NCG550268_Notice of Deficiency & Compliance Evaluation Inspection_20120507

ArrA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue ;Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
May 7, 2012 RECEIVER
MAY 16 2012
Mr. Scott Rakestraw
751 Eagle Falls Road CENTRAL FILES
Madison, North Carolina 27025 DWQ/BOG
SUBJECT: Notice of Deficiency & Compliance Evaluation Inspection
Single Family Residence Wastewater Treatment System
NPDES General Wastewater Permit NCG550000
EC e rt if i cate-of-Coverage=#-N C G 5 5 02 6-0
Rockingham County
Dear Mr. Rakestraw:
Steve Mauney of the Winston-Salem Regional Office of the NC Division of Water Quality
(DWQ or the Division) conducted a compliance evaluation inspection (CEI) at the subject facility on
May 3, 2012. We were able to locate the septic tank, the chlorinator and the discharge point.
Chlorine tablets were present in the chlorinator tubes. An inspection checklist is attached for your
records and the inspection findings are summarized below.
Mr. Mauney detected no problems with the system. A very small flow was detected from the
effluent pipe. Please remember to have the septic tank pumped every three to five years as indicated
• in the permit and please also check your chlorinator at least once per month to ensure it has enough
chlorine and that it hasn't clogged up. You should also ensure your chlorine tablets are rated for
wastewater treatment, not for use with swimming pools (this is normally indicated on the container).
Wastewater rated tablets can be acquired from one of the supply sources on the attached list or a
local supplier. You should also document your operation/maintenance of the system and keep all
records for a period of three years. Finally, you are reminded of the requirement to have the
discharge tested by a NC certified laboratory once per year, as long as the system has a discharge.
Please notify this office when sample results are received.
The Certificate of Coverage (NCG550268) was renewed in 2007 to Sarah Rakestraw, your
mother. You must now apply for this Certificate of Coverage (form attached) as you have now
purchased the property. This should be accomplished by May 21, 2012. Please complete the
attached form and attach a copy of the last septic tank service receipt. Discharging wastewater
without a Permit or Certificate of Coverage can result in civil penalties. Please be aware that the
Division sends out invoices for the annual fee (currently $60/yr).
North Carolina Division of Water Quality,Winston-Salem Regional Office
Location:585 Waughtown St.Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 1®TorthCarolina
Internet:www.ncwaterquality.org Nat/nab(
6 at/n� b(
An Equal Opportunity tAffirmative Action Employer

}
Rakestraw
NCG550268
Page 2 of 2
Failure to conduct the annual sampling could result in civil penalty assessments not to exceed
$25,000 per day, per violation. The action that you take to address the violations listed herein will be
considered in deciding whether or not such penalties are necessary to compel compliance.
Thank you for your cooperation in this matter. Should you have any questions please feel free
to contact Mr. Mauney or me at [phone].
Sincerely,
W. Corey Basinger, Regional Supervisor
Surface Water Protection Section
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
2. NCG550000 Technical Bulletin
3. Sources for Chlorine Tablets
4. Renewal Form
cc: SWP —WSRO
OM enfi ual 4'te

United States Environmental Protection Agency Form Approved.
E PA 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 I N 1 2 151 31 NCG550268 1 11 121 12/05/03 1 17 181 C I 191 S 1 201III
Remarks
211 I I I I I I I I I I I I I I I IIIIIIII IIIIIIIIIIIIIIII IIIIII166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -----------------Reserved--------——
671 1 69 70 I I 711 I 721 N 1 73I 1 174 751 I I I 1 1 1 180
Section B: Facility Data L
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)
11:55 AM 12/05/03 07/08/03
751 Eagle Falls Road
751 Eagle Falls Rd Exit Time/Date Permit Expiration Date
Madison NC 27025 12:30 PM 12/05/03 12/07/31
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
Sarah Rakestraw,751 Eagle Falls Rd Madison NC 27025//336-427-0786/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
▪Permit gi Operations&Maintenance •Records/Reports MI Facility Site Review
▪Effluent/Receiving Waters
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
Max S Mauney WSRO WQ//336-771-5000/ J2,
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
/men° OA)ek e.0 5 at) ` - Z4o1
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31
NCG550268 I11 12I 12/05/03 117
18 I CI
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG550268 Owner-Facility: 751 Eagle Falls Road
Inspection Date: 05/03/2012 Inspection Type: Compliance Evaluation
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable Solids, pH, DO,Sludge n ■ 0 0
Judge, and other that are applicable?
Comment: Samples have not been collected, but Mr. Rakestraw indicated that they
would be in the near future. Caution should be exercised when sampling the discharge
to use rubber gloves and to not disturb any algae or slimes on the discharge pipe which
could be introduced into the sample bottle. This extraneous material would contaminate
the sample and possibly cause non-compliance.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ n
Is the facility as described in the permit? ■ n n n
#Are there any special conditions for the permit? n ■ n n
Is access to the plant site restricted to the general public? ■ n n n
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: Scott Rakestraw and his family occupy the double wide mobile home. It
was installed approximately 250 feet up gradient from the septic tank. The original
mobile home that was at this site was removed. The permit is still listed for his mother,
Sarah Rakestraw. A change of owner form will be sent to Mr. Rakestraw.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? n n ■ n
Is septic tank pumped on a schedule? ■ n n n
Are pumps or syphons operating properly? n n ■ n
Are high and low water alarms operating properly? n n ■ n
Comment: The tank was pumped in 2010 according to Mr. Rakestraw.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ n n n
Are the tablets the proper size and type? ■ n n n
Number of tubes in use? 2
Is the level of chlorine residual acceptable? n n n ■
Is the contact chamber free of growth,or sludge buildup? n n n U
Is there chlorine residual prior to de-chlorination? n n ■ n
Page# 3

a .
Permit: NCG550268 Owner-Facility: 751 Eagle Falls Road
Inspection Date: 05/03/2012 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Comment: The chlorine residual was not evaluated but chlorine tablets were present
in the tubes. The contact chamber is below ground and is not accessible for inspection.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ n n n
Are the receiving water free of foam other than trace amounts and other debris? ■ n n n
If effluent (diffuser pipes are required) are they operating properly? n n ■ n
Comment: The discharge pipe runs down the hill from the chlorinator tubes to a point
where the cascade aerator is installed just above the flood plain of the stream.
•
Page# 4