The URL can be used to link to this page

Home My WebLink AboutNCG550462_4100_High_Point_Rd_Elizabeth_Lucas_20230220 (2)ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director Elizabeth Lucas, Owner 4100 High Point Road Winston-Salem, NC 27107 NORTH CAROLINA Environmental Quality February 20th, 2023 Subject: Compliance Evaluation Inspection Single Family Residence Wastewater Treatment System 4100 High Point Road, Winston-Salem, NC 27107 General NPDES Wastewater Permit: NCG550000 Certificate of Coverage: NCG550462 Forsyth County Dear Ms. Lucas: Ron Boone, Jesse Barnes, Seren Homer, and Kristen Potwora, of the NC Division of Water Resources (DWR), Winston-Salem Regional Office (WSRO), came to your home at 4100 High Point Rd, in Winston-Salem, NC, to perform a compliance evaluation inspection of the home's single family wastewater treatment system, on February 8, 2023. No one answered the door that day so they could not perform the inspection. Additionally, they could not reach you by phone or email because we have no contact information for you on file. Please contact Mr. Boone as soon as possible to schedule a firm date to perform an inspection to ensure your wastewater treatment system is operating properly. Failure of the system can result in costly repairs, environmental damages, damages to your home, and health hazards in the home. Furthermore, please be aware that the Division may take enforcement action against any permittee who fails to comply with any requirement of their permit. Pursuant to NC General Statute (NCGS) 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. DffNorth Carolina Department of Environmental Quality I Division of Water Resources oan caaouNn Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 I Winston-Salem, North Carolina 27105 M336.776.9800 oep.m.m or em�nmen� Qualm Please contact Mr. Boone, at your earliest convenience, by phone at 336-776-9690, or by email at ron.boone@ncdenr.gov. Thank you in advance for your time and attention to this matter. Sincerely, DocuSiiggned by: �/1r l . 5-AgeP 1 _"49E225C94EA... Lon T. Snider, Regional Supervisor Water Quality Regional Operations Section Winston-Salem Regional Office Division of Water Resources, NCDEQ Attachments: 1. Water Compliance Inspection Report REQ� North Carolina Department ofEnvironmental Quality I Division ofWater Resources Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 1 Raleigh, North Carolina 27105 NORTH CAROLINA 336.776.9800 onparhnem of EmironmanW 9uallly 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 NCG550462 111 121 23/02/08 I17 18 I C I 19 I s I 20L] 21111I I I I I I I II I I I I I I I I I I I I I I I I I I I I I I I II I I I I I 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) 01:30PM 23/02/08 21/11/05 4100 High Point Road 4100 High Point Rd Exit Time/Date Permit Expiration Date Winston Salem NC 27107 01:45PM 23/02/08 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 Elizabeth Lucas,4100 High Point Rd Winston Salem NC 27107M 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) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Ron Boone Docusigned by: DWR/WSRO WQ/336-776-9690/ Seren Homer �ostiW �oon.e, DWR/WSRO WQ/336-776-9698/ 2/20/2023 EB20F8DD5F2A3460... Jesse Barnes DWR/WSRO WQ/336-776-9701/ Kristen Potwora DWR/WSRO WQ/336-776-9800/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date Docusigned by:2/20/2023 - T. 5,Jtr FL 49F� 25C 4 EPA Form 35&-V3 (Kev F9} Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type NCG550462 I11 12I 23/02/08 117 18 i c i (Cont.) Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Dear Ms. Lucas: Ron Boone, Jesse Barnes, Seren Homer, and Kristen Potwora,of the NC Division of Water Resources (DWR), Winston-Salem Regional Office (WSRO), came to your home at 4100 High Point Rd, in Winston-Salem, NC, to perform a compliance evaluation inspection of the home's single family wastewater treatment system, on February 8, 2023. No one answered the door that day so they could not perform the inspection. Additionally, they could not reach you by phone or email because we have no contact information for you on file. Please contact Mr. Boone as soon as possible to schedule a firm date to perform an inspection to ensure your wastewater treatment system is operating properly. Failure of the system can result in costly repairs, environmental damages, damages to your home, and health hazards in the home. Furthermore, please be aware that the Division may take enforcement action against any permittee who fails to comply with any requirement of their permit. Pursuant to NC General Statute (NCGS) 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. Please contact Mr. Boone, at your earliest convenience, by phone at 336-776-9690, or by email at ron.boone@ncdenr.gov. Thank you in advance for your time and attention to this matter. Page# Permit: NCG550462 Inspection Date: 02/08/2023 Owner -Facility: 4100 High Point Road Inspection Type: Compliance Evaluation Permit (If the present permit expires in 6 months or less). Has the permittee submitted a new application? Is the facility as described in the permit? # Are there any special conditions for the permit? Is access to the plant site restricted to the general public? Is the inspector granted access to all areas for inspection? Comment: Please refer to the inspection summary section of this form. Yes No NA NE ❑ ❑ ■ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ Page# 3