NC0022454_Permit Issuance_20061019

Michael F. Easley, Governor
State of North Carolina
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
October 19, 2006
Ms. Jan Grove
Midway Medical Center
P.O. Box 1409
Canton, North Carolina 28716
Subject: NPDES PERMIT ISSUANCE
Permit Number NCO022454
Midway Medical Center -Canton
Haywood County
Dear Ms. Grove
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached final 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 following changes have been incorporated into this final permit:
➢ A daily maximum TRC limit of 28 µg/L will take effective June 1, 2008. This time period is
allowed in order for the facility to budget and design/construct a dechlorination system or
alternative disinfection systems.
➢ Daily maximum ammonia (NH3) limits of 30.0 mg/L (summer) and 35.0 mg/L (winter)
effective immediately.
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 (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such
demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. This permit does not affect the legal
requirements to obtain other permits which 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 which may be required. If you have any questions or need additional information,
please do not hesitate to contact Carolyn Bryant of my staff at [phone], extension 363.
Sincerely,
Alan W. Klimek, P.E.
Director, Division of Water Quality
cc: Central Files
NPDES Unit Files
Asheville Regional Office/Surface Water Protection
1617 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1617 - TELEPHONE [phone]/FAX [phone]
VISIT US ON THE WEB AT http://h2o.enr.state.nc.us/NPDES

Permit NCO022454
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,
Midway Medical Center
is hereby authorized to discharge wastewater from a facility located at
Midway Medical Center -Canton
6750 Carolina Blvd.
Clyde
Haywood County
to receiving waters designated as Sally Haynes Branch in the French Broad 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 December 1, 2006.
This permit and authorization to discharge shall expire at midnight on January 31, 2011.
Signed this day October 19, 2006.
ij . ��- *-
!Alan Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0022454
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.
Midway Medical Center is hereby authorized to:
1. Continue to operate an existing 0.005 MGD extended aeration wastewater
treatment facility with the following components:
• Aeration chamber with diffused air
♦ Clarification with return sludge
♦ Chlorination
The facility is located at Midway Medical Center -Canton, US Highway 19/23, west
of Canton, Haywood County.
2. Discharge from said treatment works at the location specified on the attached map
into the Sally Haynes Branch which is classified Class C waters in the French
Broad River Basin.

Facility Information
State Grid: E7SW
County Boundary Midway Medical Center USGS Quad: Clyde
NPIDES discharger. NCO022454 Subbasin: 04-03-05
A/ Fb—hy.shp Haywood County
Highways
Municipal boundary
N 0 1 Miles
A Now

Permit NCO022454
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on December 1, 2006 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
4
Measurement
Frequency
Sample Type
Sample Location
Flow
0.005 MGD
Weekly
Instantaneous
Inffluent or
Effluent
BOD, 5 day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Residue
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N
(April 1- October 31
6.0 mg/L
30.0 mg/L
2/Month
Grab
Effluent
NH3 as N
Nov 1- March 31
12.0 mg/L
35.0 mg/L
2/Month
Grab
Effluent
Fecal Coliform
(geometric mean
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Total Residual Chlorine
TRC l
28 Ng/L
2/Week
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
pH
> 6.0 and < 9.0 standard units I
Weekly
Grab
Effluent
Footnotes:
1. The limit for total residual chlorine will take effect June 1, 2008. Until then, the permittee shall
monitor TRC (with no effluent limit).
There shall be no discharge of floating solids or visible foam in other than trace amounts.

<Riyer;::� Bai
STAOni.N�OR�T yWebsterRdSvlva. NCBiicn R6FD,a..
V 'A
" 11% ESUNIT° " 1Yau� rar-rne=-t + hat'appphed"fgr renewal ;cry Public of said County and
Welsome
16I7 MAIL SERVICE
:. CENTER,; RALEIGN;
Center/Rest,Area WWfP
of NPDES'' permit ified, and authorized bylaw to
number . NCU072729
NC 27699-1617.1
, �' ' Haywood `..County.
` I This'.permitted facility
Peed
for the MOW Pisgah' ;
NOTIFICATION OF
INTENT TO A
i �tcilprges „. ireoted
:in
WWTP in, ,,Haywood
County ,This ppermitted who being Frsr
NPDES
wastewater: to:the
Pigeon River _ in. the
facility,,..,discharges
WASTEWATER
PERMIT `
French' Broad., `River
freated'�wastewafer to
in the Pisgah Creek in
On " the basis of
thorough staff review
8asin. Some parameters
may be water quality.
the French Broad River emphryre auhorized,o male ih a afrdrvit)
Basin. Some'
and 'application of N(.
limited ; which . may
affect future allocations
parameters may ,: be 1NTAINEER
known
14
General Statute 00 'on
Publ[c. law 92-500 �an
! tun this portion of the
water ,quality limifed;:'aPIr as THE MOUNTAINEER
which , :ma second class mail in nc� Ci of
y affect ry
other lawful .fandardsd
and'. regulations the
French Brood River
Basin.
_ -
future allocations in SVI�
s aurhorized to male Chi$ 241&Vit and
this . portion :. of- - the
Narih Carolina
' The Ever reen
Foundation f P,t). 9 $oX
ter legal advertiscmenr, a true copy of
French .' Broad .. Rivet d in THE MOUNTAINEER on the (of -
Management
Management
.
127, Sylva NC•28779):
has a lied for renewal
8asin..
Pilot Travel Centers.
Commission proposes to.
pP
of NPDES
1L( . (P.0. Box 750;
'
a
Pollutant -. Discharge
permit
number NCO032361 for
; Wa nesviile, _. NC;--h notic, a er, doc.,nent, or legal
28786) has applied for. lime rid
Elimination : System
; the Balsam Center for
Hope. & Recovery in
of each every Such publicca-
renewal ,. of NPDES: requirements and qualifications of
(NPDES) , wastewater
discharge permit to the
permitted ood County,. Thisility
ermit
P number �F Ivotrh Carolina and was a qualified
forthe ,on 1-597 of the General Statutes
NCO086053Pilot
persons) listed,, below = discharges . treated '
effedive 45 days' from
of
- ter
#393' in :-
the publish date of:ihls .
wastewater . to in ; the .
Richland. Creek in the
HaywoodCounty. This
notice..' . , Written
comments rogardiagg the
French:' Creed. River
permitted facility
discharges _ treated
.
proposed: permit wilhbe
8asr°• Some parameters
may. be water
wastewater to in the " "grid;�
accepted anti! 30 , days :
quality
limited
Stingyy Branch . in the ., his
after fhe publish date of
which may
affect uture-allocationsBasin.
Frenctl Broad River
this notice. All
in -,this portion of the
Some 2�
parameters may be Or_ �a

