NC0022454_Regional Office Physical File Scan Up To 2/4/2021

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Sherry Wilson
Midway Medical Center P A
6750 Carolina Blvd
Clyde, NC 28721
July 16, 2019
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2019-LV-0490
Permit No. NC0022454
Midway Medical Center WWTP
Haywood County
Dear Permittee:
A review of the May 2019 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below: V— —,
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 5/29/2019 400 600 Daily Maximum Exceeded
44.5 C (31616)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
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If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional Office
at 828-296-4500.
Sincerely,
DocuSigned by:
7E617A36265648C...
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
EC: DWQ Laserfiche
WQS Asheville Regional Office - Enforcement File
G:\WR\WQ\Haywood\Wastewater\Minors\Midway Medical Center 22454\Violations\20190716_N00022454_NOV20191V0490.rtf

Wa ter Resvt4rces
LNVIRONN.LNTAL GUALITY
April 15, 2016
Dr. Nancy R. Freeman
Midway Medical Center
6750 Carolina Blvd
Clyde, NC 28721
PAT MCCRORY
Guru / w•
DONALD R. VAN DER VAART
ser,rkn r
S. JAY ZIMMERMAN
Subject: Issuance of NPDES Permit NCO022454
Midway Medical Center WWTP
Haywood County
Class WW-2
Dear Dr. Freeman:
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 one major change from the draft permit sent to you on January
13, 2016:
Effective December 21, 2016, all permittees must report discharge monitoring data electronically
using the Division's Electronic Discharge Monitoring Report (eDMR) internet application [see
Part I A. (2) of this permit for details].
.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 any other Federal, State, or Local governmental permit that may be required. If you
have any questions concerning this permit, please contact Bob*dge at telephone number [phone].
cc:
NPDES Unit
iL >P._u
Division of Water Resources
MAY 1 1 2016
,.ter MaW Regional Operations
A,,heville Rogional Of(irem�
Jay Zimmerman, Di or
vision of Water Resources
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https:lldeq. ne. govlaboutldivisionslwater-resourceslwater-resources-permitslwastewater-branchlnpdes-wastewater-permits

Permit NCO022454
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
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, 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 May 1, 2016.
This'permit and authorization to discharge shall expire at midnight on January 31, 2021.
Signed this day April 15, 2016.
S y Zimmerman, P.G., Direc
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 5

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:
1. 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.
Page 2 of 5

Permit NCO022454
.Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
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,
j
- Liml#."s.
;Montoring`Requirernents)
[PC$ticode'
],
F - i
Monthly Average Daily Maximum;;
Measurement; ,Sample Type Sam le
P
Fre uenc :_ catigni
Flow
50050
0.005 MGD
Weekly
Instantaneous
Influent or
5 day (20°C)
Effluent
ODY
310
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Solids
0530
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N (April 1—October 31)
C0610
6.0 mg/L
30.0 mg/L
2/Month
Grab
Effluent
N (November 1—March 31)
[C0NH3 1
C0610
12.0 mg/L
35.0 mg1L
2/Month
Grab
Effluent
Fecal oliform (geometric mean)
31616
2001100 ml
400/100 ml
Weekly
Grab
Effluent
Total Residual Chlorine (TRC)z
50060
28 pg/L
2/Week
Grab.
Effluent
Temperature (°C)
[000101
Weekly
Grab
Effluent
pH
00400
> 6.0 and < 9.0 standard units
— —
Weekly
Grab
Effluent
Footnotes:
1. No later than December 21, 2016, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR system [see A. (2)].
2. The facility shall report all effluent TRC values reported by a NC certified laboratory including
field certified. However, effluent values below 50 µg/L will be treated as zero for compliance
purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and program reports and specify that, if a state does not establish a system to receive such
submittals, then permittees must submit monitoring data and reports electronically to the
Environmental Protection Agency (EPA). The final NPDES Electronic Reporting Rule was
adopted and became effective on December 21, 2015.
Page 3 of 6

Permit NCO022454
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) (a)l
Effective December 21, 2016, 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.
Until such time that the state's eDMR application is compliant with EPA's Cross -Media
Electronic Reporting Regulation (CROMERR), permittees will be required to submit all
discharge monitoring data to the state electronically using eDMR and will be required to
complete the eDMR submission by printing, signing, and submitting one signed original
and a copy of the computer printed eDMR to the following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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 mailing address above. 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, 2020, the permittee must electronically report the following
compliance monitoring data and reports, when applicable:
Sewer Overflow/Bypass Event Reports;
Pretreatment Program Annual Reports; and
Clean Water Act (CWA) Section 316(b) Annual Reports.
Page 4 of 6

Permit NCO022454
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:
http: / /www2.epa.gov/compliance/final-national-pollutant discharge elimination system
np des -electronic -reporting -rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements"
section above.
3. Tow to Request a Waiver from Electronic Retorting
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: / / deg.nc.gov/ ab out / divisions / water -resources / edmr
Page 5 of 6

Permit NC0022454
4. minatory Requirements [Supplements Section B (11) (b) and Supersedes Section
B. (11.) (d)1
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 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: / /deg.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.)]
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
anytime [40 CFR 122.41].
Page 6 of 6

Ce
CD
-TR'6
CI
Outfall 001
R of
(?
40
Latitude: e3:5823T5O2O'5?
4'
... .
NCO022454Longitud
USGS Quad: 'Clyde, N.C.
Stream
Midwa Medical Center
y
Class: C
Subbasin: 04-03-05
Haywood County
Receiving Stream: Sally Haynes Branch
Hydrologic Unit: 06010106
Facility
Location
Map not to -scale

NPDES Permit Standard Conditions
Page 1 of 18
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time interval
between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically. Composite
samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment.system, or
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NPDES Permit Standard Conditions
Page 2 of 18
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval. Use of this method requires prior approval by the Director. This method may only be
used in situations where effluent flow rates vary less than 15 percent. The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours; there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. For pollutants expressed in other units of measurement, the
"daily discharge" is calculated as the average measurement of the pollutant over the day. (40 CFR 122.2; see also
"Composite Sample," above.)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling.
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWR or "the Division"
The Division of Water Resources, Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
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NPDES Permit Standard Conditions
Page 3 of 18
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Resources.
Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319(d) and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
Version 1110912011.1

NPDES Permit Standard Conditions
Page 4 of 18
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a negligent
violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violation, or by
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]
d. Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In the
case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[33 USC 1319(c)(2) and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a pen -nit issued under section 402 of the Act, and
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not more than
15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction of violating
the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such sections
in a pen -nit issued under section 402 of this Act. Administrative penalties for Class I violations are not to
exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$37,500. Penalties for Class 11 violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class 1I penalty not to exceed $177,500. [33 USC
1319(g)(2) and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41(d)].
Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part H.C.4), "Upsets" (Part H.C.S) and 'Power Failures"
(Part H.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the Permittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any
infringement of Federal, State or local laws or regulations [40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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NPDES Permit Standard Conditions
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7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 15013-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any infonnation which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the Permit
Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41(h)].
9. Du,Dgt_y to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41(b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic authorization to
discharge beyond the expiration date, the Permittee shall submit such information, forms, and fees as are required
by the agency authorized to issue permits no later than 180 days prior to the expiration date unless permission for a
later date has been granted by the Director. (The Director shall not grant permission for applications to be
submitted later than the expiration date of the existing permit.) [40 CFR 122.21(d)] Any Permittee that has not
requested renewal at least 180 days prior to expiration, or any Permittee that does not have a permit after the
expiration and has not requested renewal at least 180 days prior to expiration, will subject the Permittee to
enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
It. Signatory Requirements
All applications, reports, or information submitted,to the Permit Issuing Authority shall be signed and certified [40
CFR 122.41(k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge
of a principal business function, or any other person who performs similar policy or decision making
functions for the corporation, or (b) the manager of one or more manufacturing, production, or operating
facilities, provided, the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations, and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements; and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity; such as the position of plant manager, operator of a well or well field,
superintendent, a position of equivalent responsibility, or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.); and
(3) The written authorization is submitted.to the Permit Issuing Authority [40 CFR 122.22]
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility, a new authorization
satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or
together with any reports, information, or applications to be signed by an authorized representative [40 CFR
122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section 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 theperson orpersons 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. "
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41(f)].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 02H .0100; and North Carolina General Statute 143.215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H .0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Owners of classified water pollution control systems must designate operators, certified by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and grade for the
system, and, for each classification must [T15A NCAC 08G .0201]:
a. designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s) in Responsible Charge (Back-up ORCs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c. submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
(or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORC) and the Back-up Operator in Responsible
Charge (Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
➢ receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
➢ a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORC).
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(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Class I facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each Class 11, III and IV facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 08G .0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41(m)(3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
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(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
Upsets
a. Effect of an upset [40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b. of
this condition are met. No determination made during administrative review of claims that noncompliance was
caused by upset, and before an action for noncompliance, is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant
evidence that:
(1) An upset occurred and that the Permittee can identify the eause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II.E.6.(b) of this permit.
(4) The Permittee complied with any remedial measures required under Part II.B.2. of this permit.
e. Burden of proof [40 CFR 122.41(n)(4)]: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission. The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge, including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge; 40 CFR
Part 258, Criteria For Municipal Solid Waste Landfills; and 15A NCAC Subchapter 2T, Waste Not Discharged To
Surface Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 02H .0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
Representative Sampling
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream, body of
water, or substance. Monitoring points shall not be changed without notification to and,the approval of the Permit
Issuing Authority [40 CFR 122.410)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1. 1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
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. Duplicate signed copies of these,
and all other reports required herein, shall be submitted to the following address:
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NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability.of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the Division's
Laboratory Certification Section (919 733-3908 or http://portal.ncdenr.org/web/wq/lab/cert) for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to NCGS
143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to Section
304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure. If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most
sensitive (method with the lowest possible detection and reporting level) approved method must be used.
5. Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not
more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
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7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record the
following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Permittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
C. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i)].
Section E Reportin1l Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.41(1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in
particular NCGS 143-215.1(b)(4)b.2., and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
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5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II.D.2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part H.E.5 and 6. of this permit at the
time monitoring reports are submitted. The reports shall contain the information listed in Part II.E.6. of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a permit application or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 122.41(1)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2) or in Section 309 of the Federal Act.
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11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than
$25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that primarily collect or treat municipal or domestic wastewater and have
an average annual flow greater than 200,000 gallons per day shall provide an annual report to the Permit Issuing
Authority and to the users/customers served by the Permittee (NCGS 143-215.IC). The report shall summarize the
performance of the collection or treatment system, as well as the extent to which the facility was compliant with
applicable Federal or State laws, regulations and rules pertaining to water quality. The report shall be provided no
later than sixty days after the end of the calendar or fiscal year, depending upon which annual period is used for
evaluation.
The report shall be sent to:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued an
Authorization to Construct (AtC) permit or (2) the Permittee is exempted from such AtC permit requirements
under Item b. of this Section.
b. In accordance with NCGS 143-215.1(a5) [SL 2011-394], no permit shall be required to enter into a contract for the
construction, installation, or alteration of any treatment work or disposal system or to construct, install, or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent basis, of
any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms per liter
(500 µg/L) for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol; and one milligram per liter (1 mg/L) for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has'occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part II of this permit, the following definitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (i) and 0) and 15A NCAC 02H .0903(b)(11)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the Permittee's (or any satellite POTW's if different from the
Permittee) NPDES, collection system, or non -discharge permit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes, regulations, or permits. [15A NCAC 02H
.0903(b)(14)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the Permittee's (or any satellite POTW's, if different from the Permittee) NPDES, collection system, or non -discharge
permit. [15A NCAC 02H .0903(b)(23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes the collection system, as defined in 15A NCAC 2T
.0402, only if it conveys wastewater to a POTW treatment plant. The term also means the local government
organization, or municipality, as defined in section 502(4) of the CWA, which has jurisdiction over indirect discharges
to and the discharges from such a treatment works. In this context, the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges. This second type of
POTW may be referred to as a "satellite POTW organization." [15A NCAC 02H .0903(b)(26)]
"Significant Industrial User" or "SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that [15A NCAC 02H
.0903(b)(33)]:
1. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW (excluding sanitary,
noncontact cooling and boiler blowdown wastewaters); or
2. Contributes process wastewater which makes up five percent or more of the NPDES or non -discharge permitted
flow limit or organic capacity of the POTW treatment plant. In this context, organic capacity refers to BOD, TSS
and ammonia; or
3. Is subject to categorical standards under 40 CFR Part 403.6 and 40 CFR Parts 405-471; or
4. Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement, or the POTW's effluent
limitations and conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options;
5. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraphs 1 or 2 of this definition above has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement, the POTW's effluent limitations and
conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options, and thus is not a
Significant Industrial User (SIU); or
6. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraph 3 of this definition above meets the requirements of 40 CFR Part 403.3(v)(2) and thus is a
non -significant categorical Industrial User.
Section B. Publicly Owned Treatment Works (POTWs)
Version 1110912011.1

NPDES Permit Standard Conditions
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All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:
1. Any new introduction of pollutants into the POTW from an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of CWA if it were directly discharging those pollutants;
and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of effluent
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
1. Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards.
2. Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 02H .0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [40 CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH lower
than 5.0, unless the works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow rate
and/or pollutant concentration which will cause Interference with the POTW;
(5) Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (104°F)
unless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
(7) Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity that
may cause acute worker health and safety problems; or
(8) Any trucked or hauled pollutants, except at discharge points designated by the POTW.
c. The Permittee shall investigate the source of all discharges into the POTW, including slug loads and other
unusual discharges, which have the potential to adversely impact the Permittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
Any information shall be provided orally within 24 hours from the time the Permittee became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the Permittee becomes
aware of the circumstances. The written submission shall contain a description of the discharge; the
investigation into possible sources; the period of the discharge, including exact dates and times; if the
discharge has not ceased, the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance,
Version 1110912011.1

NPDES Permit Standard Conditions
Page 16 of 18
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater from
any Significant Industrial User (SIU), the Permittee shall either develop and submit to the Division a new
Pretreatment Program or, as necessary, a modification of an existing Pretreatment Program, for approval as
required under section D below as well as 15A NCAC 02H .0907(a) and (b). [40 CFR 122.440)(2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402 (b)(8) of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402(b)(8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14) and implementing regulations 15A NCAC 02H .0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit. [40 CFR 122.440)(2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the CWA, 40
CFR 403, 15A NCAC 02H .0900, and the legal authorities, policies, procedures, and financial provisions contained in
its pretreatment program submission and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements. Teens not defined in Part II or Part IV
of this permit are as defined in 15A NCAC 02H .0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 02H .0903(b)(32), .0905 and .0906(b)(1); 40 CFR 403.8(f)(1) and 403.9(b)(1) and (2)]
Industrial Waste Survey (IWS)
The Permittee shall implement an IWS consisting of the survey of users of the POTW collection system or
treatment plant, as required by 40 CFR 403.8(f)(2)(i-iii) and 15A NCAC 02H .0905 [also 40 CFR 122.440)(1)],
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identification of those Industrial Users
meeting the definition of SIU. Where the Permittee accepts wastewater from one or more satellite POTWs, the
IWS for the Permittee shall address all satellite POTW services areas, unless the pretreatment program in those
satellite service areas is administered by a separate Permittee with an approved Pretreatment Program. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years, and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part. [15A NCAC 02H .0903(b)(13), .0905 and .0906(b)(2); 40 CFR 403.8(f)(2) and 403.9]
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific pretreatment
local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Parts II.D and II.E.5.). [15A
NCAC 02H .0903(b)(16), .0906(b)(3) and .0905]
4. Headworks Analysis (HWA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5(c) and 15A NCAC 02H .0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b) and 15A NCAC 02H .0909. Pursuant to 40 CFR 403.5, local limits are
Version 1110912011.1

NPDES Permit Standard Conditions
Page 17 of 18
enforceable Pretreatment,Standards as defined by 40 CFR 403.3(1)-, [15A NCAC 02H .0903(b)(10), .0905, and
.090.6(b)(4)]
5. Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-215.1,. the Permittee shall issue to all Significant industrial Users, permits for
operation of pretreatment equipment and discharge to the Permittee's collection system or treatinent works These
permits shall contain limitations;, sampling protocols, reporting requirements; appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control "technologies to
assure that their wastewater discharge will meet all applicable pretreatment standards and requirements. The
Permittee shall maintain a current Allocation Table (AT) which summarizes the results of the HWA and the limits
from all IUPs. Permitted. IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [15A NCAC 02H .0906(b)(6), .0909, .0916, and .0917; 40 CFR 403.5,, 403.8(f)(1)(iii)
NCGS 143-215.67(a)]
6. Authorization to Construct (AtQ
The Permittee shall ensure that an Authorization to Construct permit (AtQ is issued to all applicable Industrial
Users for the construction or modification of any pretreatment facility. Prior to the issuance. of an AtC, :the
proposed pretreatment facility and treatment process must be evaluated for its capacity to comply with all
Industrial User Pretreatment Permit (IUP) limitations. [15A NCAC 02H .0906(b)(7) and .0905; NCGS 143-
215..1(a)(8)]
7. POTW Inspection & Monitoring of their IUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of'nformation supplied by Industrial Users,
compliance with applicable pretreatment standards. [15A NCAC 02H .0908(e); 40 CFR 403.8(f)(2)(v)] The
Permittee must:
a. Inspect all Significant industrial Users (SIUs) at least once per calendar year;
b. Sample all Significant industrial Users (SlUs) at least once per calendar year for all SIU permit -limited
parameters including flow except as allowed under' 15A NCAC .0908(e); and
c. At least once per year, document an evaluation of any non -significant categorical Industrial User for
compliance with the requirements in 40 CFR 403.3(v)(2), and either continue or revoke the designation as non-
significant.
8. IU Self Monitoringand nd Reporting.
The Permittee, shall require all Industrial Users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's pretreatment permit, or in 15A
NCAC 02H .0908. [15A NCAC 02H .0906(b)(5) and .0905 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.440);(2) and 40 CFR 403.12].
9. Enforcement Response. Plan (ERP)
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the CWA (40 CFR 405 et-seq.), prohibitive discharge standards
as set forth in 40 CFR 403.5 and 15A NCAC 02H .0909, specific local limitations, and other pretreatment.
requirements. All remedies, enforcement actions and other, shall be consistent with_ the Enforcement Response
Plan (ERP) approved by .the Division. [15A NCAC 02H .0903(b)(7), 0906(b)(8) and .0905; 40 CFR 403.8(f)('5)]
10. Pretreatment Annual Reports (PAR)
The: Permittee shall report to the Division in accordance with 15A NCAC 02H .0908. In lieu of submitting annual
reports, Modified Pretreatment Programs developed under 15A NCAC O2H .0904 (b) may be required to submit a
partial annual report or to meet with Division personnel periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues..
For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment Annual Report
(PAR) describing its pretreatment activities over the previous calendar year to the Division at the following
address:
Version 1110912011.1

NP'DES' Permit Standard Conditions
Page 18 of 18
NC DENR / Division of Water Resources 1 Water Quality Permitting ;Section
Pretreatment, Emergency ,Response; and Collection Systems (PERCS) Unit.
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall contain the following:.
a. Narrative
A narrative summary detailing actions taken, or proposed, by the Permittee to correct significant non-
compliance and to ensure compliance withpretreatment requirements;
b. Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on forms or in a format provided by the. Division;
c. Significant Non -Compliance Report (SNCR) '
A list of Industrial Users (IUs) in significant noncompliance (SNC) with pretreatment requirements, and the
nature of the violations on :forms or in a format provided by the Division;,
d. Tndustrial Data Summary Forms (IDSF)
Monitoring data from samples collected by both the POTW and the Significant Industrial Users (SIUs). These
analytical results must be reported on Industrial Data Summary Forms (IDSF) or on other forms or in a format
provided by the Division;
e_ Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules; public notice of
IUs in SNC, a summary of data or other information related to significant noncompliance determinations for
JUs that are not considered SIUs, and any other information, upon request, which in the opinion of the Director
is needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice
The Permittee shall publish annually a list of Industrial Users (JUs) that were in significant noncompliance (SNC)
as defined in the Perm ttee's Division -approved 'Sewer Use Ordinance withapplicable pretreatment requirements
and standards during the previous twelve month period. This list shallbe published within four months of the
applicable twelve-month period. j15A NCAC 02H .0903(b)(34), .0908(b)(5) and .0905 and 40 CFR
403.8(f)(2)(viii)]
12. Record Keeping
The Permittee shall retain for a minimumof three years records of monitoring activities and results, along with.
support information including general records, water quality records, and records of industrial impact on the
POTW and shall retain all other Pretreatment Program records as required by 15A NCAC 02H .0908(f). [15A
NCAC 02H .0908(f); 40 CFR 403.12(o)]
13. Pretreatment Program Resources
The Permittee shall maintain adequate funding and qualified personnel to accomplish the objectives of its approved.
pretreatment program. and retain a written description of those current levels of inspection. [15A NCAC 02H
.0906(b)(9) and (10) and .0905; 40 CFR 403.8(f)(3), 403.9(b)(3)]
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits modifications, POTW
monitoring of their Significant. Industrial Users (S1Us), and Monitoring Plan modifications, shall be considered a
permit modification and shall be governed by 40 CFR 403.18, 15 NCAC 02H .0'114 and 15A NCAC 02H .0907.
Version 1110912011, I

t .
M10
James & James Environmental Management, Inc.
3801 Asheville Hwy., Hendersonville, N. C. 28791
OFFICE: [phone] FAX: [phone]
RECEIVEDIDENRIDWR
April 29, 2015 MAY
5 2015
Y11ater QuallitY n
permitiin9
N. C. Department of Environment and Natural Resources
Division of Water Quality/NTPDES Unit
1617 Mail Service Center
Raleigh, N. C. 27699-1617
Regarding All Waste Water Facilities Operated by James & James Environmental Mgt., Inc
To Whom It May Concern:
This letter is to request the renewal of the permit for the Waste water treatment facility of Midway
Medical Center WWTP, NPDES number NC0022454.
Sincerely
Juanita James
James and James Environmental Mgt., Inc.
[e-mail]
Division i water RJieso rces
M AY 1 d 2015
Water Quailty Regional operations
Asheville Regional Oilic_e _.

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 2769971617
NPDES Permit CO022454
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
Facility Name
Maiing Address
City
State / Zip Code
Telephone Number
Fax Number
Midway Medical Center . ,
Midway Medical Center.
6750 Carolina Boulevard
RECEIVED! )ENFdDVM
Clyde
i9C 28721 MAY 5 2015
828-627-2211 hater 0ualifil
828-627-2216
Permitting Section
e-mail Address .] jaU U:,C .r ►1r+ t' s C Cl'ry
2. Location of facility producing discharge:
Check here if same address as above. X
Street Address or State Road
City
State / Zip Code
County Haywood
3. Operator Information:
Name of the form, public organization or other entity that operates the facility. (Note that this is not
referring to the.Operator in Responsible Charge or ORC)
Name Midway Medical Center
Mailing Address 6750 .Carolina Boulevard
City Clyde --------
State /Zip Code NC 28721 Division'of wat®r Resources s
Telephone Number 828-627.2211 _
Fax Number 828-627-2216
MAY
i
e-mail Address s S v �.� : wr.__ C:. f' Cnn _ n�� nna�-nr eratlons
r�gionat Oii1 1111 �
1 of 3 Form-D 11112

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check.alI that apply):
Industrial Number of Employees
Commercial Number of Employees
Residential Number of Homes
School -Number of Students/ Staff
Other: X Explain:` Physician's Office
Describe the soui-ce(s) of wastewater (example: subdivision, mobile home .p xk, shopping centers,
restaurants, etc.):
Physician's Office
Number -of persons served: 67Daz I LI Ct li efi aj e1
5. Type of collection system
X Separate (sanitary- sewer only) F Combined (storm sewer and sanitary sewer)
6. Outfall Information:
.Number of separate discharge points 1
Outfall.Identification number(s) o01 ....
Is the outfall equipped with a diffu..ser? Yes X. No
7. Name of receiving streani(s) (ATEW applicants: Provide a map showing the exact location of each
outfall):
Sally Haynes Branch
8, Frequency of Discharge: X Continuous _ ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design.. removal for BOD,. TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
M05 MGD facility with aeration chamber with diffused air, clarification with return
sludge, chlorine disinfection, chlorine contact chamber, dechlorination.
2 of 3 Form-011I12

NPDES .APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.005 MGD
Annual Average daily flow. 0.0006 MGD, (for. the previous 3 years) RECEIVENDENR/DWR
Maximum daily flow 0.003 MGD (fox the previous 3 years)
MAY 5 2015
11. Is this facility located on Indian country? Water Quality
0 Yes X No Permitting Section -
12. Effluent Data
NEW APPLICANTS: Provide data for. the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shaII ve used. if more than one:analysis is reported, :
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly.Average over
,._r "ormif Mnrk tether narameters "NIA".
bne us6 ou ,Luz .uw 1 - ....., ---- -....-.
Parameter
--- - ---.- - --
Daily `
Maximum
Monthly
Average
- . .
Units of
Measurement .
Biochemical Oxygen Demand (BODs)
22,3
12.8
MG/L
Fecal Coli%rm
260
3.5
CFU/ 100ML
Total Suspended Solids
33.3
14.9
MG/L
Temperature (Summer)
22.6
2 ] .7
C
Temperature (Winter)
10.5
5.6
C..
PH - .
7.7
7.6.
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) .: NESHAPS (CAA) :. .
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO022454 Dredge or fill (Section 404 or -CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
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.
a r
Printed name o Person Signing Title
Signature of Applidant Date v
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly 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 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 Article, 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 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,ODD or imprisonment not more than 5 years, or both, fora similar offense.)
3 of 3 Form-D 1111112

James & James Environmental Management, Inc.
3801 Asbeville Hmy., Hendersonville, N. C. 281791
OFFICE: [phone] FAX: [phone]
April 29, 2015
N. C. Department of Environment and Natural Resources
Division of Water QualilyiNPDES Unit.
1617 Mail Sen,ice Center
Raleigh, N. C. 27699-1617
Regarding All Waste Water Facilities Operated by James & Tames Environmental Mgt., Inc.
To Whom It May Concem:
Sludge from this facility ( Nlid«-ay Medical Center WWTP NC0022454) is pumped by 1•4ike's Septic
Tank Service and is permitted to be dumped at Brevard Waste Treatment System and MSD.
Sincerely
Juanita Is
James and James Environmental Mgt., Inc.
j j emi!a:belIsouth. net

Certified Mail # 7015 1520 0003 5463 4590
1.
Return Receipt Requested
April 20, 2017
Sherry Wilson
Midway Medical Center P A
6750 Carolina Blvd
Clyde, NC 28721
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2017-LV-0256
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dear Permittee:
A review of the February 2017 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Limit Exceedance Violation(s):
l
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 2/14/2017 45 53 Daily Maximum Exceeded
Concentration (C0310)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
a
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Laridon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
,Cc: WQ=S=Asheville=Regional:iOfF:ee_Enforcement-File
NPDES Compliance/Enforcement Unit - Enforcement File
James & James Environmental/ ORC
G:\WR\WQ\Haywood\Wastewater\Minors\Midway Medical Center 22454\NOV-2017-LV-0256.rtf

Certified Pail # 7016 1370 0001 65718744
Return Receipt Requested
July 5, 2017
Sherry Wilson
Midway Medical Center P A
6750 Carolina Blvd
Clyde, NC 28721
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2017-LV-0475
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dear Permittee:
A review of the May 2017 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample
Location Parameter
Limit Reported
Date Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 5/24/2017 400 600 Daily Maximum Exceeded
44.5 C (31616)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
Gv/
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
c: �S�Asneuriie,jKegiomait.urrrc crinorcement,riie
NPDES Compliance/Enforcement Uni� t for'icefi ent-File
G:\WR\WQ\Haywood\Wastewater\Minors\Midway Medical Center 22454\NOV-2017-LV-0475.rtf
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500 /

NCDENR,
North Carolina Department of Enviror%`ertit:san°dfatarlf3es,rees{i��
Division of WaterlQuality
Beverly Eaves Perdue Coleen H. Sullins, DE01'reeman
Governor Director n 0 '!Secretary
Mr. Jan W. Grove
Midway Medical Center _. . .
P.O. Box 1409
Canton, N.C. 28716-1409
Dear Mr. Grove:
January 14, 2011
JaN 24 2011 � - � •:
WATER QUALITY -SECTION
:HEVILLE (REGIONAL OFFICF
3suance of NPbS`Perinit
iviiaway iviearcar
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,
r— �Coleen H. Sullins
cc: Central Files
's'he}vllerRegfonal=Off c"e`/Surface WateraProty� eet o
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 1�TOne 1 512 North Salisbury Street, Raleigh, North Carolina 27604 1 � OI thCarolina
' Phone: [phone] /FAX [phone] / http://portal.ncdenr.org/web/wq Nationally,
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper

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, 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

13
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, P.A. is hereby authorized to:
1. 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.

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PW R
R.
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sip a
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CD
J41
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P
Outfall 001
igg r�.F Zer,
40
1.
Latitude::
Longitude: 82'52'54" NCO022454
USGS Quad: Clyde, N.C. Midway Medical Center
Stream Class: C
Subbasin: 04-03-05 Haywood County,
Receiving Stream: Sally Haynes Branch
Hydrologic Unit: 06010106
Facility
Location
Map not to scale

