NC0021920_Pretreatment Compliance Inspection_20240221

DocuSign Envelope ID: AC2EEFBF-F359-4BF9-8FC1-AABA1C926579
K�Z` NORTH CAROLINA DIVISION OF WATER RESOURCES
PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
Water Resources
ENVIRONMENTAL QUALITY
BACKGROUND INFORMATION [Complete Prior To PCI; Review Prollram Info Database Sheet(s)]
1. Control Authority (POTW) Name: City of Whiteville
2. Control Authority Representative(s): Brandon Rich
3. Title(s): Pretreatment Coordinator
4. Last Inspection Date: 08/31/2022 Inspection Type (Check One): ® PCI ❑ Audit
5. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ® YES ❑ NO
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ YES ® NO
Order Type, Number, Parameters:
ICIS CODING
Main Program Permit Number
I N I C 10 10 1 2 11 19 12 1 0
MM/DD/YY
11YA lQ�
Are Milestone Dates Being Met? ❑ YES ❑ NO
7. Current Number Of Significant Industrial Users (SIUs)?
2
8. Number of SIUs With No IUP, or With an Expired IUP?
I
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year?
0
10. Number of SIUs Not Sampled By POTW in the Last Calendar Year?
FT
11. Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi -Annual Periods?
1
12. Number of SIUs in SNC For Reporting During Either of the Last 2 Semi -Annual Periods?
0
13. Number of SIUs in SNC with Pretreatment Schedule?
0
14. Number of SIUs on Schedules?
0
15. Current Number Of Categorical Industrial Users CIUs ?
0
16. Number of CIUs in SNC?
1 0
POTW INTERVIEW
17. Since the Last PCI, has the POTW had any NPDES Limits Violations?
If Yes, What are the Parameters and How are these Problems Being Addressed?
18. Since the Last PCI, has the POTW had any Problems Related to an Industrial
Discharge (Interference, Pass -Through, Blockage, Citizens' Complaints, Increased
Sludge Production, Etc.)?
If Yes, How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during SNC for
either of the Last 2 Semi -Annual Periods? Not Been Published for SNC for
Public Notice?(May refer to PAR if Excessive SIUs in SNC) Not Put
20. Which Industries are on Compliance Schedules or Orders? For all SIUs on an
Order, Has a Signed Copy of the Order been sent to the Division?
21. Are Any Permits or Civil Penalties Currently Under Adjudication? If Yes, Which
Ones?
[]YES ® NO
❑ YES ❑ NO
Limits: HERR
Reporting: N/A
dished: N/A
N/A
❑ YES ® NO
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page I

DocuSign Envelope ID: AC2EEFBF-F359-4BF9-8FC1-AABA1C926579
LTMP/STMP FILE REVIEW:
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ® YES ❑ NO
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring? ® YES ❑ NO
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? ® YES ❑ NO Is Table Adequate? ® YES ❑ NO
25. All LTMP/STMP effluent data reported on Discharge Monitoring Report? ® YES ❑ NO Division Inspector, please verify yourself!
26
27
IfNO to 23 - 26, list violations
Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑ YES ® NO
If yes, which ones? Eliminated: Added:
28. PRETREATMENT PROGRAM ELEMENTS REVIEW— Please review POTW files, verify POTW has copy of Program Element in
their files, complete with supporting documents and copy of PERCS Approval Letter, and dates consistent with Program Info:
Program Element
Last Submittal
Date In file?
Last Approval
Date In file
Date Next Due,
If Applicable
Headworks Analysis (HWA)
08/19/20
® Yes ❑ No
05/12/22
® Yes ❑ No
013026
Industrial Waste Survey IWS
04/30/19
® Yes ❑ No
06/05/19
® Yes ❑ No
01/31/24
Sewer Use Ordinance SUO
12/18/13
® Yes ❑ No
02/18/14
® Yes ❑ No
Enforcement Response Plan (ERP)
07/14/20
® Yes ❑ No
09/23/20
® Yes ❑ No
Long Term Monitoring Plan (LTMP)
01/28/19
® Yes ❑ No
03/05/19
® Yes ❑ No
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 2