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 1000/Q domestic wastewater (<1 MGD flow)
N. C. Department of Environment and Natural Resources
Division of Water (duality / NPDES Unit
1617 Mail Service Center Raleigh NC 27699-1f 17
http://h2o.enr.state.nc.us/liMF,S/
North Carolina NPDES Permit Number NC00 22454 2006
Please print or type
1. Contact Information: ; _; '
Facility Name
MIDWAY MEDICALNTEI2'xMM 4 r
Owner Name
Street Address
P.O. BOX 1409
city
CANTON
State / Zip Code
NORTH CAROLINA 28716
Telephone Number
828-627-2211
Fax Number
828-627-2216
e-mail Address
Operator Name
STEVE NANNEY
Street Address
814-B KANUGA
City
HENDERSONVILLE
State / Zip Code
NORTH CAROLINA 28739
County
HENDERSON
Telephone Number
828-697-0063
2. Location of facility, producing discharge:
Check here if same as above
Facility Name Of different from above)
Street Address or State Road
City CAI
State / Zip Code NORTH CAROLINA, 2ff%-
County HAYWOOD
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 12102

"DES 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 (fist all installed components with
capacities). -
AN EXISTING 0.005 MGD EXTENDED AERATION FACILITY WITH AERATION CHAMBER
WITH DIFFUSED AIR, CLARIFICATION WITH RETURN SLUDGE, CHLORINATION
5. Description of wastewater (check all that apply
__ a of Facility Generating wastewater
Industrial
Commercial X
Residential
School
Other
Number of Employees
Number of Employees
Number of Homes
Number of Students/ Staff
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
DOCTOR'S OFFICE
24
6. List all permits, construction approvals and/or applications (check all that apply):
RCRA
UIC
NPDES
PSD
NESHAPS
Permit Number
NCO022454
TYM
Non -Attainment
Ocean Dumping
Dredge/Fill Permits
Other
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outf dls):
m
S. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfalb
NA
Page 2 of 3 Veaion 12102

NPDES APPLICATION FOR PERMIT RENEWAL- SNORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
9. blame of receiving stream(s) (Provide a map shouting the exact location of each outfall):
SALLY HAYNES BRANCH IN THE FRENCH BROAD RIVER BASIN
10. Is this facility located ed on Native American lands? (check one)
YES C7 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.
Printed Name of Person Signing
Applicant
NoM Cantina General Statute 143-215.6(b)(2) provides that Any parson who kwmn* 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
Em4rorxrrental Management Commission implementing that Article, or who faMies, tampers with, or knowingly reorders inaccurate any
rending or monitoring device or method required to be operated or maintained under AMcL- 21 or regula mns of the En ironmental
Management Commission bnpWrranting that Article, shag be guilty of a misdemeanor punishable by a fine riot to exceed $10,OOD, or by
krprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punis#o nt by a fine of not more than $10,000 or
br>prisoriment not more than 5 years, or both for a similar offense.)
Page 3 of 3 Version 12/02

James & James Environmental Management, Inc.
814-B Kanuga St, Hendersonville, N Ce 28739
OFFICE: [phone] FAX: [phone]
February 8, 2006
N. C. Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh, N. C. 27699-1617
Regarding All Waste Water Facilities Operated by James & James
To Whom It May Concern:
This letter is to request the renewal for the waste water treatment facility of Midway Medical Center
NPDES Number NC0022454.
Sincerely
01
'ta James
James and Tames Environmental Mgt., Inc.

James & James Environmental Management, Inc.
814-B Kanuga St., Hendersonville, N. C. 28739
OFFICE: (828) 6974)463 FAX: [phone]
February 8, 2006
N. C. Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh, N. C. 27699-1617
Regarding All Waste Water Facilities Operated by James & James
To Whom It May Concern:
Sludge from this facility is pumped by Mike's Septic Tank Service and is permited to be dumped at
Brevard Waste Treatment System and MSD.
Sincerely
�y �
n�
uanita James
James and James Environmental Mgt., Inc.

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number
/-I Cop7Ti1fS`f
Facility Name
Reviewer
Basin/Sub-basin
Receiving Stream
�l tis
Stream Classification in permit
Stream Classification in BIMS
Is the stream impaired (listed on 303(d))?
o.
Is stream monitoring required?
Do they need NH3 limit(s)?
to ,
Do they need TRC limit(s)?
GS
Do they have whole -effluent toxicity testing?
�Jp,
Are there special conditions?
,
Existing Expiration Date
1�
Proposed Expiration Date
Miscellaneous Comments:
If expedited, is this a(simpler permit or a more difficult one?