HomeMy WebLinkAboutSeptic info Andrew Mack
From: Tom Wolfe [TWolfe@thexton.com]
Sent: Wednesday, July 02, 2014 4:12 PM
To: Andrew Mack
Subject: RE: 520 Big Island Septic System Managment Plan Agreement
Ok.Thanks. I will get over to city hall to sign the document ASAP.
Tom Wolfe �;�
Thexton Mfg Co Inc.
6539 Cecilia Circle
Edina, MN 55439
PH: 952-831-4171 ext.116
FAX: 952-831-5938
E-Mail:twolfe@thexton.com
From: Andrew Mack [mailto:amack@ci.orono.mn.us]
Sent: Wednesday, July 02, 2014 2:30 PM
To: Tom Wolfe
Cc: 'Peter Peterson'
Subject: RE: 520 Big Island Septic System Managment Plan Agreement
Tom,
Actually there is a difference between the total tank capacity and the operating tank level. The operating level involves a
measurement at the tank outlet which is actually lower than the tank inlet. These inlet/outlet pipes are protected by a
shield called a baffle which helps keep solids from exiting the outlet and protects both the drain field and pump, if one
exists as part of the system.
With this brief explanation, the operating level then becomes a measurement of inches from the bottom of the tank to the
outlet baffle. If anything gets plugged from this point outward, then the tank will continue to fill beyond the operating level
up to the total tank capacity and then back up into the house, unless iYs caught in time. If a pump tank exists then it
usually involves a pump failure which triggers an alarm. When the alarm goes off it is the remaining volume of effluent
available between the operating an total tank volume that gives you a little time to call for helpl
I hope this helps.
If there are no other changes beyond the pumper's comments, then I will print 2 copies of the document for both our
signatures and have it available with Monica up front here at city hall for you to stop by and sign at your convenience.
f��L��,�f: Andrew Mack, AICP
t � , Community Development Director
�, � � Direct 952.249.4626
�,S� �s�, �/ amack(iilci.orono.mn.us
�%
www.ci.orono.mn.us
From: Tom Wolfe [mailto:TWolfe@thexton.com]
Sent: Wednesday, July 02, 2014 2:10 PM
To: Andrew Mack
Subject: RE: 520 Big Island Septic System Managment Plan Agreement
Hello Andrew:
I read over the attached document.The only question I had was the following statement in the action plan:
"If the operating levels in the tank are below 50%a of the design operating levels of the septic tank(s)"
1
t
' What are the "design operating levels"? Do you mean if the tank is below 50%of the total capacity? Please clarify.
Thanks.
Tom Wolfe
Thexton Mfg Co Inc.
6539 Cecilia Circle
Edina, MN 55439
PH: 952-831-4171 ext.116
FAX: 952-831-5938
E-Mail:twolfe@thexton.com
From: Andrew Mack [mailto:amack@ci.orono.mn.us]
Sent: Tuesday, July 01, 2014 5:26 PM
To: Tom Wolfe
Cc: 'Peter Peterson'
Subject: 520 Big Island Septic System Managment Plan Agreement
Tom,
Attached is the draft management plan discussed today on the phone. Please review the document and let me know if
this is agreeable to your board. From there, it will be necessary to have you, or an authorized signer with your land
ownership corporation stop by Orono City Hall to sign the document and have it notarized for our file records, and provide
you with an executed copy.
Thank you.
����4��r��, Comm niltyaDevelopment Director
�, � � Direct 952.249.4626
\,;, �-n f amackanci.orono.mn.us
`== - ' www.ci.orono.mn.us
2
UNIVERSITY �- �
OF MINNESOTA
Septic System Management Plan
�
for Above Grade Systems
The goal of a septic system is to protect human health and the environment by properly treating
wastewater before returning it to the environment. Your septic system is designed to kill harmful
organisms and remove pollutants before the water is recycled back into our lakes, streams and
groundwater.
This management plan will identify the operation and maintenance activities necessary to ensure long-
term performance of your septic system. Some of these activities must be performed by you, the
homeowner. Other tasks must be performed by a licensed septic maintainer or service provider.
However, it is YOUR responsibility to make sure all tasks get accomplished in a timely manner.
The University of Minnesota's Septic System Owner's Guide contains additional tips and
recommendations designed to extend the effective life of your system and save you money over time.
Proper septic system design, installation, operation and maintenance means safe and clean water!
Property Owner Big Island, �nC
Property Address 520 Big Island Property ID 22-117-23-42-0021
System Designer JoSh Swedlund Phone 952-873-3292
system �nsta�ier Sons Excavation & Septic Phone 612-210-9184
Service Provider/Maintainer Albin's Septic Pumping Phone 612-559-3456
Permitting Authority Clt�/ Of OI"OC10 Phone 952-249-4600
Permit# P12067 �ate �nspectect 5/14/2008
Keep this Management Plan with your Septic System Owner's Guide. The Septic System Owner's Guide
includes a folder designed to hold maintenance records including pumping, inspection and evaluation
reports. Ask your septic professional to also:
• Attach permit information, designer drawings and as-builts of your system,if they are available.
• Keep copies of all pumping records and other maintenance and repair invoices with this document.
• Review this document with your maintenance professional at each visit; discuss any changes in product
use,activities or water-use appliances.
For a copy of the Septic System Owner's Guide,call 1-800-876-8636 or go to http://shop.extension.umn.edu/
http://s ept i c.umn.e du
Version 11/03/2010
- 1 -
� � UNIVERSITY Septic System Management Plan `�
for Above Grade Systems
OF MINNESOTA �
Your Septic System �,,
� � "' ".ClNnaut
Manhole
, - InSpKtior p.pe
u��"',,,,,�, �,,,;� �?'*
.> -
se�;�u�t —, ----- .'''�` "
ri„pi�.,nl,--- _--- =� Y . �-- .`— -,'�'.•7��;,.•
_' /.l_
�__ - ' � ,�: - - " '�� �
MOUnd. . ''"�" _ .. �
tateral deanan.-^,', - Pipe�
Cross-seRion ot mound �]�K �istri6ut�on media
Inspe<non ppe- -'----_�-t�'� ���,pd — '
TOpSoil---- � . _ O ' O� -
Vegetation___'_ �� ' ' __
:Sud•
I n,:n����r•,p i..nl, . . . . . -
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_ . . . ..NtF�Sal� to limitingcad"Aiov-�� ,
..-.ipddldfalib�'�otk�_:' � -� - - ` - -
Septic System Specifics
� System is subject to operating permit*
System Type:4. IOII QIIIQIV*Q V* � System uses UV disinfection unit*
(Based on MN Rules Chapter 7080.2200—2400) Type of advanced treatment unit
*Additional Management Plan required
Dwelling Type Well Construction
Number of bedrooms: � Well depth(ft):
System capacity/design flow(gpd): 300 � Cased well Casing depth:
Anticipated average daily flow(gpd): 300 � Other(specify):
Comments Distance from septic(ft):
Business? What type? Is the well on the design drawing?QY Q N
Septic Tank
One tank Tank volume: gallons � Pump Tank �000 gallons
Does tank have two compartments?Qi Y QN ❑ Effluent Pump make/model:Gould
� Two tanks Tank volume: 2000 gallons Pump capacity GPM
❑ Tank is constructed of TDH 13.3 Feet of head
� Effluent Screen type: ❑ Alarm location Above tank
Soil Treatment Area (STA)
Mound/At-Grade area(width x length): 38 ft x 46 ft � Cleanouts or inspection ports
Rock bed size(width x length): 10 ft x 25 ft Surface water diversions
Location of additional STA: South side of property Additional STA not available
- 2 -
' UNIVERSITY Septic System ManagementPlan �"fYI=1'- �
for Above Grade Systems
OF MINNESOTA �
. .�,��,
Homeowner Management Tasks
These operation and maintenance activities are your responsibility. Use the chart on page 6 to track
your activities.
Identify the service intervals recommended by your system designer and your local government.
The tank assessment for your system will be the shortest interval of these three intervals. Your
pumper/maintainer will determine if your tank needs to be pumped.
System Designer: check every 36 months
36-6o My tank needs to be checked
Local Government: check every months
State Requirement: check every 36 months every 36 months
Seaso�ally or several times per year
. Leaks. Check(listen, look)for leaks in toilets and dripping faucets. Repair leaks promptly.
• Surfacing sewage. Regularly check for wet or spongy soil around your soil treatment area. If
surfaced sewage or strong odors are not corrected by pumping the tank or fixing broken caps, call
your service professional. Untreated sewage may make humans and animals sick.
• Alarms. Alarms signal when there is a problem; contact your maintainer any time the alarm
signals.
. Lint filter. If you have a lint filter, check for lint buildup and clean when necessary. Consider
adding one after washing machine.
. Effluent screen. If you do not have one, consider having one added the next time the tank is
cleaned.
Annually
• Water usage rate. A water meter can be used to monitor your average daily water use. Compare
your water usage rate to the design flow of your system (listed on the next page). Contact your
septic professional if your average daily flow over the course of a month exceeds 70% of the
design flow for your system.
• Caps. Make sure that all caps and lids are intact and in place. Inspect for damaged caps at least
every fall. Fix or replace damaged caps before winter to help prevent freezing issues.
• Water conditioning devices. See Page 5 for a list of devices. When possible, program the recharge
frequency based on water demand (gallons) rather than time (days). Recharging too frequently
may negatively impact your septic system.
. Review your water usage rate. Review the Water Use Appliance chart on Page 5. Discuss any
major changes with your pumper/maintainer.
During each visit by a pumper/maintainer
• Ask if your pumper/maintainer is licensed in Minnesota.
• Make sure that your pumper/maintainer services the tank through the manhole. (NOT though a 4"
or 6"diameter inspection port.)
. Ask your pumper/maintainer to accomplish the tasks listed on the Professional Tasks on Page 4.
- 3 -
' UN I VERS ITY Septic System Management Plan `{;�
for Above Grade Systems
OF MINNESOTA
��
J
Professional Management Tasks
These are the operation and maintenance activities that a pumper/maintainer performs to help ensure
long-term performance of your system. Professionals should refer to the O/M Manual for detailed
checklists for tanks,pumps, alarms and other components. Call 800-322-8642 for more details.
. Written record provided to homeowner after each visit.
Plumbing/Source of Wastewater
• Review the Water Use Appliance Chart on Page 5 with homeowner. Discuss any changes in
water use and the impact those changes may have on the septic system.
. Review water usage rates(if available)with homeowner.
Septic TanWPump Tanks
. Manhole lid. A riser is recommended if the lid is not accessible from the ground surface. Insulate
the riser cover for frost protection.
• Liquid level. Check to make sure the tank is not leaking. The liquid level should be level with the
bottom of the outlet pipe. (If the water level is below the bottom of the outlet pipe, the tank may
not be watertight. If the water level is higher than the bottom of the outlet pipe of the tank, the
effluent screen may need cleaning, or there may be ponding in the drainfield.)
. Inspection pipes. Replace damaged caps.
• Baffles. Check to make sure they are in place and attached, and that inlet/outlet baffles are clear
of buildup or obstructions.
. Effluent screen. Check to make sure it is in place; clean per manufacturer recommendation.
Recommend retrofitted installation if one is not present.
. Alarm. Verify that the alarm works.
• Scum and sludge. Measure scum and sludge in each compartment of each septic and pump tank,
pump if needed.
Pump
• Pump and controls. Check to make sure the pump and controls are operating correctly.
. Pump vault. Check to make sure it is in place;clean per manufacturer recommendations.
. Alarm. Verify that the alarm works.
• Drainback. Check to make sure it is operating properly.
. Event counter or run time. Check to see if there is an event counter or run time log for the pump.
If there is one, calculate the water usage rate and compare to the anticipated average daily flow
listed on Page 2.
Soil Treatment Area
. Inspection pipes. Check to make sure they are properly capped. Replace caps that are damaged.
• Surfacing of effluent. Check for surfaced effluent or other signs of problems.
• Lateral flushing. Check lateral distribution; if cleanouts exist, flush and clean as needed.
• Ponding. Check for ponding. Excessive ponding in at-grade and mound beds indicates
problems.
All other components—inspect as listed here:
Pump tank alarm, wiring &tank filters with each service. Tank filter maintenance required every 6-12 months.
- 4 -
UN I V ERS ITY Septic System Management Plan `
for Above Grade Systems �
OF MINNESOTA
Water-Use Appliances and �,�'
Equipment in the Home
Appliance Impacts on System Management Tips
• Uses additional water. . Use of a garbage disposal is not recommended.
. Adds solids to the tank. • Minimize garbage disposal use. Compost instead.
Garbage disposal . Finely-ground solids may not settle. • To prevent solids from exiting the tank,have your
Unsettled solids can exit the tank tank pumped more frequently.
and enter the soil treatment area. . Add an effluent screen to your tank.
• Washing several loads on one day • Choose a front-loader or water-saving top-loader,
uses a lot of water and may overload these units use less water than older models.
your system. . Limit the addition of extra solids to your tank by
• Overloading your system may using a liquid or easily biodegradable detergents.
Washing machine prevent solids from settling out in . Install a ling filter after the washer and an effluent
the tank. Unsettled solids can exit screen on your tank.
the tank and enter the soil treatment . �yash only full loads.
area. . Limit use of bleach-based detergents.
• Think even—spread your laundry loads
throughout the week.
• The rapid speed of water entering . Install an effluent screen in the septic tank to
2"a floor laundry the tank may reduce performance. prevent the release of excessive solids to the soil
treatment area.
• Be sure that you have adequate tank capacity.
• Powdered and/or high-phosphorus • Use gel detergents. Powdered detergents may add
detergents can negatively impact the solids to the tank.
Dishwasher performance of your tank and soil . Use detergents that are low or no-phosphorus.
treatment area. . Wash only full loads.
• New models promote"no scraping". . Scrape your dishes anyways to keep undigested
They have a garbage disposal inside. solids out of your septic system.
. Finely-ground solids may not settle. • Expand septic tank capacity by a factor of 1.5.
Grinder pump(in Unsettled solids can exit the tank . Include pump monitoring in your maintenance
home) and enter the soil treatment area. schedule to ensure that it is working properly.
• Add an effluent screen.
• Large volume of water may • Avoid using other water-use appliances at the
Large bathtub overload your system. same time.For example,don't wash clothes and
(whirlpool) • Heavy use of bath oils and soaps can take a bath at the same time.
impact biological activity in your . Use oils,soaps,and cleaners in the bath or shower
tank and soil treatment area. sparingly.
Clean Water Uses Impacts on System Management Tips
High-efficiency • Drip may result in frozen pipes • Re-route water into a sump pump or directly out
furnace during cold weather. of the house.Do not route furnace recharge to
your septic system.
• Salt in recharge water may affect • These sources produce water that is not sewage
Water softener system performance. and should not go into your septic system.
Iron filter . Recharge water may hydraulically • Reroute water from these sources to another
Reverse osmosis overload the system. outlet,such as a dry well,draintile or old
drainfield.
• Water from these sources will likely • When replacing consider using a demand-based
Surface drainage overload the system. recharge vs.a time-based recharge.
Footing drains . Check valves to ensure proper operation;have
unit serviced per manufacturer directions
- 5 -
UN I V ERS ITY Septic System Management Plan <''a�
for Above Grade Systems � �'`,��
OF MINNESOTA `�, � �
,��,
Maintenance Log
Track maintenance activities here for easy reference. See list of management tasks on pages 3 and 4.
Activity Date accomplished
Check frequently:
Leaks: check for plumbing leaks
Soil treatment area check for surfacing
Lint filter: check, clean if needed
Effluent screen: if owner-maintained
Check annually:
Water usage rate(monitor frequency�
Caps: inspect, replace if needed
Water use appliances—review use
Other:
Notes: `Management plan shall serve as an alternate plan to required 36 month regular city pumping provision. Tank sludge capacity report
received by Albin's Septic Pumping, LLC on June 30,2014.
M1t1g3t1O11�COI'T'OCtIVB 3Ct1011�J�111; Land owner Big Island,Inc.hereby enters into a management plan agreement with the City of Orono to
deviate from the required 36 month mandatory septic tank pumping requirement. In lieu of pumping at 36 months the owner shall supply the City with a tank
inspection report which verifies the tank sludge and scum levels by an MPCA Certified SSTS Pumper/Maintainer. If the sludge levels in the tank are
below 50%of the design operating levels of the septic tank(s),according to the report submitted by the pumper/maintainer,then the pumping requirement may be extended
for up to an additional 36 months provided a satisfactory service report is submitted to the City in each of the next subsequent 12 month annual intervals.
"As the owner of this SSTS, I understand it is my responsibility to properly operate and maintain
the sewage treatment system on this property, utilizing the Management Plan. If requirements in
this Management Plan are not met, I will prom tly notify the permitting authority and take
necessary corrective actions. If I ave ne yste , I agree to adequately protect the reserve
area for future use as a soil tr e t s s e .
Pro er Owner Si nature: ' Date ����! /
Mana ement Plan Pre area B : Andrew Mack, AICP ifi ation# 8922
Perm�tt�ng authoricy: Community Development Department - City of Orono Minnesota
02010 Regents of the University of Minnesota. All rights reserved. The University of Minnesota is an equal opportunity educator and employer.
This material is available in altemative formats upon request. Contact the Water Resouroes Center,612-624-9282. The Onsite Sewage
Treatment Pro ram is delivered b the Universiry of Minnesota Extension Service and the University of Minnesota Water Resources Center.
��.. MONICAA.FADNESS (�/ �
NOTARY PUBLIC-FAINNESOTA l
4'' � ��My Commission Expires Jan.31,2017 /
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O _, O CITY OF ORONO
-� �
� s� ,,-��' � Municipal Offices
r�,, ;� 'y'� �. Street Address Mailing Address:
� G'�' 2750 Kelley Parkway P.O. Box 66
'L.� �i Orono, MN 55356 Crystal Bay, MN 55323-0066
kESHO�'
August 16, 2007
Dear Owner of 520 BIG ISLAND:
This is a friendly reminder to all Orono property owners with non-compliant, on-site septic systems:
Septic System Upgrade Deadline is Fast Approaching
Beginning in the mid-1990s the City began to identify those septic systems that made use of trench
drainfields, a majority of which do not maintain the minimum required vertical separation above
seasonal water tables. Each existing system was subjected to soil borings to determine the seasonal
water table depth. When a system was identified as non-compliant, the owner was notified of the need
to bring the system into compliance and given several years to complete the upgrade.
The deadlines to upgrade were divided into whether or not the property was in the Shoreland District
(within 1000' of a lake or within 300' of a protected tributary stream). Properties in the Shoreland
District were given until December 31, 2007 to become compliant. Properties outside the Shoreland
area with non-compliant systems were allowed until December 31, 2010 to conform to the septic code.
The above noted property is located in the Shoreland District and needs to be updated before
December 31, 2007.
Don't wait until the last minute! The City is strongly recommending that property owners not wait
until the deadline arrives to bring their systems into compliance. The process to upgrade your septic
system can be quite lengthy. The first step in the process is to hire a site evaluator and designer to
determine what type of system is required and provide the blueprint for the system installation.
Secondly, the property owner must then contract with a septic system installer to have the system
constructed.
The installation of a septic system is very weather dependent, especially for mound systems, which can
only be installed when the ground is relatively dry, i.e. typically June through September. Contractors'
schedules fill up quickly, so iYs important to start your planning and design process now to ensure a
timely installation. The period of time from deciding to update your septic system to the actual
installation can easily exceed three to four months, or more. Please contact the Building and Zoning
Department at 952-249-4600 with any questions you may have about bringing your septic system into
compliance.
For a list of licensed designers and installers you may go to www.ci.orono.mn.us, click on
City Departments, click on Septic, then click on the link to www.pca.state.mn.us.
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
� � °� .
� o o � .
, -��`:�-� CITY of ��iONU
� �,,:
,= . r�?
r� �;� <. ..��t,.� ,�r
�{',, �}: �s";'�� ,�n Fir -� Munici al Offices
,� i.{.1:/ i�,�i�,�, '�' P
��•.:,e;:�;. .s�
� ,,:;;;•� Street Address:
.q g'� Mailing Address:
. kE$I30 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: � �°� �-5�G�c� `�l�c .
Address: S�o ��q ZSIq�� .
Ciry Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo years.
The on-site se�vage treatment rystem at the above address has been inspected and appeazs to fall into the categories checked belo�v.
SYSTEM CONFOF�IITY (1-3): �
1 ��CODE SYSTEM" An ISTS which meetc all the location,design and construction standards of the current Orono biunicipal Code.
2 °CO�LIANf SYSTEM° An ISTS which does not meet a11 tha lacatioq design and coastruction standards of the eurre�prono l�funicipal
/�� Coda but dozs meat tha three foot separation requiremrnt,and which is not failing or an immineat threai to public hcalth er safzty,
( j ) ��NON-COI�fPLIANf SYSTEM" A prohibited ISTS;an IST5located within a designated 100-year flaod piain,any ISTS which may
�-J or ma not maet all the locatio dasi
Y n, gn,ar constniction sta¢datds of the cutrcat Orono btuaicipal Code and which is failin�for any reasoo;and
any ISTS with less than three fezt of unsaturated soil or sand between the disirtbution device aad the limiting;oil chuacteristia.
TANK CONDITION(5-10): � �
Tank inspec[ion indicates: .• -
� Pumpout not neaded at this time.
6 Tsnk must bt pumped out this year (city coda requira tanks to ba pumped out every 3 years. Tank was lazt pumped ),
7 Solidc attvmulation in tznks u at a critical a aitical IevaL Tanks should ba pumped out as soon as possibla.
8 Systam is d'ucharging to tha surface. Tanks must ba pumpad out within 48 hours to eliminate surface discharga,
9 Irupection risers missing-tznks could not be inspected. Irupection risars(4"di�pipe)must be uutalled in each tan3c at aest pumpout If tanks
have not bt:n pumptd out wichin the last thtce years,they shau(d ba pumped out now.
1� lnspaction pipt is locaitd d'un.dy over tuilc ba�le(doas not give accurate meazuremant oFsolids accumulaeion). If tanks have not been pumped
out�vithin the!ut thzee yeacs,they shoutd be pumpad out na�v.
D LELD CONDITION 11-14 : \\
11 Drainfizld'u dry,no surfacing evident
1� Soma et•idenct of surfacing,not eritica!yeL . � ' •
13 Drsinf eid is sacuczted and visibiy dis:harging untreatad effluent to the surfaca Contact the City Icuptdor irtsmediately.Repairs mtut be
complrted«ithin 90 days.
1� Drs'intield e�Zrnt and condition unkno�cn.
COMi�NTS: 5�5�r��--. ��5 r�pc�- C�h��� �^�,- ��� ko 1�<l� of-- �3 �ao-r- SC�cra-r o�
��V��� � �2a1S 0.�m\ w.c��� �-rn�1e- ,- �0�1'(�rti v-�- �'('�� (,�•e�. OLC��4CL � ��-3 I-�Ob� �
� o -�--�k—�� �1.,�.� I
Date ofInspeceion 4
Septic System Inspector
Not�: In the evrnt that tfu.s usspection repoR is used to satisfy the requirements for a moR3age or othet tra�fer of pcopecty,be advised thai this repoR doa not guarantae
or cectify that an esisting sys;em will eordinue to function properly,but is merely aa opinion of tfie adequary of the systrcn nnder curreat eonditians 6ased on tha available
infocatation.
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�,� � INSPECTION REPORT
'�� G~
�kEsHO�'�
i � � � .
Owner• �� Address•
Permit #'s: ��� i / Dates: �����Contractors: �
rt�
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is [� an existing system ( ] new construction)
SYSTEM 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
uithout 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 uaters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located uithin 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 an s stem with less than 3 feet of unsaturated soil or
between the distribution device and the limiting" oi c arac eris ics. �
- �-��a; .r �'�-- 1- g
(The limiting soil characteristic 1� has or [ ] has not been identif e at is time. i the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
T�C 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. 7anks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be p�xnped out within 48 hours to eliminate surface discharge.
9 lnspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next purt�out. lf 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).
tf tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
[yfa�field inspection indicates:
! LY 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 uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table,etc.): r
COMMENTS• w `� � 4 �S I� �// I� !�7 �° Y� �
� G� 'ti.. '
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Date of Inspection ep ic 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
tnformatton.
This report must be kept on the premises uith the system loc=tien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
Septic Tank Pumping / Maintenance
www.SepticResource.com (vers 12.4)
Owner Information
Date: � -`���/�
Owner: ���, �'�aw� �l�iG•
Property address: Owners address: (if different)
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Tank Information
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Re�son for Pump�g ❑ compliance inspection ❑ holding tank ❑ maintenance� U�C�� -
Method of access: �manholes ❑ inspection pipe(holding tanks only)
, (owner signature req'd if refusing to allow pumping through maintenance hote)
' Condition of tanks:
filter cleaned: Y� baf�les good: � alazm working: Yes
No No No
� n/a n/a
Tank leakage observed: above operating depth: Yes o (repairs recommended)
below operating depth: Yes No (failing to protect groundwater)
Gallons removed:
#1 O #2 O #3�#4� pump tank � total Q
Disposal method:N��- municipal ❑ location:
land apply ❑ location:
Safety concerns: M A r�
�ju
Recommended repairs: A ���
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tS'LuDC�'� �3T �/L� <�/ 3 � �a T'�vl�.x;. �m�.v�� Cr�iJ
Comments: �6�...n..,� Q�,/,,,f.�n
l� � � �:S ,�.. t ��a�S1�! 3s° � �(
n .�� r r .ts �.�c
o��'TR+t�i- �/�.SGUI"� ��d'�:S�c t 3J d� -�- O
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1 hereby cert;�y that 1 ave completed this work in accordance with MN 7083.0770 and arry local reguirements.
No dete 'n on or antee offuture system performance has been nor can be made.
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Ma' iner si ture Company � Phone number
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