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Home My WebLink AboutNC0084832_Regional Office Historical File Pre 2016PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary Water Resources ENVIRONMENTAL QUALITY December 21, 2015 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection Nikola's Restaurant and High Meadows Inn WWTP NPDES Permit No. NCO084832 Alleghany County Dear Mr. Peros: S. JAY ZIMMERMAN Director On December 15, 2015, Gary Hudson of this office met with Taylor Baskin to perform a Compliance Evaluation Inspection on the package plant wastewater treatment system serving Nikola's Restaurant and High Meadows Inn. This type of inspection consists of two basic parts: an in office file review and an on -site inspection of the treatment facility. The attached EPA inspection form notes the eight (8) areas that were evaluated for this inspection. The findings and observations are outlined below: I. Permit The NPDES permit was reissued effective June 1, 2011 with an expiration date of March 31, 2016. II. Self -Monitoring Program The monthly self -monitoring reports were reviewed for the period August 2014 thru September 2015. The facility was compliant with all NPDES permit limits for the above period. III. Flow Measurement The permit requires instantaneous flow monitoring. Flow measurements are obtained from the totalizer on the water meter. IV. Sludge Handling and Disposal Solids are removed as necessary by a licensed septic tank hauler for disposal in the nearest POTW. The system does not have a digester. Solids are pumped directly from the aeration basin after being allowed to settle. State of North Carolina I Environmental Quality I Water Resources 450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105 Phone: 336-776-9800 1 Intemet: www.ncdenr.gov Mr. Zdenko Peros Page # 2 December 21, 2015 V. Operations and Maintenance The package plant appeared to be well maintained and operated. VI. Facility Site Review The 0.025 MGD package plant consists of the following: bar screen, aeration basin, secondary clarifier, tablet dechlorinator, and effluent discharge pipe. The system currently does not have a chlorinator. Tablets are simply placed in the clarifier weir trough for disinfection. VII. Records/Reports The ORC maintains a daily operation and maintenance log. VIII. Effluent/Receiving Waters The system discharges into Laurel Branch, Class "C-trout" waters. The trickle of effluent was clear on the date of the inspection. Should you have any questions concerning this report, please contact Gary Hudson or me at (336) 776-9800. Sincerely, Sherri V. Knight, P.E. Regional Supervisor Water Quality Regional Operations Division of Water Resources cc: Central Files WSRO Nikola's Restaurant/High Meadows Inn WWTP NPDES Permit No. NCO084832 Self -Monitoring Data Summary August 2014 — September 2015 Parameters Monthly Avg. Permit Limit Monthly Avg. Limit Violations per DMR Daily Maximum Permit Limit Daily Max. Limit Violations per DMR Flow (MGD) 0.025 None - NA BOD (mg/1) 30.0 None 45.0 None TSS (mg/1) 30.0 None 45.0 None NH3-N (mg/I) 11.0* None 35.0* NA Fecal (#/100 ml) 200 None 400 None T. Chlorine (ug/1) - NA 28 None Oil & Grease (mg/1) 30 None 60 None *(Summer limit only) 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 1 2 15 1 3 I NCO084832 I11 12 I 15/12/15 I17 18 L j 19 1 S 20I LJ1 211 1 1 1 1 1 1 1 1 11 1 1 1 i t 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 166 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------- —----------- Reserved ------- -------- — 67 70 LJ 71 J72 LNJ 73 I74 75 1 1 1 1 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 Dermit Number) 09:OOAM 15/12/15 11/06/01 Nikolas' Restaurant & High Meadow Inn LLC Exit Time/Date Permit Expiration Date 10436 Hwy 21 S 10:OOAM 15/12/15 16/03/31 Roaring Gap NC 28668 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data M Joseph Taylor Baskin/ORC/336428-7923/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Hal W Transou,276 Laurelwood Dr State Road NC 286769149//336-363-6060/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program E Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) 211Ec1 Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Gary Hudson Division of Water Quality//336-776-9694i 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 31 NCO084832 I11 121 15/12/15 117 18 ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page# Permit: NCO084832 Owner -Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 12/15/2015 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 ❑ ❑ N ❑ application? Is the facility as described in the permit? 0 ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ E ❑ ❑ Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? E ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ 11 ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: Record Keepinq Yes No NA NE Are records kept and maintained as required by the permit? 0 ❑ ❑ ❑ Is all required information readily available, complete and current? 0 ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? E ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? ❑ ❑ ❑ 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 COCs Are DMRs complete: do they include all permit parameters? 0 ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ 0 ❑ (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ 0 ❑ 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? E ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Page# 3 Permit: N00084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 12/15/2015 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Facility has copy of previous year's Annual Report on file for review? E ❑ ❑ ❑ Comment: Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? 0 ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ 0 ❑ Are the diffusers operational? 0 ❑ ❑ ❑ Is the foam the proper color for the treatment process? E ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? 0 ❑ ❑ ❑ Is the DO level acceptable? ❑ ❑ ❑ 0 Is the DO level acceptable?(1.0 to 3.0 mg/1) ❑ ❑ ❑ Comment: Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? E ❑ ❑ ❑ Are the tablets the proper size and type? N ❑ ❑ ❑ Number of tubes in use? 2 Is the level of chlorine residual acceptable? ❑ ❑ ❑ Is the contact chamber free of growth, or sludge buildup? 0 ❑ ❑ ❑ Is there chlorine residual prior to de -chlorination? ❑ ❑ ❑ Comment: De -chlorination Yes No NA NE Type of system ? Tablet Is the feed ratio proportional to chlorine amount (1 to 1)? E ❑ ❑ ❑ Is storage appropriate for cylinders? ❑ ❑ 0 ❑ # Is de -chlorination substance stored away from chlorine containers? ❑ ❑ E ❑ Comment: Are the tablets the proper size and type? E ❑ ❑ ❑ Are tablet de -chlorinators operational? 0 ❑ ❑ ❑ Number of tubes in use? 2 Page# 4 Permit: NC0084832 Inspection Date: 12/15/2015 De -chlorination Comment: Owner -Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Yes No NA NE Page# NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Pat McCrory John E. Skvarla, III Governor Secretary November 10, 2014 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection Nikola's Restaurant and High Meadows Inn WWTP NPDES Permit No. NCO084832 Alleghany County Dear Mr. Peros: On October 30, 2014, Gary Hudson of this office met with Morgan Turner, ORC, to perform a Compliance Evaluation Inspection on the package plant wastewater treatment system serving Nikola's Restaurant and High Meadows Inn. This type of inspection consists of two basic parts: an in office file review and an on -site inspection of the treatment facility. The attached EPA inspection form notes the eight (8) areas that were evaluated for this inspection. The findings and observations are outlined below: I. Permit The NPDES permit was reissued effective June 1, 2011 with an expiration date of March 31, 2016. II. Self -Monitoring Program The monthly self -monitoring reports were reviewed -for the period August 2013 through July 2014. The facility was compliant with all NPDES permit limits for the above period. III. Flow Measurement The permit requires instantaneous flow monitoring. Flow measurements are obtained from the totalizer on the water meter. IV. Sludge Handling and Disposal Solids are removed as necessary by a licensed septic tank hauler for disposal in the nearest POTW. The system does not have a digester. Solids are pumped directly from the aeration basin after being allowed to settle. North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-5000 \ FAX: 336-771-4630 \ Customer Service: 1-877-623-6748 NO Carolina Internet: www.ncwaterquality.org atumlltf i Mr. Zdenko Peros Page # 2 November 10, 2014 V. Operations and Maintenance The package plant appeared to be well maintained and operated. VI. Facility Site Review The 0.025 MGD package plant consists of the following: bar screen, aeration basin, secondary clarifier, tablet dechlorinator, and effluent discharge pipe. The system currently does not have a chlorinator. Tablets are simply placed in the clarifier weir trough for disinfection. VII. Records/Reports The ORC maintains a daily operation and maintenance log. VIII. Effluent/Receiving Waters The system discharges into Laurel Branch, Class "C-trout" waters. The trickle of effluent was clear on the date of the inspection. Should you have any questions concerning this report, please contact Gary Hudson or me at (336) 776- •m Sincerely, W. Corey Basinger Regional Supervisor Water Quality Regional Operations Division of Water Resources cc: Central Files WSRO Nikola's Restaurant/High Meadows Inn WWTP NPDES Permit No. NCO084832 Self -Monitoring Data Summary August 2013 — July 2014 Parameters Monthly Avg. Permit Limit Monthly Avg. Limit Violations per DMR Daily Maximum Permit Limit Daily Max. Limit Violations per DMR Flow (MGD) 0.025 None - NA BOD (mg/1) 30.0 None 45.0 None TSS (mg/1) 30.0 None 45.0 None NH3-N (mg/1) 11.0* None 35.0* NA Fecal (#/100 ml) 200 None 400 None T. Chlorine (ug/1) - NA 28 None Oil & Grease (mg/1) 30 None 60 None *(Summer limit only) United states Environmental Protection Agency Form Approved. EPA Washington, D.C.20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fee Type 1 IN 2 15 1 3 I NCO084832 111 12 14/10/30 17 18 ICI 19 L E I 2O I 211111 1 1 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 �6 Inspection Work Days Facility Self -Monitoring Evaluation Rating 81 QA Reserved- 67 701 I 71 I ] 72 I N I 731 I 174 75I III I I I I8O L_J LJ 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 permit Number) 10:OOAM 14/10/30 11/06/01 Nikolas' Restaurant & High Meadow Inn LLC 10436 Hwy 21 S Exit Time/Date Permit Expiration Date Roaring Gap NC 28668 11:00AM 14/10/30 16/03/31 Name(s) of Onsite Representative(s)/ritles(s)/Phone and Fax Number(s) Other Facility Data /// Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Hal W Transou,276 Laurelwood Dr State Road NC 286769149//336-363-6060/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit N Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program M Sludge Handling Disposal 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 Division of Water Quality/H 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 31 NC0084832 I11 121 14/10/30 117 18 JCJ Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page# r Pennit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 10/30/2014 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 ❑ ❑ E ❑ 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? N ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? N ❑ ❑ ❑ Comment: . 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 0 ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: - Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? 0 ❑ ❑ ❑ Is all required information readily available, complete and current? 0 ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? 0 ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? 0 ❑ ❑ ❑ Is the chain -of -custody complete? 0 ❑ ❑ ❑ 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 COCs Are DMRs complete: do they include all permit parameters? 0 ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ 0 ❑ (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ 0 ❑ 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? M ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? 0 ❑ ❑ ❑ Page# 3 1 Permit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 10/30/2014 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Facility has copy of previous year's Annual Report on file for review? 0 ❑ ❑ ❑ Comment: - Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? 0 ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ 0 ❑ Are the diffusers operational? 0 ❑ ❑ ❑ Is the foam the proper color for the treatment process? 0 ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? 0 ❑ ❑ ❑ Is the DO level acceptable? ❑ ❑ ❑ E Is the DO level acceptable?(1.0 to 3.0 mg/I) ❑ ❑ ❑ Comment: - Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? 0 ❑ ❑ ❑ Are the tablets.the proper size and type? ❑ ❑ ❑ Number of tubes in use? 2 Is the level of chlorine residual acceptable? ❑ ❑ ❑ Is the contact chamber free of growth, or sludge buildup? 0 ❑ ❑ ❑ Is there chlorine residual prior to de -chlorination? ❑ ❑ ❑ 0 Comment: - De -chlorination Yes No NA NE Type of system ? Tablet Is the feed ratio proportional to chlorine amount (1 to 1)? 0 ❑ ❑ ❑ Is storage appropriate for cylinders? ❑ ❑ 0 ❑ # Is de -chlorination substance stored away from chlorine containers? ❑ ❑ N ❑ Comment: - Are the tablets the proper size and type? N ❑ ❑ ❑ Are tablet de -chlorinators operational? E ❑ ❑ ❑ Number of tubes in use? 2 Page# 4 Permit NC0084832 Inspection Date: 10/30/2014 De -chlorination Comment: Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Yes No NA NE Page# NileoWs Restaurant &. High Meadows inn i o498 Hwy 21 South, Roaring Gap, NC 28668 336-363-2221 July 141h 2014 Waste water Branch Water Quaility Permitting Section 1617 Mail Service Center Raleigh, NC 27699-1617 Subject : Delegation of Signature Authority Nikola's restaurant & hHigh Meadows Inn VWVYP NPDES Number NC0084832 To Whom it may Concern: By notice of this letter, I hereby delegate signatory authority to each of the followings individuals for all permit applications, discharge monitoring reports, and other information to the operations at Nikola's Restaurant * High Meadows Inn. Required by all applicable federal, state and local enviornmental agencies specifically with the requirements for signatory authority as specified in 15ANCAC213.0506 James M. Cheshire President / CEO Research & Analytical Laboratories, Inc. If you have any questions regarding this letter, please feel free to contact James Cheshire at (336 )-996-2841 Sincerely, Zdenko Peros Nikola's Restaurant & High Meadows Inn,LLc cc: Winston — Salem Regional Office, Water Quality Permitting Section MIA MUM North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director Secretary October 28, 2013 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection Nikola's Restaurant and High Meadows Inn WWTP NPDES Permit No. NCO084832 Alleghany County Dear Mr. Peros: On October 17, 2013, Gary Hudson of this office met with Morgan Turner, ORC, to perform a Compliance Evaluation Inspection on the package plant wastewater treatment system serving Nikola's Restaurant and High Meadows Inn. This type of inspection consists of two basic parts: an in office file review and an on -site inspection of the treatment facility. The attached EPA inspection form notes the eight (8) areas that were evaluated for this inspection. The findings and observations are outlined below: I. Permit The NPDES permit was reissued effective June 1, 2011 with an expiration date of March 31, 2016. II. Self -Monitoring Program The monthly self -monitoring reports were reviewed for the period March 2012 through January 2013. The facility was compliant with all NPDES permit limits for the above period. However, the facility had missed several monitoring frequencies in May and August of 2012. III. Flow Measurement The permit requires instantaneous flow monitoring. Flow measurements are obtained from the totalizer on the water meter. IV. Sludge Handling and Disposal Solids are removed as necessary by a licensed septic tank hauler for disposal in the nearest POTW. The system does not have a digester. Solids are pumped directly from the aeration basin after being allowed to settle. North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771A6301 Customer Service:1-877-623-6748 NoiAhCarohna Internet: www.ncwaterqualky.org Naturally An Equal Opportunity 1 Affirmative Action Employer Mr. Zdenko Peros Page # 2 October 28, 2013 V. Operations and Maintenance The package plant appeared to be well maintained and operated. VI. Facility Site Review The 0.025 MGD package plant consists of the following: bar screen, aeration basin, secondary clarifier, tablet dechlorinator, and effluent discharge pipe. The system currently does not have a chlorinator. Tablets are simply placed in the clarifier weir trough for disinfection. VII. Records/Reports The ORC maintains a daily operation and maintenance log. VIII. Effluent/Receiving Waters The system discharges into Laurel Branch, Class "C-trout" waters. The trickle of effluent was clear on the date of the inspection. Should you have any questions concerning this report, please contact Gary Hudson or me at (336) 771- 5000. Sincerely, W. Corey Basinger Regional Supervisor Water Quality Regional Operations Division of Water Resources cc: Central Files ^0111180 Nikola's Restaurant/High Meadows Inn WWTP NPDES Permit No. NCO048832 Self -Monitoring Data Summary March 2012 — January 2013 Parameters Monthly Avg. Permit Limit Monthly Avg. Limit Violations per DMR Daily Maximum Permit Limit Daily Max. Limit Violations per DMR Flow (MGD) 0.025 None - NA BOD (mg/1) 30.0 None 45.0 None TSS (mg/1) 30.0 None 45.0 None NH3-N (mg/1) 11.0* None 35.0* NA Fecal (#/100 ml) 200 None 400 None T. Chlorine (ug/1) - NA 28 None Oil & Grease (mg/1) 30 None 60 None *(Summer limit only) United States Environmental Protection Agency Form Approved. Washington, D.C. 20460 EPA OMB No. 2040-0057 Water C 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 I 2 15 31 NCO084832 111 12I 13/10/17 117 18I C I 191 !J I 20 �I Remarks 211111 1111 1111111111111111 1111 111111111111 111111 1 6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -------Reserved----- — 67I 169 70I I 71' I 721 N I 73' I 174 751 I I I I I I 180 W 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) Nikolas' Restaurant &High Meadow Inn LLC 09:30 AM 13/10/17 11/06/01 Exit Time/Date Permit Expiration Date 10436 Hwy 21 S Roaring Gap NC 28668 10:30 AM 13/10/17 16/03/31 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 Hal W Transou,276 Laurelwood Dr State Road NC 286769149//336-363-6060/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Flow Measurement E Operations & Maintenance Records/Reports Self -Monitoring Program 0 Sludge Handling Disposal 0 Facility Site Review Effluent/Receiving Waters Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) W - 17goCr/ 3 Name(s) ignature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Gary Hudson Division of Water Quality/H Signature of Mana ement 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 Inspection Type 1 31 NC0084832 " 12, 13/10/17 17 18' _' Section D: Summary of Finding/Comments (Attach additionalsheetsof narrative and checklists as necessary) Page # 2 Permit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 10/17/2013 Inspection Type: Compliance Evaluation V-- Ll- \IA \IC (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: Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑ Judge, and other that are applicable? Comment: . 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? ■ ❑ ❑ ❑ 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 COCs ■ 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? ■ ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? ■ ❑ ❑ ❑ Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? ■ ❑ ❑ ❑ Page # 3 Permit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 10/17/2013 Inspection Type: Compliance Evaluation Record Keeping Facility has copy of previous year's Annual Report on file for review? Comment: Aeration Basins Mode of operation Type of aeration system Is the basin free of dead spots? Are surface aerators and mixers operational? Are the diffusers operational? Is the foam the proper color for the treatment process? Does the foam cover less than 25% of the basin's surface? Is the DO level acceptable? Is the DO level acceptable?(1.0 to 3.0 mg/1) Comment: . Disinfection -Tablet Are tablet chlorinators operational? Are the tablets the proper size and type? 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: . De -chlorination Type of system ? Is the feed ratio proportional to chlorine amount (1 to 1)? Is storage appropriate for cylinders? # Is de -chlorination substance stored away from chlorine containers? Comment: . Are the tablets the proper size and type? Are tablet de -chlorinators operational? Number of tubes in use? Yes No NA NE ❑ ❑ S ❑ Ext. Air Diffused Yes No NA NE Page # 4 Permit: NC0084832 Inspection Date: 10/17/2013 De -chlorination Comment: . Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Yes No NA NE Page # 5 �' WDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director Secretary August 22, 2013 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 Subject: Notice of Violation NOV-2013-MV-0092 Permit No. NCO084832 Nikola's Restaurant & High Meadows Inn WWTP Alleghany County Dear Mr. Peros: A review of the self -monitoring monitoring report for May 2013 showed the following violations: Parameter Date Measuring Frequency Violation BOD 5/4/2013 Weekly 1 violation Fecal Coliform 5/4/2013 Weekly 1 violation Ammonia 5/4/2013 Weekly 1 violation TSS 5/4/2013 Weekly 1 violation Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). Please be aware that violations of your NPDES permit could subject you to enforcement action by this Division with the possible assessment of civil penalties of up to $25,000 per day per violation. Should you have any questions, please contact me at (336) 771-5000. Sincerely, W. Corey Basinger Regional Supervisor cc: Research & Analytical Laboratories Inc., PO Box 473, Kernersville, NC 27284 SAT — Central Files ""WWO&O 585 Waughtown Street„ North Carolina 27360 Phone: 336-771-50001 Fax: 336-771-4630 Internet:: www.ncwateroualitv.oro An Eaual ODaortunitvlAffirmative Action Emolover Cover Sheet from Staff Member to Regional Supervisor DMR Review Record Facility: 14�_� ko /t s Rest • Permit/Pipe No.: NG Do Qy Y,3 z MontivYear O1 -1043 AIOV— a013-_MV-00?1 Monthly Average Violations Parameter Permit Limit DMR Value % Over Lintit Weekly/Daily Violations Date Parameter Permit LirniDMR Value % Over Limit Monitoring Frequency Violations Date Parameter Permit Frequency Values Reported # of Violations . LlY s/y N k9 p 4pri I p i'nR t o 9ic4ttf o d is d%i�v��i Completed by: r, Date: O t 113 u Regional Water Quality Supervisor Sisnoff: ��"�✓ Date: 40.V��s i �LA NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director October 11, 2012 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection (CEI) Nikola's Restaurant & High Meadows Inn WWTP NPDES Permit # NCO084832 Alleghany County Dear Mr. Peros: Dee. Freeman Secretary A Compliance Evaluation Inspection was performed by George Smith on October 4, 2012. Mr. Morgan Turner, ORC, Grade III, was present for the inspection. The inspection is comprised of an overall evaluation in order to document compliance and noncompliance of facilities equipment, capability to meet effluent limits, and terms & conditions with the NPDES permit. Permit Your permit became effective June 1, 2011 and expires on March 31, 2016. Records & Reports Mr. Turner maintains a daily log that appears to be in good order. The log shows visitation times and observations. Laboratory data results from Research & Analytical Laboratories (#34), and chain -of -custody forms are kept in a notebook. Facility Site Review The aeration basin had light brownish color, indicating the MLSS was a bit on the low side. The facility has 6 diffusers, and all were delivering a uniform aeration with