HomeMy WebLinkAboutseptic info �
SEPTIC SYSTEM INVENTOR Y �
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Address: 3585 Sixth Ave. N. PID: 29-118-23 43 0004 =';
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Building Type residence BRs Install'd for: 3 In Musa: No `�
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Permit#: none Date of Permit: Installer: unknown �
System Type: standard trench Experimental: no Tank Filter: �
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SYSTEM CONDITION �
Conformity: 3 Tank Condition: 6 DF condition: 11 Failure Pot: medium ��
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SEPTIC TANKS
Material: Capacity:
Setback to Bldg: 40 Cesspool:
DRAINFIELD
Length of Lines: # Lines: Trench Width:
;
Treatment Area: Type of Filter: Soil Boring: yes �
Tile Size: Under Tile: Perc Rate:
Setback DF-Bldg: 60 DF Ht above Wt: 0
Soil Type: Limitations: water table
WELL DATA
Setbacks - Well-Tanks: 60 Well-DF: 60 Report in File yes
Pump Type: subm. Depth: 134 Diameter: 4 Method: drilled
INSPECTION RECORD PUMPOUT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS `��
ll/29/82 tanks not located-no surfacing 2 4/1/91 800
8/15/86 no surfacing 2
9/17/90 no surfacing-need risers,pump tanks 2
8/12/91 no surfacing-need risers,pump tanks 2 :�
8/29/91 no surfacing-riser located 2
10/28/93 no surfacing-drop box located 2
7/23/96 non-complaint-repair by 12/31/2006,purr3
10/19/99 non-compliant, repair by 12/31/2006, pu 3
10/10/02 non-compliant,replace by 12/31/2010 non-compliant `'�
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i���� �����;�� „ � �)! � CITY of 4I�ON0►
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� Street Address: Mafling Address:
�9�ES;Hp'4�� 2150 Kelley Parkway P.O. Boz 66
., . Orono, MN 55356 Crystal Bay, MN 55323•0066
To: The Current Owner of Address `� � ��� �'����
City Ordinance requires that onsite sewage treatment systems in Orono be
inspected on a periodic basis. The onsite sewage treatment system at the above
address has been inspected and the following is known about the system. A
sketch of the known compoiients of the system is available for most properties at
the Orono City Hall.
Imminent Public Health Threat
Yes =�No
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10
days of receipt of this notice. The septic system must be brought into compliance
within 90 days. Failure to do so will result in referral to the City Atton�ey for
legal action.
System Identif as Non-Compliant
Yes
No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010 �
Other
Septic TanVk(�ump out Needed
Yes �
No
The City recommends the septic tank(s) and/or lift tanl:be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
`•(-� � �^� ( . The tank(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments:
>•
Inspecta�,��� � � _ Date of Inspection �- .�-� � .
'�'efe��one(9�212�9-460� � �'ax(9�2)249-46��
ww•ss.ci.orono.anra.us
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���- CITY of O►R011T0
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'� ��v;��F .;;� ,�� sa�c�aa��: qsa-�4q-y6o o Man���re�:
�$'�p'� 2150 Kelley Parkway P.O. �uc 66
Orono, MN 55356 C�stal �y, M�d 55323-0066
To Current Owner: Address: 3 S�� s'�'� �t- �J
City Ordinance 199 requires that each existing on-site sewage trea�►ent system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMTTY (1-31: . 3
I "CODE�SYSTEM"An ISTS which meets all the l _. ..._.---.. . . __-------
ocation,design snd conshuctiou standards of the aurent Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS wluch does not me�all the location,design and conshvcti�standards of the c�urent Orono
Municipal Cc�de but do�s meet the Wree foot separarion requinment or iwo foot requirement f�systems installed 1996�earlie,r,and
which is not�iling or sn i�iacut threat w public heaNh or saEety.
O"NON-CUMPLIANT SYSTEM" A prohieired IS7s;an LSTs lo�t�w;min a aesignatea loo-year sooa plsin,any IS�rs.uhicai may
�may not meet all 1he location,desi8n,�cron�cxion st��rds of the c�urent Urono Municipai Code and which is failing�any
reason;�d any LSTS with less ihan three fcet of unsaturatcd so�l or sand between the dist[ibuti�device�d the limiting so��cs. �
TANK CONDTTION(5-71:
Tanlc inspedion indicates:
5 Pumpout not neaded at ti�is time.
�tic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
`�Tank was last Pumped. �1-1—�t 1 ).
Make sare seutic ta�ks are��ced t�re�h�bole aad sot t�roeg6 white iusaectioe uices. 'I'�is allows for ffie nrooer
cieanins. Keeo waber sot'�aer aad iren filter discL�r�e out of sentic svste�to nroloa�Ide sf drai�5eld. Ask namuer to test
�larm 8ont te verifv alar�is stiil waiti�e ie vour house. T�e aisr�waras ow�er t�$t scatage�aboat to backuo iuto base�ent
7 Inspedaon riseis missing tanks coWd not be inspectad- Inspec�ion nsers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last�ree years,d�ey shouid be pumped out now.
D IELD CONDTTION i8-10): � - .
8 Drainfield is dry,no surfacing evident
9 Some evidenc;e of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated e�uent to the surface. Contact ii�e City Inspector
immediately.Repairs must be completed within 90 days.
coNuv� c�:��.��� �5 � n_ �o �.�.�,-- - r.,,�- �L
\�c� � – –Z.A�U � v 5� �-c. �105 vtir�. �-ooS_
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� `0 --� -0� G�r�..,an! /�
Date of inspection Matt Boltem�an- Septic System Inspector
.. '�
Note: In We eveat Wat Wis inspection report is used t�satisfy�e requ'um�ems for a mortgage or otha transf�of propetty,!ic advised that this repoit dces
not guarantoe�oeatify that an exi�ing systenn will contin�to fuaction PmperlY, but is merely m opinia�of the adeq�acy of ffie system�der ciureat
c�onditions based�die available�nform�ion.
_ _ _ __ _ _
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���__���� cI7C`Yof �ht41.1T0 �
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� ���•1�-;�� Gti bivaicipal offices
�'� ��'`� '� Street Address:
�' "�"�$ MaDin�Addreu:
H . 2750 Kelley Parkway P.O. Box 66
Orano, MN 55356 . Crystai Bay, M�Y 55323•006E
: 95d-�49-y600
To Current Owner: Address: 3 5 �s S:X-�l� /��� /�/,
Ciry Ordinance 199 requires that each existina on-site sewage treatment system in Orono be inspected every two years.
?he on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-31: 3
1 "CODE SYSTEM"An ISTS which meeGs aIl the location,daign and construction standards of the current Orono hiunicipal Code.
2 "COI�LIANT SYST'EM" An ISTS which dou not meet all the location,desion and constivction standards of the cumnt Orono biunicipal
Cade but does mcet the three foot separation rcquirement or two foot rcquittment for rystems irutalled 1996 or earlier�and which Ls not failin�or
'an imminent threat W public health or safery.
3O "NON-COMPLIANT SYSTEbi" A prohibited ISTS;an ISTS located within a designated l00-year tlood plain.any ISTS which may
or may not meet all the lacation,duign,or conswction standards of tJ�e turrent Orono biunicipai Code and whIch is failing for any reason;and
any ISTS with less than three feet of unsaturated sail or sand between the distribudon device and the timiting sotl characuristia.
TANK CONDITION(�-:7�: � ��
Taak inspection indicates: � . . .
S Pumpout not needed at this time. �
6� Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped i-1-1 q� �, �
1�Iake sure sentic tanks are pumoed throuah manhole and not through white insnection pipes
This allo�ti•s for the prooer cleanin�.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
RAINFIELD CONDITION -IQ : �
8 Drainfield-is dry,no surfacing evident. .
v�:
9 Some evidence of surfacina,not critical yet. _ �, �
10 Drainfield is saturated and visibty dischazging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
C01�f11�NTS: Dc�:t.�:ct� �5 s����.- �c���al;n-.-� � r.,�5-j- �2 �cpl�ccc� by
_ � 1-�\ -td I 0_ ��^D S�p 1-:L �-c,nk5 r�ex,- 5�1;_r� T
1 G -�� 'd 7— �,azC ���
Date of Inspection I�iatt Belterman- Sepdc Synem Inspector
Note:in t�e event th�t this insp�cdan rcport is used w satisty the rcquirements for a mortgage or other transf:r ofproperry.be advtsed that this reroR does not g�'���
orcertity thst an existing rystem will continue to Cunction properly�but is meraty an opinion of the adequary o[the system uadcr eurrent conditions based on the availabi:
infatmation.
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATNIENT
r�,,� ��, INSPECTION REPORT
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Owner: ��/J /I(�l/�/1/#�2v�"" Address: 3SDJ'� c,IX'�? �I�E, N ! ��So �
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Permit ,�'s: Dates: Contractors:
City ordinence number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is�an existing system [ ] neu construction)
SYSTEM CONFORMITY (1-3): '
1 ��CODE SYSTEM"-A system which meets all the location, design, and construction starxiards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 ��NON-CONFORMING SYSTEM��-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been iden ie , this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
Pumpout not needed at this time.
Solids accunulation in tanks indicates they shoutd be pumped out this year to help prevent future problems.
Solids accunulation in tanks is at a critical levet. 'fanks should be punped out as soon as possible.
8 System is discharging to the surface. 7anks must be punped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe> must be installed �n each
tank at next punpout. If tanks have not been pun�xd out within the last three years, they should be punped
out now.
10 Inspection pipe is located directly over tank beffle (does not give accurate measurement of solids accumulation).
If tanks have not been punped out within the last three years, they should be punped out now.
DRAINFIELD COND[TION (11-14): �
teld inspection indicates:
11 Drainfield is dry, no surfacing evident.
Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City [nspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (sloce,setbacks.etc.): Wy�,�..F2.E..�,��,�
POTENTIAL FOR SYSTEM FAILURE de nds on soils wat r table etc. : m�-��u�
N
COMMENTS: S � � � � � � s ` � �
1�►''a i
Date of Inspec ion Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions besed on the available
informetion.
This report must be kept on the premises with the system tocetion and punping records.
WHITE COPYllnspectors File YELLOW COPY/Homeowner
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��'���, ,� ������r,��_� . �, ������� CITY of ORONO
V`� �', �� �: '��` �: !� /� Municipal Offices
�,� �r �,,:� �R� �'ti//
,;'�?,, `����� Street Address: Mailing Address:
'q�i'EggOg'/ 2150 Kelley Parkway P.O. Box 66
� ' ---"�' Orono, MN 55356 Crystal Bay, MN 55323-0066
i
Owner: ��� ���� ,�'��i � Address:3585 Sixth Ave. N.
Permit #' s:none Dates: Contractors:unknown
(This is � an existing system [ ] new construction)
SYSTEM COMPLIANCE (1-3) : 3
1 Code Svstem: Meets or exceeds current City standards in all respects relating to
design, construction, and location. Appears to be operating properly.
2 Compliant Svstem: Does not meet all current City standards for new construction,
but in most respects appears to be designed, located, and constructed in accordance
with previous codes and is functioning properly.
3� Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the
current input; and any system with less than three feet of vertical separation
between the bottom of the drainfield and the saturated soil level.
(The saturated soil level �], has or [ ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 6
5 Pumpout not needed at this time
� Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been
pumped out within three years, they should be pumped out and risers installed now.
9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If
tanks have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or ;j�j were not
confirmed to be watertight by the licensed pumping contractor. If the tanks were not
confirmed to be watertight, this classification is subject to revision. )
INFIELD CONDITION 11-14 : 11
1 Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface.
Contact the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system acTe and condition, soils, etc. ) : medium
COMMENTS: The non-compliant septic system must be repaired by 12/31/2006 or within 90 days
of failure (surface discharge) , whichever comes first.
� ��
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Da et of Inspection Sept' System nspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue
to function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�,� � INSPECTION REPORT
� Gti
�9k'EsHo�'�
Owner:___�� / /Ip����(a�� Address: .'��� C�� SJ�h f-��/(Q,,/V,
Permit �'s: 1�'X� Dates: —' Contractors: /�Kn/)1n/V�
City ordinance number 100 requires that each on-site sewage treatment .system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is �an existing system [ ] new construction)
SYSTEM CONFORMlTY C1-3):
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM��-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system aith less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting so�l characteristics.
(The limiting soil characteristic [ 7 has or �] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION C5-10): �/�
E�..�
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accunulation in tanks indicates they should be punped out this year to hetp prevent future problems.
7 Solids accunulation in tanks is at a critical tevel. Tanks should be punped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed tn each
tank at next pinpout. If tanks have not been pu�ed out within the last three years, they should be pumped
l'`� out now.
�]� [nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumped out within the last three years, they should be purrped out now.
DRAINFIELD CONDITION (71-14):
D/8^�nfield inspection indicates:
lt]J Drainfield is dry, no surfacing evident.
'f2 Some evidence of surfacing, not critical yet.
73 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
imnediately. Repairs must be canpleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE fACTORS (sloae,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE Cdepends on soils,water table,etc.): '�,�1���
[(
COMMENTS:
Date of Inspection S pt'c System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properlyi but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the premises with the system locetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay,MN 55323
473-7357
OWNER � � �''�IVf''/'�q lYl P . ,
!,� ADDRESS �� -S�(�rn L�
PERMIT NO.'S. r�� DATES CONTRACTORS —"
City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
ueatment system at the abovs address has been inspected and appears to fall into the category checked below.
(This is � an existing systert► ❑ new construction)
� � Meets or exceeds current City standards in ali respects relating to design,construction,and locetion.Appears to be operating
properly.
�2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
loceted, and constructed generelly in accordance with previous codes.System appears to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to desig�,construction,or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� System may or may not meet current City sta�dards for design,construction ot location,but is failing to properly treat and
4 dispose of the current input,and is endangering a water suppty,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise cr@ating a public nuisance.P�ease contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank'nspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
�Pumpout not needed at this time, give accurate measurement of solids accumulation.) If tanks
Solida accumulation in tanks indicates they should be pump- have not been pumped out within the last three yesrs,they
ed out thia year to help prevent future problems. should be pumped out now.
❑ Solida accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. ❑ Orainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped O Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risen misting—tanks could not be inspected. effluent to the surf�e. This condition may require replace-
Inspection risen (4"dia. pipe)must be installed in eech tank ment or additions to drainfield. Contact the City Inspector
et next pumpout. If tenks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out nOw. �'Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (dePends on aoil types,water Future Expansion
❑ Soil table,and system conditio�) � Adequate
❑ High water table Q Low �air
� Lot size •�-Medium Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
��9 91
Date of Inspection eptic System Inspector
Note: In the event that this inspection report is used to setisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guara�tee or certify that an existi�g system wilt continue to functio�properly,but is merely an opinion of the adequacy
of the systert►under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Sbore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � � Crystal Bay, MN 55323
473-7357
OWNER � � ��/h ADDRESS _ � Sl YNc, /�)
PERMIT NO.'S. �Y�� DATES CONTRACTORS
City Ordinance No.210 requires that each ontite sewage treatment system in Orono be i�spected on a regular bsais.The onsite sewage
trestment system at the above address has been i�spected and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,conatruction,and location.Appears to be operating
properly.
�2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generaliy in accordance with previous codes.System appears to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Does not meet cur►ent City standards in me�y respects relating to design,construction,or location.Appears to be operating
adequately at this time,but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location,but is failing to properly treat and
dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public�uisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is ne�ssary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION (m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solida aecumulation in ta�ks i�dicates they should be pump- have not been pumped out within the last three years,they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
ahould be pumped out as soon as possible, d Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
�nspection risers missing—tanks could not be inspected. efftuent to the surface. This condition may require replace-
Inspection risera (4"dia.pipe)must be installed in each tank ment or addition: to drainfield. Contact the City Inspector
et nex an ave not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they ahould be pumped out now. �Drainfield extent and co�dition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ❑Adequate
❑ High water table ❑ low �Fair
❑ Lot size �1Nedium O Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Draina� ❑System is causi�g visible
s face dischar e.
COMMENTS: � �� ✓C
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Date of Inspection Septic System Inspector /
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other trensfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner