HomeMy WebLinkAboutAUTH-11-10-13155.TIF David Currier
Customer Number: #NV183
Owner of: LAKE NORMAN
LAKE NORMAN SEWER AND SEPTIC
3405 Denver Drive, Date of Inspection:
Denver, NC 28037 JUNE 8T",2016
(704)-483-5125 _-IMO 1 er
License Number:995940 .Initial 06 Months
Subsurface Wastewater Inspection Form
Name &Address of Owner: Lot Number: NORTHVIEW HARBOUR SUBDIVISON
LEWIS MILLER #306
8804 ASH BY PO I NTE COURT
SHERRILLS FORD, NC 28673 PUMP: TYPE OF SYSTEM:
Pump Model: GOULDS
SEPTIC TANK: Pump HP: 0.5 ❑Type IV
Pump Voltages: 240 VOLTS (50% reduction)
Size of Septic Tank: 1,500 Gallons. /1 Type III
Size of Pump Tank: 1,000 Gallons.
High water alarm operating ( 25% reduction)
properly ❑LPP OR ❑DRIP
LE Risers Readily Accessible ►5 Pipe work in good condition
EGravity Septic
® No Signs of Infiltration Control Panel in Good Condition
l Structurally Sound Location of Control Panel ❑Pump to Gravity
® Filter(s) Cleaned Wall ❑Post 48" inches High
®Surface Water Diverted at System CI Control floats operating properly REDUCTION TYPE:
Scum Level: 1" ❑Effluent free& clear of solids Polystyrene
Sludge Level: 5" ❑Chamber
Scum plus Sludge level: 6" Head Settings: ❑Other
Liquid Depth: 45" (<30%) 02" ❑ 3" Dother
TANK NEEDS PUMPING: OYES NO DISTRIBUTION TYPE: _e No effluent surfacing
Field Location: ®Onsite ❑ Offsite
0 Manifold ® Traffic Protected
❑D-Box I Surface Water Diverted
Notes and/or Corrective Action Needed: ❑Serial Line Cover Maintained
At the time of the inspection everything was 5 Lines X 80 Ft long Distribution Set
functioning as intended. We will be back out in 6 EACH= Ft Line. 400 Repair Area Reserved
months to perform another Type IV inspection. If ❑Varies
you have any questions in the meantime please LOW PRESSURE SYSTEM:
dive our office a call. Thank you! ®Turn-ups, Clean-Outs, Valves Located/ Protected
❑Laterals Free of Excess solids
� �' L "° ti> , ❑Laterals Flushed
INSPECTOR SIGNATURE..
- ❑Pressure Head Setting for Each Line