HomeMy WebLinkAboutSeptic info CITY OF ORO O
HENNEPIN COUNTY, INNESOTA
SEPTIC SYSTEM UPGRADE GREEMENT FOR
� t a ►� S � s��� �i (�� ����x
(Property Owner's ame)
�-i I 1'S� C3 A �lS ���� p,� .
(Address)
THIS AGREEMENT, Made and e tered into this �� day of
b QCc�,�n 3� , ���'7 ,by and betwee the City of Orono, a municipal corporation
organized under the laws of the State of Mi esota (hereinafter called "City"), and
LLf�lv � f�/�2.L �-STD'LcJ�-1�£Z.Ad3 , their heirs,
successors and assigns, (hereinafter called "Property O er").
WITNESSETH:
WHEREAS, the Property Owner is the owner of certain property and has made
application to the City of Orono for a building permit to co struct improvements on such real property
legally described as, 4185 Bayside Road
WHEREAS,the septic system serving the roperty has been determined by the City to
be non-compliant; and
WHEREAS,the Property Owner desires to btain a building permit for improvements to
the Property, which include bedrooms or water using appli ces, but due to weather constraints cannot
complete the required septic system upgrade until the 2 08 construction year; and
NOW,THEREFORE, in consideration of e premises and of the mutual promises and
conditions hereinafter contained, it is hereby agreed as llows:
1. Propertv Im�rovements: In accordance with the poli ies and ordinances of the City,the following
described private improvements are proposed to be c nstructed by the Property Owner or his/her
contractor, who has applied to the City for a uilding permit for said private property
improvements (the "Property Improvements").
�
Page 1 of
i
, •
2. Issuance of Buildin Permit for Pro e Im roveme ts: The City agrees to issue a building permit
for the Property Improvements at this time, subject t conformance with all current City standards
and ordinances for all applicable work.
3. Septic System U� ra�de�. In accordance with the o dinances and requirements of the City, the
Property Owner hereby agrees to complete the requi ed replacement of the septic system no later
than August 31, 2008 (the "Completion Date").
4. Septic Svstem U�grade Installation: The design locat on,construction, installation and materials for
septic system upgrade shall be in accordance with e plans and specifications approved by the
City.
5. Performance Deposit: For the purposes of assuring o the City that the Septic Improvements will
be completed according to the terms of this agree ent, the Property Owner has deposited with
the City at the time of the execution of this agree ent a certified check satisfactory to the City
providing that the City is able to cash the check i its sole discretion to complete the Septic
Improvements if the Property Owner fails to sat sfactorily complete the work prior to the
Completion Date. City shall return the check to Pr perty Owner upon final inspection approval
of the Septic Improvements.
6. Binding Effect: The terms and provisions hereof sh 11 be binding upon and inure to the benefit of
the heirs,representatives, successors and assigns of t e parties hereto and shall be binding deemed
covenants running with the land. References herein o Property Owner, if there be more than one,
shall mean each and all of them. This agreement s all be executed by the Property Owner and
City and shall be placed of record so as to give otice hereof to subsequent purchasers and
encumbrancers of all or any part of the property, a d all recording fees, if any, shall be paid by
the Property Owner.
7. Notices: Whenever in this agreement, it shall be re uired or permitted that notice or demand be
given or served by either party to this agreement to r on the other party, such notice or demand
shall be delivered personally or mailed by United S ates certified mail (return receipt requested)
to the addresses set forth below. Such notice or emand shall be deemed timely given when
delivered personally or when deposited in the m il in accordance with the above.
Page 2 of
8. Disclaimer by C1t� It is understood and agreed that the City, the City Council, and the agents
and employees of the City shall not be personally 1 able or responsible in any manner to the
Property Owner or the Property Owner's contractors subcontractors, materialmen, laborers, or
any other person, firm or corporation, for any debt, c aim, demand, damages, actions, or causes
of action of any kind or character, arising out of or b reason of the execution of this agreement
or the performance and completion of the Septic I provements.
9. Hold Harmless and Indemnification: The Property O er shall indemnify and hold harmless the
City, the City Council, and the agents and employe s of the City from and against all claims,
damages, losses ar expenses, including attorney fees, hich the City, City Council and agents and
employees of the City may suffer or for which it may b held liable, arising out of or resulting from
the assertion against them of any claims, debts or obl' ations in consequence of the performance
of this agreement by the Property Owner, its employe s, agents or subcontractors,whether or not
caused in part by a party indemnified hereunder.
10. Remedy for Default: Default by the Property Owner of any of the terms of this agreement shall
automatically result in the suspension or withholding o all permits, licenses,occupancy certificates
or other authorizations issued by the City in connectio with the Property, and may, at City's sole
discretion, give rise to a draw upon the check by ity to remedy such default.
A. The Property Owner hereby grants to the Cit , its agents and its employees, the right to
enter on the Property for the specific purpos of constructing or completing the Septic
Improvements should the Property Owner not omplete those Septic Improvements by the
Completion Date.
B. The remedies afforded to the City under thi Section shall be in addition to any other
remedies which the City may be entitled b law or equity or other agreement.
IN WITNESS WHEREOF,the City and Property O er have caused this agreement to be duly
executed on the day and year first above written.
CITY OF ORONO
Page 3 of 4
. +
By: By
, (City Clerk)
STATE OF MINNESOTA )
) ss.
COUNTY OF HENNEPIN )
The foregoing instrument was a owled ed before m n this day of
, 20 , &
N ary Public
PROPE TY_ WNER(
,L ' ��t�' ��C,�C.�
By: A
STATE OF MINNESOTA ) '
) ss.
COUNTY OF HENNEPIN )
The foregoing instrument was acknowledge before me on ��cE%t�.�-r.�_ � ,
Zoo�, by A�Gf a�. ���-bel�. a.�. 5 Sf�c.- �2.,ezA-b e k. u .� c�n fie .
i Q�
N TARY PUBLI
This document has been drafted b � �: BARBARA G. SILUS
Y• NOTARY PUBLIC-MINNESOTA
City of Orono �,,,�w,�Sl My Commission Expires Jan.3t,2008
_ . -- .
2750 Kelley Parkway
P.O. Box 66 I
Crystal Bay, Minnesota 55323
Page 4 of 4
�
' ' �7�P TESTING� �NC. Ste en B. Schirmers • MPCA Cert.No. 627
951 Katydid Lane NE • S . Michael, MN 55376 � (763) 497-3566
FAX (763)-497-5011
State License #394
� ORONO Cd�`� OF ORONO
SE'p'CI p P I� R VIE
November 28, 2007 INSPECTO�,
DATE ��"�°�' PERM[T NO.,,,_.._,._._
Ap�t(�VEp S SL'AM(TTED
� �►PPROVED ITH CORRECTiOIv"S AS NOTEU
Allan Rezabek N07'111PPR0 ED-CORRECT Ic RESL`H�1IT
4185 Ba side Rd. ������'� ur iaformativa. Ail work shall be dune
y 1tJ fu11 contpiiencC with I appticabte ceptic and zoning coJc.
Orono, Henn. Co., MN Requitementsimc{uding temsnotspeciticallynoteJinWisreview.
K6EP iHiB Pi.A1�i� Q1�SITB AT ALI.71MES
A Compliance Inspection was completed for the xisting on-site sewage treatment
system located on this property. The system co sists of 2 septic tanks & 2 trench
systems (one old system) with the top of the roc 30" below grade & effluent 12" above
the rock & the bottom of the rock at 48" below gr de. An additional system was added
� finding the top of rock 6" to 12" below grade & th bottom of the rock at 24" to 30"
below grade. Soil borings #1A & 2A found mottl d soil (redox features) at 26" & 28"
below grade. This system does not meet the re uired separation from the bottom of
the rock & redox features & is classified as non- ompliant, failing to protect the ground
water.
This on-site sewage treatment system is design d for a Type 1, three bedroom home,
in accordance with the Minnesota Pollution Con ol Agency Chapter 7080 and local
ordinances.
O ONO COPY'
The soils on this site are a clay loam. The mottl d soils were located at 16" to 20"
(redox features). Due to the redox features, a P essurized Mound System will need to
be installed to treat septic effluent. The bottom f the rock must be located at least 3'
above the redox features.
All property lines must be located prior to install tion.
The existing tanks may be used if water tight & ave a minimum capacity of 1000
gallons each. If not the tanks will need to be ab ndoned, pumped & filled in with dirt.
The soils at a depth of 12" have a percolation r te of12.0 mpi.
����� '��� � ORONO COPY
,._,..�aRoo�s, �r��uctt���tt�
�F�����o��
A pumping chamber will need to be installed to li the effluent to the treatment area.
The power supply and switches must be located utside the manhole and pumping
chamber in a weather proof enclosure. A warnin device must be installed with a light
and sound device, this is in case of a pump failur .
The manifold and supply line pipe must have ba drainage to #he pumping chamber,
The distribution pipes shall have their ends capp d. Be sure the rock and sand fill
material are clean. The sod layer below the enti mounded area must be turned over,
just break up the sod, be sure not to over work.
The supply line will need to be insulated through he driveway.
All neighboring wells are located greater than 10 ' away from the proposed treatment
area.
Keep all heavy equipment off of the proposed tre tment area before and after
construction. The treatment area should be mar ed off before construction. This
Design is not valid &the system will need to be r located if failure to protect the areas
proposed for On-Site Sewage Treatment occurs.
With proper installation and maintenance, this sy tem should have no problem in
treating septic effluent effectively.
Nothing other than human waste, toilet tissue, la ndry, showers, water softener etc.
should be disposed of into the septic tanks. Rec mmend Iron filters be diverted out of
the system. Recommend to divert the water soft er also if the iron filter is diverted.
Garbage disposals are not recommended, due to adding more solids &fine solids
passing through to the system. Excessive amou ts of soaps, antibacterial soaps,
cleaning agents, shower cleaners used every sh wer & chlorine agents may kill the
bacteria needed to treat septic effluent. Additive are not recommended. Recommend
to pump � clean your tanks through the manhole y a certified pumper every 2 years.
Check with your pumper to set up a schedule. R commend laundering be limited to 3 �
to 4 loads per day.
<���. ��'_ I
Steven B. Schirmers
2
1_..ow � �`7
���
� �
- t..�
�
' � � 4
� 1 �.
t�sS�G��I_�'�' �'
S��C'rG� _
c �,��x .
� �jD�? r�4�-o�SJc�,��/s�Ls�
� . �( ^'i fio6.G '��l"��r'�tiT�.l�_.•�.7F� �. � . l,
�a�i.`� � ` ,.�:..� �\ /'f w5'ai ' 7 .
+ / �►-N�Ut.v�4� �
\ x
/ ; �osa +�os� / _ .\` s�4Q�,�f_v1_�� �
�� �� ,,ioo,S x '�'�1�¢.t� oq.ti�.lt�\
�' ^�, �i � � Io0,0 q �•..
� � l
• � �t ,�' " �^` � � t ` �
/ i , � / � �•S �, �/ r lo�i.8 �i05.: x101.�X �1`{.`�
V06't / %� .�'ciAS,�.`.-'' . " . _".. \ �'li7 () � � . " �
� � (� /
�. �0 6.9 . � V� � � .�A, ,�, � � 4�� � � .
/
( 4
'} � ,L � (� _-' ,}, / 10�.0 > � � �
I
� �eS.Y�� �-!�V �F I�b4 �� ' � 4
\ / � ,.�1 � �06.� L L
(` v \ �fs � \ � Q `��� � � t'� �
� I ; �..�,-
" j r�os� \,i� � �--c- �t. C;s / � `�, �
/ T �,,�t
�o�� �- � � � / � �� � ��� � �� � � � ��V�� � ��,y� �' L ����� ��.c7 2 a� �.i.SC,.-.e.��
. }'°.�,� / � io; � /��� - -
� I��� �
,,, ` •. . . 9. _ - r�G.o.F
- L � , „3 � � f �� _ '
� ,�>.� �i � ,� ,
-_ % =`; � �� � � <
� �� 5` � / � A 5
ic5^ � � " � 1v U A
. �:�;�> �/ ��y �.
,� we,r �/ �,/ ' C ,
�„.r �'" , � �P�co�ol'�oct Tts1s Scok= � _`'I O
� �,.�' � p�'.r� �s
wvv��� �� 3 P��E� �8�: E�4o:k
�, � , %� � Q,`�,m�ss�-•..T {�� p e" n a�
� F ` FX T•,�J CiP����t`��`�'i(-�l�<.'�.+-. ct T4��, e p,, UG �SI�Y� G� �iCL�
a''t 'r'� KSL ��;���Fj �U:�G9qn,I !'1Q��� !�O S7$`�?�I [S R2
� $ / `� � �G�M�SO�a �ti�qE1 �tOt Qy'Y1K�
c �` `�L � ; .f' rr ���� \`� Chapter 7Q80 & �ocal Ordinance
�: � � .
� �� �5� ``" ,�5,,,
� I �`� "�°v.�,,,"° . � Check� alI c�nc3ergr�ue�d e�tilities
� � �� � � �
\ � �0- , —, } y��A l
� � I ���i � ����� \ � � F'�PERTY OF: R�.�.,��„� ��v,4'U�
� �
`=-- �
-fae����, , �_----
�` ao�! — � `�`�S � '�����1�'�- �'�'
, \_-- � "}
�
���,�= } .h �\ '` ���--t� n��1 l���� • Gc�-
� � �x��t��u / � ' �' -- � �r u
�, s`ti�'4°�'Y')c ✓ �. �_ -�o�'�r��`P ts
. � ��.��% . S-P TESTIN � .c,.;; .
�-- � Oev r�d B � ��`Y��.�-
�.....r�Y`��.�- � �. \/ Cl r'-•
``�'�'� ' � po'e:!�/,;�/�`:� Pt-I 763-497-3566
. c���
4�, ��' �',� s s �
�1� �OtX y !� t��c.k- a�p _ � 1 �
�
� aQ' a, e`'� � .
a`� , �`� �`��°�°S.�A� y�i
� ��� _
�,ry`4,a�� � ,o
PLA9J V���1 �}�
� SE"�- BACKS �_ 13 1 /o_` T a o' �
� HOUSE � System rrwst be: �
� Tonk� ao' frorn pEoperty f�es � X- ��1��,.a �ci�s�L. w�b-�-� .
� :�tr.o.m w�lls �
ao frorn.bkSgs.
Sg
� ' : 'f�4c� ore� =�fcrn�bkes,�st�ee�ass .
� :: Tre�trr�nt o�ea n'd��from pcoperly 5r►es � ��°P�r s�pply axi sv�Ches m�st be t000ted iri a
t��►�:�:Nt���°t� � o�°from we���'�'�'"�+ vaea� pco�€er�cka�e a.�e ihe p�zr�ping�e�crid n�ac�te
� ��i�.S 6F±GLr'➢f�i�r.'�a� �
�_� frora btdgs.
� , . � � � LL:�frorn trees �� � SOt� 60RIt�'(i� :EI.EI�l��IOC�S
g�',; � ' ! .
� �i.,su3 � • S �, rf�0' ry � QfOdC�'�o TM'�2 �{ ,� - .
�...
__ " . _ •
�,�.�: � �aaik TonfG +. n.�.. TH. 3EL-.�.� .
1�ca� "
� oroo to Tonk °��•�� �1 {_Q�,��,t Ft� _MOUIND SYSTEZJI �'H,".�EL- p1� �
F,F��n.1"90 e� �p�,r�g ' Tt'I.a�J EL—f a`}.�
� iJl�x.l"fo4� � ��4 �ia���s � S�t�A�i:�c�J E�wa�ber ! Q� 0.E1fA110.Y ot P�� PI.�MPWG
� .. � a �a 1' (�-tAlatBER- 9�.S U�-;, �=ti�,.�:;� 9 z,p
�4 l0 6 dta.p ��,.��-� ��_``` �� �w�+� `��.;�oe `t�,,.)
E � � � � - � , y`."�,l�a'S�>l.. a
� .�E� �i� �� _--- yl t� �t.*a �� _ _ __ Y� g°].O�'�v4 5'l.r/-
� 'iYPE-���.�,q � �oc� p�rfi� rc�EEe 1�.� �e,<'n�►��.�'esc�.ff�aea p�g�9,oE d�p seua�.�r� -- ,�J e-:.
: °s�- lec�o�bed aeeo�side sic�pe ru��f�I �he�¢t= `�� f�x '���ft`bw�a��eeded�R�,
�,9��Y x.�3s4R��sq.R of�ofpr�ea�orem �14%�=.�1_ fi. (�pftv�=.�.ft. . u
[ CS�on ro�c nee3e�- .�1�sg.f��€a�x 1,� ' d�y�c�k--.`_-!.�cxs.ft:-27=..L��c�c��31�`�21�`�..y�ades 2"vf�k o5ave p'�e� ��s�� ���.� �o�c4�. 1.� `r--:,�=
.�5�4.�.��r C��n tf� be6�i,r roC'r, neec�d�Ctty�s. �xox- a s�f b�t� b�k��E�.�S,:�.', toPr�d 6„��s.Yck a��.�^^L�.�9.�s�:.`.�4:ho -Co -{o�sot n � � `�a �G X�s
ws�stt�-o �
� Qoc� t�e� � V � . _ ► � �.f'L�=:�s f.�N.�t-)
Numher of tor�ks rec�red a , !st b�lc�.—goL;2rdionkL—g�m�mxrns f-�,ts 4�mBti�� L1�xtm$�.�g-
� R� � cop�ty-25%�of �dy s�woge fbw of.���goi.=�g�+c�re s�coge of �15 Oya�/B�gd.+p'�pe�dc d+an�e—
of•.�`�9�d./i006n:ftof� ��da.s�pp�y�pipe, finftneeded �� , �g�.�manfi�d '� gd1100Gr��tof��dq.p'�pe,�ftneeded '��,��" �- �OPERTY 0s=: ��.�:'�`�I "��'�t��'�`�'
'�l�b S' '��R�s�o�..:- ���
� ��h►�� �-"�' 4��P�area fa P�P) �s�rnm. t��J� �al.cap.
L����l� M D� r �,i�i'��-1 y.� . (_`.�� .
Distn'b�tion pipe��da., ��.��ft, l�--�da perforot�ons 3� �opoct
� Pump s¢e ���hp. (PumPoble copocity 1�L_got.4 cydes/day) _v s�v �.`�! H��o P�E�s �o���dz��-� 3 a a q e.�w,•r► S—P 7"ESTWG, /,NC.
� Nole: When caulructing bed - , this orea shou�l be sh�ped Note= Dis.tonce trom freotm�t oreo b wens- �'�..-�-f1 '°' -� —
"e'g}'bo""9 I Designed 9y: �
� - 10 d�verl run-of t irom eMering' i�eotment oreo. � ,'�-�-�'���'- 'Cl 1 Y��•= �oG'
a � Dote�j.�/�CY� , S�H. 6t2=497-3566
�
_ ,.- .
�� � '
; 2/�5/07_ � Water/Wastewater-ISTS4.31
/`�� �0,1�1�.111 I�fIIG�.�I���71��1Uii �' 1"I11 ���" �)C���II7C�
���+ Tn�isvici�sal �ewage T�r��� (s1'1� ��►'S��@T1� �linne�ota Poplutimrn
�b"r � � Cae��rol Agen�cy
Completlon of this fomi fulfi!!s fhe rrilni/nalireyuirements of�L1inn..Staf: § 1 5.55(2001)and Minnesota R. ch. 70�40(1999�_ Please refer
to local ordinances for other re .ufcements.orinformation es eclall for.co liance rec uirements.for bedroom addl'tfons_
� �
General~
�ate of]fr�spec�ion: 1 t-1D-qrj !Reason for inspection: �1 � �►1�
Property Owner(s) AI..U�I?..� (�-�"c�'�S'� � T�9ephone (�Sz) �?S-'3�Sp�
Person requestin� 6n�p"ec:tlo�u . ' S �rvi Te9ephone ( )
5it�Addre�s 4I 4S S 'QA`��t��a;� '�� City G�o�.s�c7 �i� Cod�
Fire tVo./ �arcel 1Vo. � • ���Q� ,,
h,►. � O "d'orrvras9�ip
IL�gal De�criptior� � �
Local Regulatory/-�utFaority G-t�C'� L�'� fJ'S�t� � .
Date system cortst�uc�eil � 4^��?'� �(ca �'}(� ;;ystem in� oreland 1�I'ea: �ies o System ita Well.heacl
Frotectian Area: yes �5yst�en �erving , Y�1�)Fi licensecl f cility: yes � Locat Pea-rtait# ('sf any) .
Systems built prior.to Aprii i, 1996 �nd no�loc�3ted fn Sy.stems'located in Shoreland;or Welihead.Protection
Shoreland or Welihead Protectfon�l�rea or Setving a�Food, Areas o�•SeNing.a Food;Beverage.or�Lodging
Beverage or Lodging Establishment Estab�ishment, or systems Quilt aYt�r
= March 31, 1996
Is the sy�stem an imminent threat t�o puF�lic health or T t e s �ste an im inen the�ea to �ublic health
safe ? (a yes ansive�is an ITPHSsyst`emJ� . �o safe 3' (a yes answer is an ITPH.S systemJ � �
- Dfscharje of sewage to the ground surface? YES NO - fscharge ofsewage to the ground surtace? YES CNO�
- Discharge of sewage to dralntife or surface water�? YE5 NO - fscharge of sewage to dralnttle or surface waters?YES �(NQ�
-Sewage backup fnto elwellfng? � YES NO - ewage..backup Into dwelling7 �YES (NQ�
-Situatfon wfth the potientfal tio fmmedlately and - Itua.tton wlth the potentfal to immediately and
adversely fmpact or threaten public health or ' adversely lmpact or threate� public health or
safety? . YE5 NO safety7 . YES NO
Is�he sustem failinq? (a yesanswer,is.a failingsyst�m) T f:he s t�rm-failin ? (a yesanswerisa fai/ingsystem)
-Less than T11�fo feet of vertical.separati,on betw�en� , - ess than TFi�EE feet of vectical separatinn�betweEn
systtm I�ottom and�afurated soil or�tiedrocic? YES NO syster'rt bottom arid saturated soll or bedrodc? ES NO
-A seepage plt, cesspool,dtywell,orleaching pIt? YES 'NO - seepage pit,cesspool,drywell,or leaching pit7 ?� YES NO
Is th�sv�tem no.n-comnli�nt�' �. � � T he �s e � �or- o lian
- ls the system regulated under a moiiitoring ptan or • - Is� the� system�regulated under a .monitorin.g plan
operating permit? (if no,.go to page 2) YE�3 No � o erating permit? (if no,go fo page�2) � YES 1�
l�yes, . . � ' If yes,. -
- Has the required moniloring taken pPace? YE:> NO - as the required monitoring taken plare? � YES NO
(If no, the sysfem Is non-complying) ' f no, ihe syst�nt Is non=cciinplying) •
' . .' ', - -
- Does.the monitoring indicate,.that the sysferri meets -� = oes�the monitoring indicate�thaf the system meets
perfiormance expectations7: `� �° - • ��`'YES N.O �' ' � peYfoCmat�cr�ei�pectatiori.s? YES NO
.... ..,. . .. .
.:...-. ��-' PY 9) .. .,. .
(If�no, :the sysfem is non-com 1 in • � � � � (If no, �fhe sy'stem'is non-complying)
�
_,,, ' .: ' . � .
' Page 1 of�2. . • wy-wwists4.31 .
� .
. Pro�perty owner(s)— '�Z�Z.-V.,�'�'>f��G �ire PVo./ Pat-cel BY�.
_.._............._....__._ -_.-•--_
'�.�._`�..�._._.....��?��.s�,�s�.=,, �
__._._..__.._..__.z�_. ._.._.___.._.._.._.__:..._______;_._..__............_._._.
svseem Components(P/ease describe the system components' nd attach sTte sketch shosving system/ocation):
� � � �, �,�'s� �� . :� �, c ��-., �
, . ..
l! ��'� , �," r� T` � 6 �!'�-�
, � �;:� �.4J . �_
Wh ' e w • e i i r �pllan .P . .
The fo/%w/ny/!st/s not exhaustiv�, o�In sequentla/o�er nor indicates iv !ch c b nat o m�ay ne�c.e�t,�ry to makera determin,a o�
Watertlght tank(s) Hydraulic Funcli��nin
� i/ertical S�paration Distance
❑ Probed tank bottom. ❑ Searched for surface outl t
❑ Observed low Il uid level � ' Conducted soil borings
q ❑ Performed hydraullc test Deptli to Ifmiting layer. �l.��o a�5 r
❑ Examined const. records �! Searched for seeping in y rd 9�,
❑ Examined empty(pum Depth to system bottom �'+`;���
ped)tank Cl Checked for bael<-up.In h me ❑ Examined r�cords "���u
❑ Probed outside tank for"black soil" � Excesslve ponding(n soll stem/D-6oxes ❑ CGU Limitin� Layer Verification
❑ Pressure/vacuum check O Homeowner testimon� ��' '
y , o r���; �'y�}��N,•� Other
❑ Other ❑ Examined for surging In nk
� � "Blacksoil".above soll sy m �{�c.� ��,�P
O. Other '��4s�c.�.5. �
Status of the svs�em
�ased on the coenp[iance criter�a,the system�tatu�is: (che k one) � failing (to protect�groundwater) ❑ an
imminent threat to public health or safety(ITPHS),�� nori=complia t(moriitoririg issue) C] compiiant(none oP the 3
previous conditions). 'i'herefore,.this�docurnent is a: ❑.Certifi e of�Compliance ■ Notice of Noncompliance
Is this system an EPA Class V Inj�ction Well? ❑ eS ❑ o
CertifiCatiot�. . °
I.hereby certify as a state of Mlnnesota Ilcensed Inspector and/or Deslgner or Qualified Employee Inspector ancf/or Quaiified Employee
Deslgner I that I conducted an invest(gatlon thaf accurately determfne�l the complfance status of this system a��d that my recorded
observations are accurate as of thls date. •No determfnatlon of futur-e hyd ulic pertormance has been nor can be made due to
unknown condittons during system constructlon,abuse oP the system,inad quate maintenance,or future watet�usage.
