WQ0011761_Compliance Evaluation Inspection_20220504 (2)

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Date - 7
Arrival Time J/ . , j A
Exit Time / 7- (1 U -
NON DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
6/15/2021 i
Permittee: i A I R eA W % Permit: id 12 pc 11741
Address: Lo14 LS' doopcb LAE ,s+2t / i , itrix ,ti_C. E-mail-
Phone:(9 /1 )1/G 1) -Pie/ Cell Phone:( ) - County: dA 44Wt.
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?IIII ❑ ❑ ❑ NI
2. If does the from the ❑ ❑
not resident rent permittee?III
El
3. Change of Ownership form the form the inspection letter) ❑ ❑
needed? (mail with
4. Is there a inspection and maintenance agreement with a contractor? ❑ ❑ El
5. If yes to #4 who is the contractor?
SEPTIC TA The septic tank and filters should be checked annually and pumped/cleaned as needed.
6. Is all from the home to the tank? ❑
wastewater connected septic
0 III
7. Does the know where the septic tank is located? ❑ ❑
permittee/resident
8. Has the septic tank been in the last 5 ❑ El ii
pumped years?
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 1 TREATMENT YES n NO n 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? ❑ ❑
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
14. Does the know where the is located? El ❑ ❑
permittee sandfilter
15. Does the sandfilter require maintenance? ❑ ❑ ❑ IIII
if maintenance Is required explain in the comment section.
DISINFECTION / UV YES n NO n If no proceed to the next section.
I 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 bulbs ❑
serviced and cleaned?
' 18. Who completes the weekly check for the UV?( Non -Discharge)
. DISINFECTION / TABLETS YES U NO n If no proceed to the next section.
1 The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
19. Does the have the tablets?(If No) ❑
; permittee correct chlorine none, mark
20. Does the Permittee know the location of the ❑ ❑
chlorinator?
21. Were chlorine tablets observed in the chlorinator?1 ❑ ❑
22. Are tablets contacting water? if them to determine. ❑
possible poke
DECHLOR (Discharge only) YES IT NO If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
isi II
. 23. Does the the dechlor is? ❑ ❑
permittee'know where
124. Does the have the correct dechlor tablets? ❑ ❑ ❑ MI
permittee
25. Were dechlor tablets observed in the dechlorination ❑ ❑ ❑ N
chamber?
' 26. Are tablets contaclin water? If possible them to determine. 0 ❑ ❑
poke

PUMP TANK YES n NO n If no proceed to the next section.
All pump and alarm sylems 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 fui PUMP _ _ AUDIBLE & VISUAL
DISCHARGE ONLY YES n NO If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year (one at the time of sampling 10 ensure no visible solids or evidence of a malfunction
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El El
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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 ❑ If no proceed to the next section.
The irrigation system shall be inspected 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? ❑ ❑ ❑ ❑
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. ❑ ❑ ❑ El
46. Is the system compliant? ❑ CI ❑ ❑
47. Is the system failing? If yes take pictures if possible. ❑ ❑ El El
48. If system is failing, any sign of children or animals contacting sewage? ❑ ❑ ❑ El
NOD Sent #: - - NOV Sent #: -
Co ments: Photos Taken? YES ❑ NO n
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INSPECTOR: SIGNATURE:

Compliance Inspection Report
Permit: WQ0011761 Effective: 10/20/17 Expiration: 09/30/22 Owner : David B Caudle
SOC: Effective: Expiration: Facility: Parcel No. 69677 Wooded Lake Dr. SFR
County: Chatham Wooded Lake Dr
Region: Raleigh
Apex NC 27502
Contact Person: David B Caudle
Title: Owner Phone: [phone]
Directions to Facility:
Hwy 40 W. towards Durham, take NC 751 S., Left on Mt. Pisgah Rd. Right on SR 1738, then right into subdivision
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 05/04/2022
Primary Inspector: Curtis R Tyree
Secondary Inspector(s):
Entry Time 11:30AM Exit Time: 11:40AM
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:
II Miscellaneous Questions
(See attachment summary)
Page 1 of 3

permit; WO0011761 Owner - Facility: David B Caudle
Inspection Date: 05/04/2022 Inspection Type :Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
The system has not been installed at this time.
Page 2 of 3

Permit: WQ0011761 Owner - Facility: David B Caudle
Inspection Date: 05/04/2022 Inspection Typo : Compliance Evaluation
Reason for Visit: Routine
Page 3 of 3

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