a good rolling action. The aeration basin has course bubble aeration. There is an earthy odor, which indicates satisfactory operation. The effluent over the clarifier weir was clear. The unit was satisfactory operating. The weeds and overhanging trees were cleared from the facility. This is a remarkable improvement at the facility. The facility and grounds appear to be maintained. North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-50001 FAX: 336-771-46301 Customer Service:1-877-623-6748 NorthCarolina Internet www,ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer CEI October 11, 2012 Page 2 of 3 Flow Measurement Instantaneous flow is measured with a V-notch weir with a totalizer. Flow is documented by timing the water to fill a 1-gallon jug. Laboratory Research & Analytical Laboratories Inc (# 34) performs the analytical tests for this facility. Mr. Turner performs pH, total residual chlorine, dissolved oxygen, and temperature. These tests are recorded on the daily monitoring report. The total residual chlorine was performed with a Hach DR2700 spectrophotometer using the DPD colorimetric method. The required annual 5 point calibration was performed on May 17, 2012. The temperature is recorded against a NIST traceable thermometer. The pH calibration is performed using a two -point calibration method and a midrange check at 7.0 SU. A calibration log is recorded. Effluent/Receiving Waters The effluent discharges to Laurel Branch, Class C Trout waters. The effluent from the dechlorinator was clear, no color, no solids, and no odor was noticed. The 4-inch PVC effluent pipe was submerged in the stream. The stream is clear and shows no signs of impact. Operations & Maintenance Mr. Morgan Turner is the ORC, Grade III, and Mr. Glen Price is the Back-up ORC, Grade II. The clarifier weir trough contains Norweco chlorine tablets. The clarifier trough is used for chlorine contact to obtain the Fecal kill to meet the permit limit. The tablet dechlorinator used two (2) tubes with Norweco tablets of Sodium Sulfite. The platform that supports the blowers was repaired and is stable. Self -Monitoring Program A review of the monthly self -monitoring reports from September 2011 through August 2012 revealed no monitoring or limit violations for this period. Grab sample are taken after the dechlorination unit. CEI October 11, 2012 Page 3 of 3 Sludge Handling Disposal Sludge is removed by Mayberry Septic Service from the aeration basin after settling. The compliance evaluation inspection is satisfactory. Mr. Turner operates the facility and documents the samplings in an excellent manner. If you have any questions, please contact this office at (336) 771-5000. Sincerely, W. Corey Basinger Regional Supervisor cc: Research & Analytical Laboratories Inc., PO Box 473, Kernersville, NC 27284 WSRO Files United States Environmental Protection Agency Form Approved. EPA Washington, O.C. 20460 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 I 2 15 I 31 NCO084832 1 111 121 12/10/04 117 181 C I 191 e I 20 u !_! LJ lJ Remarks 2111111111 1111 1111 11111111 1111 111111111111 11111116 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA —------ ------------Reserved--------------- 671 169 70 L 3 I 71 72 I N I 73 L U 74 751 I I I I I I 180 ��-- !' Section B: FacilityData 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) Nikolas' Restaurant & High Meadow Inn LLC 08:45 AM 12/10/04 11/06/01 Exit Time/Date Permit Expiration Date 10436 Hwy 21 S Roaring Gap NC 28668 09:15 AM 12/10/04 16/03/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Morgan Lee Turner/ORC/336-996-2841/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Hal W Transou,276 Laurelwood Dr State Road NC 286769149//336-363-6060/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit ■ Flow Measurement Operations & Maintenance 0 Records/Reports Self -Monitoring Program N 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 George .S Smith �J WSRO WQ//336-771-5000/ !(l )o/z Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date sw4 A"PLP- • l . vstv /1 oq-zof Z-- EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3I NCO084832 I11 12, 12/10/04 1 17 18U Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page # 2 i Permit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 10/04/2012 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 application? ❑ ❑ ■ ❑ Is the facility as described in the permit? 0011 ❑ # 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? 01111 ❑ Comment: Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑ Judge, and other that are applicable? Comment: 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? ■ 110 ❑ 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 COCs ■ 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? ■ ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? ■ ❑ ❑ ❑ Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? ■ ❑ 0 ❑ Page # 3 03 Permit: NCO084832 Inspection Date: 10/04/2012 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Record Keeping Facility has copy of previous year's Annual Report on file for review? Comment: Aeration Basins Mode of operation Type of aeration system Is the basin free of dead spots? Are surface aerators and mixers operational? Are the diffusers operational? Is the foam the proper color for the treatment process? Does the foam cover less than 25% of the basin's surface? Is the DO level acceptable? Is the DO level acceptable?(1.0 to 3.0 mg/1) Comment: Disinfection -Tablet Are tablet chlorinators operational? Are the tablets the proper size and type? 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: De -chlorination Type of system ? Is the feed ratio proportional to chlorine amount (1 to 1)? Is storage appropriate for cylinders? # Is de -chlorination substance stored away from chlorine containers? Comment: Are the tablets the proper size and type? Are tablet de -chlorinators operational? Number of tubes in use? Yes No NA NE ❑ ❑ ■ ❑ Yes No NA NE Ext. Air Diffused Yes No NA NE ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ Yes No NA NE Page # 4 Permit: NC0084832 Inspection Date: 10/04/2012 De -chlorination Comment: Owner -Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Yes No NA NE Page # 5 t Ij_S-4 o IM WASTEWATER SYSTEM PERFORMANCE ANNUAL REPORT RECEIVED 2011 N.C.Dept. of ENR MAR. 2 a 2012 WlnstonSalem General information RegionalOfBce Facility Name: Nikola's Restaurant & High Meadows Inn, LLC Responsible Entity: Nikola's Restaurant & High Meadows Inn, LLC Contact Person: Joe Baskin Applicable Permit (s): NPDES Permit Description of collection system or process: Continue to operate an existing 0.025 MGD extended aeration wastewater treatment system with the following components, Aeration basin with diffused air, secondary clarifier with sludge air lifts and in -plant pumps, chlorination and dechlorination. The facility is located in Roaring Gap on Highway 21 in Alleghany County, and discharge into Laurel Branch, classified C-Trout waters in the New River Basin. II. Performance Summary of system performance for calendar year 2011: January 2011 Compliant with effluent limits February 2011 Compliant with effluent limits March 2011 Compliant with effluent limits April 2011 No Results May 2011 Compliant with effluent limits June 2011 Compliant with effluent limits July 2011 Compliant with effluent limits August 2011 Compliant with effluent limits September 2011 Compliant with effluent limits October 2011 Compliant with effluent limits November 2011 Compliant with effluent limits December 2011 No Results W. Notification Annual notice is posted at the rest area. IV. Certification I certify under penalty of law that this report is complete and accurate to the best of my knowledge. Clifford Cain Responsible Person Field Services Manager Title Research & Analytical Laboratories, Inc. Entity January 24, 2012 Date 4 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P. E. Governor Director March 12, 2012 Mr. Zdenko Peros Nilola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 Subject: Dear Peros: NOTICE OF DEFICIENCY Nikola's Restaurant & High Meadows hm, LLC Permit No.NO0084832 Alleghany County Dee Freeman Secretary A review of the November 2011 Discharge Monitoring Report (DMR) revealed a violation of the following parameter(s) at Outfall 001: Parameter Date # of missing parameters TRC 11/05/2011 1 Failure to provide timely and accurate DMRs is a violation of your NPDES permit. If this violation is due to a transcription error, and certifiable data are available to rectify the noncompliance, we ask that you please submit an amended DMR(s) to the Division of Water Quality by March 16, 2012. Send copies of the amended report to: Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Winston-Salem Regional Office 585 Waughtown Street Winston-Salem, NC 27107 North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-4630 Internet www.ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer Nne orthCarohna Nahma!!rf #1- i t Unresolved violations may lead to the issuance of a Notice of Violation and/or assessments of civil penalties. Violations are subject to a civil penalty assessment of up to $25,000.00 per day for each violation. Any efforts undertaken to bring the facility back into compliance are not an admission of culpability. Your above - mentioned response to this correspondence, the degree and extent of harm to the environment, and the duration and gravity of the violation(s) will be considered in any future actions undertaken. If you have any questions or require any additional information, please contact George Smith at (336) 771- 4968, george.smith@ncdenr.gov, or myself at (336) 771-4963, corey.basinger@ncdenr.gov. Sincerely, W. Corey Basinger Surface Water Protection Section cc: WSRO File Copy DWQ Central Files It Cover Sheet from Staff Member to Regional Supervisor DNIR Review Record A' Facility: N� ko/t'S Rvsi, Permit/Pipe No.: NG 00 0M) Month/Year /Voy 2Di/ Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit Weekly/Daily Violations Date Parameter Permit Limit/Type DMR Value % Over Limit Monitoring Frequency Violations Date Parameter Permit Frequency Values Reported # of Violations Ids- TR x week Other Violations Completed by: _ � ..t�v Date: 71&4 7, a01z, Regional Water Quality �P" Supervisor Signoff: Date: 3�t2 MPO A NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director November 9, 2011 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection (CEI) Nikola's Restaurant & High Meadows Inn WWTP NPDES Permit # NCO084832 Alleghany County Dear Mr. Peros: Dee Freeman Secretary A Compliance Evaluation Inspection was performed by George Smith on November 3, 2011. Mr. Joe Baskin, ORC, Grade III, was present for the inspection. The inspection is comprised of an overall evaluation in order to document compliance and noncompliance of: facilities equipment, capability to meet effluent limits, and terms & conditions with the NPDES permit. Permit Your permit became effective June 1, 2011 and expires on March 31, 2016. Records & Reports Mr. Baskin maintains a daily log that appears to be in good order. The log shows visitation times and observations. Laboratory data results from Research & Analytical Laboratories (#34), and chain -of -custody forms are kept on file. Facility Site Review The aeration basin had light brownish color. The facility has 6 diffusers. One diffuser, closest to the influent was turned off. The remaining 5 diffusers were delivering large globs of air. This indicates all diffusers are broken off the bottom of the air lines. Please insure these are repaired by the next inspection. Flow Measurement Instantaneous flow is measured with a V-notch weir with a totalizer. Please insure the calibration is documented for the next inspection. North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-50001 FAX: 336-771-46301 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Naturally An Equal Opportunity 1 Affirmative Action Employer CEI November 9, 2011 Page 2 of 3 Laboratory Research & Analytical Laboratories Inc (# 34) performs the analytical tests for this