HomeMy WebLinkAboutNCG550562_2024 Field Checklist_20240705Date rig r/zy Arrival Mime //; Jz' 144-1 E,r ; Ti -ie /f' 20 AM
NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
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Pernw-tee Qre^da M;C4/ey
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NC4SSOSGZ
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Address 72S_ 3011¢",I�Streer. Du .+•, Ew-ma- brcndo .
i»;ckley
Lo06 e c-clv
Phone ) __.. —Cell Pnone.(9/9 LI Z3 - 72 o 7
County
DW401"-
The Pernuwee is responsibW for the opdratiorl and rnaintenance of the entire vastowat
,r t--!,rldlent
and d:sposal system
Doesn't Did Not
i es
No
Apply Investigate
1 Is t1r-:.,:Irr:;n rosidont Iry this home the Permittee?
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2 If not does the resident rent from the permittee?
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3 Ch..irTge of O-.mership fornt needed? (mail the f,.)ran with the inspection 1•�tter)
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4. Is there a Inspe...tlon &,id m rnlenance agreenr;rit v ith it i:,}n'rat;tor
5. If yes to k4 who is the contractor? _
SEPTIC TI Tfi? whir, ta,), a.•:r (:,tars sh:;J-I Le checi ed x'n.,atly and odn:ped .laj•-ad 33 nr eleJ
e Is all waste,�ater from the home (�.onnected to the septic tank?
7. D::es the perm ttee'resident knov; where the septic tank is located?
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:is the septw tank been pumped In the last 5 years?
9. If yes to €f8 dale, if known _ _ If proof. describe
10 Does the septic tank ha.e an EFFLUENT FILTER or SANITARY I? (circle one)
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER ! TREATMENT YES 79 NO E7
If no proceed
to the next section.
Accessible sand file- surfa-,es sha be rake.l and leveled every s6 months and any vegetative gro:,th sha i ba remp-:pd
mane vly
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Elndfilter?
12. Is system son-ething other thanr�a sa
13 If yes what kind? (CAamp`es - Peat, Textile, Other or brand name - Ad )ant:�x, et,;)
14. Does the permittee knw, where the sandfrlter is located?
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15. Does the s=indfilter recl.r ra' ma ntenance?
v n•aintenance s reg i 'ad a- a n In Ih.. .fni rent Sea:,r
DISINFECTION f UV YES NO j
If no proceed to the next section.
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16 Is UV working?
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17 this (he UV Unit been serviced and bulbs cleaned?
18 Who completes the weekly check for the UV?( Non -Desch irge)
DISINFECTION / TABLETS YES X NO
If no proceed to the next section.
The 14ble, cn )r na* - ' sh al be Oe_ne� : ; ?,?/ I,) e-,SJ'a [on'r-uous an-! { 1pir ape 3' .•
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19. Does the pernuttee have the correct chlorine tablets?(If none, marl. No)
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20. Does the Permlttee knn.% the I)c,ttton of the chl:,rinator?
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21. 4tlere chlorne tablets observed In the chlonnat,ir?
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22, Are tablets contacting water? If possible poke them to determine.
DECHLOR (Discharge only) YES NO _
If no proceed to the next section.
The daci- v- -razor L;-- sha' b, ccea,ed ..aa, y to an.; z.8 -::r,* t ^, s a-d p-'. -'r o _'&'
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23. Dees the permittee kno:v rxhere the dechlor is?
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24 Dues the permittee have the correct dechlor tablets?
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25 Were dechlor tablets observed in the dechlorinat'on chamber?
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26 Are tablets contacting water? If possible poke them to determine.
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