ncg550865_Compliance Evaluation Inspection_20210713

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Carmelia Polanco De Ramos
3220 Hursey St.
Durham, NC 27703
NORTH CAROLINA
Environmental Quality
July 13`h, 2021
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
NPDES General Permit NCG550000
Certificate of Coverage NCG550865
Facility Name: 3220 Hursey Street
Durham County
Dear Current Homeowner:
On July 1, 2021, Josh Brigham from the Raleigh Regional Office visited your single-family
residence (SFR) wastewater treatment system to evaluate compliance with the subject General
NPDES Permit. No one was at home at the time of the inspection. The inspector left a packet of
information regarding Single Family Treatment Systems and the requirements of the General
Permit at the residence.
Our records indicate the treatment system consists of a septic tank, pump tank, sub -surface sand
filter, tablet chlorinator with chlorine contact chamber, tablet dechlorinator, and discharge pipe.
General NPDES Permit NCG550000 and Certificate of Coverage (COC) NCG550865 authorize
the discharge of domestic wastewater from your treatment system to receiving waters designated
as Little Lick Creek (classified WS-IV; NSW; CA) in the Neuse River Basin. The authorized
discharge is in accordance with the effluent limits and monitoring requirements established
within the General Permit. The items below show what conditions were noted at your facility:
Findings during the inspection were as follows:
NCG550000 Ownership Change Form: According to Durham County deed of records,
Carmelia Polanco De Ramos owns the residence and property located at 3220 Hursey
Street in Durham, 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 waters of the state, it is an activity for
which the subject permit is required. 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
:� North Carolina Department of Environmental Quality I Division of Water Resources
LQRaleigh Reglonal Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NORT C.,,,,A ,
EQ
Dw�to'Ew��'Gw� �� 919.791.4200

Carmelia Polanco De Ramos, NCG550865
July 13, 2021
Page 2 of 4
Change Form to the Division. If you have any questions regarding change in permit
ownership or completing the form, then please contact Josh Brigham at 919-791-4251.
2. Treatment system operation: The wastewater treatment system shall be maintained at
all times to prevent seepage of sewage to the surface of the 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 septic tank compartment, whichever is greater. A pumping
company can check 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 must
indicate the tablets are approved for wastewater use and not for swimming 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, including disinfection units at all times and in good operating order.
The inspector did not observe the chlorinator and therefore could not observe any
chlorine tablets in the chlorinator. Please ensure the correct type of tablets are used and
maintained in the chlorinator as required by the General NPDES Permit.
5. Dechlorination: Your system was installed after August 1, 2007, so must have a means
of dechlorination located downstream of the chlorinator and its contact chamber. See
paragraph above. Within 30-days of receiving this letter, please submit a schedule to
this office stating your plan for correcting this deficiency.
6. Dechlorination tablets: You are responsible for always having dechlorination tablets (if
a required part of your system) in place. They must be the kind for wastewater treatment
and not for swimming pools. The inspector did not observe the dechlorinator and
therefore could not observe any chlorine tablets in the chlorinator. Please ensure the
correct type of tablets are used and maintained in the dechlorinator as required by the
General NPDES Permit.
7. Analyzing the effluent: Part 1. C., Effluent Limitations and Monitoring Requirements,
within General Permit NCG550000 requires a permittee 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 Coliform and Total Residual Chlorine. Within 30-days of
receiving this letter, please let this office know if you 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
Q -;; North Carolina Department of Environmental Quality I Division of Water Resources
„Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NORTH CAROUNA
M, N /`10 919.791.4200

Carmelia Polanco De Ramos, NCG550865
July 13, 2021
Page 3 of 4
sample of the effluent, have it analyzed by a certified commercial laboratory and submit
the results to this office no later than September 15, 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
NPDES General Permit NCG550000.
8. Locations of treatment units are unknown: Within 30-days of receiving this letter,
provide this office with a sketch or map of the location of the treatment units (septic tank,
pump tank, sub -surface sand filter, tablet chlorinator with chlorine contact chamber,
tablet dechlorinator, and discharge pipe) in relation to the permitted residence.
9. Discharge outlet location. The permittee is required to conduct a visual review of the
outfall location at least twice each year (one at the time 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 end of discharge pipe was not visible nor accessible the day of the
inspection. To comply with the general permit monitoring requirements, you need to be
able to sample and analyze the effluent from your SFR system through the discharge
pipe. You need to keep the area around the discharge pipe cleared of vegetation, soil and
leaves. Please take the necessary steps to ensure the discharge outlet is visible and
accessible. Maintaining the area will allow you to monitor the discharge and to collect
effluent samples as required by the subject permit.
The wastewater treatment system should be periodically inspected to ensure the treatment
components are always maintained and in good operating order. You are also reminded to
maintain all monitoring data and associated maintenance records onsite for a minimum of
three years and available for inspection.
Within 30-days receipt of this letter, please submit a written response to this office indicating
the actions you will take or have taken to comply with or resolve the issues noted in items 1
and 3-9 above.
If you have questions or comments about this inspection or the requirements to take corrective
action (if applicable), then please contact Josh Brigham at 919-791-4251.
Sincerely,
I e/ F //� 4 "I'll
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
D�EQ � North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
1W
N017TH CARUl1NA -
Uwam�lalEnwim ^^Wa^fty 919.791.4200

Carmelia Polanco De Ramos, NCG550865
July 13, 2021
Attachment(s): EPA Water Compliance Inspection Report
NCG550000 Ownership Change Form
Cc: RRO/SWP Files
Laserfiche
Page 4 of 4
��� North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NA _ NORTH CARCLI
ab /� 919.791.4200

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 IF I 3 1 NCG550865 I11 121 21/07/01 I17 181 � I 191 G I 201
2111IIII IIIIIII11IIIIIIIII I IIIIII IIIIIII11II I66
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
671 70I I 711 LI 72 I N I 73I I 174 79 I I I I I I I80
LJ LJ I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
08:OOAM 21/07/01
13/08/01
3220 Hursey Street
3220 Hursey St
Exit Time/Date
Permit Expiration Date
Durham NC 27703
08:15AM 21/07/01
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Ill
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Bruce Owen,3220 Hursey St Durham NC 27703//919-596-3075/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations & Maintenar E Records/Reports Self -Monitoring Progran
Effluent/Receiving Wate 0 Laboratory
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
Joshua S Brigham DWR/RRO WQ/919-791-4200/
Signature, of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
717- *- Y%z-"7Z 13, 7o z/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCG550865 I11 12 21/07/01 117 18 1 C I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Could not locate treatment units (chlorinator, dechlor, discharge pipe.
Packet left with ownership change form.
Page# 2

Permit: NCG550865 Owner - Facility: 3220 Hursey Street
Inspection Date: 07/01/2021 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Septic Tank
Yes
No
NA
NE
(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:
Sand Filters (Low rate)
Yes
No
NA
NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
❑
Is the distribution box level and watertight?
❑
❑
0
❑
Is sand filter free of ponding?
M
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
❑
# Is the sand filter surface free of algae or excessive vegetation?
0
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
❑
❑
❑
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
❑
❑
❑
M
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?
❑
❑
❑
Comment: Could not locate
De -chlorination Yes No NA NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ ❑ ❑
Page# 3

Permit: NCG550865 Owner - Facility:
inspection Date: 07/01/2021 Inspection Type:
3220 Hursey Street
Compliance Evaluation
De -chlorination
Yes
No
NA NE
Is storage appropriate for cylinders?
❑
❑
❑ ■
# Is de -chlorination substance stored away from chlorine containers?
❑
❑
❑ ■
Comment:
Are the tablets the proper size and type? ❑ ❑ ❑ ■
Are tablet de -chlorinators operational? ❑ ❑ ❑ ■
Number of tubes in use?
Comment: Could not locate.
Effluent Pipe
Yes
No
NA NE
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: Could not locate
Permit
Yes
No
NA NE
(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?
■
❑
❑
❑
Comment:
Page# 4

ROY COOPER
Governor
DIONNE DELLFGATTI
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 / / / /
1. Facility Name:
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
permit)
a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title:
4. Mailing address:
State:
E-mail address:
or NCG55
(Person legally responsible for
City:
Zip Code: Phone: (
(Title)
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles
of incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
®� ��� North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NOghI OAROLINA _�
oao,rmmm m r m��i w.i+h 919.791.4200

Applicant's Certification:
I, , attest that this application for a
name/ownership change has been reviewed 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 supporting information and attachments are not
included, this application package will be returned as incomplete.
Signature:
Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING
ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NORTH CAROLJNA _
0"art—t 01 0%1w�l 919.791.4200

Inspection Date: 7/// Z O Z I Start Time: '9� D '0 End Time: <- , I < �, ►
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
5l15/2015 Got) 0 -n.c/ ) CAA,
v
Permittee: L' cp O w� /1 ow (�L /1� ro 104i 0 f)� 2qN,�
Permit:
/✓`c6
SSO�
6 5
Address: 3220 ff uf5e-4 E-mail-
Phone:(Cell Phone:( -
County: v r IAa
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?
2. If not does the resident rent from the permittee?
❑
❑
❑
3. Change of Ownership form needed? (mail the form with the inspection letter)
❑
❑
❑
4. Is there a inspection and maintenance agreement with a contractor?
❑
❑
❑
5. If yes to #4 who Is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumpedicleaned 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?
❑
❑
❑
JD
8. Has the septic tank been pumped in the last 5 years?
❑
❑
❑
9. If yes to #8 date, if known If proof, describe
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER / TREATMENT PODS YES LA NO
If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six 16riths and any vegetative growth shall be removed manually.
12. is system something other than a sandfilter?
❑
'M
❑
❑
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located?
❑
❑
❑
15. Does the sandfifter require maintenance?
❑
.®
it maintenance is requireo explain in the comment section.
DISINFECTION / W YES NO L4
if no proceed to the next section.
The ultraviolet unit shag be checked weekly. The lamps and sleeves should be cleaned or replaced as needed to ensure proper
disinfection.
16. Is UV working?
❑
17. Has the W Unit been serviced and bulbs cleaned?
❑
❑
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 contlifuous and proper operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No)
❑
❑
❑
20. Does the Permittee know the location of the chlorinator?
❑
❑
❑
21. Were chlorine tablets observed in the chlorinator?
❑
❑
❑
22. Are tablets contacting water? If possible poke them to determine.
❑
❑
❑
DECHLOR (Discharge only) YES 0! 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?
❑
❑
❑
24. Does the permittee have the correct dechlor tablets?
❑
❑
❑
25. Were dechlor tablets observed in the dechlorination chamber?
❑
❑
26. Are tablets contacting water? If possible poke them to determine.
0
0
❑
S

Doesn't
Did Not
Yes
No
Apply
Investigate
PUMP TANK YES NO Vj
If no proceed to the next section.
All pump and alarm sytems shall be Inspected monthly. (non -discharge)
27. Is the pump working?
❑
28. Are the audible and visual high water alarms operational?
❑
❑
29. Does the permittee know how to check the pump & high water alarm?
❑
❑
30. Last functional test: PUMP AUDIBLE & VISUAL
DISCHARGE ONLY YES 01 NO LJ
if no proceed to the next section.
A visual review of the outfall location shall be executed twice each ar (one at the lime of sampling to ensure
31. Does the permittee know where the outfall is located?
no visible
❑
solids or
❑
evidence of a malfunction.
❑ ED
32. Were you able to locate the outfall?
❑
'
im
❑
33. Is the end of the discharge pipe visible and accessible?
❑
❑
1:3
34. Is outlet discharging?
El
,mot
35. Is right of way maintained around the discharge point?
❑
❑
❑
I"
36. Any Lab Results available?
❑
Ej
37. Is there evidence of solids around the discharge point?
❑
❑
❑
112]
2f
DRIP or SPRAY YES LJ NO Vq
If no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system is free of leaks and equipment is
operating as designed.
38. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
39. Are the buffers adequate?
❑
El
❑
❑
40. Is the site free of ponding and runoff?
❑
❑
❑
El
41. Does the application equipment appear to be working properly?
ED
❑
❑
❑
42. Is there a minimum two wire fence surrounding entire irrigation area?
❑
❑
❑
❑
GENERAL
43. Are the treatment units locked 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.
❑
❑
0
46. Is the system compliant?
❑
r❑pptl
wl
❑
47. Is the system failing? if yes, take pictures If possible.
0
48. If system is failing, any sign of children or animals contacting sewage?
❑
❑
❑
NOD Sent #• NOV Sent #•
Comments: Photos Taken?
YES
Lj
NO
11
ti i, 4 ! Ora ( �5 ',�� l L�►�Ud"
o/ cJ%5
�l�v�
INSPECTOR: °s ��) �w`�i SIGNATURE: y-