NCG550228_Compliance Evaluation Inspection_20160920

PAT MCCRORY
nu P a •a - Governor
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n
DONALD R. VAN DER VAART
Secret au
Water Resources
ENVIRONMENTAL QUALITY S. JAY ZIMMERMAN
September 15, 2016 Director
Phillip D. Stephens
131 Vivian Lane
Reidsville, NC 27320
Subject: Compliance Evaluation Inspection RECEIVED
Permittee: Phillip D. Stephens, Owner
Facility: 131 Vivian Lane Reidsville, NC 27320 SEP 2 0 2016
Permit: NCG550000 General Wastewater Permit
Certificate of Coverage: NC�655 2E3Y' CENTRAL FILES
DWR SECTION
Rockingham County
Dear Mr. Stephens:
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 September 15, 2016. 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, chlorination unit, discharge pipe, and a post step
aeration unit. 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 January 7, 2015 and a receipt of pumping was provided for review
during the inspection. You stated that you have it pumped a minimum of every five years.
4. You have been adding chlorine tablets as needed to the chlorinator unit. The unit appears to be in
good condition. Proper wastewater grade chlorine tablets were being utilized as disinfectant.
5. 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 and technical bulletin.
6. 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. It appears that your system is well
maintained.
7. If you haye 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 I Water Resources
450 West Hanes Mill Road,Suite 300 I Winston-Salem,North Carolina 27105
336 776 9800
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Sincerely,
Sherri 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
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 ��, 1 2 I5 I 3 I NcG550228 111 121 16/09/15 117 18I I 19 Lsj 201 I
21l l I I I l I I I I II I I I I I I I I I I I F I I I I I I I I I I I II I I I I l r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------Reserved--------- •
67I I 70I I 71 I I 72 L 731
I 17471
74 75I l I I I I I I 180
Section B:Facility Data � J
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) 09:50AM 16/09/15 13/08/01
131 Vivian Lane
Exit Time/Date Permit Expiration Date
131 Vivian Ln
10:25AM 16/09/15 18/07/31
Reidsville NC 27320
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
Phillip D Stephens,131 Vivian Ln Reidsville NC 27320///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
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
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44e/kvt.., 4,v qhf
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550228 Ill
2I 16/09/15 117 18
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Y `
Permit: NCG550228 Owner-Facility: 131 Vivian Lane
Inspection Date: 09/15/2016 Inspection Type: Compliance Evaluation
Other Yes No NA NE
Comment: Please refer to attached inspection summary letter.
Page# 3