WQCS00251_Compliance Evaluation Inspection_20180309

ROY COOPER
Governor
MICHAEL S.REGAN
Secretary
Water Resources LINDA CULPEPPER
Environmental Quality Interim Director
March 9,2018
Town of Stoneville
Attn: Ken Gamble, Town Administrator
P.O. Box 71
Stoneville, NC 27048REOEI�E®I®EN�®WR
Subject: Compliance Evaluation Inspection MAR ` 1 2018
Permittee: Town of Stoneville
Facility: Town of Stoneville Wastewater Collection System Water ReS$ect on
Permit#: WQCS00251 perm►tting
Rockingham County
Dear Mr. Gamble:
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or
the Division) conducted a compliance evaluation inspection (CEI) of the Town of Stoneville's wastewater
collection system (WWCS) on March 8, 2018. The assistance and cooperation of Mark Malloy, Anthony
Smith, and Chad Manual was greatly appreciated. An inspection checklist is attached for your records and
inspection findings are summarized below.
Site/System Review
1. The following system components were inspected:
a. The Church Street pump station (PS)was evaluated. No discrepancies/violations were noted.
b. The Lemon Street PS was evaluated. No discrepancies/violations were noted.
2. As you are aware,your permit contains numerous requirements with which the Town of Stoneville must
comply. Your compliance status with each of these requirements is summarized below:
Part I, Performance Standards
a. Part I, Paragraph 2: The wastewater collection system shall be effectively managed, maintained
and operated at all times so that there is no sanitary sewer overflow (SSO) to land or surface
waters, nor any contamination of groundwater. In the event that the wastewater collection system
fails to perform satisfactorily,including the creation of nuisance conditions,the Permittee shall take
immediate corrective actions, including actions that may be required by the Division of Water
Resources, formerly Division of Water Quality, or the Division, such as the construction of
additional or replacement sewer lines and/or equipment.
uEng Co pares`"-4-..-
State of North Carolina I Environmental Quality
450 W.Hanes Mill Road,Suite 300,Winston-Salem,North Carolina 27105
Phone [phone] FAX.[phone]

Observations: In full consideration of all observations made during the inspection, the Town of
Stoneville is hereby deemed compliant with this permit condition.
Compliance Status: Compliant
b. Part I, Paragraph 3: The Permittee shall establish by ordinance its legal authority to require that
new sewers be properly constructed; to ensure proper inspection and testing of sewer mains and
service laterals;to address flows from satellite systems and to take enforcement action as required
by Condition 1(4).
Observations: The Town's sewer use ordinance (SUO) was reviewed and found to meet
minimum requirements.
Compliance Status: Compliant
c. Part I, Paragraph 4: The Permittee shall develop and implement an educational fats, oils and
grease program targeted at both residential and non-residential users. The Permittee shall also
develop and implement an enforceable fats, oils and grease (FOG) program for non-residential
users under which the Permittee can take enforcement against users who have not properly
installed, operated and maintained grease traps or grease interceptors as directed or otherwise
violated the terms of the local ordinance pertaining to fats, oils and grease.
Observations: As far as the Town's grease enforcement program, they have identified four
grease traps and they are inspected semi-annually.
The Town's FOG educational program meets requirements. Grease education materials are
distributed to all residents twice per year. They were last distributed in June and October,2017.
Compliance Status: Compliant
d. Part I, Paragraph 5: The Permittee shall adopt and implement a Capital Improvement Plan (CIP)
to designate funding for reinvestment into the wastewater collection system infrastructure.The CIP
should address the short-term needs and long-term "master plan" concepts. The CIP should
typically cover a three to five year period and include a goal statement, a description of the project
area, a description of the existing facility, known deficiencies (over a reasonable period) and
forecasted future needs. Cost analysis is integral to the CIP.
Observations: The CIP was reviewed and found to meet all requirements. It covers the period
2017 through 2022.
Compliance Status: Compliant
e. Part I, Paragraph 6: Existing overflow piping from manholes and pump stations,excluding piping
to approved equalization structures, known or discovered after permit issuance shall be
immediately removed or permanently capped. Plugged emergency pumping connections are
allowable for portable pumping or rerouting without intentionally bypassing the wastewater
treatment facility.

