NCG551611_ncg551611 EPA form CEI 2024_20240911

Docusign Envelope ID: DOE632FC-COD1-468F-A49C-78634C5C4F5F
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 IN 2 u 3 I NCG551611 111 121 24/09/05 I17 18 LC]I 19 I G I 20U
21111I I I I I I I II I I I I I I I I I I I I I I I I I I I I I I I II I I I I I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved-------------------
67 70 J 71 Ity 72 L-J 73 1 74 79 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 Dermit Number) 10:50AM 24/09/05 14/01/07
4705 Mannix Road
4705 Mannix Rd Exit Time/Date Permit Expiration Date
Durham NC 27704 11:00AM 24/09/05 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
Letitia Jones,4705 Mannix Rd Durham NC 27704///
No
Section C:Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations&Maintenar 0 Facility Site Review
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
Stephen D Smith DWR/RRO WQ/919-791-4200/
DocuSigned by:
�LII 9/11/2024
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Signed by:
a1n t,SSa f. tta� 9/11/2024
82916E6AB32144F._.
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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Docusign Envelope ID: DOE632FC-COD1-468F-A49C-78634C5C4F5F
NPDES yr/mo/day Inspection Type 1
31 NCG551611 I11 12I 24/09/05 11 7 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
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Docusign Envelope ID: DOE632FC-COD1-468F-A49C-78634C5C4F5F
Permit: NCG551611 Owner-Facility: 4705 Mannix Road
Inspection Date: 09/05/2024 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 ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Single family resdient- Septic tank, single pass gravity sandfitler, chlorinator and
dechlorination - outlet pipe.
Ms. Jones explained: treatment system is not connected to trailer, trailer is vacant, and
the trailer is not habitable. The system was installed but never connected and never
put into active use, per Ms. Jones.
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? ❑ ❑ 0 ❑
Is access to the plant site restricted to the general public? ❑ ❑ 0 ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ■ ❑
Comment: System is fallow -working with permittee on understanding permit requirments and
possible options for permit recission or"inactive status".
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