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Home My WebLink AboutNC0022454_Renewal (Application)_20200130 ROY COOPg :". ) Governor MICHAEL S.REGAN , • LINDA CULPEPPER NORTH CAROI-INA Director Environmental Quality January 30, 2020 Midway Medical Center Attn: Sherry Wilson, Administrator 6750 Carolina Blvd Clyde, NC 28721 Subject: Permit Renewal Application No. NC0022454 Midway Medical Center WWTP Haywood County Dear Applicant: The Water Quality Permitting Section acknowledges the January 21, 2020 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional.questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincerely, Wren Thedford Administrative Assistant Water Quality Permitting Section cc: Central Files w/application Ashley Ogle-James&James Enviro. Mgt., Inc. ec: WQPS Laserfiche File w/application ENE North Carolina Department of En Vronmental Quality I Dirrs".00 of Water Resources Aslev;?a Rego nalOffice 1209,0 U.S.70 Riginvey I Swanaanoa,North Caro ss 28778 8288-4500 p �I�� '�� James & James Environmental Management, Inc. i'�� , �! 3801 Asheville Hwy.,Hendersonville,N.C. 28791 414..e 0101 OFFICE: (828)697-0063 FAX: (828)697-0065 earn January 10, 2020 RECEIVED N. C. Department of Environment and Natural Resources JAN 21 2020 Division of Water Quality/NPDES Unit fVCDEQ/DWR/NPDES 1617 Mail Service Center Raleigh,N. C. 27699-1617 Regarding All Waste Water Facilities Operated by James &James Environmental Mgt., Inc To Whom It May Concern: This letter is to request the renewal of the permit for the waste water treatment facility of Midway Medical WWTP,NPDES number NC0022454. Sludge from this facility are pumped by either Mike's Septic or ACL Septic. Our primary dump locations are at MSD & City of Hendersonville. Sincerely OM1L4 Ashley Og 1i Office Manager James and James Environmental Mgt., Inc. 828-697-0063 a.ogleofficemgr@jjemi.net NPDES APPLICATION - FORM D For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD Mail the complete application to: N. C. DENR / Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 NPDES Permit NCOO22454 If you are completing this form in computer use the TAB key or the up - down arrows to move from one field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type. 1. Contact Information: Owner Name Midway Medical Center Facility Name Midway Medical Center Mailing Address 6750 Carolina Boulevard City Clyde State / Zip Code NC 28721 Telephone Number 828-627-2211 Fax Number 828-627-2216 e-mail Address S yv i 15 m i GQ w c j ono . C O r1 2. Location of facility producing discharge: Check here if same address as above X Street Address or State Road City State / Zip Code County Haywood 3. Operator Information: Name of the fizm, public organization or other entity that operates the facility. (Note that this is not referring to the Operator in Responsible Charge or ORC) Name Midway Medical Center Mailing Address 6750 Carolina Boulevard City Clyde State / Zip Code NC 28721 Telephone Number 828-627-2211 Fax Number 828-627-2216 e-mail Address 5 V/ikon p dwa j m J C O rn 1 of 3 Form-D 11/12 NPDES APPLICATION - FORM D For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD 4. Description of wastewater: Facility Generating Wastewater(check all that apply): Industrial Number of Employees Commercial Number of Employees Residential Number of Homes School Number of Students/Staff Other X Explain: Physician's Office Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): Physician's Office Number of persons served: e tr p l cod S "(' ( p ci'(-t a n-i'S •pZc ple_ i n bL4; lain ; rr?Noil 5. Type of collection system X Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer) 6. Outfall Information: Number of separate discharge points 1 Outfall Identification number(s) 001 Is the outfall equipped with a diffuser? ❑ Yes X No 7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each outfall): Sally Haynes Branch S. Frequency of Discharge: X Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: Duration: 9. Describe the treatment system List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a separate sheet of paper. 0.005 MGD facility with aeration chamber with diffused air, clarification with return sludge, chlorine disinfection, chlorine contact chamber, dechlorination. 2 of 3 Form-D 11/12 NPDES APPLICATION - FORM D For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: • Treatment Plant Design flow 0.005 MGD Annual Average daily flow 0.0006 MGD (fOr the previous 3 years) Maximum daily flow 0.003 MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes X No 12. Effluent Data NEW APPLICANTS:Provide data for the parameters listed.Fecal Coliform., Temperature and pH shall be grab samples,for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum and monthly average.If only one analysis is reported, report as daily maximum. RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum) and Monthly Average over the past 36 months for parameters currently in your permit. Mark other parameters "N/A". Daily Monthly Units of Parameter Maximum Average Measurement Biochemical Oxygen Demand (BOD5) 22.3 12.8 MG/L Fecal Coliform 260 3.5 CFU/100ML Total Suspended Solids 33.3 14.9 MG/L Temperature (Summer) 22.6 21.7 C Temperature (Winter) 10.5 5.6 C . pH 7.7 7.6 UNITS 13. List all permits, construction approvals and/or applications: Type Permit Number Type Permit Number Hazardous Waste (RCRA) NESHAPS (CAA) UIC (SDWA) Ocean Dumping (MPRSA) NPDES NC0022454 Dredge or fill (Section 404 or CWA) PSD (CAA) Other Non-attainment program (CAA) 14. APPLICANT CERTIFICATION 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,n complete, and accurate. J ,c?rY Vv 1 I5Ctom+ NCirr.tnts ro'{-or Printed name of Person Signing Title �`g ),bLtz-t-.-- 0 { — ( 0 — 0 Signature of plicant Date North Carolina General Statute 143-215.6 (b)(2) states: 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$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.) 3 of 3 Form-D 11/12 N,. .i i•;- . - „.. -::'•! ::,:..-. : ' rC I _.7--". .,' ..r.,.. . ..: ..... . . :. .... 1 ...;(.. k ...; r ........... •',1 ..,‘• N • 1 1...;.i v ..,:.,.......i.T.' ,. o':. ... . o -\\\117--- .13t .. .. . . ....,......." ,,.. .... ......, ...... ..••,• . • ... .. . ... . . ..... . . . ...... .\_., _ .... .... . . . . ..... ... 1 • • , •.,• ., ,, ; •. .., , . 7-7.'..:=,...1.6 :',-....':.:.: :•!c::7)'•-•.'.. :1 ( , • .....„. - • •i ---, ,, x •.•••/...."...:,_,V. 4' P I. • I .. SI , —...---- .., ,• •: . " . A '-, f-- ! • N. • : •--- • • • -,, ... .. , 4..-....:!-;.•-• :.' : - ' . ::: ::'_, : \-7: R.::: is k 0 _ . . ..•.. _ i , , te-•:• '411, •,:.:.,' 4 -A. . . .- . • ... . I,r • ill • .1 )r It' . CD I Outfall 001 . -f 1 . 1 -- • : f t , k, *NW., r ./ . •;,-"---- )11 , ° . 1 a in i 2 : 11 AI 6 .101me ill . 0 V t \---. 41 /v. ( • —--- • a -,......... 4 • • • P 6 . -: : ' .%::::: '. • - • filliik! - ir • _ii.&_.."-.4.1.,.r.. :.,ctri 0 .-/ - :. ..?-..,11i • ‘:.;:2 ':4 I. . . .•: •-:t : kZ:i''''',' .. ,/. "c\„::.. I il'-'-''. 4 -1% j 0121 ' f-''',.. ‘...,........_... P '-'' `I . • . 1 f. ..\ . . i •- t .\ 4 :.. CS d "-"-., 1 „...,.., . ...„7- ....,- . 1 e : • .e...,_., .!..,.. ..„. , litot. • (... , . - .,_, _....i,................. --... ...... -',„,,,,,,wan_..4iviiiikill.isisp.m....,. ,.,.. .............„— —...--. i._-_,71-: ‘.... ......-, .,. ,,,,:,.....,4 • .. . ,,- , - . . ..00.,_ ______r_,..77,____ ,, ,.,_..., . :: :,. / ..,;:..,... .::c_______Ni 1::. .... ,:_,' . 1:. • ----?::::" T. .L.. ;:: :::I • ..P:, \. . ' ' . ' ' ' . . .-..' .„e7s- -. .._,L,,___:.,./- i ; ---' '-,.-L.:'.-- ..: - •: j.•'-' .7-7-1' \ ' •0 . ::.,-, .;::, -',: .;- ,r,' L ,- reniTaL. . . .:,,,,,„;7-''';"':'.."..‘ ''',/ r- .;,'-r•-• --- --;_,-: \ ,-.. •N. J./ ,,,,• •,. .: _ , ,.._. . , . -\.,-.'- '•7.' '._.,/ ''''''' i''')N, - • '-.7'.--..! ...j., '• . ... / firil' ;/r.7'7,1,;.-.0. ;.' . , " 7:-...: :./.:•;.i,,,, ..,:<;-.\ :• _,.....-^M,..i%.,........._.ey:. .iiil. :_,:i;X:,..,.-- \\:\.'s. • • ; . ---- Latitude:35°32'00" N C0022454 Facility 4,--, • •Longitude:82'52'54" i USGS Quad: Clyde,N.C. Midway MedicaL Center Location Stream Class:C Subbasin:04-03-05 Haywood County c. , Receiving Stream:Sally Haynes Branch 7/01/144 Map not to scale Hydrologic Unit: 06010106 . . 1