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HomeMy WebLinkAboutNC0020737_NOV Inspection NOV-2018-PC-0410_20181101ROY COOPER covmw MI HAEL S. RE AM S-Mrerary LINDA CULPEPPER lrrredmi a'rertor FORTH CAROLINA Envimnmerrtaf (hfailly CERTIFIED MAIL # 70161370 0000 2596 0436 RETURN RECEIPT REQUESTED November 1, 2018 Mr. Ricky Duncan, Water Resources Director City of Kings Mountain P.O. Box 429 Kings Mountain, NC28086 Subject: Notice of Violation Compliance Evaluation/Bioassay Inspection NOV-2018-PC-0410 City of Kings Mountain NPDES Permit No. NCO020737 Cleveland County Dear Mr. Duncan: Enclosed is a copy of the Compliance Evaluation Inspection report for the inspection conducted at the subject facility on October 16, 2018, by Ori Tuvia. The cooperation of Richelle Meek and Kathy Moses during the site visit was much appreciated. Please advise the staff involved with this NPDES Permit by forwarding a copy of the enclosed report. At the time of the inspection split samples for toxicity were taken. The results will be sent at a later date. The main area of concern observed during the inspection was that a review of the lab data for the period of August 22, 2017 - April 30, 2018, resulted in the discovery that the facility has been testing for free chlorine rather than total residual chlorine, due to ordering incorrect chlorine packets. The facility lab is certified for sampling total residual chlorine but not for free chlorine. Amended eDMRs for the period of August 2017 through April 2018 have been submitted. ef5:fDEQ5 State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations Mooresville Regional Office 1 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115 704 663 1699 Additional areas of concern include: 1. Short-circuiting was observed at clarifier #4 due to an uneven weir; 2. The weir at the clarifier #3 showed signs of rusting; 3. Dead spots were observed in all three (3) aeration basins. Mixers, in addition to the existing diffusers, would potentially eliminate the observed dead spots. 4. Grit was observed in downstream treatment units including the chlorine contact chamber. A grit removal system would greatly improve treatment and significantly reduce the accumulation of grit in other treatment units. The report should be self-explanatory; however, should you have any questions concerning this report, please do not hesitate to contact Ori Tuvia at (704) 235-2190, or at ori.tuvia(a-,ncdenr. gov. Sincerely, EA DocuSignedd by: 44 V �I P for F161 FB69A2D84A3... W. Corey Basinger Regional Supervisor Mooresville Regional Office Division of Water Resources cc: NPDES, MRO files (Laserfiche) United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN 1 2 15 I 3 I NCO020737 111 12 I 18/10/16 I17 18 I Q I 19 I G I 201 I 211111 I I I I I I II I I I I I I I I I I I I I I I I I I I I I I I II I I I I I f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved ------------------- 67 2.0 70 71 ty[ �, � 72 I �, I 73 � 74 751 I I I I I I I80 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES oermit Number) 09:30AM 18/10/16 15/06/01 Pilot Creek WWTP 200 Potts Creek Rd Exit Time/Date Permit Expiration Date Kings Mountain NC 28086 12:15PM 18/10/16 18/08/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Kendrene Richelle Meek/ORC/704-739-7131/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Kim Teresa Moss,PO Box 429 Kings Mountain NC 280860429//704-739-7131/7047344528 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signatures) of Inspector(s) Agency/Office/Phone and Fax Numbers Date pocuSigne by Ori A Tuvia — - C— MRO WQ//704-663-1699/ 11/1/2018 C` Signature of Management Q A Reviewer Agency/Office/Phone a &W"8bYSby: for CB Date 14-0� H ;P+4+t4 11/01/18 W. Corey Basinger Division of Water Quality//704-2; F161FB69A2D84A3... EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type NCO020737 I11 121 18/10/16 117 18 JBI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Split sampling for toxcity second sample was collected on 10/18/2018 Page# Permit: NCO020737 Owner - Facility: Pilot Creek WWTP Inspection Date: 10/16/2018 Inspection Type: Bioassay Compliance Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new 0 ❑ ❑ ❑ application? Is the facility as described in the permit? 0 ❑ ❑ ❑ # Are there any special conditions for the permit? 0 ❑ ❑ ❑ Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: The subject permit expired on 8/31/2018. The City implements an approved Industrial Pretreatment Program. The Division received a SOC application from the City on 12/29/15 due to the WWTP's inability to comply with the effluent thallium limits placed in the current permit (effective 6/1/15). SOC became effective July 18, 2016, removing the daily maximum limit for Thallium sampling and increasing the monthly average to 60.1 ug/L. Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? 0 ❑ ❑ ❑ Is all required information readily available, complete and current? 0 ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? 0 ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? ❑ 0 ❑ ❑ Is the chain -of -custody complete? 0 ❑ ❑ ❑ Dates, times and location of sampling Name of individual performing the sampling Results of analysis and calibration Dates of analysis Name of person performing analyses Transported CM Are DMRs complete: do they include all permit parameters? ❑ 0 ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? 0 ❑ ❑ ❑ (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ ❑ on each shift? Is the ORC visitation log available and current? ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ ❑ Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ Page# 3 Permit: NCO020737 Inspection Date: 10/16/2018 Record Keeping Owner - Facility: Pilot Creek WWTP Inspection Type: Bioassay Compliance Yes No NA NE Comment: The records reviewed durina the inspection were oraanized and well maintained. DMRs COCs, ORC visitation loq, Bench sheets, and calibration logs were reviewed for the period December 2017 through Auqust 2018. For the period of August 22, 2017 - April 30, 2018, due to ordering wrong chlorine packets, the facility has been testing for free chlorine rather than total residual chlorine . Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? 0 ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑ # Is the facility using a contract lab? 0 ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? 0 ❑ ❑ ❑ Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? 0 ❑ ❑ ❑ Comment: Influent and effluent analvses are Derformed under the Citv's certified laboratory #222 Shealy Labs (metals, priority pollutants, total phosphorus, total nitrogen, oil & grease, Thallium), and ETT, Inc.(toxicity) have also been contracted to provide analytical support. For the period December 2017 through August 2018. For the period of August 22, 2017 - April 30, 2018, due to ordering wrong chlorine packets, the facility has been testing for free chlorine rather than total residual chlorine . The facility lab is certified for sampling total residual chlorine but not for free chlorine. Conductivitv meter was Dast due for calibration.lt was last calibrated on March 28. 2017. Influent Sampling Yes No NA NE # Is composite sampling flow proportional? 0 ❑ ❑ ❑ Is sample collected above side streams? E ❑ ❑ ❑ Is proper volume collected? 0 ❑ ❑ ❑ Is the tubing clean? 0 ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? Is sampling performed according to the permit? 0 ❑ ❑ ❑ Comment: The subiect Dermit requires influent comDosite BOD and TSS samDles. The facilitv staff perform and document monthly aliquot verifications. Influent pH levels are continuously monitored by an in -line monitoring system. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? 0 ❑ ❑ ❑ Is sample collected below all treatment units? 0 ❑ ❑ ❑ Is proper volume collected? 0 ❑ ❑ ❑ Page# 4 Permit: NCO020737 Owner - Facility: Pilot Creek WWTP Inspection Date: 10/16/2018 Inspection Type: Bioassay Compliance Effluent Sampling Yes No NA NE Is the tubing clean? 0 ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type 0 ❑ ❑ ❑ representative)? Comment: The subiect permit reauires composite and arab effluent samDles. The facilitv staff perform and document monthly aliquot verifications Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and 0 ❑ ❑ ❑ sampling location)? Comment: Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: Grit was observed in downstream treatment units includina the chlorine contact chamber. A grit removal system would greatly improve treatment and significantly reduce the accumulation of grit in other treatment units. The facility staff incorporate a comprehensive process control program with all measurements beinq properly documented and maintained on -site. The facility is equipped with a telemetry type alarm system that is tested (and documented) on a monthly basis (at a minimum). Pump Station - Influent Is the pump wet well free of bypass lines or structures? Is the wet well free of excessive grease? Are all pumps present? Are all pumps operable? Are float controls operable? Is SCADA telemetry available and operational? Is audible and visual alarm available and operational? Comment: Both screw pumps were operational and in-service. Bar Screens Type of bar screen a.Manual Yes No NA NE • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ■ ❑ Yes No NA NE Page# 5 Permit: NCO020737 Inspection Date: 10/16/2018 Owner - Facility: Pilot Creek WWTP Inspection Type: Bioassay Compliance Bar Screens Yes No NA NE b.Mechanical Are the bars adequately screening debris? 0 ❑ ❑ ❑ Is the screen free of excessive debris? 0 ❑ ❑ ❑ Is disposal of screening in compliance? 0 ❑ ❑ ❑ Is the unit in good condition? 0 ❑ ❑ ❑ Comment: Screenings are disposed at the Cleveland County Landfill. Grit was observed in downstream treatment units including the chlorine contact chamber. A grit removal system would greatly improve treatment and significantly reduce the accumulation of grit in other treatment units. Flow Measurement - Influent Yes No NA NE # Is flow meter used for reporting? 0 ❑ ❑ ❑ Is flow meter calibrated annually? 0 ❑ ❑ ❑ Is the flow meter operational? 0 ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? 0 ❑ ❑ ❑ Comment: The influent flow meter is calibrated annually and was last calibrated on 3/30/2018. Aeration Basins Mode of operation Type of aeration system Is the basin free of dead spots? Are surface aerators and mixers operational? Are the diffusers operational? Is the foam the proper color for the treatment process? Does the foam cover less than 25% of the basin's surface? Is the DO level acceptable? Is the DO level acceptable?(1.0 to 3.0 mg/1) Yes No NA NE Ext. Air Diffused ❑ ■ ❑ ❑ ❑ ❑ ■ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ■ Comment: Dead spots were evident in all 3 aeration basins. Mixers, in addition to the existing diffusers, would potentially eliminate the observed dead spots. Three of four aeration basins were operational and in-service. Sodium hydroxide is added to the aeration basin influent to maintain appropriate alkalinity/pH levels. Chemical Feed Is containment adequate? Is storage adequate? Are backup pumps available? • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ Page# 6 Permit: NCO020737 Owner - Facility: Pilot Creek WWTP Inspection Date: 10/16/2018 Inspection Type: Bioassay Compliance Chemical Feed Yes No NA NE Is the site free of excessive leaking? 0 ❑ ❑ ❑ Comment: Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? 0 ❑ ❑ ❑ Is the site free of excessive buildup of solids in center well of circular clarifier? 0 ❑ ❑ ❑ Are weirs level? 0 ❑ ❑ ❑ Is the site free of weir blockage? 0 ❑ ❑ ❑ Is the site free of evidence of short-circuiting? ❑ 0 ❑ ❑ Is scum removal adequate? 0 ❑ ❑ ❑ Is the site free of excessive floating sludge? 0 ❑ ❑ ❑ Is the drive unit operational? 0 ❑ ❑ ❑ Is the return rate acceptable (low turbulence)? 