Permit NCO022454
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
Frequency
Location
Flow
0.005 MGD
Weekly
Instantaneous
Influent or
[500501
Effluent
BOD, 5 day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
C0310
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
C0530
NH3 as N (April 1 = October31)
6.0 mg/L
30.0 my/L
2/Mo6th
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)'
28pg/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.
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NPDES Permit Standard Conditions
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PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples
shall be representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative
of the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system,
which is not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 ml in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period.
The Director may designate the most appropriate method (specific number and size of aliquots necessary, the time
interval between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically.
Composite samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour
period of discharge and combined proportional to the rate of flow measured at the time of individual
sample collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period
with the time intervals between samples determined by a preset number of gallons passing the sampling
point. Flow measurement between sample intervals shall be determined by use of a flow recorder and
totalizer, and the preset gallon interval between sample collection fixed at no greater than 1/24 of the
expected total daily flow at the treatment system, or
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period
at a constant time interval. Use of this method requires prior approval by the Director. This method may
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NPDES Permit Standard Conditions
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only be used in situations where effluent flow rates vary less than 15 percent. The following restrictions
also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent
grab samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect
effluent grab samples at least every six hours; there must be a minimum of four samples during a 24-
hour sampling period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is
calculated as the total mass of the pollutant discharged over the day. The "daily discharge" concentration
comprises the mean concentration for a 24-hour sampling period as either a composite sample concentration or the
arithmetic mean of all grab samples collected during that period. (40 CFR 122.2)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in
the permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal
operations prevent weekday sampling. If sampling is required for all seven days of the week for any permit
parameter(s), that requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWQ or "the Division"
The Division of Water Quality, Department of Environment and Natural Resources.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow
this permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered =1.
Grab Sample
Individual samples of at least 100 ml collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
A measure of flow taken at the time of sampling, when both the sample and flow will be representative of the total
discharge.
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Monthly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of
fecal coliform, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Quarterly Average (concentration limit)
The average of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become
inoperable, or substantial and permanent loss of natural resources which can reasonably be expected to occur in
the absence of a bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance
with permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance
caused by operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of
preventive maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of
fecal coliform, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a
violation of the CWA and is grounds for enforcement action; for permit termination, revocation and
reissuance, or modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or
prohibitions or standards for sewage sludge use or disposal, even if the permit has not yet been modified
to incorporate the requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402,
or any requirement imposed in a pretreatment program approved under sections 402 (a) (3) or 402 (b) (8)
of the Act, is subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319 (d)
and 40 CFR 122.41 (a) (2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section
402 of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3)
or 402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a
negligent violation, a person shall be subject to criminal penalties of not more than $50,000 per day of
violation, or by imprisonment of not more than 2 years, or both. [33 USC 1319 (c) (1) and 40 CFR 122.41 (a)
(2)]
d. Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In
the case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
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penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or
both. [33 USC 1319 (c) (2) and 40 CFR 122.41 (a) (2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,
and who knows at that time that he thereby places another person in imminent danger of death or serious
bodily injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not
more than 15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment
violation, a person shall be subject to a fine of not more than $500,000 or by imprisonment of not more
than 30 years, or both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon
conviction of violating the imminent danger provision, be subject to a fine of not more than $1,000,000 and
can be fined up to $2,000,000 for second or subsequent convictions. [40 CFR 122.41 (a) (2)]
f. Under state law, a civil penalty of not more than $25,00q per violation may be assessed against any person
who violates or fails to act in accordance with the term, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A] I
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such
sections in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are
not to exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to
exceed $37,500. Penalties for Class II violations are not to exceed $16,000 per day for each day during
which the violation continues, with the maximum amount of any Class II penalty not to exceed $177,500.
[33 USC 1319 (g) (2) and 40 CFR 122.41 (a) (3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment
[40 CFR 122.41 (d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part II. C. 4), "Upsets" (Part 11. C. 5) and "Power
Failures" (Part II. C. 7), nothing in this permit shall be construed to relieve the Permittee from any
responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3,143-215.6 or Section 309
of the Federal Act, 33 USC 1319. Furthermore, the Permittee is responsible for consequential damages, such as
fish kills, even though the responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS
143-215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor
any infringement of Federal, State or local laws or regulations [40 CFR 122.41 (g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision
of this permit to any circumstances, is held invalid, the application of such provision to other circumstances,
and the remainder of this permit, shall not be affected thereby [NCGS 15013-23].
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8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which
the Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and
reissuing, or terminating this permit or to determine compliance with this permit. The Permittee shall also
furnish to the Permit Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41
(h)]•
9. Duty toR apply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit,
the Permittee must apply for and obtain a new permit [40 CFR 122.41 (b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic
authorization to discharge beyond the expiration date, the Permittee shall submit such information, forms, and
fees as are required by the agency authorized to issue permits no later than 180 days prior to the expiration
date. Any Permittee that has not requested renewal at least 180 days prior to expiration, or any Permittee that
does not have a permit after the expiration and has not requested renewal at least 180 days prior to expiration,
will subject the Permittee to enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and
certified [40 CFR 122.41 (k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in
charge of a principal business function, or any' other person who performs similar policy or decision
making functions for the corporation, or (b) the manager of one or more manufacturing, production,
or operating facilities, provided, the manager is authorized to make management decisions which
govern the operation of the regulated facility including having the explicit or implicit duty of making
major capital investment recommendations, and initiating and directing other comprehensive
measures to assure long term environmental compliance with environmental laws and regulations;
the manager can ensure that the necessary systems are established or actions taken to gather complete
and accurate information for permit application requirements; and where authority to sign documents
has been assigned or delegated to the manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall
be signed by a person described in paragraph a. above or by a duly authorized representative of that
person. A person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall
operation of the regulated facility or activity, such as the position of plant manager, operator of a well
or well field, superintendent, a position of equivalent responsibility, or an individual or position
having overall responsibility for environmental matters for the company. (A duly authorized
representative may thus be either a named individual or any individual occupying a named position.);
and
(3) The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate
because a different individual or position has responsibility for the overall operation of the facility, a new
authorization satisfying the requirements of paragraph (b) of this section must be submitted to the
Director prior to or together with any reports, information, or applications to be signed by an authorized
representative [40 CFR 122.22]
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d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
"I certifiy, 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."
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned
changes or anticipated noncompliance does not stay any permit condition [40 CFR 122.41 (f)].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and
regulations contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North
Carolina Administrative Code, Subchapter 2H.0100; and North Carolina General Statute 143-215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after
being billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 2H.0105
(b) (2) may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
Certified Operator
Upon classification of the permitted facility by the Certification Commission, the Permittee shall employ a
certified water pollution control treatment system operator in responsible charge (ORC) of the water pollution
control treatment system. Such operator must hold a certification of the grade equivalent to or greater than the
classification assigned to the water pollution control treatment system by the Certification Commission. The
Permittee must also employ one or more certified Back-up ORCs who possess a currently valid certificate of
the type of the system. Back-up ORCs must possess a grade equal to (or no more than one grade less than) the
grade of the system [15A NCAC 8G.02011.
The ORC of each Class I facility must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the
treatment facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 8G.0204.
The ORC of each Class II,111 and IV facility must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the
treatment facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 8G.0204.
Once the facility is classified, the Permittee shall submit a letter to the Certification Commission designating
the operator in responsible charge:
a. Within 60 calendar days prior to wastewater being introduced into a new system
b. Within 120 calendar days of:
➢ Receiving notification of a change in the classification of the system requiring the designation of a new
ORC and back-up ORC
➢ A vacancy in the position of ORC or back-up ORC.
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2. Proper Operation and Maintenance
The Permittee shall at all times provide the operation and maintenance resources necessary to operate the
existing facilities at optimum efficiency. The Permittee shall at all times properly operate and maintain all
facilities and systems of treatment and control (and related appurtenances) which are installed or used by the
Permittee to achieve compliance with the conditions of this permit. Proper operation and maintenance also
includes adequate laboratory controls and appropriate quality assurance procedures. This provision requires
the Permittee to install and operate backup or auxiliary facilities only when necessary to achieve compliance
with the conditions of the permit [40 CFR 122.41 (e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and
maintenance of the facility, and all documentation required thereof, whether acting as a contract operator
[subcontractor] or a member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41
(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41 (m) (2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded,
but only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject
to the provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41 (m) (3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior
notice, if possible at least ten days before the date of the bypass; including an evaluation of the
anticipated quality and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in
Part II. E. 6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take
enforcement action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime.
This condition is not satisfied if adequate backup equipment should have been installed in the
exercise of reasonable engineering judgment to prevent a bypass which occurred during normal
periods of equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take
enforcement action against a Permittee for a bypass as provided in any current or future system -wide
collection system permit associated with the treatment facility.
(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects,
if the Permit Issuing Authority determines that it will meet the three conditions listed above in
Paragraph c. (1) of this section.
Upsets
a. Effect of an upset [40 CFR 122.41 (n) (2)]:An upset constitutes an affirmative defense to an action brought
for noncompliance with such technology based permit effluent limitations if the requirements of
paragraph b. of this condition are met. No determination made during administrative review of claims
that noncompliance was caused by upset, and before an action for noncompliance, is final administrative
action subject to judicial review.
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b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the
affirmative defense of upset shall demonstrate, through properly signed, contemporaneous operating logs,
or other relevant evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II. E. 6. (b) of this permit.
(4) The Permittee complied with any remedial measures required under Part II. B. 2. of this permit.
c. Burden of proof [40 CFR 122.41 (n) (4)1: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of
wastewaters shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to
prevent any pollutant from such materials from entering waters of the State or navigable waters of the United
States. The Permittee shall comply with all existing Federal regulations governing the disposal of sewage
sludge. Upon promulgation of 40 CFR Part 503, any permit issued by the Permit Issuing Authority for the
utilization/disposal of sludge may be reopened and modified, or revoked and reissued, to incorporate
applicable requirements at 40 CFR 503. The Permittee shall comply with applicable 40 CFR 503 Standards for
the Use and Disposal of Sewage Sludge (when promulgated) within the time provided in the regulation, even
if the permit is not modified to incorporate the requirement. The Permittee shall notify the Permit Issuing
Authority of any significant change in its sludge use or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 21-1.0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by
means of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
1. Representative Sampling
Samples collected and measurements taken, as required herein, shallbe characteristic of the volume and
nature of the permitted discharge. Samples collected at a frequency less than daily shall be taken on a day and
time that is characteristic of the discharge over the entire period the sample represents. All samples shall be
taken at the monitoring points specified in this permit and, unless otherwise specified, before the effluent joins
or is diluted by any other wastestream, body of water, or substance. Monitoring points shall not be changed
without notification to and the approval of the Permit Issuing Authority [40 CFR 122.41 (j)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported
on a monthly Discharge Monitoring Report (DMR) Form (MR 1, 1.1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting
period.
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. Duplicate signed copies of
these, and all other reports required herein, shall be submitted to the following address:
NC DENR / Division of Water Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be
selected and used to ensure the accuracy and reliability of measurements of the volume of monitored
discharges. The devices shall be installed, calibrated and maintained to ensure that the accuracy of the
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measurements is consistent with the accepted capability of that type of device. Devices selected shall be
capable of measuring flows with a maximum deviation of less than 10% from the true discharge rates
throughout the range of expected discharge volumes. Flow measurement devices shall be accurately calibrated
at a minimum of once per year and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. The Director shall approve the flow measurement device
and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in
Part I of this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the
Division's Laboratory Certification Section (919 733-3908 or http://portal.ncdenr.org/web/wq/lab/cert) for
information regarding laboratory certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate
field parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to
NCGS 143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to
Section 304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR - 136; or in the case of sludge use or
disposal, approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures
have been specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum
detection and reporting levels that are below the permit discharge requirements and all data generated must
be reported down to the minimum detection or lower reporting level of the procedure. If no approved
methods are determined capable of achieving minimum detection and reporting levels below permit discharge
requirements, then the most sensitive (method with the lowest possible detection and reporting level)
approved method must be used.
5. Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any
monitoring device or method required to be maintained under this permit shall, upon conviction, be punished
by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation,
or by both. If a conviction of a person is for a violation committed after a first conviction of such person under
this paragraph, punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not
more than 4 years, or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge
use and disposal activities, which shall be retained for a period of at least five years (or longer as required by
40 CFR 503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40
CFR 122.41].
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record
the following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
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c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor
acting as a representative of the Director), upon the presentation of credentials and other documents as may be
required by law, to;
a. Enter upon the Permittee's premises where a regulated facility or activity is located or conducted, or
where records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this
permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment),
practices, or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41 (i)].
Section E Reporting, Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The
discharge of any pollutant identified in this permit more frequently than or at a level in excess of that
authorized shall constitute a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or
additions to the permitted facility [40 CFR 122.41 (1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29 (b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor
to notification requirements under 40 CFR 122.42 (a) (1).
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal
practices, and such alteration, addition or change may justify the application of permit conditions that are
different from or absent in the existing permit, including notification of additional use or disposal sites not
reported during the permit application process or not reported pursuant to an approved land application
plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or
other activities that might result in noncompliance with the permit [40 CFR 122.41 (1) (2)].
4. Transfers
This permit is not transferable to any person without approval from the Director. The Director may require
modification or revocation and reissuance of the permit to document the change of ownership. Any such
action may incorporate other requirements as may be necessary under the CWA [40 CFR 122.41 (1) (3)].
5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41 (1) (4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II. D. 2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
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b. If the Permittee monitors any pollutant more frequently than required by this permit, the results of such
monitoring shall be included in the calculation and reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written
submission shall contain a description of the noncompliance, and its cause; the period of noncompliance,
including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is
expected to continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the
noncompliance [40 CFR 122.41 (1) (6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II. E. 5 and 6. of this permit
at the time monitoring reports are submitted. The reports shall contain the information listed in Part II. E. 6. of
this permit [40 CFR 122.41 (1) (7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or
submitted incorrect information in a permit application or in any report to the Director, it shall promptly
submit such facts or information [40 CFR 122.41 (1) (8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the
Division as soon as possible, but in no case more than 24 hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts
of wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a
sludge digester; the known passage of a slug of hazardous substance through the facility; or any other
unusual circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment
of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the
offices of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly
making any false statement on any such report may result in the imposition of criminal penalties as provided
for in NCGS 143-215.1(b)(2) or in Section 309 of the Federal Act.
11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification
in any record or other document submitted or required to be maintained under this permit, including
monitoring reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of
not more than $25,000 per violation, or by imprisonment for not more than two years per violation, or by both
[40 CFR 122.41].
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12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an
annual report to the Permit Issuing Authority and to the users/customers served by the Permittee (NCGS 143-
215.1C). The report shall summarize the performance of the collection or treatment system, as well as the
extent to which the facility was compliant with applicable Federal or State laws, regulations and rules
pertaining to water quality. The report shall be provided no later than sixty days after the end of the calendar
or fiscal year, depending upon which annual period is used for evaluation.
The report shall be sent to:
NC DENR / Division of Water Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS
Section A. Construction
The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless the Division has issued an
Authorization to Construct (AtC) permit. Issuance of an AtC will not occur until Final Plans and Specifications for
the proposed construction have been submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required
to determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR
122.42):
a. That any activity has occurred or will occur which would result in the discharge, on.a routine or frequent
basis, of any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) One hundred micrograms per liter (100 ug/L);
(2) Two hundred micrograms per liter (200 pg/L) for acrolein and acrylonitrile; five hundred micrograms per
liter (500 pg/L) for 2.4-dinitrophenol and for 2-methyl-4.6-dinitrophenol; and one milligram per liter (1
mg/L) for antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or
infrequent basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest
of the following "notification levels";
(1) Five hundred micrograms per liter (500 pg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Evaluation of Wastewater Discharge Alternatives
The Permittee shall evaluate all wastewater disposal alternatives and pursue the most environmentally sound
alternative of the reasonably cost effective alternatives. If the facility is in substantial non-compliance with the
terms and conditions of the NPDES permit or governing rules, regulations or laws, the Permittee shall submit a
report in such form and detail as required by the Division evaluating these alternatives and a plan of action within
60 days of notification by the Division.
Section E. Facility Closure Reauirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system
covered by this permit. The Division may require specific measures during deactivation of the system to prevent
adverse impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit
continue at the permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part H of this permit, the following definitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (i) and (j)]
TntPrfPrPncp
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the POTW's NPDES Permit or prevents sewage sludge
use or disposal in compliance with specified applicable State and Federal statutes, regulations, or permits. [15A
NCAC 2H.0903 (b) (13)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a
violation, of the POTW's NPDES permit, or of an instream water quality standard. [15A NCAC 2H.0903 (b) (23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, owned by a State or local government entity. This
definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes sewers, pipes, and other conveyances only if they
convey wastewater to a POTW. The term also means the local government entity, or municipality, as defined in
section 502(4) of the CWA, which has jurisdiction over indirect discharges to and the discharges from such a
treatment works. [15A NCAC 2H.0903 (b) (27)]
"Significant Industrial User" or "SIU"
An industrial user that discharges wastewater into a publicly owned treatment works and that [15A NCAC
2H.0903 (b) (34)]:
(a) discharges an average of 25,000 gallons or more per day of process wastewater to the POTW (excluding
sanitary, noncontact cooling and boiler blowdown wastewaters) or;
(b) contributes more than 5 percent of the design flow of the POTW treatment plant or more than 5 percent of the
maximum allowable headworks loading of the POTW treatment plant for any pollutant of concern, or;
(c) is required to meet a national categorical pretreatment standard, or;
(d) is, regardless of Parts (a), (b), and (c) of this definition, otherwise determined by the POTW, the Division, or
the EPA to have a reasonable potential for adversely affecting the POTW's operation or for violating any
pretreatment standard or requirement or POTW's receiving stream standard, or to limit the POTW's sludge
disposal options.
Section S. Publicly Owned Treatment Works (POTWs)
All POTWs are required to prevent the introduction of pollutants into the POTW which will interfere with the
operation of the POTW, including interference with its use or disposal of municipal sludge, or pass through the
treatment works or otherwise be incompatible with such treatment works. [40 CFR 403.2]
All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42 (b)]:
1. Any new introduction of pollutants into the POTW from an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of CWA if it were directly discharging those
pollutants; and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
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3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of
effluent introduced into the POTW, and (2) any anticipated impact that may result from the change of the
quantity or quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
1. Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from industries
using the municipal system may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water
quality standards.
2. Prohibited Discharges
a. Under no circumstances shall the Permittee allow introduction of pollutants or discharges into the waste
treatment system or waste collection system which cause or contribute to Pass Through or Interference as
defined in 15A NCAC 2H.0900 and 40 CFR 403. [40 CFR 403.5 (a) (1)]
b. Under no circumstances shall the Permittee allow introduction of the following wastes in the waste
treatment or waste collection system [40 CFR 403.5 (b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees
Centigrade using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH
lower than 5.0, unless the works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow
rate and/or pollutant concentration which will cause Interference with the POTW;
(5) Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (104°F)
unless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will
cause Interference or Pass Through;
(7) Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity
that may cause acute worker health and safety problems;
(8) Any trucked or hauled pollutants, except at discharge points designated by the POTW.
c. The Permittee shall investigate the source of all discharges into the POTW, including slug loads and other
unusual discharges, which have the potential to adversely impact the permittee's Pretreatment Program
and/or the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional
Office. Any information shall be provided orally within 24 hours from the time the Permittee became
aware of the circumstances. A written submission shall also be provided within 5 days of the time the
Permittee becomes aware of the circumstances. The written submission shall contain a description of the
discharge, the investigation into possible sources; the period of the discharge, including exact dates and
times; and if the discharge has not ceased, the anticipated time it is expected to continue; and steps taken
or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance,
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance
by the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary
regarding some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
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specific local limits, best management practices and narrative requirements). Prior to accepting wastewater
from any Significant Industrial User, the Permittee shall either develop and submit to the Division a new
Pretreatment Program or a modification of an existing Pretreatment Program, for approval as required under
section D below as well as 15A NCAC 2H.0907 (a) and (b). [40 CFR 122.44 (j) (2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved
POTW Pretreatment Program or to include a compliance schedule for the development of a POTW
Pretreatment Program as required under Section 402 (b) (8) of the CWA and implementing regulations or by
the requirements of the approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402 (b) (8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3 (14) and implementing regulations 15A NCAC 2H.0900, and in
accordance with the approved pretreatment program, all prove ) ns and regulations contained and referenced in
the Pretreatment Program Submittal are an enforceable part of this permit. [40 CFR 122.44 (j) (2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402 (b) (8) of the CWA,
40 CFR 403, 15A NCAC 2H.0900, and the legal authorities, policies, procedures, and financial provisions contained
in its pretreatment program submission and Division approved modifications thereof. Such operation shall
include but is not limited to the implementation of the following conditions and requirements. Terms not defined
in Part II or Part IV of this permit are as defined in 15A NCAC 2H.0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 2H.0905 and .0906; 40 CFR 403.8 (f) (1) and 403.9 (b) (1), (2)]
2. Industrial Waste Survey (IWS)
The permittee shall implement an IWS consisting of the survey of users of the POTW, as required by 40 CFR
403.8 (f) (2) (i-iii) and 15A NCAC 2H.0905 [also 40 CFR 122.44 (j) (1)], including identification of all industrial
users that may have an impact on the POTW and the character and amount of pollutants contributed to the
POTW by these industrial users and identification of those industrial users meeting the definition of SILT. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years, and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part.
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data
to be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific
pretreatment local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Part II,
Section D, and Section E.S.). [15A NCAC 2H.0906 (b) (2) and .09051
Headworks Analysis (HWA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5 (c) and 15A NCAC 2H.0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5 (a) and (b) and 15A NCAC 2H.0909. Pursuant to 40 CFR 403.5, local limits are
enforceable Pretreatment Standards as defined by 40 CFR 403.3(1).
Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee shall issue to all significant industrial users, permits for
operation of pretreatment equipment and discharge to the Permittee's treatment works. These permits shall
contain limitations, sampling protocols, reporting requirements, appropriate standard and special conditions,
and compliance schedules as necessary for the installation of treatment and control technologies to assure that
their wastewater discharge will meet all applicable pretreatment standards and requirements. The Permittee
shall maintain a current Allocation Table (AT) which summarizes the results of the HWA and the limits from
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all IUPs. Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [15A NCAC 2H.0909,0916, and .0917; 40 CFR 403.5, 403.8 (f),(1) 1(iii); NCGS 143-
215.67 (a)]
6. Authorization to Construct (AtC)
The Permittee shall ensure that an Authorization to Construct permit (AtC) is issued to all applicable
industrial users, for the, construction or modification of any pretreatment facility. Prior to the issuance of an
AtC, the proposed pretreatment facility and treatment process must be evaluated for its capacity to comply
with all Industrial User Pretreatment Permit (IUP) limitations. [15A NCAC 2H.0906 (b) (6) and .0905; , NCGS
143-215.1 (a) (8)]
7. POTW, Inspection & Monitoring of their IUs
The Permittee shall conduct inspection, surveillance., and monitoring activities as described in its Division
approved pretreatment, program in order to determine, independent of information supplied by industrial
users, compliance, with applicable: pretreatment standards. [15A NCAC 2H .0908(d); 40 CFR 403.8(f)(2)(v)]'
The Permittee must:
a. Inspect all Significant Industrial Users (SlUs) at least once per calendar year; and
b. Sample all Significant Industrial Users (SlUs) at least twice per calendar year for all permit -limited
pollutants, once during,the period from January 1 through June 30 and once during the period from July 1
through December 31, except for organic compounds which shall be sampled at least once per calendar
year.; For the purposes of this paragraph, "organic compounds" means the types of compounds listed in
40 CFR 1363(a), Tables IC, ID, and IF, as amended.
& JU Self Monitoring and Reporting
The Permittee shall requite all industrial users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's pretreatment permit, or
in 15A NCAC 2H .0908. [15A NCAC 2H .0906(b)(4) and .0905; 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.44(j)(2) and 40 CFR 403.12],
9. Enforcement Response Plan (ERP
The Permittee, shall enforce and obtain appropriate remedies for violations of all pretreatment standards,
promulgated pursuant to section 307(b), and (c) of the Clean Water Act (40: CFR 405 et. seq.), prohibitive
discharge standards as set forth in 40 CFR 403.5 and 15A NCAC 2H .0909, and specific local limitations. All
remedies, enforcement actions and other, shall be consistent with the Enforcement Response Plan (ERP)
.approved by the Division. [15A NCAC 2H.0906(b)(7) and .0905, 40 CFR 403.8(f),(5)]
10. Pretreatment Annual Reports (PAR)
The Permittee shall report to the. Division in accordance with 15A NCAC' 2H .0908. In lieu of submitting
annual reports, Modified Pretreatment Programs developed under 15A NCAC 2H.0904 (b) may be required to
,Submit a partial annual report or to meet with Division personnel periodically to discuss enforcement of
pretreatment requirements and other pretreatment implementation issues.
For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment Annual
Report (PAR) describing its pretreatment activities over the previous twelve months to the Division at the
following address:
NC DENR /Division of Water Quality / Surface Water Protection Section
Pretreatment, Emergency Response, and Collection Systems, (PERCS) Unit
1617'Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted according to a schedule established by the Director and shall contain the
following:
a.) Narrative
brief
ef discussion of reasons for, status of, anductions taken for all Sig
nificant Industrial Users (SILT) in
Significant, Non -Compliance (SNC);
Version 1012912010

NPDES Permit Standard Conditions
Page 18 of 18
b.) Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on specific forms approved by'the Division;
c.) Si .ruficant Non -Compliance Report {SNCR)
The nature of the violations and the actions taken or proposed to correct the violations on specific forms
approved by the Division;
d.) Industrial Data Summary Forms. (IDSF)
Monitoring data from samples collected by both the POTW and the Significant Industrial User (SIU) in
SNC. These analytical results must be reported on Industrial Data Summary Forms (IDSF) or other specific
format approved by the 'Division;
e.) Other Information
Copies of the POTW''s allocation table, new or modified enforcement compliance schedules, public notice
of SlUs in SNC, and any other information, upon request, which in the opinion of the Director is needed_ to.
determine compliance with the pretreatment implementation requirements of this permit;
11. Public. Notice.
The Permittee shall publish annually a list of Significant Industrial Users (Sl"Us) that were in Significant Non -
Compliance (SNC) as defined in the Permittee's Division -approved Sewer Use Ordinance with applicable
pretreatment requirements and standards during the previous twelve month period. This list shall be
published within four months of the applicable twelve-month period. [15A NCAC 2H .0903(b)(35), .0908(b)(5)
and .0905 and 40 CFR 403.8(f)(2)(yiii)']
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along
with support information including general records, water quality records, and records of industrial impact on
the POTW. [15A NCAC 2H .0908(f); 40 CFR 403.12(o)]
13. Funding and Financial Report
The Permittee shalll maintain adequate funding and staffing levels to accomplish the objectives of its approved
pretreatment program. [15A NCAC 2H .0906(a) and .0905; 40 CFR 403.8(f)(3), 403.9(b)(3)]
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits modifications,
POTW monitoring of their Significant Industrial Users (SIUs), and Monitoring, Plan modifications, shall be
considered. a permit modification and shall be governed by 40 CFR 403.18,15 NCAC 2H .0.114 and 15A NCAC
2H .0907.
Version 1012912010

0 �o
JAMES & JAMES ENVIRONMENTAL MANAGEMENT, INC
,. PO BOX 1354, MOUNTAIN HOME, NC 28758
[phone] OFFICE
[phone] FAX
PERFORMANCE ANNUAL REPORT - 2011
Midway Medical Center Ms. Jan Grove Permit Number: NCO022454
System Description
An extended aeration basin with gravity flow influent into a 5,000 gallon treatment facility,
clarifier, tablet feed chlorinator, chlorine contact chamber, tablet feed de -chlorinator, and effluent gravity
line.
Performance
This system had one violation the entire year with regard to Fecal Coliform. The rest of the year
the facility ran very well.
Violations and corrective actions taken
1. July, 2011
a. Fecal Coliform
i. 7/21 @ 440 colonies/100 mis
1. Due to low dosing of chlorine to accommodate the hydraulic
surge when the facility shuts off, we increased the chlorine
dosage slightly.
This report has been sent to the Owner with directions to give notification of the availability of this report
to each of their users. A certified statement will be sent to the State when this notice has been issued.
I certify under penalty of law that this report is complete and accurate to the best of my knowledge. I
further certify that this report has been made available to the users or customers of the named system and
that those users have been notified of its availability. I also certify that this report has been given to the
owner of this facility with explicit directions to make the user aware of the availability of this report and the
location with which a copy can be viewed or received. James & James Environmental Mgt., Inc cannot
certify that the latter has been completed and will enclose a letter of certification to be mailed to the State
of North Carolina on behalf of this entity along with all pertinent information regarding this system for the
conclusion of this requirement.
Thank you,
Juanita James
James & James Environmental Management, Inc.
x>�
C D
MAR _ 9 2012 0
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE

PERFORMANCE ANNUAL REPORT — 2011
Midway Medical Center
Permit Number: NCO022454
Ms. Jan Grove
A copy of the Performance Annual Report has already been filed with the
State of North Carolina Division of Water Quality in triplicate by James &
James Environmental Management, Inc. and should be in your possession at
this time. On that report, the certification was stated that I, the responsible
party of this facility, has received a copy of this report and was directed to
give the users knowledge of this report and access to it.
Therefore:
I certify under penalty of law that this report prepared by James & James
Environmental Management, Inc. is complete and accurate to the best of my
knowledge. I further certify that this report has been made available to the
users or customers of this documented system and that those users have been
notified of its availability.
Thank you,
Ms. Jan Grove
Midway Medical ,Center

PERFORMANCE ANNUAL REPORT — 2011
Midway Medical Center
Permit Number: NCO022454
Ms. Jan Grove
A copy of the Performance Annual Report has already been filed with the
State of North Carolina Division of Water Quality in triplicate by James &
James Environmental Management, Inc. and should be in your possession at
this time. On that report, the certification was stated that I, the responsible
party of this facility, has received a copy of this report and was directed to
give the users knowledge of this report and access to it.
Therefore:
I certify under penalty of law that this report prepared by James & James
Environmental Management, Inc. is complete and accurate to the best of my
knowledge. I further certify that this report has been made available to the
users or customers of this documented system and that,thoseausers have been
notified of its availability.. - - - - -T
F< .
Thank you,
i.=
Y t wov
Midway Medical Center
MAR 5 2012 Lai
WATER 0U;=,L11-Y C-ECT;ON
____ASH=NIECE f?�^'nA�p,L {�ccl`•C
M1
MAR -1 2012
L— _ ,—
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NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Jan W. Grove
Midway Medical Center P. A.
P.O. Box 1409
Canton, North Carolina 28716-1409
Dear Ms. Grove:
Division of Water Quality
Charles Wakild, P.E.
Director
August 21, 2012
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0424
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dee Freeman
Secretary
A review of Midway Medical Center WWTP's monitoring report for May 2012 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Solids, Total Suspended -
Concentration
05/22/2012
45 mg/I
54 mg/I
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. Since the
comments section on the reverse of the relevant DMR provided an adequate explanation for the subject
violation, it is not requested that a response be submitted.
The Division of Water Quality may pursue enforcement action for this and any additional violations of
State law. If you should have any questions, please do not hesitate to contact Janet Cantwell or me at
828/296-4500.
Sincerely,
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
ccMlia.L,W,, As; eutfle Fifes
DWQ Cen ral Files
James & James Environmental/ ORC
S:\SWP\Haywood\Wastewater\Minors\Midway Medical Center 22454\NOV-2012-LV-0424.doc
Na
Cf1TO11Ila
OAdura!!y
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone]
Internet: www.ncwaterouali�.ora 41K FAX [phone]

F-1 ME CC PY
A*4i
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Jan W. Grove
Midway Medical Center P A
P.O. Box 1409
Canton, North Carolina 28716-1409
Dear Ms. Grove:
Division of Water Quality
Charles Wakild, P.E.
Director
July 3, 2012
Subject: NOTICE OF VIOLATION
NOV-2012-MV-0055
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dee Freeman
Secretary
A review of Midway Medical Center WWTP's monitoring report for March 2012 showed the
following violation:
Parameter
Date
Measuring
Frequency
Violation
Chlorine, Total Residual
03/03/2012
2 X week
Failure to Monitor
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance. If the above
parameterwas left off inadvertently, please send an amended DMR within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this
office.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law. If you should have any questions,
please do not hesitate to contact Janet Cantwell or me at 828/296-4600.
Sincer ,
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
cc�:,DWQ=Asheville`Files�~--• - �-�
DWQ Central Files
James & James Environmental/ ORC
S:1SWP1Haywood\WastewaterWlinors\Midway Medical Center 22454\NOV-2012-MV-0055.doc
No thCarolina
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone]
Internet: www.ncwaterguality.org FAX [phone]

MILE COPY
A&14
r�
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Jan W. Grove
Midway Medical Center P A
P.O. Box 1409
Canton, North Carolina 28716-1409
Dear Ms. Grove:
Division of Water Quality
Charles Wakild, RE,
Director
July 3, 2012
Subject: NOTICE OF VIOLATION
NOV-2012-MV-0054
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dee Freeman
Secretary
A review of Midway Medical Center WWTP's monitoring report for February 2012 showed the
following violation:
Parameter
Date
Measuring
Frequency
Violation
Chlorine, Total Residual
02/04/2012
2 X week
Failure to Monitor
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance. If the above
parameter was left off inadvertently, please send an amended DMR within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this
office.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law. If you should have any questions,
please do not hesitate to contact Janet Cantwell or me at 828/296-4500.
Sincerely,
Chuck Cranf rd, Regional Supervisor
Surface Water Protection Section
Asheville Files=--
DWQ Central Files
James & James Environmental/ ORC
S:\SWP\Haywood\Wastewater\Minors\Midway Medical Center 22454\NOV-2012-MV-0054.doc
ne
NorthCacolina
Ivatura!!y
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone]
Internet: www.newaterguality.org FAX [phone]

Facility information
NPDES permit #:
Facility name:
WWTP class:
WWTP type:
WWTP location:
Responsible official:
Responsible 'i 7s title:
Mailing address:
Phone numbers
828-627-2211
828-627-2216
828-697-0063
828-697-0065
828-674-8169
828-674-8171
Operator information
Contract ORC :
Mailing address:
Permit information
Date issued:
Expiration date:
Stream information
Stream & river basin:
Sub -basin:
Stream classification:
Instream Waste Conc.:
Summer 7Q10 cfs:
Other information
Directions:
NC0022454 Haywood County
Midway Medical Center - Canton
11
0.005 MGD extended aeration WWTP consisting
of an aeration basin with diffused air; clarifier
with return sludge; chlorination; chlorine contact
chamber; and dechlorination
6750 Carolina Blvd.; Clyde, NC 28721
Jan W. Grove
Medical Administrator
PO Box 1409; Canton, NC 28716
4#mS to ryV j S
Jan - fax
James & James Env. Mgmt.-ORC contractor & lab
" -fax
Harry — cell
Juanita - cell
James & James Env. Mgmt.-ORC contractor & lab
3801 Asheville Hwy.; Hendersonville, NC 28791
1-1-2006
1-31-2011
Sally Haynes Branch; French Broad River Basin
04-03-05 Quad: Grid: E 7 SW
C Drainage area sq mi:
Average stream flow:
Winter 7Q10 cfs:
This facility is located to the south of US Hwy
19/23, between Canton & Clyde, at 6750 Carolina
Blvd., off a private drive beside the Med. Center.

Page 1 of:
,
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4TM 30.4 mi --about 38 mins
m Maps `'
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ile://C:\Documents and Settings\JCantwell\Local Settings\Temp\6CXYUAC8.htm 9/17/200:

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Page 1 of
Dire( Is to Waitsel Way
30.4 mi — about 38 mins
Map "" . Save trees. Go green!
Download Google Maps on your
phone at googlexom/gmm >4�
2090 US 70 Hwy
Swannanoa, NC 28778 ot/c% o�o"� 5
1. Head west on US-70 toward NC-2727/Whitson Ave go 0.8 mi
About 1 min total 0.8 mi
+� 2. Turn left at NC-2740/Patton Cove Rd go 0,.3 mi
About mins n u . , ` . ;—total 1..2 mi
+ 3. Turn right onto the ramp to Asheville go 0.2 mi
total 1.4 mi
4. Merge,onto l 40 W v go 20.9 mi.
About 22 mins: total 22.3 mi
5. Take. exit 37 toward E Canton go 0.2 mi
total 22.6 mi
Or 6. Turn left at Georges Branch Rd/NC-1200/Wiggins Rd (signs for E Canton) go 0.1 mi
Continue to follow, Georges Branch Rd total 22.7 mi
+ 7. Turn right at US-19/US-23 go 4.9 mi
About 7 mins total 27.5 mi
$ 8. Turn right at Church St/Park St/US-,19/US 23 go 2.6 mi
Continue to follow US7,49/US,23 total3o.1°mi
About 4 mins .n. ..
♦ 9. Turn right at Fern Ln go 0.2 mi
total 30.3 mi
4- 10. Turn left at Waitsel Way g6l'315 ft
total 30A mi
35.533333,-82.881944
Waitsel Way
"hese directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may
:ause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices
egarding your route.
Jlap data ©2008 Tele Atlas
ile://C:\Documents and Settings\JCantwell\Local Settings\Temp\F5DWOJ51.htm 9/17/200:

WAP�c�Q
Q
7
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,
I
�or ` Alan W. Klimek, PIE
Director, Division If
i
I.
cc: Central Files
NPDES Unit Files ti
. s MR, I e R- I I al Wf�ce/ -- ace ater Pr•.oteetionRe-g onal Wf�ce/ -- ace ater Pr•.oteetin
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.
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
USGS Quad: Clyde
County Boundary Midway Medical Center Subbasin: 04-03-05
Fb •
HighwaysMunicipal boundary
rm5�`A�� `may
Y

Permit NC0022454
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 z t
. } ;-MONITORING REQUIREMENTS
y.
Monthly Average
Daily Maximums
Measurement
Sample Type;,
Sample Location
.Frequent
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
6.0 mg/L
30.0 mg/L
2/Month
Grab
Effluent
(April 1— October 31
NH3 as N
12.0 mg/L
35.0 mg/L
2/Month
Grab
Effluent
Nov 1— March 31
Fecal Coliform
200/100 ml
400/100 ml
Weekly
Grab
Effluent
(geometric mean
Total Residual Chlorine
28 Ng/L
2/Week
Grab
Effluent
TRC l
Temperature (°C)
Weekly
Grab
Effluent
pH
> 6.0 and < 9.0 standard units
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.

NPDES Permit Requirements
Page 1 of 16
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events.
3/Week
Samples are collected three times per week on three separate calendar days.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act, as amended, 33 USC 1251, et. seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured.during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
B ass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which
is not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 nil in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period: The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time
interval between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically.
Composite samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour
period of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume:. a series of grab samples of equal volume collected over a 24 hour period
with the time intervals between samples determined by a preset number of gallons passing the sampling
point. Flow measurement between sample intervals shall be determined by use of a flow recorder and
totalizer, and the -preset gallon interval between sample collection fixed at no greater than 1/24 of the
expected total daily flow at the treatment system, or
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at
a constant time interval. This method may only be used in situations where effluent flow rates vary
less than 15 percent. The grab samples shall be taken at intervals of no greater than 20 minutes apart
during any 24-hour period and must be of equal size and of no less than 100 milliliters. Use of this method
requires prior approval by the Director.
Version 51112006

NPDES Permit Requitements
Page 2 of 16
In accordance with (4) above, influent grab samples shall not, be collected more than once per hour.
Effluent grab samples shall not be collected more than once per hour except at wastewater treatment systems
having a detention time of greater than 24 hours. In such cases, effluent grab samples may be collected at
intervals evenly spaced over the 24-hour period that are equal in number of hours to the detention time of the
system in number of days. However, the interval between effluent grab samples may not exceed six hours nor
the number of samples less than four during a 24-hour sampling period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge.
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. The "daily discharge" concentration comprises the mean
concentration for a 24-hour sampling period as either a composite sample concentration or the arithmetic mean of all
grab samples collected during that period. (40 CFR 122.3)
Daily Maximum
The highest "daily discharge" during the calendar month for conventional and other non -toxicant parameters.
NOTE: Permittees may not submit a "daily average" calculation for determining compliance with permit limits for
toxicants. See the relevant Federal effluent guideline[s] for the appropriate calculation interval.
Daily Sampliinn�
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. The Division expects that sampling shall be conducted on weekdays except where holidays or other
disruptions of normal operations prevent weekday sampling. If sampling is required for all seven days of the week
for any permit parameter(s), that requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWO or "the Division"
The Division of Water Quality, Department of Environment and Natural Resources.
EMC
The North Carolina Environmental Management Commission.
Facility Closure
The cessation of wastewater treatment at a permitted facility, or the cessation of all activities that require coverage
under the NPDES. Completion of facility closure will allow this permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]' shall be considered =1.
Grab Sample
Individual samples of at least 100 ml collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the Clean Water Act.
Instantaneous flow measurement
A measure of flow taken at the time of sampling, when both the sample and flow will be representative of the total
discharge.
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Monthly Averapre (concentration limitl
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Quarterly Average (concentration limitl
The average of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable,
or substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the Clean Water Act.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation
of the Clean Water Act and is grounds for enforcement action; for permit termination, revocation and reissuance,
or modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
Clean Water Act for toxic pollutants and with standards for sewage sludge use or disposal established under
section 405(d) of the Clean Water Act within the time provided in the regulations that establish these
standards or prohibitions or standards for sewage sludge use or disposal, even if the permit has not yet been
modified to incorporate the requirement.
b. The Clean Water Act provides that any person who violates section 301, 302, 306, 307, 308, 318 or 405 of the
Act, or any permit condition or limitation implementing any such sections in a permit issued under section
402, or any requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8)
of the Act, is subject to a civil penalty not to exceed $25,000 per day for each violation. [40 CFR 122.41 (a)
(2)]
c. The Clean Water Act provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or
405 of the Act, or any condition or limitation implementing any of such sections in a permit issued under
section 402 of the Act, or any requirement imposed in a pretreatment program approved under section
402(a)(3) or 402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a
negligent violation, a person shall be subject to criminal penalties of not more than $50,000 per day of
violation, or by imprisonment of not more than 2 years, or both. [40 CFR 122.41 (a) (2)]
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d. Any person who knowing violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In
the case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[40 CFR 122.41 (a) (2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,
and who knows at that time that he thereby places another person in imminent danger of death ,or serious
bodily injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not
more than 15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment
violation, a person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than
30 years, or both. An organization, as defined in section 309(c)(3)(B)(iii, of the CWA, shall, upon conviction
of violating the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined
up to $2,000,000 for second or subsequent convictions: [40 CFR 122.41 (a) (2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such
sections .in a permit issued under section 402 of this Act Administrative penalties for Class I violations are
not to exceed $10,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$25,000. Penalties for Class II violations are not to exceed $10,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $125,000. [40 CFR
122.41 (a) (3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit which has a reasonable likelihood of adversely affecting human health or the environment
[40 CFR 122.41 (d)].
Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part II. C. 4), "Upsets" (Part II. C. 5) and "Power
Failures" (Part II. C. 7), nothing in this permit shall be construed to relieve the Permittee from any
responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309
of the Federal Act, 33 USC 1319. Furthermore, the Permittee is responsible for consequential damages, such as
fish kills, even though the responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor
any infringement of Federal, State or local laws or regulations [40 CFR 122.41 (g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 150B-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the
Permit Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41 (h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41 (b)].
10. Expiration of Permit
The Permittee is not authorized• to discharge. after the expiration date. In order to receive automatic
authorization to discharge beyond the expiration date, the Permittee shall submit such information, forms, and
fees as are required by the agency authorized to issue permits no later than 180 days prior to the expiration date.
Any Permittee that has not requested renewal at least 180 days prior to expiration, or any Permittee that does not
have a permit after the expiration and has not requested renewal at least 180 days prior to expiration, will subject
the Permittee to enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified
[40 CFR 122.41 (k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in
charge of a principal business function, or any other person who performs similar policy or decision
making functions for the corporation, 'or (b) the manager of one or more manufacturing, production, or
operating facilities, provided, the manager is authorized to make management decisions which govern the
operation of the regulated facility including having the explicit or implicit duty of making major capital
investment recommendations, and initiating and directing other comprehensive measures to assure long
term environmental compliance with environmental laws and regulations; the manager can ensure that
the necessary systems are established or actions taken to gather complete and accurate information for
permit application requirements; and where authority to sign documents has been assigned or delegated
to the manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized `representative of that person. A
person is a duly authorized representative only if
1. The authorization is made in writing by a person described above;
2. The authorization specified either an individual or a position having responsibility for the overall
operation of the regulated facility or activity, such as, the position of plant manager, operator of a well or
well field, superintendent, a position of equivalent responsibility, or an individual or position having
overall responsibility for environmental matters for the company. (A duly authorized representative may
thus be either a named individual or any individual occupying a named position.); and
3. The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate
because a different individual or position has responsibility for the overall operation of the facility, a new
authorization satisfying the requirements of paragraph (b) of this section must be submitted to the Director
prior to or together with any reports, information, or applications to be signed by an authorized
representative [40 CFR 122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the
following certification [40 CFR 122.221:
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.
12. Permit Actions
This permit may be modified, revoked .and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned
changes or anticipated noncompliance does not stay any permit condition [40 CFR 122.41 (�].
13. Permit Modification Revocation and Reissuance or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 2H .0100; and North Carolina General Statute 143-215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 2H.0105 (b) (2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Upon classification of the permitted facility by the Certification Commission, the Permittee shall employ a
certified water pollution control treatment system operator in responsible charge (ORC) of the water pollution
control treatment system. Such operator must hold a certification of the grade equivalent to or greater than the
classification assigned to the water pollution control treatment system by the Certification Commission. The
Permittee must also employ one or more certified Back-up ORCs who possess a currently valid certificate of the
type of the system. Back-up ORCs must possess a grade equal to (or no more than one grade less than) the grade
of the system [15A NCAC 8G.0201].
The ORC of each Class I facility must:
➢ Visit the facility at least weekly
➢ Comply with all other conditions of 15A NCAC 8G.0204.
The ORC of each Class II, III and IV facility must:
➢ Visit the facility at least daily, excluding weekends and holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 8G.0204.
Once the facility is classified, the Permittee shall submit a letter to the Certification Commission designating the
operator in responsible charge:
a. Within 60 calendar days prior to wastewater being introduced into anew system
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b. Within 120 calendar days of
➢ Receiving notification of a change in the classification of the system requiring the designation of a
new ORC and back-up ORC
➢ A vacancy in the position of ORC or back-up ORC.
2. Proper Operation and Maintenance .
The Pemiittee shall at all times provide the operation and maintenance resources necessary to operate the existing
facilities at optimum efficiency. The Permittee shall at all times properly operate and maintain all facilities and
systems of treatment and control (and related appurtenances) which are installed or used by the Permittee to
achieve compliance with the conditions of this permit. Proper operation and maintenance also includes adequate
laboratory controls and appropriate quality assurance procedures. This provision requires the Pennittee to install
and operate backup or auxiliary facilities only when necessary to achieve compliance with the conditions of the
permit [40 CFR 122.41 (e)].
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Pemuttee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41
(c)].
4. B=assing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41 (m) (2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41 (m) (3)]
(1) Anticipated bypass. If the Pen- ittee knows in advance of the need for a bypass, it shall submit prior
notice, if possible at least ten days before the date of the bypass; including an evaluation of the
anticipated quality and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II. E. 6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Perrruttee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.-
(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. Up -sets
a. Effect of an upset [40 CFR 122.41 (n) (2)]: An upset constitutes an affirmative defense to an action
brought for noncompliance with such technology based permit effluent limitations if the requirements of
Paragraph b. of this condition are met. No determination made during administrative review of claims that
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noncompliance was caused by upset, and before an action for noncompliance, is final administrative action
subject to judicial review.
b. Conditions necessary for a demonstration of upset: A Permittee who wishes to establish the
affirmative defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or
other relevant evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in.Part II. E. 6. (b) of this permit.
(4) The Pennittee complied with any remedial measures required under Part II. B. 2. of this permit.
c. Burden of proof [40 CFR 122.41 (n) (4)]: The Permittee seeking to establish the occurrence of an
upset has the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States. The Permittee
shall comply with all existing Federal regulations governing the disposal of sewage sludge. Upon promulgation of
40 CFR Part 503, any permit issued by the Permit Issuing Authority for the utilization/disposal of sludge may be
reopened and modified, or revoked and reissued, to incorporate applicable requirements at 40 CFR 503. The
Permittee shall comply with applicable 40 CFR 503 Standards for the Use and Disposal of Sewage Sludge (when
promulgated) within the time provided in the regulation, even if the permit is not modified to incorporate the
requirement. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 2H.0124 —
Reliability) to prevent the discharge of untreated or inadequately treated wastes during electrical power failures
either by means of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
1. Representative Sampling
Samples collected and measurements taken, as required herein, shall be characteristic of the volume and nature of
the permitted discharge. Samples collected at a frequency less than daily shall be taken on a day and time that is
characteristic of the discharge over the entire period the sample represents. All samples shall be taken at the
monitoring points specified in this permit and, unless otherwise specified, before the effluent joins or is diluted
by any other wastestream, body of water, or substance. Monitoring points shall not be changed without
notification to and the approval of the Permit Issuing Authority [40 CFR 122.41 (j)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1.1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
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. Duplicate signed copies of
these, and all other reports required herein, shall be submitted to the following address:
NC DENR / Division of Water Quality / Water Quality Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I
of this permit and based on the manufacturer's pump curves shall not be subject to this requirement .
4. Test Procedures
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to
NCGS 143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to
Section 304(g), 33 USC 1314, of the Federal Water Pollution Control Act (as Amended), and 40 CFR 136; or in
the case of sludge use or disposal, approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless
other test procedures have been specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum
detection and reporting levels that are below the permit discharge requirements and all data generated must be
reported down to the minimum detection or lower reporting level of the procedure. If no approved methods are
determined capable of achieving minimum detection and reporting levels below permit discharge requirements,
then the most sensitive (method with the lowest possible detection and reporting level) approved method must
be used.
Penalties for Tampering
The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any
monitoring device or method required to be maintained under this permit shall, upon conviction, be punished by
a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or
by both. If a conviction of a person is for a violation committed after a first conviction of such person under this
paragraph, punishment is a fine of not more than $20,000 per day of violation, or by.imprisonment of not more
than 4 years, or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge
use and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40
CFR 503), the Permittee shall retain records of all monitoring information, including.
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record
the following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individua(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
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e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entey
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting
as a representative of the Director), upon the presentation of credentials and other documents as may be required
bylaw, to;
a. Enter upon the Permittee's premises where a regulated facility or activity is located or conducted, or where
records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this
permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under -this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the Clean Water Act, any substances or parameters at any location [40 CFR 122.41 (i ].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge
of any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall
constitute a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or
additions to the permitted facility [40 CFR 122.41 (1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29 (b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42 (a) (1).
c. The alteration or addition results in a significant change -in the Permittee's sludge use or disposal practices,
and such alteration, addition or change may justify the application of permit conditions that are different
from or absent in the existing permit, including notification of additional use or disposal sites not reported
during the permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Pemuttee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41 (1) (2)].
4. Transfers
This permit is not transferable to any person except after notice to the Director. The Director may require
modification or revocation and reissuance of the permit to document the change of ownership. Any such action
may incorporate other requirements as may be necessary under the Clean Water Act [40 CFR 122.41 (1) (3)].
5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41 (1) (4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II. D. 2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit, the results of such
monitoring shall be included in the calculation and reporting of the data submitted on the DMR.
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6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5. days of the time the Pemiittee becomes aware of the circumstances. The written
submission shall contain a description of the noncompliance, and its cause; the period of noncompliance,
including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is
expected to continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the
noncompliance [40 CFR 122.41 (1) (6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Pernuttee shall report all instances of noncompliance not reported under Part II. E. 5 and 6. of rhis•permit at
the time monitoring reports are.submitted. The reports shall contain the information listed in Part II. E. 6. of
this permit [40 CFR 122.41 (1) (7)].
8. Other Information
Where the Pernuttee becomes aware that it failed to submit any relevant facts in a permit application, or
submitted incorrect information in a permit application or in any report to the Director, it shall promptly submit
such facts or information [40 CFR 122.41 (1) (8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the
Division as soon as possible, but in no case more than 24 hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following.
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to receiving
waters without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division of Water Quality. As required by the Act, effluent data shall not be considered confidential.
Knowingly making any false statement on any such report may result in the imposition of criminal penalties as
provided for in NCGS 143-215.1 (b) (2) or in Section 309 of the Federal Act.
11. Penalties for Falsification of Reports
The Clean Water Act provides that any person who knowingly makes any false statement, representation, or
certification in any record or other document submitted or required to be maintained under this permit, including
monitoring reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of
Version 51112006

NPDES Permit Requirements -
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not more than $25,000 per violation, or by imprisonment for not more than two years per violation, or by both
[40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an annual
report to the Permit Issuing Authority and to the users/customers served by the Permittee (NCGS 143-215.1C).
The report shall summarize the performance of the collection or treatment system, as well as the extent to which
the facility was compliant with applicable Federal or State laws, regulations and rules pertaining to water quality.
The report shall be provided no later than sixty days after the end of the calendar or fiscal year, depending upon
which annual period is used for evaluation.
PART III
OTHER REQUIREMENTS
Section A. Construction
The Permittee shall not commence construction of wastewater treatment facilities, nor add to the planes treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless the Division has issued an
Authorization to Construct (AtC) permit. Issuance of an AtC will not occur until Final Plans and Specifications for
the proposed construction have been submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director of the Division of Water Quality, conduct groundwater
monitoring as may be required to determine the compliance of this NPDES permitted facility with the current
groundwater standards. .
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent
basis, of any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) One hundred micrograms per liter (100 µ.g/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms
per liter (500 n/L) for 2.4-dinitrophenol and for 2-methyl-4.6-dinitrophenol; and one milligram per liter
(1 mg/L) for antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or
infrequent basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the
highest of the following "notification levels';
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Evaluation of Wastewater Discharge Alternatives
The Permittee shall evaluate all wastewater disposal alternatives and pursue the most environmentally sound
alternative of the reasonably cost effective alternatives. If the facility is in substantial non-compliance with the terms
and conditions of the NPDES permit or governing rules, regulations or laws, the Permittee shall submit a report in
such form and detail as required by the Division evaluating these alternatives and a plan of action within 60 days of
notification by the Division.
Section E. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system
covered by this permit. The Division may require specific measures during deactivation of the system to prevent
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NPDES Permit Requirements
Page 13 of 16
adverse impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit
continue at the permitted facility.
PART IV
SPECIAL CONDITIONS FOR MUNCIPAL FACILITIES
Section A. Publicly Owned Treatment Works (POTWsI
All POTWs must provide adequate notice to the Director of the following.
1. Any new introduction of pollutants into the POTW from an indirect discharger which would be subject to
section 301 or 306 of CWA if it were directly discharging those pollutants; and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger
as influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of
effluent introduced into the POTW, and (2) any anticipated impact of the change on the quantity or quality
of effluent to be discharged from the POTW.
Section B - Municipal Control of Pollutants from Industrial Users.
Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from
industries using the municipal system may be present in the Permittee's discharge. At such time as
sufficient information becomes available to establish limitations for such pollutants, this permit may be
revised to specify effluent limitations for any or all of such other pollutants in accordance with best
practicable technology or water quality standards.
2. Under no circumstances shall the Permittee allow introduction of the .following wastes in the waste
treatment system:
a. Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees
Centigrade using the test methods specified in 40 CFR 261.21;
b. Pollutants which will cause corrosive structural damage,to the POTW, but in no case Discharges
with pH lower than 5.0, unless the works•is specifically designed to accommodate such Discharges;
C. Solid or viscous pollutants in amounts which will cause obstruction to the flow in the POTW
resulting in Interference;
d. Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow
rate and/or pollutant concentration which will cause Interference with the POTW;
e. Heat in amounts which will inhibit biological activity in the POTW resulting in Interference; but in
no case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C
(104°F) unless the Division, upon request of the POTW, approves alternate temperature limits;
f. Petroleum oil, nonbiodegradable cutting oil, or products of mineral oil origin in amounts that will
cause interference or pass through;
g. Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a
quantity that may cause acute worker health and safety problems;
h. Any trucked or hauled pollutants, except at discharge points designated by the POTW.
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the
Permittee to supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to
ensure compliance by the Permittee with all applicable effluent limitations. Such actions by the Permittee
may be necessary regarding some or all of the industries discharging to the municipal system.
4. The Permittee shall require any industrial discharges sending influent to the permitted system to meet
Federal Pretreatment Standards promulgated in response to Section 307(b) of the Act. Prior to accepting
wastewater from any significant industrial user, the-Permittee shall either develop and submit to the
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NPDES'Permit Requirements -
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Division a Pretreatment Program for approval per 15A NCAC 2H .0907(a) or modify an existing
Pretreatment Program per 15A NCAC 2H .0907(b).
This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved
POTW ' Pretreatment Program or to include a compliance schedule for the development of a POTW
Pretreatment Program as required under Section 402(b)(8) of the Clean Water Act and implementing
regulations or by the requirements of the approved State pretreatment program, as appropriate.
Section C. Pretreatment Programs
Under authority of sections 307(b) and (c) and 402(b)(8) of the Clean Water Act and implementing regulations 40
CFR Part 403, North Carolina General Statute 143-215.3 (14) and implementing regulations 15A NCAC 2H
.0900, and in accordance with the approved pretreatment program, all provisions and regulations contained and
referenced in the Pretreatment Program Submittal are an enforceable part of this permit.
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the Clean
Water Act, the Federal Pretreatment Regulations 40 CFR Part 403, the State Pretreatment Regulations 15A
NCAC 2H .0900, and the legal authorities, policies, procedures, and financial provisions contained in its
pretreatment program submission and Division approved modifications there of. Such operation shall include
but is not limited to the implementation of the following conditions and requirements:
1. Sewer Use Ordinance (,SUO�
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program.
2. Industrial Waste Survey (1WS�
The Permittee shall update its Industrial Waste Survey (IWS) to include all users of the sewer collection
system at least once every five years.
3. Monitoring Plan
The Permittee shall implement a Division approved Monitoring Plan for the collection of facility specific
data to be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of
specific pretreatment local limits. Effluent data from the Plan shall be reported on the DMRs (as required
by Part II, Section D, and Section E.5.).
4. Headworks Anal, sis Al and Local Limits
The Permittee shall obtain Division approval of a Headworks Analysis (HWA) at least once every five
years, and as required by the Division. Within 180 days of the effective date of this permit (or any
subsequent permit modification) the Permittee shall submit to the Division a written technical evaluation
of the need to revise local limits (i.e., an updated HWA or documentation of why one is not needed) [40
CFR 122.44]. The Permittee shall develop, in accordance with 40 CFR 403.5(c) and 15A NCAC 2H .0909,
specific Local Limits to implement the prohibitions listed in 40 CFR 403.5(a) and (b) and 15A NCAC 2H
.0909.
5. Industrial User Pretreatment Permits (!UP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee shall issue to all significant industrial users, permits for
operation of pretreatment equipment and discharge to the Pemuttee's treatment works. These permits
shall contain limitations, sampling protocols, reporting requirements, appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control
technologies to assure that their wastewater discharge will meet all applicable pretreatment standards and
requirements. The Permittee shall maintain a current Allocation Table (AT) which summarizes the results
of the Headworks Analysis (HWA) and the limits from all Industrial User Pretreatment Permits (IUP).
Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA.
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6. Authorization to Construct (A to C).
The Permittee shall ensure that an Authorization to Construct permit (AtC) is issued to all applicable
industrial users for the construction or modification of any pretreatment facility. Prior to the issuance of
an AtC, the proposed pretreatment facility and treatment process must be evaluated for its capacity to
comply with all Industrial User Pretreatment Permit MJP) limitations.
7. POTW Inspection & Monitoring of their SIUs .
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of information supplied by industrial
users, compliance with applicable pretreatment standards. The Permittee must:
a. Inspect all Significant Industrial Users (SIUs) at least once per calendar year, and
b. Sample all Significant Industrial Users (SIUs) at least twice per calendar year for all permit -
limited pollutants, once during the period from January 1 through June 30 and once during the
period from July 1 through December 31, except for organic compounds which shall be sampled
once per calendar year;
8. SIU SelfMonitoring and Repordne
The Permittee shall require all industrial users to comply with the applicable monitoring and reporting
requirements outlined in the Division approved pretreatment program, the industry's pretreatment permit,
or in 15A NCAC 2H .0908.
9. Enforcement Response Plan (ERP)
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the Clean Water Act (40 CFR 405 et seq.), prohibitive
discharge standards as set forth in 40 CFR 403.5 and 15A NCAC ZH .0909, and specific local limitations.
All enforcement actions shall be consistent with the- Enforcement Response Plan (ERP) approved by the
Division.
10. Pretreatment Annual Reports (PAR)
The Permittee shall report to the Division in accordance with 15A NCAC 2H .0908. In lieu of submitting
annual reports, Modified Pretreatment Programs developed under 15A NCAC 2H .0904 (b) may be
required to meet with Division personnel periodically to discuss enforcement of pretreatment requirements
and other pretreatment implementation issues.
For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment Annual
Report (PAR) describing its pretreatment activities over the previous twelve months to the Division at the
following address:
NC DENR / DWQ / Pretreatment Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
These reports shall be submitted according to a schedule established by the Director and shall contain the
following.
a) Narrative
A brief discussion of reasons for, status of, and actions taken for all Significant Industrial
Users (SIUs) in Significant Non -Compliance (SNC);
b:) Pretreatment Program Summaa(PPSI
A pretreatment program summary (PPS) on specific forms approved by the Division;
c) Significant Non -Compliance Report (SNCR)
The nature of the violations and the actions taken or proposed to correct the violations on
specific forms approved by the Division;
d) Industrial Data Summary Forms (IDSF)
J .
Version 620/2003

NPDES Permit Requirements `
Page 16 of 16
Monitoring data from samples collected by both the POTW and the Significant Industrial
User (SIU). These analytical results must be reported on Industrial Data Summary Forms
(IDSF) or other specific format approved by the Division;
e.) Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules,
public notice of SIUs in SNC, and any other information, upon request, which in the
opinion of the Director is needed to determine compliance with the pretreatment
implementation requirements of this permit;
11. Public Notice
The Permittee shall publish annually a list of Significant Industrial Users (SIUs) that were in Significant
Non -Compliance (SNC) as defined in the Permittee's Division approved Sewer Use Ordinance with
applicable pretreatment requirements and standards during the previous twelve month period. This list
shall be published within four months of the applicable twelve-month period.
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along
with support information including general records, water quality records, and records of industrial impact
on the POTW.
13. Funding and Financial Report
The Permittee shall maintain adequate funding and staffing levels to accomplish the objectives of its
approved pretreatment program.
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits
modifications, POTW monitoring of their Significant Industrial Users (SIUs), and Monitoring Plan
modifications, shall be considered a permit modification and shall be governed by 15 NCAC 2H .0114 and
15A NCAC 2H .0907.
Version 6/20/2003

NPDES APPLI. AON FOR Pl1RMT RENEWAL .- .XORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastevvpte (<1�1VIGD flc vwj� yy 0.� h
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, IBC 27699-16i7' �— ----- -- ` +'
http://h2o.enr.state.nc.us/NPD]FA/
FEB 1 6 2006
North Carolina NPDES Permit Number NC00 22454 j =
Please print or type i DEHl
1. Contact
fin, lei \ o-y4 ,yx`
Facility Name
MIDWAY MEDICAL CENTER
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
Street Address
City
State / Zip Code
County
Telephone Number
STEVE NANNEY
814-B KANUGA
HENDERSONVILLE
NORTH CAROLINA 28739
HENDERSON
2. Location of facility producing discharge:
Check here if same as above
Facility Name Of different from above)
Street Addressor State Road
City
State / Zip Code
County
3. Reason for application:
Expansion/Modification *
828-697-0063
NORTH CAROLINA, 2871-&
HAYWOOD
Existing Unpermitted Discharge
Renewal X New Facility
* Please provide a description of the expansion/modification:
N/A
jU 1 FEB 2 0 2006 � 1�
WA TER QUALITY SEOTJON
ASNEVILLE REGTONAL OFFICE
Page 1 of X
' Ve►s6on 12102

NPDES APPLL,. AON FOR PERMIT RENEWAL- RORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
4. Description of the existing treatment facilities (list aU installed components `u*h
capacNesr
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
Terse 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 parr, etc.):
DOCTOR'S OFFICE
24
6. List all permits, construction approvals and/or applications (check all that apply):
Tie Permit Number
RCRA
UIC
NPDES NCO022454
PSD
NESHAPS
Tue. Permit Number
Non -Attainment
Ocean Dumping
Dredge/Fill Permits
Other
7. Number of separate wastewater discharge pipes (wastewater outfalls):
ONE
g. If the facility has multiple discharge outfalls, record the sources) of .wastewater for each
outfalia
NA
Page 2 of 3 Version 12102

NPDES APPLoIG..ION FOR PERMIT RENEWAL L—�®RT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
SALLY HAYNES BRANCH IN THE FRENCH BROAD RIVER BASIN
10. Is this facility located on Native American lands? (check one)
YES ❑ NO p
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.
X-� G',r \.--N
Printed Name of Person
Title
North Carolina General Statute 143-215.6(bX2) provides that: Any person who knowin* makes any false statement representation, or
certification in any application, record, report, plan, or otter document files or required to be maintained under Article 21 or regulations of the
Emdronmerrtal Management Commission implementing that Article, or Mo falsifies, tampers with, or knomn* renders insocurate any
recording or mwritwq device or method required to be operated or maintained under Article 21 or regulations of the Emrironmentat
Management Commission imp that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by
imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 pro "a punishment by a fine of not more than $10,000 or
imprisonment not more than 5 years, or both for a similar offense.)
Page 3 of 3 Version 12102

'APR 10 2001
h - --
FACILITY IN'FORMATIDM
Facility: //'I i d.0 U4 L
Address: � 5u (N B I Val
City: -y p�_ State: _ Zip Code:
Permit Number: MC DO ap y 5 q County: h44 / Z Jbo
Please Check Type of Facility:
Wastewater Class I Class II ✓ Class III Class IV
Collection Class I Class II Class III Class IV
Spray Irrigation Land Application Subsurface
OPERATOR IN RESPONSIBLE CHARGE
Please Print Name: S4e ve Ala no et l
Mailing Address: !`�l� 18tl�c 131sy
City: - VkDQ lL State: &C_ Zip Code: _2 76
Certificate Types and Grade:
Certificate #s: L $ 9X Social Security #: 03,3 -
Work Phone: 27-666 3 Home Phone: tl g ,1oQ?-D66 3
Signature: Date:
BACK-UP OPERATOR
Please Print Name:
Mailing Address: P6 35
City: State: /lC _ Zip Code:0 7!Y-e
Certificate Types and Grade: f>WP5(D -IV Sl L.y19sCa
Certificate #s: c29d-7y �- a5��y Social Security #: 1d -WI-q93- f
Work Phone: ff2� d Home Phone: 87_9'1 6'9 )--6 n 6,
Signature: Date:
**********7�-**********;,:***;KA************ ; *4 * **** *********************
SYSTEM OinNER./ADMIN. OFFICER
Please Print Name: M r d-1) `Y1 J__kL (--A, L r)11
Mailing Address: 06 bb k 14 of
City: State: Zip Code: 2 9 I
Telephone
Signature: Date:
Please Mail To
Q ��cmQ 02C i
WPCSOCC 12898
1617 Mai[ Service Center I�QClrle��
Raleigh,. NC 27.699-1617
, 11
ar r : Ja cmk_,46 B -
1Qg7-1 S�_

�! r• [77 U
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor a; Secretary
March 4, 2015
Jan Grove
Midway Medical Center P A
PO Box 1409
Canton, NC 28716
SUBJECT: Compliance Evaluation Inspection
Midway Medical Center WWTP
Permit No: NCO022454
Haywood County
Dear Ms. Grove:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
January 28, 2015. Jason Rummel with James and James Environmental assisted in this inspection. The facility
appeared to be in compliance with permit NC0022454.
Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions, please call me at 828-296-4500.
Sincerely,
Katherine Jimison
Chemistry Technician III
Enc. Inspection Report
cc: Juanita James, ORC
MSC 1617-Central Files -Basement
r '- -
sheville�Files==
G:IWRIWQIHaywoodlWastewaterlMinorslMidway Medical Center 2245410EI 01-28-15.ltr.doc
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone:[phone] FAX: [phone]
Internet: http://portal.ncdenr.org/web/wq
An Equal Opportunity1 Affirmative Action Employer

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance, Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 u 2 15 1 3 I NCO022454 I11 12 15/01/28 17 18 ICI 19 i G i 201 I
21111111 1111111 11 I I I II 1111 1 111111 111111111 11166
Inspection
Work Days Facility Self -Monitoring Evaluation Rating 61 QA ---------Reserved--------
67
70 L71 J72 Lti 73174 751 I I I I
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:OOAM 15/01/28
11/02/01
Midway Medical Center WWTP
6750 Carolina Blvd
Exit Time/Date
Permit Expiration Date
Clyde NC 28721
10:OOAM 15/01/28
16/01/31
Name(s) of Onsite Representative(s)lritles(s)/Phone and Fax Number(s)
Other Facility Data
Juanita Reed James/ORC/828-697-0063/
Name, Address of Responsible OfficiaUTitle/Phone and Fax Number
Contacted
Jan W Grove,PO Box 1409 Canton NC 287161409//828-627-2221/8286272216
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance Facility Site Review
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Kathy Jimison ARO WQ//828-296-4500/
1311%
Signature of Management Q A Reviewer, Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCO022454 I11 121 15/01/28 117 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Mr. Jason Rummel assisted in this inspection.
The barscreen is in serious disrepair. The bottom half is non existent. Debris is not being screened
adequately. This unit needs to be replaced within 30 days of receipt of this inspection report. Photo on
file.
Page#

Permit: NCO022454 Owner - Facility: Midw4, ..._JIcal Center WWTP
Inspection Date: 01/28/2015 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑0
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
❑
N
❑
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment: Mr. Jason Rummel assisted in this inspection.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? N ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Bar Screens
Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical
❑
Are the bars adequately screening debris?
❑
❑ ❑
Is the screen free of excessive debris?
❑ ❑
0 ❑
Is disposal of screening in compliance?
❑ ❑
0 ❑
Is the unit in good condition?
❑ E
❑' ❑
Comment: The barscreen is in serious disrepair. The bottom half was non existent. Debris is not being
screened. This unit needs to be replaced
within 30 days of receipt of this inspection report.
Photo on file.
Aeration Basins
Yes No NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
E ❑
❑
❑
Are surface aerators and mixers operational?
❑ ❑
N
❑
Are the diffusers operational?
❑
❑
❑
Is the foam the proper color for the treatment process?
N ❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
❑
❑
❑
Is the DO level acceptable?
❑ ❑
❑
Page# 3

Permit: NCO022454 Owner - Facility: Midway Medical Center VWVTP
Inspection Date: 01/28/2015 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Is the DO level acceptable?(1.0 to 3.0 mg/1) ❑ ❑ ❑ 0
Comment:
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
0
❑
❑
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
❑
❑
0
❑
Are weirs level?
❑
❑
❑
Is the site free of weir blockage?
❑
❑
❑
Is the site free of evidence of short-circuiting?
N
❑
❑
❑
Is scum removal adequate?
E
❑
❑
❑
Is the site free of excessive floating sludge?
0
❑
❑
❑
Is the drive unit operational?
❑
❑
N
❑
Is the return rate acceptable (low turbulence)?
0
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
N
El -
❑
❑
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
❑
❑
❑
Comment:
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
0
❑
❑
❑
Are the tablets the proper size and type?
N
❑
❑
❑
Number of tubes in use?
1
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
Comment:
De -chlorination Yes No NA NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)? E ❑ ❑ ❑
Is storage appropriate for cylinders? ❑ ❑ 0 ❑
# Is de -chlorination substance stored away from chlorine containers? 0 ❑ ❑ ❑
Comment:
Are the tablets the proper size and type? 0 ❑ ❑ ❑
Page# 4

Permit: NC0022454
Owner -Facility: Midway iviedical Center WWTP
Inspection Date: 01/28/2015 Inspection Type: Compliance Evaluation
De -chlorination
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Yes No NA NE
Page#

14a w a
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
January 24, 2012
Ms. Jan W. Grove
Midway Medical Center, P.A.
P.O. Box 1409
Canton, North Carolina 28716-1409
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0060
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dear Ms. Grove:
A review of Midway Medical Center WWTP's monitoring report for July 2011 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Broth,44.5C
07/21/2011
400 #/1'00ml ,.
. : I . .
440 #/100ml
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. Since the
comments section on the reverse of the relevant DMR provided an adequate explanation for the subject
violation, it is not requested that a response be submitted.
The Division of Water Quality may pursue enforcement action for this and any additional violations of
State law. If you should have any questions, please do not hesitate to contact Janet Cantwell or me at
828/296-4600.
Sincerely,
Chuck Cran ord, Regional Supervisor
Surface Water Protection Section
ct-,C -W(-a Ashg illeeF'il"es
DWQ Central Files
James & James Environmental/ ORC
S:ISWPWaywoodlWastewaterlMinorstMidway Medical Center 22454WOV-2012-1-V-0060.doc
NorthCarolina
AWUM4
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone]
Internet: www.ncwateroualitv.org FAX [phone]

F�, In
F,`.NLE COPY
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 7, 2011
Ms. Jan W. Grove
Midway Medical Center P A
P.O. Box 1409
Canton, North Carolina 28716-1409
Subject: NOTICE OF VIOLATION
NOV-2011-MV-0128
Permit No: NCO022454
Midway Medical Center WWTP
Haywood County
Dear Ms. Grove:
A review of Midway Medical Center WWTP's monitoring report for March 2011 showed the
following violations:
Parameter
Date
Measuring Frequency
Violation
Total Residual Chlorine
Week ending
Twice Weekly
Failure to Monitor
03/05/2011
Total Residual Chlorine
Week ending
Twice Weekly
Failure to Monitor
03/19/2011
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance. If the above
parameter was left off inadvertently, please send an amended DMR within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this
office.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law. If you should have any questions,
please do not hesitate to contact. Janet Cantwell at 8281296-4500.
Sincerely,
e,4 e&z.
Roger C. Edwards,. Regional Supervisor
Surface Water Protection Section
DWQ Central Files
James & James Environmental/ ORC
S:1SWP1Haywood\WastewaterWinorslMidway Medical Center 224541NOV-2011-MV-0128.doc
PhCarolina
NXtura!!y
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.newatercivality.oro FAX [phone]

RCDENR
North Carolina Department of Environment and -Natural -Resources
Beverly Eaves Perdue
Governor
MARLENE L ABLE
MIDWAY MEDICAL CENTER P A
PO BOX 1409
CANTON NC 287161409
Division of Water Quality
Coleen H. Sullins
Director
May 27, 2011
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
�way eclhscalenter,�WWTP
Permit Number: NC.0022454
Case NumberI1=20°10-4208;
p
Haywood County
Dear Ms. Able:
Dee Freeman
Secretary
This letter is to acknowledge receipt of check number 6620 in the amount o $2 mp eceived from you dated
May 23, 2011. This payment satisfies in full the above civil assessment levied against the subject facility, and
this case has been closed. Payment of this penalty in no way precludes future action by this Division for
additional violations of the applicable Statutes, Regulations, or Permits.
If you have any questions, please call Bob Guerra at 919-807-6387.
Sincerely,
ovonah Weeden
cc: Central Files
DW�QlAshevitl'1e�R]e"gion'al��`f ice ' caper -visor
1617 Bail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity t Affirmative Action Employer
MAY 3 1 2011 WATER QUALITY SECTION
S c' A_ c7_VUE REC! NAL OFFICE
One
NorthCarolina

WNW
W
North Carolina Department of Environment and Natural Resources
Division of Water Quality
.5everly Eaves Perdue Coleen H. Sullins Dec Freeman
Governor Director Secretary
CERTIFIED MAIL 7007-0710-0000-5376-7105
RETURN RECEIPT REQUESTED
James & James Env
PO Box 519
Mountain. Home, NC
Dear Ms. James:
Mgt.
28758
May 4, 2011
Subject: Remission Request of Civil Penalty Assessment
Case Number LV-2010-0208
Midway Medical Center WWTP
NPDES Permit NCO022454
I have considered the information submitted in support of your request for remission in accordance with North
Carolina General Statute (N.C.G.S.) § 143-215.6A(D and have found no grounds to modify the civil penalty
assessment of $267.00. A copy of the Director's decision is attached.
Two options are available to you at this stage of the remission process:
You may pay the penalty.
If you decide to pay the penalty please make your check payable to the Department of Environment and
Natural Resources (DENR). Send the payment within thirty (30) calendar days of your receipt of this letter to
the attention of:
Dina Sprinkle
NC DENR-DWQ — Point Source Branch
NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
rK-+.i /rye-......m.�..,;. ;t :t't'...wm-a,:�ua�,.�n:..a...
`:•i.
71,
MAY 2011I
l
_6
WATER QUALITY ECTION
=: E R=GIONAL OFFICE
pcNEVIli
rthCarolina
aurally

C7
n
You may decide to have the Environmental Management Commission's (EMC) Committee on Civil
Penalty Remissions make the final decision on your remission request.
If payment is not received within 30 calendar days from your receipt of this letter, your request for remission
with supporting documents and the recommendation of the Director of the North Carolina Division of Water
Quality will be delivered to the Committee on Civil Penalty Remissions for final agency decision.
If you or your representative would like to speak before the Committee, you must complete and. return the
attached Request for Oral Presentation Form within thirty (30) calendar days of receipt of this letter. Send the
completed form to:
Dina Sprinkle
NC DENR-DWQ — Point Source Branch
NODES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
The EMC Chairman will review the supporting documents and your request for an oral presentation (if you
make the request). If the Chairman determines that there is a compelling reason to require a presentation, you
will be notified of when and where you should appear. If a presentation is not required, the final decision will
be based upon the written record.
Please be advised that the EMC's Committee on Civil Penalty Remissions will make its remission
decision based on the original assessment amount. Therefore, the EMC may choose to uphold the
original penalty amount and offer no remissions, they may agree with the DWQ Director's remission
recommendation detailed above, or the penalty amount may be further remitted.
Thank you for your cooperation in this matter. If you have any questions about this letter, please contact Bob
Guerra at [phone] or at bob.guerraCa)-ncdenr.gov.
'ncey,
G
ofeen H. Sullins
Attachment: Request for Oral hearing
cc: Ash'eville'�Regiorial Office = Roger -Edward's—
Enforcement file
Central Files
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748 NorthCarolina
Internet: vvww.ncwaterquality.org ������ //�
An Equal Opportunity \ Affirmative Action Employer

�A _ ��� COPY
PY
WDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Jan W. Grove
Midway Medical Center, P. A
P.O. Box 1409
Canton, North Carolina 28716-1409
Dear Ms. Grove:
Division of Water Quality
Coleen H. Sullins
Director
January 12, 2011
Subject: NOTICE OF VIOLATION
NOV-2011-LV-0013
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dee Freeman
Secretary
A review of Midway Medical Center WWTP's monitoring report for August 2010 showed the
following violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Brotli,44.5C
08/03/10
400 #/100ml
483 #/100ml
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. Since the
comments section on the reverse of the relevant DMR provided an adequate explanation for the subject
violation, it is not requested that a response be submitted: however, should you have additional information
concerning the violations or comments which you wish to present, please submit them to the attention of Janet
Cantwell.
The Division of Water Quality may pursue enforcement action for this and any additional violations of
State law. If you should have any questions, please do not hesitate to contact Janet Cantwell at
828/296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
c ly 3 ,'!11e M-1
DWQ Central Files
. James & James Environmental/ ORC
S:\SWP\Haywood\Wastewater\Minors\Midway Medical Center 22454\NOV-2011-LV-0013.doc
I�o°e Carolina
Aqw, !!y
North Carolina Division of Water'Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterouality.org FAX [phone]

USTIFICATION FOR Ij_EMISSION REQUE`
gIWQ Case Nu berms_ 00 0OO
.ioa e it s ;
�a
Assessed I'ariy. t►y,_.� ..,......LL �..
Permit No.: N00022454
County:
I�
Haywood/
Amount Assessed: $267.00
ust
so complete
Please use th
is form when requesting remission of this civil penalty. Y0 a> d Stialulation of Facts"
"Request For Remission, Waiver of Right to an Administrative Hearing,
hat you
form to requ
est remission of this civil penalty. You should attach anry documents riour request l for
support your request and are necessary for the Director ti consider
to
on of the
ve
remissio n. Please be aware that a request for remission is limiteodnt of thedcivillpenalty asslessed tors
listed below,as they may relate to the reasonableness oft e amount
occurred or
Requesting remission is not the proper procedure for con testin whether the violation(s)
Requ g
• accuracy of any of the factual statements contained inthe
penaltymaybe granted onlent y when one, or
the a y 143g-282.1(c), remission of a civilp to your
Pursuant to N.C.G.S. § lies. Please check each factor that you believe applies
more of the following Five factors app ortin documents, as to why the
case and provide a detailed explanation, including copies of supp g
factor applies (attach additional pages as needed).
one or more of the civil penalty assessment factors in N.C.G.S. 143E-282.1(b) were
(a) to the detriment of the petitioner (the assessment factors are listed in the civil
pplied
wrongfully a
penaltyas.sessinent document); resulting from the
(b) the violator promptly abated continuing environmental damage
that you took to correct the violation and prevent future occurrences);
violation (i.e., explain the steps
(c) the violat
ion was inadvertent or a result of an accident (i.e., explain why the violation
as unavoidable or something you could not prevent or prepare for);
(d) the
violator had not been assessed civil penalties for any previous violations;
e civil penalty will prevent payment for the remaining necessary
the activities i
(e) payment of a
— lain how payment of the civil penalty will prevent you from performing
actions (i.e., exp P
necessary to achieve compliance).
EXPLANATION:k
JUL
ice`(

PATE OF NORTH CAROLIIN _
DEPARTME OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
MIDWAY MEDICAL CENTER
PERMIT NO. NCO022454
WAIVER OF RIGHT TO AN
ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
FILE NO. LV-2010-0208
Having been assessed civil penalties totaling $267.00 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated July 6, 2010, the undersigned, desiring to
seek remission of the civil penalty, does hereby waive the right to an administrative hearing in the
above -stated matter and does stipulate that the facts are as alleged in the assessment document. The
undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the director of the Division of Water Quality within thirty (30) days of
receipt of the notice of assessment. No new evidence in support of a remission request will be allowed
after (30) days from the receipt of the notice of assessment.
This the day of . _Jo— 6 , 20 % G
� f
SIGNATURE
ADDRESS
James & James
Rnvirnnrng
■ • Box 519
TELEPHONE

JAMES & JAMES ENVIRONMENTAL MANAGEMENT, INC
' PO BOX 519. MOUNTAIN HOME, NC 28758
[phone] OFFICE
[phone] FAX
July 8, 2010
North Carolina Division of Water Quality
Enforcement Division
1617 Mail Service Center
Raleigh, NC 27699 — 1617
Re: Midway Medical
NPDES NCO022454
Dear Mr. Guerra,
Enclosed you will find the written request for remission for this system. The violations occurred
during the worst winter our company has experienced since the inception. Many systems over many
counties froze in the clarifier and chlorine contact chamber. The following items were true for this system:
1) The clarifier and chlorine contact chamber froze about 12 inches thick. The water in the chlorine contact
chamber had to be broken to take samples. The contact time was compromised due to the amount of frozen
water in the chamber.
The attempted repairs to alleviate this problem were:
1) We attempted to de -thaw the two chambers to no avail.
The freeze was so extensive and deep that we believe that the penalty should be remitted. This
freeze was truly an Act of God and was beyond the control of human intervention.
We would appreciate your consideration in this matter.
Thank you,
Harry Juanita James

AF 4 �4
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
July 13, 2010
Juanita James
James & James Environmental Management.
PO Box 1354
Mountain Home, NC 28758
Subject: Remission Request of Civil Penalty Assessment
Dear Mrs. James:
Dee Freeman
Secretary
This letter is to acknowledge.the receipt and of your request for remission of the civil penalties levied against the
following facilities:
1. LV-2010-0182 UNITED WORLD MISSION WWTP NCO032174
2. LV-2010-0190 PAVILLON INTERNATIONAL / BRITTEN CREEK WWTP NCO085294
3. LV-2010-0207 BENSON APTS WWTP NCO066362
4. 42%L—�24kls&-0248iMiDWA�Y-MEDI.CAL W� NC0022,,454-and
5. LV-2010-0209 SILVER BULLET WWTP NC0088803.
A copy is each Remission request is being sent to the Asheville Regional Office for input and recommendations.
Your requests will. be placed on the agenda of the Director's next scheduled enforcement conference and you will
be notified of the result.
If you have any question or I can be of further assistance about this matter, please contact me at [phone].
Robert Guerra, Western Region NPDES
Point Source Branch
Cc: Asheville Regional Office
Enforcement files w/originals
Central Files
1617 Mail Service Center, Raleigh, North Carolina 27699A617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91M07-6387 \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
D
rLO
JUL 5 2010 '
WATER OUALITY SECTION
ASHEVILLE REGIOPdAL OFFICE
l�Ton Marolina
Nawn7ilif

4
.I_
NCDENR
North Carolina Department of Environment and Natural
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
r-
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Ms. Marlene L. Able
Midway Medical Center
P.O. Box 1409
Canton, North Carolina 28716
July 6, 2010
7007 1496 0004 0713 7994
P FILE COPY
Resources
Dee Freeman
Secretary
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES Permit NCO022454
Midway Medical Center WWTP
Midway Medical Center -Canton
Case No. LV-2010-0208
Haywood County
Dear Ms. Able:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $267.00
($200.00 civil penalty + $67.00 enforcement costs) against Midway Medical Center.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by Midway Medical Center for the month of March 2010.
This review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NC0022454. The violations which occurred in
March 2010 are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Midway Medical Center violated the
terms, conditions or requirements of NPDES Permit NCO022454 and G.S. '143-215.1(a)(6) in the
manner and extent shown in Attachment A. In accordance with the maximums established by G.S.
143-215.6A(a)(2), a civil penalty may be assessed against any person who violates the terms,
conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority
provided by the Secretary of the Department of Environment and Natural Resources and the
Director of the Division of Water Quality, I, Roger C. Edwards, Division of Water Quality
Regional Supervisor for the Asheville Region, hereby make the following civil penalty assessment
against Midway Medical Center:
Nne
orthCarolina
Xtura!!y
SURFACE WATER PROTECTION —ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778
Phone: [phone]\FAX: [phone]\Customer Service: 1-877-623-6748
Internet: www.nmaterguality.orgAIN

2 of the 2 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$200.00 NC0022454, by discharging waste water into the waters of the State
in violation of the Permit Daily Maximum limit for FEC COLI.
$200.00 TOTAL CIVIL PENALTY
$67.00 Enforcement Costs
$267.00 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into
account the Findings of Fact and Conclusions of Law and the factors set forth at G.S. 14313-
282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or
to private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over
which the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further
enforcement action for any continuing or new violation(s). Please submit payment to the
attention of:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
2. Submit a written request for remission or mitigation including a detailed justification
for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed
below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s)
occurred or the accuracy of any of the factual statements contained in the civil penalty
assessment document. Because a remission request forecloses the option of an administrative
hearing, such a request must be accompanied by a waiver of your right to an administrative
hearing and a stipulation and agreement that no factual or legal issues are in dispute. Please
prepare a detailed statement that establishes why you believe the civil penalty should be
remitted, and submit it to the Division of Water Quality at the address listed below. In
determining whether a remission request will be approved, the following factors shall be

considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 14313-282.1(b)
was wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from
the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted
in writing. The Director of the Division of the Division of Water Quality will review your
evidence and inform you of his decision in the matter of your remission request. The response will
provide details regarding the case status, directions for payment, and provision for further appeal
of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that
was not part of the original remission request considered by the Director. Therefore, it is very
important that you prepare a complete and thorough statement in support of your request for
remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission
of Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form
within thirty (30) days of receipt of this notice. The Division of Water Quality also requests that
you complete and submit the enclosed "Justification for Remission Request." Both forms should
be submitted to the following address:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1'
3. File a petition for an administrative hearing with the Office of Administrative
Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition
for an administrative hearing. You may obtain the petition form from the Office of Administrative
Hearings. You must file the petition with the Office of Administrative Hearings within thirty (30)
days of receipt of this notice. A petition is considered filed when it is received in the Office of
Administrative Hearings during normal office hours. The Office of Administrative Hearings
accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for
official state holidays. The petition may be filed by facsimile (fax) or electronic mail by an
attached file (with restrictions) - provided the signed original, one (1) copy and a filing fee (if a
filing fee is required by NCGS § 15013-23.2) is received in the Office of Administrative Hearings
within seven (7) business days following the faxed or electronic transmission. You should contact
the Office of Administrative Hearings with all questions regarding the filing fee and/or the details
of the filing process. The mailing address and telephone and fax numbers for the Office of
Administrative Hearings are as follows:

Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DENR as follows:
Mary Penny Thompson, General Counsel
DENR
1601 Mail Service Center
Raleigh; NC 27699-1601
Failure to exercise one of the options above within thirty (30) days of receipt of this notice, as
evidenced by an internal date/time received stamp (not a postmark), will result in this matter being
referred to the Attorney General's Office for collection of the penalty through a civil action.
Please be advised that additional penalties may be assessed for violations that occur after the
review period of this assessment. If you have any questions, please contact Janet Cantwell of
the Water Quality staff of the Asheville Regional Office at 828-296-4500.
Sincerely,
e.
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
ATTACHMENTS
c , ;Q'�AsheVi116 Files `w/'`attachrrments r=a
DWQ Central Files w/ attachments
Bob Guerra/ DWQ Enforcement Files w/ attachments
James & James Environmental/ ORC w/ attachments
S^•Sit'P':Fia�reoodlGVa teuaterlMingnit`tidw<iy Medical Center 224i4`LV-2010-0203.doe

JUSTIFICATION FOR REMISSION RE RST
DWQ Case Number: LV-2010-0208 County: Haywood
Assessed Party: Midway Medical Center
Permit No.: NC0022454 Amount Assessed: $267.00
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts
form to request remission of this civil penalty. You should attach any documents that you believe
support your request and are necessary for the Director to consider in evaluating your request for
remission. Please be aware that a request for remission is limited to consideration of the five factors
listed below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violations) occurred or
the accuracy of any of the factual statements contained in the civil penalty assessment document.
Pursuant to N.C.G.S. § 143B-282. 1 (c), remission of a civil penalty may be granted only when one or
more of the following five factors applies. Please check each factor that you believe applies to your
case and provide a detailed explanation, including copies of supporting documents, as to why, the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
_ (e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i.e., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION:

STATE OF NORTH CAROLINA
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
MIDWAY MEDICAL CENTER
PERMIT NO. NCO022454
DEPARTMLNT OF ENVIRONMENT
AND NATURAL RESOURCES
WAIVER OF RIGHT TO AN
ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
FILE NO. LV-2010-0208
Having been assessed civil penalties totaling $267.00 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated July 6, 2010, the undersigned, desiring to
seek remission of the civil penalty, does hereby waive the right to an administrative hearing in the
above -stated matter and does stipulate that the facts are as alleged in the assessment document. The
undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the director of the Division of Water Quality within thirty (30) days of
receipt of the notice of assessment. No new evidence in support of a remission request will be allowed
after (30) days from the receipt of the notice of assessment.
This the
day of
ADDRESS
TELEPHONE
SIGNATURE
20

ATTACHMENT A
Midway Medical Center
CASE NUMBER: LV-2010-0208
PERMIT: NCO022454 FACILITY: Midway Medical Center -Canton COUNTY: Haywood REGION: Asheville
Limit Violations
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED % OVER
PENALTY REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE LIMIT VIOLATION TYPE
$100.00 3-2010
$100.00 3-2010
001 Effluent FEC COLI
001 Effluent FEC COLI
03/17/10 Weekly
03/31/10 Weekly
#/100ml 400 600 50.00 Daily Maximum Exceeded
#/1'06ml 400 600 50.00 Daily Maximum Exceeded
�ry

DIVISION OF WA1 Ex QUALITY - CIVIL PENALTY ASSEU ,LENT (FILE)
Violator: Midway Medical Center WWTP / NCO022454
(March 2010 DMR)
County: Haywood
Case Number: LV-2010-0208
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c), in determining the amount of the penalty I considered the factors
set out in G.S. 143B-282.1(b), which are:
1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
All effluent violations may be detrimental to the receiving stream.
2) The duration and gravity of the violation;
Two Daily Maximum Fecal Coliforms exceeded the permit limit each by 50 %.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved could include the cost of keeping the chlorine contact
chamber clean.
6) Whether the violation was committed willfully or intentionally;
It does not appear to be either.
7) The prior record of the violator in complying or failing to comply with programs over which
the Environmental Management Commission has regulatory authority; and
There have been no civil penalty enforcements in the twelve months prior to this violation.
8) The cost to the State of the enforcement procedures.
$67.00.
Date Roge C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
07/06/2010

NPDES PERMIT NO.
Mail ORIGINAL and
ATTN- CENTRAL F
----DENR--DWQ—,-"
1617 MAIL SOW]
RALEIGP" "17,609
EFFLUENT
NCO022454 DISCHARGE NO. 001 MONTH MARCH YEAR 2010
-Z �� %:�' 1A Z
.rW" jAfflC,3,41jJAMC.3 ENVIRWIMMENIML
M%71., 111%.. -If-to'
3AAMP
S
JOSEPH SIMMONS
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(VjNA1
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Vfh Uk opeRm UK
IN RESPONSIBLE
4-26-17
CHARGE) DAIF
—BYTHIS SIGNATURE-,-I-CfRTIF-Y-T-HA-T-TRIS REPOR-T-IS_
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
050
0100-AW"
(-Wpou
150
00310 1
0061
00530 1
31615
1VI /A I V
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AY 0 11
zoi!
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UNITS!
MG/L 1
MG/L
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Facility Status (Please check one of the following)
0
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet requirements
Noncompliant ---
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.
and a time table for improvements to be made.
NIL = NO LIMIT
"=TSS - DATA VALID; DUP OUT
"*=BOD - DATA VALID; GGA & 2ND BLANK OUT
FECAL COLIFORM ELEVATED ON TWO DAYS. THE OPERATOR INCREASED THE CHLORINE DOSAGE AND CLEANED
THE CHLORINE CONTRACT CHAMBER OF FINE SOLIDS AND ORGANIC MATTER INCLUDING LEAVES.
"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 ,
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."
MIDWAY MEDICAL, INC
rmittee (Please Drint or type)
L 4/26/2010
nature of Pdit ee" DATE
PO BOX 1409, CANTON, NC 28116 828-697-0063
Permittee Address Phone Number Permit Exp. Date
PARAMETER CODES
00010 Temperature
00556 Oil & Grease
00951 Total Flouride
01067 Nickel
00076 Turbidity
00600 Total Nitrogen
01002 Total Arsenic
01077 Silver
00080 Color (Pt -Co)
00610 Ammonia Nitrogen
01092 Zinc
00082 Color (ADMI)
00625 Total Kjeldhal
01027 Cadmium
01105 Aluminum
Nitrogen
00095 Conductivity
000630 Nitrate/Nitrites
01032 Hexavalent Chromium
01147 Total Selenium
00300 Dissolved Oxygen
01034 Chromium
31616 Fecal Coliform
00310 BOD5
00665 Total Phosphorous
32730 Total Phenolics
00340 COD
00720 Cyanide
01037 Total Cobalt
34235 Benzene
00400 pH
00745 Total Sulfide
01042 Copper
34481 Toluene
00530 Total Suspended
00927 Total Magnesium
38260 MBAS
Residue
00929 Totall Sodium
01045 Iron
39516 PCBs
00545 Settleable Matter
00940 Total Chloride
01051 Lead
50050 Flow
Parameter Code assistance may obtained b calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is.to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data. 114
Gt �) h6w
'ORC must visit facility and document visitation of facility as required per 15 A NCAC 8A 0202 (b) (5) (B)
-if signed by other than the perrmittee, delegation of signatory authority must be on file with the state perT T6 "NCAC 28.0506 (b)
(2) (D)•

Permit Enforcement History by Owner
06/30/10
1
Owner: Midway Medical Center
-
Facility: Midway Medical Center -Canton
Permit: NCO022454
Region: Asheville
County: Haywood
Penalty
Remission
Enf EMC EMC
OAH Collection
Has
Assessment
Penalty
Enforcement
Request Enf Conf
Remission Hearing Remission
Remission Memo Sent
Pmt Case
Case Number MR Approved
Amount
Costs Damages
Received Held
Amount Held Amount
Amount to AGO Total Paid
Balance Due Plan Closed
LV-2000-0207 06/01/00
$1,000
$49.28
06/23/00 08/02/00
$.00 10/12/00 $.00
$1,049.28
$.00 No 12/20/00
LV-2002-0215 06/04/02
$250'
$49.28
$299.28
$.00 No 07/16/0,
LV-2003-0384 2-2003 05/19/03
$250
$100.00
$350.00
$.00 No 08/22/03
LV-2006-0238 5-2006 07/18/06
$250
$100.00
$350.00
$.00 No 02/21/07
LV-2009-0126 1-2009 04/20/09
$250
$70.00
$320.00
$.00 No 05/08/09
LV-2010-0208 3-2010
$200
$67.00
$267.00 No
Total Cases: 6
$435.66
$2,368.56
$267.00
Total Penalties:
$2,635.56
Total Penalties after remission(s):
$2,635.56

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Jan W. Grove
Midway Medical Center P A
P.O. Box 1409
Canton, North Carolina 28716-1409
Dear Ms. Grove:
Division of Water Quality
Coleen H. Sullins
Director
November 15, 2010
Subject: NOTICE OF VIOLATION
NOV-2010-LV-0407
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dee Freeman
Secretary
A review of Midway Medical Center WWTP's monitoring report for June 2010 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF,
06/30/2010
400 #/100ml
530 #/100ml
Daily Maximum
M-FC Broth,44.5C
Exceeded
pH
06/16/2010
9 su
606.0 su
Facility Reporting
Error
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance.
The above parameter for PH was entered incorrectly as 606.0 on your DMR. Please send an
amended DMR with the correct value for pH to Raleigh at the address found on the front page of your
DMR.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law. If you should have any questions,
please do not hesitate to contact Janet Cantwell at 828/296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
c _:i Ashevi l�e,��Fl,les
IQ- CFiles—==�
.James & James Environmental/ ORC
S:\SWP\Haywood\Wastewater\Minors\Midway Medical Center 22454\NOV-2010-LV-0407.doc None Carolina
NW AMM11b
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterouality.org FAX [phone]

JAMES & JAMESMANAGEMENT,•
PO BOX 1354, MOUNTAIN HOME, NC 28758
PERFORMANCE ANNUAL REPORT - 2009
Midway Medical Center Ms. Jan Grove Permit Number: NCO022454
System Description
An extended aeration basin with gravity flow influent into a 5,000 gallon treatment facility,
clarifier, tablet feed chlorinator, chlorine contact chamber, tablet feed de -chlorinator, and effluent gravity
line.
Performance
This system ran very well all year. There was a motor installed in May and a new motor starter.
An air line to the skimmer in the clarifier was repaired. Otherwise there were no other repairs made.
Violations and corrective actions taken
January 15 — Ammonia Nitrogen @ 33.8 mg/I
January 28 — Ammonia Nitrogen @ 24.5 mg/1— air was increased to the system and soda ash was
added to break down the ammonia cycle
May 20 — TSS @ 56 mg/1— there was a broken air line in the clarifier that was repaired
October 1 — Fecal Coliform @ >600 colonies/100mis — increased chlorine dosage
This report has been sent to the Owner with directions to give notification of the availability of this report
to each of their users. A certified statement will be sent to the State when this notice has been issued.
I certify under penalty of law that this report is complete and accurate to the best of my knowledge. I
further certify that this report has been made available to the users or customers of the named system and
that those users have been notified of its availability. I also certify that this report has been given to the
owner of this facility with explicit directions to make the user aware of the availability of this report and the
location with which a copy can be viewed or received. James & James Environmental Mgt., Inc cannot
certify that the latter has been completed and will enclose a letter of certification to be mailed to the State
of North Carolina on behalf of this entity along with all pertinent information regarding this system for the
conclusion of this requirement.
Thank you,
lk.C� CaC6 4<- -10
J to James
James & James Environmental Management, Inc.
2/28/10
ro R d 6* N r �,gQd�7 r
NIAR 052010
JOINT Skill CE BFAY�C�9

w
M:
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
July 15, 2010
JAN W GROVE
MEDICAL ADMINISTRATOR
MIDWAY MEDICAL CENTER PA
PO BOX 1409
CANTON NC-28716
Dee Freeman
Secretary
R
EcEC wE
DD
J U L 1 9 2010
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
Subject: Receipt of permit renewal application
NPDES Permit NCOO22454
Midway Medical Center - Canton
Haywood County
Dear Ms. Grove:
The NPDES Unit received your permit renewal application on July 15, 2010. A member of the NPDES
Unit will review your application. They will contact you if additional information is required to complete your
permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing permit
expires.
If you have any additional questions concerning renewal of the subject permit, please contact Charles
Weaver at [phone].
Sincerely,
I =P, - M01 /I
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
Ashville Regional • ffice/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604 �TOne
Phone: [phone] \ FAX: [phone] Customer Service: 1-877-623-6748 lv orth.Caiol.i..n.a
Internet: wwww.ncwaterquality.org � �9�������`J
An Equal Opportunity 1 Affirmative Action Employer � �/

Clyde Office:
6750 Carolina Blvd.
Clyde, NC 28721
828.627.2211 o Fax [phone]
July 9, 2010
�EDIC�
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 St.
Canton, NC 28716
828.646.0080 e 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 rove
Medical Administrator
Midway Medical Center, P.A.

NPDES APPLICATION - FORIvi a)
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 NCOO 440
S'
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
iangrove(@midwaymc.com
2. Location of facility producing discharge: D"`�.� 17
Check here if same address as above ❑
Street Address or State Road 6750 Carolina Blvd
JUL �� � ZOi�
City Clyde QENR-VXfF-R URCN
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)
�. _ 73�
Name 67 C. e C.` ��t.�r . _ ,ti C. .
Mailing Address r�
city
State / Zip Code
Telephone Number ( ) �y eat c'
Fax Number
1 of 3 Form-D 05/08

1U1,/0.9/2010/PP,1 12:21 FM PAX No. P. 010
WDES APPLICATION - FORM E
For privately owned treatment systems trcating 2 00% domestic wastewaters <1.0 MGD
4. Description of wastewatet:
Facility Generating Waste-rjcheck all that applyp.
Industrial ❑ Number of Lmplayees
Comm, X Number of Employees 3S
Residential ❑ Number of Homes -
School ❑ N=ber of Students/Sraff
Other ❑ Explain:
Describe the source(s) of wastewater (example: $ubdivision, mobile home park, shopping centers,
restaurants, etc.):
Family Practice Medical Center
Population served:
5, Type of collection system
Separate (sanitary sewer only) ❑ combined (storm sewer and sanitary sewer)
6. putfall information-,
member of separate discharge points !
Gutfmil Identification u=ber(s) _
Is the outfall equipped with a dif lwier? 0 Yes JQ.I.No
7. Name of toveiviqqug stream(s) (Provide [[a map shouting the exact location of each outfaZ
n. i (� . i..,u %A o-S Y0 ter 1. i Y► r Y P>�C �► �YdC' �
s. Frequency of Discharge: � continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment: system
List ail installed components, including capacities, provide design removal for 130D TS,�, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the trod vnt system in a
separate sheet of paper
2 of 3 Pbm-D OM
ih

JUL/09/2010/FRI 12.21 PM FAY No, P.011
NPDES APPLICATION - FORM))
For privately owned treatment systems treating loos/o 4onoteetic wastewaters <1.0 UGD
10. Flow Information:
Treatment Plant Design flow 0,66>i GD
Annual Average daily flow 6,60)S_XGD (for the previous 3 years)
Maximum daily flour Qab 03 >a GJ) (for the previous 3 years)
I i. Is this facility located on Indian country?
❑ Yes FOG
12, Effluent Data
Provide data for the,parameters listed..;Gecal Coliforzra, Temperature and, pH shall be grab samples, for all other
parameters 24-hour composite samphrty shall be tried, If rwre chart one analysis is reported, report daily maxi»tx yn
and monthly average. If otily orae anaysis iS reported, report as daily maximum
Dail
Maximmm
Idea hly
Averse
UnIts ofParsmetes
Measurement
Biochemical. Oxygen Demand (.BODs)
(p , °o).
1 ,
M &/L
Fecal Colifot
3 f
,
xt-
Total. Suspended Solids
g
Temperature (Summer)
20 IS
°
Temperature (Winger)
SL
PH
?jS
6hds
13, List all yarmits, construction approvals anti/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA)
NPDES
PSD (CAA)
Non-attainMent program (CAA)
Ocean Dumping (MPRSA)
()Q 5 Dredge or W (Sections 404 or CWA)
Other
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained is the application and that to the
ba$t of my knowledge and belief such information is true, complete, and accurate. �
Printed n=c of Person'
of Applicazit
Title
Date
North Carolina General Statute 143-215.e (b)(2) states: Any person who knowigly makes any false sWement representation, or certllicatlon in any
application, record, report, plan, or other document files or required to be matrdained under ArMe 21 or regulations of the Environmental Management
Commission Implementing that Artlele, or who falsifies, tampers with, or knowingly renders In=urale any r=rding or monUoring devi; a or me&d
required to be operated or maintained under Article 21 or regulations of the EnvinQnrnental Management Commission Implementing that Article, shall be
guifty of a misdemeanor punishable by a line not to exceed $25,000, or by imprisonment not to exceed six months, or by both, (18 U.S.C, Section 1001
provides a punishment by E fine of not more lhan $25,Obb or imprisonment not more than 5 years, or both, for a similar offense,)
3 of 3 Form-D 008

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 es
James and James Environmental Mgt., Inc.

Q=
NCDENR
North Carolina Department of Environment and Natura
Beverly Eaves Perdue
Governor
Ms. Marlene L. Able
Midway Medical Center
P.O. Box 1409
Canton, North Carolina 28716
Dear Ms. Able:
Division of Water Quality
Coleen H. Sullins
Director
May 5, 2010
r—
L E "
Resources
Dee Freeman
Secretary
Subject: Total Residual Chlorine Limits
Discharge Monitoring Report
Reporting for Midway Medical WWTP
Haywood County
A Total Residual Chlorine (TRC) limit was incorporated into your latest NPDES permit and
became effective June 1, 2008. The TRC limit was to be reported as micrograms per liter (µl L ).
It has been noted that TRC has been reported on your Discharge Monitoring Reports (DMR) as
milligrams per liter ( mg/ L) since June 2008 until the present. Please make sure the Operator in
Responsible Charge understands that future Discharge Monitoring Reports need to reflect micrograms per
liter in the reporting of Total Residual Chlorine.
If you should have any questions, please do not hesitate to contact Janet Cantwell at 828/296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
DWQ� hevi'1`1e File���`'
James & James Environmental/ ORC
tiati1� F'•l i<i;nvood':!1' titcwairr:�linc rs'.t�[i luau \-ledical Center 224i411A,lidwavNiedical Cl2 11r.doe
NoAhCarotina
Naturally
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterguality; org FAX [phone]

�p]���9a9 gpAj]��.� - .._. �.,l::j:.`.i�:<;; cajr^ .,r..='•Y
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Marlene L. Able
Midway Medical Center
PO Box 1409
Canton. NC 28716
Dear Ms. Able:
Division of Water Quality
Coleen H. Sullins Dee Freeman
Director Secretary
January 14, 2010
Subject: NOTICE OF VIOLATION
NOV-2010-LV-0031
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
. A review of Midway Medical Center -Canton's monitoring report for October 2009 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Fecal Coliform
10/01/09
400 #/100ml
600 #/100ml
Daily Maximum Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. Since the
comments section on the reverse of the relevant DMR provided an adequate explanation for the subject
violation, it is not requested that a response be submitted: however, should you have additional
information concerning the violations or comments which you wish to present, please submit them to the
attention of Wanda Frazier.
The Division of Water Quality may pursue enforcement actions for this and any additional
violations. If you should have any questions, please do not hesitate to contact Wanda Frazier 828-
296-4662.
Enclosure
cc: WQ Central Files
As h ev i.iEl'e�Ffi�l a"s
NOV-2010-LV-0031.Midway Medical.01-14-10.doc
Sincerely,
(10� Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
lvorthCarolina
,VatruY71111
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone [phone] Customer Service
Internet: www.ncwaterguality.org FAX [phone]

� ILE;
F!
..�E
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Marlene L. Able
Midway Medical Center
PO Box 1409
Canton, NC 28716
Dear Ms. Able:
Division of Water Quality
Coleen H. Sullins
Director
SURFACE WATER PROTECTION SECTION
January 8, 2010
Dee Freeman
Secretary
SUBJECT: Compliance Evaluation Inspection
Midway Medical Center -Canton WWTP
Permit No: NCO022454
Haywood County
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on December 30, 2009. The facility was found to be in compliance with
permit NC0085952.
Please refer to the enclosed inspection report for additional observations and comments.
If you or your staff should have any questions, please call me at 828-296-4662.
Sincerely,
Z �47 �44 ,, � ".1 t � t
Wanda P. Frazier
Environmental Specialist
Enclosure
c : Central Files
As = euil:Ie�Fl`.es
SURFACE WATER PROTECTION —ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
;�i / Internet: www.ncwatergualitV.org
NorthCarolina
Naturally

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 I5I 31 NCO022454 I11 121 09/12/30 117 18ICI 19ISI 20I
Remarks
21LlIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -- -------Reserved---------
67I 1.0 169 70I 31 711 I 721 NJ 73I I 174 751 I I I I I I 180
W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Midway Medical Center -Canton
11:00 AM 09/12/30
06/12/01
Exit Time/Date
Permit Expiration Date .
Hwy 19 23
Canton NC 28716
11:15 AM 09/12/30
11/01/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Joseph Carmon Simmons/ORC/828-898-6277/
Name, Address of Responsible Official/Title/Phone and Fax Number
Marlene L Able,P0 Box 1409 Canton NC 26716//828-627-2211/8286272216ontacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Operations & Maintenance N Records/Reports Facility Site Review
Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Wanda P Frazier ARO WQ//828-296-4500 Ext.4662/
Signature of Management Q A Reviewer Agency/Off /Phone and Fax Numbers Date
`,l' )t'
,}
EPA'Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO022454 I11 121 09/12/30 117 18ICI
(cont.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
OPERATIONS AND MAINTENANCE / EFFLUENT / SUMMARY:
Ms. Juanita James, assisted in the inspection.
This facility appears to be well operated and maintained.
The effluent appeared to be clear, indicating compliance with permit limits.
PERMIT / INSPECTION / LOG:
A review of the files indicates that the last compliance evaluation inspection was conducted on
12-19-2008 by Wanda Frazier.
A copy of the current permit was on -site.
The permit expires on 1-31-2011. Please request a permit renewal 6 months prior to expiration.
A renewal notice will be mailed as a reminder.
The log book was present on -site and had good notation of daily events.
PERFORMANCE ANNUAL REPORT:
The 2008 Annual Performance Report had been filed for the year.
The 2009 Annual Report is due no later than 60 days of the end of the reporting period.
(Note: The owner or operator of any wastewater treatment works or wastewater collection systems that
treats or collects primarily domestic or municipal waste must provide an Annual Report to its users or
customers and to the Department of Environment and Natural Resources that summarizes the treatment
works' and collection system's performance over a 12 month period.)
Page # 2

Permit: NCO022454
Inspection Date: 12/30/2009
Owner- Facility: Midway Medical Center -Canton
Inspection Type: Compliance Evaluation
Permit
Yes
No
NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑
❑
■
❑
Is the facility as described in the permit?
■
❑
n
❑
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
❑
❑
❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge
■
n
n
n
Judge, and other that are applicable?
Comment:
Bar Screens
Yes
No
NA
NE
Type of bar screen
a.Manual
■
b.Mechanical
❑
Are the bars adequately screening debris?
■
n
n
n
Is the screen free of excessive debris?
■
n
n
n
Is disposal of screening in compliance?
■
n
n
n
Is the unit in good condition?
■
n
n
n
Comment:
Aeration Basins
Yes
No
NA
NE
Mode of operation
Type of aeration system
Is the basin free of dead spots?
■
❑
❑
❑
Are surface aerators and mixers operational?
❑
❑
■
❑
Are the diffusers operational?
■
n
n
n
Is the foam the proper color for the treatment process?
■
n
n
n
Does the foam cover less than 25% of the basin's surface?
■
n
n
n
Is the DO level acceptable?
■
n
n
n
Is the DO level acceptable?(1.0 to 3.0 mg/I)
■
n
n
n
Page # 3

Permit: NG0022454 Owner - Facility: Midway Medical Center -Canton
Inspection Date: 12/30/2009 Inspection Type: Compliance Evaluation
Aeration Basins
Yes
No
NA NE
Comment:
Secondary Clarifier
Yes
No
NA NE
Is the clarifier free of black and odorous wastewater?
■
Cl
n n
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
n
■ n
Are weirs level?
■
n
n
Is the site free of weir blockage?
■
n
n n
Is the site free of evidence of short-circuiting?
■
n
n n
Is scum removal adequate?
■
n
n n
Is the site free of excessive floating sludge?
■
n
n n
Is the drive unit operational?
❑
n
■ n
Is the return rate acceptable (low turbulence)?
■
n
n n
Is the overflow clear of excessive solids/pin floc?
■
n
n n
Is the sludge blanket level acceptable? (Approximately '/< of the sidewall depth)
■
n
n n
Comment:
Disinfection -Tablet
Yes
No
NA NE
Are tablet chlorinators operational?
■
n
n n
Are the tablets the proper size and type?
■
n
n n
Number of tubes in use?
1
Is the level of chlorine residual acceptable?
■
n
n n
Is the contact chamber free of growth, or sludge buildup?
■
n
n n
Is there chlorine residual prior to de -chlorination?
■
n
n n
Comment:
Yes No NA NE
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑
n
■ n
Is storage appropriate for cylinders?
n
n
■ n
# Is de -chlorination substance stored away from chlorine containers?
■
n
n n
Comment:
Are the tablets the proper size and type?
■
n
n n
Are tablet de -chlorinators operational?
■
n
n n
Page # 4

Permit: NC0022454
Inspection Date: 12/30/2009
De -chlorination
Number of tubes in use?
Comment:
Owner - Facility: Midway Medical Center -Canton
Inspection Type: Compliance Evaluation
Yes No NA NE
Page # 5

��.E�
AMA,
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
SURFACE WATER PROTECTION SECTION
July 24, 2009
Ms. Marlene L. Able
Midway Medical Center
PO Box 1409
Canton, NC 28716 Subject: NOTICE OF VIOLATION.
NOV-2009-LV-0328
Permit No. NCO022454
Midway Medical Center - Canton
Dear Ms. Able: Haywood County
A review of Midway Medical Center -Canton's monitoring report for May 2009 showed the
following violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Total Suspended Solids
05/20/09
45 mg/I
56 mg/I
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. The
reverse side of the relevant DMR required an adequate explanation for any and all violations. If an
explanation was provided, then it is not requested that a response be submitted. If an explanation
was not provided or should you have additional information concerning the violation(s), please
submit them to the attention of Wanda Frazier.
If missing data is available, please provide this data by re -submitting two copies of the
original DMR to Central Files (to the address provided on the DMR) and highlighting the additional
data and comments (such as, "Amended"). The Division of Water Ouality may pursue enforcement
actions for this and any additional violation(s).
If violations are of a continuing nature, not related to operation and/or maintenance
problems, and you anticipate remedial construction activities, then you may wish to consider
applying for a Special Order by Consent. You may contact Keith Haynes of this office for additional
information.
If you have any questions, please do not hesitate to contact me or Wanda Frazier at 828-
296-4500.
Sincerely,
/)- --
Roger C. Edwards, Regional Supervisor
xc: Central Files / .: _ Files Surface Water Protection Section NorthCarolina
�Vatuta!!y
North Carolina Division of Water Quality 2090 U.S. Highway 70; Swannanoa, N.C. 28778 Phone [phone]
Customer Service 1-877-623-6748 Internet: www.ncwatergualitV.org FAX [phone]

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director -—Secr
E C L � � ry
May 8, 2009--�
MAY 1-4 2009 i `.
MARLENE L ABLE'
MIDWAY MEDICAL CENTER --
`
PO BOX 1409 WATER CUALITY SECTION
ASHEVILLE REGIONAL OFFICE
CANTON NC 28716�
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
Midway Medical Center -Canton
Permit Number: NCO022454
Case Number: LV-2009-0126
Haywood County
Dear Ms. Able:
This letter is to acknowledge receipt of check number 45496 in the amount of $320.00 received from you dated
April 30, 2009. This payment satisfies in full the above civil assessment levied against the subject facility, and
this case has been closed. Payment of this penalty in no way precludes future action by this Division for
additional violations of the applicable Statutes, Regulations, or Permits.
If you have any questions, please call Bob Guerra at 919-807-6387..
Sincerely,
( /Jovonah Weeden
cc: Central Files
DWQi4h ib1 ­,;l�QARi gSupervisor
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748 North Carolina
Internet: www.ncwaterquality.org d�� Jj�
An Equal Opportunity\ Affirmative Action Employer attg `j

mRILEY
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
SURFACE WATER PROTECTION SECTION
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Ms'. Marlene L. Able
Midway Medical Center
PO Box 1409
Canton, NC 28716
April 21, 2009
7007 1490 0004 0713 9301
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES Permit NCO022454
Midway Medical Center
Case No. LV-2009-0126
Haywood County
Dear Ms. Able:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $320.00
($250.00 civil penalty + $70.00 enforcement costs) against Midway Medical Center.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by Midway Medical Center for the month of January 2009. This
review has shown the subject facility to be in violation of the discharge limitations and/or monitoring
requirements found in NPDES Permit NC0022454. The violations, which occurred in January 2009, are
summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Midway Medical Center violated the
terms, conditions or requirements of NPDES Permit NCO022454 and G.S. 143-215.1(a)'(6) in the manner
and extent shown in Attachment A. In accordance with the maximums established by G.S. 143-
215.6A(a)(2), a civil penalty may be assessed against any person who violates the terms, conditions or
requirements of a. permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided
by the Secretary of the Department of Environment and Natural Resources and the Director of the
Division of Water Quality, I, Roger C Edwards, Division of Water Quality Regional Supervisor for the
Asheville Region, hereby make the following civil penalty assessment against Midway Medical Center:
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778 One
e: 828-296-4500 FAX: [phone] NorthCarolina
stomer Service (Raleigh): 1-877-623-6748 Naturally
Internet: www.ncwaterguality.org
ho

1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
250.00 NC0022454, by discharging waste water into the waters of the State in
violation of the Permit Monthly Average limit for Ammonia nitrogen as
Nitrogen.
250.00 TOTAL CIVIL PENALTY(
70.00 Enforcement Costs
$320.00 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the
Findings of Fact and Conclusions of Law and the factors set forth at G.S. 143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
4
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further enforcement
action for any continuing or new violation(s). Please submit payment to the attention of:
Point Source Compliance / Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
2. Submit a written request for remission or mitigation including a detailed justification for
such request:
Please be aware that a request for remission is limited to consideration of the five factors listed below
as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy
of any of the factual statements contained in the civil penalty assessment document. Because a
remission request forecloses the option of an administrative hearing, such a request must be
accompanied by a waiver of your right to an administrative hearing and a stipulation and agreement
that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes
why you believe the civil penalty should be remitted, and submit it to the Division of Water Quality at
the address listed below. In determining whether a remission request will be approved, the following
factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b) was
wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the
violation;
(3) whether the violation was inadvertent or a result of an accident;

(4) whether the violator had btjun assessed civil penalties for any prev.."s violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial
actions.
Please note that all evidence presented in support of your request for remission must be submitted in
writing. The Director of the Division of the Division of Water Quality will review your evidence and inform
you of his decision in the matter of your remission request. The response will provide details regarding
the case status, directions for payment, and provision for further appeal of the penalty to the
Environmental Management Commission's Committee on Civil Penalty Remissions (Committee). Please
be advised that the Committee cannot consider information that was not part of the original remission
request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of
Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thirty
(30) days of receipt of this notice. The Division of Water Quality also requests that you complete and
submit the enclosed "Justification for Remission Request." Both forms should be submitted to the
following address:
Point Source Compliance / Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
3. File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an
administrative hearing. You may obtain the petition form from the Office of Administrative Hearings. You
must file the petition with the Office of Administrative Hearings within thirty (30) days of receipt of this
notice. A petition is considered filed when it is received in the Office of Administrative Hearings during
normal office hours. The Office of Administrative Hearings accepts filings Monday through Friday
between the hours of 8:00 a.m. and 5:00 p.m., except for official state holidays. The original and one (1)
copy of the petition must be filed with the Office of Administrative Hearings. The petition may be faxed -
provided the original and one copy of the document is received in the Office of Administrative Hearings
within five (5) business days following the faxed transmission. The mailing address for the Office of
Administrative Hearings is:
and
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, North Carolina 27699-6714
Telephone [phone] Facsimile: [phone]
Mail or hand -deliver a copy of the petition to
General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced
by an internal date/time received stamp (not a postmark), will result in this matter being referred to the

Attorney General's Office for cunu Aon of the penalty through a civil a.,LIU11. Please be advised that
additional penalties may be assessed for violations that occur after the review period of this assessment.
If you have any questions, please contact me or Wanda Frazier of theAsheville Regional Office at 828-
296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
ATTACHMENTS
egigrrat pejag isor w/ atta hmente,
Bob Guerra - Poin Sourcerce C�nce /Enforcement Unit -Enforcement File w/ attachments
Central Files w/ attachments

�j
JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: LV-2009-0126 County: Haywood
Assessed Party: Midway Medical Center
Permit No.: NCO022454 Amount Assessed: $320.00
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to
request remission of this civil penalty. You should attach any documents that you believe support your
request and are necessary for the Director to consider in evaluating your request for remission. Please
be aware that a request for remission is limited to consideration of the five factors listed below as they
may relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is
not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the
factual statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-
282.1(c), remission of a civil penalty may be granted only when one or more of the following five factors
applies. Please check each factor that you believe applies to your case and provide a detailed
explanation, including copies of supporting documents, as to why the factor applies (attach additional
pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in
the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation
(i.e., explain the steps that you took to correct the violation and prevent future
occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation was
unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i.e., explain how payment of the civil penalty will prevent you from performing the
activities necessary to achieve compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMEN i ,-,F ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
MIDWAY MEDICAL CENTER )
PERMIT NO. NCO022454 ) FILE NO. LV-2009-0126
Having been assessed civil penalties totaling $320.00 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated April 21, 2009, the undersigned, desiring to
seek remission of the civil penalty, does hereby waive the right to an administrative hearing in the above -
stated matter and does stipulate that the facts are as alleged in the assessment document. The
undersigned further understands that all evidence presented in support of remission of this civil penalty
must be submitted to the director of the Division of Water Quality within thirty (30) days of receipt of the
notice of assessment. No new evidence in support of a remission request will be allowed after (30) days
from the receipt of the notice of assessment.
This the
day of
ADDRESS
TELEPHONE
SIGNATURE
all

I
ATTACHMENT A
'
Midway Medical Center
CASE NUMBER: LV-2009-0126
PERMIT: NCO022464
FACILITY: Midway Medical Center -Canton
COUNTY: Haywood
REGION: Asheville
Limit Violations
MONITORING OUTFALL/
PENALTY REPORT PPI
VIOLATION
LOCATION PARAMETER DATE FREQUENCY
UNIT OF
MEASURE LIMIT
CALCULATED % OVER
VALUE LIMIT VIOLATION TYPE
$250.00 1-2009 001
Effluent NH3-N 01/31/09 2 X month
mg/I 12
29.15 142.92 Monthly Average Exceeded

DIVISION OF Wr, , �R QUALITY - CIVIL PENALTY ASS,.,3MENT (FILE)
Violator: Midway Medical Center
County: Haywood
Case Number: LV-2009-0126
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c), in determining the amount of the penalty I considered the
factors set out in G.S. 143B-282.1(b), which are:
1) The degree and extent of harm to the natural resources of the State, to the public health,
or to private property resulting from the violation;
The degree and extent of harm to the natural resources of the State, to the public health,
or to private property resulting from the violation is not quantifiable. All limits violations
of the permit are considered to impact water quality.
2) The duration and gravity of the violation;
The monthly average ammonia nitrogen limit is 12.0 mg/l. The two daily maximum values
for the month occurred on January 15th and 28th. These values were 33.8 and 24.5 mg/I,
which caused the monthly average limit of 12.0 mg/I to be exceeded by 143%.
3) The effect on ground or surface water quantity or quality or on air quality;
The effect on ground or surface water quantity or on air quality was not measureable at
the time of the violation.
4) The cost of rectifying the damage;
The cost of rectifying the damage is the amount saved by not making chemical additions
or operational changes.
5) The amount of money saved. by noncompliance;
The amount of money saved by noncompliance is not known.
6) Whether the violation was committed willfully or intentionally;
The violation did not appear to be willfull or intentional.
7) The prior record of the violator in complying or failing to comply with programs over
which the Environmental Management Commission has regulatory authority; and
There have been no other enforcement cases or NOVs issued within the past year.
8)- The cost to the State of the enforcement procedures.
The cost to the State of the enforcement procedures is $70.00
Date Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office

r-I
JAMES & JAMES ENVIRONMENTAL M[ANAGEMENT,_INC.-__-,-___..
PO BOX 1354, MOUNTAIN HOME, NC 28758
[phone] OFFICE----
[phone] FAX
MAR - 6 2009 ; l�,J
PERFORMANCE ANNUAL REPORT — 2008 c_r, rY sEsTioN
OFPICE
Midway Medical Center Ms. Jan Grove Permit Number: aW 0 4
System Description
An extended aerationbasinwith gravity flow influent into a 5,000 gallon treatment facility,
clarifier, tablet feed chlorinator, chlorine contact chamber, tablet feed de -chlorinator, and effluent gravity
line.
Performance for 2008
This system ran very well all year. There was one repair that occurred to the air line feeding the
sludge return.
Violations for 2008 and corrective actions taken
None
This report has been sent to the Owner with directions to give notification of the availability of this report
to each of their users. A certified statement will be sent to the State when this notice has been issued.
I certify under penalty of law that this report is complete and accurate to the best of my knowledge. I
further certify that this report has been made available to the users or customers of the named system and
that those users have been notified of its availability. I also certify that this report has been given to the
owner of this facility with explicit directions to make the user aware of the availability of this report and the
location with which a copy can be viewed or received. James & James Environmental Mgt., Inc cannot
certify that the latter has been completed and will enclose a letter of certification to be mailed to the State
of North Carolina on behalf of this entity along with all pertinent information regarding this system for the
conclusion of this requirement.
Thank you, "
uanita James
James & James Environmental Management, Inc.
2/20/09
MICR - 4 2009
DENR , WATER QUALITY
POINT SOURCE BRANCH

PERFORMANCE ANNUAL REPORT — 2008
Midway Medical Center
Permit Number: NCO022454
Ms. Jan Grove
A copy of the Performance Annual;,Report has already been filed with the
State of North Carolina -Division .of Water Quality in -Triplicate by James. &
James Environmental Management, Inc. and should be in your. possession at
this time. On :that report, the. certification was stated. that I, the responsible
party of this facility, has received a copy of this report and was directed to
give the users. knowledge of this report and.access to it.
Therefore:
T certify under penalty of law that this report.prepared'by James & James
Environmental Management, Inc. is' complete and accurate to the best of my
knowledge. I further certify that this report has been made available to the
users or customers of this documented system and that those users have been
notified;of its availability.
Thank you,
Ms. Jan Grove
Midway Medical Center

Cl���t�Jc
JAMES & JAMES ENVIRONMENTAL
• BOX•HOME, NC 28758
February 3, 2009
Surface Water Protection
DWQ — Asheville Region
Mrs. Wanda Frazier
2090 US Highway 70
Swannanoa, NC 28778
Re: Midway Medical Center
NPDES # NCO022454
Dear Mrs. Frazier,
This letter is in response to the Compliance Evaluation Inspection dated December 30,
2008. The response needed was with regard to the access by means of the back in front of the
facility. It was required that the bank have access to the system that would be deemed safe in
inclement weather. You requested a response in writing as to the timetable for repairs.
James & James will be meeting with Mrs. Able with regard to the need and potential
corrective actions that should be taken with this repair. Once a plan is agreed upon, I will contact
you with the timetable agreed upon.
Thank you for your consideration. With highest regards, we are
lVery truly( yours,
naffy Juanita James
D E C E � V E
- D
F E B - 5 2009
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE

Michael F. Easley, Governor
a- n, William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
December 30, 2008
Ms. Marlene L. Able
Midway Medical Center
P.O .Box 1409
Canton, North Carolina 287.16
SUBJECT: Compliance Evaluation Inspection
Status: Compliant
Midway Medical Center WWTP
Permit No: NCO022454
Haywood County"
Dear Ms. Able:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on December 19, 2008: The facility appeared to be in compliance with
permit number NC0062634. James and James Environmental Management appear to be doing
a fine job operating and maintaining this facility.
Please refer to the enclosed inspection report for additional observations and comments.
If you or your staff should have any questions, please call me at 828-296-4500, extension 4662.
Sincerely,
I �la (��- Ic , +t-
Wanda P. Frazier
Environmental Specialist
Enclosure
c' &VULOESWP Ash.ervllle..-Files
DWQ-SWP Central Files
James & James Environmental Mgmt w/ attachment
G:\WPDATA\DEMWQ\Haywood\22454 midway Medical Center\22454 CEI 08.doc
North Carolina
Natmrally
2090 US Hwy 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1-877-623-6748

United States Environmental Protection Agency
Form Approved.
E P n/'� Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 I5I 31 NCO022454 Ill 121 08/12/19 I17 18ICI 19ISI 20IU
..J —1 I
Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111_I6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA —---- —------ —------- --- Reserved ----- ----------------
67 I 1. o 169 70131 71 I I 72
J 731j 75I I I I I I 80
� 1
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
02:35 PM 08/12/19
06/12/01
Midway Medical Center -Canton
Exit Time/Date
Permit Expiration Date
Hwy 19 23
Canton NC 28716
02:45 PM OB/12/19
11/01/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Juanita Reed James/ORC/828-697-0063/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Marlene L Able,PO Box 1409 Canton NC 28716//828-627-2211/8286272216 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Operations & Maintenance IM Facility Site Review 11 Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
WaannddaP Frazier�J//////q� ARO WQ//�/828-296-4500 Extt..44{JG6/22//y/�(�/}j/y/��q
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
O__4_� ( 2— (3 0 A08
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

P
NPDES yr/mo/day Inspection Type
3I NCO022454 I11 121 08/12/19 1
17 18N
(cont.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Records & Reports:
A review of the files indicates that the last compliance evaluation inspection was
conducted by Janet Cantwell.
The permit expires on 1/31/2011. Please request a permit renewal 6 months prior to
expiration. A renewal notice will be mailed as a reminder.
The Annual Performance Report is due March 1, 2009.
The log book was present on -site and had good notation of daily events.
Operations & Maintenance / Summary:
This facility appears to be well operated and maintained.
Effluent:
The effluent appeared to be clear, indicating compliance with permit limits.
Deficiencies:
Immediate action is required --- Access to the WWTP poses a slip and fall hazard for
the operator who makes daily visits to the facility carrying process control equipment and supplies.
The ditch needs to have a safe means of crossing, to eliminate possible injury and legal liabilities.
On the day of the inspection, it was raining and the ditch bank was wet and very slippery, causing
the inspector to slip and nearly fall. Please respond in writing, within 30 days, as to the
corrective measures taken to eliminate this hazard and. liability. Failure to do so, may result in
a Notice of Violation and possible civil penalty, from the Division of Water Quality.
Page # 2

Permit: NCO022454 Owner - Facility: Midway Medical Center -Canton
Inspection Date: 12/19/2008 Inspection Type:, Compliance Evaluation
Permit
Yes No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
Im Cl
n
# Are there any special conditions for the permit?
Cl Im
n
n
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
n
Comment:
AeVation Basins
Yes No
NA
NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
®
n
n
n
Are surface aerators and mixers operational?
n
n
®
n
Are the diffusers operational?
®
Cl
n
❑
Is the foam the proper color for the treatment process?
®n
n
Does the foam cover less than 25% of the basin's surface?
®❑
❑
n
Is the DO level acceptable?
®0
Cl
n
Is the DO level acceptable?(1.0 to 3.0 mg/1)
®
n
Q
❑
Comment:
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
®
Cl
o
0
Is the site free of excessive buildup of solids in center well of circular clarifier?
Cl
n
Are weirs level?
®
n
❑
Is the site free of weir blockage?
®❑
❑
Is the site free of evidence of short-circuiting?
®n
n
n
Is scum removal adequate?
®C1
❑
11
Is the site free of excessive floating sludge?
Cl
n
n
Is the drive unit operational?
n
❑
®
❑
Is the return rate acceptable (low turbulence)?
®a
n
n
Is the overflow clear of excessive solids/pin floc?
®n
❑
Is the sludge blanket level acceptable? (Approximately '/< of the sidewall.depth)
®
n
n
n
Page # 3

r.
Permit: NCO022454
Inspection Date: 12/19/2008
Owner - Facility: Midway Medical Center -Canton
Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes
No
NA
NE
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
❑
❑
❑
Are the tablets the proper size and type?
EN
❑
❑
❑
Number of tubes in use?
1
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
®❑
❑
❑
Comment:
Yes
No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
®❑
❑
❑
Is storage appropriate for cylinders?
❑
Cl❑
RE
# Is de -chlorination substance stored away from chlorine containers?
❑
❑
n
Comment:
Are the tablets the proper size and type?
®❑
❑
Cl
Are tablet de -chlorinators operational?
❑
Cl
Cl
Number of tubes in use?
1
Comment:
Operations & Maintenance Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
N
0
❑
❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge
®❑
Cl
❑
Judge, and other that are applicable?
Comment:
Page # 4

5VC (DBQ Laboratory Section W esuCts
County: 1 0 010
Sample ID:
AB35695
River Basin FRB
PO Number#
ARO
Report To AROSP
Collector: J CANTWELL
v� �
:�;
:5
Date Received:
Time Received:
09/18/2008
15:20
Region: ARO
r L
Labworks LoginlD
KJIMISON
Sample Matrix: WASTEWATER
Date Reported:
10/3/08
Loc.Type: EFFLUENT
Report Generated:
10/03/2008
Emergency Yes/No
COC Yes/No
Visitlo
Loc. Descr.: MIDWAY MEDICAL-22454
—^Iv`�s�1
C /
(X',
o O V
Location ID: MD A'tiV
Collect Date: 0911812008 Collect Time:: 11:50
Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwqlab.org under Staff Access
A -Value reported is the average of two or more'determinations
B1-Countable membranes with <20 colonies; Estimated
82- Counts from all filters were zero.
B3- Countable membranes with more than 60 or 80 colonies; Estimated
84-Filters have counts of both >60 or 80 and < 20; Estimated
B5-Too many colonies were present; too numerous to count (TNTC)
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated
J6-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
NI -The component has been tentatively identified based on mass spectral library search and has an estimated value
ARO
N3-Estimated concentration is < PQL and >MDL
NE -No established PQL
P-Elevated PQL due to matrix interference and/or sample dilution
Q1-Holding time exceeded prior to receipt at lab.
Q2- Holding time exceeded following receipt by lab
PQL- Practical Quantftat(1
U- Samples analyzed foRAik _-''_pD 'rEc
X1- Sample not analyzed iAi''thcom
r:
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
OCT - s 2008
WATER QUALITY 5"MO " N
ASHE\nLUPM_MNA!LPffI __
s �•
:.�.�� y?.'tiili�s.�r�k�; •. ��'!3RifJD�Mat�.►�K.Cta.�zti..

location ID: MIDWAYMED NC (DWQ Laboratory Section Results Sample ID AB35695
.
Loc. Descr.: MIDWAY MEDICAL-22454 Collect Date: 0911812008
Collect Time:: 11:50
Visit ID
Anatyte Name PQL Result Qualifier Units Analyst/Date Approved By /Date
Method Reference
9118/08
9/19/08
BOD, 5-Day in liquid 2.0
2 U MIA
KJIMISON
MOVERMAN
Method Reference APHA5210B
9118/08
10/2108
Collfonn, MF Fecal in liquid 1
8 CFU1100m1
KJIMISON
MOVERMAN
Method Reference APHA9222D-20th
9118/08
9/25108
Residue Suspended In liquid 6.2
8.8 m91L
KJIMISON
MOVERMAN
Method Reference APHA2540D-20th
9/23/08
1012/08
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] Page 2 of 2

DIVISION OF WATER QUALITY WATER QUALITY FIELD -LAB FORM (DM I) For Lab Use ONLY
COUNTY y�
PRIORITY
SAMPLE TYPE
RIVER BASIN Wi ,e.
❑ AMBIENT
❑ STREAM
EFFLUENT
REPORTT00FROMRO RRO WaRO WiRO WSRO TS
AT BM
® COMPLIANCE
❑ LAKE
❑INFLUENT
Other
Shipped by: Bus, Courier, Staff; Other
❑ EMERGENCY
❑ ESTUARY
Lab Number: �r7-
Date Received: q, W Time: 15�Zv
Rec'd b (iFrom: Bus -Courier -Hand Del.
DATA ENTRY BY: CK:
G� DATE REPORTED:
COLLECTOR(��tQ�!9 /1. _ 0
Estimated BOD Range: 0-5/5-25/25-65/40-130 or 100 plus STATION LOCATION:
Seed: Yes ❑ No ❑ Chlorinated: Yes [I No ❑
1
ODS 310 mg/L
2
COD High 340 mg/L
3
COD Low 335 mg/L
4
lifarm: MF Fecal 31616 /100m1
5
Coliform: MF Total 31504 /100ml
6
Coliform: Tube Fecal 31615 /loom]
7
Coliform: Fecal Strep 31673 /100m]
8
Residue: Total 500 mg/L
9
Volatile 505 mg/L
10
Fixed 510 mg/L
11
Residue: Suspended 530 mg/L
12
Volatile 535 mg/L
13
Fixed 540 mg(L
14
pH 403 units
15
Acidity to pH 4.5 436 mg/L.
16
Acidity to pH 8.3 435 mg/L.
17
Alkalinity to pH 8.3 415 mg/L
l8
Alkalinity to pH 4.5 410 mg/L
19
TOC 680 mg/L
20
Turbidity 76 NTU
un/dd) Time Begin Date
/9 16-0
Chloride 940 mg/L
Chl a 70953 µg/L
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
Color:pH 7.6 82 ADMI
Cyanide 720 mg/L
Fluoride 951 mg/L
Formaldehyde 71880 mg/L
Grease and Oils 556 mg/L
Hardness Total 900 mg/L
Specific Cond. 95
MBAS 38260 mg/L
Phenols 32730 µg/L
Sulfite 945 ' mg/L
Sulfide 745 mWL
Depth DM DB DBM Value Type I Composite Sample Type
A H L T S B C in GNXX
NH3 as N 610 mg/L
TKN as N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 665 mg/L
P: Dissolved as P 666 mg/L
Cd-Cadmium 1027 µg/L
Cr-Chromium;Total 1034 µ&fL
Cu-Copper1042 µg/L
Ni-Nickel 1067 µg/L
Pb-Lead 1051 µg/L
Zn-Zinc 1092 µg/L
Ag-Silver 1077 µg/L
AI -Aluminum 1105 µg/L
Be -Beryllium 1012 µg/L
Ca -Calcium 916 mg/L
Co -Cobalt 1037 µg/L
Fe -Iron 1045 µg/L
Li -Lithium 1132 µg/L
Mg -Magnesium 927 mg/L
Mn-Manganese 1055 µg/L
Na-Sodium 929 mg/L
Arsenic:Total 1002 µg/L
Se -Selenium 1147 µg/L
Hg-Mercury 71900 µgI
Organochlorine Pesticides
0rganophosphorus Pesticides
Acid Herbicides
Base/Neutral Extractable Organics
Acid Extractable Organics
Purgeable Organics (VOA bottle req'd)
Phytoplankton
Lab Use Only
Temperature on arrival:
Sampling Point %
Conductance at 25°C
Water Temperature °C
D.O. m
H
Alkalinity
Acidity
Air Temperature °C
pH 8.3 PH 45
pH 4.5 p
2
4
0
300
400
2244 431
2243 82242
20
Salinity &
Precipitation (in/day)
Cloud Cover %
Wind Direction (Deg)
Stream Flow SeveritT133350
Turbidity Severity
Wind Velocity
Mean Stream Depth ft.
Stream Width ft.
80
5
2
6
1351
35
64
4

