NCG550239_Compliance Evaluation Inspection_20241003

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 NCG550239 111 121 24/08/20 I17 18 I C I 19 I s I 20L]
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
I 72 I ni I 73 � I 74 79 I I I I I I I80
70 I I 71 I LL -1 I I
LJ
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)
10:30AM 24/08/20
13/08/01
1915 Rolling Green Court
1915 Rolling Green Ct
Exit Time/Date
Permit Expiration Date
Pfafftown NC 27040
11:00AM 24/08/20
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
Manco A Loredo,1915 Rolling Green CT Pfafftown NC 27040///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
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
Gary Hudson DWR/Division of Water Qua Iity/336-776-9694/
DocuSigned by:
('h4sbw 9/30/2024
Signature of%anarmen� Q A Reviewer Agency/Office/Phone and Fax Numbers Date
ocuSigned y:
F�- T. Sti,dv 10/1/2024
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
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NPDES yr/mo/day Inspection Type
NCG550239 I11 12I 24/08/20 117 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Manco Loredo — NCG550239 — August 20, 2024.
After numerous attempts to contact the owners of the property, a site visit was made. The home
appeared occupied, but no one was home during the site visit. The last permit renewal fee was paid
on November 4, 2018.
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Permit: NCG550239
Inspection Date: 08/20/2024
Owner -Facility: 1915 Rolling Green Court
Inspection Type: Compliance Evaluation
Permit
(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?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: Manco Loredo — NCG550239 —August 20, 2024.
Yes No NA NE
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After numerous attempts to contact the owners of the property, a site visit was made.
The home appeared occupied, but no one was home during the site visit. The last
permit renewal fee was paid on November 4, 2018.
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