NCG550869_BIMS Report_20240626

EPA
United States Environmental Protection Agency
Washington, D.C. 20460
Water Compliance Inspection Report
Form Approved.
OMB No. 2040-0057
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 N 52 NCG550869 24/05/31 C S31112171819 20
21 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved-------------------
N67707172 73 74 75 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
5715 Blue Spruce Drive
5715 Blue Spruce Dr
Durham NC 27712
Entry Time/Date Permit Effective Date
Exit Time/Date Permit Expiration Date
10:45AM 24/05/31 21/12/17
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Other Facility Data
11:05AM 24/05/31 25/10/31
Name, Address of Responsible Official/Title/Phone and Fax Number
Jonathan N Bell,5715 Blue Spruce Dr Durham NC 27712///Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 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 Date
Chris Smith DWR/RRO WQ/919-791-4200/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#1
6/26/2024
DocuSign Envelope ID: C5A484A3-4A90-4DC4-B9EA-AB04652BC3F3
6/27/2024
NPDES yr/mo/day
24/05/31
Inspection Type
C3111218
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
No tablets observed in chlorinator during inspection. Need septic tank clean out records.
NCG550869 17
Page#2
DocuSign Envelope ID: C5A484A3-4A90-4DC4-B9EA-AB04652BC3F3
Permit:NCG550869
Inspection Date:05/31/2024
Owner - Facility:
Inspection Type:
5715 Blue Spruce Drive
Compliance Evaluation
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?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Page#3
DocuSign Envelope ID: C5A484A3-4A90-4DC4-B9EA-AB04652BC3F3