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HomeMy WebLinkAboutAUTH-11-2019-125094.tif Airr 14 -p 50] 4 MAINTENANCE REPORT FORM A:), to iv 1 • -- ii ii• .._ ,„, , Name and Location of System Date of Inspection I Ili 1 ‘10 , 2.1.'I'vt in iiii3 Mark Shue 16 Nov 2022 1285 Saunders Drive Permit Number FPPNFRnIr?r1TPI►ifri, '�_ r r li"r'�c Catawba, NC 28609 471003401001 Operators Responsible for Care (O.R.C.'s): System Classification Jack Moore - Certified Operator #985357 Phone (828) 850-5660 Iv-a David Lynch - Certified Operator #996383 Phone (828) 850-5661 Alternate Mailing Address 1 J.C. Moore Phone (704) 873-2171 Subdivision 1227 Troutman Drive Fax (704) 873-9928 Saunders Property Statesville, NC 28625 Mobile(704) 902-1122 County Phone 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? [S] Satisfactory Structurally sound? [S] Satisfactory Laterals free of excess solids? [5] Satisfactory Landscape position? [5] Satisfactory Laterals flushed? YES Septic tank filter cleaned? Pump tank filter cleaned? 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: — 4 in. Sludge: - 8 in. Line 4 2 2 OUTLET Scum: - 0 in. Sludge: - 8 in. Line 5 2 2 Line 6 2 2 Approximate Percentage of Solids to Liquid Waste in Tank - 25 % DRAIN FIELD No effluent surfacing? ES] Satisfactory Surface water diverted? [S] Satisfactory Line cover maintained properly? [S] Satisfactory Protected from traffic? [S] Satisfactory COMMENTS Distribution devices operating properly? [5] Satisfactory Repair area reserved? [S] Satisfactory The paper in the septic tank is not breaking down. suggest a more biodegradable brand. PUMP Pump present and operating? Design GPM 33 REC JED Actual GPM 33 Efficiency 100% High water alarm operating properly? [S] Satisfactory Pipework in good condition? [S] Satisfactory I' Control panel in good condition? [S] Satisfactory Control floats operating properly? [5] Satisfactory Straps/float tree in good condition? [S] Satisfactory Environmental Health Effluent free and clear of solids? [S] Satisfactory / - I ) 5/fiq MAINTENANCE REPORT FORM Name and Location of System Date of Inspection M /: 1q Mark Shue 11 May 2023 1285 Saunders Drive Permit Number FrrNPreilIMPinfinl``. SrrvirPf Catawba, NC 28609 471003401001 Operators Responsible for Care (O.R.C.'s): System Classification Jack Moore - Certified Operator #985357 Phone (828) 850-5660 IV-A David Lynch - Certified Operator #996383 Phone (828) 850-5661 Alternate Mailing Address J.C. Moore Phone (704) 873-2171 Subdivision 1227 Troutman Drive Fax (704) 873-9928 Saunders Property Statesville, NC 28625 Mobile(704) 902-1122 County Phone Catawba Phone SEPTIC TANK AND PUMP TANK LOW PRESSURE PIPE SYSTEM Risers accessible? [5] Satisfactory Turnups,cleanouts,valves Signs of infiltration? [5] Satisfactory located and protected? [SI Satisfactory Structurally sound? [5] Satisfactory Laterals free of excess solids? [5] Satisfactory Landscape position? [S] Satisfactory Laterals flushed? YES Septic tank filter cleaned? Pump tank filter cleaned? 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: — 2 in. Sludge: — 12 in. Line 4 2 2 OUTLET Scum: — 0 in. Sludge: — 12 in. Line 5 2 2 Line 6 2 2 Approximate Percentage of Solids to Liquid Waste in Tank - 29 °% DRAIN FIELD No effluent surfacing? [5] Satisfactory Surface water diverted? [5] Satisfactory Line cover maintained properly? [5] Satisfactory Protected from traffic? [5] Satisfactory COMMENTS Distribution devices operating properly? [5] Satisfactory Repair area reserved? [S] Satisfactory The paper in the septic tank is not breaking down. I suggest a more biodegradable brand. PUMP Pump present and operating? Design GPM 33w1�;�cD Actual GPM 33 Efficiency 100% High water alarm operating properly? [S] Satisfactory MAY 2 d 2023 Pipework in good condition? [5] Satisfactory Control panel in good condition? [5] Satisfactory Control floats operating properly? [5] Satisfactory n. i �,� Health r�.� mental Straps/float tree in good condition? [S] Satisfactory Effluent free and clear of solids? [5] Satisfactory ofryk-t - Doll - ca ... MAINTENANCE REPORT FORM t , , _ ..,...M ?''y'� 'S Name and Location of System Date of Inspection J Mark Shue 16 May 2024 1285 Saunders Drive Environmental " , Services Permit Number Catawba, NC 28609 471003401001 Operators Responsible for Care (O.R.C.'s): System Classification Jack Moore - Certified Operator #985357 Phone (828) 850-5660 IV-A David Lynch - Certified Operator #996383 Phone (828) 850-5661 y p Alternate Mailing Address J.C. Moore Phone (704)873-2171 Subdivision 1227 Troutman Drive Fax (704)873-9928 Saunders Property Statesville,NC 28625 Mobile(704)902-1122 County Phone 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? [S] Satisfactory Landscape position? [S] Satisfactory Laterals flushed? YES Septic tank filter cleaned? Pump tank filter cleaned? 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: — 1 in. Sludge: ^' 4 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 = 1 0 % DRAIN FIELD No effluent surfacing? [S] Satisfactory Surface water diverted? [S] Satisfactory Line cover maintained properly? [S] Satisfactory Protected from traffic? [S] Satisfactory COMMENTS Distribution devices operating properly? [5] Satisfactory Repair area reserved? [S] Satisfactory PUMP Pump present and operating? Design GPM 33 RECEIVED Actual GPM 33 Efficiency 100% High water alarm operating properly? Es] Satisfactory S E P 5 2024 Pipework in good condition? [5] Satisfactory Control panel in good condition? [S] Satisfactory Control floats operating properly? [S] Satisfactory Straps/float tree in good condition? [S] Satisfactory Environmental Health Effluent free and clear of solids? [5] Satisfactory Ctdik- II- jtl - fD q(di ,,----,,, MAINTENANCE REPORT FORM !( x `ti i ,, 1S Name and Location of System Date of Inspection I / Mark Shue 16 May 2024 1 " 1285 Saunders Drive Environmental Services Permit Number Catawba, NC 28609 471003401001 Operators Responsible for Care (O.R.C.'s): System Classification Jack Moore - Certified Operator #985357 Phone (828) 850-5660 IV-A David Lynch - Certified Operator #996383 Phone (828) 850-5661 Alternate Mailing Address J.C. Moore Phone (704)873-2171 Subdivision 1227 Troutman Drive Fax (704)873-9928 Saunders Property Statesville, NC 28625 Mobile(704)902-1122 County Phone Catawba Phone SEPTIC TANK AND PUMP TANK LOW PRESSURE PIPE SYSTEM Risers accessible? [5] Satisfactory Turnups,cleanouts,valves Signs of infiltration? [S] Satisfactory located and protected? [S] Satisfactory Structurally sound? [S] Satisfactory Laterals free of excess solids? [S] Satisfactory Landscape position? [S] Satisfactory Laterals flushed? YES Septic tank filter cleaned? Pump tank filter cleaned? 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: ^' 5 in. Sludge: ^' 15 in. Line 4 2 2 OUTLET Scum: ^' 0 in. Sludge: ^' 13 in. Line 5 2 2 Line 6 2 2 Approximate Percentage of Solids to Liquid Waste in Tank 40+ DRAIN FIELD No effluent surfacing? [S] Satisfactory Surface water diverted? [S] Satisfactory Line cover maintained properly? [S] Satisfactory Protected from traffic? [S] Satisfactory COMMENTS Distribution devices operating properly? [S] Satisfactory Repair area reserved? [S] Satisfactory The paper in the septic tank is not breaking down. I suggest a more biodegradable brand. PUMP The septic stank needs to be pumped as soon as Pump present and operating? possible. Design GPM 33 Actual GPM 33 Efficiency 100% RECEIVED High water alarm operating properly? [S] Satisfactory Pipework in good condition? [S] Satisfactory Control panel