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HomeMy WebLinkAboutseptic info Feb 0713 09:O�a �: Joseph Olson 763-498-8290 p.2 . i � � � �� ��nneso�;���ut�on � �� Compl��nce fnspection Form _ . - , - , . , , . . ,., n. ._;.rSQn�ro Agen:�x � _�: : ,� �„ , � F��, s� � <��� t� � �-�.� • � �t r 20 Lafayette Road 1Vovtfi ����ng �ubsurface Sewage Treat�nen`� Systen�s SC P8u4 MN 55155-4194 {$$�S� Doc Type:Compl'ranoe and Enforr�emen7 � s..;ti . ! i; Ei.:, 'C+�� t..>):. . Ineduchaps:-�Insp�io��+esE+l�s based o�Mirviesota R�1lutlon Co�l Age:iicy{MPGA) For local..trackin9 R�tPQses: . requiremepts��¢�a�d't�d fp�ts,,-,add'd'oonal iocaf req�r�ments maY a�aPpIY• , fb , Submyit co�plQ�d fnrm�rc�.4���.Unit of Governmet�t�LUG)and systq�owner , , . � . wtthiR 15�d,ays ,ra^�� ,,rrs.-�e �r i���, iV: �. :�r.- System Status System status on da#e mrn/ddlyyyy): 021Q?J13 � �; E:c�l4„ , �,y� �, , ��;. ., �r�: � -.��. _ _ Fl„�Cornpliant-Cerbficate of Compliance ❑ Noncompliant- Notice af Noncompliance � {�ti%alid for 3,��ai �rrl�r�porf date, unless shorter Srne (See Upgrade��qt�F��rts on page 3) e�� frame outlined i toca�Ordinance.) Reason(s)for n compliance (check all applicable) Qhliri�i�'c� . �t�.�1�11kt• �ompliance Com onent# �� ' f� to pu�c�. �a fe �,� 7 F-�, " �-} ( P �'���` #3��" ".`� ,�i 1����'� e.��i ` �, � � ���!�� .�onditions(Compliance Component ) mmmenf�+reat to pu rc ea and s cy ����k}In�(i_, (�n��Ce Compa�ent #2)-;�ai6"tig to`��a'na��tountlw�iter . ,���ga,�� 1'"i'� .....i:.u., .`���c����,.� ��F}e�,�(np' r����Onditions(Canp►iance Canponent#3)-Failing to protect groundwater ;:�;�1�,�s� ❑Soil Separali n (Compliance Componeni #4)-Failing to protect grormdwater ��cx�,au�--�'�,m��r,�r�rt� ,�,.r nfu�T«�r,,��� ❑Operating pe iVmonitnring plan requiremerris(Compliance Component #5}-Noncompliant . . � r Y� h - . � � �:�'.' �.� � ,.�t:.c'!)fY�.3CH:.i����c��'l��IOSE:"' �. A11lS'4''Yi.l�:TI:�i115i: ol+„o�::�G'�'Ct��7 .'ikla't..Jc::�Bi ?i 'rl/'.P"� ,3'�k1G'u'. ...,t�� ., ,y.v,Jl . '''t; 1'l.(�l:tfE:, �r,"it;i•'�i'L �S3iidCi�E: i�f7f1TYS- idGi ,u 31!..,: � ,. " i.r�CT'" ..i.^,'i� �Ic_�8l'l�+�j. 15t�t�ie,�i���'��0-�i � '���a�a '���n �:� .';{]vc ,3��r�t. ;tp��rl�#:�:�w�l�a�ge_ 32-118•23�34-0004 Rirt�perl�'-ad�l�ess; 65 bbs Ba Road North, Orono,MN Reason for inspection: Property Transfer Property owner. Ameli Kro er Owne�s phone: 952-47B-U012 or ���f���'�e. Representative phone: ... .._.�_ �. ,.., _. . .. �� ..__._.. ,._.._,_.._. ..... .. .,_- � 952249-�4600 Local , �r � f, rono. .. , Regula6oryauthonty or�e: - .���°�,�'R�,�:�t . , . >�;. � 2-1000 gal on s�t"ic ianks,T='IOOQ galfon lifl station and 3$0 square feet of rnound rockbed.per aty Brief s,�ste gs� t� ds Y - . - .. , ,; �..�'a.��rle}�ll�fllapn' l":}' g .. '. , � ' :, � . :� , , , �.� Comments,fOf�lcT,<., �r� T��177;:����r� „ . .,. u; .,hs:�F:`�� ;,rne ;.Si � � r � ,�1r�e.rrrE.E t�; x����sc:�i: 3) .'r::�rr�� ur.Uone�.�r,L,�ca/G� 1��: r: .�=i i�es:�;�.a(��) �:�r ^i�a y:c�s�'��iiar; M. =:hc .,,; ��t,wi. ;:..�i�l i,� ('T� �i"i�':'���•J s'IC 5f8�L2'! t ?'1:��.!;� ;.) l�J(:i�;:` �fi' 7�V1!'7J,''I, i1�I if'i�,- �� .��G �7'„2i��'181'���� �'C-'!}� � . . • -. . T-(f• ..,l.�C:71iJ� i1CG' r.C)1'Cjl� :1".S :`.O, _�..'i �.;il'��, ,J�:,,-f:.,i��. —r�f7L:'tllu .� �. �. t .)�;G IiG'�)� `l�.�� .afllt�i�� Certifi�att��s� , , ;_: , : �T��.':�. f�i f~C'('i)!�',i/li i:l C .' � � ,� i �;f� f�it ('i �r�,:: !he�by' rti�tha!a/I t?t nece� rnform�'tron has been galrie�d'b c�etemirne the�compliance status of thrs system. lllo determina�tr�bf(ut��l�'a ,-' �e�hn�rr�HHs t��eh�hal�c�n be�im2i�1��ire Po'�1nk+iatiJ�rr condrbr�s`�'if4i�tirrg system cor�struction, possiblef�btFs��of�e+csJi !1°FrA7i9�8tN�/f181l1f@R8Fl�C�,i9rfiiture wateF,uSag�a:;:,;r;•`.:.:,. Inspecta�r-nanle'r�::``D�1 .A�rioru ; ,, r,�r arner_r:. t �,-..�r ;R,�.:e��:.:,:.�3efti�cation m1m��nF�''�96 " usiness name: us n s oi '�er�c.`TesUn �'���."�_��.License numbe�:�'�""�""�"_.�,_._.........._._.._..___. ln�pectar signature: ;r. - Phone number. 763-498-8779 . Q�^~��r�ty lr���� rrtt,� {�n�� .f. �.:� > >�. a� _. __ _ _._._---__ -�� � ���Il,��a���Xs� -� � � �,. t ,� ;,,� �c �- �r.��i�S�5� �� ., �"�b�"E�, , � t ,:,.�•, :r, ;, �E ,•� ;,on �o�. �'v �` �.� � _ __ �c �� __ —_ __ ._. - _ _ __ �.��il_���y iog� E��, �C�Qe�,;�System/As-built drawing ❑Fp�s pe,r locai ordir�c4;-,.p��;.� _. . - -- :erD Other int�ormatio�( ): — :v�r:er's ic�,it.�:��tative: `;� ; , ::�. t•.one. Cfs^3i'Y �._ . _� c� �rx^:.11f"�nrt'�y �c��ae�n ; nnn.r.��_zar,a . �-rsre � � 7zM bS1-�A�.;��'l�r,Af1f�/,57-iAF�4�hAR eval,�hle;,iq�ltpenative formats Feb0713.,p;,9:'10a::.. . .��Jo. ph��0lsar�� �- r ' 763-498-�290 p,3 �. , . .,C.,,:,, ,. ,� •r'_.., a�: rr ti. . .. , ,.�'.�, . x�i^ . ' � . � . !: .,i� '/.' , ... . �� '':Y�' � , .. �. � .. �� . . � . �. .i . _ ., .. . .? � . wl� r `nc. . . i'�� .. � . . „ . . . ..,'�� ., - � ,I , �, �. 'B. � .� . �! , :!: .�:���, �i)� .�.L y..1a'�,!,d:•,�. .. .� . .. , �. . � ,�, , , , . i ��ii''/, .:+-. . . . �u:�. ;. Prope�#y�address i �$5 J bbs'�a Road�f�rtfi� Orono;MN' ' Inspector iniiialslbate: J:�0.02/06l13 _ _. __- - 1. lmpact on Pu �ic'�ci�th—Compliance component#1 of 5 T � "� ' . '`:`; � �" ,' ,.. � , . , ,tG�, af;��.,,� ti_„ �R.r „� .!�. . ,. , , .k , t C m�liance crrte ia: Verification method(s): , `' ` , � ", . � , ,'` � Sea�ched for surface oudet , System di�ch�[ge s ,,a����o.the; �Yes � No ,�, � S�rd�ed for seeping in yardlbadcup in home � round sur�a�ce. , � �, , r�, Excessive pandir�g,inisoil systemlD-boxes '�sterri�dischange " to`id�am tile' ❑Yes' � No or sul#ace waters. ❑ Homeowner testimony(See Camments/Explenatlon) � .,� , � r , ❑ °B1adc soiY'above soil dispersal syst�n S tem cause s� � e backap irrio ❑Yes � No dvNelliAg or est�bli� ' �iitia` � i ❑ 5ystem requires`emergency'pumping .. ❑ Performed dye test My"yes"ans '�bc�v��ndic�tes the system is - p Unable to verity(see Comme�rts/E,cp�anarion) ar�lmmine�t Tl�� .tn.Public;yealth and Safety. , �: ,; Q,pther methods not lisled(Sea Commenrs/Dcplanation) Co,mr"hents/Explan a�:, i,�;.- . ' � -�'�, ' ^,. ^c� " '^-; r�h Oi..^n �:<-^-c�-,�^ta� p:3 j ,��, Tank lntegr•ity,;�,�;��I�ance,FRmPone�t#2;,pf 5 �,� ,> •�.,� �ra .�- � � �a;r��;r���t ,� . Com liance criteria: Verification methad(sj: ' r�T,�, i C� �'�''. ts oi�2�.�P�age tp�t.- ..__:_, '�Yes--`�:4�0:..� r ; ;�} ; roi6lii C0 IS ' � . � s_ _..._... � � _ ._.�__..-�_.P.ao�bed_tank(s�hottnm_. ....�......_... ._._.._.�..__.�..,__...__ Seep ge p►fs ir►eetmq i 080:255o inay be- _-_ � �a�ned co�fdl��_Q[I reco�ds �,esspoql drywell,or leaching pit E am 7 .., , �f. +V.t3irt �r��. Gr' �' . I� tl�3� C., r. ,..� - - ir�edT�nk��tl�e���i����A�� �f el�wed�K�o�el o�nee_ ,_:�i � • C:� U4�el�d liqwd,le�l bel��y,of�r��,u�,p d�py�iF, ��w�,�u�r���� �� ��� � �: � � Sewage tan`�{s}Eeak belowtheir ❑Yes �No - [] �xamined ernplya(p�urnped�,�ta�ks� s d rted . ta,7�, �� ��: ; ;{y �"r r. _ �� � 9 tl�fable to verii�'�S� fe►r-"l�ladr�t51":-x,:.�, :;�;,, s;��46hi�1`E s'�v6a e tank(s)Jeaks. . C� t�►kk�ss)f►t ..._ __ _ , outside ProDed . � . "�`om�iidr��t�`ptai{�tion) a�s � `����r��ir�dicates t�ie � "��' . �fQ�ier methods t�ot li��ed�(5e��omriienfs/FxplenaGon) �,�s��'��'arl�r��o Protect Groundwater. _, ���. � �f-, � . � . �^ [ , . . . �. ,,(. i.- .7�. �'ff � tJ �r.". . �.�:5 i. .� ���...:�a:.���:.: .� �{�'. .: . .r.' J��l�. 1.ii�iy�>�!11�.:�[. .rt...� . . � „7Y�-mr��� ,�AW'�''Uj} .. L� ... , . ; "oi ' , � . . , ,w ... i� , ;'i i ''� �OiI.SII'' ! .:! �!r `��- "t:i;)7) _EMner��i�s�n mped�th�e tanks an 4123/92 _. _ _ :� � . (,c�rr�men;.si�;vy�l;�c��;t ;]n�. 3. Other Compliance tonditions—Compliance component#3 of 5 '�tr ��11�ir��nc�'q�l�.. :��e.dama8ed,ar�C�Ced'f�unsecured,or app�r to strudurally unsound_ p Yes' �No O unlcnown ---.__._...___._,_.___._-._ _._.._.__.__.�...__ __.___ _ ___..__ . . .__�..�_._....,.�,. _...._..._. .. ..___._.__ _.__.__...._ .---.._. ...� _. __..__. b_ Other issues(e�ectrica�hezer+d�,etc.)ta immediately and adversely ffnpact public health or safety_ p Yes" �No ❑ilnknown Cc��°r��pt�1�ir?irrent Urreat to�uebl?c healbh and safety + eri�+:: ; ri _•..i u�ti d 3 j: _ . _ r � fc ;:,� P,:�r �. ; � t `�:.'tt 5� Isu�ss,,� _t a aea � . � _ _ N c --- _. _ GES:�pQOi 'iR'v11E° ;:)f ir:'.`1Cflil�:� F,�; ._ ,, ifC"Y. 1'.:C:�f ,' tJ4 �i:'P , . '.'.i ::>C.CR.�`Ir' ,,'S;�,r,e1�,to,��It7t3Q J.�Cr��.., ..e . , . .�.� . 3� .� ,rl� :,a �'� F-.'tl:;Ia:,.'