On September 27, 2005 the EPA executed a Consent Agreement and Final Order (CAFO) settling a Notice of Noncompliance and Request to Show Cause issued to the Charleston Area Medical Center (CAMC) for alleged violations of the federally enforceable West Virginia hospital/medical/infectious waste incinerator (HMIWI) CAA Section 111(d)/129 Plan (WV 45CSR24) promulgated pursuant to Sections 111(d) and 129 of the Act, 42 U.S.C. ���� 7411 and 7429, as incorporated into conditions of its federally enforceable operating permit for its incinerator located at CAMC���s hospital with an address of 3200 MacCorkle Avenue, SE, in Charleston, West Virginia. Specifically, the CAFO alleges that CAMC failed to conduct three consecutive years of performance testing for particulate matter, carbon monoxide and hydrogen chloride; failed to establish maximum and minimum operating parameters during an initial performance test, and as a consequence failed to operate the HWIMI in accordance with these operating parameters; and failed to submit the required annual reports for 2002 and 2003. CAMC has agreed to pay an $11,000 civil penalty to settle this matter.