NC0038822_Permit Issuance_20050629

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
June 29, 2005
Mr. Billy Payne
Central Care, Inc.
139 Apex Lane
Mount Airy, North Carolina 27030
Subject: Issuance of NPDES Permit NCO038822
Central Care WWTP
Surry County
Dear Mr. Payne:
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 May 9, 1994 (or as subsequently
amended) .
This final permit includes no major changes from the draft permit sent to you on May 11, 2005:
➢ The Daily Maximum limit for Total residual Chlorine takes effect on February 1, 2007.
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], extension 511.
Sincerely,
ORIGINAL SIGNED BY
SUSAN A. WILSON!
Alan W. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
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Permit NCO038822
STATE OF NOR"11 CAROLINA
DEPARTMENT OF ENVIRONMEI\'T AND NATURAL RESOURCES
DIVISION OF WI TER QUALITY
PEM'4IT
TO DISCHARGE WASTI WATER UNDER THE
NATIONAL POLLUTANT DISCfL kRGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful.
standards and regulations promulgated and ac'.opted by the North Carolina Environmental
Management Commission, and the Federal "Hater Pollution control Act, as amended,
Central Care, Inc.
is hereby authorized to discharge was7.ewater from a facility located at the
Central Ca::re WWTP
139 Apeli Lane
Mount Airy
Surry County
to receiving waters designated as an unnan.ed tributary to Stewarts Creek in the
Yadkin -Pee Gee River Basin in accordance -;rith effluent limitations, monitoring
requirements, and other conditions set fortl i in Parts I, II, III and IV hereof.
This permit shall become effective August 1, 2005.
This permit znd authorization to discharge shal expire at midright on February 28, 2009.
Signed this day June 29, 2005.
ORIGINAL S1GtdED BY
SUSAN A. WILSON
Alan W. Klimek, P.E., Director
Division of Water Qualt y
.By Authority of the EnvXonmental Management Commission

Permit NC0038822
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 authorityto operate and discharge fromthis facilityarises underthe permit conditions, requirements,
terms, and provisions included herein.
Central Care, Inc. is hereby authorized to:
1. Continue to operate an existing 0.010 MGD wastewater treatment system with
the following components:
♦ Septic tank
♦ Dosing chamber
♦ Surface sandfilter
♦ Tablet chlorinator
The facility is located off Apex Lane south of Mount Airy in Surry County.
2. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Stewarts Creek, classified C waters in the
Yadkin -Pee Dee River Basin.

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. TC0038822 Central Care, Inc
e: 36°27'11" Sub -Basin: 03-07-03
ide: 80°38'52"
fame: Dobson
Class: C
nQ Stream: UT to Stewarts Creek
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Facility,
Location x" °
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Permit NC0038822
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on August 1, 2005 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:
EFFLUENT
MONITORING REQUIREMENTS ;,
xLIMITS
§`�}
Monthlys
x ' DailyR
Measurement
Sample°TyperSampleLocatiorti*
Maximum
Frequency
Flow
0.010 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (202C)
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
NH3 as N
2.0 mg/L
10.0 mg/L
Monthly
Grab
Effluent
(April 1— October 31
NH3 as N
4.0 mg/L
20.0 mg/L
Monthly
Grab
Effluent
(November 1— March 31
Dissolved Oxygen
Weekly
Grab
Effluent,
Upstream & Downstream
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
2/Month
Grab
Effluent
Total Residual Chlorine2
17pg/L
2/Week
Grab
Effluent
Temperature (°C)
Daily
Grab
Effluent
Temperature (°C)
Weekly
Grab
Upstream & Downstream
pH
> 6.0 and < 9.0 standard units
2/Month
Grab
Effluent
Footnotes:
1. Upstream = at least 100 feet above discharge location. Downstream = at least 300 feet
below discharge location.
2. This limit will become effective February 1, 2007. 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

NORTH CAROLINA
FORSYTH COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned, qualified, and authorized by law to administer oaths, personally
appeared D.H. Stanfield, who being duly sworn, deposes and says: that he is
Controller of the Winston-Salem Journal, engaged in the publishing of a newspaper
known as Winston-Salem Journal, published, issued and entered as second class mail
in the City of Winston-Salem, in said County and State: that he is authorized to
make this affidavit and sworn statement: that the notice or other legal advertisement,
a true copy of which is attached hereto, was published in Winston-Salem Journal on
the following dates:
May 14, 2005
and that the said newspaper in which such notice, paper document, or legal
advertisement was published was, at the time of each and every such publication, a
newspaper meeting all the requirements and qualifications of Section 1-597 of the
General Statutes of North Carolina and was a qualified newspaper within the
meaning of Section 1-597 of the general statues of North Carolina.
This 16th day of May, 2005
(signature of pers n m k' g affidavit)
Sworn to and subscribed before me, this 16th day of May, 2005
Nota lic
My Commission expires: September 28, 2005
OFFICIAL SEAL
Notary Public, North Carolina
COUNTY OF FORSYTH
:e O KIMALEY OHp�S
Y r
My Commission Expires
PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION/NPDES UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
NOTIFICATION OF INTENT TO ISSUE
A NPDES WASTEWATER PERMIT
On the basis of thorough staff review and application of NC General Stat-
ute 143.21, Public law 92-500 and other lawful standards and regula-
tions, the North Carolina Environmental Management Commission pro-
poses to issue National Pollutant Discharge Elimination System
(NPDES) wastewater discharge permit to the person(s) listed below ef-
fective 45 days from the publish date of this notice.
Written comments regarding the proposed permit will be accepted until
30 days after the publish date of this notice. All comments received prior
to that date are considered in the final determinations regarding the pro-
posed permit. The Director of the NC Division of Water Quality may de-
cide to hold a public meeting for the proposed permit should the Division
receive a significant degree of public interest.
Copies of the draft permit and other supporting information on file used
to determine conditions present in the draft permit are available upon re-
quest and payment of the costs of reproduction. Mail comments and/or
requests for information to the NC Division of Water Quality at the above
address or call the Point Source Branch at [phone], extension
520. Please include the NPDES permit number (attached) in any com-
munication. Interested persons may alsov'sit the Division of Water Quali-
ty at 512 N. Salisbury Street, Raleigh. NO 27604-1148 between the hours
of 8:00 am. and 5:D0 p.m. to review information on file.
The City of High Pant, has applied for renewal of its permit for the High
Point Westside WWiP discharging to the Rich Fork Creek in the Yadkin -
Pee Dee River Basin, Currently BOD. ammonia, total residual chlorine
and fecal colrform are water quality limited parameters. These discharg-
esmay impact future allocation to R c� Fork Creek.
(Nsrttral Care, Inc. (139 Apex Lane, Mount Airy, NC 27030] has applied
f0f renewal of permit NC0038822 for its WWTP in Surry County. This per-
mitted facility discharges treated domestic wastewater to an unnamed
tributary to Stewarts Creek in the Yadkin -Pee Dee River Basin. Currently
ammonia nitrogen. fecal coliform and total residual chlorne are water
quality limited. This discharge may -affect future allocations in this portion
of Stewarts Creek
WSJ: May 14, 2005

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
Mr. Billy Payne
Central Care, Inc.
139 Apex Lane
Mount Airy, NC 27030
Subject: Notice of Violation — Effluent Limitations
NPDES Permit No. NCO038822
Central Care, Inc.
Surry County
Dear Mr. Payne:
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
December 10, 2004
A review of the self -monitoring report of the month of September 2004 revealed the following :
Daily Minimum Limit Violation
Parameter
Date
Permit Limit
Reported Value
Units
H
9/10
6.0-9.0
5.8
1 S.U.
Monitoring Limit Violations
Parameter
Required
Freciuency
Sample Location
Dates Omitted
Number of
Violations
Temperature
Daily
Effluent
9/9, 9/13, 9/15
3
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could subject you to enforcement action by this
Division with the possible assessment of civil penalties of up to $10,000 per day per violation. Should have any
questions, please contact Mike Mickey at [phone].
Sincerely,
I X/� lJ�
vr/•�
Steve W. Tedder
Water Quality Regional Supervisor
Cc: Compliance Group
Central Files
W SRO
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] / FAX: [phone] / Internet: h2o.enr.state.nc.us
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CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Billy Payne
Central Care, Inc.
139 Apex Lane
Mount Airy, North Carolina 27030
Dear Mr. Payne:
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
March 17, 2004
Subject: Notice of Violation
Failure to Submit Permit Renewal Application
NPDES Permit NCO038822
Central Care WWTP
Surry County
The subject permit expired on February 29, 2004. North Carolina Administrative Code (15A NCAC 2H.0105(e))
requires that an application for permit renewal be filed at least 180 days prior to expiration of the current permit. To satisfy this
requirement, your renewal package should have been sent to the Division postmarked no later than September 2, 2003.
The Division has not received a renewal request for the subject permit. This is a violation of your permit at Part II. B.
10., which states "Any permittee that 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.".
In order to prevent an assessment of civil penalties you must submit a completed permit application (see enclosed forms)
within 10 days of your receipt of this letter. Submit the completed application package to the address listed at the bottom of this
page.
If all wastewater discharge from your facility has ceased and you wish to rescind this permit, contact Vanessa Manuel of
the Division's Compliance Enforcement Unit at [phone], extension 532. You may also contact the Winston-Salem
Regional Office at [phone] to begin the rescission process.
Use the enclosed checklist to complete your renewal package. The checklist identifies the items you must submit with
the permit renewal application. If you have any questions, please contact Charles Weaver of my staff; his telephone number, fax
number and e-mail address are listed at the bottom of this page.
Since ely,
Alan W. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office, Water Quality Section
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 733-5083, extension 511 (fax) 919 733-0719
VISIT us ON THE INTERNET @ http://h2o.enr.state.nc.us/NPDES e-mail: [e-mail]

NPDES Permit NC0038822
Central Care WWTP
The following items are REQUIRED for all renewal packages:
❑ A cover letter requesting renewal of the permit and documenting any changes at the facility since
issuance of the last permit. Submit one signed original and two copies.
❑ The completed application form (copy attached), signed by the permittee or an Authorized
Representative. Submit one signed original and two copies.
❑ If an Authorized Representative (such as a consulting engineer or environmental consultant) prepares
the renewal package, submit written documentation showing the authority delegated to any such
Authorized Representative (see Part II.B.11.b of the existing NPDES permit).
❑ A narrative description of the sludge management plan for the facility. Describe how sludge (or other
solids) generated during wastewater treatment are handled and disposed. If your facility has no such
plan (or the permitted facility does not generate any solids), explain this in writing. Submit one signed
original and two copies.
PLEASE NOTE:
Due to a change in fees effective January 1, 1999, there is no renewal fee required with your
application package.
Send the completed renewal ackage to:
Mts. Valery Stephens
NC DENR / Water Quality / Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number
NGOD� Z
Facility Name
6-ell %f,
Reviewer
A4
Basin/Sub-basin
6
Receiving Stream
64-
Is the stream impaired (listed on 303(d))?
/k
Is stream monitoring required?
_ /
Do they need NH3 limit(s)?
11
Do they need TRC limit(s)?
e
Do they have whole -effluent toxicity testing?
Are there special conditions?
o
Any obvious compliance concerns?
Existing Expiration Date
Z Zq a
Proposed Expiration Date
Miscellaneous Comments:
-2.,2
Circle one: EXPEDITE DO NOT EXPEDITE
If expedited, is this a simpler permit or a more difficult one?