NCG550547_Compliance Evaluation Inspection_20210114

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
January 14, 2021
Brenda Dalton
858 Chumney Loop Road
Eden, NC 27288
Subject: General Wastewater Permit Inspection
858 Chumney Loop Road, Eden
Certificate of Coverage # NCG550547
Rockingham County
Dear Ms. Dalton:
On November 17, 2020, Gary Hudson of this office performed a Compliance Evaluation
Inspection on the wastewater treatment system at 858 Chumney Loop 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.
cc: Laserfiche
D_E
NOR! H CAHOI INA
Sincerely,
DocuSigned by:
L-o JnnOcft'
rifSTRfe `E`Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
336.776.9800
kgWNmBnt of EmI,onmBntaI quAl�

United States Environmental Protection Agency
E PA 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
1
21111111i
Code NPDES yr/mo/day Inspection
IN 2 I5 �-I 3 I NCG550547 111 121 20/11/17 117
Type
18 [ =
73I I 174
L�
Inspector Fac Type
19 G I 201
illiiiiii II iiilili i l IiiiiIiiiiiiiiii
Reserved
1 751
166
I I I 1 1 1 180
Inspection
671
Work Days Facility Self -Monitoring Evaluation Rating B1 QA
I 7° I I 711I 72 I N I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
858 Chumney Loop Road
858 Chumney Loop Rd
Eden NC 27288
Entry Time/Date
10:45AM 20/11/17
Permit Effective Date
17/04/13
Exit Time/Date
11:15AM 20/11/17
Permit Expiration Date
18/07/31
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
Brenda L Dalton,858 Chumney Loop Rd Eden NC 27288//336-312-0464/
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 Quality/336-776-9694/
Signature
of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
LuA, 'r Stiij r 1/14/2021
r
145B49E225C94EA...
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page# 1

31
NPDES yr/mo/day
NCG550547 111 121 20/11/17
117
Inspection Type
18 [j
(Cont.)
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On November 17, 2020, Gary Hudson of this office performed a Compliance Evaluation Inspection on
the wastewater treatment system at 858 Chumney Loop 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 [phone].
Page# 2

Permit: NCG550547
Inspection Date: 11/17/2020
Owner - Facility: 858 Chumney Loop Road
Inspection Type: Compliance Evaluation
Other
Comment: See Summary
Yes No NA NE
Page# 3