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Home My WebLink AboutNCG550144_Compliance Evaluation Inspection_20190925ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPE . Director Timothy Applegate 2605 North Old Greensboro Rd High Point, NC 27265 NORTH CAROLINA Environmental Quality September 25, 2019 SUBJECT: Compliance Evaluation Inspection 2605 North Old Greensboro Rd, High Point, NC, 27265 Permit #: NCG500144 Davidson County Dear Mr. Applegate: Ron Boone, of the NC Division of Water Resources (DWR), Winston-Salem Regional Office, visited your home located at 2605 North Old Greensboro Rd, in High Point, NC, on September 24th, 2019, to perform a Compliance Evaluation Inspection (CEI) of the home's discharging wastewater disposal system. You were not at the home at the time of Mr. Boone's visit, so he could not conduct the inspection. Please contact Mr. Boone by phone at 336-776-9690, or by email at ron.boone@ncdenr.gov, as soon as possible to schedule an inspection. You may also contact me by phone at 336-776-9700, or by email at lon.snider@ncderingov. Sincerely, CDocuSigned by. - s,,Itr Lon' B' ii 5&eF, Regional Supervisor Water Quality Regional Operations Section Winston-Salem Regional Office Division of Water Resources, NCDEQ Attachments: EPA Water Compliance Inspection Report cc: NCDWR WSRO File D E Q�p North Carolina Department of Environmental Quality I Division of Water Resources Winston-Salem Regional Office 1 450 Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105 NORTH C. 0LINA o•o•°^•mme""°""•"viu"•i� /� 336.776.9800 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 IN I 2 15 I 3 I NCG550144 111 12 I 19/09/25 I17 18 I S J 19 L G] 201 I 211111 1 1 I I I I II I I I I I I I I I I I I 1 I I I I I I I I I I II I I I I I f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved ------------------- 671 70 I I 71 I I 72 I r I u ty 73 � 74 75I I I I I I I I80 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 oermit Number) 11:30AM 19/09/25 18/11/05 2605 North Old Greensboro Road 2605 N Old Greensboro Rd Exit Time/Date Permit Expiration Date High Point NC 27265 11:45AM 19/09/25 20/10/31 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 Timothy B Applegate,2605 N Old Greensboro Rd High Point NC 27265/// 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 DWR/WSRO WQ/336-776-9690/ DocuSigned by: ; o.. d Boo.ue' 9/25/2019 Signature of Management Q A Review by: Agency/Office/Phone and Fax Numbers Date LouSed Sti�du, 9/25/2019 EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type NCG550144 I11 121 19/09/25 117 18 JCJ Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Homeowner was not home at the time of the inspection. System could not be inspected. Inspector left a letter attached to the home's entry gate asking the homeowner to contact him to schedule an appointment to conduct the inspection. Page# Permit: NCG550144 Inspection Date: 09/25/2019 Permit Owner - Facility: 2605 North Old Greensboro Road Inspection Type: Compliance Evaluation (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? Yes No NA NE ❑ ❑ ■ ❑ ❑ ❑ ❑ ■ ❑ ■ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ■ Comment: Homeowner was not home at the time of the inspection. System could not be inspected. Inspector left a letter attached to the home's entry gate asking the homeowner to contact him to schedule an appointment to conduct the inspection. Page# 3