HomeMy WebLinkAboutNCG520052_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)
1
21IIIIII
671
Transaction Code NPDES yr/mo/day Inspection
IN I 2 LI 3 I NCG520052 111 121 21/09/14 117
Type
1810I
IIIIIIIIIII
Inspector Fac Type
19I S I 2011
IIIIIIIIIII IIIIIII I IIIIII
P6
Inspection 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 permit Number)
Tarheel Sand #53 Mine
1035 Baltimore Rd
Yadkinville NC 27055
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
osf. Manaygement Q A Reviewer Agency/Office/Phone and Fax Numbers Date
�ocu Igoe
�, T. Sti�dcr 10/14/2021
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page# 1
sI
NPDES yr/mo/day
N CG520052 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: NCG520052
Inspection Date: 09/14/2021
Owner - Facility: Tarheel Sand #53 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