facility. Mr. Baskin performs pH, total residual chlorine, dissolved oxygen, and temperature. These tests are recorded on the daily monitoring report. The total residual chlorine was performed with a Hach DR2700 spectrophotometer using the DPD colorimetric method. The temperature is recorded against a NIST traceable thermometer. The pH calibration is performed using a two -point calibration method and a midrange check at 7.0 SU. A calibration log is recorded. Effluent/Receiving Waters The effluent discharges to Laurel Branch, Class C Trout waters. The effluent from the dechlorinator was clear, no color, no solids, and no odor was noticed. The 4-inch PVC effluent pipe was submerged in the stream. The stream is clear and shows no signs of impact. Operations & Maintenance Mr. Joe Baskin is the Grade I1 ORC, and Mr. Morgan Turner is the Back-up ORC. The aeration basin had a good brown color and course bubble aeration, earthy odor, which indicates satisfactory operation. The settleability is 45% at 30 minutes. The effluent over weir was clear. The unit was satisfactory operating. The clarifier weir trough contains Norweco chlorine tablets. The clarifier trough is used for chlorine contact to obtain the Fecal kill to meet the permit limit. The tablet dechlorinator used two (2) tubes with Norweco tablets of Sodium Sulfite. The platform that su orts the blowers is fallingto ieces. Access to the blowers and to the clarifier is considered a hazard This is an operation & maintenance (O & M) deficiency. Should the blower motors fail to operate due to this deca 'ng platform it may cause permit limit violations. The failure of this platfor n would also be considered an O & M violation. This office strongly recommends a platform with railings be installed on the top of the plant in order toperform O & M as required per the permit This was recommended in previous inspection reports Any future permit limit violations may occur this office would consider that the permittee failed to operate and maintain to facility properly. CEI November 9, 2011 Page 3 of 3 Self -Monitoring Program A review of the monthly self -monitoring reports from September 2010 through August 2011 revealed no monitoring or limit violations for this period. Sludge Handling Disposal Sludge is removed by Mayberry Septic Service from the aeration basin after settling. Action Items The following are noted in the inspection report and must be addressed prior to the next inspection: The aeration basin had light brownish color. The facility has 6 diffusers. One diffuser, closest to the influent was turned off. The remaining 5 diffusers were delivering large globs of air. This indicates all diffusers are broken off the bottom of the air lines Please insure these are repaired by the next inspection. The platform that supports the blowers is falling to pieces Access to the blowers and to the clarifier is considered a hazard This is an operation & maintenance (O & M) deficiency. Should the blower motors fail to operate due to this decaYinjz platform it may cause permit limit violations. The failure of this platform would also be considered an O & M violation. This office strongly recommends a platform with railings be installed on the top of the plant in order to perform O & M as required per the permit This was recommended in previous inspection reports. Any future permit limit violations that may occur, this office will consider that the permittee failed to properly operate and maintain the facili The compliance evaluation inspection is satisfactory, but the facility needs some maintenance. Mr. Baskin operates the facility in a good manner. If you have any questions, please contact this office at (336) 771-5000. Sincerely, 1 -X W Corey Basinger Regional Supervisor cc: Research & Analytical Laboratories Inc., PO Box 473, Kernersville, NC 27284 United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 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 INI 2 1 51 31 NCO084832 1 11 121 11/11/03 1 17 181 C I 191 S I 201 Remarks 211 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 166 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ---------------------Reserved ------- ----- 671 169 70121 711 N 1 721 N I 73 W 74 751 1 1 1 1 1 Li 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) Nikolas' Restaurant &High Meadow Inn LLC 09:30 AM 11/11/03 11 /06101 Exit Time/Date Permit Expiration Date 10436 Hwy 21 S Roaring Gap NC 28668 10:05 AM 11/11/03 16/03/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Joseph Barnard Baskin/ORC/336-996-2841/ Name, Address of Responsible OfflcialfTitle/Phone and Fax Number Contacted Hal W Transou,276 Laurelwood Dr State Road NC 286769149//336-363-6060/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Operations & Maintenance Records/Reports Self -Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory 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 George S Smith WSRO WQ//336-771-5000/ I7 ! `/ O a Signal re of Ma agement 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 Inspection Type 3 NCO084832 111 12, 11/11/03 117 18I Ci Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page # 2 Permit: NCO084832 Owner -Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 11/03/2011 Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ n n n Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n n n Judge, and other that are applicable? Comment: Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? n ■ n n Are surface aerators and mixers operational? n n ■ n Are the diffusers operational? n ■ n n Is the foam the proper color for the treatment process? ■ Cl n n Does the foam cover less than 25% of the basin's surface? ■ ❑ n n Is the DO level acceptable? n ❑ n ■ Is the DO level acceptable?(1.0 to 3.0 mg/1) n n Cl ■ Comment: The diffusers appear to be broken off the end of the air lines. They need diffusers installed. Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ n Is the facility as described in the permit? ■ n n n # Are there any special conditions for the permit? n ■ n n Is access to the plant site restricted to the general public? ■ n n n Is the inspector granted access to all areas for inspection? ■ n n n Comment: Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ■ n n n Is all required information readily available, complete and current? ■ n n n Are all records maintained for 3 years (lab. reg. required 5 years)? ■ ❑ n n Are analytical results consistent with data reported on DMRs? ■ n n ❑ Is the chain -of -custody complete? ■ n n n Dates, times and location of sampling ■ Page # 3 Permit: NCO084832 Owner -Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 11/03/2011 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Name of individual performing the sampling ■ Results of analysis and calibration ■ Dates of analysis ■ Name of person performing analyses ■ Transported COCs ■ Are DMRs complete: do they include all permit parameters? ■ n ❑ n Has the facility submitted its annual compliance report to users and DWQ? n n ■ n (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? n n ■ n ■nnn Is the ORC visitation log available and current? Is the ORC certified at grade equal to or higher than the facility classification? ■ n Cl n Is the backup operator certified at one grade less or greater than the facility classification? n o o ■ Is a copy of the current NPDES permit available on site? n n n ■ Facility has copy of previous year's Annual Report on file for review? nn■n Comment: Disinfection -Tablet Yes No NA NE nnn ■ Are tablet chlorinators operational? ■ n n n Are the tablets the proper size and type? Number of tubes in use? Is the level of chlorine residual acceptable? n n n ■ Is the contact chamber free of growth, or sludge buildup? n n ■ n nnn ■ Is there chlorine residual prior to de -chlorination? Comment: De -chlorination Yes No NA NE Tablet Type of system ? nnn ■ Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ n ■ n Is storage appropriate for cylinders? # Is de -chlorination substance stored away from chlorine containers? Cl ❑ ■ 13 Comment: ■ Are the tablets the proper size and type? nnn Page # 4 Permit: NC0084832 Inspection Date: 11/03/2011 De -chlorination Are tablet de -chlorinators operational? Number of tubes in use? Owner -Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Yes No NA NE ■ ❑ ❑ ❑ 2 Comment: Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ ❑ 0 ❑ Comment: Page # 5 Regional Field Inspectors Check List for Field Parameters Name of site to be Inspected:ko It . 01j, lieu N Date: Iy oy 3 Field certification # (if applicable): NPDES #: Inspector: ("vr°t'e Region: In/ s RO I. Circle the parameter or parameters performed at this site. Residual Chlorine Settleable Solids, p O Conductivity, CTemperat�ure:) II. Instrumentation: A. Does the facility have the equipment necessary to analyze field parameters as circled above? 1. A pH meter Yes No n , /� µ i� S��'" r 2. A Residual Chlorine meter Yes No Niel 27a o 3. DO meter Yes No S I S S 4. A Cone for settleable solids Yes No 5. A thermometer or meter that measures temperature. Yes No 6. Conductivity meter Yes No Ill. Calibration/Analysis: 1. Is the pH meter calibrated with 2 buffers and checked with a third buffer each day of use? Yes No 2. For Total Residual Chlorine, is a check standard analyzed each day of use? Yes No 3. Is the air calibration of the DO meter performed each day of use? Yes No 4. For Settleable Solids, is 1 liter of sample settled for 1 hour? Yes No 5. Is the temperature measuring device calibrated annually against a certified thermometer? Yes No LIJ 6. For Conductivity, is a calibration standard analyzed each day of use? Yes No IV. Documentation: 1. Is the date and time that the sample was collected documented 2. Is the sample site documented? 3. Is the sample collector documented? 4. Is the analysis date and time documented? 5. Did the analyst sign the documentation? 6. Is record of calibration documented? 7. For Settleable Solids, is sample volume and 1 hour time settling time documented? 8. For Temperature, is the annual calibration of the measuring device documented? Comments: Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Please submit a copy of this completed form to the Laboratory Certification Program. DWQ Lab Certification Chemistry Lab 1623 Mail Service Center FIELD INSPECTOR CHECKLIST REV. 04/23/2002 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary May 3, 2010 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection Nikola's Restaurant and High Meadows Inn WWTP NPDES Permit No. NCO084832 Alleghany County Dear Mr. Peros: On April 15, 2010, Gary Hudson of this office met with Joe Baskin, ORC, to perform a Compliance Evaluation Inspection on the package plant wastewater treatment system serving Nikola's Restaurant and High Meadows Inn. This type of inspection consists of two basic parts: an in office file review and an on -site inspection of the treatment facility. The attached EPA inspection form notes the eight (8) areas that were evaluated for this inspection. The findings and observations are outlined below: I. Permit The NPDES permit was reissued effective April 1, 2006 with an expiration date of March 31, 2011. II. Self -Monitoring Program The monthly self -monitoring reports were reviewed for the period March 2009 through January 2010. The facility was compliant with all NPDES permit limits for the above period. In addition, all monitoring was performed at the frequencies specified in the permit. III. Flow Measurement The permit requires instantaneous flow monitoring. Flow is measurements are obtained from the totalizer on the water meter. IV. Sludge Handling and Disposal Solids are removed as necessary by a licensed septic tank hauler for disposal in the nearest POTW. The system does not have a digester. Solids are pumped directly from the aeration basin after being allowed to settle. North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-50001 FAX: 336-771-46301 Customer Service: 1-877-623-6748 North Carolina Internet www.ncwaterquality.org Naturally An Equal Opportunity 1 Affirmative Action Employer Mr. Zdenko