ncg550708_NOV-2020-PC-0490_20201120 (2)

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
November 20, 2020
CERTIFIED MAIL # 7017 2680 0000 2219 6074
RETURNED RECEIPT REQUESTED,
Susan Willis
118 Howard Vaughn Road
Rougemont, NC 27572
NOTICE OF VIOLATION NOV-2020-PC-0490
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
Permit No. NCG550708
Person County
Dear Ms. Willis:
On November 5, 2020 Mitch Hayes from the Raleigh Regional Office 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:
❑ In compliance: You are reminded to regularly maintain the chlorine disinfection and
dechlorination systems, have the effluent sampled once a year, and have the septic tank
pumped out every 3 to 5 years. Your good record of operation and meeting the permit
requirements is highly commended.
❑ Your home is improperly plumbed: Some of the wastewater discharges are going
directly to the environment without first passing through the treatment system. This must
be corrected immediately. Please submit a schedule to this office within 20 days of receil2t
of this letter that states your plan for correcting this deficiency. The work is to be
completed within the next 3 months.
❑ Disinfection: Your system is lacking disinfection, either chlorine tablets or a UV light
system. New rules put into place on August 1, 2007 require all SFR systems to have a
means of disinfection (and dechlorination when chlorine tablets are used to disinfect, if the
system was installed since that date). Since your system had no disinfection, the
installation is to include a chlorine tablet dispenser, a contact chamber capable of providing
a minimum 30-minute contact time, and another tablet dispenser that will hold
dechlorination tablets. Please submit a schedule to this office within 20 calendar days of
receipt of this letter that states your 121an for correcting this deficiency.
® Treatment tablets missing or are wrong kind: You are responsible for always having
chlorine tablets and dechlorination tablets (ifa required part of your system) in place. They
must be the kind for wastewater treatment and not for swimming pools.
�D__
0
North Carolina Deparirrient of Environmental Quality pivision of IVatcr Rcsoun e�
E Q Raleigh Regiunal Office ' 3800 Barrett Ot ive Raleigh, Not di Carolina 2A,09
T�—�... \ t"' n•. ten. . ��.�

❑ Dechlorination: Your system was installed after August 1, 2007, so must have a means
of dechlorination located downstream of the chlorinator and its contact chamber. See
Disinfection paragraph above. Please submit a schedule to this office within 20 calendar
days of recei t of this letter stating our plan for correcting this deficienc .
® Pumping the septic tank: The septic tank should be pumped out every 3 to 5 years. A
pumping company can check the status periodically and determine when pumping is
required.
E 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. Make arrangements for sampling 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.
❑ Other:
if you have questions or comments about this inspection or the requirements to take corrective
action, please contact Mitch Hayes 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,
Vanessa E. Manuel
Assistant Regional Supervisor
Division of Water Resources - Raleigh Regional Office
Department of Environmental Quality
Attachments: Inspection Reports
cc: RRO.?SWP Files
Charles Weaver, NPDES Permitting Unit w.'o attachments
Person County Health Department w/o attachments

Inspection Date: l 1 !
Start Time) - 0. a � End Time:
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
5/15/2015
Permittef
Address:
Phone:( ) The Permittee is
Permit N /1�1; 5 jo 76ff
Cell Phone:(_)_- Cot.inty:
risible For the operation and maintenance of the entire wastewater treatment and disposal system.
1. Is the current resident in the home the Permittee?
2. If not does the resident rent from the permittee?
3. Change of Ownership form needed? (mail the form with the inspection letter)
Doesn't Did Not
Yes No Apply Investigate
4. Is there a inspection and maintenance agreement with a contractor? ❑
5. If yes to #4 who is the contractor?
SEPTIC TANK The septic tank and filters should Le checl• ad a-in-ja.l. a-d pumped ,;lea-e3 as needed
6. Is all wastewater from the home connected to the septic tank? IV ❑
7. Does the permittee/resident know where the septic tank is located? V ❑
S. Has the septic tank been pumped in the last 5 year? t jtj,—r r16j"Jj1 ❑
9. If yes to #8 date, if known If proof de -Scribe
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filter when was the filter cleaned?
B r whom?
ME:
SAND FILTER ! TREATMENT PODS YES M NO LJ If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every s•:c mort s aril anf ,e3e'a'r,n gr-,- r spa' he removed man y
12. Is system something other than a sandfilter? ❑ ❑ ❑
13, If yes, what kind? (examples - Peat Textile, Other or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located? Ll huh 1 e 7 o
15. Does the sandfilter require maintenance? r✓O!1 f� �� `���� I�
r ma ntenance is rega red expla n in the comment section,
a -- ❑ ❑
❑ ❑ ❑
DISINFECTION 1 UV YES Ll N0 V If no proceed to the next section.
The ultravia et un;t shal be checked v,eekiy The lamps a--d s'eaves sno.`J Ee cl=a-ed cr rWp a=ed a= re _,_d t, ensure proper d s'nfection
16, Is UV working? ❑ ❑ V ❑
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ad ❑
18. Mho completes the weekly check for the UV?( Non -Discharge)
DISINFECTION 1 TABLETS YES _ i�10
The table' chior-nafor un't shal- to checked v,eekly t: ensure anj r:-�ce,
19. Does the permittee have the correct chlorine tablets?(If none mark Ho)
20 Does the Permittee knovi the locat*on of the chlorinator?
21. il~lere chlorine tablets observed in the chlorinator?
22, Are tablets contacting water? If possible poke them to determine
—
DECHLOR (Discharge only) YES U NO
The de.hlornator unit shal be checked v,eekly to eraMre continjDus and p.rope,- op?,,;`. �,r
if no proceed to the next section.
❑ [;;;K ❑ ❑
❑ ❑ ❑
❑ Ly ❑ ❑
❑ ❑ ❑
L1X if no proceed to the next section,
.23, Does the permittee kno�,v where the dechlor is?
❑
❑
KI
❑
24. Does the permittee have the correct dechlor tablets?
❑
❑
M
❑
25. VI/ere dech'or tablets observed in the dechlorination cha,nmb_F?
❑
❑
FV
❑
26. Are tablets contacting water? If pcss'ble poke them to 6---te.Mille
❑
❑
�-�
0

Doesn't Did Not
Ye; No Apply Investigate
t ection
'LIMP TANK YES I . 1 do L
if no proceed to the nex s
�V, pump and ala-m sytems shall be mspect-211 ,rton-d s _1 a 3a�
❑
❑
❑
27. Is the pump working?
❑
❑
❑
28 Are the audible and visual high water alarms oparalionai %
❑
❑
❑
29. Does the permlttee know hove to check the pump i, high ,, at _ r a s'm �
30 Last functional test: PUMP AUDIBLE VISUAL
YES ! io U
If no proceed to the next section.
DISCHARGE ONLY ,
vlsua rener+ of i`e n +tfa 1 loca'iv sha 1 be a<act�t_d t:nr.� e ! 1. �, re,c,e
s s cr ry
Bence of_ �atf �nc;:c"_
31. Does the permittee know vihere the outfall Is Ic.3t_J %
�
❑
0
❑
32. Were you able to locate the outfall?
�
❑
33. Is the end of the d;scharge pipe visible and access bl-=')
i�
❑
❑
❑
34. Is outlet discharging?
❑
❑
❑
35. 1s right of clay ma:ntainrd around the disch3raT p= t'?
❑
❑
❑
36. Any Lab Results availab'e?
❑
❑
❑
37. is there evidence of sol''As around the discharge p-�nt?
YES �] NO
if no proceacl to the next section.
DRIP or SPRAY
•�._• __ -r '1._ 1r. _', rr--'
The lrr,93:.en system shall to ins-e_t=_d m-rt'w'j to er`sufe t'--
--,rc'1' d3
�?S�w'�
33. is the system DRIP or IRP.IGATION (circle ore) 1= Irr ttic� r.lber of spr.=r
haa� ___
39. Are the buffers adequ_lte?
❑ .
❑
❑
40 is the site free of pondmg and runoff?
❑
❑
{
❑
41. Does the application equipment appear to be v,or' i-.a praeerly?
❑
❑
❑
42 Is there a minimum t; :) vjire fence surround ng enter irrlgati:m a -ea?
GENERAL
the treatment units locked and or secura f?
❑Cl
El
43 Are
❑
❑
❑
44 Has resident had any se ;, age problems? 1= ,= . _ 1 r _ R . _ _ ,.:�
❑
❑
❑
45 Does the system match the permit descript ;n" 1 _ _ <':; - ' t' _ _--
❑
❑
❑
46 Is the system compliarl'?
❑
IJ
Y❑�
❑
❑
47. is the system failing? it, yes tar.e pd_tures if F.sssc :
❑
�
❑
48 1f system is failing any sign of children or anlrnals contEl:ting s?;;ag-�
�it]V Sent
NOD Sent #:
U
Comments. r
slcla.•,l ur
lMgPFf'TnP I'1. ! ,'4r_- A

