WQ0003090_CEI_20201001

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Mr. William Doerfer, Town Manager
Town of Liberty
P.O. Box 1006
Liberty, North Carolina 27298
NORTH CAROLINA
Environmental Quality
September 30, 2020
Subject: Compliance Evaluation Inspection
Town of Liberty — Wastewater Surface Irrigation
Permit No. WQ0003090
Randolph County
Dear Mr. Doerfer:
On September 25, 2020, Caitlin Caudle and Patrick Mitchell performed a scheduled routine
compliance inspection. Tremaine Fike, ORC, and Scott Kidd, Director of Public Works, were
present during the inspection. A review of records, treatment works, and monitoring wells was
completed. The ORC was present during the entire inspection, and Scott Kidd was present during
the records review and review of treatment components. An inspection of the irrigation system
actively irrigating was not completed due to weather and vegetation removal, but staff has
requested notification before the next irrigation event to schedule a follow up visit.
Upon arrival, the ORC notified staff that a bypass at the chlorine contact chamber started at 9:15
AM and was ongoing. Ms. Caudle recorded the incident upon her return to the office. Please be
aware that bypass events are a violation of Permit Condition 111.12 which states that
diversion or bypassing of untreated or partially treated wastewater from the treatment
facilities is prohibited. At the time of inspection, the freeboard level of the 15-acre lagoon was
also out of compliance. This exceedance is a violation of Permit Condition 111.13, which states
that freeboard in the lagoon shall not be less than one and one half (1.5) feet at any time.
These violations will be addressed in separate correspondence from this office.
Based on the review of records, treatments system components, and monitoring wells during the
inspection, the facility was determined to be mostly compliant with the subject permit. The
following items of concerns were noted:
The current staff gauge for the 15-acre storage lagoon appeared to be inaccurate based on
the location of the berm and the freeboard marking. Per Permit Condition 111.14, the staff
gauge "shall have readily visible permanent markings at inch or tenth of a foot increments,
indicating the following elevations: maximum liquid level at the top of the temporary storage
volume; minimum liquid level at the bottom of the temporary liquid storage volume; and the
lowest point on top of the dam." Considering the consistent overflow issues, this office
requests that the lagoon marker be resurveyed to ensure its accuracy.
The access road to the chlorine contact is in disrepair. Per Permit Condition V.2, "the
Permittee shall inspect the wastewater treatment and irrigation facilities to prevent
D � North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office [ 450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
NOh �HCARO UHA
^^ •^ �ku^m I u�•i` r 336.776.9800

malfunctions, facility deterioration, and operator errors..." Please repair the access road as
soon as possible to prevent further deterioration of the road, and minimize the impact
to the lagoon liner.
As a reminder, Permit Condition IV.13 states that "the Permittee shall report to the Winston
Salem Regional Office, telephone number [phone], within 24 hours of first knowledge
of..." events that result in noncompliance with the subject permit. Please notify the Winston
Salem Regional office as soon as possible at first knowledge of a noncompliance event.
At the time of inspection, the flowmeter was recording over 2,000 GPM, which equates to a
daily average at the current flow rate at over 2,000,000 GPD. Daily flows of more than
1,000,000 GPD have been reported, and correspondence dated August 21, 2020 and
September 9, 2020 have addressed the exceedance of the permitted 550,000 GPD average
monthly limit. Please continue to closely monitor daily flows.
Please refer to the enclosed compliance inspection report for additional observations and
comments. If you have any questions regarding this notice, please contact Ms. Caudle or me at
the letterhead address or phone number, or by email at caitlin.caudle(a)-ncdenr.gov or
Ion. snider(a)ncdenr.gov.
Sincerely,
Docu S�igTned<by:
n. l t.iA.l�tf'
145B49B225C94BA...
