NC0021156_Pretreatment_Annual_Report_20240221

400 East Central Avenue
Post Office Box 406
MOVN 14 Mount I lolly,NC 28120
HOLLY CITY of MOUNT HOLLY 704-827-4261
704-827-6306 Fax
Website: www.mtholly.us
February 16, 2024
NCEQ/DWR/Municipal Permitting Unit
1617 Mail Service Center
Raleigh, N. C. 27699-1617
RE: City of Mount Holly
NPDES Permit No. NCO021156
Gaston County
To Whom It May Concern:
The City of Mount Holly is submitting the Pretreatment Annual Report (PAR) for the
period January 1, 2023 through December 31, 2023.
If you have any questions concerning this material, please contact me at (828) 228-
1708 or Nadine Blackwell at [phone].
Sincerely,
City of Mount Holly
'/ 4'j
Keith Lynch
Division Manager/ORC
cc: Nadine Blackwell
ENCLOSURES
Sent via email

PRETREATMENT ANNUAL REPORT (PAR)
--- -- - -- - ------------ - -----
POTW NAME: City of Mount Holly
REPORT DATE: February 16, 2023 _ _ —
PERIOD COVERED BY THIS REPORT: from 1/01/23 to 12/31/23
NAME OF WASTEWATER TREATMENT PLANT(s) City of Mount Holly WWTP
NPDES Permit No: NCO021156
Person to contact concerning information contained in this report:
Name: Nadine Blackwell
Title: Pretreatment Coordinator
Mailing Address: P. O. Box 1279
Clemmons, NC 27012
Telephone #: [phone]
1 have personally examined and am familiar with the information submitted in this
document and attachments. Based upon my inquiry of those individuals immediately
responsible for obtaining the information reported herein, 1 believe that the submitted
information is true, accurate and complete. I am aware that there are significant
penalties for submitting false information.
Aw J,0_�4
DATE Signature of Official
e; ti !F. Ly,nc_L
Printed Name
0"U":5�),r'A N�a Cer' 0g'L
Title

NARRATIVE SUMMARY
GENERAL INFORMATION:
GENERAL PROGRAM INFORMATION:
During this reporting period, the City did modify the Headworks Analysis by updating
the removal rate for Total Phosphorus and Total Nitrogen. The revised HWA was
submitted to the State on January 3, 2023. The POTW did not modify any of the
other Pretreatment Program Elements. The POTW reviewed the "Pretreatment
Program Info Database"sheet. A copy of the "Pretreatment Program Info Database"
is attached with noted corrections.
GENERAL PERMIT INFORMATION:
Effective June 27, 2022, the City of Mount Holly and American & Efird (A&E) entered
into a Consent Agreement with relaxed limits for BOD, COD, Total Nitrogen, and
Total Phosphorus. The Agreement allowed A&E time to determine the appropriate
pretreatment system to install and met the IUP limits. The Consent Agreement was
revised during this reporting period to adjust the milestone dates. A copy of the
"First Amendment" Constent Agreement is attached.
The POTW reissued industrial user permits to all SIUs with an effective date of
January 1, 2023. The City received a written letter in December 2022 from both
Daimler and A&E requesting an adjudicatory hearing. Both SIUs are adjudicating
various permit limitations. The limitations were developed based on the City of
Mount Holly discharging to Charolette Water sometime in 2024. The SIU Permits
were sent to the State on December 1, 2022. The State was informed of the SIU
Permit adjudications in January, 2023. During the adjudication period of January 1,
2023 through December 31, 2023, the POTW revereted to the expired permit for
compliance judgement.
During this reporting period, the Permit Adjudication for A&E and Daimler was
resolved. After several meetings and discussion the adjudication was resolved by
negogiation and settled without a formal hearing. The Total Nitrogen and Total
Phosphorus limit was increased in the IUP for Diamler. The Mercury limit was
increased in the IUP for A&E. The Industrial User Permits were issued to both SIUs
with an effective date of January 1, 2024. The revised Permits were sent to the
State and approved by letter dated November 14, 2023.
SIU INFORMATION:
1. American & Efird (A&E), IUP#1157
SIGNIFICANT NONCOMPLIANCE (SNC) INFORMATION:
None.

