WQ0016218_Permit (Issuance)_19990811

State'of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T Stevens, Director
Dale Burris
Stanley Memorial Hospital
301 Yadkin Street
Albemarble, North Carolina 28001
Dear Mr. Burris:
'L . . _J
AUG I L 099
DW Q --_
August 11, 1999
4 0 •
17
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Permit No. WQ0016218
Stanley Memorial Hospital
Troy Medical Office Building
Wastewater Collection System
Montgomery County
In accordance with your application received June 11, 1999 we are forwarding herewith Permit No.
WQ0016218 dated August 11, 1999, to Stanley Memorial Hospital for the construction and operation of the
subject wastewater collection extension.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
conditions and limitations as specified therein.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC
27611-7447. Unless such demands are made this permit shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Ron Palumbo at (919) 73 083 extension 533.
Sincere
.Kerr T. Stevens
cc: Montgomery County Health Department
Fayetteville Regional Office, Water Quality Section
Burton Engineering Associates
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Stanley Memorial Hospital/Troy Medical Building
Montgomery County
FOR THE
construction and operation of a 20 GPM pump station with duplex pumps, on -site audible and visual high
water alarms, portable generator connector, portable generator and approximately 1,035 linear feet of 2-inch
force main to serve the Troy Medical Office Building, and the discharge of 800 GPD of collected domestic
wastewater into the Town of Troy's existing sewerage system, pursuant to the application received June 11,
1999, and in conformity with the project plan, specifications, and other supporting data subsequently filed and
approved by the Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The facilities must be properly maintained and operated at all times.
4. The sewage and wastewater collected by this system shall be treated in the Town ofTroy's Wastewater
Treatment Facility (NC0028916) prior to being discharged into the receiving stream.
5. This permit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Permittee, a formal permit request must be submitted to the Division of
Water Quality (Division) accompanied by an application fee, documentation from the parties involved,
and other supporting materials as may be appropriate. The approval of this request will be considered
on its merits and may or may not be approved.
6. Construction of the sewers, pump station(s) and force main shall be scheduled so as not to interrupt
service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the
surface waters of the State.

7. Upon completion of construction and prior to operation of this permitted facility, a certification must be
received from a professional engineer certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting materials. If
this project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. Mail the Certification to the Non -Discharge
Permitting Unit, P.O. Box 29535, Raleigh, NC 27626-0535.
8. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a
minimum of five years from the date of the completion of construction.
9. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to
an enforcement action by the Division, in accordance with North Carolina General Statute 143-215.6A
to 143-215.6C.
10. The issuance of this permit does not preclude the Permittee from complying with any and all statutes,
rules, regulations, or ordinances which may be imposed by other government agencies (local, state, and
federal) which have jurisdiction.
11. The Permittee shall provide for the pump station and force main the following items:
a. Pump on/off elevations located so that 2-8 pumping cycles may be achieved per hour in the pump
station,
b. An air relief valve located at all high points along the force main,
c. A screened vent for the wet well,
d. Fillets located in the wet well at the intersection of the flooring and sidewalls,
e. Three feet of cover (minimum) over the force main or the use of ferrous material where three feet
cannot be maintained,
f. Sufficient devices which will protect the pump station from vandals, and
g. Flood protection if the pump station is located below the 100-year flood elevation.
12. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may be required by
this Division, such as the construction of additional or replacement wastewater collection facilities.
13. NONCOMPLIANCE NOTIFICATION:
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (919)
486-1541, as soon as possible, but in no case more than 24 hours or on the next working day following
the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or
breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.
2

Persons reporting such occurrences by telephone shall also file a written report in letter form within five
(5) days following first knowledge of the occurrence. This report must outline the actions taken or
proposed to be taken to ensure that the problem does not recur.
14. This permit shall become voidable unless the agreement between Stanley Memorial Hospital/Troy
Medical Office Building and the Town of Troy for the collection and final treatment of wastewater is in
full force and effect.
Permit issued
eleventh day of August, 1999
AL MANAGEMENT COMMISSION
;,,Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0016218

Permit No. WQ0016218
August 11, 1999
ENGINEER'S CERTIFICATION
Partial Final
I, , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the
project,
Project Name
Location and County
for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within substantial
compliance and intent of this permit, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.

MEMO TO: State Review Group
Division of Water Quality
FROM:
Ricky Revels ho-"�
Fayetteville Regional Office
SUBJECT: Procedure Four (4)
June 25. 1999
WQ0016218
Date
Troy Medical Office Building
Sewer Extension - Private
Stanly Memorial Hospital - Owner
Montgomery County
State Review Group Review
Engineer Ron Palumbo
Regional Office
Contact &14Revels
1)
Name of wastewater treatment plant to receive the wastewater:
Town of Troy WWTP
2)
WWTP design capacity
0,8400 MGD
3)
NPDES Permit No. NC0028916
Expiration Date: 06/30/1999
4)
Compliance Information:
Present treatment plant performance for previous _12 months, beginning 1/98 -
12/98
(See attached self -monitoring data)
5) Quantity and type of wastewater from proposed sewers:
2,000 GPD
domestic X_ industrial other
6) Volume from previously approved projects not yet tributary to WWTP:
-4,500- GPD
7) Regional
Recommendations: Approval _X_ Denial
R/rr
Enclosure