NCG551608_NCG551608 - Compliance Evaluation Inspection_20231020

DocuSign Envelope ID: C7687F3F-9BCF-4FC0-8D39-46EBA264F7FC
ROY COOPER
Governor
ELIZABETH S. BISER
$erletory
RICHARD E. ROGERS, JR.
Director
Kamara Thomas-Hartin
116 Brook Lane
Durham, NC 27712
NORTH CAROLINA
ErtWmmnwdW Quattry
October 20, 2023
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
General NPDES Permit NCG550000
Certificate of Coverage NCG551608
Facility: 116 Brook Lane
Durham County
Dear Ms. Thomas-Hartin:
On September 14, 2023, Tyler Clark from the Raleigh Regional Office visited your single-family
residence (SFR) wastewater treatment system to evaluate compliance with the subject General
NPDES Permit. Your assistance during the inspection was greatly appreciated.
Our records indicate the treatment system consists of a septic tank, sub -surface sand filter, tablet
chlorinator with chlorine contact chamber, tablet dechlorinator, discharge pipe.
General NPDES Permit NCG550000 and Certificate of Coverage (COC) NCG551608 authorizes
the discharge of domestic wastewater from your treatment system to receiving waters designated
as unnamed tributary to the Eno River classified WS-IV; B; NSW in the Neuse River Basin. The
authorized discharge is in accordance with the effluent limits and monitoring requirements
established within the General Permit. The items below show what conditions were noted at
your facility:
Findings during the inspection were as follows:
1. NCG550000 Ownership Change Form: According to Durham County deed of
records,Kamara Thomas-Hartin owns the residence and property located at 116
Brook Lane in Durham, North Carolina. As the property owner, you are also the
owner of the existing single-family wastewater treatment system, which treats the
domestic wastewater from the residence and releases the effluent to the receiving
waters indicated above. Because the treatment system makes an outlet to waters
of the state, it is an activity for which the subject permit is required. To comply
with North Carolina General Statute § 143-215.1(a), which requires a person to
obtain a permit to make an outlet into the waters of the state, you will need to
complete and submit the attached NCG550000 Ownership Change Form to the
North Carolina Department of Environmental Quality I Division of Water Resourcts
Raleigh Regional Office 1 3800 Barrett Dnve I Raleigh. North Carolina 27609
919.791 a200

DocuSign Envelope ID: C7687F3F-9BCF-4FC0-BD39-46EBA264F7FC
received the requested results. Failure to monitor the effluent discharge as
required is a violation of NPDES General Permit NCG550000.
7. Discharge outlet location. The permittee is required to conduct a visual review of the
outfall location at least twice each year (one at the time of sampling) to ensure that no
visible solids or other obvious evidence of system malfunctioning is observed. Any
visible signs of a malfunctioning system shall be documented and steps taken to correct
the problem. The discharge pipe was visible and accessible the day of the inspection.
Please continue to ensure the outlet is always visiblelmaintained and cleared of
vegetation, soil and leaves
Part II Section B.14 of General Permit NCG550000 requires the permittee to "pay the annual
administering and compliance monitoring fee within thirty days after being billed by the
Division."
The wastewater treatment system should be periodically inspected to ensure the treatment
components are always maintained and in good operating order. You are also reminded to
maintain all monitoring data and associated maintenance records onsite for a minimum of
three years and available for inspection.
Within 30-days receipt of this letter, please submit a written response to this office indicating
the actions you will take or have taken to comply with or resolve the issues noted items #1 and
#6 above.
If you have questions or comments about this inspection or the requirements to take corrective
action (if applicable), then please contact Tyler Clark at 919-791-4242.
Sincerely,
[Docu8gned by:
VAlti. ssix f. r .
62916EOM2144F...
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Attachment(s): EPA Water Compliance Inspection Report
NCG550000 Ownership Change Form
Cc: Laserfiche
North Carolina Department of Rrivironmental Quality I Division of Water Resources
D E 5l2 North Salisbury Street 1 1611 Mail Service Center 1 Raleigh, North Carolina 27699-1611
919 707 9000

United 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 yrlmolday Inspection Type Inspector Fac Type
1 E 2 15 1 3 I NCG551608 I11 121 23/09/14 I17 18 I r, I 19 I s I 201 I
�1
211.1 1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 11..1.1.1 1 1 1 1 1 1 1 1 1 1 1 1�1 1 1 1 1 f6
�1
Inspection Work Days Facility Self -Monitoring Evaluation Rating 81 QA --Reserved
67
70I Li I li71I I 72 I N I 73�74 7 80
L_I
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 permit Number)
01:00PM 23/09/14
13/10/25
116 Brook Lane
Exit Time/Date
Permit Expiration Date
116 Brook Ln
Durham NC 27712
01:30PM 23109/14
18/07/31
Name(s) of Onsite Representative(s)1Titles(suPhone and Fax Number(s)
Other Facility Data
!!1
Name, Address of Responsible OfficialRUelPhone and Fax Number
Kamara R Nartin,116 Brook Ln Durham NC 2771211347-610-43511 Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations & Maintenar ■ Records/Reports Self -Monitoring Progran
Facility Site Review E Effluent/Receiving Wate
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/OtficefPhone and Fax Numbers Date
Timothy Clark WR1R Q/919-791-42341
14IZ-0I43
Signature of Management Q A Revie or Agency/Office/Phone and Fax Numbers Date
Vr�Y�C- / /I- 7-:; f2d2
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

Permit: NCG551608 Owner -Facility: 116 Brook Lane
Inspection Date: 09/14/2023 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(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?
0
❑
❑
❑
# Are there any special conditions for the permit?
110
❑
❑
Is access to the plant site restricted to the general public?
❑
❑
■
❑
Is the inspector granted access to all areas for inspection?
■
❑
❑
❑
Comment:
Record Keepina
Yes
No
NA NE
Are records kept and maintained as required by the permit?
❑
❑
❑
Is all required information readily available, complete and current?
❑
❑
❑
Are all records maintained for 3 years (lab. rag. required 5 years)?
❑
❑
❑
M
Are analytical results consistent with data reported on DMRs?
❑
❑
■
❑
Is the chain -of -custody complete?
❑
❑
❑
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
0
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 2417 with a certified
❑
❑
0
❑
operator on each shift?
Is the ORC visitation log available and current?
❑
❑
0
❑
Is the ORC certified at grade equal to or higher than the facility classification?
❑
❑
M
❑
Is the backup operator certified at one grade less or greater than the facility
❑
❑
M
❑
classification?
Is a copy of the current NPDES permit available on site?
❑
❑
0
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ 0 ❑
Page# 3

Permit: NCG551608 Owner - Facility:
116 Brook Lane
Inspection Date: 09/14/2023 Inspection Type:
Compliance Evaluation
De -chlorination
Yes
No
NA NE
# Is de -chlorination substance stored away from chlorine containers?
❑
❑
❑
■
Comment:
Are the tablets the proper size and type?
0
❑
1111
Are tablet de -chlorinators operational?
001111
Number of tubes in use?
2
Comment. tablets dissolved in de-chlor tube.
Effluent Pipe
Yes
No
NA NE
Is right of way to the outfall properly maintained?
0
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
M
❑
❑
❑
If effluent (diffuser pipes are required) are they operating properly?
01300
Comment: not visisble fom property, visible from oopposite side of creek.
Effluent Sampling
Yes
No
NA NE
Is composite sampling flow proportional?
❑
❑
0
❑
Is sample collected below all treatment units?
❑
❑
❑
Is proper volume collected?
❑
❑
❑
0
Is the tubing clean?
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0
❑
❑
❑
degrees Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
❑
0
❑
❑
representative)?
Comment: permitee has not sampled as required.
Page# 5

NORTH CAROLINA
Environmental Qualtyy
NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NPDES PERMITTING
.PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Permit Number: NC00-_/__/__/__/_ or NCGS_5/_i/_6/_O/_8
1. Facility Name: 116 Brooks Lane
NEW OWNER NAME INFORMATION:
1. This request for a name change is a result of:
X a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title:
4. Mailing address:
State:
E-mail address:
(Person legally responsible for permit)
(Title)
City:
Zip Code: Phone: ( )
Ill. FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes ❑ No ❑
2. Will the treatment system and discharge location remain the same? Yes ❑ No ❑
"No Responses"
if either or both of these questions are answered "No" then more information will be needed to review the
request. Please attach documentation to describe and explain the changes to the facility activities, waste
stream, treatment process or outfall location. The Division may not be able to process the Permit
Name/Ownership Change request and may require that the new owner file a new permit application.
North Carolina Department of Environmental Quality I Division of Water Quality
u. +•�RE 512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
V 919.707.9000

NPDES Name and Ownership Change
Page 2 of 2
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
3. Information to document facility, waste stream, treatment system or outfall changes as noted in
item III above (if appropriate)
Applicant's Certification:
I, attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be returned as
incomplete. I understand that Permit Name/Ownership Change can only take glace through action
taken by the Division of Water Resources and that no actions on my part or the part of my company
result in the automatic transfer of permit coverage.
Signature: Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 07/2021