HomeMy WebLinkAboutOP-9-10-11462.TIF -___ .,�- � � �
FORM 1`���P� o� �-in - II �I�Z
MAINTENANCE REPORT �� ' I
DAVID W. CLARK d/b/a Date of Inspection / Note #
D.C. CONSTRUCTION : ��_ _�
CERTI�"IED OPERATOR # 986739 ,
P O BOX 626, TROUTMAN NC 2816b .
ORC/SUORC SIGN- �`�'
OWNER/ SLDG CONTRACTOR- G�RIS �TRR� �'a�m��rso�r -- .r�rs,o�i� t3/d�r- �P Ab �
�Ns ��
� p � �-- PROPERTY ADDRESS:
STREET - __ ��/V V !7 �R LOT # - �_
CITY _ SBDVSN N�V NC ZIP
SEPTIC TANK - /SOD GALS PUMP - HP MODEL � VOLTAGE `�SEE OP
PUMP TANK — Q U G�-S �p present and operating
�isers accessible De ign GPM Actual GPM % Efficiency
✓�o Signs of Infiltration �� water alarm operating properly
✓Structurally Sound ✓�Pi ork in good condition
✓�L dscape Posi ' ��Co trol panel in good condition
✓Filter Cleaned oth V�C �ol floats operating properly Pressure Bell
SN = SEE NOTES BELOW _✓S� s and float tree
"�Effluent free and clear of solids
SYSTEM TYPE
( 4A ( ) 25% RED. ( ) CONV.
() GRAV. () PM 80 1�(Upper) @ Valves
0�.,30 LIN. FT. (�3) LINES @✓�/� FT. LONG
( ) POLY ( ) CHAMBER ��-3�a
cY NO EFFLUENT SURFACING �" �T�RAFFIC PROTECTED 4`� (Lower)
�S�URFACE WATER DIVERTED "ll15TRIBUTION SET 5�'
�i�INE COVER MAINTAINED ✓REPAIR AREA RESERVED 6th
LOW PRESSURE SYSTEM
�'IJRN-UPS, CLEAN-OUTS, VALVES LOCATED / PROTECTED
RALS FREE OF EXCESS SOLIDS
LA SFLUSHED
RESSURE HEADS FOR EACH LINE o2 � PH each
NOTES FOR CORRECTIVE ACTION (LOT #Slo )
1. l
2. -
3.
4.
5. NO ORRECTIVE ACT`ION NEEDED