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HomeMy WebLinkAboutNCG550808_Pamela_&_Lew_Johnson_SFR_CEI_Report_20240530United 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 NCG550808 111 121 24/05/02 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) 10:30AM 24/05/02 12/08/01 798 Jacob Street 798 Jacob St Exit Time/Date Permit Expiration Date Thomasville NC 27360 11:00AM 24/05/02 13/07/31 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 Contacted Pamela P Hodgin,798 Jacob St Ext Thomasville NC 273607102/// 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 Ron Boone Docusigned by: DWR/WSRO WQ/336-776-9690/ osiaecl Boone' 5/30/2024 B20F8DD5F2A3460... Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date Lon T. Snider Docusigned by: 5/30/2024 FL- T. 5,,d r �145B49 5C94EA. EPA Form 3560-3 (Rev 9-94) Previous e�di ons are obsolete. Page# NPDES yr/mo/day Inspection Type NCG550808 I11 12I 24/05/02 117 18 i c i (Cont.) Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) On May 2nd, 2024, Ron Boone, of the Winston-Salem Regional Office of the NC Division of Water Resources, conducted a compliance evaluation inspection of your single family wastewater treatment system. Thank you for assisting Mr. Boone in completing the inspection. The inspection results are summarized below: You told Mr. Boone that the septic tank has been pumped at least within the last five years. Please note that the permit requires you to pump the tank every three to five years. This will keep the tank in good condition and prevent loss of solids to the subsurface sand filter, which would clog the filter and require it to be repaired or replaced at a high cost. There are only two people living in the home so every four years would likely be ideal for your home. You showed Mr. Boone your chlorine tablets. You are using the correct type. Be careful with these tablets as they're toxic. Skin, eye, and respiratory protection should always be worn when handling them. You should keep each chlorinator tube constantly stocked with 2 to 3 tablets. We have attached some helpful information about chlorine. The location of the discharge pipe is currently unknown. You stated that the property has experienced many floods during heavy rains in the past and the pipe is difficult to find. You stated you may hire a plumber to help find the discharge pipe so samples can be taken. No samples of the effluent have been taken yet. We have provided a list of certified laboratories where you may take samples for the required analysis. We have also included a copy of the general permit for reference to what parameters must be tested for. Your requirements are on page 3. Please be aware the permit requires on page 3 (Part I, Section C(1)) that you have the water tested annually by a NC certified laboratory for the constituents listed in the permit. You are currently not required to submit test results to the Division but you must keep them on file with all your other related records such as the certificate of coverage, permit fee invoices, tank pumping invoices, etc. Please do share the results with Mr. Boone when you get them so we can get an idea of how well your system is functioning. The permittee/owner names need to be changed. Mr. Boone has provided a Name/Ownership Change form. Be sure follow the instructions on the form to fill it out, provide the proper attachments, and send it in to our Raleigh Central Office. Permit fees for this permit are $60 annually. It appears that only 2022 fees have not been paid. The general permit number is NCG550000, and your specific permit #, otherwise known as your certificate of coverage #, under the general permit, which is assigned specifically to your home, is NCG550808. You are technically non -compliant with the permit at this time due to not having it tested annually. If you have any questions or concerns about compliance, the inspection, or this report, please contact Mr. Boone by phone at 336-776-9690, or by email at ron.boone@deq.nc.gov. Page# Permit: NCG550808 Inspection Date: 05/02/2024 Owner -Facility: 798 Jacob Street 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: Please refer to the inspection summary section of this report. Yes No NA NE ❑ ❑ ■ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ Page# 3