NCG550722_Inspection_20190717

EPA
United States Environmental Protection Agency
Washington, D.C. 20460
Water Compliance Inspection Report
Form Approved.
OMB No. 2040-0057
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 52 NCG550722 19/04/25 C S31112171819 20
21 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved-------------------
N67707172 73 74 75 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
23 Meadow Brook Drive
23 Meadow Brook Dr
Fletcher NC 28732
Entry Time/Date Permit Effective Date
Exit Time/Date Permit Expiration Date
02:00PM 19/04/25 19/02/06
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Other Facility Data
03:00PM 19/04/25 20/10/31
Name, Address of Responsible Official/Title/Phone and Fax Number
Kimberly S Long,23 Meadow Brooth Dr Fletcher NC 28732//941-549-1907/Contacted
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance Records/Reports 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
Janet Cantwell ARO WQ//828-296-4500 Ext.4667/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#1
DocuSign Envelope ID: F49A7275-F95F-4000-BB63-42B6F9AE81A2
7/17/2019
7/17/2019
NPDES yr/mo/day
19/04/25
Inspection Type
C3111218
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
I met with Kimberly Long, owner, for the inspection.
The permit was issued 2/6/19 and will expire 10/31/20.
The area was clean and well maintained.
File records show the septic tank was pumped in 2016 by the previous owner.
There was no evidence of ponding on the surface/ sandfilter.
NCG550722 17
Page#2
DocuSign Envelope ID: F49A7275-F95F-4000-BB63-42B6F9AE81A2
Permit:NCG550722
Inspection Date:04/25/2019
Owner - Facility:
Inspection Type:
23 Meadow Brook Drive
Compliance Evaluation
Permit Yes No NA NE
(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?
The permit was issued 2/6/19 and will expire 10/31/20.Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
The area was clean and well maintained.
File records show the septic tank was pumped in 2016 by the previous owner.
There was no evidence of ponding on the surface/ sand filter.
Chlorination and dechlorination tubes contained the correct tablets.
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
The effluent pipe was visible and not discharging at the time of inspection.Comment:
Page#3
DocuSign Envelope ID: F49A7275-F95F-4000-BB63-42B6F9AE81A2