WQ0014018_Compliance Evaluation Inspection_20230906

DocuSign Envelope ID: CAA7DEC2-235B-45E5-A856-FC83DE9A68E6
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No, 204"057
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 Iti I 2 h I 3 1 NCG550804 111 121 23/09/06 117 181j.j 191 s I 201 I
21111111 111111111 11 1 11 1111 1 1 11111 1111111 11 1 1 f6
I
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
67 701LJ � I 71 Lj 72 I ti I 73�74 7
LJ
80
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 Dennit Number)
02:30PM 23/09/06
21/08/23
85 Mallards Way
85 Mallards Way
Exit Time/Date
Permit Expiration Date
Semora NC 27343
03:15PM 23/09/06
25/10/31
Name(s) of Onsite Representative(s)tTitles(syPhone and Fax Number(s)
Other Facility Data
1I1
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Gary C Teer,1355 Shamrock Dr Burlington NC 27215M
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Self -Monitoring Progran 0 Facility Site Review 0 Effluent/Receiving Wate E Laboratory
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 Agency/Office/Phone and Fax Numbers Date
James Westcott DWRIRRO WQ/919-791-42471
Signatu of Management Q A Reviewer Agency/Office/Phone and Fax numbers Date
DocuSigned by:
VAlitt,SS& f. 9/26/2023
B2916 HAB32144F_
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

DocuSign Envelope ID: CAA7DEC2-235B-45E5-A856-FC83DE9A68E6
NPDES yrlmolday Inspection Type (Cont.)
NCG550804 I11 1 23/09/06 17 18 I C I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Findings during the inspection were as follows:
1.Treatment system Operation: The wastewater treatment system shall always be maintained to
prevent seepage of sewage to the surface of the ground. The treatment system components are to
be inspected weekly, monthly, and quarterly by the permittee. The system was operating as designed
at the time of inspection.
2.Pumping the septic tank: You are required to inspect the septic tank at least yearly to determine if
solids must be removed or if other maintenance is necessary. Septic tanks should be pumped out
every five years or when the solids level is found to be more than 1/3 of the liquid depth in the septic
tank compartment, whichever is greater. A pumping company can check the status periodically and
determine when pumping is required. During the inspection, the septage tank, nitrification field(s),
chlorinator, contact tank and discharge were located. A contract receipt was provided dated
10/13/2018 of the volume of residuals removed from the septage tank. The General NPDES Permit
requires the permittee to retain records associated with sewage disposal activities for a period of at
least 5 years.
3.Chlorine tablets in the chlorinator: You are reminded that it is required that chlorine tablets be
maintained in the chlorinator to ensure proper disinfection of the discharged wastewater. Chlorine
tablets provide effective disinfection and prevent/limit harmful bacteria from discharging to the
environment. The product label for these tablets must indicate the tablets are approved for
wastewater use and not for swimming pools. Part 1, Section D (1) of General NPDES Permit
NCG550000 requires the permittee to inspect the tablet chlorinator weekly to ensure there is an
adequate supply of tablets for continuous and proper operation. Section D (4) requires the permittee
to maintain all system components, including disinfection units are always in good operating order.
The correct chlorine tablets were observed in the chlorinator at the time of inspection. Please
continue to ensure the correct type of tablets are used and maintained in the chlorinator as required
by the General NPDES Permit.
4.Analyzing the effluent: Part 1. C., Effluent Limitations and Monitoring Requirements, within General
Permit NCG550000 requires a permittee to sample and analyze the effluent leaving his/her treatment
system prior to discharge annually. Parameters to be sampled and analyzed include Flow, BOD
(Biochemical Oxygen Demand), Total Suspended Solids, Fecal Coliform and Total Residual Chlorine.
At the time of inspection, a receipt of the required annual effluent analysis dated 1/14/2023 was
provided. Please collect a representative sample of the effluent, have it analyzed by a certified
commercial laboratory and submit the results to this office annually and submit the results to this
office within 3 weeks after sampling results are received. If, during this time, you are unable to collect
a representative sample of the effluent discharge due to insufficient flow from the discharge pipe,
then update this office with that information and continue to monitor the discharge and if conditions
for sampling become favorable, then arrange to collect a sample. Failure to monitor the effluent
discharge a required is a violation of NPDES General Permit NCG550000.
5.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 terminates to a cascade
aerator in Hyco Lake.
Page# 2

DocuSign Envelope In CAA7DEC2-235B-45E5 A856 FC83DE9A68EE
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Gary Teer
P.O. Box 128
Semora, NC 27343
Mr. Teer,
NORTH CAROLINA
Environmental Quality
September 6, 2023
Subject:
Compliance Evaluation Inspection
Permit #: NCG550804
Facility: 85 Mallards Way
Person County
On September 6, 2023, Jim Westcott from the Raleigh Regional Office visited your wastewater
treatment system to evaluate compliance with the subject General NPDES Permit. The
assistance of Mr. Teer during the inspection was appreciated.
Facility records indicate the treatment system is permitted for the operation of a 480 gpd
system consisting of a 1200-gallon septic tank with an effluent filter, dual sub -surface sand
filters, a secondary sand filter, tablet chlorinator, contact tank and discharge pipe to a cascade
aerator in Hyco Lake.
General NPDES Permit NCG550000 and Certificate of Coverage NCG550804 authorize the
discharge of domestic wastewater from your treatment system to receiving waters of Hyco
lake, classified as B waters. The authorized discharge is in accordance with the effluent limits
and monitoring requirements established within the General Permit.
The permit, which was issued August 23, 2021, expires October 31, 2025. Division records
indicate the required annual fee for the period ending September 30, 2023, due October 2,
2022, has been paid.
Findings during the inspection were as follows:
NORTH CAROLINA � �
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 1 3800 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200

DocuSign Envelope ID: CAA7DEC2-235B-45E5-A856-FC83DE9A68E6
1. Treatment system Operation: The wastewater treatment system shall always be maintained
to prevent seepage of sewage to the surface of the ground. The facility grounds and all
components of the system were well maintained.
2. Pumping the septic tank: You are required to inspect the septic tank at least yearly to
determine if solids must be removed or if other maintenance is necessary. Septic tanks should
be pumped out every five years or when the solids level is found to be more than 1/3 of the
liquid depth in the septic tank compartment, whichever is greater. A pumping company can
check the status periodically and determine when pumping is required. During the
inspection, the septage tank, nitrification field(s), chlorinator, contact tank and discharge
were located. A contract receipt was provided dated 1011312018 of the volume of
residuals removed from the septage tank. The General NPDES Permit requires the permittee
to retain records associated with sewage disposal activities for a period of at least 5 years.
3. Chlorine tablets in the chlorinator: You are reminded that it is required that chlorine tablets
be maintained in the chlorinator to ensure proper disinfection of the discharged wastewater.
Chlorine tablets provide effective disinfection and prevent/limit harmful bacteria from
discharging to the environment. The product label for these tablets must indicate the
tablets are approved for wastewater use and not for swimming pools. Part 1, Section D (1)
of General NPDES Permit NCG550000 requires the permittee to inspect the tablet chlorinator
weekly to ensure there is an adequate supply of tablets for continuous and proper operation.
Section D (4) requires the permittee to maintain all system components, including disinfection
units are always in good operating order. The correct chlorine tablets were observed in the
chlorinator at the time of inspection. Please continue to ensure the correct type of tablets
are used and maintained in the chlorinator as required by the General NPDES Permit.
4. Analyzing the effluent: Part 1. C., Effluent Limitations and Monitoring Requirements, within
General Permit NCG550000 requires a permittee to sample and analyze the effluent leaving
his/her treatment system prior to discharge annually. Parameters to be sampled and analyzed
include Flow, BOD (Biochemical Oxygen Demand), Total Suspended Solids, Fecal Coliform,
Total Nitrogen, Ammonia Nitrogen and Total Phosphorous. At the time of inspection, a
receipt of the required annual effluent analysis dated 111412023 was provided.
5. 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 terminates to a cascade aerator in Hyco Lake.
Please continue to periodically inspect and evaluate the wastewater system components are
properly maintained and operating as designed. Maintain all associated operational records
onsite for a period of three years as required by the subject permit.
If you have questions or comments about this inspection or the requirements to take corrective
action (if applicable), then please contact Jim Westcott at james.westcottPncdenr.gov or 919-
791-4247.
��� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
NORTH CAROLINA 919.707.9000
0—p Mo Emimnmen quay

DocuSign Envelope ID: CAA7DEC2-235B-45E5-A856-FC83DE9A68E6
Sincerely,
ocuSigned by:
E�D
a f.
2916E6AB32144F...
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Cc: Laserfiche
REQ5 North Carolina Department ofEnvironmental Quality I Division ofWater Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
NORTH CAROLINA 919.707.9000
naparMeM of EmironmanW 9uallly