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HomeMy WebLinkAboutAUTH-02-2019-111671.TIF /' 41I MAINTENANCE REPORT FORM my Name and Location of System Date of Inspection Kyle Tucker 07 Apr 2022 FI►}lrjrrolAP7'1R'FARrII 1558 Sherwood Court Permit Number Sherrills Ford, NC 28673 461902769848 Operators Responsible for Care (O.R.C.'s): System Classification Jack Moore - Certified Operator #985357 Phone (704) 746-8132 Type IV-A Phone David Lynch - Certified Operator #996383 Alternate Mailing Address J.C. Moore Phone (704) 873-2171 Subdivision 1227 Troutman Drive Fax (704) 873-9928 Sherwood Shores to 13 Statesville, NC 28625 Mobile(704) 902-1122 County Phone Cc4 Phone SEPTIC TANK AND PUMP TANK LOW PRESSURE PIPE SYSTEM Risers accessible? [s] Satisfactory Turnups,cleanouts,valves Signs of infiltration? [S] Satisfactory located and protected? [S] Satisfactory Structurally sound? ES] Satisfactory Laterals free of excess solids? [5] Satisfactory Landscape position? [5] Satisfactory Laterals flushed? YES Septic tank filter cleaned? YES Pump tank filter cleaned? YES PRESSURE HEADS SOLIDS ACCUMULATION DESIGN HEAD ADJUSTED HEAD Line I. 2 2 Approximate Quantity of Solid Waste in Septic Tank Line 2 2 2 Line 3 2 2 INLET Scum: — 1 in. Sludge: — 8 in. Line 4 2 2 OUTLET Scum: — 0 in. Sludge: — 4 in. Line 5 2 2 Line 6 2 2 Approximate Percentage of Solids to Liquid Waste in Tank 18 % DRAIN FIELD No effluent surfacing? [5] Satisfactory Surface water diverted? [S] Satisfactory Line cover maintained properly? [5] Satisfactory Protected from traffic? [5] Satisfactory COMMENTS Distribution devices operating properly? [5] Satisfactory Repair area reserved? [5] Satisfactory The pipe work in the pump tank is leaking and needs repaired. PUMP Pump present and operating? Design GPM 40 Actual GPM 40 r fl Efficiency 100% . l�-- �- High water alarm operating properly? [5] Satisfactory Pipework in good condition? [U] Unsatisfactory Control panel in good condition? ES) Satisfactory Control floats operating properly? [S] Satisfactory Straps/float tree in good condition? [S] Satisfactory Effluent free and clear of solids? [S] Satisfactory Environmental Health A -iiu - , MAINTENANCE REPORT FORM s 11/ E Name and Location of System Date of inspection Kyle Tucker 17 Oct 2022 1558 Sherwood Court Permit Number Frt!NprnRrt�t�P�rr*� / cAfvrr`E?S Sherrills Ford, NC 28673 461902769848 Operators Responsible for Care (O.R.C.'s): System Classification Jack Moore - Certified Operator #985357 Phone (704) 746-8132 Type IV-A Phone David Lynch - Certified Operator #996383 Alternate Mailing Address J.C. Moore Phone (704) 873-2171 Subdivision 1227 Troutman Drive Fax (704) 873-9928 Sherwood Shores lot 13 Statesville, NC 28625 Mobile(704) 902-1122 County Phone Iredell Phone SEPTIC TANK AND PUMP TANK LOW PRESSURE PIPE SYSTEM Risers accessible? [S] Satisfactory Turnups, cleanouts,valves Signs of infiltration? [S] Satisfactory located and protected? [5] Satisfactory Structurally sound? [5] Satisfactory Laterals free of excess solids? [S] Satisfactory Landscape position? [5] Satisfactory Laterals flushed? YES Septic tank filter cleaned? YES Pump tank filter cleaned? YES PRESSURE HEADS SOLIDS ACCUMULATION DESIGN HEAD ADJUSTED HEAD Line 1 2 2 Approximate Quantity of Solid Waste in Septic Tank Line 2 2 2 Line 3 2 2 INLET Scum: ^ 0 in. Sludge: ' 8 in. Line 4 2 2 OUTLET Scum: - 0 in. Sludge: - 6 in. Line 5 2 2 Line 6 2 2 Approximate Percentage of Solids to Liquid Waste in Tank 17 % DRAIN FIELD No effluent surfacing? [5] Satisfactory Surface water diverted? [S] Satisfactory Line cover maintained properly? [5) Satisfactory Protected from traffic? [5] Satisfactory COMMENTS Distribution devices operating properly? [5] Satisfactory Repair area reserved? [S] Satisfactory PUMP Pump present and operating? Design GPM 40 �r„_, Actual GPM 40 RE I VED Efficiency 100% High water alarm operating properly? [S] Satisfactory Pipework in good condition? [U] Unsatisfactory NO': n 2022 Control panel in good condition? [S] Satisfactory Control floats operating properly? [5] Satisfactory Straps/float tree in good condition? [s] Satisfactory En'✓ironn-ental Health Effluent free and clear of solids? [S] Satisfactory