WQ0000807_Staff Report_20230329

March 29, 2023
To: DWR Central Office — WQ, Non -Discharge
Attn: Alys Hannum
From: Caitlin Caudle
Winston-Salem Regional Office
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Staff Report
Application No.: W00000807
Facility name: 821 Bobbit Rd SFR
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable.
I. GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date of site visit: 2/15/2023
b. Site visit conducted by: J. Gonsiewski
c. Inspection report attached? ® Yes or ❑ No
II. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
2. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
3. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ® No
4. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
5. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ❑ No
6. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No
7. Has a review of source facilities compliance history been completed (e.g., CEIs and DMRs)? ® Yes or ❑ No
8. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
9. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Have all compliance dates/conditions in the existing permit been satisfied? ® Yes ❑ No ❑ N/A
10. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No❑N/A
FORM: WQROSSR 04-14 Page 1 of 2

III. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
2. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
® Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑ Deny (Please -state -reasons: )
3. Signature of report preparer:
Signature of regional supervisor:
Date: 3/30/2023
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FORM: WQROSSR 04-14 Page 2 of 2

Compliance Inspection Report
Permit: WQ0000807 Effective: 05/01/18 Expiration: 04/30/23 Owner : Robert E Price
SOC: Effective: Expiration: Facility: 821 Bobbit Rd. SFR
County: Davie 821 Bobbit Rd
Region: Winston-Salem
Mocksville NC 27028
Contact Person: Robert E Price Title: Phone:
Directions to Facility:
From 140 take exit 180 towards Statesville (NC801). Keep R at fork and follow signs for Farmington. Slight L at NC801 (appx 5.1 Mi).
L at Farmington Rd/NC1410 (appx .4 mi). L at Bobbitt Rd/NC1444.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 02/15/2023 Entry Time 01:30PM Exit Time: 02:20PM
Primary Inspector: Jim J Gonsiewski Phone: [phone]
DocuSigned by:
Secondary Inspector(s):
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Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: 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: WQ0000807 Owner - Facility: Robert E Price
Inspection Date: 02/15/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On February 15, 2023, Division of Water Resources staff person Jim Gonsiewski conducted a routine compliance inspection
visit. Mr. Robert Price, the permitee and property owner, was present during the entire inspection. A review of the treatment
units and irrigation field was completed. This review mostly reflected compliance with the subject permit. The following item
of concern was noted:
• At the time of the inspection, Mr. Price stated that he inspects the chlorinator monthly. Permit Condition 111.12(b) states
"The tablet chlorinator shall be checked weekly." In the future, please check the chlorinator weekly.
Other observations:
On site at 1:30 PM.
The septic tank (1,200 gallons, baffled) is located near the east side of the house. The line from this tank runs east to a
distribution box, then east to a 396 square foot sand filter. The line then runs east to a tablet chlorinator with a 75-gallon
chlorine contact tank. The line from this tank runs east to two 2,500 gallon storage/pump tanks with dual submersible
pumps. The line then runs east to a 0.29 acre fenced spray irrigation field with five sprinkler heads.
1. Mr. Price and his wife currently live at the residence.
2. The septic tank was last pumped in 2020.
3. There is no metering equipment in this system.
4. The alarm is located in the garage and was tested during this inspection. The pump system float was also tested.
5. The property does not have a water supply well. The residence (built in 1989) has always been on Davie County water.
6. All spray heads operated properly.
7. Other than replacing the control box, no major system maintenance has been necessary.
8. The broken concrete cover over the chlorinator has been replaced.
9. No ponding or runoff was observed in the spray field due to spraying. .
10.The permit fees have been paid.
Left site at 2:20 PM.
Page 2 of 4

Permit: WQ0000807 Owner - Facility: Robert E Price
Inspection Date: 02/15/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Permit Status Yes No NA NE
# Is the current resident in the home the Permittee? ❑ ❑ ❑
# 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? ❑ ❑ ❑
If YES, who is the contractor (include contact info)?
Comment: See comments
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? ❑ ❑ ❑
Has the septic tank been pumped in the last 5 years? ❑ ❑ ❑
If YES, describe if known and proof (include date pumped):
See comments
# 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? ❑ ❑ ❑
If maintenace is required, explain:
Comment: See comments
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? ❑ ❑ ❑
Were chlorine tablets observed in the chlorinator? ❑ ❑ ❑
Are tablets contacting water? (If possible, poke them to determine.) 0 ❑ ❑ ❑
Comment:
Pump Tank
Yes No NA NE
*** All pump and alarm sytems shall be inspected monthly. (Non -Discharge) ***
Page 3 of 4

Permit: WQ0000807 Owner - Facility: Robert E Price
Inspection Date: 02/15/2023 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? 0 ❑ ❑ ❑
# 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: 5
Are buffers and setbacks adequate? ❑ ❑ ❑
Is the site free of ponding and runoff? ❑ ❑ ❑
Does the application equipment appear to be working properly? ❑ ❑ ❑
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?
❑
❑ ❑
If YES, explain:
See comments
Does the system match the permit description?
❑ ❑ ❑
If NO, explain:
Is the system compliant?
❑ ❑ ❑
Is the system failing? (If yes, take pictures if possible)
❑
❑ ❑
If system is failing, describe any exposures to people/animals or environmental risks
Comment: See comments
Page 4 of 4

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