NC0044750_LV-2020-0039_20200218

February 5, 2020
FEB 1 2020
Case#LV-2020-0039 NCQ 'QrD ,Np®
Dear Director,
As per the civil penalty assessed to Granite Falls LTC LLC, Jacob's Creek Nursing &
Rehabilitation Center we respectfully request a waiver for the penalty based on form
"Justification for Remission Request" factor "b".
Our Wastewater Treatment Plant uses Sanitron Ultraviolet Purifiers for Effluent disinfection.
The Operator in Responsible Charge and maintenance personnel performs maintenance to the
UV system as per manufacturer's specifications (see attached form Maintenance). As this is a
canister style UV disinfection system, the UV lamps are inspected through a sight glass. This
sight glass is inspected daily to ensure proper operation, as per manufacturer's specifications.
Upon receiving notification of a NPDES permit limitation exceedance, we promptly contacted
Shining Light Electric Services.' After completing a diagnostic test the electrician notified us that
even though the UV lamps were working they were only working at 50% intensity due to a
faulty UV lamp wiring harness. New parts were ordered and installed (see attached form
Invoice). No further permit exceedances as of August 20, 2019.
We believe we responded in a timely manner thereby abating any environmental damage. Your
cooperation will be greatly appreciated. If you should need any additional information please so
advise.
Sincerely,

JUSTIFICATION FOR REMISSION REQUEST
Case Number: LV-2020-0039 County: Rockingham
Assessed Party: Granite Falls Ltc LLC
Permit No.: NC0044750 Amount Assessed: $308.53
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c),remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b)were wrongfully applied to the
detriment of the petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF ROCKINGHAM
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
Granite Falls Ltc LLC )
Jacob's Creek Nursing&Rehabilitation Center )
PERMIT NO.NC0044750 ) CASE NO. LV-2020-0039
Having been assessed civil penalties totaling$308.53 for violation(s) as set forth in the assessment document of the Division
of Water Resources dated January 24, 2020,the undersigned, desiring to seek remission of the civil penalty,does hereby
waive the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after(30) days from the receipt of the
notice of assessment.
This the 10 day of U)(1,cLc.r\I ,20 20
•
RE.CE p� SIGNATURE
•
FEB 1 B 2020 ADDRESS
NCDEQIDWRIMPDES ) 112( i o H- i i Loop
lYl or_l I O n iQL 2J7Q2 f5
TELEPHONE

MAINTENANCE
The water purifier is designed to operate with a minimal amount of maintenance, providing the water quality does not
exceed maximum concentration levels, see"Water Quality" in the"Product Application" section: Ordinary
maintenance consists of;
• Lamp replacement is recommended every 10,000 hours of operation.approximately 12 months of continuous service.
• Cleaning of the quartz sleeve, when conditions warrant.
• Always disconnect the water supply and completely drain the water purifier if it will be subjected to temperatures
below freezing, for extended periods of time.
INSPECTION
1. Regularly inspect the water purifier to ensure that the germicidal lamp is still in operation.
• On purifiers not equipped with the Ultraviolet Monitor, lamp operation can be verified by a visible glow through
the translucent sight port. This provides an indication of lamp operation and does not indicate the level of
ultraviolet intensity or transmission through the water.
• On purifiers so equipped, the GuardianTM Ultraviolet Monitor provides visual indication of the ultraviolet intensity
through the quartz sleeve and water in the purifier chamber.
2. To ensure proper operation of the water purifier, regular biological testing should be performed on a schedule
recommended by local public health authorities, or at minimum;at installation, quarterly for the first year of
service and annually, at lamp replacement, for the life of the water purifier.
DISPOSAL OF MERCURY ADDED LAMPS
Germicidal ultraviolet lamps, like standard fluorescent lamps contain small amounts of mercury. Mercury added
lamps should not be placed in the trash. Dispose of properly.
For further information regarding the disposal and recycling of lamps containing mercury, along with Federal and State
requirements visit http://www.lamprecycle.org. Product Data Sheets for germicidal ultraviolet lamps can be found in the
"PDF Library for Ster-L-RayTM Germicidal Ultraviolet Lamps" section of http://w'ww'.ultraviolet.com.
QUARTZ SLEEVE CLEANING USING WIPER MECHANISM
•
Figure 4- Quartz Sleeve Cleaning
i
_ r Routine cleaning of the quartz sleeve is easily accomplished.
'. using the dual action wiper mechanism.
€ e _ 's% ; 1. Lift wiper clip up and away from wiper rod.
tr" sf lti _ • 2• Grasp wiper knob and gently pull out, away,from the
(-.'": ' WIPER CLIP purifier until it reaches its stop
3. Push wiper back in,toward the purifier until it reaches
.t
v�� DYNAMIC GLAND
.r WIPER LOCK its second stop.
4. Repeat steps 2 and 3 as necessary.
WIPER LOCK SPACER
e
5. Holding wiper in place,_return wiper clip and snap over
\Q�,s<�`O� a KNOB� °D wiper rod, in front of the wiper lock spacer.
till kl Et.,-- :' 0 r';I
a o: +
- ``t .' - a 5 i� k '�t.. _ _A`.if �...:, ) 5m±w - ) _1 5���3"^y sue. .
4py y,; 4. J dd
Step 1 -Lift wiper clip up Step 2-Gently pull wiper knob out Step 3-Push wiper back in
8

Invoice #5386
Shining Light Electric Service
Service Date: 09.06-19
774 Gold Hill Rd. Not a duplicate. Billing Date: 09-09-19
Madison, NC 27025 '
Ph. &Fax [phone]
BILL TO:
JACOB'S CREEK NURSING&REHABILITATION CENTER
1721 BALD HILL LOOP.
MADISON,NC 27025
Description Parts and Labor Amount
Order(1) ultraviolet ballast& Labor 1.0 hr. $ 70.00
(4)ultraviolet lamp sockets for NC Sales and Use Tax on Labor 4.90
•••
waste water treatment plant. Materials:
• PO#JCR082319-TC 1 -ultraviolet ballast 175.00
4-ultraviolet lamp sockets 65.00
Ixpa 'er Tres.*cc-Ne$
GK - ran; Q. .ci,,1S •
9.3 ►,Ka Lc, .
LuQ IS ( S3
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• i ^ "PAf' h
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Thank You!! .
Total $ 314.90