NCG500310_complete file-historical_20140922

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor RECEIVE® Secretary
S E P 2 9 2014 September 22, 2014
CEINTF2AL FILES
DWR SECTION
David Kirk
New Hanover Regional Medical Center
Wilmington, NC 28402
Subject: NOTICE OF DEFICIENCY
Tracking No. NOD-2014-SP-0003
General Permit No. NCG500310
New Hanover Regional Medical Center
New Hanover County
Dear Mr. Kirk,
A compliance evaluation inspection of New Hanover Regional Medical Center was conducted by
Chad Coburn on August 22, 2014. This inspection was to verify that the facility is operating in
compliance with the conditions and limitations specified .in NPDES General Permit No.
NCG500310. During the inspection, a review of your records found that monitoring is not being
conducted as required in the permit which was also found to be the case in the previous inspection
in 2007.
THE FOLLOWING ARE FAILURE TO MONITOR AND/OR REPORT THE
FOLLOWING PARAMETER(S):
Parameter
Measuring Frequency
Type
Violation
Flow
Semi -Annually
Estimate
Frequency Violation
Temperature
Semi -Annually
Grab
Frequency Violation
Chlorine, Total Residual
Semi -Annually
Grab
Frequency Violation
Oil & Grease
Semi -Annually
Grab
Frequency Violation
pH
Semi -Annually
Grab
Frequency Violation
Chemical Oxygen
Demand
Semi -Annually
Grab
Frequency Violation
Remedial actions should be taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional
violations of State law.
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
Phone: [phone]Internet: www,nodenr.gov
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2
New Hanover Regional Medical Center
NCG500310
New Hanover County
NOD-2014-SP-0003
To prevent further action, carefully review these deficiencies and address the causes of
noncompliance to prevent the recurrence of similar situations. If you should have any questions,
please do not hesitate to contact Chad Coburn with the Water Quality Section at [phone] or
via email at Chad. Cobumancdenr.aov.
Sincerely,
J Gregson, Regional rupervisor
Water Quality Regional Operations Section
Wilmington Regional Office
Division of Water Resources, NCDENR
Cc: DWQ/Wilmington Regional Office - Green File
Central Files, Water Quality Section

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 204M
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 U 2 15 1 3 1 NCG500310 111 12 14/08/22 17 18 L �j
19 L S j 20I I
211111 1 1 I 1 j I II I I I I I I I I I I I I I I I I I I I 1 1.1
111 1 1 1 1 1 r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA -------Reserved----
67
70 Lj 71 L_j 72 L�j 73J7475
— —
80
Section B: FacilityData
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)
02:00PM 14/08/22
12/08/01
New Hanover Regional Medical Center
Exit Time/Date
Permit Expiration Date
2131 S 17th St
04:30PM 14/08/22
15/07131
Wilmington NC 28402
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
David Kirk,2131 S 17th St Wilmington NC 28401/Maintenance Services
No
Manager/910-343-7219/9103437083
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
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
Chad CoburnWIRO WQ//910-796-7379/
C7
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
James Gregson ���w WQX
0 —.1) 5 ly
EPA Form 3560-3 ( ee 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCG500310 I� 12 14/08/22 17 18 ICI
(Cont.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Site inspection conducted on 08/22/2014 for general permit to discharge non -contact cooling water and
boiler blowdown discharges. I met with David Kirk and Mike Lanier and toured the facility. As in the
previous inspection (2007), sampling data could not be provided for the combined effluent as required
by the NPDES permit. However, the facility does do daily sampling for equipment maintenance of its
boiler blowdown discharge for many of the same parameters required under the NPDES General
Permit.
Page#

Permit: NCG500310
inspection Date: 0812=014
Other
Owner - Facility: New Hanover Regional Medical Center
Inspection Type: Compliance Evaluation
Yes No NA NE
Comment: Site inspection conducted on 08/22/2014 for general permit to discharge non -contact coolie
water and boiler blowdown discharges I met with David Kirk and Mike Lanier and toured the
facility. As in the previous inspection (2007). sampling data could not be provided for the
combined effluent as required U the NPDES permit. However, the facility does do daily
sampling for equipment mintenance of its boiler blowdown discharge._
Page#

Q0�y-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. David Kirk
New Hanover Regional Medical Center
2131 S 17th St
Wilmington, NC 28402
Dear Permittee:
Charles Wakild, P.E.
Director
August 1, 2012
Dee Freeman
Secretary
Subject: Renewal of coverage / General Permit NCG500000
New Hanover Regional Medical Center
Certificate of Coverage NCG500310
New Hanover County
The Division is renewing Certificate of Coverage (CoC) NCG500310 to discharge under NPDES
General Permit NCG500000. This CoC is issued pursuant to the requirements of North Carolina General
Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated October 15, 2007 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Wilmington Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
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 permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact John
Hennessy [919 807-6377 or [e-mail]].
Sincerely,
Original signed by John Hennessy
for Charles Wakild, P.E-
cc: Wilmington Regional Office / Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] Internet: www.ncwaterqualily.org
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NCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500310
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS 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,
New Hanover Regional Medical Center
is hereby authorized to discharge Boiler Blowdown & Cooling Tower Blowdown from a
facility located at
New Hanover Regional Medical Center
2131 S 17th St
Wilmington
New Hanover County
to receiving waters designated as Silver Stream Branch in subbasin 03-06-17 of the Cape
Fear River Basin in accordance with the effluent limitations, monitoring requirements,
and other conditions set forth in Parts I, II, III and IV hereof.
This Certificate of Coverage shall become effective August 1, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1, 2012
Original stined by John Hennessy
for Charles Wakild, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Q�n
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
July 23, 2007
David Kirk
New Hanover Regional Medical Center
2131 South 17th Street
Wilmington, NC 28401
Subject: Renewal of coverage / General Permit NCG500000
New Hanover Regional Medical Center
Certificate of Coverage NCG500310
New Hanover County
Dear Permittee:
In accordance with your renewal application [received on February 28, 2007], the Division is renewing
Certificate of Coverage (CoC) NCG500310 to discharge under NCG500000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 for as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Wilmington Regional Office prior to any sale or transfer of the permitted facility
Regional Office staff will assist you in documenting the transfer of this CoC.
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 permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Jim
McKay [919 733-5083, extension 595 or [e-mail].
Sincerely,
/. -76s ��
for Coleen H. Sullins
cc: Central Files
Wilmington Regional Office / Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 'One
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org )atura!ly
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500310
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS 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,
New Hanover Regional Medical Center
is hereby authorized to discharge from a facility located at
New Hanover Regional Medical Center
2131 S 17th Street
Wilmington
New Hanover County
to receiving waters designated as Silver Stream Branch in subbasin 30617 of the Cape
Fear River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 23, 2007.
/.', -A Gam,
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

I
MAR 2 2rn7
March 12, 2007
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Weaver,
I am sorry about the confusion on the second page of our application. Because of the missing second
page and the adjustment to one of the responses on the first page (I had checked "Non -contact Cooling
Water" because I didn't know there was a "Cooling Tower Blowdown") on the second page) I have re-
submitted all pages, in triplicate.
Please let me know if there's anything else I need to do. Thank you for your patience.
Sincerely,
David Kirk
Manager Maintenance Services
Plant Operations
New Hanover Regional Medical Center
phone: [phone]
email: [e-mail]
New Hanover Regional Medical Center
P.O. Box 9000 / 2131 S. 17th Street / Wilmington, NC 28402-9000
910-343-7000

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
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCG500000
Existing Certificate of Coverage (Co0: NCG500 3/D
(Please print or type)
1) Mailing address of facility owner/operator:
Company Name Alk,-W -ff 'u�t Lrlt fL"t&"4L ^ -Lvot cots- ckrW'Z'ETZ_
Owner Name ( s'4 m'z
Street Address 9f31 -5. l7T'".5S SLEPT
City brit t i-m t N4 T ou State N `� ZIP Code
Telephone Number 9j 6 3 q 3 ! Z/ i Fax: ?t 6 3 V 3-?a 3 3
Email address PAV/2, 91/L/l Ho.aKC.,
` Address to which all permit correspondence should be mailed
2) Location of facility producing discharge:
Facility Name HEw N(4Nd V Lrft- (LAC; f ».4 L f>AL-Vt "*L. C3'XC r1 r(L
Facility Contact 'PAV t Y�) iCtRl�
Street Address -Z,13 1 5, P/' 5i ILFE'-
City 'yWtL.AA4AJgiU1d State NC- ZIP Code
County rlFW i4- AN"vEYP--
Telephone Number 9/0 39r3 7z)? Fax: 2/0 3Y3-7m83
Email address VP-
Ay6D.(4ele- e•/,JHNM.0Rq
3) Description of Discharge:
a) Is the discharge directly to the receiving stream? ❑ Yes &1<0
(If no, submit a site map with the pathway to the potential receiving waters clearly marked. This includes tracing the pathway of the
storm sewer to the discharge point, if the storm sewer is the only viable means of discharge.)
b) Number of discharge outfalls (ditches, pipes, channels, etc. that convey wastewater from the property):
:L
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
❑ Non -contact cooling water Outfall(s) #:
EH5o�iler Blowdown Outfall (s) #:
Page 1 of 3

NCG500000 renewal application
et-ooling Tower Blowdown
❑ Condensate
❑ Other
(Please describe "Other")
Outfall (a) #=
Outfall (a) #:
Outfall (a) #=
d) Volume of discharge per each discharge point (in GPD):
#0011" Z #002 4 6" / #003: #004
3 -�c 0"1" a Sp. atr-) GAi/fTo ,
4) Please check the type of chemical [a] added to the wastewater for treatment, per each separate discharge
point (if applicable, use separate sheet):
❑ Chlorine ❑ Biocides ❑ Corrosion inhibitors ❑ Algaecide ❑ Other
&<one
5) If any box in item (4) above [other than None] was checked, a completed Biocide 101 Form and
manufacturers' information on the additive must be submitted to the following address for approval:
NC DENR / DWQ / Environmental Sciences Section
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
6) Is there any type of treatment being rovided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)? ❑Yes
(If yes, please include design specifics (i.e., design volume, retention time, surface area, etc.) vrith submittal package. Existing
treatment facilities should be described in detail. )
7) Discharge Frequency:
a) The discharge is: 0 Continuous
GYIntermittent ❑ Seasonal*
i) If the discharge is intermittent, describe when the discharge will occur: O PiQRY1T0-1.1
of-- C-aDU&V-f VfTY 15"WPOW/J C.O-A+TgoLLrrRS'
ii) *Check the month(s) the discharge occurs: 0 Jan ❑ Feb ❑ Mar. ❑ Apr 0 May ❑ Jun ❑ Jul
❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. 0 Dec.
b) How many days per week is there a discharge?
c) Please check the days discharge occurs: ❑ Sat. ❑ Sun. 0 Mon. ❑ Tue. ❑ Wed. ❑ Thu. 0 Fri.
Additional Application Requirements:
The following information must be included m triplicate [original + 2 copies] with this application or it will
be returned as incomplete.
➢ Site map. If the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
Page 2 of 3

NCG500000 renewal application
➢ Authorization for representatives. If this application will be submitted by a consulting engineer
(or engineering firm), include documentation from the Permittee showing that the consultant
submitting the application has been designated an Authorized Representative of the applicant.
Certification
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: -AVID
Title:
(Signatu a ofApplicant)
North Carolina General Statute 143-215.6 b G) provides that:
:2 67
(Date Signed)
Any person who knowingly makes any false statement, representation, or certification In any application, record, report, plan or other document
filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine 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.)
AEAEAEAEAEAEAEAEAEAEAEA
This Notice of Renewal Intent does NOT requirea separate fee.
The permitted facility already pM an annual fee for coverage under NCG500400.
AEAEAEAEAEAEAEAEAEAEAEA
Mail the original and two copies of the entire package to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 3 of 3

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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
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCG500000
I
Existing Certificate of Coverage (CoC): NCG500-3/—
(Please print or type)
1) Mailing address' of facility owner/operator:
Company Name
Owner Name
N1_� IfATIav�Yt- RCLi�YAc.a-kbr�/kZ �rYt-
K
Street Address Z13( S, l7YK SrrfLE&r-
City
l L I't+tNG iv-✓
State Al r- ZIP Code Z 9 y 0 1
Telephone Number 91o - 3 4/3 - 7 z/ F Fax: it G — 3 y 3 - -70 F 3
Email address-PAvtD, Pee lZiteN14ttN.GR()
Address to which all permit correspondence should be mailed
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
I+ e-&7st-t-fL
z(3 ( 5. r7 Tr{ 577�-ELF
City State NL ZIP Code 2 B V a t
County t✓k/ ErRW��/LrT�-
Telephone Number 91'6 - 3`/ 3 - �(z r 9 Fax: 916 - 3 y 3 - -7 09 3
Email address j-41D, 9 1 fl- K-- (2- N 1414 J- 6WGI
3) Description of Discharge:
a) Is the discharge directly to the receiving stream? ❑ Yes ®'No
(If no, submit a site map with the pathway to the potential receiving waters clearly marked. This includes tracing the pathway of the
storm sewer to the discharge point, if the storm sewer is the only viable means of discharge.)
b) Number of discharge outfalls (ditches, pipes, channels, etc. that convey wastewater from the property):
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
C'INon-contact cooling water Outfall(s) #:
&3 boiler Blowdown Outfall (s) #:
Page 1 of 3

NCG500000 renewal application
Additional Application Requirements:
The following information must be included in triplicate [original + 2 copies] with this application or it will
be returned as incomplete.
➢ Site map. If the discharge is not directly to a stream, the pathway to the receiving stream must
be clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
> Authorization for representatives. If this application will be submitted by a consulting
engineer (or engineering firm), include documentation from the Permittee showing that the
consultant submitting the application has been designated an Authorized Representative of the
applicant.
Certification
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: _ :17Ay i D - E"C t F- f e--
Title:
of Applicant)
North Carolina General Statute 143-215.6 b (i) provides that:
Z -ZG -a Z
(Date Signed)
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document
filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine 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.)
This Notice of Renewal Intent does NOT require a separate fee.
The permitted facility already pays an annual fee for coverage under NCG500000.
Mail the original and two copies of the entire package to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 3 of 3

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SCALE DATE FILENAME'
none 10/9/00 index

State of 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
July 26, 2002
WILLIAM J. PHIFER .
NEW HANOVER REG MEDICAL CENTER
PO BOX 9000
WILMINGTON, NC 28402
At
*Ad
NC ENR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Wastewater Discharge Permit
New Hanover Reg Medical Center
COC Number NCG500310
New Hanover County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG500000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency,
dated May 9, 1994 (or as subsquently amended).
The following information is included with your permit package:
* A copy of the Certificate of Coverage for your treatment facility
* A copy of General Wastewater Discharge Permit NCG500000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG500000
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater
and General Permits Unit at [phone], ext. 578
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Wilmington Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

;..
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG500000
CERTIFICATE OF COVERAGE No. NCG500310
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS 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,
NEW HANOVER REGIONAL MEDICAL CTR
is hereby authorized to discharge
BOILER BLOWDOWN AND
COOLING TOWER BLOWDOWN
water or similar wastewater from a facility located at
NEW HANOVER REG MEDICAL CENTER
2131 SOUTH 17TH STREET
WILMINGTON
NEW HANOVER COUNTY
to receiving waters designated as Silver Stream Branch, a class C NSW water, in the Cape Fear River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III,
and IV of General Permit No. NCG500000 as attached.
This certificate of coverage shall become effective August 1, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 2002.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
William J. Phifer
New Hanover Regional Medical Center
P.O. Box 9000
Wilmington, NC 28402
Dear Permittee:
EL
IDEHNF=1
July 24, 1997
Subject. Certificate of Coverage No. NCG500310
Renewal of General Permit
New Hanover Regional Medical Center
New Hanover County
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid until July 31, 2002. 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. If any parts, measurement
frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request
an individual pernut by submitting an individual permit application. Unless such demand is made, this certificate
of coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, 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 the NPDES Group at the address below.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Central Files
Wilmington Regional Office
NPDES File
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&[e-mail]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG500000
CERTIFICATE OF COVERAGE NO. NCG500310
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE, EXEMPT STORMWATER, COOLING WATERS ASSOCIATED WITH
HYDROELECTRIC OPERATIONS, AND SIMILIAR WASTEWATERS 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,
New Hanover Regional Medical Center
is hereby authorized to discharge
boiler blowdown, cooling tower blowdown and other similar wastewaters
from a facility located at
New Hanover Regional Medical Center
2131 South 17th Street
Wilmington
New Hanover County
to receiving waters designated as subbasin 30617 in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III and IV of General Permit No. NCG500000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 24,1997.
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

NCG50031D
iviarcri 11, 1Y'w
INVOICE FOR RENEWAL OF
NPDES PERMIT
C] Check here if you do NOT wish to renew this permit.
Please return this page along with a letter documenting your reasons
for not requesting renewal to:
Mr. Charles FI. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
✓g Check here if you wish to renew this permit.
Please verify that the following information is documented accurately:
Mailing Address
William J. PWfer
NEW HANOVER REG. MEDICAL CTR.
2131 S.17TH STREET
WILMINGTON , NC 28402
Phone number. [phone]
Fax number: (91D�-343-7350
e-mail address: Nt4
Facility Location
William J. Phifer
NEW HANOVER REG. MEDICAL CTR.
2131 South 17th Street
WILMINGTON , NC 28402
W )1W6
� yeo. 00
❑ No revision required.
Revision required. (Please specify below.)
Wrua.r,- J.
(44WOVru;� , MEDICAL- GE,
T o, 3nX 9000
v1J«m,uG.T6N, IJC ZR402
[EfNo revision required.
FI' Revision required. (Please specify below.)
Please return this page with your letter requesting renewal, and $400 fee (payable to NCDEHNR) to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Signature of applicant or authorized representative
Date

