NCG551299_Compliance Evaluation Inspection_20191106

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Mt. Calvary Baptist Church
8021 Stagville Rd.
Bahama, NC 27503
Dear Permittee:
NORTH CAROLINA
Environmental Quality
November 6, 2019
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
Permit No. NCG551299
Durham County
On October 16, 2019, Zach Thomas and Erin Deck from the Raleigh Regional Office of the
Division of Water Resources visited your single-family residence (SFR) wastewater treatment
system to evaluate compliance with the above permit to discharge wastewater.
The checked boxes below show what conditions were noted at your facility:
® Treatment tablets missing or are wrong kind: You are responsible for always
having chlorine tablets and dechlorination tablets (if a required part of your system) in
place. They must be the kind for wastewater treatment and not for swimming pools.
0 Failure to analyze the effluent: The effluent that is discharged from your system
must be analyzed once each year. See Part I(A) of your permit about his requirement. A
list of NC certified laboratories that provide this service was left at your residence during
the inspection. If you do not have results to provide. please make arrangements for
sami3ling to be carried out within the next 3 months. and submit results to this office
within 3 weeks after the sampling,has been done.
® Locations of treatment units are unknown: Determine this and report to this office
within 30 days of receipt of this letter with a sketch or map. The discharge pipe could
not be located at the time of inspection,
Dj.�_NorthCarolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 3800 Barrett Drive I Raleigh, North Carolina 27409
919.791.4200

If you have questions or comments about this inspection or the requirements to take corrective
action, please contact the inspector or me at 919-791-4200. Licensed plumbers should be used to
make plumbing changes within your home. Contractors for installing disinfection or other
equipment may be found in the Yellow Pages under Environmental Consultants.
Sincerely,
S. Ja Z' merman, P.G., Chief
Water Q ality Regional Operations Section
Raleigh Regional Office
Attachments: Inspection Reports & Technical Bulletin
cc: RRO/SWP Files
Charles Weaver, NPDES Permitting Unit

United States Environmental Protection Agency
Form Approved.
EPA Washington, D,c. 20460 OMB No. 2040-aC57
Water Compliance Inspection Report Approval expires8-31.98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yrlmolday Inspection Type Inspector Fac Type
1 U 2 15 1 3 1 NCG551299 11 121 19,10/16 I17 18I,.I U 19I c I 20LJ
L.J
21 6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 OA Reserved
67 70 i .J 71 U 72 E 73 {74 751 IL 11 I 80
'
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11.35AM 19110+16
16,11 18
8021 Stagville Road
Ex I TimelDate Permit Expiration Date
8021 Stagville Rd
Bahama NC 27503
11:45AM 19/10116 1810731
Name(s) of Onsite Representative(s)/Tilles(s)1Phone and Fax Number(s)
Other Fac lity Data
/it
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Johnny C Blow. PO Box 731 Morrisville NC 2756011919.528-82271
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Operations 8 Maintenance N Self -Monitoring Program E Facility Site Review
Effluent)FReceiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) AgencylOrficelPhone and Fax Numbers Date
Erin M Deck DWRlRRO W01919-79142001
Zachary Thomas? DWRIRRO WO1919-7914200! 9 ��- 6 —//
Signature of Management eviewer Agency/Office/Phone and Fax Numbers Date
/ /A/& / -zof 7
V
EPA Form 3560- ev 9-94) Previous editions are obsolete
Page#

NPDES yrlmolday Inspection Type
31 NCG551299 111 121 19/10/16 117 1 a i d
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Could not leave packet due to rain on day of inspection. A technical bulletin will be mailed with the
letter.
Couold not reach permittee via phone to complete inspection questions. Please see letter for
conditions noted at the facility.
Page#

Perrnit: NCG551299 Owner -Facility: 8021 Stagville Road
Inspection date: 10116/2019 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑ 0
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
00
application?
Is the facility as described in the permit?
■
❑
❑
❑
# Are there any special conditions for the permit?
[IN
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❑
Is access to the plant site restricted to the general public?
❑
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0
❑
Is the inspector granted access to all areas for inspection?
s
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❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0000
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ❑ ■
Comment: Could not locate discharge Pipe at time of inspection
Septic Tank
Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational?
0
❑
M
❑
Is septic tank pumped on a schedule?
❑
❑
❑
0
Are pumps or syphons operating properly?
❑
❑
❑
Are high and low water alarms operating properly?
❑
❑
No
Comment: Tanks should be Pumped eve 3-5 years. File statement shows bill for septic
tank last
um ed in March of 2017.
Sand Filters Low rate
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
so
Is the distribution box level and watertight?
❑
❑
on
Is sand filler free of ponding?
0❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
0
# Is the sand filter surface free of algae or excessive vegetation?
0
❑
❑
Page# 3

Permit: NCG551299 owner - Facility: 8021 Stagville Road
Inspection Date: 10/1612019 Inspection Type: Compl ante Evaluation
Sand Filters Low rate Yes No NA NE
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1) ❑ ❑ ❑ M
Comment:
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
s
❑
❑
❑
Are the tablets the proper size and type?
❑
0
❑
❑
Number of tubes in use?
Is the level of chlorine residual acceptable?
❑
❑
❑
e
Is the contact chamber free of growth, or sludge buildup?
0
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❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
M
Comment: No tablets were observed at the time of inspection.
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
❑
0
Is sample collected below all treatment units?
❑
❑
❑
M
Is proper volume collected?
❑
❑
❑
M
Is the tubing clean?
❑
❑
❑
M
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
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❑
❑
M
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
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❑
❑
M
representative)?
Comment: Could not reach 2ermittee to inquire about re uired sam fin . No results were found in the
permit file.
Page# 4

Inspection Date: 10 — kb— 2011 Start Time: 113
End Time:
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
412012018
Permittee: . CALv $ t CT c Lack+
Permit:
^ [ASS' /Z-99
Address: go2-1 % 6vIL E o NC. E-mail-
Phone:( ) - Cell Phone:( ) -
County:
-Dul2f{4eyj
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't
Did Not
Yes
No
Apply
Investigate
1. Is the current resident in the home the Permittee?
Y
Ll
0
❑
2. If not does the resident rent from the permittee?
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L�
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3. Change of Ownership form needed? (mail the form with the inspection letter)
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2
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4. Is there a inspection and maintenance agreement with a contractor?
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5. If yes to #4 who is the contractor?
SEPTIC TANK The septic la5k and filters should be checked ann wally and pumped-cteaned as e ed
6. Is
all wastewater from the home connected to the septic tank?
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El
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7. Does the permittee-resident know where the septic tank is located?
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8. Has the septic tank been pumped in the last 5 years?
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9. If yes to #8 date, if known 1 2z%9- If proof, describe ZECi I,M-
3 a1 zcl
10. Does the sepVc tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filter when was the filter cleaned? By who?
SAND FILTER 1 TREATMENT PODS YES LZ NO ❑
If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative grotifth sha'I
be removed mane y.
12. Is system something other than a sand filter?
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13. If yes, what kind? (examples - Peat, Textile or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located?
El
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❑
r-,/
t�
15. Does the sandfilter require maintenance?
❑
❑
❑
9"
it maintenace is requireo explain in the comment section.
DISINFECTION I UV YES ❑ NO LZ
If no proceed to the next section.
The ultraviolet unit shall be checked weekly. The lamps and sleeves should be cleaned or replaced as needed
to ensure proper disinfection.
16. Is UV working?
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❑
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17. Has the UV Unit been serviced and bulbs cleaned?
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18. Who completes the weekly check for the UV?( Non -Di arge)
DISINFECTION 1 TABLETS YES M NO ❑
If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No)
❑
❑
❑
20. Does the Permittee know the location of the chlorinator?
to
❑/
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21. Were chlorine tablets observed in the chlorinator?
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1
El
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22. Are tablets contacting water? If possible poke them to determine.
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I `�!
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DECHLOR (Discharge only) YES ❑ NO
--If—no—proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
23. Does the permittee know where the dechlor is?
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24. Does the permittee have the correct dechlor tablets?
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25. Were dechlor tablets observed in the dechlorination chamber?
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26. Are tablets contacting water? If possible poke them to determine.
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0
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Yes No Apply Investigate
PUMP TANK YES ❑ NO
If no proceed to the next section.
All pump and alarm sytems shall be inspected monthly. (non -discharge)
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27. Is the pump working?
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28. Is the audible and visual high water alarm operational?
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29. Does the permittee know how to check the pump & high water alarm?
30. Last functional test: PUMP AUDIBLE & VISUAL
YES ❑ NO ❑
If no proceed to the next section.
DISCHARGE ONLY
A visual review of the outfall location shall be executed twice each year (one at the time of sampling to ensi..re rin visible
solids or evidence of a
malfun on
31. Does the permittee know where the outfall is located?
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❑
32. Were you able to locate the outfall?
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❑
�/
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33. Is the end of the discharge pipe visible and accessible?
CD
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34. Is outlet discharging? * Crv,..D t-j C' L,3C-R' E ' %F G]
El
El
35. Is right of way maintained around the discharge point?
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36 Any Lab Results available?
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37. Is there evidence of solids around the discharge point?
DRIP or SPRAY YES ❑ NO
If no proceed to the next section.
The irrigation syselm shall be inspected monthly to ensure the system is free of leaks and eq.=pf'.c"t is
operating as designod.
38. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
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39. Are the buffers adequate?
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40. is the site free of ponding and runoff?
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41. Does the application equipment appear to be working property?
❑
El❑
ID42.
Is there a minimum two wire fence surrounding the entire irrigation area.
GENERAL.
43, Are the treatment units locked and or secured?
❑
Z'
El❑
❑
❑
❑
L❑J
44. Has resident had any sewage problems? If yes explain an the comment sec' ar
❑
❑
45. Does the system match the permit description? if no explain in the comment sect;an.
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❑
46, Is the system compliant?
47. Is the system failing? If yes, take pictures if possible
48, if system is failing, any sign of children or animals contacting sewage?
NOD Sent #• - - - NOV Sent #:_
Comments: Photos Taken?
ou
Lc s" i �DIC'cihA�
QAt rvi �� ri9- r -nlv-E Z
r x .:? oo trE 'o:)
;.j —
❑
❑
LvJ ❑
YES
❑
NO
?L-t AC— of oo- -19
INSPECTOR: Z - 1YV0ilhfl 4' 6 - 1n6LV,
SIGNATURE'.