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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary
LINDA CULPEPPER
Interim Director October 2, 2018
Barry S. Knight
1731 Cone Road RECEIVED/DENR/DWR
Winston Salem, NC 27103 OCT 05 2018
SUBJECT: Compliance Evaluation Inspection Water Resources
NC General Wastewater Permit NCG550000 Permitting Section
Certificate of Coverage: NCG550431
Facility: 1731 Cone Road, Winston Salem, NC 27103
Owner: Barry S. Knight
County: Forsyth
Dear Mr. Knight:
Ron Boone, of the Winston-Salem Regional Office (WSRO) of the NC Division of Water
Resources (DWR or the Division), attempted to meet with you on September 19, 2018,
at your home located at 1731 Cone Road, in Winston Salem, NC, to conduct a compliance
evaluation inspection (CEI) of your home's wastewater treatment system, which
discharges the final treated effluent to South Fork Muddy Creek, which is located just
south of your home and is currently classified as class C waters in the Yadkin-Pee Dee
River Basin.
No one was home at the time of Mr. Boone's visit, but he left you a note asking you to call
him, which you did on Friday, 9/28/2018. Mr. Boone discussed the system with you at
length over the phone. You have the septic tanked pumped about every five years. It's
just you and Mrs. Knight living there, so, this is probably sufficient. You also told Mr.
Boone that you regularly add chlorine tablets to the chlorination device and have the water
tested yearly as required. You also told Mr. Boone that you have not had any problems
with the system. Mr. Boone suggested that you ensure your chlorine tablets are
wastewater grade tablets and if not, to get some. He can provide suppliers if you find you
need to acquire new tablets. Lastly, please ensure you keep all records for the system,
including pumping records, maintenance and/or repair records, permitting records, etc,
for the life of the system, or until you sell the home, at which point you should turn the
records over to the new owner. Mr. Boone has attached the latest copy of the NC General
Wastewater Discharge Permit NCG550000, which specifies your obligations and
responsibilities, as owner and permittee, to properly operate and maintain the system in
order to properly and sufficiently purify the home's domestic wastewater to within limits
specified in the permit before it is discharged to South Fork Muddy Creek.
NORTH CAROUNA
omartmamm�wamu,,aJ \ p
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1450 Hanes Mill Road,Suite 300 I Winston-Salem,North Carolina 27103
336.776.9800
Our database shows that you are up-to-date on the annual bill. Thank you for all you do
to comply with the permit.
Please note that failure to comply with the requirements of the NCG550000 general
permit and the NC general statutes and/or regulations under which it is promulgated, is a
violation of the permit and/or said statutes/regulations, and that such violations subject
the owner/permittee to civil penalties of not more than $25,000 per day, per violation. It is
in your best interest to comply with all permit conditions. Doing so will minimize your
investment in the system, guarantee the health and safety of your family and others in
your community, and protect the environment.
Please call Mr. Boone at your earliest convenience at 336-776-9690, or email him at
ron.booneancdenr.gov. You may also contact me at 336-776-9800 or
sherri.knight(a�ncdenr.gov. Thank you for your time and attention to this matter.
Sincerely,
Sherri V. Knight, P.E.
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. NC General Wastewater Discharge Permit NCG550000 for Single Family Residences
2. Water Compliance Inspection Report
cc: DWR NPDES Unit'
DWR Central File
DWR/WSRO Files
D_E
NORTH CAROLINA
I Wm4�tWFmfmo�41C�Ilpr�
North Carolina Department of Environmental Quality Division of Water Resources
Winston-Salem Regional Office 1450 Hanes Mill Road,Suite 300 I Winston-Salem,North Carolina 27103
336.776.9800
1
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 Nl-
2 �5 l 3 I NCG550431 111 121 18/09/19 117 18 I I --19 S 20 u
211 11 1 1 1 1! 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 111 1 1 1 1 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
67 I ` I 70 I I 71 1 I 72 12, 73 I
I 174 751 1 1 1 1 1 1 180
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) 01 45PM 18/09/19 13/08/01
1731 Cone Road
1731 Cone Rd Exit Time/Date Permit Expiration Date
Winston Salem NC 27127 02 oOPM 18/09/19 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
Barry S Knight,1731 Cone Rd Winston Salem NC 27127//336-784-7742/
No
Section C Areas Evaluated During Inspection(Check only those areas evaluated)
Permit El Flow Measurement • Operations&Maintenance II Records/Reports
• Self-Monitoring Program • Facility Site Review • Effluent/Receiving Waters II Laboratory
Section D Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
•
Name(s)and Signature(s - nspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone f �' WSRO WQ//336-776-9690/
,./ ///
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete
Page# 1
1,
NPDES yr/mo/day Inspection Type (Cont) 1
31 NCG550431 I11 121 18/09/19 I 17 18 i,.i
Section D Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
No one was home at the time of Mr. Boone's visit, but he left you a note asking you to call him,which
you did on Friday, 9/28/2018. Mr. Boone discussed the system with you at length over the phone.You
have the septic tanked pumped about every five years. It's just you and Mrs. Knight living there, so,this
is probably sufficient.You also told Mr. Boone that you regularly add chlorine tablets to the chlorination
device and have the water tested yearly as required.You also told Mr Boone that you have not had'any
problems with the system. Mr. Boone suggested that you ensure your chlorine tablets are wastewater
grade tablets and if not,to get some. He can provide suppliers if you find you need to acquire new
tablets. Lastly, please ensure you keep all records for the system, including pumping records,
maintenance and/or repair records, permitting records, etc,for r the life of the system, or until you sell
the home, at which point you should turn the records over to the new owner. Mr. Boone has attached
the latest copy of the NC General Wastewater Discharge Permit NCG550000,which specifies your
obligations and responsibilities, as owner and permittee, to properly operate and maintain the system in
order to properly and sufficiently purify the home's domestic wastewater to within limits specified in the
permit before it is discharged to South Fork Muddy Creek.
Our database shows that you are up-to-date on the annual bill.Thank you for all you do to comply with
the permit.
Page# 2
,1
I
Permit NCG550431 Owner-Facility: 1731 Cone Road
Inspection Date: 09/19/2018 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 0 El U 0
application?
Is the facility as described in the permit'? • ❑ El 0
#Are there any special conditions for the permit'? ❑ • El ❑
Is access to the plant site restricted to the general public? • ❑ ❑ 0
Is the inspector granted access to all areas for inspection'? • 0 ❑ ❑
Comment None
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit'? • ❑ El ❑
Is all required information readily available, complete and current'? • ❑ ❑ ❑
Are all records maintained for 3 years(lab reg. required 5 years)? ■ El 0 0
Are analytical results consistent with data reported on DMRs? 0 ❑ • El
Is the chain-of-custody complete'? ❑ ❑ ❑ •
Dates,times and location of sampling El
Name of individual performing the sampling El
Results of analysis and calibration ❑
Dates of analysis El
Name of person performing analyses El
Transported COCs ❑
Are DMRs complete.do they include all permit parameters'? 0 ❑ IN ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ I ❑
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator El ❑ I 0
on each shift?
Is the ORC visitation log available and current'? El ❑ • ❑
Is the ORC certified at grade equal to or higher than the facility classification? El 0 • ❑
Is the backup operator certified at one grade less or greater than the facility classification'? 0 ❑ • ❑
Is a copy of the current,NPDES permit available on site'? • El 0 El
Facility has copy of previous year's Annual Report on file for review'? ❑ ❑ • ❑
Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory'? • ❑ El ❑
Are all other parameters(excluding field parameters)performed by a certified lab'? • ❑ ❑ 0
Pagett 3
V
Permit: NCG550431 Owner-Facility: 1731 Cone Road
Inspection Date: 09/19/2018 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
#Is the facility using a contract lab'? • ❑ ❑ 0
#Is proper temperature set for sample storage(kept at less than or equal to 6 0 degrees 0 ❑ ❑ •
Celsius)?
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees'? ❑ ❑ ❑ •
Incubator(BOD)set to 20 0 degrees Celsius+/-1 0 degrees'? ❑ ❑ ❑ •
Comment: None
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional'? 0 ❑ • ❑
Is sample collected below all treatment units'? • ❑ ❑ ❑
Is proper volume collected? • ❑ ❑ ❑
Is the tubing clean'? 0 ❑ • ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6 0 degrees ❑ ❑ ❑ IN
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ❑ ❑ II
representative)? ,
Comment None
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational'? ❑ ❑ • ❑
Is septic tank pumped on a schedule? • ❑ ❑ ❑
Are pumps or syphons operating properly'? 0 0 U ❑
Are high and low water alarms operating properly'? ❑ ❑ • ❑
Comment. None
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational'? ❑ • ❑ ❑
Is the distribution box level and watertight'? ❑ ❑ ❑ III
Is sand filter free of ponding? • ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio'? ❑ ❑ • ❑
#Is the sand filter surface free of algae or excessive vegetation'? • ❑ ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio'?(Approximately 3 to 1) ❑ El II El
Comment None
Page# 4
it
I
Permit: NCG550431 Owner-Facility: 1731 Cone Road
Inspection Date: 09/19/2018 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? • ❑ 0 ❑
Are the tablets the proper size and type'? • ❑ ❑ 0
Number of tubes in use'? 2
Is the level of chlorine residual acceptable'? ❑ ❑ ❑ •
Is the contact chamber free of growth, or sludge buildup? ❑ ❑ U ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ •
Comment: None
Flow Measurement-Effluent Yes No NA NE
#Is flow meter used for reporting'? ❑ ❑ • 0
Is flow meter calibrated annually'? ❑ ❑ U ❑
Is the flow meter operational'? ❑ ❑ • ❑
(If units are separated) Does the chart recorder match the flow meter'? ❑ ❑ II ❑
Comment: Flow is to be estimated.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained'? • ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? • ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly'? ❑ ❑ • ❑
Comment None
Operations & Maintenance Yes No NA NE
Is the plant generally clean,with acceptable housekeeping'? • ❑ ❑ ❑
Does the facility analyze process control parameters,for ex MLSS, MCRT, Settleable ❑ I ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable'? -
- Comment: None
Page# 5