Observations: No such overflows were identified during the inspection.
Compliance Status: Compliant
f. Part I, Paragraph 7: The Permittee shall maintain a contingency plan (PSCP)for pump failure at
each pump station. If one of the pumps in a pump station containing multiple pumps fails, the
process of repairing or replacing the pump shall be initiated immediately and the new parts or
pump shall be installed as soon as possible. If the pump in a simplex pump station fails, it shall
be replaced immediately.
Observations: The Town has a PSCP that meets requirements and it is posted at all PSs.
Compliance Status: Compliant
g. Part I, Paragraph 8: Each pump station shall be clearly and conspicuously posted with a pump
station identifier and an emergency contact telephone number at which an individual who can
initiate or perform emergency service for the wastewater collection system 24 hours per day,seven
days per week can be contacted. This emergency contact telephone number shall be coupled with
instructions that the emergency contact should be called if the visual alarm illuminates, if the
audible alarm sounds, or if an emergency is apparent.
Observations: All PSs inspected had the required signage.
Compliance Status: Compliant
h. Part I, Paragraph 9: Pump station sites,equipment and components shall have restricted access,
per 15A NCAC 2H .0219(h)(7).
Observations: All PSs inspected were sufficiently secured to provide restricted access.
Compliance Status: Compliant
i. Part I, Paragraph 10: Pump stations that do not employ an automatic polling feature (i.e. routine
contact with pump stations from a central location to check operational status of the communication
system)shall have both audible and visual (NV)high water alarms. The alarms shall be weather-
proof and placed in a clear and conspicuous location. Permits issued for the construction of pump
stations that included high water alarms in the description must maintain the alarms even if simple
telemetry (i.e. notification of an alarm condition initiated by the pump station control feature) is
installed.
Observations: All PSs have both audible and visual alarms, as well as cellular SCADA systems.
Compliance Status: Compliant
j. Part I, Paragraph 11: For all newly constructed, modified and rehabilitated pump stations, all
equipment and components located within the pump station shall be corrosion-resistant and

components in close proximity of the pump station shall be sealed within a corrosion-resistant
coating or encasement.
Observations: None of the inspected components had what would be considered excessive
corrosion. It is assumed that the Town would require such materials in the design of all such
equipment/components.
Compliance Status: Compliant
k. Part I, Paragraph 12: All construction and rehabilitation of the wastewater collection system (i.e.,
permitted or deemed permitted) shall be scheduled to minimize the interruption of service by the
existing utilities. Construction and rehabilitation shall not result in the violation of Condition 1.2. of
this permit.
Observations: No conditions that demonstrate noncompliance with this permit condition were
observed during the inspection.
Compliance Status: Compliant
Part II, Operation and Maintenance Requirements
I. Part II, Paragraph 1: Upon classification of the collection system by the Water Pollution Control
System Operators Certification Commission (WPCSOCC), the Permittee shall designate and
employ a certified operator to be in responsible charge(ORC)and one or more certified operator(s)
to be back-up ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall
visit the system within 24 hours of knowledge of a bypass,spill,or overflow of wastewater from the
system, unless visited by the Back-Up ORC, and shall comply with all other conditions of 15A
NCAC 8G .0204.
Observations: The Town has designated Mark Malloy as ORC and Ken Gamble as BORC. Both
are properly certified.
Compliance Status: Compliant
m. Part II, Paragraph 2: The Permittee shall develop and adhere to a schedule for reviewing all
inspection, maintenance, operational and complaint logs. If the review process results in the
identification of any recurring problem in the wastewater collection system,that cannot be resolved
in a short time period, the Permittee shall establish a plan for addressing the problem(s).
Observations: Mr. Malloy reviews all paperwork and signs and dates it as it is generated.
Compliance Status: Compliant
n. Part II,Paragraph 3: The Permittee shall develop and adhere to a schedule for testing emergency
and standby equipment.

