HomeMy WebLinkAboutseptic info Apr 22 1011;59a 763-213-0695 p.1
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3 � : Minnesota Pollution Camp[iance Ir�spect�on �'orm
�.�:�«.�
`����`�°� �- Control Agency
520tafayetteRoadNorth Existing Subsurface Sewage Treatment Systems �SSTS)
St.Paul,h1IV 55155-4194 Instructions on pa�e 7
Parcel number; � � l`, P � .J1�LN�� For Lacal Tracking Purposes:
System status: � Compl3ant ❑ Noncompliant
(based on al!compliance requrreme,�ts)
Summary Form
Property Information
Property owner name(s): �
PropeRy address: 7� � P �'�'��� �
Property owner's address(it ditferent):
County: Properiy owner phone:9,r���y"fl�-P� Permitting authorlty:
Date system constructed: f_�(a(�� Reason for inspection: � �
System Description r
Brief system description: - 3oa _ � D 00 Q'u�6'
Local perrnif number. Number of bedro ms: Design Flow rate_
Is the system;
fn Shoreland area? Q Yes �f No In Wellhead Protection Area? ❑Yes [X'j No
An U.S. Environmental Protection Systerrt serving a Minnesota Department
Agency(EPA)C1ass V Injection Well?�Yes � No of Heath(MDH}licensed facility? ❑Yes � No
CORIP�laC1Ce StdtUS (Based on state re�uirements-additional local requirements rnay also apply.}
Based on fhe information gathered and repo�ted on atiached forms, the compliance slatus oF Ehis system is (check one);
�CertiEicale of Compliar,ce-valici unlil (3 years frorrr date of reporfl: �� ot� -f.3 - -
❑ Notice of Noncompliance-For Noncompliant systems:
The reason for noncornpliance is:
This noncompliant system is classified as(check one below):
❑ Imminent threal to public health & saFety ❑ Failing to protect ground water ❑ Not in compliance with operating permii
CE'ftlflCdt1031 (Completed fr�rm must be submitted to Ehe local unit of government within 15 days.)
1 hereby certify that all the necessary informafron has been gathered to defermine!he compliance status of ihis sysfem. No
determrnation of fufure system performance has been nor can be made due to unknown condifions dunng system constrUctron,
possible abuse of the system, inadequate marntenance, or future water usage.
"'�'�� �� 1 Certification number: � � �J
Name: n o a P /
B�siness license name and number .�_/Il��,�fi���/� (�55�_, c:'��1✓C ����_ or
Name of'o�:.al unit of government:
Signaiu•e: � Date: �= 2 / — /-U
Required Attachments Inspector Complete: This Inspection Report is pages long.
Check compl�ance forms attaGhed: �1 Hydraulic Per`ormance (� Tank Integrity �Sail Separallor. ❑Operating Permit Form(if
applicablej �System drawinglAs-buil!drawing ❑An assessmenl of any local require ents that are difterent irom what is recuired on this
forrr �Soil Borrg Lcgs ❑Abardonme�t form(if appropriate) ❑O:her informa:ion llist;:
l}pgrade Requirements (denved from Minn. Sfat. 6�15.55)an�nminenr inrear;o public heailh ar,d safety i17PH5)musf be upgraded,replaced,or T
its us?discan6nued wi(hir,!en mor.ths cf receipf o(this notica or wiLhin a shorter pe•iod if reqerired by lowl ordinance.11 the syst=m is laifing ro orolecl grovrrd
warer,ths sys(em must b�upgraded,replaced:or its use disceminued wifnin the time required by local orCinance. f!an exisfing sysfem is not�ailing as defined in
law,and has af�eas(tx�o 1ee�of desiGn sor!sepzrarion,lher,tha system need r.of be upgraded,�epaired, replaced,or ifs uso disconl�nued,notwrthslanding any
local ordmance(ha!rs mo;e sbict This pravision dces no(app�y.'�sys�ems rn shoreland areas, W'elihBad Prolecl?on Areas.or those used in ccr�neclren wrlh lood.
beverage.a�d lodging eslabfishments as der�ned rn Jaw.
wq-wwrsts4-31 Compfiance Inspection Form for Existing 55T5
Apr 22 1011:59a 763-213-0695 p.2
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Parcel number: �7�S GG'.zr1�r� �� ��� I�✓'�'S f-System stai�s: (�Complia�t ❑Noncompliant
-- (as determined by this fo�m)
Soil Separation Cornpliance and Other Co�npliance ,
Compliance Issue #3 of 4 � ' � .
Date of observation: "'(��/�/C • Reason for observation:
; ,
This information on this form does not expire.
Compliance questionslcriteria: (Required) Verification Method"'*: (Optionaf)
(Check the apprcpriate box) (Check the appropriate box)
For systems b�ilt prior io April 1, 1996, and nol � Conducted soil observation(s)(attach boring logs}
located in Shoreland or Wellhead Protection
Area or not serving a food, beverage or ❑ Two previous verifications(attach boring logs)
lodging establishment: ❑ Other.
Does lhe system have at least a two-ioot
vertical separation distance from periodically
saturatea soil or bedrock? Yes No
�or non-performance systems buili April 1,
1996, or laler or for non-per,'ormance systems 5oi!observation does not expire.Previous observations
located in Shoreland or Wellhead Protection �by two independent parties are sufficient, unless sile
Areas or serving a food, beverage or lodging I conditions have been altered.
establishrnent:
Does the system have a three-foot vertical
separation distance from periodicafly saturated
soil or bedrock?' �Yes ❑ No
�or reduced separation distance systems(i.e., * May be reduced by up to 95percenf rfalrowed in local
"perorrnance" systems under old 7080,0179 or o�dinance,
Type IV or V system under new 7080. 235��or �
7080.2400): I "'No standard protocol exists. This list is not exhaustive,
Does the syslem meet the designed veriical in sequenfial order, nor does it indicate which
corrrbrnafrons are necessary to make this
separation disiance from periodically saturated determinatiqn.
soil �r bedrock?" Yes ❑ No
Any"no"answer indicates thai the system is failing to p�otect
ground water.
Certification
This.`orm is io be completed and attached to the Summary Form of the Minnesota Pollution Contral Agency's(MPCA)Compliance
Inspection Form for Exisiing Subsurface Sewage Treatment Systems. Observatlons, interpretaiions,and concjusions must be
completed by an inspector or designer. Completed form musi be submitted to the local unil of government witt�in 15 days.
Property owner nameisl: j U�� ��L�`�
Property address: y � � �''�'
� .
Properly owner's address(if different): __ �"�►''- •��--
CountY: _.._._.�0�..,_.; - __ Phone: ��0�-O Z�. � �
1 hereby certify fhat I pe�sonalJy made the obsen�afions, inierp�etations, and conclusions reported on ihis form and that they are
correct.
Name: ���n._���-p � Certification number: o�i���
Business license name and num�er: 7�}—�/l/dC''�y�J" C`��5t+°G'n�. ��C� � �---- _— ar
Narne of locai unii of governmer�t� ! �-
Signature: Zo - Dat�l�r '/�
�
wq-wwists4-31 Compl iance fnspection Form for Existing SS7S
Apr 22 10 11:59a 763-213-0695 p.3
/� � � c�R��l>
Parcel number: ,� ��� C����/1}Yy`S;Gt! ,�'', w-2�f"_SysSern status: �Compliant ❑Noncompiiant
(as deterrnined by this foim)
Hydrau�ic Perfarmance and Other Compliance
Compliance Issue #1 of 4 ,
Date of obser�ation: �— v2 �— �(� Reason For observation: '
This form expires upon next inspection or in three years, whichever occurs first:
Corr�pliance questiortslc�iteria: (Required) Yerification Method*: (Optional)
(Check tne a�priate box) (Check the approprrate box)
�oes the system discharge sewage to the ❑ Yes � No � Searched for surFace ouUet
�round surface? ,
Does the system discharge sewage to drain � ❑ Performed hydraulic test
❑Yes � No
ti e or surface waters? [$ Searched for seeping in yard
Coes the sysiem cause sewage backup ❑Yes � No � Checked for backup in home
irto dwellin or establishment?
❑ Excessive ponding in soil system/D-boxes
Do other situations exist that have 1he ❑Yes (� No [� Horneowner testimony
poten:ial to immediately and adversely
impact or ihreaten pubiic health or safety � � Examined for surging in tank
(elecirical, unsafe covers, etc.)? [J�J 'Black soil' above soil dispersal system
Any"yes"answer indicates ihat the system is an imminent
ihreat to pubJic health and safeiy. ❑ System requires"emergency"pumping
❑ Performed dye test
Does the sysiem pose a threat lo ground Q Yes No �C��
water for any conditions deemed non- � � Other; ^ �p ui»+r
protecti�e as determined by the inspector? t7( _ °�j r, jp
"Yes"indicafes fhat the system is failing to protect
g�ound water.lf'yes'; describe fhe condifion�oted:
'No standard protvco!exists. This lis�is not exhaustive,
in sequenfia!order, nor does rt indreate which
combinatrons are necessary to make ihis defermination.
Certificatior�
This form is to be completed and attacheci to the Summary Form of the Minnesota Pollution Control Agency's(MPCA) Compliance
Inspection Form far Existing Subsurface Sewage Treatment Systems.Observations, interpretatio�s, and conclusions musi be
completed by ar �nspector. Completed form musl be submitted to the local unit of government within'15 days.
Property owner name(s)� 'G� �
Property address: 01 77� Gc>wnfr�-�dt .���'. �L�,S f •
Pr�perty owner's address(it diiferent): �
( ✓1�. W�rk ,
County: _��iY�NL. Phone: -��'S,�—�U��D ZL�_____��,f'-��3��—�%,��
!hereby cerirfy that/personally made fhe observations, ;nferpretations, and conc/usions reported on this form and that theyare
correct.
Name: dh �.�"' Certification �umber � � ��
Business license name and nurnber; �`���� �11� Le,s'6�JL'D � -�/�L • 3 7� __. or
Name of;ocal unit of government:
Signature: �1��� . Dafe: � � �I�
wq-wwists4-31 Comp�rance lnspection Form for Fxrsting 5ST5
411/08 '
Apr 22 1012:OOp 763-213-0695 p,4
. �
Parcel number: �77� ��°'"�' �r�l S�� .�r� lN�Sf �2o''�Ystem status: �Compliant ❑Noncompliant
(as determined by this fcrm}
Tank integrity and Safety Compliance
Compliance Issue #Z of 4 , .
Date o(observation: �l-� 1- �U Reason for observation: _ �
This form expires on (three years):
Compliance questionslcriteria: (Requ�ired) Verification Method**: (Optional)
Check fhe a prooriate box (Check the appropnate box)
Does the system cor�sist o(a seepage pit`, ❑Yes (� No ❑ Probed tank boltom
cesspool, drywell. or leachin it?
� Observed low liquid level
Do any sewage tank(s}leak below their ❑Yes [�No Examined construclion records
desi ned o eratin de th? �
If yes, ideniify which sewage � Examined empty(pumped)tanlc
tanfc leaks. ❑ Probed outside iank for"b!ack soil"
Any"yes"answerindicates that the system)s faifing to proiect � Pressure/vacuum check
ground water.
❑ Other:
` Seepage pits meeting 70802550 may be compliant if aUowec
in ordinance by local permitting authority.
"No siandard p�v�oco/exists. This list is not exhausGve, m
sequeniia!order, nor does it indicate which combinati�ns
are necessary to make lnis determina�lOf1.
Safefiy Check
1. Are any maintenance hole covers damaged,crackec, or appeared to be structurally unsound? ❑Yes' � No
2. Were alk maintenance hole covers rep€aced in a secured rnanner(e.g., all screws replacedj? �Yes ❑ No'
3. 'Nas secondary access �estraint present(safely pan, secon� cove�,or saFety net'ing)-highly recommended. ❑ Yes � No
4. 'Nas any other safety/healtt�issue preseni? ❑ Yes' �f No
Expfain:
"System is an imminent threat to public health and sa/efy.
Certification �
This form is to be cornpleted and attached to the Summary Form of the Minnesota Pollutian Control Agency's(A4PCA) Compliance
Inspection Form for Existing 5ubsurFace Sewage Treatment Systems.Observations, inlerpretations,and conclusions must be
oompleted by an inspector, mainlainer,or service provider. Completed form must be submitted to t3ie loca{unit ef governmeni within
'15 days.
PropeKy ov✓ner name(s): ___�[i1���r ' �w -� -
Property address: _ 02 7 7S LU�i 5� �� �e �'
Property owner's address(if dif`erent)= �n- k«��� • ----
County: __ �F�rw�; Phone: --y�- G� �Q L 0 3 �.5�-33�� 3�
!hereby certify that I personally made the obsen,�ations, rnterprefations, and conclusions reported on ihis fvrm and thaf fhey are
correct.
Name: __ ��/1._ .� __ Certification number _ a� ���-•—. --._----.
Business license name and number. .�= ,/v0�1�� �.2 5 C-D� l�✓z- � 3'�3 . ______ or
Name o€loca� unit of government: ___ __ _
Signature: ___ .__ _ --• Date; -.--� !"�� _---
wq-wwists4-31 Compliance Inspection Form jor Existing SSTS
Apr 22 1012:OOp 763-213-0695 p.5
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� ,���-=� � o UwTR s ��e DR _
�
�ite Sketch: �
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. .. . .. - � : :� . .: . . . �5� �. . - - �
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- . -. . .. _ ���� _ . .. - . N
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Suggested items for site sketch: Wcll,we:l setback to system,dwc�ling or o�ha establishment,rank(s},soil treatmtnt system,
reserved soil tre2cmen�arc�cunain drain,propecty lincs, watenvays,and buried lines (ehose110T installed hy the utiliry).
Include sizcs and lcngth and approximate distances.from fixed refercnee points such as streets and buildings.-Please actach
nrcvious as-built c'rawings,inspection reports,Certificatc(s)of Complianee andNati:e(s)of Noncompliasaee.
Soil Borines (SB #}: �.ocate each boring on tl�e map above, indicate on the right of the columns
•low the texture, structu:e, color, depth of each different soil type, evidence of Fnottling; bedrock and
snding water. Also indicate if the material is fi�l. '
sB n I � 5��� SB #���
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�a � o� �� � 5°"12 ��
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f� �� R � � �� '���, c.� �o.�,,,
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Commencs: '� �o
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O �, O CI'TY OF ORONO
as. -
� �, Municipal Of�ces
r� ,�� �, Street Address Mailing Address:
�� G'�' 2750 Kelley Parkway P.O. Box 66
� Orono, MN 55356 Crystal Bay, MN 55323-0066
9kESH04
To: The Current Owner of Address 2775 COUNTRYSIDE DR W
City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a
periodic basis. The onsite sewage treatment system at the above address has been inspected and
the following is known about the system. A sketch of the known components of the system is
available for most properties at the Orono City Hall.
Imminent Public Health Threat
Yes �No
If yes, please contact the Onsite Systems Manager at 954-249-4626 within 10 days of receipt of
this notice. The septic system must be brought into compliance within 90 days. Failure to do so
will result in referral to the City Attorney for legal action.
System Identified as Non- ompliant
Yes
No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s) Pum t Needed
Yes
No
The city recommends the septic tank(s) and/or lift tank be serviced and umped out every three
(3) years. City records indicate the tank(s) were last pumped out on �— (�o--O (
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�
Inspectof'�v�C.�A1G ��t�� Date of Inspection: g���
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
• • • �
e
To: Orono residents on mound type septic systems
From: Willie Gibbs, ISTS Manager
Date: May 10, 2006
Re: Landscaping Do's and Don'ts for Mound Systems, Quick Reminder
Do plant and maintain a full cover of grass and keep mowed to a normal height, this grass cover aids
in the evaporation of large amounts af effluent(the fiquid left after the "other" stuff has been removed)
in the summer time and allows the mound system to help breakdown nitrogen in the effluent,
Do water the grass over the mound in extreme dry conditions, sparingly.
Do avoid unnecessary foot traffic over the mound, mow it and stay off of it. This is especially true in the
winter time. Even human foot traffic can cause frost to penetrate the mound resulting in potential
freezing problems.
Do inspect your mound system annuaily for winter kiil, (reseed if necessary) animal damage,
(burrowing}or signs of potential failure.
Do not plant trees or shrubs on the mound system, smaller trees and shrubs may be planted at the
edges. Remember, that sunshine is the key to a healthy mound system.
Do ask questions, if you have any concerns or questions concerning your mound systern
please feel free to call me, I can be reached at 952-249-4626.
1
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0;,,{ O �
�=�Y ��� ' CITY of ORONO
� � ,���,\�}� �)�
� �"'1 �:_i`''� ,�l�r Municipal Offices
��,t/��'�'�r������G / Street Address: Mailing Addreu:
`��CEggO� 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066 .
To Current Owner: Address: �7�s Co t1�T�/S��� �r, W �
,
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment rystem at the above address has been inspected and appears to fall into the categories checked below.
STEM CONFORMITY 1-3 : I
1 '�CODE SYSTEM" An ISTS which meeu all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYS"I'EM" An ISTS which does not meet all the location,design and construction standazds of the current Orono Municipal
Code but does meet the three foot sepazation requirement or two foot requirement for systems installed 1996 or earlier,and whic6 is not failing or
an imminent threat tn public health or safety.
3 '�NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS�vhich may
or may not meet all tfie location,design,or construction standards of the current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil chazacteristia.
TANK CONDITION(5-7): C�
Tank inspection indicates:
� Pumpout not needed at this time.
Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped —�6'� 1 ).
Make sure septic tanlcs are pumped through manhole and not throygh white insnection pipes. This allow�s for the
proaer cleaning. Keen water softner and iron filter discharge out of septic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION 8-10 : �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: I`'�o v�c! �ookS O� _ P���D s���=•< -�q�ICS "����S
S�N.cr2C �
� -� -03 - �� ` �
Date of Inspection Matt Bolterman - Septic System Inspector
Note: In the event that this inspectioo ceport is used to satisfy the requiremenu for a mortgage or other Vansfer of property,be advised that this report does not guarantee
or ceRify that an existing rystem will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
Telephone(952)249-4600 • Fax(952)249-4616
www ci.orono.mn.us
� O�
O_��:. � O 1
�, �X--���.��� C ITY of ORONO
� �
� � ���-� �
� ��; .t����.
\'�,, 1�`�. ,��';',`1 15' Municipal Offices
,� ,•r;�i'�,���,,?�r G'ti
� '�!'���:r�;��`��` street Address:
� g� Mailing Address:
9�'E+g�g0 2750 Kelley Parlcway P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: F� �� �.S�i' (��r k2 Address: a� 75 �o��-�r�.5;de 1�f w'
Cin�Ordinan : 199 requires that each existing on-site sewage treatment s�-stem in Orono be inspected every hvo years.
Tli�on-site se«age treatment system at the above address has been inspected and appears to fall into the categories checked belo�v.
SYST'EM COiv'FORI�IITY (1-3): �
`1 J °C��E S�'S�NI�� An ISTS which meets all the location,dzsign and construction standards ofthe curzent Orono biunicipal Code.
v
2 ��CONIPLIANT SYSTEI�f�� t1n ISTS which does not meet all ihe location,desiep and construction standards ofthe current Orono�funi:ipal
Codz but dozs meet the three foot separalion requirement,and which is not failing or an imminent threat to public health or safzty.
3 ��NON-COMPLIANf SYSTEM�� �,prohibitzd ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which sa�
or may not meet all the locatioq dzsign,or construction standareis of the cucrznt Orono Municipal Code and which is failing for any reasen;and
any ISTS�c•ith Izss than threz fzet of unsaturated soil or sand between the distribution device and the luniting soil chazactzristics.
T'_�NK CONDITION(5-10): �
Tank inspection indicates:
� Pumpout not needed at this timz.
� Tank must be pumpzd out this year (city code rzquires tanks to be pumpzd out avzry 3 years. Tank was last pumped U 1��(n0 W^ ,_
� Solids accumulation in tanks is at a critical a criucal Izvel. Tanks should be pumpzd out as soon as possible.
� S}stem is discharging to thz surface. Tanks must be pumpzd out within 48 hours to zliminate surface dischaige.
y Inspection riszrs missing-tanks could not be inspected. Inspaction riszes(4"dia.pipz)must be installed in each tank at nest pumpout. If tar.;;;
havz not bezn pumped out within the last thrze years,they should be pumped out no�t•.
1� Inspaction pipz is locatzd directly over tank batlle(does not give accurate mzasurzment of solids accumulation). If tanks have not bezn pur..g:d
out within the last three years,they should be pumped out now.
DRA.INFIELD CONDITION(11-1�): l I
� Dra�z(d is dry,no surtacing evident
12 Somz evidence of surfacing,not critical yet ,
13 Draintield is saturated and visibly discharging untreated zffluent to the surface. Contact thz City Inspector immediatzly.Rzpairs must be
completed w ithin 90 days.
1-� Drainfield estent and condition unknown.
CONiNiENTS: P�mp rQ�ks. SyStery, I ook5 Ok
6-►►-�� �}-�n;�t
Date of Inspection Seplic System Inspector �;
Note: In the event that this inspeclion repoR is used to satisfy the requirements for a moRgage or other transfer of property,be advised that this repoR 'c.c�s not guarantee
or ceRify that an esisting s}?:m will continue to function properly,but is mzrely an opinion of the adequacy of the systzm under wrrent condilions basr.i on the availabiz
intormation.
0 ���`�
� �
O O
C ITY of ORONO
� ;:;rly;,, �
ti Municipal Offices
�� G~ Street Address: Mailin Address:
B
�'kESI;�4� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: � `/
�1���� t � � Address: 2775 Countryside Dr. W.
Permit #'s: 7260 Dates: 8/21/95 Contractors: Clover Hill Co.
(This is [� ] an existing system [ ] new construction) .
STEM COMPLIANCE (1-3) : 1
1 Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
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 is ['�] or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
;F'�NK CONDITION (5-9) : 5
/5) Pumpout not needed at this time.
� Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
within three years, they should be pumped out and risers installed now.
9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped out within three years, they should be pumped out now.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [�] or are not [ ] water tight or the condition is [ ] unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 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. ) : low
COMMENTS:
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Date of Inspe tion e 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)249-4600 • Fax(612)249-4616