NCG550862_Compliance Evaluation Inspection_20210714

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Lisa Fletcher Rogers
4009 Leah Lane
Durham, NC 27712
NORTH CAROLINA
Environmental Quality
July 14t", 2021
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
NPDES General Permit NCG550000
Certificate of Coverage NCG550862
Facility Name: 532 Olive Branch Road
Durham County
Dear Current Homeowner:
On July 1, 2021, Josh Brigham from the Raleigh Regional Office visited your single-family
residence (SFR) wastewater treatment system to evaluate compliance with the subject General
NPDES Permit. An inhabitant of the home was briefly present 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.
Our records indicate the treatment system consists of a septic tank, sub -surface sand filter, tablet
chlorinator with chlorine contact chamber, and discharge pipe.
General NPDES Permit NCG550000 and Certificate of Coverage (COC) NCG550862 authorize
the discharge of domestic wastewater from your treatment system to receiving waters designated
as Lick Creek (classified WS-IV; NSW) in the Neuse River Basin. The authorized discharge is
in accordance with the effluent limits and monitoring requirements established within the
General Permit. The items below show what conditions were noted at your facility:
Findings during the inspection were as follows:
NCG550000 Ownership Change Form: According to Durham County deed of records,
Lisa Fletcher Rogers owns the residence and property located at 532 Olive Branch Road
in Durham, 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. l (a), which requires a person to obtain a permit to make an outlet into the waters
of the state, you will need to complete and submit the attached NCG550000 Ownership
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NOPI H CAROLINA _
DW ^ t of Em1mnmenbi owuuy 919.791.4200

Lisa Fletcher Rogers, NCG550862
July 14, 2021
Page 2 of 3
Change Form to the Division. If you have any questions regarding change in permit
ownership or completing the form, then please contact Josh Brigham at 919-791-4251.
2. Treatment system operation: The wastewater treatment system shall be maintained at
all times to prevent seepage of sewage to the surface of the ground.
3. 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.
Within 30-days of receiving this letter, please send a copy of the most recent
receipt/invoice to this office showing the date the septic tank was last checked and/or
pumped out. The General NPDES Permit requires the permittee to retain records
associated with sewage disposal activities for a period of at least 5 years.
4. 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 General NPDES 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 General NPDES Permit.
5. 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, Fecal Coliform and Total Residual Chlorine. Within 30-days of
receiving this letter, please let this office know if you have monitored your effluent
discharge within the last 12 months, and provide this office with a copy of the lab results
if you have. If you have not monitored your effluent, then 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 September 15, 2021. If, during this time, you are
unable to collect a representative sample of the effluent discharge due to insufficient flow
from the discharge pipe, then update this office with that information and continue to
monitor the discharge and if conditions for sampling become favorable, then arrange to
collect a sample. Failure to monitor the effluent discharge as required is a violation of
NPDES General Permit NCG550000.
6. 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
D Q�o
.,- North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NORTH CARCIINA '^'
owero rn+.+c�xu a.wn� 919.791.4200

Lisa Fletcher Rogers, NCG550862
July 14, 2021
Page 3 of 3
the problem. The discharge pipe was visible and accessible the day of the inspection.
Please continue to ensure the outlet is always visible/maintained and cleared of
vegetation, soil and leaves.
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.
Within 30-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 I
and 3-5 above.
If you have questions or comments about this inspection or the requirements to take corrective
action (if applicable), then please contact Josh Brigham at 919-791-4251.
Sincerely,
�4dw-�
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
NCG550000 Ownership Change Form
Cc: RRO/SWP Files
Laserfiche
D ��
NONorth Carolina Department of Environmental Quality Division of Water Resources
flIHCAHUl1NA�Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
Oop^^^K^l of Enwm^mmUl Q�If /� 919.791.4200

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 yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 I 3 I NCG550862 111 121 21/07/01 I17 18L I 19 I G I 20L]
211 I I I I I I I I I II I I I I I I I I I I I I I I I I I I 1 1 I I I II I l l l l I66
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
671 70 U 71 I I 72 L1_I N 1 73I I I74 71 I I I I I I I80
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 permit Number)
08:25AM 21/07/01
13/08/01
532 Olive Branch Road
Exit Time/Date
Permit Expiration Date
532 Olive Branch Rd
Durham NC 27703
09:OOAM 21/07/01
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
Carla Perkins,532 Olive Branch Rd Durham NC 27703//919-908-9471/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations & Maintenar 0 Records/Reports Self -Monitoring Progran
Effluent/Receiving Wate 0 Laboratory
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
Joshua S Brigham DWR/RRO WQ/919-791-4200/ zp2�
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
-X �'/ � - -/ 2—
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type 1
31 NCG550882 I11 1 21/07/01 17 181 I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
No tablets on chlorinator, not touching water (no flow).
Effluent pipe not discharging.
Inhabitant requested to talk later (rental property?)
Left packet and ownership change form.
Page# 2

Permit: NCG550862 Owner - Facility: 532 Olive Branch Road
Inspection Date: 07/01/2021 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Septic Tank
Yes
No
NA
NE
(If pumps are used) Is an audible and visual alarm operational?
❑
❑
❑
Is septic tank pumped on a schedule?
❑
❑
❑
Are pumps or syphons operating properly?
❑
❑
❑
Are high and low water alarms operating properly?
❑
❑
❑
Comment:
Sand Filters (Low rate)
Yes
No
NA
NE
(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?
M
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
❑
# Is the sand filter surface free of algae or excessive vegetation?
N
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
❑
❑
❑
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
M
❑
❑
❑
Are the tablets the proper size and type?
❑
❑
❑
Number of tubes in use?
1
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
Comment: No tablets in chlorinator and no water
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
0
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
0
❑
❑
❑
Page# 3

Permit: NCG550862
Inspection Date: 07/01/2021
Owner - Facility: 532 Olive Branch Road
Inspection Type: Compliance Evaluation
Effluent Pipe
If effluent (diffuser pipes are required) are they operating properly?
Comment:
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 inspection?
Comment:
Yes No NA NE
❑ ❑ ❑ ■
Yes No NA NE
❑ ❑ ■ ❑
■ ❑ ❑ ❑
❑ ❑ ❑ ■
■ ❑ ❑ ❑
■ ❑ ❑ ❑
Page# 4

ROY COOPER
Governor
DIONNE DELLFGATTI
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 / / / / or NCG55
1. Facility Name:
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
permit)
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):
3. New owner's or signing official's name and title:
(Person legally responsible for
4. Mailing address:
City:
(Title)
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]
North Carolina Department of Environmental Quality I Division of Water Resources
Q
_ Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NORTH CAHOLINa
ooparoncm m �m��m�,vi a�anh 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 / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
®�.._ North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NORTH CAROUNA _
Oepa Ot W &vlmnmM1a1 ;a 919.791,4200

Inspection Date: // r / 2 0 Z l StartTime: 9 "? 2 z 7 End Time: (91 O O
SINGLE A IY WA EWATER SYSTEM CHECKLIST
I,
&1&2015 Cott �k"
Permittee: ( I -` _ Psi ��nS L_-� &_ F le u r Po �S Cn�o r
mit, IVC-
-Permit,
Address: S 3 Z D (,` . e- )> J' Q�il E-mail-
Phone:( Ce11 Phone:( ) -
County: ()vi P) /
The Permittee Is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't
Did Not
Yes
No
Apply
Investigate
1. Is the current resident in the home the Permittee?
L3
2. If not does the resident rent from the permittee?
II��rr
l01
3. Change of Ownership form needed? (mail the form with the inspection letter)
Dg
4. Is there a inspection and maintenance agreement with a contractor?
El
❑
❑
5. If yes to #4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumpefticaned as needed.
6. Is all wastewater from the home connected to the septic tank?
El
❑
❑
7. Does the permittee/resident know where the septic tank is located?
❑
8. Has the septic tank been pumped in the last 5 years?
wt
9. If yes to #8 date, if known If proof, describe
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filter when was the filter cleaned? 8y whom?
SAND FILTER / TREATMENT PODS YES NO
If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every sbc months and any vegetative growth shall be removed manually.
12. Is system something other than a sandfilter?
❑
P
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located?
ICI
1w
15. Does the sandfifter require maintenance?
0
It maintenance is requireo explain In the comment section.
DISINFECTION I UV YES Lj NO
If no proceed to the next section.
The ultraviolet unit shag be checked weekly. The lamps and sleeves should be cleaned or replaced as needed to ensure proper disinfection.❑
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 / TABLETS YES P NO
If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
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.
0
❑
DECHLOR (Discharge only) YES Lj NO PaL
If no proceed to the next section.
The dechlorinstor unit shall be checked weekly to ensure continuous and proper operation.
23. Does the permittee know where the dechlor is?
❑
❑
El
0
24. Does the permittee have the correct dechlor tablets?
0
25. Were dechlor tablets observed in the dechlorination chamber?
26. Are tablets contacting water? If possible poke them to determine.

Doesn't
Did Not
Yes
No
Apply
Investigate
PUMP TANK YES Lj NO
If no proceed to the next section.
All pump and alarm sytems shall be Inspected monthly. (non -discharge)
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?
❑
❑
❑
❑
30. Last functional test: PUMP AUDIBLE & VISUAL
DISCHARGE ONLY YES gZL NO El
If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year (one at the time of sampling to ensure no visible
solids or
evidence of 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?
Es
❑
❑
34. Is outlet discharging?
E3
❑
❑
35. Is right of way maintained around the discharge point?
�i
❑
❑
❑
36. Any Lab Results available?
❑
❑
❑
37. Is there evidence of solids around the discharge point?
❑
is]
❑
❑
DRIP or SPRAY YES Lj NO
If no proceed to the next section.
The Irrigation system shall be inspected monthly to ensure the system is free of leaks and equip1ment
is operating as designed.
38. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
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 irrigation area?
❑
❑
❑
❑
GENERAL
43. Are the treatment units locked and or secured?
❑
❑
Has resident had any sewage problems? If yes explain in the comment section. ID
El44.
El
0
45. Does the system match the permit description? if no explain in the comment section.
Jq
❑
El
El46.
Is the system compliant?
❑
�
❑
❑
47, Is the system failing? If yes, take pictures if possible.
91
❑
❑
48. If system is failing, any sign of children or animals contacting sewage?
❑
❑
%❑
❑
NOD Sent #: - NOV Sent #:
Comments: Photos Taken?
YES
NO
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INSPECTOR: ri V1 C.M SIGNATURE:
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