WQ0021050_Staff Report_20210514

Environmental
Quality
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Staff Report
To: U NPDES Unit ® Non -Discharge Unit Application No.: WQ0021050
Attn: Chloe Lloyd, Water Quality Permitting Section — ND Branch Facility name: 670 Burgess Rd. SFR
From: Eric Rice
Raleigh Regional Office
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -
discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable.
I. GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or No
a. Date of site visit: 5/13/2021
b. Site visit conducted by: E. Rice
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Howard Long and their contact information: 919 664-1171 ext.
e. Driving directions: 64, Farrington Rd, Burgess Rd
2. Discharge Point(s):
Latitude: Longitude:
Latitude: Longitude:
3. Receiving stream or affected surface waters:
Classification:
River Basin and Subbasin No.
Describe receiving stream features and pertinent downstream uses:
H. PROPOSED FACILITIES: NEW APPLICATIONS
N/A
M. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? Yes ❑ No ® N/A
ORC: Certificate #: Backup ORC: Certificate #:
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
If no, please explain:
Description of existing facilities: Septic, sand filter, spray field
Proposed flow:
Current permitted flow: 360 gpd
FORM: WQROSSR 04-14 Page 1 of 3

Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important
for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership,
etc.)
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ►1 Yes or ❑ No
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or // No
If yes, please explain:
5. Is the residuals management plan adequate? ❑ Yes or ❑ No NE
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No ® N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No
If yes, attach a map showing conflict. areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or No
If no, please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ® N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ❑ N/A
If no, please complete the following (expand table if necessary):
Monitoring Well
Latitude
Longitude
O
I
II
0 I II
O
I
If
0 i
II
O
I
II
0 I
II
O
,
It
0 I
it
O
I
II
0 I
II
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? ❑ Yes o
Please summarize any findings resulting from this review:
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ❑ No
If yes, please explain:
14. Check all that apply:
® No compliance issues
❑ Notice(s) of violation
El Current enforcement action(s) 0 Currently under JOC
❑ Currently under SOC 0 Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
If the facility has had compliance problems during the permit cycle, please explain the status. Has the RO been
working with the Permittee? Is a solution underway or in place?
Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes ❑ No ❑ N/A
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ❑ No ®N/A
If yes, please explain:
FORM: WQROSSR 04-14
Page 2 of 3

16. Possible toxic impacts to surface waters:
17. Pretreatment Program (POTWs only):
IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or /1 No
If yes, please explain:
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
Item
Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition
Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition
Reason
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
11 Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
® Issue
❑ Denylea a state reasons:
6. Signature of report preparer:
Signature of regional supervisor:
Date: 5/14/2021
uSig Red 'ji.
B2916E6AB32144F...
FORM: WQROSSR 04-14
Page 3 of 3

Compliance Inspection Report
Permit: WQ0021050 Effective: 07/19/16 Expiration: 06/30/21 Owner : Donna Burgess Long
SOC: Effective: Expiration: Facility: 670 Burgess Rd. SFR
County: Chatham 670 Burgess Rd
Region: Raleigh
Apex NC 27523
Contact Person: Jeffrey Ryan Long Title: Phone:
Directions to Facility:
From Raleigh take Hwy 64 West to Farrington Rd. Right on Holland's Chapel Rd. Left on Burgess Rd. Address is 670.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 05/13/2021
Primary Inspector: Eric S Rice
Secondary Inspector(s):
Entry Time 11:OOAM Exit Time: 01:OOPM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: II Compliant ❑ Not Compliant
Question Areas:
MI Miscellaneous Questions III Septic Tank Sand Filter/Treatment Pods
Disinfection Tablets • Drip or Irrigation
(See attachment summary)
Page 1 of 4

Permit: WO0021050 Owner - Facility: Donna Burgess Long
Inspection Date: 05/13/2021 Inspection Type : Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
System appears to be in good condition and fully operating. Spray field is shared with WQ0021082. Four total sprayheads,
two for each system.
Page 2 of 4

Permit: WQ0021050 Owner - Facility: Donna Burgess Long
Inspection Date: 05/13/2021 Inspection Type : Compliance Evaluation
Reason for Visit: Routine
Septic Tank
***The septic tank and filters should be checked annually and pumped/cleaned as needed. ***
Is all wastewater from the home connected to the septic tank?
# Does the permittee/resident know where the septic tank is located?
Has the septic tank been pumped in the last 5 years?
If YES, describe if known and proof (include date pumped):
# Does the septic tank have an EFFLUENT FILTER or SANITARY T?
If FILTER, when was the filter cleaned and by who?
Comment:
Sand Filter/Treatment Pods
***Accessible sand filter surfaces shall be raked/leveled every 6 months and vegetative growth shall be
removed manually. ***
# Is system something other than a sand filter?
# If YES, what kind? (examples - Peat, Textile or brand name - Advantex, etc.)
# Does the permittee know where the sandfilter is located?
Does the sandfilter require maintenance?
If maintenace is required, explain:
Comment: No additional comments
Disinfection Tablets
***Tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation. ***
Does the pemiittee 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:
Drip or Irrigation
*** Irrigation sysetm shall be inspected monthly to ensure system is free of leaks 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 ponding and runoff?
Does the application equipment appear to be working properly?
Is there a minimum two wire fence surrounding the entire irrigation area?
Yes No NA NE
• ❑ ❑ ❑
MI ❑❑❑
▪ ❑ ❑ ❑
■ ❑❑❑
Last month by
owner
Yes No NA NE
111000
▪ ❑❑❑
❑•❑❑
Yes No NA NE
• ❑❑❑
III ❑❑❑
■ ❑❑❑
▪ ❑❑❑
Yes No NA NE
Irrigation
2
▪ ❑❑❑
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■ ❑❑❑
• ❑ ❑ ❑
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Permit: WO0021050 Owner - Facility: Donna Burgess Long
Inspection Date: 05/13/2021 Inspection Type : Compliance Evaluation
Reason for Visit: Routine
Comment:
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