NCG550293_Compliance Evaluation Inspection_20201201

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Mr. John Kallam
181 Meadowood Road
Eden, NC 27288
NORTH CAROLINA
Environmental Quality
December 1, 2020
Subject: General Wastewater Permit Inspection
181 Meadowood Road
Certificate of Coverage # NCG550293
Rockingham County
Dear Mr. Kallam:
On October 21, 2020, Gary Hudson of this office performed a Compliance Evaluation
Inspection on the wastewater treatment system at 181 Meadowood Road, Eden, NC.
Observations indicated that the subsurface sand filter was operating properly. There was
no evidence of a discharge during the inspection. Please note some of the activities that
must be conducted and documented, in addition to the laboratory analyses required if the
system discharges:
Please be aware that the Permit requires that the septic tank contents be pumped
out every five years to prevent solids from clogging the sandfilter system.
The tablet chlorinator should be inspected weekly to ensure there is an adequate
supply of tablets for continuous operation. Be sure to order more tablets and
replace them often enough to ensure continuous disinfection.
If you have any questions concerning this letter, please contact Gary Hudson at (336)
776-9694.
Sincerely,
Ior
D''ocuSiiggned bby:
i/1 lVH&Y `Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: Laserfiche
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 r H CAROI.IN/+
^^ •^^ma^� u�•i` r 336.776.9800

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 2 u 3 I NCG550293 111 121 20/10/21 I17 18 I C I 19 I s I 20L]
21111I I I 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 r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
67
I 72 I ni I 73 � I 74 79 I I I I I I I80
70 I I 71 I LL -1 I I
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 Dermit Number)
11:30AM 20/10/21
19/10/28
181 Meadowood Road
181 Meadowood Rd
Exit Time/Date
Permit Expiration Date
Eden NC 27288
11:45AM 20/10/21
20/10/31
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
John G Kallam,181 Meadowood Rd Eden NC 27288H336-623-5351/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
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 DWR/Division of Water Qua Iity/336-776-9694/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
- '? SMeicc 12/1/2020
FL
'--- 145B49E225C94EA...
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
NCG550293 I11 12I 20/10/21 117 18 i c i
(Cont.)
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On October 21, 2020, Gary Hudson of this office performed a Compliance Evaluation Inspection on the
wastewater treatment system at 181 Meadowood Road, Eden, NC. Observations indicated that the
subsurface sand filter was operating properly. There was no evidence of a discharge during the
inspection. Please note some of the activities that must be conducted and documented, in addition to
the laboratory analyses required if the system discharges:
• Please be aware that the Permit requires that the septic tank contents be pumped out every five
years to prevent solids from clogging the sandfilter system.
• The tablet chlorinator should be inspected weekly to ensure there is an adequate supply of tablets
for continuous operation. Be sure to order more tablets and replace them often enough to ensure
continuous disinfection.
Page#

Permit: NCG550293
Inspection Date: 10/21/2020
Other
Comment:
Owner - Facility: 181 Meadowood Road
Inspection Type: Compliance Evaluation
Yes No NA NE
Page#