HomeMy WebLinkAboutNCG550019_Compliance Evaluation Inspection_20230818DocuSign Envelope ID: BD8C0176-9B60-47A1-AD10-6305616832C2
ROY COOPER Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR. NORTH CAROLINA
Director Environmental Quality
August 18, 2023
Mr. Scott Shanafelt
1314 Oak forest Drive
Durham, NC 27712
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
General NPDES Permit NCG550000
Certificate of Coverage NCG550019
Facility: 1314 Oak Forest Drive
Durham County
Dear Mr. Shanafelt:
On August 4, 2023, Michael Hall 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, discharge pipe and a rip -rap apron for post aeration.
General NPDES Permit NCG550000 and Certificate of Coverage (COC) NCG550019 authorize the
discharge of domestic wastewater from your treatment system to receiving waters designated as
unnamed tributary to Little River (classified WS-IV) in the Neuse 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:
NCG550000 Ownership Change Form: According to Durham County deed of records,
Scott Shanafelt owns the residence and property located at 1314 Oak Street in Durham,
North Carolina. As the property owner, you are also the owner of the existing single-
family wastewater treatment system, which treats the domestic wastewater from the
residence and releases the effluent to the receiving waters indicated above. Because
the treatment system makes an outlet to waters of the state, it is an activity for which
the subject permit is required. To comply with North Carolina General Statute § 143-
215.1(a), which requires a person to obtain a permit to make an outlet into the waters
of the state, you will need to complete and submit a NCG550000 Ownership Change
Form to the Division. The inspector provided you with a copy during the inspection, and
a second is attached to this letter. If you have any questions regarding change in
permit ownership or completing the form, then please contact Michael Hall at 919-
791-4237 or michaeLhall@deq.nc.gov.
North Carolina Department of Environmental Quality I Division of Water Resources
4NORT�HCv Raleigh Regional Office 1 3800 Barrett Drive I Raleigh, North Carolina 27609
NORTHCAROUNA 919.791.4200
Department ofEnvlronmantal Duali�
DocuSign Envelope ID: BD8C0176-9B60-47A1-AD10-6305616832C2
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
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, Mr. Shanafelt indicated that the tank had been
pumped recently, but did not provide any documentation. Within 30-days of receiving
this letter, please send a copy of the most recent receipt/invoice to this office showing
the date the septic tank was last checked and/or pumped out. 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 swimming 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. You can document purchase and placement of
the tablets by sending pictures of the bucket, as well as tablets within the chlorinator,
to the inspector.
4. 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, Total Residual Chlorine, Total Nitrogen, Ammonia
Nitrogen and Total Phosphorous During the inspection, you informed the inspector that
the effluent has not been monitored within the last 12 months. 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 October 31, 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.
S. 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 continue to ensure the outlet is always visible/maintained and cleared of
vegetation, soil and leaves.
D E Q �J North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-161 1
NORrH CAROLINA �/ 919.707.9000
oepanmem or environmental auaii
DocuSign Envelope ID: BD8C0176-9B60-47A1-AD10-6305616832C2
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." No
invoices have been sent to you since you have lived at the property, and the inspector will inform the
accounting department that an invoice for this year should be sent to your address. Payment in the
amount of $60 must be remitted to the Division as indicated on the Annual Permit Fee Invoice that will
be sent.
The wastewater treatment system should be periodically inspected to ensure the treatment
components are always maintained and in good operating order. You are also reminded to maintain all
monitoring data and associated maintenance records onsite for a minimum of three years and
available for inspection.
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 items 1-4 above.
If you have questions or comments about this inspection or the requirements to take corrective action
(if applicable), then please contact Michael Hall at 919-791-4237 or michael.hall@deq.nc.gov.
Sincerely,
ocuSigned by:
E�D
& f.
2916E6AB32144F...
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
NCG550000 Ownership Change Form
Field Inspection Form
Cc: Laserfiche
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
NORTH CAROLINA 919.707.9000
Depanmem of Envlmnmenml Dual
DocuSign Envelope ID: 749F9CE8-EED1-4EDD-BE5E-57AC6AD7F854
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/mo/day Inspection Type Inspector Fac Type
1 IN 2 u 3 I NCG550019 111 121 23/08/04 I17 18 I C I 19 I s I 20L]
21111I I I I I I I II I I I I I I I I I I I I I I I I I I I I I I I II I I I I I r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------- Reserved -------------------
67
I 72 I ni I 73 � I 74 79 I I I I I I I80
70 I I 71 I LL -1 I I
LJ
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)
12:12PM 23/08/04
13/08/01
1314 Oak Forest Drive
1314 Oak Forest Dr
Exit Time/Date
Permit Expiration Date
Durham NC 27712
12:34PM 23/08/04
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Bryan Hodges,1314 Oak Forest Dr Durham NC 27712M
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations & Maintenar 0 Facility Site Review 0 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
Michael Hall Docusigned by: DWR/RRO WQ/919-791-4237/
AicLa Ra 8/17/2023
E�372DCBCB61EE4A8...
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
DocuSigned by:
''
Vcunt,SSa , �lAwa 8/17/2023
� 1 E B44
EPA Form 39ff ?Wev321A4) Previous editions are obsolete.
Page#
DocuSign Envelope ID: 749F9CE8-EED1-4EDD-BE5E-57AC6AD7F854
NPDES yr/mo/day Inspection Type (Cont.)
NCG550019 I11 12I 23/08/04 117 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Findings during the inspection were as follows:
1. NCG550000 Ownership Change Form: According to Durham County deed of records, Scott
Shanafelt owns the residence and property located at 1314 Oak Street in Durham, North Carolina.
As the property owner, you are also the owner of the existing single-family wastewater treatment
system, which treats the domestic wastewater from the residence and releases the effluent to the
receiving waters indicated above. Because the treatment system makes an outlet to waters of the
state, it is an activity for which the subject permit is required. To comply with North Carolina General
Statute § 143-215.1(a), which requires a person to obtain a permit to make an outlet into the waters
of the state, you will need to complete and submit a NCG550000 Ownership Change Form to the
Division. The inspector provided you with a copy during the inspection, and a second is attached to
this letter. If you have any questions regarding change in permit ownership or completing the form,
then please contact Michael Hall at 919-791-4237 or michael.hall@deq.nc.gov.
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 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, Mr. Shanafelt indicated that the tank
had been pumped recently, but did not provide any documentation. Within 30-days of receiving this
letter, please send a copy of the most recent receipt/invoice to this office showing the date the septic
tank was last checked and/or pumped out. 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 swimming 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. You can document purchase and placement of the tablets by sending pictures of the bucket,
as well as tablets within the chlorinator, to the inspector.
4. 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, Total Residual
Chlorine, Total Nitrogen, Ammonia Nitrogen and Total Phosphorous During the inspection, you
informed the inspector that the effluent has not been monitored within the last 12 months. 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 October 31, 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.
5. 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 continue to ensure the outlet is always
visible/maintained and cleared of vegetation, soil and leaves.
Part II Section B.14 of General Permit NCG550000 requires the permittee to "pay the annual
Page#
DocuSign Envelope ID: 749F9CE8-EED1-4EDD-BE5E-57AC6AD7F854
Permit: NCG550019 Owner -Facility: 1314 Oak Forest Drive
Inspection Date: 08/04/2023 Inspection Type: Compliance Evaluation
administering and compliance monitoring fee within thirty days after being billed by the Division." No
invoices have been sent to you since you have lived at the property, and the inspector will inform the
accounting department that an invoice for this year should be sent to your address. Payment in the
amount of $60 must be remitted to the Division as indicated on the Annual Permit Fee Invoice that will
be sent.
The wastewater treatment system should be periodically inspected to ensure the treatment
components are always maintained and in good operating order. You are also reminded to maintain
all monitoring data and associated maintenance records onsite for a minimum of three years and
available for inspection.
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 items 1-4 above.
Page#
DocuSign Envelope ID: 749F9CE8-EED1-4EDD-BE5E-57AC6AD7F854
Permit: NCG550019 Owner -Facility: 1314 Oak Forest Drive
Inspection Date: 08/04/2023 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
❑
❑
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# 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?
0
❑
❑
❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Septic Tank
Yes
No
NA
NE
(If pumps are used) Is an audible and visual alarm operational?
❑
❑
0
❑
Is septic tank pumped on a schedule?
❑
0
❑
❑
Are pumps or syphons operating properly?
❑
❑
■
❑
Are high and low water alarms operating properly?
❑
❑
❑
Comment: Owner indicated that the tank had been pumped recently,
but did not provide any
documentation for this. Have requested documentation.
Sand Filters (Low rate)
Yes
No
NA
NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
0
❑
Is the distribution box level and watertight?
❑
❑
0
❑
Is sand filter free of ponding?
■
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
0
❑
# Is the sand filter surface free of algae or excessive vegetation?
0
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
❑
❑
0
❑
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
0
❑
❑
❑
Are the tablets the proper size and type?
❑
❑
0
❑
Page# 4
DocuSign Envelope ID: 749F9CE8-EED1-4EDD-BE5E-57AC6AD7F854
Permit: NCG550019 Owner -Facility:
Inspection Date: 08/04/2023 Inspection Type:
1314 Oak Forest Drive
Compliance Evaluation
Disinfection -Tablet
Yes
No
NA
NE
Number of tubes in use?
1
Is the level of chlorine residual acceptable?
❑
❑
0
❑
Is the contact chamber free of growth, or sludge buildup?
■
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
0
❑
Comment: Owner has not been placing tablets in the chlorinator. Provided owner with an
information packet. Explained the chlorinator. Have requested documentation that
tablets have been purchased and placed in the chlorinator.
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
0
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
0
❑
❑
❑
If effluent (diffuser pipes are required) are they operating properly?
❑
❑
■
❑
Comment:
Page# 5
SATC
ROY COOPER _
Governor
ELIZABETH S. BISERa �
Secretary
RICHARD E. ROGERS, JR. NORTH CAROLINA
Director Environmental Quality
NPDES Certificate of Coverage (CoC)
NCG550000 "1A1"r_=Lj1r1 I- - — ---' - M
I. Please enter the CoC number for which the change is requested.
Certificate of Coverage
N I C G 5 5 0 0 1 9
II. Please provide the following for the requested change (revised CoC).
a. Request for change is a result of.
❑ Change in ownership of the residence/property
❑ Name change of the facility or owner
If other please explain:
b. CoC will be issued to (person's name
or company name, if applicable):
c. Owner: person legally responsible for
CoC:
First MI Last
Title
Permit Holder Mailing Address
city State Zip
( )
Phone E-mail Address
d. Facility name (if applicable):
e. Facility address:
Address
city State Zip
f. Facility contact person:
[if different from Owner]
First MI Last
Phone E-mail Address
III. Contact person (if different from the person legally responsible for the CoC)
First MI Last
Title
Mailing Address
City State Zip
Phone E-mail Address
D � ��� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
NOHIH CAHOLINh 919.707.9000
O.""M of Em1;; al Owl
Page 2 of 2
IV
Will this permitted facility continue to discharge the same volume and type of wastewater as
prior to this ownership or name change?
❑ Yes
❑ No (please explain)
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both facility -name change and/or facility ownership
change requests.
❑ Legal documentation of the transfer of ownership (such as a property deed, relevant pages of a
contract, or a bill of sale) is required for an ownership change request.
The certifications below must be completed and signed by the new applicant in the case of an ownership
change request.
APPLICANT CERTIFICATION
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Mr. Charles H. Weaver
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
charles.weaver@deq.nc.gov
}
Date � fffi Z D Arrival Time �Z . l2 Exit Time 1
NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
6/15Q021
Permittee: _T�1 _
Permit:
- �1101 __
Address:_i b i �-i Ofl LL r i2{ E-mail-
Phone:( ) - Cell Phone:( f`�) ZZ 1 M9
County:
tL�&,\q
The Permiltee is responsible For the operation and maintenance of the entire wastewater treatment
and disposal system
UTT� i.- t CTLr� V+J &?- Uu S� 4
Yes
No
Doesn't Did Not
Apply Investigate
1. Is the current resident in the home the Permittee? S <p� $� AEA
2. If not does the resident rent from the permittee?
❑
X
❑
El
3. Change of Ownership form needed? (mail the form with the inspection letter) yk-s
�0
El
❑
❑
❑
S
4. Is there a inspection and maintenance agreement with a contractor?
5. If yes to #4 who is the contractor?
SEPTIC TA Me septic tank and filters should be checked annually and pumped/cleaned as needed
6. Is all wastewater from the home connected to the septic tank?
7. Does the perm itteelresident know where the septic tank is located?
®
El
❑
0
the last 5 years?
8. Has the septic tank been pumped( i
❑
Eln
9. If yes to #8 date, if known P Y-nIf proof, describe
- V�
-
-t-iyy DWF-F�
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one) LhJ -P-Cv j;,-j
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER i TREATMENT YES NO
If no proceed to the next section.
Accessible sand filler surfaces shall be raked and leveled every six momhs and anp 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 permittee know where the sandfilter is located?
R
❑
EJ
15. Does the sandfilter require maintenance?
n
0
El
0
If maintenance is req,iired explain in the co.—ment se.;tion.
DISINFECTION 1 UV YES Ll NO 2j
If no proceed to the next section.
The ultraviolet unit shalt be checked weekly. The lamps and sleeves should be cleaned or replaCed as needed to ensure proper
disinfection
El
❑
0
0
16. Is UV working?
17, Has the UV Unit been serviced and bulbs cleaned?
El
0
0
❑
18. Who completes the weekly check for the UV7( Non -Discharge)
DISINFECTION ! TABLETS YES NO El
If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure contnuous and proper operation
19. Does the permittee have the correct chlorine tablets?(If none, mark No)
El
19-
❑
20. Does the Permittee know the location of the chlorinator?
®
EJ
❑
❑
21. Were chlorine tablets observed in the chlorinator? IVi7T rN ZotedT ❑
N
❑
0
22. Are tablets contacting water? if ossible poke them to determine.
❑
®
❑
❑
DECHLOR (Discharge only) YES NO
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 dechlor is?
❑
El
24. Does the permittee have the correct dechlor tablets?
El
El
0
❑
25. Were dechlor tablets observed in the dechlorination chamber?
El
El
El
0
26. Are tablets contactin water? If possible poke them to determine.
❑
PUMP TANK YES NO
If no proceed to the next section.
All pump and alarm sytems shall be Inspected monthly (non discharge)
27. Is the pump working?
El
El
❑
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
DISCHARGE ONLY YES 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 samp ing to ensure no visible solids or evidence of a malfunction
❑
❑
❑
31, Does the permittee know where the outfall is located?
❑
ED
❑
32. Were you able to locate the outfall?
❑
ED
❑
33. is the end of the discharge pipe visible and accessible?
34. Is outlet discharging? Nb� I N TOt�d
❑
❑
❑
35. Is right of way maintained around the discharge point?
Zc�t
g ❑
❑
❑
36. Any Lab Results available? ��' ' N
❑
❑
❑
37. Is there evidence of solids around the discharge point?
DRIP or SPRAY YES FI NO
If no proceed to the next section.
The irrigation system shall be Inspected monthly to ensure the system s free of leaks and equipment Is operating
as designed
38. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
El
❑
El
El
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?
❑
❑
A
❑
❑
❑
44. Has resident had any sewage problems? If yes expla In In the comment section
❑
❑
❑
45. Does the system match the permit description? if no expla n in the comment section
❑
❑
❑
46. Is the system compliant?
❑
❑
❑
47. Is the system failing? If yes, lake pictures if possible.
❑
❑
48. If system is failing, any sign of children or animals contacting sewage?
NOD Sent #: - - - NOV Sent M
-
Comments: Photos Taken?
YES
_ NO
Ll
Irk
}
INSPECTOR: 4 SIGNATURE: