NC0060224_Permit Issuance_20100323

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WDENR
North Carolina Department of Environment and Natural'Resources
Division of Water Quality ,
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 23, 201G
Mr. .George W. Ware, President
High Country Home Care
PO Box 658
Newland, North Carolina 28657
Subject: Issuance of NPDES Permit
Permit No. N00060224
Jonas Ridge Adult Care Facility WWTP
Burke County
Dear M'r: Ware: '
In accordance with the application-for discharge permit received, the Division is
forwarding herewith the subject NPDES 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 authorizes George W. Ware to discharge domestic Wastewater
from the Jonas Ridge Adult Care Facility Wastewater Treatment Plant to an Unnamed
tributary to Camp Creek, a class C-Trout water in the Catawba River Basin. The
permit includes discharge limitations/or monitoring for flow, BOD5, total suspended
solids, ammonia nitrogen, dissolved oxygen, fecal coliform, total residual chlorine and
temperature. This permit contains no changes from the draft permit mailed on
December 30 2009.
The following procedure has been recently implemented by DWQ: Total residual
chlorine (TRC) compliance level changed to 50 ug/l. Effective March 1, 2008, the
Division received EPA approval to allow a 50 ug/I TRC compliance level. This change
is due to analytical difficulties with TRC measurements. Facilities will still be required
.to report actual results on their monthly discharge monitoring report (DMR),
submittals, but for compliance purposes, all TRC values below 50 ug/I will be treated
as zero. A footnote regarding this change has been added to the effluent limitations
pages in the permit.
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 • NorthCarollna
Internet:www.ncwaterquality,org "���J�����ll//I, F
An Equal Opportunity l Affirmative Action Employer {i �/

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 Dail Service
Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this permit
shall be final and binding.
Please take notice that this permit is not transferable. The Division may require
modification 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, Coastal Area
Management Act, or any other Federal or Local governmental permits may be required.
If you have any questions or need additional information, please contact Bob
Guerra at telephone number [phone] or by email at bob.cjuerraC�ncdenr.gov.
Sincerel
Teen H. Sullins
;'ALJ
Enclosure: NPDES Permit NC0060224
cc: NPDES Unit
Asheville Regional Office / Surface Water Protection
NPDES
Central files
f f

Permit Number NC0060224
1
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 provisions 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, the
George W. Ware
is hereby authorized to discharge wastewater from a facility located at the
Jonas Ridge Adult Care Facility WWTP
9051 Highway 181
Jonas Ridge
Burke County
to receiving waters designated as an unnamed tributary to Camp Creek in the Catawba
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, 2010.
This permit and authorization to discharge shall expire at midnight on January 31, 2015.
Signed this day March 23, 2010
Col en H. Sullins, Director
ision of Water Quality
By Authority of the Environmental Management Commission

Permit Number NC0060224
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or
discharge are hereby revoked, and as of this 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.
George W. Ware is hereby authorized to:
1. Continue to operate an existing 0.0075 MGD wastewater treatment facility with the
following components:
♦ Influent 6ar'screen
♦ Equalization basin with two (2) pumps
♦ Aeration basin
♦ Clarifier
♦ Chlorine contact chamber
♦ Dechlorination unit
♦ Post-aeration tank
This facility is located at the Jonas Ridge Adult Care Facility WWTP, 9051 Highway
181, Jonas Ridge, in Burke County.
2. Discharge from said treatment works at the location specified on the attached map
into an unnamed tributary to Camp Creek, classified C-Trout waters in the Catawba
River Basin.

Al
�/J,VO
rl
Li
l o\ .S` Outfall 001
I `-'• � - —•• -ter .1• ?�l`, l\l.,1I:1 . /1
C)
Cp
YO
--• /"_`'3.�-- /�����u I / ��J j �%� �� / 1 I� 1.�_.� � I � � �`P.
657 Uj •'� I �U :,
3 i i i i J / ��b o .u•
3065 ��(( (✓`� ,JJ I\ II ���J ll( �=� 00
George W. Ware Facility
Jonas Ridge Nursing Home WWTP -Location "` - --
Latitude: 350 58'38" N State Grid: Linville Falls not to scale
Longitude: 81°53'40" W Permitted Flow: 0.007� MGD
Receiving Stream: UT to Camp Creek Stream Class: C-Trout ]� ],, NPDES Permit No.NC0060224
Drainage Basin: Catawba River Basin Sub-Basin: 03-08-30 1 tl grt/G Burke County

