DEQ Transfer Ownership Memorial Hospital Sewer Main Extension to City of Sheridan 02172011Matt Mead, Governor
Department of Environmental Quality
To protect, conserve and enhance the quality of Wyoming's
environment for the benefit of current and future generations.
John Corra, Director
NOTIFICATION OF COVERAGE
February 17, 2011
Mayor Dave Kinskey
City of Sheridan
55 Grinnell Plaza
Sheridan, WY 82801
RE: Transfer of Ownership, Memorial Hospital of Sheridan County Sanitary Sewer Main Extension
Sheridan County, Reference Permit #98 -163
Permit #11 -054
Dear Mayor Kinskey:
The above Transfer of Ownership for coverage under General Permit to Construct, Install, Modify or Operate
Extensions to or Modifications of Existing Sewage Collection Systems in accordance with Chapter 3 and Chapter
11 of the Wyoming Water Quality Rules and Regulations has been reviewed and is hereby approved. You are
authorized to construct, install, or modify the facility in accordance with general permit and the materials submitted
in your application package.
If you have any questions, please contact me at (307) 777 -6941.
Sincerely,
s vC�
Suzanne Engels
WDEQ/WQD
SE /rm/l 1 -0175
Enclosures
cc: IPS, Cheyenne
WDEQ Casper File
Robert Forister, Sheridan Memorial Hospital, 1401 W 5�' Street, Sheridan, WY 82801
Lane Thompson, City of Sheridan, PO Box 848, Sheridan, WY 82801
Herschler Building • 122 West 25th Street - Cheyenne, WY 82002 - http: / /deq.state.wy.us
ADMINIOUTREACH ABANDONED MINES AIR QUALITY INDUSTRIAL SITING LAND QUALITY SOLID & HAZ. WASTE WATER QUALITY
(307) 777 -7758 (307) 777 -6145 (307) 777 -7391 (307) 777 -7369 (307) 777 -7756 (307) 777 -7752 (307) 777 -7781
_ 1 04 9
X New PERMIT NO. 98 -163
Renewal SPECIAL CONDITIONS
Modified
MEMORIAL HOSPITAL OF SHRIDAN COUNTY SANITARY SEWER EXTENSION
This permit hereby authorizes the applicant:
1 West Fifth Street
S heridan. :•
.1 Tho
torhave constructed, installed or modified a sewer line according to the procedures and conditions of the
application numbers 98 -163 The facility is located in the SEX of Section 21 of T56N R84W in the county
of Sheridan, in the State of Wyoming.
The issuance of this permit confirms that the Department of Environmental Quality (DEQ) has evaluated the
application submitted by the permittee and determined that it meets minimum applicable construction and
design standards. The compliance with construction standards and the operation and maintenance of the
facility to meet the engineer's design are the responsibility of the permittee, owner, and /or operator.
Granting this permit does not imply that the Wyoming DEQ guarantees or ensures that the permitted r facility,
when constructed, will meet applicable discharge permit conditions or other effluent or operational
requirements. Compliance with discharge standards remains the responsibility of the permittee.
Nothing in this permit constitutes an endorsement by the DEQ of the construction or the design of the facility
described herein. This permit verifies only that the submitted application meets the design and construction
standards imposed by the DEQ statutes, rules and regulations. The DEQ assumes no liability for, and does
not in any way guarantee or warrant the performance or operation of the permitted facility. The permittee,
owner and /or operator are solely responsible for any liability arising from the construction or operation of the
permitted facility. By issuing this permit, the state does not waive its sovereign immunity.
The permittee shall allow authorized representatives from the DEQ, Water Quality Division (DEQN1/QD), upon
the presentation of credentials and during working hours, to have access to inspect the facilities, at the above
location, for the purpose of compliance with the provisions of this construction permit.
Nothing in this permit shall be construed to preclude the institution of any legal action or other proceeding to
enforce any applicable provision of law or rules and regulations. It is the duty of the permittee, owner and /or
operator to comply with all applicable federal, state and local laws or regulations in the exercise of its
activities authorized by this permit.
The issuance of this permit does not convey any property rights in either real or personal property or any
invasion of personal rights, nor any infringement of federal, state or local laws or regulations.
The permittee has constructed and shall operate the permitted facility in accordance with the statements,
representations, procedures, terms and conditions of the permit application, supporting documents and permit.
This permit does not relieve the permittee from any duty to obtain any other permit or authorization that may
be required by any provision of federal, state or local laws.
AUTHORIZED BY.
Quality Division
=5- 42 4r2 P
Date of Issuance
DRM /pr /ks
81519.Itr
Enclosures: Statement of Basis
artment of Environmental Quality
xc: Dan Songer, CER, 237 N. Main, Sheridan 82801
Susan Fields, City of Sheridan, POB 848, Sheridan 82801
WYOMING DEPARTMENT OF ENVIRONMENTAL QUALITYIWATER QUALITY DIVISION ;
Chapter 3 PERMIT TO CONSTRUCT TRANSFER REQUEST
-EB 14 2011
Water Quality Division, Department of Environmental Quality Date 9-18 -20
122 West 25th Street 4 .
Herschler Building, 4W l i„ili��
Cheyenne, WY 82002
Memorial Hospital Sheridan County intends to transfer ownership of the facility
(Original Owner of Record)
Sanitary Sewer Main Ex_te_ntio_n associated with Permit # 98-163
(Facility Mare or description)
to City of Sheridan , on 9 -18 -2011
(New Owner of Record) (Date)
It is requested that the said permit be transferred to the new owner in accordance with Section 12 of Chapter 3,
Wyoming, Water Quality Rules and Regulations. The new owner agrees to accept and be bound by the
provisions of the new (transferred) permit and any amendments, agrees to construct and operate the facility in
accordance with the approved permit, and agrees to accept responsibility for the facility's compliance with
applicable standards and permit conditions, Including the responsibility to perform any necessary corrective
actions.
The original owner shall retain responsibility for the facility according to the terms of the original permit until the
application for permit transfer is approved by the Administrator.
.0 - al�
Signature of Original Owner's Representative
(A certified copy of a recorded document transferring
ownership of the real estate may be accepted in lieu of
the signature of the original owner.)
Name and Title 1- o6--ct M Pa r i ste-
(Please Print)
Company Name :SVrE(Z1 ONb YYl%1' M A2.
1 ksplTivt-
Address 10 LJ •
SNP eAj t,.S�l 8Z8c�1
Name and Title rhuL 6
r
I (Please Print)
Company Name t l'G� B� & C_ i 04
Address �E iG Ilv Nk l l . 0 0 :
Telephone
LBH/bb/10- 0001.DOC
Revised 114/2010
AUTHORIZED BY AUTHOIZ171
Water Quality Rules and
IieZid'tttioos, Chapter III
DIrecfior
Department of E.nvironmeutsl
PERMIT NO
WE