NC0059536_Compliance Evaluation Inspection_20180501

ROY COOPER
Governor
MICHAEL S.REGAN
Secretary
Water Resources a LINDA CULPEPPER
Environmental Quality Interim Director
April 27, 2018
Ms. Tisha T. Tuttle
1025 Lamb Road
Lexington, NC 27292 RECEIVED/DENRIDWR
Subject: Compliance Evaluation Inspection Report and Notice of Deficiency MAY J.0 2018
NOD Tacking Number NOD-2018-PC-0158 Water Resources
NPDES Permit NC0059536 Permitting Section
Hilltop Living Center WWTP, Davidson County
Dear Ms. Tuttle:
On March 14, 2018, Paul DiMatteo of the NC Division of-Water Resources (Division), Winston-Salem
Regional Office, conducted a Compliance Evaluation Inspection of the above referenced wastewater
treatment system. A follow up inspection was conducted on April 13, 2018. The presence and cooperation of
Luther Leonard, Operator in Responsible Charge (ORC), was greatly appreciated. This type of inspection
consists of two basic parts: an on-site inspection of the facility and a review of facility files and self-monitoring
data. Observations from each area of the inspection are summarized below.
Summary of Noncompliance
The inspections identified noncompliance with the following permit conditions:
1. Part II, Section C.1 Certified Operator—Records Availability Requirements
2. Part II, Section D.1 Representative Sampling
3. Part II, Section D.4 Test Procedures
Detailed information is provided in the following report. The items noted above have collectively
resulted in this Notice of Deficiency. Accordingly, please respond to this notice within 30 days of receipt. In
your response, please outline your plan for attaining compliance with the items noted above.
Site Review
1. Permit
The current permit became effective on June 1, 2014 and expires on May 31, 2019. Please be
reminded that a renewal application should be submitted at least 180 days prior to permit
expiration (December 2, 2018). Permitted components include septic tanks, flow splitter, grease
trap, pump tanks, surface sand filters, recirculation diversion box, chlorine disinfection, and
dechlorination with final disposal to an unnamed tributary to the Yadkin River,which is classified as
class WS-V waters in the Yadkin-Pee Dee River Basin.
Nothing Comp,ares'7-,
State of North Carolina I Environmental Quality
450 W Hanes Mill Road,Suite 300,Winston-Salem,North Carolina 27105
Phone:[phone] FAX:[phone]

2. Facility Site Review v
The facility was as described in the permit. The facility is permitted to discharge up to 0.003 million
gallons per day (MGD) of treated wastewater; typical daily discharges are about 0.0012 MGD. All
components appeared to be working properly.
3. Operation and Maintenance
Luther Leonard is the Operator in Responsible Charge (ORC), and Michael Foltz is the backup-ORC.
All operators are properly designated and hold adequate certifications. No operational or
maintenance issues were apparent during the inspection.
4. Flow Measurement
Effluent flow is measured with an ISCO 4230 Bubbler flow meter set in a flume. Mr. Leonard said
that the bubbler was recently replaced; the new flow meter was calibrated by J. Thurman Home on
3/7/2018. The flow meter records flow continuously, and the totalized flow is printed on a strip
every day. The strips are kept as required.
Please note that Part II, Section D.3 of the Permit requires approval for flow measurement devices
and monitoring locations prior to installation. Furthermore,the Permit requires flow monitoring be
conducted weekly using an instantaneous method at the influent or effluent. Instantaneous flow
measurement is defined as "the flow measured during the minimum time required for the flow
measuring device or method to produce a result in that instance." However, the method of flow
measurement used at this facility is considered to be continuous. Finally,this flow measurement
device is not a permitted treatment component listed in the Supplement to the Permit Cover
Sheet.
Our office recognizes that continuous flow measurement may be more accurate and convenient
than instantaneous measurements. This discrepancy may be addressed during the next permit
renewal, or before the next renewal by submitting a request for minor permit modification to the
NPDES permitting unit. Until that time, please verify the totalizer's accuracy by comparing its
reading to periodic instantaneous readings.
5. Effluent/Receiving Waters
Effluent is discharged to an unnamed tributary to the Yadkin River. There was no discharge at the
time of inspection.
During the follow up inspection,the stream was not flowing, and Mr. Leonard said that the stream
usually only flows during rain events. There appeared to be gray staining on the channel bed and
some organic odor was detected. Mr. Leonard said that it may have been caused by the septic
hauler washing down the chlorine contact chamber.
Please be reminded that bypasses must be reported to this office as specified in Part II, Section
C.4(b).

