NCG550512_NCG550512 SFR Inspection Notes_20230911

Date qill 1�5krival Time Exit Time
-Nelg—DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
6/152021 W- I <<O,Permittee: I Permit: -�7 6 5r �2—
Address: E-mail-
Phone:( ) - Cell Phone:(_)_-__ County
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 n the home the Permittee? M Li Li
2. If not does the resident rent from the permittee? 0 0 0
3. Change of Ownership form needed?(mail the form with the inspection letter) 0 0 0
4. Is there a inspection and maintenance agreement with a contractor? 0
5. If yes to#4 who is the contractor?
SEPTIC TE The septic tan:,and filters should be checked annually and pumped/cleaned as needed
6. Is all wastewater from the home connected to the septic tank? 0
El
7. Does the permittee?resident know where the septic tank is located? 0 0 0
8. Has the septic tank been pumped in the last 5 years? ` �/E] 0 0
9. If yes to 98 date, if known If proof,describe �\
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filler when was the filter cleaned? By whom?
SAND FILTER/TREATMENT YES NO Lj If no proceed to the next section.
Accessible sand filter surfaces sha be raked and leveled every s x m n j and any vege'ailve growth shal be removed manually
12. Is system something other than a sandfilter? El 0 0
13. If yes,what kind?(examples-Peat,Textile, Other or brand name-Advantex. etc.)
14. Does the permittee know where the sandfilter is located? Ul 0
15. Does the sandfilter require maintenance? 0 y- 0 0
If maintenar_e is requ red expla n tr the comment section ad
DISINFECTION/UV YES El NO If no proceed to the next section.
The ultraviolet_nit_na be-he_ked weekky The lamps and sleeves should be Cleanrd repla,ad rm-eeded Ire s rr pr-ip-disinfection
16. Is UV working? 0 0
17. Has the UV Unit been serviced and bulbs cleaned? 0 0 0 0
18.Who completes the weekly check for the UV?( Non-Discharge)
DISINFECTION/TABLETS YES NO Lj If no proceed to the next section.
The tablet chloonatof un t sha I be checked weekly to er•su,a cont•iivcus and prope-ope a ion
19. Does the permittee have the correct chlorine tablets?(If none, mark No) 0 0 0 0
20. Does the Permittee know the location of the chlorinator? 0 0
21.Were chlorine tablets observed in the chlorinator? 0 El 0 0
22.Are tablets contacting water? If possible poke them to determine. 0 0 0 0
DECHLOR(Discharge only) YES NO If no proceed to the next section.
The dechiorinator unit shal be checked week y to ersure continuo-s and proper operation.
23. Does the permittee know where the dechlor is? 0 0 ❑ 0
24. Does the permittee have the correct dechlor tablets? 0 0 0
25.Were dechlor tablets observed in the dechlorination chamber? El 0
El
26.Are tablets contacting water? If possible poke them to determine. 0

PUMP TANK YES El NO LJ If no proceed to the next section.
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? El
29. Does the permittee know how to check the pump&high water alarms ❑
30. Last ful PUMP AUDIBLE &VISUAL
DISCHARGE ONLY YES NO LJ If no proceed to the next section.
A visual review of the outrall location shall be exoculed twice each year:-ire_ Ih dme of sampling to ensure no visible,. d -r ld nce of a malfunction tion ❑ El31. Does the permittee know where the outfall is located?
32. Were you able to locate the outfall? ❑ EA ❑
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? ❑ ❑ ❑
EJ ❑ ❑ ❑
36. Any Lab Results available?
37. Is there evidence of solids around the discharge point? ❑ ❑ ❑
DRIP or SPRAY YES I I NO If no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system s free of leak=and eq jipmenl 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 Ln the comment section ❑ ❑ ❑ ❑
45. Does the system match the permit description? if no explain 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#: - - -
Comments: Photos Taken? YES NO
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INSPECTOR: SIGNATURE:

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: NCG550512
Permit Type: Single Family Domestic Wastewater Discharge COiY
Facility Name: 615 Snow Hill Road
Facility Addressl: 615 Snow Hill Rd
Facility Address2:
City, State&Zip: Durham. NC 27712 V
OWner Information Details:
MUST submit a Change ofNamelOwnershlp form to DWR to make any changes to this Owner information.
(Ock&.a foC "Change of Nam"wnershl &=)
Owner Name: Norris Williams
Owner Type: Individual Owner Type Group: Individual
*** Legally Responsible for Permit***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signa thority from the legally responsible person.)
Owner Affiliation: Norris Williams Title:
Addressl: 615 Snow Hill Rd
Address2:
City,State&Zip: Durham, NC 27712
Work Phone: , Fax:
Email Address: \`
Owner Contact Person(s) y
Contact Name Title Address Phone Fax KW
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Contact Person(s)
Contact Name litk Address Phone Fax Email
Permit Billing Contact Person(s)
Contact Name iig Address Phone EM EMU
Norris Williams 615 Snow Hill Rd, Durham, NC 27712
Persons with Signatory Authority
Tvoe Contact Name Title Address Phone Fax Email
Designated Operators
If the designated operators 11sted below are Incorrect or no longer associated with the callftWon system,the Information can be updated by a
"OperatorDesignadon form"(=fern ft 0RC2gS6=j W Form). Please provide spechlcdetalls as to the changes requested,Including th
designated operators. For aff other operatirr quesdons or Issues,please call 919-897-6353.
Facility Classification:
Operator tiame Role Cert Type Cert Status Cert# Effective Date
9/8/2023 Page 1