NCG550291_Compliance Evaluation Inspection_20100826

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 26, 2010
Mr. Todd & Kimberly Conrad
221 Greenhaven Drive
Kernersville, North Carolina 27284
Subject: General Wastewater Permit No. NCG550291 —Single Family Residence
221 Greenhaven Drive, Kernersville, NC
Forsyth County
Dear Mr. & Mrs. Conrad:
Jenny Graznak of the Winston-Salem Regional Office performed a Compliance Evaluation
Inspection on the sandfilter wastewater treatment system at your property in Forsyth County, North
Carolina on August 24, 2010. This type of inspection consists of two basic parts: a review of self-
monitoring data, and an on-site inspection of the facility and its discharge. No one was home during
the inspection. However, you did contact our office following the inspection.
You hold a General Permit to discharge Domestic Wastewaters from Single Family
Residences under the National Pollutant Discharge Elimination System (NPDES)'. According to our
files, the system consists of a septic tank, primary and secondary sub-surface sand filters,
distribution box, chlorine contact chamber, and cascade aeration. At the time of the inspection, Ms.
Graznak observed a large tree that had fallen on top of the stream, obscuring the view of the
discharge pipe. You should make certain that tree did not damage the discharge pipe.
Permit text Part I Section A (attached to this correspondence) specifies the limits and
monitoring requirements for your permit. A Laboratory with North Carolina Wastewater Certification
(a list of approved laboratories is attached) must perform the monitoring. You must also conduct
and document the following maintenance activities:
• Septic tanks shall be maintained at all times to prevent seepage of sewage
• Septic tanks will be checked at least yearly to determine if solids must be removed
• Septic tanks shallbe pumped out within 3-5 years of issuance date of the Permit.
• Contents removed from septic tanks shall be disposed of at a location and in a manner
compliant with all local and state regulations
You received a Notice of Violation, dated April 19, 2010, from the Division of Water
Quality for failure to pay your permit's annual fee. Please pay the $60 annual fee as soon as
possible to avoid a civil penalty or revocation of the permit. Please contact our office to discuss
the status of your permit and wastewater system. You may contact Ms. Graznak at [phone]
or me at(336) 771-4950.
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 IVorthCarolina
Internet www.ncwaterquality.org Nat/trail,
atu ail,
An Equal Opportunity\Affirmative Action Employer �/ Y t t b46 `J

Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: SWP—Central Files
SWP—WSRO
N' DES:Unit=(Charles Weave[),,

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 NI 2 15I 31 NCG550291 111 121 10/08/24 117 18I cl 19I SI 20I
Remarks
2,IIIIIIIIIIII IIII IIII IIII IIII IIII IIII IIII IIII III66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 169 70 I I 711 I 72 I N I 731 I 174 751 I I I I I I 180
Section B. Facility Data
Name and Location of Facility Inspected(For lndustnal Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
09:00 AM 10/08/24 07/08/06
221 Greenlawn Drive
221 Greenlawn Dr Exit Time/Date Permit Expiration Date
Kernersville NC 27284 10:00 AM 10/08/24 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
Todd R Conrad,221 Greenlawn Dr Kernersville NC 27284/// 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
Jennifer F Graznak WSRO WQ//336-771-5000/
[V)
961A-Vf j • ��f "r v_ �Zfo
Signature of Management Q eviewer Agency/Office/Phone and Fax Numbers Date
r7,274,
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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Permit: NCG550291 Owner-Facility: 221 Greenlawn Drive
Inspection Date: 08/24/2010 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? 0 0 • 0
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 E
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: The permitte received a Notice of Violation, dated April 19, 2010, from the
Division of Water Quality for failure to pay the permit's annual fee of$60. Fee is
delinquent.
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