WQCSD0200_Compliance Evaluation Inspection_20210721

R.OY COOPER.
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Thomas Roberts
Aqua North Carolina
202 Mackenan Drive
Cary, NC 27511
NORTH CAROLINA
Environmental Quality
July 21, 2021
SUBJECT: Compliance Evaluation Inspection
Forest Ridge Collection System
NPDES Permit No. WQCSD0200
Forsyth County
Dear Mr. Roberts,
On June 15, 2021, Gary Hudson of this office met with Samuel Pegram, Operator in
Responsible Charge (ORC), to perform a Compliance Evaluation Inspection at the above
referenced wastewater treatment plant. This type of inspection consists of two basic
parts: an in -office file review and an on -site inspection of the treatment facility. The
attached EPA inspection form details the areas that were evaluated during this inspection.
The inspection of the facility was satisfactory. If you have any questions regarding the
inspection or this report, please contact Gary Hudson or me at [phone] or by email
at [e-mail] or [e-mail].
Sincerely,
,-DocuSigned by:
LJn, l . <JMAts-
"- 145B49E225C94EA...
Lon Snider
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments: EPA Water Compliance Inspection Report
cc: WSRO
NORTH
D E
Department of Envimnmomni au.i`
North Carolina Department of Environmental Quality Division of Water Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
336.776.9800

Compliance Inspection Report
Permit: WQCSD0200 Effective: 03/01/00 Expiration:
SOC: Effective: Expiration:
County: Forsyth
Region: Winston-Salem
Contact Person: Michael A Melton
Directions to Facility:
Owner : Aqua North Carolina Inc
Facility: Forest Ridge Subdivision Collection System
Title: Engineering Manager Phone: [phone] Ext.57238
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/15/2021
Primary Inspector: Gary Hudson
Secondary Inspector(s):
Entry Time 09:30AM Exit Time: 10:30AM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and operation
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions General Spills/Response Plan
II Inspections
(See attachment summary)
Page 1 of 4

Permit: WQCSD0200 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 06/15/2021
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
*The entire collection system was inspected and no problems were noted.
*AII of the ROW is in the road and there are no pump stations or high priority lines.
Page 2 of 4

Permit: WQCSD0200 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 06/15/2021
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
General
# Is this system a satellite system?
# If Yes, what is system name or permit number?
Is there a overall sewer system map?
Does the map include:
Pipe sizes
Pipe materials (PVC, DIP, etc)
Pipe location
# Flow direction
# Approximate pipe age
# Pump station ID, location and capacity
# Force main air release valve location & type
# Location of satellite connections
Are system maintenance records maintained?
Comment: The entire collection system was inspected and no problems were noted.
Spills and Response Action Plan
# Is system free of known points of bypass?
# Have there been any sewer spills in the past 3 years?
If Yes, were they reported to the Division if meeting the reportable criteria?
If applicable, is there documentation of press releases and public notices issued?
Are all spills or sewer related issues/complaints documented?
# Are there repeated overflows/problems (2 or more in 12 months) at same location?
# If Yes, is there a corrective action plan?
Is a Spill Response Action Plan available?
Is a Spill Response Action Plan available for all personnel?
Does the plan include:
# 24-hour contact numbers
# Response time
# Equipment list and spare parts inventory
# Access to cleaning equipment
# Access to construction crews, contractors, and/or engineers
# Source of emergency funds
# Site sanitation and cleanup materials
# Post-overflow/spill assessment
Comment:
Yes No NA NE
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Yes No NA NE
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Page 3 of 4

Permit: WQCSD0200 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 06/15/2021
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections
Are adequate maintenance records maintained?
Are pump stations being inspected at the required frequency?
Is at least one complete functionality test conducted weekly per pump station?
Is there a system or plan in place to observe the entire system annually?
Is the annual inspection documented?
# Does the system have any high -priority lines/locations?
Are inspections of HPL documented at least every 6 months?
Are new lines being added to the HPL list when found or created?
Comment:
Yes No NA NE
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Page 4 of 4