WQ0008270_Staff Report_20230131

January 31, 2023
To: DWR Central Office — WQ, Non -Discharge Unit
Attn: Alys Hannum
From: Caitlin Caudle
Winston-Salem Regional Office
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Staff Report
Application No.: W00008270
Facility name: 2540 Mebane Rogers Rd. SFR
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 ❑ No
a. Date of site visit: 01/30/2023
b. Site visit conducted by: C. Caudle
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Joyce Gentry and their contact information: (336) 563 - 4432
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 any way 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. Has a review of source facilities compliance history been completed (e.g., CEIs and DMRs)? ® Yes or ❑ No
9. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
10. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes ❑ No ® N/A
If no, please explain:
11. 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: 2/1/2023
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See attached inspection report and site maw
Ms. Gentry stated that the Register of Deeds recommended not chan _ping the deed to the property as Ms. Warren was
listed as an Heir in the will. There is not a Deed Book/Page showing a transfer of property.
FORM: WQROSSR 04-14 Page 2 of 2

Compliance Inspection Report
Permit: WQ0008270 Effective: 03/01/18 Expiration: 02/28/23 Owner: Clyde L Warren
SOC: Effective: Expiration: Facility: 2540 Mebane Rogers Rd. SFR
County: Alamance 2540 Mebane Rogers Rd
Region: Winston-Salem
Burlington NC 27217
Contact Person: Clyde L Warren Title: Phone:
Directions to Facility:
From Winston-Salem take 1-40E to exit 145 turn L onto NC 49 and follow --8.6mi turn R, take Mebane -Rogers Road --0.5mi, the
drive is on the Lt
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 01/30/2023 Entry Time 08:30AM Exit Time: 09:15AM
Primary Inspector: Caitlin Caudle Phone: [phone]
Secondary Inspector(s):
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 Septic Tank Sand Filter/Treatment Pods
Disinfection Tablets Pump Tank Drip or Irrigation
General
(See attachment summary)
Page 1 of 4

Permit: WQ0008270 Owner - Facility: Clyde L Warren
Inspection Date: 01/30/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On January 30, 2023, Division of Water Resources staff Caitlin Caudle conducted a routine compliance inspection and
permitting visit. Jeanette Shepherd, Resident, and Jerry Warren, Heir, were present during the entire inspection. A review of
treatment units and irrigation field was completed. This review mostly reflected compliance with the subject permit. The
following items of concern were noted:
• At the time of inspection Mr. Warren and Ms. Shepherd stated that an inspection log is not maintained but the system
is inspected on a regular basis. Permit Condition V.2 states "the Permittee shall maintain an inspection log that includes, at
a minimum, the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken.'
Moving forward, please maintain an inspection log as described above.
• At the time of inspection, pool tablets were being used for disinfection. Per Permit Condition 12.b pool chlorine tablets
shall not be used and wastewater grade tablets (calcium hypochlorite) must be used for disinfection. Please begin using
wastewater grade tablets.
Other observations:
• Ms. Shepherd stated that the system sprays about 3xweek.
• The fence was repaired as requested in the 2017 inspection.
• Ms. Shepherd and her husband currently live at the residence.
• The septic tank was last pumped 1/12/2023.
• There is no metering equipment in this system.
• The septic tank does not have a filter.
• The high water alarm is located in the garage and tested during the inspection. The float was not tested.
• The property does have a well for drinking water, but due to a housing development across the road there is public water
in the area.
• Irrigation was not viewed in progress due to wet fields conditions.
• Clyde Warren used to manage the system. After he passed away no relevant information was passed on beyond regular
maintenance. Ms. Caudle discussed permit requirements.
Page 2 of 4

Permit: WQ0008270 Owner - Facility: Clyde L Warren
Inspection Date: 01/30/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
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? ❑ ❑ ❑
# 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):
1 /12/2023
# Does the septic tank have an EFFLUENT FILTER or SANITARY T? ❑ ❑ ❑
If FILTER, when was the filter cleaned and by who?
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? ❑ 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) ❑ ❑ ❑
# 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: Incorrect tablets were being used.
Pump Tank Yes No NA NE
*** 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: 1/20/2023
Comment: The floats were not tested, lust the test button on the alarm.
Drip or Irrigation Yes No NA NE
Page 3 of 4

Permit: WQ0008270 Owner - Facility: Clyde L Warren
Inspection Date: 01/30/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
*** 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: Wet field conditions prevented equipment inspection.
# 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 summary.
Irrigation
4
• ❑ ❑ ❑
• ❑ ❑ ❑
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Yes No NA NE
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Page 4 of 4

WQ0008270 Warren SFR Site Map
1 /31 /2023 1:1, 824
0 0.01 0.03 0.05 mi
0 0.02 0.04 0.08 km
Esri Community Maps Contributors, Alamance County, State of North
Carolina DOT, © OpenStreetMap, Microsoft, Esri, HERE, Garmin,