AQ_F_1000117_20210129_CMPL_InspRpt

NORTH CAROLINA DIVISION OF Wilmington Regional Office
AIR QUALITY Novant Health Brunswick Medical Center
NC Facility ID 1000117
Inspection Report County/FIPS: Brunswick/019
Date: 01/29/2021
Facility Data Permit Data
Novant Health Brunswick Medical Center Permit 10031 /RO1
240 Hospital Drive North East Issued 10/15/2014
Bolivia,NC 28422 Expires 9/30/2022
Lat: 34d 1.8390m Long: 78d 15.6670m Classification Small
SIC: 8062/General Medical& Surgical Hospitals Permit Status Active
NAILS: 62211 /General Medical and Surgical Hospitals Current Permit Application(s)None
Contact Data Program Applicability
Facility Contact Autborized Contact Technical Contact SIP
John Melcher Shelbourn Stevens John Melcher NSPS: Subpart Dc, Subpart IIII
Facility Supervisor President Facility Supervisor
[phone] [phone]
910 279-4056 cell 910 279-4056 cell
Compliance Data
Comments: Inspect facility as scheduled.
Inspection Date O1/25/2021
Inspector's Name Scott Sanders
Inspector's Signature: Scott Sanders Operating Status Operating
Compliance Code Compliance-inspection
Action Code FCE
Date of Signature: 1/29/21 A/ Inspection Result Compliance
Total Actual emissions in TONS/YEAR:
TSP SO2 NOX VOC CO PM10 * HAP
2013 0.3750 0.0350 4.90 0.2750 4.12 0.2800 ---
Highest HAP Emitted inpounds)
Five Year Violation History: None
Date Letter Type Rule Violated Violation Resolution Date
Performed Stack Tests since last FCE: None
Date Test Results Test Method(s) Source(s)Tested
Directions to the facility are as follows: From Wilmington, take the US-17/Shallotte/Myrtle Beach exit onto
Ocean Highway East(US-17 South). Go 21.5 miles. Turn right onto Brunswick Medical Center Drive. Park
in the parking lot behind the facility and enter the premises through the shipping/receiving area.

Novant Health Brunswick Medical Center
January 29,2021
1. Contact was made with John Melcher, Supervisor Plant Engineering Services.
2. Applicable regulations for Novant Health Brunswick Medical Center are as follows:
2D .0202 "Permit Renewal and Emission Inventory Requirement'
2D .0503 "Particulates from Fuel Burning Indirect Heat Exchangers"
2D .0515 "Particulates from Miscellaneous Industrial Processes"
2D .0516 "Sulfur Dioxide Emissions from Combustion Sources"
2D .0521 "Control of Visible Emissions"
2D .0524 "40 CFR 60, Subpart Dc and Subpart IIII (4I)"
2D .0535 "Excess Emissions Reporting and Malfunctions"
2D .0540 "Fugitive Dust Control Requirement'
2D .1111 "40 CFR 63 Subpart ZZZZ(4Z)—Reciprocating Internal
Combustion Engines"
2Q .0317 "40 CFR Part 63 Subpart JJJJJJ(6J)Avoidance"
3. The following equipment is contained in Permit No. 10031ROI:
Emission Emission Source Control Control System
Source ID Description System ID Description
ES-1 (NSPS) one boiler(2009 model,
natural gas/No. 2 fuel N/A N/A
oil fired, 400 hp/16.8
MM Btu/hr heat input)
ES-2 (NSPS) one boiler(2009 model,
natural gas/No. 2 fuel N/A N/A
oil fired,400 hp/16.8
MM Btu/hr heat input)
ES-3 (NESHAP, one emergency back-up
NSPS) generator(2009 model,
No. 2 diesel fueled, N/A N/A
rated at 1,500 kw/2,328
hp)
ES-4 (NESHAP, one emergency back-up
NSPS) generator(2009 model,
No. 2 diesel fueled, N/A N/A
rated at 1,500 kw/2,328
hp)
4. This facility opened and started receiving patients on July 31, 2011. The boilers were
manufactured in December 2008 and delivered to the facility in September 2009.
Testing for the boilers began on May 1, 2010 with the ultra-low sulfur No. 2 fuel oil <
15 ppm (.0015%). Conversion and startup of the boilers to natural gas occurred on
November 8, 2010. Compliance was achieved with the NSPS startup notifications for
the boilers.
Page 2 of 4

