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Home My WebLink AboutNCG550086_Compliance Evaluation Inspection_20180105Water Resources Environmental Quality Richard A. Carter and Betty R. Miller 1142 Pine Knolls Road Kernersville, NC 27284 January 5, 2018 Subject: Compliance Evaluation Inspection Certificate of Coverage: NCG550086 1142 Pine Knolls Road, Kernersville Forsyth County Dear Mr. Carter and Ms. Miller: ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Interim Director JAN 2 9 2017 Wa!d ' P 01",,ill.y PQr,m!—ung Section On January 3, 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 owners of this property. No one was home during the inspection, and our office does not have your current phone number. Therefore, Ms. Graznak was unable to speak with you regarding the inspection. According to our files, the system includes a 900 -gallon septic tank, a 391 -square foot sub -surface sand filter, a chlorination unit, and discharge pipe. Ms. Graznak located the discharge pipe during her inspection and saw no visible signs of a wastewater discharge. 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 the accompanying permit 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 --`= �''1�dc�th+irto� Colrnnp�re�:1..1„ State of North Carolina I Environmental Quality 450 W Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105 Phone, 336-776-9800 l FAX 336-776-9797 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 15 f 3 I NCG550086 I11 12 16/01/03 17 18 ICI 19 (G I 2O I I 211_I1 1 II IIIIII11111 lllllll l llllll I lllIIIIIIII f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 72 L� 67 70LJ 71 it— 80 73LLJ74 751 1 1 1 1 Section B FacilityData 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 30AM 18/01/03 13/08/01 1142 Pine Knolls Road Exit Time/Date Permit Expiration Date 1142 Pine Knolls Rd Kernersville NC 27284 12 OOPM 18/01/03 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 Richard A Carter,1142 Pine Knolls Rd Kernersville NC 27284//336-992-2351/ 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 Jennife F Graznak - WSRO WQ//336-771-5000/ v L J l j�/2 Cj to Signature of Q A Reviewer Agency/Office/Phone and Fax Numbers Date tyMajn/lagement tJJy !! C EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete Page# NPDES yr/mo/day Inspection Type (Cont ) 31 NCG550086 I11 12 18/01/03 17 18 1 C 1 Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) On January 3, 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 owners of this property. No one was home during the inspection, and our office does not have your current phone number. Therefore, Ms. Graznak was unable to speak with you regarding the Inspection. According to our files, the system Includes a 900 -gallon septic tank, a 391 -square foot sub -surface sand filter, a chlorination unit, and discharge pipe Ms. Graznak located the discharge pipe during her inspection and saw no visible signs of a wastewater discharge. 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# Permit NCG550086 Inspection Date 01/03/2018 Owner - Facility. 1142 Pine Knolls Road 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 ❑ ❑ ■ ❑ M ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ■ ❑ ❑ ❑ Page# 3