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Home My WebLink AboutNCG550907_CEI_SFR_20210805DocuSign Envelope ID: 8A2A57AC-935C-40F2-85A7-44BBF2F24AA3 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 Code 1 IN I 2 IL 21IIIIII NPDES yr/mo/day Inspection I 3 I NCG550907 111 121 21/08/05 117 Type 1810I IIIIIIIIIII Inspector Fac Type 19I S I 2011 IIIIIIIIIII IIIIIII I IIIIII P6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 671 I 70I I 711 172 I N I 73I 1 74 71 I I I I I I I I 180 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include POTW name and NPDES Dermit Number) 461 Drum Road 461 Drum Rd Reidsville NC 27320 Entry Time/Date 10:OOAM 21/08/05 Permit Effective Date 20/04/22 Exit Time/Date 11:30AM 21/08/05 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 Claude Somers,479 Drum Rd Reidsville NC 27320//336-342-6709/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Operations & Maintenar Self -Monitoring Progran Sludge Handling Dispo: 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 Signature(s) Patricia Lowery of Inspector(s) Agency/Office/Phone and Fax Numbers Date DWR/WSRO WQ/336-776-9691/ - DocuSigned by: ,Jet, 0.1)0 8/11/2021 \--44e4e1Cbeesa74 Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date IDocuSigned by: 8/11/2021 Lo, T. Stiiolcr EPA Form b9 2ei%� 94) Previous editions are obsolete. Page# 1 DocuSign Envelope ID: 8A2A57AC-935C-40F2-85A7-44BBF2F24AA3 3I NPDES yr/mo/day N CG550907 111 121 21/08/05 I17 Inspection Type 18LI (Cont.) 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) On 8/5/2021, Tricia Lowery met with Claude Somers, homeowner to perform CEI of SFR at 461 Drum Rd., Rockingham County. This inspection consisted of two parts: 1) records review, and 2) on -site inspection of the treatment system. Mr. Somers assisted with the records review, and escorted inspector during the on -site inspection. The attached EPA inspection form detail the areas that were evaluated with their respective comments (if needed). This is a very well maintained system and is in excellent condition. Additionally, all records pertaining to septic pumping, correspondence from DWR, and disinfection products used were on hand and giving to inspector for review. No laboratory tests have been conducted. There is no flow from outfall (to obtain sample). This is a rental property owned by Mr. Somers and is located on his property adjacent to his home. He has access to treatment system at all times. The outfall is clear of overgrowth, easily accessed and is proper height to receiving stream. Page# 2 DocuSign Envelope ID: 8A2A57AC-935C-40F2-85A7-44BBF2F24AA3 Permit: NCG550907 Inspection Date: 08/05/2021 Owner - Facility: 461 Drum Road Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new MODE application? Is the facility as described in the permit? • ❑ ❑ ❑ # Are there any special conditions for the permit? El • El El Is access to the plant site restricted to the general public? ❑ ❑ • ❑ Is the inspector granted access to all areas for inspection? • ❑ ❑ ❑ Comment: none 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? Yes No NA NE ❑ ❑ • ❑ • ❑ ❑ ❑ ❑ ❑ • ❑ Comment: Septic tank pumped on regular basis by Billingsley Septic Service. It is pumped and maintained on a regular schedule. Sand Filters (Low 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) Comment: none Yes No NA NE ❑ ❑ • ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? • ❑ ❑ ❑ Are the tablets the proper size and type? • ❑ ❑ ❑ Number of tubes in use? 2 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: none Page# 3 DocuSign Envelope ID: 8A2A57AC-935C-40F2-85A7-44BBF2F24AA3 Permit: NCG550907 Inspection Date: 08/05/2021 Owner - Facility: 461 Drum Road Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? • ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable El El El Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: System is in excellent condition and very well maintained. Page# 4