WQ0006819_Staff Report_20230502

May 2, 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.: W00006819
Facility name: 6346 Stoney Mtn 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: 4/11/2023
b. Site visit conducted by: J. Gonsiewski
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Robert Boswell
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
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
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: )
/—DocuSigned by:
2. Signature of report preparer:
99D49D...—uocubignea Dy:
Signature of regional supervisor:
Date: 5/5/2023
IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
See attached inspection summary and site map.
FORM: WQROSSR 04-14 Page 2 of 2

Compliance Inspection Report
Permit: WQ0006819 Effective: 07/01/18 Expiration: 06/30/23 Owner: Robert E Boswell
SOC: Effective: Expiration: Facility: 6346 Stoney Mountain Rd. SFR
County: Alamance 6346 Stoney Mtn Rd
Region: Winston-Salem
Burlington NC 272179536
Contact Person: Robert E Boswell Title: Phone:
Directions to Facility:
From Winston-Salem take 1-40W to exit 143 turn L, take Hwy 62N -6.7mi turn L, take Union Ridge Road --6.1 mi turn L, take Stoney
Mountain Road -1.4 mi the residence is on the left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 04/11/2023 Entry Time 03:07PM Exit Time: 04:20PM
Primary Inspector: Jim J Gonsiewski 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: WQ0006819 Owner - Facility: Robert E Boswell
Inspection Date: 04/11/2023 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On April 11, 2023, Division of Water Resources staff Jim Gonsiewski conducted a routine compliance inspection at the
subject facility. Robert E. Boswell, property owner, was present during the inspection. A review of records, treatment
components, structures, fields, and system operations was completed. This review reflected non-compliance with the
subject permit.
The following items of concern were noted:
1. At the time of the inspection, the chlorinator was checked monthly. Permit Condition III. (12) (b) and the Operation and
Maintenance Agreement lists a specific inspection frequency for the chlorinator (weekly). Moving forward, the chlorinator
needs to be inspected weekly.
2. Permit Condition V.2 requires that a log of all inspections be kept for a period of five years from the date of the
inspection. Recommended maintaining a record of all inspections in an inspection log.
3. Mr. Boswell stated he was not aware that the grey water septic tank needed to be pumped. Recommended locating
this tank and having it pumped and inspected within 120 days of receipt of the letter. A follow up inspection will be
scheduled.
Other observations:
• The system was constructed in 1983. The Boswell family lived in a mobile home on the property until the current
residence was completed in 1985.
• Two people currently live at the residence.
• The black water septic tank was last pumped on 3/28/23.
• Mr. Boswell stated that he cleans the wash box after the grey water septic tank regularly.
• Mr. Boswell stated that he replaced the alarm system in 2016 and the pump floats in 2015 and late 2022.
• No runoff or ponding was observed in the spray field.
• The alarm controller is in the laundry room. The system was tested and works sufficiently.
• The water supply well for the property is located north of the residence.
• It was noted while the spray irrigation system was operating that only two of the three spray heads were operating
properly. The spray from the north head was weak and the head did not rotate. On April 19, 2023, Mr. Boswell sent a
photograph of this spray head. He said he replaced the malfunctioning spray head, and it was now working well. The
photograph appeared to confirm this.
• Permit fees are up to date.
Page 2 of 4

Permit: WQ0006819 Owner - Facility: Robert E Boswell
Inspection Date: 04/11/2023 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):
Sewage tank pumped 03/28/2023. Permittee sad he was not sure of the location of the graywater tank.
# 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: See comments
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.) 0 ❑ ❑ ❑
Comment:
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? 0 ❑ ❑ ❑
# Last functional test:
Comment:
Drip or Irrigation Yes No NA NE
Page 3 of 4

Permit: WQ0006819 Owner - Facility: Robert E Boswell
Inspection Date: 04/11/2023 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): Irrigation
# If IRRIGATION, number of sprinkler heads: 3
Are buffers and setbacks adequate? 0 ❑ ❑ ❑
Is the site free of ponding and runoff? 0 ❑ ❑ ❑
Does the application equipment appear to be working properly? ❑ 0 ❑ ❑
Is there a minimum two wire fence surrounding the entire irrigation area? 0 ❑ ❑ ❑
Comment: One head was not operating correctly. Permittee replaced the head and sent a photo of the
new head saravina on 4/19/2023
General Yes No NA NE
# Are the treatment units locked and/or secured? 0 ❑ ❑ ❑
# 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 comments. Not conducting weekly inspections of the chlorinator or keeping an inspection
loo ..
Page 4 of 4