DocuSign Envelope ID: AC2EEFBF-F359-4BF9-8FC1-AABA1C926579
INDUSTRIAL USER PERMIT (IUP) FILE REVIEW (3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
29. User Name
1. HERR (Terra Nova) *
2. Columbus Regional
3.
Healthcare
30. IUP Number
0006
0001
31. Does File Contain Current Permit?
® Yes ❑
I ®Yes ❑ No
❑Yes ❑ No
32. Permit Expiration Date
06/O1/23 *
03/15/26
33. Categorical Standard Applied I.E. 40 CFR, Etc.) Or N/A
N/A
N/A
34. Does File Contain Permit Application Completed Within One Year Prior
® Yes ❑ No
® Yes ❑ No
ElYes ❑ No
to Permit Issue Date?
35. Does File Contain an Inspection Completed Within Last Calendar Year?
I ® Yes ❑ No
® Yes ❑ No 11
❑ Yes ❑ No
36. a. Does the File Contain a Slug/Spill Control Plan?
a. ®Yes ❑No
a. ®Yes ❑No
a. ❑Yes ❑No
b. If No, is One Needed? (See Inspection Form from POTW)
b. [I es []No
b. ❑Yes ❑No
b. []Yes []No
37. For 40 CFR 413 and 433 TTO Certification, Does File Contain a Toxic
❑Yes❑NoNN/A
❑Yes❑NoNN/A
❑Yes❑No❑N/A
Organic Management Plan (TOMP)?
38. a. Does File Contain Original Permit Review Letter from the Division?
a. ❑Yes ®No
a. []Yes ®No*
I
a. ❑Yes ❑No
b. All Issues Resolved?
b.❑Yes❑No®N/A
b.❑Yes❑No❑N/A
b.❑Yes❑No❑N/A
39. During the Most Recent Semi -Annual Period, Did the POTW Complete
® Yes ❑ No
® Yes ElNo
ElYes ❑ No
its Sampling as Required b IUP, includingflow?
40. Does File Contain POTW Sampling Chain -Of -Custody Forms?
I ® Yes ❑ No
® Yes ❑ No
❑ Yes ❑ No
41. During the Most Recent Semi -Annual Period, Did the SIU Complete its
®Yes❑No❑N/A
®Yes❑No❑N/A
❑Yes❑No❑N/A
Sampling as Required b IUP, includingflow?
41b. During the Most Recent Semi -Annual Period, Did SIU submit all reports
®Yes❑No❑N/A
®Yes❑No❑N/A
❑Yes❑No❑N/A
on time?
42a. For categorical IUs with Combined Wastestream Formula (CWF), does
❑Yes❑NoNN/A
❑Yes❑NoNN/A
❑Yes❑No❑N/A
file includeprocess/dilution flows as Required by IUP?
42b. For categorical IUs with Production based limits, does file include
❑Yes❑NoNN/A
❑Yes❑NoNN/A
❑Yes❑No❑N/A
production rates and/or flows as Required b IUP?
43a. During the Most Recent Semi -Annual Period, Did the POTW Identify
® Yes ❑ No
® Yes ❑ No
❑ Yes ❑ No
All Limits Non -Compliance from Both POTW and SIU Sampling?
43b. During the Most Recent Semi -Annual Period, Did the POTW Identify
®Yes❑No❑N/A
®Yes❑No❑N/A
❑Yes❑No❑N/A
All Reporting_Non-Compliance from SIU Sampling?
44. a. Was the POTW Notified by SIU (Within 24 Hours) of All Self-
a.®Yes❑No❑N/A
a.❑Yes❑No®N/A
a.❑Yes❑No❑N/A
Monitoring Violations?
b. Did Industry Resample and submit results to POTW Within 30 Days?
b.®Yes❑No❑N/A
b.❑Yes❑No®N/A
b.❑Yes❑No❑N/A
c. If applicable, Did POTW resample within 30 days of becoming aware
c ®yes❑No❑N/A
of SIU limit violations in the POTW's sampling of the SIU?
c.❑Yes❑No®N/A
c.❑Yes❑No❑N/A
46. During the Most Recent Semi -Annual Period, Was the SIU in SNC?
❑
Yes
®
No 11
❑
Yes
®
No 11
❑
Yes
❑
No
47. During the Most Recent Semi -Annual Period, Was Enforcement Taken
❑Yes❑NoNN/A
❑Yes❑NoNN/A
❑Yes❑No❑N/A
as Specified in the POTW's ERP (NOVs, Penalties, timing, etc.)?
48. Does the File Contain Penalty Assessment Notices?
EYes❑No❑N/A
❑Yes❑NoNN/A
❑Yes❑No❑N/A
49. Does The File Contain Proof Of Penalty Collection?
NYes❑No❑N/A
❑Yes❑NoNN/A
❑Yes❑No❑N/A
50. a. Does the File Contain Any Current Enforcement Orders?
a.❑Yes❑No®N/A
a.❑Yes❑No®N/A
a.❑Yes❑No❑N/A
b. Is SIU in Compliance with Order?
b.❑Yes❑No®N/A
b.❑Yes❑No®N/A
b.❑Yes❑No❑N/A
51. Did the POTW Representative Have Difficulty in Obtaining Any of This
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
Requested Information For You?
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 3

DocuSign Envelope ID: AC2EEFBF-F359-4BF9-8FC1 -AABA1 C926579
FILE REVIEW COMMENTS:
28. The IWS was due on O1/31/24. But, per 2023 EOY Letter, there is no longer a date requirement for submittal to the Division every
5 years. POTW should maintain an IWS that may be requested by the Division for review.
HERR
29. The company name has changed from HERR to Terra Nova. POTW needs to reflect this change in the SIU permit.
32. The SIU permit expired on 06/O1/23 and no new permit has been issued.
34. An application was submitted by the SIU on 05/04/23.
35. The POTW inspected the SIU on 12/11/23.
39. The POTW sampled the SIU on 12/29/23.
44. HERR was in SNC for the second semi-annual period of 2022 and the first semi-annual period of 2023 for Zinc and Copper.
Enforcement was taken by the POTW as specified in the ERP. HERR responded by installing pipes to allow them to direct flow to
a storage tank and sample before discharging to the POTW or using an alternative disposal option..
Columbus Regional Healthcare
32. The current permit expires on 03/15/26.
34. An application was submitted by the SIU on 03/08/21.
35. The POTW inspected the SIU on 12/04/23.
38. The file does not contain the Division permit review letter.
39. The POTW sampled the SIU on 11/14/23.

DocuSign Envelope ID: AC2EEFBF-F359-4BF9-8FC1 -AABA1 C926579
INDUSTRY INSPECTION ICIS CODING: N/A
Main Program Permit Number MM/DD/YY
1. Industry Inspected:
2. Industry Address:
3. Type of Industry/Product:
4. Industry Contact:
Phone: Fax:
Title:
5. Does the POTW Use the Division Model Inspection Form or Equivalent? ❑ YES ❑ NO
6. Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview
❑ YES ❑ NO
B. Plant Tour
❑ YES ❑ NO
C. Pretreatment Tour
❑ YES ❑ NO
D. Sampling Review
❑ YES ❑ NO
E. Exit Interview
❑ YES ❑ NO
Industrial Inspection Comments:
OVERALL SUMMARY AND COMMENTS:
Comments: A Notice of Violation will be issued for the failure to properly renew the Industrial User Permit (IUP) for HERR (Terra
Nova) prior to the expiration date and failure to submit the current IUP for Columbus Regional Healthcare to the Division for review
30 days prior to the effective date.
Requirements: Issue a new permit to HERR (Terra Nova). Summit the new permit for HERR (Terra Nova) to the Division for review
30 days prior to the effective date;
Recommendations: File all submittals, approvals, all program elements, SIU permits, EOY letters, etc in an electronic Pretreatment file
for a more efficient system.
NOD: ❑ YES ® NO
NOV: ® YES ❑ NO
QNCR: [—]YES ® NO
POTW Rating:
Satisfactory X Marginal UnSatisfactory
PCI COMPLETED BY: Helen Perez, Wilmington Regional Office DATE: 2/21/2024
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NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 5