Peros Page # 2 May 3, 2010 V. Operations and Maintenance The package plant appeared to be well maintained and operated. However, our office strongly recommends the installation of a ladder, walkway and safety railings on the treatment plant so the operator can safely get on top of the elevated plant to facilitate maintenance of the equipment, and observe the overall operation of the treatment processes. VI. Facility Site Review The 0.025 MGD package plant consists of the following: bar screen, aeration basin, secondary clarifier, tablet dechlorinator, and effluent discharge pipe. The system currently does not have a chlorinator. Tablets are simply placed in the clarifier weir trough for disinfection. VII. Records/Reports The ORC maintains a daily operation and maintenance log. VIII. Effluent/Receiving Waters The system discharges into Laurel Branch, Class "C-trout' waters. The trickle of effluent was clear on the date of the inspection. Should you have any questions concerning this report, please contact Gary Hudson or me at (336) 771- 5000 Sincerely, e Steve W. Tedder Water Quality Regional Supervisor cc: Central Files Nikola's Restaurant/High Meadows Inn WWTP NPDES Permit No. NCO048832 Self -Monitoring Data Summary March 2009 — January 2010 Parameters Monthly Avg. Permit Limit Monthly Avg. Limit Violations per DMR Daily Maximum Permit Limit Daily Max. Limit Violations per DMR Flow (MGD) 0.025 None - NA BOD (mg/1) 30.0 None 45.0 None TSS (mg/1) 30.0 None 45.0 None NH3-N (mg/1) 11.0* None 35.0* NA Fecal (#/100 mo 200 None 400 None T. Chlorine (ug/1) - NA 28 None Oil & Grease (mg/1) 30 None 60 None *(Summer limit only) 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 I NI 2 15I 31 NCO084832 111 121 10/04/15 117 18I CI 19I SI 201 I Remarks 21IIIII111111IIIIIIIIIIII111111IIIIIIIIIIIIIIII__U6 Inspection Work Days Facility Self -Monitoring Evaluation Rating 81 QA ----------------------- —Reserved ----- ---------------- 67I 169 701 I 711 I 721 NJ 73 L1J 74 751 I I I I I Li 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) 10:00 AM 10/04/15 06/04/01 Nikolas' Restaurant & High Meadow Inn LLC Exit Time/Date Permit Expiration Date 10436 Hwy 21 S Roaring Gap NC 28668 11:00 AM 10/04/15 11/03/31 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 Hal W Transou,276 Laurelwood Dr State Road NC 286769149//336-363-6061. 0 Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program 0 Sludge Handling Disposal 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 WSRO WQ/// Signature of M agement Q A iewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/molday Inspection Type 3I NCO084832 I11 12I 10/04/15 I17 18ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page # 2 Permit: NCO084832 Inspection Date: 04/15/2010 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0000 Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge IN n n n Judge, and other that are applicable? Comment: . Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ n Is the facility as described in the permit? ■ n n n # Are there any special conditions for the permit? n ■ n ❑ Is access to the plant site restricted to the general public? ■ n n n Is the inspector granted access to all areas for inspection? ■ n n n Comment: . Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ■ n n n Is all required information readily available, complete and current? ■ ❑ n n Are all records maintained for 3 years (lab. reg. required 5 years)? ■ Cl n n Are analytical results consistent with data reported on DMRs? ■ n n n Is the chain -of -custody complete? ■ n n n 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 COCs ■ Are DMRs complete: do they include all permit parameters? ■ n n n Has the facility submitted its annual compliance report to users and DWQ? n n n ■ (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? n Cl ■ n Is the ORC visitation log available and current? ■ n n n Is the ORC certified at grade equal to or higher than the facility classification? ■ n n n Is the backup operator certified at one grade less or greater than the facility classification? ■ n n n Is a copy of the current NPDES permit available on site? ■ Cl n n Page # 3 Permit: NCO084832 Inspection Date: 04/15/2010 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Record Keeping Tes No NA Nt Facility has copy of previous years Annual Report on file for review? n n n ■ Comment: . Flow Measurement - Influent Yes No NA NE # Is flow meter used for reporting? ■ n n n Is flow meter calibrated annually? n n ■ n Is the flow meter operational? ■ n n n (If units are separated) Does the chart recorder match the flow meter? n n ■ n Comment: Yps Nn NO NF Type of bar screen a.Manuai ■ b. Mechanical n Are the bars adequately screening debris? ■ n n n Is the screen free of excessive debris? ■ n n n Is disposal of screening in compliance? ■ n n n Is the unit in good condition? ■ n n n Comment: Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? ■ n n n Are surface aerators and mixers operational? n n ■ n Are the diffusers operational? ■ n n n Is the foam the proper color for the treatment process? ■ n n n Does the foam cover less than 25% of the basin's surface? ■ n n n Is the DO level acceptable? ■ n n n Is the DO level acceptable?(1.0 to 3.0 mg/1) ■ n n n Comment: . Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? ■ n n In Page # 4 Permit: NC0084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 04/15/2010 Inspection Type: Compliance Evaluation Secondary Clarifier Yes No NA NE Is the site free of excessive buildup of solids in center well of circular clarifier? n n ■ n Are weirs level? ■ n n n Is the site free of weir blockage? ■ n n In Is the site free of evidence of short-circuiting? ■ n n n Is scum removal adequate? ■ n n n Is the site free of excessive floating sludge? ■ n n In Is the drive unit operational? n n ■ o Is the return rate acceptable (low turbulence)? ■ n n n Is the overflow clear of excessive solids/pin floc? ■ n n n Is the sludge blanket level acceptable? (Approximately'/. of the sidewall depth) ■ n n n Comment: . Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? n ■ o o Are the tablets the proper size and type? ■ n n n Number of tubes in use? 0 .Is the level of chlorine residual acceptable? ■ n n In Is the contact chamber free of growth, or sludge buildup? n n ■ n Is there chlorine residual prior to de -chlorination? ■ n n n Comment: . De -chlorination Yes No NA NE Type of system ? Tablet Is the feed ratio proportional to chlorine amount (1 to 1)? n ■ n n Is storage appropriate for cylinders? n n ■ n # Is de -chlorination substance stored away from chlorine containers? n n ■ o Comment: . Are the tablets the proper size and type? ■ n n n Are tablet de -chlorinators operational? ■ n n In Number of tubes in use? 2 Comment: Effluent Pipe Yes No NA NE Page # 5 Permit: NC0084832 inspection Date: 04/15/2010 Effluent Pipe Is right of way to the outfall properly maintained? Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation 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: Yes No NA NE ■ ❑ ❑ ❑ Page # 6 RESEARCh & ANAtyTICA1 LAbORATORIESF INC. Analytical/Process Consultations 08 December 2010 Mrs. Gina Sprinkle NCDENR / DWQ / Point Source Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: NPDES Permit NC 0084832 Renewal Application Report Nikola's Restaurant & High Meadow's Inn, LLC Alleghany County Dear Mrs. Sprinkle: Enclosed are one (1) signed original and two (2) copies of the NPDES Permit Application: Form D requesting renewal of NPDES Permit No. NC 0084832. Also, included as an addendum, is a copy of the required Sludge Management Plan for this WWTP. There have been no significant changes to wastewater treatment facility. If you should have any questions concerning this application renewal please so advise. Sincerely, James M. Cheshire Authorized Agent President/CEO CC: Mr. & Mrs. Zdenko Peros High Meadows Inn, LLC 0 (�.^- I NPDES APPLICATION — FORM D For privately owned treatment systems treating 100 % domestic wastewaters <1.0'nGB- Mail the complete application to: N.C. Department of Environmental and Natural Resources Division of Water Quality / NPDES Unit 1617 Mail SerNice Center, Raleigh, NC 27699-1617 NPDES Permit: C0084832 1. Contact Information: Owner Name Mr. & Mrs. Zdenko Peros Facility Name Nikola's Restaurant & High Meadows Inn Mailing Address P.O. Box 722 City Roaring Gap Stater Zip Code NC 28668 Telephone Number 336-363-2221 Fax Number 336-363-9438 E-mail Address D7P�� embarcimail coin 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road 10486 Huy 21 S. Citv Roaring Gap State / Zip Code 28668 County AlleQhany 3. Operator Information: :Fame of the firm, public organization or other entity that operates the facility. (Note that this is not referring to the Operator in Responsible Charge or ORC) Name Same as above Mailing Address Same as above i City Same as above I State / Zip Code Same as above Telephone Number Same as above Fax Number Same as above NPDES APPLICATION — FORM D For privately owned treatment systems treating 100 % domestic wastewaters <1.0 MGD 4. Description of wastewater: Facility Generating «'astewater (check all that apply): Industrial ❑ Number of Employees Commercial 0 Number of Employees _5 Residential ❑ Number of Homes School ❑ Number of'Students i Staff Other ❑ Explain: Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.) 1) Restaurant (120 seats) 2) Hotel (120 rooms) Population Served: — 1,000 5. Type of collection system Z Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer) 6. Outfall Information: Number of separate discharge points 1 Outfall Identification number(s) 001 Is the outfall equipped with a diffuser? ❑Yes 0 No 7. Name of receiving stream(s) (Provide a map showing the exact location o/each outfall): Laurel Branch, C-Trout Waters in the New River Basin 8. Frequency of Discharge: Z Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: Duration: 9. Describe the treatment system List all installed components, including capacities: provide design removal for BOD. TSS, nitrogen and phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a separate sheet of paper. 1) Aeration basin with diffused air 2) Secondary clarifier with sludge air lifts and in -plant pumps. 3) Chlorination 4) Dechlorination NPDES APPLICATION — FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: Treatment Plant Design flow 0.025 MGD .Annual Average daily flow 0.0011 MGD Maximum daily flow 0.0022 NIGD (for the previous 3 years) 11. is the facility located on Indian country? O Yes 0 No 12. Effluent Date Provide date for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum and monthly average. If only one analysis is reported, report as daily maximum. Parameter Daily Maximum Monthly Avera e Units of Measurement Biochemical Oxygen Demand (BOD's) 5.8 i 4.72 mg/1 Fecal Coliform 6.0 1.0 col/100 ml Total Suspended Solids 24.3 6.8 mg1 Temperature (Summer) 28 24 OF Temperature (Winter) 10 12 OF pH _ 8.1 6.7 Std. Units 13. List all permits, construction approvals and / or applications: Type Permit Number Type Permit Number Hazardous Waste (RCRA) NESHAPS (CAA) _ UIC (SDWA) Ocean Dumping (MPRSA) NTDES NCO084832 Dredge or fill (Section 404 or CWA) PSD (CAA) Other Non -attainment program (CAA) 14. APPLICANT CERTIFICATION I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true, complete, and accurate. James M. Cheshire Authorized Agent _ Print n the of Person Si g Title Sig ture of Applica Date RESEARCh & ANA[yTICA[ LABORATORIES, INC. Analytical/Process Consultations 2010 Addendum: Sludge Management Plan Nikola's Restaurant & High Meadows Inn. LLC NPDES Pen -nit NC 0084832 1) Sludge is generated from High Meadows Inn WWTP through the activated sludge process by routinely "wasting" activated sludge into an aerobic digester. 2) Sludge from aerobic digester is routinely allowed to settle by gravity and supernatant is decanted from holding tank. 3) Thickened sludge is then removed by septic tank truck and manifest documents are maintained to verify date of sludge removal, volume pumped, location of approved facility (i.e. municipal WWTP) receiving sludge, and cost of sludge hauling/disposal. P. 0 Box 473 - 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 A . �� -z NCDENR North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director December 13, 2010 JAMES M CHESHIRE AUTHORIZED AGENT, PRESIDENT/CEO RESEARCH AND ANALYTICAL LABORATORIES INC PO BOX 473 KERNERSVILLE NC 27284 Dear Mr. Cheshire: _D Natural Resources ! DEC 1 7 203 {bee Freeman Secretary Subject: Receipt of permit renewal application NPDES Permit NCO084832 Nikola's Restaurant & High Meadow Inn, LLC Alleghany County The NPDES Unit received your permit renewal application on December 13, 2010. A member of the NPDES Unit will review your application. They will contact you if additional information is required to complete your permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing permit expires. If you have any additional questions concerning renewal of the subject permit, please contact Bob Guerra at (919) 807-6387. Sincerely, Dina Sprinkle Point Source Branch cc: CENTRAL FILES face/Surface Water Protection NPDES Unit Zdenko Peros, High Meadows Inn, LLC, PO Box 222, Roaring Gap, NC 28668 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service:1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org -� �}��N� l//� An Equal Opportunity', Affirmative Action Employer V �! [ 0 Cover Sheet from Staff Member to Regional Supervisor DMR Review Record Facility: to tc.Lj HekALo .I Permit/Pipe No.: tyc.DoZ`2—Month/Year l t e LL1.t-A Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit Wee /Dai y iolations Date Parameter Permit Limit./Type DMR Value % Over Limit l l o �i �_ C> (0 5. 3 8 Date Other Vi Monitoring Frequency Violations Parameter Permit Frequency Values Resorted # of Violations Completed by.. Z, - Date: 3 /10 Regional Water Quality Supervisor Sianoff: Date: /K1` Cn(,.►) /`.��J y RECEIVED oED De N.C. otof Frt=i EFFL ENT OCT 2 5 201 NPDES PERMIT NO. NC 0084832 DISCHARGE NO.001 MONTH June FACILITY NAME Nikola's Restaurant & High Meadows Inn, LLC CLASS II CO -C teRfhatty—= CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATIONNO 4 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Joe Baskin GRADE II CERTIFICATION NO. 989829 PERSON(S) COLLECTING SAMPLES Operators ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED❑ PERSON(S) COLLECTING AMPLES Operators Mail ORIGINAL and ONE COPY to: ` ATTN: CENTRAL FILES X DIVISION OF WATER QUALITY (SIGNA RE OF OPERATOR IN RESPONSIBLE CHARGE) DATE 1617 MAIL SERVICE CENTER BY T IS SIGNATURE, I CERTIFY THAT THIS REPORT IS RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. i0 m o-• EFF F L c in d N d o > W OH 0 O A� 0.0014 0835 1 0.40 'N e on �o d V ` L L c � � N AO 02 z C o E � y � Ha d H 1550 0.30 Y 0.0014 23.0 1140 0.70 Y 1140 1 0.50 1 B 1 1 25.0 1 7.4 0 1 <2.0 1 <0.10 1 2.5 1 <1 8 1 1555 0.50 Y 0.0007 1 24.0 7.2 2 1110 0.40 Y 4.94 1 <0.10 1 2.5 1 <1 <5.0 Above Name And Units r ��ysy�+�t �p.__.iL z"^pb'4.. i- L 7 I A E r 21, �� . �=..7 '.Iw_�.._ .:ac.__ ��.,��.,.� _.ice ��.�,", t .�z yo .�.:,�.(,,��t�•:,.,.- Copy DWQ Form MR-1 (01/00) MONITORING REPORT(MR) VIOLATIONS for: ReportDate: 10/08/10 Page: 1 or 2 Permit: % MRS Betw. n: 6:2010 and 6-2010 Region: Winston-Salem Violation Category: Limit Violation Program Category: NPDES WW Facility Name: % Param Name: o County: %" Subbasin: °� Violation Action: None Major Minor: % PERMIT: NCO084832 FACILITY: Zdenko Peros COUNTYq*A REGION: Winston-Salem LLC Limit Violation MONITORING OUTFALL / VIOLATION UNIT OF CALCULATED REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE % OVER LIMIT VIOLATION TYPE VIOLATION ACTION 06 -2010 001 Effluent Oil & Grease 06/16/10 Weekly mg/1 60 65.3 8.83 Daily Maximum Exceeded None PERMIT: NCO036561 FACILITY: United Church Retirement Homes Inc - United Church COUNTY: Davidson REGION: Winston-Salem Retirement Home Limit Violation MONITORING OUTFALL / VIOLATION UNIT OF CALCULATED REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE % OVER LIMIT VIOLATION TYPE VIOLATION ACTION 06 -2010 001 Effluent BOD, 5-Day (20 Deg. C) - 06/18/10 2 X month mg/I 45 80.4 78.67 Daily Maximum Exceeded None Concentration 06 -2010 001 Effluent BOD, 5-Day (20 Deg. C) - 06/21/10 2 X month mg/1 45 88.6 96.89 Daily Maximum Exceeded None Concentration 06 -2010 001 Effluent BOD, 5-Day (20 Deg. C) - 06/29/10 2 X month mg/1 45 152 237.78 Daily Maximum Exceeded None Concentration 06 -2010 001 Effluent BOD, 5-Day (20 Deg. C) - 06/30/10 2 X month mg/1 30 79.04 163.47 Monthly Average Exceeded None Concentration 06 -2010 001 Effluent Solids, Total Suspended - 06/30/10 2 X month mg/I 30 37.2 24 Monthly Average Exceeded None Concentration �r 7ECIVED 1 N.Ct NCDENR SEP92010 North Carolina Department of Environment and Natural Resourc s yrReDivision of Water Quality Eaves Perdue Governor Mr. Zdenko Peros PO Box 246 Roaring Gap, NC Dear Permittee: 28668-0246 Coleen H. Sullins Director September 3, 2010 Dee Freeman Secretary Subject: Renewal Notice NPDES Permit NCO084832 Nikolas' Restaurant & High Meadow Inn LLC Alleghany County Your. NPDES permit expires on March 31, 2011. Federal.(40 CFR 122.41) and North Carolina (15A NCAC 2H.0105 (e�) regulations state -that permit renewal applications must be filed_ at least 180 days priQ:r.,::, to expiration of the current permit. If you have already mailed your renewal application, you may disregard this notice. Your renewal package must be sent to the Division postmarked no later than October 2, 2010. Failure to request renewal by this date may result in a civil penalty assessment. Larger penalties may be assessed depending upon the delinquency of the request. If any wastewater discharge will occur after March 31, 2011, the current permit must be renewed. Discharge of wastewater without a valid permit would violate North Carolina General Statute 143-215.1; unpermitted discharges of wastewater may be assessed civil penalties of up to $25,000 per day. If all wastewater discharge has ceased at your facility and you wish to rescind this permit, contact me at the telephone number or address listed below. Use the enclosed checklist to complete your renewal package. The checklist identifies the items you must submit with the permit renewal application. If you have any questions, please contact me at the telephone number or e-mail address listed below. Sincerely, Charles H. Weaver, Jr. NPDES Unit cc: Central Files Mon > NPDES File 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarolina Phone: 919 807-6391 / FAX 919 807-6495 / charles.weaver@ncdenr.gov ;Vatmally An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper NPDES PERMIT NC0084832 NIKOLAS' RESTAURANT & HIGH MEADOW INN LLC ALLEGHANY COUNTY The following items are REQUIRED for all renewal packages: ➢ A cover letter requesting renewal of the permit and documenting any changes at the facility since issuance of the last permit. Submit one signed original and two copies. ➢ The completed application form (copy attached), signed by the permittee or an Authorized Representative. Submit one signed original and two copies. ➢ If an Authorized Representative (such as a consulting engineer or environmental consultant) prepares the renewal package, written documentation must be provided showing the authority delegated to any such Authorized Representative (see Part II.B.1 Lb of the existing NPDES permit). ➢ A narrative description of the sludge management plan for the facility. Describe how sludge (or other solids) generated during wastewater treatment are handled and disposed. If your facility has no such plan (or the permitted facility does not generate any solids), explain this in writing. Submit one signed original and two copies. The following items must be submitted by any Municipal or Industrial facilities discharging process wastewater: Industrial facilities classified as Primary Industries (see Appendices A-D to Title 40 of the Code of Federal Regulations, Part 122) and ALL Municipal facilities with a permitted flow >_ 1.0 MGD must submit a Priority Pollutant Analysis (PPA) in accordance with 40 CFR Part 122.21. The above requirement does NOT apply to privately owned facilities treating 100% domestic wastewater, or facilities which discharge non process wastewater (cooling water, filter backwash, etc.) Send the completed renewal package to: Mrs. Dina Sprinkle NC DENR / DWQ / Point Source Branch 1617 Mail Service Center Raleigh, NC 27699-1617 NCDENR iuN 10 MCI North Carolina Department of Environment and Natural Resources Winton-sa zT, Division of Water Quality Regional C+ioe -_ Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary June 7, 2010 CERTIFIED MAIL 7007-0710-0000-5376-8355 RETURN RECEIPT REQUESTED Mr. Zdenko Peros Nicolas' Restaurant & High Meadow Inn, LLC 10436 Hwy 21 South Roaring Gap, North Carolina 28668 Dear Mr. Peros: Subject: NOTICE OF VIOLATION Nicolas' Restaurant & High Meadow Inn WWTP NPDES Permit NCO084832 Alleghany County NOV-2010-LR-0030 This is to inform you that the Division of Water Quality has not received your monthly monitoring report for March 2010. This is in violation of Part II, condition D(2) of the NPDES permit, as well as 15A NCAC 213 .506(a), which requires the submittal of Discharge Monitoring Reports no later than the last calendar day following the reporting period. Failure to submit reports as required will subject the violator to the assessment of a civil penalty of up to $25,000 per violation. You will be considered noncompliant with the self -monitoring requirements of your NPDES permit until the report has been submitted. To prevent further action, please submit said report within fifteen (15) days of receipt of this notice. Additionally, this letter provides notice that this office will recommend the assessment of civil penalties if future reports are not received within the required time frame during the next twelve (12) reporting months. The Division must take these steps because timely submittal of discharge monitoring reports is essential to the efficient operation of our water quality programs. We appreciate your assistance in this matter. If you have any questions about this letter or discharge monitoring reports, please contact me at 919-807-6388. Sincerely, #arn Scard cc: Maureen Scardin it face Water Protection Central Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 9IM07-63001 FAX: 919-807-64921 Customer Service:1-877-623-6748 Internet: www.ncwaterguality.org Nne orthCarolina vvatura!!rf An Equal Opportunity1 Affirmative Action Employer ALVWVWA 411fa, r& NR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director April 30, 2009 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection Nikola's Restaurant and High Meadows Inn WWTP NPDES Permit No. NCO084832 Alleghany County Dear Mr. Peros: Dee Freeman Secretary On April 16, 2009, Gary Hudson of this office met with Hal Transou, ORC, to perform a Compliance Evaluation Inspection on the package plant wastewater treatment system serving Nikola's Restaurant and High Meadows Inn. This type of inspection consists of two basic parts: an in office file review and an on -site inspection of the treatment facility. The attached EPA inspection form notes the eight (8) areas that were evaluated for this inspection. The findings and observations are outlined below: I. Permit The NPDES permit was reissued effective April 1, 2006 with an expiration date of March 31, 2011. II. Self -Monitoring Program The monthly self -monitoring reports were reviewed for the period March 2008 through January 2009. The facility was compliant with all NPDES permit limits for the above period. In addition, all monitoring was performed at the frequencies specified in the permit. III. Flow Measurement The permit requires instantaneous flow monitoring. Flow is measurements are obtained from the totalizer on the water meter. IV. Sludge Handling and Disposal z Solids are removed as necessary by a licensed septic tank hauler for disposal in the nearest POTW. The system does not have a digester. Solids are pumped directly from the aeration basin after being allowed to settle. North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-50001 FAX: 336-771.46301 Customer Service:1-877-623-6748 O�Carolina Internet: www.ncwaterquality.org �,,tura!!%� An Equal Opportunity 1 Affirmative Action Employer y r Mr. Zdenko Peros Page # 2 April 30, 2009 V. Operations and Maintenance The package plant appeared to be very well maintained and operated. VI. Facility Site Review The 0.025 MGD package plant consists of the following: bar screen, aeration basin, secondary clarifier, tablet dechlorinator, and effluent discharge pipe. The system currently does not have a chlorinator. Tablets are simply placed in the clarifier weir trough for disinfection. VII. Records/Reports The ORC maintains a daily operation and maintenance log. VIII. Effluent/Receiving Waters The system discharges into Laurel Branch, Class "C-trout' waters. The trickle of effluent was clear on the date of the inspection. Should you have any questions concerning this report, please contact Gary Hudson or me at (336) 771-5000. Sincerely, Steve W. Tedder Water Quality Regional Supervisor cc: Hal Transou (276 Laurelwood Drive, State Road, NC 28676) Central Files Nikola's Restaurant/High Meadows Inn WWTP NPDES Permit No. NCO048832 Self -Monitoring Data Summary March 2008 — January 2009 Parameters Monthly Avg. Permit Limit Monthly Avg. Limit Violations per DMR Daily Maximum Permit Limit Daily Max. Limit Violations per D.MR Flow (MGD) 0.025 None - NA BOD (mg/1) 30.0 None 45.0 None TSS (mg/1) 30.0 None 45.0 None NH3-N (mg/1) 11.0* None 35.0* NA Fecal (#/100 ml) 200 None 400 None T. Chlorine (ug/1) - NA 28 . None. Oil & Grease (mg/1) 30 None 60 None *(Summer limit only) United States Environmental Protection Agency Form Approved. Washington, D.C. 20460 EPA OMB No. 2040-0057 Water Compliance Inspection Report Approval expires8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 I UI 2 15I 31 NC0084832 111 121 09/04/16 117 18I cl 191 sI 20I LJ I J 1- J Remarks 211111111111111111111111111111111111111111111111J6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA — -----Reserved-- -- 67I 169 70 U 71 U 72I N I 73 W 74 751 III I I 1180 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) 11:00 AM 09/04/16 06/04/01 Nikolas' Restaurant & High Meadow inn LLC Exit Time/Date Permit Expiration Date 10436 Hwy 21 S Roaring Gap NC 28668 12:00 PM 09/04/16 11/03/31 Name(s) of Onsite Representative(s)lfitles(s)/Phone and Fax Number(s) Other Facility Data Hal W Transou/ORC/910-835-9817/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Hal W Transou,276 Laurelwood Dr State Road -NC 286769149//336-363-606� 0 Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Flow Measurement . 0 Operations & Maintenance Records/Reports Self -Monitoring Program N Sludge Handling Disposal N 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 udson WSRO WQ/// ",ar so AM o � -4 SignatureofMan a ment Q A Revie r Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3I NCO084832 11 12I 09/04/16 17 18, _, Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page # 2 J Permit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 04/16/2009 Inspection Type: Compliance Evaluation 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 ■ Q O ❑ Judge, and other that are applicable? Comment: The facility appeared to be very well operated and maintained. Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new application? 0 0 ■ Q Is the facility as described in the permit? ■ ❑ # Are there any special conditions for the permit? ❑ ■ 0 Q Is access to the plant site restricted to the general public? ■ Q n n Is the inspector granted access to all areas for inspection? ■ ❑ ❑ Q Comment: Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ■ 0 O n Is all required information readily available, complete and.current? ■ 0 n Q Are all records maintained for 3 years (lab. reg. required 5 years)? ■ ❑ ❑ Q Are analytical results consistent with data reported on DMRs? ■ ❑ E! ❑ Is the chain -of -custody complete? ■ O 0 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 COCs ■ Are DMRs complete: do they include all permit parameters? ■ fl O Has the facility submitted its annual compliance report to users and DWQ? Q Q Q ■ (if the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? 0 ❑ ■ ❑ Is the ORC visitation log available and current? ■ Q Q Is the ORC certified at grade equal to or higher than the facility classification? ■ ❑ ❑ Is the backup operator certified at one grade less or greater than the facility classification? ■ n Cl n Is a copy of the current NPDES permit available on site? ■ n n Q Page # 3 J Permit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 04/16/2009 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Facility has copy of previous years Annual Report on file for review? ❑ ❑ ❑ ■ Comment: . Flow Measurement - Influent Yes No NA NE # Is flow meter used for reporting? ■ ❑ ❑ ❑ Is flow meter calibrated annually? ❑ ❑ ■ ❑ Is the flow meter operational? ■ ❑ ❑ n (If units are separated) Does the chart recorder match the flow meter? n ❑ ■ n Comment: Bar Screens Yes No NA NE Type of bar screen a.Manual ■ b. Mechanical ❑ Are the bars adequately screening debris? ■ ❑. ❑ ❑ Is the screen free of excessive debris? ■ n ❑ ❑ Is disposal of screening in compliance? ■ ❑ n Cl Is the unit in good condition? ■ ❑ ❑ 0 Comment: Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? ■ ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ ■ ❑ Are the diffusers operational? ■ ❑ ❑ ❑ Is the foam the proper color for the treatment process? ■ ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? ■ n n ❑ Is the DO level acceptable? ■ n n n Is the DO level acceptable?(1.0 to 3.0 mg/1) ■ ❑ ❑ ❑ Comment: . Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? ■ n n n Page # 4 r Permit: NC0084832 Owner -Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 04/16/2009 Inspection Type: Compliance Evaluation Secondary Clarifier Yes No NA NE Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ ❑ ■ ❑ Are weirs level? Is the site free of weir blockage? Is the site free of evidence of short-circuiting? Is scum removal adequate? Is the site free of excessive floating sludge? Is the drive unit operational? Is the return rate acceptable (low turbulence)? Is the overflow dear of excessive solids/pin floc? Is the sludge blanket level acceptable? (Approximately % of the sidewall depth) Comment: Disinfection -Tablet Are tablet chlorinators operational? Are the tablets the proper size and type? 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: De -chlorination Type of system ? Is the feed ratio proportional to chlorine amount (1 to 1)? Is storage appropriate for cylinders? # Is de -chlorination substance stored away from chlorine containers? Comment: . Are the tablets the proper size and type? Are tablet de -chlorinators operational? Number of tubes in use? Comment: Effluent Pipe Yes No NA NE ❑ ■ ❑ ❑ ■nnn 0 Yes No NA NE Tablet 06 Yes No NA NE Page # 5 It Permit: NC0084832 Inspection Date: 04/16/2009 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Effluent Pipe 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: Yes No NA NE ■ ❑ ❑ ❑ ■❑❑❑ ❑ ❑ ■ ❑ Page # 6 1 O�OF WA > Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director Division of Water Quality May 20, 2008 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection Nikola's Restaurant and High Meadows Inn WWTP NPDES Permit No. NCO084832 Alleghany County Dear Mr. Peros: On May 15, 2008, Gary Hudson of this office met with Hal Transou, ORC, to perform a Compliance Evaluation Inspection on the package plant wastewater treatment system serving Nikola's Restaurant and High Meadows Inn. This type of inspection consists of two basic parts: an in office file review and an on -site inspection of the treatment facility. The attached EPA inspection form notes the eight (8) areas that were evaluated for this inspection. The findings and observations are outlined below: I. Permit The NPDES permit was recently reissued effective April 1, 2006 with an expiration date of March 31, 2011. II. Self -Monitoring Program The monthly self -monitoring reports were reviewed for the period August 2007 through March 2008. The facility was compliant with all NPDES permit limits for the above period. In addition, all monitoring was performed at the frequencies specified in the permit. III. Flow Measurement The permit requires instantaneous flow monitoring. Flow is measurements are obtained from the totalizer on the water meter. IV. Sludge Handling and Disposal Solids are removed as necessary by a licensed septic tank hauler for disposal in the nearest POTW. The system does not have a digester. Solids are pumped directly from the aeration basin after being allowed to settle. o ` NCarolina North Carolina Division of Water Quality 585 Waughtown Street Phone (336) 771-5000 Customer Service Winston-Salem Regional Office Winston-Salem, NC 27107 Fax (336) 771-4630 1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper Mr. Zdenko Peros Page # 2 May 20, 2008 V. Operations and Maintenance The package plant appeared to be well maintained and operated. VI. Facility Site Review The 0.025 MGD package plant consists of the following: bar screen, aeration basin, secondary clarifier, tablet dechlorinator, and effluent discharge pipe. The system currently does not have a chlorinator. Tablets are simply placed in the clarifier weir trough for disinfection. VII. Records/Reports The ORC maintains a daily operation and maintenance log. VIII. Effluent/Receiving Waters The system discharges into Laurel Branch, Class "C-trout' waters. The trickle of effluent was clear on the date of the inspection. Should you have any questions concerning this report, please contact Gary Hudson or me at (336) 771-5000. Sincerely, Steve W. Tedder Water Quality Regional Supervisor cc: Hal Transou (276 Laurelwood Drive, State Road, NC 28676) Central Files Nikola's Restaurant/High Meadows Inn WWTP NPDES Permit No. NCO048832 Self -Monitoring Data Summary August 2007 — March 2008 Parameters Monthly Avg. Permit Limit Monthly Avg. Limit Violations per DMR Daily Maximum Permit Limit Daily Max. Limit Violations per DMR Flow (MGD) 0.025 None - NA BOD (mg/1) 30.0 None 45.0 None TSS (mg/1) 30.0 None 45.0 None NH3-N (mg/1) 11.0* None 35.0* NA Fecal (#/100 ml) 200 None 400 None T. Chlorine (ug/1) - NA 28 None Oil & Grease (mg/1) 30 None 60 None *(Summer limit only) 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 INI 2 15I 31 NCO084832 111 121 08/05/15 117 18I CI "I 1 201 Remarks 21II1IIIIIIIIIIIIIII1IIIIIIIIIIIIIIIIIIIII1lII1116 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------------------- —------ Reserved ------------- -------- 67 I 169 701 I 711 I 72 INI 73 IW I 174 751 I I I I I I 180 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) 11:00 AM 08/05/15 06/04/01 Nikolas' Restaurant & High Meadow Inn LLC Exit Time/Date Permit Expiration Date 10436 Hwy 21 S Roaring Gap NC 28668 11:45 AM 08/05/15 11/03/31 Name(s) of Onsite Representative(s)lTitles(s)/Phone and Fax Number(s) Other Facility Data Hal W Transou/ORC/910-835-9817/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Hal W Transou,276 Laurelwood Dr State Road NC 286769149//336-363-606� 0 Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit E Flow Measurement E Operations & Maintenance Records/Reports Self Monitoring Program Sludge Handling Disposal 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 WSRO WQ/// /� /Q zjV /y/ / Y O Signature of Management Q A Reviewe Agency/Office/Phone and Fax Numbers Date Y'ZZ�4' EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 Permit: NCO084832 Inspection Date: 05/15/2008 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ n ❑ n Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n ■ n n Judge, and other that are applicable? Comment: The facility appeared to be operated and maintained properly. Permit (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: Record Keeping 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? 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 COCs 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? Is the ORC certified at grade equal to or higher than the facility classification? Is the backup operator certified at one grade less or greater than the facility classification? Is a copy of the current NPDES permit available on site? n n n ■ nn■n ■nnn ■nnn ■ n n n ■nnn Page # 3 Permit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 05/15/2008 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Facility has copy of previous year's Annual Report on file for review? n n n ■ Comment: . Flow Measurement - Influent Yes No NA NE # Is flow meter used for reporting? ■ n n n Is flow meter calibrated annually? n n ■ n Is the flow meter operational? ■ n n n (If units are separated) Does the chart recorder match the flow meter? n n ■ n Comment: Bar Screens Yes No NA NE Type of bar screen a.Manual ■ b. Mechanical n Are the bars adequately screening debris? ■ n n n Is the screen free of excessive debris? ■ n n n Is disposal of screening in compliance? ■ n n n Is the unit in good condition? ■ n n n Comment: . Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? ■ n n n Are surface aerators and mixers operational? n n ■ n Are the diffusers operational? ■ n n n Is the foam the proper color for the treatment process? ■ n n n Does the foam cover less than 25% of the basin's surface? ■ n n n Is the DO level acceptable? ■ In n n Is the DO level acceptable?(1.0 to 3.0 mg/1) ■ n n n Comment: . Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? ■ n n n Page # 4 Permit: NC0084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 05/1512008 Inspection Type: Compliance Evaluation Secondary Clarifier Yes No NA NE Is the site free of excessive buildup of solids in center well of circular clarifier? n n ■ n Are weirs level? ■ o n n Is the site free of weir blockage? ■ n n n Is the site free of evidence of short-circuiting? ■ n n n Is scum removal adequate? ■ n n n Is the site free of excessive floating sludge? ■ n n n Is the drive unit operational? n n ■ n Is the return rate acceptable (low turbulence)? ■ ❑ n n Is the overflow clear of excessive solids/pin floc? ■ n n n Is the sludge blanket level acceptable? (Approximately %< of the sidewall depth) ■ n n n Comment: Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? n ■ n n Are the tablets the proper size and type? ■ ❑ ❑ Number of tubes in use? 0 Is the level of chlorine residual acceptable? ■ n n n Is the contact chamber free of growth, or sludge buildup? n n ■ Is there chlorine residual prior to de -chlorination? ■ o n n Comment: The system does not have a tablet chlorinator or contact tank. Tablets are placed in the weir trough of the clarifier. Yes No NA NE Type of system ? Tablet Is the feed ratio proportional to chlorine amount (1 to 1)? n ■ n n Is storage appropriate for cylinders? n n ■ n # Is de -chlorination substance stored away from chlorine containers? n n ■ n Comment: . Are the tablets the proper size and type? ■ n n n Are tablet de -chlorinators operational? ■ ❑ ❑ n Number of tubes in use? 2 Comment: . Page # 5 Permit: NC0084832 Inspection Date: 05/15/2008 Effluent Pipe Is right of way to the outfall properly maintained? Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation 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: Yes No NA NE ■ ❑ ❑ ❑ ■000 nn■o Page # 6 �OF W ATF9Q Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources J � Alan W. Klimek, P.E. Director Division of Water Quality May 11, 2007 Mr. Zdenko Peros Nikola's Restaurant & High Meadows Inn, LLC P.O. Box 222 Roaring Gap, NC 28668 SUBJECT: Compliance Evaluation Inspection Nikola's Restaurant and High Meadows Inn WWTP NPDES Permit No. NCO084832 Alleghany County Dear Mr. Peros: On May 10, 2007, Mike Mickey of this office met with Hal Transou, ORC, to perform a Compliance Evaluation Inspection on the package plant wastewater treatment system serving Nikola's Restaurant and High Meadows Inn. This type of inspection consists of two basic parts: an in office file review and an on -site inspection of the treatment facility. The attached EPA inspection form notes the eight (8) areas that were evaluated for this inspection. The findings and observations are outlined below: I. Permit The NPDES permitwas recently reissued effective April 1, 2006with an expiration date of March 31, 2011. II. Self -Monitoring Program The monthly self -monitoring reports were reviewed for the period August 2006 through March 2007. The facility was compliant with all NPDES permit limits for the above period. In addition, all monitoring was performed at the frequencies specified in the permit. III. Flow Measurement The permit requires instantaneous flow monitoring. Flowis measurements are obtained from the totalizer on the water meter. IV. Sludge Handling and Disposal Solids are removed as necessary by a licensed septic tank hauler for disposal in the nearest POTW. The system does not have a digester. Solids are pumped directly from the aeration basin after being allowed to settle. NNoe Carolina tura!!y North Carolina Division of Water Quality 585 Waughtown Street Phone (336) 771-5000 Customer Service Winston-Salem Regional Office Winston-Salem, NC 27107 Fax (336) 771-4630 1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Mr. Zdenko Peros Page # 2 May l l , 2007 V. Operations and Maintenance The package plant appeared to be well maintained and operated. VI. Facility Site Review The 0.025 MGD package plant consists of the following: bar screen, aeration basin, secondary clarifier, tablet dechlorinator, and effluent discharge pipe. The system currently does not have a chlorinator. Tablets are simply placed in the clarifier weir trough for disinfection VII. Records/Reports The ORC maintains a daily operation and maintenance log VIII. Effluent/Receiving Waters The system discharges into Laurel Branch, Class "C-trout" waters. The trickle of effluent was clear on the date of the inspection. Should you have any questions concerning this report, please contact Mike Mickey or me at (336) 771-5000. Sincerely, < el Steve W. Tedder Water Quality Regional Supervisor Cc: Hal Transou (276 Laurelwood Drive, State Road, NC 28676) .Central Files ' IMNOW Nikola's Restaurant/High Meadows Inn WWTP NPDES Permit No. NCO048832 Self -Monitoring Data Summary August 2006 — March 2007 [Parameters Monthly Avg. Permit Limit Monthly Avg. Limit Violations per DMR Daily Maximum Permit Limit Daily Max. Limit Violations per DMR Flow (MGD) 0.025 None - NA BOD (mg/I) 30.0 None 45.0 None TSS (mg/1) 30.0 None 45.0 None N113-N (mg/1) 11.0* None 35.0* NA Fecal (#/100 ml) 200 None 400 None T. Chlorine (ug/1) - NA 28 None Oil & Grease (mg/1) 30 None 60 None *(Summer limit only) 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 I NI 2 15I 3I NCO084832 111 121 07/O5/10 117 18I CI 19I sI 20III Remarks 21111111111111111111111111111111111111111111111116 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved --- ------------------ 67 I 169 70 13 I 711 I 721 NJ 73 II I 174 751 I I I I I I 180 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) 11:25 AM 07/05/10 06/04/01 Nikolas' Restaurant & High Meadow Inn LLC Exit Time/Date Permit Expiration Date 10436 Hwy 21 S Roaring Gap NC 28668 12:00 PM 07/05/10 11/03/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Hal W Transou/ORC/910-835-9817/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Hal W Transou,276 Laurelwood Dr State Road NC 286769149//336-363-606041 Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit . Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program E Sludge Handling Disposal 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 Michael M Mickey WSRO WQ//336-771-5000/ %'kw !� I "-� - \Vi�l Signature of Manag ent Q A Review Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 Permit: NCO084832 Inspection Date: 05/10/2007 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ 0 Cl n Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ ■ ❑ ❑ Judge, and other that are applicable? Comment: The facility appeared to be operated and maintained properly. The system does not have a sludge holding tank nor tablet chlorinator. Vne Kln MA KIP (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? n ■ o o Is access to the plant site restricted to the general public? ■ ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑ Comment: The package plant is located inside a locked wooden fence. 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? ■ n n n 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 COCs ■ Are DMRs complete: do they include all permit parameters? ■ n n n 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? ■ ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? ■ Cl n n Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ ❑ ❑ Page # 3 Permit: NCO084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 05/10/2007 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Is a copy of the current NPDES permit available on site? ■ n ❑ n Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ ■ Comment: Aaron Holder is the back-up ORC. Flow Measurement - Influent Yes No NA NE # Is flow meter used for reporting? ■ ❑ ❑ n Is flow meter calibrated annually? ❑ ❑ ■ p Is the flow meter operational? ■ ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ■ ❑ Comment: Flow is measured using the in -line totalizer on the water meter. Bar Screens Yes No NA NE Type of bar screen a.Manual ■ b.Mechanical ❑ Are the bars adequately screening debris? ■ ❑ ❑ ❑ Is the screen free of excessive debris? ■ ❑ ❑ ❑ Is disposal of screening in compliance? ■ ❑ ❑ ❑ Is the unit in good condition? ■ ❑ ❑ ❑ Comment: The bar screen is located below the influent pipe in the aeration basin. Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? ■ ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ ■ ❑ Are the diffusers operational? ■ ❑ ❑ In Is the foam the proper color for the treatment process? ■ ❑ n n Does the foam cover less than 25% of the basin's surface? ■ ❑ ❑ ❑ Is the DO level acceptable? ■ 0 ❑ ❑ Is the DO level acceptable?(1.0 to 3.0 mg/1) ■ ❑ ❑ ❑ Comment: The blowers are off at night due to the low influent flows. Secondary Clarifier Yes No NA NE Page # 4 Permit: NC0084832 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Date: 05/10/2007 Inspection Type: Compliance Evaluation Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? ■ D D D Is the site free of excessive buildup of solids in center well of circular clarifier? D D ■ D Are weirs level? ■ D D D Is the site free of weir blockage? ■ D D D Is the site free of evidence of short-circuiting? ■ D D D Is scum removal adequate? ■ D D D Is the site free of excessive floating sludge? ■ D D D Is the drive unit operational? D D ■ D Is the return rate acceptable (low turbulence)? ■ D D D Is the overflow clear of excessive solids/pin floc? ■ D D D Is the sludge blanket level acceptable? (Approximately'/4 of the sidewall depth) ■ n ❑ n Comment: The clarifier had abnormal amounts of grease present. The grease trap was pumped recently, but it appeared to be a very ineffective job by the licensed hauler. Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? D ■ D D Are the tablets the proper size and type? ■ D D D Number of tubes in use? 0 Is the level of chlorine residual acceptable? ■ D D D Is the contact chamber free of growth, or sludge buildup? D D ■ D Is there chlorine residual prior to de -chlorination? ■ D D D Comment: The system does not have a tablet chlorinator or contact tank. Tablets are simply placed in the weir trough of the clarifier. De -chlorination Yes No NA NE Type of system ? Tablet Is the feed ratio proportional to chlorine amount (1 to 1)? D ■ D D Is storage appropriate for cylinders? ❑ ❑ ■ D # Is de -chlorination substance stored away from chlorine containers? ❑ D ■ O Comment: Are the tablets the proper size and type? ■ D D D Are tablet de -chlorinators operational? ■ D 00 Page # 5 Permit: NC0084832 Inspection Date: 05/10/2007 Owner - Facility: Nikolas' Restaurant & High Meadow Inn LLC Inspection Type: Compliance Evaluation De -chlorination Number of tubes in use? Comment: The dechlor unit was recently leveled. Effluent Pipe 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: The system discharges into a culvert at the nearby stream. 2 Page # 6