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Home My WebLink AboutNCG551238_Regional Office E-File Scan Up To 12/31/2020SAMPLE: Jewel King #Kace PERMIT #: ADDRESS: 5 PINANCOD PLAYA 4R S. NORTH CAROLINA 2853C7 (828) 396-4444 COLLECTION DATE: COLLECTION TIME: RECEIVED DATE RECEIVED TIME: REPORTED: 2/28/2017 10:15 2/28/2017 11:26 3/9/2017 ANALYSIS ANALYSIS RESULTS UNITS DATE ANALYST BOD 18.4 mg/L 3/1/17 jdg TSS 6.8 mg/L 3/1/17 jrg Fecal Col form <1 /100mL 2/28/17 jrg LOG ID: 1702-445 REPORTED BY: NC CERTIFIED LAB # 50 tar Tony Gragg, Lab Srpervisor KACE ENVIRONMENTAL, INC. 2905 Wood Road Mooresboro, NC 28114 828-657-1810 Mrs J Maurice King PO Box 1324 Husking Blanch Road Old Fort, NC 28762 INVOICE Date Invoice # 3/15/2017 14938 P.O. No. Terms Due Date 2.28.17 3/25/2017 Quantity Description Rate Amount 1 BOD - 5 Day 24.30 24.30 1 Total Suspended Solids 14.00 14.00 1 Fecal Coliform 27.00 27.00 1 Sampling/Courier Service 40.00 40.00 Sales Tax - Standard 6.75% 0.00 Thank you for allowing us to be of service to you. 1.5% fee per month added after 30 days late. Invoice $105.30 Total Customer Balance $105.30 Total Section A: National Data System Coding (i.e., PCS) Approval expires 8-31-98 OMB No. 2040-0057 Form Approved.Washington, D.C. 20460 United States Environmental Protection Agency EPA Water Compliance Inspection Report 03/10/10 Permit Effective Date 07/07/31 Permit Expiration Date J Maurice King - SFR Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include POTW name and NPDES permit Number) Entry Time/Date Exit Time/Date Other Facility Data Twin Lakes Dr Old Fort NC 28762 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) 01:35 PM 01:42 PM /// 05/09/19 05/09/19 N Section B: Facility Data 67 69 70 71 72 73 74 75 80 NCG551238 S NPDES yr/mo/day Inspection Type InspectorTransaction Code N Fac Type Remarks Inspection Work Days QAB1Facility Self-Monitoring Evaluation Rating C512311121718 19 20 21 66 ---------------------------Reserved----------------------- 05/09/19 Operations & Maintenance Facility Site Review J Maurice King,PO Box 1324 Old Fort NC 28762//828-724-3904/ Name, Address of Responsible Official/Title/Phone and Fax Number Yes Contacted Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) DateAgency/Office/Phone and Fax NumbersName(s) and Signature(s) of Inspector(s) ARO WQ//828-296-4500 Ext.4658/Larry Frost ARO WQ//828-296-4500 Ext.4660/Keith Haynes 828-296-4500 Ext.4656/Roger C Edwards EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date 05/09/19NCG551238 NPDES yr/mo/day Inspection Type C311121718 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) 1 The system appears to be well maintained and operating properly. Compliance Evaluation J Maurice King - SFR 09/19/2005 NCG551238 Inspection Type: Owner - Facility: Inspection Date: Permit: Yes No NA NEOperations & 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: Yes No NA NEDisinfection-Tablet Are tablet chlorinators operational? Are the tablets the proper size and type? 2Number of tubes in use? Is the level of chlorine residual acceptable? Is the contact chamber free of growth, or sludge buildup? Is there chlorine residual prior to de-chlorination? Comment: EPA United States Environmental Protection Agency Washington, D.C. 20460 Water Compliance Inspection Report Form Approved. OMB No. 2040-0057 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 N 52 NCG551238 17/02/23 C S31112171819 20 21 66 Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved------------------- N67707172 73 74 75 80 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include POTW name and NPDES permit Number) 377 Huskins Branch Road 377 Huskins Branch Rd Marion NC 28752 Entry Time/Date Permit Effective Date Exit Time/Date Permit Expiration Date 04:40PM 17/02/23 13/08/01 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) /// Other Facility Data 05:15PM 17/02/23 18/07/31 Name, Address of Responsible