WQ0005440_Inspection_20210317

ROY COOPER
Governor
DIONNE DELLI-GATT1
Secretary
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
March 17, 2021
Timothy Joel Parker
3520 Laws Store Road
I-lurdle Mills, NC 27541
Subject: Permit No. WQ0005440
3520 Laws Store Road SFR
Surface Irrigation Wastewater
Treatment and Disposal System
Orange County
Dear Mr. Parker,
On March 15, 2021, staff of the NC Division of Water Resources (DWR), Water Quality
Regional Operations Section (WQROS), inspected the subject single family residence surface
irrigation wastewater treatment disposal system. The purpose of the visit was to conduct a
follow-up compliance inspection.
On the day of the inspection all single family residence wastewater treatment facility appeared to
be working. The chlorinator had been rinsed out and fresh tablets were observed. The path to
the sprayfield was clearly marked and a walking path was established. The sprayfield still had
some overgrowth but, the areas directly surrounding the sprinklers were cleared. My
recommendations are as follows;
1. Continue to keep 2-3 chlorine tablets in both tubes. Check tablets on a weekly basis as
required by permit. The number of tablets used in a week will vary. Your permit does
require weekly inspections of the chlorinator performed by the Permittee, during this
inspection add only what is needed.
Permit Condition III. Operation and Maintenance Requirements, section 12., which
states "the Permittee is responsible for the operation and maintenance of the entire
treatment and disposal system including, but not limited to, the following items:
b. The tablet chlorinator shall be checked weekly. Wastewater grade chlorine tablets
(calcium hypochlorite) shall be added as needed to provide proper chlorination. Pool
chlorine tablets shall not be used.
2. The irrigation field was assessable as a result of the bridge that was constructed and the
path that had been cleared. The Permittee needs to ensure access to the spray fields is
accessible at all times.
NpfISH py� CV
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh. North Caro,Ina 27609
419 79147nn

Permit Condition III. Operation and Maintenance Requirements, section 12., which
states "the Permittee is responsible for the operation and maintenance of the entire
treatment and disposal system including, but not limited to, the following items:
d. The system shall be inspected monthly to make certain of the proper operation of
the spray heads, that the system is free of leaks, that the vegetative growth allows a
proper spray pattern, that the soil is assimilating the disposed treated wastewater with
no surface runoff, and that no objectionable odors are being generated.
Continue to improve the sprayfield to alloy for even distribution of effluent and
allows inspection of the irrigation system.
Any clearing in the easement from the treatment facility to the irrigation field should be
evaluated for jurisdictional wetlands prior to any further disturbance or improvements. PIease
contact the US Army Corp of Engineers (Raleigh Regulatory Field Office) at (919)-554-
,1884.
This inspection is not a Point -of -Sale inspection. If a more comprehensive inspection needs to
be performed, that checks the integrity of the septic tank or pump tanks and other facility
components, please contact a licensed contractor.
If you have any questions please contact me at [phone] or jane.bernard ci ncdenr.zm.
Sincerely,
1'LCti1
Jane Bernard, Environmental Specialist
DWR, WQROS
Attachment: Inspection Report
Non -Discharge Permit Ownership /Name Change
Laser fiche
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200

Compliance Inspection Report
Permit: WQ0005440 Effective: 03/15/21 Expiration: 07/31/27 Owner : Timothy Joel Parker
SOC: Effective: Expiration: Facility: 3520 Laws Store Rd. SFR
County: Orange 3520 Laws Store Rd
Region: Raleigh
Contact Person: Bibiana Parker
Hurdle Mills NC 27541
Title: Phone:
Directions to Facility:
Hwy. 70 W to 1-85 S. Exit at Guess Rd, go RT for 12 miles, turn LT on Laws Store Rd, go 1.2 miles to 3520 on the RT
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 03/15/2021
Primary Inspector: Jane Bernard
Secondary Inspector(s):
Entry Time 10:10AM Exit Time: 11:OOAM
Phone: [phone]D
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: II Compliant 0 Not Compliant
Question Areas:
II Miscellaneous Questions Disinfection Tablets II Drip or Irrigation
(See attachment summary)
Page I of 3

Permit: WQ0005440 Owner - Facility: Timothy Joel Parker
Inspection Date: 03/15/2021 Inspection Type : Compliance Evaluation
Reason for Visit: Routine
inspection Summary:
On the day of the inspection all single family residence wastewater treatment facility appeared to be working. The
chlorinator had been rinsed out and fresh tablets were observed. The path to the sprayfield was clearly marked and a
walking path was established. The sprayfield still had some overgrowth but, the areas directly surrounding the sprinklers
were cleared. My recommendations are as follows:
1. Continue to keep 2-3 chlorine tablets in both tubes. Check tablets on a weekly basis as required by permit. The
number of tablets used in a week will vary. Your permit does require weekly inspections of the chlorinator performed by the
Permittee, during this inspection add only what is needed.
Permit Condition III. Operation and Maintenance Requirements, section 12., which states "the Permittee is responsible for
the operation and maintenance of the entire treatment and disposal system including, but not limited to, the following items:
b. The tablet chlorinator shall be checked weekly. Wastewater grade chlorine tablets (calcium hypochlorite) shall be
added as needed to provide proper chlorination. Pool chlorine tablets shall not be used.
2. The irrigation field was assessable as a result of the bridge that was constructed and the path that had been cleared.
The Permittee needs to ensure access to the spray fields is accessible at all times.
Permit Condition III. Operation and Maintenance Requirements, section 12., which states the Permittee is responsible for
the operation and maintenance of the entire treatment and disposal system including, but not limited to, the following items:
d. The system shall be inspected monthly to make certain of the proper operation of the spray heads, that the system is
free of leaks, that the vegetative growth allows a
proper spray pattern, that the soil is assimilating the disposed treated wastewater with no surface runoff, and that no
objectionable odors are being generated.
Continue to improve the sprayfield to alloy for even distribution of effluent and allows inspection of the irrigation system
Any clearing in the easement from the treatment facility to the irrigation field should be evaluated for jurisdictional wetlands
prior to any further disturbance or improvements. Please contact the US Army Corp of Engineers (Raleigh Regulatory Field
Office) at (919)-554-4884.
Page 2 of 3

Permit: W00005440 Owner - Facility:l imothy Joel Parker
Inspection Date: 03/15/2021 Inspection Type :Compliance Evaluation
Reason for Visit: Routine
Disinfection Tablets
*** Tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
Does the permittee have the correct chlorine tablets? (If none, mark No)
# Does the Permittee know the location of the chlorinator?
Were chlorine tablets observed in the chlorinator?
Are tablets contacting water? (If possible, poke them to determine.)
Comment:
Yes No NA NE
■ ❑❑❑
■ ❑❑❑
■ ❑❑❑
■ ❑❑❑
Drip or Irrigation Yes No NA NE
*** Irrigation sysetm shall be inspected monthly to ensure system is free of teaks and equipment is operating
as designed. ***
# Type of system (DRIP or IRRIGATION):
# If IRRIGATION, number of sprinkler heads:
Are buffers and setbacks adequate?
Is the site free of pondng and runoff?
Does the application equipment appear to be working properly?
Is there a minimum two wire fence surrounding the entire irrigation area?
Comment:
Irrigation
4
■ ❑❑❑
■ ❑❑❑
III DOD
■ ❑❑❑
Page 3 of 3