•
' Documentation Review
6. Records/Reports—Noncompliant
Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit. DMRs
include all permit parameters. Copies of DMRs, operator visitation logs, daily operation sheets,
maintenance reports, lab reports and Chain-of-Custody forms were available for review during the
initial inspection.
However, during the follow up inspection Mr. Leonard did not have copies of the permit or his
operational logs. Mr. Leonard explained that these records are kept in his work vehicle, which he
did not drive that day.
Part II, Section C.1 of the Permit requires, in part,that the ORC comply with the conditions of 15A
NCAC 08G .0204. 15A NCAC 08G .0204(5) requires that the daily operation, maintenance, and
visitation logs be maintained at the system.
Please ensure that daily operational logs and a copy of the permit are maintained at the system.
7. Self-Monitoring Program -Noncompliant
From January 2017 through January 2018,there were 9 actioned DMR violations, which were
addressed through separate correspondence with this office. A summary of these violations is
attached to this report.
While comparing DMR submitted data with original lab data,the inspector noted that the BOD
reading for December 12, 2017 was reported as 2.28 mg/I, but the lab sheet read 2.38 mg/I. The
change would not have resulted in a limit violation. Please be sure to double check DMRs before
submitting, to ensure that reported data accurately reflects lab data.
Additionally, Mr. Leonard said that the channel into which the effluent discharges rarely flows, and
that there are access issues with taking upstream and downstream samples when there is flow
present. Mr. Leonard said that he was therefore reporting measurements taken at the discharge
point as downstream samples, and not taking upstream samples.
Part II, Section D.1 (Representative Sampling) requires that all samples be taken at the monitoring
points specified in the permit, and that the monitoring points shall not be changed without
notification to and approval by the Division. The Permit requires that instream sampling be
conducted at an upstream point approximately 50 feet from the discharge and at a downstream
point approximately 300 feet downstream of the outfall.
Please discontinue the practice of reporting effluent readings as the instream monitoring results.
If the stream is not flowing on a particular day, or if a suitable downstream location is not
• accessible, it may be noted as such on the DMR. It may be necessary to establish an accessible path
to a downstream sampling location, or the issue may be addressed during the next permit renewal.
8. Laboratory-Noncompliant
Mr. Leonard analyzes pH, temperature,total residual chlorine, and dissolved oxygen for the plant.
However, the inspector noted that Mr. Leonard did not have a current field laboratory certification,
and did not appear to be conducting daily calibrations of his D.O. and pH meters.

Part II, Section D.4 (Test Procedures) requires that labs conducting sample analysis be certified by
the Division (a standalone field certification is available for labs measuring only field parameters),
and that the methods of analysis used conform to state,federal, and other regulations.
Mr. Leonard indicated that he would work to obtain the field certification and resources relating to
the certification were provided to him during the follow up inspection.
Other parameters are analyzed by Research and Analytical Labs, certification #34. Copies of all
laboratory documentation are kept with the operator.
9. Sludge Handling Disposal
Mr. Leonard said that the septic tanks are pumped every 90 days. Records showed that the tanks
were pumped in March of 2018 and December, September,July and April of 2017.
We appreciate the efforts made to operate and maintain this treatment facility. If you would like to
request technical assistance or if you should have any questions, please do not hesitate to contact Paul
DiMatteo at [phone] or our office at [phone].
Sincerely,
Sherri V. Knight, P.E., Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office
Division of Water Resources, NCDEQ
Enclosures— Inspection Report and Summary
CC: Luther Leonard, 502 Northside Drive, Lexington, NC 27295
WQS Winston-Salem Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit- Enforcement File
Central Files