Novant Health Brunswick Medical Center
January 29,2021
5. The first-time air permit renewal was done on October 15, 2014. The emissions
inventory report was completed on time. The facility requested a name change from
Brunswick Novant Medical Center to Novant Health Brunswick Medical Center.
Specific Condition a. 9 was added to the permit—40 CFR Part 60, NSPS Subpart IIII
for the two existing 2009 model generators. The previous permit version (R00)
included the adhoc 4I language, which explained the requirements of 4I very
thoroughly with the 4Z header. In this permit, the regulations pertaining to 4I from
permit writer were added as the new A.9 condition. Also, Specific Condition A.I I was
added to include 40 CFR Part 63 Subpart JJJJJJ(6J)Boiler GACT avoidance condition
(2Q .0317) for the two existing boilers. The previous permit (R00) included the 4I
requirements, but when that permit was initially drafted the permit writer did not have
any specific language for the 4I requirements and an adhoc condition explaining the 4I
requirements was added in the permit — under the 4Z NESHAP heading (former
condition A.8.). Specific Condition A.8 in the previous permit revision for the
NESHAP Subpart ZZZZ will remain as a header and will explain that compliance with
the 4Z NESHAP will be demonstrated by meeting the 4I NSPS rule. This revision
(RO 1)will use the language already existing in the permit writer(see Specific Condition
A. 9. for 4I). The 2Q .0317 Avoidance Condition for Area Sources subject to 40 CFR
Part 63 Subpart JJJJJJ (6J) is added in this permit(see Specific Condition A.11) since
the two boilers burn natural gas. If the boilers are switched to No. 2 fuel, they will be
subject to the Boiler GACT Subpart JJJJJJ (6J)requirements.
6. On April 5, 2017,the facility began operating a newer and smaller 150 hp boiler. Dean
Carroll (DAQ WiRO Permit Coordinator) was notified about the addition of the new
150 hp boiler before it began operating. It was determined that this new boiler would
be allowed to operate without a permit modification per the 2Q .0318 rule—"Changes
Not Requiring a Permit Revision". Refer to a previously attached email between John
Melcher and Dean Carroll. The following info was obtained from the new boiler's
nameplate: 150 hp,date 2015, 150 psi, 5,1751b/hr,natural gas/#2 oil,Model WB-A2-
3P, Serial No. 15150P-WBLGL-08. A new and efficient Limpsfreld burner is installed
on the unit. This 150 hp boiler was not operating during the inspection. The 400 hp
boiler (ES-2) was observed operating during the inspection. It was being fired with
natural gas and was operating at 0% opacity. This facility only runs one boiler at a
time and will rotate the usage weekly. The boilers use natural gas as a primary fuel
unless curtailment occurs. Brady Boiler Services does quarterly inspections and annual
maintenance on the boilers.
7. The facility is in compliance with their semi-annual NSPS recordkeeping and reporting
requirements pertaining to the boilers. The first semi-annual report was due by January
30, 2012 and was received on time. Subsequent reports have been received on time
and have indicated compliance. A copy of the last semi-annual report is attached(time
period July 1, 2020—December 31, 2020). The facility last got curtailed for 72 hours
during very cold weather from January 7, 2017 @ 10:00 am to January 10, 2017 @
10:00 am. 2,160 gallons of ultra low sulfur No. 2 fuel oil were burned in each boiler
(4,320 total gallons) during that time. Each boiler burns approximately 120 gallons of
Page 3 of 4

