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David Currier Date of Inspection:
Owner of: LAKE NORMAN 7/28/25
LAKE NORMAN SEWER AND SEPTIC
PO BOX 889
®Initial 06 Months
...,SEWE
Denver, NC 28037
(704)-483-5125 «
111.11111
Field location:
License Number:995940 SEPTIC
®Onsite ❑ Offsite
Subsurface Wastewater Inspection Form Offsite septic lot#:
Name & Address of Owner: 7ontrol panel:
Beverly Greve -YPE OF SYSTEM:
8254 Nolley Lane Conduit sealed: ®YES LINO
Sherrills Ford, NC 28673 Alarm operating: ®YES El NO ❑Polystyrene
❑Chamber
Panel location: ®Panel ELPPBS
SEPTIC TANK:
❑Wall ®Post 12"inches High
Size of Septic Tank: 1000 Gallons ElGravel ❑LPP
Counter- Cycle: Hour: ❑Large diameter pipe
Risers Readily Accessible: ®YES ❑ NO ❑Other:
Signs of Infiltration: OYES ® NO SEDUCTION TYPE
PUMP Tank:
Structurally Sound: ®YES Cl NO ®Type IV(50%reduction)
Size of Pump Tank: 1000 Gallons
Filter(s)Cleaned: ®YES El NO ❑Type III(25%reduction)
Pump Model: Zoeller
Surface Water Diverted: DYES ❑ NO Pump HP: N/A ❑ None
Scum Level: 2" Pump Voltage: 120v
' ad Settings.
Sludge Level: 4"
Pipework in good condition: EYES ❑NO
Scum plus Sludge level: 6" Z2' ❑ 3' ❑other:
Liquid Depth:40" Control floats operating: ®YES ❑ NO
Distribution Set @ inspection:
TANK NEEDS PUMPING: DYES E NO Effluent free&clear of solids: ®YES ❑ NO EYES ❑NO
TANK NEEDS PUMPING: LIVES ® NO Drain field:
Effluent surfacing:OYES E NO
Notes and/or Corrective Action Needed: Traffic Protected:EYES ❑NO
Repair Area Reserved:
DISTRIBUTION TYPE: EYES ❑NO
Surface Water Diverted:
I:Manifold ❑Individual valves EYES ❑NO
Line Cover Maintained:
ElSerial/drop boxes ❑Distribution box EYES ❑NO
LOW PRESSURE SYSTEM: Pump draw down:
Turn-ups and/or Valves Located/ Gallons per cycle:
Protected:DYES ❑NO Draw down length:
(dej
1 Laterals Free of Excess solids:EYES ❑NoTether length if wide angle
INSPECTOR SIGNATURE: C�d �" Laterals Flushed:EYES ❑No
float:
David Currier Date of Inspection:
Owner of: LAKE NORMAN 1/21/26
LAKE NORMAN SEWER AND SEPTIC
PO BOX 889 ❑Initial ❑X6 Months
SEwEik
Denver, NC 28037
(704)-483-5125 SEPTIC'
Field location:
License Number:995940
®Onsite ❑ Offsite
Subsurface Wastewater Inspection Form Offsite septic lot#:
Name & Address of Owner:
Beverly Greve TYPE OF SYSTEM:
Conduit sealed: ®YES ❑ NO
8254 Nolley Lane
❑Polystyrene
Sherrills Ford, NC 28673 Alarm operating: DYES ❑ NO ❑Chamber
Panel location: ®Panel ❑LPPBS
EWall ®Post 12" 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 ® NO - SEDUCTION TYPE:
PUMP Tank:
Structurally Sound: EYES ❑ NO ®Type IV(50%reduction)
Size of Pump Tank: 1000 Gallons
Filter(s) Cleaned: ®YES El NO ❑Type III(25%reduction)
Pump Model: Zoeller
Surface Water Diverted: ®YES ❑ NO ❑ None
Pump HP: N/A
Scum Level: 3" Pump Voltage: 120v
dead Settings:
Sludge Level: 6"
Pipework in good condition: ®YES ❑NO
Scum plus Sludge level: 9" (02' ❑ 3' Dother:
Liquid Depth:40" Control floats operating: ®YES ❑ NO
Distribution Set @ inspection:
TANK NEEDS PUMPING: EYES ® NO Effluent free&clear of solids: EYES ❑ NO EYES ❑NO
TANK NEEDS PUMPING: EYES Z NO Drain field:
Effluent surfacing:LIVES (E NO
Notes and/or Corrective Action Needed: Traffic Protected:®YES ❑NO
We have completed your 2"d inspection for the Repair Area Reserved:
year 2025.At the time of the inspection the DISTRIBUTION TYPE_ (EYES ❑NO
system was functioning as intended. We Surface Water Diverted:
®Manifold ❑Individual valves ®YES ❑NO
removed and cleaned the outlet filter and saw Line Cover Maintained:
no further issues at this time. Thank you! ❑Serial/drop boxes ❑Distribution box ®YES ❑NO
LOW PRESSURE SYSTEM: Pump draw down:
Turn-ups and/or Valves Located/
Gallons per cycle:
Protected:®YES ❑NO
Draw down length:
p ��7/„ Laterals Free of Excess solids:®YES ❑NO Tether length if wide angle
INSPECTOR SIGNATURE: float:
Laterals Flushed:®Yes ❑NO
float: