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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary
LINDA CULPEPPER RECE1VED/DENR/DWR
Intern Director October 2, 2018
OCT 172018
Nathan R. Thomas Water Resources
4560 Merriweather Court Permitting Section
Winston Salem, NC 27107
SUBJECT: Compliance Evaluation Inspection
NC General Wastewater Permit NCG550000
Certificate of Coverage: NCG550235
Facility: 4560 Merriweather Court, Winston Salem, NC 27107
Owner: Nathan R. Thomas
County: Forsyth
Dear Mr. Thomas:
Ron Boone, of the Winston-Salem Regional Office (WSRO) of the NC Division of Water
Resources (DWR or the Division), met with you on September 19, 2018, at your home
located at 4560 Merriweather Court, Winston Salem, NC, to conduct a compliance
evaluation inspection (CEI) of your home's wastewater treatment system, which
discharges the final treated effluent to an unnamed tributary of Sawmill Branch, which is
located just north of your home and is currently classified as class C waters in the Yadkin-
Pee Dee River Basin.
You were able to show Mr. Boone all components of the system including the septic tank,
subsurface sand filter, chlorinator, cascade aeration, and discharge pipe. The tank was
pumped out within the past five years and you do add chlorine to the system. However,
you are currently using swimming pool chlorine tablets. You should be using wastewater
grade chlorine tablets (calcium hypochlorite/HTH/65% available chlorine) as they are
more efficient and don't pose the explosive hazard that isocyanurate (Tri-chlor) tablets
do. Mr. Boone left you a list of possible sources of supply for the correct tablets. Please
note that HTH tablets are extremely potent. You should not handle them without gloves
and you should not breathe the fumes produced by the tablets.
Also, please be aware that you should have the water tested once per year by a certified
lab, as required by the NCG550000 permit. Please review the permit in detail to
refamiliarize yourself with all requirements, including monitoring requirements. A copy of
the permit is attached to this letter.
D.EQ?),NORTH CAROLINA �
Department of 9tlm
rvamoUg anili
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
Finally,` our database shows that you are up-to-date on the annual permit fee of $60,
although the invoices from 2015 and 2017 were never paid. Thank you for all you do to
comply with the permit.
Please note that failure to comply with all permit requirements 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,
help protect your and your family's health and safety, as well as others in your community,
and protect the environment.
• If you have any questions or we may be of any assistance, please do not hesitate to call
Mr. Boone at 336-776-9690, or email him at ron.boone@ncdenr.gov. You may also
contact me at 336-776-9800 or sherri.knightancdenr.gov.
Thank you for your time and attention to this matter.
Sincerely,
Y
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 Files
DWR/WSRO Files
D_E
NO Q
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 450 Hanes Mill Road,Suite 300 I Winston-Salem,North Carolina 27103
336.776.9800
United States Environmental Protection Agency Form Approved.
EPA Washington,D.0 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 �N 2 3 I NCG550235 111 12 I 18/09/19 117 181 I 19 I G I 201 I
2111-11111 1111111111111111111111111 11111111111 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 1 70I I 711 I 72 12,J I 731 I I74 75J1 1 1 1 1 1 1 180
Section B Facility Data L
Name and Location of Facility Inspected(For lndustnal Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 03 OOPM 18/09/19 15/07/15
4560 Mernweather Court
Exit Time/Date Permit Expiration Date
4560 Merriweather Ct
03 20PM 18/09/19 18/07/31
Winston Salem NC 27107
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
Nathan Ray Thomas,4560 Memweather Ct Winston Salem NC 27107//336-784-1633/
No
Section C Areas Evaluated During Inspection(Check only those areas evaluated)
II Permit II Flow Measurement II Operations&Maintenance • Records/Reports
• Self-Monitoring Program • Facility Site Review I. Effluent/Receiving Waters • Laboratory
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 Boone lop
\ WSRO WQ//336-776-9690/
71 Ss
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
'1'47.1,1/1. a7-:_„„el2
iopthe
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete
Page# 1
NPDES yr/mo/day Inspection Type 1
31 NCG550235 111 121 18/09/19 117 18 Lc
Section D Summary of Finding/Comments(Attach additionalssheets of narrative and checklists as necessary)
Page# 2
4
Permit: NCG550235 Owner-Facility: 4560 Merriweather Court
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 ❑ DUO
application'?