Lon T. Snider, Regional Supervisor
Water Quality Regional Operations Section
Division of water Resources, NCDEQ-WSRO
enc: Compliance Inspection Report
cc: Randolph County Environmental Health — Electronic Copy
Tremaine Fike — Electronic Copy
WSRO Electronic Files
DWR Laserfiche File WQ0003090

Compliance Inspection Report
Permit: WQ0003090 Effective: 05/01/19 Expiration: 08/31/24 Owner : Town of Liberty
SOC: Effective: Expiration: Facility: Town of Liberty WWTF
County: Randolph 7187 E Highfill Ave
Region: Winston-Salem
Liberty NC 272981006
Contact Person: Sandra Dixon Title: Phone: [phone]
Directions to Facility:
System Classifications: SI,
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 09/25/2020
Primary Inspector: Caitlin Caudle
Secondary Inspector(s):
Certification:
Phone:
Entry Time 10:OOAM Exit Time: 12:OOPM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Treatment Flow Measurement -Effluent Treatment Flow Measurement -Influent Miscellaneous Questions
Treatment Flow Measurement -Water Treatment Treatment Barscreen
Use Records
Record Keeping Treatment Lagoons End Use -Irrigation
Treatment Influent Pump Station Treatment Disinfection Treatment Flow Measurement
Standby Power Wells
(See attachment summary)
Page 1 of 6

Permit: WQ0003090 Owner - Facility: Town of Liberty
Inspection Date: 09/25/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On September 25, 2020 staff Caitlin Caudle and Patrick Mitchell preformed an announced scheduled routine compliance
inspection. Tremaine Fike, ORC, and Scott Kidd, Director of Public Works, were present during the inspection. A review of
records, treatment works, and monitoring wells was completed. The ORC was present during the entire inspection, and
Scott Kidd was present during the records review and review of treatment works. A review of the irrigation system working
was not completed due to weather and vegetation removal.
Upon arrival ORC notified staff that a bypass at the chlorine contact chamber started at 9:15 AM and was ongoing. Caitlin
Caudle recorded the incident when returning to the office (#202002685). ORC provided the 2019 annual report during the
inspection. A sludge survey was completed September 26, 2019 per Permit Condition 1.1. The Residual Management Plan
was created August 17, 2017 and was not updated with the most recent sludge survey.
The influent flow meter was recording over 2,000 GPM, with the daily flow meter reporting over 3 MG per day average at the
current daily flow. Upon arrival the high water visual and audible alarms were working at the lift station after the bar screen.
When reviewing the bar screen, it was noted that the water level was very high, approximately six inches from the top of the
concrete containment wall. At the time of the inspection staff was not able to review the condition of the bar screen. Staff
was not able to review the chlorine contact chamber during normal operations as there was an ongoing bypass from the
chlorine contact chamber. Algal and scum mats were present on the sidewalls of the chlorine contact chamber. It was found
that effluent was seeping into the chlorine storage room, bathroom, and pump room. Effluent was flowing out of the doors
and around the building, eventually reaching surface water. A hole in the pump room floor, which ORC described as a drain,
was allowing effluent to flow into the pump room. Videos are available in WSRO digital files. A review of the chlorine contact
chamber during normal operations is needed. Staff was not able to review the effluent flow meter. All monitoring wells, but
monitoring well six, were reviewed and in good condition.
Staff discussed the following items during the inspection:
• ORC stated that screenings from bar screen are placed in a dumpster, and the dumpster is emptied every other
Wednesday.
• Staff requested that ORC monitor the lowland area below the lift station after the bar screen. Bypasses often occur at
this lift station and effluent flows into the lowland area. At the time of inspection it appeared there was water flowing towards
a closed culvert that leads directly to surface water. Photos are available in WSRO electronic files.
• ORC was reminded that irrigation equipment must be calibrated once per permit cycle, the last irrigation calibration was
completed on August 9, 2018.
• ORC was reminded that metered equipment must be calibrated annually. Calibration for the 2020 calendar year has not
been completed yet. The last calibration was completed November 11, 2019.
• Staff requested that a printed updated contact list be added to the Operations and Maintenance Plan.
• ORC stated that trees overhanging the irrigation field will be trimmed this coming winter.
• ORC stated that lime was applied July 28, 2020.
• ORC stated that the town has a contract with a local farmer to maintain the irrigation fields, including removing
vegetation in a timely manner (before grass is 2 ft tall) and managing the Johnson Grass in irrigation fields.
• Staff requested that ORC repair the access road leading to the chlorine contact chamber. ORC stated that gravel is on
site to repair ruts. The ruts are not an issue now, but if they worsen it could impact the lagoon liner.
