HomeMy WebLinkAboutSeptic info �`�
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Street Address: Mailing Address:
�9kE$H�¢� 2750 Kelley Parkway P.O. Boz 66
=~- - - Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Cur�ent Owner of Address
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City Ordinance requires that onsite sewage treatment systems in Orono be
inspected on a periodic basis. The onsite sewage treatment system at the above
address has been inspected and the followin� is known about the system. A
sketch of the known components of the system is available for most properties at
the Orono City Hall.
Imminent Public Health Threat
Yes �No
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 1 Q
days of receipt of this notice. The septic system must be brought into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identified as Non-Compliant
Yes
No �—
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s ump out Needed
Yes �
No
The City recommends the septic tank(s) and/or lift tanlc be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
�'� r- i - �'i( . The tank(s) should be cleaned through the manhole and
not throu�h the inspection pipes, this allows for proper cleanin�.
Comments:
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Inspector:���,,�'�� � �'�. Date of Inspection > � " � �
T'elephone(952) 2�9-4600 � �ar (9�2) ?49-4616
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��' ����� '�' Str�eet Address: Mailin
��H�g 2150 Kelley Parkway Y Address:
Orono, MN 55356 P•�• Box 66
� qSa-�4q-y600 �rystal Bay, M�Y 55323-006:
To Cu�-rent Owner: !
Address:_ �l�b 5 ��i�/S,��e.
Ciry Ordinance I99 requires that each existin�on-site sewage treatment system in Orono be�inspected every two yean.
The on-site sewa�e treatrnent system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CO�IFORI�fITY (1-3): �
1 °CODE SYSTEM"An ISTS which mcccs a1l the location,dcsign and construction standards of the curr�cnt Orono hfunicipal Code.
2 "CO�LPLIANT SYSTEM" M iSTS which docs not mcct all thc location,dcsign and conswction standards of the cucrcnt Orono hfunicipal
Code but docs mcct thc thrcc Coot scparation requircmcnt or Rvo foot rcquircmcnt for rystcros installcd 1996 or carlicr,and which is not failino or
an immincnt t}ucat to public hcalth or safcry.
3 "NON-CO�IPLIANT SYSTEM" A prohibitcd iSTS;an ISTS locatcd within a duignaccd 100-ycar flood plain,any ISTS which may
or may not mcct all thc location,duign,or conswction stindards of thc current Orono Municipal Code and which is failin�for any rcason;and
any ISTS with Icss than threc fect of uruaturatcd sol or sand bctwccn thc distribution devicc and thc limitino soi]charactcristiu.
TANK C0�IDITION(5:7�: �
Tanl:inspection indicates: �
� Pumpout not needed a[this time.
� Septic tan.ics must be pumped out this year (ciry code requires tanks to be pumped out once every 3 years.
Tank was last pumped_ � .
1�Iake sure septic tanks are pumped thrOuQh manhole and not throuoh�ti•hite inspection pipes
This allotitis for the proper cleaninQ.
7 Inspection risers missing-tanks could noc be inspected. Inspection risers (4"dia.pipe)must be installed in each tank.
D T�'FIEC,D CONDITION -iQ : �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is sacurated and visibly dischar�ing un�eated e�'tluent to the sucface. Contact the City Inspector
immediacely.Repairs must be completed within 90 days.
CO�fENTS: ��c� �UC� L uc�.- S2 �-: ���C.S Qc�(C �Vc�
� e��CS _ N c ��5 �c �--�, ; .
) O n S c t•, c. ��. ��p �1
Lo,,..p��n :�S�c��c�c c� F'.X �\z��t�.-�Cr. 6�>>c �o�. pvrrp -}"��k
e —�� -C� ��G�C
Da;c of[nspcction
hiatt Boitcrman - Scpac Systcm Inspcctor
I�ote: In the evene that�`�is inspection report�s used to suisfy ehe rcquicements(or a moctna�e oro�her tr-uufetofprope .ry,be advised thu this rcFort dou noe g�-'1''"
or ce;tify�';u aa existing rystem will contin�e to function p�operly,but is merely an opinion ofthe adequary of the syst:m tmdereurrent condieioru bised on the a�y�3�'`
inCormation.
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'Z �`.' !�������'�G~ Mailing Address: .
!';�,.f,�;.`•� Street Address:
9k'ESH�4`' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: Z�v . � Ge����. Address:_ �f 66S �q�S,c�� Rd .
City Ordinance 199 requires that each existing on-site se�vage treatment system in Orono be inspected every two years.
The on-site se�vage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): I
� ��CODE SYSTEM" An ISTS which meets a11 the location,design and construction standards ofthe current Orono bfunicipal Codz.
2 '�CO�fPLIANT SYSTEM�� An ISTS which does not meet all the locatior�desigt and construction standards ofthe currrnt Orono Municipal
Code but does meet tha three foot sepazation requirement,and which is not failing or an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibitzd ISTS;an ISTS located witfiin a dzsignated 100-yeu flood plain,any ISTS which may
or may not meet all the location,design,or construction standazds of the curreat Orono bfuaicipal Code and which is failing for any reason;and
any ISTS�vith less than three feet of unsaturatzd soil or sand between the distribution device and the limiting soil chuacteristics.
TANK CONDITION(5-10):
Tar�inspec[ion indicates: .
� Pumpout not nezdzd at this timz.
� Tanl:must ba pumped out this year (city code rzquires tanks to bz pumpzd out every 3 years. Tank was last pumped 6-�-� � ),
7 Solids accumul�tion in tanks is at a aitical a critical lzvel. Tanks should be pumped out u soon as possible.
8 S}stam is discharging to thz surface. Tanks must be pumpzd out within 48 houn to eliminate surface dischargz.
9 Inspection riszn missing-tanks could no[be inspzeted. Inspection risecs(4"dia.pipe)must be instal(zd in each tank at next pumpout Iftanks
hava not bezn pumpzd out within the last three yeacs,they should be pumped out no�v.
1� Inspectiun pipe is located directly over tanlc baH1e(does not givz accuratz mzasuremznt of solids accumulation). If tanks have not been pumped
out�vichin the list thrze years,they should be pumped out now.
DRAIVFIELD CO�IDITION(11-14): l�
I 1 DrainField is dry,no surfacing evidznt
12 Somz e��idcnce oFsurfacing,not critical yet � � ' '
13 Drainfizld is satur�tzd and visibly discharging unireated e@luent to the surface. Contacc the City Inspzctor immediataly.Repairs must be
complztzd�rithin 90 days.
1� Dra'uitield estent and condition unknown
COMI�NTS: S�sfie�. ; S o k . rGn�� :�5pe�r a� �O�es co�l� no-�,- 6� -�oU,.� .� X
p��•p t�•�K �\e��-r:ca\ b�C .
6-y-�� �� /��-�x��.
Date of Inspection Septic System Inspector ;
Note: In tha event that this inspeccion repoR is used to satisfy the requirements for a moRgage or atfier transfer of property,be advised that this repoR does not guarantee
or certify that an esisting systzm will continua to function properly,but is merely an opinion of the adequacy of the system under current conditions bued on the availab(a
informatioa
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON–SITE SEWAGE TREATMENT
r$`,� � INSPECTZON REPORT
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9kESH��'�
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Owner:�2v�� ��T�Y(�J Address: ll�s pA�S[vE ('�Q� 553�
Permit �'s: !�U Dates: //���'�/ Contractors: 1/vCs�i7�'a �� �V
City ordinance rnmber 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site seuage 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 uhich meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the tocation, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system uhich may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system uith less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic ,P�j has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identjfied, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 ]nspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) rt�st be installed in each
tank at next pumpout. If tanks have not been ptrnped out uithin the last three years, they should be punped
out nou.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accurnulation).
If tanks have not been purtiped out within the last three years, they should be pumped out nou.
DRAlNFIELD CONDITION (11-14):
i field inspection indicates:
Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): —
POTENTIAL FOR SYSTEM fAILURE Cdepends on soils,water table,etc.):
COMMENTS:
1
Date of Inspection Septic ystem Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the prE�nises uith the system locptien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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� ,, f�_T� ,� , C ITY of ORONO
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.t '' ,�"��.}=;-�q d� � Street Address: Mailing Address:
`9$EggOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
� /'"r
Owner: � r✓�n '�t'/'c'_ Address: 4665 Bayside Rd.
