NCG551012_Field Notes_20220422

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NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
1 /912015
Permittee: Vo I(AAk Pfufero —C -vZ Permit: NG&5510I 2
Address: 50 i O G icd111 Roue E-mail-
Phone:( ) - Cell Phone:( ) - County:
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't Did Not
Yes No Apply Investigate
1111 MI
1. Is the current resident in the home the Permittee?III ❑
2. If not does the resident rent from the ❑ ❑
permittee?MI
3. Change of Ownership form needed? (mail the form with the inspection letter) ❑ ❑
4. Is there a inspection and maintenance agreement with a contractor? ❑ ❑ El
5. If yes to #4 who is the contractor?
SEPTIC Ti The septic lank and filters should be checked annually and pumped/cleaned as needed_f I
6. Is all wastewater from the home connected to the septic tank? { \� ❑ ❑ I::
7. Does the permittee/resident know where the septic tank is located? ❑ ❑ ❑ ' I
❑ rr ,
III8. Has the septic tank been pumped in the last 5
years?
9. If yes to #8 date, if known 6 -1 o -10Za If proof, describe gg-c-f
10. Does the septic tank have an EFFLUENT FILTER or SA ITARY T? (circle one)
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER / TREATMENT YES NO ❑ If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually.
12. Is system something other than a sandfilter? ❑ .0 II f
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located? ❑ ❑ ❑ L
15. Does the sandfilter require maintenance? ❑ IA E
If maintenance is required explain in the comment section.
DISINFECTION / UV YES ❑ NO If nouproceed to the next section.
The ultraviolet unit shall be checked weekly- The lamps and sleeves should be cleaned or replaced as needed to ensure proper disinfection.
16. Is UV working? ❑ , ❑ ❑ CI
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑ ❑
18. Who completes the weekly check for the UV?( Non -Discharge)
DISINFECTION I TABLETS YES IS NO • If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No) ❑ ❑ ❑ ❑
20. Does the Permittee know the location of the chlorinator? DV�r Co l 1 ❑ ❑ • ❑
21. Were chlorine tablets observed in the chlorinator?i ❑ ❑ . ❑
22. Are tablets contacting water? If possible poke them to determine. ❑ ❑ ii III
DECHLOR (Discharge only) YES ❑ NO K. If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
23. Does the permittee know where the dechlor is? El❑ ❑
III NI
24. Does the permittee have the correct dechior tablets? ❑ ❑
25. Were dechior tablets observed in the dechlorination chamber? ❑ ❑ ❑ M
26. Are tablets contacting water? If possible poke them to determine. ❑ 0 • ❑ 1

PUMP TANK YES I I NO S If no proceed to the next section.
All pump and alarm sytems shall be inspected monthly (non -discharge)
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? ❑ El ❑ ❑
30. Last fui PUMP
DISCHARGE ONLY
AUDIBLE & VISUAL
YES NO - I If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year ;ane at the time of sampling to ensure no visible solids or ev dence of a malfunction
31. Does the permittee know where the outfall is located?
32. Were you able to locate the outfall?
33. Is the end of the discharge pipe visible and accessible?
34. Is outlet discharging?
,35. Is right of way maintained around the discharge point?
36. Any Lab Results available? 2
37. Is there evidence of solids around the discharge point?
DRIP or SPRAY
O 000
XI ❑ o ❑
® ❑ 0 ❑
❑ ❑ ❑
❑ 21❑ ❑
❑ PSI ❑ ❑
YES ❑ NO If no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system is free of leaks and equipment is operating as designed
38. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
39. Are the buffers adequate? ❑ ❑ ❑ ❑
40. Is the site free of ponding and runoff? ❑ ❑ ❑ ❑
41. Does the application equipment appear to be working properly? ❑ ❑ ❑ ❑
42 Is there a minimum two wire fence surrounding entire irrigation area? ❑ ❑ ❑ ❑
GENERAL
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
1
'46. Is the system compliant?
i47. Is the s If yes. take pictures if possib'e
48. If system is failing, any sign of children or animals contacting sewage?
NOD Sent #: - - - NOV Sent #:
® ❑ ❑ ❑
❑ igi ❑ ❑
El ❑ El ❑
54 ❑ ❑ ❑
❑ IX ❑ ❑
❑ ❑ 121 ❑
Comments. Photos Taken? YES 77 NO f
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INSPECTOR aoM SIGNATURE: