NCG550596_ncg550596 fieldnotes CEI 11.07.2024_20241107

Z7
NON_DISC ARGE SINGLE FAMILY WASTEWATER SYSTEMS
192-1-
Perm ttee: / G6,1 Perr-
7-� v
Address: //S-
Phone:i -Z—1 ���Cell Phone i ) County:
The Permittee Is respons.ble for the operation a-•d maintenance of the entire wastewater 1redvne•it and disposal system.
Doesn't Did Not
`'es No Apply Investigate
1 Is the current resident in the home the Permittee? k�3 L1 Li Li
2 If not does the resident rent from the permittee? 1:1 EJ Er El
3 Change of Ownership form needed? (mail the form with the inspe.,tion letter) 0 O_ 0
4 Is there a Inspection and maintenance agreement w th a contra.,tv:? ❑ ❑
5 If yes to#4 who is the contractor?
SEPTIC T/T s-=, is tank and filters v-Id: checked a., .a /and pur.,ped!deaced a;needed
6 Is all wastewater from the home connected to the septic tank? Ef ❑
El EJ
7 Does the perm ttee/resident know where the septic tank is located? V_f El ❑ ❑
8 Has the septic tank been pumped in the last 5ea El El
JZ n
9 If yes to#8 date if known lz�y&z,,.c describe
10. Does the se t'c tank have an EFFLUENT FILTERANiTARY T? (circle n p o S (c c one)
11, If Yes to flter when was the filter cleaned? By whom?
SAND FILTER 1 TREATMENT YES NO If no proceed to the next section.
Access be sand file-s.i far..es shall be raked as,_i h-veled eje,j s.,(rr -vt,s a,d a li +cgeta1i•,e gro-.v;n shalt be remo•%ed manually
12 Is system something other than a sandfilter? EJ ❑
13 If yes,what kind? (examples- Peat Textile, Other or brand name Advantex, etc )
14 Does the permittee know where the sandfilter is located? )�T ❑
15 Does the sandfilter require maintenance? P- ❑
it n a ntena, _a ;req,red etiplain in Lne conuzlen;secttcn
DISINFECTION !UV YES NO If no proceed to the next section.
The_Itrav'�,let unit s,a be-hccked v:eek f the tam,-.;a :s e.es 5r.ould b-- ea,cd^r reolace.I a-.need-d sure trope,dismfect,en
16 Is UV work ng? 1:1 El
17 Has the UV Unit been serviced and bulbs cleaned?
18 Who completes the weekly check for the UV?l Non-Dip harge)
DISINFECTION 1 TABLETS YES NO If no proceed to the next section.
The tab et ch or rat-�,i unit sha I be che_I ed.ve-41i r,?r, ,re:ontln_; s a d proper orp,a•ion
19 Does the permittee have the correct ch orine tablets?(If none, mark No)
20 Does the Permittee know the location of the chlorinator?
21 Were chlorine tablets observed in the chlorinator? zr' ❑
D Ai-
22 Are tablets contacting water? If possible poke them to termine ❑ 0 ❑ JG'
-L
DECHLOR(Discharge only) YES NO If no proceed to the next section.
The dechlormnat.x .r t shall be;;hecked week y t_ .r eL.r_continuo)a•d p cper ceera- -.
23 Does the permittee know where the dechtor is? _J0— ❑ El 0
24 Does the permittee have the correct dechtor tablets? 0 El ❑
25 Were dechlor tablets observed in the dechlori nation chamber? 0
El 0
26 Are tablets contacting water? If poss ble poke them to determine 0 El z

PUMP TANK YES M NO If no proceed to the next section.
All purrp and alarm sytems shall be inspected monthly (non-discharge)
27. Is the pump working? ❑ ❑ ❑ ❑
28 Are the audible and visual high water alarms operational? L ❑ ❑ ❑
29. Does the permittee know how to check the pump&high water alarm? ❑ ❑ ❑ ❑
30. Last fur PUMP AUDIBLE & VISUAL
DISCHARGE ONLY YES NO r7 If no proceed to the next section.
A visual review of the outfaii location shall be executed twice each year(one at the time of sampling 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? -Q ❑ O ❑
33. Is the end of the discharge pipe visible and accessible? / ❑ 0 ❑
34. Is outlet discharging? J� , a �/ j j �� d�t ❑ ❑ ❑
GI. 5G�
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 NO If no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system is free of leaks and egwp ent 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 in the Comment section '2— ❑ ❑
45 Does the system match the permit description?h, explain to t cc ment section El El
46 Is the system compliant? � SG �"��' l ❑ ❑ ❑ ❑
47 Is the s If yes take pictures if possible ❑ —12— ❑ ❑
48- If system is failing, any sign of children or animals contacting sewage? ❑ ❑ ❑
NOD Sent#: - - NOV Sent#:
Comments Photos Taken? YES NO
INSPECTOR:
SIGNATURE: