NCG550136_Compliance Evaluation Inspection_20100716

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 16,2010
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Mr.Robert Craig Widener
1401 Bridgton Road
Winston-Salem,North Carolina 27127
Subject: General Wastewater Permit No.NCG550136—Single Family Residence
Forsyth County
Dear Mr.Widener:
Jenny Graznak of the Winston-Salem Regional Office performed a Compliance Evaluation Inspection on the
sandfilter wastewater treatment system at your property in Forsyth County,North Carolina on July 14, 2010. 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. No one was home during the inspection. Our office does not have a current contact
telephone number for you and was therefore,unable to reach you.
You hold a General Permit to discharge Domestic Wastewaters from Single Family Residences under the
National Pollutant Discharge Elimination System (NPDES). Our office has very little additional information
regarding the wastewater system itself and its location on your property. No parts of the system, including the
Chlorinator and discharge pipe,were located by Ms. Graznak during the site inspection.
Permit text Part I Section A (attached to this correspondence) specifies the limits and monitoring
requirements for your permit. A Laboratory with North Carolina Wastewater Certification (a list of approved
laboratories is attached) must perform the 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
You received a Notice of Violation, dated April 19, 2010, from the Division of Water Quality for
failure to pay your permit's annual fee. Please pay the $60 annual fee as soon as possible to avoid a civil
penalty or revocation of the permit. Please contact our office to discuss the status of your permit and wastewater
system. You may contact Ms. Graznak at(336)771-4960 or me at(336)771-4950.
Sincerely,
a."--;(4;:j4/
Steve W.Tedder
Regional Supervisor
Surface Water Protection Section
cc: SWP—Central Files/SWP—WSRO/I�hPirDLSlenitt(Oh Ali-siWeaue)
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 NorthC/r+l�blL j/
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Internet.www.ncwaterquality.org Naturally
An Equal Opportunity\Affirmative Action Employer �j

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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 I NI 2 15I 31 NCG550136 111 121 10/07/14 117 18I CI 191 SI 20I II
(- Remarks
211IIIIIIIIIIIIIIIIIIIIIIIIIII_ IIIIIIIIIIIIIIIIII166
Inspection Work Days Facility Self-Monitonng Evaluation Rating B1 QA --------------Reserved-----------
67I 169 701 31 711 I 72 I NI 731 I 174 751 I I 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)
10:•00 AM 10/07/14 09/08/18
1401 Bridgton Road
1401 Bridgton Rd Exit Time/Date Permit Expiration Date
Winston Salem NC 27127 11:00 AM 10/07/14 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
Robert Craig Widener,1401 Bridgeton Rd Winston Salem NC Contacted
27127//336-771-0577/ No
Section C Areas Evaluated During Inspection(Check only those areas evaluated)
Permit
Section D: Summary of Findinq/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/
7 i5 liv
(1.)-64qT, 41.4_)„..,,AN____
Signature of nagement Q A eviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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Permit: NCG550136 Owner-Facility: 1401 Bridgton Road
Inspection Date: 07/14/2010 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 application? 0 0 • n
Is the facility as described in the permit? ■ n n n
#Are there any special conditions for the permit? n ■ n n
Is access to the plant site restricted to the general public? n n ■ ❑
Is the inspector granted access to all areas for inspection'? ■ n n n
Comment: Our office has very little additional information regarding the wastewater
system itself and its location on your property. No parts of the system, including the
chlorinator and discharge pipe, were located by Ms. Graznak during the site inspection.
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