NCG550083_Compliance Evaluation Inspection_20150925

AVA
NCDENR
North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
September 25, 2015
Alan E. Casey
8800 Buckey Court RECEIVED
Clemmons, NC 27012 OCT 0 9 2015
Subject: Compliance Evaluation Inspection CENTRAL FILES
Permittee: Alan E. Casey, Owner DWR SECTION
Facility: 8800 Buckey Court, Clemmons, NC 27012
Permit: NCG550000 General Wastewater Permit
Certificate of Coverage: NCG550083
Forsyth County
Dear Mr. Casey:
1. Ron Boone, of the Winston Salem Regional Office (WSRO) of the NC Division of Water Resources
(DWR or the Division), conducted a compliance evaluation inspection of the single family wastewater
system at your place of residence on September 17, 2015. The assistance and cooperation of Julie
Casey was greatly appreciated. An inspection checklist is attached for your records and inspection
findings are detailed below.
2. The State requires the Division to inspect these types of systems every five years. Your system was last
inspected in November, 2009.
3. The wastewater system at your residence appears to operating properly. Mr. Boone found no
discrepancies or problems that indicated anything was wrong. However, the chlorinator and the end of
the pipe could not be found, and therefore a full inspection could not be conducted.
4. At this point it is probably most prudent that you have the septic tank pumped at least every three to four
years (with four people in the residence). Please keep records of septic tank pumping on hand as a
historical record and proof that you had the tank pumped. The permit does require that you have the
tank pumped as required.
5. Mrs. Casey was not aware of the effluent water ever having been tested by a laboratory. This is also a
requirement of the permit, to have the effluent water tested once per year. However, because the
effluent pipe could not be located during the inspection, it would be impossible to get the required
samples anyway. It appears as though the effluent pipe was somehow covered with earth and that the
effluent is simply seeping through the earth that covers the end of the pipe and it eventually seeps to the
creek. It would be helpful, as far as getting samples and observing the effluent, if you could at some
point uncover the end of the discharge pipe.
450 West Hanes Mill Road,Suite#300,Winston-Salem,North Carolina 27105
Phone:[phone] Internet:www.ncdenr.gov
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

6. The chlorinator also could not be located. It is unknown what type of chlorinator was originally installed
at your home. Neither you nor the Division has any drawing or specifications of the system.
7. With the absence of such information, it is probably best for you to simply have the tank pumped as
soon as possible, and then every three to four years, with four people in the residence. It is at this point
impossible to apply chlorine and to have the water tested.
8. Please keep this letter with your records for the system along with copies of invoices from the Division
for the annual permit fee, the Certificate of Coverage, records of septic tank pumping, maintenance and
repair records, etc.
9. These types of systems should be inspected at least every five years to ensure they're properly
operated and maintained. Failure to do so can result in expensive repair costs as well as failure of the
system to properly treat the wastewater. Also, you need to have your septic tank pumped once every
three to five years, depending on usage.
10. If you have any questions regarding this letter or the NCG550000 general permit, please don't hesitate
to contact us at 336-776-9800.
Sincerely,
Aux, g 0
°f W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. Inspection Report
2. Copy of latest Certificate of Coverage NCG550083
3. Copy of NCG550000
4. Technical Bulletin
CC: WSRO Files
Central Files
NPDES Unit

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 12 IS 2 I 3 NCG550083 I i i 12 I 15/09/17 117 18[ 19 Ls 201 1
21111I 11 III III I I I I I I I I I I I I I I I I I I I I I I III 111 1 1 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------Reserved 1
671 701 LJ I 71 I it LJ
I 72 I ti I 731 I 174 "1 1 1 I I I I 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) 09:OOAM 15/09/17 13/08/01
8800 Buckey Court
8800 Buckey Ct Exit Time/Date Permit Expiration Date
Clemmons NC 27012 09:30AM 15/09/17 18/07/31
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)
Other
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//336-776-9690/
9/7,5 's'
Sig ture of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
>114ku.,Y., 14—e-4' q(LS/ 15—
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type 1
31 NCG550083 111 121 15/09/17 117 18 is.]
I
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Septic tank never pumped according to Mrs. Casey.
Location of septic tank is unknown.
Location of filter is unknown.
Location of chlorinator is unknown.
Location of discharge pipe unknown.
Where effluent is going is unknown.
Suggested to Mrs. Casey to have septic tank located and pumped and then pumped every three to four
years with four people in the residence.
Page# 2

Permit: NCG550083 Owner-Facility: 8800 Buckey Court
Inspection Date: 09/17/2015 Inspection Type: Compliance Evaluation
Other Yes No NA NE
Comment: None
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