NC0037311_NOV2015LV0064_20150215

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North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary k
February 9,2015
CERTIFIED MAIL RECEIVED
RETURN RECEIPT REQUESTED
7013-1710.0002-1865.5320 FEB 16 2015
CENTRAL FILES
Allegiance Healthcare Investors, LLC DWR SECTION
Attn:William R. Hammonds, Consultant Management
P.O. Box 485
Kemersville, NC 27285-0485`
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2015-LV-0064
Permit No. NCO037311
Creekside Manor Assisted Living
Forsyth County
Dear Mr. Hammonds:
A review of Creekside Manor Assisted Living's monitoring report for November, 2014 showed the
following violations:
Parameter Date Limit Value Reported Value Limit Type
Total Suspended Solids 11/30/2014 30 44.5 Monthly Average
Total Suspended Solids 11/4/2014 45 47.1 Daily Max
Total Suspended Solids 11/11/2014 45 48 Daily Max i
Total Suspended Solids 11/19/2014 45 46 Daily Max
,
A Notice of Violation/Notice of Recommendation for EnforcementNOWNRE issued for
( ) is being
the noted violation(s) of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. a
NCO037311. Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars
($25,000.00)may be assessed against any person who violates or fails to actin accordance with the terms,
conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide
North Carolina Division of Water Resources,Winston-Salem Regional Office
Location:450 West Hanes Mill Road,Suite#300,Winston-Salem,North Carolina 27105
Phone:[phone] FAX [phone] Customer Service;1-877-623-6748
Internet www.ncwaterqualfy.org
An Equal Opportunity 1 Affimretive Action Employer

additional inf Millon regarding the nobed violation(s), request. technical assistance, or dimiss overall
compliance, please respond in writing within ten (10) days after receipt of this Notice. A review of
your response will be considered along with any information provided on the Creekside Manor Assisted
Living's, November, 2014 Discharge Monitoring Report. You will then be notified of any civil penalties that
may be assessed regarding the violation(s). If no response is received in this Office within the 10-day
period,a civil penalty assessment may be prepared.
Remedial actions, if not already implemented, should be taken to correct any problems. The
Division of Water Resources may pursue enforcement actions for this and any additional violation(s). If the
violation(s) are of a continuing nature, not related to operation and/or maintenance problems, or you
anticipate remedial construction activities, then you may wish to consider applying for a Special Order by
Consent.
If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at
[phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: Point Source Branch
SWP—Central Files
WSRO Files
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