NCG550437_Compliance Evaluation Inspection_20180125

f Via
Water Resources
Environmental Quality
Timothy and Ramona Bowman
174 Nevermore Drive
Stoneville, NC 27048
January 25, 2018
Subject: Compliance Evaluation Inspection
Certificate of Coverage: NCG550437
174 Nevermore Drive, Stoneville
Rockingham County
Dear Mr. and Mrs. Bowman:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
On January 23, 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. Mr. Bowman was present during the
inspection. Your phone number is [phone] and email address is [e-mail].
According to our files, the system includes a septic tank, a sand filter, chlorination unit, and
discharge. The system appeared functional and very well maintained. The septic tank has been
serviced within the past 5 years, as required by the permit. Chlorine tablets are added once per
month. The discharge pipe was clearly marked and visible. No discharge was present at the time
of the inspection. As discussed, 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 the permit monitoring requirements is attached to this letter, should you note any
discharge in the future. Please contact Ms. Graznak at [phone] if you have any questions
regarding this letter or your permit.
CC: WSRO Files
NPDES Unit
Sincerely,
Sherri V. Knight, P.E., Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
a=" J"Nothing Compares7—.,.
State of North Carolina I Environmental Quality
450 W Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105
Phone [phone] FAX, 336-776-9797

Permit: NCG550437 Owner - Facility: 174 Nevermore Drive
Inspection Date: 01/23/2018 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.
Yes No NA NE
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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 I 2 Is I 3 I NCG550437 I11 12 18/01/23 17 18 L,.1
191 1 !j 20I I
211-11111IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII.I166
I
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
Reserved
67 70 71 I I 72 1 N 1 731 1 I74 75 80
LJ I I I
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)
02 OOPM 18/01/23
13/08/01
174 Nevermore Drive
174 Nevermore Dr
Exit Time/Date
Permit Expiration Date
Stoneville NC 27048
02 30PM 18/01/23
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
Timothy J Bowman, 174 Nevermore Dr Stoneville NC 27048//336-623-8194/
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 Grazn`akr ' /J WSRO WQ//336-771-5000/
91����
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
g �n
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete
Page#

NPDES yr/mo/day Inspection Type (Cont) 1
31 NCG550437 I11 12 18/01/23 17 18 L,
Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On January 23, 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. Mr. Bowman was present during the Inspection Your phone
number Is [phone] and email address Is [e-mail]
According to our files, the system includes a septic tank, a sand filter, chlorination unit, and discharge.
The system appeared functional and very well maintained. The septic tank has been serviced within
the past 5 years, as required by the permit. Chlorine tablets are added once per month. The discharge
pipe was clearly marked and visible. No discharge was present at the time of the inspection. As
discussed, 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#