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Home My WebLink AboutNCG550207_Inspection_20210726DocuSign Envelope ID: 064834AD-13CC-4B7A-B363-76F481 E30A00 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 I5 21IIIIII NPDES yr/mo/day Inspection I 3 I NCG550207 111 121 21/07/07 117 Type 181 IIIIIIIIIII Inspector Fac Type 19I S I 201 IIIIIIIIIIIIIIIIII I IIIIII P6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 671 I 70I I 711 172 I N I 731 I 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 permit Number) 2472 Brook Hollow Street 2472 Brook Hollow St Morganton NC 28655 Entry Time/Date 01:OOPM 21/07/07 Permit Effective Date 20/11/30 Exit Time/Date 01:45PM 21/07/07 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 Brenda K Roberts,205 Westwood Dr Morganton NC 28655/// No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Operations & Maintenar 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) Agency/Office/Phone and Fax Numbers DS DWR/ARO WQ/828-296-4500 Ext.4653/ Pie Date Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# 1 DocuSign Envelope ID: 064834AD-13CC-4B7A-B363-76F481 E30A00 31 NPDES yr/mo/day N CG550207 I11 121 21/07/07 17 Inspection Type 18LI (Cont.) 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) The Inspector Linda Wiggs, met with the Owner, Brenda Roberts onsite. Family members currently reside in the house. Issues noted in previous inspection were addressed. The system still does not discharge; it is an older system design without a liner and is likely infiltrating into the ground. Chlorine tablets were in place regardless and the septic tank had been pumped since the last inspection. The septic tank will need to be pumped next year to stay on track with meeting the 5 year permit requirement. Family members will continue to observe the discharge pipe and chlorine tablet dispenser in case the system does discharge and obtain samples if a discharge does occur. If a discharge does occur, Ms. Roberts inquired about the closest Certified Laboratory that can supply bottles to gather the water from the end of the pipe in and then analyze those samples; it is Water Tech Laboratories in Granite Falls. Page# 2 DocuSign Envelope ID: 064834AD-13CC-4B7A-B363-76F481 E30A00 Permit: NCG550207 Inspection Date: 07/07/2021 Owner - Facility: 2472 Brook Hollow Street 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: Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new El ❑ ❑ application? Is the facility as described in the permit? • El El El # 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: 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? ❑ El • ❑ Are high and low water alarms operating properly? ❑ ❑ • ❑ Comment: See summary. 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: System was dry, no flow observed. Effluent Pipe 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? Yes No NA NE Page# 3 DocuSign Envelope ID: 064834AD-13CC-4B7A-B363-76F481 E30A00 Permit: NCG550207 Inspection Date: 07/07/2021 Owner - Facility: 2472 Brook Hollow Street Inspection Type: Compliance Evaluation Effluent Pipe Comment: No discharge present. Yes No NA NE Page# 4