HomeMy WebLinkAboutNCG550531_Compliance Evaluation Inspection_20191216ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Sashi K. Nagaraj & Vandana Shashi
303 Lindemans Drive
Cary, NC 27519-6364
NORTH CAROLINA
Environmental Quality
December 16, 2019
Subject: General Wastewater Permit Inspection
Double Creek Drive/Lot 122E
Certificate of Coverage # NCG550531
Forsyth County
Dear Mr. Nagaraj & Ms. Shashi:
On October 28, 2019, Gary Hudson of this office confirmed that a home, and therefore a
wastewater treatment system still has not been built on the property you own on Double Creek
Drive in Lewisville, NC. Please be aware that the permit has expired. In order to keep this permit
active, all permit fees must be paid in full. If you have any questions concerning this letter, please
contact Gary Hudson at (336) 776-9800.
cc: WSRO
Sincerely,
Docu Siiggned by:
�A, l �A.IJtr
1_.49E225C94EA...
Lon Snider, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
,-, r- - NORTH CDLINAD_ `E
N (Q�/��
upa Mo EnNmnme WQMKV
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
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 NCG550531 111 12 I 19/10/28 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 131 QA
---------------------- Reserved -------------------
671
70 I I 71 I I 72 I r I
u ty
73 I I 174 751 I I I I I I I80
I 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)
10:OOAM 19/10/28
13/08/01
Double Creek Drive / Lot 122 E
Double Creek Dr Lot 122 E
Exit Time/Date
Permit Expiration Date
Lewisville NC 27023
10:30AM 19/10/28
18/07/31
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
Jason J Halverson,1465 Double Creek Dr Winston Salem NC 27103///
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
Gary Hudson DWR/Division of Water Quality/336-776-9694/
Signature of Management Q A Reviewer ocusigned by: Agency/Office/Phone and Fax Numbers
Date
'? 5,,Jcr
7L-
12/20/2019
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#
NPDES yr/mo/day Inspection Type
NCG550531 I11 121 19/10/28 117 18 JCJ
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The facility has not been built yet.
Page#
Permit: NCG550531
Inspection Date: 10/28/2019
Permit
Owner - Facility: Double Creek Drive / Lot 122 E
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?
Comment: Facility not yet built.
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ❑ ■ ❑
■ ❑ ❑ ❑
Page# 3