NCG550506_Compliance Evaluation Inspection_20200102

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental Quality
January 2, 2019
CERTIFIED MAIL # 7017 1450 0001 6450 1099
RETURN RECEIPT REQUESTED
Travis Rakes
1185 Bent Twig Dr.
King, NC 27021
SUBJECT: Compliance Evaluation Inspection
Certificate of Coverage #NCG550506 — General Permit 550000
Single -Family NPDES Wastewater Treatment System
1185 Bent Twig Dr. King, NC 27021
Stokes County
Dear Mr. Rakes:
On December 31, 2019, staff of the North Carolina Division of Water Resources' Winston-Salem
Regional Office (DWR) performed a compliance inspection of the single-family NPDES
wastewater treatment system located at the subject property. This compliance inspection was
conducted by DWR staff person Mr. Justin Henderson. Inspection of the wastewater treatment
system reflects non-compliance with Permit No. NCG550506. The following deficiencies require
your attention and action:
1) The Certificate of Coverage NCG550506, for the subject wastewater treatment system is
expired, therefore in accordance with Permit Condition Part II. Section B. (10.) the
permittee is not authorized to discharge after expiration. While the residence appeared to
be vacant currently, the wastewater treatment system should remain inactive, without a
discharge to surface waters of the State, until the Certificate of Coverage is renewed.
2) Failure to remit payment for the Annual Administering and Compliance Monitoring Fee,
authorized by Permit Condition Part II. Section B. (14.), for the following years: 2012,
2013, 2014, 2015, 2016, 2017, 2018, 2019.
In addition to the above listed deficiencies, the following items of concern also require your
attention:
D North Carolina Department of Environmental Quality I Division of Water Resources
EQ�p
Winston-Salem Regional Office 1 450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
NORTH CAROLINA �
o•o•°"•mme""°"^•"vin"•i� /� 336.776.9800

a) While the residence appeared to be vacant currently, there were no chlorine tablets
observed in the chlorinator tubes at the time of this inspection. Permit Condition Part I.
Section D. (L) requires an adequate supply of wastewater grade tablets (calcium
hypochlorite) be maintained in the chlorinator to ensure continuous and proper
disinfection.
b) The cascade aerator nor the discharge pipe could be located during this inspection. All
wastewater treatment system components shall be located and then request made to this
office for re -inspection.
c) It was noted during this inspection that the subject residence was listed for sale. Please be
aware per Permit Condition II. Section E. (4.) this permit is not transferable to any person
without the prior written notice to and approval from the Director in accordance with 40
CFR 122.61.
d) Permit Condition Part I. Section C. requires annual effluent monitoring for the parameters
contained therein. Permit Condition Part I. Section D. (5.) requires that the effluent
monitoring data be maintained on -site for three years. This Office is formally requesting
that copies of the effluent monitoring conducted for the preceding three years be submitted
within 30-days receipt of this Notice.
Failure to abide by the conditions contained in your permit may subject the permittee to
enforcement action by DWR in accordance with North Carolina General Statute 143-215.6A to
143-215.6C and/or revocation of this permit.
If you have any questions concerning this letter, you may contact Mr. Justin Henderson or me at
[phone].
Sincerely,
FDocuSigned by:
�z SMatr
-"49E225C94EA...
Lon Snider, Regional Supervisor
Water Quality Regional Operation Section
Division of Water Resources, NCDEQ-WSRO
enc.: Inspection Report
cc: Sydney Mashburn, Listing Agent -Carolina Farms & Homes- Sydney.homes(&gmail.com
Laserfiche Files (electronic copies)

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 NCG550506 111 12 I 19/12/31 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 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)
09:30AM 19/12/31
10/01/07
1185 Bent Twig Drive
1185 Bent Twig Dr
Exit Time/Date
Permit Expiration Date
King NC 27021
10:30AM 19/12/31
12/07/31
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
Travis M Rakes,1185 Bent Twig Dr King NC 27021///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
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
Justin L Henderson Docusigned by: DWR/WSRO WQ/336-776-9701/
U Sl V' qt,IWt,k,V 6V'
D51F3525961`8113496...
11212 020
Signature of Management Q A 'pdAfsigned by: Agency/Office/Phone and Fax Numbers
Date
Luti ? Sti�du
1/2/2020
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type (Cont.)
NCG550506 I11 121 19/12/31 117 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Dear Mr. Rakes:
On December 31, 2019, staff of the North Carolina Division of Water Resources' Winston-Salem
Regional Office (DWR) performed a compliance inspection of the single-family NPDES wastewater
treatment system located at the subject property. This compliance inspection was conducted by DWR
staff person Mr. Justin Henderson. Inspection of the wastewater treatment system reflects
non-compliance with Permit No. NCG550506. The following deficiencies require your attention and
action:
1) The Certificate of Coverage NCG550506, for the subject wastewater treatment system is expired,
therefore in accordance with Permit Condition Part II. Section B. (10.) the permittee is not authorized to
discharge after expiration. While the residence appeared to be vacant currently, the wastewater
treatment system should remain inactive, without a discharge to surface waters of the State, until the
Certificate of Coverage is renewed.
2) Failure to remit payment for the Annual Administering and Compliance Monitoring Fee, authorized by
Permit Condition Part II. Section B. (14.), for the following years: 2012, 2013, 2014, 2015, 2016, 2017,
2018, 2019.
In addition to the above listed deficiencies, the following items of concern also require your attention:
a) While the residence appeared to be vacant currently, there were no chlorine tablets observed in the
chlorinator tubes at the time of this inspection. Permit Condition Part I. Section D. (1.) requires an
adequate supply of wastewater grade tablets (calcium hypochlorite) be maintained in the chlorinator to
ensure continuous and proper disinfection.
b) The cascade aerator nor the discharge pipe could be located during this inspection. All wastewater
treatment system components shall be located and then request made to this office for re -inspection.
c) It was noted during this inspection that the subject residence was listed for sale. Please be aware
per Permit Condition II. Section E. (4.) this permit is not transferable to any person without the prior
written notice to and approval from the Director in accordance with 40 CFR 122.61.
d) Permit Condition Part I. Section C. requires annual effluent monitoring for the parameters contained
therein. Permit Condition Part I. Section D. (5.) requires that the effluent monitoring data be maintained
on -site for three years. This Office is formally requesting that copies of the effluent monitoring
conducted for the preceding three years be submitted within 30-days receipt of this Notice.
Failure to abide by the conditions contained in your permit may subject the permittee to enforcement
action by DWR in accordance with North Carolina General Statute 143-215.6A to 143-215.6C and/or
revocation of this permit.
Page#

Permit: NCG550506
Inspection Date: 12/31/2019
Other
Comment: See inspection summary.
Owner -Facility: 1185 Bent Twig Drive
Inspection Type: Compliance Evaluation
Yes No NA NE
Page#