�._A. c�rJ�S r �tem�s non te�d�ve of� ro��r�fotherrconditions as detertx�uted by inspedor - ❑Yes�,� ��fib� `+ {•.:; _ ys P� 9 :� �����5'fel�I�.R� g r,_ �. � ,�w �� ,ur.�, t:,� i _ r � a'. � �. � .... � . _ ...__._ . _. .... . .. � f K '< F,�cP���h .�.�: ..;e fankt .} ,P�{ " _ . _. __- : .. � E , p . .,,. �k( ,� il , y�.� .. � � . ,. , - ,,, �ti{ `=r'S r '�p..t�V'r;,q/ ��'3uve d�:�� �,�1P y ._. �ri< . � �ll ... .. �,c �C,c , ,,ni. , . .�i�eG n J�.t f >y'...�:=ta•, r� .l�::E�JI:'�C{ do Fa:�i :,t C: ::���w�'t�-� i.!' <. �t •� � , � ��nn�',;:�„=v1t�x::,ia�a,;��tyr� ..,,,,,�.,�F.�3rL�Far��;rG�Fic,t��6>��''nR����k�1�7K5 p`' "Rno=�.57-3Ah4 . TTY 651-282-5332 or 800�657-3864 • Available in alternative#ormats . tgt Feb 0�13 09:10a ' Jos�ph Olson ' i 763-498-8290 p.4 1 II ress: I'65 Stubbs Ba Ro No�th, arono,MN Inspector ini6als/Date: J.O.OT106113 lroperty a�i V '� 4. SQi I Sepd��fi01�—Compliance component#4 o�5 Date of inst�llati n: 9/23l96 ❑Unknawn Verification method(s): Shorelardlwe!hesd probactlonlFood Beverage �Yes � Na Sal observation does not expire.Previous soi! Lodeirrg� � . .observati�ns hy!wo indeperldent par�ies ane su�cient, om Ii�nce crRe� 'a: �, ' �unless sfie conditions have been alter�sd orlocal . requiremenfs differ. For systems�juilt pri' r to April 1, 998,and ❑Yes ❑ Na not�ocafed in iShore and or Wep ad � Conducted soil abseNation(s)(Attach boring bgs) Pmtection an�a or n f servimg a , ❑ Two previous veri6cations(Attach bom�g bgs) beverage orl�g estab!'rsbmeq� ❑ Nat appliCable(Noldrng fank(s),no drainfie/d) Drair�field has at lea t a two-foot y�ertical ❑ Unable to verify(See CommentsiExprsna�ron) separation di�lance om periodic�Jly saturated soil�r ck. � ❑ Other(See Comments/Explanation) _ 1�►tpeiformartce syishems 8ui/�APnl t, �Yes ❑ No Commenis�xplanalion: 96,or late�or forr�on-performance sXsCsms located_ii�`�tft�?ef�iRi��r IfVeNhead "�?_��8-82�3 0 ".�: P�tect�on A�as or serning a , b verege, orlodging establishm t: J D�ainfreld has a three-toat verti �_, � aiatiortdis��+c�sftAa� 6d' c, 1�.: -,--- ni6: � r::� e ,;. C'. C" '�" . � _ __ , , i �p _._ _ . __ �_.._ � _ __ ---------------- __ ---- - . __.�-- saturated soil or bedrock.'` •y��pe1fR'I18/F�' '�1 . "a�s�-�. , r Y ,� ,� ::� i � ;r,. fl; �... ° � a�';- ptl�er';o�-...l�e aFlce" C�-Yes�—Q No.. ___._.. Indicate de ths-�f-ekwations- . _.. ._ __� systems built Nnder pr�e-2008 Rli s;Type IV . ,. __. ��l�nt&�IJ?►�le�2d'b(�C��. �s_(7080. �.._l '..1����::-�� „���. A'.�.�Sottnmofdistr�b�iwr_ ia 94.1 "�.Q�r:ZO80:�pAAQ�Ad��,f��dor ,; , Licer�sere ui e , ��-, . � ;�+:: ,,� .,� _ � ,or. ,;p, , q f � 8. .Periadical salurated soi � rock �. , ' 91.1 �: - �Dc��rnfield.crn:e��tb��signed vertical C, ;`S �tem se 'iation` r�:•,�;.•Ur�•� r,rr��-c,�3:0 '' - se ration di�tance from�A riodicall�r _-- p: �eau � . safurate��biPiit��i�'7t"�It�n1 � ��� ,., :,�: � �, �� _ ired wmP.heRPe-saraa+�tpn :,� ,,2.6:, �� �,, � ,��yrr"t�o�:,�w#�'<abo,�e,i�tdicates the system rs �IVlay 6�e;reducad up�tml5�percent��f�aUaw�d 4y�Local FtBilir► to R�'1DfieC�+`C3!'��iDWndw8fel: �Or inance. 9 ..., � ., a�^ ,,:•�`:si,�r'rg;drl , �':, t'�., �.r, �r�a;.i'3r , '�u<c ,at �...;;t� ;�AI,.; 9C1ctt��"rt�_ t �. . :�r:�:c; ��,i ,. f:xDv � � .. �'�'tl , ' .. _ � 5. (� �.�����'�$�i�`�1�Y'ogen 8MP"—Compliance com�wner�t#5 of 5 �������ld#appiicable _ ___ ---_ ___ _ 'k I�+,�le����c�!'�1�€l;14+��r��O�:�atir�g PermE�?�� ;� �aYses ❑ NQr ,�f::"yes",�1rbe��►IAhis required � q� r �'� 1 r t :;,. ' Is���sj�stem r,i�e�u�r�t�to,��lS�iy�j'�Ii►ragen BMP? ❑Yes ❑ No If"yes", B betow is c�equired sy�,, :: ,.. f�. �E� .s1c�.e a � E�,rP,�.<a� PrvBA�R�B�st+�anag��.qt��iacCce(s)specrfred in the system de�n hevrr•-��,�-, i_r� ,"�^.�c:ni7 t:::t�ibl��:h� � „t ff the answer to both questians is "no". this section does not need t�be completed. 1:fbbi�7l�::r.. �.1:;ci�c! i�.'�(f-.;f...�'O�It bf.',t�9CS: f t: � " t"11(; ;i;?ti(l�t,�;:ii{^.I'i C� �� `nce'�iC� a � _ , . .. .. . a. �Operatin�Permit number __ _ _._._ _ _ ._ ---. __ ❑Yes ❑ No ��...Hau 'O ati P rnvt ui eMs b�en met? �: , � ` ,;,�:.;��•r� �, . . ,. __._ _. ___ .- --. _ .6yst�is th��rfe e�"� ����I�IP'in 1 nd iunctionin , . ? Yes ❑ No � y.��,,�,, i,�, �, , ;. ,,,. � . , :,. : � ..�rr,eUF, __� _ _ A��'�`�n�':a�swter,inellicafes,Mooacornp/iance. - -- _�C.E"',,r ta �i,M:�rCl; C.' !- s:tli� �., ,,I�M+.,ar �if8. ,1'!:'i:) . 'ti:t_- �',,C.:?SlC�fl(i a 4'r f' .'��: _ .. ., U���R,4qu��M�(�lip�r;��¢;�i;i15.551 An imminent threat to pubfichealth�ndaa/efy(1TPH5j musFbe upgraded,ref�aoed;or-its u�se ����wi�J�t��,�q��(rs of�ecelQt af this�wtice or wi�hin a shoiter perivd it requireal by l�oca/adirranoe.Jf the system is faiYng to protect �� the systsm mvst.be upgraded,replaoed or its use�soontinved wiChin the tima requu�c6by°�1o�el oFdinence.ff en•�xis�ng syslem is,�l�l��fB►�4S��S�1�.'�"�a����;�lwofe��of�esig�.�l4separa6bn, f,h t�hesystemneednotp� . rade�,. replaoed,,pr r � d. �ylp�q!orrliner�ce diatis man sfr�ct.This iOFi dbes n�t af�O]}�`!o�ms'ln`s��,si8'as," , V�11��p�rr' , 6�9d ih`c'�nne�atian-witj►fooa�-bererage.and 1' ng establishments ss derined ln law. ,$��i,,,,�.. : . .asRrti�i� �f:�'iT��d��fx4�P.3"!.:.mn-���.���Rl,A :t. �[�fi�l4ri1-71�.6'�i'Jnr'RA(1-6573864 L:Z=i'AV��lable�i�YBfEemativeformats � „__. .�. '� � _ _ .. . ..__.__.. _... _._�...�. ._. ... _ .r...__. _.._...,_...._..�_. ._._._.. . __.__, .. ..__. .-.__, _._.. _. . __._ ..._.. ___.._ —.-- Feb 0713 09:�'Oa '' ! Jos ph Olson 763-498-8290 p.5 ,� _. . , , �. - �� ���t ,;�i ., I Tank Re ort '; . ' ` _. :�..:" ` A ri!23,2012 _ .. Date: P .. ., � ,, , ,�, �.� � ; , , � _. , - , .� � Elmer J. eterson Co. �92I Da le ��-e. Belano, �1�T ��325� Phol�e r 3-97�-�r� 0 � , I�a:c�76� 72-72�7 - _. - - � ^�,," �MP�� E' ,�r. 21� _i< �n� c, . � 4.i8-�.:. r,�. Ameiia Kro ger 65 Stybbs y Rd. Ulaple P�ain MN 55359 ilf���Y ..`� � ry•s-�_,.. . I3affles: 4N OFF -�� , 3-1 a00 Gaiton Tanks Tank acity: _ ._ _ ; _ . . , � # of Ta - . 3 _ ----._._:. _._. .___�-- 'l'ype of 'anks: Concrete - T .�.._ �,:�tf t 7r,-- 2500 Gal�ons ��cn�eci: � � � ��G��`..1r1� '(�'�� ::;�, _ l�[an�nol >�d't"'.xrad�? � YF,S 1 NO � . I �i_ _,�'� , . , . ;� ,, . ... � . , Cbnni7ie �S€�-. ,�, . � � .���., �;r:; r��:r On Apr(f2 ,�O�l���lrrter J. Pete�so►�Co. pumped#anks. Afl 3 manholes are oovered with 46 Inches of v�mod c�ips' i�b"c�ac�ks'or water leaks at that fime. . .. �'. � , .i� .r� ; ,i)`d 1 )! .�-' r ...__ . _._ , , i _-, - �1QT�:'T �ty 4��1yla i��nl.repork Tliis i�_nor,a e�mj�liance inspectiov for�oinc of sale�or does it replace� c.amgliaitce inspection. ��-J .:�.,_r.. . .� ( �r . 1� 1 c;.: . _._ _.._ ._ ._....___._ ...._ _. __ .._._—__._. .. ------ —. ._..__. _ , _ ;.. . . . License # 219 •� �,,' ,-i n�;:: , :� ; � �:'� �„�� �.,, , ���r� � ,,c 7+'t7� 1.:. . j: t : ..�� �i,... ._ F�, 1 �. M! l� � 'i�l Feb 0713 09:10a ' Joseph Olson 763-498-8290 p.6 Property address: 65 Stubbs Bay Road lnspecboi iriitialslDate: 4l23/12 1. Impact ot� Public Health—Compliance cor�ponent#1 of� Com liance criteria: Venfication methodts): System discharge sewage to the �Yes � No ❑ Searohed far surtace out3et araund sufidce. ❑ Searched far seeping in yardbackup in home 5ystem discharge s$wage bo drain file ❑Yes (� No � ��ive ponding in soil system/D-boxes or surtace waters. ( C Homeowner testimony(seB commerxs/Eupranad�on) �"" - "" [! '6tack soil"above soi!dispersal system 5ystem caus�sewage backup into ❑Yes Q No [] System requires'emergency'pumping dwelling or establishmer�k. ❑ PerFormed dye test My"yes"answer atrove indreates the system is ❑ Unable to verify(see Comme►rts/Ezplanahon� an lmrnineht Threat to Public Health and Safiety. ❑ Other methods not listed (See CommanGs�Explanation) Comm ents/Exp la na3io n: -- , _ ,- , �.�,- ��,� �, .,.r ?F3-1c,g-8'?�'� 2. Tank Integrity—Compliance componeni�2 of 5 _. _ ,,,�., �.4<a . ._ ic.c _ _ . _ , , -- _ _-- __ - — _.___ _---.__._�..- -__ COfTI 118t1Ce C�@r11: �/@�tf1CA#IOiI 113E�hdd(S): � fiy$tem consists of a seep�ge'pit, ❑Yps � No , , ❑ Probed tank(s)bottom . - .cesspoal, drywell, or leaching pit: ---� . -❑ Examined construction reaords ..� . aeapage plts mee�ing�paQ.2550 maybe I 0. Examined�ank Integ�ity Form(Attach) com�pNant if aAowed in locST"ond�iance. - �.. ,���t r,�.