HomeMy WebLinkAboutNC0032867_Inspection_20171211United 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 2 u 3 I NC0032867 111 121 17/12/11 I17 18 I p I 19 I s I 20L]
21111I 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 r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
67
1.0 70J 711„ I 72 L.71 74 79
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 permit Number)
12:OOAM 17/12/11
14/01/01
Kings Mountain Travel Plaza
400 Dixon School Rd
Exit Time/Date
Permit Expiration Date
Kings Mountain NC 28086
01:OOPM 17/12/11
18/08/31
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
Ken Deaver,PO Box 63 Rutherfordton NC
281390063/ORC/828-657-1810/8286574664 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations & Maintenar
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
Ori A Tuvia DWR/MRO WQ/704-663-1699/
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#
NPDES yr/mo/day Inspection Type
NCO032867 I11 12I 17/12/11 117 18 IRI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#
Permit: NCO032867 Owner -Facility: Kings Mountain Travel Plaza
Inspection Date: 12/11/2017 Inspection Type: Reconnaissance
Permit
Yes
No
NA NE
(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?
❑
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?
❑
❑
MEI
Comment: No ORC or backup ORC has been desianated for the subiect facilitv. ORC has resianed
December 1, 2017, since than the facillity has not designated an ORC.
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: No ORC or backup ORC has been designated for the subject facility. ORC has resigned
December 1, 2017, since than the facillity has not designated an ORC.
Page# 3