Inspector's name (pr(nt) � '
License and/or Reglstradon Numbet ��'}� • Phone_ 7(�"� r- ��� r. �y ���
Address �y4��-ti'"p q,•� � ,��
Employed by - l� � Address 1 �,
Signature �,. �� ,__�^�
llpqrade Requirements �(,denvedfromM/nnesotastatutes�115.55) Date_t l-a�}�p�
An ITPHS must be upgradc-�d,�p/ac�d o�ILs use d�scont/nuc�d�y/th/n tem m �ths of�e-�elpt of th/s notice or within a shorte�.pe�iod if
required by/oca/ordinance, Ifthe system fal/s tn pro�ide su�c%ntground a�er prot�ct/on, then the
rep/aced, or/Lr use discon6'nucid sv/tfi/n b5e time requlred by ru/e or.the/oca orrl/nance. If an e�lst/n rystem�,nust be upgraded,
/aw,.and has at/east lcvo f�t of deslgn sof/sepa�ation,then the system n not he upg�aded repa��reP/a��or�9 es defined in
discont/nued,notw/thstand/ng any/oca/oro'inance that/s more strict. This es notapp/y to systems/n shore/and a�eas, we//head
protection areas, or h5ose use�d/n cnnnecCion with foqo,beverage,and/odg g establ/shmenls as defined In/aw.
Su�qested.Attachment�
1) "Site sketch could also fnc(ude:well,well setback to�ystem,dwelling or ,ther.buildings,..tank(s),reserved soil treatment area,
surfiace�waEer and soll'boring locatlons. Incfude as-built drawing ff avall 61e. '
2) So(I bor(ng logs,stiowing each horizbn.`Iridfcete the texture,color,redo Imor��tilc features depth to bedrock,standing water and
whetlier.the material Is flll.
3) A Ilsr oP any and all requfrements of the.local ordlnance tt�at.are cliffer.en fr.om tfle state requirements referred to on this form.
4} A homeowner survey of system performance,signed by the homeowner s being factual.
5) Monitoring data as approprfate.
' Page 2 of 2 .
• ' �7-P TESTIN�� INC. St ven B. Schirmers • MPCA Cert.No. 627
951 Katydid Lane NE • t. Michael, MN 55376 • (763) 497-3566
FAX • (763) 497-5011
State License #394
Allan Rezabek
4185 Bayside Rd.
Orono, Henn. Co., MN
Borings completed on 11-20-07, with a hand bu et auger.
BORING NUMBER 1- EIev.106.8 - MOTTLED S IL AT 20" - no standing water present
in boring.
0 - 6" Topsoil dark gray brown loam 10 R 3/2
6" - 10" Gray brown loam 10YR 5/2
10" - 20" Brown clay loam 10YR 5/3
20" - 30" Rusty brown clay loam 10YR 5/3 mottles 10YR 7/1,6/8
30" - 36" Rusty gray brown clay loam 10Y 6/2 -mottles 10YR 7/1,6/8
BORING NUMBER 2- EIev.106.7 - MOTTLED S IL AT 16" - no standing water present
in the boring.
0 - 6" Topsoil dark gray brown loam 10 R 3/2
6" - 10" Gray brown loam 10YR 5/2
10" - 16" Brown clay loam 10YR 5/3
16" - 28" Rusty brown clay loam 10YR 5/3- mottles 10YR 7/1,6/8
28" - 34" Rusty pale brown loam 10YR 6/3 mottles 10YR 7/1,6/8
BORING NUMBER 3- EIev.105.4 - MOTTLED S IL AT 16" - no standing water present
in the boring.
0 - 10" Topsoil dark gray brown loam 10 R 3/2
10" - 14" Gray brown loam 10YR 5/2
14" - 16" Brown clay loam 10YR 4/3
16" - 24" Rusty brown clay loam 10YR 5/3 - mottles 10YR 6/8 -
24" - 30" Rusty pale brown clay loam 10YR 6/3 -mottles 10YR 7/1,6/8
Soil borings cont'd.
BORING NUMBER 4- EIev.105.8 - MOTTLED SO L AT 18" - no standing water present
in the boring.
0 - 6" Topsoil dark gray brown loam 10Y 3/2
6" - 12" Gray brown loam 10YR 5/2
12" - 18" Brown clay loam 10YR 4/3
18" - 26" Rusty brown clay loam 10YR 5/3 - ottles 10YR 7/1,6/8
26" - 34" Rusty pale brown clay loam 10YR /3 - mottles 10YR 7/1,6/8
34" - 38" Rusty pale brown loam 10YR 6/3 - mottles 10YR 7/1,6/8
BORING NUMBER 5- EIev.107.2 - MOTTLED SO L AT 20" - no standing water present
in the boring.
0 - 6" Topsoil dark gray brown loam 10Y 3/2
6" - 14" Gray brown loam 10YR 5/2
14" - 20" Brown clay loam 10YR 4/3
20" - 26" Rusty brown clay loam 10YR 5/3 - ottles 10YR 6/8
26" - 30" Rusty brown clay loam 10YR 5/3 - ottles 10YR 7/1,6/8
30" - 36" Rusty pale brown loam 10YR 6/3 - ottles 10YR 7/1,6/8
BORING NUMBER 6- EIev.107.2 - MOTTLED SOI AT 20" - no standing water present
in the boring.
0 - 6" Topsoil dark gray brown loam 10Y 3/2
6" - 10" Gray brown loam 10YR 5/2
10" - 20" Brown clay loam 10YR 5/3
20" - 26" Rusty brown clay loam 10YR 5/3 - ottles 10YR 6/8
26" - 30" Rusty pale brown clay loam 10YR /3 -mottles 10YR 7/1,6/8
30" - 36" Rusty pale brown loam 10YR 6/3 - ottles 10YR 7/1,6/8
2
i
soil borings cont'd.
BORING NUMBER 1A- MOTTLED SOIL AT 26" - no standing water present in boring.
0 - 6" Topsoil dark gray brown loam 10Y 3/2
6" - 10" Gray brown loam 10YR 5/2
10" - 26" Yellowish brown clay loam 10YR /4
26" - 36" Rusty yellowish brown clay loam 10YR 5/6 - mottles 10YR 7/1,6/8
36" - 50" Rusty pale brown loam 10YR 6/3 mottles 10YR 7/1,6/8
BORING NUMBER 2A- MOTTLED SOIL AT 28" - no standing water present in the
boring.
0 - 8" Topsoil dark brown loam 10YR 3/
8" - 28" Brown clay loam 10YR 4/3
28" - 34" Rusty brown clay loam 10YR 5/3 mottles 10YR 6/8
34" - 40" Rusty pale brown clay loam 10YR 6/3 - mottles 10YR 7/1,6l8
3
�
C�RTIFICATION N0.627
STATE LICENSE N0.394
PERCOLATION TEST DATA SHEET
Percolation test readings made by S-P Testing, Inc on 11_21_07 tarting at 12:30pm•
Test hole location Rezabe 4185 Bayside Dr, Orono
Test hole number�. Date test hole was prepared 11-20-07.
Depth of hole bottom�inches. Diameter of hole� inches.
SOIL DATA FROM TEST HOLE
DEPTH,INCHES S IL TEXTURE
0 - 6" Topsoil dark �ray brown loam
6" - 12" Gray brown loam ___
Method of scratching sidewall is knife. Depth of gravel in botto of hole is 2 ' ►e . Date and hour of initial
water filling �.1-20-07, 1:OOpm. Depth of initial water filling is i ch above the hole bottom.
Method used to maintain at least 12 inches of water depth in hole or at least 4 hours is automatic si�hon.
Maximum water depth above hole bottom during test is�inches.
-- ---__.__ _---
i Measurement, Dr p in water level, Percolation rate, �
Time Time interval,min inches inches minutes er inch Remarks
12:20 prefill 6
12:30 1:00 6 2-3/4 10.9 30 m i n
1:07 1:37 6 2-3/4 � 10.9 30 m i n
�
1:38 2:08 6 2-3/4 ; 10.9 30 min
Percolation rate = 10.9 minutes per inch.
i
___ _ __
CERTIFICATION N0.627
STATE LICENSE N0.394
PERCOLATION TE�T DATA SHEET
Percolation test readings made by S-P Testing� Inc on 1-1 21_07 s arting at 12:31pm•
Test hole location Re7 1� 1 R5 ayside Rd ,Orono
Test hole number�. Date test hole was prepared 11-20-07.
Depth of hole bottom l?inches. Diameter of hole�inches.
SOIL DATA FROM TEST HOLE
DEPTH,INCHES S IL TEXTURE
0 - 6" Topsoil_dark gray brown loam
6" - 10" Gra�r brown loam
_ 10" -_12" Brown cl�loam
Method of scratching sidewall is kni e. Depth of gravel in botto of hole is 2 inches. Date and hour of initial
water filling 11-20-07, 1:OO�m. Depth of initial water filling is i above the hole bottom.
Method used to maintain at least 12 inches of water depth in hole for at least 4 hours is automatic sinhon.
Maximum water depth above hole bottom during test is�inches.
� Measurement, TD p in water level, Percolation rate,
Time Time interval,min inches inches minutes per inch _ Remarks
1220 _ _— _ r�efill _ 6
12:31 1:01 6 2-3/4 10.9 30 m i n
1:06 1:36 6 2-3/4 10.9 30 m i n
1:39 2:09 6 2-3/4 10.9 30 min
Percolation rate= 10.9 minutes per inch.
CERTIF�CATION N0.627 i�
STATE LICENSE N0.394
PERCOLATION TES DATA SHEET
Percolation test readings made by S-P Testing, Inc. on -11 21_07 tarting at 12:32pm•
Test hole location Rezabek�4185 Bayside Rd , Orono
Test hole number�. Date test hole was prepared 11-20-07.
Depth of hole bottom�2 inches. Diameter of hole C inches.
Sns. DATA FROM TEST HOLE
DEPTH,INCHES S IL TEXTURE
0 - 10" Topsoii dark ray brown loam
10" - 12" Gray brown loam
Method of scratching sidewall is 1����. Depth of gravel in botto of hole is 2 inches. Date and hour of initial
water filling 11-21-07, 1:OO�m. Depth of initial water filling is 1 inch above the hole bottom.
Method used to maintain at least 12 inches of water depth in hole for at least 4 hours is automatic siphon.
Maximum water depth above hole bottom during test is� inches.
-----_ _——---
� Measurement, Dr p in water level, Percolation rate,
Time Time interval,min inches inches minutes per inch Remarks
12:20 refill 6
12:32 1:02 6 2-1/2 12 30 min
1:05 1:35 6 2-1/2 12 30 min
1:40 2:10 6 2-1/2 12 30 min
Percolation rate=1�Qminutes per inch.
CERTIFICATION N0.627
STATE LICENSE N0.394
PERCOLATION TES DATA SHEET
Percolation test readings made by S-P Testing, Inc. on 11-21_07 tarting at 12:33pm•
Test hole location Rezabe 4185 Bayside Dr, Orono
Test hole number�. Date test hole was prepared 11-20-07.
Depth of hole bottom �inches. Diameter of hole �inches.
SOIL DATA FROM TEST HOLE
DEPTH,INCHES S IL TEXTURE
0 - 6" _ _ Topsoil dark_g�_brown loam
6" - 12" _ _ Gray brown toam_
Method of scratching sidewall is knife. Depth of gravel in botto of hole is 2 inches. Date and hour of initial
water filling 11-20-07, 1:OQ�m. Depth of initial water filling is inch above the hole bottom.
Method used to maintain at least 12 inches of water depth in hole or at least 4 hours is automatic si�hon.
Maximum water depth above hole bottom during test is�t inehes.
�- Measurement, Dr p in water level, Percolation rate,
Time Time interval,min inches inches minutes per inch Remarks
12:20 prefil I 6
12:33 1:03 6 3-1/2 8.6 30 min
1:04 1:34 6 3-1/2 8.6 30 min
__ 1:41_ _ _ 2:11 6 3-1/2 8.6 30 min
Percolation rate = .�6 minutes per inch.
�VIOUND DESIGN WORI< SHEET(For Flows u t 1200 d)
A. Average Design FLOW � -1: Estimated Sewage Flows in Gallons per Day
3'��`�'+�-��'�^'\ � num er of
Eshmatea ��� gpd (see figure A-1) � bedrooms Class I Class 11 Class III Class IV
or measured --�' x 1.5 (safety factor) _ � gpd 2 300 225 �eo eo%
3 450 300 218 ofthe
4 600 375 256 values
B. SEPTIC TANK Capacity 5 750 450 294 in the
6 900 525 332 Class I,
`a�--1�Q� gallons (see figure G1) ' � �05o boo s�o ii, o�ui
8 1200 675 408 columns.
/ocsc9 ��) �i��h� �-1�►�,n'l��'�:.. i -
�. SOILS (refCY t0 Stte CYJAIUQt10tt� , C-]: Se tic Tank Ca acilies(iu allons
�N�' 1�z..�-►S Liquid capacity
Number of Minimum Liquid Liquid capacity with with disposal&
1. Depth to restricting layer = I-3 �1,� feet Bedrooms Capacity garbage disposal �if1 inside
2. Depth of percolation tests = /. U feet zo�ie55 �so >>zs �soo
3. Texture �-�-�`� �..c�►��►'1 3o�a i000 isoo Zo�
S or 6 1500 2250 3000
Percolation rate I�• �` mpi �,s o�9 z000 3000
4. Soil loading rate • �t a gpd/�qft (see figure -33)
5. Percent land slope `� %
D. ROCK LAYER DIMENSIONS
1. NYultiply average design flow (A) by 0.83 to obtain equired rock layer area.
�-is� gpd x 0.83 sqft/gpd = �?� sqft-► ��=�t�Q`a!
2. Determine rock layer width = 0.�3 sqft/gpd x linea Loading Rate (]LLR �
0.83 sqft/gpd x 1�_. gpd/sqft = c� ft �ound LLR
3. Length of rock layer = area =width = __ _
'--!t� sqft (Dl) = � ft (D2) = �� ft < 120 M Pi < � 2
E. I�OCK VOLUME > 120 M PI < 6
1. Multiply rock area (D1) by rock depth of 1 ft to get cubic feet of rock
'-� ! t� sqft x 1 ft = '-�!o cuft
2. Divide cuft by 27 cuft/cuyd to get cuUic yards
�, � cuft = 27 cuyd/cuft = ! ,; cuyd
3. Multiply cubic yards by 1.4 to get weight of rock i tons
I� cuyd x 1.4 ton/cuyd = a � tons
D-33: Absorption Width Sizing Table
�. 5Eti0lAGE ABgOIZPTION WIDTH PercolationRate LoadingRete
in Minutes per Soil Tezture Gallons Absorption
Inch per day per Ra�io
MPI s uarc foot
Faster than�5 Coarse Sand 120 I.00
� Medium Sand
Absorption width equals absorption ratio (See Figure D 33) 'Fi c Sannd
times rock layer width (D2) ,b�o3o Loam o.�o �.o�
i 31 to 45 Silt L.oam 0.50 2.40
�,�(s�� X �'0 ft — �f�i.� f t � a6�o bo Sandy Clay Lo o.as z.6�
Silty Clay Loam
61 io 120 Silty Clay 0.24 5.00
� Sandy Clay
Cla
� Slowcr than 120•
I °Sysiem dui@ned far these soils Irws�be ott�er or performence
I
G. MOUND SLOPE WIDTH & LENGTH Landslope > 1% slope
. (landslope greater than 1%)
over 1
1. Downslope absorption width = absorption width (F) D �'D �P q� n :D
o� ba�ggogo
minus rock layer width (D2) ,C1ed�Sand�f 6"Topsoil
n /� r �--,e. � ��i�. :�
���' / ��- �� �t = � / 1 t ' eparetion_L�_ft -
- Restricting Layer ���`
Upslop dth(G2d) Rock W dth(D]) �w�slo Wideh(C2i)
2. Calculate mound size f�-f' __�, a� H
UPSLOPE
a. Depth of clean sand fill at upslope edge of
rock layer = 3 ft minus the distance to restricting laye� (C ) p`bsorptionwidrth-$and(�
3 ft- ,►T � ft = J• � ft ���
b. Mound height at the upslope edge of rock D-34: S OPE MULTIPLIER TABLE
layer = depth of clean sand for separation (G2a) ��,a UPSLOPE DOWNSLOPE
at upslope edge plus depth of rock layer (1 ft) �'°�e multipoiPe rao;osarious °'°'t5lope ratios arious
plus depth of cover (1 ft) s:� 4:� s:� 6:� �:1 s:� 3:� 4:1 s:� 6:1 �:1
Ir� ft + lft + lft = 3• / ft 0 3.0 4.0 5.0 6.0 7.0 8.0 3.0 4.0 5.0 6.0 7.0
c. Upslope berm multiplier based on land slope 1 2•9 3.85 4.76 5.66 6.54 7.91 3.09 4.77 5.26 6.38 7.53
3'�J �SL'e figure D-34) 2 Z•8 3.70 4.54 5.36 6.14 6.90 3.19 4.35 5.56 6.82 8.14
d. Upslope width = berm multiplier (G2c) times 3 2'� 3.57 4.35 5.08 5.79 6.45 3.30 4.59 5.88 7.32 6.86
upslope mound height (G2b): 4 2.6 3.45 4.17 4.89 5.46 6.06 3.41 A.� 6.25 7.89 9.72
-----__ ___. _._._.________
3�� X�y/ ft = ��J tt 5 2•6 3.33 A.00 4.62 5.19 5.71 3.53 5.00 6.67 8.57 10.77
� 1
DOWNSLOPE 6 2.5 3.23 3.85 9.91 9.93 5.41 3.66 5.26 7.14 9.38 12.07
7 2.4 3.12 3.70 9.23 9.70 5.13 3.80 5.56 7.69 10.34 13.73
e. Drop in elevation = rock layer width (D2) times g Z.g 3.03 3.57 9.05 4.49 4.88 3.95 5.88 8.33 17.54 15.91
percent landslope (C5) = 100 9 2.3 2.94 3.45 3.90 4.30 9.65 4.71 6.25 9.09 ]3.04 ]8.92
1(� lt X�% = 1�� _ _�it 70 2.31 2.86 3.33 3.75 4.12 4.44 4.29 6.67 ]0.00 75.00 23.33
f. Downslope mound height= depth of clean 11 2.26 2.78 3.23 3.61 3.95 4.26 9.48 7.19 ]l.11 ]7.65 30.4�
sand for slope difference (G2e) at downslope �Z Z•21 Z•70 3.12 3.49 3.80 4.08 9.69 7.69 �12.SD 21.43 43.75
rock edge plus the mound height at the
upslope edge of rock layer (G2b) �
3•7 ft + .�_ ft = '�,1 ft
g. Downslope berm multiplier based on percent land slop
�-I�7(� (see figure D-34) � L��-
i � _ _..
