NC0044750_Draft Permit_20170627

Water Resources
ENVIRONMENTAL QUALITY
ROY COOPER
Goveinor
MICHAEL S. REGAN
Seci etmy
S. JAY ZIMMERMAN
Dncam
June 27, 2017
Mr. James M. Cheshire
Research & Analytical Laboratories, Inc.
P.O. Box 473
Kernersville, NC 27284-0473
Subject: Draft NPDES Permit NCO044750
Jacob's Creek Nursing & Rehabilitation Center
Class WW -2
Rockingham County
Dear Mr. Cheshire:
The Division has reviewed your request to renew the subject permit. Please review this draft carefully to
ensure a thorough understanding of the information, conditions, and requirements it contains.
The draft permit includes the following significant changes from the existing permit:
➢ Section A. (3) has been added to require electronic submission of effluent data. Federal regulations
require electronic submittal of all discharge monitoring reports (DMRs).
➢ Regulatory citations have been added to the permit.
With this notification, the Division will solicit public comment on this draft permit by publishing a notice in
newspapers having circulation in the general Rockingham County area, per EPA requirements. Please
provide your comments, if any, to me no later than 30 days after receiving this draft permit.
Following the 30 -day public comment period, the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have questions concerning the draft, please contact
me at the telephone number listed at the bottom of this page, or via e-mail [[e-mail]].
cc: NPDES files
Sincerely,
l
Charles H. Weaver, Jr.
NPDES program
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6391 919-807-6389 FAX
https•Ildeq.nc.govlabouttdivisionslwater-resourceslwater-resources-permitslwastewater-branchlnpdes-wastewater-permits

Permit NCO044750
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions 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,
Granite Falls LTC, LLC
is hereby authorized to discharge treated wastewater from a facility located at the
Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop
Madison
Rockingham County
to receiving waters designated as Hogans Creek in the Roanoke River Basin in
accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III and IV hereof.
This permit shall become effective
This permit and authorization to discharge shall expire at .midnight on May 31, 2022.
Signed this day
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NCO044750
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge, are hereby
superseded and, as of this issuance, any previously issued permit describing this treatment facility or
bearing this number is no longer effective Therefore, the exclusive authority to operate and discharge
from this facility arises under the permit conditions, requirements, terms, and provisions described
herein.
Granite Falls LTC, LLC is hereby authorized to:
1. Continue to operate an existing 0.025 MGD wastewater treatment plant that
includes the following treatment components:
• Flow equalization
• Comminator
• Aeration basins
• Clarifiers
• Sand filter
• UV disinfection
• Back up Chlorine contact chamber and chlorination
• Flow measurement
• Aerobic digester
• Effluent pump station
This facility is located at the Jacob's Creek Nursing and Rehabilitation Center
(1721 Bald Hill Loop, Madison) in Rockingham County. The discharge outfall is
approximately 1.38 miles north of the WWTP.
2. Discharge from said treatment works at the location specified on the attached map
into Hogan's Creek, currently classified C waters in subbasin 03-02-02 of the
Roanoke River Basin.
Page 2 of 6

Permit NCO044750
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
During the period beginning on the effective date of this permit 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:
PARAMETER
LIMITS
MONITORING REQUIREMENTS
[Parameter Code]
Monthly
Daily
Measurement
Sample
Sample Location
Average
Maximum
Frequency
Type
Flow
[50050]
0.025 MGD
Continuous
Recording
Influent or Effluent
Temperature (°C)
5 / Week
Grab
Effluent
[00010]
Total Residual Chlorine (TRC)2
28.0 ug/L
2 / Week
Grab
Effluent
[50060]
BOD, 5 -day 20°C)
30 0 mg/L
45 0 mg/L
Weekly
Grab
Effluent
[C0310]
Total Suspended Solids
30 0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
[CO530]
Fecal Coliform [31616]
200 / 100 ml
400 /100ml
Weekly
Grab
Effluent
(geometric mean)
Dissolved Oxygen2
Daily average > 6 0 mg/L
Weekly
Grab
Effluent
[00300]
—
pH
[00400]
> 6 0 and < 9 0 standard units
—
Weekly
Grab
Effluent
NH3 as N
2 / Month
Grab
Effluent
[C0610]
Surfactants (MBAS)
18.5 mg/L
Monthly
Grab
Effluent
[38260]
Footnotes:
1. The permittee shall submit discharge monitoring reports electronically using the Division's eDMR
application system [see A. (3)].
2. TRC limit and monitoring requirements are applicable only if chlorine compounds are used for
disinfection. See A. (2) for instructions should the facility's permitted UV system fail and an
alternate means of disinfection is required. The Division shall consider all effluent TRC values
reported below 50 µg/L to be compliant. However, the Permittee shall continue to record and
submit all values reported by a North Carolina certified laboratory (including _field certified), even if
these values fall below 50 µg/ L.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 6

Permit NCO044750
A. (2) TEMPORARY MEANS OF DISINFECTION
[NCGS 143-215.1 (a)]
If the wastewater treatment plant's ultraviolet (UV) disinfection system should fail,
underperform, or otherwise be removed from effective service, the permittee or his agent
should immediately inform the staff of the Winston-Salem Regional Office of this
development and discuss temporary, alternate means for disinfection of the effluent.
If chlorine compounds are used as temporary means of disinfection, the total residual
chlorine (TRC) concentration of the effluent must be monitored daily while this method of
disinfection is in use and values must be reported on the discharge monitoring report. TRC
in the effluent may not exceed 28 gg/L; therefore, dechlorination methods may also be
necessary to ensure protection of water quality in the receiving stream.
If TRC monitoring is necessary occur, the Division shall consider all effluent TRC values
reported below 50 l g/L to be in compliance with the permit. However, the Permittee shall
continue to record and submit all values reported by a North Carolina certified laboratory
(including field certified), even if these values fall below 50 pg/L.
Use of a disinfection system other than the permitted UV system during circumstances not
deemed as emergency and/or temporary (replacement of lamps, lamp cleaning or
maintenance, etc.) will be considered a violation of the terms of this permit.
A. (3) ELECTRONIC REPORTING OF MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports
(DMRs) and program reports. The final NPDES Electronic Reporting Rule was
adopted and became effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections
within Part II of this permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) , Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (al]
The permittee shall report discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each
month and submitted electronically using eDMR. The eDMR system allows permitted
facilities to enter monitoring data and submit DMRs electronically using the internet. Until
such time that the state's eDMR application is compliant with EPA's Cross -Media Electronic
Reporting Regulation (CROMERR), permittees will be required to submit all discharge
monitoring data to the state electronically using eDMR and will be required to complete the
Page 4 of 6

Permit NCO044750
eDMR submission by printing, signing, and submitting one signed original and a copy of the
computer printed eDMR to the following address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to
the facility being physically located in an area where less than 10 percent of the households
have broadband access, then a temporary waiver from the NPDES electronic reporting
requirements may be granted and discharge monitoring data may be submitted on paper
DMR forms (MR 1, 1. 1, 2, 3) or alternative forms approved by the Director. Duplicate signed
copies shall be submitted to the mailing address above. See "How to Request a Waiver from
Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month
following the issuance of the permit or in the case of a new facility, on the last day of the
month following the commencement of discharge.
Starting on December 21, 2020, the permittee must electronically report the following
compliance monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to
Request a Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(l)(9), the permittee must identify the initial recipient at
the time of each electronic submission. The permittee should use the EPA's website
resources to identify the initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the
entity (EPA or the state authorized by EPA to implement the NPDES program) that is the
designated entity for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting
tool for each type of electronic submission and for each state. Instructions on how to access
and use the appropriate electronic reporting tool will be available as well. Information on
EPA's NPDES Electronic Reporting Rule is found at:
http: / /www2. epa.,aov / compliance / final-national-pollutant-discharge-elimination-SVGtPm -
Electronic submissions must start by the dates listed in the "Reporting Requirements"
section above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain
an electronic reporting waiver, a permittee must first submit an electronic reporting waiver
request to the Division. Requests for temporary electronic reporting waivers must be
submitted in writing to the Division for written approval at least sixty (60) days prior to the
date the facility would be required under this permit to begin submitting monitoring data
Page 5 of 6

Permit NCO044750
and reports. The duration of a temporary waiver shall not exceed 5 years and shall
thereupon expire. At such time, monitoring data and reports shall be submitted
electronically to the Division unless the permittee re -applies for and is granted a new
temporary electronic reporting waiver by the Division. Approved electronic reporting waivers
are not transferrable. Only permittees with an approved reporting waiver request may
submit monitoring data and reports on paper to the Division for the period that the approved
reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are
found on the following web page:
httn: / / dea.nc. izov / about / divisions /water -resources / edmr
4. Signatory Requirements [Supplements Section B. (11.1 (b) and Supersedes Section B.
11. d
All eDMRs submitted to the permit issuing authority shall be signed by a person described
in Part H, Section B. (11.)(a) or by a duly authorized representative of that person as
described in Part II, Section B. (11.)(b). A person, and not a position, must be delegated
signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR
user account and login credentials to access the eDMR system. For more information on
North Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account,
please visit the following web page:
http: / / deg.nc. gov /about/ divisions /water -resources / edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.221. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under
my direction or supervision in accordance with a system designed to assure that qualified
personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering
the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
5. Records Retention (Supplements Section D. 16.11
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years
from the date of the report. This period may be extended by request of the Director at any
time [40 CFR 122.41].
Page 6 of 6

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NCO044750
Jacob's Creek Nursing & Rehabilitation Center
Latitude: 36` 22'53" N USGS Quad: Mayodan, N.C.
Longitude: 79' 54'28" W Sub -Basin: 03-02-02
Receiving Stream: Hogan's Creek Stream Class: C
North
Facility x
Location
Rockingham County
Map not to scale