WQ0006457_Staff Report_20230109

RE ,
January 9, 2023
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Staff Report
To: DWR Central Office — WQ, Non -Discharge Unit Application No.: W00006457
Attn: Alys Hannum Facility name: 779 Isley School Rd SFR
From: Caitlin Caudle
Winston-Salem Regional Office
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable.
L GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date of site visit: 12/13/2022
b. Site visit conducted by: J. Gonsiewski
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Randy Watson and their contact information: (336) 266 - 0033
II. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes ❑ No ® N/A
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
4. Has the site changed in anyway that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ® No
5. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
6. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No
7. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No
8. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
9. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
10. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No❑N/A
FORM: WQROSSR 04-14 Page 1 of 2

III. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
2. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
® Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑ Deny (Please state reasons: )
3. Signature of report preparer:
Signature of regional supervisor:
Date: 1/9/2023
M►TA11J17YY[1)0/:3aRXITIller.3IVIIFRWa: *TAIBUTAMY0luby
L-4A, T. SMa«-
See attached inspection report.
See attached site map included in last permit.
Att. A: No detailed site man is needed as the Dermit was orieinally issued in 1992 with no chances to the facilitv.
Att. C: There is no flow reduction.
Att. F: There are no compliance schedules.
There was a note in the last staff report about potential new builds around the irrigation field. Based on 2022 aerials
there is no new development that could impact setbacks.
The 2022 permit fee is overdue.
FORM: WQROSSR 04-14 Page 2 of 2

Compliance Inspection Report
Permit: WQ0006457 Effective: 04/01/18 Expiration: 03/31/23 Owner: Randall T Watson
SOC: Effective: Expiration: Facility: 779 Isley School Rd. SFR
County: Alamance 779 Isley School Rd
Region: Winston-Salem
Burlington NC 27217
Contact Person: Randall T Watson Title: Phone:
Directions to Facility:
From N. Park Ave & Elmer St in Burlington go N appx 3 mi (road changes to Burch Bridge Rd). R on Snug Harbor and L on Isley
School Road. According to GIS, property is on L.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 12/13/2022 Entry Time 03:20PM Exit Time: 04:25PM
Primary Inspector: Jim J Gonsiewski EDocusigned by: Phone: [phone]
Secondary Inspector(s): QoVW,
E197B66F179D45F...
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Miscellaneous Questions Permit Status Septic Tank
Sand Filter/Treatment Pods Disinfection Tablets Pump Tank
Drip or Irrigation General
(See attachment summary)
Page 1 of 4

Permit: WQ0006457 Owner - Facility: Randall T Watson
Inspection Date: 12/13/2022 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On December 13, 2022, staff of the North Carolina Division of Water Resources' Winston-Salem Regional Office (DWR)
performed a compliance inspection of the single-family residence wastewater irrigation system located at the subject
property. This compliance inspection was conducted by DWR staff person Mr. Jim Gonsiewski. While inspection of the
wastewater irrigation system generally reflects compliance with Permit No. WQ0006457, the following items of concern
require action:
1) The permittee stated that he checked the tablets in the chlorinator and the components of the system monthly and has
kept records of these inspections. Permit Condition III.(12) lists specific inspection frequencies (weekly for the chlorinator
and monthly for the storage, pump, alarm systems, spray system).Permit Codition V.(2) states that a record of these
inspections should be maintained for five years. Additionally, the current operational agreement lists these requirements.
It was recommended that Mr. Watson begin inspecting the chlorinator weekly and continue to maintain an inspection log.
2)Based on DWR records, the annual permit fee of $60 has not been paid for 2021 or 2022. The permit expires on March
31, 2023.
It was recommended that the permittee pay these fees as soon as possible so the permit can be renewed on time.
Page 2 of 4

Permit: WQ0006457 Owner - Facility: Randall T Watson
Inspection Date: 12/13/2022 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Permit Status Yes No NA NE
# 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
Yes No NA NE
*** The septic tank and filters should be checked annually and pumped/cleaned as needed. **
Is all wastewater from the home connected to the septic tank?
0 ❑ ❑ ❑
# 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?
12/22/2022
Rowland
Environmental
Comment:
Sand Filter/Treatment Pods Yes No NA NE
*** Accessible sand filter surfaces shall be raked/leveled every 6 months and vegetative growth shall be
removed manually. ***
# Is system something other than a sand filter? ❑ ❑ ❑
# If YES, what kind? (examples - Peat, Textile or brand name - Advantex, etc.)
# Does the permittee know where the sandfilter is located? ❑ ❑ ❑
Does the sandfilter require maintenance? ❑ ❑ ❑
If maintenace is required, explain:
Comment: The system does not appear to require any maintenance.
Disinfection Tablets Yes No NA NE
*** 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 Yes No NA NE
Page 3 of 4

Permit: WQ0006457 Owner - Facility: Randall T Watson
Inspection Date: 12/13/2022 Inspection Type : Compliance Evaluation Reason for Visit: Routine
*** 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:
Drip or Irrigation
*** 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):
# 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:
The system has been well maintained.
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: No signs of system failure noted.
• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
Yes No NA NE
Irrigation
4
Yes No NA NE
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Page 4 of 4

Site Map for
WQ0006457