NCG500197_Regional Office Physical File Scan Up To 6/2/2020

DWQ POINT SOURCE Fax:[phone] Mar 28 2007 7:52 P. 01
MFDICAL
Al ACTION
INDUSTRIES INC_
....... Ra NPWOOD ROAD-AM
EN,
NoEsUa CAROtr1'NAA M94
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Mr.Charles Weaver 'fu�T"u(� U
NP DES unit
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617 y> R
Mr. weaver,
This is in reference to General Permit#NCG500000 with eitistiug certificate of coverage
number NCG500197.
After a compliance inspection with I& Larry Frost,it has been determined that we do
not need this permit and with direction from Mr.Frost,I am requesting to have this
permit terminated.Upon inspection of where the condensation discharge is piped to we
have found that the drain is tied into our existing sanitary sewer system and not into the
stoma drain as previously thought by Mr.Wayne Griffin.
As per our conversation on 3/22/07,I and sending this document along with a copy of Mr.
Froses Evaluation Inspection to include comment section.
I thank you and Mr.Frost for the assistance with this matter.
Gordon Collins
Facility Maintenance Manager
6521W
�„.7. 5x 3 p q,
1 iYled�lI1tr11on
1 Nn V STR1 ES INC.
Right,From the Beginning,
25 Heywood Rd
Arden.NC 28704 VLA�—a
gordonc@mediacal�cdon.com �Office:828-661-8820 ext.201 --����Fax:[phone] i 2 8 2007 j
a WATER QUALITY Sect IOJN
ASH@VILLE RFG bNALOFI-ICE

Michael F.Easley,Governor
O William G.Ross Jr,Secretary
North Carolina Department of Environment and Natural Resources
r- Alan W.Klimek,P.E. Director
Ozq Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
February 9, 2007 ' +
Mr. Gordon Collins
Medical Action Industries Inc.
25 Heywood Road
Arden, North Carolina 28704-9302
SUBJECT: Compliance Evaluation Inspection
Medical Action Industries
Arden Plant
Permit No: NCG500197
Buncombe County
Dear Mr. Collins:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on February 5. 2007. 1 conducted the Compliance Evaluation
Inspection. The facility was found to be in Compliance with permit NCG500197.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please call me at [phone].
Sincerely
Lar Fr at
E ironmental Engineer
Enclosures
cc: NPDES Unit
Central Files
Asheville Files
N��°° rcamu a
dvattarl
209D U.S.Highway 70,Swannanoa,NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
EPA
WasM1ingmn.D.C.xoaso TFOmppLPAo2040005]
Water Compliance inspection Report l expires 8-31-98
Section A'. National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fee Type
1 x 2 I bI 31 ucFri0019] 11 121 0102/09 11] 181 r1 191 al 20U
LJ Ramerka LJ �J
9111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIII6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 131 QA -----------------------Reserved----------------
67L_J Ll 69 ]01 71 ty LniI]21 731 JI 74 75 I I I I80
Section B: Facility
Data J I_LJ
Name and Location of Facility Inspected(For industrial Users discharging to POTW,also include Entry Time/Dale Permlt Effective Date
POTW name and NPOE$permit Number)
,1gr9lcat mexiory indestax'irts
i11:30 PM 0]/0:,/05 nb/03/07
25.Jl�ywood n.r Exit Time/Date Permlt Explrallan Date
Aisle, NC 26 irld 02:30 PPt 01/02/05
Name(s)of Onslte Representative(s)pdespipPhon t and Fax Number(s) Other Facility Data
Name,Address of Responsible Offirlal/Tiile/Phone and Fax Number
Wayne :;.¢iLf.in,25 Heywood 3d Hrdmn pt. 287049302//f12 ContactedP-681-ea20/ Inc
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance E Records/Reports Self-Monitoring Program
Facility Site Review
Section D: Summary of Find in /Comments,(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signatures)of Inspectors) .,, Agency/Office/Phone and Fax Numbers Data
r:y 1:'.roaL V-4r APC m//tl 5 Jo"'4609 F:'se.4558/ z/S/
Keith Hnynes / Ann Wtl//828-2A6-4500/
fil
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Data
Rpges C Edwa.rda-me- ARO W0//028-296-4h06/ �71 is
EPA Form 3560-3(Rev 9-94)Previous ad done are obsolete.
Page# 1

NPDES yAmo/day Inspecllon Type
2 N CG50019p 11 12 p7/n2/(lb U
1] 1s
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and chacklists a,necessary)
Medical Action Industries', Arden Plant appears to be well maintained and is very clean. This plant is
primarily discharging a very low volume of air compressor condensate to a stormwater ditch (behind the
iplant)which eventually feeds to Powell Creek,
The plant needs to complete and submit the permit renewal application (attached) immediately.
The plant needs to track down the discharge pipe from the air compressor room to the stormwater ditch
j behind the plant to verify the discharge point.
I
A copy of the Plant's current permit dated March 7, 2005 is attached as well.
1 -
The inspector will contact the neighboring office building to request the removal of a possible chemical drum
from the adjacent stormwater control pond.
Finally, the inspector requests that the Plant investigate the need for this permit. It appears that there is
access to the,Plant's sanitary sewer within 100 feet of the air compressor room. If this small volume of
condensate can be pumped to that access point and discharged to the sanitary sewer then there would be
no need for this permit. Please keep the inspector informed of your findings.
1
Page# 2

Permit: NCG500197 Owner-Facility: Medical Action Industries
Inspection Date: 02/05/2007 Inspection Type: Compliance Evaluation
(:Operations&Maintenance vas No NA NE_
Is the plant generally clean with acceptable housekeeping? N ❑ ❑ Q
Does the facility analyze process control parameters,far ex:MLSS,MCRT,Settleable Solids,pH, DO,Sludge ❑ ❑ ❑
Judge,and other that are applicable?
Comment:
Permit Yes No NA NE
'(If the present permit expires in 6 months or less). Has the permittee submitted anew application? ❑ ■ Q ❑
Is the facility as described in the permit? N Q Q Q
#Are there any special conditions for the permit? Q Q 0 Q
Is access to the plant site restricted to the general public? ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment: Permit renewal notice was send to the industry on November 15, 2006 and
has yet to be submitted another copy of a partially completed renewal notice is attached.
Page# 3

UR
456
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr., Secretary
Alan W, Klimek, P.E., Director
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCO500000
Existing Certificate of Coverage (Ccl NCG500197
(Please print or type)
1) Mailing address' of facility owner/operator:
Company Name MEDICAL ACTION INDUSTRIES INC
Owner Name
Street Address 25 HEYWOOD ROAD
City ARDEN State NC ZIP Code 28704
Telephone Number Fax;
Email address
`Address to which all permit correspondence should be mailed
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City State ZIP Code
County
Telephone Number Fax:
Email address
3) Description of Discharge:
a) Is the discharge directly to the receiving stream? ❑ 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 curtails (ditches, pipes, channels, etc. that convey wastewater from the
property):
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
❑ Non-contact cooling water Outfall(s) #:
O Boiler Slowdown Outfall (a) #:
Page l of 3

NCG500000 renewal application
❑ Cooling Tower Slowdown Outfall (a) #:
X Condensate Outfall (s) #: —d O
❑ Other Outfall (a) #:
(Please describe "Other")
d) Volume of discharge per each discharge point (in GPD):
#001: #002: #003: 4004
4) Please check the type of chemical [s) added to the wastewater for treatment, per each separate
discharge point (if applicable, use separate sheet):
❑ Chlorine ❑ Biocides ❑ Corrosion inhibitors ❑ Algaecide ❑ Other
None
5) If any box in item (4) above [other than None] was checked, a completed Biocide 101 Form and
manufacturers' information on the additive must be submitted to the following address for approval:
NC DENR / DWQ / Environmental Sciences Section
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621 '
6) Is there any type of treatment being provided to the wastewater before discharge (i.e., retention
ponds, settling ponds, etc.)? ❑ Yes rK 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.)
71 Discharge Frequency:
a) The discharge is: ❑ Continuous ❑ Intermittent ❑ Seasonal*
i) If the discharge is intermittent, describe when the discharge will occur:
it) *Check the month(s) the discharge occurs: ❑ Jan ❑ Feb ❑ Mar. ❑ Apr ❑ May ❑ Jun ❑
Jul ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec.
b) How many days per week is there a discharge?
c) Please check the days discharge occurs: ❑ Sat. ❑ Sun. ❑ Mon. ❑ Tue. ❑ Wed. ❑ Thu. ❑.
Fri.
8) Receiving stream[s]:
a) To what body or bodies of water (creek, stream, river, lake, etc.) does the facility discharge
wastewater? If the site discharges wastewater to a separate s/to�rm sewer system (4S), name the
operator of the 4S (e.g. City of Raleigh). �O[A)n'LL (�7L££f�
b) Stream Classification: (fal/
Page 2 of 3

NCG500000 renewal application
Additional Application Requirements:
The following information must be included in triplicate [original + 2 copies] with this application or
it will be returned as incomplete.
➢ 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.
➢ Authorization for representatives. If this application will be submitted by a consulting
engineer (or engineering firm), include documentation from the Permittee showing that the
consultant submitting the application has been designated an Authorized Representative of
the applicant,
Certification
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: -
Title:
(Signature of Applicant) (Date Signed)
North Carolina General Statute 143-215.6 h (i) provides that:
Any person who knowingly makes any false statement,representation,or temptation 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 Aride,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 Us 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.)
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This Notice of Renewal Intent does NOT require a separate fee
The permitted facility already pays an annual fee for coverage under NCG500000
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Mail the original and two copies of the entire package to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 3 of 3

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..............................._..........................................................................................................................._.........................................
...
Swannanoa, NC 28778 to
25 Heywood Rd
Arden, NC 28704-9302
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Find it in the 2007 Road Atlas
Swannanoa, NC Arden, NC
• page 74, grid section • page 74, grid section
L-6, Western North L-6, Western North
Carolina map Carolina map
• page 74, grid section • page 74, grid section
t-1 F-1
Estimated Total Driving Estimated Total Driving Time: Distance: Total Number of Steps:24 minutes 16 miles 11
Step Directions Distance
1 You are at Swannanoa,NC
.....—..........................................................................................................................—..............................................................................................
2 Go South on a local road < 0.1 miles
..................................................................................................................................................................................................................................
3 Bear left onto McBrayer Av < 0.1 miles
...................................................................................................................................................................................................................................
4 Turn right onto Riverwood Rd 0.1 miles
............................_.__................................................................................_._...._.......................................................I......._._.................................
5 Turn sharply left onto US-70 (Black Mountain Hwy) 0.4 miles
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6 Turn right onto Patton Cove Rd 0.3 miles
....................................................I........................._............................................,.......,.............,..........................._.. ...............................................
7 Take I-40 W ramp on right 8.6 miles
...............................................................................................................................................-.................................................................................
.
8 Take Exit SOA (US-25 S) on right 0.3 miles
9 Bear right onto US-25 (Hendersonville Rd) 6.3 miles
10..............Turn right onto Heywood_Rd............................._...........................................,.........................................0.3 miles _
............................_........._.._._.......................I.........._...................................,....................................._............................................ . . ....
11 You are at 25 Heywood Rd,Arden,NC
............................................................................................................................_.......................................................,............................................
Destination: 25 Heywood Rd
Arden, NC 28704-9302
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Address
Subject: Address
From: "Gordon Collins" <[e-mail]>
Date: Toe, 21 Nov 2006 09:21:03 -0500
To: <[e-mail]>
25 Heywood Rd.
Arden, NC 28704 _
Gordon T. Collins
Facility Maintenance Manager
Medical Action Industries
828.681.8820 Ext. 201
eMail: [e-mail]
10,1 12/122006 1:01 PM

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley,Governor William G. Ross,Jr.,Secretary
Alan W. Klimek,P.E., Director
November 15,2006
Wayne Griffin
Medical Action Industries
25 Heywood Road
Pletcher,NC 28704-9302
Subject: NPDES Permit NCG500000 renewal
Certificate of Coverage(CoC)NCG500197
Medical Action Industries
Buncombe County
Dear Permittee: -
The facility listed above is covered under NPDES General Permit NCG500000. NCG500000 expires
on July 31,2007. Federal(40 CFR 122,41)and North Carolina(15A NCAC 2H,0105(e))regulations require
that permit renewal applications must be filed at least 180 days prior to expiration of the current permit. If
you have already mailed a renewal request,you may disregard this notice.
To satisfy this requirement,the Division must receive a renewal request postmarked no later than
February 1.2007. Failure to request renewal by this date may result in a civil penalty assessment. Larger
penalties may be assessed depending upon the delinquency of the request.This renewal notice is being sent
well in advance of the due date so that you have adequate time to prepare your application.
If any discharge previously covered under NCG500000 will occur after July 31,2007,the
CoC must be renewed. Discharge of wastewater without a valid permit would violate North Carolina
General Statute 143-215.1;unpermitted discharges of wastewater may be assessed civil penalties of up to
$25,000 per day.
If all discharge has ceased at your facility and you wish to rescind this CoC for if you have other
questions],contact me at the telephone number or e-mail address listed below.
Sincerely,
/�
Charles H. Weaver,Jr.
NPDES Unit
cc: Central Files
NPDES File
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 I CI
512 Nora Salisbury Street,Raleigh,North Carolina 27604 la ,r, "t 1
i , ol)`@c
Carolina
Phone: [phone],extension Sit/FAX [phone]/chades.weaver®ncmail.net ;Vatllra!!l�
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A.ARI k ]j M,/Iii
NCDENR t
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North Carolina Department of Environment and Natu al
Division of Water Quality
Michael F. Easley,Governor William G. Ross,Jr.,Secretary
Alan W. Klimek, P.E.,Director
March 7,2005
Mr. Wayne E.Griffin
Medical Action Industries
25 Heywood Road
Arden,North Carolina 28704
Subject: Renewal of coverage/General Permit NCG500000
Medical Action Industries
Certificate of Coverage NCG500197
Buncombe County
Dear Mr.Griffin:
In accordance with your application for a Certificate of Coverage [received on March 3,20051,the Division is
forwarding herewith Certificate of Coverage NCG500197 to discharge under NCG500000. Yew company's site was
previously assigned this CoC number in 1993. The previous owner allowed the CoC to expire. Thus your application is
being treated as a renewal of an existing CoC,rather than a new discharge application. 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 May 9, 1994 [or as subsequently amended].
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. The
Division 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 pemtits 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 Charles H.Weaver,Sr. at telephone number 919
733-5083,extension 511.
Sincjceer/�ely,
Pao 4K1im
Al.
W. .E.
cc: Central Files
Asheville Regional Office/Larry Frost
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
512 North Salisbury Street,Raleigh,North Carolina 27604 NoithCarohna
Phone: [phone]/FAX [phone]/Internet:h2oancstato.nous Naturally
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STATE OF NORTH CAROLINA
'll DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
I
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500197
TO DISCHARGE NON-CONTACT COOLING WATER,COOLING TOWER AND BOILER BLOWDOWN,
CONDENSATE AND SIMILAR WASTEWATERS 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,
Medical Action Industries
is hereby authorized to discharge non-contact cooling water,boiler blowdown and cooling tower blowdown
1 from a facility located at
Medical Action Industries
25 Heywood Road
Arden
Buncombe County
to receiving waters designated as Powell Creek(Lake Julian)in the French Broad River Basin in accordance
with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,III and IV
hereof.
This certificate of coverage shall become effective March 7,2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 7,2005.
Alan W.Klimek,P.E.,Director
Division of Water Quality
II By Authority of the Environmental Management Commission

