NCG551444_Inspection_20220422

NON_DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
1/9/2015
Permittee: C°`r10.s A v=[ov NG&55 I V 1/4!
Permit: N
Address: ZZ fc.4l.o. hp 1),,e, E-mail- .
Phone:( ) - Cell Phone:( ) - County: tunccAm
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? ® ❑ ❑
2. If not does the resident rent from the permittee? 0 El ® ❑
3. Change of Ownership form needed? (mail the form with the inspection letter) ❑ lNI ❑ ❑
4. Is there a inspection and maintenance agreement with a contractor? ❑ ❑ CI
5. If yes to#4 who is the contractor?
SEPTIC Ti The septic tank and filters should be checked annually and pumped/cleaned as needed
6. Is all wastewater from the home connected to the septic tank? N ❑ ❑ ❑
7. Does the permittee/resident know where the septic tank is located? IN ❑ ❑ El
8. Has the septic tank been pumped in the last 5 years? Xj ❑ ❑ ❑
9. If yes to#8 date, if known 3vr► 16 207.1 If proof,describe Recct fi- _-
10. Does the septic tank have an EFFLUENT FILTER or �NITAR i (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 vegetat ve growth shall be removed manually
12. Is system something other than a sandfilter? ❑ 14 ❑
13. If yes,what kind?(examples- Peat Textile, Other or brand name-Advantex, etc)
14. Does the permittee know where the sandfilter is located? N ❑ ❑ El
15. Does the sandfilter require maintenance? ❑ XI ❑ ❑
It maintenance is requited explain in the comment section. _
DISINFECTION/UV YES CINO Na If no.proceed to the next section. T
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 , CI CI ❑
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑ ❑
18.Who completes the weekly check for the UV?(Non-Discharge)
DISINFECTION 1 TABLETS YES K/ NO If no proceed to the next section. 'A
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) ❑ El ❑ [_]
20. Does the Permittee know the location of the chlorinator? N ❑ ❑ ❑
21.Were chlorine tablets observed in the chlorinator? ❑ ❑X El ❑
22.Are tablets contacting water? If possible poke them to determine. El N ❑ ❑
DECHLOR(Discharge only) YES n NO 17 If no proceed to the next section.
The dechlorinator unit shalt be checked weekly to ensure continuous and proper operation.
23. Does the permittee know where the dechlor is? ❑ ❑ ❑ ❑
24.Does the permittee have the correct dechlor tablets? ❑ ❑ ❑ ❑
25.Were dechlor tablets observed in the dechlorination chamber? CI ❑ ❑ ❑
26.Are tablets contacting water? If possible poke them to determine. 0 0 0 0

PUMP TANK YES fl NO 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? ❑ ❑ ❑ ❑
30. Last fur PUMP _ _ AUDIBLE &VISUAL_
DISCHARGE ONLY YES NO ❑ If no proceed to the next section.
A v sual review of the outfall location shall be executed twice each year•;cne at the time of sampling to ensure no visib e ends or ev dance of a malfunction
31. Does the permittee know where the outfall is located? ® ❑ ❑ ❑
32.Were you able to locate the outfall? E 71 0 ❑
33. Is the end of the discharge pipe visible and accessible? ❑ XI 0 ❑
34. Is outlet discharging? E ® ❑ ❑
35. Is right of way maintained around the discharge point? IX ❑ ❑ ❑
36.Any Lab Results available? ❑ tI ❑ ❑
37. Is there evidence of solids around the_discharge point? El lei ❑ ❑
DRIP or SPRAY YES ❑ NO -.- If no proceed to the next section.
The mgatlon system shall be inspected monthly to ensure the system s free r.f 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? _ ❑ _ El ❑
GENERAL
43.Are the treatment units locked and or secured? X E ❑ ❑
•44.Has resident had any sewage problems? If yes explain in the comment section El ❑ ❑
45 Does the system match the permit description?If no explain in the comment section n ❑ ❑ ❑
46 Is the system compliant? 0 ❑ ❑ ❑
47. Is the s If yes take p ctures if possible ❑ i ❑ ❑
48. If system is failing,any sign of children or animals contacting sewage? ❑ ❑ ❑
NOD Sent#: _ - _ NOV Sent#: __ _ -
Comments. Photos Taken? YES fl NO [i
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INSPECTOR: Al y S. Aa,nn Orri !.- SIGNATURE: _ - -'