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Home My WebLink AboutNCG500651_Compliance Evaluation Inspection_20191031ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Director Annie Penn Hospital Attn: Tom Hill 618 S. Main St Reidsville, NC 27320 NORTH CAROLINA Environmental Quality October 31, 2019 Subject: Compliance Evaluation Inspection Report Certificate of Coverage # NCG500651 under NPDES Permit NCG550000 Annie Penn Hospital Boiler Blowdown, Rockingham County Dear Mr. Hill: On October 8 2019, Paul DiMatteo of the Division of Water Resources (Division), Winston-Salem Regional Office met with Tom Hill and Wayne Bray to conduct a Compliance Evaluation Inspection of the above referenced Certificate of Coverage. This inspection consists of (1) a review of the permit and accompanying documentation to determine compliance with permit conditions, and (2) an on -site inspection of several collection system components. The attached inspection form notes the areas that were evaluated for the inspection, with any notable findings outlined as follows. If you have any questions concerning this report please contact Paul DiMatteo at (336) 776-9691 or Lon Snider at (336) 776-9800. Enclosures — Inspection Report CC: WSRO Laserfiche Files Sincerely, Doc uSigned by: -,'ME225CMEA... Lon T. Snider, Regional Supervisor Water Quality Regional Operations Section Winston-Salem Regional Office Division of Water Resources, NCDEQ Noana caaouivnD Q>� o.Pa�mwm or o,w�mmvi w.i� North Carolina Department of Environmental Quality I Division of Water Resources Winston-Salem Regional Office 1 450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105 336.776.9800 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 I 2 15 I 3 I NCG500651 111 12 I 19/10/08 I17 18 I S J 19 L G] 201 I 211111 1 1 I I I I II I I I I I I I I I I I I 1 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 131 QA ---------------------- Reserved ------------------- 671 70 I I 71 I I 72 I r I 73 I I 174 751 I I I I I I I80 u ty I I i 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) 10:30AM 19/10/08 16/04/26 Annie Penn Hospital 618 S Main St Exit Time/Date Permit Expiration Date Reidsville NC 27320 11:20AM 19/10/08 20/07/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Charles Mullis,618 S Main St Reidsville NC 27320//336-951-4000/3369514979 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Records/Reports Self -Monitoring Program 0 Facility Site Review Effluent/Receiving Waters Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Paul DiMatteo Docusigned by: DWR/WSRO WQ/336-776-9691/ 4I;m 1=4,,, 10/31/2019 F10C7C2E5BB34D4... Signature of Management Q A Reviewer Docusigned by: Agency/Office/Phone and Fax Numbers Date -r Strider 10/31/2019 FL- EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type NCG500651 I11 121 19/10/08 117 18 JCJ (Cont.) Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) I met with Tom Hill and Wayne Bray to complete the inspection. They explained that they have 2 boilers the State DOL does 2 inspections per year for the boilers, and during the inspections they dump all the water from one boiler, so each boiler is emptied once per year. Each boiler contains —1400 gal. They dump into a floor drain that goes to a storm drain and eventually leads to an unnamed tributary to Little Troublesome Creek. They said that they take samples from the stream at Courtland Park, where a blue line appears on various maps, and where they said they were told to take samples by inspectors in the past. When they dump they said they add water for dilution. Additives are Sodium hydroxide, and ChemAqua formulas 10100, 12800, and 18101. They said these are the same chemicals they've always added but the company may have a different name. According to the SDS: 10100 contains sodium sulfite, sodium betabisulfite and cobalt sulfite (-1 % cobalt sulfite) 12800 contains potassium hydroxide 18101 contains morpholine and 2-methoxyethanol. Operators said this is contained in the boilers' steam and isn't discharged. If new additives are to be used, Permittee should notify the Division in writing as required by the Permit. Semiannual monitoring summary: Date COD pH Temp (mg/1) (F) 4/19 <15 6.7 63.7 10/18 <15 6.7 66.8 4/18 60 6.5 57 10/17 <15 6.5 63 Analyzed by Meritech. They said they get the sample to them within 15 minutes of collection, so Meritech uses their own meters for pH and temp. Page# Permit: NCG500651 Owner - Facility: Annie Penn Hospital Inspection Date: 10/08/2019 Inspection Type: Compliance Evaluation 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: 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? ❑ ❑ ❑ 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? ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ❑ (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? ❑ ❑ 0 ❑ Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ 0 ❑ Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ 0 ❑ Is a copy of the current NPDES permit available on site? ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ Comment: Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑ Page# 3 Permit: NCG500651 Owner - Facility: Annie Penn Hospital Inspection Date: 10/08/2019 Inspection Type: Compliance Evaluation Effluent Pipe Yes No NA NE If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑ Comment: Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ 0 ❑ Is sample collected below all treatment units? 0 ❑ ❑ ❑ Is proper volume collected? ❑ ❑ ❑ Is the tubing clean? ❑ ❑ 0 ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type ❑ ❑ ❑ representative)? Comment: Page# 4