NC0086169_Compliance Evaluation Inspection_20191119 (2)

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 IF I 3 I NC0086169 111 12 I 19/11/14 I17 18 I S I 19 I G I 201 I
211111 I I I I I I II I I I I I I I I I I I I I 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 131 QA ---------------------- Reserved -------------------
671
70I�_71 I 72 r 73I i74 751 I I I I
80
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)
10:OOAM 19/11/14
19/09/01
Fiber Optic Facility
14556 US Hwy 601 S
Exit Time/Date
Permit Expiration Date
Midland NC 28107
11:31AM 19/11/14
23/10/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Damien Duke Cantrell/ORC/704-569-7268/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Timothy D Haley,14556 Hwy 601 S Midland NC 28107170OH704-569-7677/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Records/Reports 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
ocusigned by:
Roberto Scheller E5,u DWR/MRO WQ/252-946-6481/ 11/19/2019
91C2A007838943E...
Docusigned by: Date
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbe[44"
H � 11.19.19
W. Corey Basinger DWR/Division of Water Quality/704-235-2194/ or WCB
F161FB69A2D84A3...
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type
NCO086169 I11 121 19/11/14 117 18 JCJ
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
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Permit: NCO086169 Owner - Facility: Fiber Optic Facility
Inspection Date: 11/14/2019 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
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application?
Is the facility as described in the permit?
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# Are there any special conditions for the permit?
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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?
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Comment: The current permit became effective on September 1, 2019 and expires on October 31,
2023 for the continued discharge of stormwater via Outfall #001: discharge of stormwater,
boiler blowdown and non -contact cooling water Outfall #002; discharge of process
wastewater, cooling tower blowdown, and carbon filter backwash via Outfall #003.
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
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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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Is the chain -of -custody complete?
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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?
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Has the facility submitted its annual compliance report to users and DWQ?
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(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
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on each shift?
Is the ORC visitation log available and current?
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Is the ORC certified at grade equal to or higher than the facility classification?
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Is the backup operator certified at one grade less or greater than the facility classification?
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Is a copy of the current NPDES 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: Please note that calibration logs should indicate meter serial number for the meter being
calibrated. This will link the specific meter back to the calibration log.
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