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NORTH CAaaoLINIA
ROY COOPER avrrc aenerrtaf Qrtadny RECEIVED/DENR/DWR
MICHAEL S.REGAN DEC 21 2018
• Secr s
LINDA CULPEPPER Watering
Intertia Director Permitting ng S Section
- December 11, 2018
JoAnne Cavalier
19 Macbeth Circle
Miller Place,NY 11764
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
Permit No. NCG550539
1056 Shore Acres Drive
Person County
To whom it may concern,
On November 30, 2018, Zach Thomas and Jeremiah Dow from the Raleigh Regional Office
visited your single-family residence (SFR) wastewater treatment system to evaluate compliance
with the above permit to discharge wastewater. The checked boxes below show what
conditions were noted at your facility:
❑ NPDES Permit Name/Owner Change Form: Because your treatment system makes
an outlet to waters of the state, it is an activity for which the subject permit is required.
To comply with North Carolina General Statute § 143-215.1(a), which requires a person
to obtain a permit to make an outlet into the waters of the state,you will need to
complete and submit the attached NPDES Permit Name/Ownership Change Form
to the Division within 45-days receipt of this letter.
n In compliance: You are reminded to regularly maintain the chlorine disinfection and
dechlorination systems, have the effluent sampled once a year, and have the septic tank
pumped out every 3 to 5 years. Your good record of operation and meeting the permit
requirements is highly commended.
[' Disinfection: Your system is lacking disinfection, either chlorine tablets or a UV light
system. New rules put into place on August 1, 2007 require all SFR systems to have a
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North Carolina Department of Environmental Quality I Division of Water Resources Quality I Raleigh Regional Office
1628 Mail Service Center I Raleigh,North Carolina 27699-1628
919.791.4200
A
means of disinfection(and dechlorination when chlorine tablets are used to disinfect, if
the system was installed since that date). Since your system had no disinfection,the
installation is to include a chlorine tablet dispenser, a contact chamber capable of
providing a minimum 30-minute contact time, and another tablet dispenser that will hold
dechlorination tablets. Please submit a schedule to this office within 20 calendar days of
receipt of this letter that states your plan for correcting this deficiency.
0-Treatment-tablets-missing or-are-wrong-kind:—You-are-responsible-for-always
having chlorine tablets and dechlorination tablets (if a required part of your system) in
place. They must be the kind for wastewater treatment and not for swimming pools.
n Dechlorination: Your system was installed after August 1, 2007, so must have a
means of dechlorination located downstream of the chlorinator and its contact chamber.
See Disinfection paragraph above.
® Pumping the septic tank: The septic tank should be pumped out every 3 to 5 years.
A pumping company can check the status periodically and determine when pumping is
required.
El Analyze the effluent: The effluent that is discharged from your system must be
analyzed once each year. See Part I(A) of your permit about this requirement. A list of
NC certified laboratories that provide this service was left at your residence during the
inspection.
❑Locations of treatment units are unknown: Determine this and report to this office
within 30 days of receipt of this letter with a sketch or map.
Other: It is noted that this is a vacation home and only occupied a few weeks out of
the year. Please ensure that proper maintenance is performed to maintain permit
compliance.
If you have questions or comments about this inspection,please contact Zach Thomas at 919-
791-4247. Licensed plumbers should be used to make plumbing changes within your home.
Sincerel ,
Rick olich, LG, Assistant Supervisor
Water Quality Regional Operations
Raleigh Regional Office
•
Attachments: Inspection Report
cc: RRO/SWP Files
Charles Weaver,NPDES Permitting Unit
EKPInst �J
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North Carolina Department of Environmental Quality I Division of Water Resources Quality I Raleigh Regional Office
1628 Mail Service Center I Raleigh,North Carolina 27699-1628
919 791.4200
--
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 IN I 2 I5 I 3 I NCG550539 111 121 18/11/30 117
18 I L I 19 1 G I 201
21ll ll l l l l l 111 l l l I I l l l l l l l l l l l l l l I I I IIli I l I i r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
67I I 70 I I 711 I 72 El 1 731 I I74 75J I .l I J I 1180
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) 12 45PM 18/11/30 13/08/01
1056 Shore Acres Drive '
1056 Shore Acres Dr Exit Time/Date Permit Expiration Date
Semora NC 27343 12 55PM 18/11/30 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
Joanne Cavalier,19 Marbeth Cir Miller Place NY 11764///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance e Self-Monitoring Program ® Facility Site Review
1111 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
Zachary Thomas /' RO WGJ/919-791 4247/
Signature of Man geme t Q A Reviewer Agency/Office/Phone and Fax Numbers Da
4 /ft-7g
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete
Page# 1
NPDES yr/mo/day Inspection Type 1
31
NCG550539 Ill 121 18/11/30 117 18 i
y
Section D•Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
It is noted that this home is a vaction home and only used a few weeks out of the year. Attempted to
contact permittee, but could not reach via phone.
Page# 2
' :.-
Permit: NCG550539 Owner-Facility: 1056 Shore Acres Drive
Inspection Date: 11/30/2018 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? N ❑ 0 ❑
Does the facility analyze process control parameters,for ex. MLSS, MCRT, Settleable ❑ ❑ • ❑
Solids, pH,DO,Sludge Judge,and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 ❑ III ❑
application'?
Is the facility as described in the permit? • ❑ ❑ ❑
#Are there any special conditions for the permit'? ELI ❑ ❑ .
Is access to the plant site restricted to the general public'? 0 ❑ • ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained'? • ❑ 0 ❑
Are the receiving water free of foam other than trace amounts and other debris'? 1.1 ❑ 0 ❑
If effluent (diffuser pipes are required) are they operating properly? 0 ❑ II ❑
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational'? 0 ❑ II ❑
Is septic tank pumped on a schedule'? ❑ 0 0 II
Are pumps or syphons operating'properly? ❑ 0 ❑ 0
Are high and low water alarms operating properly'? ❑ ❑ IN ❑
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ® ❑ ❑ ❑
Are the tablets the proper size and type? IN 0 0 ❑
Number of tubes in use?
Is the level of chlorine residual acceptable? ❑ 0 0 II
Is the contact chamber free of growth,or sludge buildup? • ❑ ❑ ❑
Is there chlonne residual pnor to de-chlorination? 0 ❑ ❑ •
Page# 3
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Permit: NCG550539 Owner-Facility: 1056 Shore Acres Drive
Inspection Date: 11/30/2018 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Comment: -
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? 0 0 0 III
Is sand filter free of ponding? II 0 ❑ 0
Is the sand filter effluent re-circulated at a valid ratio? 0 0 0 II
#Is the sand filter surface free of algae or excessive vegetation? ® 0 0 ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) 0 0 0 •
Comment:
Effluent Samplinq Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ® 0
Is sample collected below all treatment units? 0 ❑ 0 N
Is proper volume collected? 0 ❑ 0 II
Is the tubing clean? 0 0 • 0
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees 0 0 II 0
Celsius)?
Is the facility sampling performed as required by the permit(frequency, sampling type 0 0 0 II
representative)?
Comment: Could not reach permittee via phone
Page# 4