WQ0023179_Staff Report_20230131

DocuSign Envelope ID: 7DAACA70-8FA8-4C20-967B-36BC4A1CB243
,','} State of North Carolina
Division of Water Resources
:.
Water Quality Regional Operations Section
Environmental Staff Report
Quality
To: ❑ NPDES Unit X Non -Discharge Unit Application No.: #WQ0023179
Attn: Leah Parente Facility Name: 2715 Caviness
Jordan Road SFR
County: Orange
From: Jim Westcott
Raleigh Regional Office
Note: This form has been adapted from the non -discharge fg acility staff report to document the review of both non -
discharge and NPDES_permit applications and/or renewals. Please complete all sections as they are qpplicable.
I. GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? X Yes or ❑ No
a. Date of site visit: 01/23/2023
b. Site visit conducted by: Jim Westcott
c. Inspection report attached. X Yes or No
d. Person contacted: Patrick E. and Niki L. Florence and their contact information: [phone] ex
(Disconnected)
e. Driving directions: —
3.
II. PROPOSED FACILITIES: NEW APPLICATIONS
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FORM: WQROSSR 04-14 Pagel of 5

DocuSign Envelope ID: 7DAACA70-8FA8-4C20-967B-36BC4A1CB243
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III. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes X []No NIA
2. Are the design, maintenance, and operation of the treatment facilities adequate for the type of waste and disposal
system? X Yes or ❑ No
If no, please explain:
Description of existing facilities: WW Irrigation
Pr-epesed-€le A -
Current permitted flow: .00048 MGD
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.)
3. Are the site conditions (e.g., soils, topography, depth to water table, etc.) maintained appropriately and adequately
assimilating the waste? X Yes or ❑ No
If no, please explain:
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.)? ❑ Yes or X No
If yes, please explain:
5. Is the residuals management plan adequate?)? X Yes, or No NIA
If no, please explain:
Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? X Yes or ❑ No
If no, please explain:
Is the existing groundwater monitoring program adequate? Yes ❑ No ❑ X NIA
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? ❑ Yes or X No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit, correct? X Yes or ❑ No
If no, please explain:
10. Were monitoring wells properly constructed and located? Yes ❑ No ❑ X NIA
If no, please explain -.-
Are the monitoring well coordinates correct in B[MS? ❑ Yes [] No X ❑ NIA
If no, please complete the following (expand table if necessary):
FORM: WQROSSR 04- l4 Page 2 of 5

DocuSign Envelope ID: 7DAACA70-8FA8-4C20-967B-36BC4A1CB243
Monitoring Well
Latitude
Longitude
o- r
-o- r
o- r rr
a r n
o- r n
a r rr
11. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? X Yes or ❑ No
Please summarize any findings resulting from this review:
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or X ❑ No
If yes, please explain:
13. Check all that apply:
X ❑ No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ 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 pen -nit been satisfied? X Yes No ❑ NIA
If no, please explain:
14. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes X No ❑ NIA
If yes, please explain:
15. Possible toxic impacts to surface waters: NIA
16. Pretreatment Program (POTWs only):
REGIONAL OFFICE RECOMMENDATIONS
Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or X 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
Operation & Maintenance
Plan update
Numerous electrical concerns regarding aeration and irrigation transfer
um s .
3. List specific permit conditions recommended to be removed from the permit when issued:
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DocuSign Envelope ID: 7DAACA70-8FA8-4C20-967B-36BC4A1CB243
Condition Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. 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
X Issue --l"?
❑ Deny (Please state reasons:
b. Signature of report preparers DocuSigned by:
Signature of regional supervis : VoU )-ssa -E.
Date:
3 B2916EMB32144F...
FORM: WQROSSR 04-14 Page 4 of 5

DocuSign Envelope ID: 7DAACA70-8FA8-4C20-967B-36BC4A1CB243
Compliance Inspection Report
Permit: WQ0023179 Effective: 01/01/18 Expiration: 12/31/22 Owner: Patrick E Florence
SOC: Effective: Expiration: Facility: 7215 Caviness Jordan Rd. SFR
County: Orange 7215 Caviness Jordan Rd
Region: Raleigh
Cedar Grove NC 27231
Contact Person: Patrick E Florence Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 01/23/2023
Primary Inspector: James Westcott
Secondary Inspector(s):
Certification:
Phone:
Entry Time 10:OOAM Exit Time: 12:OOPM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: M 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)
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DocuSign Envelope ID: 7DAACA70-8FA8-4C20-967B-36BC4A1CB243
permit: WQ0023179 Owner - Facility: Patrick E Florence
Inspection Date: 01/23/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
At the time of inspection, the permittee was on site, and all components of the system were evaluated and tested.
The chlorination tablet feeder was located and a sufficient supply of tablets were evident The permittee had the proper
chlorine tablets on site. The moisture sensor and visual high-level alarm was located on the control junction box and the
audible alarm was tested.
The spray irrigation system was evaluated and tested.All four spray nozzles and assocoaited piping had been recently
replaced and in good operational condition. The spray field vegatative cover was in good condition and there was no evidenc.
of surface runoff or ponding. The perimeter wire fencing was recently replaced and secured with proper signage.
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DocuSign Envelope ID: 7DAACA70-8FA8-4C20-967B-36BC4A1CB243
Permit: W00023179 Owner - Facility: Patrick E Florence
Inspection Date: 01/23/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Permit Status Yes No NA NE
# Is the current resident in the home the Permittee? 0 ❑ ❑ ❑
# If not, does the resident rent from the Permittee? 0000
Change of Ownership form needed? (Mail the form with the inspection letter) 0000
# Is there an inspection and maintenance agreement with a contractor? 0000
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? M ❑ ❑ ❑
# Does the permittee/resident know where the septic tank is located? 0111111
Has the septic tank been pumped in the last 5 years? 1111
❑
If YES, describe if known and proof (include date pumped):
# Does the septic tank have an EFFLUENT FILTER or SANITARY T? 1111011
If FILTER, when was the filter cleaned and by who?
Comment:
Sand FllterlTreatment Pods Yes No NA NE
'" Accessible sand filter surfaces shall be rakedlleveled every 6 months and vegetative growth shall be
removed manually. "'
# Is system something other than a sand filter? ❑ ❑ 0 ❑
# 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:
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) 0 ❑ ❑ ❑
# Does the Permittee know the location of the chlorinator? M ❑ 1111
Were chlorine tablets observed in the chlorinator? M 111111
Are tablets contacting water? (If possible, poke them to determine.) 0 ❑ ❑ ❑
Comment:
Pump Tank Yes No NA NE
"' All pump and alarm sytems shall be inspected monthly. (Non -Discharge)
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DocuSign Envelope ID: 7DAACA70-8FA8-4C20-967B-36BC4A1CB243
permit: W00023179 Owner- Facility: Patrick E Florence
Inspection Date: 01/23/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Is the pump working?
Is the audible and visual high water alarm operational?
# floes the permittee know how to check the pump & high water alarm? 0 ❑ 1111
# Last functional test: 01/23/2022
Comment:
Drio or Irriciation
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): Irrigation
# If IRRIGATION, number of sprinkler heads: 4
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 Yes No NA NE
# 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) 11 El ME]
If system is failing, describe any exposures to peoplelanimals or environmental risks,
Comment:
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