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Home My WebLink AboutNCG550916_Compliance Evaluation Inspection_201801220 Water Resources Environmental Quality Mrs. Pearl Johnson 3104 Drexdale Drive Kernersville, NC 27284 January 22, 2018 Subject: Compliance Evaluation Inspection Certificate of Coverage: NCG550916 3104 Drexdale Drive, Kernersville Forsyth County Dear Mrs. Johnson: ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Interim Director JAN 3 ® 201 \Nsier �es$ec section perrn►n►n9 On January 11, 2018, Jenny Graznak of this office conducted a compliance evaluation inspection on the wastewater discharge system located at the above address. The State requires the Division of Water Resources to inspect these types of systems every five years. According to county records, you are the current owner of this property, but no one appeared to be home during the inspection. Ms. Graznak was unable to reach you via telephone because our office does not have a phone number on file for you. According to our files, the system includes a 1,000 -gallon septic tank, 417 and 208 square feet sub -surface sand filter systems, chlorination unit, and step aeration. Ms. Graznak did not locate the discharge pipe during her inspection. Please be aware that the Permit requires that the chlorinator be adequately supplied with chlorine tablets for proper operation. The Permit also requires that the septic tank contents be pumped out every 5 years to prevent solids from clogging the sand filter system. A copy of all the Permit requirements, including monitoring requirements, is attached to this letter. Please contact Ms. Graznak at (336) 776-9695 to discuss your wastewater system and to make sure we have an accurate phone number on file. Sincerely, Sherri V. Knight, P.E., Regional Supervisor Water Quality Regional Operations Section Division of Water Resources CC: WSRO Files NPDES Unit -- Nothing Compares State of North Carolina I Environmental Quality 450 W Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105 Phone 336-776-98001 FAX 336-776-9797 Permit. NCG550916 Owner - Facility: 3104 Drexdale Drive Inspection Date 01/11/2018 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 ❑ ❑ M ❑ application? Is the facility as described in the permit? M ❑ ❑ ❑ # 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? N ❑ ❑ ❑ Comment: Page# 3 V, 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 E 2 15 I 3 I NCG550916 I11 12 18/01/11 17 18 Li 19 1!j 201 I 211 I I 1 I I I I I I 11 I 1 I I I I I I I I I I I I I I I I I I I I I 11 I I I1 1_f6 Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -Reserved 72 LN] 67 7O LJ 71 itJ 73L 74 75 1 1 1 1 1 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 permit Number) 12 OOPM 18/01/11 13/08/01 3104 Drexdale Drive Exit Time/Date Permit Expiration Date 3104 Drexdale Dr Kernersville NC 27284 12 30PM 18/01/11 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 Pearl Johnson,3104 Drexdale Dr Kernersville NC 272841// 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 11111311-771-1111/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date j EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete Page# NPDES yr/mo/day Inspection Type (Cont 1 31 NCG55a916 I11 12 18/01/11 17 18 I C I Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) On January 11, 2018, Jenny Graznak of this office conducted a compliance evaluation inspection on the wastewater discharge system located at the above address The State requires the Division of Water Resources to inspect these types of systems every five years. According to county records, you are the current owner of this property, but no one appeared to be home during the Inspection. Ms. Graznak was unable to reach you via telephone because our office does not have a phone number on file for you. According to our files, the system Includes a 1,000 -gallon septic tank, 417 and 208 square feet sub -surface sand filter systems, chlorination unit, and step aeration Ms. Graznak did not locate the discharge pipe during her Inspection. Please be aware that the Permit requires that the chlorinator be adequately supplied with chlorine tablets for proper operation The Permit also requires that the septic tank contents be pumped out every 5 years to prevent solids from clogging the sand filter system Page#