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Home My WebLink AboutNCG550647_Compliance Evaluation Inspection_20191216ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPE . Director Arthur J. and Carol Newman 4664 Walden Drive Winston-Salem, NC 27106 NORTH CAROLINA Environmental Quality December 16, 2019 Subject: General Wastewater Permit Inspection 4664 Walden Drive Certificate of Coverage # NCG550647 Forsyth County Dear Mr. and Ms. Newman: Gary Hudson of the Winston-Salem Regional Office (WSRO), NC Division of Water Resources (DWR), attempted to meet with you on October 28, 2019, at your home located at 4664 Walden Drive in Winston-Salem, NC to conduct a compliance evaluation inspection of the home's wastewater treatment system. No one answered the door at the time of our visit, so we were unable to inspect the system. Please contact Gary Hudson at (336) 776-9694 to make an appointment for a visit to conduct the inspection as soon as you are able. Sincerely, Docu Signe by: 4ig o 59%bf,ARegional Supervisor Water Quality Regional Operations Division of Water Resources D North Carolina Department of Environmental Quality I Division of Water Resources EQ�p Winston-Salem Regional Office 1 450 Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105 NORTH C�30LINA � 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 NCG550647 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 73 I I 174 751 I I I I I I I80 u ty 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 4664 Walden Drive 4664 Walden Dr Exit Time/Date Permit Expiration Date Winston Salem NC 27106 10:15AM 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 Carol Newman,4664 Walden Dr Winston Salem NC 27106/// No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Operations & Maintenance 0 Records/Reports 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 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 '? SWer 12/20/2019 7L- EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type NCG550647 I11 121 19/10/28 117 18 JCJ (Cont.) 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) December 16, 2019 Arthur J. and Carol Newman 4664 Walden Drive Winston-Salem, NC 27106 Subject: General Wastewater Permit Inspection 4664 Walden Drive Certificate of Coverage # NCG550647 Forsyth County Dear Mr. and Ms. Newman: Gary Hudson of the Winston-Salem Regional Office (WSRO), NC Division of Water Resources (DWR), attempted to meet with you on October 28, 2019, at your home located at 4664 Walden Drive in Winston-Salem, NC to conduct a compliance evaluation inspection of the home's wastewater treatment system. No one answered the door at the time of our visit, so we were unable to inspect the system. Please contact Gary Hudson at (336) 776-9694 to make an appointment for a visit to conduct the inspection as soon as you are able. Page# 2 Permit: NCG550647 Inspection Date: 10/28/2019 Owner - Facility: 4664 Walden Drive 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 ❑ 0 ❑ ❑ application? Is the facility as described in the permit? 0 ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ 0 ❑ ❑ Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: No one was home at the time of the inspection so the inspection could not be performed. Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ❑ ❑ ❑ Is all required information readily available, complete and current? ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? ❑ ❑ 0 ❑ Is the chain -of -custody complete? ❑ ❑ ❑ 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 CM ❑ Are DMRs complete: do they include all permit parameters? ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ❑ (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ ❑ on each shift? Is the ORC visitation log available and current? ❑ ❑ 0 ❑ Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ 0 ❑ Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ 0❑ Is a copy of the current NPDES permit available on site? ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ Comment: No one was home at the time of the inspection so the inspection could not be performed. Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? ❑ ❑ ❑ Are the tablets the proper size and type? ❑ ❑ ❑ Page# 3 Permit: NCG550647 Owner - Facility: 4664 Walden Drive Inspection Date: 10/28/2019 Inspection Type: Compliance Evaluation Disinfection -Tablet Yes No NA NE Number of tubes in use? Is the level of chlorine residual acceptable? ❑ ❑ ❑ Is the contact chamber free of growth, or sludge buildup? ❑ ❑ ❑ Is there chlorine residual prior to de -chlorination? ❑ ❑ ❑ Comment: No one was home at the time of the inspection so the inspection could not be performed Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ❑ Comment: None. Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: None. Page# 4