NC0037311_NOV2018LV0067_20180118

Water Resources
January 22, 2018
William R. Hammonds, Consultant Management
Allegiance Healthcare Investors LLC
PO Box 485
Kernersville, NC 27285-0485
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2018-LV-0067
Permit No. NCO037311
Creekside Manor Assisted Living
Forsyth County
Dear Permittee:
ROY COOPER
Gowrwr
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I -IN A CJI PEPPER
InterhnDirwtar
RECEIVED/®ENR/DWR
JAN 2 6 2016
Water Resources
Permitting Section
A review of the October 2017 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample
Location Parameter
Limit Reported
Date Value Value Type of Violation
001 Effluent Nitrogen, Ammonia Total (as 10/10/2017 10 10.7 Daily Maximum Exceeded
N) - Concentration (C0610)
001 Effluent Nitrogen, Ammonia Total (as 10/31/2017 2 2.68 Monthly Average Exceeded
N) - Concentration (C0610)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent (SOC).
State of North Carolina I Environmental Quality I Water Resources
450 West Hanes Mall Road, Suite #300, Winston-Salem, NC 27105
12114 1 -yr oenn

If you have any questions concerning this matter or to apply for an SOC, please contact Ron Boone of the
Winston-Salem Regional Office at 336-776-9800.
Sincerely,
Sherri V. Knight, P.E., Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office
Division of Water Resources, NCDEQ
CC: WQS Winston-Salem Regional Office - Enforcement File
rNPDES Compliance/Enforcement Unit= Enforcement File
DWR Central-Fiies- - - - - - -_ - -- --- - - - -