WQ0009280_Compliance Evaluation Inspection Report_20230203

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Mr. Elwood Dodson
2453 Kerrs Chapel Road
Burlington, North Carolina 27217
NORTH CAROLINA
Environmental Quality
February 3, 2023
SUBJECT: Compliance Evaluation Inspection
Permit No. WQ0009280
Single -Family Residence Wastewater Irrigation System
2453 Kerrs Chapel Road SFR
Caswell County
Dear Mr. Dodson:
On January 20, 2023, Division of Water Resources staff Mr. Jim Gonsiewski performed a routine
compliance inspection of the subject facility.. You accompanied him on the inspection. A review of
available records, treatment units, and spray irrigation field was completed. This review reflected
compliance with the subject permit.
Your treatment system consists of a 1,200-gallon baffled septic tank located near the east side of the house.
The line from the tank runs east to a 330 square foot subsurface sand filter, then continues east to the
chlorinator and the 2,000-gallon storage/pump tank. The line from this tank then runs south to the 0.27-
acre spray field. This field is surrounded by a 2-wire fence and has four (4) spray heads. The system is well
maintained and appears to be operating without any major problems.
Please refer to the enclosed compliance inspection report for additional observations and comments. If you
have any questions concerning this letter, you may contact Jim Gonsiewski or me at [phone].
Sincerely,
�-,1U11e22'mFA
*'gn* by.
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LonT. Snider
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ - WSRO
enc.: Inspection Report
cc: Caswell County Environmental Health — (Electronic Copy)
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North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 1 Winston-Salem, North Carolina 27105
336.776.9800

Compliance Inspection Report
Permit: WQ0009280 Effective: 02/01/18 Expiration: 01/31/23 Owner: Elwood M Dodson
SOC: Effective: Expiration: Facility: 2453 Kerrs Chapel Rd. SFR
County: Caswell 2453 Kerrs Chapel Rd
Region: Winston-Salem
Burlington NC 27217
Contact Person: Elwood M Dodson Title: Phone: [phone]
Directions to Facility:
From Winston-Salem take 1-40E to exit 147, turn L onto NC 87N, follow NC 87N —16.8 mi turn R, follow Kerrs Chapel Rd. —6.8 mi,
turn Rt onto driveway
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 01/20/2023
Primary Inspector: Jim J Gonsiewski
Secondary Inspector(s):
Entry Time 10:30AM
EDocu
Signed by:NF179D45F...
Exit Time: 11:45AM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: N Compliant Not Compliant
Question Areas:
Miscellaneous Questions Permit Status Septic Tank
Sand Filter/Treatment Pods Disinfection Tablets Pump Tank
Drip or Irrigation General
(See attachment summary)
Page 1 of 4

Permit: W00009280 Owner - Facility: Elwood M Dodson
Inspection Date: 01/20/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On January 20, 2023, staff of the North Carolina Division of Water Resources' Winston-Salem Regional Office (DWR)
performed a compliance inspection of the single-family residence wastewater irrigation system located at the subject
property. This compliance inspection was conducted by DWR staff person Jim Gonsiewski. The permittee, Elwood Dodson,
accompanied him on the inspection.
The treatment system consists of a 1,200-gallon baffled septic tank located near the east side of the house. The line from
the tank runs east to a 330 square foot subsurface sand filter, then continues east to the chlorinator and the 2,000-gallon
storage/pump tank. The line from this tank then runs south to the 0.27-acre spray field. This field is surrounded by a 2-wire
fence and has four (4) spray heads. The system is well maintained and appears to be operating without any major problems.
Mr.Dodson stated that he has not had any problems with the system since he had it installed.
Trees and other vegetation can pose a problem for the treament system. Roots and vegetation can compromise the integrity
of the sand filter bed liner and other equipment. Vegetation in these areas should be cut back away from the system.
Review of the spray irrigation field and the wastewater irrigation system reflects compliance with Permit No. WQ0009280.
Page 2 of 4

