HomeMy WebLinkAboutNCG551495_NOV-2023-PC-0056_20230203ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Envr'rmtmentat QuaHW
February 3, 2023
CERTIFIED MAIL# 7020 3160 0000 4115 5825
RETURNED RECEIPT REQUESTED
Sandra Losa-Ward
1215 Stone Road
Durham, NC 27703
Subject: NOTICE OF VIOLATION
Tracking Number: NOV-2023-PC-0056
Compliance Evaluation Inspection
Single Family Wastewater Treatment System
NPDES General Permit NCG550000
Certificate of Coverage NCG551495
Facility Name: 1215 Stone Road, Durham
Durham County
Dear Ms. Losa-Ward:
On January 18, 2023, Mitch Hayes from the Raleigh Regional Office visited your single-family
residence (SFR) wastewater treatment system to evaluate compliance with the subject General
NPDES Permit. Your assistance during the inspection was greatly appreciated.
Our records indicate the treatment system consists of a septic tank, sub -surface sand filter, tablet
chlorinator with chlorine contact chamber, tablet dechlorinator, discharge pipe and a rip -rap
apron for post aeration.
General NPDES Permit NCG550000 and Certificate of Coverage (COC) NCG551495 authorize
the discharge of domestic wastewater from your treatment system to receiving waters designated
as unnamed tributary to Northeast Creek classified WS-IV; NSW in the Cape Fear River Basin.
The authorized discharge is in accordance with the effluent limits and monitoring requirements
established within the General Permit. The items below show what conditions were noted at
your facility:
Findings during the inspection were as follows:
1. Treatment system operation: The wastewater treatment system shall be maintained at
all times to prevent seepage of sewage to the surface of the ground.
2. Pumping the septic tank: You are required to inspect the septic tank at least yearly to
determine if solids must be removed or if other maintenance is necessary. Septic tanks
North Carolina Department of Environmental Quality i Division of Water Resources
kEQ_ Raleigh Regional Office 1 3900 Barrett Drive I Raleigh, North Carolina 27609
�.64� 919.7414200
should be pumped out every five years or when the solids level is found to be more than
1/3 of the liquid depth in the septic tank compartment, whichever is greater. A pumping
company can check the status periodically and determine when pumping is required.
During the inspection, you stated that the septic tank had been pumped out by John Byrd
Septic Co. in 2022. The General NPDES Permit requires the permittee to retain records
associated with sewage disposal activities for a period of at least 5 years.
3. Chlorine tablets in the chlorinator: You are reminded that it is required that chlorine
tablets be maintained in the chlorinator to ensure proper disinfection of the discharged
wastewater. Chlorine tablets provide effective disinfection and prevent/limit harmful
bacteria from discharging to the environment. The product label for these tablets must
indicate the tablets are approved for wastewater use and not for swimminz pools. Part
1, Section D (1) of General NPDES Permit NCG550000 requires the permittee to inspect
the tablet chlorinator weekly to ensure there is an adequate supply of tablets for
continuous and proper operation. Section D (4) requires the permittee to maintain all
system components, including —disinfection units ... at all times and in good operating
order. The inspector did not observe any chlorine tablets in the chlorinator. Please
ensure the correct type of tablets are used and maintained in the chlorinator as
required by the General NPDES Permit.
4. Dechlorination tablets: You are responsible for always having dechlorination tablets (if
a required part of your system) in place. They must be the kind for wastewater treatment
and not for swimming pools. The inspector did not observe any dechlorination tablets in
the treatment unit. Please ensure the correct type of tablets are used and maintained in
the dechlorinator as required by the General NPDES Permit.
5. Analyzing the effluent: Part 1. C., Effluent Limitations and Monitoring Requirements,
within General Permit NCG550000 requires a permittee to sample and analyze the
effluent leaving his/her treatment system prior to discharge annually. Parameters to be
sampled and analyzed include Flow, BOD (Biochemical Oxygen Demand), Total
Suspended Solids, Fecal Coliform and Total Residual Chlorine. In the last inspection
letter dated September 27, 2018, you were requested to sample your effluent and to
submit the analytical results to this office. The Raleigh Regional Office has not received
the requested results. If you have not monitored your effluent, then please collect a
representative sample of the effluent, have it analyzed by a certified commercial
laboratory and submit the results to this office no later than April 3, 2023. If, during this
time, you are unable to collect a representative sample of the effluent discharge due to
insufficient flow from the discharge pipe, then update this office with that information
and continue to monitor the discharge and if conditions for sampling become favorable,
then arrange to collect a sample. Failure to monitor the effluent discharge as required is
a violation of NPDES General Permit NCG550000.
6. Discharge outlet location. The permittee is required to conduct a visual review of the
outfall location at least twice each year (one at the time of sampling) to ensure that no
visible solids or other obvious evidence of system malfunctioning is observed. Any
visible signs of a malfunctioning system shall be documented and steps taken to correct
the problem. The discharge pipe was visible and accessible the day of the inspection.
Please ensure the outlet is always visiblelmaintained and cleared of vegetation, soil and
leaves.
E North Carolina Departmeast of Environmental Quality I Division of Water Resources
42E$12 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
�/ 919 707 9000
Part II Section B.14 of General Permit NCG550000 requires the permittee to "pay the annual
administering and compliance monitoring fee within thirty days after being billed by the
Division." The annual fee ($60 per year) for the period August 1, 2020 through July 31, 2023,
was due by August 1, 2022. These fees have not been paid and are overdue. Payment in the
amount of $180 must be remitted to the Division as indicated on the attached Annual Permit
Fee Invoice.
The wastewater treatment system should be periodically inspected. You are also reminded to
maintain all monitoring data and associated maintenance records onsite far a minimum of
three years and available for inspection.
This inspection report is being issued as a Notice of Violation because failure to maintain
chlorine tablets in the chlorinator and dechlor tablets in the dechlorinator.
Within 30-days receipt of this letter, please submit a written response to this office indicating
the actions you will take or have taken to comply with or resolve the issues noted in items 2, 3,
4, and S above.
If you have questions or comments about this inspection or the requirements to take corrective
action (if applicable), then please contact Mitch Hayes at 919-791-4261.
Sincerely,
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Attachment(s): EPA Water Compliance Inspection Report
Annual Permit Fee Invoice Due August 1, 2022
".r A,& r, u 1-1
Laserfiche --b r Aut, 1, 7oz,a
D_E Q North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh. North Carolina 27699-1611
919 707 9000
; 0 ON ■ m
■ ■l
■
■
■
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No.2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/molday Inspection Type Inspector Fac Type
I� I 2 I{ I 3 NCG551495 11 12 23/01/18 17 1$ I c l 19 l S j 20LJ
�I
211 I I L_ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1.1 1 1 1 1- 1 1 1 1 It--l_1 1 I I Ins
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
67
70 �t-3 I � 71 Lj 72 I u I 73I I1 I I74 71 1 1 1 1 I 1 I80
LJ L_
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES Dermit Number)
12:42PM 23/01/18
13/08/01
1215 Stone Road
Exit Time/Date
Permit Expiration Date
1215 Stone Rd
Durham NC 27703
12:49PM 23/01/18
18/07/31
Name(s) of Onsite Representative(s)Rtles(syPhone and Fax Number(s)
Other Facility Data
❑1
Sandra Losa11919-272-7978 /
Name, Address of Responsible Official/Title/Phone and Fax Number
Sandra Losa,1215 Stone Rd Durham NC 2770311919-272-79781 Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Records/Reports 0 Facility Site Review N Effluent/Receiving Wate
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Mitchell S. Hayes DWRIRRO WQ1919-791-42001
Signature of Management 0 A Reviewer AgencylOffice/Phone and Fax Numbers Date
riy l 202-3
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#
NPDES yrlmo/day Inspection Type 1
NCG551495 I11 1 23101/18 17 18 I C I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
There were no chlorine tablets in the chlorinator. There were no dechlor tablets in the dechlorinator.
Analyses of effluent is not being done.
Page# 2
Permit: NCG551495 Owner - Facility: 1215 Stone Road
Inspection Date: 01/18/2023 Inspection Type: Compliance Evaluation
Permit
Yes
No
NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
0
❑
application?