Permit #'s: 408 Dates: 11/3/87 Contractors: Westonka S & W
(This is [� an existing system [ ] new construction) .
SYSTEM COMPLZANCE (1-3) : 1
� Code S��stem: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Complia^t Sy�tem: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
3 Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level [ !/� has or ( ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 9
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
within three years, they should be pumped out and risers installed now.
� Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [f/] were not confirmed
to be watertight by the licensed pumping contractor. If the tanks were not confirmed to be
watertight, this classification is subject to revision.)
DRAINFIELD CONDITION (11-14) : 11
11 Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact
the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : medium
COMMENTS:
� ���
Date of Inspection ept c System nspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue to
function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�)� � INSPECTION REPORT
ti
��9kESH�4'�G
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Owner: �r��� ����, Address: �7LiJ�
�
Permit #'s: Dates: /���� Contractors: �/�/�}7F1� �/,��
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 [ 7 neu construction)
SYSTEM CONFORM[TY 1-3 :
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and uhich is operating satisfactorily by treating and disposing of the entire current seuage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and uhich
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system uhich may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic [ has or [ ] has not been identified at this time. [f the limiting soil
characteristic has not been identi i , this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pu�ed out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 [nspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next purtipout. If tanks have not been punped out within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation>.
If tanks have not been pumped out uithin the last three years, they should be pumped out now.
DRAINfIELD CONDITION (11-14):
Drainfield inspection indicates:
1y Drainfield is dry, no surfacing evident.
�. /1� Sane evidence of surf ' not critical yet.
'1S is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �
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O ENT • P � a
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Date of Inspection Septi stem n ector
Note: !n the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises uith the system locatien and pumping records.
WHITE COPY/Inspectors Fife YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
ti
��9kESH�4�G
Owner: ��ji�1 (�tt`YN. Address: ��0� �1/'S�/Il�, KP�(.
��_-
Permit #'s: '�[/� Dates: ��;��7 Contractors: ��S�n :�'��i� �
r
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 tall into the category
checked below.
(This is pg,an existing system [ 7 new construction>
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but uas installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic p� has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Purtipout not needed at this time.
6 Soltds accumulation in tanks indicates they should be pumped out this year to help prevent tuture problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. lnspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
� lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
]f tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Drainfield inspection indicates:
],�,� Drainfield is dry, no surfacing evident.
(12 rjSome evidence of surfacing, not critical yet.
~n� Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �
COMMENTS:
Date of Inspection Sep c System Inspector
Note: ]n 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 with the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
DATE �TIME yy
CITY OF ORONO CALLED IN ��� IO;�Oa�++,/
INSPECTION NOTICE SCHEDULED �_ ��4D
PERMIT N0.��e/ COMPLETED �`�� ��
ADDRESS `� ��` �
OWNER d CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 EWER OK-UP 06 PROGRESS
� 07 DEMO—FINAL .7 SEPTIC MAIN .� 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL/
� OWNER/CONTRACTOR TO MEEf YOU:_YES�NO �
� COMM NTS: � Y
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor o s' e:.
OI
Inspector. `�,, �-' �'-�—
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White Copyllnspector's File Canary CopylSite Notice
On the North Shore o f
Lake A�Ii�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �rr�'I�� ��� ADDRESS /��� ��iUt�- ��
PERMIT NO.'S. O�' DATES ��l�� $� CONTRACTORS ����'t/
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is Jh an existing system ❑ new construction)
�( � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
Y� properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes.System appears to be functioning properly; no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design, construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location, but is failing to properly treat and
dispose of the current input,and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
�ank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not
�.Pumpout not needed at this time, give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. �Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ �rainfiefd is saturated and visibly discharging untreated
❑ I�spection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
I�spection risers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now, ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table and system condition) ❑ Adequate
�High water table �-Low �-Fair
Lot size ❑ Medium O Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surtac dis harge.
COMMENTS� � r l ^ � , P
�� ' e_ - ��- � v c� � n
� � a ' P f' .
Date of Inspection Se 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 a�opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system locatio�and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner