NC0085294_Permit Issuance_19981109

State of North Carolina
Department of Environment
and Natural Resources
Division, of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. James Van Hecke, Jr.
Pavillon International
P.O. Box 199
Mill Spring, North Carolina 28756
Dear Mr. Van Hecke:
A
NCDENR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
November 9, 1998
Subject Issuance of NPDES Permit NCO085294
Pavillon International at Britten Creek
Polk County
The Division received your application for a wastewater discharge permit on June 2, 1998. Division
personnel have reviewed and approved your application. 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 December 6, 1983, and as subsequently amended.
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, Post Office Drawer 27447,
Raleigh, North Carolina 27611-7447. 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. Complete and submit the
enclosed Permit Name / Ownership Change Form if a change in ownership or control of this discharge occurs.
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 Paul Clark at [phone], extension
580.
Sincerely,
Original Signed By
David A Goodrich
- A. Preston Howard, Jr., P. E.
cc: Central Files
Asheville Regional Office/Water Quality Section
Mr. Roosevelt Childress, EPA
NPDES Unit
Point Source Compliance Enforcement Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled 110% post -consumer paper

Permit No. NCO085294
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,
Pavillon International
is hereby authorized to discharge wastewater from a facility located at
Pavillon International at Britten Creek
Lake Adger Road
Polk County
to receiving waters designated as Britten Creek in the Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
II, III, and IV hereof.
The permit shall become effective December 1, 1998
This permit and the authorization to discharge shall expire at midnight on July 31, 2003
Signed this day November 9, 1998
Original Signed By
D_ 4 A; ooddric .
• reston owar r., ., Director
z,.
Division of Water Quality
By- Authority of the Environmental Management Commission

Permit No. NC0085294
'= SUPPLEMENT TO PERMIT COVER SHEET
Pavillon International
is hereby authorized to: i
-
1.` Continue to operate a 0.00586 MGD wastewater treatment facility consisting of grease
trap(s), septic tank, dosing tank (with pressure discharge), two sand filter beds (with laterals
and washed stone (pea gravel) as part of sand filter beds), chlorinator, and dechlorinator
located at Pavillon International at Britten Creek on Lake Adger Road, Polk County (See Part
III of this permit), and
2. Discharge from said treatment works at the location specified on the attached map into
Britten Creek (Class C) in the Broad River Basin.
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Longitude:82000
NCO085294
River Basin ,:0
Receiving;
.. County
Stream Class: C
PavMon International

A(1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Permit No. NCO085294
Beginning on the effective date of this permit and lasting through the expiration date, the Permittee is authorized to discharge domestic wastewater from Outfall
001. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
; ;;, EFFLUENT LIMTIVNS
.,
MONITORING REQUIREMENTS
Monthly
Average
--Weekly
Average
ai IV,
Maximum
Measurementa
Frequency
amp
Type
amp e
Location 9
Flow
0.00586 MGD
_
Weekly
Instantaneous
I or E
BOD, 5 day, 20oC
30.0 mg/I
45.0 mg/I
2/month
Grab
E
Total Suspended Residue (Solids)
30.0 mg/I
45.0 mg/I
2/month
Grab
E
Fecal Coliform (geometric mean)
200/100ml
400/100 ml
2/month
Grab
E
pH 2
2/month
Grab
E
NH3 as N
Monthly
Grab
E
Temperature
Weekly
Grab
E
Total Residual Chlorine
28 ug/I
2/week
Grab
E
Notes:
I Sample locations: E - Effluent, I — Influent.
] The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

to — POLK COUNTY. OLA41—
PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL
MANAGEMENT
COMMISSION
POST OFFICE BOX 29535
RALEIGH, NC 27626-0535
NOTIFICATION OF
INTENT TO ISSUE
A STATE NPDES PERMIT
On,the basis of thorough staff
review and application of Article 21
of Chapter 143, General Statutes of
North Carolina, Public Law 92-500
and other lawful standards and regu-
lations, the North Carolina Environ-
mental Management Commission
proposes to issue apermit to dis-
charge to the persons listed below
effective 11/7/98 and subject to spe-
cial conditions. -
Persons wishing to comment upon
or object to the proposed determina-
tions are invited to submit same in
writing to the above address no later
than 10/23/98. All comments re-
ceived prior to that date will be
considered in the formulation of fi-
nal determinations regarding the
proposed permit. A public meeting
may be held where the Director of
the Division of Environmental Man-
agement finds a significant degree of
public interest in a proposed permit.
A copy of the draft permit is
available by writing or calling the
Division of Environmental Manage-
ment, PO Box 29535, Raleigh, North
Carolina 27626-0535, (919) 733-
7015.
The application and other infor-
mation may be inspected at these
locations during normal office hours.
Copies of the information on file are
available upon request and payment
of the costs of reproduction. All such
comments or requests regarding a
proposed permit should make refer-
ence to the NPDES permit number
listed below. _
September 16, 1998
David A. Goodrich
A. Preston Howard Jr.,
P.E., Director -
Division of Environmental
Management
Public notice of intent to issue a
State NPDES permit to the follow-
ing:
I. NPDES No. NCO0335 33.
Polk County Board of Education, PO
Box 638, Columbus, NC 28722 has
applied for a permit renewal for a
facility located atPolkCentral School
on NC Highway 9, east of Mill
Spring, Polk County. The facility is
permitted to discharge 0.010 MGD
of treated domestic wastewater from
one outfall into South Branch Little
Whiteoak Creek, a Class C stream in
the Broad River Basin which has a
7Q 10 flow of 0 cis and a 30Q2 flow
of 0 cis. No parameters are water
quality limited, but this discharge
may affect future allocations.
2. NPDES No. NC0085294.
Tryon Daily Bulletin, IVIT OF PUBLICATION
Pavilion International, 1301 Caro-
Iina Street Suite 102, Greensboro,ersigned, a Notary Public of said County
NC 27401 has applied to renew theirnmissioned, qualified, and authorized by
permit for a facility located at
Pavilion International at Britten / ��
Creek, Lake Adger Road, in Polkaths, personally appeared __-f,.1�1F.'Ee_
County. The facility is permitted to
discharge 0.004860 MGD of treated Who being first duly sworn, deposes
domestic wastewater from one out -' /
fall into Britten Creek, a Class C A//'',,,
stream in the Broad 'River Basing .�n---��/-1r�n� ' __ of THE
which has a 7Q 10 flow of 1.0 cis and ILLETIN, engaged in th publication of
a 30Q2 flow of 2.1 cfs. No param- as THE TRYON DAILY BULLETIN,
eters are water quality limited, but
this discharge may affectfutureallo- rid entered as second class mail in the
cations. said County and State; that he is au-
adv.9/21 is affidavit and sworn statement; that
cue notice or Omer legal advertisement, a true copy of
which is attached hereto• was published in THE TRYON
DAILY BULLETIN on the following dates:
��✓ 1`�y--------------------- ----- --
--------- ----
------_....._---------------------------------------------------------- .------ -_,
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 meet-
ing all of the requirements and qualifications of Section
1-697 of the General Statutes of North Carolina and was a
qualified newspaper within the meaning of Section 1-597
of the General Statutes of North Carolina. p
This-��-------.day of -`-------
(Signature of person making affidavit)
Sworn to and subscribed before me,, this._aa___--
day of.---��l - -'- ........
19.V..
ry Public
My Commission expires:__ .U .- ��?eDZ.
....---- ----.......

Dl �utq
DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
Facility
Information
Applicant/Facility Name
Pavillon-International
Permit No.
Permitted ow:
Facility ass:
Facility/Permit Stan,s:Renewal
(i.e. New, Modification,
Existing or Renewal)
County:
Folk
Stream
Characteristics
ecervmgStream:
Britten
Creek
Stream Classification:
u asm:
030802
Drainage Area (mi ):
4.05
Summer c s
rater 7Q I U (CIS):
1.5
cs:
verage T ow c I s :
I WC o:
v
isce aneous
Regional ice:
ille
opo Quad:
11- 1 ON w,
mill Spring
Changes Incorporated into Permit Renewal
hanges
Parameters Affecte
ases for change(s)
Add In
Femperature, NH3as
move p to to e
p
ormattmg improvement
History
Dam was constructed to create water impoundment (lake) as part of Pavillon
development. Division of Water Resources and Wildlife Resources Commission
recommended that a continuous minimum flow equal to 2.0 cfs be released at dam to
maintain aquatic habitat and water quality. If inflow to lake is less than 2.0 cfs, the
minimum release may be reduced to equal inflow. In addition, if water is withdrawn
from lake for irrigation or other offstream uses, then the inflow prior to withdrawal or
2.0 cfs (whichever is less) must be released. USGS flow report indicates that at drainage
area of 4.05 mil, 7Q10S is approximately 1.0 cfs. Thus, because required minimum
flow of 2.0 cfs is greater than 1.0 cfs, a staff gage was installed downstream of dam
subject to 15A NCAC 2K.0504. Pavillon discharges downstream of dam.
Corn liance Summ
ata reviewe om January 1997-April 1998 indicated the following:
BOD5 range: <2.0 to 34 mg/1(usually <20 mg/1)
TSS range: 2.5 to 31.8 mg/l (usually <20 mg/1)
TRC range: < 100 ug/1
Page 1 of 2
version980710

DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
- 980506 — Compliance Evaluation Inspection conducted by W. Frazier indicated
treatment system was well maintained and operating in compliance except for two fecal
coliform monthly average violations (March 1997 and January 1998). Inspection report
also stated Pavillon may add 20 more patient beds and staff. Actual flow is well below
permitted flow, thus permit modification will not be necessary for flow increase.
Request for Authorization to Construct would be required if construction to modify
WWTP was necessary to handle additional flow.
WLA Summ !� /U l�j 'O
emperature. onitcring will be added as required in 02B
mistakenly omitted during permit issuance. — — Do e 5
Proposed Schedule for Permit Issuance
Draft Permit to Public Notice: 9/9/98
Permit Scheduled to Issue: 10/26/98
.0500 regulations. It w 2
U d /�ltl3 a 450 ,
State Contact
If you have any questions on any of the above information or on the attached
permit, please contact Paul Clark at [phone], extension 580.
Copies of the following are attached to provide further information on the permit
development:
Existing permit effluent sheets with changes noted (existing facilities only)
Draft Permit / ^�
NPDES Recommendation by: ��C�uG Date:
Regional Office Comments
ok
Regional Recommendation by: �
Reviewed By: /
Regional Supervisor: Date:
I NPDES Unit:
P3�— /mom7Dnnq `Dal3
two /��-/ a yi�•�
Page 2 of 2
version98071
Date:
,ee TP
A194--)

A. Q. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Permit No. NCO085294
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored by the Permittee as specified below:
Effluent Characteristics Dischae limitations Monitoring Requirements
Measurement Sample Sample
Monthly --AM Weekly -Avg. Daily Max. Frequency Type Locations 1
Flow 0.00586 MGD Continuous Recording I or E
BOD, 5-Day, 200C 30.0 mg/1 45.0 mgA 2/month Grab E
Total Suspended Residue 30.0 mgA 45.0 mgA 2/month Grab E
F C 1iform geometric mean) 200/100 ml 400/100 ml 2/month Grab E
w�v� a° ��wo k Grab E
Thal Residu Ch onne 28 ugA
I Sample locations: E - Effluent, I - Influent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and shall be monitored 2/month at the effluent by grab sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

A(1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Permit No. NCO085294
Beginning on the effective date of this permit and lasting through the expiration date, the Permittee is authorized to discharge domestic wastewater from Outfall
001. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITATIONS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
--Me—asurement
Frequency
Sample
Type
Sample
Location
Flow
0.00586 MGD
Weekly
Instantaneous
I or E
BOD, 5 day, 20oC
30.0 mg/I
45.0 mg/I
2/month
Grab
E
Total Suspended Residue (Solids)
30.0 mg/I
45.0 mg/1
2/month
Grab
E
Fecal Coliform (geometric mean)
200/100ml
400/100 ml
2/month
Grab
E
pH I
\
2/month
Grab
E
NH3 as N
Monthly
Grab
E
Temperature
^ ,,
Weekly
Grab
E
Total Residual Chlorine
a
/I
2/week
Grab
E
Notes: ►.�
' Sample locations: E - Effluent, I — Influent. V
The pH shall not be less than 6.0 standard units nor greater�than 9. t�dard units.
There shall be no discharge of floating solids or visible foam i othe an trace amounts.