HomeMy WebLinkAboutNC0023876_Industrial User_20220509 City _of Burlington
•� %x Xristy Xing
IndustriaCPretreatment Syeciafist
1y�
•
April 22, 2022
RECEIVED
MAY 092022
Mr. Michael Montebello NCDEQ/DWRJNPDE'
Municipal Permitting Unit -
Division of Water Resources
1617 Mail Service Center .
Raleigh, N.C. 27699-1617
Subject: New Industrial User Permit
Dear Mr. Montebello,
Please find enclosed a copy of the permit pages for Picket Hosiery Mills, which includes
the cover letter, Inspection Report, and permit application. I also included an updated •
allocation table for South Burlington Treatment Plant. The allocation table is from the
last approved Headworks Analysis.
If you have any questions, please feel free to email me at klking@burlingtonnc,gav or
call me at 336-222-5133
Sincerely,
•
Kristy King
Industrial Pretreatment Specialist
City of Burlington
Connecting the Triad and the Triangle
1302 Belmont Street—PO Box 1358-Burlington, NC 27216
Phone 336-222-5133-www.BurlingtonNC.gov •
City o Burl' ton
el
rc'co4
^`, Robert C. Patterson,Jr., P.E.
3 Water Resources Director
J-
4`R4 los
April 19, 2022 RECEIVED
Mr. Larry Small ivi A( 0 9
Pickett Hosiery Mills, Inc.
733 Koury Drive NCDEQIDWRINPDES
Burlington,NC 27215
Subject: Industrial User Permit#0090
New Permit and Fee
Dear Mr. Small,
Enclosed please find the user permit issued to Pickett Hosiery Mills, Inc. located at 733 Koury
Drive. This permit regulates the wastewater that is discharged to the South Burlington
Wastewater Treatment Plant. This permit becomes effective April 25, 2022 and expires
December 31, 2026. Please read this permit carefully and retain it in your filing system. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and
the City of Burlington Sewer Use Ordinance.
If any measurement frequencies or sampling requirements contained in this peiuut are
unacceptable,you have the right to an adjudicatory hearing upon written request within thirty
(30) days following the receipt of this letter.
The City of Burlington reserves the right to modify this permit as necessary. These limitations
and requirements may change at any time during the permit period as deemed necessary by the
City of Burlington.
An industrial user(SIU) permit fee of$300.00 is required. This letter serves as your initial
invoice. Checks should be made payable to the City of Burlington and remitted by May 9, 2022.
City of Burlington
Attn: Water Resources Director
P.O. Box 1358
Burlington,N.C. 27216-1358
Connecting the Triad and the Triangle
1302 Belmont Street—PO Box 1358--Burlington,NC 27216
••
' Industrial User Wastewater Survey
& Permit Application
COVER PAGE
Company Name: Pickett Hosiery Mills
Name of responsible person on site at the facility authorized to represent the Name of alternative on site person familiar with the day to day operations,
company in official dealings with the Sewer Authority and/or the City. environmental permitting requirements, monitoring, record keeping, and
Larry Small data management,. Rhonda Hollady
Title CEO Years with firm less than Title COO Years with firm less than
L I year
Phone#336-512-6065 1=a:s it Phone#336-953-4761 Fax p
Physical street address of facility Official mailing address,if different. Note if same.
733 Koury Drive same
City Burlington State NC Zip 27215 City I State Zip
The information provided by you on this questionnaire serves two functions:
1. The information is used to determine if your facility needs an Industrial
User Pretreatment Permit (IUP) for the discharge of wastewater to the
local sewer.
If an Industrial User Pretreatment Permit (fUP) is required, this survey
serves as the application for an Industrial User Pretreatment Permit(IUP).
Requests for confidential treatment of information provided on this form shall be governed by
procedures specified in 40 CFR Part 2. In accordance with Title 40 of the Code of Federal Regulations
Part 403, Section 403.14 and the Local Sewer Use Ordinance (SUO), information and data provided in
this questionnaire which identifies the content,volume and frequency of discharge shall be available to
the public without restriction.
This is to be signed by an authorized official of your firm,as defined in the Local Sewer Use Ordinance or the NC Model
Sewer Use Ordinance,Section 1.2,after completion of this form.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified
personnel properly gather and evaluate the information submitted. Based upon my inquiry of
•
the person ox persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fine and/or imprisonment for
kno violations.
`7ICAel2- — 2
Signaof Authorize Representative Date
fisted above (seal if applicable)
Title: IU Wastewater Survey & Permit Application
..., ..a r. .rr .,. r . .,.a ... . ‘r•,........+r..41.
• Industrial User Wastewater Survey
& Permit Application
1. Provide a brief narrative description of the type of business, manufacturing
processes,or service activities your firm conducts at this site.
We knit,sew and dye socks.
2. List the primary products produced at this facility:
Socks
3. List raw materials and process additives used:
Yarn,dyes and chemicals for the dyeing process
4. Are biocides added to any water discharged to the POTW,
if yes describe:
Yes
No x
5. Describe weekly production schedule, including shifts worked per day,
employees per shift,and primary operation during shift.
Knit, sew,dye 5 days per week 40 hours per week—one shift 6am—2 pm-47 people
Knit 5 days per week 2nd shift 3p-1 ip 2 people
Knits 5 days per week 3rd shift 1 1p—7 am 2 people
6. Production process is: Check, if all continuous x
Check, if all batch
If both please enter, %continuous= % %Batch= °fo
Title: IU Wastewater Survey & Permit Application
,, .. �,,,. • ... ... . \n,._., ,.n..a t.\!SO TEST')TTJTIT\T. .T.........T
Industrial User Wastewater Survey
& Permit Application
7. Does production vary significantly(+-20%)by season. Describe.
Yes 6
No
8. Are any significant (-1-- 20 %) changes in production that will affect wastewater
discharge expected in the next 5 years. If yes,please describe.
Yes
Nox _ .
. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled off.
/7/7
i 0, Attach a copy of laboratory analyses performed in the last year on the wastewater
discharge(s) from your facilities. Summarize data on the attached Data Summary
Form. A)(g
11, Attach sketch or schematic showing sampling points and all connections to the sewer.
A'f4ch42
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
Title: to Wastewater Survey & Permit Application
r••r r.rrr sr:. r i r. .., r... mate r n.r .r+ MP?!XJ Inr..,a....+..:..t
Industrial User Wastewater Survey
&Permit Application
13. Do you have, or have you ever applied for, been issued, or beep denied
an NPDES permit to discharge to the surface waters or storm sewers of
North Carolina? If yes, list all other NPDES permits, permit numbers,
dates,and names used to apply for them,or reason denied.
If yes: Permit,#,date,applicant name
Yes
If yes: Permit,#,date,applicant name
No
14. Do you have, or have you ever applied for or been issued an Industrial
User Pretreatment Permit (IUP) to discharge wastewater to the sewer
collection system. If yes, list all other 'UP permits, permit numbers,
dates,and names used to apply for them.
If yes: Permit,#,date,applicant name Yes
If yes: Permit,#,date,applicant name
No
15. Do you have, or have you ever applied for or been issued any other
Environmental Permits (for example; air, RCRA, groundwater,
stormwater, general, Non-Discharge, septic tank, etc.). If yes, list all
other permits,permit numbers,dates,and names used to appl for them.
If yes: Permit type,#,date,applicant name Yes
If yes: Permit type,#,date,applicant name to
If yes: Permit type,#,date,applicant name
16. Is a Spill Prevention Control and Countermeasure (SPCC) Plan
prepared for this facility?
Yes
No X
17. Is a Spill /Slug Control Plan required by the POTW, prepared for this
facility?
Yes '.
No
Title: IU Wastewater Survey & Permit Application
.,•. f „e .. ,I. ,.„- „ . Ih .,+..,+/l..+l .i.1l3ilMil TLIIIIN 1
• Industrial User Wastewater Survey
& Permit Application
18. Do you have any underground storage tanks at your facility? If yes,list
contents and volume of each tank.
Yes
No 1 -
19. Do you have any above ground storage tanks at your facility? If yes,
for each tank, list the contents, volume, whether the tank has any spill
prevention or containment devices, such as dikes, and procedures for
draining any containment devices.
Yes I/ #of Tanks t
No
J-162g // Fi/04 // 41 /
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\);mail Attachments\Industrial Wastewater Survey IUP Permit Application(1-1 1-
22).docx
Revision date: 12/30/97 Page 5 of 193
Industrial User Wastewater Survey & Permit Application
PART II, Water Supply, Use, & Disposal Worksheets
Water Used for: Water Avg. lvlax.A Ada M E Disposal Avg. 1 Max. M E
Source(s) g y b y Method(s) gal/day gal/day e st
a ii a i
s m s m
u at u , at
1 I re e
d d 1 re e
I d d
(see Source List below) (see Disposal List below
I. Process water30 Doc) p ) �#
2. Washdown water (i
�� ' If,-C r` L,Soo Elt�� 1,50D k'
3. Water into product , i
4. Air Quality Permitted units_, i
5. Domestic-toilets drinking,cafe ,� AP C I ` Soo : ji
I . v.
6 ' rug water,Process NON-Contact
7. Eo'e Cooling tower blowdown it
8. Cooling water,HVAC
9. Other:
I
Totals=> --2.9,-)v0 33,-1.251 Totals=>',- -7 , s7-7,zs
Typical Water Sources: Possible Water Disposal Methods
1. City/Public supply 1. Sanitary sewer,with pretreatment
2. Privatewells,drinking 2. Sanitary sewer,without pretreatment
3. Groundwater remediation wells 3. Storm sewer
4. Private ponds 4. Surface waters of NC
5. Surface waters of NC,please identify 5. Evaporation
6. Include others if applicable 6. Land applied 1(-- es-+-(vvN° "eC
7. To groundwater
8. Septic Tank `.-y, Ot l e
9. Waste Haulers(identify) v�
10. Water into Product (AC pie\!l 0 5
Title: Ili Wastewater Survey & Permit Application
File name: C:\Users\Rusty l-Iolt\Documents\Email Attachments\Industrial Wastewater Survey IUP Permit Application(1-11-22).docx \DCJ 'OVI
Revision date: 12/30/97 Page 6 of 198
•
11. Include others,if applicable
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documcnts\Email Attachments\industrial Wastewater Survey IUP Pennit Application(1-1 1-22).docx
Revision date: 12/30/97 Page 7 of 198
PAIN III,PRETREATMENT FACILITIES:
Are there any pretreatment devices or processes used for treating wastewater
before being discharged to the sewer? Check all that are present,and describe.
