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Home My WebLink Aboutseptic info , u3/15/2016 12 24PM FA�; 9528733112 �0001/0004 �,:.,.�.,.. ��;°,��m Minnesota Pollution �o��»nce Ins e�tion Form �,?.,.� � "=J Cantrol Ayency szo�afayecce Road tvorth Exist�rtg Subsurface Sewage Treatment Systems ($$TS) 5t.Paul,MN 55755-4i94 Doc Type:Compliance and En7proemenf 1118pection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purppses: requireinents and attached Gorms—additional Iocal requirements may a{so apply, JU� � '� �o�� Submit campleted form to Lo�al Unit of Gavernment(LUG)and system owner wlthtn 15 days N System Status System st�tus on date(mm/dd/yyyy); 3/10/2016 � Compfiant— Certificate of Cvmpliance ❑ Noncampliant�- Notice vf Rloncompliance {Valid for 3 years from repo�t dato, unless shorter tr'me (Sec Upgrade Requ;rements on page 3,J fr�m�ouflinecl In Locsl Ordinance.) Reason(s)for noncompliance (check al/appl;cable) ❑ Impact on Public Health (Compliance Component#1}—ln�minent tl�r�af to pul�lic h�alth and safety ❑Otlier Compllance Conditions(Complisnce Componen!#3}--Imminent threat to public health and safety ❑Tank Integrlty(Compliance Compo�ent#2)—Faf!!ng tr�protecf groundwster ❑Oiher Compliance Conditions{Compliance Component#3)—Failing t0 protcct groundwater ❑ Soil Separation (Compllanc�e Componenf#4)—Farlrng to pratect groundwater ❑ Operating permiUmonitoring plan requirements (Compliance Gomponent ti5)—Noncomplisnt Property Information �,� ��,�J parGcl 11��or SecfTwp/R�nga: �(�� I t�j_�3 - �� .�,�,�� Property address: 515 Ferndale Rd North,W�ap�a#a, Mn 55391 Reason for Inspection: Sale Property owner; Bob and Kim Griffin �wner's phone: or - �- Owne�'s represenlative: _ _ Represent�tivo phone� Local regulatory authority: Hennepin County Regulatory authority phone� Brief system description: Comments or recommendat(ons: �- � -- Mound system shoufd remain cleared ofi. Grass is best cover fpr thc system and it is recammended thaf any trees or shrubs be removed from the mound. C@f t1�1Cdt1 OIl 1 heneby certify fhat a!!the necessary information has been gathered to defermine the complrance status of thrs system. fVo defermination of future sysbem performance has baen nor can be made due to unknown conditrons dunng system construction, pnssib/e abuse of fhe system,inadequate malntenance, or future water usage. Inspecto�name: Josh Swedlund CertificaUon number. C1659 Business name: Swedlund Se tic Service � !� License number. 2502 Inspector signature: �-�� u�/\ Phone r�umber: 952-873-3292 Necessary or L.ocally Required A�chments �Soil boring Iogs � SystemlAs-built drawing � Forms per local ordinance ❑Other information (Ilst): www,pczt.state.mn.us • 65t•296•6300 • 800-657•3864 • TTY 651-262-5332 or 8D0•657-3864 • Available in alternative formats Wq•wwists4-39 . 3/1bl f2 AGgefof3 � d3/15/2016 12 : 24PM FA� 9528733112 f�0002/0004 Property address: 515 Ferndale Rd North,Wayzata, Mn 55391 _ lnspector initialslDate- JS � 3/10/2016 (mm/dd/yYYYI —. 1. Impact on Public Heafth—Complianee component#1 of 5 Compliance criteria: VerificatiQn method(s): System diseharges 5ewaga to the ❑Yes � No � Searched far surFace outlet _ground surFace. _ � Searched for seeping in yard/backup in home Systertt diScharges sewage to drain ❑Ye5 � No ❑ Excessive ponding in soil system/D-boxes tile or surface waters. ❑ Nomeowner testimany(SAe Comr�ents✓Explanatiun) System causes sewage backup into ❑Yes � No ❑"Black soil"above soll dlspersal system dwelling or es[ablishmenf. — - �System requires"emergency'pumping Any"yes"answer above Indicates the ❑ Perf4rmed dye tesE system �s an imminenf threat to public ❑ Unable to verify(Sea Comments/Explanation) /I@a/l�] �nd Saf@fy. ❑Other methods not Ilsted (See Corrrmenfs/Explanation) Cvmm�ntsl�xplanatlon: 2. Tank Integrity—Compliance