WQ0022429_Compliance Evaluation Inspection_20220923

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Date 9- 2-3- ZZ
Arrival Time `f'. p O ,t vtt Exit Time 9;Io 4 Lf
NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
6/1512021 pp
Permittee: IQn.tl,4/A 4.44 4/ii/,T1/.4- AAA ,yf ,r Permit: wiP U ZZ--(z9
Address:Crt6 t'Retl/CSrAres Iv #zo $ 474/c' tvc--mail�'�/ 1 6 v/t4f f/ Ni"/�
Phone:(y/ / ) 7u/ D - Pf 4,1 Cell Phone:(_. ) - County: 44f9744-,rat
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
1. Is the current resident in the home the Permittee? • El
2. If not does the resident rent from the ❑
permittee?
3. Change Ownership form the form the inspection letter)
of needed? (mail with
4. Is there inspection
a and maintenance agreement with a contractor?
5. If yes to #4 who is the contractor?
SEPTIC Ti The septic tank and filters should be checked annua y and pumped .. eaned as needed
6. Is all wastewater from the home connected to the septic tank? ❑
7. Does the permittee/resident know where the septic tank is located? ❑ ❑ ❑
8. Has the septic tank been pumped in the last 5 years? ❑ 1 ❑ ❑
9. If yes to #8 date, if known If proof, describe _.._
10. Does the septic tank have an EFFLUENT FILTER or SANITARY 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 sha be removed manually.
12. Is system something other than a sandfilter? ❑
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located?
15. Does the sandfilter require maintenance? ❑
If maintenance is required explain in the comment section
DISINFECTION 1 UV YES n NO n If no proceed to the next section.
The ultraviolet unit shall be checked weekly. The lamps and sleeves shuuid be cleaned or replaced as needed to ensure proper disinfection
❑
16. Is UV working?
17. Has the UV Unit been bulbs w El ❑
serviced and cleaned?
18. Who completes the weekly check for the UV?( Non -Discharge)
DISINFECTION 1 TABLETS YES n NO 1 If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and prope- operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No) ❑ 111❑ fEl
20. Does the Permittee know the location of the chlorinator? ❑ 111 M ❑
21. Were chlorine tablets observed in the chlorinator?
22. Are tablets contacting water? If possible poke them to determine. Mi ❑
_
DECHLOR (Discharge only) YES NO ❑ If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
23. Does the know the dechlor is?
permittee where
24. Does the have the dechlor tablets? ❑
permittee correct
25. Were dechlor tablets observed in the dechlorination ❑
chamber?
26. Are tablets contacting water? If them to determine. ❑ . ❑ ❑
possible poke

PUMP TANK YES ❑ NO n
All pump and alarm sytems shall be inspected monthly. (nn1-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?
30. Last fui PUMP AUDIBLE & VISUAL
If no proceed
❑
❑
to the next section.
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IN
.
li
Ili
DISCHARGE ONLY YES ❑ NO n
A visual review of the outfall location shall be executed twice each year (one at the lime of s. vrp ino to ensure no v.sible solids
31. Does the permittee know where the outran 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?
37. Is there evidence of solids around the discharge point?
If no proceed
or evidence of a malfunction
❑
❑
0
❑
to the next section.
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DRIP or SPRAY YES n NO ❑
The irrigation system shall be inspected monthly to ensure the system is free of lea gs and equipment is operating
38. is the system DRIP or IRRIGATION (circle one)? If irrigation number of
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?
If no proceed
as des gned.
sprinkler heads.
II
to the next section.
III
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0
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0
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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.
46. Is the system compliant?
47. Is the system failing? If yes, take pictures it possible.
48. If system is failing, any sign of children or animals contacting sewage?
NOD Sent #: - - - NOV Sent #:
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0
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0
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Com ents: Photos Taken?
YES
Li
NO
❑
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INSPECTOR: SIGNATURE:

Compliance Inspection Report
Permit: WQ0022429 Effective: 11/01/17 Expiration: 10/31/22 Owner : Ronald D Adams
SOC: Effective: Expiration: Facility: Cub Creek Estates Lot #20B SFR
County: Chatham Eagle Dr
Region: Raleigh Parcel No 19556
Chapel Hill NC 27517
Contact Person: Ronald D Adams
Title: Phone: [phone]
Directions to Facility:
From Raleigh take US 64W -2.9mi past NC 751 turn R, follow Farrington Rd. -8.mi tum R, follow Old Farrington Rd --0.6mi tum R,
follow Whippoorwill Ln -0.6mi tum L, the property is -0.1 mi down Eagle Dr on the Lt
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 09/23/2022 Entry Time 09:OOAM Exit Time: 09:10AM
Primary Inspector: Curtis R Tyree
Secondary Inspector(s):
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Single -Family Residence Wastewater Irrigation
Facility Status: 0 Compliant ❑ Not Compliant
Question Areas:
• Miscellaneous Questions
(See attachment summary)
Page 1 of 3

Permit: WQ0022429
Owner . Facility: Ronald D Adams
Inspection Date: 09/23/2022 Inspection Type : Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
This system has not been installed at this time.
Page 2 of 3

Permit: WQ0022429 Owner - Facility: Ronald D Adams
Inspection Date: 09123/2022
Inspection Typo : Compliance Evaluation
Reason for Visit: Routine
Page 3 of 3

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