NCG550968_Compliance Report_20210819

EPA
United States Environmental Protection Agency
Washington, D.C. 20460
Water Compliance Inspection Report
Form Approved.
OMB No. 2040-0057
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 N 52 NCG550968 21/08/17 C S31112171819 20
21 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved-------------------
N67707172 73 74 75 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
5630 Willow Drive
5630 Willow Dr
Durham NC 27712
Entry Time/Date Permit Effective Date
Exit Time/Date Permit Expiration Date
10:45AM 21/08/17 20/04/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Other Facility Data
11:30AM 21/08/17 20/10/31
Name, Address of Responsible Official/Title/Phone and Fax Number
Bernard L Bell,5630 Willow Dr Durham NC 27712//919-471-4956/Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance Other
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
Chris Smith DWR/RRO WQ/919-791-4200/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#1
8/19/2021
DocuSign Envelope ID: 26444096-ADD7-4097-8DBB-259CEEDD29B6
8/19/2021
NPDES yr/mo/day
21/08/17
Inspection Type
C3111218
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Mr. Bell and his son met with me and showed me the system. They are doing a good job of
maintaining the system. All system components appear to be working properly.
Septic tank cleaned out February 3,2020.
Effluent sampled June 14, 2021.
NCG550968 17
Page#2
DocuSign Envelope ID: 26444096-ADD7-4097-8DBB-259CEEDD29B6
Permit:NCG550968
Inspection Date:08/17/2021
Owner - Facility:
Inspection Type:
5630 Willow Drive
Compliance Evaluation
Other Yes No NA NE
Comment:
Operations & Maintenance Yes No NA NE
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:
Page#3
DocuSign Envelope ID: 26444096-ADD7-4097-8DBB-259CEEDD29B6