Permit Number NCO060224 '
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee
is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
PARAMETER LIMITS MONITORING REQUIREMENTS
Monthly Daily Measurement Sample Type Sample
Average Maximum Frequency Location
50050 -Flow 0.0075 MGD Weekly Instantaneous I or E
00310 -BOD, 5-day, 30.0 mg/L 45.0 mg/L Weekly Grab E
200C
00530 -Total Suspended 30.0 mg/L 45.0 mg/L Weekly Grab E
Solids
00610-NHsas N 2.0 M- g/L 10.0 mg/L Weekly Grab E
(April 1 —Oct 31)
00610-NH3 as N 4.0 mg/L 20.0 mg/L Weekly Grab E
(Nov 1 —March 31)
00300—Dissolved Weekly Grab E, U & D
Oxygen
31616 - Fecal Coliform 200/100 ml 400/100 ml Weekly Grab E
(geometric mean)
50060-Total Residual 17.0 ug/L 2/Week Grab E
Chlorine
00010-Temperature Daily Grab E
(°C)
00010-Temperature Weekly Grab U & D
(OC)
00400-pH Between 6.0 and 9.0 Weekly Grab E
standard units
Footnotes:
1. Sample locations: I-Influent; E-Effluent;U=Upstream at least 50 feet upstream from the outfall; D-at least
300 feet downstream from the outfall.
2. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/L.
3. The Division shall consider all effluent TRC values reported below 50 ug/I to be in compliance-with the
permit. However,the Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory(including field certified), even if these values fall below 50 ug/I.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

The Charlotte Observer Publishing Co.
Charlotte, NC
North Carolina } ss Affidavit of Publication
Mecklenburg County}
THE CHARLOTTE OBSERVER
--------------------------------------------------+------------------------
DINA SPRINKLE
NCDENR/DWQ/POINT SOURCE BRANCH
1617 MAIL SERVICE CENTER
RALEIGH NC 27699
REFERENCE: 30063432
6424426 caroLina/rhodhiss/hi
Before the undersigned, a Notary Public of said
County and State, duly authorized to administer
oaths affirmations, etc., personally appeared,
being duly sworn or affirmed according to Law,
doth depose and say that he/she is a
representative of The Charlotte Observer Public Notice
tal
Publishing Company, a corporation organized and No th Carolina EnvironNPpES Undagement Gommiss onl
1617 Mail sa 2 699 e S e7'
doing business under the Laws of the State of I Raleigh, SWastewata,Permit
Notice of Intent to Issue a NPDE walComrt ro the
Delaware, and publishing a newspaper known as The The North Catoina Environmental management
Charlotte Observer in the city of Charlotte, I proposes to issue a NPDES wastewater discharge Pe
pe(sonls)listed below.e regarding the Proposed Permit will be
5 after th¢ publish date of thismr`tice.
County of Mecklenburg, and State of North Carolina yyr;tten comments 9 hold
accepted until 30 day a si nrficant degree of Public
and that as such he/she is familiar with the I The Director of the NC Dvisbn be as, Quality(DW
a public hearing should there g intor may visitthe DWO
interest.Please mail comments and
sons tion requests o
books, records, files, and business of said I DWO at the above addrestion Or'
s.Interested persons
Corporation and by reference to the files of said i at 5t2N Salisbury Street,Raleighs��mdsandg,s�ac�mng
oe YAdutld on ouroweosoe'o ncwaterqualirywg,or by q
publication, the attached advertisement was an eQ�¢5,8of renewal of NlyDES Pet"'
(929)g076304.
inserted. The following is correct Ly copied from I camina96love Compp,npWea`ner COu the Catawba River
7 for its W`f'rt
the books and fi Les of the aforesaid Corporation i treated wastewater to he'- 25g17
Basin. Currently no parameters are water t of Permit NC00
The Town of Rhodhisss requested renewal of pe
p, Facili discharges domestic wastewater Gurcently
an,i Publication. mares awbe River Basin. currently
{or its W` T
Hickory(Catawba River) of permit
Home care requested renewaBurke l
i fecal Cot and total residual chlorine are water al County
I h Country a Adult care Fa,w in
s treated domestic wastewater to a UT
N�pp6o22a tot Jonas Ridg ,
this permitted discharge i f permit
to Camp Creek,Catawba River Basin- renewal o Facility
Caldwell County Schools requestedschool WWTF kin the
N00041220 lot the Oak a Eler Into ountain Run
tootalresidual
River Basin. Gurrentty,fecal cold
discharges domestic wastewater Into
Catawba alit limited. renewal of permit
chlorine are water qu Wools requested p Facility
Caldwell County IewaY Altemative SchooL�.iVer in the
NCOOa1157 for the dual
i Catawba River gas a Currently,fecal colito m and total lies
PUBLISHED ON: 01/01 discharges Domestic wastewater to the P
renew Il It al of permit NC0035211 for its
i chlorine are water quauest , i Tbis tacdlty discharges
Shuford Mills,LLC eq
i Dudley Shoals Plant in Caldwell County. limited
wastewater to the Upper Little Riv quality I Catawba River
treated ammeters are water q
Basin.Currently ra P
ILp642.4426
AD SPACE: 106 LINE
FILED ON: 01/08/10
------- --- ----- - -- --- --- ------------- +- ---- --- -------------
NAME: r TITLE- C
DATE:
In Testimony Whereof I have hereunto set my hand and affixed my seal, the
day )andyear afoles id. My Commission ExpireS May 17, 2,911
Nota y Commission Expires: _/_/_

