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HomeMy WebLinkAboutNCG550092_Compliance Evaluation Inspection_20240305 (2)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 IN 2 u 3 I NCG550092 111 121 24/02/06 I17 18 I C I 19 I s I 20L] 21111I I I I I I I II I I I I I I I I I I I I I I I I I I I I I I I II I I I I I r6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved ------------------- 67 I 72 I ni I 73 � I 74 79 I I I I I I I80 70 I I 71 I LL -1 I I LJ 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 Dermit Number) 11:00AM 24/02/06 21/08/05 5959 Holder Road 5959 Holder Rd Exit Time/Date Permit Expiration Date Clemmons NC 27012 11:30AM 24/02/06 25/10/31 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 Rhonda Baxley,5959 Holder Rd Clemmons NC 27012//757-879-3344/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Operations & Maintenar Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) ocu ign d by: F ('h4sbw 3/4/2024 Names 9R&t2i16&AW9(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Gary Hudson DWR/Division of Water Qua Iity/336-776-9694/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date DocuSigned by: FL- T. 5 ,,o r 3/5/2024 EPA For 3m 5W8'YWev ) �-�4 Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type NCG550092 I11 12I 24/02/06 117 18 i c i Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) -The septic tank is pumped and inspected every three to five years. -The chlorinator was not located during the inspection. -The effluent pipe was not located during the inspection. -The permit ownership has been changed and all permit renewal fees are up to date. Page# Permit: NCG550092 Inspection Date: 02/06/2024 Owner -Facility: 5959 Holder Road Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: •The septic tank is pumped and inspected every three to five years. •The chlorinator was not located during the inspection. •The effluent pipe was not located during the inspection. 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? ■ ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ 0 ❑ ❑ Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑ Comment: •The permit ownership has been changed and all permit renewal fees are up to date. Page# 3