N (D La6orato ection esufts
1tA'fWO00t
County:
Sample ID:
AB35844
River Basin
FRB
Iry
PO Number #
8W7310
Report To
AROSP
Date Received:
09/2412008
Collector:
J CANTWELL
% >..r
Time Received:
08:00
' ti
Labworks Logind
SMATHIS
Region:
ARO
; = r
Sample Matrix:
WASTEWATER
Date Reported:
10/3108
Loc. Type:
EFFLUENT
Report Generated:
10/03/2008
Emergency Yes/No '
CDC Yes/No
VisitlD
Loc. Descr.: MIDWAY MED 22545
Location ID:
rj'IQIN YMED2-2454
Collect Date: 09/18/2008 Collect Time:: 00:00
Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwqlab.org under Staff Access
A -Value reported is the average of two or more determinations
81-Countable membranes with <20 colonies; Estimated N3-Estimated concentration is < PQL and >MDL
B2-Counts from all filters were zero. NE -No established PQL
83-Countable membranes with more than 60 or 80 colonies; Estimated P-Elevated PQL due to matrix interference and/or sample dilution
64-Filters have counts of both >60 or 80 and < 20; Estimated
Q1-Holding time exceeded prior to receipt at lab.
BS-Too many colonies were present; too numerous to count (TNTC)
Q2- Holding time exceeded following receipt by lab
PQL- Practical Quantitation Limit-sub'ect to Chan a due to instrur
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
`
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated U- Samples analyzed for this cc yn
X1- Sample not analyzed for this ripound
J6-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated 6
N1-The component has been tentatively identified based on mass spectral library search and has an estimated value t• �� j�
L
LAB
pk vak,
i
VE,
OCT — 8 2008
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] 1 p,SH LL REGI 1,NL- OFFICE

XC WQQ Laboratory Section ResultsSampleID AB35844
Location ID: MIDWAYMED22454
Collect Date: 09l18/2008
Loc. Descr.: MIDWAY MED 22545
Collect Time:: 00:00
Visit ID
NUT
VH5 7F Analyte Name
Sample temperature at receipt by lab
Method Reference
NH3 as N in liquid
Method Reference LaclO-107-06-1-J
0.02
Result
37
Units
Analyst/Date Approved By /Date
°C DSAUNDERS SMATHIS
9/24/08 9/24/08
mg/LasN MOVERMAN CGREEN
9124/08 10/3/08
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 (919) 7333908 Page 2 of 2

73
DIVISION OF WATER QUALITY WATER QUALITY FIELD -LAB FORM (DM I) For Lab Use ONLY
COUNTY
PRIORITY
SAMPLE TYPE
RIVER BASIN
�.
❑ AMBIENT
❑ STREAM EFFLUENT
REPORT T . AR
FRO MRO RRO WaRO WiRO WSRO TS
AT BM
COMPLIANCE
❑ LAKE ❑INFLUENT
Other
Shipped by: Bus,
.ourie Staft Other
s
❑ EMERGENCY
❑ ESTUARY
COLLECTOR(Sj�
Estimated BOD Range: 0-5/5-25/25-65/40-130 or 100 plus STATION LOCATION: 00
Seed: Yes ❑ No ❑ Chlorinated: Yes ❑ No ❑
Lab Number;
1�7 J a
Date Receive
Time.
Rec'd b From: Bus -Courier and
DATA ENTRY BY: CK:
DATE REPORTED:
Stations 9 Date Begin (yy/mm/dd) Time Begin Date End Time End Depth DM DB DBM Value Type Composite Sample Type
dJ&AY lb&b 0909119 1 A H L T S B C n GNXX
1
BODS 310 mg/L
2
COD High 340 mg/L
3
COD Low 335 mg/L
4
Coliform: MF Fecal 31616 /100m1
5
Coliform: MF Total 31504 /100m1
6
Coliform: Tube Fecal 31615 /100m1
7
Coliform: Fecal Strep 31673 /100ml
8
Residue: Total 500 mg/L
9
Volatile 505 mg/L
10
Fixed 510 mg/L
I 1
Residue: Suspended 530 mg/L
12
Volatile 535 mg/L
13
Fixed 540 mg/L
14
pH 403 units
15
Acidity to pH 4.5 436 mg/L
16
Acidity to pH 8.3 435 mg/L
17
Alkalinity to pH 8.3 415 mg/L
18
Alkalinity to pH 4.5 410 mg/L
19
TOC 690 mg/L
20
Turbidity 76 NTU
Chloride 940 mg/L,
Chl a 70953 µg/L
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
ColorpH 7.6 82 ADMI
Cyanide 720 mg/L
Fluoride 951 mg/L
Formaldehyde 71880 mg/L
Grease and Oils 556 mg/L
Hardness Total 900 mg/L
Specific Cond. 95
MBAS 38260 mg/L
Phenols 32730 µg/L
Sulfate 945 mgfL
Sulfide 745 mg/L
AOO
NH3 as N 610 mg/L
TKN as N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 665 mg/L
P: Dissolved as P 666 mg/L
Cd-Cadmium 1027 µg/L
Cr-Chromium;Total 1034 µg/L
Cu-Copper 1042 µg/L
Ni-Nickel 1067 µg/L
Pb-Lead 1051 µg/L
Zn-Zinc 1092 µg/L
Ag-Silver 1077 µg/L
AI -Aluminum 1105 µg/L
Be -Beryllium 1012 µg/L
Ca -Calcium 916 mg/L
Co -Cobalt 1037 µg L,
Fe -Iron 1045 µgfL
Li -Lithium 1132 pg/L
Mg -Magnesium 927 mg/L
Mn-Manganese 1055 µ91L
Na-Sodium 929 mg/L
Arsenic:Total 1002 µg/L,
Se -Selenium 1147 µg/L
Hg-Mercury 71900 µg/L
Organochlorine Pesticides
Organophosphorus Pesticides
Acid Herbicides
Base/Neutral Extractable Organics
Acid Extractable Organics
Purgeable Organics (VOA bottle req'd)
Phytoplankton
Lab Use Only
v
Temperature on arrival:
Sampling Point %
Conductance at 25oC
Water Temperature oC
D.O. mg/L
H
Alkalinity
Acidi
Air Temperature °C
pH 8.3 pH 4 5
pH 4.5
p82242
2
4
0
300
400
244 431
2243
20
Salinity %o
Precipitation (in/day)
Cloud Cover %
Wind Direction (Deg)
Stream Flow Severity
Turbidity Severity
Wind Velocity
Mean Stream Depth ft.
Stream Width ft.
80
5
2
36
1351
1350
35
64
4

orth Carolina De artment
Li
FILE CPY
SURFACE WATER PROTECTION SECTION
September 30, 2008
Ms. Marlene .L. Able -
Midway Medical Center
P.O .Box 1409
Canton, North Carolina 28716
Michael F. Easley, Governor
William G. Ross Jr., Secretary
ironment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Asheville Regional Office
SUBJECT: Compliance Sampling Inspection
Status: Compliant
Midway Medical Center WWTP-Canton
Permit No: NCO022454
Haywood County
Dear Ms. Able:
Enclosed please find a copy of the Compliance. Sampling Inspection form from the
inspection conducted on September 18, 2008. The facility appeared to be in compliance
with permit NC0022454. James & James Environmental is doing a fine job of operating
this.facility.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions,- please call me at 828-296-4500, Ext.
4667.
Sincerely,
4-6
Zane Cantwell
Environmental Specialist
Enclosure
DWQ Central Files
James & James Environmental/ ORC
w/ attachment
G:\WPDATA\DEMWQ\Haywo6d\22454 midway Medical Center\22454-CS1.08.doc None Carolina
iura!!y
2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I ul 2 151 31 NCO022454 111 12I 08/09/18 117 181 cl 191 c1 201
J IJ lJ LJ
Remarks
211111111111111IIIIIIIIIIIIIIIIIIIIII11111Jill 1116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA - — -- -- -----------Reserved------------------
67 I 169 70 U 71 U 72I N I 73 Lj_j 74 751 I I I I I Li 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11:15 AM 08/09/18
06/12/01
Midway Medical Center -Canton
Exit Time/Date
Permit Expiration Date
Hwy 19 23
Canton NC 28716
12:00 PM 08/09/18
11/01/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Juanita Reed James/ORC/828-697-0063/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Marlene L Able,P0 Box 1409 Canton NC 28716//828-627-2211/8286272216 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance 0 Records/Reports Self -Monitoring Program
Facility Site Review
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Janet Cantwell ARO WQ//828-296-4500 Ext.4667/
Sig ture of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
© 3a o
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type. 1
SI NC0.022454 I11 12I 08/09/18 I17 18Ie'
Section D: Summary of Finding/Comments (Attach additional) sheets of narrative and checklists as necessary)
Juanita James of James & James Environmental assisted in the inspection of this facility.
Records and Reports were available and on site.
The Annual Report has been filed for the year.
Bar screens are in need of replacement.
Effluent was clear.
Compliance Sampling was done during the inspection and will be sent separately when received
from the lab.
Page # 2

Permit: NCO022454 Owner - Facility: Midway Medical Center -Canton
Inspection Date: 09/18/2008 Inspection Type: Compliance Sampling
Permit
Yes
No
NA
NE
(if the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑
❑
IN
❑
Is the facility as described in the permit?
■
❑
❑
❑
# Are there any special conditions for the permit?
❑
®❑
❑
Is access to the plant site restricted to the general public?
®❑
❑
❑
Is the inspector granted access to all areas for inspection?
❑
❑
❑
Comment:
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
®
❑
❑
❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids,
pH, DO, Sludge ®❑
❑
❑
Judge, and other that are applicable?
Comment: The bar screens are in need. of replacement.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
®❑
❑
❑
Is all required information readily available, complete and current?
N
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
❑ ❑
❑
Are analytical results consistent with data reported on DMRs?
❑
❑
❑
■
Is the chain -of -custody complete?
❑
❑
❑
■
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
■
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
■
❑
❑
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑
❑
0
❑
Is the ORC visitation log available and current?
0
❑
❑
-❑
Is the ORC certified at grade equal to or higher than the facility classification?
■
❑
❑
Cl
Is the backup operator certified at one grade less or greater than the facility classification?
■
❑
❑
❑
Is a copy of the current NPDES permit available on site?
■
❑
❑
❑
Page # 3

Permit: NCO022454 Owner - Facility: Midway Medical Center -Canton
Inspection Date: 09/18/2008 Inspection Type: Compliance Sampling
Record Keeping
Yes
No
NA NE
Facility has copy of previous year's Annual Report on file for review?
0
0
Q
Comment:
Aeration Basins
Yes
No
NA NE
Mode of operation
Ext.
Air
Type of aeration system
Diffused
Is the basin free of dead spots?
®❑
❑ El
Are surface aerators and mixers operational?
❑
❑
® ❑
Are the diffusers operational?
■
Is the foam the proper color for the treatment process?
0
0.
El ❑
Does the foam cover less than 25% of the basin's surface?
■
n
0 r=1
Is the DO level acceptable?
❑
0
0
Is the DO level acceptable?(1.0 to 3.0 mg/1)
0
Cl
Q �
Comment:
Secondary Clarifier
Yes
No
.NA NE
Is the clarifier free of black and odorous wastewater?
0
Cl
Q Cl
Is the site free of excessive buildup of solids in center well of circular clarifier?
11
Q
Are weirs level?
❑
Is the site free of weir blockage?
C3
Q Cl
Is the site free of evidence of short-circuiting?
©11
Q
Is scum removal adequate?
Q
Cl Cl
Is the site free of excessive floating sludge?
Cl
Cl Q
Is the drive unit operational?
11
0
® 0
Is the return rate acceptable (low turbulence)?
❑
Is the overflow clear of excessive solids/pin floc?
❑
Cl 0
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
Comment:
Disinfection -Tablet
Yes
No
NA NE
Are tablet chlorinators operational?
❑
❑ Q
Are the tablets the proper size and type?
❑
❑ ❑
Number of tubes in use?
1
Page # 4

Permit: NC0022454 Owner - Facility: Midway Medical Center -Canton
Inspection Date: 09/18/2008 Inspection Type: Compliance Sampling
Disinfection -Tablet Yes .No NA NE
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth, or sludge buildup? ®❑ ❑ ❑
Is there chlorine residual prior to de -chlorination? ®❑ ❑ ❑
Comment:
De -chlorination
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Yes
No
NA
NE
Tablet
®❑❑❑
❑
❑
N
❑
■
❑
❑
❑
®❑
❑
❑
■
❑
❑
❑
1
Page # 5

JAMES & JAMES ENVIRONMENTAL MANAGEMENT, INC
PO BOX 1354, MOUNTAIN HOME, NC 28758
[phone] OFFICE
[phone] FAX
August 5, 2008 LEJ L(_ E_7
North Carolina Division of Water Quality 1
Janet Cantwell i AUG - 7 2008
2090 US Highway 70
Swannanoa, NC 28778 ---
WATER QUALITY SECTION
Midway Medical Center ASHEV!I-LE REGIONAL OFFICE
Marlene Able -
PO Box 1409
Canton, NC 28716
RE: NOV-2008-LV-0325
Permit Number NCO022454
Dear Ms. Cantwell,
Thank you for bringing this error to my attention. This letter is in reference to your letter dated
July 14, 2008 regarding the monthly non-compliance for Ammonia Nitrogen in April 2008.
The non -compliant Ammonia Nitrogen was addressed with the addition of Soda Ash and
additional air to the system. The system regained compliance for May, 2008.
Please accept this explanation for the actions taken.
Thank you,
uanita James U

W.A:7-F Michael F. Easley, Governor
Q William G. Ross Jr., Secretary
`0 North Carolina uepartment of Environment and Natural Resources
1 r Coleen H. Sullins, Director
Division of Water Quality
o
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Ms. Marlene L. Able
Midway Medical Center
P.O. Box 1409
Canton, North Carolina 28716
Dear Ms. Able:
July 14, 2008
7002 0460 0001 9899 7262
Subject: NOTICE OF VIOLATION
NOV-2008-LV-0325
Permit No. NCO022454
Midway Medical Center WWTP-Canton
Haywood County
A review of Midway Medical Center -Canton's monitoring report for April 2008 showed the following violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as
N)
04/30/08
6 mg/I
7.25 mg/I
Monthly Average
Exceeded
It was also noted that the Compliance box on the back of the DMR.was marked "Compliant" when in fact it
should have been marked "Non -Compliant" with an explanation of the reason for the non-compliance.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law.
To prevent further action, carefully review these violations and deficiencies and respond in writing to this
office within 10 working days of receipt of this letter. You should address the causes of non-compliance and all
actions taken to prevent the recurrence of similar situations.
If you should have any questions, please do not hesitate to contact Janet Cantwell or me at 828/296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
cUA eFrle
DWQ Central Files
Bob Guerra/ Enforcement Files
James & James Environmental Mgmt./ ORC.
G:\WPDATA\DEMWQ\Haywood\22454 midway Medical Center\NOV-2008-LV-0325.22454.doc
A
NcorthCarolina
naturally
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.newaterouality.org FAX [phone]
111

James James Environmental M t.,'Inc. System: �� ��'tin Permif, Number:
Midway Medical Center ��� - _ - --� NCO022454 ,1 16 .
1 1 2008 lt
e
MAR
JAMES & JAMES ENVIRONMENTAL MANAGEMENT
PO BOX 1354, MOUNTAIN HOME, NC 28758
OFFICE: [phone] FAX: (828) 6?7-006&.
PERFORMANCE ANNUAL RE
2007 PfijEP'QtE1VED
I. General Information
Facility/System Name: MIDWAY MEDICAL- CENTER MAR - 3 2008
Responsible Entity: JAN GROVE
Person, in Charge/Contact: _t a ff' DFNR+ y XER. DUALITY
Applicable Permit(s): NCO022454 POINT t=CE BRANCH
Description of Collection.System or Treatment Process:
A 5,000 gallon extended aeration basin with gravity flow, clarifier, chlorination unit
and chlorine contact chamber.
II. Performance
Text Summary of System Performance for Calendar Year 2007
This facility ran very well in 2007. There were no major repairs that occurred this
year.
List (by Month) any violations of permit conditions or other environmental
regulations. Monthly lists should include discussion of any environmental impacts
and corrective measures taken to address violations. Attach additional sheets if needed.
none
III. Notification:
A copy of this report has been sent to the Owner with directions to give notification
of the availability of this report to.each of their users. A certified statement will be
sent to the State when this issue has been rectified.

James James Environmental Mgt., Inc. System: Permit Number:
Midway Medical Center NCO022454
IV. Certification
I certify under penalty of law that this report is complete and accurate to the best
of my knowledge. I further certify that this report has been made available to the
users or customers of the named system and that those users have been notified
of its availability. (please see below)
I certify that this report has been given to the Owner of this Entity with explicit
directions to make .the user aware of the availability of this report and the
location with which a copy can be either viewed. or received. James & James
Environmental cannot certify that the latter has been completed and will enclose
a letter.of certification to be mailed to the State of North Carolina on behalf of this
Entity along with all pertinent information regarding this system for the conclusion
of this requirement.
Juanita James/ James & James Environmental Management
Responsible Person
Title
Entity
2120108
Date

James James Environmental Mgt., Inc. System:
Midway Medical Center
JAMES & JAMES ENVIRONMENTAL MANAGEMENT
PO BOX 1354, MOUNTAIN HOME, NC 28758
OFFICE: [phone] FAX: [phone]
PERFORMANCE ANNUAL REPORT
I. . General. Information
Facility/System. Name: MIDWAY MEDICAL CENTER
Responsible Entity: JAN GROVE
Person in Charge/Contact:Kt
Applicable Permit(s): NCO022454
Permit Number:
NCO022454
A copy of the PERFORMANCE ANNUAL REPORT has already been filed
with you by James .& James Environmental Management and should be in your
possession at this time. On that report, the certification. was stated that I, the
owner.of this Entity, has received a copy of this report and was directed to give
the users knowledge of the report and access to it.
Therefore:
I certify under penalty of law that this report prepared by James & James
Environmental Management is. complete and accurate to the best of my
knowledge. 1 further certify that this report has been made available to the users
or customers of the named system and that those users have been notified of
its availability.
Responsible Person
Title
Entity
Date

nF W A1'F Michael F. Easley, Governor
1 Q William G. Ross Jr., Secretary
`Q North Carolina Departmen. _.�vironment and Natural Resources
jr - Alan W. Klimek, P.E. Director
Q Division of Water Quality
Asheville Regional Office
JlYid't'<5+w�aRv`t�S$Fr.Tn•'h: "1»i]'Y -3 4t�2.
SURFACE WATER PROTECTION
XF I L-1. I
March 2, 2007'
.«.:Ydsg4s2•+ia:R2::t+.c�gF?,�:v:,�urtecY*sr>»-..;rs^.:+:P-
Ms. Marlene L. Able
Midway Medical Center
P.O. Box 1409%
Canton, North Carolina 28716
SUBJECT: Compliance Evaluation Inspection
Status: Compliant
Midway Medical Center -Canton
Waste Water Treatment Plant
Permit No: NCO022454
Haywood County
Dear Ms. Able:
Enclosed please find a copy of the Compliance Evaluation Inspection form- from
the - inspection conducted on February 20, 2007. The facility appeared to be in
compliance -with Permit # NC0022454.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please call me at 828-296-4500, Ext.
4667.
Sincerely,
et Cantwe
Environmental Specialist
Enclosure
WQ Central Files, wl attachmenT.
James & James Environmental, w/ attachment
' �C Carob a
atctral
2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
EPA Washington, D.C. 20460
Form Approved.
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type . Inspector Fac Type
1 I ig 2 I s 31 N00022451 111 121 07/02/20 117
�J
181 rl 191 GI 20�I
lJ I-1
21111111111111111111Remarks
111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA
- - -- --- ------Reserved---------- --
671 I69 70u 71I 721 I
73Il__Ll74 751 I I I I I 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Entry Time/Date
Permit Effective Date
Midway Medical Center -Canton
01.:45 PM 07/02/20
06/12/01
Exit Time/Date
Permit Expiration Date
Hwy 19 2.3
Canton NIC 28716
02:10 PM 07/02/20
1.1/01/31
Name(s) of Onsite Representative(s)Ttles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Ma.r..lene L Able,PC, Box 1.409 Canton NC 2.8716//828-627-2211/8286272216
Iic
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 Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) PJ Agency/Office/Phone and Fax Numbers Date
Janet Cantwell ARC) wQ//828-296-4500 Ext.4667/
Signature of Mana ement Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

r
NPDES yr/mo/day Inspection Type (cont.) 1
3I NC00221L4 I11 12I 07/02/20 117 18,
Section D: Summary of Finding/Comments (Attach additional sheets.of narrative and checklists as necessary)
Juanita James of James & James Environmental assisted in the inspection of this facility.
The previous compliance evaluation inspection was conducted on June 14, 2006.
A review of the files indicates that the permit expires January 31, 2011.
The Annual Performance Report has been filed for the year.
The aeration basin process control data on the day of the inspection:
Dissolved Oxygen = 9.2 mg/I
Temperature = 4 degrees Celcius
pH = 6.5 units
The effluent data on the day of the inspection:
Dissolved Oxygen = 5.4 mg/1
Temperature = 4 degrees Celcius
pH = 6.2 units
The log book was present on -site and had good records of daily events.
The effluent was clear.
This facility appears to be well operated and maintained and the operator is doing a good
job.
Page # 2

Permit: NCO022454 Owner - Facility: Midway Medical Center -Canton
Inspection Date: 02/20/2007 Inspection Type: Compliance Evaluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑
❑
■
❑
Is the facility as described in the permit?
■
❑
❑
❑
# Are there any special conditions for the permit?
130
❑
❑
Is access to the plant site restricted to the general public?
■
❑
❑
❑
Is the inspector granted access to all areas for inspection?
■
❑
❑
❑
Comment: `
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
❑
❑
❑
Is all required information readily available, complete and current?
■
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
❑
❑
❑
■
Are analytical results consistent with data reported on DMRs?
❑
❑
❑
■
Is the chain -of -custody complete?
❑
❑
❑
■
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
Cl
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
■
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
■
❑
❑
❑
(if the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑
❑
■
❑
Is the ORC visitation log available and current?
■
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
■
•❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
■
Cl
❑
❑
Is a copy of the current NPDES permit available on site?
■
❑
Cl
❑
Facility has copy of previous year's Annual Report on file for review?
■
❑
❑
❑
Comment:
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
❑
❑
❑
Page # 3

r
Permit: NCO022454
Inspection Date: 02/20/2007
Owner - Facility: Midway Medical Center -Canton
Inspection Type: Compliance Evaluation
Operations,_&_Maintenance Yes No NA NE
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑
Judge, and other that are applicable?
Comment:
Aeration Basins Yes No NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■
❑
❑ ❑
Are surface aerators and mixers operational?
❑
Cl
■ ❑
Are the diffusers operational?
■
Cl
❑ ❑
Is the foam the proper color for the treatment process?
■
❑
❑ ❑
Does the foam cover less than 25% of the basin's surface?
■
❑
❑ ❑
Is the DO level acceptable?
❑
■
❑ Cl
Is the DO level acceptable?(1.0 to 3.0 mg/1)
❑
■
❑ ❑
Comment:
The DO was measured at 9.2 mg/L.
Secondary Clarifier
Yes
No
NA NE
Is the clarifier free of black and odorous wastewater?
■
❑
❑ ❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
❑
❑
■ ❑
Are weirs level?
■
❑
❑ rl
Is the site free of weir blockage?
■
❑
❑ ❑
Is the site free of evidence of short-circuiting?
■
❑
❑ ❑
Is scum removal adequate?
■
❑
❑ ❑
Is the site free of excessive floating sludge?
■
❑
❑ ❑
Is the drive unit operational?
❑
❑
■ ❑"
Is the return rate acceptable (low turbulence)?
■
❑
fl ❑
Is the overflow clear of excessive solids/pin floc?
■
Cl
❑ ❑
Is the sludge blanket level acceptable? (Approximately %4 of the sidewall depth)
❑
❑
❑ ■
Comment:
Disinfection -Tablet
Yes
No
NA NE
Are tablet chlorinators operational?
■
11
fl ❑
Are the tablets the proper size and type?
■
11
❑ ❑
Page # 4

r
Permit: NC0022454 Owner - Facllity: Midway Medical Center -Canton
Inspection Date: 02/20/2007 Inspection Type: Compliance Evaluation
Disinfection -Tablet Yes No NA NE
Number of tubes in use? 1
Is the level of chlorine residual acceptable? ❑ ❑ ❑ ■
Is the contact chamber free of growth, or sludge buildup? ■ ❑ 0 ❑
Is there chlorine residual prior to de -chlorination? Q ❑ ❑ ■
Comment:
Page # 5

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Departme Environment and Natural Resources
February 27, 2007
Marlene Able
Midway Medical Center
P.O. Box 1409
Canton, NC 28716
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
Permit Number: NCO022454
Case Number: LV-2006-0238
Haywood County
Dear Ms. Able:
Alan W. Klimek P E Director _
•,_ � D�visioh-of 1N��}}"pp."��.,((��uali{{����
e . . - . ' 1+®�v 4 'Y`. �i.�D `?tK e.;3➢p?�un'YF . r.
F
FF �
2 8 2007 ►
aWATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
)
J
This letter is to acknowledge receipt of check number 44837 in the amount of $350.00 received
from you dated February 15, 2007. This payment satisfies in full the above civil assessment levied
against the subject facility, and this case has been closed. Payment of this penalty in no way T
precludes future action by this Division for additional violations of the applicable Statutes,
Regulations, or Permits.
If you have any questions, please call Bob Guerra at 919-733-5083 Ext. 539.
Sincerely,
1
Carolyn Bry t
cc: DWQ Asheville Regional -Off ce Superviso-
Central Files
I
W(carolm- a
Naaturally
1617 Mail Service Center` Raleigh, NC 27699-1617 [phone] Customer Service 1 800 623-7748

N
`MIDWAY MEDICAL CENTER''
'`.
pHsi emzSxs enx&
' -,'44831
.
'... P.O. eox loos
.-. &TRUST COMP&
.
.,. ..
. -C M, NORTH CAROONA M 6 .. ..
., C MITON� NG. W16 .;
02/15/07 . ..:
oaomn ,
NC DENR CASE # LV-2006-0238 .,
'.,"
& '! ,350.00
Three Hundred Fifty & 001100 Dollars
DMLAM
NC DENR CASE # LV•2006.0238
.
ATTN: ROBERT GOERRA ,-
t
-
1617 MAIL SVC CENTER
AvrNORm sioiwroRe
RALEIGH NC 27699.1617 '
MEMO,.. ,
... ..
Q
k

OF W A �
C� Q
Michael F. Easley, Governor
William G. Ross Jr., Secretary
t;
North Car.,....,. —epartment of Environment and Natural Resources
Alan W. Klimek, P.E. Director
O 'C
Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
L WwoZ-
April 17, 2007
'
CERTIFIED MAIL
___L_ E
RETURN RECEIPT REQUESTED 7006 2150 0005 2459 5496
Ms. Marlene L. Able
Midway Medical Center
P.O. Box 1409
Canton, North Carolina 28716
-
Subject: NOTICE OF VIOLATION
NOV-2007-LV-0203
Permit No. NCO022454
Midway Medical Center WWTP
Haywood County
Dear Ms. Able:
A review of Midway Medical Center -Canton's monitoring report for November 2006
showed the following violations:
Parameter
Date
Limit Value
Reported
Limit Type
Value
Nitrogen, Ammonia Total
11/30/06
12 mg/I
13.4 mg/I
Monthly
(as N)
Average
Exceeded
Remedial actions should be taken to correct this problem. It was also noted that the Facility Status
box on the back page was checked "Compliant" when in fact it should have been checked
"Noncompliant." The Division of Water Quality may pursue enforcement action for this and any
additional violations of State law.
If you should have any questions, please do not hesitate to contact Janet Cantwell at 828/296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water -Protection
WQ Central Files
Bob Guerra/Enforcement Files
James & James Environmental / ORC
��7090 U.S. Highway 70,
Swannanoa, N.C. 28778 828/296-4500 (Telephone) 828/299-7043(Fax) Customer Service 877-623-6748
One
NorthCarolina
Naturally

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department c "i,.,ronment and'Natural Resources
February 21, 2007
Marlene Abel
Midway Medical Center
P. O. Box 1409
Canton, NC 28716
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
Midway Medical Center -Canton
Permit Number: NCO022454
Case Number: LV-2006-0238
Haywood County
Dear Ms. Able:
Alan W. Klimek, P.E. Director
Division of Water Quality
I
F E B 2 6 2007
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
This letter is to acknowledge receipt of check number 44837 in the amount of $350.00 received
from you dated February 15, 2007. This payment satisfies in full the above civil assessment levied
against the subject facility, and this case has been closed. Payment of this penalty in no way
precludes future action by this Division for additional violations of the applicable Statutes,
Regulations, or Permits.
If you have any questions, please call Bob Guerra at 919-733-5083 Ext. 539.
Sincerely,
V
Carolyn Brya t
f .,r
cc: Q slhevi'1`le Reny nay Office Supevi� sow_
Central Files
1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
Customer Service 1 800 623-7748
Nne
or hCarolina
Natuml&

MIDWAY MEDICAL CENTER
P.O. BOX 1406
CANTON, NORTH CAPUUNA M716
PAY
TO THE
ORDER OF NC DENR CASE # LV-2006.0238
""'"'""' Three Hundred Fifty & 00/100 Dollars
NC DENR CASE # LV-2006.0238
ATTN: ROBERT GUERRA.
1617 MAIL SVC CENTER
RALEIGH, NC 27699-1617
MEMO
FIRST CITIZENS BANK
& TRUST COMPANY
CANTON, N C. 28716
66 3D/631
44837
02/15/07
$ "" *350.00
C rans
AUTHORIZED SIOIIATURE
E
M^

01/13/2J07 11:30 FAX [phone]
- 'Y
HARRYJAbIE S Il 0 0 2
January 13, 2007
i)ott Price
DENR
2090 US ,Highway 70
Swannanoa, NC 28778
JAM; S & JAMES'ENVIRONMENTAL MANAGEMENT, INC
PO BOX 1354, MOUNTAIN HOME, NC 28758
[phone] OPFIC:E
[phone] FAX
Re. Notice of Violation dated January 3, 2007
Permit Number: NCO022454
NOV-2007-LV-0003
i
Dear Mr. Price,
This letter is in reference to the Notice of Violation received by James & James Environmental on
January 9, 2007, "file violation was for Midway Medical Center in regard to the elevated Ammonia
Nitrogen level. The monthly average was exceeded.
James & James began a Soda Ash regiment, adding several pounds per day to combat the strong
ammonia nitrogen entering the facility once the first elevated result was received. The levels did drop, but
not quickly enough to bring the facility into compliance for September, The facility did regain compliance
in October.
If you have any additional questions, please contact me. Thank you for your attention in this
matter. With highest regards, 1 am
Very truly yours,
qI". 0,-Cm"
uanita James
ID E�A�1�E
JN6207IDI
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE

Mich l F. L., G Wor i
r. C 3'xJ
William G. Ro$sJr;, Secretary;°
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
January 3, 2007
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7005 1820 0002 9207 4311
Ms. Marlene L. Able
Midway Medical Center
PO Box 1409
Canton, NC 28716
Subject: NOTICE OF VIOLATION
NOV-2007-LV-0003
Permit number NCO022454
Midway Medical Center -Canton
Haywood County
Dear Ms. Able:
A review of Midway Medical Center's monitoring report for September 2006 showed the
following violations:
Parameter
Date
Limit.Value
Reported Value
' Limit Type
Total Ammonia Nitrogen
09/30/06
6 mg/I
7.08 mg/I
Monthly Average
Exceeded
Remedial actions should be taken to correct this problem. The Division of Water"Quality may
pursue enforcement action for this and any additional violations of State law.
P.
No thCarolina
2090 US Highway 70, Swannanoa, NC 28778 828/296-4500 (Telephone) 828/299-7043 (Fax) Customer Service 877-623-6748 Nahirally

Ms.' Marlene L. Able
Midway Medical Center
January 3, 2007
Page 2 of 2
To prevent further action, carefully review these violations and deficiencies and respond in writing
to this office within 10 working days of receipt of this letter. You should address the causes of non-
compliance and all actions taken to prevent the recurrence of similar situations. If you should have
any questions, please do not hesitate to contact Wanda Frazier at 828-296-4500 extension 4662.
The Asheville Regional Office currently has on staff a Wastewater Treatment Consultant to offer
technical assistance to Wastewater Treatment Plants and Collection Systems with operational
concerns. This service is free and non -regulatory to assist in the identification and correction of
operational problems. This service can be utilized for optimization of the operation of WWTP
and/or Collection Systems. Should you have questions about this service, please contact Don
Price at 828-296-4500 extension 4656.
Sincerely,
d
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Enclosure
cc: \Bob Guerra, NPDES Point Source Compliance Enforcement
:.ti,As"" _641:I6-RO.=, facilityfile -:--�
WQ Central Files
r

`C W'� TF
r�O RQ
Qa
r
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Q s,
k
Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
July 18, 2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7005 0390 00013553 1169
Ms. Marlene L. Able
Midway Medical Center
PO Box 1409
Canton, NC 28716
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES Permit NCO022454
Midway Medical Center -Canton
Case No. LV-2006-0238
Haywood County
Dear Ms. Able:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $350.00
($250.00 civil penalty + $100.00 enforcement costs) against Midway Medical Center.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by Midway Medical Center for the month of May 2006. This review
has shown the subject facility to be in violation of the discharge limitations and/or monitoring
requirements found in NPDES Permit NC0022454. The violations which occurred in May 2006 are
summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Midway Medical Center violated the terms,
conditions or requirements of NPDES Permit NCO022454 and G.S. 143-215.1(a)(6) in the manner and
extent shown in Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),
a civil penalty may be assessed against any person who violates the terms, conditions or requirements of a
permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided
by the Secretary of the Department of Environment and Natural Resources and the Director of the
Division of Water Quality, I, Roger C Edwards, Division of Water Quality Regional Supervisor for the
Asheville Region, hereby make the following civil penalty assessment against Midway Medical Center:
Nose Carolina
Naturally
(�, 2090 U.S. Highway 70, Swannanoa, NC 28778 Phone: [phone] FAX:[phone] Customer Service 1- 800 623-7748

ATTACHMENT A
Midway Medical Center
CASE NUMBER: LV-2006-0238
PERMIT: NCO022454
FACILITY: Midway Medical Center -Canton
COUNTY: Haywood
REGION: Asheville
Limit Violations
MONITORING 0UTFALL/
VIOLATION
UNIT OF
CALCULATED % OVER
PENALTY REPORT PPI
LOCATION PARAMETER DATE FREQUENCY
MEASURE LIMIT
VALUE LIMIT VIOLATION TYPE
$250.00 5-2006 001
Effluent NH3-N 05/31/06 2 X month
mg/I 6
15.7 161.67 Monthly Average Exceeded

I of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$250.00 NC0022454, by discharging waste water into the waters of the State in
violation of the Permit Monthly Average limit for Ammonia Nitrogen
(NH3-N).
250.00 TOTAL CIVIL PENALTY
100.00 Enforcement Costs
350.00 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the
Findings of Fact and Conclusions of Law and the factors set forth at G.S. 143B-282. 1 (b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The. prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further enforcement
action for any continuing or new violation(s). Please submit payment to the attention of:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 276994617
OR
2. Submit a written request for remission or mitigation including a detailed justification for
such request:
Please be aware that a request for remission is limited to consideration of the five factors listed below
as they may relate to the reasonableness, of the amount . of the civil penalty assessed. Requesting

remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy
of any of the factual statements contained in the civil penalty assessment document. Because a
remission request forecloses the option of an administrative hearing, such a request must be
accompanied by a waiver of your right to an administrative hearing and a stipulation and agreement
that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why
you believe the civil penalty should be remitted, and submit it to the Division of Water Quality at the
address listed below. In determining whether a remission request will be approved, the following
factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b) was
wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the
violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in
writing. The Director of the Division of the Division of Water Quality will review your evidence and
inform you of his decision in the matter of your remission request. The response will provide details
regarding the case status, directions for payment, and provision for further appeal of the penalty to the
Environmental Management Commission's Committee on Civil Penalty Remissions (Committee). Please
be advised that the Committee cannot consider information that was not part of the original remission
request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed, "Request for Remission of
Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within
thirty (30) days of receipt of this notice. The Division of Water Quality also requests that you complete
and submit the enclosed "Justification for Remission Request." Both forms should be submitted to the
following address:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
�G
3. File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an
administrative hearing. You may obtain the petition form from the Office of Administrative Hearings.
You must file the petition with the Office of Administrative Hearings within thirty (30) days of receipt of
this notice. A petition is considered filed when it is received in the Office of Administrative Hearings
during normal office hours. The Office of Administrative Hearings accepts filings Monday through
Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state holidays. The original and
one (1) copy of the petition must be filed with the Office of Administrative Hearings. The petition may

be faxed - provided the original and one copy of the document is received in the Office of Administrative
Hearings within five (5) business days following the faxed transmission. The mailing address for the
Office of Administrative Hearings is:
and
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, North Carolina 27699-6714
Telephone [phone] Facsimile: [phone]
Mail or hand -deliver a copy of the petition to .
General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within.thirty (30) days of receipt of this letter, as evidenced
by an internal date/time received stamp (not a postmark), will result in this matter being referred to the
Attorney General's Office for collection of the penalty through a civil action. Please be advised that
additional penalties may be assessed for violations that occur after the review period of this assessment.
If you have any questions, please contact me or Wanda Frazier of the AshevilleAsheville Regional Office
at 828-296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
ATTACHMENTS
ce.: Reg onaai Supervisor-w-attach ments
Wanda Frazier 0 w/attachmeriis
Bob Guerra — NPDES Point Source Compliance Enforcement - w/ attachments
Central Files w/ attachments

JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: LV-2006-0238 County: Haywood
Assessed Party: Midway Medical Center
Permit No.: NC0022454 Amount Assessed: $350.00
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts " form to
request remission of this civil penalty. You should attach any documents that you believe support your
request and are necessary for the Director to consider in evaluating your request for remission. Please be
aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the
proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c),
remission of a civil penalty may be granted only when one or more of the following five factors applies.
Please check each factor that you believe applies to your case and provide a detailed explanation,
including copies of supporting documents, as to why the factor applies (attach additional pages as
needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation
(i.e., explain the steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation was
unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil- penalty will prevent payment for the remaining necessary remedial
actions (i.e., explain how payment of the civil penalty will prevent you from performing the
activities necessary to achieve compliance).
EXPLANATION:

STATE OF NORTH CAROLINA
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
MIDWAY MEDICAL CENTER
PERMIT NO. NCO022454
DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
WAIVER OF RIGHT TO AN
ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
FILE NO. LV-2006-0238
Having been assessed civil penalties totaling $350.00 for violation(s) as set forth in the assessment
document of the Division of Water Quality dated July 18, 2006, the undersigned, desiring to seek
remission of the civil penalty, does hereby waive the right to an administrative hearing in the above -stated
matter and does stipulate that the facts are as alleged in the assessment document. The undersigned
further understands that all evidence presented in support of remission of this civil penalty must be
submitted to the director of the Division of Water Quality within thirty (30) days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after (30) days from
the receipt of the notice of assessment.
This the
day of
ADDRESS
TELEPHONE
SIGNATURE
20

DIVISION OF V ER QUALITY - CIVIL PENALTY X 3SMENT (FILE)
Violator: Midway Medical Center
County: Haywood
Case Number: LV-2006-0238
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c), in determining the amount of the penalty I considered the factors set out
in G.S. 143B-282.1(b), which are:
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private
property resulting from the violation;
The degree and extent of harm to the natural resources of the State, to the public health, or to private
property resulting from the violation is not quantifiable. All limits violations of the permit are
considered to impact water quality.
2) The duration and gravity of the violation;
The monthly average ammonia nitrogen limit is 6.0 mg/l. The highest daily maximum value
for the month occurred on May 16, 2006. This value was 21.6 mg/l, which caused the
monthly average limit of 6.0 mg/1 to be exceeded by 162%.
3) The effect on ground or surface water quantity or quality or on air quality;
The effect on ground or surface water quantity or on air quality was not measureable at the time of
the violation.
4) The cost of rectifying the damage;
The cost of rectifying the damage is the amount saved by not making chemical additions or
operational changes.
5) The amount of money saved by noncompliance;
The amount of money saved by noncompliance is not known.
6) Whether the violation was committed willfully or intentionally;.
The violation did not appear to be willfull or intentional.
7) The prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority; and
There have been no other enforcement cases or NOVs issued within the past year.
8) The cost to the State of the enforcement procedures.
The cost to the State of the enforcement procedures is $100.00.
ate Ro er . Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department _:.vironment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
July 12, 2006
Ms. Jan W. Grove
Medical Administrator
Midway Medical Center
PO Box 1409
Canton, North Carolina 28716
SUBJECT: Compliance Evaluation Inspection
Status: Compliant
Midway Medical Center WWTP
Permit No: NCO022454
Haywood County
Dear Ms. Grove:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on June 14, 2006. The facility appeared to be in compliance
with Permit # NC0022454.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please call me at 828-296-4500, Ext.
4667.
Sincerely,
Ynetantwell
Environmental Technician
Enclosure
cc:-WQ Ashev_ (Is Files,;mow/ afitacfi_rnenyt
�WQ ntral Files, w/ attachment
James and James Environmental, w/ attachment
NorthCarolina
�rriirra!!�
2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
Form Approved.
E P /� Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 1 N1 2 151 31 NC0022454 1 11 121 06/06/14 117 181CI 191.1 20I I
LJ
Remarks
211111 11111111111111111111 111111111111 111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---- ------- ------ —----- Reserved --- --------------- --
671 169 701 1 71 11 72 i N i 73I I 174 751 I I I I I I 180
u W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Midway Medical Center -Canton
10:45 AM 06/06/14
05/05/01
Exit Time/Date
Permit Expiration Date
Hwy 19 23
Canton NC 28716
11:45 AM 06/06/14
06/11/30
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Harry Dewain James/ORC/828-697-0063/
Name, Address of Responsible Official/Title/Phone and Fax Number
Marlene L Able,PO Box 1409 Canton NC 28716//828-627-2211/8286272216 YeSted
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Flow Measurement ■ Operations & Maintenance N Records/Reports
Self -Monitoring Program ■ Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Janet • Cantwell �- ARO WQ//828-296-4500 Ext.4667/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Forn°13560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NC0022454 I11 12I 06/06/14 I1' 18ICI
Section D: Summary'of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Harry James/ORC and Timothy James assisted in the inspection of this facility.
Renewal application has been submitted for this facility.
The facility is well -operated and maintained.
Records and reports were on site and complete.
Effluent was clear.
Access to the effluent discharge pipe should be maintained.
Page # 2

Permit: NCO022454
inspection Date: 06/14/2006
Permit
Owner- Facility: Midway Medical Center -Canton
Inspection Type: Compliance Evaluation
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Renewal application has been submitted for this facility. Permit will expire November
30, 2006.
Yes No NA NE
■❑❑❑
❑■❑❑
■ ❑ ❑ ❑
■❑❑❑
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
❑
❑
❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■
❑
❑
❑
Judge, and other that are applicable?
Comment:
The facility is well -operated and maintained.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
❑
❑
❑
Is all required information readily available, complete and current?
■
0011
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
0011
Are analytical results consistent with data reported on DMRs?
❑
❑
❑
■
Is the chain -of -custody complete?
❑
❑
❑
■
Dates, times and location of sampling
❑
Name of individual performing the sampling
Cl
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
■
❑
❑ ❑
Has the facility submitted its annual compliance report to users and DWQ?
■
❑
❑ ❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 2417 with a certified operator on each shift?
❑
❑
■ ❑
Is the ORC visitation log available and current?
■
❑
❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification?
■
❑
Cl ❑
Page # 3

Permit: NCO022454 Owner - Facility: Midway Medical Center -Canton
Inspection Date: 06/14/2006 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Is a copy of the current NPDES permit available on site?
■
n
n
❑
Facility has copy of previous year's Annual Report on file for review?
■
n
n
n
Comment:
Records and reports were on site and complete.
Aeration Basins
Yes
No
NA
NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■
❑
❑
❑
Are surface aerators and mixers operational?
n
F1
Are the diffusers operational?
■
n
n
n
Is the foam the proper color for the treatment process?
■
Does the foam cover less than 25% of the basin's surface?
■
n
n
n
Is the DO level acceptable?
n
n
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
n
n
n
■
Comment:
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
■
n
n
n
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
■
n
Are weirs level?
■
n
n
n
Is the site free of weir blockage?
■
n
n
O
Is the site free of evidence of short-circuiting?
■
n
n
n
Is scum removal adequate?
■
❑
n
n
Is the site free of excessive floating sludge?
■
n
n
n
Is the drive unit operational?
fl
❑
■
Is the return rate acceptable (low turbulence)?
■
n
n
n
Is the overflow clear of excessive solids/pin floc?
■
❑
n
n
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
■
n
n
n
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Page # 4

Permit: NC0022454
Inspection Date: 06/14/2006
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Owner- Facility: Midway Medical Center -Canton
Inspection Type: Compliance -Evaluation
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment:
Effluent was clear.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment:
Access to the effluent discharge pipe should be maintained.
Yes No NA NE
■❑❑❑
■❑❑❑
1
❑❑❑■
■ ❑ ❑ ❑
❑❑❑■
Yes No NA NE
❑ ■ ❑ ❑
Page # 5

Michael F. Easley, Governor
"`�nrawz•vsy William G. Ross Jr., Secretary
rt Carolina Department of Environment and Natural Resources
r Coleen H. Sullins, Director
- "" "T �,•... _ Division of Water Quality
SURFACE WATER PROTECTION SECTION
September 6, 2007
Marlene Able
Midway Medical Center
PO Box 1409
Canton, NC 28716
SUBJECT: Wastewater Collection System
Owner & Operator Requirements
Midway Medical Center -Canton
NCO022454
Haywood County
Dear Ms. Able:
I would like to take this opportunity to discuss the requirements for sewerage collection
systems that were first established in 1.5 NCAC .02H .0200 in March 2000 and are now found in
15 NCAC 2T .0403, Waste Not Discharged to Surface Waters, which became effective
September 1, 2006. These Regulations place significant operation, maintenance and reporting
requirements on those entities that own or operate a wastewater collection system with average
daily flows of less than 200,000 gallons per day.
These regulations are applicable to your facility. This letter is provided as guidance
to assist you in complying with the new reporting and operations and maintenance (O&M)
requirements and to advise you that you are subject to system review, inspections and possible
enforcement, if the system is not in compliance with the regulation..
For your convenience and easy reference, a highlight of these requirements and the
following guidance are offered (see enclosed). You may find the regulations using the following
web site: httwl/h2o.enr.state.nc.us/peres/Collection%20Systems/CoIlectionSystemsHome.htmI
The Asheville Regional Office will be increasing the level of oversight, compliance
activities and enforcement relating to collections systems, therefore, we wanted to be sure you
are aware of ,the requirements for these systems. We will be performing NPDES Wastewater
Collection System inspections sometime in the near future.
NooIr hCarolina
Nirturally
North Carolina Division of Water Quality 2090 US Hwy 70; Swannanoa, NC 28778 Phone [phone]
Internet: www..ncwaterquality.org Customer Service 1-877-623-6748 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

September 6, 2007
Page 2 of 2
If this Office has not previously inspected your wastewater collection system and records
of same, you should be prepared to demonstrate compliance with all criteria listed above.
Enclosed is an inspection form that you can use to assemble your records prior to an inspection
by the staff of this Office.
This Office has a Wastewater Treatment Plant Consultant on staff to offer assistance to
you in complying with the requirements of these regulations. Should you have questions or
n-a d-additional-information-regarding-.this is�sue,—please contact -Dan -Price at-(828)-296=4500. ----
Should you have any other questions concerning this correspondence or the
requirements relating to collection systems, please contact Roy Davis or Keith Haynes at 828-
296-4500.
Sincerely,
-)9V (f - ZE-Zv"
Roger C. Edwards, Supervisor
Surface Water Protection Section
cc: Deborah Gore - PERCS Unit - w/out enclosures
%t�gh-evjll enclosur_es�_..
DWQ - SWPS - Central Office Files - w/out enclosures--

�TTr
Permit Number WQCSD0440
Central Files: APS SWP
09/01 /09
Permit Tracking Slip
Program Category
Status
Project Type
Non -discharge
Active
New Project
Permit Type
Version
Permit Classification
Deemed permitted collection system management and operation
1.00
Individual
Primary Reviewer
Permit Contact
Affiliation
wanda.frazier
Coastal SW Rule
Permitted Flow
Facili
Facility Name Major/Minor Region
Midway Medical Center -Canton Minor Asheville
Location Address County
Hwy 19 23 Haywood
Canton NC 28716 Facility Contact Affiliation
Owner Name
Owner Type
Midway Medical Center
Non -Government
Owner Affiliation
Marlene L. Able
PO Box.1409
Canton NC 28716
Dates/Events
Scheduled
Orig Issue. App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
12/19/08 12/19/08
12/19/08 12/19/08
Regulated Activities
Hospital
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin

\ ��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvada, III
Governor Director Secretary
March 19, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 00021965 9615
Ms. Jan W. Grove
Midway Medical Center P.A.
P.O. Box 1409
Canton, North Carolina 28716-1409
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES Permit NCO022454
Midway Medical Center P.A.
Midway Medical Center WWTP
Case No. LV-2014-0024
Haywood County
Dear Ms. Grove:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $597.50
($450.00 civil penalty + $147.50 enforcement costs) against Midway Medical Center P.A.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by Midway Medical Center P.A. for the month of November
2013. This review has shown the subject facility to be in violation of the discharge limitations
and/or monitoring requirements found in NPDES Permit NC0022454. The violations which
occurred in November 2013 are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Midway Medical Center P.A.
violated the terms, conditions or requirements of NPDES Permit NCO022454 and G.S. 143-
215. 1 (a)(6) in the manner and extent shown in Attachment A. In accordance with the maximums
established by G.S. 143-215.6A(a)(2), a civil penalty may be assessed against any person, who
violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority
provided by the Secretary of the Department of Environment and Natural Resources and the
Director of the Division of Water Resources, I, G. Landon Davidson, Division of Water Resources
Regional Supervisor for the Asheville Region, hereby make the following civil penalty assessment
against Midway Medical Center P.A.:
Water Quality Regional Operations —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal.ncdenr.org/weblwq
S An Equal Opportunity/ Affirmative Action Employer

2 of the 2 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$200.00 NC0022454, by discharging waste water into the waters of the State
in violation of the Permit Daily Maximum limit for TSS - Conc.
1 of the 1 violations of G.S. 143-215.l(a)(6) and NPDES.Permit No.
$250.00 NC0022454, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for TSS - Conc.
$450.00 TOTAL CIVIL PENALTY
$147.50 Enforcement 'Costs
$597.50 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into
account the Findings of Fact and Conclusions of Law and the factors set forth at G.S. 143B-
282. 1 (b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or
to private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over
which the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further
enforcement action for any continuing or new violation(s). Please submit payment to the
attention of:
Point Source Compliance/ Enf6rcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
2. Submit a written request for remission ormitigation including a detailed justification
for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed
below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s)
occurred or the accuracy of any of the factual statements contained in the civil penalty
assessment document. Because a remission request forecloses the option of an administrative

hearing, such a request must ,,;�'accompamed by a waiver of your rigs an. administrative
hearing and a stipulation and agreement that no factual or legal issues are in dispute. Please
prepare a detailed statement that establishes why you believe the civil penalty should be
remitted, and submit it to the Division of Water Resources at the address listed below. In
determining whether a remission request will be approved, the following factors shall be
considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282. 1 (b)
was wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from
the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty, will prevent payment for the remaining necessary
remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted
in writing. The Director of the Division of Water Resources will review your evidence and inform
you of his decision in the matter of your remission request. The response will provide details
regarding the case status, directions for payment, and provision for further appeal of the penalty to
the Environmental Management Commission's Committee on Civil Penalty Remissions
(Committee). Please be advised that the Committee cannot consider information that was not part
of the original remission request considered by the Director. Therefore, it is very important that
you prepare a complete and thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission
of Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form
within thirty (30) days of receipt of this notice. The Division of Water Resources also requests that
you complete and submit the enclosed "Justification for. Remission Request." Both forms should
be submitted to the following address:
Point Source Compliance/ Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
..g
3. File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition
for an administrative hearing. You may obtain the petition form from the Office of Administrative
Hearings. You must file the petition with the Office of Administrative Hearings within thirty (30)
days of receipt of this notice. A petition is considered filed when it is received in the Office of
Administrative Hearings during normal office hours. The Office of Administrative Hearings
accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for
official state holidays. The original and one (1) copy of the petition must be filed with the Office
of Administrative Hearings. The petition may be faxed - provided the original and one copy of the
document is received in the Office of Administrative Hearings within five (5) business days

following the faxed transnuzoion. The mailing address for the Office of Administrative Hearings
is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, North Carolina 27699-6714
Telephone [phone] Facsimile: [phone]
and
Mail or hand -deliver a copy of the petition to
General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as
evidenced by an internal date/time received stamp (not a postmark), will result in this matter being
referred to the Attorney General's Office for collection of the penalty through a civil action. Please
be advised that additional penalties may be assessed for violations that occur after the review
period of this assessment.
If you have any questions, please contact Janet Cantwell of the Water Quality staff of the
Asheville Regional Office at 828-296-4500. .
Sincerel
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
F."tN IITO ITI"ZIR
c VQTRegtoza Sfuperv`sorw,/attach_-rnents
NPDES Point Source w/ attachments
WQ Central Files w/ attachments
James & James Environmental/ ORC w/ attachments
G:\WR\bVQ\Haytivood\Wastewater`dVlinor',A9idway Medical Center 224541LV-2014-0024.doc
(Prior NOV-2014-LV-0054)

JUST [CATION FOR REMISSION REOI fT
DWQ Case Number: LV-2014-0024 County: Haywood
Assessed Party: Midway Medical Center P.A.
Permit No.: NCO022454 Amount Assessed: $597.50
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts"
form to request remission of this civil penalty. You should attach any documents that you believe
support your request and are necessary for the Director to consider in evaluating your request for
remission. Please be aware that a request for remission is limited to consideration of the five factors
listed below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s) occurred or
the accuracy of any of the factual statements contained in the civil penalty assessment document.
Pursuant to N.C.G.S. § 143B-282.1(c), remission of a civil penalty may be granted only when one or
more of the following five factors applies. Please check each factor that you believe applies to your
case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282. 1 (b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the.
violation (i.e., explain the steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i. e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i.e., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION:

STATE OF NORTH CAROLYAtx DEPARTM_., T OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
MIDWAY MEDICAL CENTER P.A.
MIDWAY MEDICAL CENTER WWTP ) STIPULATION OF FACTS
PERMIT NO. NCO022454 ) FILE NO. LV-2014-0024
Having been assessed civil penalties totaling $597.50 for violation(s) as set forth in the
assessment document of the Division of Water Resources dated March 19, 2014, the undersigned,
desiring to seek remission of the civil penalty, does hereby waive the right to an administrative hearing
in the above -stated matter and does stipulate that the facts are as alleged in the assessment document.
The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to'the Director of the Division of Water Resources within thirty (30) days
of receipt of the notice of assessment. No new evidencein support of a remission request will be
allowed after (30) days from the receipt of the notice of assessment.
This the
day of
ADDRESS
TELEPHONE
SIGNATURE
20

ATTACHMENT A
Midway Medical Center P A
CASE NUMBER: LV-2014-0024
PERMIT: NCO022454
FACILITY: Midway Medical Center WWTP
COUNTY:
Haywood
REGION: Asheville
Limit Violations
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
% OVER
PENALTY REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE LIMIT
VALUE
LIMIT
VIOLATION TYPE
$100.00 11-2013
001
Effluent
TSS - Conc
11/22/13
Weekly
mg/I
45
103
.128.89
Daily Maximum Exceeded
$100.00 11-2013
001
Effluent
TSS - Conc
11/26/13
Weekly
mg/I
45
185
311.11
Daily Maximum Exceeded
$250.00 11-2013
001
Effluent
TSS - Conc
11/30/13
Weekly
mg/I
30
77.05
156.83
Monthly Average Exceeded

Permit Enforcement History Details by Owner
Owner: Midway Medical Center P A
Facility: Midway Medical. Center WWTP
Permit: NCO022454
Region: Asheville County: Haywood
03/14/14
1
Penalty Remission Enf EMC EMC OAH Collection Has
Assessment Penalty Enforcemen Request Enf Conf Remission Hearing Remission Remission Memo Sent Balance I'm Case
Case Number MR Approved Amount t Costs Damages Received Held Amount Held Amount Amount to AGO Total Paid Due Plan Closed
LV-2000-0207
06/01/00
$1,000
$49.28
06/23/00 08/02/00
$.00 10/12/00 $.00
$1.049.28
$.00
No
12/20/00
LV-2002-0215
06/04/02
$250
$49.28
$299.28
$.00
No
07/16/02 i
LV-2003-0384
2-2003
05/19/03
$250
$100.00
$350.00
$.00
No
08/22/03 ,
LV-2006-0238
5-2006
07/18/06
$250
$100.00
$350.00
$.00
No
02/21/07
LV-2009-0126
1-2009
04/20/09
$250
$70.00
$320.00
$.00
No
05/08/09
LV-2010-0208
3-2010
07/06/10
$200
$67.00
07/13/10 03/25/11
$.00
$267.00
$.00
No
05/27/11
LV-2014-0024
11-2013
03/14/14
$450
$147.50
$597.50
No
Total Cases: 7
Total Penalty Amount:
$2,650
Total Enforcement Cost: $583.06
Sum of Total Case Penalties: $3,233.06
Sum of Total Paid: $2,635.56 Total Balance Due:
Total Penalties after remission(s):
$597.50
$3,233.06

DIVISION OF WATER "SOURCES - CIVIL PENALTY ASS�,06"MENT (FILE)
Violator: Midway Medical Center P.A. / NCO022454
(November2013 nMR) (Prior NOV-2014-LV-0054)
County: Haywood
Case Number: LV-2014-0024
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c), in determining the amount of the penalty I considered the factors
set out in G.S. 143B-282.1(b), which are:
1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
All effluent violations may be detrimental to the receiving stream but may not be
immediately quantified.
2) The duration and gravity of the violation;
Two Daily Max TSS's exceeded the permit limit by 128.88 % & 311.11 %
One Monthly Average TSS exceeded the permit limit by 156.83 %.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may not be
immediately quantified.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved would include the cost of excess solids removal and
more time spent on site operating the facility.
6) Whether the violation was committed willfully or intentionally;
It does not appear to be either.
7) The prior record of the violator in complying or failing to comply with programs over which
the Environmental Management Commission has regulatory authority; and
There have been no civil penalty assessments in the twelve months prior to this
violation.
8) The cost to the State of the enforcement procedures.
$147.50.
Date G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
03/14/2014

NPDES PERMIT NO. NCO022454 _ DISCHARGE NO. 001 MONTH NOVEMBER YEAR 2013
FACILITY NAME MIDWAY MEDICAL CLASS II COUNTY HAYWOOD
CERTIFIED LABORATORY (1) JAMES & JAMES ENVIRONMENTAL MGT., INC. CERTIFICATION NO. 482
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) KENNETH JASON RUMMEL GRADE II CERTIFICATION NO. 994182
PERSON(S) COLLECTING SAMPLES KENNETH JASON RUMMEL ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED
NO FLOW / DISCHARGE FROM SITE *
Mail ORIGINAL and ONE COPY to: L
ATTN: CENTRAL FILES ����� x �' 12/18/2013
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
• . •
eee
____�_�________�
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�©
e e •
®�_�_®�___-���
e' a
��__-______�_���
�• '
• . •
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-______S__-�_---
_---_�-
• I
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1
�DWMR-l(11104) (Vt+

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) EO
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the
environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A
written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part H.E.6
of the NPDES permit. "
"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 managed 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."
MIDWAY MEDICAL, INC
Permittee (Please print or type)
12/18/2013
Signature o e ittee*** " Date
(Required driress submitted electronically)
PO BOX 1409, CANTON, NC 28116 828-697-0063 1/31/2016
Permittee Address Phone Number e-mail address Pemdt Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/appfonns.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).

JAMES & JAMES ENVIRONMENTAL MANAGEMENT, INC
PO BOX 519, MOUNTAIN HOME, NC 28758
. [phone] OFFICE
[phone] FAX
February 19, 2014
Surface Water Protection Section
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
RE: Midway Medical Center, P.A.
NPDES: NCO022454
NOV-2014-LV-0054
Dear Mr. Davidson,
This letter is in reference to the NOV for Midway Medical Center for the month of November,
2013. This violation was with regard to Total Suspended Solids.
This facility typically operates without concern_ This system has a great history of compliance
and the owners of the facility are very conscientious as to the type of waste that is sent to the influent.
This particular issue arose due to the machine shop located in the old bowling alley. This building also
discharges to the waste water facility and just prior to this episode had closed. Our operator noted that this
building was being deep cleaned the week just prior to the problems. He noted in his log book that the pH,
which typically runs near 7.0 without effort, had bottomed out in the aeration basin to 5.3 within a 24 hour
period early in the week. By Friday, the 22" d, the plant had went south. He was confident that whatever
cleaners that had lowered the pli so drastically had also killed the healthy bacteria. He began adding soda
ash to increase the pH and made adjustments to the time clock to allow the bacteria to have more of a
respite. The following week, on Tuesday the 26"i, the system was still very angry. That was the week of
Thanksgiving and the medical center was closed.
By the following week, the facility had regained compliance. The following Wednesday,
December 4"i, the Total Suspended Solids was within compliance at 20 mg/I and was compliant during the
month of December and following.
We request that you consider the history of the facility and the events that led to this interruption
of compliance. Thank you for your consideration.
Thank you,
Harry & Yuanita James

Permit Enforcement History Details by Owner
03/14/14
1
Owner: Midway Medical Center P A
Facility: Midway Medical Center WWTP
Permit: NCO022454
Region: Asheville
County: Haywood
Penalty
Remission
Enf EMC EMC OAH
Collection
Has
Assessment Penalty
Enforcemen
Request Enf Conf
Remission Hearing Remission Remission
Memo Sent Balance
Pmt
Case
Case Number MR Approved Amount
t Costs Damages
Received Held
Amount Held Amount Amount
to AGO Total Paid Due
Plan
Closed
LV-2000-0207 06/01/00 $1,000
$49.28
06/23/00 08/02/00
$.00 10/12/00 $.00
$1,049.28
$.00
No
12/20/00
LV-2002-0215 06/94/02
$250
$49.28
$299.28
$.00
No
07/16/02
LV-2003-0384 2-2003 05/19/03
$250
$100.00
$350.00
$.00
No
08/22/03
LV-2006-0238 5-2006 07/18/06
$250
$100.00
$350.00
$.00
No
02/21/07
LV-2009-0126 1-2009 04/20/09
$250
$70.00
$320.00
$.00
No
05/08/09
LV-2010-0208 3-2010 07/06/10 $200 $67.00 07/13/10 03/25/11 $.00 $267.00 $.00 No 05/27/11
LV-2014-0024 11-2013 03/14/14 $450 $147.50 $597.50 No
Total Cases: 7 Total Penalty Amount: $2,650 Total Enforcement Cost: $583.06 Sum of Total Paid: $2,635.56 Total Balance Due: $597.50
Sum of Total Case Penalties: $3,233.06 Total Penalties after remission(s): $3,233.06

Az;'-W�Ywi
A&IVA;
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
November 10, 2014
Ms. Jan W. Grove
Midway Medical Center, P.A.
PO Box 1409
Canton, NC 28716-1409
Subject: Payment Acknowledgement
Midway Medical Center WWTP
Permit Number: NCO022454
Case Numbe 2R4�i104
Haywood Coun
Dear Ms. Grove:
John E. Skvarla, III
Secretary
This letter is to acknowledge receipt of payment in the amount of $597.50 received from you dated
October 31, 2014. This payment satisfies in full the above civil assessment (s) levied against the subject
facility, and this case has been closed. Payment of this penalty in no way precludes future action by this
Division for additional violations of the applicable Statues, Regulations, or Permits.
If you have any questions, please contact Wren Thedford at 919-807-6304.
Sincerely,
Kristi Lynn Carpenter
Wastewater Branch
cc: Central Files
NPDES
IM"16-rev lleMR g �"on�ffice
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] Fax: [phone]ICustomer Service: 1-877-623-6748
Internet:: www.ncwater.orq
RRECED
J&isioo of VYatar
NOV 1 3 2014
Water auauty Aegtonal Operator's
e�hpvill4� Rational pt;ice
An Equal OpportunityWfirmative Action Employer

Pat McCrory
Governor
FWA
NC®ENit
North Carolina Department of Environment and Natural Resources
October 24, 2014
CERTIFIED MAIL 7013 2630 0001 8998 0881
RETURN RECEIPT REQUESTED
Ms. Jan W. Grove
Midway Medical Center, P.A.
P. O. Box 1409
Canton, NC 28716-1409
Subject: Remission Request of Civil Penalty Assessment
NPDES Permit Number NCO022454
Midway Medical Center WWTP
Haywood Count
Case Number N 011�4�O�;b2
i
Dear Ms. Grove:
John E. Skvarla, III
Secretary
In accordance with North Carolina General Statute 143-215.6A(f),and delegation from the Director of
the North Carolina Division of Water Resources, John E. Hennessy, supervisor of the Water Quality
Permitting Section's Compliance and Expedited Permitting Unit, considered the information you
submitted in support of your request for remission and did not find grounds to modify the civil penalty
assessment of $597.50. A copy of the remission decision is attached.
Two options are available to you at this stage of the remission process
You may pay the penalty.
If you decide to pay the penalty please make your check payable to the Department of Environment and
Natural Resources (DENR). Send the payment within thirty (30) calendar days of your receipt of this
letter to the attention of
Bob Sledge
NC DENR-DWR — Wastewater Branch
Compliance & Expedited Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Vntemet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Acton Employer — Made in part by recycled paper

Ms. Jan W. Grove
LV-2014-0024 Remission Decision
p. 2
You may decide to have the Environmental Management Commission's (EMC) Committee on
Civil Penalty Remissions make the final decision on your remission request.
If payment is not received within 30 calendar days from your receipt of this letter, your request for
remission with supporting documents and the recommendation of the North Carolina Division of Water
Resources will be delivered to the Committee on Civil Penalty Remissions for final agency decision.
If you or your representative would like to speak before the Committee, you must complete and return
the attached Request for Oral Presentation Form within thirty (30) calendar days of receipt of this letter.
Send the completed form to:
Bob Sledge
NC DENR-DWR — Wastewater Branch
Compliance & Expedited Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
The EMC Chairman will review the supporting documents and your request for an oral presentation (if
you make the request). If the Chairman determines that there is a compelling reason to require a
presentation, you will be notified of when and where you should appear. If a presentation is not
required, the final decision will be based upon the written record.
Please be advised that the EMC's Committee on Civil Penalty Remissions will make its remission
decision based on the original assessment amount. Therefore, the EMC may choose to uphold the
original penalty amount and offer no remission, they may agree with the Division of Water
Resources' remission recommendation detailed above, or the penalty amount may be further
remitted.
Thank you for your cooperation in this matter. If you have any questions, please contact me at (919)
807-6398, or via e-mail at [e-mail].
Sincerely,
, 6— ez,fir
Bob Sledge, Environmental Specialist
Compliance & Expedited Permitting Unit
Attachments
cc: sh�v llle-Regional-Office-- DWR/Water--Quality
Enforcement File
DWR Central Files