Official/Title/Phone and Fax Number J Maurice King,PO Box 1324 Old Fort NC 28762//828-724-3904/Contacted Yes Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Operations & Maintenance Self-Monitoring Program Facility Site Review Effluent/Receiving Waters 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 Daniel J Boss ARO WQ//828-296-4658/ 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#1 NPDES yr/mo/day 17/02/23 Inspection Type C3111218 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) I (Dan Boss) conducted a Compliance Evaluation Inspection at 377 Huskins Branch Road on 2/23/2017. The owner, Jewell King, was present for the duration of the inspection. The septic system has been pumped in 2016. Prior to that the last pumping was in 2011. I told Ms. King that she should probably have the system pumped more frequently since there are 3 people living at the home full time. My suggestion was that she have it pumped every 3 years. There were tablets in both the chlorination and dechlorination tubes of the right size and type. I suggested that fewer tablets be placed in the tubes at a time because they were starting to form a mushy mass at the bottom. When Ms. King removed and replaced the dechlorination tubes from the holders, it caused a slight slurry discharge of dechlorination material. The effluent pipe was consistently discharging during the inspection. The effluent was clear except for when the dechlorination material was agitated. No water quality impacts on the stream were observed. Ms. King was not clear about the annual sampling requirements, although she had the effluent tested consistently before 2014. She said she would begin sampling again and plans to use Kace Environmental for the testing as she had in the past. NCG551238 17 (Cont.) Page#2 Permit:NCG551238 Inspection Date:02/23/2017 Owner - Facility: Inspection Type: 377 Huskins Branch Road Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new application? Is the facility as described in the permit? # 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: 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 Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: Septic Tank Yes No NA NE (If pumps are used) Is an audible and visual alarm operational? Is septic tank pumped on a schedule? Are pumps or syphons operating properly? Are high and low water alarms operating properly? Septic tank was pumped in 2011 and then 2016. I recommended pumping the tank more frequently. Comment: Sand Filters (Low rate)Yes No NA NE (If pumps are used) Is an audible and visible alarm Present and operational? Is the distribution box level and watertight? Is sand filter free of ponding? Is the sand filter effluent re-circulated at a valid ratio? # Is the sand filter surface free of algae or excessive vegetation? # Is the sand filter effluent re-circulated at a valid ratio? (Approximately 3 to 1) Comment: Disinfection-Tablet Yes No NA NE Are tablet chlorinators operational? Are the tablets the proper size and type? Page#3 Permit:NCG551238 Inspection Date:02/23/2017 Owner - Facility: Inspection Type: 377 Huskins Branch Road Compliance Evaluation Disinfection-Tablet Yes No NA NE Number of tubes in use?2 Is the level of chlorine residual acceptable? Is the contact chamber free of growth, or sludge buildup? Is there chlorine residual prior to de-chlorination? Comment: De-chlorination Yes No NA NE Type of system ?Tablet Is the feed ratio proportional to chlorine amount (1 to 1)? Is storage appropriate for cylinders? # Is de-chlorination substance stored away from chlorine containers? Comment: Are the tablets the proper size and type? Are tablet de-chlorinators operational? Number of tubes in use?2 Comment: Effluent Sampling Yes No NA NE Is composite sampling flow proportional? Is sample collected below all treatment units? 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 Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type representative)? Effluent needs to be sampled and lab tested.Comment: 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? If effluent (diffuser pipes are required) are they operating properly? Comment: Page#4 E TIC TA . oE SER! 543 N4:0.-givit `8 944 • Cat Air Y if rile I I. R. BINS Nora- ‘HoporEm.6 SEAYICE RAIN Location: .4 ' J ✓1 k t.#1 McDowell Mitchell Yancey gcnhit To: ("mint} County �c. t) ) 28) 765 289 N. MitchCt1 Ave., Bakersville, TO: Office Phone: 28705 Job Site Phone: ,----s--�'� the work herein pc� - - alteration, or deviation from •additional charges, causedActs of cpod( ` guaranteed ��s specified. Any pipes, delays by , done and upon s customer responsible for damage to defectiveP P . i � approval. ��e are not resp - indicated below �s will only upon n apprc. equipment, and/or materials as -'e .control. Estimate for labor, equip weather, ter oti�er situations beyond our . requested - work authorized by: Proposal accepted - work l't r l 11 Date Charge' Basic Trip Charge S (Da3 Drain Cleaning $ / Plumbing Labor Materials / Permits Equipment Costs Excavation Sunday / Night /,Holiday (ift, 'J<thvther 3c41 Senior 'Viscount Coupon I An. .ouni Due Upon Completion. Z C: f% MI NS MI NM MN NM UMW MIN ME PAYMENT TERMS Payment in full is due upon completion unless billing�.�p approval has been obtained from O -a_.Office. c.. if court action results form of non-payment, whether by credit default or bad check, the business and/orby ..p�.r�on rc�rc.ser�t�d �� rc��r�n � g_.,ff�r �al� a.ttc:jrneyr fec a��l cc�.rt cosys.This approving ��n�� 1nvoi.CC shall lac• deemed a lc�Tat binding contract C,�,�, and is under thelurisdiction��nd.. ��ur-ltres of.�cDc�wll ��it �- of the Stat� Mitchell or Yancey, and the place of venue a • �be.�a��c. sl�a�l McDowell, Mitchell or c e F County, Nord WORK HAS BEEN COMPLETED TO MY SATISFACTION MEM L Retainer accepted (cash/check/cc/billing) Arrival Time Departure TimeGLIA >--�- NM ?AI* 40St NMI MIN =II 111111111 fit.,, Excludingmaterials or fixtures by customer, RotoJ?ooter''° :uarl:-.7903tees workmanshirp and parts for daii This guarantee does not cover stoppages caused by &rase, objects, s ra in I design changes, or subsequent to drain lines. Then? can be NO GGUARANTEE on drain ' ,ies `th et: accessible forRoto-.hooter ma um a NM NIS MIN Custotner Sinature: ' 4sit ir 11 • '1. *4 4 ,1/4 11/4 v r sop , . '44 e- Ordevir" ' /11 AvAk AmaikAitt 1:1 i .� ar"''"',„deli 4 ge tig t• si aft X • rl vow Mat 1111111 aft v C CC c • 4t Environmental Testing Solutions, Inc. Project name: Collection date: Date received: ,Jewel King Certificate of Analysis 14-Dec-10 14-Dec-10 Sample identification: Effluent - Grab PC) Box 7565 . Asheville NC 2XO2 Phone: (828) 35 - 3 4 Fax: (828) 35 -93 8 Project number: 101214.515 Sample number: 78482 Parameter Method Result RL Units date Analyst Footnotes Analyzed BOD, 5 day Solids, Total Suspended Bacteria, Fecal Co l iform SM 5210 B SM 2540 D SM 9222 D 19 2.0 mg/L 5.2 5.0 mg/L <1 1 col/loom' 15-Dec-10 15-Dec-10 14-Dec- l 0 BLS BLS CDJ Footnotes: RL =- Reporting Limit, Values are reported down to the Reporting -J p � Limit only. Date reviewed: /A.a?../0 Data reviewed b Ke1Ir 1~;. Kerna -� Si y n NC ( `et-ti xi��ttc�rt Number: ien**-./ cniber: �,0 SC Certification ratio NC Drinking a Certification , , n Number: 9%53 �t,4 report :� stirs f, 4 g W atc, r C ert i t !cation Number: �, t st. l�,s,. raw xt' t.�tTl�`�r� �� l ��.�:� c.':��;��t in it!) k'ntitctv„ l ho uce(i x tree; report without thc. written consent �'> c.port reline only to the > utt� ltt�it. i-i. tal ; �; �atitl�l�:� submitted ld�t � + it�tl� �1lt;�lN 1t_y. �. kitiow) Trt,� • Environmental Testing Solutions, Inc .410 Project name: Collection date: Date received: : Jewel King Certificate of Analysis 28-A q-12 28-Aug-12 Sample identification: Effluent - Grab A. h.cv 1l . NC Phone: (828) 3 Pay 828) 35 Project number: Sample number: 120828.525 99078 Parameter Method Result Date .Anal st Footnotes RL Units Analyzed Y BOD. 5 day Solids, Total Suspended Bacteria. Fecal Coliform SM 5210 B SM 2540 D SM 9222 I) >68 150 <1 2.0 mg/L 29-Aug-12 5.0 mg/L 29-Aug-12 1 co1/100m1 28-Aug-12 MHF MHF MHF I f - otnos : L Reporting Limit. Values arereported reported dawn to the Reporting g muchSample depleted too � ,�, Limit only. Oxygen. Result d is reported � a greaten than value. J.tau review , Data eviewed by: r Signature:. 