NC0077763_Compliance Evaluation Inspection_20200616 (2)

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 u 3 I NCO077763 I11 121 20/06/15 I17 18I � I 19 I s I 201 I
211IIIII 111111III II III III1 I I IIIII IIIIIIIII II r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
67
1.0 701 I 71 I LI 72 I r Li I 71 I 74 79
LJ -1 I I I I I I I I I80
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)
08:55AM 20/06/15
15/09/01
Belmont WTP
301 N Tenth St
Exit Time/Date
Permit Expiration Date
Belmont NC 28012
09:10AM 20/06/15
20/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Joseph A Roy/ORC/704-901-2077/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Sandra M Craft,PO Box 431 Belmont NC 28012/ORC/704-825-5586/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement 0 Operations & Maintenar
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ori A Tuvia DWR/MRO WQ/704-663-1699/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W. Corey Basinger DWR/Division of Water Quality/704-235-2194/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
DocuSigned by:
e� 6/17/2020
A14CC681AF27425...
Page#

NPDES yr/mo/day Inspection Type
NCO077763 I11 12I 20/06/15 117 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Virtual inspections conducted due to the pandamic
Page#

Permit: NCO077763 Owner -Facility: Belmont WTP
Inspection Date: 06/15/2020 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
0
❑
❑
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
0
❑
❑
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment: The subject permit expires on 07/31/2020, permit renewal has been submitted. The permit
status has been changed to inactive since 6/13/2012
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: The facility had plugged the effluent pipe. Discharge has been diverted to the Belmont
WWTP (NPDES permit NC0021181). Alum residuals were not distributed during the year
2017.
Page# 3