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HomeMy WebLinkAboutNCG550174_Compliance Evaluation Inspection_20230117 (2)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 NCG550174 111 121 23/12/08 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) 10:OOAM 23/12/08 20/11/25 5054 McGee Road 5054 McGee Rd Exit Time/Date Permit Expiration Date Walkertown NC 27051 10:30AM 23/12/08 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 Jimmy L Overby,4572 Mountain Spring Rd Germanton NC 27019//336-986-5876/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Operations & Maintenar Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) DocuSigned by: Lan h1sbw 1/12/2024 @�9YUh F8i@"ture(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Gary Hudson DWR/Division of Water Qua Iity/336-776-9694/ Sig ement Q A Reviewer Agency/Office/Phone and Fax Numbers Date T. S'at' 1/17/2024 EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type NCG550174 I11 12I 23/12/08 117 18 i c i Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) *The single-family subsurface sand filter appeared to be very well maintained. *The discharge pipe is shared with two other single-family residences. *The septic tank is pumped and inspected every three to five years. *The chlorinator was located and appeared to have the proper tablets installed. Page# Permit: NCG550174 Inspection Date: 12/08/2023 Owner -Facility: 5054 McGee Road Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: *The single-family subsurface sand filter appeared to be very well maintained. 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: *The discharge pipe is shared with two other single-family residences. Yes No NA NE ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ■ ❑ ❑ ❑ Page# 3