NCG510549_Return Application_20181025

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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary
LINDA CULPEPPER
Interim Director
October 25, 2018
CERTIFIED MAIL 7015 1520 0000 7838 4665
RETURN RECEIPT REQUESTED
Mr.Jeff Dulaney
Blue Ridge Regional Hospital,Inc.
125 Hospital Drive
Spruce Pine,NC 28777-3035
Subject: NPDES application return(#2316)
NPDES Application NCG510549
Blue Ridge Regional Hospital,Inc.
Mitchell County
Dear Mr.Dulaney:
In accordance with 15A NCAC 2H.0107(b), additional information requested for an incomplete application must
be received within 60 days or the application may be returned.An additional information request was received by
Blue Ridge Regional Hospital,Inc. on June 21, 2018,which is greater than a 120 days ago.We must hereby
return the attached permit application received on May 11, 2018.
After a preliminary review in accordance with N.C.G.S. 143-215.1 and 15A NCAC 21.0105,the Division has
determined that the application package lacks the following items:
1. Please Complete an Engineering Alternatives Analysis [G.S. § 143-215.1(b)(5)(a)and 15A NCAC 02H
.0105(c)(2)] by addressing each of the following:
a. Please document that connection to a municipal or regional sewer collection system is infeasible.Please
attach correspondence(letter or e-mail) from the Town of Spruce Pine indicating that the Town will not
except the discharge to their collection system.The Town may want to site their sewer use ordinance to
support their assertion.
b. The cover letter received on May 11,2018 indicated that 4 acres of land would be needed to utilize spray
irrigation as an alternative.Please provide a Present Value of Costs Analysis(PVCA) as outlined in the
Division's "Engineering Alternatives Analysis(EAA) Guidance Document"for spray irrigation. An estimate
for the cost of purchasing 4 acres of land can be included with the analysis.
c. If subsurface disposal alternatives such as a nitrification field, an infiltration gallery, injection wells, etc. are
technically feasible with the purchase of additional land,please re-evaluate these alternatives. Otherwise,
indicate why each of these subsurface alternatives are infeasible.
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NORTH CAROLINA
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North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617
919.707.9000

Mr.Dulaney
October 25,2018
Page 2 of 2
d. Please include a PVCA Summary Table.The EAA must include a Summary Cost Table,which summarizes
present worth costs developed for all technologically feasible wastewater alternatives.The summary should
include a breakdown of capital costs and recurring costs. In some situations,the Division may require the
applicant to refine cost estimates for some alternatives, or possibly collect actual soil data to better
characterize the land application alternative.Ultimately,the final determination on cost effectiveness is made
by the Division with consideration of monetary costs as well as potential environmental impacts.Please do
not overlook adding the NPDES discharge alternative cost to the summary table for comparison.
2. Other supporting information for the EAA:
a. Impaired waters and TMDLs: Certain waterbodies listed as impaired on the 303(d)list and/or
subject to impending TMDLs may have wastewater discharge restrictions.The list of 303(d)
impaired waters is located on the DWR website, or you may contact the DWR Modeling and
Assessment Branch(http://portal.ncdenr.org/web/wq/ps/mtu).
b. Presence of Endangered Species: If endangered species are present in the proposed discharge
location,there may be wastewater discharge restrictions.Endangered species information may be
included in the Basinwide Water Quality Plan,or you may contact the U.S.Fish and Wildlife
Service(919-856-4520),N.C.Wildlife Resources Commission(919-733-3633),or the N.C.Natural
Heritage Program(919-733-7701).
c. Complete and return the Attachment A.Local Government Review Form. See EAA Guidance for
detailed instructions.
3. Please demonstration approval to discharge to the storm sewer.A map included with the additional information
received on May 11,2018 indicated a flow path that discharges to a storm sewer.Please provide documentation
that approval has been granted from the appropriate landowners and/or agencies(e.g.the Town or DOT).
If you wish to reapply for an NPDES permit,correct these items before resubmitting the application.Please note
that permit fees are nonrefundable [15A NCAC 02H.0105 (b)(1)]. If you have any questions,please contact
Derek Denard at 919-707-3618 or email at [e-mail].
ely,
Linda Culpepper,Interim P erector
Division of Water Resources
hc: NPDES General Permit Files
ec: DWR/MRO,Landon Davidson[[e-mail]];Tim Heim[[e-mail]]
Linda Wiggs [[e-mail]]
S&ME,Inc.:Bradley S.Keyse,E.I. [[e-mail]];David R.Loftis,P.E. [[e-mail]]
Jeff Dulaney,Blue Ridge Regional Hospital,Inc. [[e-mail]]