NC0079821_BIMS Report_20230320

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 NC0079821 111 121 23/01/12 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 ni 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)
01:OOPM 23/01/12
17/05/01
R.A. Thomas WTP
1201 Martin Luther King Jr Dr
Exit Time/Date
Permit Expiration Date
Winston Salem NC 27107
01:30PM 23/01/12
22/04/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Donna M. Lankford/ORC/336-788-0152/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
William C Brewer,PO Box 2511 Winston Salem NC 271079998/Water Treatment
Superintendent/336-727-8000/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Records/Reports
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 Qua Iity/336-776-9694/
DocuSigned by:
, 2/6/2023
Ras",
Signs ur4'&20X&dMnt Q A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
2/10/2023
L' -T. 15 ,,dcr
EPA Fdrnr39RX919194) Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type
NCO079821 I11 12I 23/01 /12 117 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
*The site and equipment appeared to be very well maintained.
*The current permit expired on April 30, 2022. A renewal application was submitted on November 15,
2021.
*Ms. Lankford, and the rest of the staff do a very good job keeping records.
*The effluent flow meter was calibrated on June 9, 2022.
*The effluent flow was very clear at the time of the inspection.
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Permit: NCO079821 Owner -Facility: R.A. Thomas WTP
Inspection Date: 01/12/2023 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
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application?
Is the facility as described in the permit?
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# Are there any special conditions for the permit?
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Is access to the plant site restricted to the general public?
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Is the inspector granted access to all areas for inspection?
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Comment: *The site and equipment appeared to be very well maintained.
*The current permit expired on April 30, 2022. A renewal application was submitted
on
November 15, 2021.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
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Is all required information readily available, complete and current?
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Are all records maintained for 3 years (lab. reg. required 5 years)?
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Are analytical results consistent with data reported on DMRs?
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Is the chain -of -custody complete?
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Dates, times and location of sampling
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Name of individual performing the sampling
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Results of analysis and calibration
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Dates of analysis
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Name of person performing analyses
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Transported COCs
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Are DMRs complete: do they include all permit parameters?
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Has the facility submitted its annual compliance report to users and DWQ?
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(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified
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operator on each shift?
Is the ORC visitation log available and current?
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Is the ORC certified at grade equal to or higher than the facility classification?
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Is the backup operator certified at one grade less or greater than the facility
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classification?
Is a copy of the current NPDES permit available on site?
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Facility has copy of previous year's Annual Report on file for review?
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Comment: *Ms. Lankford, and the rest of the staff do a very good Mob keeping records.
*The effluent flow meter was calibrated on June 9, 2022.
*The effluent flow was very clear at the time of the inspection.
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