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SENT VIA ELECTRONIC MAIL ONLY: NO HARD COPY WILL BE MAILED.
December 21, 2021
Stewart M Gray
Email: smg3@cornell.edu
SUBJECT: Compliance Inspection Report
150 Old Hickory Lane
NPDES WW Permit No. NCG550494
Avery County
Dear Permittee:
The North Carolina Division of Water Resources conducted an inspection of the 150 Old Hickory Lane on
12/09/2021. This inspection was conducted to verify that the facility is operating in compliance with the
conditions and limitations specified in NPDES WW Permit No. NCG550494. The findings and comments
noted during this inspection are provided in the enclosed copy of the inspection report entitled
"Compliance Inspection Report".
There were no significant issues or findings noted during the inspection and therefore, a response to this
inspection report is not required.
If you should have any questions, please do not hesitate to contact me at 828-296-4500 or via email at
stephanie.williams@ncdenr.gov.
Sincerely,
Stephanie Williams, Environmental Specialist
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS: Inspection Report
Ec: Laserfiche
DocuSign Envelope ID: 4110B06C-B98A-45B5-A994-310FABB42467
EPA
United States Environmental Protection Agency
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 Type Inspector Fac Type
1 N 52 NCG550494 21/12/09 C S31112171819 20
21 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved-------------------
N67707172 73 74 75 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
150 Old Hickory Lane
150 Old Hickory Ln
Linville NC 28646
Entry Time/Date Permit Effective Date
Exit Time/Date Permit Expiration Date
11:15AM 21/12/09 21/12/06
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Other Facility Data
11:45AM 21/12/09 25/10/31
Name, Address of Responsible Official/Title/Phone and Fax Number
Stewart M Gray,5 Sunset W Ithaca NY 14850//607-592-7749/Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance Self-Monitoring Program Facility Site Review
Effluent/Receiving Waters
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
Stephanie A Williams DWR/ARO WQ/828-296-4500/
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: 4110B06C-B98A-45B5-A994-310FABB42467
12/21/2021
12/21/2021
NPDES yr/mo/day
21/12/09
Inspection Type
C3111218
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Stephanie Williams, with the Asheville Regional Office, conducted a Compliance Evaluation Inspection
of the single-family wastewater disposal system that services 150 Old Hickory Lane on December 9,
2021. This inspection was conducted to determine if the system is being operated and maintained in
compliance with General permit no. NCG550000. The homeowner, Mr. Stewart Gray, was present
during the inspection. No deficiencies were noted during the inspection.
The septic system is well-maintained and appeared to be in compliance with the General Permit. The
simplex influent grinder pump is located on the back side of the house, across the front porch. The
control box can be found mounted on the side of the home near the pump. This pump sends
wastewater to the septic tank which is located on a cleared path near the head of the driveway. Mr.
Gray has the septic system checked regularly and pumped as needed. The sand filter runs along the
path towards the water.
The chlorination and dechlorination tubes can be found near the end of this path just prior to the
effluent pipe. Mr. Gray stated that the system does not discharge and he does not keep chlorine or
dechlorine tablets in the tubes. At least one chlorination and one dechlorination tablet should be kept
in the tubes when the system is in use. Mr. Gray added a dechlorination tablet and ordered
chlorination tablets following the inspection. No discharge was observed during the inspection and
the pipe was clearly dry. If the system begins to discharge, annual sampling will be required.
NCG550494 17 (Cont.)
Page#2
DocuSign Envelope ID: 4110B06C-B98A-45B5-A994-310FABB42467
Permit:NCG550494
Inspection Date:12/09/2021
Owner - Facility:
Inspection Type:
150 Old Hickory Lane
Compliance Evaluation
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:
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:
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?
Are high and low water alarms operating properly?
The septic tank is pumped every three years and was last pumped on 4/28/2020.Comment:
Sand Filters (Low rate)Yes No NA NE
(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:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?1
Page#3
DocuSign Envelope ID: 4110B06C-B98A-45B5-A994-310FABB42467
Permit:NCG550494
Inspection Date:12/09/2021
Owner - Facility:
Inspection Type:
150 Old Hickory Lane
Compliance Evaluation
Disinfection-Tablet Yes No NA NE
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?
At least one chlorination tablet should be present when the system is in use. See
summary for details.
Comment:
De-chlorination Yes No NA NE
Type of system ?Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de-chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de-chlorinators operational?
Number of tubes in use?1
At least one dechlorination tablet should be present when the system is in use. See
summary for details.
Comment:
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:
Effluent Sampling Yes No NA NE
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)?
Is the facility sampling performed as required by the permit (frequency, sampling type
representative)?
Page#4
DocuSign Envelope ID: 4110B06C-B98A-45B5-A994-310FABB42467
Permit:NCG550494
Inspection Date:12/09/2021
Owner - Facility:
Inspection Type:
150 Old Hickory Lane
Compliance Evaluation
Effluent Sampling Yes No NA NE
The system does not discharge. If the system begins to discharge, annual sampling will
be required.
Comment:
Page#5
DocuSign Envelope ID: 4110B06C-B98A-45B5-A994-310FABB42467