WQ0018419_Staff Report_20200616

DocuSign Envelope ID: 9DA499A6-5DD3-4746-AACA-0214CA22671C
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June 16, 2020
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Staff Report
To: DWR Central Office — WQ, Non -Discharge Unit Application No.: W00018419
Attn: Chloe Lloyd Facility name: Foote -Dodson SFR Wastewater Irrigation
From: Patrick Mitchell
Winston-Salem Regional Office
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable.
L GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date of site visit: June 16, 2020
b. Site visit conducted by: P. Mitchell & C. Caudle
c. Inspection report attached? ❑ Yes or ® No
d. Person contacted: Sarah Foote and their contact information: (919) 740 - 0087
e. Driving directions: Hwy 119 N, R Corbett Rd., L Byrd Rd., L Tom Anderson Rd., on Right.
II. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes ❑ No ® N/A
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ® No
5. Is the residuals management plan adequate? ® Yes or ❑ No
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No ® N/A
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No
9. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No
10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ® N/A
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ® N/A
12. Has a review of all self -monitoring data been conducted? ❑ Yes ❑ No ® N/A
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
14. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Have all compliance dates/conditions in the existing permit been satisfied? ® Yes ❑ No ❑ N/A
FORM: WQROSSR 04-14 Page 1 of 2

DocuSign Envelope ID: 9DA499A6-5DD3-4746-AACA-0214CA22671C
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No❑N/A
III. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
3. List specific permit conditions recommended to be removed from the permit when issued:
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
® Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑ Deny (Please state reasons: )
DocuSigned by:
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IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
On June 16, 2020, WSRO staff conducted a review of the subject facility. The applicant (new homeowners)
accompanied staff on the site visit. The existing system was found to be operational and appears to be well maintained.
The review reflects compliance with the current permit; see inspection report for details on the review. Reminded new
owners of system maintenance and operations and discussed permit condition requirements.
The current permit is set to expire July 31, 2020. An application for permit renewal and a signed O&M Agreement were
included in the application package. Recommend renewing the permit to the new owners.
FORM: WQROSSR 04-14 Page 2 of 2

Compliance Inspection Report
Permit: WQ0018419 Effective: 08/01/15 Expiration: 07/31/20 Owner: Florence Anderson
SOC: Effective: Expiration: Facility: 2532 Tom Anderson Rd. SFR
County: Alamance 2532 Tom Anderson Rd
Region: Winston-Salem
Mebane NC 27302
Contact Person: Florence Anderson Title: Phone:
Directions to Facility:
1-85 to exit 150 turn LT off exit and go to NC-49 North. Take 49 North to 62 North, turn RT on Willie Pace Rd., then LT on 119 North &
immediate RT onto Corbett, LT on Byrd Rd., LT on Tom Anderson Rd arrive at 2532.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/16/2020 Entry Time 07:OOAM Exit Time: 08:OOAM
Primary Inspector: Patrick Mitchell Phone: [phone]
Secondary Inspector(s):
Caitlin Caudle
Reason for Inspection: Other Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Permit Status Septic Tank
Sand Filter/Treatment Pods Disinfection UV Disinfection Tablets
Pump Tank Drip or Irrigation General
(See attachment summary)
Page 1 of 4

Permit: WQ0018419 Owner -Facility: Florence Anderson
Inspection Date: 06/16/2020 Inspection Type: Compliance Evaluation Reason for Visit: Other
Inspection Summary:
On June 16, 2020 WSRO staff conducted site visit for an inspection associated with an application for ownership change
and permit renewal. The new homeowners (Ms. Foote and Mr. Dodson) accompanied staff on the inspection. The inspection
reflects compliance with the subject permit. Below is a summary of notes from the inspections.
• Septic tank was recently pumped February 28, 2020, just prior to purchase of the home.
• Proper wastewater grade Cl tablets were found to be present and in both tubes of the chlorinator.
• The alarm serving the system was tested and found to operate.
• The irrigation pumps were tested and found to be operational.
• Irrigation spray heads were found to be operational and appeared to have appropriate spray pattern.
• Reminded homeowners of proper maintenance and operation of the system.
Page 2 of 4

Permit: WQ0018419 Owner -Facility: Florence Anderson
Inspection Date: 06/16/2020 Inspection Type: Compliance Evaluation Reason for Visit: Other
Permit Status Yes No NA NE
# Is the current resident in the home the Permittee? ❑ 0 ❑ ❑
# If not, does the resident rent from the Permittee? ❑ 0 ❑ ❑
Change of Ownership form needed? (Mail the form with the inspection letter) 0 ❑ ❑ ❑
# Is there an inspection and maintenance agreement with a contractor? ❑ 0 ❑ ❑
If YES, who is the contractor (include contact info)?
Comment: New owners have submitted application for ownership and pernit renewal.
Septic Tank
Yes No NA NE
*** The septic tank and filters should be checked annually and pumped/cleaned as needed. ***
Is all wastewater from the home connected to the septic tank?
❑ ❑ ❑
# Does the permittee/resident know where the septic tank is located?
❑ ❑ ❑
Has the septic tank been pumped in the last 5 years?
❑ ❑ ❑
If YES, describe if known and proof (include date pumped):
Receipt previously recieved in WSRO via email.
# Does the septic tank have an EFFLUENT FILTER or SANITARY T?
0 ❑ ❑ ❑
If FILTER, when was the filter cleaned and by who?
Feb., 2020 by
septic pumper.
Comment: See summary.
Sand Filter/Treatment Pods Yes No NA NE
*** Accessible sand filter surfaces shall be raked/leveled every 6 months and vegetative growth shall be
removed manually. ***
# Is system something other than a sand filter? ❑ 0 ❑ ❑
# If YES, what kind? (examples - Peat, Textile or brand name - Advantex, etc.)
# Does the permittee know where the sandfilter is located? 0 ❑ ❑ ❑
Does the sandfilter require maintenance? ❑ ❑ ❑
If maintenace is required, explain:
Comment: See summary.
Disinfection UV Yes No NA NE
*** UV unit shall be checked weekly. Lamps/sleeves should be cleaned/replaced as needed to ensure
proper disinfection. ***
Is UV working? ❑ ❑ 0 ❑
Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑
# Who completes the weekly check for the UV? ( Non -Discharge)
Comment:
Disinfection Tablets Yes No NA NE
*** Tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation. ***
Page 3 of 4

Permit: WQ0018419 Owner -Facility: Florence Anderson
Inspection Date: 06/16/2020 Inspection Type: Compliance Evaluation Reason for Visit: Other
Does the permittee have the correct chlorine tablets? (If none, mark No) 0 ❑ ❑ ❑
# Does the Permittee know the location of the chlorinator? 0 ❑ ❑ ❑
Were chlorine tablets observed in the chlorinator? 0 ❑ ❑ ❑
Are tablets contacting water? (If possible, poke them to determine.) 0 ❑ ❑ ❑
Comment:
Pump Tank
Yes No NA NE
*** All pump and alarm sytems shall be inspected monthly. (Non -Discharge)**
Is the pump working? ❑ ❑ ❑
Is the audible and visual high water alarm operational? ❑ ❑ ❑
# Does the permittee know how to check the pump & high water alarm? 0 ❑ ❑ ❑
# Last functional test:
Comment:
Drip or Irrigation Yes No NA NE
*** Irrigation sysetm shall be inspected monthly to ensure system is free of leaks and equipment is operating
as designed. ***
# Type of system (DRIP or IRRIGATION): Spray
# If IRRIGATION, number of sprinkler heads: 2
Are buffers and setbacks adequate? ❑ ❑ ❑
Is the site free of ponding and runoff? ❑ ❑ ❑
Does the application equipment appear to be working properly? ❑ ❑ ❑
Is there a minimum two wire fence surrounding the entire irrigation area? 0 ❑ ❑ ❑
Comment:
General Yes No NA NE
# Are the treatment units locked and/or secured? 0 ❑ ❑ ❑
# Has resident had any sewage problems? ❑ ❑ ❑
If YES, explain:
Does the system match the permit description? ❑ ❑ ❑
If NO, explain:
Is the system compliant? ❑ ❑ ❑
Is the system failing? (If yes, take pictures if possible) ❑ ❑ ❑
If system is failing, describe any exposures to people/animals or environmental risks.
Comment: See summary.
Page 4 of 4