component#2 of� Compllance criteria: _ Verification method(s): System consists of a seepsge pit, ❑ Yes �No ❑Probed tank(s)bottom cesspool,drywell, or le�ching pit. ��xamined construction records SeepAc�e pits meefing 7080.2550 may be 0 Examin�d Tank Integnty Form (Attach) com Ilan(!f aflqwed in local oMinance. Sewage tank(s)leak below thoir [] Yes � No ❑ Observed Ilqufd level belaw operating depth designed operating depth. � �xamined empiy(pumped)tanks(s) If yes,which sawage tank(s)teaks: I ❑ Probed outside tank(s)for"black soil" Any "yes"enSWer�boVe 117diCates fh2 ❑ Unable to verlfy(5ee Commenls/E'xplanation) system,Is failing to protec#groundwafer. 0 pther methods not�isted �sse comrnenrs/�xpian�son� CommentslExplanativn: 3. Other Campliance Conditions—Compliance component#3 of 5 a. Malntenance hole covers ar�damac�ed,cracked,unsecured,or appear to be structurally unsound. ❑Yes"' �No ❑Unknown b. dther issues (el�cfrical hazards,etc.)to immediately and adversely impaet public health or safery. ❑Yes' �No ❑Unknovm �`Sysi�em is an imm/nent throat fa public health and safety. �xplai n: a Systerr�is non-protective of ground water for other conditions as dateRnined by inspector_ [�Yes* �No "'System is falling ro proteci graundtvater. �xplai n: www.pca.state.mn.us • 659-296•63Q0 • 800-657-3864 . 7TY 651-Z82-5332 pr 8pQ-657-3864 - AvailabEe in alterrtatfve formats wq-wwrsts4-31 • 3/76/12 Page 2 of 3 0'3/15/2016 12:24PM FAX 9528733112 f�0003/0004 Property address: 515_Ferndale Rd North,Wayzata, Mn 55391 Inspector iniGals/Date: JS � 3/10/2018 _ (mm/dd/YYYY) 4. Soil Separation—Compliance component#�4 of 5 Date of installation: � Unknown Verification method(s): (mmldd/YYYY) ShorelandlWellhead protection/Food beverage Soil observation does nof expire. Prvvious soi! Ivd �n ' �Yes �No observations by 1wo independent parties are su�cient, g �� unless site conditions have been altered or Iocal Com lianCe�riteria: reguiremenfs differ. For syst�ms built prror to April 9, 1996, and ❑Yes ❑ No � Conducted soil abservation(s)(Attach bonng logs) nof Iocated in Shoreland or Wellhead ProtectJon Area or not serving a food, ❑Two previous verifccations (Attach bonng logs} beverage orladging establishmeRt: CI Not applicable (Hofdinglank(sJ,no drainfreJd) Drainfield has at least a two-fo�t vertical ❑Unable to ve�fy(See Comments/Expfanation) separation distance irorn periodically ❑ Other(See Gomments/Explanation) saturated soil or bedrock_ Non-performance systems builf Apr!!9, �Yes ❑ No CommentslExplanatfon: 1996, or later or for non-performance sysfems located ln Shoreland or We/lhead Boring: Profection Aress or serving�food, 1-11" 10YR 2/2 Loam beverage, orlodging establishment: 12-15"10YR 4/4 CL Drainfieid has a three-foot vertica! separation distance from periadicalry redox found at 15" saturated soil or bedrocic.` "�xperimental", "Othcr';or °Pcrfvrmancc" ❑Yes ❑ No IltdiC�te de ths or elevatlo►1s systems built undcr prc-2008 Rulcs;Typc IV or V sysfems builf under 2008 Rcrles(7080. A. Bottom of distribu�ion media plus 21"or more _. .. . _ ---— 2350 or 7080.24�0 (Advanced Inspector l.iCc3nSC�eqUired) B. Perlodlcall saturated soiUbedrock OVef 15" brainfield meats thc dcsigncd vc�ical C. 5 stem se aration 36" lus separation distance from periodically saturated soil Qr bedrock. D, Re uired com liance so aration' 38" Any "no"answer above indicafes fhe sysfem 1s "May be reduced up to 15 percent if allowed by Locel failing to pro�ect groundwater. Ordinancc_ 5. Qperatin�, Permit and Nitrogen BMP*—Compliance camponen##� of 5 � Not applicable Is the system operated under an Qper�ting Permit? ❑Ycs ❑ No If"yes", A below is required Is the system required to employ a Nitrogen BMP? �Yes ❑ NQ lf"yes", B below Is requlred BMP=Best Management Practi�(s)spec�fied in thc systcm dcsign !f the answer to both questions is "no", fh/s sectfon daes no!need ta be comp/efed. Com liance criteria a. Operating Permit number: 0 Yes ❑ No Have the Q eratin Permit re uirempnts been met? h. Is the required nitrogen BMP In pl�ce and propQr) funr,tionin ? ❑Yes ❑ No Any"no"answer indicafes Noncompliance, Upgrade Requlrements(Minn.Stat.