NCG551215_Compliance Evaluation Inspection_20191010

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Virertor
Ms. Sharon Kowitz, Manager
Break -A -Way Enterprises, LLC
96 Polaris Point
Semora, NC 27343
NORTH CAROLINA
Environmental Quality
October 10, 2019
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System located at
339 Velvet Road, Semora, NC 27343
Permit No. NCG551215
Person County
Dear Ms. Kowitz:
On October 08, 2019 Mitch Hayes from the Raleigh Regional Office visited the subject single-
family residence (SFR) wastewater treatment system to evaluate compliance with the above
permit to discharge wastewater. The checked boxes below show what conditions were noted at
your facility:
M Failure to analyze the effluent: The effluent that is discharged from your system
must be analyzed once each year. See Part I (A) of your permit about his requirement. A
list of NC certified laboratories that provide this service was left at your residence during
the inspection. Make arrangements for sampling to be carried out within the next 3
months and submit results to this office within 3 weeks after the sampling has been done.
® Locations of the chlorinator and end of discharge pipe are unknown: Please
draw a map of the units and send it to this office within 30 days of receipt of this letter.
If you have questions or comments about this inspection or the requirements to take corrective
action, please contact Mitch Hayes at 919-791-4200. Licensed plumbers should be used to make
plumbing changes within your home. Contractors for installing disinfection or other equipment
may be found in the Yellow Pages under Environmental Consultants.
Sincer y
keori'ch, LG, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office NC-DEQ
cc: RRO/SWP Files, Charles Weaver, NPDES Permitting Unit, Attachments
D
North Caro ma Department of Environmental Qua sty Div:scn of Water Resources Raleigh Regional Office
3800 Barrett Drive 1628 Mad Service Center i Rale-gh. Plorth Carolina 27699.1628
min 7ni A-

United States Environmental Pvtecvon Agency
Form Approved,
EPA Washington D C 20AO
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'malday Inspection Type Inspector Fat Type
1 [, 2 fs 3 NCG551215 11 12 19.1G108 17
18 LJ 19 I SJ 20LJ
21
6
Inspection Work Days Facility Self-Morlital-rig Evaluation Rating 81 OA
Reserved
67 70 71 (J 72 I„ I
731 I !74 751 I r I I I I I8Q
I I I I
Section B Facility Data
Name and Location of Facility Inspected (For I^dustrial Users d;seharging to POTW also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES Permit Number)
1115AM 19110/08
19/00/26
339 Velvet Road
Exit Time/Date Permit Expiration Date
339 Velvet Rd
Semora NC 27343
11 25AM 19110/08 20/10/31
Name(s) of Onsite Representalive(s)1Tides(s)iPhote and Fax Number(s)
Other Facility Data
1u
Sharon Kowitzll Manager Member.'919-417r4367l
Name, Address of Responsible OfficiaUT'derPhone and Fax Number
onlacted
Sharon Kowitz,96 Polaris Point Semara NC 27343f1919.417-43671
N
Section C: Areas Evaluated During Inspection {Check only those areas evaluated)
Permit 0 Records/Reports N Facility Site Review
Section D- Summary of Finding/Comments (Attach additional sheets of narraLve and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency; Off+ce;Phone aid Fax N mbers
Date
Mitchell S Hayes DWRIRRD W0;919-79142001
U.1 U , zc j
Signature of nag- ent O A Reviewer Agency'Offee; Phone and Fax Numbers
to
f�
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yrrmo:day Inspection Type
31 NCG551215 111 12 1s11o1o8 17 16 id
Section D. Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Could not locate the chlorinator or discharge pipe. No soggy soils noted. There is no indication of a
failed system.
Page#

Permit: NCG551215 Owner -Facility: 339 Velvet Road
Inspection Date: 10108/2019 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 ❑ ❑ ❑
application?
Is the facility as described in the permit?
0❑
❑
❑
# Are there any special conditions for the permit?
00
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Is access to the plant site restricted to the general public?
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Is the inspector granted access to all areas for inspection?
M❑
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Comment: There are nos ecial conditions in the permit. Could not locate the chlorinator and discharge
DI
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
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0
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Is all required information readily available, complete and current?
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Are all records maintained for 3 years (lab, reg. required 5 years)?
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Are analytical results consistent with data reported on DMRs?
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■
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Is the chain -of -custody complete?
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Dates, times and location of sampling
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Name of individual performing the sampling
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Results of analysis and calibration
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Dates of analysis
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Name of person performing analyses
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Transported COCs
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Are DMRs complete. do they include all permit parameters?
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0
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Has the facility submitted its annual compliance report to users and DWQ?
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M
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(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
Cl
❑
0
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on each shift?
Is the ORC visitation log available and current?
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M
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Is the ORC certified at grade equal to or higher than the facility classification?
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0
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Is the backup operator certified at one grade less or greater than the facility classification?
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M
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Is a copy of the current NPD£S permit available on site?
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Facility has copy of previous year's Annual Report on file for review?
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Comment: There are now to date records for this sandfilter.
Page#