SEP-10-2009 THU 01 :34 PM WATER OUALITY LAB & OP FAX No. 8288986255 P. 002
NPDES APPLICATION FOR PERMIT RENEWAL - FORM A
For Publicly Owned Treatment Works JPOTW) or other treatment systems treating
domestic wastes < 0.1 MGD with no pretreatment program.
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit �p Q�i_� L ?7 W
If you are completing this form in computer use the TAB key or the up - down arrows to move from, one
field to the neat. 7b check the boxes, click your mouse on top of the box, Otherwise,please print or t1
1. Contact Information: /�C
Owner Name 0 a n e ar)1 S(J,S W) �CtY
Facility Name I t r (� �Q FC �51� t#Olt 7'
Mailing Address
city
State / Zip Code
Telephone Number
Fax Number (fag) -7�53,,Q� Rq
e-mail Address
2, Location of facility producing d scharke: RECEIVED
Check here if same address as above
Street Address or State Road �2951 8 2009 A&_
city �"D�1/fl-S IZ-1iloL
State / Zip Code LIEN R - WATER O UAL(TY
County G Gp(11N 1 C'E RRANCH
.T-�L [�
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
�� y
Charge or�L ORC)} p /�
Name 1 1 h CVv.(�I 1 1���1� Ca�C_
Mailing Address 1 O
City Q`� 1�a n d
N
State / Zip Code D Y y
+ 1 � CDA I Ina , a Kos�
Telephone Number (�O) 15 I J 0 9 a`a
Fax Number ' a`�) -q L5 - a �q
4. Population served: W
1 of 3 Form-A 4105

SEP-10-2009 THU 01 :34 PM WATER QUALITY LAB & OP FAX No. 8288986255 P- 003
NPDES AP.PLICA'TION FOR PERMIT RENEWAL - FORM A
ror Publicly O.vmed Treatment'Works (POTW)or other treatment systems treating
domestic wastes< 0.1 MOD with no pretreatment program.
5. Do you receive iudustrial waste?
tANo - ❑ Yes (if you have an approved pre-treatment program, must complete Porm 2A)
6. Type of collection system
Separate (sanitary sewer only) 0 Combined (storm sewer and sanitary sewer)
7. Outfall Information.
Number of separate discharge points
Outfall Identification number(s) D 0 1
Is the outi'all equipped.with a dhTascrP ❑ Tos *o
S. Name of receiving stream(s) (provide a map showing the exact location of each outfall):
UT to QmQ CK-I/-, in -the eajaWba ►,yeK si
9. Frequency of Discharge: K
Continuous ❑ Intermittent
If intezmittent:
Days per week discharge oocurs: Duration:
10.Describe the treatment system
List all installed components, including capacities,provide design removal forBOD, TSS, nitrogen and
phosphorus. If the space provided is not suffdent, attach the description of the treatment system in a
separate-sheet of paper.
sc r ACV Yl , C� P ua I i zafi 0 n
h(c h and low i c\)e 1 --i nets, I cod and
I`a 1 cc 1r `� I ) I ���l� l a(a 1 � 1.� , f n -�q u�1 i a-4 i h �aSi 1� 0 Ct��r si ng i
�-�--rOJ 0 atra-�i o n Iasi , cla,r i i��) cry lc�r�,�a-r o►� bax
loci na�� on ��-tGC'� cl, aapNo r `� CY�)or� 1na-�ion fox,
r-c-ae-fa ii o n- �Y� � C�: 301C � ) I ne , Dne d �q �S� o- Si n���
11. Flo Ina S ion. C n6YSe 1, � -e1e- tr
p c sc a r, t0a os�tigc
Treatment Plant Design flow 00-75 MGD sQla�e m e
Annual Average daily flow ° 003 MGD (for the previous 3 years) cony re5so Y S.
Maxlmnxn daily;pow MIGD (four the previous 3 years)
12. Is this facility located on\Ls,�dian country?
❑ Yes No
2 of 3 Form-A 4105

SEP-10-2009 THU 01 :35 PM WATER QUALITY LAB & OP FAX No. 8288986255 P- 004
NPDES APPLICATION FOP, PERYViYT RENEWAL — FORM A
For Publicly Owned Treatment Works(POTW) or other treatment systems troating
domestic wastes <0.1 WGD with no pretreatment program.
13. Effluent Data
Provide an avenge of the last 12 months of data for the parameters listed.
Parameter Day Monthly Units of
Ma�r3muza► Avera o Measurement
Biochemical Oxygen.DemazzC1(BODS) 15 !rn � !
Fecal CoIii'ozm.
Total Suspended Solids
Temperature (ApxU 1—October 31) D a a IQ 12 C
Temperature (November 1—March 31) u ) c7 "} o C
pH '1,
14. List all permits, construction approvals a ud/or applications:
Type Permit Number Type Permit Number
Hazardous Waate (RCRA) NESHAPS (CAA)
UIC(SDWA) Ocean Dumping(MPRSA)
NPDES ( ' Dredge or fill(Section 404 or CWA)
PSD(CAA) _ Other —
Non-attainment program (CAA)
15. 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.
1?zixtted e of Persoxa Signing Title
Signature of Ap 'cant Date
North Caro3ina 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 Co=mission implementing that
Article, or who falsifies,tampers with,or lmowly renders inaccurate Any recordlog or monitoring device or method
required to be operated or m stained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fuae 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•$25,000 or imprisonment not more than 5 years, or both, for a similar
offense.)
3 of 3 Form-A 4l05

•JUL-11"-2009 FRI 110: 50 AM WATER QUALITY LAU & OP FAX No. 8288986255 1. 002
- cWotex Oudity Lab akd Openatior+s, [KC.-
P.O. Eox 1167 / 1522 Tyiecast e_ del i q Rvay
NIKKeA 29�, NoxtR 0,owbi&a 28604
PRoke [phone] /�Jaz (828) 898-6255
�w�aiQ: �rate>r_quaQityQa�uaRoo.cows
Dina Sprinkle
Point Source Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Permit Renewal Application
NPDES Permit NCO060224
Jonas Ridge WWTP
Burke County
Ms. Sprinkle,
The Sludge Management Plan for Jonas Ridge WWTP. The sludge is pumped
and hauled from the Jonas Ridge WWTP to the Town of Boone WWTP as needed.
Jadd Bre er
Water Quality Director of Wastewater Operations RECEIVED
DENR - WATER QUALITY
POINT SOURCE BRANCH

cWatel. QuaQity Lab alkd OpewtioKs, IKc.
P.O. Box 1167 / 1522 T9Kecastee 4� igRluay
BaKKelt U2 ,,,l(Ottk 3aXO9iKa 28604
RoKe [phone] /,'�ax [phone]
EMM: uatexquaNi [e-mail]
Attnclebr e su-<'a I wa fe
9 '.
WWTP Permit Number: N G 0 O U 0orl �)q
Water Quality ab &Operations, Inc. monitors the WWTP facility at
on a monthly basis. In accordance to the general statue
15A NCAC 2B .05 (B) (2) (D) if signed other by than the permitee, delegation of signatory
authority must be on file with the state. As such we are asking you to designate Water Quality Lab
&Operations, Inc. &Jadd Brewer as that signatory authority. Please have the permitee sign this
letter stating that we have authority to sign the DMR forms for your Wastewater Treatment Facility.
A copy of this will be kept on file at Water Quality Lab &Operations, Inc. &the original copy will be
sent into the state. The permitee can ask for a copy of this permit signatory agreement at anytime.
The General Statue 15A NCAC 2B .0506(B) (2) (D) states:
(D) Duly authorized representative of the person described in Paragraphs(b)(2)(A),(6)and(C). A person is a duly authorized
representative only if:
(i) The authorization is made in writing by a person described in Paragraphs(b)(2)(A),(B)and(C);
(ii) 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
(iii) The written authorization is submitted to the Permit Issuing Authority. Permittees authorizing another individual to
sign as representative in no way relinquishes any responsibility for the permit or his responsibility to remain familiar
with the permit conditions,limits,including any modifications,and for the compliance data reports for the permit.
Please sign below and send this copy back to Water Quality Lab&Operations,Inc.
�1 dab s
Water Quality Lab&Operations, lnff Jadd Brewer Date
LA 9A AA---UE)oc11-� !b f 6 66
Permitee of WWTP Date
II���