NCG510324_Inspection_20200212

EPA
United States Environmental Protection Agency
Washington, D.C. 20460
Water Compliance Inspection Report
Form Approved.
OMB No. 2040-0057
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 N 52 NCG510324 20/02/12 C S31112171819 20
21 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved-------------------
3 N67707172 73 74 75 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Woody's Texaco
NC Hwy 32 At Mackey's Rd
Roper NC 27970
Entry Time/Date Permit Effective Date
Exit Time/Date Permit Expiration Date
09:15AM 20/02/12 16/10/19
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Other Facility Data
09:30AM 20/02/12 20/09/30
Name, Address of Responsible Official/Title/Phone and Fax Number
C Wood Beasley,326 NC Hwy 42 W Ahoskie NC 27910//252-862-0236/Contacted
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
Dwight R Sipe DWR/WARO GW/ - - /
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#1
NPDES yr/mo/day
20/02/12
Inspection Type
C3111218
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The groundwater treatment system has been completely removed from the site since the last
inspection.
NCG510324 17
Page#2
Permit:NCG510324
Inspection Date:02/12/2020
Owner - Facility:
Inspection Type:
Woody's Texaco
Compliance Evaluation
Other Yes No NA NE
facility was not in operationComment:
Page#3