DIVISION OF WATER RESOURCES
CIVIL PENALTY REMISSION FACTORS
Case Number: LV-2014-0024 Region: Asheville County: Haywood
Assessed Entity: Midway Medical Center WWTP Permit: NCO022454
❑ (a) Whether one or more of the civil penalty assessment factors were wrongly applied to the
detriment -of the petitioner:
❑ (b) Whether the violator promptly abated continuing environmental damage resulting from the
violation:
The noncompliant episode at this WWTP appears to have gone on for at least two weeks. During this time, no
contact was made by the operator to the regional office regarding this situation, as is required by the NPDES
permit. Operator time on site, as recorded on the DMR, does not reflect great effort being taken to address the
situation, but more so an attempt to ride it out.
® (c) Whether the violation was inadvertent or a result of an accident:
The facility's agent states the WWTP received a significant discharge of cleaning products from a neighboring
business. The WWTP's biomass was negatively impacted and took time to recover and regain compliant
performance. The WWTP no longer receives wastewater from the offending business.
While it is apparent the permittee had good motives, and no anticipation of receiving such wastewater, allowing
connection of an outside and uncontrolled source invites this form of compliance jeopardy.
❑ (d) Whether the violator had been assessed civil penalties for any previous violations:
The facility was assessed civilpenalties on two separate occasions during the five years prior to this civil
assessment.
❑ (e) Whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions:
DECISION (Check One)
Request Denied 0
Full Remission ❑
Partial Remission
❑ $ (Ente
Retain Enforcement Costs? Yes ❑ No ❑
-1 1 1) - 4 21 AQ

STATE OF NORTH CAROLINA
ENVIRONMENTAL M,4 3EMENT
COMMISSION
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST:
Midway Medical Center, P.A.
DWR Case Number LV-2014-0024
REQUEST FOR ORAL PRESENTATION
I hereby request to make an oral presentation before the Environmental Management Commission's Committee On Civil Penalty
Remissions in the matter of the case noted above. In making this request, I assert that I understand all of the following statements:
• This request will be reviewed by the Chairman of the,Environmental Management Commission and may be either granted or
denied.
• Making a presentation will require the presence of myself and/or my representative during a Committee meeting held in Raleigh,
North Carolina.
My presentation will be limited to discussion of issues and information submitted in my original remission request, and because
no factual issues are in dispute, my presentation will be limited to five (5) minutes in length.
The North Carolina State Bar's Authorized Practice of Law Committee has ruled that the appearance in a representative capacity at
quasi-judicial hearings or proceedings is limited to lawyers who are active members of the bar. Proceedings before the Committee on
Remissions are quasi-judicial. You should consider how you intend to present your case to the Committee in light of the State Bar's
opinion and whether anyone will be speaking in a representative capacity for you or a business or governmental entity. If you or your
representative would like to speak before the Committee, you must complete and return this form within thirty (30) days of receipt of
this letter.
Depending on your status as an individual, corporation, partnership or municipality, the State Bar's Opinion affects how you may
proceed with your oral presentation. See www.nebar.com/ethics, Authorized Practice Advisory Opinion 2006-1 and 2007 Formal
Ethics Opinion 3.
• If you are an individual or business owner and are granted an opportunity to make an oral presentation before the Committee,
then you do not need legal representation before the Committee; however, if you intend on having another individual speak
on your behalf regarding the factual situations, such as an expert, engineer or consultant, then you must also be present at the
meeting in order to avoid violating the State Bar's Opinion on the unauthorized practice of law.
• If you are a corporation, partnership or municipality and are granted an opportunity to make an oral presentation before the
Committee, then your representative must consider the recent State Bar's Opinion and could be considered practicing law
without a license if he or she is not a licensed attorney. Presentation of facts by non -lawyers is permissible.
If you choose to request an oral presentation, please make sure that signatures on the previously submitted Remission Request form
and this Oral Presentation Request form are: 1) for individuals and business owners, your own signature and 2) for corporations,
partnerships and municipalities, signed by individuals who would not violate the State Bar's Opinion on the unauthorized practice of
law.
Also, be advised that the Committee on Civil Penalty Remissions may choose not to proceed with hearing your case if the Committee
is informed that a potential violation of the statute concerning the authorized practice of law -has occurred.
This the day of . 20
SIGNATURE
TITLE (President, Owner, etc.)
ADDRESS
TELEPHONE

Cantwell, Janet
From:. Sledge, Bob
Sent: Monday, October 06, 201411:28 AM
To: Cantwell, Janet
,Subject: Remission Request Midway Medical Center
Hi Janet,
Here's a little free flow thought regarding our case LV-2014-0024 against Midway Medical Center. We'll have to discuss
it tomorrow during the remissions conference call.
LV-2014-0024
November 2013 violations
$450.00 civil penalty + $147.50 enforcement costs = $597.50 total penalty
2 TSS daily max violations @ $100.00 apiece
1 TSS monthly average violation @ $250.00
James & James wrote up the remission request on behalf of the facility. They say the facility has a good compliance
history and rarely experiences any type of.problems or violations. The owners are said to be conscientious regarding
waste flowing to the WWTP. J&J states the problems occurred due to a discharge to the WWTP from a machine shop in
an old bowling alley. The building had undergone deep cleaning and its discharge led to an upset at the WWTP. pH fell
within the treatment units and healthy bacteria were killed. The pH was adjusted with the addition of soda ash and
aeration time was adjusted to take stress of the bacteria. After about a two week period, the WWTP recovered. The
owners of the medical center have since discovered the -bowling alley does not have legal access to the WWTP, so it will
be cut off from its service. The owners have reassessed its own inventory of cleaning products and policies for their
use. No x-rays are taken at the facility, so that type of waste is not being present at the WWTP.
It does appear the owners of the facility are indeed conscientious about the flow coming to the WWTP and the plant
does have a good compliance history. Their concern for the WWTP's health and the steps they've taken to ensure it are
to be applauded. However, as usual, the biggest worry in this matter has to do with the response of the contract
operator. The facility requires daily visitation. Typically, Mr. Rummel provides a maximum of 15 minutes visiting this
WWTP. However, on Monday, November 18, he spent 25 minutes there. On Tuesday the 19th, he spent 37 minutes
there. These dates correspond with the dates the remission request notes the ORC witnessed pH values dropping within
the system. It says that by the 22"d, "the plant had went south." My suspicion is that the plant looked bad earlier than
that, based upon the ORC changing his usual sampling schedule from Tuesday to Friday. The Friday sample had to be
taken before the weekend came. He reverted to his usual sampling convention the next week because the Thanksgiving
holiday was approaching. Both samples yielded very high TSS results. One can only assume they were high on the other
days too, but ORC visitation time does not reflect great concern. Furthermore, the DMR submitted for the month was
checked as being compliant even though it included daily max and monthly average violations.
Did the ORC contact the regional office about an upset at the WWTP? One would, hope he would if he was experiencing
such conditions.
Apart from any mitigating information ARO could add, I'm not inclined to recommend any remission. If the regional
office was kept advised of conditions as they were worked through, I could be persuaded otherwise based upon
performance history.

Cantwell, Janet _____ � ���✓�� , l
From:. Sledge, Bob
Sent: Monday, October 06, 201411:28 AM �Gt'.�-o• �(i1. �7 CX/��
To: Cantwell, Janet
Subject: Remission Request - Midway Medical Center
Hi Janet,
Here's a little free flow thought regarding our case LV-2014-0024 against MidwE,
it tomorrow during the remissions conference call.`-
LV-2014-0024
November 2013 violations
$450.00 civil penalty+ $147.50 enforcement costs = $597.50 total penalty j —
2 TSS daily max violations @ $100.00 apiece
1 TSS monthly average violation @ $250.00 I
James & James wrote up the remission request on behalf of the facility. They say thE_—____ _
history and rarely experiences any type of problems or violations. The owners are said to be conscie—ntious-,
waste flowing to the WWTP. J&J states the problems occurred due to a discharge to the WWTP from a machine shop in
an old bowling alley. The building had undergone deep cleaning and its discharge led to an upset at the WWTP. pH fell
within the treatment units and healthy bacteria were killed. The pH was adjusted with the addition of soda ash and
aeration time was adjusted to take stress of the bacteria. After about a two week period, the WWTP recovered. The
owners of the medical center have since discovered the. bowling alley does not have legal access to the WWTP, so it will
be cut off from its service. The owners have reassessed its own inventory of cleaning products and policies for their
use,. No x-rays are taken at the facility, so that type of waste is not being present at the WWTP.
It does appear the owners of the facility are indeed conscientious about the flow coming to the WWTP and the plant
does have a good compliance history. Their concern for the WWTP's health and the steps they've taken to ensure it are
to be applauded. However, as usual, tT I5.i.iggest-worry-in-this-ma ter has to wi .h!the-respo'nse,of�theTcorJtra(f
to- er-a-12r. The facility requires daily visitation. �TypicaIIV M'r: Rummel provid"es-6-mr axirrmiurn of_=15 minutes visiting this
WWTP. However, on Monday, November 18, he spent 25 minutes there. On Tuesday the 19th, he spent 37 minutes
there. These dates correspond with the dates the remission request notes the ORC witnessed pH values dropping within
the system. It says that b the 22"d "the plant had went south." �M� s n cion "s`ftiat thn . la`nt looked bad':earlier thaw
p g g p� g Y p p� a —
Y Y Y P `��
that; kaseduu on�the ORC.chan . in _his usual s_arn lin schedule from Tuesday to:Frid"a The Friday sample had to be
taken before the weekend came. He reverted to his usual sampling convention the next week because the Thanksgiving
holiday was approaching. Both samples yielded very high TSS results. One_can_o.nly ass.ume�^__they were-hig:h-on-the-other-
days.too bu_ QRC Visitation time=does not reflect grewt-conce'r . Furh'e^r�mor,Qkt-- e DM'R subr m_itte7d for the_mdnt_ EWas�
ficheeked;as;;being-cgmplian�even though it included;daily max-and_mon�hly.a�e�rage vio atio.ns
One would. hope he would if he was experiencing
such conditions.
Apart from any mitigating information ARO could add, I'm not inclined to recommend any remission. If the regional
office was kept advised of conditions as they were worked through, I could be persuaded otherwise based upon
performance history.

PO BOX 519, MOUNTAIN HOME, NC 28758
~a�s
February 19, 2014
Surface Water Protection Section
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
RE: Midway Medical Center, P.A.
NPDES: NCO022454
NOV-2014-LV-0054
Dear Mr. Davidson,
This letter is in reference to the NOV for Midway Medical Center for the month of November,
2013. This violation was with regard to Total Suspended Solids.
This facility typically operates without concern. This system has a great history of compliance
and the owners of the facility are very conscientious as to the type of waste that is sent to the influent.
This particular issue arose due to the machine shop located in the old bowling alley. This building also
discharges to the waste water facility andjust prior to this episode had closed. Our operator noted that this
building was being deep cleaned the week just prior to the problems. He noted in his log book that the pH,
which typically runs near 7.0 without effort, had bottomed out in the aeration basin to 5.3 within a 24 hour
period early in the week. By Friday, the 22°d, the plant had went south. He was confident that whatever
cleaners that had lowered the pH so drastically had also killed the healthy bacteria. He began adding soda
ash to increase the pH and made adjustments to the time clock to allow the bacteria to have more of a
respite. The following week, on Tuesday the 26`", the system was still very angry. That was the week of
Thanksgiving and the medical center was closed.
By the following week, the facility had regained compliance. The following Wednesday, .
December 4`", the Total Suspended Solids was within compliance at 20 mg/1 and was compliant during the
month of December and following.
We request that you consider the history of the facility and the events that led to this interruption
of compliance. Thank you for your consideration.
Thank you,
Harry &Juanita James
¢REUtivcu
Division of Water Resources
F E B 2 4 2014
Water Quality Regional Operations
Asheville Regional Office

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
February 10, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7012 1010 0002 1965 9523
Ms. Jan W. Grove
Midway Medical Center P. A.
Midway Medical Center WWTP
P.O. Box 1409
Canton, North Carolina 28716-1409
Subject: Notice of Violation and
Recommendation for Enforcement
Tracking #: NOV-2014-LV-0054
Midway Medical Center WWTP
NPDES Permit No. NCO022454
Haywood County
Dear Ms. Grove:
John E Skvarla, 1.11
Secretary
A review of the November 2013 self -monitoring report for the subject facility revealed violations of the
following parameter:
Date
Outfall
Parameter
Reported Value
Permit Limit
11/22/2013
001
TSS
103 mg/ 1
45 mg/ 1
11/26/2013
001
TSS
185 mg/ 1
45 mg/ 1
11/30/2013
001
TSS
77.05 mg/ 1
30 mg/ 1
A Notice of Violation/ Notice of Recommendation for Enforcement (NOV/ NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0022454.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any person who violates or fails to act in accordance with the terms, conditions, or
requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
writing within ten (10) days after receipt of this Notice. A review of your response will be considered along
with any information provided on the November 2013 Discharge Monitoring Report. You will then be notified
of any civil penalties that may be assessed regarding the violations. If no response is received in this Office
within the 10-day period, a civil penalty assessment may be prepared.
Water Quality Regional Operations —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: hftp:l/portal.ncdenr.org/webfwglws
An Equal Opportunity/ Affirmative Action Employer

Ms. Jan W. Grove
February 10, 2014
Page Two
Remedial actions, if not already implemented, should be taken to correct any problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations. If the violations are of
a continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent. You may
contact this office for additional information.
If you have questions concerning this matter, please do not hesitate to contact Janet Cantwell or
me at 828/296-4500.
Sincerely,
G. Landon Davidson, P.G.
Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
cc: WQ Asheville Files
WQ Central Files
WQ Point Source Branch
G:\WR\WQ\Haywood\Wastewater\Minors\Midwav Medical Center 22454\NOV-NRE-2014-LV-0054.doc

T � A=MJ*r I A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
March 19, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7012 1010 00021965 9615
Ms. Jan W. Grove
Midway Medical Center P.A.
P.O. Box 1409
Canton, North Carolina 28716-1409
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES Permit NCO022454
Midway Medical Center P.A.
Midway Medical Center WWTP
Case No. LV-2014-0024
Haywood County
Dear Ms. Grove:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $597.50
($450.00 civil penalty + $147.50 enforcement costs) against Midway Medical Center P.A.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by Midway Medical Center P.A. for the month of November
2013. This review has shown the subject facility to be in violation of the discharge limitations
and/or monitoring requirements found in NPDES Permit NC0022454. The violations which
occurred in November 2013 are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Midway Medical Center P.A.
violated the terms, conditions or requirements of NPDES Permit NCO022454 and G.S. 143-
215.1(a)(6) in the manner and extent shown in Attachment A. In accordance with the maximums
established by G.S. 143-215.6A(a)(2), a civil penalty may be assessed against any person who
violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority
provided by the Secretary of the Department of Environment and Natural Resources and the
Director of the Division of Water Resources, I, G. Landon Davidson, Division of Water Resources
Regional Supervisor for the Asheville Region, hereby make the following civil penalty assessment
against Midway Medical Center P.A.:
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal.ncdenr.org/web/wq
An Equal Opportunity/ Affirmative Action Employer

2 of the 2 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$200.00 NC0022454, by discharging waste water into the waters of the State
in violation of the Permit Daily Maximum limit for TSS - Conc.
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$250.00
NC0022454, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for TSS - Conc.
$450.00
TOTAL CIVIL PENALTY
$147.50
Enforcement Costs
$597.50
TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into
account the Findings of Fact and Conclusions of Law and the factors set forth at G.S. 143B-
282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or
to private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over
which the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further
enforcement action for any continuing or new violation(s). Please submit payment to the
attention of:
Point Source Compliance/ Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
2. Submit a written request for remission or mitigation including a detailed justification
for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed
below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s)
occurred or the accuracy of any of the factual statements contained in the civil penalty
assessment document. Because a remission request forecloses the option of an administrative

hearing, such a request must be accompanied by a waiver of your right to an administrative
hearing and a stipulation and agreement that no factual or legal issues are in dispute. Please
prepare a detailed statement that establishes why you believe the civil penalty should be
remitted, and submit it to the Division of Water Resources at the address listed below. In
determining whether a remission request will be approved, the following factors shall be
considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 14313-282.1(b)
was wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from
the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted
in writing. The Director of the Division of Water Resources will review your evidence and inform
you of his decision in the matter of your remission request. The response will provide details
regarding the case status, directions for payment, and provision for further appeal of the penalty to
the Environmental Management Commission's Committee on Civil Penalty Remissions
(Committee). Please be advised that the Committee cannot consider information that was not part
of the original remission request considered by the Director. Therefore, it is very important that
you prepare a complete and thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission
of Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form
within thirty (30) days of receipt of this notice. The Division of Water Resources also requests that
you complete and submit the enclosed "Justification for Remission Request." Both forms should
be submitted to the following address:
Point Source Compliance/ Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition
for an administrative hearing. You may obtain the petition form from the Office of Administrative
Hearings. You must file the petition with the Office of Administrative Hearings within thirty (30)
days of receipt of this notice. A petition is considered filed when it is received in the Office of
Administrative Hearings during normal office hours. The Office of Administrative Hearings
accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for
official state holidays. The original and one (1) copy of the petition must be filed with the Office
of Administrative Hearings. The petition may be faxed - provided the original and one copy of the
document is received in the Office of Administrative Hearings within five (5) business days

following the faxed transmission. The mailing address for the Office of Administrative Hearings
is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, North Carolina 27699-6714
Telephone [phone] Facsimile: [phone]
and
Mail or hand -deliver a copy of the petition to
General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as
evidenced by an internal date/time received stamp (not a postmark), will result in this matter being
referred to the Attorney General's Office for collection of the penalty through a civil action. Please
be advised that additional penalties may be assessed for violations that occur after the review
period of this assessment.
If you have any questions, please contact Janet Cantwell of the Water Quality staff of the
Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
ATTACHMENTS
cc: WQ Regional Supervisor w/ attachments
NPDES Point Source w/ attachments
WQ Central Files w/ attachments
James & James Environmental/ ORC w/ attachments
G:\W"R\WQ\Haywood\Waste-,+pater\Minors\1Vlid,kvay Medical Center 22454\LV-2014-0024.doc
(Prior NOV-2014-LV-0054)

JUSTIFICATION FOR REMISSION REOUEST
DWQ Case Number: LV-2014-0024 County: Haywood
Assessed Party: Midway Medical Center P.A.
Permit No.: NCO022454 Amount Assessed: $597.50
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts"
form to request remission of this civil penalty. You should attach any documents that you believe
support your request and are necessary for the Director to consider in evaluating your request for
remission. Please be aware that a request for remission is limited to consideration of the five factors
listed below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s) occurred or
the accuracy of any of the factual statements contained in the civil penalty assessment document.
Pursuant to N.C.G.S. § 143B-282.1(c), remission of.a civil penalty may be granted only when one or
more of the following five factors applies. Please check each factor that you believe applies to your
case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i. e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i. e., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
MIDWAY MEDICAL CENTER P.A.
MIDWAY MEDICAL CENTER WWTP ) STIPULATION OF FACTS
PERMIT NO. NCO022454 ) FILE NO. LV-2014-0024
Having been assessed civil penalties totaling $597.50 for violation(s) as set forth in the
assessment document of the Division of Water Resources dated March 19, 2014, the undersigned,
desiring to seek remission of the civil penalty, does hereby waive the right to an administrative hearing
in the above -stated matter and does stipulate that the facts are as alleged in the assessment document.
The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty (30) days
of receipt of the notice of assessment. No new evidence in support of a remission request will be
allowed after (30) days from the receipt of the notice of assessment.
This the day of , 20
611IN►0.M1LNU0
TELEPHONE

ATTACHMENT A
Midway Medical Center P A
CASE NUMBER: LV-2014-0024
PERMIT: NCO022454 FACILITY: Midway Medical Center WWTP
COUNTY: Haywood
REGION: Asheville
Limit Violations
MONITORING
OUTFALL/
VIOLATION
UNIT OF
CALCULATED
% OVER
PENALTY REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
LIMIT
VIOLATION TYPE
$100.00 11-2013
001
Effluent
TSS - Conc
11/22/13
Weekly
mg/I
45
103
128.89
Daily Maximum Exceeded
$100.00 11-2013
001
Effluent
TSS - Conc
11/26/13
Weekly
mg/I
45
185
311.1.1
Daily Maximum Exceeded
$250.00 11-2013
001
Effluent
TSS - Conc
11/30/13
Weekly
mg/I
30
77.05
156.83
Monthly Average Exceeded

Permit Enforcement History Details by Owner
03/14/14
1
Owner: Midway Medical Center P A
Facility: Midway Medical Center WWTP
Permit: NCO022454
Region: Asheville
County: Haywood
Penalty
Remission
Enf
EMC
EMC OAH Collection
Has
Assessment Penalty
Enforcemen
Request Enf Conf
Remission
Hearing
Remission Remission Memo Sent
Balance
Pmt
Case
Case Number MR Approved Amount
t Costs
Damages Received Held
Amount
Held
Amount Amount to AGO
Total Paid
Due
Plan
Closed
LV-2000-0207 06/01/00 $1,000
$49.28
06/23/00 08/02/00
$.00
10/12/00
$.00
$1.049.28
$.00
No
12/20/00
LV-2002-0215 06/04/02 $250
$49.28
$299.28
$.00
No
07/16/02
LV-2003-0384 2-2003 05/19/03 $250
$100.00
$350.00
$.00
No
08/22/03
LV-2006-0238 5-2006 07/18/06 $250
$100.00
$350.00
$.00
No
02/21/07
LV-2009-0126 1-2009 04/20/09 $250
$70.00
$320.00
$.00
No
05/08/09
LV-2010-0208 3-2010 07106/10 $200
$67.00
07/13/10 03/25/11
$.00
$267.00
$.00
No
05/27/11
LV-2014-0024 11-2013 03/14/14 $450
$147.50
$597.50
No
Total Cases: 7 Total Penalty Amount:
$2,650
Total Enforcement Cost:
$583.06 Sum of Total Paid: $2,635.56 Total Balance Due:
$597.50
Sum of Total Case Penalties:
$3,233.06
Total Penalties after remission(s):
$3,233.06

NPDES PERMIT NO. NCO022454 DISCHARGE NO. 001 MONTH NOVEMBER YEAR 2013
FACILITY NAME MIDWAY MEDICAL CLASS II COUNTY HAYWOOD
CERTIFIED LABORATORY (1) .TAMES & JAMES ENVIRONMENTAL MGT., INC. CERTIFICATION NO. 482
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) KENNETH JASON RUMMEL GRADE II CERTIFICATION NO. 994182
PERSON(S) COLLECTING SAMPLES
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES ¢�q
DIVISION OF WATER QUALITY JAN 0 20 9
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
KENNETH JASON RUMMEL ORC PHONE [phone]
NO FLOW / DISCHARGE FROM SITE *
BY THIS SIGNATUREq CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
II I
III I
II•II
11•I
II 1
II. t
II I
�___-__-
J
min
�MR-1 (11M) W

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) FxLNoncompliant
All monitoring data and sampling frequencies do NOT meet permit requirements
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the
environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A
written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part H.E.6
of the NPDES permit.
"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 managed 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."
MIDWAY MEDICAL, INC
Permittee (Please print or type)
12/18/2013
Signature o e ittee*** " Date
(Required thiress submitted electronically)
PO BOX 1409, CANTON, NC 28116 828-697-0063 1/31/2016
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/appforms.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).

JAMES & JAMES ENVIRONMENTAL MANAGEMENT, INC
'A�X PO BOX 519, MOUNTAIN HOME, NC 28758
/..� [phone] OFFICE
[phone] FAX
February 19,,2014
Surface Water Protection Section
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa;�;NC 28778
RE: Midway Medical Center, P.A.
NPDES: NCO022454
NOV-2014-LV-0054
Dear Mr. Davidson,
This letter is in reference to the NOV for Midway Medical Center for the month of November,
2013. This violation was with regard to Total Suspended Solids.
gijs facility typically operates without concern. This system has a great history of compliance
and the owners of the facility are very conscieiitiobs-ag, to,the type of waste that is sent to the influent.
This particular issue arose due to the machine shop located in the old bowling alley. This building also
discharges'to the waste water facility and just•prior`to this episode had closed. Our operator noted that this
building was being deep cleaned the week just prior to the problems. He noted in his lob- book that the pH,
which typically runs near 7.0 without effort, had bottomed out in the aeration basin to 5.3 within a 24 hour
period early in the week. By Friday, the 22", the plant had went south. He was confident that whatever
cleaners that had lowered the pli so drastically had also killed the healthy bacteria. He began adding soda
ash to increase the pl-I and made adjustments to the time clock to allow the bacteria to have more of a
respite. Tile following week, on Tuesday the 26"i, the system was still very angry. That was the week of
Thanksgiving and the medical center was closed.
By ,the following week,' the` facility had regained compliance. The following Wednesday,
December;4,', the Total Suspended Solids was within, compliance at 20 mg/I and was compliant during the
month of December and following.
% e request that you consider the history of the facility and the events that led to this interruption
of compliance. Thank you for your consideration.
Thank you,
Harry & Yuanita James

DIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT (FILE)
Violator: Midway Medical Center P.A. / NCO022454
(November 2013 DMR) (Prior NOV-2014-IN-M4)
County: Haywood
Case Number: LV-2014-0024
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c), in determining the amount of the penalty I considered the factors
set out in G.S. 143B-282.1(b), which are:
1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
All effluent violations may be detrimental to the receiving stream but may not be
immediately quantified.
2) The duration and gravity of the violation;
Two Daily Max TSSIs exceeded the permit limit by 12 8.8 8 % & 311.11 %
One Monthly Average TSS exceeded the permit limit by 156.83 %.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may not be
immediately quantified.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved would include the cost of excess solids removal and
more time spent on site operating the facility.
6) Whether the violation was committed willfully or intentionally;
It does not appear to be either.
7) The prior record of the violator in complying or failing to comply with programs over which
the Environmental Management Commission has regulatory authority; and
There have been no civil penalty assessments in the twelve months prior to this
violation.
8) The cost to the State of the enforcement procedures.
$147.50.
Date G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
03/14/2014

A4LA
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
February 10, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 0002 1965 9523
Ms. Jan W. Grove
Midway Medical Center P. A.
Midway Medical Center WWTP
P.O. Box 1409
Canton, North Carolina 28716-1409
Subject: Notice of Violation and
Recommendation for Enforcement
Tracking #: NOV-2014-LV-0054
Midway Medical Center WWTP
NPDES Permit No. NCO022454
Haywood County
Dear Ms. Grove:
John E Skvarla, III
Secretary
A review of the November 2013 self -monitoring report for the subject facility revealed violations of the
following parameter:
Date
Outfall
Parameter
Reported Value
Permit Limit
11/22/2013
001
TSS
103 mg/ 1
45 mg/ 1
11/26/2013
001
TSS
185 mg/ 1
45 mg/ 1
11/30/2013
001
TSS
77.05 mg/ 1
30 mg/ 1
A Notice of Violation/ Notice of Recommendation for Enforcement (NOV/ NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0022454.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any person who violates or fails to act in accordance with the terms, conditions, or
requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
writing within ten (10) days after receipt of this Notice. A review of your response will be considered along
with any information provided on the November 2013 Discharge Monitoring Report. You will then be notified
of any civil penalties that may be assessed regarding the violations. If no response is received in this Office
within the 10-day period, a civil penalty assessment may be prepared.
Water Quality Regional Operations —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: hftp:l/portal.ncdenr.org/web/wq/ws
Equal Opportunity/ Affirmative Action Employer

Ms. Jan W. Grove
February 10, 2014
Page Two
.4.
Remedial actions, if not already implemented, should be taken to correct any problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations. If the violations are of
a continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent. You may
contact this office for additional information.
If you have questions concerning this matter, please do not hesitate to contact Janet Cantwell or
me at 828/296-4500.
Sincerely,
-V�
G. Landon�avidson, P.G.
Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
c : ``Q Ashe 111e Fifes
WQ Central Files
WQ Point Source Branch
0:\WR\WQ\Haywood\WasteNvater\Minors\1vfidway Medical Center 22454\NOV-NRE-2014-I_V-0054.doc

JAMES & JAMES ENVIRONMENTAL MANAGEMENT, INC
PO BOX 519, MOUNTAIN HOME, NC 28758
::.. [phone] OFFICE
[phone] FAX
February 19, 2014
Surface Water Protection Section
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
RE: Midway Medical Center, P.A.
NPDES: NCO022454
NOV-2014-LV-0054
Dear Mr. Davidson,
This letter is in reference to the NOV for Midway Medical Center for the month of November,
2013. This violation was with regard to Total Suspended Solids.
This facility typically operates without concern. This system has a great history of compliance
and the owners of the facility are very conscientious as to the type of waste that is sent to the influent.
This particular issue arose due to the machine shop located in the old bowling alley. This building also
discharges to the waste water facility and just prior to this episode had closed. Our operator noted that this
building was being deep cleaned the week just prior to the problems. He noted in his log book that the pH,
which typically runs near 7.0 without effort, had bottomed out in the aeration basin to 5.3 within a 24 hour
period early in the week. By Friday, the 22" ', the plant had went south. He was confident that whatever
cleaners that had lowered the pli so drastically had also killed the healthy bacteria. He began adding soda
ash to increase the pH and made adjustments to the time clock to allow the bacteria to have more of a
respite. The following week, on Tuesday the 26"i, the system was still very angry" That was the week of
Thanksgiving and the medical center was closed.
By the following week, the facility had regained compliance. The following Wednesday,
December 4"', the Total Suspended Solids was within compliance at 20 mg/l and was compliant during the
month of December and following.
We request that you consider the history of the facility and the events that led to this interruption
of compliance. Thank you for your consideration.
Thank you,
Harry & J'uanita James

JAMES & JAMES ENVIRONMENTAL MANAGEMENT, INC
PO BOX 519, MOUNTAIN HOME, NC 28758
[phone] OFFICE
[phone] FAX
February 19, 2014
Surface Water Protection Section
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
RE: Midway Medical Center, P.A.
NPDES: NCO022454
NOV-2014-LV-0054
Dear Mr. Davidson,
This letter is in reference to the NOV for Midway Medical Center for the month of November,
2013. This violation was with regard to Total Suspended Solids.
This facility typically operates without concern. This system has a great history of compliance
and the owners of the facility are very conscientious as to the type of waste that is sent to the influent.
This particular issue arose due to the machine shop located in the old bowling alley. This building also
discharges to the waste water facility and just prior to this episode had closed. Our operator noted that this
building was being deep cleaned the week just prior to the problems. He noted in his log book that the pH,
which typically runs near 7.0 without effort, had bottomed out in the aeration basin to 5.3 within a 24 hour
period early in the week. By Friday, the 22" d, the plant had went south. He was confident that whatever
cleaners that had lowered the pli so drastically had also killed the healthy bacteria. He began adding soda
ash to increase the pH and made adjustments to the time clock to allow the bacteria to have more of a
respite. The following week, on Tuesday the 26"i, the system was still very angry. That was the week of
Thanksgiving and the medical center was closed.
By the following week, the facility had regained compliance. The following Wednesday,
December 4"i, the Total Suspended Solids was within compliance at 20 mg/I and was compliant during the
month of December and following.
We request that you consider the history of the facility and the events that led to this interruption
of compliance. Thank you for your consideration.
Thank you, -�
v
Harry & Lanita James

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NEDENR - - _ _
MARLENE L ABLE,".' —
MIDWAY MEDICAL CENTER
POST OFFICE BOX 1409
CANTON NC 28716
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MARLENE L ABLE
MIDWAY MEDICAL CENTER
POST OFFICE BOX 1409
CANTON NC 28716 I
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MARLENE L ABLE
LMIDWAY MEDICAL CENTER
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JANET CANTWELL
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2090 U.S. HIGHWAY 70
SWANNANOA NC 28778
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Midway Medica+-Center PA
6760 Carolina Blvd.
Clyde, NG'28721
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JANET CAMWELL
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2090 U.S. HIGHWAY 70
SWANNANOA NC 28778
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SherryWilson
Midway Medical Center PA
,c6750-Carolina Blvd.
Clyde, -NC 28721
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JANET CANTWELL
NCDEG-0WR.WOROS
2090 U.S. HIGHWAY 70
SWANNANOA NC 28778

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■ Print your name and address on the reverse
NCDENR
a 0 North Carolina Department of
Environment and Natural Resources
Division of Water Quality
Surface Water Protection Section
2090 U.S. Highway 70, Swannanoa, NC 28778
MARLENE L ABLE
MIDWAY MEDICAL CENTER
POST OFFICE BOX 1409
CANTON NC 28716
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2090 U.S. HIGHWAY 70
SWANNANOA NC 28778
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NCDEWA Water Qualify Regional Operatio
2090 U.S. Highway 70, Swannanoa, NC '28
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Jlidway Medical Center, P.A.
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7012 1010 0002 1965 9615
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JANET CANTWELL
NCDENR-DWR-WQRO
2090 U.S. HIGHWAY 70
SWANNANOA NC 28778
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■ Cpmplete f ems 1, 2, and.3. Also complete A. Slgnatrire `—
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North Carolina Department of
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NCDENR Water Quality Regional Operations
2090 U.S. Highway 70, Swannanoa, NC 28778
Ms. Jan W_ e- f" Ct
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Midway Medical Center, P.A.
Midway Medical Center WWTP
Post Office Box 1409
Canton, NC 28716-1409
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7612 1010 0002 1965 9523
'PS Form 8811 ! t=ebruary 2004 I I { I I DomesticWtum Receipi 102595-02-M-154

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZI
JANET CANTWELL
NCDENR-DWR-WQRO
2090 U.S. HIGHWAY 70
SWANNANOA NC 28778
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