WQ0014105_Compliance Inspection Report_20220922

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Jeff M. and Connie R. Cobb
4933 Stafford Mill Road
Liberty, North Carolina 27298
NORTH CAROLINA
Environmental Quality
September 22, 2022
Subject: Compliance Evaluation Inspection
4933 Stafford Mill Road Single Family Residence - Wastewater Irrigation System
Permit No. WQ0014105
Alamance County
Dear Mr. and Mrs. Cobb:
On August 31, 2022, staff of the North Carolina Division of Water Resources Winston-Salem
Regional Office (DWR) performed a compliance inspection of the subject wastewater irrigation
system. This compliance inspection was conducted by DWR staff person Jim Gonsiewski. The
inspection generally reflects compliance with the permit.
Please refer to the enclosed compliance inspection report for additional observations and comments.
Please note that this permit will expire on December 31, 2022. If you have any questions concerning
this letter, please contact Jim Gonsiewski or me at [phone].
Sincerely,
1- DocuSlgned by:
'-00203CE3F1B7456...
Jennifer F. Graznak
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ - WSRO
enc: Compliance Inspection Report
cc: Alamance County Environmental Health (Electronic Copy)
WSRO Electronic Files
Laserfiche Files
D_E
Department of r,nme.meitel ou.iI
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1450 W. Hanes Mill Rd, Suite 300 I Winston-Salem, North Carolina 27105
336.776.9800

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Compliance Inspection Report
Permit: WQ0014105 Effective: 01/01/18 Expiration: 12/31/22 Owner : Jeff M Cobb
SOC: Effective: Expiration: Facility: 4933 Stafford Mill Rd SFR
County: Alamance 4933 Stafford Mill Rd
Region: Winston-Salem
Liberty NC 27298
Contact Person: Jeff M Cobb Title: Phone:
Directions to Facility:
From 185/40 take NC Hwy 62S. Go past where Hwy 61 veers off to R and take the 1st L on Spoon Rd. Spoon Rd turns into Stafford
Mill Rd at the next intersection (site is on left past Cobb Rd).
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08/31/2022
Primary Inspector: Jim J Gonsiewski
Secondary Inspector(s):
Entry Time 11:05AM
Exit Time: 12 10PM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: El Compliant ❑ Not Compliant
Question Areas:
II Miscellaneous Questions
• Disinfection Tablets
▪ General
(See attachment summary)
▪ Permit Status II Septic Tank
▪ Pump Tank Drip or Irrigation
Page 1 of 4

Permit: WQ0014105 Owner - Facility:Jeff M Cobb
Inspection Date: 08/31/2022
Inspection Type :Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
On August 31, 2022, staff of the North Carolina Division of Water Resources Winston-Salem Regional Office (DWR)
performed a compliance inspection of the subject wastewater irrigation system. This compliance inspection was conducted
by DWR staff person Jim Gonsiewski. The system was in good working order and well maintained. The permit will expire on
12/31/2022. The inspection generally reflects compliance with the permit. .
Page 2 of 4

Permit: WQ0014105 Owner - Facility:Jeff M Cobb
Inspection Date: 08/31/2022 Inspection Type : Compliance Evaluation
Reason for Visit: Routine
Permit Status
# Is the current resident in the home the Permittee?
# If not, does the resident rent from the Permittee?
Change of Ownership form needed? (Mail the form with the inspection letter)
# Is there an inspection and maintenance agreement with a contractor?
If YES, who is the contractor (include contact info)?
Comment:
Septic Tank
*** The septic tank and filters should be checked annually and pumped/cleaned as needed. ***
Is at wastewater from the home connected to the septic tank?
# Does the permittee/resident know where the septic tank is located?
Has the septic tank been pumped in the last 5 years?
If YES, describe if known and proof (include date pumped):
# Does the septic tank have an EFFLUENT FILTER or SANITARY T?
If FILTER, when was the filter cleaned and by who?
Comment:
Disinfection Tablets
*** Tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
Does the permittee have the correct chlorine tablets? (If none, mark No)
# Does the Permittee know the location of the chlorinator?
Were chlorine tablets observed in the chlorinator?
Are tablets contacting water? (If possible, poke them to determine.)
Comment:
Pump Tank
*** All pump and alarm sytems shall be inspected monthly. (Non -Discharge) ***
Is the pump working?
Is the audible and visual high water alarm operational?
# Does the permittee know how to check the pump & high water alarm?
# Last functional test:
Comment:
Yes No NA NE
▪ ❑ ❑ ❑
❑ ❑ • ❑
❑ ❑ • ❑
❑ ❑ • ❑
Yes No NA NE
• ❑ ❑ ❑
■ ❑❑❑
• ❑ ❑ ❑
• ❑ ❑ ❑
Unknown
Yes No NA NE
■ ❑❑❑
■ ❑❑❑
• ❑ ❑ ❑
• ❑ ❑ ❑
Yes No NA NE
• ❑ ❑ ❑
■ ❑❑❑
• ❑ ❑ ❑
Drip or Irrigation Yes No NA NE
*** Irrigation sysetm shall be inspected monthly to ensure system is free of leaks and equipment is operating
as designed. ***
# Type of system (DRIP or IRRIGATION)
Page 3 of 4

Permit: W00014105 Owner - Facility:Jeff M Cobb
Inspection Date: 08/31/2022 Inspection Type : Compliance Evaluation
Reason for Visit: Routine
# If IRRIGATION, number of sprinkler heads.
Are buffers and setbacks 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 the entire irrigation area?
Comment:
General
# Are the treatment units locked and/or secured?
# Has resident had any sewage problems?
If YES, explain
Does the system match the permit description?
If NO, explain:
Is the system compliant?
Is the system failing? (If yes, take pictures if possible)
If system is failing, describe any exposures to people/animals or environmental risks.
Comment: See Narrative
▪ ❑ ❑ ❑
■ ❑❑❑
❑ ❑ ❑ U
■ ❑❑❑
Yes No NA NE
• ❑ ❑ ❑
❑•❑ ❑
▪ ❑ ❑ ❑
• ❑ ❑ ❑
❑ • ❑ ❑
Page 4 of 4

North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Section
NON -DISCHARGE COMPLIANCE INSPECTION REPORT
SINGLE FAMILY RESIDENCE — WASTEWATER IRRIGATION
General Information
Permittee: Jeff and Connie Cobb Telephone No.: 336-266-7814
Permit No.: W00014105
Issuance Date: 17/01/7017
Other Contact:
Location & Address: 4933 Stafford Mill Road, Liberty
County:
Expiration Alamance Date: 12/31/2022
Telephone No.:
Reason for Inspection
ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ OTHER:
Comments (attach additional pages as necessary)
Arrived on site at 11:05 AM, 08/31/2022. Met with the owners, Jeff and Connie Cobb.
Walked through the system. Everything was in good operational order. According to the
owners, they do not have any problems with the system. The alarm for the system works and
all the spray heads are clear of obstructions. The spray field has been mostly cleared. No
evidence of any ponding or runoff was observed in the field. The fence is in good condition with
no breaks noted. Left residence at 12:10 PM.
The permit for the system expires on 12/31/2022. There is one (1) permit fee invoice that
is overdue (2021). A copy of this invoice was sent to the owners.
Is a follow-up inspection necessary ❑ Yes
7 No
Primary Inspector: Jim Gonsiewski
Date of Inspection: 08/31/2022
Secondary Inspector:
Entry Time: 11:05 AM Exit Time: 12:10 PM

Non -Discharge Compliance Inspection Report
Record Keeping
Is current permit available upon request?
Is a copy of the system plans available?
Is estimated flow rate (estimated by # of bedrooms, # of residents, or water meter
readings) less than permitted flow design?
Does Permittee have an inspection log (date & time of monthly system inspection,
observations noted, any maintenance or repairs)?
Are septic tank pumping receipts available?
Date the septic tank was last pumped? 2 years ago
Any complaints regarding the facility in the last 12 months?
Comments:
7
7
Yes
Yes
Yes
Yes
n Yes
7
II
II
No NA [ I NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
No NA ❑ NE
No ❑NA VNE
Yes 7 No I I NA
NE
Septic Tank
Are tanks properly located? V Yes ❑ No ❑ NA ❑ NE
Does septic tank have a filter? 7 Yes ❑ No ❑ NA ❑ NE
Is septic tank checked and pumped as needed? 7 Yes ❑ No ❑ NA ❑ NE
Comments:
Pump Tank, Pumps, Controls, & Alarms
Are all pumps present and operational? V Yes ❑ No ❑ NA ❑ NE
Are the floats and controls operable? V Yes I I No ❑ NA ❑ NE
Are alarms (audible and visible) present and operational? 2 Yes ❑ No ❑ NA ❑ NE
Are alarms properly located (where it can be seen & heard)? IVI Yes ❑ No ❑ NA ❑ NE
If required, is a rain sensor present and operational? ❑ Yes ❑ No ® NA ❑ NE
Comments:
Treatment
Are treatment facilities consistent with those outlined in the current permit? 7 Yes ❑ No n NA ❑ NE
Do all treatment units appear to be operational? If no, note below. V Yes ❑ No ❑ NA ❑ NE
Free of bypass lines or structures? ® Yes ❑ No I I NA ❑ NE
What type of treatment unit is being used (i.e., sand filter, peat filter, advantex, etc.)? sand filter
Does this treatment unit require an operator? If so, note who below. ❑ Yes
Page 2 of 4
No n NA
NE

Non -Discharge Compliance Inspection Report
Treatment Continued
Are the treatment units subsurface?
Is the treatment unit free of ponding, algae, or excessive vegetation?
Is the treatment unit effluent re -circulated at a valid ratio?
Is the distribution box level and watertight?
Comments:
Treatment Disinfection
Is the disinfection system accessible, maintained and checked as needed?
If tablets are used, are tablets present in cylinder(s), proper size and type?
Is contact chamber free of sludge, solids, and growth?
If UV is used, is UV intensity adequate? Are UV bulbs clean?
Are extra bulbs available?
Comments:
End Use -Irrigation
Are buffers adequate?
Is access restricted by a fence with at least two strands of wire?
Is the cover crop acceptable?
Are application rates adhered to?
Site adequate, no evidence of runoff, ponding, or limiting slopes?
Is the acreage specified in the permit being utilized?
Are spray heads operational?
How many spray heads are present? 4
Are any wells located nearby?
If so, how close? (check one) l l Inside the CB
Are wells at least 100' from the septic tank?
Is municipal water available in the area?
Comments:
7
Yes ❑ No
• Yes ❑ No
❑ Yes
✓ Yes
❑ No
❑ NA NE
❑ NA ❑ NE
❑NA VNE
No ❑ NA ❑ NE
lV Yes l I No ❑ NA ❑ NE
• Yes l No ❑ NA ❑ NE
• Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ® NA ❑ NE
❑ Yes ❑ No V NA ❑ NE
✓ Yes
F7 Yes
7
✓ Yes
® Yes
VI Yes
2 Yes
❑ No
❑ No
Yes ❑ No
❑ No
❑ No
❑ No
❑ No
❑ NA
❑ NA
❑ NA
PI NA
NA
❑ NA
❑ NA
[l
I1
NE
NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
✓ Yes El No ❑NA ❑NE
❑ Within 250' of the CB V
Page 3 of 4
✓ Yes
❑ Yes
Greater than 250' from the CB
❑No ❑NA ❑NE
VNo ❑NA ❑NE

Non -Discharge Compliance Inspection Report
Additional Comments and/or Sketch
Page 4 of 4