HomeMy WebLinkAboutNCG560053_Compliance Evaluation Inspection_20210825DocuSign Envelope ID: 307D5C00-3B72-4233-BC70-F47849C21B1B
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 2 u 3 I NCG560053 111 121 21/08/25 I17 18 I C I 19 I s I 20L]
21111I I I I I I I II I I I I I I I I I I I I I I I I I I I I I I I II I I I I 1166
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
67
I 72 I ni I 71 I 74 79 I I I I I I I80
701 I 71 I LL -1 I I
LJ
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 Dermit Number)
01:OOPM 21/08/25
17/05/18
Surf City Mosquito Control
214 N New River Dr
Exit Time/Date
Permit Expiration Date
Surf City NC 28445
01:45PM 21/08/25
21/10/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
David Price/PWD/910-329-1055 /9103290185
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
David Price,PO Box 2475 Surf City NC 284452475/PWD/910-329-1055/9103290185
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Records/Reports 0 Facility Site Review
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
DocuSigned by:
Brian S West M Sf DWR/WIRO WQ/910-796-7341/
2,61 AOA14A2445... 8 / 2 6 / 2 021
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Morella Sanchez -King DWR/WIRO WQ/910-796-7218/ Mocedby: 8/26/2021
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. �-EABA14Ac7Dc434...
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DocuSign Envelope ID: 307D5C00-3B72-4233-BC70-F47849C21B1B
NPDES yr/mo/day Inspection Type
NCG560053 I11 12I 21/08/25 117 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Routine compliance inspection with David Price. Some contact information for the Town has been
changed. Please see comments under individual sections of this report.
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DocuSign Envelope ID: 307D5C00-3B72-4233-BC70-F47849C21131B
Permit: NCG560053 Owner -Facility: Surf City Mosquito Control
Inspection Date: 08/25/2021 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
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application?
Is the facility as described in the permit?
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# Are there any special conditions for the permit?
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Is access to the plant site restricted to the general public?
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Is the inspector granted access to all areas for inspection?
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Comment: Permit expires 10/31/21 and is set up for auto -renewal since Town is up-to-date on
annual fee payments. Per permit condition 1.2.4, the exisitng permit is administratively
extended upon expiration if the new COC has not been issued.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
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Is all required information readily available, complete and current?
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Are all records maintained for 3 years (lab. reg. required 5 years)?
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Are analytical results consistent with data reported on DMRs?
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Is the chain -of -custody complete?
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Dates, times and location of sampling
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Name of individual performing the sampling
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Results of analysis and calibration
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Dates of analysis
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Name of person performing analyses
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Transported COCs
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Are DMRs complete: do they include all permit parameters?
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Has the facility submitted its annual compliance report to users and DWQ?
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(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified
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operator on each shift?
Is the ORC visitation log available and current?
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Is the ORC certified at grade equal to or higher than the facility classification?
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Is the backup operator certified at one grade less or greater than the facility
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classification?
Is a copy of the current NPDES permit available on site?
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Facility has copy of previous year's Annual Report on file for review?
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Comment: The Town contracted with Pender County (NCG560002) in 2020 to have the County
assume all spraying activities for the Town. The Town wishes to retain the
permit in
case the contract with the County is terminated. Update PDMP as needed if spraying
activities are resumed
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DocuSign Envelope ID: 307D5C00-3B72-4233-BC70-F47849C21131B
Permit: NCG560053
Inspection Date: 08/25/2021
Record Keeping
Owner -Facility: Surf City Mosquito Control
Inspection Type: Compliance Evaluation
Yes No NA NE
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