NCG551224_Field Notes_20220422

Vita Gco( (9d1, lelfi pae- t
RRC,
NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
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Permittee: 5 nice. L. 1 horv,us Permit: SIC G5 5 17;24
Address:302 7 -forre-fifer Steeet E-mail- 11 tharnc Cr+e.55►nc 1 .�cm
Phone:( ) - Cell Phone:(6/I1 ) b 3 0 - GO$ 2 County: Put hum
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't
Yes No Apply
Did Not
Investigate
1. Is the current resident in the home the Permittee? ❑ Ei ❑
2. If not does the resident rent from the permittee? E ❑ ❑
3. Change of Ownership form needed? (mail the form with the inspection letter) ❑ IX1 im
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 Tr+ The septic tank and filters should be checked annually and pumped/cleaned as needed
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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? ® ❑ ❑
8. Has the septic tank been pumped in the last 5 years? I ❑ ❑
9. If yes to #8 date, if known Av5 1 14, 0Z 1 If proof, describe pt
10. Does the septic tank have an EFFLUENT FILTER or S I�CN TART? (circle one)
11. If Yes to filter when was the filter cleaned? By whom?
. SAND FILTER 1 TREATMENT YES Ej 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? ❑ E ❑
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? ❑ ICI ❑
II
15. Does the sandfilter require maintenance? ❑
If maintenance is required explain in the comment section.
DISINFECTION / UV YES ❑ NO la If nouproceed to the next section.
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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? ❑ . ❑ ❑
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑II
18. Who completes the weekly check for the UV?( Non -Discharge)
DISINFECTION / TABLETS YES Xi NO I ! 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? ❑ XI ❑
21. Were chlorine tablets observed in the chlorinator? ❑ n ❑Nii
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22. Are tablets contacting water? If possible poke them to determine. ■ +4 ❑
DECHLOR (Discharge only) YES n NO N1 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 dechior is? ❑ ❑ ❑
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24. Does the permittee have the correct dechior tablets? ❑ ❑ U
II 0
25. Were dechior tablets observed in the dechlorination chamber? ❑
26. Are tablets contacting water? If possible poke them to determine. MI❑ 0

PUMP TANK
All pro and alaim sytems sra l be inspected monthly
27. Is the pump working?
28. Are the audible and visual high water
29. Does the permittee know how to check
30. Last fur PUMP
DISCHARGE ONLY
A ve.ial review of the outfall location shall be exeeuled twice
31. Does the permittee know where the
32. Were you able to locate the outfall?
33. Is the end of the discharge pipe visible
34. Is outlet discharging?
35. Is right of way maintained around the
36. Any Lab Results available?
37. Is there evidence of solids around the
YES Di NO If no proceed to the next
(nor-d scharge)
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section.
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alarms operational? ❑
the pump & high water alarm? ❑ um
AUDIBLE & VISUAL
YESr.1NO If no proceed to the next
each yea (one at the time of saripling to ensure no ++is ble solids or evidence of a malfunction
outfall is located? ❑
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section.
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II
III
DRIP or S RAY
The irrigation system sPa 1 be inspected monthly to
38. Is the system DRIP or IRRIGATION
39. Are the buffers adequate?
40 Is the site free of ponding and runoff?
41. Does the application equipment appear
42 fs there a minimum two wire fence surrounding
YES �� NO If no proceed to the next
ensure the system is free of 'ea.s and equ pmert cs operat.ng as des gned
(circle one)? If irrigation number of sprinkler heads.
section.
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to be working properly? ❑ ❑
entire irrigation area? ❑ ❑
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MI
GENERAL
43. Are the treatment units locked and or
44. Has resident had any sewage problems?
45. Does the system match the permit description?
46. Is the system compliant?
47. Is the 5 If yes take pict Tres if possible
48. If system is fail€ng, any sign of children
NOD Sent #• - -
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secured? 0 NI
M
If yes explain in the comment section ❑ 21
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If no exp am in the I
comment section
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or animals contacting sewage? ❑ II
III
- N_OV Sent #: - - -
Comments: u Photos Taken? YES
NO
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INSPECTOR: Ak,
IPSIGNATURE: iti,���`�~_