09-UN_/ Z N(.: (.'ertitication Number: ScC. ertit cati l Number: ater t.'ertifi atk) , Number: _ 7 r KACE ENVi.R(1\ 2905 Wood Rd Mooresboro, NC 281.14 Mrs. Jewel King PO Box 1324 Old Fort, NC 28762 ME..Nr October 11, 2013 he .:fll0' "t Al,, 1)\( 2SX01, Phone (2) 657-1 r l {J I 'ix (828) 657-4664 Your wastewater system, located on Husking Branch Road in Old Fort, NC 28762, was monitored in accordance with the requirements as set forth by your General Operating Permit. Details are below. Date of monitoring and sample collection: 9/26/2013 The results were as follows: Flow: 0.0001 BOD: 7.5 TSS: 10.0 Fecal: 134 Total Residual Chlorine: 39 This monitoring was completed by : Ken Deaver , v•Li , . -_ .0.,., ;'.'s4- :,•;,1-!4,. ,'.,1.; 11.1V-gl:- ' i1t'.•.14," '.', .---7.7 7•,•.a''1.'4t.'.," g3. .4.,.k. *: :' ... ,t-c..I• ;- .',.. ;-'.- '-!"4-, i: ...-..-. .•.•,70*,. ,41 1k..,,,'. 7.: - ..•',.' i•,/_-.4,.-.'. -....-..V:!4, .2,:.''''• . • .g4i: : ' :i-t,:t‘.7:0I.,',,1 ''7„'S.4 ,`• ' 4•1,:„7*4_.' ,- ',.•,'.I-, ,4:r -. .'., .i' .'''4'": -t-,t3i''.'-;'.,'..' .-*'' : , ' --v- -.:3:. -• -r,, t*''',,.,, •".. ,,. .4-.i, -t-• --_V ' ,•,.:.7.„).'•,1/4••'•'.•- ',,r.,.• 1.,4 • '',', 1.i6•,.,4'• ',,1,,,,:,_I..' ,•.:',_',.'- '..':4k,',.a.. * - .:.7%A,4, ..' • ,*.,..-, •, .:r....i.n..0'4.-.7 . ..:.i'4.. :.4 . 4,•-•4',„, • .,4t .*_-„, , ,._-,,‘,_•,,:i:.t tV, '•_-.-.':.,-.-,•.,, -. : * M" : t..4,•tiv„•, .„..--....4...:*..,..!,:e.,.4.t.- x .. . , .,.,42.-„i.:i:'; ::r-.,,'•,:r.d *, . ... , ,.- •%"!*l. : -4..- 't , ./k Xi. •• L 4 A . ‘4,41- .. , • ,, . ,, - .0* •• • , ce• • • ' ' ' ' ), 45, 4 ' ' - ' 1 •--,41, 'i.,. .40. * , . • - • . 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Ia. • • 1.: . i ',., •,4: ' ., " '1'. 41 . •-4, At - Iii,4 ''''.. • . f" - - ••••-. -*•:' ' • , • • • , • oli : ,:.,••• 1., • • r* ,:. .., I If,-...gA ijo .,. . . , . • 4-* -'.i, ; ' ' . . ... • . : r .. 1-4._,-.. . . --..t, .. .s•-': ....A..- 1,' ''-,411,) .'' t iik. ' ' •:,..... 4 ? • • ''• ' • .-- . 't • ' ;•.* ,- ho: -10,1010.6, ._.,,;.`4i.. .-7,-.4._?4,, -.,.-? ... d ' .,,e, _ ., Jo,' -,:i.,,,,,..:-..., .7,?-4:-'• .,, '. _ . .L., ;.•.•'.21- ...41r tai,. ... •0,..1 .- .."'" ': Jklk - ..T4 1:.-.-''''• '' 4.' :41,- .4. t IF- '...ii• '..1.1,•-•:t4 ,;•:-•• ., • -4.a..• 4.:`. 4.4444, ',.; i - . '4'• ' :.` k'' --: . . • 4iiik.:, • • ,........ ...,....;,,....•e:114',E.:(•••• . .'..'43. ',,--- '-'1•rli'i -..." ti,.. o. _. ..,.!,,,,,,, • Ok,:i.....-...z.4.;i.:::sei.i,t,'......v.,„,,;:zg:,..,-..,•-- k.t,„4.,„ . -',.,, ,. t . ..t.ipc • '3•.*"• •4,.1...... -• '.1! • - ,• . . • ,., , '•• . *. ....:1R- • • , „ • ' - , : ...• .....` • 'is. • • - •-: :t. , . ' , - . - ' • - '1, ..1%. : . ••• ..• 41t4k . • .•'% ' .. . . . -• _ o. •,,. • _,,_ , .„ . *. '`• , t Le-,e-•• 13 pi, I. ".11.1... f'O.Box ,4.1458 Mtugatitom NC 28680 Morganton: 828-584-1126 Marion: 828-659.7944 • Catawba: 828-256-1588 Ownor Jay Asbury vfr , - • ,11,,,rt • • .-. 1 Al 47Y/1.. 7,41 Stet "I Due and payable upon receipt of invoice. A service charge of 11/2916 per month will be assessed on accounts over 30 days old. I.ot4; edes PRICE TAX TOTAL AMOUNT 7hankcYou sit • BURGIN & SON Septic Taink ft-spiting It Instailaton North Mairl St • PO Box 1507 • M8a2ro.2 n,:44 Dirly, 821R-6522693 Night: s6 katc, foe per rroorth will be •addod to unpaid bilattro. (*C.( .1!-if(.)Mf RECEIVED BY .••••••••••••=.16, PI-10 t PRODUCT 610 All claims and returned goods must be accompanied by this WIC fr rt- MA11.4iF