HomeMy WebLinkAboutAUTH-11-10-12800.TIF - 1)Soo MAINTENANCE REPORT FORM
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1 Name and Location of System Date of Inspection
i4 i _ I 1 Kevin Carter 03 Aug 2016 it,4_17)
9647 Island Point Rd Permit Number
����� � �� * t' , Services Sherrills Ford, NC 28673 4628-01-7751
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
Kevin Carter
J.C. Moore Phone (704) 873-2171 Subdivision 4402 Oakmoor Dr
1227 Troutman Drive Fax (704) 873-9928 Greensboro, NC 27406
Statesville, NC 28625 Mobile(704)902-1122 County Phone (336) 337-1867
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?
[5] Satisfactory
Structurally sound? [5] 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: - 1 in. Sludge: - 5 in.
OUTLET Scum: - 0 in. Sludge: - 6 in.
Approximate Percentage of Solids to Liquid Waste in Tank RECEIVED
12 %
SEP 06 2016
DRAIN FIELD
No effluent surfacing? [5] Satisfactory FNVIRONM�ENTAL�HEALTH
Surface water diverted? [S] Satisfactory
Line cover maintained properly? [S] Satisfactory
Protected from traffic? I S] Satisfactory COMMENTS
Distribution devices operating properly? [5] Satisfactory
Repair area reserved? [S] Satisfactory
PUMP
Pump present and operating?
Design GPM 23
Actual GPM 25
Efficiency 105%
High water alarm operating properly? [5] Satisfactory
Pipework in good condition? ES] Satisfactory
Control panel in good condition? [5] Satisfactory
Control floats operating properly? [5] Satisfactory
Straps/float tree in good condition? [5] Satisfactory
Effluent free and clear of solids? ES] Satisfactory