No pretreatment facilities=>
1. Flow equalization Aerated equalization=>'
NON-Aerated equalization=>
Total volume of equalization (million gal.)_>
2. Activated Carbon Yes No Describe any,if present.
3. Activated Sludge Yes No
4. Air Stripping Yes No
5. Centrifugation Yes No
6. Chemical Precipitation Yes No
7. Chlorination Yes No
8. Cyanide Destruction Yes No
9. Cyclone Yes No
10. Dissolved Air Floatation Yes No _
11. Filtration . Yes No
12. Flocculation Yes No
13. Grease Trap Yes No
14. Grit Removal Yes No
15. Ion Exchange Yes No
16. Neutralize,pH adjust Yes No
17. Other Biological Treatment Yes No
18. Ozonation Yes No
19. Reverse Osmosis Yes No
20. Screening Yes No
21. Sedimentation Yes No
22. Septic Tank Yes No
23. Silver Recovery Yes _ No
24. Solvent Separation Yes No
25. Spill protection Yes - -
No
List any others.
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\Industrial Wastewater Survey IUP Permit Application(1-11-
22).docx
Revision date: 12/30/97 Page 8 of I98
PART IV, CATEGORICAL INFORMATION:
I. When were operations started at this facility Facility start up date
2. List all Standard Industrial Classification(SIC)codes for your facility.
These may be found on State Unemployment forms,tax forms,
accounting records,or from the Chamber of Commerce.
3, Has this facility ever been considered a Categorical Industrial User
(CIU)as described by the Code of Federal Regulations(40 CFR)? -
If yes,give complete 40 CFR number=>
No
4. Are any other facilities owned and/or operated by your company
permitted as Categorical Industrial Users(CIUs) as described by the
Code of Federal Regulations (40 CFR?
If yes please give name(s), location,and 40 CFR number. Yes
No
Title: IU Wastewater Survey & Permit Application
File name: C:1Users\Rusty Holt\Documents\Email Attachments\Industrial Wastewater Survey IUP Permit Application(1-11-
22).docx
Revision date: 12/30/97 Page 9 of 198
PART IV, CATEGORICAL INFORMATION:
(continued)
5. Check any activities listed below that are performed at your facility:
`Check 40 Check 40
below CFR# Industrial Activity below A � Industrial Activity
low CF #
467 Aluminum Forming 432 Meat products
427 Asbestos Manufacturing 433 Metal finishing
461 Battery Manufacturing 464 Metal molding and casting
431 Builders paper&board mills 436 Mineral mining and processing
407 Canned&preserved fruits&veg. 471 Nonferrous Metal,Form&Powders
408 Canned&preserved seafood 421 Nonferrous Metals Manufacturing
458 Carbon black Manufacturing 414 OCPSF,Organic Chemicals,Plastics,
411 Cement Manufacturing &Synthetic Fiber Manufacturing
437 Centralized Waste Treatment 435 Oil&gas extraction
434 Coal Mining 440 Ore mining and dressing
465 Coil Coating 446 Paint formulating
468 Copper Forming 443 Paving and roofing materials Mfg.
405 Dairy products processing 455 Pesticide Manufacturing
469 Electrical,electronic components 419 Petroleum Refining
413 Electroplating 439 Pharmaceutical Manufacturing
457 Explosives Manufacturing 422 Phosphate Manufacturing
412 Feedlots 459 Photographic supplies
424 Ferro allay Manufacturing 463 Plastics molding and forming
418 Fertilizer Manufacturing 466 Porcelain enameling
464 Foundries,Metal Mold&Casting 430 Pulp,paper,and paperboard
426 Glass Manufacturing 428 Rubber Manufacturing
406 Grain mills 417 Soap&Detergent Manufacturing
454 Gum&Wood Chemicals Mfg. 423 Steam Electric power Generation
460 Hospitals � 409 Sugar processing
447 Ink formulating vt 410 Textile Mills
415 Inorganic chemical Manufacturing 429 Timber products processing
420 Iron&Steel Manufacturing 442 Transportation Equipment Cleaning
r �
425 Leather Tanning&Finishing _ Others s OGtl WN a t.'r t
Title: lU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\lndustrial Wastewater Survey lUP Permit Application(1-1 l-
22).docx
Revision date: 12/30/97 Page 10 of 198
sJ
Wastewater Pollutant Checklist
Chemical Name EPA I Check if Check if Check if Check if Concentration
Storet I Present at Absent at Present in Absent in in Discharge,
Code Facility I Facility Discharge Discharge if Known
_ — (mg/1)
Acid Extractable Organics
2-Ch •ra.henol 34586 i
2.4-Dichloro•henol- 34601
1.1
-- - - — -- - _
2,4•Di et Ishe o 346061811111MV:/
�
2.4-�ini 4 6- ol n
2-►t=th 1--4 6-di itro.henol 34657
,-Chloro-3- e 1.henol 34452
'Nit 0 i .1 i 34646 — ,d,/ WMAIMININIE
Pet c .-tenol e of 34694
2 4.6-Trichlaro benc1 34621
Base Neutral Organics /
1 1 ,- 4 a :be zene- 34551 / i._
I
.7
1, _i.chIorubcnzene 34536 wf -
12713inhenvIlivdrazine 34346 1// i ,
1. -Dichloroben _ 34566
1 1.4-Dtdhlorobenzene 34571 {4.
-I ,`t°toluene 34611 — iiiMINI
2 .-D.1 itrotoluene- 34626
2-Chloronaphthalene 34561 ,i it-
3,3-Dichlorobenzidine 34631 1 lif
4-Bromophenyl phenyl ether 3463E ,/ I/
4-Chlorophenyl phenyl ether 34641 N./ ,
Acenaphthene 03405 I,/,
Acena•hthylene 34200 IIIIEIMIIIIIIIIIIIMIIMPPAIII
Anthracene 34220 I L/
Benzidine 39120 ! L/ 17 I .T
—— -
Benzo(a)anthracene 3452E 1/ ,/'
Benzo(a)pyrene 34247 - .1
Benzo(b)fluoranthene 34230 .J 1/
Benzo(ghi)perylene 34521 r,/ t/
Benzo(k)fluoranthene 34242 1/ 7
- — 34278
Bis(2-chloroethoxy)methane ,/ /7
Bis(2-chloroethyl)ether 34273 I/
Bis(2-chloroisopropyl)ether 34283 ,/
Bis(2-ethylhexyl)phthalate 39100 / ✓
34292- ----- _ _
Butyl benzyl phthalate l/- _ —
Chtysene 34320 1/ I
-- --
Di-n-butyl phthalate 39110---- + t/
Title: Itl Wastewater Survey & Permit Application
File name: C:\Users\Rusty HoltDocuments\Email Attachments Industrial Wastewater Survey IUP Permit Application(1-11-
22).docx
Revision date: 12/30/97 Page 11 of 198
Nv
/
Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if (Concentration.
Storet Present at Absent at Present in Absent in (in Discharge,
Code Facility Facility Discharge Discharge I if Known
_ I (mg/1)
phthalate
Neutral Organics (continued)
Di-n=octyl 34596 _
Dibenzo a h anthracene 34556 IMIIMINSIM
Diethyl •hthalate 34336 .,/. IMNIIIIIISSIMI
phthalate 3434i MEM_
Fluoranthene 34376 A 1
• _ 34381 " V
Hexachlorobenzene39700 ./HeXaChlOTO1Altadietle.• 34391 — ` �
®
Hexachl• •' - 34396 1/ toe-
---... -
-
lsophvrone 440
N-nitroso-di-n-propylamine 34428 '
N-nitrosodimethylamine 34438 tit
N-nitrosodiphenylamine 34433 ..".
Naphthalene 34696 1 - „ -
itrobenzene 34447 �1
1,
PhellaIlthrelle
34461 4/'/ MI 12
• _ 34469 I./
Metals
Aluminum 01104 il/ /
Antimon' 01097 /l /�
Arsenic 01002 1
Be Ilium 01012 /
Cadmium 01027 .,./ V
0I034 V
Chromium —
Copper_ 01042 //
Lead -- 010s 1 P/ 1✓
Merck 71900 I J/ .