DWK
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE PERMIT OW'NERSHIP.'NAME CHANCE
FORM: NDPONC 06-16
1. EXISTING PERMIMITTEE INFORMATION:
I. Permittee's name:
2. Signature authority's name: per I5A NCAC 02T .0106(b) Title:
3. Permittee's mailing address:
City: State: Zip: -
4. Permittee's contact information: Phone number: ( ) - Email Address:
5. Demonstration of historical consideration for permit approval - 15A NCAC 02T .0120:
Has the Perntittee or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.613? ❑ Yes or 0 No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? 0 Yes or 0 No
c. I las unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Ycs or ❑ No
d. Is non -compliant with an existing non -discharge pennit, settlement agreement or order' 0 Yes or 0 No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(21? ❑ Ycs or ❑ No
II. FACILITY INFORMATION:
1. Facility name:
2. Facility's physical address:
City: State: NC Zip: County: Select
III. PERMIT INFORMATION:
I. Existing permit number: WQ00 and most recent issuance date:
2. Existing permit type: Select
3. Reason for the permit application: Select
4. Has the facility been constructed? ['Yes or 0 No
IV. APPLICANT INFORMATION:
1. Applicant's name:
2. Signature authority's name: per 15A NCAC 02T .0106(b) Title:
3. Applicant's mailing address:
City: State: Zip:
4. Applicant's contact information: Phone number. O- Email Address:
5. Demonstration of historical consideration for permit approval - 15A NC A(' 02T .0120:
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following_?
a. 1-gas been convicted of environmental crimes under Federal law or G.S. 143-215.6B? ❑ Yes or ❑ No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or 0 No
c. Ilas unpaid civil penalty where all appeals have been abandoned or exhausted? 0 Yes or 0 No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order'? 0 Yes or 0 No
e. Has unpaid annual fees in accordance with I5A NCAC 02'f .0105(c)(2I? ❑ Ycs or ❑ No
FORM: NDPONC 06-16 Page I oft

Existing Permittee's Certification per 15A NCAC 02T .01060)1:
I _ attest that this application for
(Signature Authority's name & title from Application Item 1.2.)
(Facility name from Application Item III -)
has been reviewed by me and is accurate and complete to the best of my know ledge. I understand that prior to reissuance of the permit
into the Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result in an
enforcement action that may include civil penalties, injunctive relief, and.or criminal prosecution- I will make no claim against the
Division of Water Resources should a condition of the existing permit be violated. I also understand that if all required parts of this
application package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete. I further certify that the existing Pennittce or any affiliate has not been convicted of an
em ironmental crime, has not abandoned a wastewater facility without proper closure, dots not have an outstanding civil penalty where
all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual
fees per 1 SA NCAC 02T .0I0510.
NOTE — In accordance with General Statutes 143-' 15.6A and 143-215.613, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed S10,000 as well as civil penalties up to $25,000 per violation_
Signature: Dale:
Applicant's Certification per 15A NCAC 02T.0106(b):
l attest that this application for
(Signature Authority's name & title from Application Item IV.2.)
(Facility name from Application Item II.I.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after reissuance of the permit
into the Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result in an
enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution, l will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application package
w ill be returned to me as incomplete. 1 further certify that the Applicant or any affiliate has not been convicted of an environmental
crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have
been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees per II 3A
NCAC 02T .0105(c).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613. any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed S 110,000 as well as civil penalties up to $25,000 per violation.
Signature: Date.
FORM: NDPONC 06-16 Page 2 of 2

1/5/2015
Permittee: -t; n t k , Prt r-k.a r- Permit: r 1)m rnn ca r ' 4 d
Address: ...3 a 0 i'_r1 1► r, S. ips o ( n1 of tI uA.71b, 11111-61I lair
Phone:( ) - CeII Phone:( ) County: rrA.a'v9.e
The Permittee Is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't Did Not
Yes No Apply Investigate
1. Is the current resident in the home the Permittee? Va9cam — • 0 ❑ 0 0
2. If not does the resident rent from the permittee? Una ''x.`rio ne. 0 ❑ 0 0
3. Change of Ownership form needed? (mail the form with the inspection letter) d ❑ ❑ 0
4. Is there a inspection and maintenance agreement with a contractor? ❑ 0 D ❑
5. If yes to #4 who is the contractor?
Inspection Date: rx r• 1 , (?)Q_t Start Time: 1 D : 1 r) End Time: I r' -)._____
INGLE FAMILY WASTEWATER SYSTEM CHECKLIST
SEPTIC TANK The septic tank and filters should be checked annually and pumped/cleaned as needed.
6. Is all wastewater from the home connected to the septic tank?
7. Does the permittee/resident know where the septic tank is located?
8. Has the septic tank been pumped in the last 5 years?
O ❑ ❑ ❑
CI 0 ❑ ❑
• 0 0 ❑
9. If yes to #8 date, if known I I I t 9 14 o O r*a If proof, describe T.rv.,„ , �r . _I„,crey, T vr r',.� Sa.r der• , .
10. Does the septic tank have an EFFLUENT FILTER or SA�f TAR ,T? (circle one) • 0
11. If Yes to filter when was the filter cleaned? By who?
SAND FILTER / TREATMENT PODS YES a NO ❑ If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually.
❑ ❑ ❑ 0
12. Is system something other than a sand filter?
13. If yes, what kind? (examples - Peat, Textile or brand name - Advantex, etc.)
14. Does the permittee know where the filter is?
15. If above ground does the filter require maintenance?
It maintenace is requwrea explain in the comment section.
• 0 0 0
❑ ❑ ❑ 0
DISINFECTION / UV YES ❑ NO Q If no proceed to the next section.
The ultraviolet unit shall be checked weekly. The lamps and sleeves should be cleaned or replaced as needed to ensure roper disinfection.
16. Is UV working? 0 0 0
17. Has the UV Unit been serviced and bulbs cleaned? ❑ 0 ❑ ❑
18. Who completes the weekly check for the UV?( Non -Discharge)
DISINFECTION / TABLETS YES ❑ NO ❑ If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No) 0 0 ❑ 0
20. Does the Permittee know the location of the chlorinator? • El El 0
21. Were chlorine tablets observed in the chlorinator? • 0 0 0
22. Are tablets contacting water? If possible poke them to determine. i❑ 0 0 0
'DECHLOR (Discharge only) YES ❑ NO ❑ If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation,
23. Does the permittee know where the dechlor is? 0 0 0 0
24. Does the permittee have the correct dechior tablets? ❑ 0 0 0
25. Were dechior tablets observed in the dechlorination chamber? 0 0 0 0
76 Ara toklnfr nnnfn..ii....Ir _-

Doesn't Did Not
Yes No Apply Investigate
PUMP TANK YES ❑ NO ❑ if no proceed to the next section.
All pump and alarm sytems shall be Inspected monthly. (non -discharge) El 0
0
El27. Is the pump working?
28. Is the audible and visual high water alarm operational? Ei 0 ❑ 0
29. Did the permittee know how to check the pump & high water alarm? 0 ❑ 0 0
30. Last functional test? L l L' !ar's'I!,Il t v'wts 0 yr" {
DISCHARGE ONLY YES U NO ® If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year (one at the time of sampling to ensure no visible solids or evidence of a malfunction.
31. Does the permittee know where the outfall is? ❑ 0 ❑ ❑
32. Were you able to locate the outfall? 0 0 ❑ El
33. Is the end of the discharge pipe visible? if not, explain why. ❑ 0 0
34. Is outlet discharging?
35. Is right of way maintained around the discharge point? ❑ ❑ 0 ❑
36. Any Lab Results available?
37. Is there evidence of solids around the discharge point? 0 0 ❑ ❑
DRIP or SPRAY YES ❑ NO ❑ If no proceed to the next section.
The irrigation sysetm shall be inspected monthly to ensure the system is free of leaks and equipment is operating as designed.
38. Is the system DRIP or II AEON- circle one)? If irrigation number of sprinkler heads.
4-71
39. Are the buffers adequate? ❑ ❑ ❑ ❑
40. Is the site free of ponding and runoff? Q ❑ ❑
41. Does the application equipment appear to be working properly?' ❑ ❑ ❑
42. Is there a two wire fence? 0 ❑ ❑ ❑
GENERAL
43. Are the treatment units lacked and or secured?
44. Has resident had any sewage problems? If yes explain in the comment section.
45. Does the system match the permit description? If no explain In the comment section.
46. is the system compliant?
47. Is the system failing? If yes, take pictures if possible.
48. If system is failing, any sign of children or animals contacting sewage?
NOD Sent #: NOV Sent #:
Comments: Photos Taken? YES ❑ NO ❑
O ❑ ❑ ❑
❑ ❑ ❑ ❑
El 0 ❑ 0
❑ ❑ ❑
❑ Q 0 ❑
❑ a 0 ❑
It,ICDCf`1 D• -ZeC .c -C
SIGNATURE: £O,1JL /