WQ0013969_Staff Report_20230117

DocuSign Envelope ID: D914A47E-327F-4DA6-A84C-80C2FDA0797D
Environmental
Quality
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Staff Report
To: ❑ NPDES Unit ® Non -Discharge Unit Application No.: WWQ0013969
Attn: Alys Hannum Facility name: Van Staalduinen SFR
From: Randy Sipe
Washington 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.
I. GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or n No
a. Date of site visit: 1/17/23
b. Site visit conducted by: R. Sipe
c. Inspection report attached? ® Yes or n No
d. Person contacted: Kenneth Van Staalduinen and their contact information: (252) 927 - 3105 ext.
e. Driving directions: no change since last permit was issued
2. Discharge Point(s): NA, non -discharge system.
Latitude: Longitude:
Latitude: Longitude:
3. Receiving stream or affected surface waters: NA, non -discharge system.
Classification:
River Basin and Subbasin No.
Describe receiving stream features and pertinent downstream uses:
II. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes ❑ No ® N/A
ORC: Certificate #: Backup ORC: Certificate #:
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or n No
If no, please explain:
Description of existing facilities: SFR with septic tank, subsurface sand filters, tablet disinfection, and spray
irrigation.
Proposed flow: 360 GPD
Current permitted flow: 360 GPD
Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important
for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership,
etc.) System was observed to be in good condition.
FORM: WQROSSR 04-14 Page 1 of 3

DocuSign Envelope ID: D914A47E-327F-4DA6-A84C-80C2FDA0797D
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or n No
If no, please explain: System was observed to be in good condition.
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? n Yes or ® No
If yes, please explain:
5. Is the residuals management plan adequate? ® Yes or n No
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or n No
If no, please explain: spray field is in good condition.
7. Is the existing groundwater monitoring program adequate? n Yes n No ® N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? n Yes or ® No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or n No
If no, please explain:
10. Were monitoring wells properly constructed and located? n Yes n No ® N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? n Yes n No ® N/A
If no, please complete the following (expand table if necessary):
Monitoring Well
Latitude
Longitude
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? n Yes or n No
Please summarize any findings resulting from this review: NA, permit does not currently require monitoring data
to be submitted.
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
13. Are there any permit changes needed in order to address ongoing BIMS violations? n Yes or Z No
If yes, please explain:
14. Check all that apply:
® No compliance issues n Current enforcement action(s) n Currently under JOC
n Notice(s) of violation n Currently under SOC n Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
If the facility has had compliance problems during the permit cycle, please explain the status. Has the RO been
working with the Permittee? Is a solution underway or in place?
Have all compliance dates/conditions in the existing permit been satisfied? ® Yes n No n N/A
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
fYes ®NofN/A
If yes, please explain:
16. Possible toxic impacts to surface waters: NA, non -discharge system.
17. Pretreatment Program (POTWs only): NA, non -discharge system.
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DocuSign Envelope ID: D914A47E-327F-4DA6-A84C-80C2FDA0797D
III. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? n Yes or ® No
If yes, please explain:
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
Item
Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition
Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition
Reason
5. Recommendation: n Hold, pending receipt and review of additional information by regional office
Z Hold, pending review of draft permit by regional office
n Issue upon receipt of needed additional information
n Issue
n Deny (Please state reasons: )
6. Signature of report preparer: 121f t RM.1 y. 5414
Signature of regional supervisor: Roke.4z Te0,14444/
Date: 1/17/2023
IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: WQROSSR 04-14
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