HomeMy WebLinkAboutNCG550106_Compliance Evaluation Inspection_20190925ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Barbara Cherry
8004 Deer Hill Circle
Belews Creek, NC 27009
NORTH CAROLINA
Environmental Quality
September 25, 2019
SUBJECT: Compliance Evaluation Inspection
9330 Glen Cross Drive, Kernersville, NC, 27284
Permit #: NCG550106
Forsyth County
Dear Ms. Cherry:
Ron Boone, of the NC Division of Water Resources (DWR), Winston-Salem Regional Office,
visited your home located at 9330 Glen Cross Drive, in Kernersville, NC, on September 24th, 2019, to
perform a Compliance Evaluation Inspection (CEI) of the home's discharging wastewater disposal
system. You were not at the home at the time of Mr. Boone's visit, but the person who rents the home
from you was. Unfortunately, the renter had no knowledge of the wastewater system. Mr. Boone
therefore requested that he ask you to contact him to schedule a time for an inspection. He agreed to
do so.
Please contact Mr. Boone by phone at 336-776-9690, or by email at ron.booneoncdenr.gov,
as soon as possible to schedule the inspection.
You may also contact me by phone at 336-776-9700, or by email at lon.sniderOncdenr.gov.
Sincerely,
DocuSiTc%gnedeby:
E
l Mac,
LonT.'Nnide 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
Barbara Cherry or Current Resident, 9330 Glen Cross Drive, Kernersville, NC, 27284
D E Q�p North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105
NORTH C. 0LINA
o•o•°^•mme""°""•"viu"•i� /� 336.776.9800
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Barbara Cherry
8004 Deer Hill Circle
Belews Creek, NC 27009
NORTH CAROLINA
Environmental Quality
September 25, 2019
SUBJECT: Compliance Evaluation Inspection
9330 Glen Cross Drive, Kernersville, NC, 27284
Permit #: NCG550106
Forsyth County
Dear Ms. Cherry:
Ron Boone, of the NC Division of Water Resources (DWR), Winston-Salem Regional Office,
visited your home located at 9330 Glen Cross Drive, in Kernersville, NC, on September 24th, 2019, to
perform a Compliance Evaluation Inspection (CEI) of the home's discharging wastewater disposal
system. You were not at the home at the time of Mr. Boone's visit, but the person who rents the home
from you was. Unfortunately, the renter had no knowledge of the wastewater system. Mr. Boone
therefore requested that he ask you to contact him to schedule a time for an inspection. He agreed to
do so.
Please contact Mr. Boone by phone at 336-776-9690, or by email at ron.booneoncdenr.gov,
as soon as possible to schedule the inspection.
You may also contact me by phone at 336-776-9700, or by email at lon.sniderOncdenr.gov.
Sincerely,
DocuSiTc%gnedeby:
E
l Mac,
LonT.'Nnide 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
Barbara Cherry or Current Resident, 9330 Glen Cross Drive, Kernersville, NC, 27284
D E Q�p North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105
NORTH C. 0LINA
o•o•°^•mme""°""•"viu"•i� /� 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 NCG550106 111 12 I 19/09/24 I17
18 I S J 19 L G] 201 I
211111 1 1 I I I I II I I I I I I I I I I I I 1 I I I I
I I I I I I II I I I I I f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA
---------------------- Reserved -------------------
671
70 I I 71 I I 72 I r I
u ty
73 I I 174 751 I I I I I I I80
I I i
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)
01:30PM 19/09/24
18/10/30
9330 Glen Cross Drive
9330 Glen Cross Dr
Exit Time/Date
Permit Expiration Date
Kernersville NC 27284
01:45PM 19/09/24
21/10/31
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
Barbara Cherry,9330 Glen Cross Dr Kernersville NC 27284//336-996-3030/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
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 DWR/WSRO WQ/336-776-9690/
cuSigned by:
Doosiaecl �oon�
9/25/2019
Signature of Management Q A Review[Docusigned by: Agency/Office/Phone and Fax Numbers
uti ? S'ac,
Date
9/25/2019
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#
NPDES yr/mo/day Inspection Type
NCG550106 I11 121 19/09/24 117 18 JCJ
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Homeowner was not home at the time of the inspection. She rents the home out. The renter was there
at the time of the inspection but had no knowledge of the wastewater system. The inspector requested
that the renter notify the owner of the need for the inspection and contact the inspector to schedule the
inspection.
Page#
Permit: NCG550106
Inspection Date: 09/24/2019
Permit
Owner - Facility: 9330 Glen Cross Drive
Inspection Type: Compliance Evaluation
(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: Homeowner was not home at the time of the inspection. She rents the home out. The renter
was there at the time of the inspection but had no knowledge of the wastewater system. The
inspector requested that the renter notify the owner of the need for the inspection and
contact the inspector to schedule the inspection.
Page# 3