HomeMy WebLinkAboutNCG550121_Inspection_20190617ROY COOPER
Governor
MiCHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Ms. Linda Grounds or current tenant
1011 Kelly Road
Mt Holly, NC 28120
Dear Ms. Grounds:
NORTH CAROLINA
Enwronmental Quality
June 17, 2019
Subject: Compliance Evaluation Inspection
1011 Kelly Road
Permit No. NCG550121
Gaston County
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on June 13, 2019, by Ori Tuvia. Your cooperation during the site visit was
much appreciated.
Has was discussed on site, at the time you sell the house please fill and mail a change of
ownership form (attached to the report)
The report should be self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Ori Tuvia at (704) 235-2190, or at
ori.tuvia(a�ncdenn gov.
Sincerely,
W 'Eire} -Basinger
Regional Supervisor
Mooresville Regional Office
Division of Water Resources
Cc: NPDES, MRO Files (Laserfiche)
State of North Carolina I Environmental Quality j Water Resources I Water Quality Regional Operations
Mooresville Regional Office ( 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2 15 I 3 I NCG550121 I11 12 19/06/13 17
18 Li 19 i G i 201
21IIII I I I I I III I LI I I I I I I I I I I I I I I
I I I I I III I I I I I f6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CA
--- ---------------- Reserved -------------
67 10 701, I 71 I I 72 I N I
LJ LJ
73I I J74 751
I I I I I I I80
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)
10:55AM 19/06/13
18/10/30
1011 Kelly Road
Exit Time/Date
Permit Expiration Date
1011 Kelly Rd
11:15AM 19/06/13
20/10/31
Mount Holly NC 28120
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
Linda Grounds, 1011 Kelly Rd Mount Holly NC 28120M
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Operations & Maintenance 0 Facility Site Review
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
On A Tuvia MRO WQ//704-663-1699/
l
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
i
Date
Andrew Pitner MRO WQ//704-663-1699 Ext.21
/ /
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. ( j
Page#
NPDES yr/mo/day Inspection Type
31 NCG550121 I� 121 19/06/13 117 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#
Permit: NCG550121
Inspection Date: 06/13/2019
Owner - Facility: 1011 Kelly Road
Inspection Type: Compliance Evaluation
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Yes No NA NE
❑ ❑ ■ ❑
■ ❑ ❑ ❑
❑ ■ ❑ ❑
❑ ❑ ■ ❑
❑ ❑ ❑
Comment: Has was discussed on site, at the time you sell the house please fill and mail a change of
ownership form (attached to the report)
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? M ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Septic tank was pumped in 2017.
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
M
❑
❑
❑
Are the tablets the proper size and type?
M
❑
❑
❑
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
❑
❑
0
❑
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
M
❑
❑
Comment: Chlorine tablets were observed in the chlorinator.
Page# 3