HomeMy WebLinkAboutAUTH-06-2018-101096.TIF I Customer Number:David Currier
#C7794
Owner of: LAKE NORMAN
LAKE NORMAN SEWER AND SEPTIC 1111/11A-0- 11
Po BOX 889 ..SEWE Date of Inspection:
Denver, NC 28037 2/28/2022
(704)-483-5125 & �r SEP1I1r
•
License Number: 995940 ®Initial C6 Months
Subsurface Wastewater Inspection Form Lot Number:
Name & Address of Owner:
TERRY ROGERS
2517 CAMELIA POINTE DRIVE
SHERRILLS FORD, NC 28673 PUMP: TYPE OF SYSTEM:
Pump Model: ZOELLER ®Type IV
SEPTIC TANK: Pump HP: (50% reduction)
Pump Voltage: 120V
Size of Septic Tank: 1000 Gallons. ❑Type III
Size of Pump Tank: 1000 Gallons. ®High water alarm operating (25% reduction)
properly ❑LPP OR ❑DRIP
® Risers Readily Accessible
®Pipework in good condition
® No Signs of Infiltration CI Gravity Septic
®Control Panel in Good Condition
® Structurally Sound Location of Control Panel ❑Pump to Gravity
® Filter(s) Cleaned ❑Wall ®Post 17" inches High
®Surface Water Diverted at System ®Control floats operating properly REDUCTION TYPE:
Scum Level: 3" ®Effluent free & clear of solids ❑Polystyrene
Sludge Level: 3"
Scum plus Sludge level: 6" ❑Chamber
Liquid Depth: 51" Head Settings: ❑Other
®2' El 3' Dother
TANK NEEDS PUMPING: DYES ® NO
Field Location: ®Onsite ❑ Offsite DISTRIBUTION TYPE: No effluent surfacing
®Manifold ® Traffic Protected
Notes and/or Corrective Action Needed: OD-Box ®Surface Water Diverted
We performed the 15t Type IV inspection for ❑Serial ®Line Cover Maintained
the year 2022. At the time of the inspection Lines 3 X 90 Ft long EDistribution Set
we pumped out the septic tank. At this time EACH= 270 Ft Line. ❑ Repair Area Reserved
the system is functioning as intended. ❑Varies
Thanks! LOW PRESSURE SYSTEM:
❑Turn-ups, Clean-Outs, Valves Located/ Protected
El Laterals Free of Excess solids
(d,„;) CI Laterals Flushed
INSPECTOR SIGNATURE:
-1Precciire Head Setting for Farh I ine
David Currier I Customer Number: #C7794
Owner of: LAKE NORMAN
LAKE NORMAN SEWER AND SEPTIC
Po BOX 889 Date of Inspection:
Denver, NC 28037 8/29/22
(704)-483-5125
License Number: 995940 SEPTI ❑Initial 06 Months
Subsurface Wastewater Inspection Form Lot Number:
Name & Address of Owner:
TERRY ROGERS
2517 CAMELIA POINTE DRIVE
SHERRILLS FORD, NC 28673 PUMP: TYPE OF SYSTEM:
Pump Model: ZOELLER NType IV
SEPTIC TANK: Pump HP:
(50% reduction)
Pump Voltage: 120V
Size of Septic Tank: 1000 Gallons. EType III
Size of Pump Tank: 1000 Gallons. ®High water alarm operating (25% reduction)
properly ❑LPP OR ❑DRIP
N Risers Readily Accessible
N Pipework in good condition
N No Signs of Infiltration ❑Gravity Septic
®Control Panel in Good Condition
N Structurally Sound Location of Control Panel CI Pump to Gravity
N Filter(s) Cleaned ❑Wall ®Post 17" inches High
®Surface Water Diverted at System ®Control floats operating properly REDUCTION TYPE:
Scum Level: 2" N Effluent free & clear of solids
Sludge Level: 2" ❑Polystyrene
Scum plus Sludge level: 4" El Chamber
Liquid Depth: 51" Head Settings: ❑Other
N2' ❑ 3' Elother
TANK NEEDS PUMPING: DYES N NO
Field Location: ZOnsite ❑ Offsite DISTRIBUTION TYPE: NNo effluent surfacing
NManifold N Traffic Protected
Notes and/or Corrective Action Needed: ❑D-Box Surface Water Diverted
At the 2nd inspection the septic system was ❑Serial ®Line Cover Maintained
functioning as intended. We have completed Lines 3 X 90 Ft long ❑Distribution Set
both inspections for the year 2022. Thanks! EACH= 270 Ft Line. ❑ Repair Area Reserved
❑Varies
LOW PRESSURE SYSTEM:
❑Turn-ups, Clean-Outs, Valves Located/ Protected
❑Laterals Free of Excess solids
Qf-
Laterals Flushed
INSPECTOR SIGNATURE.
