. Request updated copies of any SPCCC or TOMP that are no longer current.
Recommendations: It is recommended that staff attend available training sessions sponsored by the Division and consider becoming a
member of the North Carolina Pretreatment Consortium.
NOD: ❑ Yes ® No
NOV: ❑ Yes ® No
QNCR: ❑ Yes ® No
POTW Rating: •
Satisfactory ® Marginal ❑ Unsatisfactory ❑
rs
!
PCI COMPLETED BY: , 1 ^� 7 DATE: January 23,2006
JAhn esle M r v' /
�. y, oo es illy-Iregional Office
Filename: Statesville PCI 0506 Page 3
Revised: 6/30/98

sc),F W A TF9Q Michael F.Easley,Governor
William G.Ross Jr.,Secrets
G North Carolina Department of Environment and Natural Resources
jr Alan W. Klimek,P.E.Director
—i Division of Water Quality
April 7, 2005
Ms. Carol Bell
Industrial Pretreatment Program Coordinator
City of Statesville
Post Office Box 1111
Statesville, North Carolina 28677
Subject: PAR Review
City of Statesville
NPDES Permit No. NC0020591
Iredell County, NC
Dear Ms. Bell:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report (PAR)
for the reporting period of January through December 2004. Based on the review, it appears that
the POTW completed the PAR in accordance with guidelines set forth in Chapter 9 of the
Comprehensive Guidance for North Carolina Pretreatment Programs.
If you have any questions concerning your PAR, please do not hesitate to contact John
Lesley of this Office at [phone].
Sincerely,
fl c D. Rex Gleason, 1.
/Surface Water Protection Regional Supervisor
Cc: PERCS Unit—Deborah Gore
Central Files
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NorthCarolina
Nat/traI4q 4L'jTr�.Te
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N.C. Division of Water Quality,Mooresville Regional Office,610 E.Center Ave.Suite 301,Mooresville NC 28115 [phone] Customer Service
1-877-623-6748

Nf/�)'� Michael F.Easley,Go"'-rnor
4 William G.Ross Jr.,Se•3tary
V
`�QGNorth Carolina Department of Environment and Natural Res,.rces
` � �
r- Alan W.Klimek,P.E.Director
Division of Water Quality
O Fb -
Noma ,6
December 6, 2004
Mr. Joe Hudson
City of Statesville
Post Office Box 1111
Statesville,North Carolina 28677
Subject: Pretreatment Compliance
Inspection
City of Statesville
NPDES Permit No. NC0020591
Iredell County, NC
Dear Mr. Hudson:
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection
of the City of Statesville's approved Industrial Pretreatment Program on December 1, 2004 by
John.Lesley of this Office. The City's Pretreatment Program is most commendable.
The report should be self-explanatory; however, should you have any questions
concerning this report,please do not hesitate to contact Mr. Lesley or me at [phone].
Sincerely,
h
n
D. Rex Gleason,P.E.
,I..----- Surface Water Protection Regional Supervisor
Enclosure
cc: Central Files
Deborah Gore, Pretreatment Group
Iredell County Health Department
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NCDENR
N.C.Division of Water Quality,Mooresville Regional Office,610 E.Center Ave.Suite 301,Mooresville NC 28115 [phone] Customer Service
1-877-623-6748
ifil 111

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�--- NORTH CAROLINA DIVISION OF WATER QUALITY
NCDENR PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
fv-raH.w.vx.w Vwi-�n+i.3.xcx:+cvn
BACKGROUND INFORMATION 'Complete Prior To PCI;Review Program Info Database Sheet(s)J
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s): Ms. Carol Bell Telephone: [phone] Fax: [phone]
3. Title(s): Pretreatment Program Coordinator E-mail: [e-mail]
4. Last Inspection Date: 11 /05/2003 Inspection Type: ®PCI [' Audit
5. Has Program Completed All Requirements from the Previous Inspection or Program Info Sheet(s)? ❑ Yes ❑ No
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑Yes ® No
Order Type and Number: Are Milestone Dates Being Met? ❑Yes ❑ No ® NA
PCS CODING
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
LNJ I N I C I 0 l 0 12 10 15 19 l 1 I 112I01 I04I I P I I S I 11 I
(DTIA) (TYPI) (INSP) (FACC)
7. Current Number Of Significant Industrial Users(SIUs)? 11 SIUS
8. Current Number Of Categorical Industrial Users(CIUs)? 8 CIUS
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year? 0
10.Number of SIUs Not Sampled By POTW in the Last Calendar Year? 0
11. Enter the Higher Number of 9 or 10 0 NOIN
12.Number of SIUs With No RIP, or With an Expired IUP 0 NOCM
13.Number of SIUs in SNC for Either Reporting or Limits Violations During Either of the Last 2
Semi-Annual Periods(Total Number of SIUs in SNC) 3 PSNC
14.Number of SIUs in SNC For Reporting During Either of the Last 2 Semi-Annual Periods 1 MSNC
15.Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi-Annual Periods 2 SNPS
16.Number of SIUS In SNC For Both Reporting and Limits Violations During Either of the Last 2
Semi-annual Periods 0
POTW INTERVIEW
17. Since the Last PCI,has the POTW had any POTW Permit Limits Violations? ❑ Yes ® No
If Yes,What are the Parameters and How are these Problems Being Addressed?
(See Comments Section)
18. Since the Last PCI,has the POTW had any Problems Related to an Industrial ❑ Yes ® No
Discharge(Interference,Pass-Through,Blockage,Citizens' Complaints,Increased
Sludge Production,Etc.)?
If Yes,How are these Problems Being Addressed?
19. Which Industries have been in SNC during either of the Last 2 Semi- SNC for Limits: See Comments Section
Annual Periods?Have any Industries in SNC(During Either of the Last SNC for Reporting: Carolina Fabrics
2 Semi-Annual Periods)Not Been Published for Public Notice? Not Published: none
(May refer to PAR if Excessive SIUs in SNC)
20. Which Industries are on Compliance Schedules or Orders?For all SIUs on an
Order,Has a Signed Copy of the Order been sent to the Division? None
21. Are Any Permits Or Civil Penalties Currently Under Adjudication?If Yes, Which ❑ Yes ❑ No
Ones?
Filename: Statesville PCI 0405 Page 1
Revised: 6/30/98

TREATMENT PROGRAM ELEMENTS REVIEW- Please review POTW files and complete the following:
rH
Program Element Date of Last Approval Date Next Due,If Applicable
eadworks Analysis(HWA) 3rd Creek 1/29/04 4`h Creek 3/25/04 3rd Creek 12/31/08 4th Creek 10/01/07
Industrial Waste Survey(IWS) 8/29/00 4/1/05
Sewer Use Ordinance(SUO) 9/26/00
Enforcement Response Plan(ERP) 5/25/01
Long Term Monitoring Plan(LTMP) 3rd Creek 1/26/02 4`h Creek 1/22/04
LTMP FILE REVIEW:
22. Is the LTMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ® Yes ❑ No
23. Should any Pollutants of Concern be Eliminated from or Added to the LTMP? ❑Yes ® No
If yes,which ones?Eliminated: Added:
24. Are Correct Detection Levels being used for all LTMP Monitoring? ®Yes ❑ No
25. Is the LTMP Data Maintained in a Table or Equivalent? ®Yes ❑ No Is the Table Adequate? ®Yes ❑ No
INDUSTRIAL USER PERMIT(IUP)FILE REVIEW(3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
26. User Name 1. Tube Specialties,Inc. 2.Asmo N.C.,Inc. 3.Rental Uniform
27. IUP Number 4002 4014 3001
28. Does File Contain Current Permit? ®Yes ❑ No ® Yes ❑ No ® Yes ❑ No
29. Permit Expiration Date 4/15/08 7/1/06 5/1/05
30. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A 433 433 NA
31. Does File Contain Permit Application Completed Within One Year Prior ®Yes ❑ No ® Yes ❑ No ® Yes ❑ No
to Permit Issue Date?
22. Does File Contain an Inspection Completed Within Last Calendar Year? Z Yes ❑ No ® Yes ❑ No ® Yes ❑ No
33. a.Does the File Contain a Slug Control Plan? a. ®Yes ONo a. ZYes❑No a. ®Yes ❑No
b.If No,is One Needed? (See Inspection Form from POTW) b. ❑Yes ❑No b. ❑Yes ❑No b. ❑Yes❑No
34. For 40 CFR 413 and 433 TTO Certifiers,Does File Contain a Toxic ®Yes❑No❑N/A ®Yes❑No❑N/A ❑Yes❑No®N/A
Organic Management Plan(TOMP)?
35. a.Does File Contain Original Permit Review Letter from the Division? a. ®Yes ❑No a. ®Yes ❑No a. EYes ❑No
b.All Issues Resolved? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.®Yes❑No❑N/A
36. During the Most Recent Semi-Annual Period,Did the POTW Complete ®Yes ❑ No ® Yes ❑ No ® Yes ❑ No
its Sampling as Required by IUP?
37. Does File Contain POTW Sampling Chain-Of-Custody Forms? ®Yes ❑ No ® Yes ❑ No ® Yes ❑ No
38. During the Most Recent Semi-Annual Period,Did the SIU Complete its ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Sampling as Required by IUP?
39. Does Sampling Indicate Flow or Production? ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/1
40. During the Most Recent Semi-Annual Period,Did the POTW Identify ❑Yes ❑ No ❑ Yes ❑ No ® Yes ❑ No
All Non-Compliance from Both POTW and SIU Sampling? ®NA ®NA ❑NA
41. a.Was the POTW Notified by SIU(Within 24 Hours)of All Self- a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑Noc N A
Monitoring Violations?
b.Did Industry Resample Within 30 Days? b. ❑Yes ❑No b. ❑Yes ❑No b. ❑Yes ❑No _
42. Was the SIU Promptly Notified of Any Violations(Per ERP)? ❑Yes❑No®N/A ❑Yes❑No®N/A I ®Yes❑No❑N/A
43. During the Most Recent Semi-Annual Period,Was the SIU in SNC? ❑Yes ® No ❑ Yes ® No ❑Yes ® No
44. During the Most Recent Semi-Annual Period,Was Enforcement Taken ❑Yes❑No®N/A ❑Yes❑No®N/A ®Yes❑No❑N/A
as Specified in the POTWs ERP?
45. Does the File Contain Penalty Assessment Notices? ❑Yes❑NoON/A ❑Yes❑No®N/A ®Yes❑No❑N/A
46. Does The File Contain Proof Of Penalty Collection? ❑Yes❑No❑N/A ❑Yes❑No❑N/A ®Yes❑No❑N/A
47. a.Does the File Contain Any Current Enforcement Orders? a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b. Is SIU in Compliance with Order? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
48. Did the POTW Representative Have Difficulty in Obtaining Any of This ❑Yes ® No ❑ Yes ® No ❑ Yes ® No
Requested Information For You?
Filename: Statesville PCI 0405 Page 2
Revised: 6/30/98

Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.T }
LNJ I N I c, I o I n 1 I I I I 1 IIIJ I I
(DTIA) (TYPI) (INSP) (FACC)
I.Industry Inspected:
2. Industry Address:
3.Type of Industry/Product:
4. Industry Contact: Title:
Phone: Fax:
5.Does the POTW Use the Division Model Inspection Form or Equivalent? ❑ Yes ❑ No
6. Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview ❑ Yes ❑ No
B. Plant Tour ❑ Yes ❑ No
C. Pretreatment Tour ❑ Yes ❑ No
D. Sampling Review ❑ Yes ❑ No
E. Exit Interview ❑Yes ❑ No
Industrial Inspection Comments:
FILE REVIEW COMMENTS:
POTW sampling found Unifrom Rental in noncompliance in July and August 2004. Uniform Rental was assessed a $300 civil
penalty in each of the two months. The facility installed additional pretreatment and returned to compliance in September 2005.
PCI SUMMARY AND COMMENTS:
PCI Comments:
1. Hunting Manufacturing was in SNC for COD limit violations in the July-December 2003 period. The SIU has since ceased
discharge.
2. Teknix was in SNC for iron for the July-December 2003 period.
3. Carolina Fabrics was in SNC for a reporting violation in the July-December 2003 period. The SIU has since been dropped from
the program because of flow reduction.
Requirements: See the Pretreatment Program Elements Review Section of this report.
Recommendations: The City's Pretreatment Program is most commendable. Keep up the good work.
NOD: ❑Yes ® No
NOV: ❑Yes ® No
QNCR: ❑ Yes ® No
POTW Rating:
Satisfactory ® Marginal ❑ Unsatisfactory ❑
PCI COMPLETED B DATE: December 3,2004
J hn Lesley,Mooresville Re i nal Office
Filename: Statesville PCI 0405 Page 3
Revised: 6/30/98

