NC0021709_Pretreatment Annual Report_20220228

Town of Jefferson
ALDERMEN 302 East Main Street MAYOR
Charles Caudill PO Box 67 Bluferd Eldreth
Mark Johnston Jefferson, NC 28640 TOWN MANAGER
Max Yates Dan McMillan
Wes Williams Phone [phone] FINANCE OFFICER
Cathy Ballou Fax [phone] Kayla Jones
Tax ID # 56-0896625
February 25, 2022
NC Division of Environmental Quality
PERCS Unit
1617 Mail Service Center RECEIVED
���
Raleigh, NC 27699-1617 R
ATTN: Ms.Vivien Zhong FEB 2 8 2022
SUBJECT: Annual Pretreatment Report
Town of Jefferson Water Resources NCDEQIDWRINPDES
Dear Ms. Zhong
Please find attached two copies of the Pretreatment Annual Report for the Town of Jefferson Water
Resources for the calendar year 2021. If additional information is required please contact me at (336)
246-2165, or by email at [e-mail]. Thank you.
Respectfully,
Tim Church, Water Resources Director
Town of Jefferson

t
Town of Jefferson Water Resources
Industrial Pretreatment Program
Narrative for the Annual Report 2021
The Town of Jefferson Industrial Pretreatment Program regulates American Emergency Vehicles as it's
only Significant Industrial User. This facility is a 40 CFR 433.17 categorical metal finishing operation
resulting from a process that uses a fluoridated etching solution to prepare ambulance bodies for primer
coating and finish painting.
In 2021 the Town of Jefferson sampled the AEV discharge semi-annually per their IUP requirements.
All parameters were found to be in compliance with permit limits.
American Emergency Vehicles is in the process of closing their operation at 165 American Way. A small
crew remains on site but will be shutting down completely this summer. Based on that schedule the Town
chose not to reissue the AEV IUP, however in conversation with Mr. Alex Lowe of the Winston-Salem
Regional Office, it was discovered that the permit should have been renewed even for the short period of
time this facility will remain open. The Town prepared a request to renew the IUP for American
Emergency Vehicles which was forwarded to Mr. Michael Montebello of the PERCS staff on January 13,
2022. A copy of the cover letter for that request is attached.
American Emergency Vehicles completed its semi-annual sampling requirements with all parameters
measuring in compliance. AEV also submitted both of its required semiannual Toxic Organic Management
Plan certification statements to the Town.
The Town has completed quarterly sampling requirements necessary for completing the Headworks
Analysis which is due 4/01/2022. Michael Whittenburg of McGill Associates will again be completing our
Headworks calculations and spreadsheets.

Town of Jefferson
ALDERMEN 302 East Main Street MAYOR
Charles Caudill PO Box 67 Bluferd Eldreth
Mark Johnston Jefferson, NC 28640 TOWN MANAGER
Max Yates Charity Shatley
Wes Williams Phone [phone] FINANCE OFFICER
Cathy Ballou Fax [phone] Kayla Jones
Tax ID # 56-0896625
January 13, 2022
NC DEQ
Division of Water Quality/PERCS
1617 Mail Service Center
Raleigh, NC 27699-1617
ATTN: Mr. Michael Montebello, Municipal Permitting Unit
SUBJECT:Town of Jefferson,Ashe County NPDES NC0021709
Renewal/Reissuance of Industrial User Permit#004 American Emergency Vehicles
Dear Mr. Montebello:
The Town of Jefferson requests to renew IUP#004 for American Emergency Vehicles. This IUP was
allowed to expire as this facility has been phasing out of operation for some time and will be vacating
their facility by August, 2022. The Town has been informed that renewal of this permit is necessary.
Mr. Alex Lowe of the Winston-Salem Regional Office is assisting the Town in this matter. We are
requesting no revisions to the effluent limits or monitoring requirements found in the most recent
version of this IUP.
Following Section II (3) (5)of Basic IUP Guidance I have included the following documentation:
• The Transmittal Letter that will be sent to the SIU once this IUP renewal is approved by PERCS
• The IUP with a new cover page, including signature and effective date, along with IUP history
• The existing IUP synopsis
• SIU's application
• POTW's most recent inspection of American Emergency Vehicles
• Allocation Table
If you have questions, comments or require additional information regarding this renewal request
please call me at [phone] or contact me by email at [e-mail]'. Thank you for your
assistance in this matter.
Respectfully,
Tim Church, Water Resources Director
Town of Jefferson

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
I. Pretreatment Town Name: Town of Jefferson
2. "Primary" NPDES Number NCO() 21709
or Non_Discharge Permit# if applicable=>
3. PAR Begin Date, please enter 01/01/yyyy 3.=> 1/1/2021
4. PAR End Date, please enter 12/31/yyyy 4.=> 12/31/202I
5. Total number of SIUs, includes CIUs 5._>
6. Number of CIUs 6.=> I
7. Number of SIUs with no IUP, or with an expired IUP 7.=> I
8. Number of SIUs not inspected by POTW 8.=> 0
9. Number of SIUs not sampled by POTW 9.=> 0
10. Number of SIUs in SNC due to IUP Limit violations 10.=> 0
11. Number of SIUs in SNC due to Reporting violations 11•=> 0
12. Number of SIUs in SNC due to violation of a Compliance Schedule,CO,AO or similar 12._> 0
13. Number of CIUs in SNC i3._> 0
14. Number of SIUs included in Public Notice 14.=> 0
15 Total number of SIUs on a compliance schedule, CO, AO or similar 15.=> 0
16. Number of NOVs,NNCs or similar assesed to SIUs 16.=> 0
17. Number of Civil Penalties assessed to SIUs 17._> 0
18. Number of Criminal Penalties assessed to SIUs 18.=> 0
19. Total Amount of Civil Penalties Collected 19.=> $ 0
20. Number of IUs from which penalties collected 20.=> 0
Foot Notes: AO Administrative Order IUP Industrial User Pretreatment Permit POTW Publicly Owned Treatment Works
CIU Categorical Industrial User NNC Notice of Non-Compliance SIU Significant Industrial User
CO Consent Order NOV Notice of Violation SNC Significant Non-Compliance
IU Industrial User PAR Pretreatment Annual Report
revised 1/2018: PAR PPS 2018

Pretreatment Annual Report (PAR) PAR covers this calendar year=> 2021
Significant Non-Compliance Report (SNCR) Control Authority=Program=Town Name => Jefferson
WWTP = Wastewater Treatment Plant, use separate form for each WWTP. WWTP Name => Jefferson WWTP
SIU = Significant Industrial User NPDES # _> NC0021709
SNC = Significant Non-Compliance
A SNCR Form must be submitted with every PAR, please write "None" if you had No SIUs in SNC during calendar year
SNC ? ( Yes/No )
tut, Pipe Industry Name Parameter for each 6-month period.
t$ or "Reporting" Jan. - June July - Dec.
None,
Attach a copy of the Division's "SIUs in SNC Historical Report" for your POTW's SIUs behind this page .
Is the database correct ? Notify the Division of any errors ! Database indicates SNC history for previous years.
EVERY SNC MUST be explained in the Narrative, How was, is, or will it be resolved?
REPEAT SNCs arc serious matters that MUST be explained in the Narrative.
Puna name: I'AR,SNCR.2001
Date Ito ised 1/4/2001

histrreir
S IV CREPORT
Jefferson
2014 2015 2016 2017 2018 2019 2020
1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half 1st half I 2nd half
American Emergency Vehicles PreviousNames:
IUP# 004 Pipe# 01 sIu Word Description,
Metal
IUP Status:IUP# 004
pH I I I I XI I I
TSS I I I I I I I X
An'X'in a semi-annual period indicates snc for the period for the respective parameter.
This information is compiled from manysources,and has not been verified. PAGE 39
PRINTED ON. 12/7/2021 P
Contact the local pretreatment coordinator or state pretreatment staff if errors are noted.

/
Pretreatment Program Info Database printed on: 1/18/2022
for Program Name Jefferson
4„ tp
WVVTP Name Town of Jefferson Stream Information IWc%at 7010 29.69
Program Approval Date 01/20/1988 7Q10 Flow cfs/mgd 2.2 / 1.42
1Q10 Flow cfs/mgd 1.84 / 1.19
Pretreatment Status Modified
Region SRO Stream Classification C+
Basin Number NEVV01
County Ashe ReceivingStream Name
NPDES Number NC0021709 NAKED CREEK
NPDES Effective Date Last PAR Rec 03/05/2021 PAR Due Date 03/01/2022 mercury
02/01/2018 1631
Current FiscalNPDES Expire Date 03/31/2022 12/06/2021
Year PCI Done required
POTW is Primary W lvrp TRUE Last Audit on 03/12/2019 Audit Year Next23/24 yes
Design Flow mgd 0.6000 %Design mgd is SIU permitted 0.83 Permitted SIU flow(mgd)[Pt SIU) .005
VVVVTP SIU's 1 Program SIUs 1
WWfP CIU's 1 Program CIUsJ1 HWA LTMP IWS SUO ERP
date Inactive Date Next Due 04/01/2022 05/01/2024
Date Received by DWR 08/03/2018 03/16/2018 04/25/2019 11/02/2012 06/29/2020
Date Approved 08/07/2018 03/28/2018 05/30/2019 11/07/2012 09/23/2020
Adopt Date Required
Date Adopted
Jnfo in this Box from Pt _Contacts Date Date Date
PT_Pro Attended Attended Attended
Formal Name g.Pnme Phones ext Fax HWA Wksp IUP WkspPA Wksp
Mr.Tim Church !Prim I1(336)246-2165 1(336)246-2165 !( 8/22/2007 I 11/23/2001 I
[e-mail] Water Resources Director PO Box 67 28640
Mr. Michael Whittenburg [phone] 177 I I I I
michael.whittenburg©mcgillengineers.com Engineering Associate
SPretreatment Related NOVs from DWQ IIMcGee 8 Miller !
•
DVVR Central Office Contact I
4/14/2005 SIU inspections, enforcement
7/13/2010 NOV/NOI,6/17/10 PCI,failure to enforce DWR Regional Contact Alex Lowe
5/23/2014 NOD