H PrPcci rP HPacl SPttina fnr Faeh I inp
David Currier LAKE
of Inspection:
Owner of: LAKE NORMAN 12/3/24
LAKE NORMAN SEWER AND SEPTIC
PO BOX 889SEINEEtk ❑Initial El Months
Denver, NC 28037 pp.�
(704)-483-5125 OC _ENNI 11 �'
License Number:995940 SEPTIC
Field location:
® ElOnsite ❑ Offsite
Subsurface Wastewater Inspection Form Offsite septic lot#:
Name&Address of Owner: Control panel:
TERRY ROGERS TYPE OF SYSTEM:
2517 CAMELIA POINTE DRIVE Conduit sealed: ®YES DINO
❑Polystyrene
SHERRILLS FORD, NC 28673 Alarm operating: ®YES 0 NO ❑Chamber
Panel location: ®Panel ❑LPPBS
SEPTIC TANK:
❑Wall ®Post 17"inches High
Size of Septic Tank: 1000 Gallons ❑Gravel ❑LPP
Counter- Cycle: Hour: ❑Large diameter pipe
Risers Readily Accessible: DYES ❑ NO ❑Other:
Signs of Infiltration: OYES El NO REDUCTION TYPE:
PUMP Tank:
Structurally Sound: ®YES 0 NO ®Type IV(50%reduction)
Size of Pump Tank:1000 Gallons
Filter(s)Cleaned: ®YES ❑ NO ❑Type Ill(25%reduction)
Pump Model: Zoeller
Surface Water Diverted: ®YES ❑ NO Pump HP: ❑ None
Scum Level: 3" Pump Voltage: 115v
Head Settings:
Sludge Level: 7" Pipework in good condition:®YES 0 NO
Scum plus Sludge level: 10" 1812' 0 3' Dother:
Liquid Depth:51" Control floats operating: ®YES 0 NO
Distribution Set @ inspection:
TANK NEEDS PUMPING: OYES ® NO Effluent free&clear of solids: ®YES 0 NO OYES 0 NO
TANK NEEDS PUMPING: DYES ® NO Drain field:
Effluent surfacing:OYES ®NO
Notes and/or Corrective Action Needed: Traffic Protected:®YES 0 NO
We performed your 2nd Type IV inspection for Repair Area Used:
the year.At the time of the inspection the DISTRIBUTION TYPE: OYES ®NO
Surface Water Diverted:
system was functioning as intended. We ®YES 0 NO
®Manifold ❑Individualvalves
removed and cleaned the outlet filter. If you Line Cover Maintained:
have any questions please contact our office. ❑Serial/drop boxes ❑Distribution box ®YES ❑NO
Thank you! LOW PRESSURE SYSTEM:
Pump draw down:
Turn-ups and/or Valves Located/ Gallons per cycle:212
Protected:®YES ❑NO Draw down length:10.6
Oa, Iv Laterals Free of Excess solids:®YES 0 NO
' L(/ f�O Laterals Flushed:®es ❑NO Tether length if wide angle
INSPECTOR SIGNATURE. / float:10.1"
David Currier Date of Inspection:
Owner of: LAKE NORMAN 5/29/24
LAKE NORMAN SEWER AND SEPTIC
PO BOX 889
Denver, NC 28037 p- ®Initial 06 Months
(704)-483-5125 « c7
Field location:
License Number:995940
®Onsite 0 Offsite
Subsurface Wastewater Inspection Form Offsite septic lot#:
Name&Address of Owner: Control panel:
TERRY ROGERS TYPE OF SYSTEM:
2517 CAMELIA POINTE DRIVE Conduit sealed: ®YES 0 NO
❑Polystyrene
SHERRILLS FORD, NC 28673 Alarm operating: ®YES 0 NO ❑Chamber
Panel location: ®Panel ❑LPPBS
SEPTIC TANK:
❑Wall ElPost 17"inches High
Size of Septic Tank: 1000 Gallons ❑Gravel ❑LPP
Counter- Cycle: Hour: ❑Large diameter pipe
Risers Readily Accessible: OYES 0 NO ❑Other:
Signs of Infiltration: DYES CO NO REDUCTION TYPE:
PUMP Tank:
Structurally Sound: ®YES 0 NO ®Type IV(50%reduction)
Size of Pump Tank:1000 Gallons
Filter(s)Cleaned: ®YES 0 NO ❑Type III(25%reduction)
Pump Model: Zoeller
Surface Water Diverted: ®YES 0 NO 0 None
Pump HP:
Scum Level: 2" Pump Voltage: 115v
Head Settings:
Sludge Level: 6" Pipework in good condition:EYES 0 NO
Scum plus Sludge level:8" 1812' 0 3' Dother:
Liquid Depth:53" Control floats operating:®YES 0 NO
Distribution Set @ inspection:
TANK NEEDS PUMPING: DYES El NO Effluent free&clear of solids: (OYES 0 NO EYES 0 NO
ISWW
TANK NEEDS PUMPING: DYES ® NO Drain field:
Effluent surfacing:OYES ®NO
Notes and/or Corrective Action Needed: Traffic Protected:®YES 0 NO
We performed your 15t Type IV inspection for Repair Area Used:
the year 2024.At the time of the inspection the DISTRIBUTION TYPE: OYES ®NO
system operating as intended. The techs did Surface Water Diverted:
ElManifold ❑Individualvalves ®YES 0 NO
note the outlet pipe is slightly pitched upwards. Line Cover Maintained:
We will be back out in 6 months to perform the ❑Serial/drop boxes ❑Distribution box EYES ❑NO
2nd inspection for the year.Thanks! LOW PRESSURE SYSTEM:
Pump draw down:
Turn-ups and/or Valves Located/ Gallons per cycle:212
Protected:®YES 0 NO Draw down length:10.6
GPI) Laterals Free of Excess solids:®YES 0 NO
�J✓" Tether length if wide angle
INSPECTOR SIGNATURE. Laterals Flushed:EYES 0 NO float:10.1"
IA "off- 3q0 /0I(`
David Currier Date of Inspection:
Owner of: LAKE NORMAN 6/19/25
AKE NORMAN SEWER AND SEPTIC
PO BOX 889
_SEW E Nlnitial ❑6 Months
Denver, NC 28037 pp-�
(704)-483-5125 OC
SEPi�ield
License Number:995940 location:
NOnsite ❑ Offsite
Subsurface Wastewater Inspection Form Offsite septic lot#:
Name & Address of Owner: :ontrol panel:
TERRY ROGERS YPE OF SYSTEM:
2517 CAMELIA POINTE DRIVE Conduit sealed: EYES ❑ NO
SHERRILLS FORD, NC 28673 Alarm operating: EYES E NO ❑Polystyrene
❑Chamber
Panel location: ElPanel ❑LPPBS
)EPTIC TANK:
❑Wall ®Post 17"inches High
Size of Septic Tank: 1000 Gallons ❑Gravel ❑LPP
Counter- Cycle: Hour: ❑Large diameter pipe
Risers Readily Accessible: ®YES ❑ NO ❑Other:
Signs of Infiltration: DYES N NO REDUCTION TYPE:
PUMP Tank:
Structurally Sound: EYES ❑ NO ®Type IV(50%reduction)
Size of Pump Tank: 1000 Gallons
Filter(s) Cleaned: ®YES ❑ NO EType III(25%reduction)
Pump Model: Zoeller
Surface Water Diverted: DYES ❑ NO Pump HP: ❑ None
Scum Level: 3" Pump Voltage: 115v
lead Settings:
Sludge Level: 8" Pipework in good condition: ®YES LINO
Scum plus Sludge level: 11" N2' ❑ 3' ❑other:
Liquid Depth: 51" Control floats operating: EYES ❑ NO
Distribution Set @ inspection:
TANK NEEDS PUMPING: DYES (8/ NO Effluent free&clear of solids: ®YES ❑ NO ®YES ❑NO
TANK NEEDS PUMPING: EYES N NO Drain field:
Effluent surfacing:OYES ®NO
otes and/or Corrective Action Needed: Traffic Protected:®YES ❑NO
