HomeMy WebLinkAboutAUTH-6-10-8086.TIF As(goglo
x a MAINTENANCE REPORT FORM
� Name and Location of System
V it 4111d,
ig �� ti f Y Date of Inspection
�` Roger Calhoun 27 Jul 2016
3326 Caton Dr
y Permit Number
Ernvirronmento ,� Services Maiden, NC 28650 PIN#:367803407901
Operators Responsible for Care (O.R.C.'s): System Classification
Jack Moore - Certified Operator #985357 Phone Type IV-A
Phone
David Lynch - Certified Operator #996383 Alternate Mailing Address
Roger Calhoun
J.C. Moore Phone (704) 873-2171 Subdivision 1027 Horseshoe Lake Rd
1227 Troutman Drive Fax (704) 873-9928 Lincolnton, NC 28092
Statesville, NC 28625 Mobile(704) 902-1122 County Phone (980)241-1239
Catawba 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? [S] Satisfactory Laterals free of excess solids? [5] Satisfactory
Landscape position? [S] Satisfactory Laterals flushed? YES
Septic tank filter cleaned? YES
Pump tank filter cleaned? [N/A] Not Applicable
PRESSURE HEADS
DESIGN HEAD ADJUSTED HEAD
SOLIDS ACCUMULATION Line 1 2 2
Approximate Quantity of Solid Waste in Septic Tank Line 2 2 2
Line 3 2 2
INLET Scum: - 2 in. Sludge: - 4 in. Line 4 2 2
OUTLET Scum: - 0 in. Sludge: - 6 in.
RECEIVED
Approximate Percentage of Solids to Liquid Waste in Tank
12 % AUG 0 4 2016
DRAIN FIELD CATAWBA COUNTY
D
D effluent IELD surfacing? ENVIRONMENTAL HEALTH
[5] Satisfactory
Surface water diverted? [5] Satisfactory
Line cover maintained properly? [S] Satisfactory
Protected from traffic? [S] Satisfactory COMMENTS
Distribution devices operating properly? [S] Satisfactory [The pump tank has a Semtec filter housing, but no filter.]
Repair area reserved? [S] Satisfactory
PUMP
Pump present and operating?
Design GPM 42
Actual GPM 42
Efficiency 100%
High water alarm operating properly? [5] Satisfactory
Pipework in good condition? [5] Satisfactory
Control panel in good condition? [S] Satisfactory
Control floats operating properly? [5] Satisfactory
Straps/float tree in good condition? [5] Satisfactory
Effluent free and clear of solids? [S] Satisfactory