WQCS00191_Compliance Evaluation Inspection_20180307

-ROY COOPER
Governor
MICHAEL S.REGAN
Secretary
Water Resources LINDA CULPEPPER
Environmental Quality Interim Director
March 7,2018
Town of Walnut Cove
Attn: Kim Greenwood,Town Manager
P.O. Box 130
Walnut Cove, NC 27052
Subject: Complance Evaluation NOV#!NOV-2018-PC-0080 Inspection&Notice of Violation RECENEDIDENCkiDWR
Permittee: Town of Walnut Cove MAR 212015
Facility: Walnut Cove Wastewater Collection System
Permit#: WQCS00191Water ReSources
es
Stokes County permtitttn9
Dear Mr. Greenwood:
1. 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 Walnut Cove's wastewater
collection system(WWCS)on March 1,2018.The assistance and cooperation of Mark Bowman,Operator in
Responsible Charge(ORC),and Will Shirley, Backup ORC,was greatly appreciated.An inspection checklist
is attached for your records and the inspection findings are summarized below.
Site/System Review
2. The following system components were inspected:
a. The 311/Plant Street pump station (PS) and right-of-way(ROW)were inspected and found to be in good
condition. No discrepancies were noted.
b. The 311/65 PS and ROW were inspected and found to be in good condition. No discrepancies were noted
3. As you are aware, your permit contains numerous requirements with which the Town of Walnut Cove 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 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 Quality(Division), such as the construction of additional or
replacement sewer lines and/or equipment.
Observations: In full consideration of all observations made during the inspection and the Town's sanitary
sewer overflow (SSO) record, the Town of Walnut Cove is hereby deemed compliant with this permit
condition
Courapares�--,
State of North Carolina I Environmental Quality
450 W.Hanes Mill Road,Suite 300,Winston-Salem,North Carolina 27105
Phone.[phone] FAX.[phone]

4
Compliance Status: Compliant
b. Part I, Paragraph 3: The Permittee shall establish by ordinance its legal authority to require 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 ordinance was reviewed and meets all requirements.
Compliance Status: Compliant -
c. Part I, Paragraph 4: The Permittee shall develop and implement an educational fats, oils and grease
(FOG)program targeted at both residential and non-residential users.The Permittee shall also develop and
implement an enforceable fats,oils and grease 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: FOG educational materials were distributed to all residential and non-residential customers
in March 2017. The materials are also posted on the town's website. This is sufficient to meet the permit
requirement of bi-annual distribution.
The town has identified 14 grease traps(GT)and inspects them at least annually.
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,description of the project area,description of the existing
facilities, known deficiencies (over a reasonable period) and forecasted future needs. Cost analysis is
integral to the CIP.
Observations: Unfortunately, the CIP has been noted as insufficient for the past three years because it
does not meet all specific permit requirements and requires further detail as specified in the permit excerpt
above. The current CIP is quite modest in that it doesn't provide the level of detail normally expected in a
CIP and because it identifies very little in the way of reinvestment into the wastewater collection system
(WWCS), yet many deficiencies are known to both operators and state inspectors alike As such, the
Division is elevating the level of enforcement in regards to the CIP until the town produces an acceptable
plan that meets all permit requirements, identifies all known deficiencies of the WWCS in writing, and
programs those requirements for completion in future years spanning a minimum three to five year period.
Compliance Status: Non-compliant(Repeat)
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 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 pump station contingency plans(PSCP) posted at all 11 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 meet this permit condition.
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 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: The Town has 11 PSs, six of which have both telemetry and audible/visual (NV) alarms.
The other five have only AN alarms.
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: No conditions that demonstrate noncompliance with this permit condition were noted during
the inspection.
Compliance Status: Compliant

v
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 12.of this permit.
Observations: No conditions that demonstrate noncompliance with this permit condition were noted 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: Mr.Bowman is designated as ORC and Will Shirley is designated as backup ORC(BORC).
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. Bowman and Mr. Shirley generate all associated documentation.All documentation is
then reviewed monthly in a meeting with the town manager.
Compliance Status: Compliant
n. Part II, Paragraph 3: The Permittee shall develop and adhere to a schedule for testing emergency and
standby equipment.
Observations: The town has one on site permanent generator at the Walnut Tree PS.The town also has
two mobile generators and PSs are equipped with quick connect couplings.Mr.Bowman believes the town's
current backup power capabilities are sufficient to remain compliant in the event of a catastrophic outage.
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 PS inspection program includes all the above-listed 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: To the Division's knowledge, none of the town's 11 PSs fail to meet PS reliability
requirements. Mr. Bowman stated that he also believes all PSs meet reliability requirements.
Compliance Status: Not Evaluated
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: The Town has no such pump stations/pressure systems within its WWCS.
Compliance Status: Not Applicable
r. Part 9, Paragraph 7: Rights-of-way 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 right-of-ways(ROW)evaluated during the inspection were properly maintained.
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 approximately 21 miles (or 110,880 feet) of gravity sewer and therefore
must clean 11,088 feet of sewer each year. The town cleaned approximately 2.5 miles, or 13,200 feet of
gravity sewer in 2017,exceeding their annual obligation.
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 Sanitary Sewer Overflow(SSO) Response Action Plan(RAP)includes all the
above minimum items.
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: According to Mr. Bowman, all SSOs are initially evaluated well within the two-hour limit.
SSO records also confirm this.
Compliance Status: Compliant
v. Part II, Paragraph 11: In the event of an 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.
Observations: No conditions were noted during the inspection that demonstrate noncompliance with this
permit condition.
Compliance Status: Compliant
Part Ill, Records
w. Part Ill, 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 reviewed during the inspection and are deemed sufficient.
Compliance Status: Compliant
x Part Ill, 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: SSO and complaint records are complete and current.
Compliance Status: Compliant
y. Part III, 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 current maps were reviewed and found to meet all requirements.
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: Mr. Bowman stated that all such record drawings and specifications are kept for the life of
the system and that they strive to update the map within the required time limit.
Compliance Status: Compliant
Part IV, Monitoring and Reporting Requirements
aa. Part IV, Paragraph 2: The Permittee shall verbally report to a Division of Water Quality 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: According to available records,the permittee reports all SSOs as required above.
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 Town's flow is less than 200,000 gallons per day and they therefore do not have to
produce an annual report.They do execute press releases and public notices as required.
Compliance Status: Compliant
Part V, Inspections

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cc. Part V, Paragraph 1: The Permittee or the Perrnittee'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 Town has several logs and forms used to record all their operation, maintenance and
repair activity.The Town's activities and documentation thereof are considered sufficient to meet this permit
requirement.
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: All PSs are currently being inspected daily.
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. Bowman stated that the entire system has been inspected over the course of the past
year and has certified this in writing.
Compliance Status: Compliant
ff. Pail 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: According to Mr.Bowman,all high priority lines(HPL)have been identified and are checked
at least twice per year. The inspections are being recorded.
Compliance Status: Compliant
4 The Town has done a good job of complying with permit requirements;however,the CIP has been an issue for
several years and needs to be resolved properly Please reply to this NOV in writing within 10 business days of
receiving it.Your reply must detail your plan and completion schedule to develop an acceptable CIP.
5. Please be aware that, in accordance with NC General Statute 143-215.6A,the Director of the Division of Water
Resources may assess civil penalties not to exceed $25,000 per day, per violation, for violations of permit
WQCS00191,or the NC statutes and regulations that govern the operation of wastewater collection systems.

6. If you have any questions regarding the inspection or this letter,please call Mr.Boone or me at(336)776-9800.
Thank you for your cooperation in this matter.
Sincerely,
Sherri V. Knight, P.E.
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. BIMS Inspection Checklist
CC: WSRO—SWP
Central Files
PERCS Unit
Town of Walnut Cove
Attn: Mark Bowman,Operator in Responsible Charge
P.O. Box 130
Walnut Cove, NC 27052

Compliance Inspection Report
Permit: WQCS00191 Effective: 08/01/14 Expiration: 07/31/22 Owner: Town of Walnut Cove
SOC: Effective: Expiration: Facility. Walnut Cove Collection System
County:Stokes PO Box 127
Region: Winston-Salem
Walnut Cove NC 27052
Contact Person: Byron Ellis Title: Phone: [phone]
Directions to Facility:
System Classifications: CSI,
Primary ORC: Mark Anthony Bowman Certification: 988483 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NC0025526 Town of Walnut Cove-Walnut Cove WWTP
Inspection Date: 03/01/2018 Entry Time: 11 OOAM Exit Time: 01 OOPM
Primary Inspector: Ron Boone �/ g Phone: [phone]
Secondary Inspector(s): /
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: ❑ Compliant In Not Compliant
Question Areas:
• Miscellaneous Questions • Performance Standards • Operation&Maint Reqmts
• Records • Monitoring&Rpting Reqmts $ Inspections
• Pump Station El Manhole • Lines
(See attachment summary)
Page 1

r
Permit WQCS00191 Owner-Facility.Town of Walnut Cove _ -
Inspection Date: 03/01/2018 Inspection Type.Collection System Inspect Non Sampling Reason for Visit Routine
Inspection Summary
Please refer to the attached Notice of Violation letter
Page 2

