"cache file is newer than last flush" issue

I am unable to overwrite cached html files due to this following error, cache file is newer than lastflush -> use cache

The publish, render and live boxes have their time sync working, so I am at a loss to this issue. Files are being pushed to a box with Windows Server 2003 and IIS6 running Dispatcher 4.1.1. Here is the full log:

[Mon Jun 18 11:12:26 2012] [debug] Found farm website for x.x.x.x
[Mon Jun 18 11:12:26 2012] [debug] checking [/population_health/hello-world.html]
[Mon Jun 18 11:12:26 2012] [debug] cache file is newer than lastflush -> use cache [E:\inetpub\wwwroot\population_health\hello-world.html]
[Mon Jun 18 11:12:26 2012] [debug] cache-action for [/population_health/hello-world.html]: SPOOL
[Mon Jun 18 11:12:26 2012] [debug] request declined
[Mon Jun 18 11:12:26 2012] [info] "GET /population_health/hello-world.html" 0 - 0ms