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Receiving Sm.Powell Creek(lake Julian) OrLtR

pi wumhael F ¢slay;Governor 9G H �s#dy,Secmmry
ry' North Carolina Departmentof Envimnmentaad NaNral Resources
O Y Alan W.Klimek,P.E.Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
February 17, 2005
Medical Action Industries Inc.
25 Heywood Road
Arden, North Carolina 28704-9302
Subject: Certificate of Coverage No. NCG500197
Discharge of Non-contact Cooling Water and
Boiler Blow Down
Industrial Plant at 25 Heywood Road
Buncombe County
Dear Sirs:
The Discharge of Non-contact Cooling Water and Boiler Blow Down system serving your
Industrial Plant at 25 Heywood Road (Buncombe County Parcel Identification Number 9654.09-05-
7043.000) was permitted under the provisions of Certificate of Coverage Number NCG500197, as
Phillips Consumer Electronics to Mr. Sam Luntsford. This permit has now expired. Attached is a copy
of your partially completed RENEWAL FORM, which is to be used to request renewal of your
Certificate of Coverage. Please return the completed form to the Raleigh address indicated.
Please understand that any discharge of Non-contact Cooling Water and Boiler Blow Down
without a valid permit constitutes a violation of North Carolina General Statute (NCGS) 143-215.1;
enforceable under provisions of NCGS 143-215.6A as administered by this Agency.
I am sure you will have questions regarding this matter so please do not hesitate to call me at
[phone],
Sincerely,
Larry ost
E yrironmental Chemist
Enclosure
xc: Charles Weaver N"°nuratear¢ a
M
North Carolina Division of Water Quality 20900.S.Highway 70 Swanneno..NC 28778 Phone[phone] Customer Service
Internet: 1,2o.enrstate.neus FAX [phone] 1-877-623-6748
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State of North Carolina
Department of Environment • �
and Natural Resources �1�
Division of Water Quality
Michael F. Easley Governor NCDENR
William G. Ross, Jr., Secretary NORTH cAFOL,NA DEPARTMENT OF
Alan W. Klimek, P.E., Director ENVIRONMENT AND NAnURAL RESOURCES
GENERAL PERMIT Certificate of Coverage RENEWAL FORM
I. CURRENT PERMIT INFORMATION:
Certificate of Coverage (CoC) Number: NCG6 00197
Owner's name (name to be put on permit):
Owner's or signing official's name and title:
(Person legally responsible for permit)
(Title)
I
Mailing address:
City: State: Zip Code:
Phone: ( ) -
E-mail address:
Applicant's Certification:
I, , attest that [to the best of my
knowledge] the property previously covered by the Certificate of Coverage (CoC) listed above
is under my ownership/control. I hereby request renewal of the CoC listed above and assume
responsibility for wastewater discharge[s] from the site.
Signature: Date:
Send this completed form and a copy of the property deed to:
Mr. Charles H. Weaver, Jr.
NC DENR/ DWQ/ NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1617 Mall Service Center,Raleigh,North Carolina 27699-1617 Telephone[phone]D83 FAX[phone]
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