NCG550165_Other Agency Documents_20110901

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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
September 1, 2011
Chris & Mary Council
2701 Lockwood Drive
Winston-Salem, North Carolina 27103
Subject: General Wastewater Permit NCG550165—Single Family Residence
2701 Lockwood Drive, Winston-Salem, North Carolina
Forsyth County
Dear Mr. & Mrs. Council:
Jenny Graznak of the Winston-Salem Regional Office performed a Compliance Evaluation
Inspection on the sandfilter wastewater treatment system at your property located at 2701 Lockwood
Drive in Winston-Salem, Forsyth County, North Carolina on August 26, 2011. 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, but Ms. Graznak spoke to you afterward
via telephone.
You hold a General Permit to discharge Domestic Wastewaters from Single Family
Residences under the National Pollutant Discharge Elimination System (NPDES). According to our
files, the system has a 900-gallon septic tank, a 228 square foot nitrification field, a 306 square foot
subsurface sand filter, and a chlorination unit. You stated that you add chlorine tablets
approximately every 3 months. The septic tank was pumped out approximately 5 years ago. The
effluent from the system discharges to an unnamed tributary to the Little Creek in the Yadkin River
Basin. The black corrugated discharge pipe is in the front yard. The receiving stream was dry. You
stated that you have never seen any discharge from this pipe, and that the ditch stays dry most of
the time.
If you should ever see a discharge from the pipe, please check the permit text Part I Section
A (attached to this correspondence), which specifies the limits and monitoring requirements for your
permit. A Laboratory with North Carolina Wastewater Certification (a list of nearby approved
laboratories is attached) must perform the monitoring. As a reminder, the permit also requires that
you 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
If you have any questions regarding this letter, please contact Ms. Graznak or me at (336)
771-5000.
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 NorthCarolina
Internet:www.ncwaterquality.org Natural!,
An Equal Opportunity 1 Affirmative Action Employer 6 "

Sincerely,
W. Corey Basinger
Regional Supervisor
Surface Water Protection Section
cc: iehrde!Lea '
SWP—WSRO

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 2 151 31 NCG550165 111 121 11/08/26 117 181 CI 191 sI 201
Remarks
211IIIIIIIII HMI IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---
67I 169 701 31 711 I 721 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)
12:00 PM 11/08/26 07/08/01
2701 Lockwood Drive
2701 Lockwood Dr Exit Time/Date Permit Expiration Date
Winston Salem NC 27103 12:45 PM 11/08/26 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
Contacted •
Mary M Counci1,2701 Lockwood Dr Winston Salem NC 27103//336-765-8845/No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
111 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/
Signatur of Mana em�Reviewer Agency/Office/Phoneand Fax Numbers Date
DOWR
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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Permit: NCG550165 Owner-Facility: 2701 Lockwood Drive
Inspection Date: 08/26/2011 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? n n • ❑
Is the facility as described in the permit? ■ n n n
#Are there any special conditions for the permit? ❑ N
Is access to the plant site restricted to the general public? ❑ ❑ ■ ❑
Is the inspector granted access to all areas for inspection? ® n n n
Comment:
•
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