' 2017 DMR Violation Summary ,
PERMIT PARAMETER VIOLATION DATE VIOLATION TYPE VIOLATION ACTION
NC0059536 BOD, 5-Day (20 Deg. C) - 04/06/2017 Daily Maximum Proceed to NOV
Concentration Exceeded
NC0059536 BOD, 5-Day (20 Deg. C) - 06/02/2017 Daily Maximum Proceed to NOV
Concentration Exceeded
NC0059536 Coliform, Fecal MF, MFC 08/18/2017 Daily Maximum Proceed to
Broth,44.5 C Exceeded Enforcement Case
NC0059536 Coliform, Fecal MF, MFC 08/16/2017 Daily Maximum Proceed to
Broth, 44.5 C Exceeded Enforcement Case
NC0059536 Nitrogen, Ammonia Total (as 08/31/2017 Monthly Average Proceed to
N) - Concentration Exceeded Enforcement Case
NC0059536 Nitrogen, Ammonia Total (as 10/31/2017 Monthly Average Proceed to
N) - Concentration Exceeded Enforcement Case
NC0059536 Coliform, Fecal MF, MFC 1/2/2018 Daily Maximum Proceed to NOV
Broth,44.5 C ' Exceeded
NC0059536 Coliform, Fecal MF, MFC 1/8/2018 Daily Maximum Proceed to NOV
Broth,44.5 C Exceeded
NC0059536 Coliform, Fecal MF, MFC 1/12/2018 Daily Maximum Proceed to NOV
Broth, 44.5 C Exceeded
i

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 �N 2 [ , 3 I NC0059536 111 121 18/04/13 117 18 i i 19 121 201
211111 1 111 1 1 111 1 11 1 1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1111 11 1 1 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 1 701 1 711 72 LJ ti 73 I 1 1' 751 1 1 1 1 1 1 180
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 oermit Number) 11 OOAM 18/04/13 14/06/01
Hilltop Living Center WWTP
212 Plemmons Dr Exit Time/Date Permit Expiration Date
Linwood NC 27299 11.30AM 18/04/13 19/05/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Luther C Leonard/ORC/336-249-6704/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Tisha T Tuttle,1025 Lamb Rd Lexington NC 27292//336-853-7670/3368537671
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit I. Flow Measurement • Operations&Maintenance II Records/Reports
is Self-Monitoring Program • Facility Site Review • Effluent/Receiving Waters • Laboratory
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
Paul DiMatteoJJ+� WSRO WQ//336-776-9691/
Tp L2 4�1 il127170!)?
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
- I of 2 7/f
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.) 1 v
31 NC0059536 J11 121 18/04/13 117 18 I c I
Section D:Summary of Finding/Comments(Attach additional llssheets of narrative and checklists as necessary)
This was a follow up to the 3/2018 inspection to address some lingering questions.
1. I provided the ORC with some field lab information, including a field lab certification application and
contact information for the Certification Branch. He said he would call them on Monday and get the
process started.
2.We also discussed instream monitoring, as it was brought up during the previous inspection that he
had been only taking downstream samples at the discharge point because the stream rarely actually
flows. The stream was not flowing on the day of my follow up, and upstream and downstream
sampling points did not appear to be readily accessible (overgrown and steep).
3. I reviewed septic tank receipts for the previous year. The records were not available during the
previous inspection because they are kept with the facility owner and not the operator.
See additional notes in the follow up comments.
Page# 2