Observations: All PSs have generators and they are run manually once per week under load.
Some also run automatically at separate times.
Compliance Status: Compliant
o. Part II, Paragraph 4: The Permittee shall develop and implement a routine pump station
inspection and maintenance program, which shall include, but not be limited to, the following
maintenance activities:
1. Cleaning and removing debris from the pump station structure, outside perimeter, and wet
well;
2. Inspecting and exercising all valves;
3. Inspecting and lubricating pumps and other mechanical equipment according to the
manufacturer's recommendations; and
4. Verifying the proper operation of the alarms, telemetry system and auxiliary equipment.
Observations: The logs that the Town uses for PS inspections cover all the above required items.
Compliance Status: Compliant
p. Part II, Paragraph 5: For each pump station without pump reliability (i.e. simplex pump stations
serving more than a single building or pump stations not capable of pumping at a rate of 2.5 times
the average daily flow rate with the largest pump out of service),at least one fully operational spare
pump capable of pumping peak flow shall be maintained on hand.
Observations: All PSs are at least duplex and have two pumps with the'required capacity.
Compliance Status: Compliant
q. Part II, Paragraph 6: The Permittee shall maintain on hand at least two percent of the number of
pumps installed,but no less than two pumps,that discharge to a pressure sewer and serve a single
building, unless the Permittee has the ability to purchase and install a replacement pump within 24
hours of first knowledge of the simplex pump failure or within the storage capacity provided in any
sewer line extension permit.
Observations: There are no such PSs within the Town's WWCS.
Compliance Status: Not Applicable
r. Part II, Paragraph 7: Rights-of-way (ROW) and/or easements shall be properly maintained to
allow accessibility to the wastewater collection system unless the Permittee can demonstrate the
ability to gain temporary access in an emergency situation where existing land-use conditions do
not allow the establishment and maintenance of permanent access. In this case, the Permittee
shall continue to observe the lines visually, utilize remote inspection methods(e.g.CCTV)and use
the opportunity of drier conditions to perform further inspections and necessary maintenance.
Observations: All rights-of-way are in good condition.

1
Compliance Status: Compliant
s. Part II, Paragraph 8: The Permittee shall assess cleaning needs and develop and implement a
program for appropriately cleaning, whether by hydraulic or mechanical methods, all sewer lines.
At least 10 percent of the wastewater collection system, selected at the discretion of the ORC,
shall be cleaned each year. Preventative cleaning is not required for sewer lines less than five
years old unless inspection otherwise reveals the need for cleaning or cleaning is required by a
sewer line extension permit.
Observations: The Town has about 15.62 miles, or 82,474 feet, of gravity sewer, and therefore
must clean 1.562 miles, or 8,247 feet of sewer annually. For 2017/2018 the Town cleaned 10,391
feet of sewer, exceeding their annual requirement by over 2,000 feet.
Compliance Status: Compliant
t. Part II, Paragraph 9: Adequate measures shall be taken to contain and properly dispose of
materials associated with SSOs. The Permittee shall maintain a Response Action Plan that
addresses the following minimum items:
1.Contact phone numbers for 24-hour response, including weekends and holidays;
2.Response time;
3.Equipment list and spare parts inventory;
4.Access to cleaning equipment;
5.Access to construction crews, contractors and/or engineers;
6.Source(s) of emergency funds;
7.Site sanitation and clean up materials; and
8.Post-SSO assessment.
Observations: The Town's Spill Response Action Plan (SRAP)was reviewed. It meets all permit
requirements.
Compliance Status: Compliant
u. Part II, Paragraph 10: The Permittee,or their authorized representative, shall conduct an on-site
evaluation for all SSOs as soon as possible, but no more than two hours after first knowledge of
the SSO.
Observations: Mr. Boone noted no conditions during the inspection which demonstrate
noncompliance with this permit condition.
Compliance Status: Compliant
v. Part II,Paragraph 11: In the event of a SSO or blockage within the wastewater collection system,
the Permittee shall restore the system operation, remove visible solids and paper, sanitize any
ground area and restore the surroundings.

1
Observations: No conditions were noted that demonstrate noncompliance with this permit
condition.
Compliance Status: Compliant
Part III, Records
w. Part III, Paragraph 1: Records shall be maintained to document compliance with Conditions 1(4),
11(2) - 11(4), 11(7) - 11(8), IV(3) and V(1)-V(4). Records shall be kept on file for a minimum of three
years.
Observations: All required records were present for the inspection.
Compliance Status: Compliant
x. Part III, Paragraph 2: The Permittee shall maintain adequate records pertaining to SSOs, and
complaints for a minimum of three years. These records shall include, but are not limited to, the
following information:
1.Date of SSO or complaint;
2.Volume of wastewater released as a result of the SSO and/or nature of complaint;
3.Location of the SSO and/or complaint;
4.Estimated duration of the SSO;
5.Individual from the Division who was informed about the SSO and/or complaint,when applicable;
6.Final destination of the SSO;
7.Corrective actions;
8.Known environmental/human health impacts resulting from the SSO; and
9.How the SSO was discovered.
Observations: The Town now has a computer-based work order system that records all
complaints. SSO files are kept on file in Public Works.
Compliance Status: Compliant
y. Part HI, Paragraph 3: The Permittee shall maintain an up-to-date, accurate, comprehensive map
of its wastewater collection system that also notes the locations where other wastewater collection
systems become tributary. If a comprehensive map of the collection system has not been
established, a rough sketch shall be drawn. The Permittee shall map approximately 10 percent of
its existing collection system each year for the next ten years, or until complete, whichever is
sooner. The comprehensive map shall include, but is not limited to: pipe size, pipe material, pipe
location, flow direction, approximate pipe age, number of active service taps, and each pump
station identification, location and capacity.
Observations: The Town's WWCS map shows all required information.
Compliance Status: Compliant

z. Part III, Paragraph 4: The Permittee shall maintain records of all of the modifications and
extensions to the collection system permitted herein. The Permittee shall maintain a copy of the
construction record drawings and specifications for modifications/extensions to the wastewater
collection system for the life of the modification/extension. Information concerning the extension
shall be incorporated into the map of the wastewater collection system within one year of the
completion of construction. The system description contained within this permit shall be updated
to include this modification/extension information upon permit renewal.
Observations;All such construction record drawings and specifications are kept for the life of the
system and all such extensions are added to the map within one year of construction completion.
Compliance Status: Compliant
Part IV, Monitoring and Reporting Requirements
aa. Part IV, Paragraph 2: The Permittee shall verbally report to a Division of Water Resources staff
member at the Winston-Salem Regional Office, at telephone number 336-776-9800 as soon as
possible, but in no case more than 24 hours following the occurrence or first knowledge of the
occurrence of either of the following:
1.Any SSO and/or spill over 1,000 gallons; or
2.Any SSO and/or spill, regardless of volume,that reaches surface water.
Observations: To the best of our knowledge,the Town has reported all SSOs as required by the
permit.
Compliance Status: Compliant
bb. Part IV,Paragraph 3: The Permittee shall meet the annual reporting and notification requirements
provided in North Carolina General Statute§143-215.1C.
Observations: The daily flow for the Town is less than 200,000 gallons; therefore, submittal of
an annual report is not required.
Compliance Status: Compliant
Part V, Inspections
cc. Part V, Paragraph 1: The Permittee or the Permittee's designee shall inspect the wastewater
collection system regularly to reduce the risk of malfunctions and deterioration, operator errors,
and other issues that may cause or lead to the release of wastes to the environment, threaten
human health or create nuisance conditions. The Permittee shall keep an inspection log or
summary including, at a minimum, the date and time of inspection, observations made, and any
maintenance, repairs, or corrective actions taken by the Permittee.
Observations: The system is well maintained and all maintenance is properly and sufficiently
documented.

Compliance Status: Compliant
dd. Part V, Paragraph 2: Pump stations without Supervisory Control and Data Acquisition (SCADA)
systems or telemetry shall be inspected everyday(i.e.365 days per year). Pump stations equipped
with SCADA systems or telemetry shall be inspected at least once per week.
Observations: Currently, all PSs are inspected once per week on Fridays. All PSs have both
audible and visible alarms and cellular-based SCADA systems.
Compliance Status: Compliant
ee. Part V, Paragraph 3: A general observation of the entire collection system shall be performed
throughout the course of every year.
Observations: Mr. Malloy performs and records the annual general observation of the entire
system as required by the permit.
Compliance Status: Compliant
ff. Part V, Paragraph 4: Inspections of all high priority lines (i.e. aerial line, sub-waterway crossing,
line contacting surface waters, siphon, line positioned parallel to stream banks that are subject to
eroding in such a manner that may threaten the sewer line, or line designated as high-priority in a
permit)shall be performed at least once per every six month period of time. New high priority lines
installed or identified after permit issuance are incorporated by reference and subject to this permit
condition until permit renewal where they shall be referenced in writing.
Observations: High priority lines are inspected and the inspections are recorded as required.
Compliance Status: Compliant
Please be aware that in accordance with NC General Statute 143-215.6A, violations are subject to
civil penalty assessments not to exceed$25,000 per day, per violation.

Mark and his crew have done an excellent job of ensuring the town's collection system program is in
compliance with all requirements. Please keep up the good work in operating and maintaining the Stoneville
collection system. If you have any questions regarding the compliance inspection or this letter, please give
Mr. Boone or me a call at(336) 776-9800. Thank you for your cooperation in this matter.
Sincerely,
iteux.2V-• 14,,:p-
Sherri V. Knight, P.E.
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. Inspection Report
CC: WSRO-SWP
Central Files
PERCS Unit
Town of Stoneville
Attn: Mark Malloy, Operator in Responsible Charge
P.O. Box 71
Stoneville, NC 27048

Compliance Inspection Report
Permit: WQCS00251 Effective: 06/01/13 Expiration: 05/31/21 Owner: Town of Stoneville
SOC: Effective: Expiration. Facility: Stoneville Collection System
County. Rockingham PO Box 71
Region: Winston-Salem
Stoneville NC 27048
Contact Person: Kenneth W Gamble Title: Phone [phone]
•
Directions to Facility:
System Classifications: CSI,
Primary ORC: Mark Allen Malloy Certification: 986923 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NC002801I Town of Stoneville-Stoneville WWTP
Inspection Date. 03/08/2018 Entry Time: 09 OOAM Exit Time: 11 OOAM
Primary Inspector: Ron Boone Phone: [phone]
/%7 2_ i /
Secondary Inspector(s): I �, 5
Paul DiMatteo
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: • Compliant Not Compliant
Question Areas:
El Miscellaneous Questions El Performance Standards • Operation&Maint Reqmts
▪ Records II Monitoring&Rpting Reqmts II Inspections
• Pump Station • Lines
(See attachment summary)
Page• 1

I
Permit WQCS00251 Owner-Facility.Town of Stoneville
Inspection Date• 03/08/2018 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary
Please refer to the attached inspection summary letter
Page 2

Permit. WQCS00251 Owner-Facility:Town of Stoneville
Inspection Date. 03/08/2018 Inspection Type•Collection System Inspect Non Sampling Reason for Visit. Routine
Performance Standards Yes No NA NE
Is Public Education Program for grease established and documented? • 0 0 0
What educational tools are used'?
Flyers distributed twice per year and displayed in town hall.
Is Sewer Use Ordinance/Legal Authority available'? • 0 0 0
Does it appear that the Sewer Use Ordinance is enforced'? • 0 0 0
Is Grease Trap Ordinance available'? • 0 0 0
Is Septic Tank Ordinance available(as applicable,i e annexation) 0 0 0 II
List enforcement actions by permittee,if any,in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented? • 0 0 0
Does CIP address short term needs and long term\"master plant"concepts'? • 0 0 0
Does CIP cover three to five year period? • 0 0 0
Does CIP include Goal Statement? • 0 0 0
Does CIP include description of project area? • 0 0 0
Does CIP include description of existing facilities? • 0 0 0
Does CIP include known deficiencies? • 0 0 0
Does CIP include forecasted future needs? • 0 0 0
Is CIP designated only for wastewater collection and treatment? • 0 0 0
Approximate capital improvement budget for collection system? $3,165,000 00
Total annual revenue for wastewater collection and treatment's
CIP Comments
None
Is system free of known points of bypass? • 0 0 0
If no,descnbe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? • 0 0 0
#Does the sign include
Instructions for notification'? • 0 0 0
Pump station identifier? • 0 0 0
24-hour contact numbers • 0 0 0
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA? • 0 0 0
Number of pump stations 5
Number of pump stations that have SCADA 5
Number of pump stations that have simple telemetry 5
Number of pump stations that have only audible and visual alarms 5
Number of pump stations that do not meet permit requirements 0
Page 3

Permit WQCS00251 Owner-Facility:Town of Stoneville
Inspection Date: 03/08/2018 Inspection Type:Collection System Inspect Non Sampling Reason for Visit Routine
#Does the permittee have a root control program? 0 0 0 U
#If yes,date implemented?
Describe
Comment None
Inspections
Yes No NA NE
Are maintenance records for sewer lines available? • ❑ 0 0
Are records available that document pump station inspections? • 0 0 0
Are SCADA or telemetry equipped pump stations inspected at least once a week? • 0 0 0
Are non-SCADA/telemetry equipped pump stations inspected every day? ❑ ❑ • 0
Are records available that document citizen complaints? • 0 0 0
#Do you have a system to conduct an annual observation of entire system? • 0 ❑ ❑
#Has there been an observation of remote areas in the last year? • ❑ ❑ ❑
Are records available that document inspections of high-prionty lines? • 0 0 0
Has there been visual inspections of high-priority lines in last six months? • 0 0 0
Comment None
Operation&Maintenance Requirements
Yes No NA NE
Are all log books available? • 0 0 0
,
Does supervisor review all log books on a regular basis? • 0 ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? • 0 0 ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
As generated
Are maintenance records for equipment available? • 0 0 0
Is a schedule maintained for testing emergency/standby equipment? • 0 ❑ ❑
What is the schedule for testing emergency/standby equipment? Weekly or more
Do pump station logs include
Inside and outside cleaning and debris removal? • 0 ❑ ❑
Inspecting and exercising all valves? • 0 ❑ ❑
Inspecting and lubncating pumps and other equipment? • 0 0 0
Inspecting alarms,telemetry and auxiliary equipment? • 0 ❑ 0
Is there at least one spare pump for each pump station w/o pump reliability? ❑ ❑ U 0
Are maintenance records for right-of-ways available? 111 0 ❑ 0
Are right-of-ways currently accessible in the event of an emergency? • 0 ❑ 0
Are system cleaning records available? • 0 ❑ 0
Has at least 10%of system been cleaned annually? • 0 ❑ 0
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available? • 0 0 0
Page 4

- Permit. WQCS00251 Owner-Facility:Town of Stoneville
Inspection Date. 03/08/2018 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Does the plan include
24-hour contact numbers • 0 0 0
Response time • 0 0 0
Equipment list and spare parts inventory • 0 0 0
Access to cleaning equipment • 0 0 0
Access to construction crews,contractors,and/or engineers • 0 0 0
Source of emergency funds • 0 0 0
Site sanitation and cleanup materials • 0 0 0
Post-overflow/spill assessment • 0 0 0
Is a Spill Response Action Plan available for all personnel? • 0 0 0
Is the spare parts inventory adequate? • 0 0 0
Comment None
Records
Yes No NA NE
Are adequate records of all SSOs,spills and complaints available'? • 0 0 0
Are records of SSOs that are under the reportable threshold available'? • 0 0 ❑
Do spill records indicate repeated overflows(2 or more in 12 months)at same location'? 0 MI 0 0
If yes,is there a corrective action plan'? 0 0 IN 0
Is a map of the system available'? • 0 0 0
Does the map include
Pipe sizes • 0 0 0
Pipe matenals • 0 0 0
Pipe location • 0 ❑ 0
Flow direction • 0 0 0
Approximate pipe age • 0 0 0
Number of service taps • 0 0 0
Pump stations and capacity • 0 0 0
If no,what percent is complete'?
List any modifications and extensions that need to be added to the map
#Does the permittee have a copy of their permit'? • 0 0 0
Comment None
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available'? • 0 0 0
Are public notices and proof of publication available'? • 0 0 0
#Is an annual report being prepared in accordance with G S 143-215 1C'? El 0 II ❑
#Is permittee compliant with all compliance schedules in the permits'? 0 0 U 0
If no,which one(s)?
Page• 5