Novant Health Brunswick Medical Center
January 29,2021
ultra low sulfur No. 2 fuel oil (4 hours) during each semi-annual period due to required
quarterly periodic testing.
8. The facility is subject to the NSPS IIII rule since the generators were constructed after
June 12, 2006. Compliance with the rule has been achieved. By complying with the
NSPS 4I Cl RICE regulations, the facility will also be in compliance with the
requirements of the NESHAP ZZZZ (4Z) regulations. The last load of No. 2 fuel oil
was received in September 2019 from INA Oil in Southport ahead of impending
Hurricane Dorian. Florence. 700 gallons of No. 2 fuel oil were received at that time.
The facility typically receives one delivery every two years just to top off their tanks
or if there is an impending hurricane. Certifications of the No. 2 fuel oil indicate that
the sulfur PPM < 15 and the cetane index is > 40 and are attached to the semi-annual
reports. This ultra low sulfur No. 2 fuel oil is used in the generators and is also used
for boiler backup fuel. There are two(2) 10,000-gallon storage tanks at the facility that
store the No. 2 fuel oil. The No. 2 fuel oil is sampled yearly by Gregory Poole (refer
to attachment). The generators were equipped with a non-resettable hour meter prior
to startup of the engines to comply with NSPS IIII. The generators are each limited to
100 hours per year for maintenance checks and readiness testing per NSPS IIII. Each
generator only runs about thirty (30) minutes per month for maintenance checks and
readiness testing. This is done on the last Thursday of every month. On one day every
third year(36 months),each generator must run four(4)hours continuously under load
at 30%of the nameplate rating for maintenance checks and readiness testing. This was
done on a day in March 2018. This is scheduled to occur again on a day in May of this
year. The 100-hour limit on each generator for maintenance checks and readiness
testing per NSPS IIII is easily being obtained. Generator No. I has operated 303 total
hours since startup of the unit. Generator No. 2 has operated 308.3 total hours since
startup of the unit. 180 gallons of ultra low sulfur No. 2 fuel oil are typically used in
each generator during each semi-annual period (30 gallons per month X 6 months).
The generators were not operating during this inspection. The generators operated for
48 hours during Hurricane Florence in September 2018. Gregory Poole performs
quarterly maintenance on the generators.
9. The facility is not subject to the Boiler GACT (6J) because it bums natural gas as a
primary fuel unless it is curtailed. It will become subject to 6J if it switches to burning
No. 2 fuel oil as the primary fuel. It would then have 180 days to do a one-time energy
assessment. An initial boiler tune up will be required soon thereafter. The facility does
not think the fuel switch will ever happen unless the price of No. 2 fuel oil becomes
much lower.
10. 5-year compliance history — Compliance has been achieved during this time period.
No NOD's, NOV's, or NRE's have been issued to this facility.
11.Novant Health Brunswick Medical Center was operating in compliance with Air
Quality regulations during the inspection.
Page 4 of 4

N ■ NOVANT
■ HEALTH
BEumwick Medial Center
240 Hospital Drive NE
Bolivia,NC 28422
July 1,2020
Mr.Scott Sanders
Division of Air Quality—Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Subject: Biannual Reporting-Air Permit No. 10031R00
Novant Health Brunswick Medical Center
240 Hospital Drive North East
Bolivia, Brunswick County, NC
Permit Class:Small
Facility ID# 1000117
Dear Mr.Sanders,
Pursuant to 1SA NCAC 2D .0524"New Source Performance Standards' and in keeping with NSPS as
Promulgated in 40 CFR60, Subpart Dc, including Subpart A"General Provisions" Please see Attached
"Dyed Ultra Low Sulfur Diesel Certification"generated by our No. 2 fuel oil vendor, INA Oil Company.
The certification states our delivered No.2 diesel has a tested sulfur content of< 15 PPM,Cetane
Index content of>40 and an Aromaticity(%Volume)content of<31.7.
Report Period:
January 1, 2020—July 1,2020
Emission Source ID: Emission Source Description:
A. ES-1 One Boller(20D9 Model,natural gas/No.2 fuel(NSPS-Subpart DC)Oil Fired,
400 HP/16.gMM Btu/hr heat input)
'Gallons No. 2 Diesel Fuel oil burned(4 hrs.—Quarterly Periodic testing):120
` Gallons No.2 Diesel Fuel oil burned(0 hrs. -Required Curtailment):0
-Curtailment Beginning:N/A
-Curtailment Ending: N/A
B. ES-2 One boiler(2009 model,natural gas/No.2 fuel( NSPA-Subpart Dc)Oil Fired,
400 HP/16.8 MM Btu/hr.Heat Input)
*Gallons No.2 Diesel Fuel oil burned(4hrs.-Quarterly Periodic Testing):120
*Gallons No.2 Diesel Fuel oil burned (Ohrs.—Required Curtailment):0
Curtailment Beginning: N/A
Curtailment Ending: N/A
1/2

