NCG550078_Compliance Evaluation Inspection_20141001

ZIA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, Ill
Governor Secretary
October 1, 2014
Steven M. Wagner
5940 El Camino Drive
Pfafftown, NC 27040
Subject: Compliance Evaluation Inspection RECEIVED/DENR/DWR
Permittee: Steven M. Wagner, Owner OCT 0 3 2014
Facility: 5940 El Camino Drive, Pfafftown, NC 27040
Permit: NCG550000 General Wastewater Permit Water Quality
Certificate of Coverage: NCG550078 Permitting Section
Forsyth County
Dear Mr. Wagner:
1. Ron Boone, of the Winston Salem Regional Office (WSRO) of the NC Division of Pater Resources
(DWR or the Division), conducted a compliance evaluation inspection of the single family wastewater
system at your place of residence on September 30, 2014. You were not home for the inspection.
2. The State requires the Division to inspect these types of systems every five years. Yours was last
inspected on 7/10/2009.
3. The wastewater system at your residence appears to operating properly. Mr. Boone found no
discrepancies or problems that indicated anything was wrong. However, the chorinator and the end of
the pipe could not be found, and therefore a full inspection could not be conducted.
4. Please contact us at the numbers below to schedule a full inspection with Mr. Boone. These types of
systems should be inspected at least every five years to ensure they're properly operated and
maintained. Failure to do so can result in expensive repair costs as well as failure of the system to
properly treat the wastewater. Also, you need to have your septic tank pumped once every three to five
years, depending on usage.
585 Waughtown Street,Winston-Salem,North Carolina 27107
Phone:[phone] Internet:www.ncdenr.gov
An Equal Opportunity l Affirmative Action Employer—Made in part by recycled paper

5. If you have any questions regarding this letter or the NCG550000 general permit, please don't hesitate
to contact us at 336-771-5000.
Sincerely,
AA; "4„esej
W W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
Inspection Report
CC: WSRO Files
Central Files
N`rP-DES Unit/

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 11,j 2 1! I 3 I NCG550078 111 12 I 14/09/30 I17 18 i c i 19 G 201 I
211L111111 1111111111I 111 1111 1 1111I1 11111111111 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA - Reserved-----
67I I 70I I 71 I I 72 I I 1 - 731 1 174 75� 1 1 1 1 1 1 180
Section B:Facility Data L-1
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) 10:45AM 14/09/30 13/08/01
5940 El Camino Drive
Exit Time/Date Permit Expiration Date
5940 El Camino Dr
11:00AM 14/09/30 18/07/31
Pfafftown NC 27040
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
Steven M Wagner,5940 El Camino Dr Pfafftown NC 27040//336-922-6985/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
III Other
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 WSRO WQ//336-771-4967/ `c fC.//
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
y
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type 1
31 NCG550078 111 1,21 14/09/30 117 18 Ld
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page# 2

Permit: NCG550078 Owner-Facility: 5940 El Camino Drive
Inspection Date: 09/30/2014 Inspection Type: Compliance Evaluation
Other Yes No NA NE
Comment: Owner not home for inspection.A full inspection could not be performed.
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