HomeMy WebLinkAboutseptic info Jun 28 2015 10:13AM HP FaxRusty Olson 7634988290 page 2
Minnesota Pollution
Control Agency Compliance Inspection Form
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55155-4194 (SETS)
Doc Type:Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local mtrackiRQ�ase`:,ED
requirements and attached forms-additional local requirements may also apply. E•��++CC��YY
Submit completed form to Local Unit of Government(LUG)and system owner JUN 2 9
within IS days 2015
System Status
CITY OF ORONO
System stators on data(mm/ddlyyyy): 6124/2015
❑ Compliant—Certificate of Compliance ® Noncompliant—Notice of Noncompliance
(Valid for 3 years from report date,unless shorter time (See Upgrade Requirements on page 3)
frame outlined in Local Ordinance.)
Reason(s)for noncompliance(check all applicable)
❑Impact on Public Health (Compliance Component #1)-Imminent threat to public health and safety
❑ Other Compliance Conditions(Compliance Component#3)-Imminent threat to public health and safety
❑Tank Integrity(Compliance Component #2)-Failing to protect groundwater
❑Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwater
®Soil Separation (Compliance Component 04)—Failing to protect groundwater
❑Operating permit/monitoring plan requirements(Compliance Component #5)—Noncompliant
Property Information Parcel ID#or SeclTwp/Range: 3311823320001
Property address: 1180 Townline Road., Orono, MN Reason for inspection: _ Property Transfer
Property owner. Michael Theis Estate Owner's phone:
or
Owner's representative: Rick Brame Representative phone: 952-233-0125
Local regulatory authority: Citi of Orono Regulatory authority phone: 952-249-4600
Brief system description: 2-1000 gallon septic tanks and approArnately 350 square feet of trench per city records
Comments or recommendations:
The system must be replace.
Certification
I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
determination of future system performance has been nor can be made due to unknown conditions during system construction,
possible abuse of the system,inadequate maintenance,or future water usage.
Inspector name: Joseph J Olson Certification number: 1255
Business name: Rus OIs Soil&Perc.Testing License number: 810
Inspector signature: Phone number: 763-498-8779
Necessary or ocally Required Attachments
®Soil boring logs ®System/As-built drawing ❑ Forms per local ordinance
❑Other information(list):
www.pca.state.mn.us . 651-296-6300 • 800-657.3864 TTY 651-282.5332 or 800-657-3w • Available in alternative formats
wq-wwfsts4-31 • 1124112 Page 1 of 3
Jun 28 2015 10:13AM HP FaxRusty Olson 7634988290 page 3
Property address: 1180 Townline Road., Orono,MN Inspector initials/Date: J- 0.6/28/15
1. Impact on PubliC Health—Compliance component#1 of 5
Compliance criteria. Verification method(s):
System discharge sewage to the ❑Yes ®No ® Searched for surface outlet
ground surface. ® Searched for seeping in yard/backup in home
System discharge sewage to drain file ❑Yes ®No ❑ Excessive ponding In soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See Comments/Expianation)
❑ "Slack soil"above soil dispersal system
System cause sewage backup into ❑Yes ® No "
[I System requires emergency"pumping
dwelling or establishment.
E] Performed dye test
Any"yes"answer above indicates the system is
❑ Unable to verify(See Comments/Explanation)
an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Comments/Explenetion)
Comments/Explanation:
2. Tank Integrity—Compliance component#2 of 5
Compliance criteria: Verification method(s):
System consists of a seepage pit, ❑Yes ® No ❑ Probed tank(&)bottom
cesspool, drywell,or leaching pit. I ❑ Examined construction records
Seepage pits meeting 7080.2550 may be I ❑ Examined Tank Integrity Form(Attach)
compliant if aAowed in local ordinance.
Sewage tank(s)leak below their []Yes ❑ No � Observed liquid level below operating depth
❑ Examined empty(pumped)tanks(s)
designed operating depth.
If yes,which sewage tank(s)leaks:
El outside tanks) for"black soil"
® Unable to verify(See CommentslExplanation)
Any "yes"answer above indicates the
system is Failing to Protect Groundwater. ❑Other methods not listed(See Comments/Explanation)
Comments/Explanation:
The tanks were not pumped
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes' ®No ❑Unknown
b. Other issues(e/ecbical hazards,etc.)to immediately and adversely impact public health or safety. []Yes* ®No ❑Unknown
System is an imminent threat to public health and safety
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes' ®No
'System is falling to protect groundwater
Explain:
www.pca.state.mn.us • 651.296.6300 • 800.657.3864 TfY 651.282.5332 or 800-657-3864 . Available in alternative formats
wq-ww1sts4-31 . 1124112 Page 2 of 3
Jun 28 2015 10:13AM HP FaxRusty Olson 7634988290 page 4
Property address: 1180 Townline Road., Orono,MN Inspector initials/Date: J. 0.6/28/15
4. Soil Separation —Compliance component#4 of 5
Date of Installation: 11/12/80 ❑ Unknown Verification method(s):
ShorelandWelthead protectiordFood Beverage ❑Yes M No Soil observation does not expire. Previous soil
Lodging?
observations by two independent patties are sufficient
Compliance criteria: unless site conditions have been altered or local
For systems buil!prior to April 1, 1996,and i ElYes ®No requirements differ.
not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring logs)
Protection Area or not serving a food, ❑ Two previous verifications(Attach boring togs)
beverage or lodging establishment:
❑ Not applicable(Holding tank(s),no drainrreid)
Drainfield has at least a two-foot vertical ! ❑ Unable to verify(See Comments/Explanation)
separation distance from periodically
saturated soil or bedrock. ❑ Other(See Comments/Explanation)
Non-performance systems built April 1, ❑Yes ❑ No CommentslExplanation:
1996,or later or for non-performance
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage, or lodging establishment-
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
"Experimental" "Other? or 'Performance" ❑Yes ❑No Indicate depths of elevations
systems built under pro-2008 Rules;Type IV
or V systems built under 2008 Rules(7080. A. Bottom of distribution media ; 95.6
2350 or 7080.2400 (Advanced inspector
License required)
B. Periodical!y saturated soil/bedrock 96.4
Drainfield meets the designed vertical
separation distance from periodically C. System separation 0.0- -�—
saturated soil or bedrock. 0. Required compliance separation* 2.0
Any "no"answer above indicates the system is 'May be reduced up to 15 percent H allowed by Local
Failing to Protect Groundwater. ordinance.
5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 ® Not applicable
Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required
Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required
BMP=Best Management Prectice(s)specified in the system design
if the answer to both questions is "no", this section does not need to be completed.
Compliance criteria
a. Operating Permit number:
Have the Operating Permit requirements been met? ❑Yes El No
b. Is the required nitrogen BMP in place and properly functioning? j ❑Yes ❑No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stat.§115.55)An imminent threat to public health and safety(17PHS)must be upgraded,replaced,oras use
discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance.if the system is failing to protect
ground water,the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance. if an existing system
is not failing as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or
its use discontinued,notwithstanding any local ordinance that is more strict.This provision does not apply to systems in shorelarrd areas,
Wellhead Protection Areas,or those used in connection with food,beverage,and lodging establishments as defined In law.
www.pca.state.mn.us • 651-296.6300 • 800-657.3864 TTY 651-282-5332 or 800-657.3864 . Available in aitemative formats
wq-wwists4-31 . 1124112 Page 3 of 3
Jun 28 2015 10:13AM HP FaxRusty Olson 7634988290 page 5
Loos of Soil Borinas
License#810
Location or Project: 1180 Townline Road
Borings made by: Rusty Olson's Soil and Perc testing 812412015
Classification System: AASHO USDS-USDS-SGS X Unified-;Other
Auger used(check two): Hand_Xor Power_,Flight,Bucket or Probe X_
Boring Number_1_Surface elevation_98.1_ Mottled Soil at_1.7_feet
0"-14"Dark brown loam 10yr3/2 below grade
14"-20" Brown loam 10yr4/2
20"-30"Rusty to clay loam 10yr4/3
TBM: Top of back door threshold Elv.-100.00 assumed
Bottom of rock in trench Elv.-95.6
Jun 28 2015 10:13AM HP FaxRusty Olson 7634988290 page 6
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Jun 28 2015 10:13AM HP FaxRusty Olson 7634988290 page 1
Fax Transmittal Form
Date: 6/28/2015 Total Pages: 116
To: City of Orono
Phone Number:
Fax Number: 952-249-4616 RECEIVED
E-mail:
JUN 2 9 2015
From: Joseph J Olson C'Ty OF ORONO
Phone Number: 763-498-8779
Fax Number: 763-498-8290
E-mail: rusty2654na comcast net
❑ Urgent
(� For Review
❑ Please comment
Please Reply
Message: This is the septic cert for 1180 Town Iine Road.
Please file.
CITY of ORONO
Municipal Offices
Street Address: Mailing Address:
2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address ' g b �® 4tjA
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 Identi 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 tanks) were last pumped out on
6 (- 0_3 . The tank(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments: '/y ,til,. / .� Y_
P..
In o a 4e O Date of Inspection '
Telephone (9;2) 249-4600 0 Fax (952) 249-4616
wi3'°,4'.6.orono.Inn.Lis
o
f if r CITY of ORONO
Municipal Offices
�G// Street A
B� ddress: °15a-a49-y6� 0 Mailing Address:
2750 Kelley Parkway P.O. Box 66
kES
Orono, MN 55356 Crystal Bay, N 55323-0066
To Current Owner: Address: Tb—r, 11%'r,k
City Ordinance 199 requires that each existing on-site sewage treatment 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 CONFORMITY (1-3): 3
1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" 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 requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an imminent threat to public health or safety.
"NON-COMPLIANT SYSTEM" 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
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7):
Tank inspection indicates:
OPumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped 6_.1-03 ).
Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the proper
cleaning Keep water softner and iron filter discharge out of septic system to prolong life of drainf;eld. Ask pumper to test
alarm float to verify alarm is still working in your house The alarm warns owner that septage is about to backup into basement.
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.
T�QAINFIELDCQNDITION(8-10): 1S
�8Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: a,<.�_��J �S Y�d� ter` 1•�,.'T 1�.J5 3— AL
Date of Inspection Matt Bolterman- 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 based on the available information.
CITY of 0R0N0 *
ltiiunicipal Offices
Street Address: Malting Address;
f3Yi 2750 Kelley Parlmy P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323.006E
95d-ayq-4600 nn
To Current Owner: Address: 1 I $O To w,\A;n�
City Ordinance I99 requires that each existing on-site sewage treatment 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 CONFORMITY (1-3): 3
1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" 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 requirement or two foot requirement for systems installed 1996 or earlier,and which Is not failing or
an imminent threat to public health or safety.
3� "NON-COMPLIANT SYSTEM" A prohibited ISIS;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 mason;and
any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION
Tank inspection indicates:
5 Pumpout not needed at this time.
J Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped °1-14 -�►5 ),
Make sure septic tanks are pumped through manhole and not through white inspection pines
This allows for the proper cleaning.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION(S-10): 9
Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet. _
10 Drainfteld is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
CONSENTS: i'st�dri- CSM 1i�nr CN \,C) ��5� �C cc
Date of Inspection Matt Bolterman- Septic System Inspector
Note:In the cv:nt that this inspection report is used to satisfy the requirements for a mortgage orother transfer of property,be advised that this report does not gu3rantc
or certtfythat an existing system will continue to function properly,but is merely an opinion ofthe adequacy ofthe system under current conditions blued on the availab
Information.
CITY of ORONO
A- Municipal Offices
Street Address: Mailing Address:
2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
June 15, 2000
Michael Theis
1180 Townline Road
Maple Plain, Mn 55359
Dear Mr. Theis:
An inspection of your septic system was conducted on June 14, 2000. A summary of the inspection
is below.
Septic Tank Condition
1. Pumpout not needed at this time.
The septic system is non-compliant due to a lack of a three foot separation distance between the bottom
of the drainfield to the seasonally high watertable. The three foot requirement is a State Code,not a City
Code. A soil boring was conducted to determine the depth of the seasonally watertable. The septic
system must be replaced no later than December 31,2010.
Enclosed is a list of state licensed septic contractors who work in Orono on a regular basis. Also
enclosed is a fact sheet explaining how a septic system functions properly. Finally, an as-built drawing
is enclosed that shows the approximate location of the septic system.
If you have any questions regarding this report, please contact me at the City Offices at 249-4600.
R ec ,
s nee
On-Site Systems Manager
Enclosures
In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be
advised that this report does no guarantee or certify the 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 the system location and pumping records.
Telephone(952)2494600 • Fax(952)2494616
www ci.orono.mn.us
CITY of ORONO
Z'111
Municipal Offices
1 G 9 Street Address: Mailing Address:
�ESII�¢ 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: WkQel nel-� Address:1180 Townline Rd.
Permit #1s:6184 Dates:11/12/80 Contractors:Hayes Exc.
(This is A an existing system [ ] new construction)
SYSTEM COMPLIANCE (1-3) : 3
1 Code System: Meets or exceeds current City standards in all respects relating to
design, construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction,
but in most respects appears to be designed, located, and constructed in accordance
()3'
with previous codes and is functioning properly.
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 saturate soi 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.)
K CONDITION (5-9)-: 5
5 Pumpout not needed at this time
6 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 [ 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.)
DRAINFIELD CONDITION (11-14) 11
Drainfield is dry, no surfacing evident.
2 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 acre 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.
6 1�---�
Date of Inspection Se tic Sys�pector
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 TREATIENT
INSPECTION REPORT
ti
sxo��G
Owner: Nllc�d Address:
Permit #'B: Dates:_//J;z_aQ Contractors: 4-epe- TY3✓� .
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 b4 an existing system I ) new construction)
SYSTEM CONFORMITY (1-3):
"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 SYSTEM11-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 14 has or C l 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 (5-10):
Tank inspection indicates:
Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Yanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
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 pumped out within the last three years, they should be pumped
out now.
10 Inspection 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 pumped out now.
DRAINFIELD CONDITION (11-14):
D field inspection indicates:
Drainfield is dry, no surfacing evident.
'f2 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 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope.setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.):
COMMENTS:
Date of Inspection ggiptic 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 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 of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT CITY
INSPECTION REPORT OF POST OFFICE BOX 66
_ONO 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER Aid fi-< ADDRESS
PERMIT NO.'S. DATESCONTRACTORS
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is 0 an existing system ❑ new construction)
1 Meets or exceeds current City standards in all respects relating to design,construction,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 generally 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 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 nuisance.Please 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.( [;a 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
IVSolids accumulation in tanks 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. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. 19 Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped D Some evidence of surfacing,not critical yet.
within 48 hours to eliminate 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 risers (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 ❑ Low OFair
❑ Lot size Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
Date of Inspection teptic 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 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