Permit: w00009280 Owner - Facility: Elwood M Dodson
Inspection Date: 01/20/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Permit Status Yes No NA NE
# Is the current resident in the home the Permittee? 0 ❑ ❑ ❑
# If not, does the resident rent from the Permittee? ❑ ❑ ❑
Change of Ownership form needed? (Mail the form with the inspection letter) ❑ ❑ ❑
# Is there an inspection and maintenance agreement with a contractor? ❑ ❑ 0 ❑
If YES, who is the contractor (include contact info)?
Comment:
Septic Tank Yes No NA NE
*** The septic tank and filters should be checked annually and pumped/cleaned as needed. '**
Is all wastewater from the home connected to the septic tank? 0 ❑ ❑ ❑
# Does the permittee/resident know where the septic tank is located? 0 ❑ ❑ ❑
Has the septic tank been pumped in the last 5 years? 0 ❑ ❑ ❑
If YES, describe if known and proof (include date pumped):
# Does the septic tank have an EFFLUENT FILTER or SANITARY T? ❑ ❑ ❑
If FILTER, when was the filter cleaned and by who?
Comment. -
Sand Filter/Treatment Pods Yes No NA NE
*** Accessible sand filter surfaces shall be raked/leveled every 6 months and vegetative growth shall be
removed manually. ***
# Is system something other than a sand filter? ❑ 0 ❑ ❑
# If YES, what kind? (examples - Peat, Textile or brand name - Advantex, etc.)
# Does the permittee know where the sandfilter is located? ❑ ❑ ❑
Does the sandfilter require maintenance? ❑ M ❑ ❑
If maintenace is required, explain:
Comment: No problems were noted in the area of the sand filter.
Disinfection Tablets Yes No NA NE
*** Tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation. ***
Does the permittee have the correct chlorine tablets? (If none, mark No) ❑ ❑ ❑
# Does the Permittee know the location of the chlorinator? 0 ❑ ❑ ❑
Were chlorine tablets observed in the chlorinator? 0 ❑ ❑ ❑
Are tablets contacting water? (If possible, poke them to determine.) ❑ ❑ ❑
Comment:
Pump Tank Yes No NA NE
*** All pump and alarm sytems shall be inspected monthly. (Non -Discharge) ***
Page 3 of 4

Permit: WQ0009280 Owner - Facility: Elwood M Dodson
Inspection Date: 01/20/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Is the pump working? 0 ❑ ❑ ❑
Is the audible and visual high water alarm operational? 0 ❑ ❑ ❑
# Does the permittee know how to check the pump & high water alarm? M ❑ ❑ ❑
# Last functional test:
Comment:
Drip or Irrigation Yes No NA NE
"* Irrigation sysetm shall be inspected monthly to ensure system is free of leaks and equipment is operating
as designed. ***
# Type of system (DRIP or IRRIGATION): Irrigation
# If IRRIGATION, number of sprinkler heads: 4
Are buffers and setbacks adequate? 0 ❑ ❑ ❑
Is the site free of ponding and runoff? 0 ❑ ❑ ❑
Does the application equipment appear to be working properly? 0 ❑ ❑ ❑
Is there a minimum two wire fence surrounding the entire irrigation area? 0 ❑ ❑ ❑
Comment:
General
Yes No NA NE
# Are the treatment units locked and/or secured?
0 ❑ ❑ ❑
# Has resident had any sewage problems?
❑ 0 ❑ ❑
If YES, explain:
The system is very well run
Does the system match the permit description?
0 ❑ ❑ ❑
If NO, explain:
Is the system compliant?
M ❑ ❑ ❑
Is the system failing? (If yes, take pictures if possible)
❑ M ❑ ❑
If system is failing, describe any exposures to people/animals or environmental risks
Comment: No problems were noted with the system.
Page 4 of 4

North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Section
NON -DISCHARGE COMPLIANCE INSPECTION REPORT
SINGLE FAMILY RESIDENCE — WASTEWATER IRRIGATION
General Information
Permlttee: Elwood M and Tammy N Dodson
Permit No: WQ00 09280
Issuance Date: 2/1/2018
Other Contact:
Location & Address: 2453 Kerrs Chapel Rd
Telephone No.: 336-213-3994
County: Caswell
Expiration Date:
Telephone No.:
Burlington, NC 27217
1 /31 /2023
Reason for Inspection
® ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ OTHER:
Comments (attach additional pages as necessary)
Arrived on site at 10:30 AM, 1/20/23. Met with the owner, Elwood Dodson. Walked through th
system. Everything appeared to be in good operational order. According to Mr. Dodson, they
have not had any problems with the system except for occasional minor repairs, such as
reparing the fence or replacing sprinkler heads. Currently three people live in the house. The
correct chlorine tablets are being used. The alarm for the system is located inside the house
in a closet in the living room. The alarm was tested and works. Mr. Dodson said there is no
problem hearing the alarm in the house.
The septic tank (1,200 gallon, baffled) is located near the east side of the house. One concrete
access hatch was visible. The line from the tank runs east to the 330 square foot subsurface
sand filter. It continues to the east to the chlorinator tubes, the chlorine contact tank, and the
2,000 gallon storgage/pump tank. The line from this pump tank runs south to the 0.27 acre
spray field. The spray field is surrounded by a 2-wire fence and has four spray heads. The
water supply well for the property is located west of the spray field and south of the residence.
Walked around the spray field. No runoff or ponding was noted in the field. Mr. Dodson turned
on the pump for the system. All four sprinklers were operational, although one had an irregular
pattern. Mr. Dodson said he would check that head and either repair or replace it. No other
problems with the spray pattern. Mr. Dodson said that the septic tank was last pumped in 2019
Mr. Dodson said he checks the chlorinator tubes and the system components weekly.
Reminded him to keep a record of these inspections. The permit fees have been paid.
Left residence at 11 A5 AM.
Is a follow-up inspection necessary? ❑ Yes ® No
Primary Inspector: Jim Gonsiewski Secondary Inspector:
Date of Inspection: 01/20/2023 Entry Time: 10:30 AM
Exit Time: VA5 AM