in good condition? [5] Satisfactory Control floats operating properly? [5] Satisfactory S E P 5 2024 Straps/float tree in good condition? [5] Satisfactory Effluent free and clear of solids? [S] Satisfactory Environmental Health I o Quk- tOiI3O$ (.i MAINTENANCE REPORT FORM \ 4 -4 64 i Name and Location of System Date of Inspection ' Mark Shue 22 Nov 2024 1285 Saunders Drive Permit Number iffnvironmentar Services Catawba, NC 28609 471003401001 Operators Responsible for Care (O.R.C.'s): System Classification Jack Moore - Certified Operator #985357 Phone 1828) 850-5660 Iv-A David Lynch - Certified Operator #996383 Phone (828) 850-5661 Y p Alternate Mailing Address J.C. Moore Phone (704)873-2171 Subdivision 1227 Troutman Drive Fax (704)873-9928 Saunders Property Statesville, NC 28625 Mobile(704)902-1122 County Phone 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? [S] Satisfactory Structurally sound? [S] Satisfactory Laterals free of excess solids? [S] Satisfactory Landscape position? [S] Satisfactory Laterals flushed? YES Septic tank filter cleaned? Pump tank filter cleaned? PRESSURE HEADS SOLIDS ACCUMULATION DESIGN HEAD ADJUSTED HEAD Line 1 2 2 Approximate Quantity of Solid Waste in Septic Tank Line 2 2 2 I Line 3 2 2 INLET Scum: ^' 2 in. Sludge: "' 9 in. Line 4 2 2 OUTLET Scum: ^' 0 in. Sludge: "' 12 in. Line 5 2 2 Line 6 2 2 Approximate Percentage of Solids to Liquid Waste in Tank at25 % i DRAIN FIELD INo 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? [S] Satisfactory Repair area reserved? [S] Satisfactory , PUMP RI� L.D Pump present and operating? Design GPM 33 Actual GPM 33 DEC - 2 2024 Efficiency 100% High water alarm operating properly? Es] Satisfactory Pipework in good condition? [5] Satisfactory Environmental Health Control panel in good condition? [S] Satisfactory Control floats operating properly? [S] Satisfactory Straps/float tree in good condition? [S] Satisfactory Effluent free and clear of solids? [5] Satisfactory GL - Oi9 t 5O9 f MAINTENANCE REPORT FORM r M; Name and Location ofSystem Date ofInspection _ ( ` )) p Mark Shue 21 May 2025 ' AA - 1 S iirb 1285 Saunders Drive Environmental „�. Services Permit Number Catawba, NC 28609 471003401001 Operators Responsible for Care(O.R.C.'s): System Classification Jack Moore - Certified Operator #985357 Phone (828) 850-5660 IV-A David Lynch - Certified Operator #996383 Phone (828) 850-5661 Alternate Mailing Address J.C. Moore Phone (704)873-2171 Subdivision 1227 Troutman Drive Fax (704)873-9928 Saunders Property Statesville, NC 28625 Mobile(704)902-1122 County Phone 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? [S] Satisfactory Structurally sound? [S] Satisfactory Laterals free of excess solids? [S] Satisfactory Landscape position? [S] Satisfactory Laterals flushed? YES Septic tank filter cleaned? Pump tank filter cleaned? 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: "' 3 in. Sludge: ^' 12 in. Line 4 2 2 OUTLET Scum: ^' 0 in. Sludge: ^' 12 in. Line 5 2 2 Line 6 2 2 Approximate Percentage of Solids to Liquid Waste in Tank = 31 DRAIN FIELD No effluent surfacing? [S] Satisfactory Surface water diverted? [S] Satisfactory Line cover maintained properly? [S] Satisfactory Protected from traffic? [S] Satisfactory COMMENTS Distribution devices operating properly? [5] Satisfactory Repair area reserved? [S] Satisfactory REC PUMP IV ED Pump present and operating? Design GPM 33 JUN 2 2025 Actual GPM 33 1 Efficiency 100% High water alarm operating properly? [S] Satisfactory Pipework in good condition? [S] Satisfactory Environmental Health Control panel in good condition? [S] Satisfactory Control floats operating properly? [S] Satisfactory Straps/float tree in good condition? [S] Satisfactory Effluent free and clear of solids? [S] Satisfactory