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Home My WebLink AboutNCG551454_NOV-2022-PC-0182_20220411ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director NORTH CAROLINA Environmental Quality April 7, 2022 Certified Mail # 7020 3160 0000 4115 3937 Return Receipt Requested Andy Etters 9660-138 Falls ofNeuse Rd. #163 Raleigh, NC 27615 Evergreen Partners of Raleigh 6408 Leesville Rd. Durham, NC 27703 Subject: NOTICE OF VIOLATION Tracking Number: NOV-2022-PC-0182 Compliance Evaluation Inspection Single Family Wastewater Treatment System NPDES General Permit NCG550000 Certificate of Coverage NCG551454 Facility Name: 6408 Leesville Road Durham County Dear Mr. Etters: On March 23, 2022, Josh Brigham from the Raleigh Regional Office visited your single-family residence (SFR) wastewater treatment system to evaluate compliance with the subject General NPDES Permit. The assistance you provided over the telephone was greatly appreciated. Our records indicate the treatment system consists of a septic tank, sub -surface sand filter, tablet chlorinator with chlorine contact chamber, tablet dechlorinator, and discharge pipe. General NPDES Permit NCG550000 and Certificate of Coverage (COC) NCG551454 authorize the discharge of domestic wastewater from your treatment system to receiving waters designated as an unnamed tributary to Brier Creek (classified C; NSW) in the Neuse River Basin. The authorized discharge is in accordance with the effluent limits and monitoring requirements established within the General Permit. The items below show what conditions were noted at your facility: Findings during the inspection were as follows: 1. Treatment system operation: The wastewater treatment system shall be maintained at all times to prevent seepage of sewage to the surface of the ground. DK�5 North Carolina Department of Environmental Quality I Division of Water Resources Raleigh Regional Office I 3800 Barrett Drive I Raleigh, North Carolina 27609 919.791.4200 2. Pumping the septic tank: You are required to inspect the septic tank at least yearly to determine if solids must be removed or if other maintenance is necessary. Septic tanks should be pumped out every five years or when the solids level is found to be more than 1/3 of the liquid depth in the septic tank compartment, whichever is greater. A pumping company can check the status periodically and determine when pumping is required. On the phone you indicated that you were not sure if the septic tank had been checked and/or pumped in the past five years. Within 30-days of receiving this letter, please send a copy of the most recent receipt/invoice to this office showing the date the septic tank was last checked and/or pumped out. The General NPDES Permit requires the permittee to retain records associated with sewage disposal activities for a period of at least 5 years. 3. Chlorine tablets in the chlorinator: You are reminded that it is required that chlorine tablets be maintained in the chlorinator to ensure proper disinfection of the discharged wastewater. Chlorine tablets provide effective disinfection and prevent/limit harmful bacteria from discharging to the environment. The product label for these tablets must indicate the tablets are approved for wastewater use and not for swimming pools. Part 1, Section D (1) of General NPDES Permit NCG550000 requires the permittee to inspect the tablet chlorinator weekly to ensure there is an adequate supply of tablets for continuous and proper operation. Section D (4) requires the permittee to maintain all system components, including... disinfection units ... at all times and in good operating order. The inspector did not observe any chlorine tablets in the chlorinator. Please ensure the correct type of tablets are used and maintained in the chlorinator as required by the General NPDES Permit. 4. Dechlorination tablets: You are responsible for always having dechlorination tablets (if a required part of your system) in place. They must be the kind for wastewater treatment and not for swimming pools. The inspector did not observe any] dechlorination tablets in the treatment unit. Please ensure the correct type of tablets are used and maintained in the dechlorinator as required by the General NPDES Permit. 5. Analyzing the effluent: Part 1. C., Effluent Limitations and Monitoring Requirements, within General Permit NCG550000 requires a permittee to sample and analyze the effluent leaving his/her treatment system prior to discharge annually. Parameters to be sampled and analyzed include Flow, BOD (Biochemical Oxygen Demand), Total Suspended Solids, Fecal Coliform and Total Residual Chlorine. After the inspection, you informed the inspector that the effluent has not been monitored within the last 12 months. Please collect a representative sample of the effluent, have it analyzed by a certified commercial laboratory and submit the results to this office no later than May 15, 2022. In the last inspection letter dated December 11, 2017, you were requested to sample your effluent and to submit the analytical results to this office. The Raleigh Regional Office has not received the requested results. Failure to monitor the effluent discharge as required is a violation of NPDES General Permit NCG550000. 6. Locations of treatment units are unknown: Within 30-days of receiving this letter, provide this office with a sketch or map of the location of the treatment units (discharge outfall) in relation to the permitted residence. 7. Discharge outlet location. The permittee is required to conduct a visual review of the outfall location at least twice each year (one at the time of sampling) to ensure that no visible solids or other obvious evidence of system malfunctioning is observed. Any visible signs of a malfunctioning system shall be documented and steps taken to correct �� North Carolina Department of Environmental Quality I Division of Water Resources D Q �� 512 North Salisbury Street { 1611 Mail Service Center I Raleigh, North Carolina 27699-1611 919.707.9000 a.uq the problem. Please ensure the outlet is always visible/maintained and cleared of vegetation, soil and leaves. The end of discharge pipe was not visible nor accessible the day of the inspection. To comply with the general permit monitoring requirements, you need to be able to sample and analyze the effluent from your SFR system through the discharge pipe. You need to keep the area around the discharge pipe cleared of vegetation, soil and leaves. Please take the necessary steps to ensure the discharge outlet is visible and accessible. Maintaining the area will allow you to monitor the discharge and to collect effluent samples as required by the subject permit. Part II Section B.14 of General Permit NCG550000 requires the permittee to "pay the annual administering and compliance monitoring fee within thirty days after being billed by the Division." The annual fee ($60 per year) for the period January 1, 2018 through December 31, 2018, was due by January 5, 2018. The annual fee ($60 per year) for the period January 1, 2019 through December 31, 2019, was due by January 5, 2019. The annual fee ($60 per year) for the period January 1, 2020 through December 31, 2020, was due by January 3, 2020.The annual fee ($60 per year) for the period January 1, 2021 through December 31, 2021, was due by January 2, 2021. The annual fee ($60 per year) for the period January 1, 2022 through December 31, 2022, was due by January 3, 2022. Thesefees have not been paid and are overdue. Payment in the amount of $300 must be remitted to the Division as indicated on the attached Annual Permit Fee Invoices. The wastewater treatment system should be periodically inspected to ensure the treatment components are always maintained and in good operating order. You are also reminded to maintain all monitoring data and associated maintenance records onsite for a minimum of three years and available for inspection. This inspection report is being issued as a Notice of Violation because of failure to analyze the effluent in the past year, and not having tablets in the chlorinator and dechlorinator as required by the NPDES permit. Within 30-days receipt of this letter, please submit a written response to this office indicating the actions you will take or have taken to comply with or resolve the issues noted in items 2-7 above. If you have questions or comments about this inspection or the requirements to take corrective action (if applicable), then please contact Josh Brigham at 919-791-4251. Sincerely, �� 44-- Vanessa E. Manuel, Assistant Regional Supervisor Water Quality Regional Operations Section Raleigh Regional Office Division of Water Resources, NCDEQ North Carolina Department of Environmental Quality 1 Division of Water Resources D Q 512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611 mutlb NORTMG4"O�"" �t 919.707.9000 omr.m d rmmene.�ea Attachment(s): EPA Water Compliance Inspection Report Annual Permit Fee Invoice 2017PR011515 — Due January 5, 2018 Annual Permit Fee Invoice 2018PR011614 — Due January 5, pjg"Zo/9 Annual Permit Fee Invoice 2019PR011537 — Due January 3, 2020 Annual Permit Fee Invoice 2020PR011644 — Due January 2, 2021 Annual Permit Fee Invoice 2021PR011967 — Due January 3, 2022 Cc: RRO/SWP Files Laserfiche D E Q�� North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611 TM ^ - Emhom�.�m 4-ft 919.707.9000 N 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 I 2 IF I 3 I NCG551454 I11 121 22/03/23 I17 18 I r. I 19 I S I 201 I 2111I I 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 I 166 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ------------- -------- Reserved ------------------ 67 701 LJ I 71 L] 72 I I I 731 I 174 71 I I I I I I I80 I " I I 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 oermit Number) 07:45AM 22/03/23 14/03/28 6408 Leesville Road Exit Time/Date Permit Expiration Date 6408 Leesville Rd Durham NC 27703 08:OOAM 22/03/23 18/07/31 Name(s) of Onsite Representative(s)Ttles(s)/Phone and Fax Number(s) Other Facility Data /// Name, Address of Responsible Official/Title/Phone and Fax Number William A Etters,6408 Leesville Rd Durham NC 27703//919449-8993/ Contacted No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Operations & Maintenar 0 Records/Reports Self -Monitoring Progran Effluent/Receiving Wate 0 Laboratory 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 Joshua S Brigham DWR/RRO WQ/919-7914200/ �'°1--� L-/`7/2 022 i� �7/ Signatur of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date 11- AV �/�- *- 11/11? -3 2- EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type 31 NCG551454 1 22/03/23 17 18 [ C j Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Property is owned by Andy Etters. No tablets in chlorinator or dechlorinator. Could not locate discharge. Called Mr. Etters on 4/7/22. Not sure when septic pumped and no lab results. Page# 2 Permit: NCG551454 Inspection Date: 03/23/2022 Owner - Facility: 6408 Leesville 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: 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? ❑ ❑ ❑ 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? ❑ ❑ N ❑ Is sand filter free of ponding? 0 ❑ ❑ ❑ Is the sand filter effluent re -circulated at a valid ratio? ❑ ❑ ❑ N # Is the sand filter surface free of algae or excessive vegetation? 0 ❑ ❑ ❑ # Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1) ❑ ❑ ❑ 0 Comment: Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? 0 ❑ ❑ ❑ Are the tablets the proper size and type? ❑ ❑ ❑ Number of tubes in use? 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: No tablets De -chlorination Yes No NA NE Type of system ? Tablet Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ ❑ ❑ Page# 3 Permit: NCG551454 Inspection Date: 03/23/2022 Owner - Facility: 6408 Leesville Road Inspection Type: Compliance Evaluation De -chlorination 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? Comment: No tablets 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? Comment: Could not locate outfall. Permit (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: Yes No NA NE ❑ ❑ ■ ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ Yes No NA NE ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ Yes No NA NE ❑ ❑ ■ ❑ ■ ❑ ❑ ❑ ❑ ❑ ■ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ Page# 4 NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY II I I III III IIII I I III II II I I II I II INVOICE * 2 0 1 7 P R 0 1 1 5 1 5 Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facili± operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions. Invoice Number: 2017PRO11515 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 Annual Fee Period: 2018-01-01 to 2018-12-31 Invoice Date: 12/06/2017 Due Date: 01/05/2018 Annual Fee: $60.00 Notes: 1. You may pay either by mail with checklmoney order OR by electronic payment (eCheck or Credit Card). 2. If payment is by check/money order, please remit payment to: NCDEQ - Division of Water Resources Attn: Animal/Discharge/Non-Discharge Billing 1617 Mail Service Center Raleigh, NC 27699-1617 3. If payment is electronic, please see https://deg.nc.gov/epaymentsfwq to pay electronically. Payments by eCheck will debit your checking account. Credit card transactions will incur a convenience fee. 4. Please include your Permit Number and Invoice Number on all correspondence. 5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512. 6. Non -Payment of this fee by the payment due date will initiate the permit revocation process. 7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee Coordinator at 919-707-3698. (Return This Portion With Check) ANNUAL PERMIT INVOICE Invoice Number: 2017PRO11515 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 III�IIIIIIIII IIIIIIIIIIIIIII�IIIIIII II Overdue Annual Fee Period: 2018-01-01 to 2018-12-31 Invoice Date: 12/6/2017 Due Date: 1/5/2018 Annual Fee: $60.00 Check Number: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY II I I III II I II I I III II III I I II II INVOICE * 2 0 1 8 P R 0 1 1 6 1 4 Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facili, operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions. Invoice Number: 2018PRO11614 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 Notes: Annual Fee Period: 2019-01-01 to 2019-12-31 Invoice Date: 12/06/2018 Due Date: 01/05/2019 Annual Fee: $60.00 1. You may pay either by mail with check/money order OR by electronic payment (eCheck or Credit Card). 2. If payment is by check/money order, please remit payment to: NCDEQ - Division of Water Resources Attn: Animal/Discharge/Non-Discharge Billing 1617 Mail Service Center Raleigh, NC 27699-1617 3. If payment is electronic, please see https://deci.nc.gov/epaymentstwq to pay electronically. Payments by eCheck will debit your checking account. Credit card transactions will incur a convenience fee. 4. Please include your Permit Number and Invoice Number on all correspondence. 5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512. 6. Non -Payment of this fee by the payment due date will initiate the permit revocation process. 7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee Coordinator at 919-707-3698. (Return This Portion With Check) ANNUAL PERMIT INVOICE Invoice Number: 2018PRO11614 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 �IIIAllllllllll�llllllllllll�llllllnlll Overdue Annual Fee Period: 2019-01-01 to 2019-12-31 Invoice Date: 12/6/2018 Due Date: 1/5/2019 Annual Fee: $60.00 Check Number: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY II III III III I II I I III II III I II I II III INVOICE * 2 0 1 9 P R 0 1 1 5 3 7 Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facili, operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions. Invoice Number: 2019PRO11537 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham. NC 27703 Notes: Annual Fee Period: 2020-01-01 to 2020-12-31 Invoice Date: 12/04/2019 Due Date: 01 /03/2020 Annual Fee: $60.00 1. You may pay either by mail with check/money order OR by electronic payment (eCheck or Credit Card). 2. If payment is by check/money order, please remit payment to: NCDEQ - Division of Water Resources Attn: Animal/Discharge/Non-Discharge Billing 1617 Mail Service Center Raleigh, NC 27699-1617 3. If payment is electronic, please see httas://dea.nc.gov/eaayments/wci to pay electronically. Payments by eCheck will debit your checking account. Credit card transactions will incur a convenience fee. 4. Please include your Permit Number and Invoice Number on all correspondence. 5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512. 6. Non -Payment of this fee by the payment due date will initiate the permit revocation process. 7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee Coordinator at 919-707-3698. (Return This Portion With Check) ANNUAL PERMIT INVOICE Invoice Number: 2019PRO11537 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Efters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 �Illllllllllllllilllalllllllllllllllll Overdue Annual Fee Period: 2020-01-01 to 2020-12-31 Invoice Date: 12/4/2019 Due Date: 1/3/2020 Annual Fee: $60.00 Check Number: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY III IIIIIII IIII II II,I II III II II II INVOICE * 2 0 2 0 P R 0 1 1 6 4 4 Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facili, operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions. Invoice Number: 2020PRO11644 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 Annual Fee Period: 2021-01-01 to 2021-12-31 Invoice Date: 12/03/2020 Due Date: 01/02/2021 Annual Fee: $60.00 Notes: 1. You may pay either by mail with check/money order OR by electronic payment (eCheck or Credit Card). 2. If payment is by check/money order, please remit payment to: NCDEQ - Division of Water Resources Attn: Animal/Discharge/Non-Discharge Billing 1617 Mail Service Center Raleigh, NC 27699-1617 If payment is electronic, please see https://dea.nc.aov/epaymentstwci to pay electronically. Payments by eCheck will debit your checking account. Credit card transactions will incur a convenience fee. Please include your Permit Number and Invoice Number on all correspondence. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512. Non -Payment of this fee by the payment due date will initiate the permit revocation process. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee Coordinator at 919-707-3698. (Return This Portion With Check) ANNUAL PERMIT INVOICE Invoice Number: 2020PRO11644 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 Illllllllfl!IlllllllllllfICI%IIIII'll II Overdue Annual Fee Period: 2021-01-01 to 2021-12-31 Invoice Date: 12/3/2020 Due Date: 1/2/2021 Annual Fee: $60.00 Check Number: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY III IIII I II IIII II III II III III II II INVOICE * 2 0 2 1 P R 0 1 1 9 6 7 Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facilii operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions. Invoice Number: 2021 PRO11967 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 Notes: Annual Fee Period: 2022-01-01 to 2022-12-31 Invoice Date: 12/04/2021 Due Date: 01/03/2022 Annual Fee: $60.00 1. You may pay either by mail with check/money order OR by electronic payment (eCheck or Credit Card). 2. If payment is by check/money order, please remit payment to: NCDEQ - Division of Water Resources Attn: Animal/Discharge/Non-Discharge Billing 1617 Mail Service Center Raleigh, NC 27699-1617 3. If payment is electronic, please see httas://deg.nc.ciov/epaymentsfwcl to pay electronically. Payments by eCheck will debit your checking account. Credit card transactions will incur a convenience fee. 4. Please include your Permit Number and Invoice Number on all correspondence. 5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512. 6. Non -Payment of this fee by the payment due date will initiate the permit revocation process. 7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee Coordinator at 919-707-3698. (Return This Portion With Check) ANNUAL PERMIT INVOICE Invoice Number: 2021 PRO11967 Permit Number: NCG551454 Durham County 6408 Leesville Road William A. Etters Evergreen Partners of Raleigh 6408 Leesville Rd Durham, NC 27703 IIIIIIY6AIVPIIIINnf IYVIIIIN Overdue Annual Fee Period: 2022-01-01 to 2022-12-31 Invoice Date: 12/4/2021 Due Date: 1/3/2022 Annual Fee: $60.00 Check Number: Inspection Date: � Z % Z StartTime: ? 4'S End Time: �bd 51NGLE FAMILY WASTEWATER SYSTEM CHECKLIST snsrzo1s Permittee: A,314 �4rrs Perrnft: Address: `( , E-mail- Phone: a l q'49 Cell Phone:(_ - County: (L/zN" 7 The Permittee Is responsible for the operation and maintenance of the entire wastewater treatment and i1sposal systeiriL Doesn't Did Not Yes No Apply Investigate 1. Is the current resident in the home the Permittee? } 5 2. If not does the resident rent from the permittee? ❑ ❑ ❑ 3. Change of Ownership form needed? (mail the form with the inspection letter) ❑ Q ❑ ❑ 4. Is there a inspection and maintenance agreement with a co tractor? NNE r 5/--y ) ❑ ❑ ❑ 5. If yes to #4 who is the contractor? /V\ - c w s (_^ .\P rr111 J P < < SEPTIC TANK The septic tank and filters s ould be checked annually and pumped/cleaned as needed. 6. Is all wastewater from the home connected to the septic tank? ❑ ❑ ❑ ❑ 7. Does the permitteetresident know where the septic tank is located? 0 ❑ ❑ 8. Has the septic tank been pumped in the last 5 years? n 16 }- S,j r-e ❑ I❑ f� ❑ ❑ 9. If yes to #8 date, if known If proof, describe 10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one) 11. If Yes to filter when was the filter cleaned? By whom? SAND FILTER I TREATMENT PODS YES NO Lj If no proceed to the next section. Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually. 12. Is system something other than a sandfilter? ❑ ❑ 13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Adventex, etc.) 14. Does the permittee know where the sandfilter is located? ❑ ❑ ❑ 15. Does the sandfilter require maintenance? ❑ ❑ ❑ it maintenance Is required explain In the comment section. DISINFECTION I UV YES L1 NO If no proceed to the next section. The ultraviolet unit shag be checked weekly. The lamps and sleeves should be cleaned or replaced as needed to ensure roper disinfection. 16. Is UV working? ❑ ❑ 17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑ ❑ 18. Who completes the weekly check for the UV?( Non -Discharge) DISINFECTION I TABLETS YES W NO If no proceed to the next section. The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation. 19. Does the permittee have the correct chlorine tablets?(If none, mark No) ❑ ❑ ❑ 20. Does the Permittee know the location of the chlorinator? J v'6 2, �� S � ❑ ❑ ❑ 21. Were chlorine tablets observed in the chlorinator? ❑ ® ❑ 22. Are tablets contacting water? If possible poke them to determine. ❑ ElQ ❑ DECHLOR (Discharge only) YES Dg NO If no proceed to the next section. The dechlorinator unit shall be checked weekly to ensure continuous and proper operation. 23. Does the permittee know where the dechlor is? ❑ ❑ ❑ 24. Does the permittee have the correct dechlor tablets? %f ,�� '� ❑ ❑ ❑ ED 25. Were dechlor tablets observed in the dechlorination chamber? ❑ ❑ ❑ 26. Are tablets contacting water? If possible poke them to determine. 0 0 ❑ Doesn't Did Not Yes No Apply Investigate PUMP TANK YES Lj NO If no proceed to the next section. All pump and alarm sytems shall be Inspected monthly. (non -discharge) 27. Is the pump working? 28. Are the audible and visual high water alarms operational? 29. Does the permittee know how to check the pump & high water alarm? 0 El El El 30. Last functional test: PUMP AUDIBLE & VISUAL DISCHARGE ONLY YES Q NO If no proceed to the next section. A visual review of the outfall location shall be executed twice each year (one at the time of sampling to ensure no solids or evidence of a malfunction. 31. Does the permittee know where the outfall is located? (visible 32. Were you able to locate the outfall? 33. Is the end of the discharge pipe visible and accessible? 1:1 El 34. Is outlet discharging? 0 35, Is right of way maintained around the discharge point? El ❑ P9 El El 36. Any Lab Results available? 37. Is there evidence of solids around the discharge point? 0 DRIP or SPRAY YES LJ NO If no proceed to the next section. The irrigation system shall be inspected monthly to ensure the system is free of leaks and equipment is operating as designed. 38. 1s the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads. 39. Are the buffers adequate? 40, Is the site free of ponding and runoff? 41. Does the application equipment appear to be working properly? 42. Is there a minimum two wire fence surrounding entire irrigation area? GENERAL 43. Are the treatment units locked and or secured? 44. Has resident had any sewage problems? If yes explain in the comment section. a a 45. Does the system match the permit description? If no explain In the comment section. 46. Is the system compliant? 47. Is the system failing? If yes, take pictures if possible. 48. If system is failing, any sign of children or animals contacting sewage? NOD Sent #: - NOV Sent #:14o - ZZ -�t'L - G 112, Comments: Photos Taken? YES Lj NO Lj I `v 0 `1- 01 t J L,r; � �n�✓ Le - CS vc Alf t--I ,✓� �. 1 ��6�- 1'6/ polls oF- J#- INSPECTOR: SIGNATURE: