NC0037311_Authorization to Construct_20100514

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CDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
May 14, 2010
Mr. James Cheshire
Hammond Properties
P.O. Box 473
Kernersville, North Carolina 27284
SUBJECT: Authorization to Construct
A to C No. 037311A01
Hammond Properties
Creekside Manor Rest Home WWTP
Dechlorination Facilities
Forsyth County
Dear Mr. Cheshire:
Dee Freeman
Secretary
A fast track application for Authorization to Construct dechlorination facilities was
received on May 6, 2010, by the Division of Water Quality (Division). Authorization is hereby
granted for the construction of modifications to the existing Creekside Manor Rest
Home WWTP, with discharge of wastewater effluent into an unnamed tributary of Belews Creek
in the Roanoke River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Installation of a dechlorination system utilizing sodium sulfite pursuant to the fast
track application received on May 6, 2010, and in conformity with the Minimum
Design Criteria for Dechlorination Facilities.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NCO037311 issued November 1, 2007, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NCO037311.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by this Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 NO Carolina
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org aturatlr�
An Equal Opportunity 1 Affirmative Action Employer

Mr. James Cheshire
May 14, 2010
Page 2
The Winston-Salem Regional Office, telephone number [phone] shall be notified
at least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of these permitted facilities, the
attached Engineer's Certification form must be received from a professional engineer certifying
that the permitted facility has been installed in accordance with the NPDES Permit and this
Authorization to Construct. Mail the Certification to: Construction Grants & Loans,
DWQ/DENR, 1633 Mail Service Center, Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at least
equivalent to or greater than the classification assigned to the wastewater treatment facilities by
the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and, when applicable, the North
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division in accordance with North
Carolina General Statute 143-215.6A to 143-215.6C.

Mr. James Cheshire
May 14, 2010
Page 3
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
If you have any questions or need additional information, please do not hesitate to contact
Seth Robertson, P.E. at telephone number [phone].
Sincerely,
d6Z ��
dI7
Coleen H. Sullins
swc/sr
cc: David W. Gipe, P.E., Gipe & Associates, P.A., 2407 Wolfe Ridge Road,
Charlotte, NC 28210
Forsyth County Health Department
Winston-Salem Regional Office, Surface Water Protection
Technical Assistance and Certification Unit
Point Source Branch, NPDES Program
Steve Coffey, P.E.
ATC File 037311A01

Hammond Properties
A To C No. 037311 AO
Issued May 14, 2010
Engineer's Certification
as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Creekside Manor Rest Home
WWTP, located on Reidsville Road in Forsyth County for Hammond Properties, hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the
following construction:
Installation of a dechlorination system utilizing sodium sulfite pursuant to the fast
track application received on May 6, 2010, and in conformity with the Minimum
Design Criteria for Dechlorination Facilities.
I certify that the construction of the above referenced project was observed to be built
within substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration No.
Send to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633