NCG500648_Permit (Issuance)_20100215

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 15, 2010
W Larry Lockhart Jr. PE
Project Manager
Colejenest and Stone
200 South Tryon Street, Suite 1400
Charlotte, NC 28202
Subject: General Permit No. NCG500000
Certificate of Coverage NCG500648
Carolinas Medical Center — Mercy
Mecklenburg County
Dear Mr. Lockhart Jr.:
In accordance with your application for discharge, the Division is forwarding herewith the subject Certificate of Coverage
to discharge under the subject state-NPDES general permit. This permit is issued pursuant to the requirements of North
Carolina General Statue 143-215 .1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection agency dated July 17, 2007 (or as subsequently amended).
The following information is included with your permit package:
• A copy of the Certificate of Coverage for your treatment facility
• A copy of General Wastewater Discharge Permit NCG500000
• A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG500000
If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand
is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the Division of Water Quality.
The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. This
permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water
Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or
Local governmental permit that may be required. If you have any questions concerning this permit, please contact Bob
Guerra at telephone number 919/807-6387 or by email at bob.querra(a ncdenr.gov.
cc:
Mooresville Regional Office, Surface Wate
NPDES General Permit Files
Central Files
Si erely,
4141 LC
een K. Sullins
rotection
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Naturally

Permit NCG500648
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
General Permit NCG500000
Certificate of Coverage NCG500648
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE, EXEMPT STORMWATER, COOLING WATERS ASSOCIATED
WITH HYDROELECTRIC OPERATIONS, AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Carolinas Health Care System
is hereby authorized to discharge wastewater from a facility located at the
Carolinas Medical Center — Mercy
2001 Vail Avenue.
Charlotte, NC 28207
Mecklenburg County
to receiving waters designated as a UT to Brier Creek, a class C water in the Catawba River
Basin,
in accordance with effluent limitations, monitoring requirements and other conditions set
forth in Parts I, II, III and IV of the General Permit NCG 500000, as attached.
This permit shall become effective February 15, 2010.
This Certificate of Coverage shall expire at midnight on July 31, 2011.
Signed this day February 15, 2010.
, c
6dt-Co en H. Sullins., Director
/ Division of Water Quality
By Authority of the Environmental Management Commission

Carolinas Health Care System
Carolinas Medical Center- Mercy
Latitude: 35° 12' 29" N State Grid: Charlotte East
Longitude: 80° 49' 08" W Permitted Flow: Unlimited
Receiving Stream: UT to Brier Creek Stream Class: C
Drainage Basin: Catawba River Basin Sub -Basin: 03-08-34
NPDES Permit No. NCG500648
Mecklenburg County

SOC PRIORITY PROJECT: No
To: Western NPDES Unit
Surface Water Protection Section
Attention: Bob Guerra
Date: January 27, 2010
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Mecklenburg
NPDES Permit No.: NCG500648
PART I - GENERAL INFORMATION
1. Facility and address: Carolinas Healthcare System - Mercy
Post Office Box 32861
Charlotte, NC 28232
Physical Location
2001 Vail Avenue
Charlotte, NC 28207
2. Date of investigation: January 26, 2010
3. Report prepared by: Michael L. Parker, Environmental Engineer II
4. Person contacted and telephone number: Larry Lockhart, (704) 704-304-5801
5. Directions to site: The site is located at the physical address listed above.
6. Discharge point(s): Latitude: 35 ° 12' 29"
Longitude: 80° 49' 08"
USGS Quad No.: G15NE
7. Receiving stream or affected surface waters: Unnamed tributary to Brier Creek
a. Classification: C
b. River Basin and Subbasin No.: Catawba 030834
c. Describe receiving stream features and pertinent downstream uses: Receiving waters
is a headwaters channel that originates near the outlet of the storm drain. There was
some flow observed in the channel, however, the area had recently experienced
heavy rainfall. There are no other known downstream dischargers.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
Boiler Blowdown Condensate
1. a. Proposed flow: 30 gpd 24 gpd
b. Current permitted capacity: N/A
c. Description of existing or substantially constructed WWT facilities: There are no
existing WWT facilities nor are any proposed at this time.
d. Possible toxic impacts to surface waters: Currently, there are no additives to the
boiler blowdown or the condensate discharges.

Page Two
2. Compliance Background: No compliance information is available at this time.
PART III - OTHER PERTINENT INFORMATION
1. Special monitoring or limitations (including toxicity) requests: None at this time.
PART IV - EVALUATION AND RECOMMENDATIONS
Carolina Healthcare System (Mercy Hospital) has requested a General Permit to discharge
boiler blowdown and condensate from existing floor drains and building drains into a storm drain
owned by the City of Charlotte. The storm drain eventually discharges at the headwaters of an
unnamed tributary to Brier Creek, which then passes through a older, residential area southeast of
the hospital. This discharge was discovered by Ms. Heather Sorenson with Mecklenburg County
Water Quality, who advised the applicant to submit the permit application.
Based on the location where the discharges are produced, it is not feasible at this time to
connect the discharge to the CMU sewer collection system without a significant expenditure by the
applicant. Issuance of the General Permit is recommended.
Signature of Report Preparer ate
Water Quality Regional Supervisor
h:ldsr\dsr10\mercy.doc
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ColeJenest
& Stone
Shaping the Environment
Realizing the Possibilities
Land Planning
Landscape Architecture
Civil Engineering
Urban Design
200 South Tryon Street, Suite 1400 Charlotte, NC 28202 Charlotte
p+ 704 376 1555 F+ 704 376 7851 url+www.colejeneststone.com Raleigh
Wilmington
Date: December 23, 2009
Reference: 3957 — CMC Mercy — Cooling Tower NPDES Permit
Attention: NPDES Permits Unit
Company: North Carolina Department of
Environment and Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
We Are
Transmitting:
Transmitted
Via:
Tel:
TRANSMITTAL
919-807-6300
I Herewith • Under Separate Cover
Copies
Dated
Description
3
---
NDPES Permit Application
3 ea.
1021/09
Attachment 15A and Attachment 15B
1
10/26/09
Check No. 10114 ($100.00)
® Mali
❑ Overnight
❑ Courier
❑ For Approval ❑ For Your Use
❑ Hand Delivery
0 Pick -Up
0 As Requested ® For Review
Remarks: Please see the attached and call with any questions.
By:
cc:
GJtJ1-i�
W. Larry Lockhart, Jr., PE
Project Manager
clo(KhYu1
11/4),)
Ms. Susan G. Freyler, RLA — CJS
P SDSKPRDJ'•?95h.Correspomiewce•. C,09tTrans%I7.71tNPPESi'ermit5vb.mtt ,

ATA
NCDENR
NORM CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG500000
FOR AGENCY USE ONLY
Date Received
Year
Month
Day_
b'
ate of Coverage
NIC1GICertife5101 DIGS 1/10
Check # Amount
//)/i ?' /Da•DO
P rm A signed to
Ucrrc
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG500000: Non -contact cooling water, boiler blowdown, cooling tower blowdown, condensate, and
similar point source discharges
1)
(Please print or type)
Mailing address' of owner/operator:
Company Name
Owner Name
Street Address
City
Telephone No.
Carolinas Healthcare System
Carolinas Healthcare System
P.O. Box 32861
Charlotte State North Carolina ZIP Code 28232
704-697-7315 Fax: [phone]
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Carolinas Medical Center - Mercy
Michael Klosek
2001 Vail Avenue
Charlotte State North Carolina ZIP Code 28207
Mecklenburg
704-304-5801 Fax: [phone]
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers,
and distance and direction from a roadway intersection). Beginning at the intersection of North
Caswell Road and Vail Avenue, travel southeast approximately 0.12 miles on Vail Avenue to the
hospital campus main entrance.
(A copy of a county map or USGS quad sheet with facility clearly located on the map' u' b mitte4 with-lhis a®piiesti
4) This NPDES permit application applies to which of the follows L I V
® New or Proposed
❑ Modification
Please describe the modification:
❑ Renewal
DEC 2 8 2009
Please specify existing permit number and original issue date: DENR - WATER QUALITY
5) Does this facility have any other NPDES permits? POINT SOURCE BRANCH
Ei No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
6) What is the nature of the business applying for this permit? Healthcare facility (hospital, medical
office)
Page 1 of 4
04/05

NCG500000 N.O.I.
7) Description of Discharge:
a) Is the discharge directly to the receiving water? 0 Yes ® No
If no, submit a site map with the pathway to the potential receiving waters clearly marked. This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only
viable means of discharge.
b) Number of discharge points (ditches, pipes, channels, etc. that convey wastewater from the
property): private (owner) storm system. City of Charlotte public storm system
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
❑ Non -contact cooling water Discharge point(s) #:
® Boiler Blowdown (#1 below) Discharge point(s) #:
❑ Cooling Tower Blowdown Discharge point(s) #:
® Condensate (#2 below) Discharge point(s) #:
❑ Other Discharge poirit(s) #:
(Please describe "Other")
d) Volume of discharge per each discharge point (in GPD):
#1: 30 #2: 24 #3: #4
e) Please describe the type of process (Le., compressor, NC unit, chiller, boiler, etc.) the wastewater is
being discharged from, per each separate discharge point (if applicable, use separate sheet): #1
(from above) is boiler blowdown,#2 (from above) is condensate.
8) Please check the type of chemical added to the wastewater for treatment , per each separate discharge
point (if applicable, use separate sheet): N/A
❑ Biocides Name: Manuf.:
❑ Corrosion inhibitors Name: Manuf.:
❑ Chlorine Name: Manuf.:
❑ Algaecide Name: Manuf.:
❑ Other Name: Manuf.:
❑ None
9) If any box in item (8) above, other than none, was checked, a completed Biocide 101 Form and
manufacturers' information on the additive is required to be submitted with the application for the
Division's review. N/A
10) Is there any type of treatment being provided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)? 0 Yes I No
If yes, please include design specifics (i.e., design volume, retention time, surface area, etc.) with
submittal package. Existing treatment facilities should be described in detail. Design criteria and
operational data (including calculations) should be provided to ensure that the facility can comply with
the requirements of the General Permit. The treatment shall be sufficient to meet the limits set by the
general permits.
Note: Construction of any wastewater treatment facilities requires submission of three (3)
sets of plans and specifications along with the application. Design of treatment
facilities must comply with the requirements of 15A NCAC 2H .0138. If construction
applies to this discharge, include the three sets of plans and specifications with this
application.
Page 2 of 4
04/05

NCG500000 N.0.1.
11) Discharge Frequency:
a) The discharge is: GI Continuous ® Intermittent 0 Seasonal*
I) If the discharge is intermittent, describe when the discharge will occur: Boiler biowdown
occur once per day. C ndensate discharge is continuous.
ii) If seasonal check the month(s) the discharge occurs: 0 Jan. 0 Feb. 0 Mar. 0 Apr.
❑ May 0 Jun. 0 Jul. 0 Aug. 0 Sept. 0 Oct. 0 Nov. 0 Dec.
b) How many days per week is there a discharge? Seven (7)
c) Please check the days discharge occurs:
Sat. t Sun. 13 Mon. ® Tue. ® Wed. ® Thu. ® Fri.
12) Pollutants:
' Please list any known pollutants that are present in the discharge, per each separate discharge point (if
applicable, use separate sheet): none known
13) Receiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer
system (4S), name the operator of the 4S (e.g. City of Raleigh). Discharges to the City of
Charlotte public storm drainage system to an unnamed tributary of Brier Creek.
b) Stream Classification: "C" — Per Mecklenburg County Stream Classification
14) Alternatives to Direct Discharge:
Address the feasibility of implementing each of the following non -discharge alternatives: See
alternatives attachment.
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that
a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's "Guidance For the Evaluation of Wastewater Disposal Alternatives".
15) Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be retumed as incomplete.
( Inc .) a) 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge location
clearly indicated.
( Inc . ) b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
( Inc . ) c) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application has
been designated an authorized Representative of the applicant.
Page 3 of 4
04/05

NCG500000 N.0.1.
(N/A) d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a North
Carolina registered Professional Engineer and stamped-nFinal Design -Not released for
construction.
(N/A) e) Final specifications for all major treatment components (if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a
narrative description of the treatment system to be constructed.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: W. Larry Lockhart , Jr .
Title: Project Manager
(Sfgnaturof A pIi nt)
North Carolina General Statute 143-215.6 b (I) provides that:
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document filed or required to be maintained under Article 21
or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both, for a similar offense.)
2#2-107
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Mail three (3) copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete unless all of the following items have been
included:
�( Check for $100 made payable to NCDENR
IX 3 copies of county map or USGS quad sheet with location of facility clearly marked on map
3 copies of this completed application and all supporting documents
I /A 0 3 sets of plans and specifications signed and sealed by a North Carolina P.E.
)8( Thorough responses to items 1-7 on this application
Alternatives analysis including present value of costs for all alternatives
Page 4 of 4
04/05

ColeJenest
& Stone
Shaping the Environment
Realizing the Possibilities
Land Planning
Landscape Architecture
Civil Engineering
Urban Design
200 South Tryon Street, Suite 1400 'Charlotte, NC 28202 Charlotte
p+704 376 1555 f+704 376 7851 url+www.colejeneststone.com Raleigh
Wilmington
Attachment 14 — Alternatives to Direct Discharge
For purposes of studying potential alternatives, it should be noted the discharges from
the Carolinas Medical Center — Mercy facility are existing. The discharges occur inside
of the facility and drain to the existing floor drains and building storm drainage system,
which connects to the site storm drainage system. Ms. Heather Sorenson, a
representative of Charlotte -Mecklenburg Utilities, stated to Mr. Michael Klosek with
Carolinas Healthcare System that the attached NPDES application was needed in order
to operate the facility as it currently exists.
ColeJenest & Stone, PA has reviewed potential alternatives in order to achieve a non -
discharge configuration. The alternatives included connection to a municipal sanitary
sewer system, subsurface disposal, spray irrigation, and internal reuse. Based on our
review, we have found the potential to connect to the municipal sanitary sewer system
does exist; however, it is not a viable solution. In order to achieve this connection,
significant work would be required within the existing hospital spaces. This work
includes cutting and excavating building slabs, rerouting building roof leaders beneath
the slabs and overhead, installation of a pump station in order to lift the discharge to the
level of the closest sanitary sewer pipe, new electrical service for the pump station, and
possible removal (temporary) of existing mechanical equipment. The projected cost to
achieve this connection is estimated to be in excess of $200,000.
In light of the work that would be required and as stated previously, we do not consider
the connection to be a viable solution for creating a non -discharge configuration.
Therefore, we request the aforementioned alternative be considered a hardship for the
Owner and that the discharge conditions be allowed to remain as they currently exist.
P:\SDSKPROJ139571_Correspondence\2009'MiscUncomplete\alternalives narralive.docx

ColeJenest
& Stone
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Shaping the Environment
Realizing the Possibilities
Land Planning
Landscape Architecture 200 South Tryon Street, Suite 1400
Charlotte, North Carolina 28202
Civil Engine nng
W 704 376 1555 N 704 376 7851
Urban Design url# www.colejeneststone.com
CMC MERCY HOSPITAL
ATTACHMENT 156
DISCHARGE PATHWAY PLAN
CAROLINAS HEALTHCARE SYSTEM
Project No.3957
Issued 10121109
Scale 1" =100' Sheet

P: \SDSKPROJ \3957\USGSLOCATIONMAP.dwg, USGS LOCATION MAP, 10/21/2009 9:13:54 AM, lockhart, 1:1
Shaping the Environment
Realizing the Possibilities
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Charlotte
Raleigh
Wilmington
land Planning
landscape Architecture
Civil Engineering
+ 200 South Tryon Street, Suite 1400 Charlotte, NC 28202
Urban Design p• 704 376 7851 h 704 376 7851 an• www.colejeneststone.corn
NOTES:
1. SITE DISCHARGES TO THE CITY OF CHARLOTTE
PUBLIC STORM DRAINAGE SYSTEM TO AN
UNNAMED TRIBUTARY OF BRIER CREEK.
2. TOPOGRAPHICAL INFORMATION TAKEN FROM
UNITED STATES GEOLOGICAL SURVEY —
CHARLOTTE EAST, NC, 7.5 MINUTE SERIES
QUADRANGLE, 35080-87—TF-024, DMA 4854 III
NE — SERIES V842, DATED 1968, PHOTOREVISED
1988.
CMC MERCY HOSPITAL
CAROLINAS HEALTHCARE SYSTEM
CHARLOTTE, NORTH CAROLINA
ATTACHMENT 15A
USGS LOCATION MAP
Project No.3957.00.00
Issued: 10/21109
Scale: N.T.S. Sheet 1 of 1