HomeMy WebLinkAboutNCG500589_Compliance Evaluation Inspection_20151207PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources
ENVIRONMENTAL QUALITY
Director
December 7, 2015
North Carolina Baptist Hospitals, Inc.
Engineering Department
Attn: Michael Mahan, Staff Engineer
Medical Center Boulevard
Winston-Salem, NC 27157-1159
SUBJECT: Compliance Evaluation Inspection
Permit #: NCG500000
Certificate of Coverage #: NCG500589
Facility: North Carolina Baptist Hospital
Permittee: North Carolina Baptist Hospitals, Inc.
Forsyth County
Dear Mr. Mahan:
Ron Boone, of the North Carolina Division of Water Resources (DWR or the Division) conducted a
compliance evaluation inspection (CEI) of North Carolina Baptist Hospital's NPDES permit on November 24,
2015. Your assistance and cooperation was greatly appreciated. Inspection findings are summarized below
and an inspection report is attached for your records.
According to you, it is the hospital's intention to eliminate the discharge(s) covered by this permit and
then request rescission of the certificate of coverage (COC). At this point, the hospital is not completely
compliant with all permit conditions, however, there are no ongoing environmental impacts resulting from any
discharge from the facility that Mr. Boone identified during the inspection.
Please do your best to eliminate all discharges associated with this COC as soon as possible and
then request rescission of the COC in writing to our Central Office in Raleigh. I've listed below all the contact
information for the Wastewater Branch of the Water Quality Permitting Section:
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone:919-807-6300
Fax: 919-807-6494
State of North Carolina I Environmental Quality I Water Resources
450 West Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105
336 776 9800
If you require any assistance in completing the actions necessary to facilitate rescission of the permit,
please don't hesitate to let us know. If you have any questions regarding the inspection or this letter, please
call Mr. Boone or me at 336-776-9800.
Sincerely,
Sherri V. Knight
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
BIMS Inspection Report
CC: Winston-Salem Regional Office Files
Water Quality Permitting Section, Wastewater Branch
Central Office
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 IN i 2 Is 1 3 1 NCG500589 I11 12 15/1,124 17
18 1 c 1
19 1 .c I 201 I
211111 I I I I I I II l U l l l l l l l l l l l l l l
l I I I I
I II I I I 1 1 166
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CA
-------------Reserved------------
671
�I 7071 1 72 LaJ
73I 74 75I 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)
10:OOAM 15/11/24
12/08/01
North Carolina Baptist Hospital
Exit Time/Date
Permit Expiration Date
Medical Center Blvd
Winston Salem NC 271571159
11:OOAM 15/11/24
15/07/31
Name(s) of Onsite Representative(s)lfitles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Michael Mahan,Medical Center Blvd Winston Salem NC 271571159/Staff
Engineer/336-716-2729/3387169318 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
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
Ron Boone N/SRO WQ//336-776-9690/
q
Signature o/ff Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
-7 S
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#
NPDES yr/mo/day Inspection Type
31 NCG500589 I11 12 15/11/24 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page#
Permit: NCG500589
Inspection Date: 11/24/2015
Permit
Owner -Facility: North Carolina Baptist Hospital
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: None
Yes No NA NE
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