HomeMy WebLinkAboutNCG550058_Compliance Evaluation Inspection_20181003 ,g
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary
LINDA CULPEPPER QCT O 9 �01�
Interim Director October 3, 2018
Water RCS$ect on
John C. McCaffrey &Amy M. Owings perm+rt+ny
4669 Paula Drive
Winston-Salem, NC 27127-8742
SUBJECT: Compliance Evaluation Inspection
NC General Wastewater Permit NCG550000
Certificate of Coverage: NCG550058
Facility: 4669 Paula Drive, Winston-Salem, NC 27127-8742
Owner:William S. Rivers (Former), John C. McCaffrey&Amy M. Owings (Current)
County: Forsyth
Dear Mr. McCaffrey & Ms. Owings:
Forsyth County tax records indicate that you are the current legal owners of the single-family
residence located at 4669 Paula Drive, in Winston-Salem, NC. This letter is to make you aware
that the home's wastewater system is a discharging system, which, after treatment, discharges
its wastewater to waters of the state known as South Fork Muddy Creek, which is currently
classified as class C waters in the Yadkin-Pee Dee River Basin.
This is extremely important for you to know because in the state of North Carolina, a permit
issued by the state's Division of Water Resources (DWR or the Division), is required for any
discharge to waters of the state. This is a lawful requirement that can be reviewed in NC General
Statute (NCGS) 143-215.1, Control of Sources of Water Pollution; Permits Required. You
may view this statute on the NC General Assembly's website, listed below:
https://www.ncleq.net/EnactedLegislation/Statutes/HTML/BvArticle/Chapter 143/Article 21.html
Accordingly, your home at 4669 Paula Drive is regulated with Certificate of Coverage (COC)
NCG550058, under NC General Wastewater Permit NCG550000. This permit, which we have
attached a copy of, contains all your legal obligations, as homeowner and permittee, for system
operation and maintenance, testing, and documentation. Please be aware that failure to comply
with all requirements of the NCG550000 general permit subjects the homeowner(s) to civil
penalties of not more than $25,000 per day, per violation, as outlined in NCGS 143-215.6A,
Enforcement Procedures; Civil Penalties, which can also be reviewed at the website listed
above.
Ron Boone, of the Winston-Salem Regional Office (WSRO) of the NC DWR, attempted to contact
you at the home on September 19, 2018, to conduct an inspection of the system, but, apparently
you were not there at the time. Mr. Boone did leave a note requesting that you contact him. NC
DWR requires us to conduct compliance evaluation inspections (CEI) of each such wastewater
system in the state at least every five years to ensure they are fully functional and effectively
GGD_E
NORTH Coa4uMq
Oewt mR a1 EM'umenul UmBb�
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
United States Environmental Protection Agency Form Approved.
E PA 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
1L 2H I 3 I NCG550058 111 12 1 18/09/19 117 18 1,.1 19 ISI 201 I
211111 I I I I I I II 1 11 1 1 1 1 1 I I I I I I I I I I I I I 1111 I I I I 1166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 I 701 1 71 1 I 72 1 N I 731 I 174 751 I I I I I I 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) 02 OOPM 18/09/19 07/08/01
4669 Paula Dnve
Exit Time/Date Permit Expiration Date
4669 Paula Dr
02 15 P M 18/09/19 12/07/31
Winston Salem NC 27127
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
William S Rivers,4669 Paula Dr Winston Salem NC 27127///
No
Section C Areas Evaluated During Inspection(Check only those areas evaluated)
II 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
Ron BooneWSRO WQ//336-776-9690/
iii/
j`�
/
---r Reviewer of Management Q Awer Agency/Office/Phone and Fax Numbers Date
)QL v. l4;r f- /0/3j1s-
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete
Page# 1
Permit: NCG550058 Owner-Facility: 4669 Paula Drive
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 0 •
application?
Is the facility as described in the permit? 0 0 0 •
#Are there any special conditions for the permit'? 0 0 0 •
Is access to the plant site restricted to the general public'? 0 0 0 •
Is the inspector granted access to all areas for inspection'? 0 0 0
Comment Permittee was not home the day of the inspection, so a full inspection could NOT be
completed. Left note requesting that they contact us Home is currently owned by John C
McCaffrey&Amy M. Owings.
Page# 3