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HomeMy WebLinkAboutNCG520049_Compliance Evaluation Inspection_20211014United States Environmental Protection Agency E PA 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 1 21IIIIII Inspection 671 Code NPDES yr/mo/day Inspection IN I 2 LI 3 I NCG520049 111 121 21/09/14 117 Type 1810I IIIIIIIIIII Inspector Fac Type 19I S I 2011 IIIIIIIIIII IIIIIII I IIIIII P6 Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved I 70I I 711 172 I N I 731 1 74 71 I I I I I I I I 180 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include POTW name and NPDES oermit Number) Tarheel Sand #52 Mine 6880 US Hwy 64 E Hamptonville NC 27020 Entry Time/Date 09:OOAM 21/09/14 Permit Effective Date 21/03/01 Exit Time/Date 12:OOPM 21/09/14 Permit Expiration Date 25/07/31 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 Jerry Keith Adams,1108 Tuckda Way Hamptonville NC 27020//336-468-4003/3362446840 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) 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 Gary Hudson DWR/Division of Water Quality/336-776-9694/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date rDocuSigned by: T. Stiacr 10/14/2021 145B49E225C94EA... EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# 1 sI NPDES yr/mo/day N CG520049 111 121 21/09/14 117 Inspection Type 18 [j 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) The sand dredging operation site has not been used in over three years. Page# 2 Permit: NCG520049 Inspection Date: 09/14/2021 Owner - Facility: Tarheel Sand #52 Mine Inspection Type: Compliance Evaluation Other Yes No NA NE Comment: The sand dredging operation site has not been used in over three years. Page# 3