HomeMy WebLinkAboutOnsite sewage treatment systems h ON l
CITY of ORONO
<, I Municipal Offices
6 Street Address: Mailing Address:
�•9 4��'' 2150 Kelley Parkway P.O. Box 66
Crystal Ba
Orono, MN 55356 ry Y. MN 55323.0066
To: The Current Owner of Address 31657 (.J A-4--eT o('j
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 Ta✓l ump 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
i t -,2 - It S . The tank(s) should be cleaned through the manhole and
not through the inspection pipes,this allows for proper cleaning.
Comments:
Inspector: Date of Inspection / c)
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
100 _
oo
=- CITY of ORONO
r A fi Municipal otlices
ti
G
Street Address: Mailing Address:
2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, 0 55323-0066
To Current Ovvner: Address: 3967
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):
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.
0"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): b
Tank inspection indicates:
5 Pumpout not needed at this time.
Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped ).
Make sure septic tanks are pumped through manhole and not through white inspection pines This allows for the
proper cleaning. Keep water softner and iron filter discharge out of septic sy�tem.
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.
DRAINFIELD CONDITION(8-10):
Drainfield 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: f a�r\c_ d TS r,- C0 ate- a- r vS- tC (`t lace b
-��-,L6 10 , Jc �.�� ' mak Sv__,cr �Lo y.
� -1 �-off �•� �`�
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 aetguarantee
or on*du t aA existing syskm will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions basad on the mailable
Telephone(952)249-4600 • Fax(952)249-4616
www cioronomn.ns
0 0
CITY of ORONO
MEmkipal Offim
�G Street Mrs= MaWaS Addrem
2150 Kelley Parkway PA.-ft'66 .
Orono, MN 55356 Crystal Bay, MN 55323.0066
Owner: cl\w r\ 2c. Address:-Kwg 1 erg 1 (�
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):
r;
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards ofthe current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISIS which does not meet all the location,design and construction standards ofthe current Orono Municipal
Code but does med the three foot separation requirement,and which is not failing or an imminent thread to
public health or safety.
"NON-COMPLIANT SYSTEM" •A prolubited 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 ofthe current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three fed of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-10): 6
Tank inspection indicates:
5 Pumpout not needed at this time.
Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped
7 Solids amulatian in teaks is at a critical a critical level. Tanks should be pumped out as soon as possh,b
cw
8 System is discharging to the surface.Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing4aoks could not be inspected. Inspection risers(4"din pipe)must be installed in each tank at nein pumpout. 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.
DRARMI D CONDITION 11-14 : \�
11 old is dry,no surfacing evident.
12 .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.
COMNffiNTS: S—tS�c c ,•5 �o�- ����\.�.��- d�� )y l\cad. 04- 3 Gor � SCAe�tif d
o C_,\,\C_,\,\ `\ w o.}tt^ � d—• a C m o, C)Sr TC c L\,(S t�C Q�a(.c �!
Date of Inspection / Septic System Inspector
Note: In the event that this kApectiah report is used to satisfy the requitenimts'for a or oL trmin'afer 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 ofthe adequacy of the system under current conditions based on the available
information.
W ateri Wastewater-ISTS4.31
Compliance lnsp'.;,-". ! Form for Existing '
Individual Sewage Treatment aystems P" = VED
This form reflects the requirements of the 1996 version of MNRules Chapter 7080 F; 2001.
Minnesota Pollution Control Agency
Notj:Local inspection standards maybe more or less restrictive than the state requirements. These differences must be rhadc eveilablo b5ohi%ocal
Unit of Government.
Date
Yroper.y 011 ueI ts —.— _ -- _ _ Telephone((41� -
fir VI1CC� --� Z •__-• 1 tilcphone(741—dM749 ,Z
i:eu5utt for is t• :t.'1 - _ _
Site Address 3 City
Zip Code_ — _ _ Unii of CovertttneiU Regulating this property' aaAmf�
Fire No. - --- -- I'dreel No. � 'Township Na.nt:9U116-
Tc, kallge section Quarter_-._
1 fieck approi,i!.,i.,se:vcr system cumponcnt and indicate location on site sketch).
i:cut: W. : sur t 1111111-01 nt"Astor:: Other(briefly [Describe): r-tow
Se;xic tank _Rock trench —Alternative system
__:►erotic 2..:;: ;r.v.alcss:;i;e:re<ca _Experimental system�— —_ Yes ISO
t—ne;, Warrantied system —__ __. If yes,
— I iuldlnL 1.:,1 I'l:o rp, Date:
t.ith�r h1O•nc ?t!ier
--- _-r\[-trade ----- --- --_—.
System Classification
System Guilt Prior to April 1, 1996 and riot Located in Any System: iok; aed in Shoreland or Wellhead
Shoreland c.r Wellhead Protection Area or Serving�al- Protection Area'or,Servinb a Food';$everage or Lodging
Food, Beverage or Lodging Establishment Establishment, plus all systems Built after
April 1. 1996
Is the systert:ul imminent public health threat IYH Upgrade Is ne system an IPHT? Unerade
I.U;schaig. f sewage to the around surface? YES Q0 10 mo 1.Discharge of sewage to the ground surface? YES NO 10 mo
2.Dischar,'.;of sc,%age to draintile 2.Discharge of sewage to draintile or
Or surt:rcc YES t 10,vo surface waters? YES NO 10 mo
3. Sewage backot—rito YES NO 10 ino 3.Sewage Lxkup into dwelling? YES NO 10 mo
4. S,tuan::!,,vith!1-pt&.t.':I'o iilhi!-:O:at'ly ar 4.Situation with the potential immediately and
adversely in-,;Mc; ur a., ,ir.:;r,'^ h:ala• x adversely irlp':ct or threaten public health or
safety! r_'S C 10 nio I safety? YES NO 10 mo
Is the s�'�tcuf iatlill',' is the system All_iui'
5. Less than TWO Bert of verctc:a separation between 5. Less than THREE feet of vertical separation between
system bottom and st:tuiated soil or bedrock? NO LGU** system bottom and saturated soil or 6,:drock? YES NO LGU**
G. A sec aut ii[,c:s out drtiwell,or leaching it'? ESy NO LGU** G.A seepage,pit, ressi-lol,drywell,or leaching pit?YES NO LGU**
•• LGU_Luc:,l Unit of Government urdinance must sperify the time period within which the system m:: :t:c upgraded.
Wrr�rrnrr.ri�....ee.,.*ts.sPw. +�errara atrot�;.•�••ao u.'etr,
STATUS OF]
ti2laid Ell file C��. ,,,L'd^:'4 l-"lh.r l{ :.bl Yl•all•: ,': -:1 MIS isi nO� 0 in.compliance;functioning))(failing 13 an imminent threat
therefore,this,l,.cuu,c,l! ai-1 f;001._,. It,!Of Cu n;'Iiarc.e�:'Mice of Noncomptirtnco.
used to make; the.!eterntin tfoils f lr'the compliance i[ls}rcuiul? .i, 1�11r C /'7
`7�u.;'iyrL N/�'%. d.i/CZG �_�1_1C1i�i
-'dam -- -- - — --
I � y ♦ ' t
z r13
-ctl f 1 `,/' � � ,t• � � ' is 1 _ .� r
y II rr .LSIIs � :.
,
a '
f J 5,:: i.. _ :s ..' .: . :�I�r E a�,:•!a inelu c: Vt'cll,well setback to system,dwellil g or other establishment,tank(s).Buil tIFC-10 ent systrm,
,�,�„-,i ,,,;. .•, ,f t; ,1.:.re ,c Jr!un 1, f: .prol.ulry liucs waterwuys,and buried lines(hose NOT Installed by the utilityj. Inelu,ie si�cs and
11XLd reh:rcncc points such as streets and built)' gs.
�1 �,t,+I L• : ; !t, ,, l,t rvun. lndie.tte the teXlllre,structure,color,depth of •aeh.differcnt soil I)i,:,evideuec 01'11-1,41114 bed,oa.
(,d rife m.tcrial is fill. Lucite each boring on attached sit sketch.
t,l'th:local ordinance that are differen�a the ate eq�9�Qnts ref 'cd to Illi" G�
6y.'.0107 .P,��►Syr r:;ao�`' ''
I
A. hcfcl:�
1;c wa' tie ttment systerIN true.:_',urate,wl u"I'll Acte.
I .:'ufy tt,; ail the utluf nl,,�io� I h:.ve p'ovidetl t�;.arding rile ina►Ka{lul. ii )')ate
t� -
Propel:; _ . .
state of l linnes.,ta licensed lnspectar and/or Designer 1 y{,Qualifi Employe})nsl)ector and/or Qu"Oled 1`010 )fie
L;,:,,• ,, , I :If;a 1 ct,nducted an imesugatiun In accardans with date. No determinationcable reqUirements lof future hural'ydraulic:tperfurm.incc'has lbeen Dur&ytntbhis
that my obs recorded are accurate udc
as of this
},,,tttl,;lyco cunEli[ions,luring system construction,abuse of the system,illi equate muintenance,'orr fUILIre water usa;,t�.
( )_._ Phone
In�li:aur U:ui,: p''lllt
Lir:u e an.t't,: k:giSUataou Numbcr._r____--
Address
-ess�0
;t•rna' to turtiljheujih or sa etv us defined at Minn. R.iUSUAU2(1 subp.'It):►,before
-
iii. 1,+'.
