NCG551725_CEI Letter and Report_20240729

Docusign Envelope ID:B002CA00-569C-4D8B-B969-39EA9032DC7B
,r.STATI'',y
�r
R
ROY COOPER
ELIZABETH S.BISER ` •- •a2
,Sic r erur t
RICHARD E.ROGERS.JR NORTH CAROLINA
Uirecrtir Envlronmen(at Quality
July 26, 2024
Ms. Bertina Ramirez Alejandro
2922 Constance Ave.
Durham, NC 27704
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
General NPDES Permit NCG550000
Certificate of Coverage NCG551725
Facility: 2922 Constance Avenue
Durham County
Dear Ms. Alejandro:
On July 24, 2024, Donald Smith from the Raleigh Regional Office visited your single-family
residence(SFR) wastewater treatment system to evaluate compliance with the subject General
NPDES Permit. Your assistance during the inspection was greatly appreciated.
Our records indicate the treatment system consists of a septic tank, sub-surface sand filter, tablet
chlorinator with chlorine contact chamber, tablet de-chlorinator, and discharge pipe.
General NPDES Permit NCG550000 and Certificate of Coverage(COC) NCG551725 authorize the
discharge of domestic wastewater from your treatment system to receiving waters designated as
unnamed tributary of Ellerbe Creek (classified WS-IV; NSW) in the Neuse River Basin. The
authorized discharge is in accordance with the effluent limits and monitoring requirements
established within the General Permit. The items below show what conditions were noted at your
facility:
Findings during the inspection were as follows:
I. NCG550000 Ownership Change Form: According to Durham County deed of
records, you(Bertina Ramirez Alejandro) own the residence and property located at
2922 Constance Avenue in Durham, North Carolina. As the property owner, you are
also the owner of the existing single-family wastewater treatment system,which
treats the domestic wastewater from the residence and releases the effluent to the
receiving waters indicated above. Because the treatment system makes an outlet to
waters of the state, it is an activity for which the subject pen-nit is required, To
comply with North Carolina General Statute § 143-215.1(a), which requires a person
to obtain a permit to make an outlet into the waters of the state, you will need to
complete and submit the attached NCG550000 Ownership Change Form to the
Division. This form was also provided to you during the inspection. lfyou have any
North Carol na T)cpanmem of Fm ironmcnial Quality I Division of waicr Resources
D �� Raleigh Regional 0111ce 13800 Barrett Uncc I Raleigh,North Carolina 27609

Docusign Envelope ID:B002CAOD-569C-4D8B-8969-39EA9032DC7B
Ms. Bertina Ramirez Alejandro,NCG551725
July 26, 2024 Page 2 of 3
questions regarding change in permit ownership or completing the form,then
please contact Donald Smith at 919-791-4234.
2 Treatment system operation: The wastewater treatment system shall be maintained
at all times to prevent seepage of sewage to the surface of the ground.
3. Pumping the septic tank: You are required to inspect the septic tank at least yearly
to determine if solids must be removed or if other maintenance is necessary. Septic
tanks should be pumped out every five years or when the solids level is found to be
more than 13 of the liquid depth in the septic tank compartment, whichever is
greater. A pumping company can check the status periodically and determine when
pumping is required. During the inspection, you indicated that the septic tank was
replaced 2 years ago. The General NPDES Permit requires the permittee to retain
records associated with sewage disposal activities for a period of at least 5 years.
4. Chlorine tablets in the chlorinator: You are reminded that it is required that
chlorine tablets be maintained in the chlorinator to ensure proper disinfection of the
discharged wastewater. Chlorine tablets provide effective disinfection and
prevent/limit harmful bacteria from discharging to the environment. The product
label for these tablets must indicate the tablets are approved for wastewater use and
not for swimming pools. Part 1, Section D(1) of General NPDES Permit
NCG550000 requires the permittee to inspect the tablet chlorinator weekly to ensure
there is an adequate supply of tablets for continuous and proper operation. Section D
(4)requires the permittee to maintain all system components, including...disinfection
units...at all times and in good operating order. The inspector did not observe any
chlorine tablets in the chlorinator. Please ensure the correct type of tablets are used
and maintained in the chlorinator as required by the General NPDES Permit.
5. De-chlorination tablets: You are responsible for always having de-chlorination
tablets(if a required part of your system) in place. They must be the kind for
wastewater treatment and not for swimming pools. The inspector did not observe any
de-chlorination tablets in the treatment unit. Please ensure the correct type of tablets
are used and maintained in the de-chlorinator as required by the General NPDES
Permit.
6. Analyzing the effluent: Part 1. C., Effluent Limitations and Monitoring
Requirements,within General Permit NCG550000 requires a permittee to sample and
analyze the effluent leaving his,'her treatment system prior to discharge annually.
Parameters to be sampled and analyzed include Flow, BOD (Biochemical Oxygen
Demand),Total Suspended Solids, Fecal Coliform,Total Residual Chlorine,Total
Nitrogen, Ammonia Nitrogen and Total Phosphorous During the inspection,you
informed the inspector that the effluent has not been monitored within the last 12
months. Please collect a representative sample of the effluent,have it analyzed by a
certified commercial laboratory and submit the results to this office no later titan
September 30, 2024. If,during this time, you are unable to collect a representative
sample of the effluent discharge due to insufficient flow from the discharge pipe, then
update this office with that information and continue to monitor the discharge and if
conditions for sampling become favorable, then arrange to collect a sample.] Failure
to monitor the effluent discharge as required is a violation of NPDES General
Permit NCG550000.
'L� North l arolioa Depannicut of En m t ronc ual Qu D of lu} 1 vision Waler Resources
��� Raleigh Regional Office 13900 Barren Drive I Raleigh.North Carolina 27609
it��Dr, T - �/ -)I')791 4200

Docusign Envelope ID:B002CA00.569C.4D8B-B969-39EA9032DC7B
Ms. Bertina Ramirez Alejandro, NCG551725
July 26, 2024 Page 3 of 3
7. Discharge outlet location. The pennittee is required to conduct a visual review of
the outfall location at least twice each year(one at the time of sampling) to ensure
that no visible solids or other obvious evidence of system malfunctioning is observed.
Any visible signs of a malfunctioning system shall be documented,and steps taken to
correct the problem. The discharge pipe was visible and accessible the day of the
inspection. Please clear away the accumulated leaves to ensure the outlet is always
visible/maintained and clear.
The wastewater treatment system should be periodically inspected to ensure the treatment
components are always maintained and in good operating order- You are also reminded to maintain
all monitoring data and associated maintenance retards onsite for a minimum of three years and
available for inspection.
Within 30-days of receipt of this letter,please submit a written response to this office indicating the
actions you will take or have taken to comply with or resolve the issues noted items #1, 4, 5, 6, and
7 above.
If you have questions or comments about this inspection or the requirements to take corrective action
(if applicable), then please contact Donald Smith at 919-791-4234 or [e-mail].
Sincerely,
[V
DocuSiyned 6y:
avj�ssx f. k.at 4tl.
B2916EUB32144F
Vanessa E. Manuel,Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources,NCDEQ
Attachment(s): EPA Water Compliance Inspection Report
NCG550000 Ownership Change Form (English and Spanish)
Cc: Laserfiche
o%(inh t'arr)hna Dapartntent ol'I•ncironnxntal Qualrt� I D%rs-on ui Water Resources
D ��� Raleigh Repoual Otticc 13$00 Barren Urrse I Ralctgh.North Caruhna 27609

Docusign Envelope 1D:B002CAOD-569C-4D8B-6969-39EA9032DC7B
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 u 2 15 1 3 I NCG551725 11 121 24/07/24 I17 18 U I r�I 19 I l s I 20I J
21 =J LJ 6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA --------—-----------Reserved-----------------
67 70LJ 71 I 72 ti 73I t I74 71 I 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 permit Number) 10:35AM 24/07/24 17/06/19
2922 Constance Ave 2922 Constance Ave Exit TimelDale
Permit Expiration Date
Durham NC 27704 11:05AM 24/07/24 18/07/31
Name(s)of Onsite Representative(s)iTitles(s)/Phone and Fax Number(s) Other Facility Data
!//
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Kenneth Clark,2922 Constance Ave Durham NC 277041/919-325-6200/
Yes
Section C:Areas Evaluated During Inspect-on(Check only those areas evaluated)
Permit 0 Operations&Maintenar N Effluent/Receiving Wate
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
Donald Smith �DocuSigned by; DWR/RRO WQ,919-791-4234:�5." 7/26/2024
5�2ED5247FA847A
Signature of Management Q A Reviewer Agency/Office,Phone and Fax Numbers Date
DocuSigned by:
7/29/2024
�/atnt,SSa �. �l.atn,Ltt�,
62916E6AB32144F
EPA Form 3560-3(Rev 9-94)Previous edit ons are obsolete
Page# 1

Docusign Envelope ID:B002CAOD-569C-4D88-B969-39EA9032DC7B
NPDES yrlm)day Inspection Type 1
NCG551725 I11 1 2410724 17 18 1 c i
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Docusign Envelope ID:8002CAOO-569C-408B•B969.39EA9032DC7B
Permit: NCG551725 Owner-Facility: 2922 Constance Ave
Inspection Date: 07/24/2024 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 ❑ ❑ M ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: No records available at time of inspection. Ms. Alejandro indicated that septic tank was
installed 2 ears ago.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 ❑
application?
Is the facility as described in the permit? M ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ M ❑ ❑
Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑
Comment: Change of Ownership Needed
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational? ❑ ❑ 0 ❑
Is septic tank pumped on a schedule? ❑ 0 ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ M ❑
Are high and low water alarms operating properly? ❑ ❑ M ❑
Comment: No cleaning record available. Ms. Alejandro indicated new septic tank was installed 2
years ago
Sand Filters (Low rate) Yes No NA NE
(if pumps are used) Is an audible and visible alarm Present and operational? ❑ ❑ M ❑
Is the distribution box level and watertight? ❑ ❑ ❑
Is sand filter free of ponding? 0 ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ 0 ❑
# Is the sand filter surface free of algae or excessive vegetation? ❑ ❑ IN ❑
# Is the sand filter effluent re-circulated at a valid ratio? (Approximately 3 to 1) ❑ ❑ 0 ❑
Comment: Below ground sand filter. Informed Ms. Alejandro not to build on top of sand filter or
place heavy objects.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ 0 ❑ ❑
Page# 3

Docusign Envelope ID: B002CAOD-569C-4D8B-B969-39EA9032DC7B
Permit: NCG551725 Owner-Facility: 2922 Constance Ave
Inspection Date: 07/24/2024 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Are the tablets the proper size and type? EIN ❑ ❑
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ 0 ❑ ❑
Is the contact chamber free of growth, or sludge buildup? 0 ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ■ ❑ Cl
Comment; Chlorine contact chambers were empty with no tablets. Provided information on where
to purchase tablets.
De-chlorination Yes No NA NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑ 0 ❑ ❑
Is storage appropriate for cylinders? ❑ ❑ ■ ❑
# Is de-chlorination substance stored away from chlorine containers? ❑ ❑ ❑
Comment:
Are the tablets the proper size and type? ❑ 0 ❑ ❑
Are tablet de-chlorinators operational? ❑ M ❑ ❑
Number of tubes in use? 2
Comment: No dechlorination tablets installed. Provided information on where to obtain tablets.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ M ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ IN ❑
Comment: Effluent pipe was covered by yard waste (leaves). Ms.Alejandro knew where the pipe
was located. Instructed to clear away the leaves.
Page# 4

Docusign Envelope ID:8002CAOD-569C-4D8B-B969-39EA9032DC7B
Ft,,.,5Y�17t r
it
ROY COOPER
EL17ARETH S.BISFR .�.. •�'
RICHARD E.ROGERS JR NORTH CAROLINA
nh.•unr Environmental Qualify
NPDES Certificate of Coverage (CoC)
NCG550000 OWNERSHIP CHANGE FORM
1. Please enter the CoC number for which the change is requested.
Certificate of Coverage
N C G 15 15
II. Please provide the following for the requested change(revised CoC).
a. Request for change is a result of: ❑ Change in ownership of the residence:property
❑ Name change of the facility or owner
!f other please explain:
b. CoC will be issued to(person's name
or company name, if applicable):
c. Owner: person legally responsible for
CoC:
First Ml Last
Title
Permit Holder Mailing Address
City Slate Zip
{ )
Phone E-mail Address
d. Facility name(if applicable):
e. Facility address:
Address
Ctiy Slate Zip
f. Facility contact person.
[if different from Owner] First MI Last
Phone _ E-mail Address
Ill. Contact person (if different from the person legally responsible for the CoC)
First MI Last
Title
Mailing Address
City State Zip
Phone E-mail Address
D E North Carolina Dep.mmcm of F:nv nuvncntal QualityI Dtctsunt of\1 atrr Resource:
512 North SAIsbUry Sirtm 11617.Mad Sen icc L enicr I Raleigh.North L arohna 27699.1617
�/ 919 74)t 900

Docusign Envelope ID:B002CAOD-569C-4D8B-B969-39EA9032DC7B
Page 2 of 2
IV Will this permitted facility continue to discharge the same volume and type of wastewater as
prior to this ownership or name change`!
❑ Yes
❑ No(please explain)
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both facility-name change and/or facility ownership
change requests.
❑ Legal documentation of the transfer of ownership(such as a property deed,relevant pages of a
contract,or a bill of sale) is required for an ownership change request.
...................................................................................................................
The certifications below must be completed and signed by the new applicant in the case of an ownership
change request.
APPLICANT CERTIFICATION
I, , attest that this application for a name ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting infonnation is not included, this application package will be
returned as incomplete.
Signature Date
....................................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Mr. Charles H. Weaver
NC DEQ DWR 'NPDES
1617 Mail Service Center
Raleigh,NC 27699-1617
charles.weaver;a deq.nc.gov

Docusign Envelope ID:B002CAOO-569C4D88-B969-39EA9032DC76
de. lZ
ROY COOPER .,__ J
ELIZABE:7I-1 S MISER \tip
RICHARD I lZOGI RS. 1R NOR'Di CAROI INA
flv r<v„. Environmental Quality
Certificado de Cobertura NPDES (CoC)
FORMULARIO DE CAMBIO DE TITULARIDAD NCG550000
I. Introduzca el nutnero do CoC para cl quc sc solicita el cambio.
Certificado de cobertura
N C G 1 5 1 5
II. Proporcione la siguiente information para el cambio solicitado(CoC revisado).
a. La solicitud del cambio es consecuencia de:❑Cambio de titularidad de la residenciatproptedad
❑Cambio de nombre de la instalaci6n o del propietario
Si selecciono "01ra",explique:
b. El CoC se expcdira a nombre de
(nombre de la persona o de la
empresa,si procede):
c. Propietario: persona legalmente
responsable del CoC: _
Pruner nornbrc Segundo nombre Apellida s
Titulo
Direcci6n postal del titular del permiso
Ciudad Estado C6digo postal
Telcfono Correo electr6nico
d. Nombre de la institucion(si procede):
e. Direcci6n de la institution:
Direccion
Ciudad Fstado C6digo postal
f. Persona de contacto de is instituci6n:
(si es diferente del Propietario] Primer nombre Segundo nombre Apellidas
Telcfono Correo electr6nico
111. Persona de contacto(si es diferente de la persona legaltente responsable del CoC)
Primer nombre Segundo nombre Apell"i
Titulo
Direcci6n postal
Ciudad Eslado Codigo postal
Telcfono Correo elertr6nico
1kpanamemo dot al3dad Ambicntul Je Carolina del forte I Dn•i.tun Jc Rrcttrsos I hdrncos
D E\\ Q� 512 Nonh salisbun Street i617%tail Scrcice(entcr Ralcrgh.I North(arohna 2761)4-1617
V 19.71179III10

Docusign Envelope ID:B002CAOD-569C-4D8B-B969-39EA9032DC7B
Pagina 2 de 2
IV. ZSeguiri descargando esta instalaci6n autorizada el mismo volumen y tipo de aguas
residuales que antes de este cambio de titularidad o de nombre?
❑ Si
❑ No(explique) — --. - - -- ----
V Elementos necesarios: ESTA SOLICITUD SE DEVOLVERA SIN TRAMITAR Si
FALTAN ELEMENTOS O ESTAN INCOMPLETOS:
❑ Esta solicitud cumplimentada es necesaria tanto para]as solicitudes de cambio de nombre de la
instalaci6n Como para las de cambio de titularidad de la instalaci6n.
❑ Para una solicitud de cambio de titularidad se requiere documentaci6n legal de la transferencia
de propiedad(como una escritura do propicdad, las piginas pertinentes do un contrato o una
factura de compraventa).
. . . . . . . . . . . . . . . . . . . . . . . . . . . . ■ . . . . . . . . . . . . . . . ■ . . . . . . . . . . . . ■ .
Las certificaciones que figuran a continuaci6n deben ser cumplimentadas y firmadas por el nuevo solicitante
en el caso de una solicitud de cambio de titularidad.
CERTIFICACIONES DEL SOLICITANTE
Yo, ,doy fe de que esta solicitud de cambio de hombre/titularidad ha Sido revisada y
es exacta y completa a mi leal saber y entender. Entiendo que si no se completan todas las panes
requeridas de esta solicitud y que si no se incluye toda la informaci6n de apoyo requerida, este paquete
de solicitud sera devuelto como incompleto.
Finua Fecha
...........4.....................•
ENVIE LA SOLICITUD COMPLETA A:
Sr.Charles H. Weaver
NC DEQ DWR NPDES
1617 Mail Service Center
Raleigh,NC 27699-1617
[e-mail]