April 2, 1997
Mr. Charles H. Weaver, Jr.
Division of Water Quality / WQ Section
NPDES Group
P. O. Box 29535
Raleigh, NC 27626-0535
Dear Mr. Weaver:
This letter is to serve as the official request for renewal of NPDES Permit No. NCG500310 for New
Hanover Regional Medical Center in Wilmington, North Carolina. Enclosed with this letter please find the
completed invoice form sent out by your office and a check for $400.00 for the processing fee.
0
o
If there are any questions or anything else that you require in regard to the permit renewal please feel free to
contact me at (910)-343-7094. Thank you.
Sincerely,
Willi P tfer
P
Manager of Plant Maintenance
cc: Ron Smidt, Director of Facilities Services
David Brooks, Plant Operations Coordinator
Allen Harris, Controls Technician
New Hanover Regional Medical Center
P.O. Box 9000 / 2131 S. 17th Street / Wilmington, NC 28402-9000
910-343-7000

February 26, 1997
David A. Goodrich, Supervisor.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, NC 27626-0535
Re: Renewal of NPDES Permit No. NCG500310
New Hanover County
Dear Mr. Goodrich:
On January 30, 1997 our office received a notice of renewal for NPDES Permit No. NCG500310 dated.
However the Invoice for Renewal of NPDES Permit enclosed with the notice was for E.C. DILDA
Standard Commerical Taboacco Co., Wilson NC. Upon contacting the Wilmington Regional Office (910)
395-3900, we were referred to Pat Durrett at [phone]. Todate, we have not received the correct
invoice.
We do wish to renew this permit. Please re -issue the invoice for Renewal Of NPDES Permit for New
Hanover Regional Medical Center.
Sincerely,
William J. Phifer,
N
Do
m `_� ,.
Manager of Plant Maintenance &Operations
=
� .--
Facilities Services
5E
_
cc
Enclosures
o
At
New Hanover Regional Medical Center
P.O. Box 9000 / 2131 S. 17th Street / Wilmington, NC 28402-9000
910-343-7000

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary p E H N F=?L
A. Preston Howard, Jr., P.E., Director
December 8, 1995
Mr. Ronald M. Smidt
New Hanover Regional Medical Center
2131 S. 17th Street
Wilmington, North Carolina 28402
Subject: NPDES No. NCG500310
New Hanover Regional Med. Ctr.
New Hanover County
Dear Mr. Smidt:
In accordance with your request received September 22, 1995, we are forwarding
herewith the Certificate of Coverage for the subject facility. This Certificate of Coverage 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. This permit expires in July, 1997. You will be notified 9
months prior to that date about renewal of the permit. This is the only update that will be
necessary.
Please be aware that this Certificate of Coverage does not giIlow any biocidal compounds to
be added to the cooling water discharge. Should you desire to add these compounds to the
discharge, you must submit a completed Biocide 101 worksheet to us for review. Only after
these compounds are approved by the Division will they be allowed in the discharge.
If any parts, measurement frequencies or sampling requirements contained in this
permit are unacceptable to you, you have the right to request an individual permit by
submitting an individual permit application. Unless such demand is made, this certificate of
coverage shall be final and binding. Please take notice that this certificate of coverage is not
transferable except after notice to the Division of Environmental Management. The Division of
Environmental Management may require modification or revocation and reissuance of the
certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Environmental Management or permits required by the Division of
Land Resources, 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
Susan Robson at telephone number 919/733-5083.
Sincerely,
A. Preston Howar Jr., P.E.
cc: Central Files
Wilmington Regional Office
Mr. Roosevelt Childress, EPA
Permits and Engineering Unit
Facilities Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG500000
CERTIFICATE OF COVERAGE No. NCG5003I0
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER BLOWDOWN,
CONDENSATE AND SIMILAR WASTEWATERS 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,
New Hanover Regional Medical Center
is hereby authorized to discharge cooling tower blowdown and boiler blowdown water from a facility located at
South 17th Street
Wilmington
New Hanover County
to receiving waters designated as Silver Stream Branch in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG500000 as attached
This certificate of coverage shall become effective December 8,1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 8, 1995.
A. Preston Howard, Jr., P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission