NCG551221_fieldnotes CEI ncg551221 10.17.2024_20241017

PUMP TANK YES NO If no proceed to the next section.
A i Cumo aid alas�sytems sira'I be inspected rn_r tl y Ron d s range
27 Is the pump working? ❑ .6 ❑ ❑
28 Are the aud'ble and visual high water alarms operational? ❑ ❑ l~ ❑
29 Does the permittee know how to check the pump&high water ararm? ❑ ❑ ❑
30 Last fui PUMP AUDIBLE &VISUAL
DISCHARGE ONLY YES NO mm" If no proceed to the next section.
A wwa review of ne outiail iocairon shad be execlaad tw;ce each yer lore at the time of samrdmy to ensure no vmoit SoirdS ofv
evidence et a malfunction
r
31 Does the permittee know where the outfall is located? 5 ❑ ❑ ❑
32 Were you able to locale the outfall? EK ❑ C ❑
33 Is the end of the discharge spe visibl and :cess,bfe? {v ,❑� ❑ ❑
34 Is ouCel discharging? � ❑ ❑
35 Is right of way mainta ned around the dischar a point? (/ ❑ D ❑ ❑
36 Any Lab Results available? yeS / �� ❑ ❑ ❑
37.Is there evidence of solids around the discharge point? ❑ ❑ ❑ ❑
DRIP or SPRAY YES U NO If no proceed to the next section.
The irrigation syste, shall be i,spected moott ly to ensure tie syveT S free rf leaks and equipment is oceraung 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 pond'ng 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 r:s exola,n n;he coinment sectico ❑ -� ❑ ❑
45 Does the system match the permit description? e�p a.n n ire:cmment secuon ❑ ❑ ❑
46 Is the system compliant? ❑ ❑ ❑
47 Is the s if yes lake oictures i(possicle ❑ 0', {❑i ❑
48 If system is failing. any sign of children or animals contacting sewage? ❑ ❑ J�-f ❑
NOD Sent#: - NOV Sent#:
Comments. � Photos Taken? ` YES Lj NO
/> t> i
[IN7SPECTO( SIGNATUR

-it/ / 3
NON_ DISCHARGE SINGLE FAMILY WASTEWATER SYSTEMS
Permttee _Jt ,� �LO—aV�15-°fJ Per, )it 5 2—
Address 1,j a_ /r'�i i -� __ E-mail-
Phone( f/7 1 7--Ce I Phone( ) County /l
Tne Permitlee Is responeltile for In, operation and maintenance of the enure wastewater trea'ntent and disposal system
Doesn't Did Not
Yes No Apply investigate
I Is the current resident in the home the Permiltee?
2 If not does the resident rent from the perm ttee) 1:10
3 Change of Ownership form needed? lmai the form with the Inspection letter) ❑ 2r El ❑
4 Is there a inspection and maintenance�g ee"Ient with a contractor? � � C]
5 If yes to 04 who is the contractor? 7�`
SEPTIC T1 Ti•=; tc tank.a'd ti tars mould to cr- - a nualli ano ptn.ce.�Oeanec a;
6 Is all wastewater from the home connected to the septic tank?
7 Does the permtteelres dent know where the septic tank is located? ca/ ❑
8 Has the septic tank been pumped in the last 5 years? ED
9 if yes to#8 date,if known-��Z If proof,describe
10 Does the septic tank have an EFFLUENT FILTER or SANITARY T'� (circle one) /1
11 If Yes to filter when was the flter cleaned? By whom?
SAND FILTER!TREATMENT YES NO LJ If no proceed to the next section.
AcceSs-be sand Pie surfaces sra"oe ra•ed a-'a 2•:el' ' e f s,.mcnt,".s ar'd an•r•.egewi a gr7•v:n shall ce tem o,,e3 manual y
12 Is system something other than a sandfi;ter? 21
1:1 El
13 If yes.what kind?(examples - Peat Text a Othe-or brand name-Advantex etc)
14 Does the permiltee know where the sandf Iter is located? 0
15 Does the sandfilter require maintenance? EJ El
tl ma' Lena^ce�s fequtr_(t a .ta n r�C'_comment s -
DISINFECTION!UV YES NO If no proceed to the next section.
Tne ulltav�'v un,t sh3'I to it­-k.-rr.si lk �t•e ar-+ps ar.:s e*rs s I oeae t-, 3:E•I ai't'_•fe a e,yp-3 crecer a,i n.'pt,1
16 Is UV working? El 0 0
17 Has the UV Unit been serv•ced and bulbs cleanee% `—, L_1 0 [D
18 Who completes the weekly check for the UV?i Non-D scharge'I
DISINFECTION!TABLETS YES X NO If no proceed to the next section.
The labte: 'dc+'nat a um S-I o .:11: ad .-e*It to e's:,r. „ IOUs 3 o O.•''-1L.er3:10
19 Does the permittee have the correct chlorire tablets)(if none.mart.No) ❑ ❑ El ❑
20 Does the Permittee know the location of the chlon-ator? 0 0 0
21 Were chlorine tablets observed in the chlorinator? ❑ Cl ❑ ❑
22 Are tablets contacting water? If possible poke them to dete•mrie ❑ ❑ ❑ 0
DECHLOR(Discharge only) YES Lj NO if no proceed to the next section.
Tne deck •-aMr_wit sha I b' . e-ke, veer I to ensure I u and p•Far c:e at•:m
23 Does the permittee know where the dechior is) Q
24 Does the permittee have the correct dechlof tablets? ❑
25 Were dechlor tablets observed in the dech or nation chamber?
26 Are tablets contacting water?If possible poke them to determine Q