NCG550121_Notice of Deficiency (PC-2017-0189)_20170713

C -eat
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Environmental S. JAY ZIMMERMAN
Quality • Director
June 6, 2017 RECE1VEn
Ms. Linda Grounds or current tenant JUN 13 2017
1011 Kelly Road CL N i R I RIrP s
Mt Holly, NC 28120 DVVR SEC r;p;.)
Subject: Notice of Deficiency
Compliance Evaluation Inspection
NOD-2017-PC-0189
1011 Kelly Road
Certificate of Coverage No. ItC059 :P
Gaston County
Dear Ms. Grounds:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted at
the subject facility on May 31, 2017, by Ori Tuvia.
The following deficiencies were found during the inspection, and should be corrected:
1) No chlorine tablets were found on site or in the chlorinator.
2) Records of sampling(flow permitting) and septic tank being pumped were not available
for review during the inspection. Records should be available to be reviewed in future
inspections.
Please send any supporting data you to:
Mooresville Regional Office 610 East Center Ave,Suite 301 Mooresville, NC 28115.
The report should be self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Ori Tuvia at [phone], or at
[e-mail]
Sincerely,
W. Corey Basinger
Regional Supervisor
Mooresville Regional Office
Division of Water Resources
Cc: NPDES Unit, MRO Files •
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone:[phone] Fax:[phone]\Customer Service:1-877-623-6748
Internet:www.ncwaterquality.org

• - 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 E 2 LI 31 NCG550121 111 12 I ' 17/05/31 117
18 I c I 19 I S I 201
2111II I I I I I III I I I I I I I I I I I I I I I I I I I •I I I III I II I I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --Reserved
67I1.o I 70 I 71 IN I 72 I N I 73I I 174 751
I I I I I 180
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 oermit Number) 12:55PM 17/05/31 13/08/01
1011 Kelly Road
1011 Kelly Rd Exit Time/Date Permit Expiration Date
Mount Holly NC 28120 01:15PM 17/05/31 18/07/31
Name(s)of Onsite Representative(s)lritles(s)/Phone and Fax Number(s) Other Facility Data
///
•
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Linda Grounds,1011 Kelly Rd Mount Holly NC 28120///
No
• Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit II Operations&Maintenance a Records/Reports 1.Self-Monitoring Program
NI Facility Site Review
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
Ori A Tuvia MRO WQ//704-663-1699/
•
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W.Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550121 111 121 17/05/31 117 18 12 I
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
•
•
•
Page# 2

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 05/31/2017 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 ❑ 0 II ❑
application?
Is the facility as described in the permit? • ❑ ❑ 0
#Are there any special conditions for the permit? ❑ • ❑ ❑
Is access to the plant site restricted to the general public? 0 ❑ • ❑
Is the inspector granted access to all areas for inspection? 0 ❑ • 0
Comment: The subject permit expires on 7/31/2018.
Permitee did not attend the inspection.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? 0 0 • ❑
Is all required information readily available,complete and current? 0 0 0
Are all records maintained for 3 years(lab. reg.required 5 years)? 0 0 • 0
Are analytical results consistent with data reported on DMRs? 0 0 ❑
Is the chain-of-custody complete? 0 ❑ • 0
Dates,times and location of sampling ❑
Name of individual performing the sampling 0
Results of analysis and calibration ❑
Dates of analysis 0
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? 0 ❑ 11 0
Has the facility submitted its annual compliance report to users and DWQ? 0 0 • 0
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator ❑ ❑ I ❑
on each shift?
Is the ORC visitation log available and current? 0 0 • ❑
Is the ORC certified at grade equal to or higher than the facility classification? 0 0 • 0
Is the backup operator certified at one grade less or greater than the facility classification? 0 0 MI 0
Is a copy of the current NPDES permit available on site? 0 0 II 0
Facility has copy of previous year's Annual Report on file for review? 0 ❑ ❑
Comment: No records were available for review during the inspection. •
•
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 0 • 0
Page# 3

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 05/31/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable • ❑ ❑ • ❑
Solids, pH, DO,Sludge Judge,and other that are applicable?
Comment: Inspectors could not verify chlorine tablets were in use,the last time the septic tank was
pumped, and the location of the effluent pipe.
•
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Page# 4