h. Downslope width = downslope multiplier ` Upslope dth(G2d)
(G2g) times downslope mound height (G2� �3I '��'' ft
� X �. 1 it = �� it � Upslo e idth(G2d) Rock Bed / Upslope Width(G2d)
r�. ��r�f width(D2) 1 !�_ft
i. Select the greater of G1 and G2h as the ,3�- I-ength(D3)��
downslope width: ac� ft o Downslope Width(G2i) �a f�
j. Total mound width is the sum of upslope Absorption W;dw«>_►2
width (G2d) width plus rock layer width _ a \-'
_ _ .1
(D2) plus downslope width (G2i) To�a��engw«Zk>�___f�
�_ ft + 1� ft + �� ft = y3 ft
k. Total mound length is the sum of upslope width (G2d)
plus rock layer length (D3) plus upslope width (G2d)
13 ft + '�� ft + !'� ft = Co� feet
�,� ..} �� � .1_ � ,� ��
inal �imensions:
� x ��'��� �
1 hereby certify that I have C.ompleted this work in accordance with ap licable ordinances, rules and laws.
�� C�;�m.� � L�
�/ ` � '_�-'--�... (signature) �`"� (license#) �� -�,�-'(�'7
(date)
]PR�SSURE �ISTRT�UZ'ION 5y5T�IVI �
�
GeofexHle fabric
l. Select number of ..:..•.,,, y..e�:�•.. .a. , '
Perforated 1 als 3 ���.�:;�. � dy?.J.+?':d�st'. ' p" e;�
ater .::4:-. , t;*� .SU3.o:..,;tU;�tn��` ,c,'�.n;ur.',`,'T�n.n:.,t,v7a�.�;-,;.,s•
_ • -.. .. M-o.T.o•,.:�;,�r.:�.c�.s;��;l.-o`- ._r�pl;,l:r
arterinch erfocaHonss aced� ° ""���" �%•'ra�
2. Select `�:-: . . s� �;,�.�,�t�;i.�'
�'':'���'r,:!i���r4F,.'- . r;�: :c�.°� �, f2�:�ta,.;,,
. <� r�,il �,.� �c:.�;.:"
erforations ��p:'%ia Z �P:'�,�0' w,��^C'
- � pC1�.'�g= �e� f'ee�. �. C:�U`':��F.�,�:.�S:,:r.5-�c )�J,'�d�.. �.. n .`r�.�O..�r..5�:,,:f:f,.'�o'o}:r.i!1��..
. -----__. -,:,;...�i;mh,:.�_c�.h:,rrGxl�'_:�,�y.,�p;�- :;:�},.t3�`� r;�.�ri-::.,�,� "o�r,
i!LU�:��1'� Q" ii:.•'� Jio+o�c.r.:��� '< 4��.,rr,�n,nl)C;bl��,t.."�:�
. ir .�. -n :. i,_: . . G„J:t:�.
.o.;;:r.�:,.:o..1?r,:��r'�'c:r�y;9s':6.v 1°:'�°1�c�� ;: , : ;.,�.,,�.�
n , .s�3(r,�.r,:;,�:,�,,,. ;r,ee;�:o
3. Since perforations should not be placed clo�er tlian 1 . to� Perf sPa�i�g l.s,-5• G I,1 '� .
Perf Sizing 7/32"-1/4"
the edge of the rock layer (see diagrarri), subtract 2 ff, from
the rock layer length. �,__ �
Perfo�atlon dtscharges(n gpm
°� a = �g -2 ft• _—�"�_feet, perforatlon dlameter
� � head� inches
�. Determine the number of spaces between perfoz�ation . (feet) 1/8" 3/16 7/32 1/4
Divide the length above by��rforation spaculg and r tu-icl �'�° 0.18 b.42 0.56 0.7n
down to nearest whole numb�r. 2.0b
� 0.26 0.59 O.f�O 1.04
Lengtli perf. s acin a � 5•0 �•�� 0.94 1.26 1.b5
P g= 3�i ft. � "`'� ft. == 1 "'.:� s �ace � a
• . (3� ��` � UsA 1.0 foot for sln�le-famlly homes,
� � b Use 2,0 feet for anylhing else.
5. NLunber of perforations is equaT to one plus.the numb i of ' POtentlol}or �� ,�
P 99 8
perforation spaces _
_ .�
�{. '
=spaces + 1 = ) � pe�gmiations/1��ex•a1 Maxunum number of quazter inch perforations pei
. lateral to guarnantee<10%discharge variahon
�- Muliiply perforations per Iateral by ntun.ber of lateral t0 � PS facingn /
get total number of.perforations. . �feet) 14 . 1� �
�-5 1`� 28
atera X -1-�—�__ H�z..- erfopations: . � 3.0� �
per s aler � n�
�—�__.,._____,_..._ ._................
.C.
Calculate the square footage pei perforatic�n (6-10 sqft/ erl.) [�,0 �� �-6 �5
system area: 1 p . x �.y-� _ ��► � . . 11 15 23
u�� 5.0 10 14 22
area er o o„� –���_s�yftlperf � . .
7- Determule required flow rate b '"""'�°`° �°�^�° ^r �� Of` PAE551ME OIST}j�BUiION nnE�,
� number of perforations by.flo peruperforation �
. � r,'�n
a � �GF�
, �� �
� X SP� per —'=-a--��nl • '�
. . j.,.,rr.'
/
8. Tf laterals are connected to header pipe as slzow�1 ori iip eT �� „�n�'"'���� ����PJwJ�
example, to seZect ininimum required lateral diameter; e ter ��
table wit�z perforation spacing and niunber of perforatio s
per lateral. Select mini�z�nurn diameter for � �-���F����DMiEO�IpE UTEflA�S,��
PnE9lWiE O19Tf�leu�lON YI A
perforated laferal – � �2 inch�es, r.(""/P9R"'1°���<<Mr 'ou•,o
``—rartro�una�e a.i+ao�.• ^M��
. 9. If Perforated lateral systeni is at�ached to n.ianifold pipe ear. E� �M1�S�Y��(�ro~
the center, lower dia am ��sMr�`.a roy« r.�,.��,o
�' ,perforated later�l length anci '�rt ,,,,
number of perforations per laferal will be��pro�atel� one .
half of that '-��'r,:�•;z���°�.�
in step 8. Using these values,s�lect mini�triu ",�� �.\
.. �"�`"�, ,s���,��
. �eo^N�p.�NEn�
diameter for perfoY�ated lateral�����h��. , w.�„
� . .. .
� . • P�.JI�� �����'I'I�I� �R. ��I��7�i�
1l< ����1"'1fl1flY�� �3Lld%i� �����gt�1;
, �. GIl"�IlVIl��7 �1S�%'��1.RtIl�flll �
1. Minirr�um required discharge is 10 gpm
2. 1Vlaximum suggested disdlarge is 45 gprn. For other
establishments at least 10%greatei- than the water su ply ra�te,
Ut1t no faster ihan the rate at which efflu�ent will (low ut of th�e
disri-ibution device. ;_ ;
lE�. ��'tf'��P��'� �&S1�II"flR7gfl�fl�Al
See �ressure clistributiof� work sheet
����ru l� ��- �3 �e����e� ��ng���y c����i�,ye � ) ��Il-�
f�e ����ICHfl�g]C�c�_�7�.IlfiT�� ����� �'���.A�IC°�B�'Y�BAut�o
A�. Elevation difference between ptunp and poult of dis�har e? soil treatment system
I �, feet �point of discharge
poVa'Dp°[°Qo`. M p��1
1�. Special head requirement? (See Figi�re�at right- Special Hen Reqiiirements) total�,ipe
.5� feet length
- �s � 2A.elevation
inlet ;=`- difference
�. Calculate 1_Friction loss ; pipe •'�'�,
' �; ------- -- -�
1. Select pzpe diameter a, u� '- "
.......... ....._-
.::...:....::....:, '��
�
�---------------------------- ------ ' �-
'Z. Enter Figure E-9 with �m (1A or �) anci pipe diamete (Cr). ,
Read frietion loss u� fe�t per 100 feet frorrt Fi�ttre �-9 Sp�c;ial He�d Requir�rrients
Friction Loss =_�. (A ft/100ft of pipe Grayity Distribution 0 ft
3. I�etef-Ynine total pipe length fi-om puinp discl7arge to s il treatrnellt Pressure Distribution 5 ft
discharge pou�t. Est`imate by adding 25 percent to pi� lengi:h�oi-
fitt-iizg loss. Total pipe length tunes 1.25 - equivalen.t� ipe le:r��th
__��feet x 1.25 - c"��k� feet �=9: Fracfinn Lo�s ira Plasfic f'ip�
�. CaIculate total fAicHon loss by rrtulti�lyimg frictiori Ioss C2) ��� ��4�4`���
in#t/100 ft by the equivalent pipr�length (C3) ancl divi e b 100. �������
____�(� ft/lOUft x � �Ir� y � ��iP� d's��r��t�e
=100 = -_�__�_ft 4iow ra$e l.b" �" ���
p,�n
IC�. Total head req�iir��d is the sum of elevation diff�rer�ce O, special 2�' 2.41 OJ3 0.11
h�ead requu�eme�zts (�), and total friciion lc�s. (t,�) 25. 3J3 l.l 1 O.l b
__.� � �t+_ �� --ft+__�__rt - 30 6.23 1.55 0.23
`�"�y��� ]�Q��l�� r�r !�--¢�,Q,� 3`�. 6.9c5 2.Ob 0.30
- __ - - _�.,� 40 8.91 2.64 0.39
:�d 1��IlR�ll]� �����ilg��� ---- 45 11.07 3.28 0.48
- _. 50 13.46 3.99 0.58
1�pLunp znust Ue select�d to deliver at least_��_�pm 55 4J6 0.70
lA or}3 wilh at]east �'� 5.60 0.82
� ) __�Z f�et of total head (2D) 65 6.48 0.95
a�� `�"' - 70 7.44 1.09
I hereby c.erlilj� that I have com.leted this wark vz accoi�dar�ce w th applicable ordinances, rule.s and laws.
_�-,..-�..� r� �1 �-r'` �' 4.,._,�_,. (si alure o�..`�`� �
--�-= � ) - --(license#) 1 � o��,--p (date)
� � °�
-�� o . o
� ������;=,�� -- ,��i CI Y of ORONU
������� �����'�����`��.�'o'�� ,�,�',' Municipal Offices
Fr..
� ,�t` � /,
� � ��.
� �� .4.1;V. ;;- G,
\��9� ;,�;�O¢.�j�/ Street Address: Mailing Address:
� E 8 H 2150 Kelle y Park a y P.O. B o x 6 6
Orono, MN 5535 Crystal Bay, MN 55323-0066 .
— - --- -_--- -- ------ - - — -- -
- _. __
To Current Owner: Address: �� ��� U�� S •d Z �
City Ordinance 199 requires that each existing on-site s:�.��age treatment s stem in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspe ted and appears to fall into the categories checked below.
SYSTEM CONFORMITY 1-3 : �
1 "CODE SYSTEM" An ISTS which meets all the loc:::an,dzsisn and cons uction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An[STS which does r.;:c meet all`the locatio desisn and construction st.r.dards of the current Orono Municipal
Code but does meet the three foot separation require�:;;t or n�o foot reyuir ment for systems installed 1996 or earlier,and«hich is not failing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISiS;an ISTS locazed ithina designated 100-}ear flood plain,any ISTS which may
or may not meet all the location,design,or constructcr. standards of the c ent Orono Municipal Codz a�d which is failine for any reason;and
any[STS with less than three feet of unsaturated soi]cr sand between the di tribution device and the limi�ns soil characterisvcs.
TANK CONDITION(5-7): G
Tank inspection indicates:
5 Pumpout not needed at this time.
� Septic tanks must be pumped out this year (ciri code requires tan s to be pumped out or.c� every 3 years.
Tank was last pumped `�'"�� �`L�1 )_
Make sure se tic tanks are um ed throu h ma�hole and not thr uah white ins ection i es. This allo�ti-s for the
proaer cleaning. Kee water softner and iron filter disc ar e out of se tic s�stem.
7 Inspection risers missing-tanks could not be in�ected. Inspecti n risers(4"dia. pipe)must be installed in each tank. If
tanks have not been pumped out within the last three}�ears,they hould be pumped out no�ti�.
DRAINFIELD CONDITION 8-10 : 4u
8 Drainfield is dry, no surfacing evident.
9 Some evidence of surfacin;, not critical yet.
10 Drainfield is saturated and visibly dischar�ing�^��eated effluent o the surface. Contact the City Inspector
immediately. Repairs must be completed withir.90 days.
COMMENTS: �'��.��-;z\� �ccKs G� , ,.� S� �r:�. ����� �"� �'1-:.5
f' : �C .'
^ (
�C"�0 ��-S � � 9�, �v�-r..�
Date of Inspection 1att Bolterman - Septic S��stzm Inspector
Note: In the event that[his inspection report is used to satisfy the requir,-ents for a morLa;e r other Vansfer of propem,L�z a��ised that this report does not guarantee
or certify that an existin�system will continue to function properly,but s rr.ereh an opinion of e adequacy ofthe system ur."r current conditions based on Ihe available
infortnation.
Telephone(95?)?r19-�3b00 • Fax(952)249-4616
�.ci.orono.mn. s
� o�
0 0
� -~=�-Y:��� CI Y of ORONO
, ��j �
'�" A;t � 'r�� �
� o�, �,�.� ti Municipal Offices
r;;;:�
,� ,,�`��_�, ,� Gti
!l�1•,3.�:I;.���'.`��
� ,,,,,�,,. •� �y Street Address: Mailing Address:
`9�t',EggOg' 2150 Kelley Pa ay P.O. Box 66
Orono, MNI 553 6 Crystal Bay, MN 55323-0066
Owner:_ R��Q� �Q Z..qb�k Address:_ 4��S QA� -d Rc�
lS� C
Ciry Ordinance 199 requires that each existing on-site sewage treatment stem in Orono be inspected every ri��o years.
The on-site sewage treatment system at the above address has been inspec ed and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): �
1� ��CODE SYST'EM" An ISTS which meets all the location,dzsign and constru on standards of the current Orono Municipal Coda.
2 °COMPLIANT SYS'I'EM�� An ISTS which does not meet all the location,d ign and construction standards of the cucrrnt Orono Municipal
Code but does meet the three foot sepazation requirement,and which is not failing r an imminent threat to public health or safety.
3 NON-CONIPLIANT SYSTEM'� A prohibited ISTS;an ISTS located wi ' a desigiated 100-year flood plain,any ISTS which may
" or may not meet all the localion,design,or construction standazds of the current ono Municipal Code and which is failing for any reuon;and
any ISTS with less than three feet of unsaturated soi(or sand between the distribu'on device and the limiting soil characteristics.
TANK CONDITION(5-10): Ei .
Tank inspection indicates: � ,
� Pumpout not needzd at this time.
� Tank must be pumped out this yeaz (city code requires tanks to be pumped out eve 3 years. Tank was last pumped �' �0—�7 )
7 Solids ac�vmulation in tanks is at a critical a critical level. Tanks should be pumpe out as soon as possible.
8 System is discharging to tha surface. Tanks must be pumped out within 48 hours to liminate surface discharge.
9 Inspeclion riszrs missing-tanks could not be inspected. Inspection risecs(4"dia pip )must be uutallzd in each tank at next pumpout If tanks
have not been pumped out within the last three years,they should be pumped out no .
1� Inspection pipe is located dirzctly over tank bafile(does not give accurate mebsur nt of solids accumulalion). If tanks have not been pumped
out within the last three years,they should be pumped out now.
DRAINFIELD C0�IDITION(11-14): l�
1 1 Drainfield is dry,no surfacing evident
12 Somz evidtnce of surFacing,not critical yet � ' ,
13 D�ainfield is saturated and visibly dischazging untreated e@luent to tha surface. Conta the City Inspector immediately.Repairs must be
completad within 90 days.
1=� Drainfield astent and condition unknown.
COMNIENTS: S Ste� 1 ookS �I� P ,h �c�
S�a.`1- a � �
Date of Inspection Septic System Inspector
Not:: In tha event that this intpection repoR is used to satisfy the requuements for a moRgage or ther transfer of property,be advised that this repoR does not guarantee
or ceRify ihat an e:tisting system will corrtinue to function properly,but is merely an opinion of adequacy of the system under current conditioas based on the available
info[malion.
� o
CITY OF ORONO O
Municipal Offices
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON-SITE SEWAGE TREATMENT
r�,, ('y INSPECTION REPORT
'� ti
�9kESH �'�
///1 .� I ,
Owner:lT/'Gr/J /S P7G,' ��� Address: ��!! �' �/� � �53J��
Permit �'s: Dates: /` Z�l �7 Co tractors: �� J � �;�7Cac:17? (_,�r,
City ordinance number 100 requires that each on-site sewage treat nt system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has n inspected and appears to fall into the category
checked below.
(This is�an existing system ( ] new construction) I
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system which meets all the location, d sig , and construction standards of the current City
Codes, and Which is operating satisfactorily by tr atin and disposing of the entire current seuage input
without discharging any pollutants into ground or urfa e Waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but uas installed according to the ode in effect at the time of installation, and which
is operating satisfactorily by treating and disposing o the entire current sewage input without discharging
any pollutants into ground or surface Waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a syst l ated within a designated 100-year floodplain; any
system which may or may not meet all the location, de ign, and construction standards of the current City
Codes and which is failiny for any reason; and any sys em uith less than 3 feet of unsaturated soil or sand
betueen the distribution device and the limiti�g so,il c racteristics.
(The limiting soil characteristic '¢C� has or [ ] has no been identified at this time. If the limiting soil
characteristic has not been identi•fied, this classification may be subject to revision.)
TANK CONDITION (5-10):
'nspection indicates:
5 Punpout not needed at this time.
Solids accumulation in tanks indicates they should be pum�ed o t this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tan s sh uld be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped ou within 48 hours to eliminate surface dischar�e.
9 ]nspection risers missing-tanks could not be inspected. Inspe tion risers (4" dia. pipe) must be installed in each
tank at next pumpout. [f tanks have not been pixnp d o within the last three years, they should be pixnped
out now.
10 Inspection pipe is located directly over tank baffle (do s n t give accurate measurement of solids accunulation).
If tanks have not been p�anped out within the last t ree ears, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
field inspection indicates:
Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreatgd e fluent to the surface. Contact the City Inspector
imnediately. Repairs must be completed within 90 d�ys.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks.etc.): -� �
POTENTIAL FOR SYSTEM fAiLURE de nds on soils water table etc. : �
COMMENTS:
ate of Insp tion S ptic System Inspector
Note: In the event that this inspection report is used to sat�sfy he requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or c rtif that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the yst under current conditions based on the available
information.
This report must be kept on the pre�nises with the s stem loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
_ �__
� �
,/.� ,\
o��,�,
�����` �� �''�� C IT of ORONO►
��,�,
II I�� r , . . ��i
"'� �, Municipal Offices
` �'� � I . �j~ •;
Street Address: Mailing Address:
�9xEs.H�4�� 2750 Kel�ey Parkway P.O. Boz 66
-,
-� :-:__-:: Orono, MN 55356 Crystal Bay, MN 55323�0066
To: The Cunent Owner of Address �� ( � � ��`{����
City Ordinance requires that onsite sewage treatme systems in Orono be
inspected on a periodic basis. The onsite sewa�e tr tment system at the above
address has been inspected and the following is kno about the system. A
sketch of the known coinponents of the system is a ilable for most properties at
the Orono City Hall.
Imminent Public Health Threat
Yes
No •�—
If yes, please contact the Onsite Systems Manager 9�2-249-4626 within 10
days of receipt of this notice. The septic system m st be brought into compliance
within 90 days. Failure to do so will result in referr 1 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 i
December 31, 2010
Other '
Septic Tank s Pump out Needed
Yes
No
The City recommends the septic tanl:(s) and/or lift ank be serviced and pumped
out every three years. City records indicate the ta (s) were last pumped out on
�'[j — i t� � �i l , The tank(s) should be clea ed through the manhole and
not through the inspection pipes. this allows for pr per cleaning.
Comments:
/ P�
� �a��,� �^� �y� ,�� t� V� •(,�r 0�. .�
Inspector: � � Date f Inspection < < ����
Telephone(953j 2�39-4600 � F x (9�2) 249-4616
a u w�i nrnnn.m .iic
� °�
o � o
.
'j� `�� -� � CI Y of ORONO
�a ����'r�'�-:�. �► �
r�y, bt �r.` E� Municipal Offices
r:,,���+r-•�_' ��, 'ti
�� '��'�,�;`�������'�'.�G Street Address: Mailing Address:
'q$'Egg04' 2750 Kelley Par way P.O. Box 66
Orono, MN 553 6 Crystal Bay, MN 55323-0066
Owner: A11rY1 !`�PTr_ C/i dress: 4185 Bayside Rd.
Permit #'s: 9150 Dates: 7/29/87 Contractors: . J. Peterson Co.
(This is [x] an existing system [ ] new constructio ) .
1
Code System: Meets or exceeds current City sta dards in all respects relating to design,
construction, and location. Appears to be operat ng properly.
2 Com�liant System: Does not meet all current C'ty standards for new construction, but in
most respects appears to be designed, located, a d constructed in accordance with previous
codes and is functioning properly.
3 Non-Comgliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to p operly treat and dispose of the current
input; and any system with less than three feet o vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level [� has or [ ] has n t been identified at this time. If the
saturated soil level has not been identified, this cla sification is subject to revision.)
K 5
Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they shoul 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 ins ected. 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 ot 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 t nks [ ] were or [x] 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.
11
il Drainfield is dry, no surfacing evident. �
1 Some evidence of surfacing, not critical yet. Re ir is not required at this time.
13 Drainfield is saturated and visibly dischargirig u treated effluent to the surface. Contact
the City Inspector immediately. Repair must be c pleted within 90 days.
14 Drainfield extent and condition unknown. '
T T T F m .) : low
COMMENTS: The tanks appear to be fairly clean, but 'we h ve no record of a recent pumpout. Please
let us know if the tanks have been pumped so we canlupd te our records.
�-a�� � � .
Date of Inspection Sep c System Inspector
Note: In the event that this inspection reportl is used to satisfy the requirements for a
transfer of property, this report does not guaran�ee that an existing system will continue to
function properly, but indicates the operation of the s stem under current conditions.
Telephone (612) 473-7357 • F 473-0510
� o
CITY OF ORONO �
Municipal Offices O � i
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
� �, INSPECTION REPORT
'�
��kESH 4'�
Owner• �I�r 1�ZU�1� Address•
Permit #'s: q�� Dates: '��—� Co tractors: �,. Ii �TP,y:5Q9� �,
City ordinance number 100 requires that each on-site sewage t eat nt system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address h s be n inspected and appears to fall into the category
checked below.
(This is p�l an existing system [ ) new construction)
SYSTEM CONFORMITY (1-3): �
� "CODE SYS7EM"-A system which meets all the location, design and construction standards of the current City
Codes, and which is operating satisfactorily by tr atin and disposing of the entire current sewage input
without discharging any pollutants into ground or s rfa e uaters.
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 ode in effect at the time of installation, and which
is operating satisfactorily by treating and dispostng o the entire current seuage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a syst l ated within a designated 100-year floodplain; any
system which may or may not meet all the location, de ign, and construction standards of the current City
Codes and which is failing for any reason; and any sys em with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil c aracteristics.
<The limiting soil characteristic � has or [ ] h s no been identified at this time. If the limiting soil
characteristic has not been identi ied, this classi ica ion may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
Pumpout not needed at this time.
Soltds accumuLation in tanks indicates they should be pumped t this year to help prevent future problems.
Solids accumulation in tanks is at a critical level. Tanks sh uld be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pump d o within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be insPected. �nsp tion risers (4" dia. pipe) must be installed in each
tank at next purtipout. If tanks have not been pump d o t within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (dops n t give accurate measurement of solids accumulation).
!f tanks have not been pumped out uithin the last three ears, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr nfield inspection indicates:
�1 Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreat d e fluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed within 90 d ys.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS Cslope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE de ends on soils uater ta le etc. :
COMMENTS:
Date of Inspection S tic System Inspector
Note: In the event that this inspection report is used to sat sfy he requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certif that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the syst under current conditions based on the available
information.
This report must be kept on the prE�nises with the ystem loc=tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lakc Misznetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � � Crystal Bay, MN 55323
473-7357
OWNER ���aY� ICC:�I� AbDR SS �Ia -� ���Sf��- ���
PERMIT NO.'S. DATES CONTRACTORS ° �
City Ordinance No. 210 requires that each on-site sewage treatment syste in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above address has been inspected and appears to fal�into he category checked below.
(This is � an existing system ❑ new construction)
�1 Meets or exceeds current City standards in all respects re�ating to design,construction,and iocation.Appears to be operating
properly.
� 2 Does not meet all current City standards for new cons�ructi n (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with pr viou 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 r�Iatin to design,construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for uture problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for desig , construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water suppl , or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisa ce.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 obtai�a p mit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: � ❑ I spection pipe is located directly over tank baffle.(Does not
�-Pumpout not needed at this time. ive accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump• ave not been pumped out within the last three years, they
ed out this year to help prevent future problems. ould be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfi Id inspection indicates:
should be pumped out as soon as possible. I � rai�field is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ ome evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ rainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected, I ffluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be installed in each tank ent or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within mediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. � ❑ rainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Fai ure Site Capabilities for
❑ Slope (depends on soil t pes, ater Future Expansion
❑ Soil table,and system�ondi on) ❑ Adequate
�igh water table �"Low �air
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream 0 High ❑ Inadequate
❑ Drainage ❑System is c using visible
surtace disc�arge.
COMMENTS:
��'�� ,�����/ �:
Date of Inspection ptic System Inspector
Note: In the event that this inspection report is used to satisfy the requilreme ts for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will con�tinue 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 syst m location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner