WQ0006115_Staff Report_20230825

August 25, 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.: W00006115
Facility name: 1316 Hideaway Lane 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: 7/13/2023
b. Site visit conducted by: C. Caudle and J. Gonsiewski
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Mike Waggoner and their contact information: (336) 212 - 0250
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
If yes, attach a map showing conflict areas.
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
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.) See most
recent inspection letter. Mr. Waimoner was not aware of a second septic tank and did not know the location. Staff
located the likelv location of the second grav water septic tank and Dlan a follow uD inspection to confirm the
location.
Have all compliance dates/conditions in the existing permit been satisfied? ® Yes ❑ No ❑ N/A
FORM: WQROSSR 04-14 Page 1 of 2

11. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No❑N/A
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: 8/28/2023
IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
See attached inspection report. Staff plan to conduct a follow up inspection to confirm location of graywater septic
tank and mark locations of all treatment units.
The mailing address needs to be updated to the physical address in BIMS.
FORM: WQROSSR 04-14 Page 2 of 2

Compliance Inspection Report
Permit: WQ0006115 Effective: 10/01/18 Expiration: 09/30/23 Owner: Michael J Waggoner
SOC: Effective: Expiration: Facility: 1316 Hideaway Ln. SFR
County: Alamance 1316 Hideaway Ln
Region: Winston-Salem
Graham NC 27253
Contact Person: Michael J Waggoner Title: Phone:
Directions to Facility:
From 1-85/40, go west on NC 54. Then head north on Hwy 49. Make a right on Trollinger Road. You will be facing the residence at
the intersection of Trollinger and Town Branch Road. Turn in driveway, take the left fork of the road.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 07/07/2023 Entry Time 02:40PM Exit Time: 03:45PM
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 Permit Status Septic Tank
Sand Filter/Treatment Pods Disinfection UV Disinfection Tablets
Pump Tank Drip or Irrigation General
(See attachment summary)
Page 1 of 5

Permit: WQ0006115 Owner - Facility: Michael J Waggoner
Inspection Date: 07/07/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On July 7, 2023, Division of Water Resources staff Jim Gonsiewski conducted a routine compliance inspection of the
subject spray irrigation system, including the location of the septic tanks, the alarm system, the chlorinator, the pump
system and the spray irrigation field. Michael Waggoner, Owner, was present during the entire inspection. A review of all
treatment units was completed. The inspection mostly reflected compliance with the subject permit.
A follow-up site visit was conducted on July 13, 2023, to determine if a second septic tank could be discovered on site as
described in the permit description. Division of Water Resources staff Caitlin Caudle and Jim Gonsiewski and Mr. Waggoner
were present. The septic tank had not been located, but DWR staff marked a potential location for the septic tank and
directed Mr. Waggoner to investigate further.
The following items of concern were noted:
• Mr. Waggoner stated that he inspects the chlorinator and system monthly. Permit Condition 111.12b. and the Operation
Agreement list specific inspection frequencies for certain treatment units. Begin inspecting the system as required and enter
this information on the inspection log.
• As mentioned above, the permit lists two septic tanks and two sand filters. At the time of the initial inspection, Mr.
Waggoner was not aware of the second septic tank. Please investigate the area marked by Ms. Caudle. Once the septic
tank is located, please have this second septic tank pumped and inspected as soon as possible. A follow up inspection will
be scheduled within 180 days.
Other observations:
• Mr. Waggoner stated that he replaced the system pump twice and that he had not had any major problems with the
system.
• Currently, there are two people living in the home.
• Mr. Waggoner uses the correct type of chlorine tablets.
• Mr. Waggoner last pumped the septic tank on 6/15/2023.
• There were no areas of ponding or runoff observed.
• There is no metering equipment in the system.
• Mr. Waggoner pumps the known septic tank every five years.
• The alarm for the system is located in the basement. It was tested and works.
• The system appears to be well maintained with no leaks or odors observed during the inspection.
Page 2 of 5

Permit: WQ0006115 Owner - Facility: Michael J Waggoner
Inspection Date: 07/07/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Permit Status Yes No NA NE
# Is the current resident in the home the Permittee? ❑ ❑ ❑
# If not, does the resident rent from the Permittee? ❑ ❑ ❑
Change of Ownership form needed? (Mail the form with the inspection letter) ❑ ❑ ❑
# Is there an inspection and maintenance agreement with a contractor? ❑ ❑ ❑
If YES, who is the contractor (include contact info)?
See comments
Comment: See comments
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):
The permit states that there are two septic tanks at the residence, one for the black water and one for the grey
water. The permittee was not aware of the gray water tank.
# Does the septic tank have an EFFLUENT FILTER or SANITARY T? 0 ❑ ❑ ❑
If FILTER, when was the filter cleaned and by who? 6/2023 by
Rowland Enviro
Septic Services
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:
See comments
Comment: If there are two septic tanks, there may be two sand filters. The permit states there are two
filters.
Disinfection UV Yes No NA NE
*** UV unit shall be checked weekly. Lamps/sleeves should be cleaned/replaced as needed to ensure
proper disinfection. ***
Is UV working? ❑ ❑ ❑
Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ 0 ❑
# Who completes the weekly check for the UV? ( Non -Discharge)
Page 3 of 5

Permit: WQ0006115 Owner - Facility: Michael J Waggoner
Inspection Date: 07/07/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
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? 0 ❑ ❑ ❑
Were chlorine tablets observed in the chlorinator? 0 ❑ ❑ ❑
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: Alarm is located in the basement. It was tested and is operational.
Drip or Irrigation 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: 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:
General
Yes No NA NE
# Are the treatment units locked and/or secured?
0
❑ ❑ ❑
# Has resident had any sewage problems?
❑
❑ ❑
If YES, explain:
See comments
Does the system match the permit description?
❑
❑ ❑
If NO, explain:
The permittee is uncertain if there are two septic tanks.
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
Page 4 of 5

Permit: WQ0006115 Owner - Facility: Michael J Waggoner
Inspection Date: 07/07/2023 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Comment: See comments
Page 5 of 5