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Home My WebLink AboutNC0086011_Regional Office Historical File Pre 2016North Carolina Department of Environmental Quality Pat McCrory Donald R. van der Vaart Governor Secretary November 16, 2015 Winston Salem/Forsyth County Utilities Division Attn: Ron Hargrove, Utilities Director P.O. Box 2511 Winston Salem, NC 27102-2511 Subject: Compliance Evaluatio nsp ctio s NPDES Permits: NCi}086011, Neilson WaterTreatrnentPlant NC0079 21, RA Thomas-WaterTreatmen PI nt Forsyth County Dear Mr. Hargrove: 1. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the Division) conducted compliance evaluation inspections (CEI) at the Neilson and RA Thomas water treatment plants on November 13, 2015. The assistance and cooperation of Bill Brewer, Rodney Darr, and Kenneth Atkins was greatly appreciated. Inspection reports are attached for your records and the inspection findings are summarized below. NCO086011, NEILSON WATER TREATMENT PLANT General The facility is located at 5725 Frye Bridge Road, in Winston Salem, Forsyth County, North Carolina. The facility is authorized to discharge wastewater from the treatment works through outfall 001 to an unnamed tributary (UT) of Muddy Cree�, this section of which is currently classified as Class C waters in the Yadkin Pee -Dee River basin. However, the wastewater treatment system does NOT discharge. All wastewater is recycled through two wastewater treatment lagoons and one of the raw water reservoirs. The wastewater is then treated through the potable water treatment system. The waste stream consists of backwash water from the water treatment system's filters and sludge from the water treatment system's sedimentation basins. Documentation & Monitoring Review 3. All required records were readily available, complete, and current. There are no DMRs for review. The plant currently has a waiver from submitting monthly DMRs because the plant recycles all wastewater and there is no discharge. The waiver is in effect until the plant begins discharging again. Site Review 4. Filter backwash wastewater is pumped to the easternmost raw water reservoir. Sedimentation basin blowdowns (sludge) go to one of three waste lagoons and decant from that sludge is then also pumped to the easternmost raw water reservoir. All wastewater is recycled through this process and then back through the potable water treatment system. As stated above, there is currently no discharge from the waste treatment system. Decanted and dried sludge from the waste lagoons is land disposed on the "Cooper Road Disposal Site", which is located a few miles from the water treatment plant. The site was very clean and no discrepancies or violations were noted. North Carolina Division of Water Resources, Winston-Salem Regional Office Location: 450 West Hanes Mill Road, Winston-Salem, North Carolina 27105 Phone: 336-776-98001 FAX: 336-776-97971 Customer Service;1-877-623-6748 Internet: www.ncwaterquality.org An Equal opportunity \ Affirmative Action Employer NC0079821, RA THOMAS WATER TREATMENT PLANT General 5. All required records were readily available, complete, and current. Discharge monitoring reports for 2015 were reviewed and no discrepancies were noted. Site Review 6. Filter backwash wastewater goes directly to the equalization basin, then to the clarifier. The treated effluent from the clarifier goes to a flume where it is measured and discharged, The sludge from the clarifier goes to the waste lagoons. Sedimentation basin blowdowns (sludge) go directly to the waste lagoons. Decant from the waste lagoons goes to the equalization basin, then to the clarifier. The effluent flow meter was last calibrated on September 16, 2015. 7. Please encourage your operators to continue their outstanding efforts in complying with all permit conditions. Should you have any questions, please feel free to contact Mr. Boone or me at (336) 776-9800. Sincerely, 4 "-r, 0 Sherri V. Knight Asst. Regional Supervisor Water Quality Regional Operations Division of Water Resources Attachments: 1. BIMS Inspection Reports cc: SWP — WSR� Central Files NPDES Unit City of Winston Salem Neilson Water Treatment Plant Attn: Rodney Darr 5725 Frye Bridge Road Clemmons, NC 27012 City of Winston Salem RA Thomas Water Treatment Plant Attn: Kenny Atkins 1201 South MLK Junior Drive Winston Salem, NC 27107 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 Fac Type 1 IN I 2 15 I 3 I NCO086011 I11 12 15/11/13 17 18 LCJ 19 I Gj 20I 21IIIIII IIIIIIIIIII.IIIIIII I IIIIII IIIIIIIIIII f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -------------Reserved----- 67 70 I 71 I. I 72 L ,,, 73 � 74 75I I I I I I I I80 LJ LJ 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) 09:00AM 15/11/13 09/09/01 Neilson WTP 5725 Frye Bridge Rd Exit Time/Date Permit Expiration Date Clemmons NC 27012 10:OOAM 15/11/13 14/06/30 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Rodney Clark Darr/ORC/336-766-9885/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Thomas David Johnson,PO Box 2511 Winston Salem NC 271079998//336-766-4272/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit. Operations & Maintenance Records/Reports Self -Monitoring Program Sludge Handling Disposal 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 Ron Boone WSRO WQ//336-776-9690/ 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 NCO086011 I� 12 15/11/13 17 18 ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Page# Permit: NCO086011 Owner - Facility: Neilson WTP Inspection Date: 11/13/2015 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 ❑ ❑ M ❑ 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? M ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: None Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? M ❑ ❑ ❑ Is all required information readily available, complete and current? 0 ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? M ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? M ❑ ❑ ❑ 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? `M ❑ ❑ ❑ 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 ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ 0 ❑ Comment: None Laboratory Yes No NA NE Are field parameters'performed by certified personnel or laboratory? 'M ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑ Page# 3 Permit: NCO086011 Inspection Dater 11/13/2015 Laboratory Owner - Facility: Neilson WTP Inspection Type: Compliance Evaluation # Is the facility using a contract lab? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? Comment: None 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: None Operations & Maintenance 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: None Yes No NA NE ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ M ❑ Yes No NA NE ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ❑ M ❑ Yes No NA NE ■ ❑ ❑ ❑ ❑ ■ ❑ ❑ Page# 4 A4 0 IF) North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Regional Operations Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director . Secretary October 27, 2014 Winston Salem/Forsyth County Utilities Division Attn: Ron Hargrove, Utilities Director P.O. Box 2511 Winston Salem, NC 27101 Subject: Compliance Evaluation Inspections NPDES Permits: NCO 08__ 6762, Swann Northwest) Water Treatment Plant -C- 8601:1, Neilson�WaterTreatf,, e Plant NCO079821, RA Thomas Water Treatment Plant Forsyth County Dear Mr. Hargrove: 1. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the Division) conducted compliance evaluation inspections (CEI) at the subject facilities on October 23, 2014. The assistance and cooperation of Bill Brewer and Kenneth Atkins was greatly appreciated. Inspection reports are attached for your records and the inspection findings are summarized below. N00086762, SWANN (NORTHWEST) DATER TREATMENT PLANT General 2. The facility is located at 2800 River Ridge. Road, in Winston Salem, Forsyth County, North Carolina. The facility is authorized to discharge wastewater from the treatment works through outfall 001 to an unnamed tributary (UT) of Bashavia Creek, which is currently classified as Class C waters in the Yadkin Pee -Dee River basin. The wastewater treatment system consists of one equalization basin and two settling lagoons with a sodium bisulfite dechlorination system. The waste stream consists of backwash water from the water treatment system's filters and sludge from the water treatment system's sedimentation basins. Documentation & monitoring Review 3. All required records were readily available, complete, and current.. Discharge monitoring records for 2013 and 2014 were reviewed and no discrepancies were noted. North Carolina Division of Water Resources, Winston-Salem Regional Office Location: 585 Waughtown St Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-46301 Customer Service;1-877-623-6748 Internet: www.nowaterquality.org An Equal Opportunity 1 Affirmative Action Employer _Site Review Filter backwash wastewater goes to the equalization basin, then to the lagoon(s), and is then discharged. The sedimentation basin blowdowns (sludge) go directly to the lagoons for settling and are then discharged. Wastewater is dechlorinated using sodium bisulfate before discharge. Decanted and dried sludge from the lagoons is land applied on site as authorized by Permit WQ0031314. The effluent flow meter was calibrated on 10/21/2014. The site was very clean and no discrepancies or violations were noted. NC0086011, NEILSON WATER TREATMENT PLANT General 5. The facility is located at 5725 Frye Bridge Road, in Winston Salem, Forsyth County, North Carolina. The facility is authorized to discharge wastewater from the treatment works through outfall 001 to an unnamed tributary (UT) of Muddy Creek, this section of which is currently classified as Class C waters in the Yadkin Pee -Dee River basin. However, the wastewater treatment system does NOT discharge. All wastewater is recycled through two wastewater treatment lagoons and one of the raw water reservoirs. The wastewater is then treated through the potable water treatment system. The waste stream consists of backwash water from the water treatment system's filters and sludge from the water treatment system's sedimentation basins. . Documentation & Monitoring' Review 6. All required records were readily available, complete, and, current. There are no DMRs for review. The plant currently has a waiver from submitting monthly DMRs because the plant recycles all wastewater and there is no discharge. The waiver is in effect until the plant begins discharging again. Site Review 7. Filter backwash wastewater is pumped to the easternmost raw water reservoir. Sedimentation basin blowdowns (sludge) go to one of three waste lagoons and decant from that sludge is then also pumped to the easternmost raw water reservoir. All wastewater is recycled through this process and then'back through the potable water treatment system. As stated above, there is currently no discharge from the waste treatment system. Decanted and dried sludge from the waste lagoons is land disposed on the "Cooper Road Disposal Site", which is' located a few miles from the water treatment plant. The site was very clean and no discrepancies or violations were noted. NC0079821, RA THOMAS WATER TREATMENT PLANT General 8. All required records were readily available, complete, and current. Discharge monitoring reports for 2013 and 2014 were reviewed and no discrepancies were noted. Site Review 9. Filter backwash wastewater goes directly to the equalization basin, then to the clarifier. The treated effluent from the clarifier goes to a flume where it is measured and discharged. The sludge from the clarifier goes to the waste lagoons. Sedimentation basin blowdowns (sludge) go directly to the waste. lagoons. Decant from the waste lagoons goes to the equalization basin, then to the clarifier. The effluent flow meter was calibrated on 9/23/2014. 10. Pleaseencourage your operators to continue their outstanding efforts in complying with all permit conditions. Should you have any questions, please feel free to contact Mr. Boone or me at (336) 771- 5000. Sincerely, W. Corey Basinger Regional Supervisor Water Quality Regional Operations Division of Water Resources Attachments: 1. BIMS Inspection Reports cc: "7SWF = WSRO Central Files NPDES Unit City of Winston Salem Swann Water Treatment Plant Attn: Bill Brewer 2800 River Ridge Road Pfafftown, NC 27040-8600 United States Environmental Protection Agency Form Approved.' EPA Washington, D.C.20460 OMB No. 2040;0057. Water Compliance,lnspection Report "° Approval expires8-31-98 Section A:'National Data System Coding'(i.e:, PCS) Transaction Code NPDES yr/mo/day, , Arisp6cfion Type inspector ' Fac Type 1 IN 1 2 15 1 3 I NC6086762 I11 12 14/1D/23 117 18,1 c I 19 I G I - 201 2111 I I I I I I I -1 I I 1 l l l l l 1 l l l l l l l l '1 I I I I I I I I 11I 1 I I f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----- Reserved--- — 67 70I_j .71 I j 72 L N 731 I 174 75 l_I 80 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 08:OOAM 14/10/23 12J03/01 P.W. Swann WTP River Ridge Rd Exit Time/Date Permit Expiration Date Winston Salem NC 27103 09:30AM 14/10/23 '14/01131 Name(s) of Onsite Representative(s)/Tifles(s)/Phone and Fax Number(s) Other Facility Data Harty E Hull/ORC/336-945-1179/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Bill Brewer,2800 River Rdg Rd Pfafftown NC 270408435//336-945-1179/ No Section C: ArAaS•Evaluated During Inspection (Check only those areas evaluated) ® Permit ® Flow Measurement ® Operations & Maintenance ® Records/Reports ® Self -Monitoring Program ® Sludge Handling Disposal ® Facility Site Review IN 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 Inspectors) Agency/Office/Phone and Fax Numbers Date Ron Boone WSRO WQ//336-771-4967/ 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 1 31 NCO086762 I11 12 14/10/23 17 18 ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Permit: NCO086762 Owner -Facility: P.W. Swann WTP Inspection Date: 10123/2014 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 ❑ ❑ 9 ❑ application? Is the facility as described in the permit? M ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ M ❑ ❑ Is access to the plant site restricted to the general public? ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? RM ❑ ❑ ❑ Comment: None Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? M ❑ ❑ ❑ Is all, required information readily available, complete and current? ❑ ' ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? IN ❑ ❑ ❑ 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? Rd ❑ ❑ ❑ 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? EN ❑ ❑ ❑ Is a Copy of the current NPDES permit available on site? 11 ❑ ❑ ❑ .. . Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ Comment: None Labora$oKy Yes No NA NE Are field parameters performed by certified personnel or laboratory? ® ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? ® ❑ ❑ ❑ Page# 3 f Permit: NCO086762 Owner -Facility: P.WSwann WTP Inspection Date: 10/23/2014 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE # Is the facility using a contract lab? 19 ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ❑ M Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ 19 ❑ Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? ❑ ❑ M ❑ Comment: None Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ 0 ❑ Is sample collected below all treatment units? M ❑ ❑ ❑ Is proper volume collected? ❑ ❑ ❑ Is the tubing clean? ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ 0 ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type R ❑ ❑ ❑ representative)? Comment: None De -chlorination Yes No NA NE Type of system ? Liquid Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ ❑ ❑ Is storage appropriate for cylinders? ❑ ❑ 0 ❑ # Is de -chlorination substance stored away from chlorine containers? ® 0 ❑ ❑ Are the tablets the proper size and type? ❑ ❑ 0 ❑ Comment: None Are tablet de -chlorinators operational? ❑ ❑ ❑ Number of tubes in use? Comment: System is liquid Sodium Bisulfite. Flog Measurement - Effluent Yes No NA NE # Is flow meter used for reporting?M ❑ ❑ ❑ Is flow meter calibrated annually? M ❑ ❑ ❑ , Is the flow meter operational? ® ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ® ❑ Page# 4 Permit: NCO086762 Owner -Facility: P.W. Swann WrP Inspection Date: 10/23/2014 InspectionType: Compliance Evaluation Flow Measurement - Effluent Yes No NA NE Comment: None Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ® ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? M ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ IN ❑ Comment: None 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 9 ❑ ❑ ❑. Solids, pH, DO, Sludge Judge, and otherthat'are applicable? Comment: None Page# 5 United States Environmental Protection Agency Form Approved. /� EPA Washington, D.C.20460 OMB No. 2040-0057 ` Water Compliance Inspection Report Approval expires 6-31-98 Section A: National Data System• Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type IN I 2 15 I 3-1 NC0086011 -111 12 14/10/23 17 181,, I 19 1 G I 20 I I 211 I I I I I I I I I I I I j I I I I I I I I I I 1 -1 1 1 1 1 1 1 1 1 1 1 1�1 1 1 .1 1 166 I Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 67 70 71 U 72 I. N I 73 � 74 751 1 1 1 1 1 1 180 LJ 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 14M0/23 09/09/01 Neilson WTP Exit Time/Date Permit Expiration Date 5725 Frye Bridge Rd Clemmons NC 27012 11:00AM 14/10/23 14/06/30 Name(s) of Onsite Representative(s)[Tities(s)/Phone and Fax Number(s) Other Facility Data Rodney Clark Darr/ORC/336-766-9885/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted. Thomas David Johnson,PO Box 2511 Winston Salem NC 2710799981/336-76642721 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) ® Permit ® Flow Measurement ® Operations & Maintenance ,® Records/Reports ® Self -Monitoring Program ® Sludge Handling Disposal' Facility Site Review IN 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 Ron Boone WSRO WQ//336-7714967/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date • � ",ate-' �� ., �/i'. � � � EPA Form 3560-31fRev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type 1 31 NCO086011 I11 1211. 14/10/23 17 18 U C Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Permit: NCO086011 Owner -Facility: Neilson wTP Inspection Date: 10/23/2014 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted anew ❑ ❑ M ❑ application? Is the facility as described in the permit? M ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ W ❑ ❑ Is access to the plant site restricted to the general public? ❑ .❑ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: None 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? . M ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? ❑ ❑ 9 ❑ Is the chain -of -custody complete? ❑ ❑ 91 ❑ Dates, times and location of sampling ❑ Name of individual performing the sampling ❑ .Results of analysis and calibration ❑ Dates of analysisEl Name of person performing analyses ❑ Transported COCs ❑ Are DMRs complete: do they include all permit parameters? ❑ ❑ IE ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ W ❑ (If the facility is = or > 5 MGD permitted flow) Do they operate.24/7 with a certified operator ❑ ❑ ❑ 19 on each shift? Is the ORC visitation log available and current? M ❑ ❑ ❑ 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? IM ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ R ❑ Comment: Facility does not discharge. All wastewater is recycled. Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? ❑ ❑ ES ❑ Are all other parameters(excluding field parameters) performed by a certified lab? ❑ ❑ ® ❑ Page# 3 Permit: NCO086011 Owner -Facility: NeilsonWTP Inspection Date: 10/23/2014 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE # Is the facility using a contract lab? ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ M ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ IN ❑ Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? ❑ ❑ N ❑ Comment: Facility does not discharge. All wastewater is recycled. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ ❑ Is sample collected below all treatment units? ❑ ❑ M ❑ Is proper volume collected? ❑ ❑ RN ❑ Is the tubing clean? ❑ ❑ 11 ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ M ❑ Celsius)? Is the facility sampling performed as required' by the permit (frequency, sampling type ❑ ❑ M ❑ representative)? Comment: Facility does not discharge. All wastewater is recycled. Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? ❑ ❑ 0 ❑ Is flow meter calibrated annually? ❑ ❑ ® ❑ Is the flow meter operational? ❑ ❑ 99 ❑ (If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ® ❑ Comment: Facility does not discharge. All wastewater is recycled Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? M ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? M ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ R ❑ . Comment: None Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? H-1 ❑ ❑ ❑ Page# 4 Permit: N00086011 Owner -Facility: NeilsonWfP Inspection Date: 10/23/2014 Inspection Type: Compliance Evaluation Operations &Maintenance Yes No NA NE Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ® ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: None Page# 5 United States Environmental Protection Agency Form Approved. EPA Washington, D.C.2046Q OMB No. 2040-6057 . Water Compliance liance Inspection Report, Approval expires 8-31-98 Section A' National Data System Coding (i.e.; PCs) Transaction Code NPDES yr/mo/day llnipection.Type " `Inspector" FacType 1 IN 1 2 15 1 3 I NC0079621 111 12 14/10/23 17 18 i " i 19 Is "I 201 LJ 21111111 1111111111111111111111111 IIIIIIIIIII r6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved — 67 72 1 N 7374 75 70I I 71 li_LJ L 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) 11:00AM 14/10/23 09/09/01 RA Thomas WTP 1201 Martin Luther King J Exit Time/Date Permit Expiration Date Winston Salem NC 27107 12:OOPM 14/10/23 14/06/30 t Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Kenneth Craig Atkins/ORC/336-784-7597/ Name, Address of Responsible OfficiallTitle/Phone and Fax Number Contacted Edward Nathaniel Davis,PO Box 2511 Winston Salem NC 271079998//336-784-7597/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) ® Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program Sludge Handling Disposal 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 Ron Boone WSRO WQ//336-771-4967/ 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 1 31 NCOb79821 I11 12 14/10/23 17 18 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Permit: NCO079821 Owner - Facility: RA Thomas w'fP Inspection Date; 10/23/2014 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 ❑ ❑ IM ❑ application? Is the facility as described in the permit? 0 ❑ ❑ ❑ # 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: None`:. Laboratory Yes No NA NE Are feId paramefers performed by certified, personnel -or laboratory? . .., . ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? ® ❑ ❑ ❑ # Is the facility using a contract lab? M ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ❑ IM Celsius)? . Incubator.,.(Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ 19 ❑ Incubator-0301)) set to 20.0 degrees Celsius +/-1.0 degrees?:.:: ❑ ❑' Comment: None Effluent Sampling ;.Yes No °NA .NE . Is composite sampling flow proportional? ❑ ❑ .® ❑ Is sample collected below all treatment units? -0 ❑ ❑ ❑ Is proper volume • collected? •❑ . ❑ Is the tubing clean? ❑ ❑ . ® ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ . ❑ R ❑ Celsius)? Is the facility sampling performed as required. by the permit (frequency, sampling type ❑ ❑ ❑ representative)? Comment: None Record Keeping Yes No NA PIE • 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 DM Rs? ❑ ❑ ❑ Page# 3 Permit: NCO079821 Owner - Facility: RA Thomas WTP Inspection Date: 10123/2014 Inspection Type:_ Compliance Evaluation. Record Keeping Yes No NA NE Is the chain -of -custody complete? EM ❑ ❑ ❑ 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? M ❑ ❑ ❑ Has the facility, s ubm itted its annual compliance report to users and DWQ? ❑ ❑ M ❑ (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? M ❑ ❑ ❑ 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? :. ® ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? • ❑ .❑ ® ❑ Comment: None Flow Measurement - Effluent Yes No NA NE . # Is flow meter used for reporting? ® - ❑ • ❑ '❑ Is flow meter calibrated annually? ®,❑ . ❑ .❑ Is the flow meter operational? W ❑ ❑ ❑ (If units afe separated) Does the chart recorder match the flow meter? ❑ ❑ ® ❑ Comment: None De -chlorination "Yes No NA NE Type of system ? Liquid Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ ❑ ❑ Is storage. appropriate for cylinders? ❑- ❑ I _❑ # Is de -chlorination substance stored away from chlorine containers? 1] ❑ ❑ Are the tablets the proper size and type? ❑ ❑ .M ❑ Comment: None Are tablet de -chlorinators operational? ❑ ❑ M ❑ Page# 4 3 Permit: NC0079821 Owner - Facility: RSA Thomas V TP Inspection Date: 10123/2014 Inspection Type: Compliance Evaluation De -chlorination Yes No NA NE Number of tubes in use? Comment: None (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: None Operations & Maintenance 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: None Yes No NA NE ,1 ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ❑ M ❑ Yes No NA NE Ed ❑ ❑ ❑ 0 ❑ ❑ ❑ Page# 5 Water Polludon.'Control Sys,t,emt,bper " 096, ,fair r-be,_9i 1-m. N A _CA�CjSX9G,'-- 201, Mdifi g,Addidss',. zip Phone, ' tMAil"od4ppsg, -1, Azdsl Sighatafe. Pat ........ .... ................... 77, 'F()R[V-t,,".F'OR'-EA'CH TYII gio ui 'WW'TP: ul I I � , ''A0 i 1 094 ph- 11clil 'LAnil, App46064 - .................. ................................... ........ "Ch-at %6,(ORC) ` " l4q Work Abitb!�A u- -1 B44; Up Opprptorfn Apspouslkp,Cha>�gp, ORC) 42, Pf iift,--F,, 6 11 Name �— 0_'' Wee,- 04t, OT400jNupber_:; 771*71W9 �'0 SigAatufd'.t.' Ddfie Afail"fkv 6iem .;- " � '.:' "� ' I -arpre pr - ' " d peratortjq, espd and:wilI,abl e V the 0pnsib II - 1 addTailjfe(q"-Ool'so.result-in in Fax 1 2 8 99.,70 , 41 Phone, :82829G:�500 Sultc IN 4aye4wi' Fax 910'. 4 86,. 0701. 4 �Ofesoll!� F4'.663." 040, Aoi 63.f699 4 � 9 3, as w 'hing on " " t , "'Nv -n §i "q' at UT 58'S '# AVjhpffijjton :i8405 2945v s ' wgibli ino Tix.�,'ih44k J,' TWohi:,252A46.64gt Phofie";'I-M'796:7215 "P'h-o' - exii., -!4 fS " 9, J - 4740 g#i9k 380Barrett Eir, 6x.AO. ' Aiii: A 1179 1 s'4'1-6' 0 Plermii4: . . . . . . . . . . . . . . . . . . k .. . . . . . . . . . . . . . . . . ... . Ouk-vp Opergtorlu Respoq9lbjeJChprgc0 u Wti d v y e Woik,Phopj�ff: U ftfflc`�`t T" ['Q�a&[-Nuffibef., Slgpa,turq, the fneility rioted. I MIY.abide-BY,*- A 0a Z44;� g io` so: re#in, BickrlVp 0-pRe-taita 7 rin . R"pbnMbl6 ChArg6,(BUDRC-) PtWt NJ NA*i , �,lt Atqlt4s` OoTt" a-te-,Typ - uniber Wqrk,-,Ofi orip: #-7. i.k:.314> - 64`4;tql 0 7- Signature: �lgn ure: Eya"te", rakorin'ftesponisible C_harg_e for t-h'e,£acil'i'ty-,iioted,'I understand md.%i;ilfabide,6 die "G-015, and f`aiting to.' osa car?' ie"sult.in t cC . . . . . . . .................... lack up Operitur, iff Res 'p9mlbj�T 0 "'Y, c.c rgq4P, _xc E'Hnt M-Name: C6ftificatb-T P m Gr4d&,/-Nu 9_ignaiure; We: ,,_pejrpqy nsib!q Q T Ile f rifles n-s-p"erth'iniiIng t"o--the-re'spons I iV I i liti I os:ofihc-BUORCasscifbr6in -AN , GXjb,`-d9G_'kos�,an t 1-5 11 , �d tailingto do;§p,,,can rc!�ult)ry m il� �oF��r ators,c Icatioc lon r re ......... ............. ......... ,CX,Vo Operator,-!40ispo sj*e�,.Clfarge TbRQ F -Priht Niii Name: ,c �,e_rpl- I t,qatelype /.Gr�idelNu#ef :Wolrk-,.Pfi,one#:l 1paium. Date tb 4h i y", the` -' periai»ing 0,the res onsibi ii se-'rortili in. -0: d ..::.::::...........::„....::::::'.....::::.':::::..:a........ . . .......................... Revised t73-Z()i4`