V
Molybdenum 01062 " _
t
Nickel 01067 /
Selenium 01147 Z—
Silver t/
01077
Thulium 00982 tr, d f
Zinc j01092 t/ d`
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\Industrial wastewater Survey IUP Permit Application(1-11-
22).docx
Revision date: 12/30/97 Page 12 of 198
V
Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/I)
Other Inorganics _
Barium _ 01007 tA I tf
Chloride cc940 i,
—
_
Cyanide 00120
i/Fluoride 00951
Purgeable Volatile Organics
1,1,1Tricbloroethane 34506
1 2 2-Tetrach •ro-tiate 34516
2-Trichloreethane
I,i-i i_cii1oroelIiane 34496 g
-!. f s ,= of : is 34501
1.2-Dicklornetltatae 34531 AMMIIIMIIIIMPIIII
l t2-Dichloronrot}ane 34541 ,
2,....._1.roet11. '`ri l ether 34576
r —
Acroleiri 34210 h
w1• _ - C`lo 3400 / _
'.1 , � 34030
Bromttd{ lllorOM MN do 32101 ,_
Broinoi rm 32104
Bt omom eth ane,_ -- 34413 I.07
32102 1
Carbon
tetracblorid .__ _- f111.1
_ _ - _ 3430�
Cltlarobenxepe it
el oroethar e 34311 ,/ 1/
Chloroform 32106 t _ 1
Chlorom ethane 34418 1/
C s -Dlc • •f .geri 34704 r, _
Dipr_oinochtorornotharte 341i 05 ,------ 7' - - - ---— _
MA/UMW --- — —
Metla rie eltlori 4 Ed= n
Tetrachloroeth term _—_— 34475 ,
Toluene 34010 1f
rafts 1 3-Dichlorn.roTOne 34699 t.T I
trans-1,2-Dich!: ro6Iliviene 34546 r/ 1
Trichloroethvle 39180
Trichlorofiu .oi iethatle 34988 V: is.Z
Vinyl chlorkte 39175 '
Others
Xylene
1
Title: 1U Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments Industrial Wastewater Survey IUP Permit Application(1-11-
22).docx
Revision date: 12/30/97 Page 13 of 198
Data Summary Form
<=Receiving POTW ..
<=Receiving NPDES#
<= Specific Sample Location!
i.e., Give IU Name,IUP#,and/or pipe#
ROD TSS Ammonia
Lab=> Laboratory performing analysis=>
MDL=> Laboratory Method Detection Limits=>
Notes=> Notes=>1
Q =Flow
Sample Date Notes about Sample M=Metered Conc.Results Conc. Results Conc. Results
ID, or Sample E=Estimated 1 from Lab from Lab from Lab
Count Collected I
mgd gall"day <?. mg/1 ¢? mg/I <? I me
1 ' 1
2
3 1
4
-1
5 6 __
1
8
9
_
10
11
et
TNS=> Total number of samples=>
Max. value=> Maximum data value(mg/1)=>
Avg.(use 1/2 BDL)_> Avg. data value,Include BDL values as 1/2
PR
detection limit=>
,
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\Industrial Wastewater Survey ITJP Permit Application(1-11-22).docx
Revision date: 12/30/97 Page 14 of 198
Data Summary Form
<=Receiving POTW
<=Receiving NPDES #
<= Specific Sample Location!
i.e., Give IU Name,IUP#,and/or pipe#
Arsenic Copper Chromium Cadmium COD Copper
Lab=> 1
MDL=>
1
Notes=>
Sample Date Sample ! Conc.Results Conc.Results Cone.Results Conc. Results Cone.Results Cone.Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab J
Count '
<? mgd 1<? mg/1 <?1 rttgil <? eng/l < mg/1 <? mg/i
1 i
2 r
3
5
6
s r . F
11
12 I 1
etc
TNS=>
Max. Value=>
Avg. (usel/2 BDL)_>
Title: 1U Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\Industrial Wastewater Survey IUP Permit Application(1-11-22).doex
Revision date: 12/30/97 Page IS of 198
Data Summary Form
<=Receiving POTW
<=Receiving NPDES #
<= Specific Sample Location!
i.e.,Give IU Name,IUP#,and/or pipe#
Cyanide Lead Mercury l Nickel Silver Zinc
Lab=>,
MDDL=> f
Notes=>
Sample Date Sample Conc. Results Conc. Results Cone. Results Cone.Results Conc.Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<,? rngil ' <? mg/1 <? mg/ <? me <? mg./I <?I mgil
1 q
2 I i I
3
4
s
6 N ! I _
7 q I 11
8 q ; J
9
H
i
10 q 1 i
11
12 —�
etc f 1
i ..
TNS => I I
Max. Value=> 1
Avg. (use1/2 BDL)=> I 1
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\Industrial Wastewater Survey 1UP Permit Application(1-11-22).doex
Revision date: 12/30/97 Page 16 of 198
Data Summary Form
<=Receiving POTW
<=Receiving NPDES #
<= Specific Sample Location!
i.e., Give IU Name,IUP#, and/or pipe#
Other Other ! Other Other Other Other
Lab=>'
MDL=>
Notes=>
Sample Date Sample Conc.Results Conc.Results Conc. Results Conc.Results Cone.Results Conc.Results
ID or Collected. from Lab 1 from Lab from Lab ! from Lab from Lab from Lab
Count
<? mg/1 <? mg/.l ?: ing/l <`� mg/1 <? mg/1 1 <? mg/1
1 I
3
4
t
5
6 I I
7 i
10 I ! 1 1
_
11
12 1 I
etc 1 . .
TNS=>
Max.Value=> 1
Avg. (use1/2 BDL)_>
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\Industrial Wastewater Survey 1UP Permit Application(1-11-22).docx
Revision date: 12/30/97 Page 17 of 198
Industrial User Wastewater Survey
& Permit Application
Part V, Waste Reduction Information :
State Pretreatment Rule 15A NCAC 2H.0916 (c)(1)(M) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention)activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Projected Code Description
W13 Improved maintenance scheduling recordkeeping,or procedures
W14 Changed production schedule to minimize equipment and feedstock
changeovers
W19 Other chau_cs in p•eratinr Iractices explain briefly in comments)
W21 Instituted procedures to ensure that materials do not stay in inventory
beyond shelf-life
W22 Began to test outdated material-continue to use if still effective
W23 Eliminated shelf-life requirements for stable materials
W24 Instituted better labeling procedures
W25 Instituted clearinghouse to exchange materials that would otherwise
be discarded -_
W29 Other changes in Inventory control(e)splain briefly in comments)
W31 Improved storage or stacking procedures
W32 improved procedures for loading uploading and transfer operations
W33 Installed overflow alarms or automatic shutoff valves
W34 Installed secondary containment
W35 Installed vapor recovery systems
W36 Implemented inspection or monitoring program of potential spill or
leak sources
W39 Other spill and leak prevention(explain briefly in comments)
_ _ W41 Increased purity of raw materials
W42 J Substituted raw materials
W49 Other raw material modifications(explain briefly in comments)
W51 Instituted recirculation within a process
Title: IU Wastewater Survey&Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\Industrial Wastewater Survey IUP Permit Application(1-11-
22).docx
Revision date: 12/30/97 Page 18 of 18
Industrial User Wastewater Survey
& Permit Application
Current Projected Code Description
52 Modified equipment,la out,or .i.in
W53 Use of a different process catalystW54 Instituted better controls on operating bulk containers to minimize
discardin• of empty containers
W55 Changed from small volume containers to bulk containers to
minimize discardin: of empty containers
IW58 Other process modifications(explain briefly in comments)
W59 Modified strippin:/cleaning e•Ili•ment
W60 Changed to mechanical stripping/cleaning devices(from solvents or
other materials
W61 Changed to aqueous cleaners from solvents or other materials
W62 Reduced the number of solvents used to make waste more amenable
to rec clin
W63 Modified containment •rocedures for cleanin: units
W64 Improved drainin: srocedures
W65 Redesi:ned .arts racks to reduce dra:out _
W66 Modified or installed rinse systems _
W67 Improved rinse equipment design
W68 Improved rinse equipment operation
W 71 I Other cleaning and de. easin t o seration(ex.lain briefly in comments)
W72 Modified spra systems or equipment _
W73 Substituted coatin: materials used
W74 In1•roved a s a lication techni.ues —
W75 Changed from spra to other system
W78 Other surface preparation and finishing(explain briefly in comments)
W81 Changed product s.ecifications
W82 Modified desi:n or_composition of.roduct
NEWEW83 Modified •ackagin:
W89 I Other •roduct modifications(ex slain briefl in comments)
W99 Other speci in comments)
Comments (Please list corresponding code)
Title: IU Wastewater Survey & Permit Application
File name: C:\Users\Rusty Holt\Documents\Email Attachments\industrial Wastewater Survey IUP Permit Application(1-11-
22).docx
Revision date: 12/30/97 Page 19 of 198
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Pace Analytical Services,LLC
RCe/��1 nalytical® 205 East Meadow Road-Suite A
liV li Eden,NC 27288
• www.pacelabs.com (336)623-8921
April 15, 2022
Rhonda Hollady
Pickett Hosiery
733 Koury Drive
Burlington, NC 27215
RE: Project: 04.05.22
Pace Project No.: 92597236
Dear Rhonda Hollady:
Enclosed are the analytical results for sample(s)received by the laboratory on April 05,2022. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual,where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
•Pace Analytical Services-Asheville
•Pace Analytical Services-Charlotte
•Pace Analytical Services-Eden
If you have any questions concerning this report,please feel free to contact me.
Sincerely,
9c oez.tio.<4.. Mc arm
Jessica L Mabe
jessica.mabe@pacelabs.com
(336)623-8921
Project Coordinator
Enclosures
cc: Rhonda Hollady,Pickett Hosiery
Kristy King,Pickett Hoisery
..pc 4),
a REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 1 of 10
�� Y-s
Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pacelabs.com (336)623-8921
CERTIFICATIONS
Project: 04.05.22
Pace Project No.: 92597236
Pace Analytical Services Charlotte
South Carolina Laboratory ID:99006 South Carolina Certification#:99006001
9800 Kincey Ave.Ste 100,Huntersville,NC 28078 South Carolina Drinking Water Cert.#:99006003
North Carolina Drinking Water Certification#:37706 Florida/NELAP Certification#:E87627
North Carolina Field Services Certification#:5342 Kentucky UST Certification#:84
North Carolina Wastewater Certification#:12 Louisiana DoH Drinking Water#:LA029
South Carolina Laboratory ID:99006 VirginiaNELAP Certification#:460221
Pace Analytical Services Asheville
2225 Riverside Drive,Asheville,NC 28804 South Carolina Laboratory ID:99030
Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001
North Carolina Drinking Water Certification#:37712 VirginiaNELAP Certification#:460222
North Carolina Wastewater Certification#:40
Pace Analytical Services Eden
205 East Meadow Road Suite A,Eden,NC 27288 North Carolina Wastewater Certification#:633
North Carolina Drinking Water Certification#:37738 VirginiaNELAP Certification#:460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 2 of 10
Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pacelabs.com (336)623-8921
SAMPLE ANALYTE COUNT
Project: 04.05.22
Pace Project No.: 92597236
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92597236001 Effluent 001 Comp SM 2540D-2015 LRB 1 PASI-E
SM 5210B-2016 MWF 1 PASI-E
EPA 200.7 Rev 4.4 1994 CBV 4 PASI-A
92597236002 Effluent 001 Grab KMM1 6 PASI-E
PASI-A=Pace Analytical Services-Asheville
PASI-C=Pace Analytical Services-Charlotte
PASI-E=Pace Analytical Services-Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 3 of 10
aceAnalytical
Pace Analytical Services,LLC
® 205 East Meadow
EdenRoad
- 8 Suite
www.pacelabs.com (336)623-8921
ANALYTICAL RESULTS
Project: 04.05.22 1
Pace Project No.: 92597236 I
Sample: Effluent 001 Comp Lab ID: 92597236001 Collected: 04/05/22 10:30 Received: 04/05/22 15:55 Matrix:Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015 I
Pace Analytical Services-Eden
Total Suspended Solids 130 mg/L 20.8 1 04/08/22 09:29 1
5210B BOD,5 day EDN Analytical Method:SM 5210B-2016 Preparation Method:SM 5210B-2016
Pace Analytical Services-Eden
BOD,5 day 87.3 mg/L 2.0 1 04/06/22 10:30 04/11/22 10:14
200.7 MET ICP Analytical Method:EPA 200.7 Rev 4.4 1994 Preparation Method:EPA 200.7 Rev 4.4 1994
Pace Analytical Services-Asheville
Chromium 0.12 mg/L 0.0050 1 04/11/22 12:41 04/12/22 02:02 7440-47-3
Copper 0.24 mg/L 0.0050 1 04/11/22 12:41 04/12/22 02:02 7440-50-8
Nickel 0.0099 mg/L 0.0050 1 04/11/22 12:41 04/12/22 02:02 7440-02-0
Zinc 0.083 mg/L 0.010 1 04/11/22 12:41 04/12/22 02:02 7440-66-6
Sample: Effluent 001 Grab Lab ID: 92597236002 Collected: 04/05/22 10:35 Received: 04/05/22 15:55 Matrix:Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Field Data Eden Analytical Method:
Pace Analytical Services-Eden
Performed by Pace 1 04/05/22 16:55
Collected By Mike Gilly 1 04/05/22 16:55
Collected Date 04/05/22 1 04/05/22 16:55
Collected lime 10:35 1 04/05/22 16:55
pH 5.10 Std.Units 1 04/05/22 16:55
Temperature 41.3 deg C 1 04/05/22 16:55
Flow Monitoring Data Analytical Method:
Pace Analytical Services-Charlotte
Performed by Mike Gilly 1 04/05/22 17:27
Date(s) 04/05/22 1 04/05/22 17:27
Time(s) 10:35 1 04/05/22 17:27
Flow 36,982 1 04/05/22 17:27
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:04/15/2022 02:16 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 10
Pace Analytical Services,LLC
® 205 East Meadow Roa - 2 Suite
A
aceAnalytical
www.pacelabs.com (336)623-8921
QUALITY CONTROL DATA
Project: 04.05.22
Pace Project No.: 92597236
QC Batch: 689689 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92597236001
METHOD BLANK: 3603846 Matrix: Water
Associated Lab Samples: 92597236001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 04/08/22 09:23
LABORATORY CONTROL SAMPLE: 3603847
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 246 98 90-110
SAMPLE DUPLICATE: 3603848
92597236001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 130 125 4
SAMPLE DUPLICATE: 3603849
92597171002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 85.2 88.2 3
Results presented on this page are In the units Indicated by the"Units'.column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:04/15/2022 02:16 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 10
Pace ,
' ® 205 East MeaAnalyticaldow RoaServicesd-Suite ALLC
aceAnalytical Eden,NC 27288
www.pacelabs.com (336)623-8921
QUALITY CONTROL DATA
Project: 04.05.22
Pace Project No.: 92597236
QC Batch: 689676 Analysis Method: SM 5210B-2016
QC Batch Method: SM 5210B-2016 Analysis Description: 5210E BOD,5 day Final EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92597236001
METHOD BLANK: 3603799 Matrix: Water
Associated Lab Samples: 92597236001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
BOD,5 day mg/L ND 2.0 04/11/22 08:49
LABORATORY CONTROL SAMPLE: 3603800
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
BOD,5 day mg/L 198 183 93 84.6-115
SAMPLE DUPLICATE: 3603802
92597171002 Dup
Parameter Units Result Result RPD Qualifiers
BOO,5 day mg/L 64.8 66.4 3 R6
Results presented on this page are In the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:04/15/2022 02:16 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 10
Pace Analytical Services,LLC
® 205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pacelabs.com (336)623-8921
QUALITY CONTROL DATA
Project: 04.05.22
Pace Project No.: 92597236
QC Batch: 690662 Analysis Method: EPA 200.7 Rev 4.4 1994
QC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET
Laboratory: Pace Analytical Services-Asheville
Associated Lab Samples: 92597236001
METHOD BLANK: 3609066 Matrix: Water
Associated Lab Samples: 92597236001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chromium mg/L ND 0.0050 04/12/22 01:01
Copper mg/L ND 0.0050 04/12/22 01:01
Nickel mg/L ND 0.0050 04/12/22 01:01
Zinc mg/L ND 0.010 04/12/22 17:31
LABORATORY CONTROL SAMPLE: 3609067
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Chromium mg/L 0.5 0.47 95 85-115
Copper mg/L 0.5 0.49 97 85-115
Nickel mg/L 0.5 0.47 94 85-115
Zinc mg/L 0.5 0.46 91 85-115
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3609070 3609071
MS MSD
92597219002 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chromium mg/L ND 0.5 0.5 0.47 0.46 94 92 70-130 2
Copper mg/L 0.0073 0.5 0.5 0.49 0.48 96 94 70-130 2
Nickel mg/L ND 0.5 0.5 0.47 0.46 93 92 70-130 1
Zinc mg/L 0.059 0.5 0.5 0.51 0.51 91 91 70-130 0
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3609504 3609505
MS MSD
92597070001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chromium mg/L ND 0.5 0.5 0.48 0.47 95 95 70-130 1
Copper mg/L 19.8 0.5 0.5 0.49 0.49 95 93 70-130 1
ug/L
Nickel mg/L ND 0.5 0.5 0.47 0.46 93 92 70-130 1
Zinc mg/L 14.1 0.5 0.5 0.46 0.45 89 88 70-130 1
ug/L
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:04/15/2022 02:16 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 10
Pace Analytical Services,LLC
®
aceAw 205 East MeadowRoad- Suite A
nalytical
ww.patelabs.tom (336)623-8921
QUALIFIERS
Project: 04.05.22
Pace Project No.: 92597236
DEFINITIONS
DF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot.
ND-Not Detected at or above adjusted reporting limit.
TNTC-Too Numerous To Count
J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL-Practical Quantitation Limit.
RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S-Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is
a combined concentration.
Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values.
LCS(D)-Laboratory Control Sample(Duplicate)
MS(D)-Matrix Spike(Duplicate)
DUP-Sample Duplicate
RPD-Relative Percent Difference
NC-Not Calculable.
SG-Silica Gel-Clean-Up
U-Indicates the compound was analyzed for,but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as
"Total"may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes.
TNI-The NELAC Institute.
ANALYTE QUALIFIERS
R6 The RPD between valid sample dilutions exceeded 30%.
REPORT OF LABORATORY ANALYSIS
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Date:04/15/2022 02:16 PM without the written consent of Pace Analytical Services,LLC. Page 8 of 10
Pace Analytical Services,LLC
®
aceAnal 205 East MeadowEdenRoad
- Suite A
ytical
•
www.pacelabs.cam (336)623-8921
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: 04.05.22
Pace Project No.: 92597236
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92597236001 Effluent 001 Comp SM 2540D-2015 689689
92597236001 Effluent 001 Comp SM 5210B-2016 689676 SM 5210B-2016 689897
92597236002 Effluent 001 Grab
92597236002 Effluent 001 Grab
92597236001 Effluent 001 Comp EPA 200.7 Rev 4.4 1994 690662 EPA 200.7 Rev 4.4 1994 690754
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:04/15/2022 02:16 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 10
CHAIN-OF-CUSTODY Analytical Request Document i LAB USE ONLY-Affix Workorder/Login Label Here or List Pace Workorder Number or r
I MTJL Log-i.. -.
` 772e Analytical' I WO* •• 92597 3
I i Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields �J 46
Company:Pickett HOlsery Ruling Information: 1 ALL SHADED AREA 111111
Ell
III 1111
.1
'Address:741 East Webb Burlington NC i Container Preservative T e••
U U 1 1 NNE i 92597236
Report To:Nim Harris Email To: nim.harris@pieketthoisery.COm ••Preservative Types:(1)nitric acid,(2)sulfuric acid,(3)hyo,
(6)methanol,(7)sodium bisulfate,(8)sodium thiosulfate,(9)hexane,(A)ascorbic acid,(8)ammenmm.st.'ate,
Copy To: Site Collection Info/Address: (C)ammonium hydroxide,(WISP,(U)Unpreserved,(0)Other
Analyses (Lab Profile/Line:
Customer Project Name/Number: State: County/City: Time Zone Collected: Lab Sample Receipt Checklist: —
/ i (PT) (MT( )CT [ JET_ Custody Seals
Phone:336-227-2716 Site/Facility ID U: Compliance Monitoring? Custody Signatures PresentY N gA
Email: I [ ] Yes [ J No Collector Signature Present (,.N NA
I Bottles Intact yr N NA
Collected Bittty(print): j Purchase Order A: OW PWS ID II: Correct Bottles /N NA
\\, Quotes: DW Location Code: Sufficient Volume /.N NA
Samples Received on Ice /N NA.