t(114
OF \^• •1�a Michael F.Easley.Governor
' William G.Ross Jr..Secretary
�; QG North Carolina Department of Environment and Natural Resources
_T)I I 1 Alan W.Klimek_P.E.Director
—1 Division of Water Quality
✓ 'C Colcen H.Sullins.Deputy Director
Division of Water Quality
March 29, 2004
Ms. Carol Rogers
Industrial Pretreatment Program Coordinator
City of Statesville -
Post Office Box 1111
Statesville, North Carolina 28677
Subject: PAR Review
City of Statesville
NPDES Permit No. NC0020591
Iredell County, NC
Dear Ms. Rogers:
Mooresville Regional Office staff has reviewed your Pretreatment Annual Report (PAR)
for the reporting period of January through December 2003. Based on the review, it appears that
the POTW completed the PAR in accordance with guidelines set forth in Chapter 9 of the
Comprehensive Guidance for North Carolina Pretreatment Programs.
If you have any questions concerning your PAR,please do not hesitate to contact John
Lesley of this Office at [phone].
Sincerely,
(.3.,...c....
7Rex Gleason,P.E.
Water Quality Regional Supervisor
Cc: Pretreatment Unit - Central Office
Central Files •
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NC:DEW
N.C.Division of Water Quality, Mooresville Regional Office, 919 North Main Street, Mooresville NC 28115 (7(34)663-1699 Customer Service
1-877-623-6748

OF W AT�R Michael F.Easley,wovemor
William G.Ross Jr.,Secretary
\� G North Carolina Department of Environment and Natural Resources
Co
Alan W.Klimek,P.E.Director
Division of Water Quality
O C Coleen H.Sullins,Deputy Director
Division of Water Quality
November 6, 2003
Mr. Joe Hudson
City of Statesville
Post Office Box 1111
Statesville, North Carolina 28677
Subject: Pretreatment Compliance
Inspection
City of Statesville
NPDES Permit No. NC0020591
Iredell County, NC
Dear Mr. Hudson:
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection
of the City of Statesville's approved Industrial Pretreatment Program on November 5, 2003 by
Mr. John Lesley of this Office.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Mr. Lesley or me at [phone].
Sincerely,
. Rex Gleason, P.E.
Water Quality Regional Supervisor
Enclosure
cc: Central Files
Deborah Gore, Pretreatment Group
Iredell County Health Department
JL
NorthCarolina 47
,NaturallyNCDENR
— ItJ
N.C.Division of Water Quality, Mooresville Regional Office, 919 North Main Street, Mooresville NC 28115 [phone] Customer Service
1-877-623-6748

.5414 NORTH CAROLINA DIVISION OF WATER QUALITY
CDENR PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
BACKGROUND INFORMATION ]Complete Prior To PCI; Review Program Info Database Sheet(s)!
1. Control Authority(POTW)Name: City of Statesville
2. Control Authority Representative(s): Carol Rogers Telephone: [phone] Fax: [phone]
3. Title(s): Pretreatment Program Coordinator E-mail: [e-mail]
4. Last Inspection Date: 08/30/2002 Inspection Type: ❑ PCI ® Audit
5. Has Program Completed All Requirements from the Previous Inspection or Program Info Sheet(s)? ® Yes ❑ No
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ Yes ® No
Order Type and Number: Are Milestone Dates Being Met? ❑ Yes ❑ No ® NA
PCS CODING
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac.Type
L>`Ll INlclo In 12 10 IS 19 11 I 1 11 1 05 1 03I I I Is I I 1
(DTIA) (TYPI) (INSP) (FACC)
7. Current Number Of Significant Industrial Users(SIUS)? 14 SIUS
8. Current Number Of Categorical Industrial Users(CIUs)? 9 CIUS
9. Number of SIUS Not Inspected By POTW in the Last Calendar Year? 0
10.Number of SIUS Not Sampled By POTW in the Last Calendar Year? 0
11. Enter the Higher Number of 9 or 10 0 NOIN
12.Number of SIUs With No IUP, or With an Expired IUP 0 NOCM
13.Number of SIUs in SNC for Either Reporting or Limits Violations During Either of the Last 2
Semi-Annual Periods(Total Number of SIUs in SNC) 4 PSNC
14. Number of SIUs in SNC For Reporting During Either of the Last 2 Semi-Annual Periods 0 MSNC
15.Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi-Annual Periods 4 SNPS
16. Number of SIUs In SNC For Both Reporting and Limits Violations During Either of the Last 2
Semi-annual Periods 0
POTW INTERVIEW
17. Since the Last PCI,has the POTW had any POTW Permit Limits Violations? ® Yes ❑ No
If Yes, What are the Parameters and How are these Problems Being Addressed? TSS 3rd Crk WWTP Flooding
(See Comments Section)
18. Since the Last PCI,has the POTW had any Problems Related to an Industrial ❑ Yes ® No
Discharge(Interference, Pass-Through,Blockage,Citizens' Complaints, Increased
Sludge Production,Etc.)?
If Yes, How are these Problems Being Addressed?
19. Which Industries have been in SNC during either of the Last 2 Semi- SNC for Limits: See Comments Section
Annual Periods?Have any Industries in SNC(During Either of the Last SNC for Reporting: None
2 Semi-Annual Periods)Not Been Published for Public Notice? Not Published: None
(May refer to PAR if Excessive SIUS in SNC)
20. Which Industries are on Compliance Schedules or Orders? For all SIUS on an
Order, Has a Signed Copy of the Order been sent to the Division? None
21. Are Any Permits Or Civil Penalties Currently Under Adjudication? If Yes, Which ❑ Yes ® No
Ones?
Filename: Statesville PCI 0304 Page I
Revised: 6/30/98

