JPTNHDES 

I CELEBRATING t / 

U 25 

3 1 YEARS- " 

The State of New Hampshire 

Department of Environmental Services 

Thomas S. Burack, Commissioner 

Celebrating 25 years of protecting 

New Hampshire's environment. 

October 9, 2012 

H. Curtis Spalding, Regional Administrator 

U.S. Environmental Protection Agency, Region I 

5 Post Office Square, Suite 100 

Boston, MA 02109-3912 

7^L 

RECEIVED 

OCT 1 5 2012 

Re: Amended Negative Declaration for Hospital, Medical, and Infectious Waste 

Incinerators 

Dear Administrator Spalding: 

The State of New Hampshire had an EPA-approved state plan for Hospital, Medical, and 

Infectious Waste Incinerators ("HMIWI"). In recent years, the few remaining HMIWI in the state 

have closed, as noted in the annual reports that the New Hampshire Department of Environmental 

Services, Air Resources Division ("DES") submitted to EPA. Information in support of these 

closures was submitted in a negative declaration letter, dated August 8, 2011, and in a letter 

withdrawing the state plan on September 9, 2011. 

EPA has requested more information with respect to former HMIWIs that were located at 

Androscoggin Valley Hospital (AVH), Berlin, NH, and at Weeks Medical Center, Lancaster, NH. 

Enclosed are copies of letters received from these hospitals, notifying DES of the closure of their 

HMIWIs, as well as a letter from DES to AVH after an inspection, which showed the incinerator 

had been removed. 

The hospitals in New Hampshire are also subject to RSA 125-N:6, a copy of which is 

enclosed, which prohibits the reactivation of a closed HMIWI or the construction of a new 

HMIWI. 

DES has concluded that all of the HMIWI identified as designated facilities in New 

Hampshire are closed. Therefore, pursuant to 40 CFR 62.06,1 certify that no designated 

facilities, as that term is described in 40 CFR 60.32e, are in existence in the State of New 

Hampshire. Please contact Barbara Hoffman at (603)271-7874 or barbara.hoffman@des.nh.gov 

if you have any questions or need additional information. 

Sincerely, 

Craig A. Wright 

Acting Director 

Air Resources Division 

Enclosures (4) 

ec: Ian Cohen, EPA 

www.des.nh.gov 

29 Hazen Drive • PO Box 95 • Concord, NH 03302-0095 

(603) 271-3503 • TDD Access: Relay NH 1-800-735-2964 
Androscoggin Valley Hospital Caring, Close, Compassionate 

59 Page Hill Road 

Berlin, NH 03570-3542 

603-752-2200 

TDD 603-326-5800 

www.avhnh.org 

RECEIVED 

NEW HAMPSHIRE 

JAN 2 2 2007 

January 19, 2007 AIR RESOURCES DIVISION 

Mr. Todd Moore 

NH Department of Environmental Services 

Air Resources Division 

29 Hazen Drive 

Concord, NH 03302-0095 

AFS Point Source Number - 3300700007 

Permit No: TV-OP-042 

Subject: Androscoggin Valley Hospital Title V Annual Operating Permit 

Medical Waste Incinerator Decommissioning 

Dear Mr. Moore: 

Per our discussion December 21,2006, Androscoggin Valley Hospital has permanently 

discontinued use of our medical waste incinerator. The last day the incinerator was operated was 

January 15,2007. Electrical power to the incinerator was physically disconnected on January 19, 

2007. 

Please advise us with regard to any further reporting requirements. Please contact me at 326-

8561 if you have any questions. 

(Best Regards, 

James A. Wheeler, P.E. 

Director of Facilities/Plant Engineer 

cc: C. George Bower, PH.D., ESRA 

A Critical Access Hospital 
NHDES 

The State of New Hampshire 

DEPARTMENT OF ENVIRONMENTAL SERVICES 

Thomas S. Burack, Commissioner 

December 10, 2008 

Stephen McMann 

Facilities Director 

Androscoggin Valley Hospital 

59 Page Hill Road 

Berlin, NH 03570 

Subject: Incinerator Closure - Androscoggin Valley Hospital, Berlin, NH 

DES-SW-89-029 

Dear Mr. McMann: 

As you know, on November 12, 2008 staff from the Department of Environmental 

Services (Department) conducted, along with you, an inspection of that area of 

the hospital formerly housing the medical waste incinerator. Observations made 

during the inspection showed that the incinerator and related equipment to have 

been removed and the area cleaned. Therefore, based on the inspection and 

receipt of the "Notice of Final Closure", dated September 18, 2008, closure of the 

facility has been completed and approved. Therefore, the permit is no longer in 

effect. 

If you have questions, please contact me. 

Sincerely, 

Waste Management Specialist III 

Solid Waste Management Bureau 

Tel.: (603)271-2925 

Fax; (603)271-2456 

E-mail: dkemp@des.state.nh.us 

DWK/dwk 

f:/proj08/berlinavh 

cc: Town File 

( , / 

DES Web site: www.des.nh.gov 

P.O. Box 95, 29 Hazen Drive, Concord, New Hampshire 03302-0095 

Telephone: (603) 271-2925 • Fax: (603) 271-2456 • TDD Access: Relay NH 1-800-735-2964 
&5 

Weeks Medical Center 

173 Middle Street, Lancaster, NH 03584 • 603-788-4911 

September 9,2011 

Dear Barbara Hoffman, 

This letter is to confirm that Weeks Medical Center no longer has an incinerator on site. Beattie 

Enterprise was contracted to remove and dispose of the incinerator and Steri-cycle is contracted to 

dispose of all bio-medical waste generated at Weeks Medical Center. 

Sincerely, 

Dennis Bacon 

Dennis Bacon 

Plant Operations/Maintenance Manager 

Weeks Medical Center 

173 Middle Street 

Lancaster, NH 03584 

Dennis.Bacon@weeksmedical.org 

603-788-5012 

www.weeksmedical.org 
Section 125-N:6 Medical Wast ^icinerators; Construction and Operation Prohibitions. Page 1 of 1 

TITLE X 

PUBLIC HEALTH 

CHAPTER 125-N 

DIOXIN EMISSIONS REDUCTION AND CONTROL 

PROGRAM 

Section 125-N.6 

125-N:6 Medical Waste Incinerators; Construction and Operation Prohibitions. -

I. The construction of a new medical waste incinerator, the modification of an existing medical waste 

incinerator which increases the amount of any air pollutant emitted by the incinerator, the conversion of 

a facility into a medical waste incinerator, or the reactivation of a closed medical waste incinerator is 

prohibited. 

I I. Beginning on January 1, 2014, the operation of any existing medical waste incinerator is 

prohibited. 

Source. 2004, 13:2, eff. June 4, 2004. 

file://T:\SIP planning & rulemaking\state plans-fed delegations\state plans\HIMWI\Section.. 10/5/2012