NCG550209_Compliance Evaluation Inspection_20170707

ROY COOPER
Governor
MICHAEL S.REGAN
j Secretary
S. JAY ZIMMERMAN
Water Resources Director
Environmental Quality
July 7, 2017
Dennis Sykes
5650 Lakeside Drive
Pfafftown, NC 27040 RECEIVED
Subject: Compliance Evaluation Inspection JUL 12 2017
Permittee: Dennis Sykes, Permittee
Facility: 5650 Lakeside Drive Pfafftown, NC 27040 CENTRAL FILES
Permit: NCG550000 General Wastewater Permit DWR SECTION
Certificate of Coverage: 14CG5502D
Forsyth County
Dear Mr. Sykes:
1. Justin Henderson, of the Winston Salem Regional Office(WSRO) of the NC Division of Water Resources(DWR
or the Division), conducted a compliance evaluation inspection of the single family wastewater system at your
residence on July 7,2017.The State requires the Division to inspect these types of systems every five years.An
inspection report is attached for your records and the inspection findings are summarized below.
2. The system consists of a septic tank, filtration unit, and the discharge pipe. The entire system appears to be in
good operating order.There was no discharge at the time of the inspection and you have not been taking samples
of the effluent as required in the permit.
3. The septic tank was last pumped on August 6, 2010 by Forsyth Rooter Service INC., and a receipt was provided
for review during the inspection. Permit Condition Part I(Operation and Maintenance)(3.)states septic tanks shall
be pumped out every five(5)years or when the solids level is found to be more than 1/3 of the liquid depth in any
compartment,whichever is greater.
4. The permit fees of$60 per year have been paid annually as required and your permit is active and up to date. Mr.
Henderson left you with a copy of the most recent general permit.
5. Failure to properly operate and maintain your wastewater system can result in expensive repair costs as well as
failure of the system to properly treat the wastewater.
6. If you have any questions regarding this letter or the NCG550000 general permit, please don't hesitate to contact
us at 336-776-9800.
State of North Carolina I Environmental Quality
450 W.Hanes Mill Road,Suite 300,Winston-Salem,North Carolina 27105
Phone:[phone] FAX:[phone]

Sincerely,
erri V. Knight, P.E.
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. Inspection Report
CC: WSRO Files
NPDES Unit

United States Environmental Protection Agency Form Approved
EPA _, Washington,D C 20460 OMB No.2040-0057
1 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 II 2 LI 3 I NCG550209 111 121 17/07/07 117 18[ j 19 W 201 1
21I11111IIIIIIIIIIIILI Imil mill III llr6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -- Reserved-------
67I I 701 LJ I 71 I I 72 1 n,L_I 1 73I I 174
75I III I < < 180
Section B:Facility Data
1
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) 12:15PM 17/07/07 13/08/01
5650 Lakeside Drive
Exit Time/Date Permit Expiration Date
5650 Lakeside Dr
Pfafftown NC 27040 12:50PM 17/07/07 18/07/31
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
Dennis Sykes,5650 Lakeside Dr Pfafftown NC 27040//336-924-4827/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
II Other
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
Justin L henderson WSRO WQ//336-776-9701/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type (Cont.) 1
31 NCG550209 111 121_ 17/07/07 I 17 18 c
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
July 7, 2017
Dennis Sykes
5650 Lakeside Drive
Pfafftown, NC 27040
Subject: Compliance Evaluation Inspection
Permittee: Dennis Sykes, Permittee
Facility: 5650 Lakeside Drive Pfafftown, NC 27040
Permit: NCG550000 General Wastewater Permit
Certificate of Coverage: NCG550209
Forsyth County
Dear Mr. Sykes:
1. Justin Henderson, of the Winston Salem Regional Office(WSRO)of the NC Division of Water
Resources(DWR or the Division), conducted a compliance evaluation inspection of the single family
wastewater system at your residence on July 7, 2017.The State requires the Division to inspect these
types of systems every five years.An inspection report is attached for your records and the inspection
findings are summarized below.
2. The system consists of a septic tank, filtration unit, and the discharge pipe.The entire system
appears to be in good operating order.There was no discharge at the time of the inspection and you
have not been taking samples of the effluent as required in the permit.
3. The septic tank was last pumped on August 6, 2010 by Forsyth Rooter Service INC., and a receipt
was provided for review during the inspection. Permit Condition Part I (Operation and Maintenance) (3.)
states septic tanks shall be pumped out every five(5)years or when the solids level is found to be
more than 1/3 of the liquid depth in any compartment,whichever is greater.
4. The permit fees of$60 per year have been paid annually as required and your permit is active and
up to date. Mr. Henderson left you with a copy of the most recent general permit.
5. Failure to properly operate and maintain your wastewater system can result in expensive repair
costs as well as failure of the system to properly treat the wastewater:
6. If you have any questions regarding this letter or the NCG550000 general permit, please don't
hesitate to contact us at 336-776-9800.
Sincerely,
Sherri V. Knight, P.E.
Regional Supervisor
Water Quality Regional Operations
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Permit: NCG550209 Owner-Facility: 5650 Lakeside Drive
' Inspection Date: 07/07/2017 Inspection Type:- Compliance Evaluation
Division of Water Resources
Attachments:
1. Inspection Report
CC: WSRO Files
Central Files
NPDES Unit
System was constructed/installed 6-6-83
System does not included any disinfection units.
No monitoring data was available for review.
Discharge pipe was not located during inspection.
UT receiving discharge had no visible signs of solids and/or foam at time of inspection.
•
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Permit: NCG550209 Owner-Facility: 5650 Lakeside Drive
-. Inspection Date: 07/07/2017 Inspection Type: Compliance Evaluation
Other Yes No NA NE
Comment:
Page# 4