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Home My WebLink AboutNCG550543_Compliance Evaluation Inspection_20180108 (3)ay Water Resources Environmental Quality Donald Lynn and Sandra H Pridgen 1145 Pine Knolls Road Kernersville, NC 27284 January 8, 2018 Subject: Compliance Evaluation Inspection Certificate of Coverage: NCG550543 1145 Pine Knolls Road, Kernersville Forsyth County Dear Mr. and Mrs. Pridgen: ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Interim Director JAIL 2 2 2017 watci ;.,"'. Permitting _"'-'C! .? On January 3, 2018, Jenny Graznak of this office conducted a compliance evaluation inspection on the wastewater discharge system located at the above address. The State requires the Division of Water Resources to inspect these types of systems every five years. According to county records, you are the current owners of this property, but no one was home during the inspection. Ms. Graznak was unable to reach you via telephone because our office does not have a current phone number on file for you. The home at this address is for sale and appeared vacant. According to our files, the system includes a 900 -gallon septic tank, a 391 square feet sub -surface sand filter system, chlorination unit, and discharge pipe. Ms. Graznak located a discharge pipe during her inspection, but it was dry. Please be aware that the Permit requires that the chlorinator be adequately supplied with chlorine tablets for proper operation. The Permit also requires that the septic tank contents be pumped out every 5 years to prevent solids from clogging the sand filter system. A copy of all the Permit requirements, including monitoring requirements, is attached to this letter. Please contact Ms. Graznak at (336) 776-9695 to discuss your wastewater system and the accompanying permit and to make sure we have an accurate phone number on file. CC: WSRO Files NPDES Unit Sincerely, Sherri V. Knight, P.E., Regional Supervisor Water Quality Regional Operations Section Division of Water Resources <5 "Not'hing C.ompares'_'_r State of North Carolina I Environmental Quality 450 W. Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105 Phone- 336-776-98001 FAX, 336-776-9797 United States Environmental Protection Agency Form Approved EPA Washington, D C 20460 OMB No 2040-0057 Water Compliance Inspection Report Approval expires B-31-98 Section A National Data System Coding (i e , PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN I 2 15 1 3 I NCG550543 I11 12 18/01/03 17 18 I d 19 _ I c I 20I I 211 1 1 1 1 1 III III 111 I I I II 1 1 1 1 1 1 II I II 1111111111116 Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved 67 70 L72 �71 L 73174 75 1 1 1 1 1 80 _IJ 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) 01 OOPM 18/01/03 13/08/01 1145 Pine Knolls Road 1145 Pine Knolls Rd Exit Time/Date Permit Expiration Date Kernersville NC 27284 01 30PM 18/01/03 18/07/31 Name(s) of Onsite Representahve(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible OfficiaUTitle/Phone and Fax Number Contacted Donald L Pridgen,1145 Pine Knolls Rd Kernersville NC 27284//336-993-5732/ 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 Jennifer F Graznak- WSRO WQ/1336-771-5000/ 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 (Cont.) 31 NCG550543 . I1 2 18/01/03 1 1 18 t C l Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) On January 3, 2018, Jenny Graznak of this office conducted a compliance evaluation Inspection on the wastewater discharge system located at the above address The State requires the Division of Water Resources to inspect these types of systems ever/ five years According to county records, you are the current owners of this property, but no one was home during the inspection Ms. Graznak was unable to reach you via telephone because our office does not have a current phone number on file for you. The home at this address is for sale and appeared vacant. According to our files, the system includes a 900 -gallon septic tank, a 391 square feet sub -surface sand filter system, chlorination unit, and discharge pipe. Ms. Graznak located a discharge pipe during her Inspection, but it, was dry. Please be aware that the Permit requires that the chlorinator be adequately supplied with chlorine tablets for proper operation. The Permit also requires that the septic tank contents be pumped out every 5 years to prevent solids from clogging the sand filter system. Page# Permit: NCG550543 Owner - Facility: 1145 Pine Knolls Road Inspection Date. 01/03/2018 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 Yes No NA NE ❑ ❑ ■ ❑ M ❑ ❑ ❑ ❑ ❑ M ❑ ❑ ❑ M ❑ ■ ❑ ❑ ❑ Page# 3