NC0035904_Permit Issuance_20040723

NPDES DOCUMENT SCANNING COVER SHEET
NC0035904
McCain Correctional Hospital WWTP
NPDES Permit:
Document Type: ;
Permit Issuance r
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Correspondence
Owner Name Change
Staff Comments
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
July 23, 2004
Thins document its printed on reuwe paper - ignore arty
content on the reverse wide

Mr. William N. Stovall
NC Department of Correction
4216 Mail Service Center
Raleigh, North Carolina
Dear Mr. Stovall:
27699-4216
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
July 23, 2004
Subject: Issuance of NPDES Permit NC0035904
McCain Hospital WWTP
Hoke County
Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly, we are
forwarding the attached NPDES discharge permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency
dated May 9, 1994 (or as subsequently amended.)
The final permit includes one significant change from the draft permit sent to you on May 26, 2004:
Quarterly monitoring for Total Mercury has been added to the permit. Effluent samples collected for total mercury
analyses must be analyzed by EPA Method 1631, beginning three months after the permit effective date (December 1, 2004).
Currently there are 11 commercial labs certified by the state to perform Method 1631. Your facility has been added to the list of
facilities subject to Method 1631 because mercury bioaccumulation in fish tissue in the Lumber River Basin has resulted in fish
advisories and impaired waterbody designations. A Phase 2 Total Maximum Daily Load (TMDL) is currently in progress for the
Lumber and Waccamaw watersheds. These TMDLs, scheduled for completion in Winter 2006, will utilize the low-level effluent
mercury data to determine current mercury loadings to surface waters, as well as determine allowable mercury loadings. Attached
to this permit are copies of letters (dated 8/30/02 and 8/12/03) that were sent to the initial 155 facilities subject to Method 1631.
Although some of the information has changed, the letters provide some general background on the low level method and clean
sampling techniques, as well as follow-up contacts.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you
have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this letter. 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, 67141\fail Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made,
this permit shall be final and binding.
Please take notice that this permit is not transferable. The Division may require modification (or revocation and
reissuance) of the permit. This permit does not affect the legal requirements to obtain other permits that 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 permits may be required. If you have any questions or need additional information, please contact
Charles Weaver at telephone number [phone], extension 511.
cc: Central Files
Winston-Salem Regional Office / Water Quality Section
NPDES Permit File
N. C. Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet: h2o.enr.state.nc.us
Sincerely,
ORIGINAL SIGNED BY
Tom Belnick
Alan W. Klimek, P.E.
Phone: [phone]
fax: [phone]
DENR Customer Service Center: 1 800 623-7748

Permit NC0035904
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision 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, the
N.C. Department of Correction
is hereby authorized to discharge wastewater from a facility located at the
McCain Hospital WWTP
NC Highway 211 south of McCain
Hoke County
to receiving waters designated as an unnamed tributary to Mountain Creek in the
Lumber River Basin in accordance with effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective September 1, 2004.
This permit and authorization to discharge shall expire at midnight on July 31, 2009.
Signed this day July 23, 2004.
ORIGINAL SIGNED BY
Tom Belriick
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0035904
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As of
this permit issuance, any previously issued permit bearing this number is no longer effective. Therefore, the
exclusive authority to operate and discharge from this facility arises under the permit conditions, requirements,
terms, and provisions included herein.
The N.C. Department of Correction is hereby authorized to:
1. Continue to operate an existing 0.2 MGD wastewater treatment facility with the
following components:
• Mechanical bar screen
• 296,000-gallon aeration basin with 3 floating aerators
• 40,500-gallon clarifier
• 72,000-gallon clarifier
• 99,000-gallon aerobic sludge digester with 2 diffused aerators
• 7500 ft2 drying bed
• Ultraviolet disinfection equipment
• Effluent flow measurement
This facility is located at the McCain Hospital WWTP off NC Highway 211 south
of McCain in Hoke County.
. 4 2. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Mountain Creek, currently classified C waters
in the Lumber River Basin.