Is the facility as described in the permit?
❑
❑
❑
# Are there any special conditions for the permit?
❑
❑
0
❑
Is access to the plant site restricted to the general public?
❑
❑
0
❑
Is the inspector granted access to all areas for inspection?
❑
❑
❑
Comment:
Record Keeping
Yes
No
NA NE
Are records kept and maintained as required by the permit?
❑M
❑
❑
Is all required information readily available, complete and current?
❑0
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
❑
M
❑
❑
Are analytical results consistent with data reported on DMRs?
❑
0
❑
❑
Is the chain -of -custody complete?
❑
M
❑
❑
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
❑
❑
0
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
■
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified
❑
❑
0
❑
operator on each shift?
Is the ORC visitation log available and current?
❑
❑
0
❑
Is the ORC certified at grade equal to or higher than the facility classification?
❑
❑
0
❑
Is the backup operator certified at one grade less or greater than the facility
❑
❑
0❑
classification?
Is a copy of the current NPDES permit available on site?
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
■
❑
Comment: Analyses of effluent not being done. There „are no records.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑
Page# 3
Permit: NCG551495
Inspection Date: 01/18/2023
Effluent Pipe
Owner - Facility: 1215 Stone Road
Inspection Type: Compliance Evaluation
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: There was no discharge. Discharges into a_road ditch.
Yes No NA NE
■ ❑ ❑ ❑
❑ ❑ ■ ❑
Page# 4
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY Ill Ill�lil��l � II�II I I, II: hill � I��iilll I Ili
INVOICE *2020PR006501*
Annual Permit Fee Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated
with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless
of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation.
Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and
you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied
due to changes in environmental, regulatory, or modeling conditions.
Invoice Number: 2020PR006501 Annual Fee Period: 2020-08-01 to 2021-07-31
Permit Number: NCG551495 Invoice Date: 07/08/2020
Durham County
1215 Stone Road Due Date: 08/07/2020
Sandra Losa Annual Fee: $60.00
1215 Stone Rd
Durham, NC 27703
Notes:
1. You may pay either by mail with check/money order OR by electronic payment (eCheck or Credit Card).
2. If payment is by checklmoney order, please remit payment to:
NCDEQ - Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh, NC 27699-1617
3. If payment is electronic, please see httos:/Idea.nc.novieoayments/wg to pay electronically. Payments by eCheck will debit your
checking account. Credit card transactions will incur a convenience fee.
4. Please Include your Permit Number and Invoice Number on all correspondence.
5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you need to update any Owner/PermitlContact information or have any questions regarding this invoice, please send
email to dwaepavCdlncdennaov or you may also contact the following:
- NPDES WW Program Administrative Contact at 919-707-3601 or
- Annual Administering and Compliance Fee Coordinator at 919-707-3698
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2020PR006501
Permit Number: NCG551495
Durham County
1215 Stone Road
Sandra Losa
1215 Stone Rd
Durham, NC 27703
IIIIIIIIIIIIIIIIIIII!IIIIIIIIII�
Overdue
Annual Fee Period: 2020-08-01 to 2021-07-31
Invoice Date: 7/8/2020
Due Date: 8/7/2020
Annual Fee: $60,00
Check Number:
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE * 2 0 2 1 IP R 0 0 6 5 4 6
Annual Permit Fee Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated
with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless
of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation.
Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and
you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied
due to changes in environmental, regulatory, or modeling conditions.
Invoice Number: 2021PR006546 Annual Fee Period: 2021-08-01 to 2022-07-31
Permit Number: NCG551495 Invoice Date: 07/02/2021
Durham County
1215 Stone Road Due Date: 08/01/2021
Sandra Losa Annual Fee: $60.00
1215 Stone Rd
Durham, NC 27703
Notes:
1. You may pay either by mail with checklmoney order OR by electronic payment (eCheck or Credit Card).
2. If payment is by checklmoney order, please remit payment to:
NCDEQ - Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh, NC 27699-1617
3. If payment is electronic, please see httos://doo.nc.gov/epaymentstwa to pay electronically. Payments by eCheck will debit your
checking account. Credit card transactions will incur a convenience fee.
