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HomeMy WebLinkAboutAUTH-9-10-11494.TIF Aqua North Carolina 4163 Sinclair Street Denver NC 28613 11q Megen McBride RECEIVED 25 Government Drive Newton,NC.28658 April,212022 1 Environmental Health Dear Megen McBride, Regarding The Landings Subsurface System The Monthly Visits to the Landing Subsurface System were made but made by an Operator In training.The ORC(myself)was not present for the time frame of September,October,November and December due to being hospitalized and ventilated for two months. I did not return to work Until the End of February 2022. I know the filters were changed and the Lift Station was functional and there were no Problems in the fields,but I wanted to let you know that is why there are four reports Missing for the year of 2021. Warm Regards, John Martin ORC Work Phone:704-507-3375 CATAWBA COUNTY SUBSURFACE wAsTtwArLx DISPOSAL SYSTEM • MONITORING REPORT.,FORM c �, NAME AND LOCATION OF SYSTEM ' DATE OF Tat NSPECTION PERMIT NL' BER ' 7hW i^gNfIti �14A t4,+r i a0' 1 , �aka l it ,4 10 l�t�t�/ ; 5-v4 Y ,n 1 I P-c J ,b~r v. COUNTY SYSTEMCLASSIFICATION ' . Gi94)0&01,1 ejz..,, a yip d 6414/4S4 -SU b ffoA •;ylx: 6 NAME AND ADDRESS OF"ORC" NAME AND ADDRESS OF OWNER hida0A Crawl PHONE NO. ( ) �?- 3;z y- y)4:)/ PHONE NO. ( ) 70 Y '' Cf� .q4 ..y De-.4 1 AP/ , 407 AREAS EVALUATED DURING INSPECTION S - SATISFACTORY, M - MARGINAL, U- UNSATISFACTORY N-NOT EVALUATED, NA-NOT APPLICABLE COT z.FCTION SYS[EM Manhole and collection basins accessible Manhole and collecion basins clean C E IVE D Pipework clear of debris *e RAW SEWAGE LIFT STATIONS Pump present and operating properly V; A P i 2 2 Cu22 High water alarm operating,properly ' Pipework in good condition Control panel in.goad condition JWf1 Environmental Health TANKAGE (GREASE TRAP, SE PTiC ANI)PUMP TANKS) Risers accessible Signs of infiltration -4— Structurally sound Tees in good condition scum Ievel sludge level Grease trap N n in. t in. Septic tank 1E in. V' in. Pump tank; in. in. . EFFLUENT PUMP STATION Pumps present and operating properly S Pump 1 design GPM actual.GPM adjusted GPM Pump 2 P design GPM e5Cts, actual GPM adjusted GPM . p 3 design GPM actual GPM adjusted GPM Pump 4 design GPM actual GPM adjusted GPM ' High water alarm operating properly Pipework in good condItion ` Control panel in good condition JJ�` Control floats operating properly S Effluent fret and clear of solids 5 SIPHON SYSTEM ' No evidence of overflow or leakage Nln ' Siphonfs) operating properly �A Bells and vents clean and free of solids ;4;�- **SAND FILIihld r4** SEE comm ENT**** • • Surface appears free of vegetation Ponding Walls, boxes, and pipes in good condition Effluent free and clear of solid - Drain fields ' No effluent surfacing s' . Surface water diverted Line cover maintained properly Protected from traffic Distribution devices working properly Repair area reserved PRESSURE MANIFOLD Vault, valves, and pipework in good condition - - Leakage or blockage of discharge lines Pressure Head Ad5ustment, manifold no. 1 Design Actual Adjusted Head manifold no. 2 Design Actual Adjusted Head LOW PRESSURE PIPE SYSTEM Turntrps, cleanout4 valves Laterals free of excess solids , '1,Literals flushed J1 Zone valves operating properly Pressure Head design head actual head adjusted head Line 1 Line 2 Line 3 Line 4 Line S Line 6 —" COMMENT., $: C kecYcc9 4 P Fc1 icy 1M I vviri.ite) t ce. ..rT . RECOM ENDATIONS: b� � Pik A) s REQ rS: l b tt COMPLIANT; 1.) ONCOMPLIA.NT; SIGNATURE: e„ : nvtio DATE: 21 TOTAL P.j CATAWBA COUNTY SUBSURFACE WASTEWATER DISPOSAL SYSTEM • MONITORING REPORT FORM : • c , • NAME AND LOCATION OF SYSTEM ' DATE OF INSPECTION PERMIT NUMBER 111 c, 1.400,4ku . /OA 1-ANL ,W123 2, j'0) 41.41 ) oxP Pc. COUNTY SYSTEM CLASSIFICATION . aliV:Vc-f.. &I&G• at l,,i3 eielf4nSOBA S j a %ce- 7.0 S NAME ANDADDRESS OF "ORC" NAME AND ADDRESS OF OWNER 190u0 1.10bFh CA�ii.t�i. PHONE NO. ( ) 8 ~ 32 y 44 kr 7 PHONE NO. ( )70 i-i -i f pq "cpi tp.r, : D �' 4 t Z 1 AREAS EVALUATED DURING INSPECTION ' • S - SATISFACTORY, M - MARGINAL, U-UNSATISFACTORY N-NOT EVALUATED, NA-NOT APPLICABLE • COT LFCTION SYS rEM Manhole and collection basins accessible 11)P Manhole and colleckion basins clean • Pipework clear of debris0 RAW SEWAGE LIFT STATIONS RECEIVED Pump present and operating ptapciIy R Ev High water alarm operating properly ,/n • Pipework in good condition _ • 2022 Control panel in goad condition 144 :AFT c R 2 2 TANKAGE AGE (GREASE TRAP, SEPTIC AND PUMP TANKS) • Risers accessible Sins of infiltration 5 • Environmental Health Structurally sound S Tees in good condition _2__` scum level sludge level Grease trap 1[11, in_ N-a--in. Septic tank 11, in. h,6 in. Pump tank in. in. . EIF'LUENT PUMP STATION ' Pumps present and operating properly Pump 1 eZ.Q designGPM `S actual GPM� adjusted GPM Pump 2 oZ7 design GPM actual GPM adjusted GPM Pump 3 design GPM actual GPM adjusted GPM Pump 4 design GPM actual GPM adjusted GPM High water alarm operating'properly .s Pipework in good condition --- Control panel in good condition Control floats operating properlyi - I • Effluent free and clear of solids 5 SIPHON SYSTEM • No evidence of overflow or leakage ti Siphon(s) operating properly rl Bells and vents clean and free of solid.¢ • FTh1i E """" SEE COMMENT**** Surface appears free of vegetation Ponding Walls, boxes, and pipes in good condition `` . Effluent free and clear of solids - • /Wei Drain fields No effluent surfacing S' Surface water diverted Line cover maintained properly 3" Protected from traffic Distribution devices working properly nA Repair area reserved S 1 PRESSURE MANIFOLD Vault, valves, and pipework in good condition Leakage or blockage of discharge lines F Pressure Head Adjustment, manifold no. 1 Design Actual A jested Head manifold no. 2 Design Actual Adjusted Head LOW PRESSURE PIPE SYSTEM Turnups, cleanoutS, valves _ � _ - • Laterals free of excess solids • Laterals flushed Zone valves operating properly Pressure HeadiR • design head actual head adjusted head , Line 1 Line 2 Line 3 Line 4 Line 5 Line 6 cohIMENTS: am kdi t) Few AsTAC lope) 74,se- ,�- 1Uo 1.0 4.4el. RECON MENDATIONS: puio _c(-1,4. A� REQUIREMENTS; S �i Vzsed COMPLIANT; _ 1 • NONCOMPLIANT; SIGNATURE: DATE: I_231,z ` • TC L F,O: CATAWBA COUNTY SUBSURFACE WASX'EWA'I' 'EX DISPOSAL SYSTEM MONITORING REPORT FORM • NAME AND LOCATION OF SYSTEM ' DATE, OF INSPECTION ERMIT NUMBER Ac, i- A,As . 141- 1-AAv g 3 1 q— to ' 1 '4,9 SL,4•M !Y)W+N i &i,A+ iV)I t( Po&() ,Uri p CO SYSTEM CLASSIFICATION NAME AND ADDRESS OF "ORC" NAME AND ADDRESS OF OWNER s �kiiii ..514e �i)43 S;e'ir�it .��irer PHONE NO. ( ) 8 '-32 9- &i187 PHONE NO. ( ) I©y 1.6-507. 