NCG550057_Compliance Evaluation Inspection_20120125

IPTA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
January 25, 2012
George Thompson
1046 Whirl-Win Drive
Winston-Salem, NC 27107
Subject: Compliance Evaluation Inspection
NPDES General Wastewater Permit NCG550000
Certificate of Coverage: NCG550057
1046 Whirl-Win Drive, Winston-Salem
Forsyth County
Dear Mr. Thompson:
Ron Boone, of the NC Division of Water Quality (DWQ), Winston Salem Regional Office
(WSRO), conducted a compliance evaluation inspection of your single family residence
wastewater treatment system located at 1046 Whirl-Win Drive, in Winston-Salem, Forsyth
County, NC, on January 24, 2012. Your assistance and cooperation during the inspection was
greatly helpful and appreciated. The findings of the inspection are summarized below and an
inspection report is attached for your records.
Your single family residence wastewater treatment system is regulated under NC
NPDES General Wastewater Permit NCG550000 and has been issued certificate of coverage
(COC) number NCG550057. The system discharges to Lowery Mill Creek, which is currently
classified as Class WS-III (water supply) waters and is located in the Yadkin Pee Dee river
basin.
Your system consists of a septic tank, a filter field, and a chlorinator. You were able to
show Mr. Boone the approximate locations of the tank and filter. There was no evidence of
failure of any of those components. According to you the septic tank was pumped sometime
within the past five years but no documentation was immediately available during the inspection.
There are currently two people occupying the home. Please note that the general permit
requires you to have the tank pumped once every three to five years.
The chlorinator was found and inspected. The tablets you currently use for disinfection
are rated for use with swimming pools, however you should use tablets rated for use with
wastewater. You may be able to find this type of tablet at local plumbing supply businesses or
on the internet. A listing of potential sources is also attached to this letter.
North Carolina Division of Water Quality,Winston-Salem Regional Office
Location:585 Waughtown Street.Winston-Salem,North Carolina 27107
Phone:[phone] FAX:[phone] Customer Service 1-877-623-6748
Internet:www.ncwaterquality.orq One
An Equal Opportunity 1 Affirmative Action Employer NorthCarolina
Naturally

George Thompson
1046 Whirl-Win Drive,Winston Salem
NPDES General Wastewater Permit NCG550000
Certificate of Coverage NCG550057
Page 2 of 2,January 25,2012
The discharge pipe was found. The pipe is made of non-rigid black 4" corrugated plastic
pipe and the end of the pipe was hanging down into the stream. You should cut the end of the
pipe off or support it somehow so that the end of it does not hang into the stream. Mr. Boone
was unable to determine whether there was a discharge at the time of the inspection because of
this. However, he reports that the stream looked clean and healthy and there appeared to be
no adverse effects of the discharge on the stream.
Samples of the discharge have not been taken. Please note it is also a requirement of
the general permit to have the discharge tested annually. If the opportunity arises you should
take samples of the effluent and have them tested by a local NC certified laboratory for those
parameters specified in the general permit. A copy of the general permit, as well as a listing of
NC certified laboratories are also attached to this letter.
Your permit was recently inactivated due to failure to pay the annual fees for 2011.
Charles Weaver, of our Central Office in Raleigh recently mailed another invoice and
appropriate paperwork out to you to get the fees paid and reinstate the permit. Please pay the
appropriate fees and submit all paperwork as requested by Mr. Weaver as soon as possible.
Lastly, you are encouraged to keep all paperwork relating to the wastewater system in a
single folder in a safe place. This would include all correspondence sent to you by the Division,
records of having the tank pumped, effluent testing records, etc. This will not only simplify the
inspection process in the future but also provide you good records of the home's wastewater
system if you should ever decide to sell the home.
If you have any questions or future problems with the system, please do not hesitate to
contact us. You can call me or Mr. Boone at 336-771-5000.
Sincerely,
\-200114-74,-1--
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Attachments:
1. Inspection Report
2. NCG550000 General Permit
3. List of Chlorine Suppliers
4. List of NC Certified Laboratories
CC:
1. WSRO/SWP Files
2. Central Office
3. NPDES Unit

I 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 yr/mo/day Inspection Type Inspector Fac Type
1 I N I 2 15I 31 NCG550057 111 121
12/01/24 117 18111 19I S I 201!_
Remarks
1I III 1 1 1 1 MIMI IIII IIII IIIIIIHIIII IIII I I I I III 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 169 70 I I 711 I 721 NI 731
1174 751 1 1 1 1 1 1 180
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)
12:00 PM 12/01/24 07/08/01
1046 Whirl-Win Drive
1046 Whirl-Win Dr Exit Time/Date Permit Expiration Date
Winston Salem NC 27107 12:30 PM 12/01/24 12/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
George T Thompson,1046 Whirl-Win Dr Winston Salem NC 27107//336-725-2887/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
.Permit •Records/Reports II Facility Site Review II Effluent/Receiving Waters
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
Ron Boone WSRO WQ//336-771-4967/
G 1 /25/6nrz
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550057 111 12I 12/01/24 117 18I CI
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page# 2

Permit: NCG550057 Owner-Facility: 1046 Whirl-Win Drive
Inspection Date: 01/24/2012 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? n n U n
Is the facility as described in the permit? n n ■ n
#Are there any special conditions for the permit? 0 ■ 0
Is access to the plant site restricted to the general public? ■ n n n
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: None
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? n ■ n n
Is all required information readily available,complete and current? n ■ 0 0
Are all records maintained for 3 years(lab.reg. required 5 years)? 0 • 0 0
Are analytical results consistent with data reported on DMRs? n n ■ n
Is the chain-of-custody complete? n ■ n n
Dates,times and location of sampling n
Name of individual performing the sampling n
Results of analysis and calibration 0
Dates of analysis n
Name of person performing analyses n
Transported COCs 0
Are DMRs complete:do they include all permit parameters? n n ■ n
Has the facility submitted its annual compliance report to users and DWQ? n n ■ n
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator on each shift? n n ■ n
Is the ORC visitation log available and current? n n ■ n
Is the ORC certified at grade equal to or higher than the facility classification? ' n n ■ n
Is the backup operator certified at one grade less or greater than the facility classification? n n ■ n
Is a copy of the current NPDES permit available on site? n ■ n n
Facility has copy of previous year's Annual Report on file for review? 0 0 ■ 0
Comment: None
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ n n n
Page# 3

Permit: NCG550057 Owner-Facility: 1046 Whirl-Win Drive
Inspection Date: 01/24/2012 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Are the receiving water free of foam other than trace amounts and other debris? ■ n n n
If effluent (diffuser pipes are required) are they operating properly? n n ■ n
Comment: None
Page# 4

Weaver, Charles
From: Boone, Ron
Sent: Wednesday, January 18, 2012 7:52 AM
To: Weaver, Charles
Subject: NCG550057
Charles,
Concerning the subject COC,the one you made inactive, I spoke with the Mrs. And she wants to renew the permit.
Apparently her husband has dementia or something and gave me some false information. Anyway, I told her I'd have
you guys send out another renewal notice. May want to also send her the name change form to have the stuff put into
her name. Her name is Linda Thompson. Not sure about the status of the foreclosure but she wants to renew it. What
say you?
Ron
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality,Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Email: [e-mail]
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