NCG550064_Compliance Evaluation Inspection_20210401

United States Environmental Protection Agency
EPA 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 IN I
21 1 1 1
Code NPDES yr/mo/day Inspection
2 LI 3 I NCG550064 111 121 21/03/23 117
Type
1810I
I I 1 1 1
Inspector Fac Type
191 S I 2011
1 1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I
1 11
1 1 1 1 1 P6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
67I1.0 I 70I2 I 711 1 72 I N I 731 1 74 751
I I 1
I I I I I I 180
l
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
6622 Denver Heights Circle
6622 Denver Hts Cir
Denver NC 28037
Entry Time/Date
11:50AM 21/03/23
Permit Effective Date
18/10/29
Exit Time/Date
12:20PM 21/03/23
Permit Expiration Date
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
Harold Wayne Bagwell,4653 Dick Wilson Rd Denver NC 280378174///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenar Records/Reports Self -Monitoring Progran
Facility Site Review Effluent/Receiving Wate
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and
Ori A Tuvia
Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
4/1/2021
—DocuSigned by:
DWR/MRO WQ/704-663-1699/
---1313067A2 E017108...
-
Signature of Man t1tgSbdldviewer Agency/Office/Phone and Fax Numbers Date
Andrew Pitn r A's4. ' H P'z 3WNR/MRO WQ/704-663-1699 Ext.2180/ 4.1.21
F161FB69A2D84A3...
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page# 1

NPDES yr/mo/day
31 NCG550064 111 121 21/03/23
I17
Inspection Type
18 [j
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG550064 Owner - Facility: 6622 Denver Heights Circle
Inspection Date: 03/23/2021
Inspection Type: Compliance Evaluation
Permit
(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?
Yes No NA NE
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Comment: As was discussed during the inspection, change of ownership of the permit is required, form
was given at the time of the inspection.
Operations & 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?
Yes No NA NE
Comment: The following issues need to be addressed
1. The pipe connecting the sand filter to the chlorine tablets appeared to be broken and
need to be repaired.
2. Wastewater chlorination tablets are needed, example of approved tablets is attached.
3. The effluent pipe appeared to be clogged with mud and need to be cleared.
4. Annual sampling of the discharge is needed approved list of labs is attached
5. Records of sampling (flow permitting) and septic tank being pumped should be kept to
be reviewed in future inspections.
Septic Tank
(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?
Comment: Septic was cleaned at 2019 at the time new owner purchased the house.
Sand Filters LLow rate)
(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)
Yes No NA NE
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Yes No NA NE
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Page# 3

Permit: NCG550064
Inspection Date: 03/23/2021
Owner - Facility: 6622 Denver Heights Circle
Inspection Type: Compliance Evaluation
Sand Filters (Low rate)
Yes No NA NE
Comment: The sand filter is covered in soil. No r ondinq or wetness was observed in the area.
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number 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?
Yes No NA NE
❑ • ❑ ❑
❑ ❑ • ❑
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Comment: The pipe connecting the sand filter to the chlorine tablets appeared to be broken and need tc
be repaired. Wastewater chlorination tablets are needed.
Effluent Sampling
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)?
Yes No NA NE
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Comment: The permit requires annual monitoring of the effluent, taken after the last treatment unit
(chlorine tablets) if there is a discharge. No past records were available for review during the
inspection. A list of approved labs is attached. Effluent pipe appeared to be clogged with
mud. no discharge was observed during the inspection.
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?
Yes No NA NE
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❑ ❑ • ❑
Comment: The effluent pipe appeared to be clogged with mud and need to be cleared.
Page# 4