HomeMy WebLinkAboutNCG550634_Inspection_20210603DocuSign Envelope ID: 630C36C1-AEF1-4947-9783-4A11 FDOD48BC
United States Environmental Protection Agency
E PA 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
Code
I 2
IL
NPDES yr/mo/day Inspection Type Inspector Fac
I 3 I NCG550634 111 121 21/05/04 117 1810I 19I S I 2011
Type
21IIIIII
IIIIIIIIIIIIIIIIII
I
IIIIII
IIIIIIIIIII
P6
Inspection
671
Work Days
Facility Self -Monitoring
I 70I
Evaluation Rating
I 711
B1
1
72
QA
I N I
73I
1
I I
Reserved
74 71
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 permit Number)
16 South Turkey Creek Road
16 S Turkey Creek Rd
Leicester NC 28748
Entry Time/Date
12:45PM 21/05/04
Permit Effective Date
21/04/15
Exit Time/Date
01:15PM 21/05/04
Permit Expiration Date
25/10/31
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
Chris Randall,PO Box 341 Leicester NC 28748//828-683-1930/
Yes
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 Signature(s)
Linda S Wiggs
of Inspector(s)
ps
IO
Agency/Office/Phone and Fax Numbers Date
-ps DWR/ARO WQ/828-296-4500 Ext.4653/
SW
•
Signature of Management Q A Reviewerp—os
•
Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page# 1
DocuSign Envelope ID: 630C36C1-AEF1-4947-9783-4A11 FDOD48BC
sI
NPDES yr/mo/day
N CG550634 111 121 21/05/04
117
Inspection Type
18LI
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The Inspector, Linda Wiggs, met with the Owner, Chris Randall, onsite for the inspection.
The system is an older system and was not required to have disinfection. Mr. Randall documented
the location of the effluent pipe and obtained samples. The samples were compliant with the permit
limits. Documentation was provided of a recent septic tank pumping.
Page# 2
DocuSign Envelope ID: 630C36C1-AEF1-4947-9783-4A11 FDOD48BC
Permit: NCG550634
Inspection Date: 05/04/2021
Owner - Facility: 16 South Turkey Creek 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 ❑ ❑ � ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
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: Billing is current.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? • ❑ ❑ ❑
Is all required information readily available, complete and current? • ❑ ❑ ❑
Are all records maintained for 3 years (lab. reg. required 5 years)? • ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? ❑ ❑ • ❑
Is the chain -of -custody complete? • ❑ ❑ ❑
Dates, times and location of sampling ❑
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete: do they include all permit parameters? ❑ ❑ • ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ • ❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified ❑ ❑ • ❑
operator on each shift?
Is the ORC visitation log available and current? ❑ ❑ • ❑
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ • ❑
Is the backup operator certified at one grade less or greater than the facility ❑ ❑ • ❑
classification?
Page# 3
DocuSign Envelope ID: 630C36C1-AEF1-4947-9783-4A11 FDOD48BC
Permit: NCG550634
Inspection Date: 05/04/2021
Owner - Facility: 16 South Turkey Creek Road
Inspection Type: Compliance Evaluation
Record Keeping
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment:
Yes No NA NE
• ❑ ❑ ❑
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: The effluent pipe has been documented and samples obtained.
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 tank was pumped recently.
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:
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)?
Yes No NA NE
❑ ❑ II ❑
• ❑ ❑ ❑
❑ ❑ • ❑
Yes No NA NE
❑ ❑ • ❑
• ❑ ❑ ❑
❑ ❑ • ❑
❑ ❑ • ❑
Yes No NA NE
❑ ❑ IN ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
❑ ❑ • ❑
Page# 4
DocuSign Envelope ID: 630C36C1-AEF1-4947-9783-4A11 FDOD48BC
Permit: NCG550634
Inspection Date: 05/04/2021
Owner - Facility: 16 South Turkey Creek Road
Inspection Type: Compliance Evaluation
Effluent Sampling
Is the facility sampling performed as required by the permit (frequency, sampling type
representative)?
Comment: Recent samples were compliant.
Yes No NA NE
• ❑ ❑ ❑
Page# 5