NCG551503_Compliance Evaluation Inspection_20180927

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ROY COOPER NORTH CAROLINA RECEIVEDIDENRIDWR
Governor Environmental Quality
MICHAEL S.REGAN OCT 09 ZO1B
Secretary
LINDA CULPEPPER Water Resources
Interim DrrectorSection
Permitting
September 27, 2018
Mr. Josh Britton, Director
Mount Shepherd Retreat Center
1045 Mount Shepherd Road Ext.
Asheboro NC, 27205 .
SUBJECT: Compliance Evaluation Inspection
Certificate of Coverage: NCG551503
1045 Mount Shepherd Road Ext, Asheboro
Randolph County
Dear Mr. Britton,
On September 20, 2018, Kelli Park and Jenny Graznak, of this office, met with you to
conduct 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.
Miss Park and Ms. Graznak were able to locate the chlorination tubes and the
dechlorination chamber, but not the effluent pipe. Please be aware that the permit
requires that the chlorinator be adequately supplied with proper chlorine tablets for
optimal operation, and similarly the dechlorination chamber needs to be maintained with
proper dechlorination tablets. The effluent being discharged in the stream should also be
checked to ensure that no solids are being discharged and that there are no impacts to
the stream.
The permit requires that the septic tank contents be pumped out every 3-5 years to
prevent solids from clogging the sand filter system. It is unknown when the system was
' pumped last. Please keep records of septic tank pumping on hand as a historical record
and proof that you had the tank pumped.
Since this is an above ground sand filtration system, it is important that the sand beds are
raked periodically and that weeds are removed to ensure optimal filtration. Wastewater
was not being dosed over the sand beds at the time of inspection.
It is unknown whether the effluent water has been consistently tested by a laboratory.
Water samples from the effluent are required to be analyzed at least once a year by a
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North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1450 Hanes Mill Road,Suite 300 I Winston-Salem,North Carolina 27103
336.776.9800

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United States Environmental Protection Agency Form Approved
E PA 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 2 IS I 3 I NCG551503 111 12 I 18/09/20 117 18I.I 19 Li I 201 I
21111111 111 1111 11 11 1 11 1111 1 1 11 111 1111111 11 1 1 p6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 I 70 1 I 71 1 1 72 1 N I 731 1 174 751 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 permit Number) 01 30PM 18/09/20 13/08/01
Mount Shepherd Retreat Center
Exit Time/Date Permit Expiration Date
1045 Mount Shepherd Rd Extension
02 OOPM 18/09/20 18/07/31
Asheboro NC 27205
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
Kent Shrader,1045 Mount Shepherd Rd Extension Asheboro NC
27205/1336-629-4085/3366294880 No
Section C Areas Evaluated During Inspection(Check only those areas evaluated)
II Permit • Facility Site Review • Effluent/Receiving Waters
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//336-771-5000/
Kell;A Park WSRO WQ//336-776-9689/
4L- _ 10/ I /Z01Y
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Rei-44A Ir. ( Joh/(r
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete
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Permit: NCG551503 Owner-Facility: Mount Shepherd Retreat Center
Inspection Date. 09/20/2018 Inspection Type. Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires In 6 months or less). Has the permittee submitted a new ❑ ❑ 1 ❑
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'? • 00C1
Is the inspector granted access to all areas for inspection'? • 000
Comment
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained'? 00 • 0
Are the receiving water free of foam other than trace amounts and other debns? 0011110
If effluent (diffuser pipes are required) are they operating properly'? 00110
Comment. Did not see the effluent pipe
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