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Home My WebLink AboutNCG500648_Compliance Evaluation Inspection_20221025ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director Paul English, POM Manager Atrium Health — Mercy Hospital 2001 Vail Avenue Charlotte, NC 28207 NORTH CAROLINA Environmental Quality October 25, 2022 SUBJECT: Compliance Evaluation Inspection Atrium Health/Mercy Hospital NPDES General Permit No. NCG500648 Mecklenburg County Dear Mr. English: Enclosed is a copy of the Compliance Evaluation Inspection (CEI) Report for the inspection conducted at the subject facility on September 13, 2022, by Mr. Wes Bell of this Office. Please inform the staff that oversee the facility's environmental affairs of our findings by forwarding a copy of the enclosed report. Should you have any questions concerning this report, please do not hesitate to contact Mr. Bell at (704) 235-2192 or at wes.bell@ncdenr.gov. Enclosure: Inspection Report Cc: NPDES Program Files — Laserfiche Rusty Rozzelle, MCWQP (via email) CARCLIDE Sincerely, DocuSigned by: BB057A2DE017498... Andrew H. Pitner, P.G. Acting Regional Supervisor Water Quality Regional Operations Section Mooresville Regional Office Division of Water Resources, NCDEQ North Carolina Department of Environmental Quality I Division of Water Resources Mooresville Regional Office 1610 East Center Avenue. Suite 301 1 Mooresville. North Carolina 28115 704.663.1699 rvoa 111.•rhworkt G. rOrmloalal Oat,' United States Environmental Protection Agency EPA Washington, D.C. 20460 Water Compliance Inspection Report Form Approved. OMB No. 2040-0057 Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction 1 IN I 2 21IIIIII Code NPDES yr/mo/day Inspection IL I 3 I NCG500648 111 121 22/09/13 117 Type 1810I IIIIIIIIIII Inspector Fac Type 19I S I 2011 IIIIIIIIIIIIIIIIII I IIIIII P6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 67I1.0 I 70I4 I 71IN I 72 I N I 73I 1 74 751 I I 1 I I I I I I 180 l Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include POTW name and NPDES permit Number) Atrium Health Mercy 2001 Vail Ave Charlotte NC 28207 Entry Time/Date 11:30AM 22/09/13 Permit Effective Date 21/03/22 Exit Time/Date 12:35PM 22/09/13 Permit Expiration Date 25/11/30 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) /// Ervin Gaskins/Corporate Safety// Katy Heide/EHS Specialist// Luke Pokrajac/EHS Specialist// Paul A English/Manager POM/704-304-5801 / Other Facility Data Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Paul A English,2001 Vail Ave Charlotte NC 28207//704-304-5801/ Yes Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenar Records/Reports Self -Monitoring Progran Facility Site Review Effluent/Receiving Wate Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) Wes Bell of Inspector(s) Agency/Office/Phone and Fax Numbers Date -Docusignedby: DWR/MRO WQ/704-663-1699 Ext.2192/ 10/25/2022 -A61696D9OCC3437... Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date Ori A Tuvia DWR/Division of Water Quality/704-663-1699/ 10/25/2022 EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. BB057A2DE017498... Page# 1 31 NPDES yr/mo/day N C G 500648 111 121 22/09/13 117 Inspection Type 18 [j 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) On -site Representatives: The following Atrium Health staff were in attendance during the inspection: Mr. Paul English, Mr. Ervin Gaskins, Ms. Katy Heide and Mr. Luke Pokrajac. Page# 2 Permit: NCG500648 Inspection Date: 09/13/2022 Owner -Facility: Atrium Health Mercy 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 ❑ ❑ � ❑ application? Is the facility as described in the permit? • ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ ❑ • ❑ Is access to the plant site restricted to the general public? • ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? • ❑ ❑ ❑ Comment: The boiler blowdown and non -contact cooling water discharges are connected to the sanitary sewer (Charlotte Water). The effluent is comprised of condensate from cooling systems and air compressors that are discharged into multiple floor drains and combined prior to entering the stormwater drainage system. No biocides or corrosion inhibitors are added to the condensate discharges. The last compliance evaluation inspection at this facility was performed by DWR staff on 7/27/2018. Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? • ❑ ❑ ❑ Is all required information readily available, complete and current? • ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? • ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? ❑ ❑ • ❑ 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 COCs ■ 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? ❑ ❑ • ❑ Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ • ❑ Is the backup operator certified at one grade less or greater than the facility ❑ ❑ • ❑ classification? Is a copy of the current NPDES permit available on site? • ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ • ❑ Page# 3 Permit: NCG500648 Inspection Date: 09/13/2022 Owner -Facility: Atrium Health Mercy Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Comment: The records reviewed during the inspection were organized and well maintained. No permit limit violations were noted in the effluent sampling results for the past three years. Laboratory Are field parameters performed by certified personnel or laboratory? Are all other parameters(excluding field parameters) performed by a certified lab? # Is the facility using a contract lab? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? Yes No NA NE ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ Comment: The permittee has contracted ERM to collect all permit -required samples and perform all field analyses (pH, temperature and total residual chlorine). Pace Analytical Services, Inc. has been contracted to perform all non -field analyses. The facility staff must ensure that the oil & grease samples are properly preserved (less than or equal to six degrees Celsius) during each day of storage prior to being relinquished to the contracted lab. The chain of custody forms should document the preservation/storage conditions of these samples. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ El • El Is sample collected below all treatment units? El El • El Is proper volume collected? • El El El Is the tubing clean? ❑ ❑ • ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 El El • El degrees Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type • El El El representative)? Comment: The subject permit requires effluent grab samples. The facility staff must ensure all future oil & grease samples are collected directly into the sample container (no pump tubing or intermediate containers). Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, El ❑ ▪ El and sampling location)? Comment: The effluent is discharged into the stormwater drainage system; therefore, no upstream and downstream temperature monitoring would be required (per Permit). Page# 4 Permit: NCG500648 Inspection Date: 09/13/2022 Owner -Facility: Atrium Health Mercy Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? • ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable El El El Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: The maintenance areas for the cooling systems, pumps, etc. were generally clean and well maintained. Flow Measurement - Effluent # Is flow meter used for reporting? Is flow meter calibrated annually? Is the flow meter operational? (If units are separated) Does the chart recorder match the flow meter? Comment: Flows are measured (estimated) and reported during each sampling event Effluent Pipe Is right of way to the outfall properly maintained? Are the receiving water free of foam other than trace amounts and other debris? If effluent (diffuser pipes are required) are they operating properly? Comment: The effluent appeared clear with no foam. Yes No NA NE ❑ ❑ • ❑ ❑ ❑ • ❑ Yes No NA NE ❑ ❑ • ❑ ❑ ❑ • ❑ Page# 5