C. ES-3 One Boiler(2015 Model,natural gas/No 2 fuel (NSPS-Subpart DC)Oil Fired,
150 HP/ /16.8MM Btu/hr heat input
Gallons No. 2 Diesel Fuel oil burned (4 hrs. —Quarterly Periodic testing): 120
' Gallons No.2 Diesel Fuel oil burned(0 hrs. -Required Curtailment):0
-Curtailment Beginning:N/A
-Curtailment Ending: N/A
Thank You in Advance
John Melcher
Supervisor, Plant Engineering Services
Novant Health Brunswick Medical Center
.,1

Page I of 2
[External] NHBMC Air Quality January 2021
Melcher,John V <[e-mail]>
Mon 1141202.1 7 36 AM
To: Sanders,Scott <[e-mail]>
I 1 attachments(158 KB)
Air Quality January 2916.docx;
CUT —External External email.Do not click links or open attachments unless you verify.Send all suspicious email as
an attachment to Report Seam,
Scott,
We have not needed to curtail at all in 2020.
Everything is the same no changes to our program.
Thanks
JOHN V M£LCH£R
Facility Supervisor
Novant Health
Brunswick Medical Center
240 Hospital Dr
Bolivia NC 28422
0.910 7211005
Fax.[phone]
C.910 279 4056
ivmelcher@novanthea Ith.ora
CUSTOMER SERVICE IS AN ATTITUDE NOT A DEPARTMENT
We are here to help you get the care you need.Visit Novant Health or Novant Health UVA for up-to-
date information.
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intended only for the addressee(s). The information contained herein may include trade
secrets or privileged or otherwise confidential information. Unauthorized review, forwarding,
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Page 2 of 2
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® NOVANT
■ HEALTH
Brunswick Medical Center
240 Hospital Drive NE
Bolivia,NC 28422
Januaryl,2021
Mr.Scott Sanders
Division of Air Quality—Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington,NC 2840S
Subject: Biannual Reporting-Air Permit No. 10031ROO
Novant Health Brunswick Medical Center
240 Hospital Drive North East
Bolivia, Brunswick County, NC
Permit Class:Small
Facility ID#1000117
Dear Mr.Sanders,
Pursuant to 15A NCAC 2D .0524"New Source Performance Standards"and in keeping with NSPS as
Promulgated in 40 CFR60,Subpart Dc, including Subpart A"General Provisions" Please see Attached
"Dyed Ultra Low Sulfur Diesel Certification"generated by our No. 2 fuel oil vendor, INA Oil Company.
The certification states our delivered No. 2p/diesel has a tested sulfur content of< 15 PPM,Cetane
Index content of>40 and an Aromaticity(/p Volume)content of< 31.7.
Report Period:
July 1,2020-January 1, 2021
Emission Source ID: Emission Source Description:
A. ES-1 One Boiler(2009 Model, natural gas/No.2 fuel(NSPS-Subpart DC)oil Fired,
400 HP/16.8MM Btu/hr heat input)
"Gallons No.2 Diesel Fuel oil burned(4 hrs.—Quarterly Periodic testing):120
*Gallons No.2 Diesel Fuel oil burned (0 hrs. -Required Curtailment):0
-Curtailment Beginning:N/A
-Curtailment Ending:N/A
B. ES-2 One boiler(2009 model,natural gas/No.2 fuel(NSPA-Subpart Dc)Oil Fired,
400 HP/16.8 MM Btu/hr. Heat input)
"Gallons No.2 Diesel Fuel oil burned (4hrs.-Quarterly Periodic Testing):120
*Gallons No.2 Diesel Fuel oil burned (0hrs.—Required Curtailment):0
Curtailment Beginning: N/A
Curtailment Ending: N/A
2/x

C. ES-3 One Boiler(2015 Model, natural gas/No 2 fuel(NSPS•Subpart DC)Oil Fired,
150 HP/ /16.8MM Btu/hr heat input
Gallons No. 2 Diesel Fuel oil burned (4 hrs.—Quarterly Periodic testing): 120
Gallons No.2 Diesel Fuel oil burned(0 hrs. -Required Curtailment):0
-Curtailment Beginning:N/A
-Curtailment Ending: N/A
Thank You in Advance
John Melcher
Supervisor, Plant Engineering Services
Novant Health Brunswick Medical Center
2!2

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