• ORC stated that effluent parameters are sampled for at the end of the chlorine contact chamber by R&A Labs, ideally
when the irrigation system is actively working. Sampling events are scheduled weekly on Thursday. Staff requested that
ORC schedule sampling events based on weather forecast in order to get an accurate effluent sample. If it is not possible to
irrigate when collecting an effluent sample, ORC was asked to make a comment on the NDMR.
• ORC stated that the irrigation system has to be manually turned on. The system has an emergency shut off in the form
of a float in the chlorine storage container. If chlorine levels get to low the irrigation system will shut off.
• Staff requested that ORC notify WSRO when irrigation fields were cleared to schedule another inspection to review the
system in operation.
• Staff requested that ORC notify WSRO as soon as possible at first knowledge of a spill or bypass in the treatment
works.
Staff discussed ORC installing a new staff gauge that marks the point of overflow from the chlorine contact chamber
Page 2 of 6

Permit: WQ0003090 Owner - Facility: Town of Liberty
Inspection Date: 09/25/2020 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Type
Yes No NA NE
Single Family Drip
❑
Single Family Spray, LR
❑
Infiltration System
❑
Activated Sludge Drip, LR
❑
Recycle/Reuse
❑
Reuse (Quality)
❑
Activated Sludge Spray, HR
❑
Activated Sludge Spray, LR
❑
Lagoon Spray, LR
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? 0 ❑ ❑ ❑
Do all treatment units appear to be operational? (if no, note below.) 0 ❑ ❑ ❑
Comment:
Treatment Influent Pump Station
Yes No NA NE
Is the pump station free of bypass lines or structures?
0
❑ ❑ ❑
Is the general housekeeping acceptable?
❑ ❑ ❑
Are all pumps present?
❑ ❑ ❑
Are all pumps operable?
❑ ❑ ❑
Are floats/controls operable?
❑ ❑ ❑
Are audio and visual alarms available?
0
❑ ❑ ❑
Are audio and visual alarms operational?
❑ ❑ ❑
# Are SCADA/Telemetry alarms required?
❑
❑ ❑
Are SCADA/Telemetry available?
❑
❑ ❑
Are SCADA/Telemetry operational?
❑
❑ 0 ❑
Comment: Visual and audible hiqh water alarms were on durinq the inspection.
Treatment Flow Measurement -Influent
Yes No NA NE
Is flowmeter calibrated annually?
0
❑ ❑ ❑
Is flowmeter operating properly?
0
❑ ❑ ❑
Does flowmeter monitor continuously?
0
❑ ❑ ❑
Does flowmeter record flow?
0
❑ ❑ ❑
Does flowmeter appear to monitor accurately?
0
❑ ❑ ❑
Comment:
Treatment Flow Measurement -Water Use Records Yes No NA NE
Page 3 of 6

Permit: WQ0003090 Owner - Facility: Town of Liberty
Inspection Date: 09/25/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is water use metered?
Are the daily average values properly calculated?
Comment:
❑❑■❑
❑❑■❑
Treatment Flow Measurement -Effluent Yes No NA NE
Is flowmeter calibrated annually? ❑ ❑ ❑
Is flowmeter operating properly? ❑ ❑ ❑
Does flowmeter monitor continuously? ❑ ❑ ❑
Does flowmeter record flow? ❑ ❑ ❑
Does flowmeter appear to monitor accurately? ❑ ❑ ❑
Comment: Staff was not able to review effluent flow meter during the inspection because pump house was
floor was full of Dartiallv treated effluent.
Standby Power
Is automatically activated standby power available?
Is generator tested weekly by interrupting primary power source?
Is generator operable?
Does generator have adequate fuel?
Comment: Back up power is only at lift station
Treatment Barscreen
Is it free of excessive debris?
Is disposal of screenings in compliance?
Are the bars spaced properly?
Is the unit in good condition?
Comment: Influent flow was so hiah bar screen was comDlete
screen.
Treatment Disinfection
Is the system working?
Do the fecal coliform results indicate proper disinfection?
Is there adequate detention time (>=30 minutes)?
Is the system properly maintained?
If gas, does the cylinder storage appear safe?
Is the fan in the chlorine feed room and storage area operable?
Is the chlorinator accessible?
If tablets, are tablets present?
Are the tablets the proper size and type?
Is contact chamber free of sludge, solids, and growth?
If UV, are extra UV bulbs available?
Yes No NA NE
■❑❑❑
❑ ❑ ❑
Yes No NA NE
❑❑❑■
❑❑❑■
covered. could not evaluate the state of bar
Yes No NA NE
❑■❑❑
❑❑■❑
❑❑■❑
❑ ❑ ❑
❑❑■❑
❑❑■❑
❑0❑❑
❑❑■❑
Page 4 of 6

Permit: WQ0003090 Owner - Facility: Town of Liberty
Inspection Date: 09/25/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine
If UV, is the UV intensity adequate? ❑ ❑ 0 ❑
# Is it a dual feed system? ❑ 0 ❑ ❑
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)? ❑ ❑ 0 ❑
If yes, then is there a Risk Management Plan on site? ❑ ❑ 0 ❑
If yes, then what is the EPA twelve digit ID Number? (1000- - )
If yes, then when was the RMP last updated?
Comment: Scum mats were present on the side walls of the chlorine contact chamber. It was currently
overflowing.
Record Keeping
Yes No NA NE
Is a copy of current permit available?
❑ ❑ ❑
Are monitoring reports present: NDMR?
❑ ❑ ❑
NDAR?
❑ ❑ ❑
Are flow rates less than of permitted flow?
❑
❑ ❑
Are flow rates less than of permitted flow?
❑
❑ ❑
Are application rates adhered to?
❑ ❑ ❑
Is GW monitoring being conducted, if required (GW-59s submitted)?
❑ ❑ ❑
Are all samples analyzed for all required parameters?
❑ ❑ ❑
Are there any 2L GW quality violations?
❑
❑ ❑
Is GW-59A certification form completed for facility?
❑ ❑ ❑
Is effluent sampled for same parameters as GW?
❑
❑ ❑
Do effluent concentrations exceed GW standards?
❑ ❑ ❑
Are annual soil reports available?
❑ ❑ ❑
# Are PAN records required?
❑
❑ ❑
# Did last soil report indicate a need for lime?
❑ ❑ ❑
If so, has it been applied?
❑ ❑ ❑
Are operational logs present?
❑ ❑ ❑
Are lab sheets available for review?
❑ ❑ ❑
Do lab sheets support data reported on NDMR?
❑ ❑ ❑
Do lab sheets support data reported on GW-59s?
❑ ❑ ❑
Are Operational and Maintenance records present?
❑ ❑ ❑
Were Operational and Maintenance records complete?
❑ ❑ ❑
Has permittee been free of public complaints in last 12 months?
❑ ❑ ❑
Is a copy of the SOC readily available?
❑
❑ ❑
No treatment units bypassed since last inspection?
❑
❑ ❑
Comment: High flow events have occurred
End Use -Irrigation Yes No NA NE
Page 5 of 6

Permit: WQ0003090 Owner - Facility: Town of Liberty
Inspection Date: 09/25/2020 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Are buffers adequate?
0
❑ ❑ ❑
Is the cover crop type specified in permit?
❑
❑ 0 ❑
Is the crop cover acceptable?
0
❑ ❑ ❑
Is the site condition adequate?
❑
❑ ❑
Is the site free of runoff / ponding?
❑
❑ ❑
Is the acreage specified in the permit being utilized?
0
❑ ❑ ❑
Is the application equipment present?
0
❑ ❑ ❑
Is the application equipment operational?
0
❑ ❑ ❑
Is the disposal field free of limiting slopes?
0
❑ ❑ ❑
Is access restricted and/or signs posted during active site use?
0
❑ ❑ ❑
Are any supply wells within the CB?
❑
❑ 0 ❑
Are any supply wells within 250' of the CB?
❑
❑ 0 ❑
How close is the closest water supply well?
❑
❑ 0 ❑
Is municipal water available in the area?
❑
❑ 0 ❑
# Info only: Does the permit call for monitoring wells?
0
❑ ❑ ❑
Are GW monitoring wells located properly w/ respect to RB and CB?
❑
❑ ❑ ❑
Are GW monitoring wells properly constructed, including screened interval?
0
❑ ❑ ❑
Are monitoring wells damaged?
❑
0 ❑ ❑
Comment: A follow up visit will be done to review irrigation.
Page 6 of 6

North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Section
NON -DISCHARGE COMPLIANCE INSPECTION REPORT
WASTEWATER IRRIGATION
General Information
Facility Name: Liberty WWI
Permit No.: W00003090
Owner: William Doerfer
ORC Name: Tremaine Fil
Backup ORC:
Other Contact:
Location (address, gps or
County: Randolph_
Issuance Date: 05/01/2019
Expiration Date: 0813112024
Telephone No.: 336-215-8795
Telephone No.:
'Telephone
No.:
NC 27298
Reason for Inspection
® ROUTINE . ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ Other:
additional pages as
Submit permit renewal by March 4, 2024
�I igation equipment calibrated I st permit � llle ltsl o, do the measured application rates match recorded?
ibrated flow meters? (�f Dh1e .�jllj 5 V6 11 AN 11
Judge survey completed 18 di' ys after het new permit was issued (by Oct. 28, 2019)? G*I IW I R
residuals management plan? V6S $I -4-1 Zp 11
w immed trees from irrigation zones? on �radient run-off from irrigation?> }nvnvy� j 441
611s analysis. pH? Any lime applied? Q��ZY/�-0 Ltd d (dinA U fV1 a(
JVpgetation removed from lagoon liner c- 1 I
egetation in the spray fields? Johnson grass?_7 (\o} mowed yr.) Iwi 1j n�IC(kV) 5et
i gfA
Igh water alarm (visual and audible) at lift station.
ypmpling for Fecal and TJRC at the end of chlroine contact chamber when system is running? Ne j
o,Z019 Annual Report?
ention getting pH and TRC meter and field certification tvoid issues with R&A scheduled sampling
on rainy days ih k SLAB V 5(�LQ�•M U kjvw jlY10) Y a w ( G{
v4 call � 5A P t�l�v ri ave,r-A ow sr} s J
fS1cc �6Y uQda spilli�1at� Cots ac(S .tn O+l PI&O
mW qx 44m �b t004 oh YVA Ob cOMO UNM19-rr, Ic+r e hOl e S
W(A splas ij)ed b 00n w\\t^ \Ietk cave 4Mr"
mA b 6 P
(IG oy o wA •-Gw lr -� Vjo wo Ya5 before 1A5 �Jo �04 M (&bove-
n1�l.t r �Gd) vvi et+e.
O\� s d�lle CW AW V�s"A WV'" ")S A Al� carp i e
�
Pi( Ok► ' �GtL-�- UYO 9 ISo, S url-
Is a follow-up inspection necessa� es ❑ No , a ; A A lori
Primary Inspector: Caitlin Caudle
Date of Inspection: 09/2512020
Secondary
Patrick Mitchell
Entry Time: J6 -1 0 36 Exit Time: It_, 0-s

Non -Discharge Compliance Inspection Report
Record Keeping and Reporting Information
Y /
N
NA
NE
Is current permit available upon request?
V
❑
❑
❑
Has the facility been free of public complaints for the last 12 months?
N
❑
❑
❑
Are maintenance and inspection logs present (date & time of inspections, visual observations,
any maintenance (adjustments, cleanings, equip changes) or repairs taken)?
❑❑
❑
Are weekly freeboard records present? Deily
❑❑
❑
Are irrigation tracking records present (date, weather, volume, length time, field N,
Hydraulic loading, nutrient loading, other)?
9
❑
❑
❑
Has irrigation equipment been calibrated (once/permit cycle) & records present?
❑
]Z711
❑
❑
Are records present for residuals removal (date, volume, Residual Hauler �Name,
/
Name/permit of the receivingpartyorletterfrom Municipality)? bf"6w't ea.
�-�/
L�
El❑
❑
Is an Operation & Maintenance Plan, and Spill Plan present?
[] j
❑
❑
❑
Are appropriate grade ORC & Backup ORC designated? Up to date on CE?
©'
❑
❑
❑
Effluent Monitories
Were effluent monitoring reports present? ® NDMR ® NDAR ❑ NDMLR
El'
❑
❑
❑
Are flow rates less than permitted flow? Permitted Flow: 550,000 GPD
❑
N
❑
❑
Are application rates adhered to? Permitted Rate: 0.21 inthr, 52 inyr
N�,/
❑
El
El
Are lab sheets available for review and support monitoring reports?
L'�
❑
❑
❑
Are samples analyzed for the required parameters (See permit)?
N
❑
❑
❑
Effluent concentrations do NOT exceed permit limits or 2L GW standards? Feral mc�ntw
N
❑
❑
❑
If required, are PAN records present and complete?
❑
❑
®
❑
Groundwater Monitoring:
Is groundwater monitoring required?
®�
❑
Were GW-59's and lab results present?
t[�
❑
❑
❑
Were samples analyzed for the required parameters (See permit)?
N
❑
❑
❑
Observed records indicate no 2L GW quality violations?
N
❑
❑
❑
Soil Analysis:
Were annual soil analyses results present for each irrigation field?
El
El
ElIf
lime was called for on the Agronomist report, was lime applied?
[�
❑
❑
❑
Copper and Zinc indices: ❑ < 2,000 ❑ 2,000 — 3,000 ❑ >3,000
Was Sodium less than 0.5 meq/100 cm' ?
❑❑
❑
EJ
Was Exchangeable Sodium Percentage (ESP) less than 15% ?
❑
❑❑
Influent Pump Station(s) Description: 3 1,085 GPM pumps with 1,000 linear fl force main
l] pumps present, operational
Y
/
N
NA
❑❑
NE
F operable
�7//�
1:1Floats/Controls
Audio & Visual Alarms Operational
YI
❑
❑
❑
Free of bypass lines or structures
El
El
1:1
General housekeeping good
10'
❑
❑
❑
Back-up power available, routinely tested & fueled? w w
q"
❑
❑
❑
Treatment Bar Screen Description: present
y
N
NA
NE
Are bars spaced properly & free of excess debris?
❑ r '❑
❑
,QC]
e
Are screenings disposed of properly?
[r
❑
❑
❑
Is unit in good condition (excess corrosion)?
❑
❑
❑
�]
f❑
Is aeration present?
❑
Are pumps perational?
❑
❑
❑
❑
I m good general condition?
❑
❑
❑
❑
Page 2 of 4

Non -Discharge Compliance Inspection Report
Aeration mecTia`nismroperable-&-accessible9
❑�❑
_.
❑
❑
Aeration basin thoroughly mixed t _
❑
❑
❑
Settleometer & dissolved oxygera.results acceptable'?
� _,,_
❑
Is sludge anacceptablecolor?
❑
❑
❑❑._
❑
Residual Storage/Treatment
Y
N
NA
NE
® Lagoon ❑ Basin ❑ Septic Tank Capacity (gallons):
as days, to acre
If Septic Tank, is a sanitary T or filter present?
❑
❑
❑
How often are residuals pumped? iP�
Treatment Filter(s) Description:
Y
N
NA
NE
-la-unit. accessiblefor review i.e. inspection port or not subsurface)?
❑
11
Is the filter media present, correct size &type? _ _—
---�
❑
❑
Is mud well free of excess solids and filter media?w
❑
❑
❑
Is media free of ponding, algae.or-excegs vegetation?
❑
❑
Is cl� well-wellexcess solids and filter media?
❑
❑
El
El
Does backwashing/air scour frequency appear adequate?
❑
❑
❑
❑
�renrl+Menil�lie�i!'wae eRrultstbi
WP;ra 1Pve1 free of e ces sive solids & algae?
11t
❑
!•l
❑
I�k4
❑
l�iE
❑
Scum removal system operationa an accessi dgo4eve
❑
❑
❑
Sludge blanket at acceptable level? ess o t e sidewall)
❑
❑
❑
Clarifier of excessive solids?
❑
❑
❑
Treatment Disinfection Description: chlorination, flow proportional liquid teed
Type: ❑ Tablets ❑ Gas ® Liquid ❑ UV
Y
N
N
Is the system properly maintained and working?
❑N
❑A
Fecal coliform results indicate proper disinfection?
[�
❑
❑
*dequate detention time (> 30 minutes)? (y(yt YAtYj �5? IT
❑
k
❑
❑
If tablets, proper size & type?
❑
1K
❑
Present in Cylinder(s)?
❑
❑
V1
❑
If UV bulbs, are replacement bulbs on hand?
❑
❑
4's contact chamber free of aludge, solids and gro h?
AI�W*SWW1 Vl COS VY'fS-Mt oh 5 icif wal13
❑
❑
Flow Me urement
Flowmeter location: Kinfluent ❑ Effluent
Y
N
NA
NE
Is flowmeter calibrated annually (design flow > 10,000 gpd)? 01 17-119 )
I
❑
❑
ElIs
flowmeter operating properly? Calibration records present (w/in 10%)?
V
El
El
Does flowmeter record flow?
20'
❑
❑
❑
If no flowmeter (<10,000 gpd), are water -use records available (water meter)?
❑�
El
❑
Are the daily average values properly calculated?
lid/
'
❑
❑
Treatment Y N NA NE
Are treatment facilities consistent with those outlined in permit?
Do all treatment units appear to be operational? If no, note below. ❑ ❑ ❑
List any items/units):
Page 3 of 4

mQaS>Are baarcl'' o►k Coy l ocI Mam
gS� head OR [01 owl Shes Con J�C Gham �
�>tih�`I Non- tscharge Compliance Inspection Report
l R o" AowSsays
Effluent Storage ,ryy
®Lagoon(s) ❑ Above ground tank(s) El Underground tank(s) ❑Other: �1 1
Amount of Storage (days, months, gallons, etc.): ss days 1 1
Q I V15
Muent Storage Lagoon(s) ❑ Primary ❑ Secondary Y N NA
Influent structure(s) free of obstructions? ❑ ❑
No signs of seepage, overtopping, down cutting or erosion on embankments? - ❑
Proper vegetation type w/ no excessive vegetation present on embankments? ❑
Liner (if visible, is it intact)? `n ` Q ❑
Baffles/curtains in good condition? �,''aa� p p �(�Oi�Lt ❑
Freeboard is V4 feet from overtopping? Measuri�i i h1Vic oi, ispection: ❑ 6
Staff gauge is clearly marked? J ❑ ❑
No evidence of overflow (vegetation discolored or laying down/broken)? ❑
No unusual color (very black, textile colors)? / ❑
No Foam present? Are antifoam agents used? ❑ Yes ❑ No L.L}/ e�— ❑
No floating mats (sludge, plants, inorganics)? J -- ❑
No signs of excessive solids buildup (from bottom)? [� k
Aerators/mixers operational (if present)? El
Effluent structure is free of obstructions and easily accessible? r� ❑ ❑
4A&'-e ( S
I,l Pn01l�vl
NE 1/
Effluent Pump station Description: 1,830 vertical diffusion vane irrigation pump Y N NA N
All pumps present, operational ❑ ❑ ❑
Floats/Controls operable out off float swir�only, manual ons�u� ❑ � ❑
Audio & Visual Alarms Operational ❑ ❑
�ree of bypass lines or structuressu'Y k 6vSVA XOS El❑ ❑
f required, is a rain sensor present anoperational i\p t r AU,"U M -1 f J) Uvk El ❑
,4General housekeeping good W 0 k/r 5 aP n %1 p cm k oy K fp om ( ❑ � ❑ ❑
Back-up power h*MDM.4 T ( 01V( ❑ ❑ ❑
End Use -Irrigation Number of Fields: a Y N NA NE
Are buffers adequate? �[_,/ ❑ ❑ ❑
'Are cover crops the type specified in permit and/or in god 9 dQition? u,� ❑ ❑
No signs of runoff, pending, or drift? 5 U �►,tQ� O�V1SU/I ❑ ❑❑ ❑❑§.
Is the acreage specified in the permit being utilized? ttnn5 / yy1(N�/
Is the application equipment present, operational, and in good condrttony? A� t u ❑ ❑ ❑
No limiting slopes present in irrigation fields? /
Is site access restricted and/or signs posted in accordance with permit? ❑ ❑ ❑
No water supply wells within the CB?---- ❑X El El El
No water supply wells within 250' of the CB? [� ❑ ❑ ❑
Is permit being followed? ❑ ❑ ❑
Groundwater Monitoring Wells
Y N
NA
NE
Does the permit require monitoring wells? Ifso, answer the following.
® ❑
Are the monitoring wells properly installed according to the permit?
❑
❑
❑
Are the monitoring wells located properly w/ respect to RB & CB?
❑
❑
❑
Are the wells properly identified & free of damage?
❑
❑
❑
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