NCG550708_NOV-2020-PC-0490_20201120

ROY COOPER
MICHAEL 5 REGAN
S. D WEL SMITH
'STArr S�
�* �K' CL' N�t•11� <�
Environmental Qualara
November 20, 2020
CERTIFIED MAIL # 7017 2680 0000 2219 6074
RETURNED RECEIPT REQUESTED
Susan Willis
l 18 Howard Vaughn Road
Rougemont, NC 27572
NOTICE OF VIOLATION NON'-2020-PC-0490
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
Permit No. NCG550708
Person County
Dear Nls. Willis:
On November 5, 2020 vlitch Hayes from the Raleigh Regional Office visited your single-family
residence (SFR) wastewater treatment system to evaluate compliance with file 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 tllrou�4I1 the treatment system. This must
be corrected immediately. Please submit a schedule to this office within 20 days of receipt
of this letter_ttat_s.tates your Plan for correctina, this deficiency- The work is to be
completed within the next 3 months.
❑ Disinfection: Your system is Iacking disinfection, either chlorine tablets or a UV light
system. New rules put into place on August I, 2007 require all SFR systems to have a
means of disinfection (and dechlorination when chlorine tablets are used to disinfect, if the
system Nvas 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 plail for correcting, this deficient .
® Treatment tablets missing or are it rong 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.

❑ 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 receipt of this letter stating your plan for correcting this deficiency.
® 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.
M Failure to analyze the effluent: The effluent that is discharged from your system must
be analyzed once each year. See Part [(A) of your pennit 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.
[I Locations of treatment units are unknoNNn: 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 Nlitch 1-iayes at 919-791-4200. Licensed plumbers should be used to make
plumbing changes within your ]ionic. Contractors for installing disinfection or other equipment
may be found in the Yellow Pages under Environmental Consultants.
Sincerely,
Vanessa E. Manuel
Assistant Region -A Superrisnr
Dig ision of Water Resource, Raler_1i Reponal Of ice
Department of Cnvironntental Quality
Attachments: Inspection Reports
cc: RRO:'S`VP Files
Charles Weaver, NPDES Permitting Unit NN-.'o attachments
Person County I iealth Department «- o attachments

Inspechan Date. �(1 7 �L ,��� Sti u' I r - i C' %�1_ _ E.n-i Tail ._ _.' L iVI
SIi`1GLE FAMILY WASTEWATER SYSTEM CHECKLIST
fa�rn�it#=e �I Je Nrn- 6
Phone rJ C�I1 P'rl_ : ;- - a —is' - -- County.- E'y i]
Th, Permitted is r spurtsit�r� for the o{:erah�n an.i m girl ti No as thn enw = r, I A a a W Ircrmant and diar SM systr:rn
Doesn't Did Plot i
I I� t�?= C+.lrrc•`it re�l';I�ht I'1 ih= i1Qni= tiles hcfnil#t=•r
4 not d•__s the resident ran` from me I�rrrr.t �•r_
3 C1319s ,af COme ship Urn ri s_d l! (maimsQui ._ w .
4 W Very a irspaCt'3n :and malnten3 ,,.—e Gjr:E�ri
3 I' �ws t� �-�3'..iia is t�r c:'rltra�tar�
SEPTIC WANK T'r-_ si.ctc-
I_ a ,.__t„'!afar t'3ril tze F3rri---: to _
7 D_ n; C - f _r r7;it w re= ient knc., ner: t, _ _
Fiji tr_ , _ptc t3-I . bsen pun-ip j 1 ti,a IT,t 5
1t_- f__ d3t_ if1,nwn
G Was tie t-5-k h3w an EFFLUENT f=lt. I r-R. o
'4+
+ _ = I I3 Apply
Investigate i
U
_ 1
I ! C� ❑
Cl '
V, ❑
❑
iY._.:❑ ❑
01
F-1 El El
11_ vies t3 ker %Nhen was the filter' - v'I_J
SAPID FILTER 1 TP.EATPr1ENT PODS
j__.
It Il�a'proccecl to the next section.
12 I,
CVl
❑
5jwt=m SJrilahink oh_r tflwn a sanof ..
...
13 I le_ that bid? pos -Pay loyc C—_—
'. W __ . d'� fil ar ra r= rTi c i l' _ _ .
C C `1 fL1 C L) L•�1!
1[� i�
I YJ
El
C_1
I' - . . woo. y- - t
DISII`1i=ECTIOM 1 UV j YES
�J µ � i'1U
V'�
If no Ictl to the
Next scction.f�
M0101, ci ?A FYI U'. I, .?
Dt51i iFECTI5 ! TASLETS' .," -- �fE`
i P) 1= 11 , I'"o.Jcd
to the
next scc&n.
fC, D.._l F..=rle+1.'I_10aAsCal rwtCwonI
Jj Don; .ilf.:,psehplat' ; 13=,10qr:t _
21
22 f• _ t _1_ !-t7 co-l! _t
DECHLOR (Discharge only) YES r J
—f Ll C 1
k, V-'1
i 1, �� I; no Inoceetl to the next section.
tie pzri?1iTBa r:r'i1.. Ylliv v t' s d you _ I,,.
24. DJ,= t lv pligyme.? Ip1 .. r.r ri. eF Y,.,I d, go I
25 %'!` _ C[=; jr tal.ol rya:=.r', . ,i i t' . riY9
_

Ooesn't pid Not
{1 APPI'I
t is
�� rD proceed to the next section.
PUMP TANK YES;,�
27 I trap np;,ar-'��%
-i ❑ C✓� ❑
2S r,re ?r �•_t'� Iale are `,` 'N =1 high , u`�r a _
— —� L
L_.
2 -. flc,a; ti-c- F.ermit'=a h a , t ] _r _ t'' - F
_
20. Lw- T.ir.Asnall Last PUNIP
-
i0 I` �; 3 {-z'-teed to tite next section,
DISCHARGE ONLY YES
31 Q wMerennyr== rr
Y �
�'li�'=•j �J 3wlr t] I-ly-.l-',, O.iy"
Y
J bra,
� ❑ --
�i-i j� �,� 4-'. ocaecf to tl�e next section.
`rE3
GRIP or SPRAYAre
w l' !: �',st� ;•, b�'''� l' iRRi �'-i4 1� l
�4 L11�_!
Hn WAS
FD
42 17 Yoe - t_ f 0-- 000!------ win
. _._
GEiIERAL
,0 4 -... �:-- G�',�C� :-- �� �.. _ .�j
��0D writ V �..-.�.:., .................�
_.�1l1� {
�....

United States Environmental Protection Agency
Form Approved
EPA Washington 0 C 20460
OM1B 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 Inspect on Type Inspector Fac Type
1 [n j 2 15 1 3 I NCG550708 111 12 20/11/05 17 181 r t 19 I�J I S I 201LJ
t �J
21 6
Inspection Work Days Facility Self-Moniloring Evaluation Rating 61 OA---------Reserved•-----•----
67 701, JI 71 L 72 LNJ 73LLJ 74 71 I I 1 I I 80
Section B Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTVJ, also include
Entry T.me, Dale
Permit Effect ve Date
POTW name and NPDES oennit Numberi
01 OCPMI 20111;05
13/08/01
118 Howard Vaughn Road
Exit Time:Date
Permit Expiration Date
118 Howard Vaughn Rd
Rougemont NC 27572
01 22PMt 20/11.05
18/07131
Name(s) of Onsite Representative(s)/ itles(s)1Phone and Fax Number(s)
Other Fad!tty Data
111
Susan Willis/1336-364-06411
Name, Address of Responsible OfticialMtlelPhone and Fax Number
Susan Willis 118 Howard Vaughan Rd Rougemont NC 27572/1336-364.06411 Contacted
r
No
Section C. Areas Evaluated During Inspection (Check only those areas evaluated)
Permit i RecordslReporis 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) Agency/Office/Phone and Fax Numbers Date
Mitchell S Hayes DWRIRRO W01919-791-42001
Signature of Management 0 A Reviewer AgencylOffice/Phone and Fax Numbers Date
/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete
Page#

NPDES yrlmolday Inspection Type `
31 NCG5507 11 12 20111/05 17 181 j
Section D Summary of FindinglComments (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 Hcward Vaughn Road
Inspection bate: 11/05/2020 Inspection Type: Compliance Eva'ualian
Permit
Yes No
NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
❑
N
❑
❑
Is access to the plant site restricted to the general public?
❑
❑
N
❑
1s the inspector granted access to all areas for inspection?
a
❑
❑
❑
Comment: No special conditions.
Record Keeping
Yes
No
NA NE
Are records kept and maintained as required by the permit?
❑
e
❑
❑
Is ail required information readily available, complete and current?
❑
0
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
❑
E
❑
❑
Are analytical results consistent with data reported on DMRs?
❑
❑
0
❑
Is the chain -of -custody complete?
❑
❑
0
❑
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?
❑
❑
M
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operatc
❑
❑
M
❑
on each shift?
Is the ORC visitation log available and current?
❑
❑
0
❑
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'
❑
❑
■
❑
Is a copy of the current NPDES permit available on site?
❑
❑
A
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
M
❑
Comment: Records are not being maintained.
Page# 3

Y
7017 2680 0000 2219 6074

jsm g
y F
mb
pmGne�S �
uu �a Fi �Sv a9 m
O
m
gdS
E
n v Mg
Ei � OJ
.E tH
a-
��72n E�+
�6or�a8Q
■
M
12
_ y O
d
CL.
N co O
@@ Z
12 V)
Mn2iil
} M
R!
T 0
E'
fl
Ir
T Ln
Er
c z
0
+ U
1 y
h
D z
y LU z
W w
II M o
@ IL:D-j
@ LLvQ,z
c 0ccE5
-+ M Lu 7
D ZF��m
C wtLGWjU
cs M 3 z
xz4�z
w O-w �
m(7
www
d o Or-?'�
o
3. U Li z �a
v
S�
U)
�
U
:3a
Z
N