WQCSD0194_20221004CEI_20221021

Compliance Inspection Report
Permit: WQCSD0194 Effective: 03/01/00 Expiration:
SOC: Effective: Expiration:
County: Davidson
Region: Winston-Salem
Contact Person: Randy Simmons
Directions to Facility:
Owner : Aqua North Carolina Inc
Facility: Salem Glen Subdivision Collection System
Title: Phone: [phone]
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 10/04/2022
Entry Time 10:OOAM Exit Time: 12:OOPM
Primary Inspector: Patricia Lowery Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and operation
Facility Status: Compliant ❑ Not Compliant
Question Areas:
▪ Miscellaneous Questions
II Spills/Response Plan
▪ Manholes
(See attachment summary)
▪ General
▪ Inspections
▪ Pump Stations
▪ Grease Control
▪ Lines
Page 1 of 7

Permit: WQCSD0194 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 10/04/2022
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Tricia Lowery of the NC Division of Water Resources, Winston-Salem Regional Office conducted a compliance evaluation
inspection of Salem Glenn collection system (WQCSD0194) on 10/4/2022. Sam Pegram (collection system manager) was
present for the inspection. This is a private community collection system. The collection system contains 6 pump stations,
with —4.5 miles of gravity sewer and —3.25 miles of force main. Results of the inspection are summarized in the following
paragraphs:
15A NCAC 02T .0403 Permitting By Regulation
(a)(1) The collection system shall be effectively maintained and operated at all times to prevent discharge to land or surface
waters and to prevent any contravention of groundwater standards or surface water standards.
Observations: Overall, Mr. Pegram operates and maintains the collection system well.
Compliant: Yes
(a)(2) A map of the collection system shall have been developed and shall be maintained.
Observations: Map of collection system is adequate. Pipe age and materials are not listed on map, however, Mr. Pegram
has documentation as a supplement to map with pipe age and material.
Complaint: Yes
(a)(3) An operation and maintenance plan, including pump station inspection frequency, preventative maintenance schedule,
spare parts inventory, and overflow response shall have been developed and implemented.
Observations: Overall, all documentation pertaining to the maintenance and operations of collection system are in order and
satisfactory. The only issue found was in the spill response plan (overflow response). The spill response plan should
include a response time to events, a source of emergency funds, and plan for site sanitation with a list of clean up materials.
These are issues that can be easily remedied with slight revisions to spill response plan.
Compliant: Overall yes. Please revise spill response plan.
(a)(4) Pump stations that are not connected to telemetry system shall be inspected by the permittee or its representative
every day, 365 days per year, unless the permittee demonstrates that the daily inspections are not necessary because the
pump station has sufficient storage capacity, above the elevation at which the pump activates, to justify a longer inspection
interval. In no case shall the inspection interval exceed seven days. Pump stations that are connected to a telemetry
system shall be inspected once per week.
Observations: All pump stations are connected to telemetry, therefore are inspected once per week.
Compliant: Yes
Special note regarding pump station inspection:
Keswick pump station was inspected. The pump station did not have a pump contingency plan posted, nor was the audible
alarm at proper volume. Thick tall shrubbery encases the pump station; therefore, they must cut an opening to reach the
pump station, which might pose security issues at pump station. It is important to note, Mr. Pegram has locks on both the
well and control module, so pump station components are secured.
Additionally, the tall thick shrubbery obscures the pump station identifier sign. At the time of inspection, we had some
difficulty moving through a small opening in the shrubs to reach pump station. This raises concerns of emergency
equipment access to pump station. There are no permanent generators at pump station, consequently they must rely on
portable generators in case of power failure.
Logbook records amps but does not document the lubrication of pump nor inspecting and exercising of valves. It does
document testing of alarms and telemetry communication. Mr. Pegram test alarms by lifting float from pump station.
Inspector suggests raising the audible alarm and conduct landscaping as to not obscure identifier sign and make it possible
for emergency equipment to reach pump station in emergency situations. Inspector does acknowledge the residents may
be concerned over louder audible alarm and visibility of pump station and therefore be the reason these issues exist.
(a)(5) High -priority sewers shall be inspected by the permittee or its representative once every six months, and inspections
shall be documented.
Observations: Only one high -priority line in system. It run beneath the lake. Aqua NC contracts Subsurface to inspect,
flush and clean lines. Documentation of line cleaning is in order and no issues found during inspection.
Page 2 of 7