Collected By(sig ature): Turnaround Date Required: Immediately Packed on Ice: VOA - Headspace Acceptable Y N vit
CN,C( I )Yes [ ]No USDA Regulated Soils Y N I
Sample Disposal: Rush: Field Filtered if applicable): samples in HoldingrineTime iN A
( a. Residual Chlorine Px e�gnt Y VNA
i ]Dispose as appropriate I I Return I J Same Day [ I Next Day I (Yes [ ]No E Cl Strips: 6)
Archive: Day3 Day4 DayS DaySample pH Acce tab e N NA
II I I 12 I ] i J I J Analysis: pH Strips: y
I ]Hold: (Expedite Charges Apply) p C 0 Le C
Sulfide Presen Y N 0
•Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW},Wastewater(WW), Lead Acetate Strips:
Product(P),Soil/Solid(SL),Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT) t to
o LAB USE ONLY:
1 Comp/ Collected(or Res N of = p Lab Sample tl / Comments:
Composite End
I Customer Sample ID Matrix• I Grab Composite Start) CI Ctns 0 ti fn m a
I Date Time Date Time m_ alLt. II-- 2 i u
I Effluent 001 Comp IC -4,i tgcj L\rj--2Z \013b KXXXT._ __ \u.p s:q
eEff[uent 001 Grab 5-,fi lb'. r X— hTe LA VS P� �,\0
I i
i
t
i____
1-- I _
(
iCustomer Remarks/Special Conditions/Possible Hazards: Type of Ice Used: Wit Blue Dry None SHORT HOLDS PRESENT(<72 hours): `'N N/A Lab Sample Temperature Info:
i�� S� � `, a4`� j Packing Material Used: Lab Tracking tt: Temp Blank Received: Y A
/ ThermIDU: ,�i.C%Q.
_
6k" Cooler 1 Temp Upon Receipt FoC
7j(et9 Samples received via: Cooler 1 Therm Corr.Factor: oC
�'L Radchem samples)screened(<S00 cpm): Y N FEDEX UPS Client Courier Pac/outlet Cooler 1 Corrected Temp: lJ,,oC
.Relinquished by/Company:(Signature) Date/Time: !Received by/Company:(Signature) Date/Tlme: i 555 MTJL LAB USE ONLY Comments:
i.
'!.igM Q��\.�___ .� 1..-'S�.ZZ.\SS �i _ P-5 '�-. Table m: _�
oRelinquished by/Company:(Signature) i Date/Time: I Received by/Company:(Sign urea) Date/Time:
Template: Trip Blank Received: Y N N _.__
co
-� __ _ I Prelogin: HCL McOH TSP Other
dtelinquished by/Company-(Signature) Date/Time: Received by/Company:(Signature) 1 Date/Time: PM, Non
Conformance(s): Page:
o PB: _.;_ YES / NO offeri__
—
If you have any questions,please feel free to call me at(336)222-5133.
Sincerely,
Rita e T? q,
Robert C. Patterson,Jr.,P.E.
Water Resources Director
City of Burlington
City of Burlington
Control Authority and/or Municipality
PERMIT
Industrial User Pretreatment Permit(IUP)
To Discharge Wastewater Under the
Industrial Pretreatment Program
0090 N/A
IUP Number 40 CFR Category(if Applicable)
In compliance with the provisions of North Carolina General Statute 143-215.1, any
applicable federal categorical pretreatment regulations, all other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Control Authority and/or Municipality Sewer Use Ordinance. The
following Industry,hereafter referred to by name or as the permittee:
Industry name,permittee:
Pickett Hosiery Mills,Inc.
Facility Located at Street Address
733 Koury Drive
City
Burlington
State,Zip
North Carolina 27216
is hereby authorized to discharge wastewater from the facility located at the above listed
address into the sanitary sewer collection system and the wastewater treatment facility of
the Control Authority and/or Municipality listed below:
IUP Control Authority and/or Municipality W W1P name:
South Burlington Wastewater Treatment Plant
NPDES Number.
NC0023876
WWTP Address:
Boy Wood Road
City,State,Zip
Burlington,North Carolina 27215
in accordance with effluent limitations, monitoring requirements, and all other conditions
set forth in Parts I, II, and III of this Industrial User Pretreatment Permit(IUP).
Effective date, this permit and the authorization to discharge shall become
effective at midnight on this date:.
April 25, 2022
Expiration date,this permit and the authorization to discharge shall expire at
midnight on this date:
December 31, 2026
RhC g !' 6'd f/ /7 ,L Director of Water Resources
Signature/Date Title
Industr>al User Pretreatment Permit (IUP)
PART I
Specific Conditions
Continued: IUP History
IUP, PART I, OUTLINE:
A.) IUP Basic Information
B.) IUP Modification History
C.) Authorization Statement
D.) Description of Discharges
E.) Schematic and Monitoring Locations
F.) Effluent Limits & Monitoring Requirements
G.) Definitions and Limit Page(s)notes
A. IUP Basic Information:
Receiving Control Authority&WWTP name: POTW NPDES#:
South Burlington Wastewater Treatment Plant NC0023876
IUP Name: IUP Number:
Pickett Hosiery Mills, Inc. 0090
IUP Effective date: Pipe Numbers,list all regulated pipes:
April 25, 2022 01
IUP Expiration date: IUP 40 CFR#(if applicable),or N/A:
December 31, 2026 N/A
B. IUP History.
Effective New/Renewal or Description of changes over previous IUP.
Date Modification
4/25/2022 New New Permit issued,this industry was relocated
from 741 E Webb Avenue to 733 Koury Drive.
2
Industrial User Pretreatment Permit (IUP)
PART I
Specific Conditions
Continued: IUP History
C.) Authorization Statement:
1.) The Permittee is hereby authorized to discharge wastewater in accordance with
the effluent limitations, monitoring requirements, and all other conditions set
forth in this Industrial User Pretreatment Permit(IUP)into the sewer collection
system and wastewater treatment facility of the Control Authority and/or
Municipality.
2.) The Permittee is hereby authorized to continue operation of and discharge
wastewater from the following treatment or pretreatment facilities. These
facilities must correspond to the treatment units listed on both the application
and inspection forms.
IU Treatment Units
List all Treatment Units: Descriptions:
NONE
3.) The Permittee is hereby authorized to, if required by the Control Authority
and/or Municipality and after receiving Authorization to Construct (A to C)
from the Control Authority and/or Municipality, construct and operate
additional pretreatment units as needed to meet final effluent limitations.
D.) Description of IUP Discharge(s):
1. Describe the discharge(s) from all regulated pipes.
Pipe# 001 , Description of Discharge:
Wastewater generated from dyeing and finishing of men's, women's
&children's socks.
E.) Schematic and Monitoring Locations:
The facility schematic and description of monitoring location(s) given below must
show enough detail such that someone unfamiliar with the facility could readily find
and identify the monitoring location(s) and connection to the sewer. Include and
identify all regulated pipes.
3
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oil, �?t"' 4'•,�y, ye'. °.. ., -ec' �54 .-gyp' ?"%. ' .'„yk,..,,•41: tg04-f•Zi._-`a:TAgrrik'':u"_ - `o.n: r.4 a .•''-;•'... *, s' ,�.. iv M, -T ,.1K m-..r
•�� •y." SKf,C,y -�. ... ^ ' ~ ,q } s � U�:�` +f ��M� I"��=!,t� �y ..���. #i ;t•tyr �.sE' �,p�:y'�L�����Z'�-� r..'�r+Flr �i' <?�T tt•.;,•
se 5set3`•`-�.43 r�•1�tr". r "S��� r�!3'�•y`,�Y `r�r yu7.'� 4 �y"}L �S �,,�•[,,� 'L�. F1� �1, 'r"e j�. M •.c `C; :•r`a.'CS'�S"�1- ,�•?�� "`A'�'';� f�7"�'«'
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IUP, Part 1 Section F: Receiving POTW name=> South Burlington WWTP IU name=> Pickett Hosiery Mills,
Inc.
Requirements #=> =>
Effluent Limits and Monitoring q Receivmg POTW NPDES NC0023876 IUP# 0090
Effective date for these Limits=> April 25,2022 Pipe#=> 01
The Permittee may discharge from this specific Expiration date for these Limits=> December 31,2026 40 CFR#=> N/A
Pipe number according to these specific dates, if not applicable put N/A
effluent limits, and monitoring requirements THE LIMITS ON THIS PAGE ARE,(Check one below):
LIMITS for ENTIRE permit period => X
INTERIM Limits for period#1 =>
INTERIM Limits for period#2 =>
FINAL Limits Page =>
Concentration Limits Mass Limits Monitoring Frequency
Sample Required
Collection Laboratory
Monthly Monthly Method Detection
Daily Max Average Units Daily Max Average Units By Industry By POTW (C or G) Level _
1 Flow MGD Semi-annually Semi-annually _
2 BOD Mg/1 See.Note Semi-annually Semi-annually C 2
3 TSS See Note Semi-annually Semi-annually C 2
4 Temperature 60 , Degree C Semi-annually Semi-annually G
5 PH 5-11 Standard Semi-annually Semi-annually G
Units
OTHER PARAMETERS;Please List Alphabetically
6 Chromium 1.00 Lbs/day Semi-annually Semi-annually C 0.005 mg/1
7 Copper 0.82 Lbs/day Semi-annually Semi-annually C 0.002 mg/1
8 Nickel 0.08 Lbs/day Semi-annually Semi-annually C 0.01 mg/1
9 Zinc 0.40 Lbs/day Semi-annually Semi-annually C 0.01 mg/1
10
11
12
13
NOTE: The BOD and the TSS are to be surcharged if levels exceed 300 mg/1 and 150 mg/1 respectively. This permit may be reopened to include BOD limits
when the POTW influent exceeds 75 percent of its design capacity. This will be determined by an updated POTW headwork's analysis. Monitoring frequency by
industry should be completed within the second Quarter and fourth Quarter of the calendar year. The POTW will monitor within the first Quarter and third Quarter
of the calendar year. Other parameters and limits are also subject to change as a result of updated headwork's information.
4
All effluent entering the City of Burlington sewers at each discharge point shall meet the following restrictions:
1. Quarters run as follows: 1st—January 1-March 31: 2nd—April 1-June 30: 3`d-July 1-September 30: 4th—October 1-December 31.
2. Effluent limitations and monitoring requirements may be changed at any time during the permit period as deemed necessary by the City of
Burlington.
3. The Industrial User shall monitor all results from an approved commercial lab.
4. Test procedures shall be in accordance with the EPA guidelines for specified parameters.
5. The City of Burlington may require approved sampling devices be installed at permittee's expense.
5
Industrial User Pretreatment Permit (IUP)
PART I
Specific Conditions
G.) Definitions and Limit Page(s) notes:
In addition to the definitions in the City of Burlington Sewer Use Ordinance the
following definitions and requirements apply:
1. Composite Sample, alternative definition:
A composite sample for the monitoring requirements of this IUP is the same
as described above unless specifically defined below as the automatic or
manual collection of constant volume and constant time grab samples
collected and composited according to the following criteria:
Specific volume of each grab sample= 300 Milliliters
Specific time interval between samples= 1 Hours
Total duration of sample collection period= 24 Hours
Total number of grab samples to be composited= 24 Samples
2. Daily Monitoring Frequency
Daily Monitoring Frequency as specified in this IUP shall mean each day
of discharge.
3. Grab Sample
Grab sample for the monitoring requirements of this IUP, is defined as a
single "dip and take" sample collected at a representative point in the
discharge stream.
4. Instantaneous measurement
An Instantaneous measurement for the monitoring requirements of this IUP
is defined as a single reading, observation, or measurement.
6
Industrial User Pretreatment Permit (IUP)
PART II
General Conditions
Outline of PART II,
1. Representative Sampling 16. Federal and/or State Laws
2. Reporting 17. Penalties
3. Test Procedures 18. Need to Halt or Reduce
4. Additional Monitoring by 19. Transferability
Permittee
5. Duty to comply 20. Property Rights
6. Duty to Mitigate 21. Severability
7. Facilities Operation, Bypass 22. Modification,Revocation,
Termination
8. Removed substances 23. Reapplication
9. Upset Conditions 24. Dilution Prohibition
10. Right of Entry 25. Reports of Changed Conditions
11. Availability of Records 26. Construction of pretreatment
facilities
12. Duty to provide information 27. Reopener
13. Signatory Requirements 28. Categorical Reopener
14. Toxic Pollutants 29. General Prohibitive Standards
15. Civil and Criminal Liability 30. Reports of Potential Problems
1. Representative Sampling
Samples and measurements taken as required herein shall be representative of the volume and nature
of the monitored discharge. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other
wastestream, body of water, or substance. Monitoring points shall not be changed without
notification to,and approval by,the permit issuing authority.
2. Reporting
a.) Monitoring results obtained by the permittee shall be reported on forms specified by the
Control Authority and/or Municipality,postmarked no later than the twentieth day of the
month following the month in which the samples were taken. If no discharge occurs during
a reporting period(herein defined as each calendar month)in which a sampling event was
to have occurred,a form with the phrase"no discharge"shall be submitted. Copies of these
and all other reports required herein shall be submitted to the Control Authority and/or
Municipality and shall be sent to the following address:
Robert C.Patterson,Jr.,P.E.
Water Resources director
City of Burlington
PO Box 1358
Burlington,NC 27216-1358
b.) If the sampling performed by the permittee indicates a violation,the permittee shall notify the
Control Authority and/or Municipality within 24 hours of becoming aware of the violation. The
permittee shall also repeat the sampling and analysis and submit the results of the repeat
7
Industrial User Pretreatment Permit (IUP)
PART II
General Conditions
analysis to the Control Authority and/or Municipality within 30 days after becoming aware of
the violation.
3. Test Procedures
Test procedures for the analysis of pollutants shall be performed in accordance with the techniques
prescribed in 40 CFR part 136 and amendments thereto unless specified otherwise in the monitoring
conditions of this permit.
4. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated herein more frequently than
required by this permit,using approved analytical methods as specified above,the results of such
monitoring shall be submitted to the Control Authority and/or Municipality. The Control Authority
and/or Municipality may require more frequent monitoring or the monitoring of other pollutants not
required in this permit by written notification.
5. Duty to Comply
The permittee must comply with all conditions of this permit.Any permit noncompliance constitutes
a violation of the Control Authority and/or Municipality Sewer Use Ordinance and is grounds for
possible enforcement action.
6. Duty to Mitigate - Prevention of Adverse Impact
The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of
this permit,which has a reasonable likelihood of adversely affecting human health,the POTW,the
waters receiving the POTW's discharge,or the environment.
7. Facilities Operation, Bypass
The permittee shall at all times maintain in good working order and operate as efficiently as possible,
all control facilities or systems installed or used by the permittee to achieve compliance with the
terms and conditions of this permit. Bypass of treatment facilities is prohibited except when
approved in advance by the Control Authority and/or Municipality. Bypass approval shall be given
only when such bypass is in compliance with 40 CFR 403.17.
8. Removed Substances
Solids,sludges,filter backwash,or other pollutants removed in the course of treatment or control of
wastewaters shall be disposed of in a manner such as to prevent any pollutants from such materials
from entering the sewer system. The permittee is responsible for assuring its compliance with any
requirements regarding the generation,treatment,storage,and/or disposal of"Hazardous waste"as
defined under the Federal Resource Conservation and Recovery Act.
9. Upset Conditions
An "upset" means an exceptional incident in which there is an unintentional and temporary
noncompliance with the effluent limitations of this permit because of factors beyond the reasonable
control of the permittee. An upset does not include noncompliance to the extent caused by
operational error, improperly designed or inadequate treatment facilities, lack of preventative
maintenance,or careless or improper operations.
An upset may constitute an affirmative defense for action brought for the noncompliance. The
permittee has the burden of proof to provide evidence and demonstrate that none of the factors
specifically listed above were responsible for the noncompliance.
8
Industrial User Pretreatment Permit (IUP)
PART II
General Conditions
10. Right of Entry
The permittee shall allow the staff of the State of North Carolina Department of Environmental
Quality and the Division of Water Resources, the Regional Administrator of the Environmental
Protection Agency, the Control Authority and/or Municipality, and/or their authorized
representatives,upon the presentation of credentials:
1. To enter upon the permittee's premises where a real or potential discharge is located or
of this permit;
in which records are required to be kept under the terms and conditionsp ,
and
2. At reasonable times to have access to and copy records required to be kept under the
terms and conditions of this permit;to inspect any monitoring equipment or monitoring
method required in this permit;and to sample any discharge of pollutants.
11. Availability of Records and Reports
The permittee shall retain records of all monitoring information, including all calibration and
maintenance records as well as copies of reports and information used to complete the application
for this permit for at least three years. All records that pertain to matters that are subject to any type
of enforcement action shall be retained and preserved by the permittee until all enforcement
activities have concluded and all periods of limitation with respect to any and all appeals have
expired.
Except for data determined to be confidential under the Sewer Use Ordinance,all reports prepared
in accordance with terms of this permit shall be available for public inspection at the Control
Authority and/or Municipality. As required by the Sewer Use Ordinance,effluent data shall not be
considered confidential.
12. Duty to Provide Information
The permittee shall furnish to the Water Resources Director or his/her designees,within a reasonable
time, any information which the Director, his/her designee, or the State of North Carolina
Department of Environmental Quality and the Division of Water Resources may request to
determine whether cause exists for modifying,revoking and reissuing,or terminating this permit or
to determine compliance with this permit. The permittee shall also furnish,upon request,copies of
records required to be kept by this permit.
13. Signatory Requirements
All reports or information submitted pursuant to the requirements of this permit must be signed and
certified by the Authorized Representative as defined under the Sewer Use Ordinance. If the
designation of an Authorized Representative is no longer accurate because a different individual or
position has responsibility for the overall operation of the facility, or overall responsibility for
environmental matters for the company, a new authorization satisfying the requirements of this
section must be submitted to the Water Resources Director prior to or together with any reports to
be signed by an authorized representative.
14. Toxic Pollutants
If a toxic effluent standard or prohibition(including any schedule of compliance specified in such
effluent standard or prohibition)is established under Section 307(a)of the Federal Clean Water Act
for a toxic pollutant which is present in the discharge and such standard or prohibition is more
stringent than any limitation for such pollutant in this permit,this permit may be revised or modified
in accordance with the toxic effluent standard or prohibition and the permittee so notified.
9
Industrial User Pretreatment Permit (IUP)
PART II
General Conditions
15. Civil and Criminal Liability
Nothing in this permit shall be construed to relieve the permittee from civil or criminal penalties for
noncompliance.
16. Federal and/or State Laws
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the
permittee from any responsibilities, liabilities, or penalties established pursuant to any applicable
Federal and/or State law or regulation.
17. Penalties
The Sewer Use Ordinance of the Control Authority and/or Municipality provides that any person
who violates a permit condition is subject to a civil penalty not to exceed$25,000 dollars per day of
such violation.
Under state law, (NCGS 143-215.6B),under certain circumstances it is a crime to violate terms,
conditions, or requirements of pretreatment permits. It is a crime to knowingly make any false
statement,representation,or certification in any record or other document submitted or required to
be maintained under this permit, including monitoring reports or reports of compliance or
noncompliance. These crimes are enforced at the prosecutorial discretion of the local District
Attorney.
18. Need to Halt or Reduce not a Defense
It shall not be a defense for a permittee in an enforcement action that it would have been necessary
to halt or reduce the permitted activity to maintain compliance with the conditions of the permit.
19. Transferability
This permit shall not be reassigned or transferred or sold to a new owner, new user, different
premises,or a new or changed operation without approval of the Town.
20. Property Rights
This permit does not convey any property rights in either real or personal property,or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights,
nor any infringement of Federal,State or local laws or regulations.
21. Severability
The provisions of this permit are severable and,if any provision of this permit or the application of
any provision of this permit to any circumstance is held invalid,the application of such provision to
other circumstances and the remainder of this permit shall not be affected thereby.
22. Permit Modification, Revocation, Termination
This permit may be modified,revoked and reissued or terminated with cause in accordance to the
requirements of the Control Authority and/or Municipality Sewer Use Ordinance and North
Carolina General Statute or implementing regulations.
23. Re-Application for Permit Renewal
10
4, Industrial User Pretreatment Permit (IUP)
PART II
General Conditions
The permittee is responsible for filing an application for reissuance of this permit at least 180 days
prior to its expiration date.
24. Dilution Prohibition
The permittee shall not increase the use of potable or process water or in any other way attempt to
dilute the discharge as a partial or complete substitute for adequate treatment to achieve compliance
with the limitations contained in this permit.
25. Reports of Changed Conditions
The permittee shall give notice to the Control Authority and/or Municipality of any planned
significant changes to the permittee's operations or system which might alter the nature,quality,or
volume of its wastewater at least 180 days before the change. The permittee shall not begin the
changes until receiving written approval from the Control Authority and/or Municipality. Also see
Part II,30 below for additional reporting requirements for spill/slug issues.
Significant changes may include but are not limited to
(a) Increases or decreases to production;
(b) Increases in discharge of previously reported pollutants;
(c) Discharge of pollutants not previously reported to the Control Authority and/or
Municipality;
(d) New or changed product lines;
(e) New or changed manufacturing processes and/or chemicals;or
(f) New or changed customers.
26. Construction
No construction of pretreatment facilities or additions thereto shall be begun until Final Plans and
Specifications have been submitted to the Control Authority and/or Municipality and written
approval and an Authorization to Construct(A to C)have been issued.
27. Reopener
The permit shall be modified or,alternatively,revoked and reissued to comply with any applicable
effluent standard or limitation for the control of any pollutant shown to contribute to toxicity of the
WWTP effluent or any pollutant that is otherwise limited by the POTW discharge permit. The
permit as modified or reissued under this paragraph may also contain any other requirements of
State or Federal pretreatment regulations then applicable.
28. Categorical Reopener
This permit shall be modified,or alternatively,revoked and reissued,to comply with any applicable
effluent standard or limitation issued or approved under Sections 302(b)(2)(C)and(D),304(b)(2),
and 307(a)(2)of the Clean Water Act, if the effluent standard or limitation so issued or approved:
1.) Contains different conditions or is otherwise more stringent than any effluent
limitation in this permit;or
2.) Controls any pollutant not limited in this permit.
The permit as modified or reissued under this paragraph shall also contain any other requirements
of the Act then applicable.
29. General Prohibitive Standards
The permittee shall comply with the general prohibitive discharge standards in 40 CFR 403.5 (a)
and(b)of the Federal pretreatment regulations.
11
•
Industrial User Pretreatment Permit (IUP)
•
PART II
General Conditions
30. Potential Problems
The permittee shall provide protection from accidental and slug discharges of prohibited materials
and other substances regulated by this permit. The permittee shall also notify the POTW
immediately of any changes at its facility affecting the potential for spills and other accidental
discharge,discharge of a non-routine,episodic nature, a non-customary batch discharge, or a slug
load as defined in the Sewer Use Ordinance.
Additionally, the permittee shall notify by telephone the Control Authority and/or Municipality
immediately of all discharges that could cause problems to the POTW including any slug loadings
as defined in the Sewer Use Ordinance. If the permittee experiences such a discharge,they shall
inform the Control Authority and/or Municipality immediately upon the first awareness of the
commencement of the discharge. Notification shall include location of the discharge,type of waste,
concentration and volume if known and corrective actions taken by the permittee. A written follow-
up report thereof shall be filed by the permittee within five(5)days,unless waived by the Control
Authority and/or Municipality.
12
Industrial User Pretreatment Permit (IUP)
PART III
Special Conditions
1. Slug/Spill Control Measures
The permittee shall provide protection from accidental and slug discharges of
prohibited materials and other substances regulated by this permit. The permittee
shall develop a written slug/spill control plan and submit it to the Control Authority
on or before June 15, 2022 for the approval by the Control Authority. The plan
shall include,but is not limited to:
• Description of discharge practices, including non-routine batch discharges;
• Description of stored chemicals;
• Procedures for immediately notifying the POTW of slug discharges that
would cause a violation of 40 CFR 403.5(b),with procedures for follow-up
notification within 5 days;
• And if necessary, procedures to prevent adverse impact from accidental
spills, including inspection and maintenance of storage areas,handling and
transfer of materials,loading and unloading operations,control of plant site
run-off, worker training, building of containment structures or equipment,
measures for containing toxic organic pollutants (including solvents),
and/or measures and equipment for emergency response.
2. Sludge Management Plan
Ninety days prior to the initial disposal of sludge generated by any pretreatment
facility, the permittee shall submit a sludge management plan to the Control
Authority.
3. Flow Measurement Requirements
The permittee shall record the water meter reading providing water to the
facility at the beginning and end of each composite sample collection time
period,convert this to an estimate of the daily discharge flow for each pipe,
and report this value on the discharge monitoring report form. If the water
meter is unreadable, the control authority may use water consumption
reports for estimation of the daily discharge flow for each pipe, and report
this value on the discharge monitoring report form.
4. Certified Laboratory Analysis
Pollutant analysis shall be performed by a State of North Carolina Department of
Environment Quality and the Division of Water Resources Certified Laboratory
that is certified in the analysis of the pollutant in wastewater.
13
IUP Synopsis
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
South Burlington Wastewater Treatment NC0023876
Plant
IUP name: IUP Number:
Pickett Hosiery Mills,Inc. 0076
IUP Effective date: Pipe Numbers,list all regulated pipes:
April 25,2022 01
IUP expiration date: IUP 40 CFR#,if applicable:
December 31,2026
B. IUP Survey&Application form
Attach a completed copy of the Industrial User Wastewater Survey&
Application Form(see appendix 6-A)
C. IU Inspection form
Attach a copy of an Industrial User Inspection Form(see chapter 7) completed
by the Control Authority within the past 12 months.
D. RATIONALE FOR LIMITATIONS:
As listed on the IUP Limits Page(s),PART I, Section F of the IUP.
RATIONALE#1:
Review of IU Monitoring Data, with no Over Allocation situation:
The following pollutants were assigned numerical limits in this IUP based on
a review of monitoring data for the permittee to determine what ranges of
concentrations were being discharged at the 741 East Webb Avenue,
Burlington facility. To account for sample variability a factor was applied to
the monitoring data to determine the permit limit. Permit limits assigned by
the Local IUP Control Authority can not result in an Over Allocation situation
for any pollutants.
Chromium 1.00 lbs/day
Copper 0.82 lbs/day
Nickel 0.08 lbs/day
Zinc 0.40 lbs/day
1
SIU INSPECTION FORM 2022
Name Of Industry: Pickett HosieryMills IUP# 0076
Address Of Industry: 733 Koury Dr IUP Expiration Date:
Burlington,NC 27216 12/31/2021
Indu t ' 1(;(Atati' ::) I L� ` M
�� eU�IO PN� l J
W Re rese rives Tit e . _ 1 .0" mop(
Date Of Inspection: (-II 1 I ii'1/ Time Of Inspection: 1/)t @pm
Purpose of Inspection: Annual Other(Describe) New permit
POTW to which IU discharges SBWWTP NPDES# NC0023876
Is SIU currently in SNC? No If yes,for what?
PART I -INITIAL INTERVIEW
Has anything changed since the last inspection or IUP application in the following:
COMMENTS
Product YES/NO
Raw materials used YES/NO
Manufacturing processes YES/NO
Categorical,if applicable YES/NO
Production rate YES/NO •
Number of employees YES/NO
Number of shifts YES/NO
Comments:
PART II - PLANT TOUR- Visit all areas where wastewater is generated or where there are
drains to the POTW.
Plant Tour Section A -PRODUCTION A STORAGE AREAS y.
Are the etl�o a�nsi� he r uc i.' �? Y /N le ldotl yg ? �1 et
0IPn ` , ,` t � WAXYid C , . ti ,,At-t -�
0 Are production areas diked,contains oth�vise constructed in such t.a ay as to prevent harm to the W / P,
especially from spills or slugs? YES Comments:
Are there floor drains in the storage area? YES/' ' Where do they go?
VI Are storage tanks and areas diked,contained, o ierwise constructed in such a way as to prevent harm to the
TP,especially from spills or slugs? YES(...., Col ments:
Are process and storage tanks and pipes labeled? YE /NO
How are off-spec raw materials,and products disp ofl 'Q uA
i> When is the production area cleaned? C J'T t C
Is the wastewater from cleaning the production area-ciischargetl/to the POTW? 6.-. ,NO
e�/- What non-procelt Nvaitemateo are is iard POTW ,a
Comments:
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
Title: SILL Inpsection Form
File name: COMP.INSP App 7-I)
Revision data: August I,1994 Page 1
SIU INSPECTION FORM 2022
1. Does operator seem knowledgeable about the system? YES/NO Comments:
2. Are all units operational? YES/NO
3. How often does operator/maintenance person check system?
4. Is there an operator for each shift? YES/NO
.,, 5. How and when is sludge disposed of?
6. Is there a schedule for preventative maintenance? YES/NO
Comments:
PART II - Plant Tour Section C-SAMPLING POINT(S)AND F W MEASUREMENT
�
Collect a sample if desired.)4C n �i :
Does an outside lab complete sampling? YES/NO If yes,name of lab. r ' C��
rh
. If industry completes sampling,ask the industry representative to describe sampling procedures. Comments:
3. Is flow measurement equipment operational? YES/NO Comments: COB Munis
4. Is there a calibration log for the flow meter? YES/NO Comments: COB Munis
Comments:
PART III - EXIT INTERVIEW
Review monitoring records and other SIU records required by IUP.
I. Are files well organized? YES/NO Comments:
2. Are sample collection/chain-of-custody forms filled out properly? YES/NO Comments:
3. Do results in files agree with reports sent to POTW? YES/NO Comments:
Who has it r t o sl t 9'� p rid ctio/jl!Mid a s 111 or slat isscl\arge occur?
.A How does S U in q.rt t np o ,ee of 1 hom t o 11 at Q it ct s spills] ?
./ ) j()/(/ /( t,' Ar 1:1/€6.; tilt ....f
irslug/spill plan is lready required by POTW,review procedures.
k
Is SIU impleme icing slug/pill plan? YES/NO Comments:
0, MP ...mrrtil
put,i,\,/
Comments:
INSPECTION RESULTS
I Slug/Spill Control Plan Needed? NO
Comments, Required Or Recommende Actions:
��p P f� � J
Signature Of Inspector(s) 6iru1 ���yy tr( telP fe: W( ' //
-Signature of SUI Representative ,•�1' Date: 'I t C�
Title: SW lnpseetion Form
File name: COMP.INSP App 7-D
Revision data: August I,1994 Page 2
I
Workbook Name : 2022_Update_South_allocation, Worksheet Name: AT Printed:4/18/2022, 10:58 AM
Page 1 of 4
Allocation Table Spreadsheet Instructions:
Headworks last approved: 02/02/16 1)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is
Allocation Table updated: 04/25/22
2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
Permits last modified: 04/25/22 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHLs,Basis,and Uncontrollable load
in this AT worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in
columns AT through BK.
POTW=> South Burlington
NPDES#=> NC0023786
FLOW BOD TSS
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Conc. Load
Count (please list alphabeccly) number number Industry Date Date Expires MGD gal/day mg/1 lbs/day mg/1 lbs/day
1 Alamance Foods 67 0001 Dairy 01/01/22 ; 12/31/26 Ea
2 McComb Industries 71 0001 Textile 01/01/22 12/31/26
3 Carolina Biological Supply 65 0001 faboratori 01/01/22 12/31/26
4 Carolina Hosiery 55 0001 , Textile 01/01/22 12/31/26 i
5 Kayser Roth 52 0001 Textile 07/01/21 06/30/26
6 Labcorp 66 0001 N...aborator; 01/01/22 : ' 12/31/26
Labcorp 66 0002 ',aborator! 01/01/22 12/31/26
7 Pickett Hosiery 90 0001 Textile 04/25/22 12/31/26
Column Totals=> 1 0 0
Basis=> NPDES Design Design
MAHL from HWA(lbs/day)_> NPDES Permitted Flow=> 12.0000 45036 22518
Uncontrollable Loading(lbs/day)_> 4.9900 12110 9031
Total Allowable for Industry(MAIL)(lbs/day)_> 7.0100 32926 13487
Total Permitted to Industry(lbs/day)_> 0 0
MAIL left(lbs/day)=> #VALUE! 32926 13487
Percent Allow.Ind.(MAIL)still available(%)=> _ 100.0% 100.0%
Percent MARL still available(%)=> 73.1% 59.9%
5 Percent MAHL(lbs/day)=> 0.6000 2252 1126
H WA.AT
Revised:November 2005
Workbook Name : 2022_Update_South_allocation, Worksheet Name: AT Printed: 4/18/2022, 10:58 AM
Page 2 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 04/25/22
Permits last modified: 04/25/22
Polw=> South Burlington
NPDES#=> NC0023786
Ammonia Arsenic Cadmium Chromium Copper Cyanide
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count (please list aPnaneticly) number number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day
1 Alamance Foods 67 0001 0.2000 0.40001
2 McComb Industries 71 0001 1.8300 0.4000
3 Carolina Biological Supply 65 0001 �- 0.1000� 0.0400
4 Carolina Hosiery 55 0001 ' �� 0.6000 0.3000
5 Kayser Roth 52 0001 % 8.0000 1.5000
6 Labcorp 66 0001 `' 0.1000 0.1000
Labcorp 66 0002 ~ 0.1000 0.1000
7 Pickett Hosiery 90 0001 1.0000 0.8200
Column Totals=> 0j 0.0000 1 0.00001 11.93001 1 3.66001 0.0000
Stream Stream AS/Nit/TF AS/Nit/TF Stream
Basis=> Design Std Std inhibition inhibition Std
MAHL from HWA(lbs/day)=> 3002.40 1.2207 0.4069 24.7867 34.9422 1.0829
Uncontrollable Loading(lbs/day)=> 1082.03 0.1248 0.1248 0.4495 1.9477 0.2081
Total Allowable for Industry(MAIL)(lbs/day)=> 1920.37 1.0958 0.2820 24.3372 32.9946 0.8748
Total Permitted to Industry(lbs/day)=> 0.00 0.0000 0.0000 11.9300 3.6600 0.0000
MAIL left(lbs/day)=> 1920.37 1.0958 0.2820 12.4072 29.3346 0.8748
Percent Allow.Ind.(MAIL)still available(%)_> 100.0% 100.0% 100.0% 51.0% 88.9% 100.0%
Percent MAUL still available(%)_> 64.0% 89.8% 69.3% 50.1% 84.0% 80.8%
5 Percent MAHL(lbs/day)=> 150.12 0.0610 0.0203 1.2393 1.7471 0.0541
HWA.AT
Revised:November 2005
1
~ Workbook Name : 2022_Update_South_allocation, Worksheet Name: AT• Printed: 4/18/2022, 10:58 AM
Page 3 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 04/25/22'
Permits last modified: 04/25/22
Pores=> South Burlington
NPDES#=> NC0023786
Lead Mercury Molybdenum Nickel Selenium
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count (please listalphabeticly) number number mg/I lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day
1 Alamance Foods 67 0001 0.0500
2 McComb Industries 71 0001 J--' 0.1400�_�
3 Carolina Biological Supply 65 0001 0.0100
4 Carolina Hosiery 55 0001 0.1000
5 Kayser Roth 52 0001 r 1 0.8000
6 Labcorp 66 , 0001 0 0.00110 0.0150
Labcorp 66 0002 0.00040 0.0150
7 Pickett Hosiery 90 0001 0.0800'
Column Totals=> 0.00001 I 0.001500] 0.0000 1.2100 0.0000
Stream Sludge Stream Stream
Basis=> Std Stream Std Ceiling Std Std
MAHL from 1-IWA(lbs/day)_> 4.3037 0.063437 1.6953 4.7480 0.6714
Uncontrollable Loading(lbs/day)_> 0.1540 0.012485 0.0541 0.5036 0.0541
Total Allowable for Industry(MAIL)(lbs/day)_> 4.1497 0.050952 1.6412 4.2445 0.6173
Total Permitted to Industry(lbs/day)=> 0.0000 0.001500 0.0000 1.2100 0.0000
MAIL left(lbs/day)=> 4.1497 0.049452 1.6412 3.0345 0.6173
Percent Allow.Ind.(MAIL)still available(%)=> 100.0% 97.1% 100.0% 71.5% 100.0%
Percent MAHL still available(%)=> 96.4% 78.0% 96.8% 63.9% 91.9%
5 Percent MARL(lbs/day)_> 0.2152 0.003172 0.0848 0.0336'
HWA.AT
Revised:November 2005
Workbook Name : 2022_Update_South_allocation, Worksheet Name: AT Printed:4/18/2022, 10:58AM
Page 4 of 4
Allocation Table
Headworks last approved: 02/02/16
Allocation Table updated: 04/25/22
Permits last modified: 04/25/22
POTW=> South Burlington
NPDESii=> NC0023786
Silver Zinc Total Nitrogen Total Phos. Aluminum
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count (please list dpbebeaehy) number number mg/1 lbs/day mg/1 lbs/day mg/I lbs/day mg/1 lbs/day mg/1 lbs/day
1 , amance Foods 67 0001 ' 1.5000,
2 cComb Industries ' 71 0001 =II M' 0.800 1 WM 11
3 Carolina Biological Supply 65 0001 I 1.0000 _4 Carolina Hosiery 55 0001 0.660 t' NM--5 ayser Roth 52 0001 ME 2.6000 _'--6 I :bcorp 66 0001 =MI 0.2500:I bcorp 66 0002 0.2500 MEM .
7 'ickett Hosiery 90 0001 ME 0.4000- -_-
Column Totals=> 0.0000 7.4600 0.00 0.00 0.0000
AS/Nit/TF AS/Nit/TF
Basis=> inhibition inhibition NPDES
MAHL from HWA(lbs/day)=> 15.9242 74.9374 546.56
Uncontrollable Loading(lbs/day)=> 0.2081 7.9404 188.78 36.5893
Total Allowable for Industry(MAIL)(lbs/day)_> 15.7161 66.9969 357.78
Total Permitted to Industry(lbs/day)=> 0.0000 7.4600 0.00 0.00 0.0000
MAIL left(lbs/day)_> 15.7161 59.5369 357.78
Percent Allow.hid.(MAIL)still available(%)_> 100.0% 88.9% ####### 100.0% #######
Percent MARL still available(%)_> 98.7% 79.4% ####### 65.5% #######
5 Percent MARL(lbs/day)=> 0.7962 . 3.7469 27.3280
HWA.AT
Revised:November 2005