NC0044750_Draft Permit_20230725

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Granite Falls Ltc, LLC
Attn: Shannon Knight
1721 Bald Hill Loop
Madison, NC 27025
Dear Permittee:
NORTH CAROLINA
Environmental Quality
July 25, 2023
Subject: Draft NPDES Permit NCO044750
Jacob's Creek Nursing & Rehabilitation Center
Grade II Biological WPCS
Rockingham County
The Division has reviewed your request to renew the subject permit. Enclosed with this letter is a copy of the draft
permit for your facility. Please review this draft carefully to ensure your thorough understanding of the
information, conditions, and requirements it contains.
The draft permit includes the following significant changes from the existing permit:
Limits have been added for Ammonia Nitrogen (summer months) and monitoring has been increased to
Weekly in the Effluent table in Section A. (1) based on an evaluation of the receiving stream low flows
and permitted discharge flow. While no limits are being assigned for the winter months, monitoring is
still required on a Weekly basis.
Y Section A. (3) has been updated regarding electronic submission of effluent data. Federal regulations
require electronic submittal of all discharge monitoring reports (DMRs).
The NPDES standard conditions (Parts Il, III, and IV) that are a part of the permit are not included in this draft
document (cover, map, and Part I). The conditions are the same as in your current permit except that agency and
division names have been updated. The latest version is available at https://bit.ly/3k5NFaL and can be viewed
online or downloaded as a PDF file.
With this notification, the Division will solicit public comment on this draft permit by publishing a notice in
newspapers having circulation in the general Rockingham County area, per EPA requirements. Please provide
your comments, if any, to me at the address below no later than 30 days after receiving this draft permit.
Following the 30-day public comment period, the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have questions concerning the draft, please contact me at
919-707-3712, or via e-mail at sydney.deuterman(a,deq.nc.gov.
Sincerely,
4bj:��
Sydney Deuterman, Environmental Specialist II
NPDES Compliance and Expedited Permitting
cc: NPDES File [Laserfiche]
Winston-Salem Regional Office [Laserfiche]
Operator Certification Program
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Cotter I Raleigh, North Carolina 27699-1617
o..,.-_,..,MI.v^hTr•IMMU� 919.707.9000

NPDES Permit NCO044750
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
DES
In compliance with the provisions ofNorth 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
Granite Falls LTC, LLC
is hereby authorized to discharge wastewater from a facility located at the
Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop
Madison
Rockingham County
to receiving waters designated as Hogans Creek in subbasin 03-02-02 of the Roanoke 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
This permit and authorization to discharge shall expire at midnight on May 31, 2027.
Signed this day
Richard E. Rogers, Jr.
Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 7

NPDES Permit NCO044750
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked,
and as of this issuance, arty 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.
Granite Falls LTC, LLC
is hereby authorized to:
1. Continue to operate an existing 0.025 MGD wastewater treatment facility. This facility is located
at Jacob's Creek Nursing and Rehabilitation Center, 1721 Bald Hill Loop, Madison in
Rockingham County. The discharge outfall is approximately 1.38 miles north of the WWTP. The
wastewater treatment system includes the following components:
• Flow equalization
• Influent screening box
• Aeration basins
• Clarifiers
• Sand filter
• UV disinfection
• Back —up chlorine disinfection with contact chamber
• Flow measurement
• Aerobic digester
• Effluent pump station
2. Discharge from said treatment works via Outfal1001 at the location specified on the attached
map into Hogans Creek [Stream Segment: 22-31], a waterbody currently classified C in
subbasin 03-02-02 [HUC: 030101030501] of the Roanoke River Basin.
Page 2 of 7

NPDES Permit NCO044750
PART I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[I 5A NCAC 02B.0400 et seq., 0213.0500 et seq.]
Grade II Biological Water Pollution Control System [15A NCAC 08G .0302]
During the period beginning with the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge treated wastewater from Outfall 001. Such discharges shall be
limited and monitored' by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
[eDMR Code]
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location
Flow MGD
( )
50050 ]
0.025 MGD
Continuous
RecordingInfluent
or
Effluent
Temperature (°C)
[00010]
Monitor & Report
5/Week
Grab
Effluent
Total Residual Chlorine (µg/L) 2
[50060]
28 Ng/L
2/Week
Grab
Effluent
BOD, 5 day (20°C) (mg/L)
[C0310]
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids (TSS) (mg/L)
[C0530]
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Fecal Coliform (geometric mean)
[31616]
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Dissolved Oxygen (mg/L)
[00300]
Daily average > 6.0 mg/L
Weekly
Grab
Effluent
pH
[00400]
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
Ammonia Nitrogen (mg/L)
(April 1st — October 31st)
[C0610]
29.0 mg/L
35.0 mg/L
Weekly
Grab
Effluent
Ammonia Nitrogen (mg/L)
(November 1st —March 31st)
[C0610]
Monitor & Report
Weekly
Grab
Effluent
Surfactants (MBAS) (mg/L)
[382601
18.5 mg/L
Monthly
Grab
Effluent
Footnotes:
1. The permittee shall submit discharge monitoring reports electronically using the Division's eDMR
system [see Section A. (3)].
2. TRC limit and monitoring requirements are only applicable if chlorine compounds are used for
disinfection [see Section A. (2)]. The Division shall consider all effluent TRC values reported below 50
µg/1 to be compliant. However, the Permittee shall continue to record and submit all values reported by a
North Carolina certified laboratory (including field certified), even if these values fall below 50 µg/l.
All samples collected should be from a representative discharge event.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER
THAN TRACE AMOUNTS.
Page 3 of 7