/ rade Requirements
U.t,�tt:s 4 115.55
(,,law") Upgrade
Do
An ru.r[,., ..:rh :+,t l;..rr;,.u. and,ulverz-JY attert hi iJreaten pL,s7 tc 1 lic 01,SWrioU o/fit Tie ir�luyulreld by,)CUI l dr,c placed, or
IR:�:N(/i:.'.- i v.'rli:.•I r4. 7 111 ; !t c iJ}::Jl tli,S r1lillCC Or Wlt
11O(1 Ciar!?;e �,s[t n i;u:�adol:[ed ari v: ':fltlnca contuining al[ernattve l6ciii stun( Wgs, the
Cd, OI
CIOes.901 C�ftirly + Ili, ?Jit'. O(dlrlalrCt:', 1[nlu5t Do t.ppluflE'd, rdj)li1'
J!J �':, , , Nil ,r'u�J, .1 It
t uxlst s:rnd the loc,,l unit a!jC,v /1:, +:nt with�4tli'Wi !lull cvE.v.
,''•��[dln I$ tc�lltl�'.�c nd..'rlust�li Upj/"utJ'd, .l.placid, Or It:• i.JL discord l„tl:'d YNllhl// [Jltl tlllle
1-,ilS!J p(Uv,J�cult clellt glou(Idwiltv;r prC)lGCtiJn, than the local rU1L'Or h h1 C'at IOldlna/1Gd uJ�;' I u;l C1 fur[ham!ill,'Sy�tc rn
tit•l+NJ1JU�.1 lrplJCcd, of its use discontinued within the oma requ •
llvud 110t be
is not)oiling as dalined in inu turd has at al-ld t two Lf''ol,od rd tianceli soil Sep
that isJmore stlict. This doers riot tppty to
uNJr ,a�tJ, , ,,airaJ, (E:M"Ced, or its use discontrnued, natwithstanding ar y
d i
wellhead protection areas, or those use connec on With food, beverage, and lodging estatilihrnEllts
CITY OF ORONO O
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 ON—SITE SEWAGE TREATMENT
INSPECTION REPORT
G
�9kEsH0
Owner: ! /r with : )-&CXL Address: 3965' PJ143,6q)
/ `' .
/
Permit #'s: 1 Dates: �[!�`7/6 � Contractors: Wf��/)'1Q/J "S.
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 )O&an existing system I I 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 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.
dt
(The limiting soil characteristic has or [ I has not been identified at this time. If the limiting soil
characteristic has not been idenMfied, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 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. Tanks should be pumped out as soon as possible.
System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. 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):
field inspection indicates:
1 Drainfield 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 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope.setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.J: ���
COMMENTS: S �p S t()I r9awe r 'f CJ OJ SCOr' r<S
5 0
t7 I-
Date of In pection 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
property, 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
o �A o
CITY of ORONO
�lCr Municipal Offices
.tg�yG Street Address: Mailing Address:
Egg 2150 Kelley Parkway P.O. Box 66
nn // Orono, MN 55356 Crystal Bay, MN 55323.0066
Owner: Stu Address: 3965 Watertown Rd.
Permit Vs: 426 Dates: 11/14/63 Contractors: Widmer Bros.
(This is [1--f 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 with previous
codes and is functioning properly.
Q3 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 [ !—j 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) : 8
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.
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) : it
0 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 age and condition soils, etc.) : medium
COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil borings
were performed to verify a 3 foot separation between the drainfield and the seasonal water
table. The separation is 0 feet and the system is non-compliant. Repair or replacement of the
septic system is required by 12/31/2007.
A. /97
Date of Inspection S is System Inspector
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 0
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 ON—SITE SEWAGE TREATMENT
r$, ICS INSPECTION REPORT
� G~
ZS 0
Owner: Lzvrd 14 Address: ma
Permit Id's: ates: J —Jaz" Contractors: ��rriaV� R1-dSi
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 JK an existing system I I 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 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 I I has or has not been identified at this time. If the limiting soil
characteristic has not been identified, this c assification may be subject to revision.)
TANK CONDITION (5-10): IL
Tank inspection indicates:
5 Pumpout not needed at this time.
6 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. Tanks should be pumped out as soon as possible.
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. ction rise �� ia. st be installed to each
tank at next punpout. If tanks have not been pumped out wt n t e last t ree years, ey s ou
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):
Drainfield inspection indicates:
yy77�� Drainfield is dry, no surfacing evident.
(12J Some evidence of surfacing, not critical yet.
TT33 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.):
C MMENTS: Q, U 6 Cir r
iaL
Date of Inspection SfiFfftic SIstem 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 aille /W+ S S ADDRESS !..�1Z474" y� )U
PERMITNO.'S. 429C DATES Z I`� CONTRACTORS /�
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 S an existing system ❑ new construction)
El1 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! 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
❑ Solids 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 Drai field 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 hours to eliminate surface discharge. 11Drainfield is saturated and visibly discharging untreated
o - Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Ins ction risers (4"dia. i 1 must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next um pout. tan a have no an oumoe out withi immediately.Repairs must be completed within 90 days.
ne e 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 Fair
Lot size Medium ❑Poor
Lake,wetland,or stream High ❑ Inadequate
rainage ❑System is causing visible
surface discharge. Q�
COMMENTS: e- U G
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 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