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Home My WebLink AboutNCG550079_Compliance Evaluation Inspection_20221230ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director Diane Townsend 1239 Pine Knolls Road Kernersville, NC 27284 NORTH CAROLINA Environmental Quality January 9, 2023 SUBJECT: Compliance Evaluation Inspection Single Family Residence 1239 Pine Knolls Road Permit #: NCG550079 Forsyth County Dear Ms. Townsend: On December 30, 2022, Gary Hudson of this office performed a Compliance Evaluation Inspection on the wastewater treatment system referenced above. Observations indicated that the subsurface sand filter was operating properly. There was no evidence of a discharge during the inspection. Please note some of the activities that must be conducted and documented, in addition to the laboratory analyses required if the system discharges: • Please be aware that the Permit requires that the septic tank contents be pumped out every five years to prevent solids from clogging the sandfilter system. • The tablet chlorinator should be inspected weekly to ensure there is an adequate supply of tablets for continuous operation. Be sure to order more tablets and replace them often enough to ensure continuous disinfection. If you have any questions concerning this letter, please contact Gary Hudson at (336) 776-9694. GDE NORTH CAROLINA ' o mm m�� ep..of o�.i Sincerely, Docu Signed by: Low, ,,..);itx- rlf5ShitferRegionaI Supervisor Water Quality Regional Operations Division of Water Resources North Carolina Department of Environmental Quality I Division of Water Resources Winston-Salem Regional Office 1450 W. Hanes Mill Rd, Suite 300 I Winston-Salem, North Carolina 27105 336.776.9800 United 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 IN Code NPDES yr/mo/day Inspection I 2 IL I 3 I NCG550079 111 121 22/12/30 117 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 73I 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 Dermit Number) 1239 Pine Knolls Road 1239 Pine Knolls Rd Kernersville NC 27284 Entry Time/Date 09:OOAM 22/12/30 Permit Effective Date 20/11/20 Exit Time/Date 09:30AM 22/12/30 Permit Expiration Date 25/10/31 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 Diane Townsend,1239 Pine Knolls Rd Kernersville NC 27284/// No 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) Gary and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Hudson DWR/Division of Water Quality/336-776-9694/ 1- DocuSigned by: t oYt1 Raw, , 1/9/2023 SigralTADatftabtchent Q A Reviewer Agency/Office/Phone and Fax Numbers Date rDocuSigned by: i.-0A. T, Sti,d� 1/9/2023 135545EZZ5CT4EA... EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# 1 sI NPDES yr/mo/day NCG550079 111 121 22/12/30 117 Inspection Type 18 [j 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) *The single-family subsurface sand filter appeared to be very well maintained. *The chlorinator was located during the inspection. *The de -chlorinator was located during the inspection. *The effluent pipe was not located during the inspection. *Ms. Townend's Grandson comes by monthly to add chlorine and de-chlor tablets. Page# 2 Permit: NCG550079 Inspection Date: 12/30/2022 Owner - Facility: 1239 Pine Knolls Road Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new El El ❑ application? Is the facility as described in the permit? • El El El # Are there any special conditions for the permit? El • El El Is access to the plant site restricted to the general public? • ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? • El El El Comment: Page# 3