0 ❑ ❑ ❑ Is the overflow clear of excessive solids/pin floc? 0 ❑ ❑ ❑ Is the sludge blanket level acceptable? (Approximately'/4 of the sidewall depth) 0 ❑ ❑ ❑ Comment: 3 (1,3,4) clarifiers were in service. The weir at the 3rd clarifier showed signs of rusting. The 4th clarifier had some short circuiting. Pumps-RAS-WAS Yes No NA NE Are pumps in place? 0 ❑ ❑ ❑ Are pumps operational? 0 ❑ ❑ ❑ Are there adequate spare parts and supplies on site? ❑ ❑ 0 ❑ Comment: Disinfection -Gas Yes No NA NE Are cylinders secured adequately? 0 ❑ ❑ ❑ Are cylinders protected from direct sunlight? 0 ❑ ❑ ❑ Is there adequate reserve supply of disinfectant? 0 ❑ ❑ ❑ Is the level of chlorine residual acceptable? 0 ❑ ❑ ❑ Is the contact chamber free of growth, or sludge buildup? 0 ❑ ❑ ❑ Is there chlorine residual prior to de -chlorination? 0 ❑ ❑ ❑ Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)? 0 ❑ ❑ ❑ If yes, then is there a Risk Management Plan on site? 0 ❑ ❑ ❑ Page# 7 Permit: NCO020737 Owner - Facility: Pilot Creek WWTP Inspection Date: 10/16/2018 Inspection Type: Bioassay Compliance Disinfection -Gas Yes No NA NE If yes, then what is the EPA twelve digit ID Number? (1000- - ) 100000058965 If yes, then when was the RMP last updated? Comment: De -chlorination Yes No NA NE Type of system ? Gas Is the feed ratio proportional to chlorine amount (1 to 1)? 0 ❑ ❑ ❑ Is storage appropriate for cylinders? 0 ❑ ❑ ❑ # Is de -chlorination substance stored away from chlorine containers? M ❑ ❑ ❑ Comment: Are the tablets the proper size and type? ❑ ❑ 0 ❑ Are tablet de -chlorinators operational? ❑ ❑ 0 ❑ Number of tubes in use? Comment: Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? 0 ❑ ❑ ❑ Is flow meter calibrated annually? 0 ❑ ❑ ❑ Is the flow meter operational? 0 ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ❑ Comment: The flow meters (end of each chlorine contact chamber) are calibrated annually and were last calibrated on 3/30/2018 Effluent Pipe Is right of way to the outfall properly maintained? Are the receiving water free of foam other than trace amounts and other debris? If effluent (diffuser pipes are required) are they operating properly? Comment: The effluent appeared clear with no floatable solids or foam. Aerobic Digester Is the capacity adequate? Is the mixing adequate? Is the site free of excessive foaming in the tank? Yes No NA NE ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ■ ❑ Yes No NA NE ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ Page# 8 Permit: NC0020737 Owner - Facility: Pilot Creek WWTP Inspection Date: 10/16/2018 Inspection Type: Bioassay Compliance Aerobic Digester Yes No NA NE # Is the odor acceptable? 0 ❑ ❑ ❑ # Is tankage available for properly waste sludge? 0 ❑ ❑ ❑ Comment: Both aerobic digesters were operational and in-service. Solids Handling Equipment Yes No NA NE Is the equipment operational? 0 ❑ ❑ ❑ Is the chemical feed equipment operational? 0 ❑ ❑ ❑ Is storage adequate? ❑ ❑ 0 ❑ Is the site free of high level of solids in filtrate from filter presses or vacuum filters? ❑ ❑ ❑ Is the site free of sludge buildup on belts and/or rollers of filter press? ❑ ❑ ❑ Is the site free of excessive moisture in belt filter press sludge cake? ❑ ❑ ❑ The facility has an approved sludge management plan? 0 ❑ ❑ ❑ Comment: The belt press was not running at time of the inspection. Standby Power Yes No NA NE Is automatically activated standby power available? 0 ❑ ❑ ❑ Is the generator tested by interrupting primary power source? 0 ❑ ❑ ❑ Is the generator tested under load? 0 ❑ ❑ ❑ Was generator tested & operational during the inspection? ❑ ❑ ❑ Do the generator(s) have adequate capacity to operate the entire wastewater site? 0 ❑ ❑ ❑ Is there an emergency agreement with a fuel vendor for extended run on back-up power? 0 ❑ ❑ ❑ Is the generator fuel level monitored? 0 ❑ ❑ ❑ Comment: The facility is equipped with two backup generators. The smaller generator powers the blowers for aeration basin #3 and the larger generator powers the rest of the plant. Both genreators have been tested under load Page# 9 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the maiipiec, or on the front if space permits. 