NCG550020_Inspection_20120802

Beverly Eaves Perdue
Governor
ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P.E. Dee Freeman
Director Secretary
Mrs. Edelmira Valladares
653 Donlee Drive
Durham, NC 27712
Subject:
Dear Mrs. Valladares:
August 2, 2012
RECEIVED
AUG 0 7 2012
CENTRAL FILES
OWQ/BOG
Compliance Evaluation Inspection
Single Family Wastewater Treatment System
Permit No. NCG550020
Durham County
On 04/27/2012, Autumn Romanski, inspector from the Raleigh Regional Office visited your single-
family residence (SFR) wastewater treatment system to evaluate compliance with the above permit to
discharge wastewater. On 6/27/2012, your assistance over the phone to discuss the change of ownership
form and complete the inspection questions was greatly appreciated. The checked boxes below show
what conditions were noted for this inspection:
® In compliance with the exception of Annual Sampling: You are reminded to regularly
maintain the chlorine disinfection and dechlorination systems, have the effluent sampled once a
year, and have the septic tank pumped out every 3 to 5 years.
The effluent that is discharged from your system must be analyzed once each year. See Part I(A)
of your permit about his requirement. A list of NC certified laboratories that provide this service
was left at your residence during the inspection. Make arrangements for sampling to be carried
out within the next 3 months, and submit results to this office within 30 days after the sampling
has been completed.
® Please forward the Ownership Change Form enclosed to DWQ
If you have questions or comments about this inspection or the requirements to take corrective action,
please contact me at 919-791-4200
inc,el ,
S. Daniel Smith, Supervisor
Surface Water Protection
Raleigh Regional Office
cc: RRO/SWP Files
Central Files
Attachments None hCarolina
attire,
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone [phone] Customer Service
Internet: www.ncwaterquality.org 1628 Mail Service Center Raleigh, NC 27699-1628 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

United States Environmental Protection Agency
Washington, O.C. 20460
EPA
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 yrlmolday Inspection
1 2 (5 3 ( NCG550020 111 121 12/06/27 117
L:! I +
Type Inspector Fac Type
I 201
181 �; j 191 c U
!J
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 re
Remarks
211 11 I I I L I I 1 1 1 1 I 1 1 I 1 1 I I 1 1 I IIII 1 1 1
inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
671 1 69 70 U 71 U 72 (N I
Reserved
731 1 174 751 1 1 1 1 1 1 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
653 Donlee Drive
653 Donlee Dr
Durham NC 27712
Entry Time/Date
12:10 PM 12/06/27
Permit Effective Date
02/08/01
Exit Time/Date
12:50 PM 12/06/27
Permit Expiration Date
07/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Ill
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Michael J Sevier,653 Donlee Rd Durham NC 27712//91-477-2501 No
Api,i owivE2 P 1n-i,e1,9 I ., /(' c?rPs
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
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
Autumn H Romanski 01)' RRO WQ//919-791-4247/ 94 /34 /a
Signatur of Managem Q A Rev' er Agenc /Office/Phone and Fax Numbers D e ,
0 //),),,/, Wi. ,Z)/////cf/ (010 7,---2.1 --/
...) I -1/j
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
31 NCG550020 111 121 12/06/27 117 18' '
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The permittee was compliant with the exception of sampling requirement. Left list of certfied labs and
permit instructions on sampling requirement.
Page # 2