NCG550981_Field Notes_20230724 (2)

Date ��� Z`�_ Arrival Time I j ;4 Exit Time /i -- 3
NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
Permittee: VK-,� ice- g _ ,_� _.��
Permit: Al - 1 0 61
Address: ►-It34!} E-mail-
Phonle:(1,)_-031Cell Phone:( ) -
County:
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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?
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2. If not does the resident rent from the permittee?
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3. Change of Ownership form needed? (mail the form with the inspection letter)
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4. Is there a inspection and maintenance agreement with a contractor?
5. If yes to #4 who is the contractor?
SEPTIC Ti The septic tank and fi ters shou:d be checked annually and pumped/cleaned as needed.
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6. Is all wastewater from the home connected to the septic tank? .]0
7. Does the permittee/resident know where the septic tank is located?
8 Has the septic tank been pumped in the last 5 years? T.i-0-r
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9 If yes to #8 dale, 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 shall be removed manually
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12. Is system something other than a sandfilter?
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
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14. Does the permittee know where the sandfilter is located?
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�. Does the sandfilter require maintenance?
It maintenance is required explain in the comment section,
DISINFECTION 1 UV YES NO
If no proceed to the next section.
The ultraviolet unit shall be checked weekly. The lamps and sleeves should to cleaned or replaced as needed to ensure proper disinfection
16. Is UV working?
17. Has the UV Unit been serviced and bulbs cleaned?
18. Who completes the weekly check for the UV?( Non-Dischar e)
oiSINFECTION 1 TABLETS YES 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)
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20. Does the Permittee know the location of the chlorinator?
21. Were chlorine tablets observed in the chlorinator? i t N ?3Jt�
22. Are tablets contactin water? If possible poke them to determine.
DECHLOR (Discharge only) YES U NO
If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
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23. Does the permittee know where the dechlor is?
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24. Does the permittee have the correct dechlor tablets?
25. Were dechlor tablets observed in the dechlorination chamber?
26. Are tablets contacting water? If possible poke them to determine,
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PUMP TANK YES LJ NO
If no proceed to the next section.
pump and alarm sytems shal. be nspected monthly (non -discharge)
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27. Is the pump working?
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28. Are the audible and visual high water alarms operational?
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29. Does the permittee know how to check the pump & high water alarm?
30. Last ful PUMP AUDIBLE & VISUAL
DISCHARGE ONLY YES -. NO Ll
If no proceed to the next section.
A v .i.al review of th a outfal iccation shall be executed twice each year (one at the time of sampling to ensure no visible solids or evidence of a malfunction
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31. Does the permittee know where the outfall is located?
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32. Were you able to locate the outfall?
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33. Is the end of the discharge pipe visible and accessible?
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34. Is outlet discharging?
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35. Is right of way maintained around the discharge point?
N� `N �1
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36. Any Lab Results available?
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37. Is there evidence of solids around the dischar e point?
DRIP or SPRAY YES NO
If no proceed to the next section.
The irrigation system shall be inspected month y 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.
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39. Are the buffers adequate?
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40. Is the site free of ponding and runoff?
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41. Does the application equipment appear to be working properly?
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42. Is there a minimum two wire fence surrounding entire irri anon area?
GENERAL
43. Are the treatment units locked and or secured?
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44. Has resident had any sewage problems? If yes explain in the comment secl'iun.
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45. Does the system match the permit description? If no explain in the comment section.
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46. Is the system compliant?
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47. Is the system failing? If yes. lake pictures if possib e
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48. If system is failing, any sign of children or animals contacting sewage?
NOD Sent #: - - NOV Sent #:
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Comments: _ Photos Taken?
YES _
NO
Na �'A2-fs AAW _ S
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NSPECTOR:E. i
SIGNATURE: