NCG550166_Compliance Evaluation Inspection_20120522

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
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May 22, 2012
Mr. Charles R. Benton, II and Kristy Benton
1080 Baker Crossroads Road Pirk ;�
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Reidsville, North Carolina 27320
JUN 0 5 2012
SUBJECT: Compliance Evaluation Inspection
Single Family Residence Wastewater Treatment System CAD' ;VQ uG ES
NPDES General Wastewater Permit NCG550000
iCertificate of=Coverage#_NCG5501-66i
Rockingham County
Dear Mr. & Mrs. Benton:
Steve Mauney of the Winston-Salem Regional Office of the NC Division of Water Quality
(DWQ or the Division) conducted a compliance evaluation inspection (CEI) at the subject facility on
May 16, 2012. We were able to locate the septic tank, the chlorinator and the discharge point.
Chlorine tablets were present in the chlorinator tubes but they were the variety used in swimming
pools. A list of some sources of the acceptable tablets are enclosed. An inspection checklist is
attached for your records and the inspection findings are summarized below.
Mr. Mauney detected no problems with the system. Please continue to have the septic tank
pumped every three to five years as required by the permit and please also check your chlorinator at
least once per month to ensure it has enough chlorine and that it hasn't clogged up. You should also
ensure your chlorine tablets are rated for wastewater treatment, not for use with swimming pools (this
is normally indicated on the container). Wastewater rated tablets can be acquired from one of the
supply sources on the attached list or other local suppliers. A very small flow was detected from the
effluent pipe during the inspection. Annual sampling of the effluent discharge should be conducted as
required by the permit. You should also document your operation/maintenance of the system and
keep all records for a period of three years as you have been doing and maintain records for the
annual samples. Your efforts to maintain the system properly are appreciated.
The Certificate of Coverage (NCG550166) was renewed in 2007 and will expire July 31, 2012.
Please be aware that the Division sends out invoices for the annual fee. Of course, the invoices must
be paid (annual fee currently $60/yr). It is understood that a new Certificate of Coverage will be sent
out in a few months.
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 North Carolina
Internet www.ncwaterquality.org Naturally
An Equal Opportunity 1 Affirmative Action Employer !�

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Mr. Charles R.Benton, II
NCG550166
Page 2 of 2
Thank you for your cooperation in this matter. Your continued attention to the use of chlorine
tablets and routine septic tank pumping could prevent compliance problems in the future. Should you
have any questions please feel free to contact Mr. Mauney or me at [phone].
Sincerely,
1
. W. Corey Basinger, Regional Supervisor
Surface Water Protection Section
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
2. NCG550000 Technical Bulletin
3. Sources for Chlorine Tablets
cc: SWP —WSRO
Cen�tt? I' Pi es

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 I N I 2 15 I 31 NCG550166 111 121 12/05/16 117 18I C I 19I S I 20II
Remarks
211lII IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 169 701 I 711 72I N I 731 I 174 761 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)
10:15 AM 12/05/16 09/06/15
1080 Baker Crossroads Rd
1080 Baker Cross Rd Exit Time/Date Permit Expiration Date
Reidsville NC 27320 11:00 AM 12/05/16 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
Charles R Benton,1080 Baker Cross Rd Reidsville NC 27320/// No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
III Permit II Operations&Maintenance •Records/Reports •Facility Site Review
Effluent/Receiving Waters
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 C,Date
Max S Mauney A WSRO WQ/1336 771-5000/ ✓ 22'
S •ature of r.anag�ement A Reviewer Agency/Office/Phone and Fax Numbers Date
/ C t. 'kr arev &s,river 31 ,
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type 1
3 NCG550166 111 121 12/05/16 I 17 18I CI
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
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Permit: NCG550166 Owner-Facility: 1080 Baker Crossroads Rd
Inspection Date: 05/16/2012 Inspection Type: Compliance Evaluation
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable Solids, pH, DO,Sludge 0 • n n
Judge, and other that are applicable?
Comment: No samples have been collected. Mr. Benton indicated he would collect
samples in a few weeks after he returns from taking care of his mother who is having
surgery and provide sample results to WSRO for review.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ 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 n
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: The septic tank and subsurface sand filter are not accessible to the public.
A staff report from 1991 indicates that the system includes a 396 sq. ft. filter and a 198
sq. ft. filter. The driveway to this home which is about 500 feet off the road is just past
1092 Baker Crossroads mailbox.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? n n ■ n
Is septic tank pumped on a schedule? I. n ❑ n
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Are pumps or syphons operating properly? n n ■
Are high and low water alarms operating properly? [I n • n
Comment: The tank was pumped 6-20-2011 and the internal tank filter was replaced
along with the outlet elbow pipe.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ n n n
Are the tablets the proper size and type? n • n
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Number of tubes in use?
Is the level of chlorine residual acceptable? ❑ ❑ ❑ •
Is the contact chamber free of growth,or sludge buildup? n n n ■
Is there chlorine residual prior to de-chlorination? n n ■
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Permit: NCG550166 Owner-Facility: 1080 Baker Crossroads Rd
Inspection Date: 05/16/2012 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Comment: Chlorine tablets were in the chlorinator tubes, but were the type used in
swimming pools. A list of sources for the correct chlorine tablets will be provided to Mr.
Benton.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ n n n
Are the receiving water free of foam other than trace amounts and other debris? ■ n
El
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Comment: There was just a minor flow at the effluent pipe. Sampling should be done
carefully to not collect debris (scum/moss) in the effluent sample. The stream at this site
appears to be impacted by cattle that have a swamp area that is accessible to them.
Beef cattle were in the pooled swamp area during this inspection.
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