TREATMENT PROGRAM ELEMENTS REVIEW- Please review POTW files and complete the following:
2E VProgram Element Date of Last Approval Date Next Due,If Applicable
Headworks Analysis(HWA) `4'h Crk 3/25/03 3rd Crk 3/1/01 4th Crk 11/1/04 3rd Crk 12/31/03
Industrial Waste Survey(IWS) 8/29/00 4/1/05
Sewer Use Ordinance(SUO) 9/26/00
Enforcement Response Plan(ERP) 5/25/01
Long Term Monitoring Plan(LTMP) 4'h Crk 10/26/02 3rd Crk 10/26/02
*4d'Crk=411'Creek WWTP 3rd Crk=3`d Creek WWTP
LTMP FILE REVIEW:
22. Is the LTMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ® Yes ❑ No
23. Should any Pollutants of Concern be Eliminated from or Added to the LTMP? ❑ Yes ® No
If yes,which ones?Eliminated: Added:
24. Are Correct Detection Levels being used for all LTMP Monitoring? ®Yes ❑ No
25. Is the LTMP Data Maintained in a Table or Equivalent? ®Yes ❑ No Is the Table Adequate? ® Yes ❑ No
INDUSTRIAL USER PERMIT(IUP) FILE REVIEW(3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
26. User Name 1. Mocaro 2. O.W.Slane Glass 3. Kewaunee Scientific
27. IUP Number 3002 4017 3009
28. Does File Contain Current Permit? ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No
29. Permit Expiration Date 5/1/05 1/12/06 3/1/06
30. Categorical Standard Applied(I.E.40 CFR,Etc.)Or N/A NA 433 433
31. Does File Contain Permit Application Completed Within One Year Prior ®Yes ❑ No ® Yes ❑ No ® Yes ❑ No
to Permit Issue Date?
22. Does File Contain an Inspection Completed Within Last Calendar Year? ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No
33. a.Does the File Contain a Slug Control Plan? a. ZYes ❑No a. ®Yes ❑No a. ZYes ONo
b. If No, is One Needed?(See Inspection Form from POTW) b. ❑Yes ❑No b. ❑Yes ❑No b. ❑Yes ❑No
34. For 40 CFR 413 and 433 TTO Certifiers,Does File Contain a Toxic ❑Yes❑NoON/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Organic Management Plan(TOMP)?
35. a. Does File Contain Original Permit Review Letter from the Division? a. ZYes ❑No a. ®Yes ❑No a. ZYes ❑No
b.All Issues Resolved? b.®Yes❑No❑N/A b.®Yes❑No❑N/A b.0Yes❑No❑N/A
36. During the Most Recent Semi-Annual Period,Did the POTW Complete ®Yes ❑ No ® Yes ❑ No ® Yes ❑ No
its Sampling as Required by IUP?
37. Does File Contain POTW Sampling Chain-Of-Custody Forms? ® Yes ❑ No ®Yes ❑ No ® Yes ❑ No
38. During the Most Recent Semi-Annual Period,Did the SIU Complete its ®Yes❑No❑N/A ®Yes❑No❑N/A ®Yes❑No❑N/A
Sampling as Required by[UP?
39. Does Sampling Indicate Flow or Production? ElYes❑No❑N/A ®Yes❑No❑N/A ElYes❑No❑N/A
40. During the Most Recent Semi-Annual Period,Did the POTW Identify ®Yes ❑ No ❑ Yes ❑ No ® Yes ❑ No
All Non-Compliance from Both POTW and SIU Sampling? ❑NA ® NA ❑NA
41. a.Was the POTW Notified by SIU(Within 24 Hours)of All Self- a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.®Yes❑No❑N/A
Monitoring Violations?
b.Did Industry Resample Within 30 Days? b. ❑Yes ❑No b. ['Yes ❑No b. ®Yes ❑No _
42. Was the SIU Promptly Notified of Any Violations(Per ERP)? ®Yes❑No❑N/A ❑Yes❑No®N/A ®Yes❑No❑N/A
43. During the Most Recent Semi-Annual Period,Was the SIU in SNC? ®Yes ❑ No ❑Yes ® No ❑Yes ® No
44. During the Most Recent Semi-Annual Period,Was Enforcement Taken ®Yes❑No❑N/A ❑Yes❑No®N/A ®Yes❑No❑N/A
as Specified in the POTWs ERP?
45. Does the File Contain Penalty Assessment Notices? ®Yes❑No❑N/A ❑Yes❑NoON/A ®Yes❑No❑N/A
46. Does The File Contain Proof Of Penalty Collection? ®Yes❑No❑N/A ❑Yes❑NolEN/A ®Yes❑No❑N/A
47. a.Does the File Contain Any Current Enforcement Orders? a.❑Yes❑No®N/A a.❑Yes❑No®N/A a.❑Yes❑No®N/A
b. Is SIU in Compliance with Order? b.❑Yes❑No®N/A b.❑Yes❑No®N/A b.❑Yes❑No®N/A
48. Did the POTW Representative Have Difficulty in Obtaining Any of This ❑Yes ® No ❑ Yes ® No ❑Yes ® No
Requested Information For You?
Filename: Statesville PCI 0304 Page 2
Revised: 6/30/98

LE REVIEW COMMENTS:
The POTW's Pretreatment Program is most commendable.
PCI SUMMARY AND COMMENTS:
PCI Comments: SIUs in SNC in last two semi-annual periods are as follows:
Significant Industrial User Period in Significant Non Compliance Parameter
Hexcel Schwebel July—December 2002 COD
Kewaunee Scientific July—December 2002 Cu,Fe,and COD
Hexcel Schwebel January—June 2003 Zn
MoCaro January—June 2003 TSS
Rental Uniform January—June 2003 BOD
Requirements: Update the LTMP detection limits page to indicate mercury method 1631 MDL for effluent mercury analyses.
Submit the updated portions of the LTMP to the Division's Central Office so they may be added to the LTMP on file.
Recommendations: Keep up the good work.
NOD: ❑ Yes ® No
NOV: ❑ Yes ® No
QNCR: ❑ Yes ® No
POTW Rating:
Satisfactory ® Marginal ❑ Unsatisfactory ❑
PCI COMPLETED BY: 6,--
DATE: November 6,2003
Lesley,Mooresville!Re ional Office
•
Filename: Statesville PCI 0304 Page 3
Revised: 6/30/98

�OfWA74
�O G
UiC.-ael E..EaGovernorey,Governor
> r Valera a x.secretary
Noah caroira Decarrnent et Endrorrmac and Natral Resources
Aa IV Kim*,P.E.Dirmnr
Civiscrt of Water amity
•
April 17, 2003
Ms. Carol Rogers
Industrial Pretreatment Program Coordinator
City of Statesville
Post Office Box 1111
Statesville, North Carolina 28677
Subject: PAR Review
City of Statesville -
NPDES Permit No. NC0020591
Iredell County,NC
Dear Ms. Rogers:
Mooresville Regional Office staff has reviewed your Pretreatment Annual R..--port(PAR)
for the reporting period of January through December 2002. Based on the review.it appear_thin
the POTW completed the PAR in accordance with guidelines set forth in Chapter 9 of the
Comprehensive Guidance for North Carolina Pretreatment Pro2ams.
If you have any questions concerning your PAR, please do not hesitate to comact John
Lesley of this Office at [phone].
Sincerely,
•
\D. Rex Gleason,P.E.
Water Quality Regional Supervisar
Cc: Deborah Gore, Pretreatment Unit- Central Office
Central Files
JL
PHONE (704)6Z-1E99 Ihou' �Aeooaa'.03fre 919 North Main Street MoocesviLe.Iv:28": 5
`qx "'e _-_ ftsorrier Service