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Home My WebLink AboutNCG550285_Compliance Evaluation Inspection_20210824EPA 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 NCG550285 21/08/20 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) 7768 Brookdale Drive 7768 Brookdale Dr Raleigh NC 27616 Entry Time/Date Permit Effective Date Exit Time/Date Permit Expiration Date 08:35AM 21/08/20 20/12/07 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) /// Other Facility Data 08:50AM 21/08/20 25/10/31 Name, Address of Responsible Official/Title/Phone and Fax Number Robert Hill,7768 Brookdale Dr Raleigh NC 27616//919-266-6141/Contacted No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Self-Monitoring Program Effluent/Receiving Waters 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 Stephanie Goss 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 8/24/2021 DocuSign Envelope ID: A4A9D0E1-8FCF-48ED-BE9A-73F835033DF9 8/24/2021 NPDES yr/mo/day 21/08/20 Inspection Type C3111218 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Chlorine tablets were observed in the chlorinator. The outfall was properly maintained and the pipe was discharging at the time of the inspection. The effluent appeared clear and no solids etc were observed in the UT. Effluent sampling is required as well as pumping of the septic tank is required.. NCG550285 17 Page#2 DocuSign Envelope ID: A4A9D0E1-8FCF-48ED-BE9A-73F835033DF9 Permit:NCG550285 Inspection Date:08/20/2021 Owner - Facility: Inspection Type: 7768 Brookdale Drive Compliance Evaluation Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? Are the receiving water free of foam other than trace amounts and other debris? If effluent (diffuser pipes are required) are they operating properly? Comment: Effluent Sampling Yes No NA NE Is composite sampling flow proportional? Is sample collected below all treatment units? Is proper volume collected? Is the tubing clean? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type representative)? Sampling has not een conducted.Comment: Page#3 DocuSign Envelope ID: A4A9D0E1-8FCF-48ED-BE9A-73F835033DF9