Is the facility as described in the permit'? • 000
#Are there any special conditions for the permit'? 0 U 0 ❑
Is access to the plant site restricted to the general public'? • ❑ ❑ ❑
Is the inspector granted access to all areas for inspection'? • 0 ❑ 0
Comment. None
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit'? • 000
Is all required information readily available, complete and current'? • 000
Are all records maintained for 3 years (lab reg required 5 years)' • ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? ❑ ❑ • ❑
Is the chain-of-custody complete'? 0 ❑ II 0
Dates,times and location of sampling ❑
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses 0
Transported COCs ❑
Are DMRs complete do they include all permit parameters'? ❑ ❑ U ❑
Has the facility submitted its annual compliance report to users and DWQ'? ❑ ❑ • ❑
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ 0 IN ❑
on each shift'?
Is the ORC visitation log available and current'? ❑ 0110
Is the ORC certified at grade equal to or higher than the facility classification'? ❑ ❑ • ❑
Is the backup operator certified at one grade less or greater than the facility classification'? ❑ ❑ • ❑
Is a copy of the current NPDES permit available on site'? • ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review'? ❑ ❑ • ❑
Comment. You must begin testing the water in accordance with the permit. Please review the attached
copy of the permit and contact Mr Boone with any questions you may have.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory'? 0 • ❑ ❑
Page# 3
V'
Permit NCG550235 Owner-Facility: 4560 Merriweather Court
Inspection Date: 09/19/2018 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
Are all other parameters(excluding field parameters)performed by a certified lab'? ❑ • ❑ El
#Is the facility using a contract lab'? ❑ • El ❑
#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'? ❑ 0 • 0
Incubator(BOD)set to 20 0 degrees Celsius+/-1.0 degrees'? ❑ ❑ • El
Comment. No testing accomplished as of yet
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ U 0
Is sample collected below all treatment units? ❑ ❑ • ❑
Is proper volume collected? ❑ ❑ I ❑
Is the tubing clean'? ❑ ❑ • 0
#Is proper temperature set for sample storage(kept at less than or equal to 6 0 degrees ❑ ❑ I El
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ❑ • ❑
representative)?
Comment: No testing accomplished as of yet.
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational'? ❑ IN 0 ❑
Is septic tank pumped on a schedule'? • ❑ ❑ ❑
Are pumps or syphons operating properly'? ❑ ❑ • El
Are high and low water alarms operating properly? ❑ ❑ • ❑
Comment. No pumps or alarms are used.
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational'? ❑ ❑ 1 ❑
Is the distribution box level and watertight'? ❑ 0 ❑ •
Is sand filter free of ponding? U ❑ El ❑
Is the sand filter effluent re-circulated at a valid ratio, ❑ • ❑ El
• #Is the sand filter surface free of algae or excessive vegetation'? ❑ 0 • ❑
#Is the sand filter effluent re-circulated at a valid ratio'?(Approximately 3 to 1) ❑ • 0 ❑
Comment. This is a single-pass system.
Page# 4
,
Permit: NCG550235 Owner-Facility: 4560 Memweather Court
Inspection Date: 09/19/2018 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? • 000
Are the tablets the proper size and type? ❑ • ❑ ❑
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ ❑ ❑ U
Is the contact chamber free of growth, or sludge buildup'? ❑ ❑ E ❑
Is there chlorine residual prior to de-chlorination? 00 • O
Comment. Owner Is currently using Isocyanurate (Tri-chlor) tablets. Left him information to acquire the
correct tablets. Dechlorination is not required here.
Flow Measurement-Effluent Yes No NA NE
#Is flow meter used for reporting'? ❑ 0 • 0
Is flow meter calibrated annually? 00 • 0
Is the flow meter operational'? 00 • ❑
(If units are separated) Does the chart recorder match the flow meter'? 00 • ❑
Comment Flow must be estimated when submitting analytical data to the Division.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained'? • 000
Are the receiving water free of foam other than trace amounts and other debris? • 000
If effluent (diffuser pipes are required) are they operating properly? 00 • O
Comment Cascade aeration is in good condition.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping'? 111000
Does the facility analyze process control parameters, for ex MLSS, MCRT, Settleable 01100
Solids, pH, DO, Sludge Judge, and other that are applicable'?
Comment None
Page# 5