WQCS00150_Pretreatment Compliance Inspection_20240515

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r C'. NORTH CAROLINA DIVISION OF WATER RESOURCES
PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
Water Resources
ENVIRONMENTAL QUALITY
BACKGROUND INFORMATION [Complete Prior To PCI; Review Program Info Database Sheet(s)]
1. Control Authority (POTW) Name: Town of Burgaw
2. Control Authority Representative(s): Robert Moore, Lisa Osthues
3. Title(s): Director of Public Works, Pretreatment Contractor
4. Last Inspection Date: 07/12/2022 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
WIQ IC IS 1 0 10 11 1 5 1 0 l
Are Milestone Dates Being Met? ❑ YES ❑ NO
MM/DD/YY
1 05 1 15 1 24 1
7. Current Number Of Significant Industrial Users (SIUs)?
1 2*
8. Number of SIUs With No IUP, or With an Expired IUP?
0
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year?
F 0
10. Number of SIUs Not Sampled By POTW in the Last Calendar Year?
0
11. Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi -Annual Periods?
2
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)?
1
16. Number of CIUs in SNC?
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 Pu
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
The Town of Wallace
is the POTW.
❑ YES ❑ NO
*See comments
Limits: American Skins, Cardinal Foods
Reporting: N/A
blished: N/A
N/A
❑ YES ❑ NO
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 1

DocuSign Envelope ID: 7BDAD37F-4122-46FB-81B8-7932414715C3
LTMP/STMP FILE REVIEW: *See comments
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 yourselfl
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:
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 2