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.0 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 yrlmolday Inspection Type Inspector Fac Type
1 1ti l 2 u 3 I NCG550708 111 12 20/11/05 17 18 1=J I r+ I 19 I lS I 201J
J �
21 6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 OA Reserved -
67 70JI 71 I 72 LtiJ 73I 174 71 1 I I I 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 oermit Numbed
01:00PM 20/11/05
13/08/01
118 Howard Vaughn Road
Exit Time/Date
Permit Expiration Date
118 Howard Vaughn Rd
Rougemont NC 27572
01:20PM 20/11/05
18/07/31
Name(s) of Onsite Representative(s)frities(s)/Phone and Fax Number(s)
Other Facility Data
1/1
Susan Willis/1336-364-0641 /
Name, Address of Responsible Official/TitlelPhone and Fax Number
Susan Willis, 118 Howard Vaughan Rd Rougemont NC 27572/1336.364-06411 Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ■ Records/Reports E Facility Site Review
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) Agencyl0ffcelPhone and Fax Numbers Date
Mitchell S Hayes DWR/RRO W01919-791-4200/
,( _- ' a7 / l , 10, zG 1.0
L��z
Signature of Management 0 A Reviewer AgencylOffice/Phone and Fax Numbers Dale
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete
Page#

NPDES yrlmolday Inspection Type
31 NCG55070B 11 1 20/11/05 j 17 18 Lj
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Records are not being maintained. There were no chlorine tablets in the chlorinator.
Page#

Permit: NCG550708 Owner -Facility: 118 Howard Vaughn Road
Inspection Data: 11/05/2020 Inspection Type: Compliance Evaluation
Permit
Yes
No
NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
0
❑
application?
Is the facility as described in the permit?
❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
❑
❑
0
❑
Is the inspector granted access to all areas for inspection?
❑
❑
❑
Comment No special conditions.
Record Keeping
Yes
No
NA NE
Are records kept and maintained as required by the permit?
❑
❑
❑
Is all required information readily available, complete and current?
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
❑
0
❑
❑
Are analytical results consistent with data reported on DMRs?
❑
❑
M
❑
Is the chain -of -custody complete?
❑
❑
M
❑
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
❑
❑
0
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 2417 with a certified operatc
❑
❑
❑
on each shift?
Is the ORC visitation log available and current?
❑
❑
MEI
Is the ORC certified at grade equal to or higher than the facility classification?
❑
❑
M
❑
Is the backup operator certified at one grade less or greater than the facility classification'
❑
❑
M
❑
Is a copy of the current NPDES permit available on site?
❑
❑
0
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑M
❑
Comment: Records are not being maintained.
Page# 3