HomeMy WebLinkAboutNC0037311_Compliance Evaluation Inspection_20190823ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
William R. Hammonds
P.O. Box 485
Kernersville, NC 27285-0485
NORTH CAROLINA
Environmental Quality
August 23, 2019
SUBJECT: Compliance Evaluation Inspection
Creekside Manor Rest Home WWTP, NCO037311
Forsyth County
Dear Mr. Hammond:
Ron Boone, of the NC Division of Water Resources (DWR), Winston-Salem Regional Office,
visited the Creekside Manor Rest Home wastewater treatment plant on August 13th, 2019, to
perform a Compliance Evaluation Inspection (CEI). The assistance and cooperation of Clifford Cain,
Operator in Responsible Charge (ORC), was greatly appreciated. Details of the inspection are
recorded on the attached EPA Water Compliance Inspection Report.
You're reminded that, in accordance with NC General Statute 143-215.6A, failure to comply
with all conditions of the permit subjects the city to civil penalties not to exceed $25,000.00 per
violation, per day.
If you have any questions or require further assistance, please contact Mr. Boone by phone at
336-776-9690, or by email at ron.boone@ncdenr.gov. You may also contact me by phone at 336-776-
9700, or by email at lon.snider@ncdenr.g-ov.
Sincerely,
DocuSigned by:
EL 0,
Lont. g cf e'rE`Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office
Division of Water Resources, NCDEQ
Attachments:
EPA Water Compliance Inspection Report
cc: NCDWR WSRO File
QNorth�� Carolina Department of Environmental Quality I Division of Water Resources
EWinston-Salem Regional Office 1 450 Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105
NORTH CAROLINA
336.776.9800
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 15 I 3 I NC0037311 111 12 I 19/08/13 I17 18 L d 19 L s j 201
211 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 CA ---------------------- Reserved -------------------
671
71 J72 n73I—!74 751 I I I I
70Iu I
80
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 oermit Number)
01:OOPM 19/08/13
18/07/01
Creekside Manor Rest Home WWTP
6206 Reidsville Rd
Exit Time/Date
Permit Expiration Date
Kernersville NC 27284
02:OOPM 19/08/13
22/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Clifford Curtis Cain/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
William R Hammonds,PO Box 485 Kernersville NC 272850485H336-595-6004/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review 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 Docusigned by: WSRO WQ//336-776-9690/
EK0 a Booms 8/23/2019
820F8DD5F2A3460...
Signature of Management Q A Review Docusigned by: Agency/Office/Phone and Fax Numbers Date
L-0 , '? S'ac, 8/23/2019
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#
NPDES yr/mo/day Inspection Type
NCO037311 I11 121 19/08/13 117 18 JCJ
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
No discrepancies or violations noted by inspector.
Page#
Permit: NCO037311 Owner - Facility: Creekside Manor Rest Home WWTP
Inspection Date: 08/13/2019 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
❑
❑
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
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Comment: None
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
0
❑
❑
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Is all required information readily available, complete and current?
0
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
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Are analytical results consistent with data reported on DMRs?
0
❑
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Is the chain -of -custody complete?
0
❑
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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
Transported COCs
Are DMRs complete: do they include all permit parameters?
0
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Has the facility submitted its annual compliance report to users and DWQ?
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0
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(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
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0
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on each shift?
Is the ORC visitation log available and current?
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Is the ORC certified at grade equal to or higher than the facility classification?
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Is the backup operator certified at one grade less or greater than the facility classification?
0
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Is a copy of the current NPDES permit available on site?
0
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Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
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Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? M ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑
Page# 3
Permit: NCO037311 Owner - Facility: Creekside Manor Rest Home WWTP
Inspection Date: 08/13/2019 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
# Is the facility using a contract lab?
❑
❑
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# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
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Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
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Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑
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Comment: None
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
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0
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Is sample collected below all treatment units?
0
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Is proper volume collected?
0
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Is the tubing clean?
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0
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# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
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❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
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representative)?
Comment: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and 0 ❑ ❑ ❑
sampling location)?
Comment: None
Flow Measurement - Influent
Yes No NA NE
# Is flow meter used for reporting?
0
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Is flow meter calibrated annually?
❑
0
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Is the flow meter operational?
0
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(If units are separated) Does the chart recorder match the flow meter?
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Comment: Facility water meter is used to estimate plant flow.
Bar Screens
Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical
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Page# 4
Permit: NCO037311
Inspection Date: 08/13/2019
Owner - Facility: Creekside Manor Rest Home WWTP
Inspection Type: Compliance Evaluation
Bar Screens
Yes No NA NE
Are the bars adequately screening debris?
0
❑
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Is the screen free of excessive debris?
0
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Is disposal of screening in compliance?
0
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Is the unit in good condition?
0
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Comment: None
Aeration Basins
Yes No NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
0 ❑
❑
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Are surface aerators and mixers operational?
❑ ❑
0
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Are the diffusers operational?
0 ❑
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Is the foam the proper color for the treatment process?
0 ❑
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Does the foam cover less than 25% of the basin's surface?
0 ❑
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Is the DO level acceptable?
0 ❑
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Is the DO level acceptable?(1.0 to 3.0 mg/1)
0 ❑
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Comment: None
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
0
❑
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Is the site free of excessive buildup of solids in center well of circular clarifier?
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0
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Are weirs level?
0
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Is the site free of weir blockage?
0
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Is the site free of evidence of short-circuiting?
0
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Is scum removal adequate?
E
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Is the site free of excessive floating sludge?
0
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Is the drive unit operational?
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0
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Is the return rate acceptable (low turbulence)?
0
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Is the overflow clear of excessive solids/pin floc?
0
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Is the sludge blanket level acceptable? (Approximately'/4 of the sidewall depth)
❑
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Comment: None
Pumps-RAS-WAS Yes No NA NE
Page# 5
Permit: NC0037311
Inspection Date: 08/13/2019
Owner - Facility: Creekside Manor Rest Home WWTP
Inspection Type: Compliance Evaluation
Pumps-RAS-WAS
Yes No NA NE
Are pumps in place?
0 ❑
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Are pumps operational?
0 ❑
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Are there adequate spare parts and supplies on site?
0 ❑
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Comment: Air lift pumps
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
0
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Are the tablets the proper size and type?
0
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Number of tubes in use?
3
Is the level of chlorine residual acceptable?
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Is the contact chamber free of growth, or sludge buildup?
0
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Is there chlorine residual prior to de -chlorination?
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Comment: None
De -chlorination
Yes No NA NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
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Is storage appropriate for cylinders?
❑
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EEI
# Is de -chlorination substance stored away from chlorine containers?
0
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Are the tablets the proper size and type?
0
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Comment: None
Are tablet de -chlorinators operational? ❑ ❑ ❑
Number of tubes in use? 3
Comment: None
Effluent Pipe
Yes No NA NE
Is right of way to the outfall properly maintained?
0
❑
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Are the receiving water free of foam other than trace amounts and other debris?
0
❑
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If effluent (diffuser pipes are required) are they operating properly?
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Comment: None
Aerobic Digester Yes No NA NE
Is the capacity adequate? ❑ ❑ ❑
Page# 6
Permit: NCO037311
Inspection Date: 08/13/2019
Owner - Facility: Creekside Manor Rest Home WWTP
Inspection Type: Compliance Evaluation
Aerobic Digester
Yes No NA NE
Is the mixing adequate?
0
❑
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Is the site free of excessive foaming in the tank?
0
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# Is the odor acceptable?
0
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# Is tankage available for properly waste sludge?
0
❑
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Comment: None
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: None
Page# 7