33` �� t)37 AREAS EVALUATED DURING ThiSPECTION S - SATISFACTORY, M - MARGINAL, U-UNSATISFACTORY N-NOT EVALUATED, NA -NOT APPLICABLE • COI,z.FCTION SYS I'EM Manhole and collection basins accessible /U Manhole and collection basins clean C E I V E D Pipewark clear of debris )4 R RAW SEWAGE LIFT STATIONS Pi.map present and operating properly 4 2G22 Highwater alarm atingA 2 2 open �properly Pipework in good condition Control panel in goad condition Environmental Health TANKAGE (GREASE TRAP, si riC AND PUMP TANKS) Risers accessible Signs of infiltration Structurally sound Tees in good condition sc level sludge level -�- Grease trap VA in. JI1 in Septic tank f2, in. ' in. • Putty tank: 0 in. { in. _ EFFLUENT PUMP STATION Pumps present and operating properly J Pump 10142 design GPM c2 o actual GPM adjusted GPM Pump 2 ,a0 design GPM.?U actual GPM adjusted GPM Pump 3 design GPM actual GPM adjusted GPM Pump 4 design GPM actual GPM adjusted GPM High water alarm operating properly ._.5 Pipework in good condition S Control panel in good condition Control floats operating properlyT _ , Effluent fret and clear of solids _S____SIPHON SYSTEM • No evidence of overflow or leakage a Siphons) operating properly /11 Bells and vents clean and free of solids .A/it ; • **SAND FI Ik1f **"• SEE COMMENT**** Surface appears free of vegetation A21 PondingA Walls, boxes, and pipes in good condition Effluent free and clear of solids - Drain Eelds ' No effluent surfacing Surface water diverted Line cover maintained properly Protected from traffic �5 Distribution devices working properly Repair area reserved S PRESSURE MANIFOLD Vault, valves, and pipework in good condition Leakage or blockage of discharge lines �� F Pressure Head Adja=sent, manifold no. 1 Design Actual Adjusted Head manifold no. 2 Design Actual Adjusted Head LOW PRESSURE PIPE SYSTEM Turnups, cleanoutS, valves Laterals free of excess solids Laterals flushed Zone valves operating properly • Pressure Head design head actual head adjusted head • Line 1 Line 2 Line 3 Line 4 Line 5 Line 6 A COMMENTS: ChO1.d r`! k'-r- c .s 9 R, &v 1-1-015 enGk ct 0.1) 41)i)z, �►I 0 k 4 tar r 4 J, Etai4i ) 1r 190r- Ion)RECOMMENDATIONS: S 11 t7 _ REQUIREMENTS: COMPLIANT; _ NONCOMPLIANT:SIGNATURE: /,'* DATE: • TOTAL P.00 k CATAWBA COUNTY SUBSURFACE WASTEWATER DISPOSAL SYSTEM • MONITORING REPORT FORM • c" . • NAME AND LOCATION OF SYSTEM ' DATE OF INSPECTION PERMIT NUMBER 1_h. 1..40605,atps vA fit✓ coe)2) Pqh 1- it,- P 4,t tYll COUNTY SYSTEM CLASSIFICATION ' . ' 6*'i rntii1 aJ Jf,J('i CirfAti1ga .t -Peter r7 5 C-¢?a Q Jed' 14C� Qerlo.3 P Aiaot Npc.il, cI i ai i,t, NAME AND ADDRESS OF"ORC" NAME AND ADDRESS OF OWNER 414( _ PHONE NO. ( ) ?, 41 -4)! '� PHONE NO. ( ) ti*O Ct, Nc• ,21303 7 AREAS EVALUATED DURING INSPECTION S - SATISFACTORY, M- MARGINAL, U- UNSATISFACTORY . N-NOT EVALUATED, NA-NOT APPLICABLE • COLLECTION SYS TEM Manhole and collection basins accessible Manhole and collection basins clean N R V`�� D Pipework clear of debris • RAW SEWAGE LIFT STATIONS Pump present and operating properly N / A F } 2 2 :LU22 High water alarm operating properly ";, Pipework in good condition A • Control pane!in good condition , j Environmental Health TANKAGE (GREASE TRAP, SEPTIC AND PUMP TANKS) Risers accessible �� Siang of infiltration 'Z Strucnirally sound Tees in good condition scum level sludge level . Grease trap 4411 ; /in. in. Septic tank l in. A" in. • Pump tank (25 in. .. in. . EfI LUEN 'PUMP STATION Pumps present and operating pi overly • S' Pump 1 '_ design GPM actual GPM 9 adjusted GPM � : Pump 2 .p design GPM actual GPM adjusted GPM • Pump 3 design GPM actual GPM adjusted GPM Pump 4 design GPM actual GPM adjusted GPM High water alarm operating'properly S Pipework in good condition Control panel in good condition Control floats operating properly -3-- Effluent free and clear of solids _AS__SYSTEM ' • No evidence of overflow or leakage .Via • Siphon(s) ouerating properly Bells and vents clean and free of solidi% 04) . • • **SAND FILLER **** SEE COMMENT**** • Surface appears free of vegetation Pending fq Walls,boxes, and pipes in good condition Effluent free and clear of solids - Drain fields No effluent surfacing S Surface water diverted Line cover maintained properly Protected from traffic Distribution devices working properly Repair area reserved PRESSURE MANIFOLD Vault, valves, and pipework in good condition Leakage or blockage of discharge lines J • Pressure Head Adjustment, manifold no. I Design Actual Adjusted Head manifold no. 2 Design Actual . Adjusted Head LOW PRESSURE PIPE SYSTEM Turnups, cleanout , valves. - h Laterals free of excess solids - . Laterals flushed N Zone valves operating properly N n Pressure Head design head actual head adjusted head Line 1 Line 2 Line 3 Line 4 Line 5 Line 6 colrIK&NTs: "AD ,S � c. t'AOJ/ d J I tej RECONBIENDATIONS: set, 1 b, 1?©Yru 1 eM) c (17ok CooJ, Uq L ►/iJV DZA .9.r REQUIREMENTS: ) - <J COMPLIANT; NONCOMPLIANT: SIGNATURE: • , DATE: • • • • TOTAL P.0 • CATAWBA COUNTY SUBSURFACE WAS i WATEX.DISPOSAL SYSTEM MON'TTORING REPORT FORM • NAME AND LOCATION OF SYSTEM - DATE OF INSPECTION PERMIT NUMBER/ i .,SAG G,,A/tClt , 1J(a 1-, /(:, f?J).. % aim 1-1 U f -icp-i, v�� rn,i 1 C viv� �,► COUNTY SYSTEM CLASSIFICATION - C,L''tiVJtf, L -26-c?!3 �ALv' r� .�1 t� .Ty..,,,,j NAME AND ADDRESS OF "ORC" NAME AND ADDRESS OF OWNER 11 i2144-A)D.*,C4 i 1/•>kt q 7� ',1I -s.,-(k_k.,.r- fir': xc7 PHONE NO. ( ) --.52 cf ly/d) PHONE NO. ( ) 7 /- 4 i .• ci Aiir 1 't-J / t1 c. CD % AREAS EVALUATE')DURING INSPECTION • S - SATISFACTORY, M - MARGINAL, U- UNSATISFACTORY • N-NOT EVALUATED, NA-NOT APPLICABLE • COLLECTION SYS IEM Manhole and collection basins accessible A : Manhole and collection basins clean Pipework clear of debris V RECEIVED RAW SEWAGE LIFT STATIONS Pump present and operating properly N/g High water alarm operating properly P; 22 Pipework in good condition f Control panel in good condition TANKAGE (GREASE TRAP, SEPTIC AND PUMP TANKS) Environmental Health Risers accessible 5 Signs of infiltration. Structurally sound Tees in good condition S scum level sludge level Grease trap J[ —in. in. Septic tank CPC(:- in:%dLe in, Pump tank Zi ! in . EFFLUENT'PUMP STATION Pumps,present and operating properly _5' Pump 1 2c design GPM �L- actual GPM c: adjusted GPM • Pump 2 � design GPM -- actual GPM ui adjusted GPM Pump 3 design GPM actual GPM adjusted GPM Pump 4 design GPM actual GPM adjusted GPM High water alarm operating'properly Pipework in good condition `r Control panel in good condition Control floats operating properly Effluent free and clear of solids T-- SIPHON SYSTEM ' No evidence of overflow or leakage grin Siphon(s) operating.properly Bells and vents clean and free of solids 0 ' . . • . . .• _ ... • • iLairsED Frp:Eit 111,001.** Surface appears free of vegetation . • .- AliP Ponding - • . . • Walls), boxes, and pipes in:good condition Effluen.r free and'clear of solids .,„ :.• k diA . Drain fields - • No effluent surfacing - ._ __C: • Surface water diVerteci ,, • - - Line cover maintained properly ÷ . _2_---c---- Protected from traffic Distribution devices working properly . . Ln._ • ,. Repair area reserved • • ......5 PRESSURE/4ANTFOLlj, ..,_,„„ - ,. ..._... I :•-:......;:-kk;•.s.;:_- ..1k:-.',..,..,-1-,.-.:---.1--.',-.:• ••••;!..:,:i:,... ____ Ntaniz,..valves, andlpipework in good-coudition -- - - " - " ---"....- - /4/1):-=-f.'-...'''',-.7-1 ..*:ii.:';':';',:.:/ - -'•--', '-` " ,•,_.Leakage or blockage of discharge lines - • _. PressUre Head Ailju' srment; manifold no. 1 •_____Desiza Actual Adjusted Head ..... , ..• .. . . manifold,no. 2 - Design Actual -7-7Adjusted Head -: i , • • - : LON'Y PRESSURE PIPE:SYSTEN1 ,•-:•'`-:"•*'''Nt*. -. -Turn4s; cleanont, valves. 1. 'It. . • •:.„,,...,,:—.- ' --,,•_, „ . --"T',.„ If 0. i'.. .. -..- -.: • . • . • , .. • - Lattrai3 free of extess solids.4.--,.: ,:,: ,.• I• , IN •••• 4' 1 • , , '. Later4ls flushed ! ' •• , - ' '.,hi 0 • '',. . / - Zone valves operating properly: - - ' • i\l/n_ •• . . . ! PressUre I-lead . •.- .* - ' ; - ... . •. design.hiiii actual head -- adjusted head : •' ' Line 1 ' . _______ — . . _ • Line 2 - _ Line 3 _ . I Line 4 __ ••-• _____ ._____ . Line 5 _____ ' Line 6 ' — . , ......._ - . - . , co ; CA , +:1 i -..i i , . (."(Y,e(C-,..te, .D .r- 417,771-jc. 1/<4-414) . , — A)0 Wefrief 14 ,i)- Rc;)).t‹,- i--- 4ik sw'r Ivii.- 44,,, .. . • • , . . ,., REcO1VBIENDATIONS: r. " •,.. .c'-.-e.V) 4,) 4**Ls. . TOTAL_ P.03 i . . . . ,..cr01 i 1?6 °6j • • REQUIREXENITS: • i . . 1 . . COWEIANT, .; L-)( NONCoNtpLIANT; • . , • - • DAZE: • • ._ • . i . •. . . • . _ i • . : . - - • " -- • . • • • : . . - : : ,•-- • . - . • CATAWBA COUNTY SUBSURFACE WASTEWA1t.O.DISPOSAL SYSTEM MONITORING REPORT FORM • c NAME AND LOCATION OF SYSTEM ' DATE OF INSPECTION PERMIT NUMBER ''i�►e 1-0n0;,, . N pi 14/0e-- 64.2421 19c4 ih j /D— P-1�f y • :\ COUNTY SYSTEM CLASSIFICATION • • ' yi'� '�.!i P0/J4) / " de_ insi;0� '6. ^ra 4c_ r e_ NAME AND ADDRESS OF"ORC" NAME AND ADDRESS OF OWNER QaR /l1G '/L3 5;.-yck`,St PHONE NO. ( ) e-.Z;�' .W41—y)e-7 PHONE NO. ( )701/ - LI 1•.0 y c`.4 N b`C „Xi) r AREAS EVALUATED DURING INSPECTION - . • S - SATISFACTORY, M - MARGINAL, U-UNSATISFACTORY . N-NOT EVALUATED, NA-NOT APPLICABLE COLLECTION SYS rEM Manhole and collection basins accessible 4: Manhole and collection basins clean Pipework clear of debris RAW SEWAGE LIFT STATIONS Pump present and operating properly High water alarm operating properly )4/ ' Pipework in good condition 4 i , ' Control panel in good condition , I TANKAGE (GREASE TRAP, SEPTIC AND PUMP TANKS) • Risers accessible Signs of infiltration Stnicaually sound Tees in good condition scum level sludoe level Grease trap OAin. AI il in. Septic tank. 7 '�in. in. Pump tanks. in p' in. . EFFLUENT UENT PUMP STATION ' Pumps present and operating properly Pump 1 ,C design GPM, actual GPM adjusted GPM • Pump 2 g o design GPM 20 actual GPM adjusted GPM Pump 3 design GPM actual GPM adjusted GPM • Pump 4 design GPM actual GPM adjusted GPM High water alarm operating'properly Pineworlc in good condition Control panel in good condition '-.5,_ Control floats operating properly '` Effluent free and clear of solids SIPHON SYSTEM -5 • No evidence of overflow or leakage f i4 Si hops operating Bells and vents clean and free of solids *SAND FILLER "1" SEE COMMENT**** Surface appears free of vegetation /al Ponding /v1r9 Wails, boxes, and pipes in good condition d _ Effluent free and clear of sofiris - - Drain fields No effluent surfacing Surface water diverted • Line cover maintained properly Protected from traffic Distribution devices working properly h„ Repair area reserved ��— PRESSURE MANIFOLD Vault, valves, and pipework in good condition y+ - Leakage or blockage of discharge lines Pressure Head Adjustment, manifold no. 1 Design Actual Ad usted Head manifold no. 2 Design Actual Adjusted Head LOW PRESSURE PIPE SYSTEM .r ' Turnups, cleanout', valves. Laterals free of excess solids - Laterals flushed _ Zone valves operating properly Pressure Head design head actual head adjusted head Line 1 Line 2 Line 3 Line 4 Line 5 Line 6 COMMENTS: 6/4"4 14`) fie! �h (<-.Src f�, ►�rl�/ef 1,/g RE f OMMENDATIONS: :5 b'A / b ' i -'/s '1 ee 14)e G REQUIREMENTS: ,-�4 COMPLIANT; X dux SIG NNATURE: � /' ` DATE: • • TCiThL F.0= CATAWBA COUNTY SUBSURFACE WASTEWATLK DISPOSAL SYSTEM ti MONTTORL IG REPORT FORM c • NAME AND LOCATION OF SYSTEM ' DATE OF INSPECTION PERMIT NUMBER ' -rim. l�Nc� i:�i g �:t"/Va Lim. 71.2. 1 z L ,QLJ4it q_ )C'., /t44 y ._ �, 5 ,�d ;IA jet',-,A yD•^:,,C._ COUNTY SYSTEM CLASSIFICATION C=0114 04)-r NI -2eCoa CA':i 4 0 8.9 s.c.(12.L.;,,ac-e- .7"yt- 3- NAME AND ADDRESS OF "ORC" NAME AND ADDRESS OF OWNER AA MC -- Lit 4'Y St•vtc_k.`,- '7Yr-el. PHONE NO. ( ) SS)-' -3. J 41�� / PHONE NO. ( ) ?tip 4Liec -el Nov.: ', �IC,. 7 AREAS EVALUATED DURING INSPECTION S -SATISFACTORY, M - MARGINAL, U- UNSATISFACTORY N-NOT EVALUATED, NA -NOT APPLICABLE COLLECTION SYS!'EM Manhole and collection basins accessible A : Manhole and collection basins clean i Pipework clear of debris SYi_ RECEIVED RAW SEWAGE LIFT STATIONS Pump present and operating properly High water alarm operating properly Pipework in good condition t r"- 22 ' Control panel in good condition iNil a TANKAGE (GREASE TRAP, SEYfIC AND PUMP TANKS) Risers accessible ... _ Environmental Health : Sims of infiltration Structurally sound _� ; Tees in good condition ; scum level sludge level Grease trap 'NM in. in. Septic tank f•4' in. (1n. Pump tank. 0 in. (in. . EFFLUENT PUMP STATION Pumps present and operating properly Pump 1 01.7c.> design GPM Q actual GPM 1 adjusted GPM Pump 2 ..42 design GPM 13 actual GPM adjusted GPM Pump 3 design GPM actual GPM adjusted GPM Pump 4 design GPM actual GPM adjusted GPM High water alarm operatingproperly _-‘ Pipework in good condition 3 Control panel in good condition � Control floats operating properly 3. Effluent free and clear of solids �S- SIPHON SYSTEM • No evidence of overflow or leakage AA Siphon(s) operating properly Bells and vents clean and free of solids - ---- -- ---- ---------- ------------- -- - -- ------------- --------------------------- - t **SAND FILLER ***• SEE COMMENT**** Surface appears free of vegetation Nip Ponding Walls, boxes, and pipes in good condition _ Effluent free and clear of solids - ."1/f Drain fields No effluent surfacing S Surface water diverted Line;over maintained properly . Protected from traffic _ Distribution devices working properly Repair area reserved PRESSURE MANIFOLD Vault, valves, and pipework in good condition I1 - . Leakage or blockage of discharge lines 4 Pressure Head Adj ent; manifold no. 1 Design Actual Adjusted Head manifold no. 2 Design Actual = Adjusted Head LOW PRESSURE PIPE SYSTEM ' ' Turm�s, cleanout , valves k Laterals free of excess solids Laterals flushed _ Zone valves operating properly Pressure Head design head actual head adjusted head , Line I Line 2 Line 3 Line 4 Line 5 •• Line 6 COMMENTS: A M2 W,W ci ) 1)- 'Xscitc.,t Ad i) n c' iv)c.)tad. &-cv) l,« 0.4:i,y,4,e; RECOMMENDATIONS: REQUEREEMEiTS: ...c:e4I ( ./ " 7e:'kG°' • COMPLIANT; _ Y)?"''' NONCOMPLIANT; SIG ATVRE: d454,f 1.tfis- DATE: .7)2 3 iz, • • T rI L P.OZ CATAWBA COUNTY SUBSURFACE WASTEWA'I'ki DISPOSAL SYSTEM N MONITORING REPORT FORM • c' NAME AND VOCATION OF SYSTEM ' DATE OF INSPECTION PERMIT NUMBER ' L.aNei u - i-1A l,,fnJd, 312. ) 2i vr, } n'Jr+rtr.,; Au i% - 7O— yea 9 UC6•h 1'111 I�+� a ��. +l.�— COUNTY SYSTEM CLASSIFICATION . 44rn4: NAME AND ADDRESS OF"ORC" NAME AND ADDRESS OF OWNER t44. PHONE NO. ( ) PHONE NO. ( ) "� •ye -fit'IO"/ bp;Jt • e�' .�1L. Lea Z ,yam,?''34 9-'714rr AREAS EVALUATED DURING INSPECTION • - S - SATISFACTORY, M - MARGINAL, U- UNSATISFACTORY N -NOT EVALUATED, NA-NOT APPLICABLE COT:I,ECTION SYSTEM R I VE D Manhole and collection basins accessible • Manhole and collection basins clean ke i Pipework clear of debris ii 22 RAW SEWAGE LIFT STATIONS Pump present and operating properly lVA High water alarm operating properly Environmental Health Pipework in good condition Control panel in goad condition A('‘I 'l TANKAGE (GREASE TRAP, SEPTIC AND PUMP TANKS) Risers accessible Sinus of infiltration Structurally sound ; g • Tees in good condition scum level sludge level Grease trap A47 in. N/A in. Septic tank -in. " in. Pump tank. 0 in. Ti in. . EFFLUENT PUMP STATION Pumps present and operpr*ng properly • Pump 1i'S.06_. design GPM actual GPM adjusted GPM Pump 2 • design GPM .,a2 v actual GPM j ,p adjusted GPM • Pump 3 - design GPM actual GPM adjusted GPM Pump 4 design GPM actual GPM adjusted GPM High water alarm operating'properly Pipework in good condition Control panel in good condition 1 1 Control floats operating properly Effluent free and clear of solids SIPHON SYSTEM - -- No evidence of overflow or leakage x` Siphons) operating properly f v� b Bells and vents clean and free of solid¢ A/i) "*SAND FILi' R **** SEE COMMENT**** • Surface appears free of vegetation Ponding Wails, boxes, and pipes in good condition Effluent free and clear of solids - .A110 Drain fields No effluent surfacing Surface water diverted Line cover maintained properly Protected from traffic Distribution devices working properly Repair area reserved PRESSURE MANIFOLD Vault, valves, and pipework in good condition //p Leakage or blockage of discharge lines l Pressure Head Adjustment, manifold no. 1 Design Actual Adjusted Head manifold no. 2 Design ActualAdjusted Head LOW PRESSURE PIPE Ski STEM Tumups, cleanouts, valves Laterals free of excess solids Laterals flushed • Zone valves operating properly /1/./C Pressure Head design head actual head adjusted head Line 1 Line 2 Line 3 Line 4 Line 5 Line 6 C4-1, �`'(- b c iclej RECO sENDATIONS: REQETS;REQUIREMENTS;�II . Pi,` COMPLIANT _ _ NONCOMPLIANT; SIGNATURE: ; ale DATE: • • • TOTAL P.03