WQCS00220_Compliance Evaluation Inspection_20210616

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
S. DANIEL SMITH
Director
Dan McMillan, Interim Town Manager
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
NORTH CAROLINA
Environmental Quality
June 16, 2021
Subject: Compliance Evaluation Inspection Report
Wastewater Collection System Permit WQCS00220
Jefferson Wastewater Collection System
Dear Mr. McMillan:
On May 11, 2021, Gary Hudson of the Division of Water Resources (Division), Winston-
Salem Regional Office met with Tim Church, Operator in Responsible Charge (ORC), to
conduct a Compliance Evaluation Inspection of the above referenced Wastewater Collection
System.
This inspection consists of (1) a review of the permit and accompanying documentation
to determine compliance with permit conditions, and (2) an on -site inspection of collection
system components. The attached inspection form notes the areas that were evaluated for the
inspection, with notable findings outlined as follows.
Site Inspections
1. Pump Stations — The Family Center Pump Station was inspected, and no issues were
noted.
The inspection was considered satisfactory. If you should have any questions, please do
not hesitate to contact Gary Hudson or our office at [phone].
Enclosures — Inspection Report
CC: Laserfiche
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NORTH nARfEIINA
Department of Clunlit
Sincerely,
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Lon T. Snider, Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office
Division of Water Resources, NCDEQ
North Carolina Department of Environmental Quality 1 Division of Water Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
336.776.9800

Compliance Inspection Report
Permit: WQCS00220 Effective: 06/01/13
SOC: Effective:
County: Ashe
Region: Winston-Salem
Contact Person: Tim Church
Directions to Facility:
System Classifications: CS1,
Primary ORC: Timothy Church
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Expiration: 05/31/21
Expiration:
Owner : Town of Jefferson
Facility: Jefferson Collection System
PO Box 67
Jefferson NC 286400067
Title: Water Resources Director Phone: [phone]
Certification: 13756 Phone: [phone]
NC0021709 Town of Jefferson - Jefferson WWTP
Inspection Date: 05/11/2021
Primary Inspector: Gary Hudson
Secondary Inspector(s):
Reason for Inspection: Routine
Entry Time 10:30AM
Exit Time: 12:OOPM
Phone: [phone]
Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: Compliant ❑ Not Compliant
Question Areas:
▪ Miscellaneous Questions
▪ Map
▪ Spill Response Plan
(See attachment summary)
▪ General
▪ Reporting Requirements
▪ Capital Improvement Plan
▪ Inspections
Page 1 of 4

Permit: WQCS00220 Owner - Facility: Town of Jefferson
Inspection Date: 05/11 /2021
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
*The permit became effective June 1, 2013 and expires May 31, 2021. A permit renewal application was submitted on
December 7, 2020.
*FOG flyers are mailed once per year, included in the Annual Report, and placed on the city website.
*Mr. Church provided a Capital Improvement Plan that covered a 10-year period.
*Mr. Church keeps very good records of inspections and maintenance activities.
*An adequate Spill Response Action Plan was presented and is available to all personnel.
*The system is free of all known points of bypass.
*The Family Center Pump Station was inspected, and no problems were noted.
Page 2 of 4

Permit: WQCS00220 Owner - Facility: Town of Jefferson
Inspection Date: 05/11 /2021
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
General Yes No NA NE
Is there a properly designated primary ORC and at least one back-up of proper grade? • ❑ ❑ ❑
Are logs being reviewed by the system management or owner on a regular basis? • ❑ ❑ ❑
# What is that frequency? Daily
# Are there any issues being addressed currently or any in the planning stages? ❑ ❑ • ❑
Is there a specific pump failure plan available for all pump stations? • ❑ ❑ ❑
Does plan indicate if pump parts/new pumps are in spare parts/equipment inventory? ❑ ❑ ❑ •
Are new/significantly upgraded pump stations equipped with anti -corrosion materials? ❑ ❑ • ❑
Does the permittee have a copy of their permit? • ❑ ❑ ❑
# Is permit expiring within the next 6 months? • ❑ ❑ ❑
If Yes, has the Permittee applied for renewal? • ❑ ❑ ❑
Comment: *The permit became effective June 1, 2013 and expires May 31, 2021. A permit renewal
application was submitted on December 7, 2020.
Capital Improvement Plan Yes No NA NE
Has a Capital (CIP) or System Improvement Plan been developed and adopted? • ❑ ❑ ❑
Is it designated for wastewater only or does it have a dedicated section? • ❑ ❑ ❑
Does CIP cover three to five year period of earmarked improvements? • ❑ ❑ ❑
Does CIP include description of project area? • ❑ ❑ ❑
Does CIP include description of existing facilities? ❑ ❑ • ❑
Does CIP include known deficiencies? • ❑ ❑ ❑
Does CIP include forecasted future needs? • ❑ ❑ ❑
Comment: *Mr. Church provided a Capital Improvement Plan that covered a 10-year period.
Map Yes No NA NE
Is there a overall sewer system map? • ❑ ❑ ❑
Does the map include:
Pipe Type (GS/FM) ❑ • ❑ ❑
Pipe sizes • ❑ ❑ ❑
Pipe materials (PVC, DIP, etc) ❑ • ❑ ❑
Pipe location • ❑ ❑ ❑
Flow direction • ❑ ❑ ❑
Approximate pipe age ❑ • ❑ ❑
Pump station ID, location and capacity • ❑ ❑ ❑
# Force main air release valve location & type ❑ • ❑ ❑
# Location of satellite connections ❑ ❑ • ❑
Is the map being updated for changes/additions within 1 year of activation? ❑ ❑ • ❑
Page 3 of 4

Permit: WQCS00220 Owner - Facility: Town of Jefferson
Inspection Date: 05/11 /2021
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Comment:
Reporting Requirements
# Have there been any sewer spills in the past 3 years?
If Yes, were they reported to the Division if meeting the reportable criteria?
If applicable, is there documentation of press releases and public notices issued?
Is an Annual Wastewater Performance Report being filed with the Division, if required?
Is the report being made available to all its sewer customers?
# How is it being made available?
Comment: An add is placed in the newspaper that the Annual Report is available at the Town Hall and on
the Town's website.
Inspections
Are adequate maintenance records maintained?
Are pump stations being inspected at the required frequency?
# Is at least one complete functionality test conducted weekly per pump station?
Is there a system or plan in place to observe the entire system annually?
Is the annual inspection documented?
# Does the system have any high -priority lines/locations?
Are inspections of HPL documented at least every 6 months?
Are new lines being added to the HPL list when found or created?
Comment: *Mr. Church keeps very good records of inspections and maintenance activities.
Yes No NA NE
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Yes No NA NE
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Spill Response Action Plan Yes No NA NE
Is a Spill Response Action Plan available? • ❑ ❑ ❑
Is a Spill Response Action Plan available for all personnel? • ❑ ❑ ❑
Does the plan include:
24-hour contact numbers • ❑ ❑ ❑
Response time • ❑ ❑ ❑
Equipment list and spare parts inventory ❑ ❑ ❑ •
Access to cleaning equipment • ❑ ❑ ❑
Access to construction crews, contractors, and/or engineers • ❑ ❑ ❑
Source of emergency funds ❑ ❑ ❑ •
Site sanitation and cleanup materials • ❑ ❑ ❑
Post-overflow/spill assessment • ❑ ❑ ❑
Does the Permittee appear to respond within 2 hours of first knowledge of a spill? • ❑ ❑ ❑
Comment: *An adequate Spill Response Action Plan was presented and is available to all personnel.
Page 4 of 4