I
Permit: WQCS00251 Owner-Facility:Town of Stoneville
Inspection Date: 03/08/2018 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Comment None
CHURCH STR PS - Church
Pump Station
Yes No NA NE
Pump station type Duplex
Are pump station logs available? • 0 0 0
Is it accessible in all weather conditions? II 0 0 0
#Is general housekeeping acceptable? • 0 0 0
Are all pumps present? • 0 0 0
Are all pumps operable? • 0 0 ❑
Are wet wells free of excessive debris'? • 0 0 0
Are upstream manholes free of excessive debns/signs of overflow? • 0 0 0
Are floats/controls for pumps/alarms operable? • 0 0 0
Is"auto polling"feature/SCADA present? • 0 0 0
Is"auto polling"feature/SCADA operational? • 0 0 0
Is simple telemetry present? • ❑ ❑ ❑
Is simple telemetry operational? • ❑ ❑ 0
Are audio and visual alarms present? • 0 0 0
Are audio and visual alarms operable'? • 0 0 0
Is the Pump station inspected as required? • 0 0 0
Are backflow devices in place? • 0 0 0
Are backflow devices operable? II 0 0 0
Are air relief valves in place? • 0 0 0
Are air relief valves operable? • 0 0 ❑
# Is an emergency generator available? • 0 0 0
Can the emergency generator run the pumps? • 0 0 0
Is the pump station equipped for quick hook-up? 0 0 U 0
Is the generator operable? • ❑-❑ 0
#Is fuel in tank and sufficient? • 0 0 0
Is the generator inspected according to their schedule? • 0 0 0
Is a 24-hour notification sign posted? • 0 0 0
Does it include
Instructions for notification? • ❑ 0 ❑
Pump station identifier? • 0 0 0
Emergency phone number • 0 0 0
Is public access limited? • 0 0 0
Is pump station free of overflow piping'? • 0 0 0
Page 6

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Permit: WQCS00251 Owner-Facility:Town of Stoneville
Inspection Date. 03/08/2018 Inspection Type:Collection System Inspect Non Sampling Reason for Visit. Routine
Is public access limited? • 0 0 ❑
Is pump station free of overflow piping? • 0 0 0
Is the pump station free of signs of overflow? • 0 0 0
Are run times comparable for multiple pumps? , yes
Comment. None
STONE STREET HPL#1 - S
Lines/Right-of-Ways/Aerie)Lines
Yes No NA NE
Is right-of-way accessible for emergency'? 0 0 0 0
Is right-of-way free of sinkholes or depressions'? 0 0 0 0
Is line/right-of-way free of evidence of leakage'? 0 0 0 0
#Are there areas of exposed line's 0 0 0 0
#Is any exposed line constructed of ductile iron or other approved material? 0 0 0 0
Are water crossing and supports in good condition'? 0 0 0 0
#Is right-of-way free of non-utility motorized traffic? 0 0 0 0
Is line free of visible damage'? 0 0 0 0
#Are there siphons in this system'? 0 0 0 0
If yes,are they maintained and documented'?
Comment
STONE STREET HPL#2 - S
Lines/Right-of-Ways/Aerie!Lines
Yes No NA NE
Is right-of-way accessible for emergency'? 0 0 0 0
Is right-of-way free of sinkholes or depressions'? 0 0 0 0
Is line/right-of-way free of evidence of leakage'? 0 0 0 ❑
#Are there areas of exposed line'? 0 0 0 0
#Is any exposed line constructed of ductile iron or other approved material'? 0 0 0 0
Are water crossing and supports in good condition'? 0 0 0 0
#Is right-of-way free of non-utility motorized traffic'? 0 0 0 0
Is line free of visible damage'? 0 0 0 0
#Are there siphons in this system'? 0 0 0 0
If yes,are they maintained and documented'?
Comment
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