Non -Discharge Compliance Inspection Report
Record Keeoin
Is current permit available upon request?
Is the Permittee the current resident?
Is a copy of system plans available?
Is estimated flow rate less than permitted flow design?
Designed flow: 360 gpd
(estimated by # bedrooms, # of residents, or water meter readings)
Does Permittee/Resident have an inspection log?
(date & time of monthly system inspections, observations noted, any
maintenance and repairs)
Are septic tank pumping receipts available?
Date septic tank was last pumped? 2019
Metering equipment calibrated? (if any)
Free of complaints the last 12 months?
Comments:
Septic Tank
Are tanks properly located?
Does septic tank have a filter?
Is septic tank checked and pumped as needed?
(minimum annually)
Comments: 1,200 gallon baffled tank
® Yes
❑ No
® Yes
❑ No
❑ Yes
® No
® Yes
❑ No
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
®Yes ❑No DNA ONE
®Yes ❑No DNA ONE
[-]Yes No ®NA ❑NE
®Yes No ❑NA ❑NE
®Yes
❑No
❑NA
❑NE
❑Yes
❑No
❑NA
®NE
®Yes
❑No
❑NA
❑NE
Pump Tank, Pumps, Controls, & Alarms Description: 2,000 gallon storage/pump tank
Are all pumps present and operational?
® Yes
❑ No
❑ NA
❑ NE
Are floats and controls operable?
® Yes
❑ No
❑ NA
❑ NE
Are alarms (audible & visible) present and operational?
® Yes
❑ No
❑ NA
❑ NE
Are alarms properly located? (where it can be seen and heard)
® Yes
❑ No
❑ NA
❑ NE
If required, is a rain sensor present and operational?
❑ Yes
❑ No
® NA
❑ NE
Are storage tanks, pumps, and alarms checked monthly?
® Yes
❑ No
❑ NA
❑ NE
Comments:
Treatment Description:
330 sgft subsurface
Are treatment facilities consistent with those outlined in
® Yes
❑ No
❑ NA
❑ NE
the current permit?
Do all treatment units appear to be operational? If no,
note below.
Free of bypass lines or structures?
Does the treatment unit require an operator? If so, note
who below.
Are treatment units subsurface?
Is the treatment unit free of ponding, algae, or excessive
vegetation?
Is the treatment unit re -circulated at a valid ration?
Is the distribution box level and watertight?
Are treatment units locked/public access restricted?
Comments:
® Yes ❑ No ❑ NA ❑ NE
®Yes ❑No ❑NA ❑NE
❑Yes ®No ❑NA ❑NE
® Yes ❑ No ❑ NA ❑ NE
®Yes No ❑NA ❑NE
❑Yes
❑No
®NA
❑NE
® Yes
❑ No
❑ NA
❑ NE
® Yes
❑ No
❑ NA
❑ NE

Non -Discharge Compliance Inspection Report
Treatment Disinfection Description: tablet
Is the disinfection system accessible?
® Yes
❑ No
❑ NA
❑ NE
Is system checked as needed? (minimum weekly)
® Yes
❑ No
❑ NA
❑ NE
Are tablets in cylinder(s)?
® Yes
❑ No
❑ NA
❑ NE
Are tablets proper type? (wastewater grade calcium
® Yes
❑ No
❑ NA
❑ NE
hypochlorite)
Is UV adequate intensity? UV bulbs clean?
❑ Yes
❑ No
® NA
❑ NE
Extra UV bulbs available?
❑ Yes
❑ No
® NA
❑ NE
Is contact chamber free of sludge, solids, and growth?
® Yes
❑ No
❑ NA
❑ NE
Comments:
End Use Irrigation ❑Drip ®Spray # of spray heads:
4
# of acres: 0.27
ac
Is access restricted by a fence with at least two strands
® Yes
❑ No
❑ NA
❑ NE
of wire?
Is the cover crop acceptable?
® Yes
❑ No
❑ NA
❑ NE
Are application rates adhered to?
® Yes
❑ No
❑ NA
❑ NE
No evidence of ponding, runoff, or limiting slopes?
® Yes
❑ No
❑ NA
❑ NE
Is the acreage specified in the permit being utilized?
® Yes
❑ No
❑ NA
❑ NE
Are spray heads operational?
® Yes
❑ No
❑ NA
❑ NE
Are buffers adequate?
® Yes
❑ No
❑ NA
❑ NE
Are any wells located nearby?
® Yes
❑ No
❑ NA
❑ NE
If so, how close? ®Inside CB ❑Within 250'
of CB ❑Greater than 250' from
CB
Is municipal water available in the area?
[:]Yes
® No
❑ NA
❑ NE
Comments:
fii