NCG550095_Compliance Evaluation Inspection_20150622

•
AIWA
NCDENR
- _ - -North Carolina-Department of Environment and Natural Resources - .
Pat McCrory Donald van der Vaart
Governor Secretary
June 22, 2015 RECEIVE
Mr. Donald Brummitt J U N 3 0 • l
17632 Randalls Ferry Road
Norwood,NC 28128 CENTRAL FILES
DWR SECTION
Subject: Compliance Evaluation Inspection
Single Family Residence Wastewater Treatment System
NPDES General Wastewater Permit No./Certificate of Coverage N G550M-
Dear Mr. Brummitt:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the
inspection conducted at your residence on June 3, 2015 by Ms. Barbara Sifford and Mr. Barry
Love of this office. Thank you for your assistance and cooperation during the inspection. The
system appeared to be operational and maintained but no discharge was observed at the time
of the inspection.
A list of commercial labs is included with this letter. Annual analytical is required if the
system discharges to surface waters. To obtain a list in the future the web site is
http://portal.ncdenr.org/web/wq/lab/cert/certlablists. This is required to be completed annually
and available for review during the inspection.
I have included the ownership/name change form that should be submitted if you sell the
house so that the new owners are aware of the permit and the requirements of this system, and
a copy of the general permit.
The report should be self-explanatory. If you have any questions, comments, or need
assistance with understanding any aspect of your permit or this report, please do not hesitate to
contact me at(704)-235-2196.
Celle4S =1617 Central-F 1A.
CEI- Report(BIMS)/PNOCF=08-13
NCG550000 General Permit
Sincerely,
410 aja,(6( c:Ce-f'e
Barbara Sifford
Water Quality Regional Operations Section
Mooresville Regional Office-NCDENR
Mooresville Regional Office
610 East Center Avenue,Suite 301, Mooresville,North Carolina 28115
Phone:[phone]/Fax:[phone]/Customer Service 1-877-623-6748
Internet:www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer—Made in part by recycled paper

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United States Environmental Protection Agency Form Approved.
E PA 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 I 2 IF I 3 NCG550095 111 12 I 15/06/03 117
18 19 Li 201 •
2111I I 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 I1 o I 70 LJ I, I 71 IN I 72 N "I I 174
75I I I I l
I I I I80
Section B:Facility Data 1 1
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) 03:OOPM 15/06/03 13/08/01
17632 Randalls Ferry Road
Exit Time/Date Permit Expiration Date
17632 Randalls Ferry Rd
04.00PM 15/06/03 18/07/31
Norwood NC 28128
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
J Donald Brummitt,17632 Randalls Ferry Rd Norwood NC 2 6 1 2 8//7 04-474-547 6/
No
• Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
1.1 Permit El Operations&Maintenance 1.1 Records/Reports In Self-Monitoring Program -
El Sludge Handling Disposal • Facility Site Review Effluent/Receiving Waters Laboratory
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
Barbara Sifford Division of Water Quality//704-663-1699
Barry F Love MRO WQ//704-663-1699 Ext263/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type 1
31 NCG550095 11 121 15/06/03 17 18
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
1. Repair broken discharge pipe that has separated due to the ground shifting at the shoreline.
2. Name Ownership Change form is included to be used at sale of house to transfer the permit to new
owners.
3. If a discharge occurrs samples should be collected and analyzed annually.
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Permit: NCG550095 Owner-Facility: 17632 Randalls Ferry Road
Inspection Date: 06/03/2015 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • ❑ 0 0
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable 0 0 El 0
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: Septic tank is behind garage, sand filter is adjacent to property line and on sloping hillside to
lake. Chlorinator box is beside steps to dock.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 0 El 0
application?
Is the facility as described in the permit? • 0 ❑ ❑
#Are there any special conditions for the permit? ❑ E 0 0
Is access to the plant site restricted to the general public? ❑ ❑ E ❑
Is the inspector granted access to all areas for inspection? • 0 0 ❑
Comment: Permit was renewed in 2013 good for 5 years. If house is sold please transferr the permit to
the new owners at sale. These forms are included with this inspection letter.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? • ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? • ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? 0 0 • 0
Comment: Pipe to lake appears to be broken before entering lake,this needs to be reconnected to
discharge into the lake. At the time of the inspection there was no discharge from this pipe.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? 0 ❑ U ❑
Is septic tank pumped on a schedule? • 0 0 0
Are pumps or syphons operating properly? 0 ❑ I ❑
Are high and low water alarms operating properly? 0 ❑ • 0
Comment: System flows by gravity from septic tank to lake.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? • ❑ 0 0
Are the tablets the proper size and type? • ❑ ❑ ❑
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ 0 ❑ •
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Permit: NCG550095 Owner-Facility: 17632 Randalls Ferry Road
Inspection Date: 06/03/2015 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Is the contact chamber free of growth, or sludge buildup? ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ •
Comment: To prevent caking of chlorine tablets only use one in a cylinder,with no flow the moisture in
the air will make them swell and stick in the tubes. The proper type is being used. •
Sand Filters (Low rate) Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational? ❑ ❑ U ❑
Is the distribution box level and watertight? • ❑ ❑ ❑
Is sand filter free of ponding? ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ U ❑
#Is the sand filter surface free of algae or excessive vegetation? • ❑ ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ MI ❑
Comment:
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