NCG550326_ncg550326 CEI note 2024_20240705

1113
1,7 5--2-
/2—,0� i
tirlk, DISCHAR-,
Doesn't Did Not
App;y
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SEPTIC if ,• -- —_ �_ __-- —
60 i
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10 D [
ll. lt 'rr� t f lt•. 'it 1 1 r
SAND FILTER TREATPr1ENT YES NO V ttn p•oeeccf to the next section
12 i'
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DIS1.1,1FFCI10`. rt1.,__ - —A !
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lb
DISI`JFF( TI,)`, W11. 1AS `t'FS
22
DECIItr ' {[1 I. !Y'r of j
I
� I

YES NO
IMP TANK i If no proceed to the next section
?-tip , - , i;ir,• .- - ••r , as , �_, � S I
t
t Ar If d ��1 rl� a 1..1 viSuzi!h",l 3ter di yiiis operational' kk
j
3 Dues the pernh+tev: Wow how(C)che.;k the punip&high avatar alarm?
1
0 Last ful PUMP. AUDIBLE &VISUAL
YES NO _ if no roceed to the next section
►lSCNARGE ONLY
Wstail re�,'ew ortt,e'H.!rali ldrdh N` .hall be ea,,ot-ti Chace ea,:�year(one at the hint O'3fi!,plrrg tr`Cn:air
11 Does the permiltee know where the out,',' is located? ❑ ❑ 0 ❑
32.Were ynu able to locate the outfall? / ❑ ❑ ❑
33 Is the end of the d•scharge pipe visible and accessible? / C ❑ ❑ ❑
34 Is outlet discharging? Alo
35. Is right of way maintained around the discharge point? y ❑ ❑ ❑ ❑
36.Any Lab Results available? Iva ❑ ❑ ❑ ❑
37.Is there evldence of solids around the discharge aint? NO if no proceed to the next section-
DRIP or SPRAY YES _
The irrigation system shall be Inspected monthly to ensure the system is free of leas and eq r pmenl is operating as designed
38 Is the system DRIP or IRRIGATION(circle one)? If irriga 'on number of sprinkler heads.
39 Are the buffers adequate? v� �] ❑ ❑ ❑
40 is the site free of ponding and runoff? ❑ ❑ ❑ ❑
41. Does the application equipment appear to be working properly? ❑ D ❑
42. Is there a minimum two wire fence surrounding entire irrigation area?
GENERAL ] Ll ❑ EJ
43.Are the Ireatment units locked and or secktred? [ ! t ❑ ❑
44.Has resident had any sewage problems? r yes s,�3 r Jr o a set ,• ] [ ❑ ❑
45 Does the sytitem match the permit description? I•n ,r a r„t,_re
46 Is tile systcm compliant? n ❑
47 IS th , systam failing? I,y,; oa a prctwes if P 53 t:. k i r J r
48 If system is failing any s gn of children or animals cont acting seo age? 1 - I L L-
NOD Sent#: - - - NOV Sent#;
Comments — _ _ _. .-- —_ Photos Taken? YES NO
49
ItJSP[.CIOR -- __-- -- SIGNAlLJ 2-