NCG551611_ncg551611 fieldnotes CEI 2024_20240911

17
NON DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
Permittee: l� ' ' ✓V/ tY Permit4*55 !2
Address: 7 r Cl ✓ -mail- /
Phone:( ) - Cell Phone( 7`f J J 2,6 County ILL /9�7
The Permittee is responsible fo,the operation and maintenance of the entire wastewater treatment and disposal system
71 !�)
// —5`T �/ 2 / Doesn't Did Not
` D (4 Yes No Apply investigate
1 Is the current resident in the home the Perm;ttee`
2 If n, t does t^r, resident rent from the permittee? ❑ ❑ ❑
3 Change of Ownersh:p form needed? (mail the form with the inspection letter) ❑ ❑ 'El— ❑
4 Is there a Inspection and maint ce gree^tent with a contractor? ❑
5 If yes to#4 who is the contra
SEPTIC TE T,�septic tank and filters show d t, t% r annually and pt rupedkleaned as needed
6 is all wastewater from the home connected t.: the septic tank? ❑ ❑ ❑ ❑
7 Does the permitteelresldent know where the septic tank is located? ❑ ❑ ❑ ❑
8 Has the septic tank been pumped in the last 5 years?
❑ ❑ ❑ ❑ r
9 If yes to#8 date, if known If proof. describe
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!TREATMENT YES NO If no proceed to the next section.
Access'tle sand re,er si.rfaces shall be raked and ev--;e•,e-r six mcnths and ant vegetatr,e gro,,vtn shall be remo•,ed manually
12 Is system someth'ng other than a sandfilter? ❑ ❑ ❑ ❑
13 If yes what kind? (examples- Peat. Textile, Other or brand name - Advantex et:;
14 Does the permittee know where the sandfilter is located? ❑ ❑
Ll
15 Does the sandfilter require maintenance? ❑ ❑ ❑
It rra to la ce ;-equ red explam in the cOmntent section
DISINFECTION!UV YES NO If no proceed to the next section.
The uttrav'let,n t shad to.he,-1,ed weekir The lamps and siaeves should to clear ed _ ,xt a_e I as needed to ensure proper disinfect
16 Is UV working? ❑ El El17. Has the UV Unit been serviced and bulbs cleaned? El El ❑ ❑
18 Who completes the weekly check for the UV?( Non-Discharge i
DISINFECTION 1 TABLETS YES NO Ll If no proceed to the next section.
The tablet-h-r ator umt shah be checked.v-ebly t_ a,sure or t :-us a d pr-p ?a*,
19 Does the permittee have the correct chlorine tablets?(If none mark No) ❑ ❑ ❑ ❑
20 Does the Permittee know the location of the chlorinator? ❑ ❑ ❑
ED
21 Were chlorine tablets observed in the chlorinator? ❑ ❑ ❑ ❑
22 Are tablets contacting water? If possible poke them to determine ❑ ❑ ❑ ❑
DECHLOR (Discharge only) YES 0 NO If no proceed to the next section.
The dech: r at;r unit sha' be checked weeks; t: :_ns,.re..ont+nuo.,1 and p -per ca at
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? 0
26 Are tablets contacting water? If possible poke them to determine ❑

PUMP TANK YES NO If no proceed to the next section.
m A pup and alarm sytems shall be inspected monthly t,non dis barge
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? ❑ ❑ ❑ ❑
30. Last futPUMP AUDIBLE & VISUAL
DISCHARGE ONLY YES NO Ej If no proceed to the next section.
A visual fev-ew of the .utfall location shall be executed tw ce each year;cne at the t me of sampi ng to ensure no visible solids or evidence of a malfunction.
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? O ❑ ❑ ❑
35 Is right of way maintained around the discharge point? ❑ ❑ ❑ ❑
36 Any Lab Results available? ❑ ❑ ❑ ❑
37.Is there evidence of solids around the discharge point? ❑ ❑ ❑ ❑
DRIP or SPRAY YES LJ 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
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 n the comment section ❑ ❑ ❑
45 Does the system match the permit description?if-to explain in the comment section ❑ ❑ ❑
46 Is the system compliant? ❑ ❑ El ❑
(]�
47. Is the s If yes take pictures if pass ble Ell_J ❑ ❑
48 If system is failing, any sign of children or animals contacting sewage? ❑ ❑ ❑
NOD Sent#: - - NOV Sent#: -
CFBI
m Photos Taken? YES NO
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INSPECTOR: SIGNATURE: