NCG550592_ncg550592 fieldnotes CEI 11.06.2024_20241106

NON_ DISCHA GE SINGLE FAMILY WASTEWATER SYSTEMS
Permittee L /s Permit SSe��y
Address
Phone i !f ' 4� — 03 d,1� Cell Phone,(. ) - County
The Permittee�s respons•ble for the operation and maintenance of the entire wastewater treatment and disposal system
e
p� ,n7 2 Doesn't Did Not
` / U S ` ✓ Z �? �" 20 � '��llo Apply Investigate
1 Is the current resident in the home the Permittee? LITLi Li
2 If not does the resident rent from the permittee? ❑ YJ
3 Change of Ownership form needed?(mail the form with the inspection letter) ❑
4 Is there a inspection and maintenance agreement with a contractor?
5 If yes to#4 who is the contractor?
SEPTIC T< I he s tank and f!ters should to checked annuaily and pumpedlcleaned as needed
6 Is al wastewater from the home connected to the septic tank?
7 Does the permittee/resident know where the septic tank is located? ❑ 0
8 Has the septic tank beenp d in a last 5 rs? U ElEl❑ El
9 If yes to#8 date, if known' If proof, describe j mot! /Z y5
10 Does the septic tank have n EFFLUENT FILTER or SANITARY T? (circle one)
11 If Yes to filter when was the filter cleaned? By whom?
SAND FILTER/TREATMENT YES NO LJ If no proceed to the next section.
Access-t,e sand filter swfaces shalt be raked and leveled eery six mcnths and any•+egetatr+e gromri shall ce re ed^tanually
12 Is system something other than a sandfilter?
13 If yes, what kind? (examples - Peat, Textile Other or brand name -Advantex etc )
14 Does the permittee know where the sandfllter is located?
15 Does the sandflter require maintenance? ❑
n a ;era ca s req_ ed e c a ,nth co•r e ; aec0:;r
DISINFECTION !UV YES NO If no proceed to the next section.
The ultraviolet unit sr3';be 6hecked w?@kty The lanpg and sleeves should be cclea-ed_r rel-aced a i r'eed !o 1,11-a Croce(d smfert-�•
16 Is UV working? u
17. Has the UV Unit been serviced and bulbs cleaned? ❑ El El D
18 Who completes the weekly check for the UV?( Non-Dls arge)
DISINFECTION !TABLETS YES NO If no proceed to the next section.
The tablet chlennator unit shalt be checked.veekiy to ensure continuous and proper ol:eranor
19. Does the permittee have the correct chlorine tablets?(If none, mark.No) � � 0
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20 Does the Permittee know the location of the chlorinator? ❑ ❑ ❑
21 Were chlorine tablets observed in the chlorinator?
22 Are tablets contacting water? If possible poke them to determine 1:1 El ❑ ❑
DECHLOR (Discharge only) YES NO If no proceed to the next section.
The decro,irator .,nit sha I be checkeC weeli ly t,�:nsur .o•i•i,,.,ous and proper oceration
23 Does the permittee know where the dechlor is? ❑ ❑ 0
24 Does the permittee have the correct dechlor tablets?
25 Were dechlor tablets observed in the dechlorination chamber? ❑
26 Are tablets contacting water?If possible poke them to determine. 0 ❑ 0
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PUMP TANK YES NO If no proceed to the next section.
Ail p�.rnp and alar,.,sytP,ns shall be inspected monthly (non disci
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 fut PUMP AUDIBLE & VISUAL
DISCHARGE ONLY YES 0 NO If no proceed to the next section.
A visual review of the nutfall locatio••sha be executed twice each year(o.•e at the tirne of sampling to ensure ne v s be sohds or evidence of a malfunction
31 Does the permittee know where the outfall is located? f ❑ I--] ❑
32 Were you able to locate the outfall? 'E ❑ ID ❑
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? ❑ ❑ ❑ ❑
DRIP or SPRAY YES 0 NO If no proceed to the next section.
The irrigation system st a I be inspected monthly to ensure the system is free of leaks a^d equ pi s ope at ng 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 woi properly? ❑ ❑ ❑ ❑
42 Is there a minimum two wire fence surrounding entire irrlgat,on area? ❑ ❑ ❑ ❑
GENERAL
43 Are the treatment units locked and or secured? ❑ ❑ ❑
44 Has resident had any sewage problems? If yes explain n the comment sectior ❑ -2- ❑ ❑
45 Does the system match the permit description?
lfli no explain in ti,e comment section � 0 ❑ ❑
46 Is the system compliant? /LD 5�//�r .' �4 ❑ ❑ ❑
47 Is the s If yes take pictures if possible !/ ❑ Lal� ❑
48 If system is failing any sign of children or animals conta:ting sewage? ❑ ❑ L2-1 ❑
NOD Sent#: - - NOV Sent#; - - -
Comments Photos Taken? YES NO
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INSPECTOR. SIGNATURE