NCG551612_NCG551612 EPA form 2024_20240702

DocuSign Envelope ID:4EB9BO90-4COE-44EE-85E7-896722770406
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 IN 2 u 3 I NCG551612 111 121 24/06/11 I17 18[C]I 19 I G I 20U
21111I 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 70 J 71 Ity 72 L-J 73 1 74 79 I I I I 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 Dermit Number) 10:10AM 24/06/11 21/08/20
7840 Massey Chapel Road
7840 Massey Chapel Rd Exit Time/Date Permit Expiration Date
Durham NC 27713 10:25AM 24/06/11 25/10/31
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
Bryan C Albrecht,7840 Massey Chapel Rd Durham NC 27713M
No
Section C:Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations&Maintenar 0 Records/Reports 0 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
Stephen D Smith DWR/RRO WQ/919-791-4200/
DocuSigned by:
DLI_I_-- �1 7/2/2024
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
f. 7/2/2024
Uatn c,ssa
B2916HAB32144F...
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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DocuSign Envelope ID:4EB9BO90-4COE-44EE-85E7-896722770406
NPDES yr/mo/day Inspection Type 1
31 NCG551612 I11 12I 24/06/11 11 7 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
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DocuSign Envelope ID:4EB9BO90-4COE-44EE-85E7-896722770406
Permit: NCG551612 Owner-Facility: 7840 Massey Chapel Road
Inspection Date: 06/11/2024 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Single Family AdvanTex Pod system - Servcie contract visit annually to pump septic
tank (as needed), replaces UV Bulb, reviews electrical panel operations, and samples
effluent.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ❑ ❑
application?
Is the facility as described in the permit? ■ ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ 0 ❑
Is access to the plant site restricted to the general public? ❑ ❑ 0 ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑
Comment:
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