NCG550246_Compliance Evaluation Inspection_20181001

trs- trioN
vlIert
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary RECEIVED/DENR/DWR
LINDA CULPEPPER
Interim Director 0 C T 0 9 2018
October 1, 2018
Water Resources
Permitting Section
Christopher and Whitney Aiken
617 Gatewood Avenue
High Point, NC 27265
SUBJECT: Compliance Evaluation Inspection
Certificate of Coverage: NCG550246
979 Old Greensboro Rd, High Point
Davidson County
Dear Mr. and Mrs. Aiken,
On September 20, 2018, Kelli Park and 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.
Miss Park and Ms. Graznak were unable to locate the chlorination tubes and effluent pipe.
Please be aware that the permit requires that the chlorinator be adequately supplied with
chlorine tablets for proper operation. Via a phone conversation Mr. Aiken reported that he
adds chlorine tablets to the system every 3-4 months. The effluent being discharged in
the stream should also be checked to ensure that no solids are being discharged and that
there are no impacts to the stream.
The permit also requires that the septic tank contents be pumped out every 3-5 years to
prevent solids from clogging the sand filter system. Via a phone conversation with Mr.
Aiken it was noted that the system was pumped about 3.5 years ago. Please keep records
of septic tank pumping on hand as a historical record and proof that you had the tank
pumped.
It is unknown when the effluent was most recently tested by a laboratory. Mr. Aiken
reported that he has not seen any effluent coming out of the discharge pipe, and therefore
has not sampled. Water samples from the effluent are required to be analyzed at least
once a year by a certified laboratory. These records are required to be maintained and
should be shared with NCDEQ upon request. A copy of the permit monitoring
requirements is attached to this letter for reference of what should be monitored.
LD_E
NORTH CAROLINA Q?
014MMe tofBMrmntW0Y6�
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

J
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
1 LL I 2 [ I 3 I NCG550246 I11 12 I 18/09/20 117 18 I I 19 I S I 201 1
] 11111111111111111111111111111p6211 11111 III III
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved-
67
eserved--
671 1 701 I 71 I I 72 LJ 731 I 174 75� 1 1 1 1 1 1 1.80
Section B.Facility Data LJ
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 ROAM 18/09/20 13/08/01
979 Old Greensboro Road
979 Old Greensboro Rd Exit Time/Date Permit Expiration Date
High Point NC 27265 11 30AM 18/09/20 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible OfficialTitle/Phone and Fax Number
Contacted
Christopher Aiken,979 Old Greensboro Rd High Point NC 272651/336-482-7164/
No
Section C Areas Evaluated During Inspection(Check only those areas evaluated)
• Permit • Facility Site Review • Effluent/Receiving Waters
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
Jennifer F Graznak WSRO WQ//336-771-50001
Kell;A Park/� WSRO WQ//336-776-9689/
101/e 101 /
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
) V/IAA Y • I 70//fief.0/l/l
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete •
Page# 1

x i
Permit: NCG550246 Owner-Facility 979 Old Greensboro Road
Inspection Date• 09/20/2018 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 00 • 0
application?
Is the facility as described in the permit'? • 000
#Are there any special conditions for the permit? 0 • 00
Is access to the plant site restricted to the general public'? 01100
Is the inspector granted access to all areas for inspection'? • 000
Comment , SFR
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained'? 0 0 • 0
Are the receiving water free of foam other than trace amounts and other debris'? ❑ ❑ • ❑
If effluent (diffuser pipes are required) are they operating properly'? 00 • 0
Comment: Unable to locate the effluent pipe or recievinq water
Page# 3