Inspection Date: 1 0 1 U 6` 1- L G I c j Start Time:
SINGL
End Time: I I 2- -5
5/15/20 i 5
E FAMILY WASTEWATER SYSTEM CHECKLIST
Permittee: Permit.
Address:3 3 I _ E-mail-
Phone:( )--,Cell Phone:( ) - Count
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system
Yes
No
uoesn't
Apply
Did Not
Investigate
1. Is the current resident in the home the Permittee?
U
❑
❑
2. If not does the resident rent from the permittee?
[�
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3. Change of Ownership form needed? (mail the form with the inspection letter)
❑
V
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4. Is there a inspection and maintenance agreement with a contractor?
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5. If yes to #4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumped,cieaned as needed
6. Is all wastewater from the home connected to the septic tank?
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7. Does the permittee/resident know where the septic tank is located?
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8. Has the septic tank been pumped in the last 5 years?
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E
9. If yes to #8 date, if known If proof, describe
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER 1 TREATMENT PODS YES NO 0
If no proceed Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative grc rth sha i be removed ma uo y�e next Section.
12. Is system something other than a sandfilter? ❑ ❑ ❑
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex_ etc.)
14. Does the permittee know where the sandfilter is located? ❑ ❑ ❑
15. Does the sandfilter require maintenance? ❑ ❑ El
maintenance is required expla n in the comment section.
DISINFECTION 1 UV YES ❑ NO
te
The ultraviolet unit shall be checked weekly The lamps and sleeves should be clva-ed or replaced as -e_ I ed to ensf no roure p ap or dis nfe tiXn Section.
16. Is UV working? ❑ ❑ ❑
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑
18. Who completes the weekly check for the UV?( Non -Discharge)
DISINFECTION 1 TABLETS YES NO ❑
The tablet chlorinator unit shall be checked weekly to ensure continuous and prep=r "pe'at.on
19. Does the Permittee have the correct chlorine tablets?(If none mark No)
20. Does the Permittee know the location of the chlorinator? C 0 << Id N Uq--
21. Were chlorine tablets observed in the chlorinator? I D cc,-,4Q.
?2. Are tablets contacting water? If possible poke them to determine.
XCHLOR (Discharge only) YES NO
"he dechlorinator unit shall be checked weekly to ensure continuous and przzp•,, ope.•at (1-1
'.3. Does the permittee know where the dechlor is?
'4. Does the permittee have the correct dechlor tablets?
6. Were dechlor tablets observed in the dechlorination chambe-?
6. Are tablets contacting water? If possible poke them to determine
If no proceed to the next section.
❑ ❑ E2f ❑
❑ ❑ of ❑
❑ ❑ 2" ❑
❑ ❑ d ❑
If no proceed to the next section
❑ ❑ E: ❑
El El lEZ ❑
❑ ❑ E2 ❑
❑ 0 d ❑

Doesn't Di
Yes
No
AppiY
invesugdu
YES 0 NO
If no proceed to the next section.
PUMP TANK
All pump and alarm sytems shall be inspected monthly (non d s-ha gel i
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r—y(
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27. Is the pump working?
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28 Are the audible and visual high water alarms operatlonai7
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29. Does the permittee know how to check the pump & high water a',arm?
30. Last functional test: PUMP AUDIBLE & VISUAL
NO U
if no proceed to the next section.
DISCHARGE ONLY YES
A visual Tev�ew 3f the bWfalClocation shall be'executed twice each year lane at t }e t-me of sampling to enswa no v s h!e
sows or evidence-of-0❑malf�ctioi
31. Does the permittee know where the outfall is located?
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32. Were you able to locate the outfall?
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0
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33 Is the end of the discharge pipe visible and accessible?
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34 Is outlet discharging?
the discharge point?
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35 is right of way maintained around
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36 Any Lab Results available?
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[]
37. Is there evidence of solids around the discharge point?
LJ NO
If no proceed to the next section.
DRIP or SPRAY YES
The irrigation system shall be inspected monthly to ensure We system is free of and eq-i pmerr is
:perat ng as
designed
38 Is the system DRIP or IRRIGATION (circle one)? if irrigation number of sprinkler
head❑s.` ❑
39. Are the buffers adequate?
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40. is the site free of ponding and runoff?
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41. Does the application equipment appear to be working properly?
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42. Is there a minimum two wire fence surrounding entire irrigation area?
GENERAL
units locked and or secured?
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43. Are the treatment
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44 Has resident had any sewage problems? If yes explain in the comment se-,t:rn
�
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45 Does the system match the permit description? If no explain in the commert se-t.on
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0
46 Is the system compliant? ❑ ❑ ❑
47. Is the system failing? If yes take pictures if possible. ❑ ❑ ❑
48. if system is failing, any sign of children or animals contacting se-i'rage? - - -
NOD Sent #: - - - NOV Sent #: _ — O
Photos Taken? YES ED NO
Comments: .
SIGNATURE