NC0044750_LV-2020-0039_20200925

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ROY COOPER r` w *�r, ;Y.
Governor } ; S' -
MICHAEL S. REGAN " 42,
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S. DANIEL SMITH "`--•' -
1r,er to
NORTH CAROLINA
Environmental Quality
September 25,2020
Granite Falls LTC,LLC
Jacob's Creek Nursing and Rehabilitation Center
c/o Shannon Hairston,Administrator
106 Short Street
Kernersville,North Carolina 27284
Subject: Your Request to Remit Civil Penalties
Case Numbers LV-2020-0039
Jacob's Creek Nursing and Rehabilitation Center WWTP
NPDES Permit NC0044750
Rockingham County
Mr. Hairston:
The Division of Water Resources(DWR or the Division)received your request to remit civil penalties in
the subject case on February 18,2020.We have also received your Justification for Remission Request,
with explanation and your signed Waiver of Right to Administrative Hearing and Stipulation of Facts
signed December 7,2019.
The Director has granted 100%remission of this penalty but he must retain costs in the amount of
$108.53. Your payment must be submitted within thirty(30)days of receipt of this letter.Please make
your check payable to NCDEQ:
NCDEQ/DWR/NPDES
Attention:Wren Thedford.
1617 Mail Service Center
Raleigh,NC 27699-1617
If you have questions,please contact Lon Snider[[e-mail]] at the Winston-Salem Regional
Office(WSRO,or email me [[e-mail]].Thank you for your continued cooperation in
this matter.
Sincerely,
Joe R.Corp ron,P.G.
Compliance and Expe ited Pe itting Unit
Attachment: Remission factors signature page
cc: W-SRO/SWPS,Lon Snider,Supervisor
NPDES Enforcement File
DEQ/DWR Laserfiche
State of North Carolina I Environmental Quality I Water Resources
1611 Mail service Center I Raleigh,North Carolina 27699-1611
919 707 9000

DocuSign Envelope ID:279C80A8-B6B7-48BE-987E-4F95DFDD9823
DIVISION OF WATER RESOURCES
CIVIL PENALTY REMISSION FACTORS
Case Number: LV-2020-0039 Region: Winston-Salem County: Rockingham
Assessed Entity: Granite Falls Ltc LLC Permit: NC0044750
Facility: Jakob's Creek Nursing and Rehabilitation Center
❑ (a) Whether one or more of the civil penalty assessment factors were wrongly applied to the
detriment of the petitioner:
Permittee States: [NOT ASERTED]
X (b) Whether the violator promptly abated continuing environmental damage:
Permittee States:The ORC routinely inspects the canister-style UV bulbs daily,as recommended by the
manufacture,by viewing through the sight glass to verify that the light is on.Upon Notice of Violation,
the Permittee called Shinning Light Electrical Services who performed diagnostics revealing a UV bulb
intensity at 50%capacity,a problem diagnosed as a faulting wiring harness.New parts were ordered and
installed(invoice included with remission request).
DWR Response:DWR concurs that continuing environmental damage was abated. Full
remission recommended.
❑ (c)Whether the violation was inadvertent or a result of an accident:
Permittee Statement: [NOT ASERTED]
❑ (d) Whether the violator had been assessed civil penalties for any previous violations:
Permittee States: [NOT ASERTED]
DWR Response:
❑ (e) Whether payment of the civil penalty will prevent payment for the remaining necessary
remedial act
ions:
edia1 ac ons:
Permittee States: [NOT ASERTED]
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DocuSign Envelope ID:279C80A8-B6B7-48BE-987E-4F95DFDD9823
DECISION (Check One)
Request Denied El
Full Remission X Retain Enforcement Costs? Yes X No ❑
Original Penalty(without Enforcement Costs) $200.00(enter amount)
Partial Remission ❑ %100 or$200.00 (remitted)
Subtotal $00.00
Retaining Enforcement Costs +$108.53
Total Revised Assessment $108.53
DocuSigned by:
9/23/2020
8328B44CE9EB4A1...
for S.Daniel Smith Date
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