NCG550931_Compliance Evaluation Inspection_20180125

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Water Resources
Environmental Quality
Debra R. Rouse
7402 Weitzel Drive
Summerfield, NC 27358
January 25, 2018
Subject: Compliance Evaluation Inspection
Certificate of Coverage: NCG550931
5949 NC Highway 135, Stoneville
Rockingham County
Dear Ms. Rouse:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
RECEIVED1[)FNpJE)W t
FEB 0 5 2018
dater Resources
n
permitting
On January 23, 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 owner of this property, but no one was home during the inspection.
Ms. Graznak was unable to reach you via telephone at the number on file: [phone].
According to our files, the system includes a 1,200 -gallon septic tank, a 318 square feet primary
sand filter, a 159 square feet secondary sand filter, chlorination unit and contact chamber, and
cascade aeration at the discharge. Ms. Graznak was unable to locate the discharge pipe during
her inspection. 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 the Permit monitoring requirements is attached to this letter. Please contact Ms.
Graznak at [phone] 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,
'�_ . It ,.
Sherri V. Knight, P.E., Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
<'' Nothing Compares:,__
State of North Carolina I Environmental Quality
450 W Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105
Phone [phone] FAX. [phone]

Permit: NCG550931 Owner - Facility: 5949 NC Highway 135
Inspection Date- 01/23/2018 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.
4
Yes No NA NE
❑ ❑ N ❑
■ ❑ ❑ ❑
❑ ❑ ■ ❑
❑ ❑ ■ ❑
M ❑ ❑ ❑
Page# 3
t

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 E 2 15 I 3 I NCG550931 I11 12 18/01/23 17
18I I 19 I c I 20I
211111 1 1 1 1 1 1 11 1 1 l l l I I I I I I I 1 I I I I
I I I I I I II I I I I 1166
I
Inspection Work Days Facility Self -Monitoring Evaluation Rating 81 QA
-Reserved
67 70 IJ 71 I I 72 LL N �
J
731 l I 174 75 80
I I
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)
12 OOPM 18/01/23
13/08/01
5949 NC Highway 135
Exit Time/Date
permit Expiration Date
5949 NC Hwy 135
Stoneville NC 27048
12 30PM 18/01/23
18/07/31
Name(s) of Onsite Representabve(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
N
Name, Address of Responsible OfficiaVTitle/Phone and Fax Number
Contacted
Howard Rouse,5949 NC Hwy 135 Stoneville NC 27048///
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
WSRO WQ//336-771-5000/
Jennifer F GGrrazn�a�kgf
+
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
f n
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete
Page#

NPDES yr/mo/day Inspection Type (Cont)
31 NCG550931 I11 12 18/01/23 j17 18 ICI
Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On January 23, 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 owner of this property, but no one was home during the Inspection. Ms. Graznak was
unable to reach you via telephone at the number on file- [phone].
According to our files, the system Includes a 1,200 -gallon septic tank, a 318 square feet primary sand
filter, a 159 square feet secondary sand filter, chlorination unit and contact chamber, and cascade
aeration at the discharge. Ms. Graznak was unable to locate the discharge pipe during her inspection.
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#