OTHER INFORMATION:
The City of Mount Holly and American & Efird (A&E) entered into a Consent
Agreement with increased limits for BOD, COD, Total Nitrogen, and Total
Phosphorus. The Agreement became effective on June 27, 2022. The
Agreement allowed A&E time to determine the appropriate pretreatment
system to install and meet the IUP limits. The Permit Adjudication was
resolved in October, 2023 and the Consent Agreement was revised with an
effective date of November 27, 2023. As of date of this report, A & E has
meet the milestone dates in the Agreement.
During the reporting period, A & E exceeded the permit limit for Flow and
the Consent Agreement limitation for Total Nitrogen. A & E attributed the
Nitrogen violation to the manufacturing process chemicals they are using.
A&E was sent a Notice of Violation in accordance with the City's
Enforcement Response Plan and Consent Agreement. A & E was
assessed penalties in accordance with the Consent Agreement in the
amount of$1,000.00.
The POTW completed the sampling and monitoring as required by the
Permit. Also, an on-site inspection was completed by the POTW.
2. Clariant Corporation, IUP#1158
SIGNIFICANT NONCOMPLIANCE (SNC) INFORMATION:
No SNC Events.
OTHER INFORMATION:
During the first compliance period, Clariant exceeded the daily maximum
permit limitation for Total Phosphorus. A Notice of Violation was sent in
accordance with the City's Enforcement Response Plan.
The POTW completed the sampling and monitoring as required by the
Permit. Also, an on-site inspection was completed by the POTW.
3. Daimler Trucks North America, IUP#1163
SIGNIFICANT NONCOMPLIANCE (SNC) INFORMATION:
No SNC Events.
OTHER INFORMATION:
During the first and second compliance period, Daimler exceeded the daily
maximum Permit limit for Total Nitrogen. A Notice of Violation was sent for
each violation and penalties assessed in the amount of $4,000.00 of which
payment was submitted in 2024. This penalty collection amount will be
captured in the 2024 Pretreatment Annual Report.
The POTW completed the sampling and monitoring as required by the
Permit. Also, an on-site inspection was completed by the POTW.

Pretreatment Program Info Database printed on: 12/22/2023
for Program Name Mount Holly Iwc %at 7010 6.12
WWTP Name City of Mount Holly Stream Information
7010 Flow cfs/mgd 95 / 61.37
Program Approval Date 08/26/1983 1 Q10 Flow cfs/mgd 77.57 / 50.14
Pretreatment Status Full Stream Classification WS-IV-CA
Region MRO Basin Number CTB33
County Gaston Receiving Stream Name CATAWBA RIVER
NPDES Number NCO021156
NPDES Effective Date Last PAR Rec 02/16/2023 PAR Due Date03/01/2024 mercury
12/01/2019
Current Fiscal
NPDES Expire Date 02/28/2024 Year PCI Done 05/27/2021 required
POTW is Primary WWTP TRUE Last Audit on 04/25/2019 Audit Year NeA23/24 es
Design Flow mgd 4.0000 % Design mgd is SIU permitted 43.25 Permitted SIU flow(mgd)[Pt—SIU) 1.73
WWTP SIU's 3 Program SIUs 3
WWTP CIU's Program CIUs HWA LTMP IWS SUO ERP
date Inactive Date Next Due 04/01/2024
Date Received by DWR 03/28/2019 03/30/2016 12/07/2016 02/22/2022 02/22/2022
Date Approved 06/24/2019 05/04/2016 08/10/2022
Adopt Date Required Revised HWA
submitted
Date Adopted 1/3/2023 11/12/2012
Info in this Box from Pt Contacts
Date Date Date
PT—Pro Attended Attended Attended
Formal Name g.Prime Phonel ext Fax HWA Wksp IUP Wksp PAR Wksp
Ms. Nadine Blackwell Prim 336-766-0270 11 1/5/2005 1 6/16/2011 1/31/2013
[e-mail] Pretreatment Coordinator 1P.O. Box 1279 7012
Mr. Keith Lynch 1 114/11/2019
[e-mail] Division Manager/ORC
Mr. Robert Stewart
[e-mail] Director of Utilities
Pretreatment Related NO Vs from DWQ DWR Central Office Contact Pretreatment Staff
11/29/1994 Failure to properly implement PT Program DWR Regional Contact es Bell
2/3/1997 plus 3/15/97 NOV=PAR late; NOD-1/30/97 PCI-?IUPs
1/1/1998 _
1/1/1999 _ atePAR. +
4/14/2000 NOD-PAR inadequate
5/25/2000 NOD-PCI-LTMP detect. level, SIU sampling
8/29/2006 (audit)IWS,enforcement(DLs)
5/1/2009 late par, inadequate par

Pretreatment Performance Summary (PPS)
1. Pretreatment Town Name: City of Mount Holly
2. "Primary" NPDES Number NCO021156
Or Non-Discharge Permit# if Applicable =>
3. PAR begin Date, please enter 01/01/yy or 07/01/yy 3.=> 01/01/23
4. PAR end Date, please enter 06/30/yy or 12/31/77 4.=:> 12/31/23
5. Total number of SIUs, includes CIUs 5.=> 3
6. Number of CIUs 6.=> 2
7. Number SIUs with no IUP, or with an expired IUP 7.=:> 0
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.E 0
11. Number of SIUs in SNC due to Reporting violations 11.E 0
12. Number SIUs in SNC due to violation of a Compliance Schedule, CO
or similar 12.E 0
13. Number CIUs in SNC 13.E 0
14. Number SIUs included in public notice 14.E 0
15. Total Number SIUs on a compliance schedule, CO or similar 15.E 1
16. Number NOVs, NNCs, AOs, or similar assessed to SIUs 16.E 10
17. Number of Civil Penalties asses to SIUs 17.E 6
18. Number Criminal Penalties assessed to SIUs 18.E 0
19. Total Amount of Civil Penalties Collected 19.E $1,000.00
20. Number of Us from which penalties collected 20.E 2
Foot Notes: AO Administrative Order IUP Industrial User Pretreatment Permit POTW Public Operated 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

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In the Matter of Document Number:
City of Mount Holly,North Carolina
Pretreatment Permit No. 1157
Held by American&Efird,LLC
i
CONSENT AGREEMENT AND SCHEDULE OF COMPLIANCE
ORIGINAL AGREEMENT EFFECTIVE June 27,2022
FIRST AMENDMENT
This FIRST AMENDMENT to the CONSENT AGREEMENT AND SCHEDULE OF
COMPLIANCE(the"AGREEMENT") is:made and entered by and between AMERICAN&
EFIRD LLC (the"COMPANY") and the CITY OF MOUNT HOLLY(the"CITY")
(collectively,the"PARTIES").
WITNESSETH:
f
I. The PARTIES do hereby stipulate and agree to the following:
A. The COMPANY operates a textile manufacturing operation at 20 American Street,
Mount Holly, Gaston County,North Carolina(the"FACI.LITY").
B. The COMPANY currently operates the FACILITY under Industrial User
Pretreatment Permit No. 1157 for the discharge of wastewater into the City of
i
Mount Holly Wastewater'rreatment Plant(the"W WTP"),signed on June 30,2020
! with an effective date of August 1, 2020 (the "PERMIT").
C. The PERMIT includes limits for the following parameters, among others:
Parameter Daily Max Obs/day) Monitoring Fre nenc
BOD' 2,464 1/Month
CBOD2 5,000 1/Month
Total Nitrogen 200.0 1/Month
Total Phosphorous 13.5 1/Month
Copper 2.5 1/Month
Zinc 3.0 1/Month
'BOD means Biological Oxygen Demand.
2 CBOD means Carbonaceous Biochemical Oxygen Demand.
D. Effective July 1,2022,the PERMIT provides that the parameter limits listed above
shall be reduced to the following values:
Parameter Daily Max ibs/da Monitorin Frequency
BOD N/A—Monitor&Report 1/Month
CBOD 3 000 1/Month
PPAN 69273280

Document Number:
Page 2
Parameter Daily Max lbs/da MonitorinE Frequency
Total Nitrogen 180.0 1/Month
Total Phosphorous 7.5 I/Month _
Copper 2.0 1/Month _
Zinc 2.5 I/Month
E. The COMPANY has implemented various source reduction measures to reduce
discharges of the parameters listed above from the FACILITY. Nonetheless, the
CITY determined that the COMPANY is in Significant Non-Compliance("SNC")
for priorBOD violations as documented in a Penalty Assessment issued by the City
dated January 28, 2022, and the FACILITY has received Notice of Violations
("NOVs") for various exceedances of the above-referenced parameters.
F. The COMPANY has determined that,given the approaching July 1,2022 reduction
in the parameter limits (among other reasons), designing and implementing
pretreatment is most likely needed to achieve consistent and continuous compliance
with the PERMIT and the associated parameter limits.
G. The PARTIES desire to resolve any outstanding compliance and enforcement
actions and provide an opportunity to the COMPANY to conduct a treatability
study, procure and install pretreatment equipment and implement pretreatment
processes in order for the FACILITY to achieve consistent and continuous
compliance with the PERMIT.
H. The COMPANY desires a temporary increase of the permit limit for BOD,CBOD,
Total Nitrogen and Total Phosphorus while determining treatment alternatives to
meet the final permit limits.
THEREFORE, in consideration of the foregoing, the PARTIES desiring to resolve and
settle the matters described above,have agreed to enter into this AGREEMENT with the following
terms and conditions:
II. The COMPANY hereby agrees to undertake and perform the following:
A. Meet and comply with all terms and conditions of the PERMIT(except as modified
by this AGREEMENT)provided, however, subject to the terms and conditions of
PPAB 692732W 2

Document Number:
Page 3
this AGREEMENT,the following shall apply while this AGREEMENT is in effect.
User shall comply with the interim effluent limitations and monitoring
requirements as contained in the chart below, and outlined in Attachment A in
Italics.
Parameter Daily Max lbsld _ Monitoring Fre uenc
BOD 6,000.0 _ 1/Month
Total Phosphorous 13.5 I/Month
Total Nitrogen 200.0 l/Month
CBOD 6,000.0 I/Month
I
B. The COMPANY shall undertake and complete a Wastewater Treatability Study
("STUDY") at the FACILITY, including an evaluation of the wastewater streams,
existing and anticipated parameter limitations, and available wastewater treatment
equipment and processes. From the STUDY, the COMPANY will prepare (or
cause to be prepared) a Preliminary Engineering Report ("REPORT") with a
recommended pretreatment system to the CITY by no later than October 15,2022,
except as extended pursuant to Section II.C. below;
C. The COMPANY shall:
1. Finalize the design of processes and equipment for the proposed
pretreatment system and submit Final Design, Drawings and
Specifications that are signed and sealed by a North Carolina
Professional Engineer to the CITY with a request for an Authorization to
Construct by no later than January 1,2024; Co,,�,L4e,0—cA- I�1:J71�vJ3
2. The CITY is committed to review the Final Design, Drawings and
Specifications, providing any comments and feedback, and approving the
request for Authorization To Construct as quickly as possible, but not later
tan February 1,2024;
3. Commence construction of the pretreatment system within thirty(30)days
following receipt of the Authorization to Construct issued by the CITY or
by February 1,2024,whichever comes sooner;
4. By no later than twelve (12) months following date of receipt of the
Authorization to Construct.issued by the CITY,complete installation of the
pretreatment system at the FACILITY;
5. By no later than five (5) months following date of installation of the
pretreatment system at the FACILITY (as reported by the COMPANY as
required below), complete a pretreatment system Performance Evaluation
and submit to the CITY; (i) a written engineering report documenting the
Performance Evaluation; and (ii) an Operating & Maintenance Plan
including operational strategies, chemical dosage rates, schedule of
PPAB 6927328v2 3