Permit: WQCS00191 Owner-FacilityTown of Walnut Cove-
Inspection Date: 03/01/2018 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
Newsletters,website,display of newsletters at 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 1"master plan\"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'? ❑ • ❑ ❑
Is CIP designated only for wastewater collection and treatment', ❑ • 0 0
Approximate capital improvement budget for collection system',
Total annual revenue for wastewater collection and treatment'?
CIP Comments
The CIP has been noted as insufficient for the past three years The CIP the town currenty has does cover the
next three years but will need to be updated this year in order to remain compliant next year The CIP is also
very modest in that it doesn't provide the level of detail normally expected in a CIP At a minimum,the CIP
should directly address all requirements specified in the permit The town's current CIP does not,for which
we have issued notices of deficiency and violation over the past several'years I am suggesting that we
elevate the level of enforcement regarding this matter until the town produces an acceptable CIP that meets
all permit requirements.
Is system free of known points of bypass'? • 0 0 0
If no,describe 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
24-hour contact numbers • 0 0 0
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA? 0 U 0 0
Number of pump stations 11
Page' 3

Permit: WQCS00191 Owner-Facility:Town of Walnut Cove
Inspection Date: 03/01/2018 Inspection Type:Collection System Inspect Non Sampling • Reason for Visit: Routine
Number of pump stations that have SCADA 0
Number of pump stations that have simple telemetry 6
Number of pump stations that have only audible and visual alarms 5
Number of pump stations that do not meet permit requirements 0
#Does the permittee have a root control program? 0 0 0 III
#If yes,date implemented'? `
Describe
Comment: None
Inspections Yes No NA NE
Are maintenance records for sewer lines available'? • 0 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 0 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 0 0
#Has there been an observation of remote areas in the last year'? • 0 0 0
Are records available that document inspections of high-priority 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 0 0
Does the supervisor have plans to address documented short-term problem areas'? • 0 0 0
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas'?
Monthly
Are maintenance records for equipment available'? • 0 0 0
Is a schedule maintained for testing emergency/standby equipment'? • 0 ❑ 0
What is the schedule for testing emergency/standby equipment'? at least weekly,
often times more
Do pump station logs include
Inside and outside cleaning and debris removal'? • 0 0 0
Inspecting and exercising all valves'? • 0 0 0
Inspecting and lubricating pumps and other equipment'? • ❑ 0 0
Inspecting alarms,telemetry and auxiliary equipment'? • 0 0 0
Is there at least one spare pump for each pump station w/o pump reliability'? • 0 0 0
Are maintenance records for right-of-ways available'? • ❑ ❑ ❑
Are right-of-ways currently accessible in the event of an emergency? • 0 0 0
Page. 4

Permit: WQCS00191 Owner-Facility:Town of Walnut Cove
Inspection Date: 03/01/2018 inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Are system cleaning records available'? • 0 0 0
Has at least 10%of system been cleaned annually'? • 0 0 0
What areas are scheduled for cleaning in the next 12 months'?
Is a Spill Response Action Plan available'? • 0 0 0
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 ❑
Are records of SSOs that are under the reportable threshold available'? • 0 0 0
Do spill records indicate repeated overflows(2 or more in 12 months)at same location'? 0 I 0 0
If yes,is there a corrective action plan'? 0 0 II 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 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
Page 5

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Permit: WQCS00191 Owner-Facility:Town of Walnut Cove
Inspection Date: 03/01/2018 Inspection Type:Collection System Inspect Non Sampling Reason for Visit. Routine
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 ❑
Is the pump station free of signs of overflow? • 0 0 0
Are run times comparable for multiple pumps? yes
Comment None
311/65 PS - Southwest corn
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'? • 0 0 0
#Is general housekeeping acceptable? • 0 0 0
Are all pumps present? 0 II 0 0
Are all pumps operable? • 0 0 0
Are wet wells free of excessive debris? • ❑ 0 0
Are upstream manholes free of excessive debris/signs of overflow'? ❑ 0 0 III
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 I 0
Is simple telemetry present? • 0 0 0
Is simple telemetry operational? • 0 0 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
Are backflow devices in place? • 0 0 0
Are backflow devices operable? • 0 0 0
Are air relief valves in place? • 0 0 0
Are air relief valves operable? • 0 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 0
Is the generator operable? • 0 0 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
Page 7

li
Permit: WQCS00191 Owner-Facility•Town of Walnut,Cove
Inspection Date: 03/01/2018 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Does it include
Instructions for notification? • ❑ ❑ ❑
Pump station identifier? • ❑ 0 ❑
Emergency phone number • ❑ 0 ❑
Is public access limited? • ❑ ❑ ❑
Is pump station free of overflow piping? • ❑ ❑ ❑
Is the pump station free of signs of overflow? • ❑ ❑ ❑
Are run times comparable for multiple pumps' yes
Comment. None
Page• 8