WQ0007026_WQ0007026 Inspection letter_20240920

Docusign Envelope ID:7C69C42B-C362-4221-84D1-ECDODFF98CB4
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ROY COOPER y "
Governor
MARY PENNY KELLEY a2
Secretary a a�
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
September 20, 2024
Matt Eads
Regional Operations Manager-Triad
SanStone Health and Rehabilitation
229 Airport Road, Suite 7-104
Arden, NC 28704
SUBJECT: Compliance Inspection Report
Sanford Health and Rehabilitation
Non-discharge Permit No. WQ0007026
Lee County
Dear Permittee:
The North Carolina Division of Water Resources (DWR) conducted an inspection of the wastewater and
irrigation system at the above address on September 4, 2024. This inspection was conducted to verify that
the facility is operating in compliance with the conditions and limitations specified in non-discharge permit
no. WQ0007026. DWR representatives, Dorothy Robson and SanStone Health and Rehabilitation (SanStone)
facility representatives, Matt Eads, Michael Stewart, Johnny Chaverri and ORC, Randall Jarrell were present
for the inspection. The findings and comments noted during this inspection are provided in the enclosed
copy of the inspection report entitled "Compliance Inspection Report".
Division records indicate a treatment system consisting of a grease trap; four (4) septic tanks; a 4,560-gallon
sand filter; chlorine contact chamber; a 30-day storage pond; dual irrigation pumps; 8-acre spray irrigation
area; and all associated piping, valves, controls and appurtenances.
DWR conducted a review of records and inspected the above areas of the facility. The facility operates as
SanStone. No enforcements or complaints have been documented in the past five years. However, during
the last inspection, the sand filter had failed. Based on the violation, the facility replaced the sand
approximately a year ago. Minor pooling was observed during this inspection. Please monitor the sand filter
and replace with sand as needed. Additionally, the ORC, Randall Jarrell was well prepared and provided his
maintenance and laboratory files as requested. However, the following items of concern were noted:
1. The permit has been expired since February 2022. A renewal was submitted on April 18, 2022 and
returned on June 28, 2022. According to Mr. Eads, SanStone is currently working with DEQ Central
Office to renew the permit. Please continue to work with the Central Office to renew your permit.
2. The chlorine shed was lacking ventilation. Install ventilation to the shed as a safety measure. Please
include a spill control provision in case there is of release of chlorine.
3. Waste sand pile: Please remove the old waste sand in accordance health and safety standards and
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office I 3800 Barrett Drive I Raleigh,North Carolina 27609
o 919.791.4200
7,717,
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Docusign Envelope ID:7C69C42B-C362-4221-84D1-ECDODFF98CB4
maintain a record on-site in accordance to the permit.
[15A NCAC 02T T.0108(b)(l)J
A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years and shall be made available to the
Division upon request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non-Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
4. Maintenance records: The facility did not have all maintenance records related to the wastewater
system at the facility. Some of the staff were unaware of the requirements and unable to produce files
as requested. Please have the facility establish a system to file records that can be readily available or
stored in an area that is accessible on-site.
[15A NCAC 02T T.0108(b)(l)J
A maintenance log shall be maintained at this facility. This log shall be maintained at the
facility for a period of no less than five years, and shall be made available to the Division
upon request. At a minimum, this log shall include:
a. Date of calibration of flow measurement device;
b. Visual observations of the plant and plant site; and
c. Record of preventative maintenance(e.g., changing of equipment, adjustments, testing,
inspections and cleanings, etc.).
Please refer to the attached "Compliance Inspection Report"for additional comments and observations. This
letter is a notification of the results of the compliance inspection. Within 30-days receipt of this letter,
submit a written response to this office addressing items # 2 and 3 noted above.
If you have questions or comments about this inspection, then please contact me or Dorothy Robson via
email at [e-mail] or 919-791-4200.
Sincerely,
EA
DocuSigned by:
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372DCBCB61EE4A8...
Michael Hall, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS: Compliance Inspection Report
Ec: NON-DISCHARGE Laserfiche
[e-mail]
[e-mail]
North Caf011na Department of Environmental Quality I Division of Water Resources
DE E Q—� Raleigh Regional Office I 3800 Barrett Drive I Raleigh,North Carolina 27609
NORTH CAROLINA d 919.791.4200
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Docusign Envelope ID:7C69C42B-C362-4221-84D1-ECDODFF98CB4
Compliance Inspection Report
Permit:WQ0007026 Effective: 03/02/17 Expiration: 02/28/22 Owner: Sanford Health and Rehabilitation Co.
SOC: Effective: Expiration: Facility: Sanford Health and Rehabilitation
County: Lee 2702 Farrell Rd
Region: Raleigh
Sanford NC 27330
Contact Person:Jordan Wall Title: Phone: [phone]
Directions to Facility:
US 1 South to Farrell Rd. Left on Farrell Rd. Address is 2702.
System Classifications: SI,
Primary ORC: Randall Craig Jarrell Certification: 23925 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 09/04/2024 Entry Time 10:OOAM Exit Time: 12:OOPM
Primary Inspector:Dorothy M Robson Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Treatment Treatment Filters
Record Keeping End Use-Irrigation Treatment Disinfection
Storage
(See attachment summary)
Page 1 of 5

Docusign Envelope ID:7C69C42B-C362-4221-84D1-ECDODFF98CB4
Permit: WQ0007026 Owner-Facility:Sanford Health and Rehabilitation Co.
Inspection Date: 09/04/2024 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The North Carolina Division of Water Resources(DWR) conducted an inspection of the wastewater and irrigation system at
the above address on September 4, 2024. This inspection was conducted to verify that the facility is operating in
compliance with the conditions and limitations specified in non discharge permit no. W00007026. DWR representatives,
Dorothy Robson and SanStone Health and Rehabilitation (SanStone)facility representatives, Matt Eads, Michael Stewart,
Johnny Chaverri and ORC, Randall Jarrell were present for the inspection. The findings andcomments noted during this
inspection are provided in the enclosed copy of the inspection report entitled "Compliance Inspection Report'.
Division records indicate a treatment system consisting of a grease trap; four(4) septic tanks; a 4,560-gallon sand filter;
chlorine contact chamber; a 30-day storage pond; dual irrigation pumps; 8-acre spray irrigation area; and all associated
piping, valves, controls and appurtenances.
DWR conducted a review of records and inspected the above areas of the facility. The facility operates as SanStone. No
enforcements or complaints have been documented in the past five years. However, during the last inspection, the sand filter
had failed. Based on the violation, the facility replaced the sand approximately a year ago. Minor pooling was observed
during this inspection. Please monitor the sand filter and replace with sand as needed. Additionally, the ORC, Randall
Jarrell was well prepared and provided his maintenance and laboratory files as requested. However, the following items of
concern were noted:
1. The permit has been expired since February 2022.A renewal was submitted on April 18, 2022 and returned on June 28,
2022. According to Mr. Eads, SanStone is currently working with DEQ Central Office to renew the permit. Please continue to
work with the Central Office to renew your permit.
2. The chlorine shed was lacking ventilation. Install ventilation to the shed as a safety measure. Please include a spill
control provision in case there is of release of chlorine.
3. Waste sand pile: Please remove the old waste sand in accordance to health and safety standards and maintain a record
on-site in accordance to the permit.
[15A NCAC 02T .0108(b)(1)]
A record shall be maintained of all residuals removed from this facility. This record shall be maintained at the facility for a
period of no less than five years and shall be made available to the Division upon request. At a minimum, this record shall
include:
a. Name of the residuals hauler;
b. Non-Discharge permit number authorizing the residuals disposal, or a letter from a municipality agreeing to accept the
residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
4. Maintenance records: The facility did not have all maintenance records related to the wastewater system at the facility.
Some of the staff were unaware of the requirements and unable to produce files as requested. Please have the facility
establish a system to file records that can be readily available or stored in an area that is accessible on-site.
[15A NCAC 02T .0108(b)(1)]
A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for a period of no less than
five years, and shall be made available to the Division upon request. At a minimum, this log shall include:
a. Date of calibration of flow measurement device;
b. Visual observations of the plant and plant site; and
c. Record of preventative maintenance ( e.g., changing of equipment, adjustments, testing, inspections and cleanings, etc.).
Please refer to the attached "Compliance Inspection Report'for additional comments and observations. This letter is a
notification of the results of the compliance inspection. Within 30-days receipt of this letter, submit a written response to
this office addressing items#2 and 3 noted above.
Page 2 of 5

Docusign Envelope ID:7C69C42B-C362-4221-84D1-ECDODFF98CB4
Permit: WQ0007026 Owner-Facility:Sanford Health and Rehabilitation Co.
Inspection Date: 09/04/2024 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Type Yes No NA NE
Single Family Spray, LR ❑
Activated Sludge Spray, LR ❑
Reuse(Quality) ❑
Activated Sludge Spray, HR ❑
Infiltration System ❑
Activated Sludge Drip, LR ❑
Recycle/Reuse ❑
Single Family Drip ❑
Lagoon Spray, LR
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? 0 ❑ ❑ ❑
Do all treatment units appear to be operational? (if no, note below.) 0 ❑ ❑ ❑
Comment: The permit iss expired and needs to a renewal submitted to Central Office.
Treatment Filters Yes No NA NE
Is the filter media present? 0 ❑ ❑ ❑
Is the filter media the correct size and type? ❑ ❑ ❑
Is the air scour operational? ❑ ❑ ❑
Is the scouring acceptable? ❑ ❑ ❑
Is the clear well free of excessive solids? ❑ ❑ ❑
Is the mud well free of excessive solids and filter media? ❑ ❑ 0 ❑
Does backwashing frequency appear adequate? ❑ ❑ 0 ❑
Comment: A letter of certification was received for the sand filter. However, the sand filter appeared to
have many fines and was slow to percolate. If the sand is in correct it will need to be replaced
often. In addition, there was a pile of old sand next to the sand filter. Please dispose of the
sand in accordance to waste and safety industry standards
Treatment Disinfection Yes No NA NE
Is the system working? ❑ ❑ ❑
Do the fecal coliform results indicate proper disinfection? ❑ ❑ ❑
Is there adequate detention time(-30 minutes)? ❑ ❑ ❑
Is the system properly maintained? ❑ ❑ ❑
If gas, does the cylinder storage appear safe? ❑ ❑ ❑
Is the fan in the chlorine feed room and storage area operable? ❑ ❑ ❑
Is the chlorinator accessible? ❑ ❑ ❑
If tablets, are tablets present? ❑ ❑ 0 ❑
Page 3 of 5

Docusign Envelope ID:7C69C42B-C362-4221-84D1-ECDODFF98CB4
Permit: WQ0007026 Owner-Facility:Sanford Health and Rehabilitation Co.
Inspection Date: 09/04/2024 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Are the tablets the proper size and type? ❑ ❑ 0 ❑
Is contact chamber free of sludge, solids, and growth? 0 ❑ ❑ ❑
If UV, are extra UV bulbs available? ❑ ❑ 0 ❑
If UV, is the UV intensity adequate? ❑ ❑ 0 ❑
# Is it a dual feed system? ❑ ❑ 0 ❑
Does the Stationary Source have more than 2500 Ibs of Chlorine(CAS No. 7782-50-5)? ❑ ❑ 0 ❑
If yes,then is there a Risk Management Plan on site? ❑ ❑ ❑
If yes,then what is the EPA twelve digit ID Number? (1000- - )
If yes,then when was the RMP last updated?
Comment: The chlorine storage needs to have ventilation for health and safety reasons. There is a vent
in the back outside wall of the storage shed. But the inside of the shed has a roof that blocks
the vent.
Record Keeping Yes No NA NE
Is a copy of current permit available? 0 ❑ ❑ ❑
Are monitoring reports present: NDMR? ❑ ❑ ❑
NDAR? ❑ ❑ ❑
Are flow rates less than of permitted flow? ❑ ❑ ❑
Are flow rates less than of permitted flow? ❑ ❑ ❑
Are application rates adhered to? ❑ ❑ ❑
Is GW monitoring being conducted, if required (GW-59s submitted)? ❑ ❑ ❑
Are all samples analyzed for all required parameters? ❑ ❑ ❑
Are there any 2L GW quality violations? ❑ 0 ❑ ❑
Is GW-59A certification form completed for facility? ❑ ❑ ❑
Is effluent sampled for same parameters as GW? ❑ ❑ ❑
Do effluent concentrations exceed GW standards? ❑ 0 ❑ ❑
Are annual soil reports available? ❑ ❑ ❑
#Are PAN records required? ❑ 0 ❑ ❑
#Did last soil report indicate a need for lime? ❑ 0 ❑ ❑
If so, has it been applied? ❑ ❑ 0 ❑
Are operational logs present? ❑ ❑ ❑
Are lab sheets available for review? ❑ ❑ ❑
Do lab sheets support data reported on NDMR? ❑ ❑ ❑
Do lab sheets support data reported on GW-59s? ❑ ❑ ❑
Are Operational and Maintenance records present? ❑ ❑ ❑
Were Operational and Maintenance records complete? ❑ ❑ ❑
Has permittee been free of public complaints in last 12 months? ❑ ❑ ❑
Is a copy of the SOC readily available? ❑ ❑ 0 ❑
Page 4 of 5

Docusign Envelope ID:7C69C42B-C362-4221-84D1-ECDODFF98CB4
Permit: WQ0007026 Owner-Facility:Sanford Health and Rehabilitation Co.
Inspection Date: 09/04/2024 Inspection Type:Compliance Evaluation Reason for Visit: Routine
No treatment units bypassed since last inspection? ❑ ❑ ❑
Comment: None
End Use-Irrigation Yes No NA NE
Are buffers adequate? 0 ❑ ❑ ❑
Is the cover crop type specified in permit? 0 ❑ ❑ ❑
Is the crop cover acceptable? 0 ❑ ❑ ❑
Is the site condition adequate? 0 ❑ ❑ ❑
Is the site free of runoff/ponding? ❑ ❑ ❑
Is the acreage specified in the permit being utilized? ❑ ❑ ❑
Is the application equipment present? ❑ ❑ ❑
Is the application equipment operational? ❑ ❑ ❑
Is the disposal field free of limiting slopes? ❑ ❑ ❑
Is access restricted and/or signs posted during active site use? ❑ ❑ ❑
Are any supply wells within the CB? ❑ ❑ ❑
Are any supply wells within 250' of the CB? ❑ ❑ ❑
How close is the closest water supply well? ❑ ❑ ❑
Is municipal water available in the area? ❑ ❑ ❑
# Info only: Does the permit call for monitoring wells? ❑ ❑ ❑
Are GW monitoring wells located properly w/respect to RB and CB? ❑ ❑ ❑
Are GW monitoring wells properly constructed, including screened interval? ❑ ❑ ❑
Are monitoring wells damaged? ❑ ❑ ❑
Comment: The fields are haV fields that are cut for haV bV the farmer who owns the land.
Page 5 of 5