Document Number:
Page 4
oversight, typical daily work tasks and schedules for operators, process
control tests and procedures, and maintenance requirements and schedule;
6. By no later than seven (7) months following date of installation of the
pretreatment system at the FACILITY, comply with all applicable and
effective parameter limits in the PERMIT;
7. By no later than nine (9)months following installation of the pretreatment
I system at the FACILITY, submit to the CITY a signed roster of the
I operators which were provided operating training on the operation and
!. maintenance of the pretreatment system;
8. Within 7 days of final completion of the project the COMPANY shall send
the CITY a certified letter of final completion, including submittal of a
signed roster of operators per Section II.C.7 above. The final Completion
1 letterwill complete this agreement and Final Effluent Limitations will be in
full effect.
The COMPANY shall notify the CITY by email within three (3)business days of
t completion of eadh milestone set forth in this Section II.0 of the AGREEMENT.If
the COMPANY fails to meet a milestone date, a detailed written report shall be
submitted to the CITY within seven(7)business days following the milestone date,
including a statement explaining the cause ofthe failure,any remedial actions taken
by the COMPANY to prevent or minimize the event or delay, and the schedule by
which those measures will be implemented, The CITY may send the COMPANY
notice of violation and an assessment of the associated stipulated penalty pursuant
to Section III below within 30 days of the date for which a milestone must have
i been achieved.
D. The PARTIES agree that:
1. The COMPANY shall perform each of the activities set forth in Section
II.B. and Section II.0 of this AGREEMENT on or before the dates set forth
therein unless such dates are extended by agreement between the PARTIES
for good cause, and the CITY will not unreasonably withhold its consent to
such extensions. Any request for extension must be submitted to the CITY
in writing at least thirty(30)days prior to such date,or as soon as practicable
for unanticipated delays. Upon the CITY's review of an agreement to the
extension request, this AGREEMENT will be revised accordingly and
signed by both PARTIES.
2. The COMPANY's obligation to comply with the requirements set forth in
this AGREEMENT also may be delayed or excused to the extent that
noncompliance is caused by circumstances beyond the reasonable control
of the COMPANY including, without limitation, extraordinary shipping
delays or supply chain disruptions that cannot be reasonably avoided or
sufficiently minimized by the COMPANY. Failure to obtain funding will
not be considered events beyond the COMPANY's reasonable control. If
any such delaying event occurs, the COMPANY shall notify the CITY in
PPAB 6927328v2 4

