NCG550086_Compliance_20090709

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 9,2009
Mr. &Mrs.Richard Carter
1142 Pine Knolls Road
Kemersville,North Carolina 27284
Subject: General Wastewater Permit No.NCG550086—Single Family Residence
Richard&Betty Carter, 1142 Pine Knolls Road,Kernersville,North Carolina
Forsyth County
Dear Mr. &Mrs. Carter:
Jenny Graznak of the Winston-Salem Regional Office performed a Compliance Evaluation Inspection
on the wastewater treatment system at your property in Forsyth County,North Carolina on July 7, 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. You were 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). The discharge from this system discharges to
Belews Creek. However, we were unable to find the discharge pipe during the inspection, most likely due to
the heavy vegetation around the stream. You stated that you have seen a white pipe in the past. If you find a
discharge in the future, please perform the effluent monitoring as listed in the permit. Permit text Part I
Section A (attached to this correspondence) specifies the limits and monitoring requirements for your peinut.
The following parameters must be monitored on an annual basis: Flow, Biochemical Oxygen Demand(BOD),
Total Suspended Residue, and Fecal Coliform. A Laboratory with North Carolina Wastewater Certification(a
list of approved laboratories is attached)must perform this 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
The system is approximately 30 years old and does not have a chlorinator. The septic tank was pumped
out 2 years ago. 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
NPDBtS int
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 TorthCarolina
Internet:www.ncwaterguality.org Naturally
An Equal Opportunity I Affirmative Action Employer

United States Environmental Protection Agency
EPA 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 NCG550086 1 11 121 09/07/07 1 17 18i ci 191 SI 201 11
Remarks
211111111111111111111111111111111111111111111111166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 169 701 31 711 1 721 NI 731 1 174 751 1 1 1 1 1 1 1 80
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)
10:00 AM 09/07/07 07/08/01
1142 Pine Knolls Road
1142 Pine Knolls Rd Exit Time/Date Permit Expiration Date
Kernersville NC 27284 10:30 AM 09/07/07 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
Richard A Carter,1142 Pine Knolls Rd Kernersville NC Contacted
27284//336-992-2351/ 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/
-1/1(o I
' lL... Q
Signature of Manageme/Q A Reviewer Agency/Office/Phone and Fax Numbers Date
/k#/ --' f 71--11
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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