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Home My WebLink AboutAUTH-2-10-4446.TIF RECEIVED Dan Beyer Certified Operator No. 989646 APR �� 2011 Operation & Maintenance Report CATAW�ACOUNTY �dVIA0NME1�dTTAI H�t.TFI System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: �4/�l�/� 1 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N Evaluated N/A Applicable Tankage S Risers accessible � Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition i� � Effluent filter present/good condition S Sludge levels Pumps f� Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM _35_ 48 48 48 48 48 Actual GPM 3�� 25 �� 4� �� *� New Pump 3 /a hp Gould installed (1 hp not recommended due to 2 inch delivery pipes). *Not Measured this report. S Control panel Condition � High water alarm operating properly S Control floats operating properly � EfFluent clear & free of solids Drainfield � No effluent surfacing � Surface water diverted S Line cover maintained properly S Protected from traffic � Distribution devices operating properly � Repair area reserved O&MReport110416 -1- ., r Low Pressure System f� � Turn-ups, cleanouts, valves located & protected f� � Laterals free of excessive solids f� � Laterals fiushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System i\9 � Pumps present & operating properly f� � Outlet Stabilized 6� � Receiving ditch draining properly Comments: �II ��n� lids 6ns�ec�ed for c� — mano� ��ac�s no�edo V�o�a�ine ��on�enance o� flus6�ao¢�� 9ones co��le��, SNS��rn �o9a�� viewe� �oo� .�[[��row��. �.ines �p�o�� ev�� do�oo��L��o��o S�s�� o��s �o �e opee Recommendations: �1o�e �� his �ime, Requirements: f�on� �� his �i�ne Compliant � Non-Compliant Signature: � Date : y�r�/�i O&MReport110416 -2- Dan Beyer / �ti -1-i0 Certified Operator No. 989646 Operation & Maintenance Report System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 07/29/16 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM _35_ 48 48 48 48 48 Actual GPM 36 48 48 50 48 48 * Measure last Quarter. S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing S Surface water diverted RECEIVED S Line cover maintained properly S Protected from traffic AUG 01 2016 S Distribution devices operating properly CATAWBA COUNTY N/A Repair area reserved ENVIRONMENTAL HEALTH 0 & M Report 160729 - 1 - Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non-Compliant Signature: Date: 07/29/16 0 & M Report160729 - 2 - ggyi9 RECEIVED Dan Beyer JUL 1 3 2022 Certified Operator No. 989646 Operation & Maintenance Report Environmental Health System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 07/09/22 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump S Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 _48 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing S Surface water diverted S Line cover maintained properly S Protected from traffic S Distribution devices operating properly N/A Repair area reserved O & M Report 220709 - 1 - Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non-Compliant Signature: Date: 07/09/22 O & M Report 220709 - 2 - / ' Dan Beyer RECEIVED Certified Operator No. 989646 OCT 5 2022 Operation & Maintenance Report Environmental Health System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage _ Risers accessible Signs of Infiltration Structurally Sound Sanitary tee present/good condition Effluent filter present/good condition Sludge levels Pumps Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM :3 48 > Control panel Condition _-; High water alarm operating properly Control floats operating properly ci Effluent clear & free of solids Drainfield No effluent surfacing _S Surface water diverted Line cover maintained properly _5.;_ Protected from traffic Distribution devices operating properly _N;"\ Repair area reserved O & M Report 221003 - 1 - Low Pressure System Turn-ups, cleanouts, valves located & protected _ Jam'A Laterals free of excessive solids _VA Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System NLA Pumps present & operating properly _NA Outlet Stabilized _"V/A Receiving ditch draining properly Comments: ,All tank lids inspec :d for cracks - minor cracks noted: Routine maintenar e of flushing lines completed. System foliage re\ towed for proper growth. Lines appear even & flowing prc ,,er_y. System appears tc be operating properly, c.,tleckeci for Hurricane Ian Damage - none noted. Recommendations: None at this time,. Requirements: _laneat this time Compliant _ _ Non-Compliant Signature: Date: 1Q/O3/22_ o & M Report 221003 - 2 - Dan Beyer Certified Operator No. 989646 Operation & Maintenance Report System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 01/1.6/2 _, Legend: S-Satisfactory M-Marginal U- Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage _S Risers accessible _M _ Signs of Infiltration S Structurally Sound _S Sanitary tee present/good condition _N/A, Effluent filter present/good condition _S Sludge levels Pumps _ °�� Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 _ i'3 _48 �+i3 S Control panel Condition _S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield RECEIVED _S No effluent surfacing S Surface water diverted JAN o 123 _S Line cover maintained properly S Protected from traffic Environmental Health _S Distribution devices operating properly _N/A Repair area reserved O & M Report 230116 - 1 - Low Pressure System _N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System ^N '`%A Pumps present & operating properly _I'i/A Outlet Stabilized _N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant _.:x> Non-Compliant Signature: -__ Date: _01116/23 0 & M Report 230116 - 2 - • I. Dan Beyer Certified Operator No. 989646 Operation & Maintenance Report 4 qt(14 System Name: Stonehaven MHCI LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: O4/06/2_: Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage Risers accessible _M _ Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition _NIA Effluent filter present/good condition _S Sludge levels Pumps _ Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 _ 48 48 48 _ 48 _ 48 Actual GPM 48 _S Control panel Condition _S High water alarm operating properly _S Control floats operating properly S Effluent clear & free of solids RECEIVED Drainfield No effluent surfacing AP? ? 2 S Surface water diverted S Line cover maintained properly Environmental Health S Protected from traffic S Distribution devices operating properly N/A Repair area reserved O & M Report 230406 - 1 - t Low Pressure System _N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1 : _ Field 2: _ Field 3: Drainage System N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks — minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant _XXX_ Non-Compliant Signature: 1� Date: _04/06/23 0 & M Report 230406 - 2 - RECEIVED Dan Beyer Certified Operator No. 989646 JUL 1 2 2023 Operation & Maintenance Report Environmental Health System Name: Stonehaven MHC LL Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 07/07/23 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 48 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids D ra infield S No effluent surfacing S Surface water diverted S Line cover maintained properly S Protected from traffic S Distribution devices operating properly N/A Repair area reserved O & M Report 230706 - 1 - I . Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non-Compliant Signature: Date: 07/07/23 O & M Report 230706 - 2 - / 441/ip RECEIVED Dan Beyer Certified Operator No. 989646 O C T 1 3 2023 Operation & Maintenance Report Environmental Health System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd. Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 10/09/23 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 48 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing S Surface water diverted S Line cover maintained properly S Protected from traffic S Distribution devices operating properly N/A Repair area reserved O & M Report 231009 - 1 - Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: _ Field 3: Drainage System N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non-Compliant Signature: e — /'Ji. Date: 10/09/23 O & M Report 231009 - 2 - F Dan Beyer Certified Operator No. 989646 Operation & Maintenance Report System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC. Inspection Date: 07/17/24 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated - N/A-Not-Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 48 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield RECEIVED S No effluent surfacing S Surface water diverted S Line cover maintained properly JUL 2 2 2024 S Protected from traffic S Distribution devices operating properly Environmental Health N/A Repair area reserved O &M Report 240717 - 1 - Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System - -NIA-Pumps-present & operating properly __ - �. _...�.. ^-- N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non-Compliant Signature: Date: 07/17/24 O &M Report 240717 - 2 - 611A17\ 0-LOCI(0 Dan Beyer Certified Operator No. 989646 Operation & Maintenance Report System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 10/10/24 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 48 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing S Surface water diverted S Line cover maintained properly RECEIVED S Protected from traffic S Distribution devices operating properly OCT 1 4 2024 N/A Repair area reserved Environmental Health 0 &M Report 241010 - 1 - Q' RJR Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non-Compliant Signature: j ram -- Date: 10/10/24 O &M Report 241010 - 2 - 00-11 - a - 1 o- L-(LIL-►9 Dan Beyer Certified Operator No. 989646 Operation & Maintenance Report System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 