NCG550915_Compliance Evaluation Inspection_20191120

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPE .
Director
Eugene E. and Sandra L. Stevens
1001 Greenly Drive
Pfafftown, NC 27040
NORTH CAROLINA
Environmental Quality
November 20, 2019
Subject: General Wastewater Permit Inspection
1001 Greenly Drive
Certificate of Coverage # NCG550915
Forsyth County
Dear Mr. and Mrs. Stevens:
On October 28, 2019, Gary Hudson of this office performed a Compliance Evaluation Inspection on
the wastewater treatment system at 1001 Greenly Drive in Pfafftown, NC. Mr. Stevens was
present during the inspection. Observations indicated that the subsurface sand filter was
operating properly. Mr. Stevens said the system never discharges. It was not uncommon for such
filters to be installed without a liner and/or with perforated pipes, so this is not unexpected. No
evidence of a discharge was observed during the inspection. Please note some of the other
activities that must be conducted and documented, in addition to the laboratory analyses required
if the system discharges, even if just after a heavy rain event:
• Septic tanks shall be inspected at least yearly to determine if solids must be removed, and pumped out
every five years or when the solids level is found to be more than 1/3 of the liquid depth in in any
compartment.
The tablet chlorinator shall be inspected weekly to ensure there is an adequate supply of tablets for
continuous and adequate operation. There were no tablets in the chlorinator during the inspection. Be
sure to order more tablets and replace them often enough to ensure continual disinfection.
If you have any questions concerning this letter, please contact Gary Hudson at [phone].
Sincerely,
Doc uSigned by:
-4'B49E225C94EA_
Lon Snider, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
cc: WSRO
D E Q�p North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105
NORTH C. 0LINA
o•o•°^•mme""°""•"viu"•i� /� 336.776.9800

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type
Inspector Fac Type
1 IN I 2 15 I 3 I NCG550915 111 12 I 19/10/28 I17
18 I S J
19 L G] 201 I
211111 1 1 I I I I II I I I I I I I I I I I I 1 I I I I
I I I I I
I II I I I I I f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating 131 QA
----------------------
Reserved -------------------
671
70 I I 71 I I 72 I r I
u ty
73 I I 174 751 I I I I I I I80
I I i
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 oermit Number)
10:OOAM 19/10/28
13/08/01
1001 Greenly Drive
1001 Greenly Dr
Exit Time/Date
Permit Expiration Date
Pfafftown NC 27040
10:30AM 19/10/28
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Eugene E Stevens, 1001 Greenly Dr Pfafftown NC 27040//336-946-2156/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
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) Agency/Office/Phone and Fax Numbers
Date
Gary Hudson DWR/Division of Water Quality/336-776-9694/
Signature of Management Q A Reviewer Docusigned by: Agency/Office/Phone and Fax Numbers
Date
Luti ? Snider
L
12/4/2019
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type (Cont.)
NCG550915 I11 121 19/10/28 117 18 JCJ
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On October 28, 2019, Gary Hudson of this office performed a Compliance Evaluation Inspection on the
wastewater treatment system at 1001 Greenly Drive in Pfafftown, NC. Mr. Stevens was present during
the inspection. Observations indicated that the subsurface sand filter was operating properly. Mr.
Stevens said the system never discharges. It was not uncommon for such filters to be installed without
a liner and/or with perforated pipes, so this is not unexpected. No evidence of a discharge was
observed during the inspection. Please note some of the other activities that must be conducted and
documented, in addition to the laboratory analyses required if the system discharges, even if just after
a heavy rain event:
• Septic tanks shall be inspected at least yearly to determine if solids must be removed, and pumped
out
every five years or when the solids level is found to be more than 1/3 of the liquid depth in in any
compartment.
• The tablet chlorinator shall be inspected weekly to ensure there is an adequate supply of tablets for
continuous and adequate operation. There were no tablets in the chlorinator during the inspection.
Be sure to order more tablets and replace them often enough to ensure continual disinfection.
Page#

Permit: NCG550915
Inspection Date: 10/28/2019
Other
Comment: Please See Summa
Owner - Facility: 1001 Greenly Drive
Inspection Type: Compliance Evaluation
Yes No NA NE
Page#