Document Number:
Page 5
writing within fourteen (14) days of encountering or discovering the
delaying event, describing in detail the event or delay, the precise cause(s)
of the event or delay, the measure(s) taken and to be taken by the
COMPANY to prevent or in inim ize the event or delay,and the schedule by
which those measures will be implemented. The COMPANY agrees to
source possible alternatives to minimize delays where applicable. If non-
compliance with this AGREEMENT was caused by circumstances beyond
the reasonable control of the COMPANY,the PARTIES shall stipulate and
agree to a written modification of this AGREEMENT.
I1I. The COMPANY agrees that, unless performance is excused or extended in
accordance with the terms of this AGREEMENT, the COMPANY shall pay
stipulated penalties according to the following schedule:
Violation of interim effluent limits $250 for each violation for Total
Phosphorus, Copper, Zinc, CBOD,
and Total Nitrogen
Violation for failure to monitor* $250 per day for missed sample
Failure to meet the deadlines set forth $1,000 for the missed deadline,
in Section H.B. and Section H.C.1., .3, with an additional $500/week for
.4, .5 acid/or .7 contained herein. each week beyond the deadline
until the milestone is achieved.
Failure to achieve final compliance $15,000 per month
with all applicable and effective
parameter limits in the PERMIT as set
forth in Section II.C.6.**
* Should the failure to monitor result from a laboratory accident/error, the
COMPANY must provide the CITY with a written explanation including a
letter from the laboratory stating the cause of the accident and corrective
actions. The explanation must be included with the monthly Industrial A&E
Report for the month that the violation occurred. Upon review of the
explanation, the CITY may waive the penalty.
After the COMPANY demonstrates and notified the CITY of compliance
with all applicable and effective parameter limits in the PERMIT as set forth
in Section II.C.6, but before the AGREEMENT is terminated when the
COMPANY submits a signed roster of operators to the CITY pursuant to
Section X, exceedances of the parameter limits in the PERMIT may incur
penalties pursuant to the City of Mount Bolly Sewer Use Ordinance, but shall
not incur the$15,000 penalty set forth in this schedule.
PPAB 6927328v2 5

Document Number:
Page 6
The PARTIES agree that, in the event the COMPANY incurs stipulated penalties pursuant
to this Section III, such stipulated penalties shall be assessed and demanded by the CITY
without the issuance of further Notices of Violation to the COMPANY.
IV. All notices and reports required by this AGREEMENT shall be'delivered to:
If to the CITY:
Jonathan Wilson
Utility Director
400 East Central Avenue
P. O.Box 406
Mount Holly,NC 28120
Email:Jonathan.wilson ralmtholly.us
Keith Lynch
Wastewater Division Manager
400 East Central Avenue
P. O.Box 406
Mount Holly,NC 28120
Email: Keith.lynch a intholl %us
With a Copy to:
Marie Anders
Michael, Elting&Anders P.LLC
124 W. Catawba Ave.
Mount Holly,NC 28120
If to the COMPANY:
Jimmy Summers
Vice President—Environmental,Health, Safety & Sustainability
Elevate Textiles
121 W.Trade Street, Suite 1700
Charlotte,NC 28202
Email: [e-mail]
With a Copy to:
Elizabeth A.Dieck
Parker Poe Adams&Bernstein
850 Morrison Drive, Suite 400
Charleston, SC 29403
Email: [e-mail]
PPAB 692732W 6

Document Number:
Page 7
V. The PARTIES agree that exclusive jurisdiction and venue for any action involving the
interpretation,enforcement,or breach of this AGREEMENT shall be heard before the State
or Federal Courts sitting in North Carolina.
VI. Should any provision of this AGREEMENT be declared by a court of competent
jurisdiction to be inconsistent with Federal or State law and therefore unenforceable,the
remaining provisions hereof shall remain in full force and effect.
VII. Except as otherwise set forth herein,this AGREEMENT is not and shall not be interpreted
to be a permit or modification of an existing permit under Federal, State, or local law, and
shall not be construed to waive or relieve the COMPANY of its obligations to comply in
the fiture with any permit.
VIII. The PARTIES may jointly stipulate and agree to modify this AGREEMENT at any time
by written agreement signed by both PARTIES.
IX. The CITY reserves the right to modify this AGREEMENT should the wastewater
discharge from the FACILITY cause interference, pass through or upsets at the WWTP.
X. This FIRST AMENDMENT to the AGREEMENT is effective upon execution by the
CITY and the COMPANY (the "EFFECTIVE DATE") and shall terminate when the
COMPANY satisfies its obligations in accordance with Section II.C.8 of this
AGREEMENT to submit assigned roster of operators and an Operating & Maintenance
Plan to the CITY.
APPROVED AND ACCEPTED by the PARTIES on this day of 2023
(the"EFFECTIVE DATE").
AMERICAN&EFIRD LLC
By:
American &Efird LLC
Date: 11/20/2023
CITY OF MOUNT ROLL
By: kaw
City of Mot t H ly
Date: l�
PPAB 6927328v2 7

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BATCH NUMBER: 0000013624 RECEIPT NUMBER: 0000511066 ENTRY DATE: 02/20/2023 PAYOR: ELEVATE
TEXTILES
ADDRESS: 804 GREEN VALLEY ROAD SUITE 300 GREENSBORO, NC 27408-0000
C H A R G E L I S T I N G
CODE DESCRIPTION DUE DISCOUNT PAYMENT
217 FINES & CITATIONS 250.00 0.00 250.00
A & E PENALTY ASSESSMENT
CHARGE 250.00 0.00 250.00
mnmar.
P A Y M E N T INFORMATION
CHECKS: 250.00
----------------- ---------------------------------------------------------------------------------------------------------------------------------------
TOTAL: 250.00
C H E C K L I S T I N G
LINE # CHECK # PAID BY AMOUNT
--------- --- -------------01._1-0.au---------------EL&VATE_TEXTILES........................... 250.00
CHECK TOTAL: 250.00
_- _----- _____________ BATCH NUMBER:
0000013704 RECEIPT NUMBER: 0000513623 ENTRY DATE: 03/22/2023
PAYOR: ELEVATE TEXTILES ADDRESS: 804 GREEN VALLEY RD
STE 300
GREENSBORO, NC 27408-0000
C H A R G E L I S T I N G
CODE DESCRIPTION DUE DISCOUNT PAYMENT
217 FINES & CITATIONS 250.00 0.00 250.00
NITROGEN VIOLATION
CHARGE TOTAL: 250.00 0.00 250.00
P A Y M E N T I N F O R M A T I O N
CHECKS: 250.00
TOTAL: 250.00
C H E C K L I S T I N G
LINE # CHECK # PAID BY AMOUNT
""'-"-"'-""--'--""•""•""'.....91_. .4 fig 2 fl................9T4FFYAT9..T9KT.;U.�........................... 250.00
CHECK TOTAL: 250.00
===_=====a---- BATCH
--------------------------------------............................................................................................
NUMBER: 0000013828 RECEIPT NUMBER: 0000516662 ENTRY DATE: 05/04/2023
PAYOR: ELEVATE TEXTILES
ADDRESS: 804 GREEN VALLEY RD STE 300 GREENSBORO, NC 27408-0000
C H A R G E L I S T I N G
CODE DESCRIPTION DUE DISCOUNT PAYMENT
217 MISC REVENUE-SEWER CODE 250.00 0.00 250.00
VIOLATION
CHARGE TOTAL: 250.00 0.00 250.00
P A Y M E N T I N F O R M A T I O N
CHECKS: 250.00
TOTAL: 250.00
C H E C K L I S T I N G
LINE # CHECK # PAID BY �. AMOUNT
-------_---------------------------------91..9 Z 71U7..... .........Zj+ZYAT9..TPM lZ2............................ 250.00
CHECK TOTAL: 250.00
------_==aa= ==-==---------==______ BATCH NUMBER:
0000013989 RECEIPT NUMBER: 0000521640 ENTRY DATE: 07/06/2023
PAYOR: ELEVATE TEXTILES INC.
ADDRESS: 804 GREEN VALLEY ROAD SUITE 300 GREENSBORO, NC 27408-0000
C H A R G E L I S T I N G
CODE DESCRIPTION DUE DISCOUNT PAYMENT

217 FINES & CITATIONS 250.00 0.00 250.00
NITROGEN VIOLATION FINE
----------------------------------^."----_----------------------------------------------------------------------------
CHARGE TOTAL: 250.00 0.00 250.00
P A Y M E N T I N F O R M A T I O N
CHECKS: 250.00
TOTAL: 250.00
C H E C K L I S T I N G
LINE # CHECK # PAID BY AMOUNT
•--._._..._�-------- ------ U-1.029 --------- 250.00
CHECK TOTAL: 250.00