HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTORY
Addr: 25 Cygnet Pl . PID: 04-117-23 22 0007
Building Type : residence # BRs/GPD: 4 # Systems/units : 1/1
Permit No: none Date of Permit : Installer: unknown
System Type : standard trench Appliances : lndry
SYSTEM CONDITION
Conformity: 3 Tank Condition: 6 DF condition: 13
Failure Pot : failing
SEPTIC TANKS
Material : precast concrete Capacity: 1000, 750
Setback to Bldg: 20
DRAINFIELD
Length of Lines : 200 No. Lines : 2 Trench Width: 2
Treatment Area : 400 Type of Filter: rock
Tile Size : Under Tile : Perc Rate mn/in:
Setback DF-Bldg: 30 DF Ht above WT:
Soil Type : Limitations :
WELL DATA
Setbacks - Well-Tanks : 58 Well-DF: 75
Report in File? : y Pump Type : subm.
Depth: 124 Diameter: 4 Method: drilled
INSPECTION RECORD PUMPOUT RECORD
Date Compliance Date Gallons
7/13/78 some surfacing noted n 6/11/79 2000
8/16/78 OK now, but may need reconstruction s 5/28/82 1800
6/9/83 no surfacing, probed drainfield-note no 2 5/5/86 1500
6/27/84 no surfacing 2 9/1/87 1800
4/28/87 no surfacing 2 5/1/91 2000
4/3/89 no surfacing 2
7/25/90 no surfacing-pump tanks 2
8/14/91 DF moist, no surfacing 2
6/6/95 DF surfacing-tanks overfull,pump tanks 3
5/24/96 DF surfacing-sewer connection by 7/1/96 3
U
- - �i
� �
�
�
� �
�
�
�
�!
/
� �
_ , � /
_ _ _ _
_ i - �
,
i
�
� �
� � ti
M �-
a q
� � �
� ��
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
ti
��9kESHo��G
Owner: �1�-� �..SCI '��''Y Address: � �'C,.�
Permit #'s: �Y��� Dates: Contractors: L/j���J�yy
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.
(7his is � an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface uaters.
2 "CONFORMING SYSTEM"-A system uhich does not meet alt the location, design, and construction standards of the
current City Codes, but aas installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface uaters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system uhich may or may not meet all the locatton, 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�}(1_has not been identified at this time. If the limiting soil
characteristic has not been identified, this c"lassification 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.
8 System is discharging to the surface. Tanks must be purnped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be insPected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped
out nou.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Drainfield inspection indicates:
11 Drainfie[d is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
� Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City [nspector
i Repairs must be completed �y� _�
14 Drain ie�d iex�tent a�o ition un no .
LIMITING SITE FACTORS (slope,setbacks,etc.):
'� �' /j
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): `j�r- � 1
COMME S: � " ��!"� � � � �
� a -
_ � ,
Date of Ins tion Sept S em Inspec o a
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 uill 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 with the system locatien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON-SITE SEWAGE TREATMENT
,�`,, �C�. INSPECTION REPORT
ti
�t9kESH���G
Owner: � X ZS� �' �I Address: O�`, �\�`�� �i
Permit #'s: Dates: !"7 /(:� Contractors: %/�`�F�'�L��
City ordinance nurnber 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 ,�Lan 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 uhich 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 [ 7 has or �has not been identified at this time. If the limiting soil
characteristic has not been identified, this lassification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspect'on indicates:
5 Plmp not needed at this time.
�j accumulation in tanks indicates they should be pumPed out this year to help prevent future problems.
f71 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 p�mpe ou�t uit�- ours to e imin��3Ur-fiacc-Cfischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out uithin the last three years, they should be punped
out now.
10 [nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
[f tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Drainfield inspection indicates:
11 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
3 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the Cit Ins ector
i�rt_��m� edi�atel�. Re ' da s. ' � �y
14 Drainfie etd xtent a condition unknown. �p,,,,��'l.YJI?�1.��(J�jr� 1(',��t . %-�/1'� -/�
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.):
COMMENTS:
D e of Inspection e ic System nspector
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 wtll 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 with the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lake Misznetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER J�'��E'� `��1^^� �13L��^cP`r' ADDRESS �� C.,�n� �l�
PERMIT NO.'S. ���� DATES � �� CONTRACTORS �
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is �—an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
�2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City I�spector 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 ( � Checked items may require your action)
Tank i�spection 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. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be installed in each tank me�t 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 conditio�) ❑ Adequate
❑ High water table ❑ Low �-Fair
❑ Lot size �Medium � Poor
❑ Lake,wetland,or stream High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface dis harge.
COMMENTS:
�" �Y�(h r ,
� ' �� �—
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opi�ion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner
On th.e North Shore of
Lake Misznetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER `���� `�' �I�71/ I��.SG P►� ADDRESS d'� CY�.I�f?7 �/
7
PERMIT NO.'S. ���� DATES ,��D CONTRACTORS
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
�2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design, construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,a�d a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
�-Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
ed out this year to help prevent future problems, should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Ta�ks 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. O Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection 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 � Poor
❑ Lake,wetland,or stream ❑ High . ❑ Inadequate
❑ Drainage ❑ SYstem is causing visible
surface discharge.
COMMENTS:
���� � �
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does �ot guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
Oya the North Shor�e o f
Lakc�19insaetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
r' �� �. 4�ri,(�-: ;������'
OWNER � ��-�_� � ��ti �=�� ADDRESS �/
PERMITNO.'S. ����'� DATES ��''� � � ��� CONTRACTORS �'
City Ordinance No. 210 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 fail into the category checked below. �
(This is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does noi meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generaliy 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 upgrsding of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is faiiing to properiy treat and
dispose of the current input, and is endangering a water suppiy, 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/
repiacement 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 ( � Checked items may require your action)
Tank inspection indicates: ❑ inspection pipe is located directly over tank baffle. (Does not
„� Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
shouid 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. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection 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
O Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
�"4iigh water table ❑ Low .��Fair
�-Lot size �Medium ❑ Poor
�Lake,wetland,or stream �High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: 5 ' it-W� i � � 6�k" N a��ivJ-�-� 4.y(L•'.'..F-�v� �=>:�-< <' ^ /�(I:,Z/�.Si/�•�
� . � �
�_.
115��nC�- C_f�v�(�/ C�4'i.:�.F •'�'t� v�C�
tf• 3-�`I -�--�----
Date of Inspection ptic 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 guaraniee 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 availabie information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner
On the Noyth Shorc o f
Lake Mi�z�aetoyzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �/FN��-y L . �1-1/��JG� ADDRESS z's' Gy �,�.re'r QC,�}Gl
PERMIT NO.'S. DATES � CONTRACTORS ^
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is � an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design, construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for tuture 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 poliution to surface or groundwaters,or ls
creating a safety hazard, or is otherwise creating a public nuisance.Piease 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 ( � Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directiy 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 criticai level. Tanks Drainfieid 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. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe) must be instailed 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 (depe�ds on soil types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
�High water table ❑ Low /�Fair
�ot size ❑ Medium ❑ Poor
ake,wetland,or stream �High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: �ST��� LS l OR.K►I�IG (7•.k. NOl�..3 , 4�UT �5 �eL"�
S(f�}=�r C(� i ns T 1i-P f1 i45T—
�1 Z ff�7
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 an opinion of the adequacy
of the system under current co�ditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT POST OFFICE BOX 66
1335 S. Brown Rd.
� Crystal Bay, MN 55323
• - • •
473-7357
�
OWNER �/LC3S I1-f�YE.=7E�' ADDRESS <� C�L-���T �L��
PHONE PERMIT NO'S. '— DATES �'°i � �g�v
City Ordinance No. 210 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
bel ow:
� � Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears
to be operating properly.
� � Does not meet current city standards in some respects relating to design, construction, or location. Appears
to be operating properly.
❑ � Does not meet current city standards in many respects relating to design, construction, or location. Appears
to be operating adequately.
❑ � Does not meet current city standards of design, construction or location, is being overused, or is failing to
properly treat and dispose of the current input and is therefore endangering a water supply, is a source of
pollution to surface or groundwaters, is creating a safety hazard, or is otherwise creating a public nuisance.
Please contact the inspector to discuss requirements for repairs to your system. Soil testing may be re-
quired. In all cases a design and site plan must be submitted for review. Your contractor must obtain a permit
before work is started.
WORK REQUIRED:
� Septic tanks must be pumped within 48 hours.
� Drainfield must be repaired or replaced within 90 days.
� Inspection riser (4"diam. pipe) must be installed in each tank. L�1�-
� Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that
tanks be pumped out every three years. �rj�
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
�-ligh water table ❑ Low �Fair
❑Lot size �Medium ❑ Poor
�'Lake,wetland,or stream ❑ High ❑ Inadequate
�Drainage �System is causing visible
surface discharge.
COMMENTS: s�� /NSPECT�L�/V�N��7'U�TZ��y ��
�- � �� � � �.,�..
Date of Inspection Septic System In r
This report must be kept on the premises with system location and pumping records.
WHITE COPY / Inspector's File GOLD COPY/Homeowner