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Certified Mail # 7016 1370 0001 65717273
Return Receipt Requested
August 21, 2017
Robert Crummie/ Henderson's Assisted Living
Mizpah Healthcare Inc
74 Lotus Lane
Hendersonville, NC 28792
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2017-LV-0569
Permit No. NCO071897
Henderson's Assisted Living WWiP
Henderson County
Dear Permittee:
RECEIVEDINCDEWWR
SEP 0 1 2017
Water Quality
Permitting Section
A review of the June 2017 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample
Nitrogen, Ammonia Total (as
Limit
Reported
Location
Parameter Date
Value
Value Type of Violation
001 Effluent
BOD, 5 -Day (20 Deg, C) - 6/5/2017
7.5
30.9 Daily Maximum Exceeded
001 Effluent
Concentration (C0310)
6/5/2017
6
001 Effluent
Coliform, Fecal MF, MFC Broth, 6/5/2017
400
600 Daily Maximum Exceeded
44.5 C (31616)
001 Effluent
Nitrogen, Ammonia Total (as
6/5/2017
10
21.2
Daily Maximum Exceeded
N) - Concentration (C0610)
001 Effluent
Oxygen, Dissolved (DO)
6/5/2017
6
5.75
Daily Minimum Not Reached
(00300)
001 Effluent
Oxygen, Dissolved (DO)
6/12/2017
6
4.22
Daily Minimum Not Reached
(00300)
001 Effluent
Oxygen, Dissolved (DO)
6/19/2017
6
4.08
Daily Minimum Not Reached
(00300)
001 Effluent
BOD, 5 -Day (20 Deg. C) -
6/20/2017
7.5
20.5
Daily Maximum Exceeded
Concentration (C0310)
State of North Carolina I Environmental Quality I Water Resources
2090 U S 70 Highway, Swannanoa, NC 28778

Limit Exceedance Violation(s):
Sample -
Location
parameter Date
Limit Reported
Value Value Type of Violation
001 Effluent
BOD, 5 -Day (20 Deg. C) - 6/30/2017
5 15.44 Monthly Average Exceeded
Concentration (C0310)
001 Effluent
Nitrogen, Ammonia Total (as 6/30/2017
2 5.87 Monthly Average Exceeded
N) - Concentration (C0610)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES WW Permit. 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 act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Monitoring
Report(s). You will then be notified of any civil penalties that may be assessed regarding the violations. If no
response is received in this Office within the 10 -day period, a civil penalty assessment may be
prepared.
Remedial actions should have already been 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.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality RegionGl Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit —Enforcement File
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