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Home My WebLink AboutNCG550727_Field Notes_20230724Date O--Z�i--z. , Arrival Time /lfJ' y Exit Time // ! 0 r? NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS 611 &2o2 f Permittee: -&LPSE9X:- l I - SE.., - ._ __._ Permit: N Address: ki5M S I u N(� bE . r' .___. E-mail-_. �. l -C . � �I�io Phone:() HH`j. - 6 q ' Cell Phone:( ) - County: U 02—%A! 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? K Li 2. If not does the resident rent from the permittee? El 3. Change of Ownership form needed? (mail the form with the inspection letter) ❑ El 4. Is there a inspection and maintenance agreement with a contractor? 5. If yes to #4 who is the contractor? SEPTIC Tf The septic tank and filte-a should be checked a,4%oa"yang pumpedlcfeaned as needed "(00 �Lt 6. Is from home to the tank? all wastewater the connected septic El EJ ❑ 7. Does the permilteelresident know where the septic tank is located? 8. Has the septic tank been pumped in the last 5 years? '7/1 ti lzeC5 XL ❑ 0 9. If yes to #8 date, if known r, 7 _ If proof, describe I i"JJ 0' b 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 -p y- 5tp YES bC 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 0 12. Is system something other than a sandfilter? 13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.) ❑ ❑ K ❑ 14. Does the permittee know where the sandfilter is located? ❑ X 15. Does the sandfilter require maintenance? If maintenance is required explain in the comment section DISINFECTION 1 UV YES NO If no proceed to the next section. The ullravioret unit shall be checked weekly, The tamps and sleeves should be cleaned or replaced as needed to ensure proper disinfectwn ❑ ❑ 16. Is UV working? 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 NO If no proceed to the next section. The tab at chlorinato, unit shall be checked weekly to ensure c❑ntmuous and proper operation 19. Does the permittee have the correct chlorine tablets?(If none, mark No) tjO t 0 {� 6` 'Lo\`6 El ❑ El 20. Does the Permittee know the location of the chlorinator? ❑ El ❑ 21. Were chlorine tablets observed in the chlorinator? 22. Are tablets contacting water? If possible poke them to determine. ❑ DECHLOR (Discharge only) YES NO If no proceed to the next section. The dechlornator un.t shall be checked weekly to en; ire continuous and paper operation ❑ 0 El El 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. PUMP TANK YES I. 1 NO 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? If no proceed to the next section. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 30 Last fur PUMP AUDIBLE & VISUAL DISCHARGE ONLY YES NO -... if no proceed to the next section. A casual review of the outfaii location shall be executed twice each year (one at the time or sampling to ensure no visible solids or evidence of a malrunction. ❑ ❑ ❑ 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? E ❑ ❑ 34. Is outlet discharging? ❑ ❑ ❑ 35. Is right of way maintained around the discharge point? t ❑ 6z ❑ ❑ 36. Any Lab Results available? � ❑ ❑ ❑ 37. Is there evidence of solids around the discharge point? DRIP or SPRAY YES 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. . Is the system DRIP or IRRIGATION (circle one)? Are the buffers adequate? Is the site free of ponding and runoff? If irrigation number of sprinkler heads. ❑ ❑ ❑ ❑ ❑ ❑ 41, Does the application equipment appear to be working properly? ❑ ❑ ❑ 42. Is there a minimum two wire fence surrounding entire GENERAL 43. Are the treatment units locked and or secured? .ion area? ❑ ❑ ❑ 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 5. Is the system compliant? 7. Is the system failing? If yes. take pictures if poss ble 48. If system is failing, any sign of children or animals contacting sewage? NOD Sent #: = - NOV Sent #: ments: Photos Taken? ❑ L ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ YES LJ NO �+IFa f# y w ' ,Ir:ar Irr L • i - a i s QA FA A IF SIGNATURE: