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Brief Facility Description:
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FACILITY SITE REVIEW
�e No N/A 1. Treatment units properly operated and maintained.
Yes No &N� 2. Standby power or other equivalent provision provided.
Yes No N/A 3. Adequate alarm system for power or equipment failure available.
4. Sludge disposal procedures appropriate:
(YeP No N/A a. Disposal of sludge according to regulations
es No N/A b. State approval for sludge disposal received.
es ` No N/A 5
No �N/A 6.
es ' No N/A 7.
No N/A 8.
es No N/A 9.
Sufficient sludge disposed of to maintain treatment process equilibrium.
The ORC and Backup Operator are officially designated with
NCDENR/DWQ Training and Certification Unit.
Adequate spare parts and supplies inventory maintained.
Plant has general safety structures such as rails around or covers over
tanks, pits, or wells.
Plant is generally clean, free from open trash areas.
10. Screening:
Yes No (SW a. Manual
Yes No NIA b. Mechanical
Yes No N/A c. Buildup of debris
Yes No N/A d. Screenings properly disposed of.
11. Grit Removal:
Yes No Q4) a. Excessive organic content in the grit chamber
Yes No N/A b. Excessive odors
Yes No N/A c. Grit properly disposed of.

Page 2
}
14. Activated Sludge Basins/Oxidation Ditches:
12.
Primary clarifier:
Yes
No
(�
a.
Excessive gas bubbles
Yes
No
N/A
b.
Black and odorous wastewater
Yes
No'
N/A
c.
Poor suspended solids removed
Yes
No
N/A
d.
Excessive buildup of solids in center well of circular clarifier
Yes
No
N/A
e.
Weirs level
Yes
No
NIA
f.
Weir blockage
Yes
No
N/A
g.
Evidence of short circuiting
Yes
No
N/A
h.
Lack of adequate scum removal
Yes
No
N/A
i.
Excessive floating sludge
Yes
No
N/A
j.
Broken sludge scraper.
14. Activated Sludge Basins/Oxidation Ditches:
Yes N/A
13. Trickling Filter:
Yes
No
/ .
a.
Trickling filter ponding(indicating clogged media)
Yes
No
N/A
b.
Leak at center column of trickling filter's distribution arms
Yes
No
N/A
c.
Uneven distribution of flow on trickling filter surface
Yes
No
N/A
d.
Uneven or discolored growth
Yes
No
N/A
e.
Excessive sloughing of growth
Yes
No
N/A
f.
Odor
Yes
No
N/A
g.
Clogging of trickling filter's distribution arm orifices
Yes
No
N/A
h.
Filter flies, worms, or snails.
14. Activated Sludge Basins/Oxidation Ditches:
Yes N/A
a.
Dead spots
Yes No NW
b.
Failure of surface aerators
Yes (SR) N/A
c.
Air rising in clumps
Yes VN/A
d.
Dark foam or bad color
Yes NR� N/A
e.
Thick billows of white, sudsy foam
Yes N/A
f.
Air rising unevenly
Yes N/A
g.
Excessive air leaks in compressed air piping.
15.
Stabilization Ponds/Lagoons:
Yes
No
U
a. Excessive weeds including duckweed in stabilization ponds
Yes
No
N/A
b. Dead fish or aquatic organisms
Yes
No
N/A
c. Buildup of solids around influent pipe
Yes
No
N/A
d. Excessive scum on surface.

Page 3
Yes No 19. Ultraviolet radiation disinfection present and in use.
20. Dechlorination:
Yes No a. Proper storage of sulfur dioxide cylinders
Yes No N/A b. Adequate ventilation of sulfur dioxide feeding room
Yes No N/A c. Automatic sulfur dioxide feed or feedback control operating
properly.
16. Secondary Clarifier:
Yes (SP
N/A
a.
Excessive gas bubbles on surface
Yom, No
NIA
b.
Level overflow weirs
Yes �
N/A
c.
Weir blockage
Yes
NIA
d.
Evidence of short circuiting
Yes �o �
N/A
e.
Excessive buildup of solids in center well of circular clarifier
(Lei, ` No
N/A
f.
Pin floc in overflow C&rbe nol
Y jP No
N/A
g.
Effective scum rake
Yes (W
N/A
h.
Floating sludge on surface
Yes (9b
N/A
i.
Excessive high sludge blanket
Yes (fAON/A
No
j.
Clogged sludge withdrawal ports on secondary clarifier.
Yes No 19. Ultraviolet radiation disinfection present and in use.
20. Dechlorination:
Yes No a. Proper storage of sulfur dioxide cylinders
Yes No N/A b. Adequate ventilation of sulfur dioxide feeding room
Yes No N/A c. Automatic sulfur dioxide feed or feedback control operating
properly.
17.
Filtration:
Yes
No
4901
a.
Filter surface clogging
Yes
No
N/A
b.
Short filter run
Yes
No
N/A
c.
Gravel displacement of filter media
Yes
No
N/A
d.
Loss of filter media during backwashing
Yes
No
N/A
e.
Recycled filter backwash water in excess of 5 percent
Yes
No
N/A
f.
Formation of mudballs in filter media.
Yes No 19. Ultraviolet radiation disinfection present and in use.
20. Dechlorination:
Yes No a. Proper storage of sulfur dioxide cylinders
Yes No N/A b. Adequate ventilation of sulfur dioxide feeding room
Yes No N/A c. Automatic sulfur dioxide feed or feedback control operating
properly.
18. Chlorination Unit:
Yes
No
V
a.
Sludge buildup in contact chamber
Yes
No
N/A
b.
Gas bubbles
Yes
No
N/A
c.
Floating scum and/or solids
Yes
No
N/A
d.
Adequate ventilation of chlorine feeding room and storage area
Yes
No
N/A
e.
NIOSH -approved 30 minute air pack
Yes
No
N/A
f.
All standing chlorine cylinders chained in place
Yes
No
N/A
g.
All personnel trained in the use of chlorine
Yes
No
N/A
h.
Proper chlorine feed, storage, and reserve supply.
Yes No 19. Ultraviolet radiation disinfection present and in use.
20. Dechlorination:
Yes No a. Proper storage of sulfur dioxide cylinders
Yes No N/A b. Adequate ventilation of sulfur dioxide feeding room
Yes No N/A c. Automatic sulfur dioxide feed or feedback control operating
properly.
21. Aerobic Digester:
Yes
No
N/A
a. Excessive foaming in tank
Yes
No
N/A
b. Noxious odor
Yes
No
N/A
c. Mechanical aeration failure
Yes
No
N/A
d. Clogging of diffusers.

Page 4
22. Anaerobic Digester:
Yes No (9�V a. Floating cover tilting
Yes No N/A b. Gas burner operative
24. Filter Press:
Yes N/A a. High level of solids in filtrate from filter presses or vacuum filters
Yes N/A b. Thin filter cake caused by poor dewatering
Yes N/A c. Sludge buildup on belts and/or rollers of filter press
Yes % N/A d. Excessive moisture in belt filter press sludge cake.
23.
Sludge Drying and/or disposal:
Yes
No ON'
a.
Poor sludge distribution on drying beds
Yes
No
b.
Vegetation in drying beds
Yes
No
c.
Dry sludge remaining in drying beds
Yes
No
d.
Dry sludge stored on site
Yes
No QD�)
e.
Filtrate from sludge drying beds returned to front of plant
es
No N/A
f.
Sludge disposal through county landfill.
Yes
No (X%.
g.
Sludge land applied.
24. Filter Press:
Yes N/A a. High level of solids in filtrate from filter presses or vacuum filters
Yes N/A b. Thin filter cake caused by poor dewatering
Yes N/A c. Sludge buildup on belts and/or rollers of filter press
Yes % N/A d. Excessive moisture in belt filter press sludge cake.
nnnry
25. Polishing Ponds or Tanks:
Yes
No O
a.
Objectionable odor, excessive foam, floating solids, or oil sheens on
a.
Proper placement of flow measurement device
e
water surface
Yes
No N/A
b.
Solids or scum accumulations in tank or at side of pond
Yes
No N/A
c.
Evidence of bypassed polishing ponds or tanks because of low
Yes
N/A
capacity.
Broken or cracked flume or weir
Yes
26. Plant Effluent:
Yes
(&�= N/A
a.
Excessive suspended solids, turbidity, foam, grease, scum, color, and
No
f.
other macroscopic particulate matter present
Yes
(9� N/A
b.
Potential toxicity (dead fish, dead plant at discharge)
Ye
~ No N/A
c.
Outfall discharge line easily accessible.
nnnry
27. Flow Measurement:
CY'e*.
No
N/A
a.
Proper placement of flow measurement device
e
No
N/A
b.
Flow meter calibrated
Yes
VN/A
c.
Buildup of solids in flume or weir
Yes
N/A
d.
Broken or cracked flume or weir
Yes
No
e.
Clogged or broken stilling wells
Yes
No
f.
Weir plate edge corroded or damaged
Yes
No
N/A
g.
Flow measurement error less than 10%.
nnnry

