NCG550080_Compliance Evaluation Inspection_20160907

Water Resources
ENVIRONMENTAL QUALITY
September 7, 2016
Eric Fields
1009 Augusta Court
Kernersville, NC 27284
Subject; Compliance Evaluation Inspection
Permittee: Eric Fields, Owner
Facility: 1009 Augusta Court, Kernersville, NC 27284
Permit: NCG550000 General Wastewater Permit
Certificate of Coverage: NCG550080
Forsyth County
Dear Mr. Fields:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Direcmr
Ron Boone and Justin Henderson, of the Winston Salem Regional Office (WSRO) of the NC Division
of Water Resources (DWR or the Division), conducted a compliance evaluation inspection of the single
family wastewater system at your residence on September 2, 2016. The State requires the Division to
inspect these types of systems every five years. An inspection report is attached for your records and
the inspection findings are summarized below.
2. The system consists of a septic tank, filter, and discharge pipe. The entire system appears to be in
good operating order. There was a discharge at the time of the inspection. The water was clear and
there was no detectable odor. No samples of the effluent have been taken as required in the permit.
Please coordinate with a local laboratory to have samples taken at least once per year.
3. The septic tank was last pumped in February, 2016. You stated that you have it pumped a minimum
of every five years.
4. The permit fees of $60 per year have been paid annually as required and your permit is active and up
to date. You did not have a copy of the most recent Certificate of Coverage (COC). A copy is attached
for your records. Mr. Boone left you with a copy of the most recent general permit and technical bulletin.
5. Failure to properly operate and maintain your wastewater system can result in expensive repair costs
as well as failure of the system to properly treat the wastewater. It appears that your system is well
maintained.
State of North Carolina I Environmental Quality I Water Resources
450 West Hanes Mill Road, State 300 I Winston-Salem, North Carolina 27105
336 776 9800

6. If you have any questions regarding this letter or the NCG550000 general permit, please don't hesitate
to contact us at 336-776-9800.
Sincerely,
1iherri V. Knight, P.E.
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. Inspection Report
2. Certificate of Coverage NCG550080
CC: WSRO Files
Central Files
NPDES Unit

United States Environmental Protection Agency
Form Approved.
EPA Washingtnn, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires0-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NCG550080 I11 121 16/09/02 17
18 LCJ 19 I c I 201
2111111111111111111111111111111111111111111
I�6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 31 QA
-----------Reserved ----- -------
67I I 72 L�J
�I 70LJI 71 IitJ
73I 174 75I I
8O
Section B: FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
08:OOAM 16/09/02
13/08/01
lode Augusta Court
1009 Augusta Ct
Exit Time/Date
Permit Expiration Date
Kernersville NC 272849269
09:OOAM 16/09/02
18/07/31
Name(s) of Onsite Repmsentative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Eric Fields,1009 Augusta Ct Kernersvllle NC 272849269//336-992-8064/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Ron Boone WSRO WQ//336-776-9690/
Signature of Management Q� A�Revi�eweerr Agency/Office/Phone and Fax Numbers
Date
�
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
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NPDES yr/nno/day Inspection Type
31 NCG550080 I11 12 16/09/02 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page#

Permit: NCG550080
Inspection Date: 09/02/2016
Other
Owner- Facility: 1009 Augusta Court
Inspection Type: Compliance Evaluation
Comment: Please refer to the attached inspection summary letter.
Yes No NA NE
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