NCG550875_Compliance Evaluation Inspection_20220707

DocuSign Envelope ID: D5D0107D-AAB5-4F86-90D7-FAADB2B3780D
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Linda Clayton
10325 Hurdle Mills Road
Hurdle Mills NC 27541
NORTH CAROLINA
Environmental Quality
July 7, 2022
Subject: NOTICE OF VIOLATION
Tracking Number: NOV-2022-PC-0354
Compliance Evaluation Inspection
Single Family Wastewater Treatment System
NPDES General Permit NCG550000
Certificate of Coverage NCG550875
Facility Name: 10325 Hurdle Mills Road
Person County
Dear Ms. Clayton:
On March 30, 2022, Cheng Zhang from the Raleigh Regional Office visited your single-family
residence (SFR) wastewater treatment system to evaluate compliance with the subject General NPDES
Permit. Your assistance during the inspection was greatly appreciated.
Our records indicate the treatment system consists of a septic tank, one -pass sand filter, chlorinator, and
discharge pipe.
General NPDES Permit NCG550000 and Certificate of Coverage (COC) NCG550875 (expired on
October 31, 2020) authorize the discharge of domestic wastewater from your treatment system to
receiving waters designated as unnamed tributary to Byrds Creek (classified WS-III, NSW waters) 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. The system was discharging at the
time of inspection. Solids were observed around the discharge point. Please have a septic
professional check whether the septic tank needs to be pumped and the sand filter is clogged.
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. You stated that the septic tank was last
NOAD_E Q 3
o.y,ror.m or Environmental ou.i�
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

DocuSign Envelope ID: D5D0107D-AAB5-4F86-90D7-FAADB2B3780D
Linda Clayton, NCG550875
Page 2 of 3
pumped about two years ago. 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 swimminji 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 observed chlorine tablets in the
chlorinator, and noted that you had a supply of correct chlorine tablets stored on site.
Please ensure the correct type of tablets are used and maintained in the chlorinator as
required by the General NPDES Permit when the treatment system resumes operation.
4. 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. During 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 October 7, 2022.
5. 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 the problem. The
discharge pipe was visible and accessible the day of the inspection. Please continue to
ensure the outlet is always visible/maintained and cleared of vegetation, soil and leaves.
6. 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." Division records indicate the required annual fee ($60 per year) for the period
ending April 30, 2022, and due May 7, 2021, has not been paid. (See enclosed invoice).
Please continue to periodically inspect the wastewater treatment system) 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.
DE
NORTH CAROLINA
gaparhnanl of Environmental quality
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11611 Mail Service Center I Raleigh, North Carolina 27699-1611
919.707.9000

DocuSign Envelope ID: D5D0107D-AAB5-4F86-90D7-FAADB2B3780D
Linda Clayton, NCG550875
Page 3 of 3
Please respond in writing to RRO within 30 days of receipt of this letter regarding Items 1, 4 and
6. If you have questions or comments about this inspection or the requirements to take corrective action
(if applicable), then please contact Cheng Zhang at 919-791-4259.
Sincerely,
r—DocuSigned by:
UtIA ,SSa . M'l.huAl.a,
`— B2916 E6AB32144F...
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Attachment(s): EPA Water Compliance Inspection Report
Annual permit fee invoice
Cc: RRO/SWP Files
Laserfiche
D_E
NORTH CARCLINA
gaparhnanl of Environmental quality
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11611 Mail Service Center I Raleigh, North Carolina 27699-1611
919.707.9000

DocuSign Envelope ID: D5D0107D-AAB5-4F86-90D7-FAADB2B3780D
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
1
21I
671
Code
IN I 2 IL I
I I I I I I
NPDES yr/mo/day Inspection
3 I NCG550875 111 121 22/03/30 117
Type
18 I O I
I I I I I
Inspector Fac Type
19 I S I 201 I
I I I I I I I I I I I I I I I I I I I I I I
I I I
I I I 1 I P6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
I 7° I I 711 172 I N I 73I I 74 71
I I
1 1 1 1 1 1 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES oermit Number)
10325 Hurdle Mills Road
10325 Hurdle Mills Rd
Hurdle Mills NC 27541
Entry Time/Date
10:15AM 22/03/30
Permit Effective Date
20/04/20
Exit Time/Date
10:30AM 22/03/30
Permit Expiration Date
20/10/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Linda E Clayton, 336-504-2032
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Linda E Clayton,10325 Hurdle Mills Rd Hurdle Mills NC 27541
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenar Self -Monitoring Progran 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)
Cheng Zhang
of Inspector(s) Agency/Office/Phone and Fax Numbers Date
—Docusignedby: DWR/RRO WQ/919-791-4200/
aj „ ja.4--_ 7/7/2022
"- D6171508E1 EC41 F...
Signature
of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
1 VatA.t,SSa f. lAitzwutd,l, 7/7/2022
�B291fiEGE�B321¢AF )
EPA Form .55bU .i (Kev 9-94 Previous editions are obsolete.
Page# 1

DocuSign Envelope ID: D5D0107D-AAB5-4F86-90D7-FAADB2B3780D
sI
NPDES yr/mo/day
N C G 5508 75 111 121 22/03/30
117
Inspection Type
18LI
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The septic tank was pumped about two years ago. The permittee had a supply of correct chlorine
tablets. Chlorine tablets were observed in the chlorinator. Effluent has not been sampled and
analyzed. Solids were observed around the discharge point.
Page# 2

DocuSign Envelope ID: D5D0107D-AAB5-4F86-90D7-FAADB2B3780D
Permit: NCG550875
Inspection Date: 03/30/2022
Owner - Facility: 10325 Hurdle Mills Road
Inspection Type: Compliance Evaluation
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:
Operations & Maintenance
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
(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)
(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
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Yes No NA NE
❑ ❑ • ❑
II El El El
• ❑ ❑ ❑
• ❑ ❑ ❑
Yes No NA NE
• ❑ ❑ ❑
❑ ❑ • ❑
Yes No NA NE
❑ ❑ • ❑
❑ ❑ • ❑
❑ ❑ • ❑
Yes No NA NE
❑ ❑ • ❑
• ❑ ❑ ❑
❑ ❑ • ❑
Yes No NA NE
• ❑ ❑ ❑
2
Page# 3

DocuSign Envelope ID: D5D0107D-AAB5-4F86-90D7-FAADB2B3780D
Permit: NCG550875
Inspection Date: 03/30/2022
Owner - Facility: 10325 Hurdle Mills Road
Inspection Type: 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?
Comment:
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: Solids were observed around the discharge point.
Yes No NA NE
• ❑ ❑ ❑
❑ • ❑ ❑
❑ ❑ • ❑
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)?
Comment: Effluent has not been sampled and analyzed.
Page# 4

Inspection Date:
la- l�r +0 3�
Start Time: End Time: "+61-e'41—
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
Rev. 5/10/2016 t
Permittee: L +i d cla (3-a'2 CC(A.1-A-,$)Permit: N6-1-3 --.-' P73
Address: to 3 / 1 rot M ; as Dio E-mail-
Phone:( ) - Cell Phone:(33 6 ) o 44 - 2-0 3 2 County: per-� '
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't Did Not
Yes No Apply Investigal
1. Is the current resident in the home the Permittee? IA ❑ ❑ ❑
2. If not does the resident rent from the permittee? ❑ 0 ❑ ❑
3. Change of Ownership form needed? (mail the form with the inspection letter) ❑14❑ ❑
4. Is there a inspection and maintenance agreement with a contractor? ❑ ❑ ❑ ❑
5. If yes to #4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumped/cleaned as needed
6. Is all wastewater from the home connected to the septic tank? J ❑ ❑ ❑
7. Does the permittee/resident know where the septic tank is located? FA ❑ ❑ ❑
8. Has the septic tank been pumped in the last 5 years? P1 ❑ ❑ ❑
9. If yes to #8 date, if known '2- yr A5 o 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 / TREATMENT PODS YES El NO ❑ 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? ❑ n ❑ ❑
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located? 171 ❑II
15. Does the sandfilter require maintenance? ❑ F ❑ ❑
If maintenance is required explain in the comment section
DISINFECTION / UV YES n NO 171 If no proceed to the next section.
The ultraviolet unit shall be checked weekly The lamps and sleeves should be cleaned or replaced as needed to ensure proper 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 / TABLETS YES Crl NO n 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) El❑ ❑ ❑
20. Does the Permittee know the location of the chlorinator? ix❑ ❑ ❑
21. Were chlorine tablets observed in the chlorinator? ) ❑ ❑ ❑
22. Are tablets contacting water? If possible poke them to determine. [� ❑ ❑ ❑
DECHLOR (Discharge only) YES n NO 12C1 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? ❑ ❑ ❑ ❑
25. Were dechlor tablets observed in the dechlorination chamber? ❑ ❑ ❑ ❑
26. Are tablets contacting water? If possible poke them to determine. ❑ ❑ ❑ ❑

Doesn't Did Not
Yes No Apply Investigate
IP TANK YES n NO irl If no proceed to the next section.
mp and alarm sytems shall be inspected monthly. (non -discharge)
s the pump working? ❑ ❑ ❑ ❑
kre the audible and visual high water alarms operational? ❑ ❑ ❑ ❑
)oes the permittee know how to check the pump & high water alarm? ❑ ❑ ❑ ❑
_ast functional test. PUMP AUDIBLE & VISUAL
;HARGE ONLY YES N NO ❑ If no proceed to the next section.
Jal review of the outfall location shall be executed 2x year (one at time of sampling to ensure no visible solids or evidence of a malfunction)
)oes the permittee know where the outfall is located? NI❑ ❑ ❑
Vil❑ M ❑
Nere you able to locate the outfall?
the the discharge visible and accessible? rA ❑ - ❑
s end of pipe
s outlet discharging? W ❑ ❑ ❑
s right of way maintained around the discharge point? E ❑ ❑ ❑
Any Lab Results available? ❑ , ❑ ❑
s there evidence of solids around the discharge point? 0 ❑ ❑ ❑
P or SPRAY YES Cr NO IJ If no proceed to the next section.
rngation system shall be inspected monthly to ensure the system is free of leaks and equipment is operating as designed.
Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
Are the buffers adequate? ❑ ❑ ❑ ❑
Is the site free of ponding and runoff? ❑ ❑ ❑ ❑
Does the application equipment appear to be working properly? ❑ ❑ ❑ ❑
Is there a minimum two wire fence surrounding entire irrigation area? ❑ ❑ ❑ ❑
1ERAL
Are the treatment units locked and or secured? FA r❑� ❑ ❑
Has resident had any sewage problems? If yes explain in the comment section ❑ I� ` ❑ ❑
Does the system match the permit description? If no explain in the comment section KI ❑ ❑ ❑
Is the system compliant? Fil ❑ ❑
El.
Is the system failing? If take if possible L ❑ ❑ ❑
yes, pictures
If is failing, any sign of children or animals contacting sewage? ❑ ❑ ❑
system
D Sent #: - - - NOV Sent #: NOV - 2022 - PC _ 0354
nments: Photos Taken? YES I,y NO ❑
.PECTOR: 64-1 e I►) £ 2 I4 A) SIGNATURE: G>-y .* - \