NCG551598_ncg551598 EPA Form CEI 2024_20240912

Docusign Envelope ID:2C616379-FD75-4CD2-AAAO-FA6C262E4935
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 NCG551598 111 121 24/09/06 I17 18 I C 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) 10:07AM 24/09/06 23/02/03
7313 Kepley Road
7313 Kepley Rd Exit Time/Date Permit Expiration Date
Chapel Hill NC 27514 10:26AM 24/09/06 25/10/31
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
Holt Farley,7313 Kepley Rd Chapel Hill NC 27514M
No
Section C:Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations&Maintenar 0 Records/Reports Facility Site Review
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
Stephen D Smith Docusigned by: DWR/RRO WQ/919-791-4200/
Ey �* 9/12/2024
9EC679823B1D478...
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
FSigned dby:
UMA,c,SSO, f. tLA1UAd 9/lz/2024
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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Docusign Envelope ID:2C616379-FD75-4CD2-AAAO-FA6C262E4935
NPDES yr/mo/day Inspection Type 1
31 NCG551598 I11 12I 24/09/06 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:2C616379-FD75-4CD2-AAAO-FA6C262E4935
Permit: NCG551598 Owner-Facility: 7313 Kepley Road
Inspection Date: 09/06/2024 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 Resident (SFR) - Septic tank, AdvanTex treatment sytem, UV
disinfection, outlet pipe.
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:
Disinfection - UV Yes No NA NE
Are extra UV bulbs available on site? ❑ ❑ ❑
Are UV bulbs clean? ❑ ❑ ❑
Is UV intensity adequate? ❑ ❑ ❑
Is transmittance at or above designed level? ❑ ❑ ❑
Is there a backup system on site? ❑ ❑ ❑
Is effluent clear and free of solids? M ❑ ❑ ❑
Comment: Agri Waste Technologies is contracted to perform inspections on system and replaces
bulb.
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational? ❑ ❑ ❑
Is septic tank pumped on a schedule? 0 ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ 0 ❑
Are high and low water alarms operating properly? ❑ ❑ ❑ ■
Comment: Agri Waste Techologies (contractor) checks septic tank solids depths and pumps out
tank as necessary.
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