NCG551598_ncg551598 fieldnotes CEI 2024_20240912

i , � 16-
NON DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
Permittee. Permit's- 5 �� l
Address: GG / mail-
Phone ( ) Cell Phone (�) �d Y�2 S County K
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 in the home the Permittee?
2 If not does the resident rent from the permittee) ❑ Z 0
3 Change of Ownership form needed? (mail the form with the inspection letter) I-ET ❑
4 Is there a inspection and maintenanc agreement with a contractor? 2"' ❑ ❑ ❑
5. If yes to#4 who is the contractor? — -/ S
SEPTIC T�The septic tank and filters should-- c —ed annually and punired,cleaned as.needed
6 Is all wastewater from the home connected to the septic tanks
7 Does the permittee/resident know where the septic tank is located? / El� 0
El
8 Has the septic tank been pumped in the last 5 years? •�
9 If yes to#8 date, if known If proof, describe LC7-"?y/G-&� 4!--1-77 S 4�
Y
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 1 TREATMENT YES NO If no proceed to the next section.
Accessible sand alter surfaces shall be raked and leveled ejert six rrrcnths and any vegetatr.e gro•n?n shall be remove manually
12 Is system something other than a sandfilter?
13 If yes, what kind? (examples- Peat. Textile, Other or brand name -Advantex, etc ) 1�T1
14 Does the permittee know where the sandfilter is located? ❑ ❑
15 Does the sandfilter require maintenance? ❑ ❑ ❑
El
I`ma-ntenance!s required exrla,n in the Comment section
DISINFECTION I UV YES _: NO Lj If no proceed to the next section.
The ult,aJoiet jr-t sra'l t:e.:pecked weekly Tre a--pa a ;eeves sr;cl ee lea ed r replaced as reeled to ensu,-�eroper dis nfect
16 Is UV working?
17 Has the UV Unit been serviced and bulbs cleaned? Y I ��-1 El ❑18 Who completes the weekly check for the UV?i Non-Discharge) LA
DISINFECTION 1 TABLETS YES NO If no proceed to the next section.11
The tablet chlorinator unit shall be checked.veekty to ensure continuous and proper operation
19. Does the permittee have the correct chlorine tablets?(If none, mark No)
20. Does the Permittee know the location of the chlorinator? ❑ El D ❑
21 Were chlorine tablets observed in the chlorinator? El ❑
22 Are tablets contacting water? If possible poke them to determine EJ ❑ ❑
El
DECHLOR (Discharge only) YES Ll NO VZ If no proceed to the next section.
The dechlor r ttor merit sha l be checked wee-ly tc er5 ire co-Tt-,.pus and pr,:per ecerattor.
23 Does the permittee know where the dechlor is? El ❑ ❑ ❑
24 Does the permittee have the correct dechlor tablets? ❑ n
25 Were dechlor tablets observed in the dechlorination chamber? El 0
26 Are tablets contacting water?If possible poke them to determine.

PUMP TANK YES NO 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? ❑ ❑ ❑ ❑
29. Does the permittee know how to check the pump&high water alarm? ❑ ❑ ❑ ❑
30.Last fur PUMP AUDIBLE & VISUAL
DISCHARGE ONLY YES 71 NO If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year(one at the time of sampling to ensure no visible solids 0 d nce 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? ❑ 0 ❑
34. Is outlet discharging? ❑ ❑ ❑
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? ❑ XJ' ❑ ❑
DRIP or SPRAY YES 0 NO If no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system is free of leaks and eqw ment 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 ❑ a ❑ ❑
45 Does the system match the permit description? f explain in the comment Seaton 2r ❑ ❑ ❑
46 Is the system comp)ant? E], ❑ ❑ ❑
47 Is the s If yes take pict.res if p_ss tie ❑ ❑ Ej-- ❑
48 'f 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: