HomeMy WebLinkAboutNCG550507_CEI_BIMS_Report_20240307ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Faye Kapp, Homeowner
1620 Farmington Rd
Mocksville, NC 27028
NORTH CAROLINA
Environmental Quality
March 11, 2024
SUBJECT: Compliance Evaluation Inspection
Single Family Residence Wastewater Treatment System for 1620 Farmington Rd
NPDES General Permit #: NCG550000, Certificate of Coverage #: NCG550507
Davie County
On March 6, 2024, Ron Boone, of the Winston-Salem Regional Office of the NC Division of Water
Resources, conducted a phone -based compliance evaluation inspection of your single-family
wastewater treatment system. Thank you for your assistance during the inspection. The inspection
findings are summarized on the attached Water Compliance Inspection Report.
If you have any questions or concerns regarding the inspection or this report, please contact Mr. Boone
by phone at 336.776.9690 or by email at ron.boone@deq.nc.gov.
Sincerely,
EDocuSiiggned by:
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145B49E225C94EA...
Lon T. Snider, Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office
Division of Water Resources, NCDEQ
Attachments:
1. Water Compliance Inspection Report
2. NC General NPDES Permit NCG550000
3. Chlorine Information
4. List of Certified Laboratories
DffNorth Carolina Department of Environmental Quality I Division of Water Resources
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Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 I Winston-Salem, North Carolina 27105
M336.776.9800
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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 NCG550507 111 121 24/03/06 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)
03:OOPM 24/03/06
21/08/19
1620 Farmington Road
1620 Farmington Rd
Exit Time/Date
Permit Expiration Date
Mocksville NC 27028
03:30PM 24/03/06
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
Faye Kapp,1620 Farmington Rd Mocksville NC 27028/Homeowner//
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
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
cusigned by: DWR/WSRO WQ/336-776-9690/
Ron Boone E�-,'-
cl Boo., 3/11/2024
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Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
by: 3/11/2024
FDocuSigned
L ' T. 5,,o r
EPA Adrm-YMNS2fK&FYL94) Previous editions are obsolete.
Page#
NPDES yr/mo/day Inspection Type
NCG550507 I11 12I 24/03/06 117 18 i c i
(Cont.)
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On March 6, 2024, Ron Boone, of the Winston-Salem Regional Office of the NC Division of Water
Resources, conducted a phone -based compliance evaluation inspection of your single family
wastewater treatment system. Thank you for assisting Mr. Boone in completing the inspection. The
inspection results are summarized below:
-You told Mr. Boone that your husband, who is now deceased, used to take care of the system and
that you don't know everything about it. It was also noted that you often must undergo chemotherapy
and do NOT feel you'd have the energy needed to meet with Mr. Boone on -site in person. It was also
noted that you have a child, or children. If at any time you'd like your children to meet with Mr. Boone,
please let us know and we can arrange that.
-You told Mr. Boone that the septic tank was last pumped sometime in the last three years. This
shows compliance with the permit requirement to have it pumped every three to five years.
-You told Mr. Boone that you are aware of where to add chlorine tablets but were not sure if you had
any left. We have attached information to help you find and purchase chlorine tablets. As Mr. Boone
mentioned on the phone, we cannot stress enough the importance of carefully handling the chlorine
tablets using hand, eye, and respiratory protection.
-Mr. Boone informed you of the requirement to have the water tested yearly.
We have also attached the general permit to this inspection report so you can read it and know what
all the legal requirements are. At a minimum you should read pages 1-3 and 6. You can also read
pages 7-18, but 1-3 and 6 are the most important.
Thank you for you attention to this matter. If you ever have questions or concerns do not hesitate to
contact Mr. Boone by phone at 336-776-9690 or by email at ron.boone@deq.nc.gov.
Page#
Permit: NCG550507
Inspection Date: 03/06/2024
Owner -Facility: 1620 Farmington Road
Inspection Type: Compliance Evaluation
Permit
(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?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: Please refer to the inspection summary section of this report.
Yes No NA NE
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