NCG550697_NOV-2021-PC-0204_20210324

MAILED
ROY COOPER
Governor
DIONNE DELLS • GATTI
-weary
S. DANIEL SMITH
I11ra'Cr<:r-
Certified rslail # 7017 2680 0000 2235 9271
Return Receipt Requested
ivloriah Swick
8 Vinson Place
Durham, NC
NORTH CAROLINA
Environmental Quality
March 24, 202 I
Subject: NOTICE OF VIOLATION
Tracking Number: NOV-202 I -PC-0204
Compliance Evaluation Inspection
Single Family Wastewater Treatment System
General NPDES Permit NCG550000
Certificate of Coverage NCG550697
Facility: 290 & 299 Zane Trail
Person County
Dear lets, Swick:
On March 3, 2021, Stephanie Goss from the Raleigh Regional Officeisited your single-family residence
(SFR) wastewater treatment system to evaluate compliance with the subject General NPDES Permit. At
the time of the inspection, the renter of the house informed Ms. Goss that the owners clo not live at the
property and he was unable to assist during the inspection. Ms. Goss was not contacted via telephone at a
later time.
Our records indicate the treatment system consists of a septic tank, sub -surface sand filter, tablet
chlorinator with chlorine contact chamber and discharge pipe.
General NPDES Permit NCG550000 and Certificate ofCoverage (COC) NCG550697 authorize the
discharge of domestic wastewater from your treatment system to rccei‘ ing waters designated as 1lyco
Lake, classified a WS-V, Class B waters in the Roanoke River Basin. The authorized discharge is in
accordance w ith the effluent limits and monitoring requirements established within the General Permit.
Findings during the inspection Isere as follo‘ss:
I. NCG550000 nership Change Form: According to Person County deed ofrecords, Lance and
Moriah Swick own the residence and property located at 290 & 299 Zane Trail in Leasburg, North
Carolina. As the property owner, you are also the owner of the existing single-family wastewater
treatment system, which treats the domestic wastewater from the residence and releases the
effluent to the receiving waters indicated above. Because the treatment system makes an outlet to
North Carolina Dcparuncnt of Env rortmental Quality I Division of Water Resources
Raleigh Regional Office 3800 Barrett Drive I Raleigh, North Carolina 27609
coo 7o1.t71U)

ls.loriah Swick, NCG550697
March 23,2021 Page 2 of 3
waters of the state, it is an activity for w hich the subject permit is required. In the inspection letter
dated March 21, 2017, this office notified you of the requirement to complete and submit the
Ownership Change Fonn. Br failing to submit the N-PDES Certificate of Corerav Ownership
Clr(r►u a For►yn, volt have operated a treatment works without a permit. To comply with North
Carolina General Statute § 143-215.1(a), which requires a person to obtain a permit to make an
outlet into the waters of the state, you will need to complete and submit the attached NCG550000
Ownership Change Form to the Division. Ifyou have any questions regarding change in permit
ownership or completing the form, then please contact Stephanie Goss at 919-791-4256.
2. Treatment system operation: The wastewater treatment system shall be maintained at all times
to prevent seepage of sewage to the surface ()Idle ground.
3. Pumping the septic tank: You are required to inspect the septic tank at least yearly to determine
if solids must be removed or if other maintenance is necessary. Septic tanks should be pumped
out every five years or when the solids level is found to be more than 1 3 of -the liquid depth in the
weptic tank compartment, whichever is greater. A pumping company coin Cheek the status
periodically and determine when pumping is required. Within 30-days of receiving this letter,
please send a copy of the most recent receipt/invoice to this office showing the date the septic
tank was last checked and/or pumped out. The General NPDES Permit requires the permittee to
retain records associated with sewage disposal activities for a period of at least 5 years.
4. Chlorine tablets in the chlorinator: You are reminded that it is required that chlorine tablets be
maintained in the chlorinator to ensure proper disinfection of the discharged wastewater. Chlorine
tablets provide effective disinfection and prevent/limit harmful bacteria from discharging to the
environment The product label for these tablets crust indicate the tablets are approved for
wastewater use and not Mr sii'i►►ymi,u' pools. Part 1, Section D (1) of General NPDES Permit
NCG550000 requires the permittee to inspect the tablet chlorinator weekly to ensure there is an
adequate supply of tablets for continuous and proper operation. Section D (4) requires the
permittee to maintain all system components, includin...disinfection units...at all limes and in
good operating order. The inspector did not observe any chlorine tablets in the chlorinator.
Please ensure the correct type of tablets are used and ► aintaine'd i►1 the chlorinator as required
hr the General ,\PDES Permit.
5. Discharge outlet location. The permittee is required to conduct a visual review of the outf;tll
location at least twice each year (one al the lime of sampling) to ensure that no visible solids or
other obvious evidence of system malfunctioning is observed. Any visible signs of a
malfunctioning system shall be documented and steps taken to correct the problem. The discharge
pipe w as visible and accessible the day of the inspection. Please continue to ensure the outlet is
always risiblehuailrt(rined and clearerd of vegetation, soil and leaves.
6. Analyzing the effluent: Part I. C., Effluent Limitations and ,lloliitori►(g Requirements, within
General Permit NCG550000 requires a pennittee to sample and analyze the effluent leaving
his.. her treatment system prior to discharge annually. Parameters to be sampled and analyzed
include Flow, BOD (Biochemical Oxygen Demand), Total Suspended Solids, Fecal Coition) and
Total Residual Chlorine. Within 30-da rs of receiving this letter, please let this office know I I you
rJ.rnrra M r�wrwan O.Y+t�
North Carolina Department of Environmental Quality i Division of Water Resources
Raleigh Regional Office 13t30o Barrett Drive 1 Raleigh, l'Jorth Carolina 27b4'1
419 791•1200

