NCG550142_Compliance Evaluation Inspection_20210920

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 Code NPDES yr/mo/day Inspection
1 IN I 2 LI 3 I NCG550142 111 121 21/09/20 117
Type
1810I
IIIIIIIIIII
Inspector Fac Type
19I S I 2011
21IIIIII IIIIIIIIIIIIIIIIII I IIIIII
P6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
671 I 70I3 I 711 1 72 I N I 731 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 permit Number)
182 Regency Drive
182 Regency Dr
Reidsville NC 27320
Entry Time/Date
03:30PM 21/09/20
Permit Effective Date
21/08/06
Exit Time/Date
03:55PM 21/09/20
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
Marjorie B Tuttle,182 Regency Dr Reidsville NC 27320//336-342-2468/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Records/Reports
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
Alex Lowe DWR/WSRO WQ/336-776-9689/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
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sI
NPDES yr/mo/day
N CG550142 111 121 21/09/20
I17
Inspection Type
18 [j
(Cont.)
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On Monday, September 20, 2021, Alex Lowe of the WSRO conducted a routine Compliance
Evaluation Inspection at 182 Regency Drive. Permittee Ms. Marjorie Tuttle was present for the
inspection. Ms. Tuttle was unable to provide a copy of her permit or proof of the latest servicing of her
wastewater system, but stated that the system had been pumped out in 2021 by Billingsley Septic
Service of Reidsville. Mr. Lowe was able to confirm this by contacting Billingsley directly (invoice
attached). Lowe offered that a copy of the permit be sent along to Ms. Tuttle with the inspections
report for her records.
Chlorination tablets were reported by Ms. Tuttle to be for pool care, and were being replaced monthly
into two contact chamber tubes at the rear of the property. A tablet was observed in both tubes at the
time of inspection. Lowe stated that the use of wastewater grade chlorination tablets was important,
and asked Ms. Tuttle to replace the pool tablets with wastewater tablets.
Ms. Tuttle stated that she has not had her effluent tested due to mobility issues, as her sampling
outfall is in a hard to reach place. Mr. Lowe offered to provide a list of certified laboratories who may
provide sample gathering services with the inspection report (see attached).
This system appears to be in good order. To fulfill compliance expectations, Ms. Tuttle should begin
annual sampling of effluent and retain copies of all paperwork related to permit renewals and system
maintenance.
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Permit: NCG550142
Inspection Date: 09/20/2021
Owner - Facility: 182 Regency Drive
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 ❑ El ❑
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:
Record Keeping
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?
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: Annual sampling and records retention should be implemented to fully meet
compliance expectations.
Yes No NA NE
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❑ • ❑ ❑
❑ ❑ • ❑
❑ ❑ • ❑
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