HomeMy WebLinkAboutNCG550967_Inspection Letter_20240227ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Tula Causey
360 Earlie Everhart Road
Thomasville, NC 27360
NORTH CAROLINA
Environmental Quality
February 27, 2024
SUBJECT: Compliance Evaluation Inspection
Causey Single Family Residence
Certificate of Coverage No. NCG550967
Davidson County
Dear Ms. Causey:
On February 26, 2024, Division of Water Resources staff Caitlin Caudle conducted a routine
compliance inspection of the wastewater system serving 2370 Old NC Hwy 109. This inspection
indicated that the previous Silver Vally Fire Department building was unoccupied and is currently
being used for storage.
Observations noted the chlorine contact chamber riser was intact. The discharge pipe could not
be located in the State maintained ditch. As also mentioned in the 2010, 2014, and 2019
inspections, no evidence of a discharge was observed.
If the system is returned to use, wastewater grade calcium hypochlorite tablets must be added
to the chlorinator unit before the property becomes occupied.
Should you have any questions concerning this report, please do not hesitate to contact Ms.
Caitlin Caudle at the letterhead address or phone number, or by email at
Caitlin.caudle@deg.nc.gov.
Sincerely,
DocuSigned by:
OD2D3CE3F167456...
Jennifer F. Graznak, Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ— WSRO
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 I Winston-Salem, North Carolina 27105
NoanicaaouNn
336.776.9800
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 NCG550967 111 121 24/02/26 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)
11:30AM 24/02/26
20/04/28
2370 Old NC Highway 109
2370 Old NC Hwy 109
Exit Time/Date
Permit Expiration Date
Lexington NC 27292
11:35AM 24/02/26
20/10/31
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
Tula B Causey,360 Earlie Everhart Rd Thomasville NC 27360///
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
C D"Admd by: DWR/WSRO WQ/336-776-9699/
/'_,I'2/27/2024
L(±v,
96 8119.9 D�49 DDT
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
by:
FDocuSigned
mt'� ' � DwR/WSRo 336-776-9695 2/27/2024
'-- OD2D3CE3F 197456_.
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#
NPDES yr/mo/day Inspection Type
NCG550967 I11 12I 24/02/26 117 18 i c i
(Cont.)
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On February 26, 2024, Division of Water Resources staff Caitlin Caudle conducted a routine
compliance inspection of the wastewater system serving 2370 Old NC Hwy 109. This inspection
indicated that the previous Silver Vally Fire Department building was unoccupied and is currently
being used for storage.
Observations noted the chlorine contact chamber riser was intact. The discharge pipe could not be
located in the State maintained ditch. As also mentioned in the 2010, 2014, and 2019 inspections, no
evidence of a discharge was observed.
If the system is returned to use, wastewater grade calcium hypochlorite tablets must be added to the
chlorinator unit before the property becomes occupied.
Page#
Permit: NCG550967
Inspection Date: 02/26/2024
Owner -Facility: 2370 Old NC Highway 109
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: See summary.
Yes No NA NE
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Page# 3
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 NCG550967 111 121 24/02/26 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 n, 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 permit Number)
11:30AM 24/02/26
20/04/28
2370 Old NC Highway 109
2370 Old NC Hwy 109
Exit Time/Date
Permit Expiration Date
Lexington NC 27292
11:35AM 24/02/26
20/10/31
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
Tula B Causey,360 Earlie Everhart Rd Thomasville NC 27360///
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
Caitlin Caudle DWR/WSRO WQ/336-776-9699/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#
NPDES yr/mo/day Inspection Type
NCG550967 I11 12I 24/02/26 117 18 i c i
(Cont.)
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On February 26, 2024, Division of Water Resources staff Caitlin Caudle conducted a routine
compliance inspection of the wastewater system serving 2370 Old NC Hwy 109. This inspection
indicated that the previous Silver Vally Fire Department building was unoccupied and is currently
being used for storage.
Observations noted the chlorine contact chamber riser was intact. The discharge pipe could not be
located in the State maintained ditch. As also mentioned in the 2010, 2014, and 2019 inspections, no
evidence of a discharge was observed.
If the system is returned to use, wastewater grade calcium hypochlorite tablets must be added to the
chlorinator unit before the property becomes occupied.
Page#
Permit: NCG550967
Inspection Date: 02/26/2024
Owner -Facility: 2370 Old NC Highway 109
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: See summary.
Yes No NA NE
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