NCG550937_NOV-2019-PC-0765_20191210

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental Quality
December 10, 2019
Certified Mail # 7017 2680 0000 2236 1106
Return Receipt Requested
Brittany James
1412 Oak Forest Drive
Hillsborough NC, 27278
Subject: Notice of Violation (NOV-2019-PC-0765)
Compliance Evaluation Inspection
Single Family Wastewater Treatment System
Certificate of Coverage. NCG550937
1412 Oak Forest Drive, Hillsborough
Orange County
Ms. James:
On November 13, 2019, Jason Robinson and Erin Deck from the NC Division of Water
Resources visited your single-family residence (SFR) to evaluate compliance of the property's
discharging wastewater system that is covered under NPDES General Permit NCG550000 and
the individual Certificate of Coverage #NCG550937. Based on the site -visit and file review, the
following observations were made:
I . An information package was left on the door on November 13, 2019 requesting the
permitee to contact DWR staff within five business days. This office has no record of the
permitee contacting DWR staff.
2. A DWR inspection was previously performed on this site on February 16, 2017. The
permittee was on -site during that inspection. An inspection report was sent to the
resident dated March 20, 2017 (attached). The 2017 report requested that the permitee
address several items and respond to this office in writing. This office has no record of
the pennittee responding to this request.
3. During the 2017 inspection, the inspectors were unable to locate the units of the
wastewater system (septic tank, sand filter, chlorinator, chlorine contact chamber,
effluent discharge pipe). A white PVC cleanout and junction vault/chlorine contact
chamber were found just outside the backyard fence beside the ditch, but it was unclear if
these were part of your system (see attached picture), and the vault was almost entirely
filled with sediment. The previous inspection report (March 20, 2017, attached) asked
the permittee to have the units located, including the effluent discharge pipe. Since the
effluent discharge pipe could not be located, it could not be determined if the wastewater
is traveling through the entire system and being properly treated. If the wastewater is not
exiting the effluent discharge pipe, then it is possibly discharging in another location and
North Carolina Department of Environmental Quality I Division of Water Resources
_ Raleigh Regional Office 3800 Barrett Drive I Raleigh. North Carolina 27609
919.7914200

may be untreated!partially treated. It is also possible that it may be making contact with
groundwater.
—4,-Zhe-general permit requires the septic tank to be pumped every 3-5 years. It is unclear if
this has been done.
5. The general permit requires that chlorine tablets be kept in the chlorinator (tube) at all
times for disinfection of the wastewater. It is unclear where the chlorinator is located.
The white PVC cleanout just outside of the fence may be the chlorinator, but this needs to
be confirmed. (At the previous inspection, the permittee mentioned that Ultra Violet
disinfection had recently been installed. This may have been for the resident's drinking
water system, not their wastewater system. This should be confirmed.)
b. The general permit requires that the discharging effluent be analyzed annually by a
certified lab. During the 2017 inspection, the effluent discharge pipe could not be
located, and the permittee had no record of having the effluent analyzed.
Please see the checked (® ) boxes below form more details of the findings of this inspection:
a. ® Treatment tablets missing or are wrong kind: You are responsible for always having
chlorine tablets and dechlorination tablets (if a required part of your system) in place. See
Part I - Section D.3 of the general permit. The tablets must be the kind for wastewater
treatment and not for swimming pools. Based on the previous inspection, it was unclear
where the chlorinator was located, and if it had the correct chlorine tablets. PIease determine
the location of the chlorinator, and make sure that the correct chlorine tablets are in the
chlorinator at all times for disinfection. If there is no chlorinator present, one should be
added to ensure that the wastewater is vroverIv disinfected.
b. ® Pumping the septic tank: The septic tank should be pumped out every 3 to 5 years. See
Part I - Section D. I of the general permit. A pumping company can check the status annually
and determine if pumping is required sooner. If the septic tank has not been pumped in the
last 3-5 years, please have this scheduled in the next 30 days.
c. 0 Failure to analyze the effluent: The effluent that is discharged from your system (via
effluent discharge pipe) must be analyzed once each year. See Part I - Section A of your
permit about this requirement. A list of NC -certified laboratories that provide this service
was left at your residence during both inspections. Make arrangements for sampling to be
carried out within the next 3 months, and submit results to this office within 3 weeks after the
sampling has been done.
d. ® Locations of treatment units are unknown: There system should include a septic tank,
sand filter, chlorinator and chlorine contact chamber. There should also be an effluent
discharge pipe where the treated wastewater exits the system.
• The location of the treatment units should be determined and a sketch or map should
be provided to this office that also shows the house and fence.
This discharge pipe should be located and kept exposed (it may be covered by
dirt/debris).
This inspection re ort is being issued as a Notice of Violation because deficiencies of the
general permit requirements described in this repart. Pursuant to North Carolina General Statute
2of4

(G.S.) 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00)
may be assessed against any person who violates or fails to act in accordance with the terms,
conditions, or requirements of any permit issued pursuant to G.S. 143-215.1.
Please respond to the checked boxes (a-d) above with a written response within 30 days of
receiving this letter. The response can be emailed Jason. T.Robinson cnr. ncdenr. gov or mailed to
the attention of Jason Robinson at the address on the bottom of the first page. If you have
questions or comments about this inspection or the requirements to take corrective action, please
contact Jason Robinson or me at 919-791-4200 or the email address above.
Licensed plumbers should be used to make plumbing changes within your horse. Conlractors for
installing disinfection or other- equipment may be found in the Yellol+, Pages urrzder
"Environmental Consultants ".
Sincerely,
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Attachments: Picture
Previous Inspection Report (Dated March 20, 2017)
Checklists
cc: RROiSWP Files
Emily Phillips, NPDES Permitting Unit w/o attachments
Per County Health Department w/o attachments
0rgh5 e
3 of 4

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United Stains Environmental Protection Age,--:1
Finn Approved.
EPA Washington a C 2046t.
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 yrlmciday Inspection Type
Inspector Fac Type
1
J 2 15 I 3 NCG5559 11 121 19111,13 117 1 s J
19 c 20 LJ
21
6
Inspection Work Days Facility Self Monitoring Evaluation Rating B1 DA
Reserved
87 70 h.J 71I I 72 L i 731 I 174 75 80
�] I I I
Section B: Facility Data
Name and Location of Facility M.spected (For Industrial 6sers discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10 30AM 19/11113
13108/01
1412 Oak Forest Dr,ve
Exit Time/Date
Permit Expiration Date
1412 Oak Forest Or
Hillsborough NC 27278
10 40AM 19111113
18107/31
Name(s) of Onsile Representative(s;/Tides.5 r Phone and Fax Numbers)
Other Facility Data
111
Name Address of Responsible Officialfiitle.Phone and Fax Number
Brittany N James 1412 Oak Forest Or Hillsborough NC 27278;r! Contacted
No
Section C Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations & Maintenance 0 Effluent/Receiving Waters
Section D Summary of FindinglComments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Names) and Signature(s) of Inspector(s) Agency;Office; Phone and Fax Numbers
Date
Jason T Robinson DWRIRRO WO:919-79142001
Signature of Management 0 A Reviewer Agency Office;Phone and Fax Numbers
Date
1.2
EPA Form 3560-3 (Rev 9.94) Previous editions are obsolete
Page#

NPDE5 yrlmolday Inspection Type (Cont.)
3 NCG550937 11 121 1911103 `17 18 I r, l
Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
1. An information package was left on the door on November 13, 2019 requesting the permitee to
contact DWR staff within five business days. This office has no record of the permitee contacting
DWR staff.
2. A DWR inspection was previously performed on this site on February 16, 2017. The permittee was
on -site during that inspection. An inspection report was sent to the resident dated March 20, 2017
(attached). The 2017 report requested that the permitee address several items and respond to this
office in writing. This office has no record of the permittee responding to this request.
3. During the 2017 inspection, the inspectors were unable to locate the units of the wastewater
system (septic tank, sand filter, chlorinator, chlorine contact chamber, effluent discharge pipe). A white
PVC cleanout and junction vault/chlorine contact chamber were found just outside the backyard fence
beside the ditch, but it was unclear if these were part of your system (see attached picture), and the
vault was almost entirely filled with sediment. The previous inspection report (March 20, 2017,
attached) asked the permittee to have the units located, including the effluent discharge pipe. Since
the effluent discharge pipe could not be located, it could not be determined if the wastewater is
traveling through the entire system and being properly treated. If the wastewater is not exiting the
effluent discharge pipe, then it is possibly discharging in another location and may be untreated/partially
treated. It is also possible that it may be making contact with groundwater.
4. The general permit requires the septic tank to be pumped every 3-5 years. It is unclear if this has
been done.
5. The general permit requires that chlorine tablets be kept in the chlorinator (tube) at all times for
disinfection of the wastewater. It is unclear where the chlorinator is located. The white PVC cleanout
just outside of the fence may be the chlorinator, but this needs to be confirmed. (At the previous
inspection, the permittee mentioned that Ultra Violet disinfection had recently been installed. This may
have been for the resident's drinking water system, not their wastewater system. This should be
confirmed.)
6. The general permit requires that the discharging effluent be analyzed annually by a certified lab.
During the 2017 inspection, the effluent discharge pipe could not be located, and the permittee had no
record of having the effluent analyzed.
Page

Permit: NCG550937 Owner - Facllity: 1412 Oak Forest Drive
Inspection Date: 1111312019 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?
❑
❑
❑
M
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
❑
❑
❑
Is the inspector granted access to all areas for inspection?
❑
❑
❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: IVILSS, MCRT, Settleable ❑ ❑ ❑
Solids pH, DO, Sludge Judge, and other that are applicable?
Comment -
Septic
--- Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational? ❑ ❑ ❑ ❑
Is septic tank pumped on a schedule? ❑ ❑ ❑ 0
Are pumps or syphons operating properly? ❑ ❑ ❑
Are high and low water alarms operating properly? ❑ ❑ ❑ M
Comment: Unknownif se tic tank has been pumped.
Sand Filters (Low rate,)
Comment: Unknownif se tic tank has been pumped.
Sand Filters (Low rate,)
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
❑
Is the distribution box level and watertight?
❑
❑
❑
■
Is sand filter free of ponding?
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
❑
M
# Is the sand filter surface free of algae or excessive vegetation?
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
❑
❑
❑
Comment: Unknown if resident knows location of sandfilter
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ ❑
Number of tubes in use?
Page# 3

Permit: NCG550937
Inspection Date: 1111312019
Owner -Facility: 1412 Oak Forest Drive
Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes No NA NE
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: Location of chlorinator is uknown. There is a PVC tube 'ust outside the fence. but it's
unclear if it's part of this system, and a vault 'ust beyond the PVC tube was almost entire)
filled with seiderrint
Effluent Pipe
Yes No NA NE
Is right of way to the outfall properly maintained?
❑ M
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
❑ ❑
❑
M
If effluent (diffuser pipes are required) are they operating properly?
❑ ❑
❑
M
Comment: Locating of effluent pige is unknown. No record of anavizing effluent flow.
Page* 4