NPDES Permit NCO044750
A. (2) TEMPORARY MEANS OF DISINFECTION
[G.S. 143-215.1 (a)]
(a.) In the event that the wastewater treatment plant's ultraviolet (UV) disinfection system fails,
underperforms, or is removed from effective service, the permittee or his agent shall immediately
inform the Surface Water Protection Section staff of the Winston-Salem Regional Office of this
development and discuss temporary, alternate means for disinfection of the effluent.
(b.) If chlorine compounds are used as temporary means of disinfection, the total residual chlorine (TRC)
concentration of the effluent shall be monitored daily while this method of disinfection is in use and
values shall be reported on the discharge monitoring report. TRC in the effluent shall not exceed 28
µg/L; therefore, dechlorination methods may also be necessary to ensure protection of water quality in
the receiving stream.
(c.) In the event that TRC monitoring should occur, the Division shall consider all effluent TRC values
reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to
record and submit all values reported by a North Carolina certified laboratory (including field
certified), even if these values fall below 50 µg/L.
(d.) Use of a disinfection system other than the permitted UV system during circumstances not deemed as
emergency and/or temporary (replacement of lamps, lamp cleaning or maintenance, etc.) will be
considered a violation of the terms of this permit.
A. (3) ELECTRONIC REPORTING - DISCHARGE MONITORING REPORTS
[G.S. 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and
program reports. The final NPDES Electronic Reporting Rule was adopted and became effective on
December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of
this permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)]
The permittee shall report discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) intemet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month
and submitted electronically using eDMR. The eDMR system allows permitted facilities to
enter monitoring data and submit DMRs electronically using the internet. The eDMR system
may be accessed at: https://deq.nc.gov/about/divisions/water-resources/edmr.
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements
Page 4 of 7

NPDES Permit NC0044750
may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1,
1.1, 2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be
submitted to the following address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
See "How to Request a Waiver from Electronic Reporting" section below.
Monitoring results obtained during the previous month(s) shall be summarized for each month
and reported via the eDMR system no later than the last calendar day of the month following the
completed reporting period. Regardless of the submission method, the first DMR is due on the
last day of the month following the issuance of the permit or in the case of a new facility, on the
last day of the month following the commencement of discharge.
Starting on December 21, 2025, the permittee must electronically report the following
compliance monitoring data and reports, when applicable:
Sewer Overflow/Bypass Event Reports;
Pretreatment Program Annual Reports; and
Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request
a Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient at the
time of each electronic submission. The permittee should use the EPA's website resources to
identify the initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the
entity (EPA or the state authorized by EPA to implement the NPDES program) that is the
designated entity for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool
for each type of electronic submission and for each state. Instructions on how to access and use
the appropriate electronic reporting tool will be available as well. Information on EPA's
NPDES Electronic Reporting Rule is found at:
https:Hwww.federalre ister.gov/documents/2015/10/22/2015-24954/national-pollutant-
discharge-elimination-system-npdes-electronic-reporting-rule
Electronic submissions must start by the dates listed in the "Reporting Requirements" section
above.
Page 5 of 7

NPDES Permit NC0044750
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain
an electronic reporting waiver, a permittee must first submit an electronic reporting waiver
request to the Division. Requests for temporary electronic reporting waivers must be submitted
in writing to the Division for written approval at least sixty (60) days prior to the date the
facility would be required under this permit to begin submitting monitoring data and reports.
The duration of a temporary waiver shall not exceed 5 years and shall thereupon expire. At
such time, monitoring data and reports shall be submitted electronically to the Division unless
the permittee re -applies for and is granted a new temporary electronic reporting waiver by the
Division. Approved electronic reporting waivers are not transferrable. Only permittees with an
approved reporting waiver request may submit monitoring data and reports on paper to the
Division for the period that the approved reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found
on the following web page:
http://deq. nc. gov/about/divisions/water-resources/edmr
4. Signatory Requirements (Supplements Section B. (11.) (b) and Supersedes Section B. (11.)
All eDMRs submitted to the permit issuing authority shall be signed by a person described in
Part II, Section B. (11.)(a) or by a duly authorized representative of that person as described in
Part II, Section B. (11.)(b). A person, and not a position, must be delegated signatory authority
for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please
visit the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
V certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the it formation submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false it formation,
including the possibility of fares and imprisonment for knowing violations. "
Page 6 of 7

NPDES Permit NCO044750
5. Records Retention 1Suuulements Section D. (6.)1
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years from
the date of the report. This period may be extended by request of the Director at any time [40
CFR 122.41].
Page 7 of 7

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NCO044750
Jacob's Creek Nursing & Rehabilitation Center
Latitude: 36° 22' 53" N
Stream Index: 22-31
Longitude: 79° 54' 28" W
Sub -Basin: 03-02-02
Receiving Stream: Hogan's Creek
Stream Class: C
River Basin: Roanoke
HUC: 030101030501
Facility
Location
Rockingham County
North Map not to scale