01/10/25 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition NIA Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 .48 48 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing RECEIVED S Surface water diverted S Line cover maintained properly S Protected from traffic FEB 4 2025 S Distribution devices operating properly N/A Repair area reserved Environmental Health 0 &M Report 250110 - 1 - F Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this-time- Compliant XXX Non-Compliant Signature: Date: 01/10/25 o &M Report 250110 -.2 - 0,44,- a- 0- D,5 9 0 .f z y S1- Dan Beyer Certified Operator No. 989646 Operation & Maintenance Report System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 04/20/25 Legend: S-Satisfactory M-Marginal U-Unsatisfactory — N-Not Evaluated N/A-Not-Applicable -- Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 48 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing S Surface water diverted S Line cover maintained properly RECEIVED S Protected from traffic S Distribution devices operating properly N/A Repair area reserved APR 2 4 2025 Environmental Health 0 &M Report 250420 - 1 - Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System _N/A. Pumps present & operating properly --T- - - —-- N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non-Compliant Signature: „de_ Date: 04/20/25 O &M Report 250420 - 2 - OLLA - 10 44141(0 Dan Beyer Certified Operator No. 989646 Operation & Maintenance Report System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 07/10/25 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 48 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing RECEIVED S Surface water diverted S Line cover maintained properly S Protected from traffic JUL 1 8 2025 S Distribution devices operating properly N/A Repair area reserved Environmental Health O &M Report 250710 - 1 - Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non-Compliant Signature: Date: 07/10/25 O &M Report 250710 - 2 - atio)k_ __(o_ t_p_ici RL, Dan Beyer OCT 1 4 Certified Operator No. 989646 Operation & Maintenance Report Environmental Hea;:'- System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: 10/10/25 Legend: S-Satisfactory M-Margina.l U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage S Risers accessible M Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition S Sludge levels Pumps M Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM 48 48 48 48 48 48 Actual GPM 48 48 48 48 48 48 S Control panel Condition _ S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing S Surface water diverted RECEIVED S Line cover maintained properly S Protected from traffic S Distribution devices operating properly OCT 1 4 2025 N/A Repair area reserved Environmental Health o &M Report 251010 - 1 - Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1: Field 2: Field 3: Drainage System N/A Pumps present &operating properly - N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks — minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. System appears to be operating properly. Recommendations: None at this time. Requirements: None at this time Compliant XXX Non Compliant Signature: , e Date: 10/10/25 O &M Report 251010 - 2 - Dan Beyer JAP,i ?6 Certified Operator No. 989646 Operation & Maintenance Report Environmental Health System Name: Stonehaven MHC, LLC Location: 2471 Emmanuel Church Rd, Conover, NC 28613 Owner: Stonehaven MHC, LLC Inspection Date: U 1/U9/20 Legend: S-Satisfactory M-Marginal U-Unsatisfactory N-Not Evaluated N/A-Not Applicable Tankage Risers accessible M _ Signs of Infiltration S Structurally Sound S Sanitary tee present/good condition N/A Effluent filter present/good condition _S Sludge levels Pumps _ _ Present & Operating Properly Pump 1 Pump 2 Pump 3 Pump 4 Pump 5 Pump 6 Design GPM _ 48 48 48 48 48 _ 48 Actual GPM 48 48 48 S Control panel Condition S High water alarm operating properly S Control floats operating properly S Effluent clear & free of solids Drainfield S No effluent surfacing S Surface water diverted S Line cover maintained properly S Protected from traffic S Distribution devices operating properly N/A Repair area reserved O & M Report 260109 - 1 - Low Pressure System N/A Turn-ups, cleanouts, valves located & protected N/A Laterals free of excessive solids N/A Laterals flushed Pressure head: Design Actual Adjusted Field 1 : Field 2: Field 3: ---- — ----_-- Drainage System _N/A Pumps present & operating properly N/A Outlet Stabilized N/A Receiving ditch draining properly Comments: All tank lids inspected for cracks - minor cracks noted. Routine maintenance of flushing lines completed. System foliage reviewed for proper growth. Lines appear even & flowing properly. —__ System appears to be operating_properly. Recommendations: None at this time. Requirements: _Ilg_ne at this time Compliant _ Non-Compliant Signature: Date: O & M Report 260109 - 2 -