Moriah Swick, NCG550697
March 23, 2021 Page 3 of 3
have monitored your effluent discharge within the last 12 months, and provide this office with a
copy of the lab results if you have. If you have not monitored your effluent, then please collect a
representative sample of the effluent, have it analyzed by a certified commercial laboratory and
submit the results to this office no later than June 1, 2021. If, during this time, you are unable to
collect a representative sample of the effluent discharge due to insufficient flow from the
discharge pipe, then update this office with that information and continue to monitor the discharge
and if conditions for sampling become favorable, then arrange to collect a sample.] Failure to
monitor the effluent discharge as required is a violation of APDES General Permit
X'CGSS0000.
Please periodically inspect the wastewater treatment system to ensure the treatment components are
always maintained and in good operating order. You are also reminded to maintain (111 monitoring data
and associated maintenance records onslte for a ntinirr um of three tears and available file inspection.
This inspection report is being issued as a Notice of 1 lolahorl because you are operating (1 treatment
system without an JVPDES permit.
Within 30-dap receipt of this letter, please submit a written response to this office indicating the
actions you will take or have taken to comply rritlr or resolve the issues noted in items 1-4 and 6 above.
If you have questions or comments about this inspection or the requirements to take corrective action (if
applicable), then please contact Stephanie Goss s is email at stephanie.+iossra ncddnr.zov or 919-791-
4256.
Sincerely,
c---DocuSigned by:
Ua V LSSX e. hGttAki .,t,
L-62916E6A 37144F
Vanessa E. Manuel, Assistant Regional Supers isor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Attachment(s): EPA water Compliance Inspection Report
NCGS50000 Ownership Change Form
cc: RROSWP Files
Laserfiche
North Carolina Department of Environmental Quality 1 Division of Water Resources
Raleigh Regional Office 13800 Darrel[ Drive ' Raleigh. North Carolina 27E109
919.791-1200

United States Environmental Protection Agency
EPA Wash ngton 0 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
1 u 2 u
211111 1 1
NPDES yrlmolday Inspection
3 I NCG550697 111 121 21/03/03 117
Type
18I .I
1 1 1 1 1
Inspector Fac Type
19I c I 201 [
1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1
111
1 1 1 1 1 188
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 OA
6711 1 701 LJ I 711 ID72 1 N 1
Reserved
731 I 174 71 1 1 1 1 1 1 180
I I 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)
290 Zane Trail
299 Zane Tri
Leesburg NC 27291
Entry Time/Date
10:50AM 21/03/03
Permit Effective Date
13/08/01
Exit Time/Date
11:03AM 21/03/03
Permit Expiration Date
18/07/31
Name(s) of Onsite Representative(s)lftles(s)1Phone and Fax Number(s)
/tt
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Rebecca S Payne,181 Pear Tree PI Ringgold VA 24586111
No
Section C. Areas Evaluated During Inspection (Check only those areas evaluated)
D Permit • Effluent/Receiving Wate
i.
Section D Summary of Finding/Comments (Attach add:tonal sheets of narrat ve and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s)
Stephanie Goss
of Inspector(s) Agency/Office/Phone and Fax Numbers Date
/---DacuSigned by
DWR/RRO WQ1919-791-4200/
S fl,1.l,ut. C'bS5 3/23/2021
75:AgF?C 7.9@a.e
Signature of Management O A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
DWR/WQR05-RRO/919-791-4232 3/24/2021
UctIALSSa. f. hatn.t,QL
EPA Fao mN'`(Rev 9-94) Previous editions are obsolete
Page# 1

NPDES yrlmo/day
31 NCG550697 111 121 21/03/03
117
Inspection Type
/Blr•1
1
Section D. Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG550097 Owner- Facility: 290 Zane Trail
Inspection Date: 03/03/2021 Inspection Typo: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 0
application?
Is the facility as described in the permit? • ❑ ❑ ❑
# Are there any special conditions for the permit? ❑ ❑ E ❑
Is access to the plant site restricted to the general public? 00110
Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑
Comment:
Effluent Pipe
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:
Yes No NA NE
11000
• ❑ ❑ ❑
❑ ❑ ■ ❑
Page# 3

If who- please eAplaiu:
ROY COOPER
NIICIIAIiL S, RE_GA
S DANI[ L SMITH
nor; rH CAROLINA
environmental Quality
NPDES Certificate of Coverage (CoC)
NCG550000 OWNERSHIP CHANGE FORM
1. Please enter the CoC number for which the change is requested.
Certificate of Co\ erage
5
5
0
Please provide the following for the requested change (revised CoC).
a. Request for change is a result of: ❑ Change in ownership of the residcncc'property
❑ Name chanue of the facility or owner
b. CoC will be issued to (person's name
or company name, if -applicable):
c. Owner: person legally responsible for
CoC:
d. Facility name (if applicable):
c. Facility address;
I. Facility contact person:
[if different from Owner] tir31 \II Last
{ )
First
NEE Last
Title
Permit itulder NIailms Address
City State Zip
Phone E-mail Address
Address
Cuw
St_ite Zip
Phone LE -matt Address
[lL Contact person (if ciifferent from the person 1eerally responsible for the CoC)
First
NII Last
Title
Alailmc Address
City State Zip
Prmicad 1/0111Q
('hone E-mail Address

V.
NCG5ir0000 OWNERSHII' CHANGE FORM
Page 2 of 2
Will this permitted facility continue to discharge the same 1,olunie and type of wastewater as
prior to this ownership or name change?
❑ Yes
❑ No (please explain)
Required Items: TIIIS APPLICATION WILL I3E RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR ilIISSING:
❑ This completed application is required for both facility -name change and or facility ownership
change requests.
❑ Legal documentation of the transfer of ownership (such as a property deed, relevant pages of a
contract, or a bill of' sale) is required for an ownership chan�izc request,
The certifications below must be completed and simed by the new applicant in the case of an ownership
change request.
APPLICANT CERTIFICATION
1, :, attest that this application rota nauic'ow nvi hhip chuuge has lwen rc\ iewed and is accurate and
complete to the best of my knowledge- I understand that if all required parts of this application are not
completed and that if all required supportin2information is not included, this application package will be
returned as incomplete.
Sitmature Date
PLEASE SENT) THE COMPLETE APPLICATION PACKAGE TO:
Mr. Charles H. Weaver
NC D1=Q • DWR NPDES
1617 Mail Service Center
Raleigh, NC' 27699-1617
Revised 4; 2020

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