HomeMy WebLinkAboutNC0086011_Compliance Evaluation Inspection_20230320United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 2 u 3 I NC0086011 111 121 23/01/12 I17 18 L� ] 19 I s I 201
211IIIII 111111III II III III1 I I IIIII IIIIIIIII II r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
67
I 72 I ni I 73 � I 74 79 I I I I I I I80
70 I I 71 I LL -1 I I
LJ
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES Dermit Number)
01:30PM 23/01/12
19/11/01
Neilson WTP
5725 Frye Bridge Rd
Exit Time/Date
Permit Expiration Date
Clemmons NC 27012
02:OOPM 23/01/12
24/06/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Gabriel Alexander Sparks/ORC/336-766-9885/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
William Clynon Brewer,2800 River Rdg Rd Pfafftown NC
270408435//336-945-1179/3369462574 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
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
Gary Hudson DWR/Division of Water Qua Iity/336-776-9694/
DocuSigned by:
04sbw 2/6/2023
22824FC654A6
Signature o anagement 0 A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
2/10/2023
FL- -T. 5,,o r
"- 145B49E225C94EA...
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#
NPDES yr/mo/day Inspection Type
NCO086011 I11 12I 23/01/12 117 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
*The current permit became effective on November 1, 2019 and expires on June 30, 2024.
*The facility is not currently discharging. The control technology is under construction with a tentative
completion date of December 2023.
Page#
Permit: NCO086011
Inspection Date: 01/12/2023
Owner -Facility: Neilson WTP
Inspection Type: Compliance Evaluation
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Yes No NA NE
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Comment: *The current permit became effective on November 1, 2019 and expires on June 30,
2024.
*The facility is not currently discharging. The control technology is under construction
with a tentative completion date of December 2023.
Page# 3