NCG551579_ncg551579 fieldnotes CEI 2024_20240911

NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
ddress
--Cell Pitvrlt• r— --
r l mal no raypuneabra for IN opal lull Jnd.11.VA49enga of tftH anhra hatyWWd1J1 r +Jf I1401 JAd J)pVlJI yell ltal
Doesn't Did Not
'ems Na Apely Invt:i#t(g5te
1
I 13 ttst: , , r-•�,1• a Itt:hortt�:Inn,vlerntilt-
2 if not dotes lr+,• resl.i•rnl rt.nl front the pormltt rc :
3 form n•?i;t ed?(mmi ll'• r„r l :.I ft 'li'1 �iP' i {r r) ] L/]� I� I r�
S IS trier:' .t 1nipu t!)n ;ind rn;t r ;rtdnCr; c1.fr:•vt r:rr �, . ft 1•:,t,i ,r
a 3
Lzi, yes to h-I v,ho is the contractor'?
S PTIC T/ t_P-i 1,e.1 a Illy 3r'.:a. t• . e f I
311s all Vrail?!rii?/ffpnl Iht?hOnlii Cunn(:N8(f to(rig: Sr?ftUc•[rmh.;
7:Dt3::3 lh.'fl::nmtlea're;r(ft:nl hno•:. .`rht;ru the se:ptic tar►?.is lurat:r
Ar [ I 1 _1 [i
3 H.13 Ehc; se,,U• 4�inll t,i;en f.;,m;/fe+1 in via
ylctit 5 yemrS?
f J L1 CJ
3. If yes to r8(1-1 1f knor':rt u t7_ y/rf c„-r r tit•
16. Does th.s:;rll'c tank h:i: an EFFLUENl FIt.Tf=ft fir SAP+IfAFli I icirule on;.)
11• i(Yes to filter when was the fitter deoned? _ By whol _ 1 1
F Nb FILTER/TREATMENT YES NO If no proceed to the next section.
1
>\ essible sarttl(Slaw iulld�zs shag f e a, -i-, .!rr•='c•y Il Si• n,rn, r 7 a t, .'7�a' :-y,:tiR ;r 3 Cr re o-e 1 rtia•7uid,
I 1Is systern nmething ow-, lh I- !I saw1f11ter? ] 1/ ' ]
13 It yes 's h i' F end?(e• I'll[ 1',,;a1 I ill Otil:;r tar hre r 1 n it 1- t. !. 1, I r
1,4 Does tt'.'parmittee F.rIO':. hht'fc'the s inAfllter I.lucati i / l 1 (L�1 I� 3�
15 D,les III-,;,midt1118r ri7(ltllfi;nldlllt •11d 1Cr37 I 1 V1 l L I
. ')f anll is f�-i.nrc'J::•afJ r�Yf bl•:=.,a,•2�1i S�.:G.1f•
DISINFECTION UV YES NO If no proceed to the next section
16 1, U': .fuil i j [ 1 (71
17 Has tit., l Unit been )-r; t' 1 1 1 h11ltr; i 'r I
18 Who compl:;tE:s iht:v,,eePy I _k fur the U✓ N 11 ch I'J
DISINFECTION 1 TABLETS YES _ NO If nu proceed to the next section
19 Dues lilE:pi:rmiilteu h,l,+ In (.trry s t h )r t 11 r.'tlrn,r fil r
?3 Do;:;ln:: kn'N.. Ill. I . .'I , ,t t
?1 i�l efr;;clll'ir!11_ (:11ali;t� l):.-. ,, I i la , Ill r_
2 Arc:l a)nt;tctlny v ate('f If pussihle I oke li u cl:l v I I L 1 ] 1
DECHLOR(Discharge only) YES 1 NO If 000 proceed to the next section
Fie 1p is%vor um; ir'.v- rr -. ,o t; . - .• -
23 ouus in,,-porrl lh, d•,—Ji or W, 1 1 1 11
21 Does the pormitlee hit to Ihl correcl dectibi t;iblt lT;?
25 Were dechlor tablets observed 1n(tick dechlonnatlon rharnbi:l
26 Are tabl-.ts contacting water? If possible poke them to diete ltlfnt

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`-K , YES If no proceed to jhe next section
i aia n , a-S s^dIF 40 wipeled ,+on(hly iron d+s.:har3g ❑ ❑ ❑ ��
p,lmp w uk,ng? ❑ ❑ ❑ ❑
e and ble al)d vi$yal high water alarms operatLonal'� ❑ ❑ ❑ ��
the permtlee know how to check the pump4.hlgh watgr gi�rrq?
ur pUMP A DH3LO VISUAI.
ONLY YES 1�0 !f.no proceed to the next section,
f t-
0;It",
,e putfat ocatt n shall Ce 001-09 twice each yed�fong 1t."Ilme o 3anlpti��engO re - sihe sol+ds M"Id0 a of a mplfumilon+i� El
El
14he p@rmlttee know whAre;he outfail is loc�tefP
you able to locate Me outfall? []
end of the discharge pipe visible prtid accessible?
E::] P
4tlet discharging? J7(' �
pt of way maintained around the dlsctidto point? �"Wrw
® �T—7
Lab Results availtt2la?
lore evidence of solids around the disahm e• pint? © L
8 NO It ho proceed�o the next se' (ion.
Itl9n.ltl Shale be InSF�Dted ppORip.1�IA Qnsuye.jhg`Aystlil free of leaks and egi+io, -ent is pperali7g'as des+gned
he vystern DRIP pf 1RRj 3A1ION(circle op6)? If Irrigation number of sprinkler heads.
the buffers adequaib? ❑ ❑ ❑ a
i'16 site free of,pondinb and runoff? ❑ ❑ r
ostho OPPlicel;on IB24 rift appear, bFe*Ajng propGriy? t 't
Lore, minimum tn/o Wire fence syrrounding entire irrigation area? ❑ Li
Ehe
.,.
g l treatment units locked and or secured? [❑� ❑ ❑
,4B rgident had any &Wage problems? If}es etpla+n in the con+men'serf'+
El
❑ ❑ o
oeS the system rnatdh the permil description? if e,nl3in ,ine comr—,ii •� I C7 ❑ ❑ ❑
the syslem compW7
the system failing? If yes take pictures it pos;,bl, Li
system is failing, any sign of children or animals conta trng sewage?
Sent #: - - NOV Sent
ments Photos Taken? _ YES _ NO =_
kly .ram.
i
3PEGTOR 7/J SIGNATURE: