NCG551268_NOV-2021-PC-0154_20210226

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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental Quality
February 26t1t, 2021
Certified Mail # 701.7 0190 0000 9569 9005
Return Receipt Requested
Michael Moore
7106 Walnut Grove Church Rd.
Hurdle Mills, NC 2754I
Subject: NOTICE OF VIOLATION
Tracking Number: NO V-2021-P C-0154
Compliance Evaluation Inspection
Single Family Wastewater Treatment System
NPDES General Permit NCG550000
Certificate of Coverage NCG551268
Facility Name: 7106 Walnut Grove Church Rd.
Orange County
Dear Mr. Moore:
On February 17, 2021, Joshua Brigham from the Raleigh Regional Office visited your single-family
residence (SFR) wastewater treatment system to evaluate compliance with the subject General NPDES
Permit. No one was at home at the time of the inspection. The inspector left a packet of information
regarding Single Family Treatment Systems and the requirements of the General Permit at the residence.
The assistance you provided over the telephone on February- 25, 2021 was greatly appreciated.
Our records indicate the treatment system consists of a septic tank. two sub -surface sand filters, tablet
chlorinator. and discharge pipe.
NPDES General Permit NCG550000 and Certificate of Coverage (COC ) NCG551268 authorize the
discharge of domestic wastewater from your treatment system to receiving waters designated as an
unnamed tributary to the South Fork Little River (classified WS-II: I-IQW; NSW) in the Neuse River
Basin. The authorized discharge is in accordance with the effluent limits and monitoring requirements
established within the General Permit.
Findings during the inspection were as follows:
1. NPDES Permit Name/Owner Change Form: According to Orange County deed of records,
Michael and Anna Moore own the residence and property located at 7106 Walnut Grove Church
Rd. Hurdle Mills, North Carolina. As the property owner, you are also the owner of the existing
single-family wastewater treatment system. which treats the domestic wastewater from the
residence and releases the effluent to the receiving waters indicated above. Because the treatment
system makes an outlet to waters of the state, it is an activity for which the subject permit is
required. To comply with North Carolina General Statute § 143-215.1(a), which requires a person
DE (1
North Carollna Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 3800 Barrett Drive I Raleigh North Carolina 27609
mn 701 l-In$

Michael Moore, NCG551268
February 26, 2021 Page 2 of 3
to obtain a permit to make an outlet into the waters of the state, you will need to complete and
submit the NPDES Permit Name/Ownership Change Form to the Division. A copy of this form
was left on site after the inspection. If you have any questions regarding change in permit
ownership or completing the Permit Name/Ownership Change Form, then please contact
Joshua Brigham at 919-791-4251.
Pumping the septic tank: You are required to inspect the septic tank at least yearly to determine
if solids must be removed or if other maintenance is necessary. Septic tanks should be pumped
out every five years or when the solids level is found to be more than 1/3 of the liquid depth in the
septic tank compartment, whichever is greater. A pumping company can check the status
periodically and determine when pumping is required. Per our phone conversation on February
25, 2021, the septic tank was last pumped in September of 2018. lVit►rin 45 days of receiving this
letter, please send this office a copy of the receipt for when the septic tank was last pumped out.
3. Chlorine tablets in the chlorinator: You are reminded that it is required that chlorine tablets be
maintained in the chlorinator to ensure proper disinfection of the discharged wastewater. Chlorine
tablets provide effective disinfection and prevent/limit harmful bacteria from discharging to the
environment. The product label for these tablets must indicate the tablets are approved for
wastewater use and not for swimming pools. Part 1, Section D (1) of NPDES General Permit
NCG550000 requires the permittee to inspect the tablet chlorinator weekly to ensure there is an
adequate supply of tablets for continuous and proper operation. Section D (4) requires the
permittee to maintain all system components, including...disinfection units...at all times and in
good operating order. The inspector did not observe any chlorine tablets in the chlorinator.
Please ensure the correct type of tablets are used and maintained in the chlorinator as required
by the NPDES General Permit.
4. Analyzing the effluent: Part 1. C., Effluent Limitations and Monitoring Requirements, within
General Permit NCG550000 requires a permittee to sample and analyze the effluent leaving
his/her treatment system prior to discharge annually. Parameters to be sampled and analyzed
include Flow, BOD (Biochemical Oxygen Demand), Total Suspended Solids, and Fecal Coliform.
During our phone conversation, you informed the inspector that the effluent has not been
monitored within the last 12 months. Please collect a representative sample of the effluent, have
it analyzed by a certified commercial laboratory and submit the results to this office no later
than 45 days of receipt of this letter. Failure to monitor the effluent discharge as required is a
violation of NPDES General Permit NCG550000.
5. Discharge outlet location. The permittee is required to conduct a visual review of the outfall
location at least twice each year (one at the time of sampling,) to ensure that no visible solids or
other obvious evidence of system malfunctioning is observed. Any visible signs of a
malfunctioning system shall be documented and steps taken to correct the problem. Per our phone
conversation, the inspector was informed that what was examined on the date of inspection was
not the discharge pipe. To comply with the general permit monitoring requirements, you need to
be able to sample and analyze the effluent from your SFR system through the discharge pipe. You
need to keep the area around the discharge pipe cleared of vegetation, soil and leaves. Please take
the necessary steps to ensure the discharge outlet is visible and accessible. Maintaining the
area will allow you to monitor the discharge and to collect effluent samples as required by the
subject permit. Please provide the office with a map or picture of the discharge within 45 days
of receipt of this letter.

Michael Moore, NCG551268
February 26, 2021 Page 3 of 3
The wastewater treatment system should be periodically inspected to ensure the treatment components are
always maintained and in good operating order. You are also reminded to maintain all monitoring data
and associated maintenance records onsite for a minimum of three years and available for inspection.
This inspection report is being issued as a Notice of Violation because of discharging without a permit.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00)
may be assessed against any person who violates or fails to act in accordance with the terms, conditions,
or requirements of any permit issued pursuant to G.S. 143-215.1.
Within 45-days receipt of this letter, please submit a written response to this office indicating the
actions you will take or have taken to comply with or resolve the issues noted in items 1-5 above.
if you have questions or comments about this inspection or the requirements to take corrective action (if
applicable), then please contact Joshua Brigham at 919-791-4251.
Sincerely,
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Attachment(s): EPA Water Compliance Inspection Report
Name.Ownership Change Form
Cc: RRO,`SWP Files
Laserfiche

United States Environmental Protection Agency
E PA Washington D C 20450
Water Compliance Inspection Report
Form Approved,
OMB No. 2040-0057
Approval expires 8-31-98
Sectton A Nat'onal Data System Coding (i.e., PCS)
Transaction Code NPDES yrlmolday Inspection
1 I N I 2 1.51 31 NCG551268 111 121 21/02117 117
Type
18 I r, I
1111111
Inspector Fac Type
19 I s I 2011
21111111 1111111 11 11 1 11 1111 1 1 11 111
11 1 116
'nspection Work Days Facility Self -Monitoring Evaluation Rating B1 OA--------------Reserved - - --•- - ---
671 I 70 U 711
1 72 LI iJ I[ 73i I 1 174 79 1 1 1 1 1 1 1"Section
— B Facility Data
Name and Location of Faerlity inspected (For lndustr al Users discharging to POTW, also include
POTW name and NPDES permit Numbed
7106 Walnut Grove Church Road
7106 Wa nut Grove Church Rd
Hurdle h1..Is NC 275418848
Entry Time/Date
08 20Ah1 21/02117
Permit Effective Date
13r08r01
Ex'i Time!Date
0 35Ahf 21102 17
Permit Ex ranon Date
p
18;07r31
Names) of Ons le Representative(s)rfitles(s)rPhone and Fax Number(s)
111
Otrer Fact! ly Data
Name Address of Responsible Official/Titte/Phone and Fax N;a-ber
Contacted
Benjamin R Wissel 7106 Walnut Grove Church Rd Hurdle Mills NC
2754188488919-451-0843/ No
Section C Areas Eva uated During Inspect on (Check only those areas evaluated)
Progran
® Permit ® Operatons & Maintenar II Records/Reports 111 Self -Monitoring
® Effluent/Receiving Wate lillLaboratory
Section D Summary of Flnd'ng:Comments (Attach add tone! sheets of narrat ve and checklists as necessary)
(See attachment summary)
Names) and Signature(s) of Inspectors) Agency:Off e.'Pnore aid Fax Numbers Date
Joshua S Brigham DWRIRRO WO•919.791-4200r 2 /, 2
1--
Signature of Management O A Revie' er Agency.Offrce'Ph❑ne and Fax Numbers
1471-,-"Yiet-- 7/9 7 /-g'a-z_
Date
, 20 Zg9z/
EPA Form 3560-3 (Rev 9-94) Previous ed lions are obsolete
Page# 1

NPDES yrlmolday
31 NCG551268 111 121 21/02.17
117
Inspection Type
18 ,-,
i
Section 0 Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
No tablets chlorinator
Left packet in mailbox
Talked to new owner 2/25/21
Needs to complete change of ownership form
Needs to put tablets in chlorinator
Needs to provide receipt for septic pumping
Needs to provide lab results
Needs to find discharge.
Page0 2

Permit: NCG551268
Owner - Facility: 7106 Walnut Grove Church Road
Inspection Date: 02117/2021 Inspection Type: Compliance Evaluation
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Yes No NA NE
DODO
❑ ❑ 1E❑
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational? El ❑ BI❑
Is septic tank pumped on a schedule? [ ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ ❑
Are high and low water alarms operating properly? ❑ 0 0 ❑
Comment: Receipt of pumping needed.
Sand Filters (Low rate)
(If pumps are used) Is an audible and visible alarm Present and operational?
Is the distribution box level and watertight?
Is sand filter free of ponding?
Is the sand filter effluent re -circulated at a valid ratio?
# Is the sand filter surface free of algae or excessive vegetation?
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
Comment:
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment: No tablets in chlorinator
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
Yes No NA NE
❑ ❑ 0 ❑
O 0131E1
❑ ❑ ❑
❑ ❑ ❑ 11
• ❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
0 ❑ ❑ ❑
❑ ❑ ❑ ❑
2
❑ ❑ ❑
❑ ❑ 11❑
DDD
Yes No NA NE
DLJD
• ❑ ❑ ❑
Page# 3

Permit: NCG551266
Inspection Date: 02117/2021 Inspection Type: Compliance Evaluation
Owner - Facility: 7106 Walnut Grove Church Road
Effluent Pipe
if effluent (diffuser pipes are required) are they operating properly?
Comment: Discharge pipe not found
Permit
(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?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspect on?
Comment: Change of ownership needed.
Yes No NA NE
❑ ❑ Ellil
Yes No NA NE
❑ ❑ 1❑
O 000
❑ ❑ ❑ Q
O ❑ ❑ ❑
EDDD

Inspection Date:
Start Time: •� End Time: 5 • 5
�
SIN LE FAMILY WTE A SYSTEM CHECKLIST
5/rJ20/5 t `a`i ,` �.i 1, CI
Permittee: �e-/J J1 i asset /kilt' ct.L /4_00f' Permit: .NL66 }26b
Address: `7i 0ivh,,in_ 1- /-a Ct1,.'-(i IZJ E-mail-
Phone:( ) - Cell Phone:8,01 1 2 ICounty: r,(-A„rkg
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Yes
I1. Is the current resident in the home the Permittee?
2. It not does the resident rent from the permittee?
3. Change of Ownership form needed? (mail the form with the inspection letter)
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 alters should be checked annually and pumped/c:eared as needed
6. Is all wastewater from the home connected to the septic tank?
7. Does the permittee/resident know where the septic tank is located?
❑
No
8. Has the septic tank been pumped in the fast 5 years? K ❑
9. If yes to #8 data, if known 7-e rP If proof, describe piit t) ti$_. A.J+-e-3 r-e Lc •r
10. Does the septic tank have ar FF1 1 JENT FILTE or SANITARY T? (circle one)
11. if Yes to filter when was the filter cleaned? .C, /2-'0 By whom? 0 ,- 'U-
SAND FILTER 1 TREATMENT PODS YES NO If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every s.x'mon,th: and any veyetat,r_ grcasth sea: to removed manually
Doesn't Did Not
Apply Investigate
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?
15. Does the sandfilter require maintenance?
it maintenance is re.qurretl explain in me comment section
❑ ❑ ❑
1 ❑ ❑ 0
0 171, 0 ❑
DISINFECTION / UV YES ❑ If no proceed to the next section.
The ultraviolet unit shall be. checked weekly The lamps and sleeves s' et; : to c La ed :r roc a s as needed t: ensure Frcezr dasinreclion
16. Is UV working?
17. Has the UV Unit been serviced and bulbs cleaned?
18 Who completes the weekly check for the UV?( Non -Discharge
DISINFECTION 1 TABLETS YES No ❑
The tablet chlcrr,ator unit shall be checked w_ekty to ensure con' I.J-Ls and pros ar
19. Does the permittee have the correct chlorine tablets?(If none, mark No
20. Does the Permittee know the location of the chlorinator?
21. Were chlorine tablets observed in the chlorinator?
22. Are tablets contacting water? If possible poke them to determine
DECHLOR (Discharge only) NO
The dech!orina!or unit sha'I be checked weekly to ensure_ cortinucus ar d proper epe•at.nn
23. Does the permittee know where the dechlor is?
24. Does the permittee have the correct dechfor tablets?
25. Were dechlor tablets observed in the dechlorination chamber?
26_ Are tablets contacting water? If possible poke them to determine
1F
❑ ❑
❑ ❑ ❑ ❑
If no proceed to the next section.
❑ ❑
❑ ❑
❑ ❑
If no proceed to the next section.
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
❑ ❑ ❑ 0
0 ❑ ❑ 0

PUMP TANK YES ❑ NO
AR pump and alarm sytems shall be inspected monthly. (non•dtscharge)
27. Is the pump working?
28. Are the audible and visual high water alarms operational?
29. Does the permittee know how to check the pump & high water alarm?
3;) Last functional test. PUMP AUDIBLE & VISUAL
Yes
Doesn't Did Not
No Apply Investigate
If no proceed to the next section.
❑ ❑ ❑
❑ ❑ 0
❑ ❑ 0
DISCHARGE ONLY YES NO ❑ if no proceed to the next section.
A visual revievr or the outfall location shall be executed twice each year (one at the time of sampling to ensure no visible solids or evidence or a malfunction.
31. Does the permittee know where the outfall is located?
32. Were you able to locate the outfall?
33 Is the end of the discharge pipe visible and accessible?
34. Is outlet discharging?
35. Is right of way maintained around the discharge point?
36. Any Lab Results available?
37 Is there evidence of solids around the discharge point?
Epp ❑
m5-4m 0
D
o
IT
gi
DRIP or SPRAY YES ❑ NO If no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system is free of teaks and equipment is operating as designed.
If irrigation number of sprinkler heads.
38. Is the system DRIP or IRRIGATION (circle one)?
39. Are the buffers adequate?
40 Is the site free of ponding and runoff?
41. Does the application equipment appear to be working properly?
42. Is there a minimum two wire fence surrounding entire irrigat;on area?
❑ ❑ 0 0
❑ ❑ 0 0
❑ ❑ 0 0
❑ ❑ 0 0
GENERAL ❑
43 Are the treatment units locked and or secured? O 0 El ❑ a
44. Has resident had any sewage problems? if yes expta`n in the comment section, Q 0 0 0
45 Does the system match the permit description? it no expIa:r� in the comment section, El46. Is the system compliant? 0 R. 0
47 Is the system failing? if yes, take pictures if possible. 0 ca 0 ❑
48. If system is failing, any sign of children or animals contacting sewage? 0 ❑
NOD sent #: - - -
NOV Sent #: AV -Pt) - 2‘.1"-"1 - PC - °' S1-1.
NO TT —
Comments:
P - Pic
r pn '• rf Djc,
DI A rye, w r 0,..tJ\( 2 /
Photos Taken? YES • n
INSPECTOR: 30 c •i `\rt(,Nl
SIGNATURE: l� /�

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCO() / / / / or NCG55
1. Facility Name:
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
_ a. Change in ownership of property/company
_ b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
permit)
3. New owner's or signing official's name and title'
(Person legally responsible for
(Title)
4 Mailing address: City:
State? Zip Code._ Phone (
E-mail address:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles
of incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
ram' 1/045
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh North Carolina 27609
919.791.4200

Applicant's Certification:
I, , attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of
my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not
included, this application package will be returned as incomplete.
Signature:_ Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING
ADDDRESS:
NC DEQ 1 DWR 1 NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

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PS Form 3811. July 2015 PSN 7530-02-000-9053

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