HomeMy WebLinkAboutNC0088579_202301CEI_20230120DocuSign Envelope ID: A59E4EOC-7BCD-4C5A-83D6-OA049D10518C
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
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 IN 2 u 3 I NCO088579 111 121 23/01/20 I17 18 L� ] 19 I s I 201
211IIIII 111111III II III III1 I I IIIII IIIIIIIII II r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
67
I 72 I n, I 73 � I 74 79 I I I I I I I80
70 I I 71 I LL -1 I I
LJ
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES Dermit Number)
12:OOPM 23/01/20
17/09/01
Stone Bridge WWTP
950 Shulls Mill Rd
Exit Time/Date
Permit Expiration Date
Boone NC 28607
01:OOPM 23/01/20
22/08/31
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
Scott C Sullivan,PO Box 3649 Wilmington NC 284063649//910-762-2676/
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
Patricia Lowery DWR/WSRO WQ/336-776-9691/
DocuSigned by: 1/20/2023
�LCI.(A. �9V19P/wy
0
42D62165508C476...
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
1/20/2023
'-145B49E225C94EA...
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
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DocuSign Envelope ID: A59E4EOC-7BCD-4C5A-83D6-OA049D10518C
NPDES yr/mo/day Inspection Type
NCO088579 I11 12I 23/01 /20 117 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
This facility has not been constructed as of 1/20/2023. Facility wishes to maintain and renew permit
as plans are still in place to construct facility. A permit renewal was sent to DEQ in March 2022.
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DocuSign Envelope ID: A59E4EOC-7BCD-4C5A-83D6-OA049D10518C
Permit: NCO088579 Owner -Facility: Stone Bridge WWTP
Inspection Date: 01/20/2023 Inspection Type: Compliance Evaluation
Other
Comment: See summary
Yes No NA NE
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