We performed your ft Type lv inspection for Repair Area Used:
the year 2025. We removed and cleaned the )ISTRIBUTION TYPE: OYES ®NO
Surface Water Diverted:
outlet filter. We purged out the drain field lines ®YEs ❑NO
IN Manifold ❑Individual valves
and reset the head pressures. At the time of the Line Cover Maintained:
inspection the system was functioning as ❑Serial/drop boxes ❑Distribution box ®YES ❑NO
intended. We will be back out in 6 months to OW PRESSURE SYSTEM:
perform the 2nd inspection. lump draw down:
Turn-ups and/or Valves Located/ Gallons per cycle:212
Protected:®YES ❑NO Draw down Iength:10.6
Laterals Free of Excess solids: YES® NO Tether length if wide angle
INSPECTOR SIGNATURE: �'/'� v�J�✓�" Laterals Flushed:®YES ❑NO ��
float:10.1
ILA - O6 - 0Ig- I010%
David Currier Date of Inspection:
Owner of: LAKE NORMAN 12/16/25
LAKE NORMAN SEWER AND SEPTIC
PO BOX 889sEwER
Denver, NC 28037 p-� ®Initial 06 Months
(704)-483-5125 « f SEP1'1C-
Field location'
License Number: 995940
® ®Onsite ❑ Offsite
Subsurface Wastewater Inspection Form Offsite septic lot#:
Name & Address of Owner: Control panel:
TERRY ROGERS YPE OF SYSTEM:
2517 CAMELIA POINTE DRIVE Conduit sealed: EYES ❑ NO
❑Polystyrene
SHERRILLS FORD, NC 28673 Alarm operating: EYES ❑ NO ❑chamber
Panel location: ®Panel ELPPBS
EPTIC TANK:
❑Wall ®Post 17"inches High
Size of Septic Tank: 1000 Gallons ❑Gravel ❑LPP
Counter- Cycle: Hour: ❑Large diameter pipe
Risers Readily Accessible: ®YES ❑ NO ❑Other:
Signs of Infiltration: OYES ® NO
PUMP Tank:
Structurally Sound: ®YES ❑ NO ®Type IV(50%reduction)
Size of Pump Tank: 1000 Gallons
Filter(s)Cleaned: EYES ❑ NO ❑Type III (25%reduction)
Pump Model: Zoeller
Surface Water Diverted: EYES ❑ NO ❑ None
Pump HP:
Scum Level: 2" Pump Voltage: 115v
ead Settings:
Sludge Level: 6" Pipework in good condition: ®YEs ❑NO
Scum plus Sludge level:8" 02' ❑ 3' ❑other:
Liquid Depth: 51" Control floats operating: ®YES ❑ NO
Distribution Set @ inspection:
TANK NEEDS PUMPING: DYES N NO Effluent free&clear of solids: ®YES ❑ NO ®YES ❑NO
1
TANK NEEDS PUMPING: EYES ® NO Drain field:
'— Effluent surfacing:LIVES ®NO
Jotes and/or Corrective Action Needer" Traffic Protected:®YES ❑NO
We performed your 2nd Type IV inspection for Repair Area Used:
the year 2025. We removed and cleaned the DISTRIBUTION TYPE: ®YES ❑NO
outlet filter. We inspected the system and at Surface Water Diverted:
®Manifold ❑Individual valves ®YES ❑NO
this time the system was functioning as Line Cover Maintained:
intended. Thank you! ❑Serial/drop boxes ❑Distribution box ®YES ❑NO
LOW PRESSURE SYSTEM: Pump draw down:
Turn-ups and/or Valves Located/ Gallons per cycle:212
Protected:®YES ❑NO
Draw down length:10.6
' (it
Laterals Free of Excess solids:®YEs ❑NO
,�," Tether length if wide angle
INSPECTOR SIGNATURE. 2 Laterals Flushed:®YES ❑NO „
/ float:10.1
V