4. Please Include your Permit Number and Invoice Number on all correspondence.
5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512,
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you need to update any Owner/Permit/Contact information or have any questions regarding this invoice, please send
email to dwgepav*.ncdenr.aov or you may also contact the following:
- NPDES WW Program Administrative Contact at 919-707-3601 or
- Annual Administering and Compliance Fee Coordinator at 919-707-3698
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2021 PR006546
Permit Number: NCG551495
Durham County
1215 Stone Road
Sandra Losa
1215 Stone Rd
Durham, NC 27703
iurtiiiiuuNiuiiiiuu iruwwn
Overdue
Annual Fee Period: 2021-08-01 to 2022-07-31
Invoice Date: 7/2/2021
Due Date: 8/1/2021
Annual Fee: $60.00
Check Number:
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Annual Permit Fee
AflI1111iN�IIlA1�IY
Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated
with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless
of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation.
Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and
you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied
due to changes in environmental, regulatory, or modeling conditions.
Invoice Number: 2022PR006196 Annual Fee Period: 2022-08-01 to 2023-07-31
Permit Number: NCG551495 Invoice Date: 07/02/2022
Durham County
1215 Stone Road Due Date: 08/01/2022
Sandra Losa Annual Fee: $60.00
1215 Stone Rd
Durham, NC 27703
Notes:
1. You may pay either by mail with checklmoney order OR by electronic payment (eCheck or Credit Card).
2. If payment is by check/money order, please remit payment to:
NCDEQ - Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh, NC 27699-1617
3. If payment is electronic, please see httas://dog.nc.aovieoaymentstwci to pay electronically. Payments by eCheck will debit your
checking account. Credit card transactions will incur a convenience fee.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A $25,00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you need to update any Owner/Permit/Contact information or have any questions regarding this invoice, please send
email to dwoegavOncderingov or you may also contact the following:
- NPDES WW Program Administrative Contact at 919-707-3601 or
- Annual Administering and Compliance Fee Coordinator at 919-707-3698
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2022PR006196
Permit Number: NCG551495
Durham County
1215 Stone Road
Sandra Losa
1215 Stone Rd
Durham, NC 27703
mninu�iuiniiiuuivAui
Overdue
Annual Fee Period: 2022-08-01 to 2023-07-31
Invoice Date: 7/2/2022
Due Date: 8/1/2022
Annual Fee: $60.00
Check Number:
Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated
with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless
of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation.
Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and
you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied
due to changes in environmental, regulatory, or modeling conditions.
Invoice Number: 2022PR006196 Annual Fee Period: 2022-08-01 to 2023-07-31
Permit Number: NCG551495 Invoice Date: 07/02/2022
Durham County
1215 Stone Road Due Date: 08/01/2022
Sandra Losa Annual Fee: $60.00
1215 Stone Rd
Durham, NC 27703
Notes:
1. You may pay either by mail with checklmoney order OR by electronic payment (eCheck or Credit Card).
2. If payment is by check/money order, please remit payment to:
NCDEQ - Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh, NC 27699-1617
3. If payment is electronic, please see httas://dog.nc.aovieoaymentstwci to pay electronically. Payments by eCheck will debit your
checking account. Credit card transactions will incur a convenience fee.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A $25,00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you need to update any Owner/Permit/Contact information or have any questions regarding this invoice, please send
email to dwoegavOncderingov or you may also contact the following:
- NPDES WW Program Administrative Contact at 919-707-3601 or
- Annual Administering and Compliance Fee Coordinator at 919-707-3698
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2022PR006196
Permit Number: NCG551495
Durham County
1215 Stone Road
Sandra Losa
1215 Stone Rd
Durham, NC 27703
mninu�iuiniiiuuivAui
Overdue
Annual Fee Period: 2022-08-01 to 2023-07-31
Invoice Date: 7/2/2022
Due Date: 8/1/2022
Annual Fee: $60.00
Check Number:
Inspection Date: 1 6 Z-J Start Time:
End Time:
51NGLE FAMILY WASTEWATER SYSTE CHECKLIF
1/5/2015
Permittee: Permit:
Address: a S 5to.ne- E-mail-
Phone:( ) - Cell Phone:( ) County:
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Yes
No
Apply
Invest
1. Is the current resident in the home the Permittee?
2. If not does the resident rent from the Permittee?
❑
1
❑
❑
3. Change of Ownership form needed? (mail the form with the inspection letter)
❑
`' l
❑
❑
4. Is there a inspection and maintenance agreement with a contractor?
V
❑
❑
❑
5. If yes to #4 who is the contractor?jo
SEPTIC TANK The septic tank and fillers should be checked annua ly and pimped cleaned as need.d.
6. Is all wastewater from the home connected to the septic tank?
10'❑
❑
❑
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_ 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 who?
SAND FILTER I TREATMENT PODS YES NO El If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six months a -id any vegetative growth shall be removed
mane Ily.
12. Is system something other than a sand filter?
❑
❑
❑
13. If yes, what kind? (examples - Peat, Text -le or brand name - Advantex etc.).._..
14. Does the permittee know where the filter is?
❑
_
❑
❑
15. If above ground does the filter require maintenance? ❑ ❑ ❑
It maintenace is required explain in the comment sect7on.
DISINFECTION 1 UV YES NO 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 disinfectio .
16. Is UV working? ❑
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑
18. Who completes the weekly check for the UV?( Nan-Dis harge) _
DISINFECTION 1 TABLETS YES & NO
The tablet chlorinator unit shalt be checked weekly (: ensure continuous a^d pr-)per operatium
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 etermine.
DECHLOR (Discharge only) YES M NO
The dechlorinator unit shall be checked weekly to ensure continuous and pruper cperati-m
23. Does the permittee know where the dechlor is?
24. Does the permittee have the correct dechlor tablets?
If no proceed to the next section.
❑
❑
❑
❑
❑
❑
❑
Rd,
❑
❑
❑
❑
❑
If no proceed to the next section.
LV
❑
❑
❑
❑
❑
❑
I25. Were dechlor tablets observed in the dechlorination chamber?
26. Are tablets contacting water? If possible poke them to determine
ED El i�( El
of
Yes No Apply Investigati
PUMP TANK YES NO j
If no proceed to the next section.
All pump and alarm sytems shad be inspected monthly. (non -discharger
❑
❑
❑
27. is the pump working?
❑
❑
❑
28. is the audible and visual high water alarm operat.onal?
❑
❑
❑
29. Did the permittee know how to check the pump & high water alarm?
30. Last functional test?_.. _... --
YES NO LJ
If no proceed to the next section.
DISCHARGE ONLY
A visual review of the outfall location shall be executed twice ea:-h year tone at tl-e t.me of sampling to ensur =tom We sol.ds or evidence of a malfunction.
0
31. Does the permittee know where the outfall is?
El
�
❑
32. Were you able to locate the outfall?
❑
0
❑
33. is the end of the discharge pipe visible? If not. expla.n ,why
Q
❑
❑
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 d-ischarge point?
DRIP or SPRAY YES NO
If no proceed to the next section.
The irr gat on sysetm shall be inspected monthly to ensure tt'e system is f*ee a leaks and equipment is
operating as designed
38. is the system DRIP or IRRIGATION (circle one)? if irrigation number of sprinkler heads.__
eY
❑
39. Are the buffers adequate?
❑
❑
❑
40. Is the site free of ponding and runoff?
El
❑
❑
41. Does the application equipment appear to be working proper,y?
❑
❑
❑
.42. Is there a two wire fence?
GENERAL
C`�
43. Are the treatment units locked and or secured?
❑
❑
44. Has resident had any sewage problems? If yes explain in the comment section
El
❑
El45.
Does the system match the permit description? If no explain inthe comment section
❑
16. is the system compliant? ❑ V ❑ ❑
47. Is the system failing? If yes. take pictures if possible ❑ ❑ ❑
48. If system is failing, any sign of children or animals contacting sewage? -
NOD Sent #: - - NOV Sent
Comments: Photos Taken? YES NO
.�•� 7� i�-�—Tn o l �G ^fit 5 _r�F _. � _