Page 5
28. Sampling:
es No N/A a. Sampling and analysis completed on parameters specified by permit
No N/A b. Composite sample temperatures maintained at 4 degrees Celsius or
less (but above freezing) during sampling
No N/A c. Contract laboratory used for sample analysis
(Zci) No N/A d. Effluent composite samples obtained are flow proportional.
RECORDKEEPING AND REPORTING
(ZesD No N/A 1. Records and reports maintained as required by permit.
es% No N/A 2. All required information available, complete, and current.
es No N/A 3. Records maintained for 3 years and all sludge records maintained for 5
years.
Yes No N/A 4. Analytical results consistent with data reported on DMRs.
5. Sampling and analyses data adequate and include
Yes
No
N/A
a.
Dates, times, and location of sampling
Yes
No
N/A
b.
Name of individual performing sampling
Yes
No
N/A
c.
Results of analyses and calibration
Yes
No
N/A
d.
Dates of analyses
Yes
No
N/A
e.
Name of person performing analyses.
6. Monitoring records adequate and include:
Yes No N/A a. Monitoring charts kept for 3 years
' No N/A b. Flowmeter calibration records kept for 3 years.
No N/A 7. The pH meter is calibrated daily with two buffers and checked with a
third buffer and properly documented.
One �; No N/A 8. Expiration dates of pH buffers adequate.
ek No N/A 9. All thermometers used in NPDES permit reporting is calibrated
annually with an NIST certified thermometer or a traceable
thermometer annually and documented.
ej- No N/A 10. The following NPDES permit required parameters are analyzed on site:
pH, Temperature, Dissolved Oxygen and Chlorine Residual.

Page 6
Yes No /A ` 11. The NPDES permit required parameter Total Chlorine Residual is
analyzed by approved method.
Yes No ( `) 12. BOD incubator temperature maintained at 20 +/- 1 Degrees Celsius
Yes No N/ ; 15. Permittee is meeting compliance schedule.
No N/A 16. DMRs complete and include all NPDES permit required parameters.
Yes No 17. The facility has a permitted flow greater than 5 MGD and is required
to operate seven days per week 24 hours a day.
es� No N/A 18, ORC visitation logs available and current.
'e No N/A 19. ORC certified at a level equal to or greater than the classification of
the wastewater facility.
Yes' No N/A 20. Backup Operator certified at one level less than the classification of
the wastewater facility or greater.
No N/A 21. Current copy of the complete NPDES permit on site.
Vi,! No N/A 22. Facility description verified as contained in NPDES permit.
ices; No N/A 23. Facility analyzes process control parameters for example: MLSS,
MCRT, Settleable Solids and others that are applicable.
Yes No IA' 24, Industrial Waste Surveys (IWS) sent to all possible Significant
Industrial Users (SlUs� within the last five years (especially new
industries.
Revised 7/16/01
by Belinda Henson
and the temperature maintained in a log for every day of operation.
Yes
No
%
13. Fecal coliform incubator maintained at 44.5 +/- 0.2 Degree Celsius and
the temperature maintained in a log for every day of operation.
14. Plant records adequate and include:
Yes
No
N/A
a. O & M Manual
Yes
No
N/A
b. "As -built" engineering drawings
'e�
No
N/A
c. Schedules and dates of equipment maintenance repairs
Yes
No
N/A
d. Equipment data cards.
Yes No N/ ; 15. Permittee is meeting compliance schedule.
No N/A 16. DMRs complete and include all NPDES permit required parameters.
Yes No 17. The facility has a permitted flow greater than 5 MGD and is required
to operate seven days per week 24 hours a day.
es� No N/A 18, ORC visitation logs available and current.
'e No N/A 19. ORC certified at a level equal to or greater than the classification of
the wastewater facility.
Yes' No N/A 20. Backup Operator certified at one level less than the classification of
the wastewater facility or greater.
No N/A 21. Current copy of the complete NPDES permit on site.
Vi,! No N/A 22. Facility description verified as contained in NPDES permit.
ices; No N/A 23. Facility analyzes process control parameters for example: MLSS,
MCRT, Settleable Solids and others that are applicable.
Yes No IA' 24, Industrial Waste Surveys (IWS) sent to all possible Significant
Industrial Users (SlUs� within the last five years (especially new
industries.
Revised 7/16/01
by Belinda Henson