�,. , � �bserved(i�uid I�ve!bebw operating depth Sewwage tank(s)leak below their ❑Yes �No � ��i�ed'empty(pumped)tanks(s)� ' n de th: _ , desi ned o rab n� ;���C'�or'black soiP lf yes,,�WhiCh'sLwage���5rrk( � I��: . [] Uro ble t utstde tenl� s)'mrnernsl�xplartation)' : � qny ,yes� artswoer abov�indicates the � s m�s Fa'm'` P��OfECf GrOUAdwBi'�I. C3 �her methods not[istedLfSae comn►erttsl'Explsnetion) �, S����(�?�9 . , ., . _ _ _ _ � �oa�c�ments/Eacplanation.;resuE� „ . .. , st��r: , �.� ,..,T , .�� ,� xF,. • . ,,, 0r�+i123l12,'E(rrierU:'�Pe�tirsdrr Co. pumped septiS#Anks. All 3 manholes are coveted with 4-6 inches of wopd chips., No; ;,. cracks or vira�ter feaks af thai time: - ��'Fr,�7 _ _� : i�s rt:r� � 3. Other CornplianCe Co�d�tions—Compliance component#3 of 5 a. Maintenance hole covers are darr�aged,cxscked,unsecured,ar appear to struduralty unsound. ❑Ye�' �No p Unknohm `'" _.b. :t�ther is'su�t�lsc6i�iazte�ds.'_�tc�)to�mrneSiiaketY and�dve[�IY.im ct �blic health or saf_ .L�Yes* _QNo,_ ❑Unknown_. ..pa... p ��Y-_ ""S�+�stem is an immin�r►t threaf to pvblic hea/fih and safefy Ms���; , -4 ? ..:ra r�c ,, .,. . .. E.ycplain: ' -__ _ ._ .__ ` �, ..1 . , ;� ,; ;:t �,� , .. .. _. .uc� .� � ,� � ,.:r :�. . . , . c. S�stem r5.non rQ+tachv,e�f ground water ior other conditions as determined by ins ector ❑�Yes" ��p No � �� - P � �� ! p i�l br , �4 r r � . . , S��emis.f8l7N1 `to grou►�dweter KI r,', ,.. ;rr..��piaia: � ': ��'��� .____ ,- � . � ;; ra ,�! _ . . , , .;i' . � . � __ ' `_ ,: ,,r,,r, �^,�'l�, ,�.-" ,:;.,;,�,r v,��;n. �i . . ! , . . 'ti, �r,: �d-'rv� `�,�`-�. ? : !�`:!,,.; `,1 P�M'f' .. . . .:t, ���3e mn ps��.,• � 1-296-63D0 • 800-657-3864 • . 332 or 800-b57-386•F • Available in alternative formats � ,. � ;,.,(�:,5: � ; ;�; .,�r ;;u. .�: TfY 651-28 - , , � . . . , � , pl¢ye 2 of 3 i • 1/24/'12 c `h�f. ;r,. . • , i � �., .. Feb 0713 09:10a Joseph Olson 763-498-8290 p.7 � . . � � , � ._. _ . ._.. I i Los�s of Soii Borinqs 'i � ' License#810 ' Location or Project: 65 Stubbs Bay Road North Borings made by: �Rusty Olson's Soif and Perc testing 2!Z/2D13 ! Classi�cat�on 5ystem: AASH� : USDS•USDS-SCS X ; Unified : Other Auger use {check two): Hand X_,o�Power , Flight, Bucket or Probe_X_ Borit�g Nu r_9_Surface elevation 93_0 Mottled Soil at_x feet 0"-26" Dark brqwn Goam 10yr319 H20 pre5ent ai_X ' N � _ _ ,. � � _., , „. _,,,.. ,. . ,._.;. � �..,,.. � , _. .. __ � � � Boring Number 2_Surtace elevation_93.9_ AAottled Soil at 2.2_feei 0"-22" Dark brQwn loam 10yr3/1 H20 present at_7C 22"-28" Brown loam 10yr4/3 28"-36" Rusty brown loam to clay loam 10yr5/4 TBM:Top of liti slation eleciric box Elv. 100.0 assumed � Originak soil ur�der the rockbed Elv-93.1 Bo�tom of rock bed Elv.-94.1 Ttiere is 1:O feet of sand undec fhe rockbed . � , �- r - 1::�: ). - _ . a � �. . '� I . .. , , ,:Y� ... -�._.. � . . -.. . � . n g_,e.,', .., , .. ; . � ., .. �� . � r . ,-, , �' . �,,;.,�. ri��.u.. � ��i �. ��,`., l . �����.,� , , . ,�.. � .. .. �d , .. . . . �r ,�. ... w. ,. . . . � � . �,�,c,c�r � . � , . , , �,.: .:Yr ....._ �_ iiC�1TJ,J' ,\l u'., ;�1! i5.';1 � iv � 'C . .. .`��� .yy ,�'.. , �'v ,. �_.:., r�•,'�'.. .. �. � ii� ...__ �._.._. � i ..�w- ....��.,�.... . �.....� �..�..�..... � , ,+....� . .. �} . � F I,. G� i,;�.,� ; :j�j "' t'I 1 , " � .. . ..._ .. , . . . . ;' �.,"' �� a, � 1t�,�,'.l' �• ..�•, _. _ '•��� � , t � 'I'� 1�I;�,��r�G!:��, �G . -`.';. : ! � 1�. ;Tl , C . , i , � ..,. w. ._. , ,y . _ ,.. , � . ,, ., ,,. , �dr� . �� s� . .. iJ�l�l � ir,-.flt �T, ._ ��� i .�, , :.i:�;.j1��, �. .. , ��f3E 'lE; ('d�:r,,,t!i� .., 'i:��C�fr�_ :'' � .. �:';. .:_�'v. :���. ?_, , . �l�:t$ ':. I . 'u r;.: i ,. ':fl�.' t1 t!:c l , , 4 . , , ,.,..: ,.,, .,�....., ,,...,„,. .. .,. ...�...,.,.,r... ., . ,,... .... ..,..,. ..u�r x�� ,n e.a ..�.rn�s n�m-+.�Mn w v .��.v u .. �.. p Feb 0%13 09:11 a Joseph Olson 763-498-8290 p,8 — ...�.. -- ---�— � � �� . f -- - -� ... .. __. _.. .... - -. ..__.. -,, �. , � _. _. _ _____ � � �i 1 I ; . ; . : � _.,.;j17 �.5 Q�.� Q" ,��Yl ��SC.�Y' � � �r•,n_r,3nf.?�' p.� � 1 r��-- � � , _ __ .. � � ___ .. ___ _ _ .__ _ . __ , ._ , ��-1� �� ��� � _ � . _.. : . _: _.. T _ � � �� . ___ � - . _.. . . .,. ____.______� ___ � � : I�?�� � � �� ' � . _ ..?, ; l $...._.._.W._. _... _ � . _____. _.. . . : , ; � , _ `,-Gx,i� _ __ .�., TAti►FS s�.� -- _ ._ _ __{-. ._. .._. ._. .,_._. .. , d, + � . .. � y p , . . . � , �P � � *� `�. ;� �_ � . , . __ :,� . �. ,,_ ;s __. _ .. . . . . . .. � `� �..1,. . � �' �'�' �. ✓ �i �,i �� �,►/y'' �-f;,�'v,-�q� .S�;�I /�"r,71/C� � . '�u Sv�t-it��: ' _ ��e are or r�.c w��r}�, �` f� . � i . ...._ . . `---__•-�--�"." � � °� . o�� o ������ � CITY of URONO � ���������:�. � � �r .� �!� Municfpal OffiCes ?: , �'� { � h � ��� '�'y' .y�`� Street Address: MallinQ Addross: I..�,k�A�'� � 'qk�HQ'g' 2750 Kelley Parkway P.O. Box 66 Orano, MN 55356 Crystal Bay, MN 55323•0066 To Current Owner: Address: �S s�b�j Q"+y ' 1v J City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs. The on-site sewage treatrnent system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORNIITY (1-31: � 1 "CODE SYS'I'EM" Att ISTS which meets ali the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYST'EM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal Code but does meet the three foot separation requiroment or two foot requirement for systems instatled 1996 or earlier,and which is not failing or an imminent threat to public health or safety. 3 'T10N-COMPLIANT SYS'I'EM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any roason;and any ISTS with tess than three feet of unsaturated soil or sand becween the distribution device and the limiting soil characteristics. TANK CONDITION(5-7): � T mspection indicates: ��Pumpout not needed at this tune. 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 c�l��' 'Z-'r'�—0� ), Make sure septic tanks are pumued throush manhole and not throuQh white inspection aipes. This allows for the uroaer cleanin¢. Keep water softner and iron�lter discharge out of seatic svstem. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If tanks have not been pumped out within the last three years,they should be pumped out now. INFIELD CONDITION 8-10 : 8 Drainfield is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yet. 10 Drainfield is saturated and visibly dischazging untreated effluent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. COMI��NTS: M���� �-' S��:•�. �--�^i�S �0 a� �1�,• a�o�03 ��; G�� Date of Inspection Matt Bolterman- Septic System Inspector Note: In the event that this inspection roport is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this roport does not guarantee or certify that an existing system will continue to function properly,but is menty an opinion ofthe adequacy ofthe system under current conditions based on the available information. Telephone(952)249-4600 • Fax(952)249-4616 www_ci_nrnnn_mn.uc /'' I Y��`. /i � ��. �O � /!� � �� -_ _ � Y f U�ONO I� ,1 CIT o ;; � ' 'r d �"II � ti , Municipal Offices �� � , `' ti, ::; �� '� ` , �'' G Street Address: Mailing Address: �'qlfEgKp'g'� 2750 Kelley Parkway P.O. Box 66 - - -= Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address ('C.1� S v i�� S ���� � � 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 components 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 Attorney for legal action. System Identified as Non-Compliant Yes �No If yes, system must be brought into compliance by: December 31,2007 December 31,2010 Other � Septic Tank(s)Pump out Needed Yes No ✓ The City recommends the septic tank(s) and/or lift tank be serviced and pumped out every three years. City records indicate the tank(s)were last pumped out on � - � 5 - C33 . The tank(s) should be cleaned through the manhole and not through the inspection pipes,this allows for proper cleaning. Comments: �. Inspec �' Date of Inspection �O -O 5 �. Telephone(952)249-4600 • Fax(952)249-461b www.ci.orono.mn.us � � °� , o�:�, o � . � �-�:��� CITY of �hiONO , +�=° � �j �;3'�'�'�:�; � � �����':��°%� .y�' Municipal Offices {.,.i � 'Z "�����������'`YG Mailin�Address: . •. , •,;;. 4 Street Address: .�E$�I� 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: K��°��� �(' � e-°1�.� . Address: 6 S s fi'J�bS R . � � Ciry Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sesvage treatment system at the above address has been inspected and appeazs to fall into the categories checked belo�v. SYSTEM CONFORMITY 1-3 : I 1 °CODE SYST'EM" An ISTS which meets atl ffie location,daign and construction standacds of the cuaent Orono blwucipal Code. . 2 "COivfPLIANT SYSTEM" An ISTS wtuch does not meet all the locatiaq design aztd cotLs4vction standards of the evireat Qraao Municipal Coda but does meet the three foot separatioa requirement,and which is not failing oc an immiae�threat to public healtIi or safaty. 3 "NON-CONIPLIANf SYSTEM" Aprohibited ISTS;an ISTS located within a daigiated 100-year flaod plaia,aay ISTS which may or may not meet all the locatioq design,or constructiun staadards of the curteut Orono btunicipal Code and which is failing for any reason;and any ISTS with less than three feet of unsahuated soil or sand between the distn'bution device and the limiting;oil chatacteristics. TANK CONDITION(5-10): � � � Tank inspection indicates: .• • � Pumpout not neaded at this time. (6 ) Tank must ba pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was lact pumped U f�l(c�w n �. �i 7 Solids accumulotion in tanks u at a critical a aiticallaveL Tanks should be pumpod out a�soon bc possibla. $ S}stem is discharging to the sucface. Tanks must ba pumped out within 48 houn to eliminate surface discharge, 9 Inspection risers missing-tanks could not be inspected. Inspection tisen(4"di�pipe)must be installed in each tank at next pumpout If tanks havt not been pumpad out within the last three years,they should ba pumped out now. 10 Inspectiun pipe is located dirn:dy over tank ba�le(does not give aceurate mrasucement of solidg accumulation). If tsnks havt not bern pumped out�vithin the lsst three years,they should be pumped out now. D IELD CO�TDITION 11-14 : � 11 Drsinf:eld is dry.no sucfacing evident 1 Some e�idence of surfacing,not critical yet • � ' ' 13 Drainfield is satunted and visibly discharging untceatad e@lurnt to tht surfaca Contact the City Inspector unmediataly.Repairs mtut be eomplated within 90 days. 1�4 Drainfietd e��tent and condition anknown C011�l�NTS: S � Sfi��-- � ��0�5 � � Q vc�p �-�•�1�5 � �13--o � ��- Date of Inspection Se t�c S � p� yscem Inspector Note: In the evrnt that this mspection repott is used to satisfy the requirements for a madgage or otha transfa of property,be advised that this nped doa aot guarantee or certiFy that aa esisting systam will eontinue to function properly,but is merety aa opinion of the adequary of the systzm under cvrreat conditioas based on the availabla infocmatioa CITY OF ORONO �O� Municipel Offices O O Post Office eox 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATI�NT INSPECTION REPORT � Gti �9kESi���'� Owner:��C/l��.D KaDEr'6ER Address: _�S Sfa�d bs ��+y �d• dl) SS��> Permit #'s: ��� Dates: g'27—q�' Contractors: 5 w C'� �4 K� City ordinance nunber 100 requires that each on-site sewage treatment systm 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 J� an existing system [ ) new construction) SYSTEM CONFORMITY (1-3): � 1 "CODE SYSTEM"-A system which meets all the locatio�, 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 instatlation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any.pollutants into growid or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located witfiin a designated 100-year floodplain; any system which mey 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 timiting sotl characteristies. (The limitin� soil characteristic j� has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identifiie8, this classification may be subject to revision.) TANK CONDITION CS-10): � inspeetion indicates: 5 Pu�out not needed at this time. Sol�ds eccumulation in tanks indicates they should be out this year to help prevent future problems. 7 Sotids accunulation in tanks is at a critical level. an s should be punped out as soon as possible. 8 System is discharging to the surface. Tanks 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 in each tank at next punpout. If tanks have not been punped 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 accunulation). If tanks have not been p�mpc�d out within the last three years, they should be pumped out now. DRAINFIELD CONOITION (11-14): � D nfield inspection indicates: 1 Drainfie[d is dry, no surfacing evident. � Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Draintield extent and condition unknown. LIMITING SITE FACTORS (slope.setbacks.etc.): yJ��/Lf�� POTENTIAI FOR SYSTEM FAIIURE (decends on soils.water table,etc.): lb�,`/ ' COMMENTS: r 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 transfer of property, be advised that this report does not guarantee or certify that an existing system will contirwe to function property� but is merely an opinton of the adequacy of the system under current conditions besed on the available �nformation. ��This report must be kept on the premises with the system lxstion and punping records. WHITE COPYllnspecton File YELLOW COPY/Homeowner CITY OF ORONO � O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT r�, �C�, INSPECTION REPORT 'C�� G~ 9kEsi;o�`'*� Owner: I�I G/�f77f I`1�Ut,'AL� Address: !lJ ���Y1� �/Y.r/l/. Permit #'s: ��� Dates: '— Contractors: /�»�i�.il� 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 [J�an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): 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 uaters. 2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but uas 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 j�t has not been identified at this time. if the limiting soil characteristic has not been identified, this ctassification may be subject to revision.) TANK CONDITION (5-10): T �nspection indicates: 5 Pumpout not needed at this time. Solids accunulation in tanks indicates they should be pirnped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be purtiped out as soon as possible. 8 System is discharging to the surface. Tanks 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 in each tank at next ptrnpout. If tanks have not been p�mped out within the last three years, they should be puiped out now. 10 Inspection pipe is located directly over tenk baffle (does not give accurate measurement of solids accunulation). If tanks have not been p�mped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): Drainfield inspection indicates: 11 Drainfield is dry, no surfacing evident. 12 Same evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. IIMITING SITE FACTORS Cslope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.): //I)7"Jltil?--- COMMENTS: Date of Inspection e tic 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 location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 OWNER �I C����r�� ADDRESS �� S � � �►�P PERMIT NO.'S. .��- DATES "'—' CONTRACTORS �' City Ordinance No,210 requires that each on-site sewage trestment 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 systern ❑ new construction) � � Meets or exceeds current City standards in all respects relating to design,construction,and locatio�.Appears to be opereting 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 generally in accordance with previous codes.System appears to be functioning properly;�o major upg►ading of the system is required at this time. � 3 Does not meet curre�t City standards in many 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 ot 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 nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,a�d 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 measureme�t of solids accumulation.) If tanks ❑ Solids accumulation in ta�ks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help prevent future problems. ahould be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drain ield inspection indicates: should be pumped out as soon as possible. �Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped �� Some evidence of surfacing,not critical yet. within 48 houra to etiminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface, This condition may require replace- Inspection risera (4"dia.pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks 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 soil types,water Future Expansion ❑ Soil table,and system condition) �Adequate ❑ High water table glow Fair ❑ Lot size j�Medium O Poor �Lake,wetland,or stream ❑ Hi9h ❑ Inadequate Drainage ❑System is causing visible surface di harge. � COMMENTS: �� , r `' � en . c�-��—�� Date of Inspection eptic 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 existi�g 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