r Permit: NC0059536 Owner-Facility: Hilltop Living Center WWTP
Inspection Date: 04/13/2018 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • 0 0 0
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable 0 0 0 •
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less) Has the permittee submitted a new 0 0 II 0
application?
Is the facility as described in the permit? 0 0 0 0
#Are there any special conditions for the permit? 0 II 0 0
Is access to the plant site restricted to the general public? • 0 0 0
Is the inspector granted access to all areas for inspection? • 0 0 0
Comment:
Flow Measurement- Effluent Yes No NA NE
#Is flow meter used for reporting? • 0 0 0
Is flow meter calibrated annually? • 0 0 0
Is the flow meter operational? • 0 0 0
(If units are separated) Does the chart recorder match the flow meter? 0 0 • 0
Comment:
Effluent PipeYes No NA NE
Is right of way to the outfall properly maintained? • 0 0 0
Are the receiving water free of foam other than trace amounts and other debris? • ❑ 0 0
If effluent (diffuser pipes are required) are they operating properly? 0 ❑ • 0
Comment: I suspect that the effluent is of low quality. During my inspection the step aerator and ground
at the bottom of the ditch appeared grayish-black with some organic odor; however, there
was no discharge at the time. Mr. Leonard said that this may have been because the septic
hauler pumped down his chlorinator and washed the sides lust last week. I don't recall that
the step aerator appeared quite this bad during my previous inspection, although I did get a
faint organic odor near the outfall. The plant was not discharging during either inspection.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? • 0 ❑ 0
Is all required information readily available,complete and current? • 0 0 0
Are all records maintained for 3 years(lab. reg. required 5 years)' • 0 0 0
Page# 3

Permit: NC0059536 Owner-Facility: Hilltop Living Center WWTP
Inspection Date: 04/13/2018 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Are analytical results consistent with data reported on DMRs? • 0 0 0
Is the chain-of-custody complete? • 0 0 0
Dates,times and location of sampling •
Name of individual performing the sampling •
Results of analysis and calibration •
Dates of analysis •
Name of person performing analyses •
Transported COCs •
Are-DMRs complete.do they include all permit parameters? 0 0 0 II
Has the facility submitted its annual compliance report to users and DWQ? 0 0 • 0
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator 0 0 I 0
on each shift?
Is the ORC visitation log available and current? 0 0 0 •
Is the ORC certified at grade equal to or higher than the facility class'lfication'7 • ❑ 0 0
Is the backup operator certified at one grade less or greater than the facility classification? • 0 0 0
Is a copy of the current NPDES permit available on site? 0 • 0 0
Facility has copy of previous year's Annual Report on file for review? 0 0 • 0
Comment: I asked Mr. Leonard for a copy of the permit, but he said he had it in his other car(he was
driving a different car than he usually does for plant operations).A copy of the permit should
be kept on site.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency,sampling type, and 0 • 0 0
sampling location)?
Comment: See notes.
LaboratoryYes No NA NE
Are field parameters performed by certified personnel or laboratory? 0 • 0 0
Are all other parameters(excluding field parameters) performed by a certified lab? • 0 0 0
#Is the facility using a contract lab? • 0 0 0
#Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 0 0 •
Celsius)?
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? 0 0 0 II
Incubator(BOD)set to 20.0 degrees Celsius+/- 1.0 degrees? 0 0 0 MI
Page# 4

Permit: NC0059536 Owner-Facility: Hilltop Living Center WWTP
Inspection Date: 04/13/2018 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
Comment: Please see notes on the summary regarding the field lab certification.
Page# 5

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 �N u 2 I5 1—I 3 I NC0059536 111 12 I 18/03/14 117 18 1.-I 19 Ls 1 201 I
2111 1 1 1 11 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 (66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --Reserved
671 1 70I I 711 I 72 1 iv 1 73I I 1' 75I 1 1 1 1 1 1 180
Section B•Facility Data l�1 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 10AM 18/03/14 14/06/01
Hilltop Living Center WWTP
212 Plemmons Dr Exit Time/Date Permit Expiration Date
Linwood NC 27299 11 15AM 18/03/14 19/05/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data •
///
Luther C Leonard/ORC/336-249-6704/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Tisha T Tuttle,1025 Lamb Rd Lexington NC 27292//336-853-7670/3368537671
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
• Permit • Flow Measurement • Operations&Maintenance II Records/Reports
• Self-Monitoring Program • Facility Site Review • Effluent/Receiving Waters El Laboratory
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
Paul DiMatteo WSRO WQ//336-776-9691/
?..._e b, orD (11�71zo1V
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
A'elti ,7 /4A-A-W 11/17 ( ,
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete
Page# 1

NPDES yr/mo/day Inspection Type 1 w
31 NC0059536 111 121 18/03/14 I 17 18
Lc
Section D Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NC0059536 Owner-Facility: Hilltop Living Center WWTP
Inspection Date: 03/14/2018 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • 0 0 0
Does the facility analyze process control parameters,for ex:MLSS, MCRT, Settleable 0 0 0 •
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 0 • 0
application?
Is the facility as described in the permit? • 0 0 0
#Are there any special conditions for the permit? 0 • 0 0
Is access to the plant site restricted to the general public'? • 0 0 0
Is the inspector granted access to all areas for inspection? • 0 0 0
Comment: Current permit became effective June 1, 2014 and will expire on May 31, 2019. Please be
reminded that a renewal application must be submitted at least 180 days before the permit
expires (December 2, 2018). .
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? 0 • 0 0
Is all required information readily available,complete and current'? • 0 0 0
Are all records maintained for 3 years (lab. reg. required 5 years)? • 0 0 0
Are analytical results consistent with data reported on DMRs? ' • 0 0 0
Is the chain-of-custody complete? • 0 0 0
Dates,times and location of sampling •
Name of individual performing the sampling •
Results of analysis and calibration •
Dates of analysis •
Name of person performing analyses •
Transported COCs •
Are DMRs complete:do they include all permit parameters? • 0 0 0
Has the facility submitted its annual compliance report to users and DWQ? 0 0 • 0
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator 0 0 U 0
on each shift?
Is the ORC visitation log available and current? • 0 0 0
Is the ORC certified at grade equal to or higher than the facility classification? • 0 0 0
Is the backup operator certified at one grade less or greater than the facility classification? • 0 0 ❑
Page# 3

Permit: NC0059536 Owner-Facility: Hilltop Living Center WWTP V
Inspection Date: 03/14/2018 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Is a copy of the current NPDES permit available on site? 0 I 0 0
Facility has copy of previous year's Annual Report on file for review? 0 0 • 0
Comment: DMRs for 12/2017 and 7/2017 were reviewed.There was one noted discrepancy-on
12/7/2017, the lab reported 2.38 mg/I for BOD, but 2.28 mg/I was reported on the DMR.
Please remember to double check DMR submissions for accuracy.
Permit availability-during the follow up inspection on 4/13 a copy of the permit was not
available on site.
Mr. Leonard keeps his operation logs and permits in a set of files that he generally keeps in
his work truck. Please note that Certified Operator rules require that the daily operations log
be maintained on site (See 15A NCAC 08G .0204 Responsibilities of an Operator in
Responsible Charge; "An Operator in Responsible Charge of a water pollution control
system must ... (5) document the operation and maintenance of all visitation of the system
in a daily log that must be maintained at the system.")
Flow Measurement - Effluent Yes No NA NE
#Is flow meter used for reporting'? • 0 0 0
Is flow meter calibrated annually? • 0 0 0
Is the flow meter operational? • 0 0 0
(If units are separated) Does the chart recorder match the flow meter? 0 0 • 0
Comment: Flow is measured continuously and totalized using an ISCO 4230 Bubbler Flow Meter set in
a flume. Mr. Leonard said that the totalizer was replaced in the last couple weeks due to
some issues they were having with the old one. The flow meter was last calibrated by J
Thurman Home on 3/7/2018. Flow is reported once per week, but Mr. Leonard said he keeps
the recorder charts.
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational? • 0 0 0
Is septic tank pumped on a schedule? • 0 0 0
Are pumps or syphons operating properly? • 0 0 0
Are high and low water alarms operating properly? • 0 0 0
Comment: ORC said the septic tank is pumped every 90 days. Records are reportedly kept by the
owner-records were not reviewed during the inspection. The septic tank did appear to be
free of grease and floating solids during the inspection.
Sand Filters (Low rate) Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational'? • 0 0 0
Is the distribution box level and watertight? 0 0 0 •
Is sand filter free of ponding? 0 0 0 •
Is the sand filter effluent re-circulated at a valid ratio'? 0 0 0 MI
Page# 4

Permit: NC0059536 Owner-Facility: Hilltop Living Center WWTP
Inspection Date: 03/14/2018 Inspection Type: Compliance Evaluation
Sand Filters (Low rate) Yes No NA NE
#Is the sand filter surface free of algae or excessive vegetation? • 0 0 0
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) 0 0 0 •
Comment: A layer of sand— 1 ft deep covers the distribution laterals, so the laterals themselves were
not visible. Mr. Leonard said that the sand was last replaced in—2013, so it may need to be
replaced again soon. When it was replaced, he said they only removed the first few inches
under the laterals, because the sand appeared clean underneath.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? • 0 0 0
Are the tablets the proper size and type? • 0 0 0
Number of tubes in use? 2
Is the level of chlorine residual acceptable? 0 0 0 •
Is the contact chamber free of growth,or sludge buildup? • 0 0 0
Is there chlorine residual prior to de-chlorination? 0 0 0 •
Comment:
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? • 0 0 0
Is storage appropriate for cylinders? • 0 0 0
#Is de-chlorination substance stored away from chlorine containers? • 0 0 0
Are the tablets the proper size and type? • 0 0 0
Comment: Stored in separate closed containers.
Are tablet de-chlorinators operational? • 0 0 0
Number of tubes in use? 2
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? • 0 0 0
Are the receiving water free of foam other than trace amounts and other debris? • 0 0 0
If effluent (diffuser pipes are required) are they operating properly? 0 0 • 0
Comment: There was no discharge at the time of inspection. Effluent pipe is immediately outside the
plant.
Page# 5

J
Permit: NC0059536 Owner-Facility: Hilltop Living Center WWTP '?
Inspection Date: 03/14/2018 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? 0 I 0 0
Are all other parameters(excluding field parameters)performed by a certified lab? • 0 0 0
#Is the facility using a contract lab? • 0 0 0
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees 0 0 0 •
Celsius)?
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? 0 0 0 III
Incubator(BOD)set to 20.0 degrees Celsius+/-1.0 degrees? • 0 0 0
Comment: Mr. Luther said he does not hold a field certification, and did not have daily calibration
records for pH and DO (saying only that the meter itself, a YSI 55 DO meter,was calibrated
annually):He said the chlorine device (Hach DR 2700) is calibrated annually, but he did not
have the record with him during the inspection.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? 0 0 MI 0
Is sample collected below all treatment units? • 0 0 0
Is proper volume collected? 0 0 0 •
Is the tubing clean? 0 0 • 0
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees 0 0 0 •
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type • 0 0 0
representative)?
Comment: Did not conduct inspection during a sampling day.
Upstream 1 Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency,sampling type, and 0 • 0 0
sampling location)?
Comment: ORC said he takes the downstream sample from essentially the same place as the effluent
sampling due to site access issues and lack of continuous flow in the receiving stream.
During the 4/13 follow up inspection I verified that the receiving stream was not flowing on
that day.
Page# 6