Inspection Date:
��
Start Time: End Time:in., Ll 0
_
11912015 r SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
Permittee:
j Permit:3�
Address: �es� r �S
E-mail-
Phone: C{��! }��(} _ 3 Ceil Phone:) _
The Permittee Is responsible for the operation and maintenance or the entire wastewater treatment �r tua.,—t
Yes No Apply Investigate
1. Is the current resident in the home the Permittee? El Li 71 Zj�
?. If not does the resident rent from the permittee? ❑ ❑ ❑ N
3. Change of Ownership form needed? (mail the form with the inspection letter) ❑ ❑ ❑
�. Is there a inspection and maintenance agreement with a contractor? ❑ ❑ ❑
3. If yes to #,4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumped/cleaned as needed,
3. Is all wastewater from the home connected to the septic tank? ❑ ❑ ❑
Does the permitteelresident know where the septic tank is located? ❑ ❑ ❑
3. Has the septic tank been pumped in the last 5 years? ❑ ❑ ❑
?. If yes to #8 date, if known If proof, describe
g. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
1. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER 1 TREATMENT PODS YES U NO
Lj If no ,ccessible sand filter surfaces shall be raked and leveled every six months and ny vegetative ray.th shall be removed ed ma uadyto lle next S@CtlOn.
2. Is system something other than a sandflter? %lie b A S t; rn ��5� ► Itj r'l❑ ❑ ❑
3. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex etc.)
4. Does the permittee know where the sandflter is located? ❑ ❑ ❑
5. Does the sandflter require maintenance? ❑ ❑ ❑ y�
rr maintenance is required explain in the comment section. hZ�
:ISINFECTION 1 UV YES Lj NO
the ne
5e ultraviolet unit shall be checked weekly. The lamps and sleeves s,hcu'd be cleaned or repla d needed toensure eo d sinfecttioonn section.
5. Is UV working? Elff El❑
7. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑ ❑
3. Who completes the weekly check for the UV?( Non -Discharge)
ISINFECTIION 1 TABLETS YES NOD If no proceed to the next section.
ie tablet chlorinator unit shall be checked weekly to ensure contir uous and proper operatic
3. Does the permittee have the correct chlorine tablets?(If none, mark No) ❑ ❑ ❑ ,�
1. Does the Permittee know the location of the chlorinator? LAl ' f t 4El El EJ
Were chlorine tablets observed in the chlorinator? (0( ^ I-c'10 ❑ ❑ ❑
Are tablets contacting water? If possible poke them to determine. ICL `� i, ❑
I � ❑ ❑
=CHLOR (Discharge only) YES NO
dechorinator unit shall be checked weekly to ensure continuous and proper cperatiar,. !f no proceed to the next section.
Does the permittee know where the dechlor is? ❑ ❑ ❑ ❑
_ Does the permittee have the correct dechlor tablets? ❑ ❑ ❑ ❑
Were dechlor tablets observed in the dechlorination chamber? ❑ ❑ ❑ ❑
Are tablets contacting water? If possible poke them to rlPfzrm?na

Yes No Apply Investigate
❑ NO
If no proceed to the next section.
YES
PUMP TANK
All pump and alarm sytems shall be inspected monthly. (non -discharge)
❑ CD
El ❑
27. Is the pump working?
❑ ❑
❑ ❑
28. Are the audible and visual high water alarms operational?
❑ ❑
❑ ❑
29. Does the permittee know how to check the pump & high water alarm?
AUDIBLE & VISUAL
30. Last functional test: HUMP YES NO
If no proceed to the next section.
evidence of a malfun ion.
location shalt be executed twice each year ;one at titre tii*e of samprng to ensure no visible solids or
DISCHARGE ONLY ❑ ❑
❑
A visual review of the autfall
31. Does the permittee know where the outfall i `
�" �cq5�" i �t��rc7 rL�`
❑
❑ ❑
❑ ❑
o
32. Were you able to locate the outfa @
❑
33. Is the end of the discharge pipe visible an e
❑ ❑
('
J� ❑
34. Is outlet discharging?
❑
35. Is right of way maintained around the discharge point?
❑
❑ ❑
36. Any Lab Results available?
❑ ❑
❑
37. Is there evidence of solids around the discharge point?
NO
If no proceed to the next section.
Y1=S
DRIP or SPRAY nt is r erating as designed.
monthly to ensure the system is free of leaks and equip P
The irrigation system shall be inspected
DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads
❑ ❑
38. Is the system
❑ ❑
❑ ❑
39. Are the buffers adequate?
40. is the site free of ponding and runoff?
❑ ❑
❑ ❑
41. Does the application equipment appear to be working properly?
❑ ❑
❑ ❑
.n L- t6ra a minimum two wire fence surrounding entire irrigation area?
ue1.4"t —
43. Are the treatment units locked and or secured?
44. Has resident had any sewage problems? if yes explain in the comment section.
45. Does the system match the permit description? If no explain in the comment section.
46. Is the system compliant?
47. Is the system failing? If yes, take pictures if possible.
g sewage?
48, If system is failing, any sign of children or animals conkactinNOV Sent
NOD Sent #: photos Taken?
Comments: _
��L�IU/lr�►J�uri�-
/ s
�� u — i�
r
•
Iwo
. j P.'Zlff, „AI gir.mATURE:

0
7_1161i7 {"5PrrJ.._ ROV COOPER
MICHAEL S. REGAN
VVaterResotimas S. JAY M,INVAERMAN
ENVIROPIM$NTAL QUALITY
March 20, 2017
Brittany James
1412 Oak Forest Dr.
Hillsborough, NC 27278
Subject: Evaluation Inspection
Single Family Wastewater Treatment System
Permit No. NCG550937
Durham County
Dear Ms. James:
On February 16, 2017, Jason Robinson and Gary Kreiser from the Raleigh Regional Office
visited your on -site discharging wastewater treatment system to evaluate compliance with the
above permit to discharge wastewater. The checked boxes below show what conditions were
noted at your facility:
❑ In compliance: You are reminded to regularly maintain the system, have the effluent
sampled once a year, and have the 'septic tank pumped out every 3 to 5 years. Your good
record of operation and meeting the permit requirements is highly commended.
❑ Your home is improperly plumbed: Some of the wastewater discharges are going
directly to the environment without first passing through the treatment system. This must
be corrected immediately.
❑ Disinfection: Your system is lacking disinfection, either chlorine tablets or a UV light
system. New rules put into place on August 1, 2007 require all SFR systems to have a
means of disinfection (and dechlorination when chlorine tablets are used to disinfect, if
the system was installed since that date). Since your system had no disinfection, the
installation is to include a chlorine tablet dispenser, a contact chamber capable of
providing a minimum 30-minute contact time, and another tablet dispenser that will hold
dechlorination tablets.
Treatment tablets missing or are wrong kind: You are responsible for always
having chlorine tablets and dechlorination tablets (if a required part of your system) in
place. They must be the kind for wastewater treatment and not for swimming pools.
❑ Dechiorination: Your system was installed after August 1, 2007, so must have a
means of dechlorination located downstream of the chlorinator and its contact chamber.
See Disinfection paragraph above.
Division of water Resources, Raleigh Regional Office, water Quality Operations Section www.ncwaterquality.org
1628 Nbil Service Center, Raleigh, NC 27699-1623 Phone: [phone]

❑ Pumping the septic tank: The septic tank should be pumped out every 3 to 5 years.
A pumping company can check the status periodically and determine when pumping is
required.
M Failure to analyze the effluent: The effluent that is discharged from your system
must be analyzed once each year. See Part I(A) of your permit about his requirement. A
list of NC certified laboratories that provide this service was provided to you during the
inspection. If you haven't had the effluent of the system analyzed within the last year it
should be done within the next 60 days. Please provide this office a copy of the results
within 90 days of receiving this letter.
® Other: The inspectors were unable to locate the units of the system, including the
tanks and effluent discharge nice. A sewer cleanout and junction yault/chlorine contact
chamber were found just outside the backyard fence beside the ditch, but these appeared
to possibly be part of an older system, as the box was almost entirely filled with
sediment and no discharge pipe was found. The homeowner mentioned that she thought
the system was recently rgplaced with a UV system, and it was possibly under the deck.
The inspectors did not see signs of units under the deck, and a control 'electrical panel for
a UV system was not found. The system should be able to be accessed for
maintenance) um in and replacement of W bulbs. Please determine the type and
location of the system, as well as the location of the effluent pipe where the wastewater
discharges from the system. Please provide a sketch of the system that shows the
gpproximate location of the units and the effluent discharge pipe in relation to the house
fence and ditch behind the fence. Please submit this sketch to this office within 30 days
of receiving this letter.
Thanks for your cooperation in complying with the requirements of your permit. If you have
questions or comments about this inspection or the permit requirements to take corrective action,
please contact the inspector at 919-791-4200 or Jason.T.Robinson((bncdenr.goy.
Sincerely,
'7 .
S. Daniel Smith, Supervisor
Water Quality Regional Supervisor
Raleigh Regional Office
Attachments:
Inspection Repot
cc: RROfSWP Files
NPDES Permitting Unit Files — Charles Weaver

United States Environmental Protection Agency
Form Approved
EPA Washington, D.0 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 yrlmolday Inspection Type Inspector Fac Type
1 u 2 1s 1 3 1 NCG550937 111 12 17/02/18 17 18 [d 19 I c I 20 LJ
21 LL I I I I I I I I I I I I I I I I I 1 1 1 I... I I I I I I I I I I I I I I I_I I I 1 165
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 OA Reserved
67
72 L] 73174 751 I I I I I
70LJI 71 LJ
80
Section 8- FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POT41V also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Numbed
10.30AM 17/02/16
13/08/01
1412 Oak Forest Drive
Exit T'imeMate
Permit Expiration Dale
1412 Oak Forest Or
Hillsborough NC 27278
10:45AM 17/02/16
18107/31
Name(s) of Onsite Representative(s)ffitles(s)Mhone and Fax Number(s)
Other Facility Data
it/
Name, Address of Responsible OffiaaMstlelPhone and Fax Number
Brittany N James, 1412 Oak Forest Or H Ilsborough NC 272781p Contacted
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations I£ Maintenance M 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
Jason T Robinson RRO WO111
l-7
Signatur of Managem Re4ewer AgencylOificelPhone and Fax Numbers Date e
L101
EPA Form 35lqa/3 (Rev 9-94) Previous edit ons a!e obsolete
Page#

Permit: NCG550937 owner - Facility: 1412 Oak Forest Drive
Inspection Data: 0211612017
Inspection Type: Compl ante Evaluation
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:
Per
Yes No NA NE
(If the present permit expires in B months or less). Has the permittee submitted a new
❑
❑
V
❑
application?
Is the facility as described in the permit?
❑
ElEl
# Are there any special conditions for the permit?
❑
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
11
Comment:
Seotic Tank
Yes No NA NE
(if pumps are used) Is an audible and visual alarm operational?
❑
❑
❑
M
Is septic tank pumped on a schedule?
❑
❑
110
Are pumps or syphons operating properly?
❑
❑
❑
e
Are high and low water alarms operating properly?
❑
❑
❑
M
Comment: Unit was not located by inspectors,
Sant Filters Low ratel
Yes No NA NE
(if pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
❑
M
Is the distribution box level and watertight?
❑
El
❑
M
❑
❑
❑
M
Is sand filter free of ponding?
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
❑
0
# Is the sand filter surface free of algae or excessive vegetation?
❑
❑
❑
# Is the sand tiller effluent re -circulated at a valid ratio? (Approximately 3 to 1)
❑
❑
❑
Comment: Unit was not located by, inspectors.
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ❑ ❑ M
1 Are the tablets the proper size and type? ❑ ❑ ❑ 0
Number of tubes in use?
Page# 3