WQ0029555_Staff Report_20230511

May 11, 2023
To: DWR Central Office — WQ, Non -Discharge Unit
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.: W00029555
Facility name: 627 Willie Pace 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: 5/8/2023
b. Site visit conducted by: C. Caudle
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Liza Durizch
II. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes ❑ No ® N/A
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
4. 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
5. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
6. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No
If yes, attach a map showing conflict areas.
7. Is the description of the facilities as written in the existing permit correct? ❑ Yes or ❑ No
8. Has a review of source facilities compliance history been completed (e.g., CEIs and DMRs)? ® Yes or ❑ No
9. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
10. 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
11. 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
❑ DenL(plgase state reasons: )
3. Signature of report preparer:
Signature of regional supervisor:
Date: 5/15/2023
M►TA11J17YY[1)0/.30:i0("1130F.1IRS IFRW9:7*i/IBUTAI1*11 KI
See attached inspection report and site map. Staff see no issue with ownership change.
FORM: WQROSSR 04-14 Page 2 of 2

Compliance Inspection Report
Permit: WQ0029555 Effective: 08/01/20 Expiration: 10/31/26 Owner: David B Cale
SOC: Effective: Expiration: Facility: 627 Willie Pace Rd. SFR
County: Alamance 627 Willie Pace Rd
Region: Winston-Salem
Burlington NC 27217
Contact Person: David B Cale
Title:
Phone:
Directions to Facility:
From Raleigh take 140W to exit 150, turn R onto Jimmie Kerr Rd. - follow .64mi, L onto Trollingwood Rd, - follow 1.63mi (becomes
N. Wilkins Rd N of US70), R onto NC49N - follow 6.4mi, L onto NC62E - follow 2.6mi, L onto Willie Pace Rd. prop. is 2.5m on L
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 05/08/2023 Entry Time 09:OOAM Exit Time: 09:45AM
cuSigned by:
Primary Inspector: Caitlin aL(±v,
u Pef�.� I'� Phone: [phone]
Secondary Inspector(s): Cmj&968199D49D...
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: ❑ Compliant 0 Not Compliant
Question Areas:
Miscellaneous Questions
Disinfection Tablets
General
(See attachment summary)
Septic Tank
Pump Tank
Sand Filter/Treatment Pods
Drip or Irrigation
Page 1 of 4

Permit: WQ0029555 Owner - Facility: David B Cale
Inspection Date: 05/08/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On May 8, 2023, Division of Water Resources staff Caitlin Caudle conducted a routine compliance inspection. A review of
available records, treatment units, and irrigation fields was completed. This review mostly reflected compliance with the
subject permit. The following items of concern were noted:
A. Mrs. Durizch stated that the septic tank has not been pumped since moving in. Per Permit Condition 111.12.a. the septic
tank shall be inspected annually and pumped as needed. Please have the septic tank inspected, and pumped if needed,
within the next calendar year.
B. Mrs. Durizch stated that the other treatment units are not being inspected. Permit Condition 111.12 lists the minimum
inspection frequency of all treatment units. Please begin inspecting all treatment units as described in the above permit
condition.
C. Mrs. Durizch stated that no inspection log was being kept. Per Permit Condition V.1, the Permittee shall maintain an
inspection log that includes the date and time of inspection, observations made, and maintenance, repairs or corrective
actions taken. Please begin an inspection log.
Other observations:
• Mr. and Mrs. Durizch inherited the property within the past two years. Ms. Caudle walked through the system with Mrs.
Durizch and discussed inspection frequencies and maintenance requirements.
• The rain sensor is located on the control box at the pump tank.
• The alarm bulb is also on the control box, but it was not tested at the time of inspection.
• Irrigation was not viewed in operation as the control box was locked. All spray heads were free moving. Ms. Caudle
advised that the nozzles may be cleaned and any damaged spray heads replaced.
• Ms. Caudle discussed the minimum inspection frequency of all treatment units.
• Ms. Caudle provided instructions on how to properly place chlorine tablets. Tablets were not present in the tubes but
were present in the chlorinator.
• Ms. Caudle discussed maintenance of the irrigation field with Mrs. Durizch. Ms. Caudle advised that vegetation should
be trimmed back from spray heads to ensure an even irrigation pattern.
• A copy of the system plans can be provided upon request.
Page 2 of 4

Permit: WQ0029555 Owner - Facility: David B Cale
Inspection Date: 05/08/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
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? ❑ ❑ ❑
# 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):
# 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? ❑ 0 ❑ ❑
If maintenace is required, explain:
Comment: Treatment unit is subsurface sand filter. The three boxes at the start of the sand filter are
vents. The box at the end of the sand filter is an observation Dort.
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: Tablets were not being put in tubes correctly.
Pump Tank Yes No NA NE
*** All pump and alarm sytems shall be inspected monthly. (Non -Discharge) ***
Is the pump working? ❑ ❑ ❑
Is the audible and visual high water alarm operational? ❑ ❑ ❑
# Does the permittee know how to check the pump & high water alarm? 0 ❑ ❑ ❑
# Last functional test:
Comment:
Drip or Irrigation Yes No NA NE
Page 3 of 4

Permit: WQ0029555 Owner - Facility: David B Cale
Inspection Date: 05/08/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
*** 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):
# If IRRIGATION, number of sprinkler heads:
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?
Comment:
# Are the treatment units locked and/or secured?
# Has resident had any sewage problems?
If YES, explain:
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 summary.
Irrigation
4
• ❑ ❑ ❑
• ❑ ❑ ❑
❑❑❑■
■❑❑❑
Yes No NA NE
■❑❑❑
Page 4 of 4

WQ0029555 Durizch SFR Site Map
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Esri Community Maps Contributors, Alamance County, State of North
Carolina DOT, © OpenStreetMap, Microsoft, Esri, HERE, Garmin,