NC0071897_Draft Permit_20201123

ROY COOPER `
1 /.
Governor i.A,,. M ,-! 1
MICHAEL S.REGAN a 1
Secretary l
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
November 23,2020
Ms.Cathy Crawley
Mizpah Healthcare,Inc.
260 Centerway Drive
Hendersonville,NC 28792
Subject: Draft NPDES Permit NC0071897
Henderson's Assisted Living WWTP
Grade II Biological WPCS
Henderson County
Dear Ms.Crawley:
The Division has reviewed your request to renew the subject permit. Please review this draft carefully to ensure a
thorough understanding of the information,conditions,and requirements it contains.
The draft permit includes the following significant changes from the existing permit:
➢ Section A. (2)and Footnote#1 in Section A.(1.)has been updated regarding electronic submission of
effluent data. Federal regulations require electronic submittal of all discharge monitoring reports(DMRs).
With this notification,the Division will solicit public comment on this draft permit by publishing a notice in
newspapers having circulation in the general Henderson County area,per EPA requirements.Please provide
your comments,if any,to me no later than 30 days after receiving this draft permit.
The NPDES standard conditions (Parts II, III, and IV) that are a part of the permit are not included in this draft
document (cover,map, and Part I). The conditions are the same as in your current permit except that agency and
division names have been updated.The latest version is available online(https://bit.ly/2BZ4xxx)and can be viewed
or downloaded as a PDF file.
Following the 30-day public comment period,the Division will review all pertinent comments and take appropriate
action prior to issuing a final permit. If you have questions concerning the draft, please contact me via e-mail
[[e-mail]].
Sincerely,
7/1 04tt it /
Charles H.Weaver,Jr.
NPDES Compliance and Expedited Permitting
cc: NPDES File[Laserfiche]
p North Carolina Department of Environmental Quality I Division of Water Resources
J/ 512 North Salisbury Street 11617 Mail Service Center Raleigh.North Carolina 27699 1617
NpR1„(,,,DNA D
ar'w w r.+...r.1 mi+r 919.707.9000

Permit NC0071897
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
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,
Mizpah Healthcare, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Henderson's Assisted Living WWTP
74 Lotus Lane
Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Featherstone Creek in the French Broad
River Basin, in accordance with effluent limits, monitoring requirements, and other conditions set forth
in Parts I, II, III, and IV hereof.
This permit shall become effective.
This permit and authorization to discharge shall expire at midnight on November 30, 2025.
Signed this day
S.Daniel Smith,Director
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NC0071897
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.
Mizpah Healthcare, Inc.
is hereby authorized to:
1. Continue to operate an existing 0.007 MGD wastewater treatment system that includes the
following components;
• Bar screen
• Aeration basin[9,100 gallon]
• Dual air blowers providing diffused air
• Rectangular clarifier with skimmer and sludge returns [1,535 gallon]
• Aerobic digester[1,400 gallon]
• Dual tertiary sand filter
• Tablet chlorinator
• Baffled chlorine contact chamber[185 gallon]
• Tablet dechlorinator
• Post aeration tank[60 gallon]
This facility is located at the Henderson's Assisted Living WWTP (74 Lotus Lane,
Hendersonville), in Henderson County,
2. Discharge from said treatment works at the location specified on the attached map into an unnamed
tributary to Featherstone Creek [6-55-12], a waterbody currently classified C waters within
Subbasin 04-03-02 [HUC: 060101050303] of the French Broad River Basin.
Page 2 of 6

Permit NC0071897
PART I
Grade II Biological Water Pollution Control System[15A NCAC 08G.0302]
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited, monitored and
reportedl by the Permittee as specified below:
PARAMETER LIMITS MONITORING REQUIREMENTS
[Parameter Code] Monthly Daily Measurement Sample Sample
Average Maximum Frequency Type Location2
Flow(MGD) 50050 0.007 MGD Weekly Instantaneous Influent or
Effluent
Temperature(°C) 00010 Weekly Grab Effluent
pH 00400 >6.0 and<9.0 standard units Weekly Grab Effluent
Total Residual Chlorine(TRC)3 50060 17 µg/1,3 Weekly Grab Effluent
(µg/L)
Dissolved Oxygen(mg/L) 00300 6.0 mg/L Weekly Grab Effluent
BOD,5-day(20°C)(mg/L) C0310 5.0 mg/L 7.5 mg/L Weekly Grab Effluent
(April 1-October 31)
BOD,5-day(20°C)(mg/L) C0310 10.0 mg/L 15.0 mg/L Weekly Grab Effluent
(November 1-March 31)
Total Suspended Solids(TSS)(mg/L) C0530 30.0 mg/L 45.0 mg/L Weekly Grab Effluent
NH3-N(mg/L) C0610 2.0 mg/L 10.0 mg/L Weekly Grab Effluent
(April 1-October 31)
NH3-N(mg/L) C0610 4.0 mg/L 20.0 mg/L Weekly Grab Effluent
(November 1-March 31)
Fecal Coliform(#/100m1)4 31616 200/100 ml 400/100 ml 2/Month Grab Effluent
Dissolved Oxygen(mg/L) 00300 Weekly Grab U&D
Temperature(°C) 00010 Weekly Grab U&D
Footnotes:
1. The permittee shall submit discharge monitoring data electronically using the Division's eDMR system[see
A. (2)].
2. U: at least 50 feet upstream from the outfall.D:at least 100 feet downstream from the outfall.
3. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the
permit. However,the Permittee shall continue to record and submit all values reported by North Carolina
certified test methods(including field certified),even if these values fall below 50 µg/L.
4. Fecal Coliform shall be calculated using the geometric mean,according to the procedure detailed in Part II.
Section A.
Conditions:
Page 3 of 6

Permit NC0071897
• There shall be no discharge of floatingsolids or foam visible in other than trace amounts.
A. (2) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G.S. 143-215.1(b)]
Federal regulations require electronic submittal of all discharge monitoring reports(DMRs)and
program reports. The final NPDES Electronic Reporting Rule was adopted and became effective on
December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit(Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (all
The permittee shall report discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report(eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. The eDMR system may be
accessed at: https://deq.nc.gov/about/divisions/water-resources/edmr.
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access,then a temporary waiver from the NPDES electronic reporting requirements
may be granted and discharge monitoring data may be submitted on paper DMR forms(MR 1, 1.1,
2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to
the following address:
NC DEQ/Division of Water Resources/Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
See"How to Request a Waiver from Electronic Reporting"section below.
Regardless of the submission method, the first DMR is due on the last day of the month following
the issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
Starting on December 21,2025, the permittee must electronically report the following compliance
monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
Page 4 of 6

Permit NC0071897
• Pretreatment Program Annual Reports; and
• Clean Water Act(CWA) Section 316 (b)Annual Reports.
The permittee may seek an electronic reporting waiver from the Division(see"How to Request a
Waiver from Electronic Reporting"section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9),the permittee must identify the initial recipient at the time
of each electronic submission. The permittee should use the EPA's website resources to identify
the initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the
entity(EPA or the state authorized by EPA to implement the NPDES program)that is the
designated entity for receiving electronic NPDES data[see 40 CFR 127.2 (b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool for
each type of electronic submission and for each state. Instructions on how to access and use the
appropriate electronic reporting tool will be available as well. Information on EPA's NPDES
Electronic Reporting Rule is found at:
https://www.federalregister.gov/documents/2015/10/22/2015-24954/national-pollutant-discharge-
elimination-system-npdes-electronic-reporting-rule
Electronic submissions must start by the dates listed in the"Reporting Requirements" section
above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an
electronic reporting waiver, a permittee must first submit an electronic reporting waiver request to
the Division. Requests for temporary electronic reporting waivers must be submitted in writing to
the Division for written approval at least sixty(60)days prior to the date the facility would be
required under this permit to begin submitting monitoring data and reports. The duration of a
temporary waiver shall not exceed 5 years and shall thereupon expire. At such time,monitoring
data and reports shall be submitted electronically to the Division unless the permittee re-applies for
and is granted a new temporary electronic reporting waiver by the Division. Approved electronic
reporting waivers are not transferrable. Only permittees with an approved reporting waiver request
may submit monitoring data and reports on paper to the Division for the period that the approved
reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on
the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
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Permit NC0071897
4. Signatory Requirements !Supplements Section B. (11.) (b) and Supersedes Section B. (11.)
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part
II, Section B. (11.)(a)or by a duly authorized representative of that person as described in Part II,
Section B. (11.)(b). A person, and not a position,must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions,the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system,registering for eDMR and obtaining an eDMR user account,please visit
the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification[40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief true, accurate,
and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
5. Records Retention [Supplements Section D. (6.)1
The permittee shall retain records of all Discharge Monitoring Reports,including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years from the
date of the report. This period may be extended by request of the Director at any time[40 CFR
122.41].
•
Page 6 of 6

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Mizpah Healthcare, Inc. Facility 0•'i.:.;,n, ,
Henderson's Assisted Living WWTP Location ioltim�'����
Scale 1:24,000 r� ,
Receiving Stream: UT to Featherstone Creek stream Claw: C
Stream Segment: 6-55-12 Sub-Basin: 04-03-02
River Basin: French Broad HUC: 060101050303 NPDES Permit NC0071897
Latitude: 35°22'45" Longitude: 82°28'15" North
USGS Quad: Fruitland,N.C. Henderson County