2'30" ._--
Latitude: 35°02'5T'
Longitude: 79°21'26" ,(� N C 0 0 3 5 9 0 4
Quad # G21SE 30
Stream CI./
Subbasin:3075 Crf` Atrr McCain Hospital
Receit : ' rea : UT Mountain Creek VIM/TP
M‘,%,
Facility r
Location
SCALE 1:24000

Permit NC0035904
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
PARAMETER
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample Location'
Flow
0.2 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NH3 as N
2/Month
Composite
Effluent
Dissolved 0xygen2
Weekly
Grab
Effluent,
Upstream & Downstream
Fecal Coliform
(geometric mean)
200 / 100 ml
400 / 100 ml
Weekly
Grab
Effluent,
Upstream & Downstream
Total Residual Chlorine3
25 pg/L
2/Week
Grab
Effluent
Temperature (°C) 4
Daily
Grab
Effluent
Temperature (°C) 4
Weekly
Grab
Upstream & Downstream
Conductivity
Weekly
Grab
Effluent,
Upstream & Downstream
Oil and Grease
30.0 mg/L
60.0 mg/L
2/Month
Grab
Effluent
Chronic Toxicity5
Quarterly
Composite
Effluent
Total Nitrogen
(NO2+NO3+TKN)
Quarterly
Composite
Effluent
Total Phosphorus
Quarterly
Composite
Effluent
Total Mercury6
(EPA Method 1631)
Quarterly
Grab
Effluent
pH
>6.0 and <9.0 standard units
Weekly
Grab
Effluent
Footnotes:
1. Upstream = at least 100 feet upstream from the outfall. Downstream = Downstream approximately 2.1
miles at NCSR 1214.
2. The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/L.
3. Chlorine monitoring is required only if chlorine is used for disinfection.
4. The temperature of the effluent shall not cause an increase in temperature of the receiving stream of more
than 2.8°C. In no case shall the temperature of the effluent cause the ambient water temperature to exceed
32°C.
5. Chronic Toxicity (Ceriodaphnia) P/F at 67%: January, April, July. October (see Part 1. A. (3) below).
6. Samples collected must be analyzed by EPA Method 1631, beginning December 1, 2004.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) MERCURY REOPENER
The Division may re -open this permit to require mercury load limitations, mercury
minimization plans, and/or source water characterization following completion of the
Phase 2 Mercury TMDLs for the Lumber and Waccamaw River watersheds.

Permit NC0035904
A. (3) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant
mortality to Ceriodaphnia dubia at an effluent concentration of 67%.
The permit holder shall perform at a minimum, quarterly monitoring using test procedures outlined
in the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998,
or subsequent versions or "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure"
(Revised -February 1998) or subsequent versions. The tests will be performed during the months of
January, April, July & October. Effluent sampling for this testing shall be performed at the NPDES
permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV
below the permit limit, then multiple -concentration testing shall be performed at a minimum,
in each of the two following months as described in "North Carolina Phase II Chronic Whole
Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the
highest concentration having no detectable impairment of reproduction or survival and the lowest
concentration that does have a detectable impairment of reproduction or survival. The definition of
"detectable impairment," collection methods, exposure regimes, and further statistical methods are
specified in the "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -
February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR-1) for the months in which tests were performed, using the
parameter code TGP3B for the pass/fail results and THP3B for the Chronic Value.
Additionally, DWQ Form AT-3 (original) is to be sent to the following address:
NC DENR / DWQ / Environmental Sciences Branch
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Branch no
later than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and
all concentration/response data, and be certified by laboratory supervisor and ORC or approved
designate signature. Total Residual Chlorine of the effluent toxicity sample must be measured and
reported if chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity
monitoring is required, the permittee will complete the information located at the top of the
aquatic toxicity (AT) test form indicating the facility name, permit number, pipe number,
county, and the month/year of the report with the notation of "No Flow" in the comment area
of the form. The report shall be submitted to the Environmental Sciences Branch at the
address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,
monitoring will be required during the following month.
Should any test data from this monitoring requirement or tests performed by the North
Carolina Division of Water Quality indicate potential impacts to the receiving stream, this
permit may be re -opened and modified to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum
control organism survival, minimum control organism reproduction, and appropriate environmental
controls, shall constitute an invalid test and will require immediate follow-up testing to be completed
no later than the last day of the month following the month of the initial monitoring.

MAIL TO:
AFFIDAVIT OF PUBLICAT
NORTH CAROLINA,
Cumberland County.
Public Notice
STATE OF
NORTH CAROUNA
ENVIRONMENTAL
MANAGEMENT
COMMISSION/NPDES UNIT
1617 MAIL SERVICE
CENTER
RALEIGH, NC 27699-1617
NOTIFICATION OF INTENT
TO ISSUE A NPDES
WASTEWATER PERMIT
On the basis of thorough
staff review and application
of NC General Statute
143.21, Public law 92-500
and other lawful standards
and regulations, the North
Carolina Environmental Man-
agement Commission pro-
poses to issue a National Pol-
lutant Discharge Elimination
System (NPDES) wastewater
discharge permit to the
persons) listed below effec-
tive 45 days from the pub-
lish date of this notice.
Written comments regarding
the proposed permit will be
accepted until 30 days after
the publish date of this no-
tice. All comments received
prior to that date are consid-
ered in the final determina-
tions regarding the pro-
posed permit. The Director
of the NC Division of Water
Quality may decide to hold a
public meeting for the pro-
posed permit should the Divi-
sion receive a significant de-
gree of public interest.
Copies of the draft permit Ire
and other supporting infor- { 1A 1f 3{3
mation on file used to deter-
mine conditions present in
the draft permit are available
upon request and payment
of the costs of reproduction.
and al Mail comments and/or re-iublieation The Fayetteville Observer was a newspaper meeting all the requirements and
quests for information to the y
qualm, NC Division of Water Quality the,
No. 1-597 G.S. of N. C.
The Ms the
°y St pens ai(5 0. ied from the books and files of the aforesaid corporation and publication.
733-5083, extension 520.
)
Please include the NPDES
permit number (attached) in
i(:.--
any communication. Interest-
ed persons may also visit
the Division of Water Quality
at 512 N. Salisbury Street,
Raleigh, NC 27604-1148 be-
tween the hours of 8:00 a.m.
and 5:00 p.m. to review infor-
mation on file.
The NC Department of Cor-
rection [4216 Mail Service
Center, aleigh, NC 27699-
ll permit
N00035904 for the cCain
Hospital WWTP, in Hoke
County.This permitted facili-
ty discharges treated waste-
water to an unnamed tributa-
ry to Mountain Creek in the
Lumber River Basin. Current-
' ly fecal col form and total re-
sidual chlorine are water
quality limited. This dis-
charge may affect future allo-
cations in this portion of the
Lumber River Basin.
The Town of Southern Pines
[140 Memorial Park Court,
Southern Pines, NC 283871
has applied for renewal of
NPDES permit NC0049778
for its WTP in Moore Cowl- 5TH
My cou ty. This permitted facility dis-
charges filter -backwash
wastewater to Aberdeen
Creek in the Lumber River
Basin. Currently total residu-
al chlorine is water quality
limited. This discharge may
affect future allocations in
this portion of Aberdeen
Creek.
5/30
NCDENR,
BUDGET OFC— CHESTER AL.L_'EN
1617 MAIL SERVICE CENTE":.
RALEIGH, NC 27699
vwpE-5
lS " it r-J i -•
JUN 1 1 2003
DENR - VCC:Eit QUALITY
POINT SOURCE BRANCH
Before the undersigned, a Notary Public of said County and State, duly
commissioned and authorized to administer as• r--' tthasaelt`;rmt►tidS�'"etc 1.4 personally
appeared. C INDY L. OROZCD
who, being duly sworn or affirmed, according to law, doth depose and say that
he/she is LEGAL SECRETARY
of THE FAYETTEVILLE PUBLISHING COMPANY, a corporation organized
and doing business under the Laws of the State of North Carolina, and publishing
a newspaper known as the THE FAYETTEVILLE OBSERVER, in the City of
Fayetteville, County and State aforesaid, and that as such he/she makes this
affidavit; that he/she is familiar with the books, files and business of said
Corporation and by reference to the files of said publication the attached
advertisement of LEGAL NOT I CE
DEPT OF CORRECTION, MCCA
of NCDENR,
was inserted in the aforesaid newspaper in space, and on dates as follows:
SECRETA.
Title
3 1.S T
Sworn or affirmed to, and subscribed before me, this day
MAY 0o4
of , A.D.,
In Testimony Whereof, I have hereunto set my hand and affixed my official seal,
the day and year aforesaid.
421,1,-no.,,A4t'k\Ltitt
42161 has app ied for renew-
al of NPDES
504500
DECEMBER 2CC?`
day of
234019001
Notary Public

Oki “ii-TITT"
PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL
MANAGEMENT
COMMISSION/NPDES UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1.617
NOTIFICATION OF
INTENT TO ISSUE A
NPDES WASTEWATER PERMIT
On the basis of thorough staff re-
view and application of NC General
Statute 143.21, Public law 92-500
and other lawful standards and regu-
lations, the North Carolina Enviroti''"
mental Management Commission__
proposes to issue a National Polluta
Discharge Elimination Syste
(NPDES wastewater discharge pe
mit to the person(s) listed below e
fective 45 days from the publish dat
of this notice.
Written comments regarding th
proposed permit will be accepted up
til 30 days after the publish date
this notice. All comments received
prior to that date are considered ift the
final determinations, regarding the
proposed permit. The Director of the
NC Division of Water Quality may
decide to hold a public meeting for the
proposed permit should the Division
receive a significant degree of public
interest.
Copies of the draft permit and other
supporting information on file used to
determine conditions present in the
draft permit are available upon re-
quest and payment of the costs of
reproduction. Mail comments and/or
requests for information to the NC
Division of Water Quality at the above
address or call Ms. Valery Stephens
at [phone], extension 520.
Please include the NPDES permit,
number (attached) in any communi-
cation. Interested persons may also
visit the Division of Water Quality at
512 N. Salisbury Street,Raleigh, NC
27604-1148 between the hours of 8:00
a.m. and 5:00 p.m. to review informa-
tion on file.
iL.1 JUN
NORTH CAROLINA - HOKE COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and
State, duly commissioned, qualified, and authorized by law to
administer oaths, personally appeared Ken MacDonald who
being first duly sworn, deposes and says: that he is General
Manager of DICKSON PRESS, INC., engaged in the publication of
a newspaper known as THE NEWS -JOURNAL, published, issued,
and entered as second class mail in the City of Raeford, in
said„Qg t, iyy, l-State; that he is authorized to make this affi-
davit and sworn statement; that the notice, legal advertisement
ement, a true copy of which is attached hereto,
2 6 2004
DENR - WnTFR C�":LIiY
PUIRT EDUCE BitA':CH
THE NEWS -JOURNAL on the following dates:
JUNE 2, 2004
and that said newspaper in which such notice, paper, docu-
"me i or legal advertisement was published was, at the time of
each and every such publication, a newspaper meeting all of
the requirements and qualifications of Section 1-597 of the
General Statutes of North Carolina and was a qualified news-
paper within the meaning of Section 1-597 of the General Stat-
utes of North Carolina.
This 2ND day of JUNE , 2004
(c2
General Manager
Sworn to and subscribed before me. this 2ND day of
JUNE , 2004
My Commission expires:
March 27, 2008
Notary

The NC Department of Correction
(4216 Mail. Service centei, Raleigh,
NC 27699-4216) has applied for re-
newal of NPDI;S permit NC0035904
for the McCain Hospital WWTP in
Hoke County. This permitted facility
discharges treated wastewater to an
unnamed tributary to Mountain Creek
in the Lumber River Basin. Currently
fecal coliform and total residual chlo-
rine are water quality limited. This
discharge may affect future alloca-
tions in this portion of the Lumber
River basin.
1617Mail Service Center, Raleigh,
NC 27699-1617 - Telephone 919-
733-5083 FAX [phone]
An Equal Opportunity Affirma-
tive Action Employer 50% Re-
cycled /'10% post -consumer paper:
10C

i map://charles.weaver%40dwq.denr.ncmail.net @ cros. nc mai l.net:143/f...
Subject: Draft Permit Review
From: John Giorgino <[e-mail]>
Date: Thu, 10 Jun 2004 10:21:41 -0400
To: Charles Weaver <[e-mail]>
Charles, I reviewed NC0035904 (McCain Hospital) and have no comments with the tox
sections. Thanks for forwarding it.
John Gioraino
Environmental Biologist
North Carolina Division of Water Quality
Aquatic Toxicology Unit
Mailing Address:
1621 MSC
Raleigh, NC 27699-1621
Office: 919 733-2136
Fax: [phone]
Email: [e-mail]
Web Page: http://www.esb.enr.state.nc.us
1 of 1 6/14/2004 6:25 AM

DIVISION OF WATER QUALITY
Fayetteville Regional Office
Water Quality Section
March 30, 2004
MEMORANDUM
To:
FROM:
SUBJECT:
Dave Goodrich, Supervisor
NPDES Permits
Archdale Building �1
Ricky Revels J
Minor NPDES Permit Renewal
McCain WWTP, NC0035904
MAR 3 1 2004
The following are comments for the subject minor permit renewal. If further information
is required please advise.
McCain WWTP, NC0035904
- The existing facility description associated with the 99,000 gallon aerobic
sludge digestor with two submersible aerators should be changed to read
two diffused aerators. I requested Mr. William N. Stovall, P.E. (Applicant) to
make the appropriate application correction associated with #4 page 2 of 3,
and fax it to your office.
No rating sheet attached, no change in rating at this time, Class II.
No special conditions, limitations or monitoring suggested.
- Recommend reissuance in keeping with basin wide strategy.

NPDES APPLICATION FOR PERMIT RENEWAL SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
4. Description of the existing treatment facilities (list all installed components with
capacities):
2 MGD extended aeration wastewater treatment plant consisting of a mechanical cylindrical
barscreen, 296,000 gallon aeration basin with three (3) floating aerators, two 30' diameter
clarifiers, a 99,000 gallon aerobic sludge digester with two diffused aerators, a 7,500 square
foot sludge drying bed, UV disinfection, and a parshall flume effluent flow meter.
5. Description of wastewater (check all that apply):
Type of Facility Generating WaetcwRte r
Industrial Number of Employees
Commercial Number of Employees
Residential Number of Homes
School Number of Students/Staff
Other (prison) X
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
6. List all permits, constriction approvals and/or applications (check all that apply):
ape Permit Number Type
RCRA Non -Attainment
UTC Ocean Dumping
NPDES NC0035904 Dredge/Fill Permits
PSD Other
NESHAPS
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outfalls):
1
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
N/A
Version 12/02
Page 2 of 3
Z0'd
6b: I i b00Z z jdti
8zH9I6I6:xP3
9NI833NI9N3 000 DN

Michael F. Easley
Governor
North Carolina Department of Correction
January 23, 2004
Mrs. Valery Stephens
NCDENR/Water Quality/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
1 k� FE8 - 3 2004
DENR-WATER DUALITY
POINT SOURCE. L7rANcH
Re: Request Renewal of NPDES Discharge Permit NC0035904
NCDOC McCain Correctional Hospital #3700
McCain, NC
Hoke County
Dear Mrs. Stephens:
Theodis Beck
Secretary
We request renewal of NPDES Permit No. NC0035904 for the wastewater treatment plant at our
McCain Correctional Hospital. The following (original and two copies) are attached: the filled out
application form, the sludge management plan, and the discharge location map.
Please call me or Gurnie Lee, PE if you need more information at [phone].
Thank you.
Sincerely,
�r,
William N. Stovall, PE
Director of Engineering
WNS/grl
cc: Jerry Carroll
WNS/GJF/MGH/GRL/R File
An Equal Opportunity / Affirmative Action Employer
1*'

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http://h2o.enr.state.nc.us/NPDES/
North Carolina NPDES Permit Number
1. Contact Information:
Facility Name
Owner Name
Street Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Operator Name
Street Address
City
State / Zip Code
County
Telephone Number
NCOO 35904
Please print or type
NCDOC McCain Correctional Hospital
NC Department of Correction
2020 Yonkers Road, 4216 Mail Service Center
Raleigh
NC 27699-4216
[phone]
[phone]
Swn01 a doc. state. nc. u s
Darrel Cockman
NC Highway 211
McCain
NC 28361
Hoke
[phone]
2. Location of facility producing discharge:
Check here if same as above 1
Facility Name (If different from above)
Street Address or State Road
City
State / Zip Code
County
3. Reason for application:
Expansion/Modification * Existing Unpermitted Discharge
Renewal X New Facility
* Please provide a description of the expansion/modification:
N/A
Page 1 of 3 Version 12/02

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
4. Description of the existing treatment facilities (list all installed components with
capacities):
.2 MGD extended aeration wastewater treatment plant consisting of a mechanical cylindrical
Barscreen, 296,000 gallon aeration basin with three floating aerators, two 30' diameter
Clarifiers, a 99,000 gallon aerobic sludge digestor with two submersible aerators, a 7,500
Square foot sludge drying bed, UV disinfection, and a Parshall flume effluent flow meter.
5. Description of wastewater (check all that apply):
Type of Facility Generating Wastewater
Industrial Number of Employees
Commercial Number of Employees
Residential Number of Homes
School Number of Students/Staff
Other (Prison) X 1086 inmates plus 621 staff
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
Prison hospital and prison
6. List all permits, construction approvals and/or applications (check all that apply):
Type Permit Number Type
RCRA Non -Attainment
UIC Ocean Dumping
NPDES NC0035904 Dredge/Fill Permits
PSD Other
NESHAPS
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outfalls):
1
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
N/A
Page 2 of 3 Version 12/02

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfalI):
Unnamed tributary to Mountain Creek I Lumber River Basin.
10. Is this facility located on Native American lands? (check one)
YES n NO
I certify that I am familiar with the information contained in the application and that to
the best of my knowledge and belief such information is true, complete, and accurate.
William N. Stovall
Printed Name of Person Signing
Director of Engineering
Title
Signature of Applicant Date Signed
North Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes any false statement representation, or
certification in any application, record, report, plan, or other document files 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 $10,000, 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 $10,000 or
imprisonment not more than 5 years, or both for a similar offense.)
Page 3 of 3
Version 12/02

May 26, 1999
SLUDGE MANAGEMENT PLAN
MCCAIN HOSPITAL WASTEWATER TREATMENT PLANT
NPDES PERMIT # NC0035904
Sludge (solids) from the McCain wastewater treatment plant are disposed in the following way:
Solids are digested aerobically and periodically pumped to drying beds. DOC forestry land
immediately adjacent to the site is used for land application. A tractor drawn manure
spreader is used to evenly spread the solids. The permit is Land Application Field Permit
Number WQ0010490.

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number
(V CO0i 5"10 4-
Facility Name
Mc CA (11 jay s., Itet i
Wcd7-0
Reviewer
el M
Basin/Sub-basin
D; 0 7 5
Receiving Stream
IA -ta govir?-4c,N
Cee%
Stream Classification in permit
(�
Stream Classification in BIMS
Is the stream impaired (listed on 303(d))?
Vp
Is stream monitoring required?
j'
It/
Do they need NH3 limit(s)?
NO
Do they need TRC limit(s)?
No
Do they have whole -effluent toxicity testing?
qeS
Are there special conditions?
t1S 1
Any obvious compliance concerns?
No
Existing Expiration Date
- 7,3i r0 /-
Proposed Expiration Date
7/7/ /o
Miscellaneous Comments:
0
hit -
If expedited, is this a
permit or a more difficult one?

1
TIP: Ms. Valerie Stevens
Fax #: [phone]
ME Corrected Page 2 of 3
NPDES Application for Permit Renewal,
Short Form D
McCain Correctional Hospital WWTP
NPDES Permit No. NC0035904
Bits: April 7, 2004
Pages: 5, including this cover sheet.
FACSIMILE
Dear Ms. Stevens:
Attached please find the corrected page 2 of 3 for the McCain Hospital WVVTP
permit renewal application submitted to your office on January 23, 2004. The
correction addresses the 99,000 gallon aerobic sludge digester and corrects the
originally submitted description, which reads in part "... sludge digester with two
submersible aerators..." and is corrected to read ",..sludge digester with two
diffused aerators...".
If you have any questions, please contact me at the phone number listed below.
Thank you for your assistance.
Regards,
atthew Harbert, PE
From the desk of
Matthew G. Harbert, P E.
Environmental Engineering Supervisor
NC -Department of Correction
Central Engineering Division
4216 MSC, 2020 Yonkers Road
Raleigh, NC 27699-4216
919-716-3437
Fax [phone]
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