NC0022454_Permit Issuance_20110114

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
Mr. Jan W. Grove
Midway Medical Center _
P.O. Box 1409
Canton, N.C. 28716-1409
Dear Mr. Grove:
January 14, 2011
Subject: Issuance of NPDES Permit NC0022454
Midway Medical Center WWTP
Haywood County
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached 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 October 15, 2007 (or as subsequently
amended).
This final permit includes no changes from the draft permit sent to you on November 24,
2010.
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
decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The. Division may
require modification or revocation and reissuance of the permit. 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, the 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 Weaver at telephone number [phone].
Sincerely,
Coleen H. Sullins
cc: Central Files
Asheville Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 e
512 North Salisbury Street, Raleigh, North Carolina 27604 NOl t11Carohna
Phone: [phone] / FAX [phone] / http://portal.nedenr.org/web/wq )Viawrally
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Permit NC0022454
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
11
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, P.A.
is hereby authorized to discharge wastewater from a facility located at
6750 Carolina Boulevard
Clyde
Haywood County
to receiving waters designated as Sally Haynes Branch in subbasin 04-03-05 of 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 February 1, 2011.
This permit and authorization to discharge shall expire at midnight on January 31, 2016.
Signed this day January 14, 2011
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
4 * 1 4

Permit NCO022454
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, P.A. is hereby authorized to:
I. Continue to operate an existing 0.005 MGD extended aeration wastewater
treatment facility that includes the following components:
♦ Aeration chamber with diffused air
♦ Clarification with return sludge
♦ Chlorine disinfection
♦ Chlorine contact chamber
♦ Dechlorination equipment
The facility is located at Midway Medical Center (6750 Carolina Blvd, Clyde) in
Haywood County.
2. Discharge from said treatment works at the location specified on the attached map
into Sally Haynes Branch, currently classified C waters in hydrologic unit
06010106 of the French Broad River Basin.

Latitude: 35132'00"
Longitude: 82°52'54"
USG S Quad: Clyde, N.C.
Stream Class: C
Subbasin: 04-03-05
Receiving Stream: Sally Haynes Branch
Hydrologic Unit: 06010106
NCO022454
Midway Medical Center
Haywood County
Facility
Location
�fp.� Map not to scale

Permit NC0022454
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit 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
[PCS code]
Monthly Average
Daily Maximum
Measurement
Sample Type
Sample
FrequencyLocation
Flow
0.005 MGD
Weekly
Instantaneous
Influent or
1500501
Effluent
BOD, 5 day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
CO310
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
C0530
NH3 as N (April 1 - October 311
6.0 mg/L
30.0 mg/L
2/Month
'Grab
Effluent
C0610
NH3 as N (November 1- March 31)
12.0 mg/L
35.0 mg/L
2/Month
Grab
Effluent
C0610
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
31616
Total Residual Chlorine (TRC)'
28Ng/L
2/Week
Grab
Effluent
50060
Temperature (°C)
Weekly
Grab
Effluent
00010
pH
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
00400
Footnotes:
1. The facility shall report all effluent TRC values reported by a NC certified laboratory including field
certified. However, effluent values below 50 µgIL will be treated as zero for compliance purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

