HomeMy WebLinkAboutNCG551414_Inspection_20220428NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
1/9/2015
Permittee: K c xc CO,. (_ Uhl f}i Q ky Permit: WC&555 14
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Address: 3 Li Z f [v ley Qcv,.) E-mail-
r l t) hltf1,e c y (60,5rna it , c OCY)
Phone:( ) - Cell Phone:( ) -
County: D wham
The Permittee Is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Yes
Doesn't Did Not
No Apply Investigate
1. Is the current resident in the home the Permittee?
2. If not does the resident rent from the permittee?
3. Change of Ownership form needed? (mail the form with the inspection letter)
4. Is there a inspection and maintenance agreement with a contractor?
5. If yes to #4 who is the contractor? —
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SEPTIC TA The septic tank and filters should be checked anrjally and pt.mpedlcleared 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?
9. If yes to #8 date, if known Slcvch 2.4)7- j If proof, describe Receipt
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10. Does the septic tank have an EFFLUENT FILTER or �NITARYJ? (circle one)
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER / TREATMENT YES M NO ❑
Accessible sand filter surfaces shall be raked and leveled every six months and any vegetafxe growth shall
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?
It maintenance is required explain in the comment section
If no proceed to the next section.
be removed manually
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DISINFECTION 1 UV YES [1 NO Er If no proceed 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? El, ❑ ❑
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑
18. Who completes the weekly check for the UV?( Non -Discharge)
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DISINFECTION / TABLETS YES ® NO LJ
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?
21. Were chlorine tablets observed in the chlorinator?
22. Are tablets contacting water? if possible poke them to determine.
If no proceed to the next
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DECHLOR (Discharge only) YES ® NO n
The dechlorinator unit shall 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?
26. Are tablets contacting water? If possible poke them to determine.
If no proceed
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section.
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PUMP TANK YES ( I NO 1 If
A I pump and alarm sytems viall 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
no proceed
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DISCHARGE ONLY YES kIl NO n If
no proceed
or evidence of a
A visual review of the outfa I Iccatton shall be executed twice each year ;one at the lime of sampling to ensure no v sable solids
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?
37. Is there evidence of solids around the discharge point?
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DRIP or SPRAY YES n NO R( If no proceed
The irrigation system shall be nspected 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? El
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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 S If yes. lake pictures if possible
48. If system is failing. any sign of children or animals contacting sewage?
NOD Sent #: - - - NOV Sent #: -
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CommentsPhotos Taken?al
YES
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INSPECTOR Ai Ys 11Anr1uM SIGNATURE: 0.40._.