Permit: WQCSD0194 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 10/04/2022
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Compliant: Yes
(a)(6) A general observation by the permittee or its representative of the entire collection system shall be conducted once
per year.
Observations: Due to small and private nature of collection system, Mr. Pegram oversees entire collection system on a
regular basis and the documentation is adequate. This is satisfactory to meet annual inspection requirements
Compliant: Yes
(a)(7) Overflows and bypasses shall be reported to the appropriate Division regional office in accordance with 15A NCAC
02B .0506(a), and public notice shall be provided as required by G.S. 143-215.1 C.
Observations: No SSOs reported over the past 3 years. The spill response plan does have appropriate phone numbers in
case an SSO should occur.
Compliant: Yes
(a)(8)(B) Grease Control Program shall be in place for private owned collection systems that will include bi-annual
distribution of grease education materials to users of the collection system by the permittee or representative.
Observations: Grease control educational materials are distributed every 6 months to residents via utility bill.
Compliant: Yes
(a)(9) Right-of-ways and easements shall be maintained in the full easement width for personnel and equipment
accessibility.
Observations: All Terrain Mowing is contracted to conduct maintenance of right of ways. Documentation is in order and no
issues found during inspection.
Compliant: Yes
(a)(10) Documentation of compliance with Subparagraphs (a)(1) through (a)(9) of this Rule shall be maintained by the
collection system owner for three years with the exception of the map, which shall be maintained for the life of the system.
Observations: Documentation is in order and kept according to regulations.
Compliant: Yes
Page 3 of 7

Permit: WQCSD0194 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 10/04/2022
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
General
# Is this system a satellite system?
# If Yes, what is system name or permit number?
Is there a overall sewer system map?
Does the map include:
Pipe sizes
Pipe materials (PVC, DIP, etc)
Pipe location
# Flow direction
# Approximate pipe age
# Pump station ID, location and capacity
# Force main air release valve location & type
# Location of satellite connections
Are system maintenance records maintained?
Comment: Does not have pipe age, size and material on map, however this information is kept in
maintenance books. Pump stations are marked, but not labeled.
Grease Control
Is grease/sewer education program documented with req'd customer distribution?
# Are other types of education tools used like websites, booths, special meetings, etc?
If Yes, what are they? (This can reduce mailing to annual.)
For public systems, is there a Grease Control Program via an ordinance/agreement?
If Yes, does it require grease control devices at applicable locations?
Is the Grease Control Program enforced via periodic inspections/records review?
Is action taken against violators?
Yes No NA NE
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Yes No NA NE
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❑ ❑ • ❑
Comment: This is a private community collection system. There is a clubhouse in community, but Mr.
Pegram has not inspected it recently. FOG education is distributed every 6 months to
residents via utility bill.
Spills and Response Action Plan
# Is system free of known points of bypass?
If No, describe type of bypass and location
# Have there been any sewer spills in the past 3 years?
If Yes, were they reported to the Division if meeting the reportable criteria?
If applicable, is there documentation of press releases and public notices issued?
Are all spills or sewer related issues/complaints documented?
# Are there repeated overflows/problems (2 or more in 12 months) at same location?
# If Yes, is there a corrective action plan?
Yes No NA NE
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❑ ❑ • ❑
❑ ❑ • ❑
Page4of7

Permit: WQCSD0194 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 10/04/2022
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Is a Spill Response Action Plan available?
Is a Spill Response Action Plan available for all personnel?
Does the plan include:
# 24-hour contact numbers
# Response time
# Equipment list and spare parts inventory
# Access to cleaning equipment
# Access to construction crews, contractors, and/or engineers
# Source of emergency funds
# Site sanitation and cleanup materials
# Post-overflow/spill assessment
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❑ • ❑ ❑
Comment: Community has had no SSOs in the past 3 years. Spill Response plan was missing a few
details: 1) Response time, 2) source of emergency funds, and 3) site sanitation and cleanup
materials
Inspections
Are adequate maintenance records maintained?
Are pump stations being inspected at the required frequency?
Is at least one complete functionality test conducted weekly per pump station?
Is there a system or plan in place to observe the entire system annually?
Is the annual inspection documented?
# Does the system have any high -priority lines/locations?
Are inspections of HPL documented at least every 6 months?
Are new lines being added to the HPL list when found or created?
Yes No NA NE
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MODE
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Comment: Operation and maintenance logs are satisfactory. No issues found. One HPL in system. Due
to small and private nature of collection system, Mr. Pegram oversees entire collection system
on a regular basis and the documentation is adequate. This is satisfactory to meet annual
inspection requirements. Good documentation of line cleaning and manhole inspections.
Lines/Right-of-Ways/Aerial Lines
Please list the Lines/Right of Ways/Aerial Lines Inspected:
Salem Glenn
Are right-of-ways and easements maintained for the full width for access?
If No, give details on temporary access:
Is maintenance documented?
Were all areas/lines inspected free of issues?
Yes No NA NE
• ❑ ❑ ❑
El El El El
El El El El
Comment: All Terrain Mowing conducts maintenance of all ROWs in collection system. Records of ROW
maintenance is satisfactory.
Manholes
Yes No NA NE
Page5of7

Permit: WQCSD0194 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 10/04/2022
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Please list the Manholes Inspected:
Keswick
Are manholes accessible? • ❑ ❑ ❑
# Are manhole covers/vents above grade? • ❑ ❑ ❑
Are manholes free of visible signs of overflow? • ❑ ❑ ❑
Are manholes free of sinkholes and depressions? • ❑ ❑ ❑
Are manhole covers present? • ❑ ❑ ❑
# Are manholes properly seated? • ❑ El El
# Are manholes in good condition? • ❑ ❑ ❑
# Are inverts in good condition? • ❑ ❑ ❑
Is flow unrestricted in manholes? • ❑ ❑ ❑
Are manholes free of excessive amounts of grease? • ❑ ❑ ❑
Are manholes free of excessive roots? • ❑ ❑ ❑
Are manholes free of excessive sand? • ❑ El El
Are manhole vents screened? • ❑ ❑ ❑
Are vents free of submergence? • ❑ ❑ ❑
Are manholes free of bypass structures or pipes? • ❑ ❑ ❑
Comment: Manholes inspect was in good condition. No issues found during inspection.
Pump Stations
Please list the Pump Stations Inspected:
Keswick Pump Station
# Number of duplex or larger pump stations in system
# Number of vacuum stations in system
# Number of simplex pump stations in system
# Number of simplex pump stations in system serving more than one building
How many pump/vacuum stations have:
# A two-way "auto polling" communication system (SCADA) installed?
# A simple one-way telemetry/communication system (auto -dialer) installed?
For pump stations inspected:
Are they secure with restricted access?
Were they free of by-pass structures/pipes?
Were wet wells free of excessive grease/debris?
# Do they all have telemetry installed?
Is the telemetry system functional?
Is a 24-hour notification sign posted ?
Does the sign include:
Owner Name?
Yes No NA NE
6
0
0
0
0
6
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Page6of7

Permit: WQCSD0194 Owner - Facility:Aqua North Carolina Inc
Inspection Date: 10/04/2022
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Pump station identifier? • ❑ ❑ ❑
# Address? ❑ • ❑ ❑
Instructions for notification? • ❑ ❑ ❑
24-hour emergency contact numbers? • ❑ ❑ ❑
Are audio and visual alarms present? • ❑ ❑ ❑
Are audio and visual alarms operable? ❑ • ❑ ❑
# Is there a backup generator or bypass pump connected? • ❑ ❑ ❑
If tested during inspection, did it function properly? ❑ ❑ ❑ •
Is the back-up system tested at least bi-annually under normal operating conditions? ❑ ❑ ❑ •
# Does it have a dedicated connection for a portable generator? • ❑ ❑ ❑
# Is the owner relying on portable units in the event of a power outage? • ❑ ❑ ❑
# If Yes, is there a distribution plan? ❑ ❑ ❑ •
If Yes, what resources (Units/Staff/Vehicles/etc) are included in Plan?
# Does Permittee have the approved percentage of replacement simplex pumps? ❑ ❑ • ❑
Is recordkeeping of pump station inspection and maintenance program adequate? ❑ • ❑ ❑
Do pump station logs include at a minimum:
Inside and outside cleaning and debris removal? • ❑ ❑ ❑
Inspecting and exercising all valves? ❑ • ❑ ❑
Inspecting and lubricating pumps and other equipment? ❑ • ❑ ❑
Inspecting alarms, telemetry and auxiliary equipment? • ❑ ❑ ❑
Comment: Some issues of concern found during pump station inspection. See 'Special Note' in inspection
summary for details under (a)(4).
Page 7 of 7