ASFIEV J E
CITIZEN TIldES
VOICE OF Tf IE MOUNTAINS • CITIZEN TIMES.com
AFFIDAVIT OF PUBLICATION
BUNCOMBE COUNTY
SS.
NORTH CAROLINA
Before the undersigned, a Notary Public of said County and
Public Notice
North Carolina Environmental Management
State, duly commissioned, qualified and authorized by law
Commis5lon/NPDES Unit
161.rRafe h.IServhu3C1611
Ralei9g NC 276s9 %
to administer oaths personally appeared Elyse Giannetti
NoticeoflntentEo Issue PermiNPDESWastewater
t
who, being first duly sworn, deposes and says: that she is
e North Carolina Environmental Management
terIon proposes to issue a NPDES waste -
ter d�scharge permit to the persons) listed
the Legal Billing Clerk of The Asheville Citizen -Times,
ow.
engaged in of a newspaper known as The
le, comments regardin the proposed per -
will be accepted until 38 days after the pub-
Pub -
date 0f this notice. The Director of th0 NC
iSion
publication
Asheville Citizen -Times published issued and entered as
> > >
of Water Quality (DWQ) may, hold a
ilic hearin should there be a siri rant de-
a of interest. Please mai comments
first class mail in the City of Asheville in said County and
,pubic
Vor mformation requests to DWQ at the
we address. Interested persons may visit
State; that she is authorized to make this affidavit and
DWQ at 512 N.-Salispbury Street Raleigh, NC
:ion eon iNPDES tpermits and this notic may
sworn statement; that the notice or other legal
found on our website: http://portal.recden-
g 9 �9b9�80/�w�pg/ps/npdes/calendar, or by
advertisement, a true copy of which is attached hereto, was
way Medical Center req4uested renewal o
IES permit NC0022454/Ha wood Count .
lity discharges treated to
published in The Asheville Citizen -Times on the
wastewater Salty
nes- Branch/French Broad River Basin.
fecal
th
following date: November 25 2010. And that the said
nooma nitrogen, coliform and total re-
,
i
newspaper in which said notice, Hailer, document or legal
paper, g
embeorinearewaterquafitylimited.
ember 24.2010 _(7917) I
advertisement was published was, at the time of each and
every publication, a newspaper meeting all of the
requirements and qualifications of Section 1-597 of the
General Statues of North Carolina and was a qualified
newspaper within the meaning of Section 1-597 of the
General Statues of North Carolina.
NOTARY
PUBLIC 0`
• ,
•••••ii cOMBE GO°oe
Signed this 26th, day of November, 2010
of person making affidavit)
Sworn to and subscribed before me the 26th, day of
November, 2010.
My Uommission expires the 6"', day of Uctober, 2U11.
[phone] 1 [phone] FAX
14 0. HENRY AVE. I P.O. BOX 2090 1 ASHEVILLE, NC 28802 1 [phone]
1 GANNEff

Clyde Office:
6750 Carolina Blvd.
Clyde, NC 28721
828.627.2211 • Fax [phone]
July 9, 2010
1NEDICAL
Mailing Address: P.O. Box 1409
Canton, NC 28716
N.C. Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit
1917 Mail Service Center
Raleigh, N.C. 27699-1617
Regarding All Waste Water Facilities Operated by James & James
To Whom It May Concern:
Canton Office:
30 N. Main 5t.
Canton, NC 28716
828.646.0080 • Fax [phone]
This letter is to request the renewal for the waste water treatment facility of Midway Medical Center,
P.A.
NPDES number NCO022454
Sincerely,
Jan 17lF rove
Medical Administrator
Midway Medical Center, P.A.

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 NC00 a� ,j
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, P.A.
Facility Name
Midway Medical Center, P.A.
Mailing Address
PO Box 1409
City
Canton
State / Zip Code
NC 28716
Telephone Number
828-627-2211
Fax Number
828-627-2216
e-mail Address
'angroveamidwavmc.com
2. Location of facility producing discharge:
p �,
Check here if same address as above ❑
Street Address or State Road 6750 Carolina Blvd
city
Clyde
State / Zip Code
NC 28721
County
Haywood
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name h .S�
ad
Mailing Address
City
State / Zip Code ( -'
Telephone Number
Fax Number -�^-
1 of 3 Form-D 05/08

1UL,/09/2010/FR1 12:21 F-9 FAX No, P. 010
DUDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of vatewater.
Facility Generating Waugwatertcheck all that applyp
Industrial
(]
Number of Employees
Commercial
X
Number of Employees 3S
Residential
❑
Number of Homes
School
❑
Number of Students/Staff
Other
❑
Ex -plain,
Descnbe the source(s) of wastewater (example: subdivis,%on, mobile home park, shopping centers,
restaurants, etc.):
Family Practice Medical Center
Population served:
S. TM of correction system
Separate (sanitary secaer only) ❑ Combined (storm sewer and sanitwy sewer)
6. Outfall information:
Number of separate tlischu%e pouts 1
Outfail Identification uumber(s) (25
Is the out&U equipped with a diffuser? Q Yes 161Nc
7. iva ms of roce;viug streams) (Provide a map showing the excicf location of each out 411):
S. Frequency of Discharge: Coldiuuous ❑ Intermittent
If intermittent:
Days per week discharge occurs:__,_ Dgration:
9. Describe the treatment system
List all installed components, ihctuding capacities, provide design removal for B017, TSS, nitrogen and
phosphorus. If the space pratr ded is not suffiden4 attach the description of the tmament system in a
separate sheet of paper. )
C-+ L urY Yt
2 of 3 dorm-p i>,5108

' J1r1I/09/2010/FRI 12:21 PM FAX N0. P. 011
XPDFS APPLICATION - FORM D
For privately owned treatment systems treating Joao
o domestic wastewaters 1,0 11iGl7
10. Flaw Information:
Treatment Plant Design furs+ 0j-6b � MOD
Annual Average daily flow 6. 6 6 ) S XGD (for the Previous 3 pears)
maximum daily flow O � 0 0 3 MAD (for the previous 3 years)
I1, is this facility located on Indian country?
Q Yes F110
12. Effluent Data
Prom& data for the parameters listed. ltecal Conform. Temperatum and, pH shall be grab samples, for aft other
parameters 24-hour composite sampling shah be used. If more than one analysis is reported, report daily maxfrt3=
and monthly aueyage. Yf oray orw. analysis is repo , report as daily maximum.
— Parameter
per'
Maxfinem
jug on tidy
AV,
Units of
measaremeut
Biochemical Ortygen Demand (DOD$)
(p , °r, 1 , r
j
Fecal Coliform
3,0 ,
# . -66mt -
Total Suspended Solids
gl.q
M el
°
Temperature (Slim Mer)
C.
Temperature (Winter)
13. Liat all permits, construction approvals and/or applications.
Type Permit Number Type
Hazardou8 Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Occan Durmping (MPRSA)
NPDES �i [ a °. {i 5 Dredge or U (Section 404 or CWA)
PSD (CAA) -- Other
Non -attainment program (CAA)
14. APPLICANT CERTiFICATION
Permit Number
I certify that I am familiar with the information contained is the application and that to the
best of my knowledge and belief such iafcrm$tion is true, complete,' and accurate.
Rdnted name of Parson Sing Title -
Signd�of Applic=t Date i
Mont Carolina General Stduia 143-215.e (b)(2) states: Any person who knnlogty makes any false statement representation, or eerif ation in any
applicudon, record, report, plan, or other document tales or requred to be matrrtained under A,FWe 21 or regulations of the Fovironmv%W Management
Commimm Implementing that Article, or who falsifies, tempers wit, or knowingly renders fnamurate any rwording or monUming device or m&cd
required to bp operated or maintained under Artide 21 or regutatio ns of the Enviropmentd Management Commissbri Impletamling that Article, shalt be
ruifty of a misdemeanor punishable by a tide not to exceed $25,000, or by imprisorxnent not to exceed six months, or by both, (18 U.aS.C, Section 11101
provides a punishment by s fine of not more titan $25,f14G or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Fcmr•D 06/08

James & James Environmental Management, Inc.
3801 Asheville Hwy., Hendersonville, N. C. 28791
OFFICE: [phone] FAX: [phone]
July 9, 2010
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 (Midway Medical Center) is pumped by Mike's Septic Tank Service and is
permitted to be dumped at Brevard Waste Treatment System and MSD.
Sincerely
Juanita Unes
Jaynes and James Environmental Mgt., Inc.

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions; 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Charles H. Weaver — 10/7/2010
Permit Number
NC0022454
Facility Name
Midway Medical Center WWTP
Basin Name/Sub-basin number
French Broad / 04-03-05
Receiving Stream
Salle Havnes Branch
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits'
No
Does permit need TRC limits/lan uaf7e?
No — already present
Does permit have toxicity testing"
No
Does permit have Special Conditions'?
No
Does permit have instream monitoring'?
No
Is the stream impaired (on 303(d) list)?
No
An-,- obvious compliance concerns?
No
Any permit mods since lastpermit')
No
NeAy expiration date
1/31/2016
Comments received on Draft Permit'?
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream
is listed as an unpaired N-,aterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority- iyith the Division. and instream data will
continue to be evaluated. If there is noncompliance with permitted effluent limits and
stream impairment can be attributed to -,-our facility. then mitigative measures may be
required -
• TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote:
'The facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values below 50 µg/1 will be treated as zero
for compliance purposes."