DocuSign Envelope ID: 7BDAD37F-4122-46FB-8lB8-7932414715C3
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)
02/17/2011
❑ Yes ❑ No
05/18/2011
❑ Yes ❑ No
N/A
Industrial Waste Survey (IWS)
11/04/2019
® Yes ❑ No
03/04/2020
® Yes ❑ No
* See
comments
Sewer Use Ordinance (SUO)
01/11/20213
® Yes ❑ No
02/06/2013
® Yes ❑ No
Enforcement Response Plan (ERP)
05/15/2020
® Yes ❑ No
08/11/2020
® Yes ❑ No
Long Term Monitoring Plan (LTMP)
10/27/2004
❑ Yes ❑ No
01/04/2005
❑ Yes ❑ No
N/A
INDUSTRIAL USER PERMIT (IUP) FILE REVIEW (3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
29. User Name
1. American Skin Food Group 2. LL Building Products
3.
30. IUP Number
0004
0006
31. Does File Contain Current Permit?
® Yes ❑ No
® Yes ❑ NoI
❑ Yes ❑ No
32. Permit Expiration Date
12/31/2026
12/31/2026
33. Categorical Standard Applied I.E. 40 CFR, Etc. Or N/A
N/A
433.17
34. Does File Contain Permit Application Completed Within One Year Prior
® Yes ❑ No
® Yes ❑ No
❑ Yes ❑ No
to Permit Issue Date?
35. Does File Contain an Inspection Completed Within Last Calendar Year?
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 ONO 11
b. []Yes []No
37. For 40 CFR 413 and 433 TTO Certification, Does File Contain a Toxic
❑Yes❑NoEN/A
®Yes❑No❑N/A
❑Yes❑No❑N/A
Organic Management Plan TOMP ?
38. a. Does File Contain Original Permit Review Letter from the Division?
a. ®Yes ❑No
a. ®Yes []No
a. ❑Yes ❑No
b. All Issues Resolved?
b.❑Yes❑NoEN/A
b.❑Yes❑No®N/A
b.❑Yes❑No❑N/A
39. During the Most Recent Semi -Annual Period, Did the POTW Complete
®Yes ❑ No
® Yes ❑ No
❑ Yes ❑ No
1
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 by IUP, including flow?
41b. During the Most Recent Semi -Annual Period, Did SIU submit all reports
EYes❑No❑N/A
®Yes❑No❑N/A
❑Yes❑No❑N/A
on time?
42a. For categorical IUs with Combined Wastestream Formula (CWF), does
❑Yes❑NoEN/A
❑Yes❑NoEN/A
❑Yes❑No❑N/A
file include process/dilution flows as Required by IUP?
42b. For categorical IUs with Production based limits, does file include
❑Yes❑NoEN/A
❑Yes❑NoEN/A
❑Yes❑No❑N/A
production rates and/or flows as Required by IUP?
43a. During the Most Recent Semi -Annual Period, Did the POTW Identify
®Yes ❑ No
® Yes ❑ No
El Yes El No
All Limits Non -Compliance from Both POTW and SIU Sampling?
43b. During the Most Recent Semi -Annual Period, Did the POTW Identify
❑Yes❑NoEN/A
❑Yes❑NoEN/A
❑Yes❑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❑NoEN/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❑NoEN/A
b.❑Yes❑No❑N/A
c. If applicable, Did POTW resample within 30 days of becoming aware
c.❑Yes❑NoEN/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
❑
Yes
®
No
❑
Yes
❑
No
47. During the Most Recent Semi -Annual Period, Was Enforcement Taken
❑Yes❑NoEN/A
❑Yes❑NoEN/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❑NoEN/A
❑Yes❑No❑N/A
49. Does The File Contain Proof Of Penalty Collection?
EYes❑No❑N/A
❑Yes❑NoEN/A
❑Yes❑No❑N/A
50. a. Does the File Contain Any Current Enforcement Orders?
a.❑Yes❑NoEN/A
a.❑Yes❑NoEN/A
a.❑Yes❑No❑N/A
b. Is SIU in Compliance with Order?
b.❑Yes❑No®N/A
b.❑Yes❑NoEN/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: 7BDAD37F-4122-46FB-8lB8-7932414715C3
FILE REVIEW COMMENTS:
2. Cardinal Foods SIU (0007) was revoked on 01/22/2024.
18. Cardinal Foods was in SNC for both semiannual periods in 2023 due to discharging process water which was required to be
pumped and hauled. The SIU was placed under a cease discharge order for all process flow on 08/28/2023. In January 2024, the SIU
was found to have discharged process water under the cease discharge and the SIU permit was revoked on 01/22/2024.
22-27. LTMP pollutants of concern for the receiving POTW, Town of Wallace, are included in the semiannual SIU sampling events.
28. The Town of Burgaw is required to submit an Industrial Waste Survey annually through their SIU permit issued by the Town of
Wallace.
American Skins Food Group:
34. Permit application completed on 05/26/2021.
35. Inspection completed on 12/01/2023.
36. An annual updated Slug/Spill Control Plan is a requirement in the IUP.
38. Approval letter issued 04/14/2022.
39. Sampling completed by the Town on 06/06/2023 and 12/12/2023.
44b. SIU was in SNC for February and April of 2023 for TSS monthly limit. Resampling did not take place due to it being a monthly
limit, but the SIU showed compliance in the following months.
LL Buildine Products:
34. Permit application completed on 12/06/2021.
35. Inspection completed on 12/01/2023.
36. An annual updated Slug/Spill Control Plan is a requirement in the IUP.
38. Approval letter issued 04/14/2022.
39. Sampling completed by the Town on 05/03/2023 and 12/06/2023.
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:
NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 4

DocuSign Envelope ID: 7BDAD37F-4122-46FB-8lB8-7932414715C3
OVERALL SUMMARY AND COMMENTS:
Comments: The Town of Burgaw maintains their pretreatment program under the Town's collection system permit, WQCS00150. The
Town was placed under an IUP (TOW-002) by the Town of Wallace on August 1, 2023. All documentation was available for review.
The Town continues to manage an efficient pretreatment program.
Requirements:
Recommendations:
NOD: ❑ YES ❑ NO
NOV: ❑ YES ❑ NO
QNCR: ❑ YES ❑ NO
POTW Rating:
Satisfactory X Marginal.
PCI COMPLETED BY: Helen Perez
/,—DocuSigned by:
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UnSatisfactory
DATE: 5/16/2024
—DocuSigned by:
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NC DWR Pretreatment Compliance Inspection (PCI) Form Updated December 2016 Page 5