NCG550083_Other_20091116

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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
November 16,2009
Alan and Julie Casey
8800 Buckey Court
Clemmons,North Carolina 27012
Subject: General Wastewater Permit No.NCG550083—Single Family Residence
Alan Casey,8800 Buckey Court,Clemmons,North Carolina
Forsyth County
Dear Mr. &Mrs. Casey:
Jenny Graznak of the Winston-Salem Regional Office performed a Compliance Evaluation Inspection on the
sandfilter wastewater treatment system at your property in Forsyth County, North Carolina on November 6, 2009.
This type of inspection consists of two basic parts: a review of self-monitoring data, and an on-site inspection of the
facility and its discharge. Mrs.Julie Casey was present during the inspection.
You hold a General Permit to discharge Domestic Wastewaters from Single Family Residences under the
National Pollutant Discharge Elimination System (NPDES). According to our records, the original permit was
issued by our office in 1997. However, our office has very little additional information regarding the system itself.
Unfortunately, it was determined during the inspection that you and your family were given little if any information
or history of the system upon the purchase of the property approximately 10 years ago. An attempt was made to
contact a former owner(Terry Kingery)with no results.
Our office recommends that you acquire the services of a plumber who will be able to determine the location
of your septic tank, sand filter bed, and discharge pipe. This is doubly important since your septic tank has not been
pumped out since your purchase of the property approximately 10 years ago. Permit text Part I Section A(attached
to this correspondence) specifies the limits and monitoring requirements for your permit should you discover the
whereabouts of your discharge pipe. A Laboratory with North Carolina Wastewater Certification(a list of approved
laboratories is attached) must perform the monitoring. You must also conduct and document the following
maintenance activities:
• Septic tanks shall be maintained at all times to prevent seepage of sewage
• Septic tanks will be checked at least yearly to determine if solids must be removed
• Septic tanks shall be pumped out within 3-5 years of issuance date of the Permit. Contents removed from
septic tanks shall be disposed of at a location and in a manner compliant with all local and state regulations
If you have any questions,please contact Ms. Graznak or me at(336)771-5000.
Sincerely,
"Steve W.Tedder
Regional Supervisor
Surface Water Protection Section
cc: SWP—Central Files/SWP—WSRO/ Ttsni •
North Carolina Division of Water Quality,Winston-Salem Regional Office
Location:585 Waughtown St.Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone]\Customer Service:1-877-623-6748 I forthCarolina
Internet:www.ncwaterquality.org Neurally
An Equal Opportunity 1 Affirmative Action Employer

Permit: NCG550083 Owner-Facility: 8800 Buckey Court
Inspection Date: 11/06/2009 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 ® n
Is the facility as described in the permit? n ❑ o n
#Are there any special conditions for the permit? n n n n
Is access to the plant site restricted to the general public? n n I n
Is the inspector granted access to all areas for inspection? ■ n n
Comment: No chlorination system or discharge pipe was located during the
inspection. The permittee has no information regarding the wastewater system at the
property. They purchased the property approximately 10 years ago in a "For Sale By
Owner" agreement and no information regarding the system was passed on to new
owners. An attempt was made to contact Terry Kingery (a local dentist) but calls were
not returned. It is recommended that the property owner contract the services of a
plumber to assist in the location of the septic tank, which should be immediately
pumped out.
•
•
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United States Environmental Protection Agency
E PA Washington,D C 20460 Form Approved.
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 NI 2 151 31 NCG550083 111 121 -_ 09/11/06 117 181 CI 191 SI 2°1 11
Remarks
211 11 I I I L I I I l I I I L I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I 1166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA — Reserved
671 1 69 701 I 711 1 721 NI 731 1 1 74 751 1 1 I 1 1 1 180
Section B. Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also indude Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
12:30 PM 09/11/06 08/02/20
8800 Buckey Court
8800 Buckey Ct Exit Time/Date Permit Expiration Date
Clemmons NC 27012 01:30 PM 09/11/06 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
Alan E Casey,880 Buckey Ct Clemmons NC 27012/// 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
Jennifer F Graznak WSRO WQ//336-771-5000/
ii4 6I
Signature of Manageme Q A Reviewer Agency/Office/Phone and Fax Numbers Date
/(74 ,j'
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete
Page# 1

NPDES yr/mo/day Inspection Type (cont.) 1
31 NCG550083 I11 12I 09/11/06 117 181 C
Section D Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Jenny Graznak of the Winston-Salem Regional Office performed a Compliance Evaluation Inspection on the
sandfilter wastewater treatment system at your property in Forsyth County, North Carolina on November 6,
2009. This type of inspection consists of two basic parts: a review of self-monitoring data, and an on-site
inspection of the facility and its discharge. Mrs. Julie Casey was present during the inspection.
You hold a General Permit to discharge Domestic Wastewaters from Single Family Residences under the
National Pollutant Discharge Elimination System (NPDES). According to our records, the original permit
was issued by our office in 1997. However, our office has very little additional information regarding the
system itself. Unfortunately, it was determined during the inspection that you and your family were given
little if any information or history of the system upon the purchase of the property approximately 10 years
ago. An attempt was made to contact a former owner(Terry Kingery) with no results.
Our office recommends that you acquire the services of a plumber who will be able to determine the location
of your septic tank, sand filter bed, and discharge pipe. This is doubly important since your septic tank has
not been pumped out since your purchase of the property approximately 10 years ago. Permit text Part I
Section A (attached to this correspondence) specifies the limits and monitoring requirements for your permit
should you discover the whereabouts of your discharge pipe. A Laboratory with North Carolina Wastewater
Certification (a list of approved laboratories is attached) must perform the monitoring. You must also
conduct and document the following maintenance activities:
•Septic tanks shall be maintained at all times to prevent seepage of sewage
•Septic tanks will be checked at least yearly to determine if solids must be removed
•Septic tanks shall be pumped out within 3-5 years of issuance date of the Permit. Contents removed
from septic tanks shall be disposed of at a location and in a manner compliant with all local and state
regulations. •
•
Page# 2