1. Artirla ArfrirPccarf tn A. Sig ature X -Z� ❑ Agent ❑ Addressee B. Rp eived by (Printed Name) C. Date of Delivery ILLD. Is delivery address,d' ie'ht:frpm item 1? ❑ Yes If YES, ent f delivery address bel CITY OF KINGS MOUNTAIN •• ow... - - "'>_,;;f ❑ No PO BOX 429A� m: _.-�� KINGS MOUNTAIN NC 28086 ATTN: MR RICKY DUNCAN j dwr/ot 11/1/18 11 dultSiea'ype ❑ Adult Signature ❑priorityMailExpressO 9590 9402 2875 7069 6159 83 Adult Signatur9 Restricted Delivery. - Certified Mail® : • O Registered MaHTtd '17 Reeggistered Mail Restricted Delivery 2. Article Number (Transfer from service label) ertified Mail Restrlet�d DeUvery'Return ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Receipt for Merchandise Signature ConfirmationTM 7016 13 7 ®0 0 0 2 5 9 6 " ""ail 0 4 3 6 all Restricted Delivery ❑ Signature Confirmation Restricted Delivery PS Form 3811, JUIy 2015 PSN 7530-02-000-9053 Domestic Return Receipt -D m O Er- Ln rU O CI M M LI I Y UF KINGS MOUNTAIN PO BOX 429 KINC;C nnni im .. _ USPS TRACKING # ; 95q® ggnp pIlie in O r 11 United States Postal Service First -Class Mail Postage & Fees Paid USPS Permit No. G-10 u r J r ue l bLJ-1 0.1 ® Sender: Please print your name, address, and ZIP+4® in this box• fi 7 NCnEQ/wQROS 610 EAST CENTER AVE SUITE 301 iV!C ORESVILLE NC 28115 ;7ra D f►i1161,:1a;�;;1ffJ;rifjfjtlll:ri���1i'�ftfl`1�?fl'lt��if`i'ifitfl Certified Mail service pirrovides the following benefits. n A receipt (this portion of the Certified Mall label). for an electronic return receipt, see a retail o A unique identifier for your maiiplece. associate for assistance. To receive a duplicate 21 Electronic verification of delivery or attempted return receipt for no additional fee, present this delivery. USPS®-postmarked Certified Mail receipt to the 91 A record of delivery (including the recipient's retail associate. signature) that is retained by the Postal Service'" Restricted delivery service, which provides for a specified period. delivery to the addressee specified by name, or Important Reminders. to the addressee's authorized agent ® You may purchase Certified Mail service with Adult signature service, which requires the signee least 21 years of age (not First -Class Mails', First -Class Package Service®, or Priority Mail®service. oCertifiedr Priority le t et available at retaiq, ® Mail service is notavailable for International mail. Adult signature restricted delivery service, which requires the signee to be at least 21 years of age • Insurance coverage is notavailable for purchase and provides delivery to the addressee specified by name, or to the addressee's authorized agent with Certified Mail service. However, the purchase of Certified Mail service does not change the (not available at retail). insurance coverage automatically included with certain Priority Mail items. s To ensure that your Certified Mail receipt is accepted as legal proof of mailing, it should bear a • For an additional fee, and with a proper USPS postmark. If you would like a postmark on this Certified Mail receipt, please present your endorsement on the mailpiece, you may request the following services: Certified Mail item at a Post Office- for - Return receipt service, which provides a record of delivery (including the recipient's signature). postmarking. If you don't need a postmark on this Certified Mail receipt, detach the barcoded portion You can request a hardcopy return receipt or an of this label, affix it to the mailplece, apply electronic version. For a hardcopy return receipt, appropriate postage, and deposit the mailpiece. complete PS Form 3811, Domestic Retum Receipt, attach PS Form 3811 to your mailpiece; IMPORTAID. Save this receipt for your records. Ps Form 3800, April 201S (Reverse) PSN 7530-02-000.9047 9 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece„ or on the front if space permits. 1. Artir•.la AdtfrP¢cart tn CITY OF KINGS MOUNTAIN PO BOX 429 KINGS MOUNTAIN NC 28086 ATTN: MR RICKY DUNCAN dwr/ot 11/1/18 A. Sig ature X B. R¢ eived by (Printed Name) D. Is delivery a If YES7ent ❑ Agent ❑ Addressee C. Date of Delivery item 1? ❑ Yes Dlow:',. ❑ No it �'lll�l i'il l'i i� it i l lli l li l l ll ill' l i iii �li 11 du Service fiype ' ; ❑ AdultSignatur ❑ P"riority Mh i Expresso El'Registe)ed MaUTM 9590 9402 2875 7069 6159 83 p:Adult Signatu--9 Restricted Delivery,. Certified WHO . ❑Registered Mail Restricted Delivery 2. Article Number (Transfer from service /aBe/) ertifled Mail Restrl&41 Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Return Receipt for Merchandise tSignatureConfirmationTM 7 016 13 7 0 0000 2 5 9 6 ""ail 0436 all Restricted Delivery ❑ Signature Confirmation Restricted Delivery PS Form 3811, JUIy2015 PSN 7530-02-000-9053 Domestic Return Receipt U.S. Postal ServiceTM CERTIFIED MAIL° RECEIPT Domestic Mdi/ Only For delivery information. visit -a OF IC9A U l 0-' Certified Mall Fee ru rt7 $ v Extra Services & Fees (checkbox, add fee as appr,p ta, C3 ❑ Retum Recelpt (hardcopy) $ r3 ❑ Return Receipt (electronic) $ --- ED ❑ Certified Mail Restricted Delivery $ Postmark p ❑Adult Signature Required $ Here ❑Adult Signature Restrtcted Delivery $ C3 Postage — [`- $ TO CITY OF KINGS MOUNTAIN $ PO BOX 429 set KINGS MOUNTAIN NC 28086 Sti ATTN: MR RICKY DUNCAN ------------ crr dwr/ot 11/.1/18 ASPS TRACKING # -- 9590 9LI02 2575 7069 6159 53 United States Postal Service First -Class Mail Posta�e & Fees Paid USPS Permit No. G-10 • Sender: Please print'your name, address, and ZIP+40 in this box• � z NCDEQ/WQROS < 610 EAST CENTER AVE ) SUITE 301 MOORESVILLE NC 28115 �1 47 Certified Mail service provides the following benefits: Z1 A receipt (this portion of the Certified Mail label), for an electronic return receipt, see a retail o A unique identifier for your mailpiece. associate for assistance. To receive a duplicate a Electronic verification of delivery or attempted return receipt for no additional fee, present this delivery. USPS®-postmarked Certified Mail receipt to the n A record of delivery (including the recipient's retail associate. signature) that is retained by the Postal Service- Restricted delivery service, which provides for a specified period. delivery to the addressee specified by name, or Important Reminders: to the addressee's authorized agent ■ You may purchase Certified Mall service with Adult signature service, which requires the signee at least 21 years of age (not First -Class Mail®, First -Class Package Service®, g or Priority Mail® service. availabllee at retail). • Certified Mail service is notavailable for Adult signature restricted delivery service, which requires the signee to be at least21 years of age international mail. ra Insurance coverage is notavailable for purchase and provides delivery to the addressee specified by name, or to the addressee's authorized agent with Certified Mail service. However, the purchase (not available at retail). of Certified Mail service does not change the insurance coverage automatically included with ® To ensure that your Certified Mail receipt is certain Priority Mail items. accepted as legal preof of mailing, it should bear a If USPS postmark you would like a postmark on ® For an additional fee, and with a proper endorsement on the mailpiece, you may request this Certified Mail receipt, please present your the following services: - Return receipt service, which provides a record Certified Mail item at Post Office' for postmarking. If you don't need a postmark on this of delivery (including the recipients signature). You can request a hardcopy return receipt or an Certified Mail receipt, detach the barcoded portion of this label, affix it to the mailpiece, apply electronic version. For a hardcopy return receipt, appropriate postage, and deposit the mailpiece. complete PS Form 3811, Domestic Return Receipt; attach PS Form 3811 to your mailpiece; IMPORTW. Save this receipt for your records. PS Form 3800, April 2015 (Reverse) PSN 7530-02-000-9047