NCG550035_Compliance Evaluation Inspection_20161219 (2)

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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, RE. Dee Freeman
Governor Director Secretary
•
•
August 8, 2012 RECFIVC
D
Mr. Thomas Golden AUG 14 2012
5909 Paragon Drive
• Durham, NC 27712 CENTRAL FILES.
DWQ/BOG
•
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
Eirrnit .k oFAG-0575;003;5
Durham County
•
Dear Mr. Golden:
On 04/27/2012, Autumn Romanski, inspector from the Raleigh Regional Office visited your single-
family residence (SFR) wastewater treatment system to evaluate compliance with the above permit to
discharge wastewater. On 8/08/2012, your assistance over the phone to discuss the permit and complete
the inspection questions was greatly appreciated. The checked boxes below show what conditions were
noted for this inspection:
® In compliance with the exception of Annual Sampling: You are reminded to regularly
maintain the chlorine disinfection, have the effluent sampled once a year, and have the septic
tank pumped out every 3 to 5 years.
If you have questions or comments about this inspection or the requir 'ents to take corrective action,
please contact me at 919-791-4200 •
Sincere,y,
S. Daniel Smith, Supervisor
Surface Water Protection
Raleigh Regional Office
cc: RRO/SWP F•les
Attachments
NorthCarolina
,/Vattrrally
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone[phone] Customer Service
Internet: www ncwaterquality org 1628 Mail Service Center Raleigh,NC 27699-1628 FAX [phone] 877-623-6748
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

d.—
United States Environmental Protection Agency
Ep/� Washington,D.C.20460 Form Approved.
f_/1 OMB No.2040-0057
Water Compliance Insertion 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 I N I 2 [2] 31 NCG550035 111 121 12/08/08 117 18I C I 19I S I 20I I
Remarks
211 I I I I I I I I I I I I I I I I I I I 11_ I I I I LI_ I I I L I_ I I I I I I I I I I I I I 166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 169 70I I 711 I 72I N I 731 I 1 " 75I I I I I I I 180
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 permit Number)
5905 Paragon Drive 09:00 AM 12/08/08 07/08/01
5905 Paragon Dr Exit Time/Date Permit Expiration Date
Durham NC 27712
09:15 AM 12/08/08 12/07/31
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
Thomas Golden,5905 Paragon Dr Durham NC 2 77 1 2//9 1 9-47 7-8 3 56/ Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
■Permit
Section D: Summary of Findinq/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary) .
Name(s)and Signature(s)of I spector((s)) / Agency/Office/Phone and Fax Numbers Date
Autumn H Romanski 7-Z-;49?,--Pt%S`(_' RRO WQ//919-791-4247/ y f/,rd( 7 v5
r
igna ure of Man ge ent Q A evi, wer Agency/ ffice/Phone and Fax Numbers Da e
1
d,42-(f062 (,-/y.- ,:7y/_0 4()0 .
/yr
EPA Form 60-3(Rev 9-94)Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type 1
31 NCG550035 111 121 12/08/08 17 181 CI
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The permittee was compliant with the requirements of the permit with the exception of sampling.
*The permittee is retired and on a fixed income, and not able to sample at this time.
However, the permittee has had the sand filter re-built and worked with a wastewater consultant in years
past to ensure the system is operating properly. The permittee invested the necessary funds to add the
chlorinator and maintains the chlorine.
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&- w
Permit: NCG550035 Owner-Facility: 5905 Paragon Drive
Inspection Date: 08/08/2012 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 application? • ❑ ❑ 0
Is the facility as described in the permit? • 000
#Are there any special conditions for the permit? 0 fl • 0
Is access to the plant site restricted to the general public? 0 0 ■ 0
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ 0
Comment: Permit information was left at the residence, the day of the site visit on
4/27/2012.
Follow- up messages were left by phone in July 2012.
The permittee was reached and completed the questionaire on 8/8/2012.
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