§ 115,55)An rmminent threaf to public heafth and safefy(lTPHS)must be upgraded.neplsced,orits use discontlnued wlthln ten months ot receipt af th;s noGce or within a st�orter penod if requrred by local ordinartce.!f the system rs fa;lrng ro protect grocmd water,the sysiem muat be upgraded, replaced, or its use disconhnued wifhin thc time requit�d bylocal ordrnsnce.li an existrng sysfcm Is not falling as defined ln law,and has atleast two feet of dQsfgn soll separal;vn,Ihen fhe sysldm nced no1 be upgradod,ropalrQd,roplaced,or its use diycontiniled, nohvifhStd»diAg arly lUca!Ordrnance that is mor�sfnct. This provisiorr does not eppfy to sysfems in shoreland areas, We/lhcad Protection ArBas,or those used in connectron with food,beverags, and lodging establishmcnts as defined in law. www.pcastaCe.mr�.us • 651•246-6300 • 800�657-384a • TTY 651-z8�-533Z or B00-657-3$64 • Available in alternative formats wq-wwists4-37 . 3/ibl 12 Pa e 3 0 3 S f G3/15/2016 12:25PM FAX 9528733112 �0004/0004 ,Swedrund Septz'c Servic.�es, Inc. 25648—204`h Street •Belle�'laine, MN 56011 952-$73-3292 Josh J. Swedlund T.,ic.#2502 .�1,; ��a�� c��- � �, bate; , , { , : � � ; ' � � , - , ��---�-. .:........... �----�• • , ` ' , . . ...-r_..__.. _ . _ . . � � .. __� r i � '"' "" ._. ._... . . . �. .___.... .,. ...."__"__. . . -_. . i I , .....—_-' . .._,..._.. . , . . ' ; � , � � ..... .... .. ...""-'_" , �- i . � � .�. . , . . � . . ' � ' � , _._... . � ' � � . : . , ....^--. � ... �._._ � ' '� ; T.' .y . ....�..._._�-. � . . . . . 1 "_T_'_ -._..._� . : . 1 I 1 -__._. . 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Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 _---_____ _ _ To Current Owner: Address: � �� {�r'�q�t' �' �� City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMIT'Y (1-3): 3 1 "CODE SYSTEM" An ISTS which meets all the location,design and construction star�dazds of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal Code but dces meet the three foot sepazation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an imminent threat to public health or safety. \ j /"NON-COMPLIANT SYST'EM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may �� or ma not meet all the location,desi Y gn,or construction standazds 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 chazacteristics. TANK CONDITION(5-7): Tank inspection indicates: � Pumpout not needed at this time. 6 Septic tanks must be pumped out this year (ciTy code requires tanks to be pumped out once every 3 years. Tank was last pumped �—��d L ). Make sure seatic tanks are uumped through manhole and not through white insuection pipes This allows for the proper cleaning. Keen water softner and iron filter discharge out of seutic sv`stem. 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. �D CONDITION(8-10): �I 8 Drainfield is dry, no surfacing evident. 9 Some evidence of surfacing,not criticai 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: v� ��U i S 6�� C�� - �— t`-��/S�-- �� r< \�c,< � 3��Z-(�l D � � �\2— �� 0� l!�t� Date of Inspection Matt Bolterman - Septic System Inspector Note: In the event tt�at this it�spe,cdon report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this repcxt does not guarantee or certify tha[�e�sii�g system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditio�s b�sed on tfie available iflfama�ion. Telephone(952)249-4600 • Faz(952)249-4616 www ci.orono.mn.us � � �� O O � f ��T � CITY ]E�ONO ,� ��,�.�� ,� of � "�� ;�� ,ti,�' . Municipal Offices � „`•.�:t•';�'.�;� G . � ��,:#;;•� �i Street Address: Mailing Address: .9kE8H0g 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crysta( Bay, MN 55323•0066 Ovmer: ��t��.�. s cr�� . Address: S�S Fe r,�q le. � /V . Ciry Ordinance 199 requires that each existing on-site se�vage treatment system in Orono be inspected every two yeazs. The on-site sewage treatment system at ihe above address has been inspected a.nd appears to fall into the categories checked below. SYSTEM CONFORMITY (1-3); � 1 °CODE SYST'EM" An ISTS which meets a11 tha location,drsign and cocutruction standards ofthe cuaent Orono I�lunicipal Code. 2 "COi�LIANT SYSTEM" An ISTS which does not meet a11 tha location,design and coastruction standards of the currecrt prono Municipal � Coda but dors mcet tha three foot scpazation requiremrnt,and which is not failing or aa immineut threai to public health or saf.:ty. "NON-CONIPLIANI'SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plaiq aay ISTS which may oc may not maet all the location,design,or construction standazds of the cumat Orono blunicipal Coda aad which is faling for aay reuoq and any ISTS with less thart three feet of unsaturated soil or sand betwern the distn'bution device and the limiting�oil characteristics, TANK CONDITION(5-10): S. • Tank inspection indicates: .. OPumpout not neadad at this time. 6 Tank must ba pumped out this year (city coda requira tanks to be pumped out every 3 years. Tank was last pumpzd 7—e�.��q c1 �, 7 Solids accumulation in tanks is at a critical a criticallaveL Tanks should be pumpad out as soon as possibia. 8 S}stzm is discharging to tha surface. Tanks must be pumped out within 48 houts to eliminate surface discharge. 9 Inspection risers missing-tanks could not be uupectad. Inspection risers(4"dib pipe)must ba irutallzd in each tarilc at next pumpout If tanks hava not been pumped out within the lut three years,they should be pumped out now. 10 lnspectiun pipe is located dirzctly over tanlc ba�&le(does not give accurate mauurement of solids accumulation). Iftanks have not bern pumped OLLL\VII}llfl LF1L I.15L v]f2G yG3I5�they should be pumptd out no�v. DRAINFIELD CONDITION 11-14 : ,�_ 11 Iha�ald'u dry,no surfacing evident 12 Some e��idenca of surfacing,not eritical yet � . ' ' • 13 Drs�eld is saturated and visibly discharging untreatad eHlurnt to the surface. Contact the City Insptctor unmediatety.Repairs musi be complrtad«ithirt 90 days. 1� Drainfield estent and condicion unknown. CONfi�NTS: S S}c� ;S r.a�.- �o�- \�.^-r � a o �qc.K o 3 -�o Se r ;o� �/Ccr• �0 or. 0�. �`�t q,� •� S�qSO \ w }�r 1-qb�� _ (� a 1� \1- 1 —�.0�D . �—�.6—� � °1��oc. Date of Inspcction Septic Systcm Inspcctor �: � Note: In the evrnt that this iaspectian tepod is used W satisfy the requirem�nts for a moRgage or otha h�ansfa oFproperty,be advued that this repoR does not guarantze or certify that an esisting rystem will continue to function properly,but is merety an opinion of the adequary of the systeai under cuaeac cenditioas bued oa the available info�autioa /'�i �1 O � �" 7 �\_, //, O O ;;:�:, � CITY of ORONO � � -- ' �l�r:�' Municipal Offices ,� t ;i� ` �,t � �`�;�G "� Street Address: MailinQ Address: �� ,'9$�H04' 2750 Kelley Parkway P.O. Box 66 —__ Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: � Y�./ � Address: 515 Ferndala Rd. N. Permit #'s: none Dates: Contractors: unknown (This is [x] an existing system [ ) new construction) . SYSTEM COMPLIANCE (1-3) : 3 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. � 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 laval is [� or is not [ ] identified under this septic system. If the saturatad soil lavel is not id ntified, 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. 10 One or more tanks are cesspools, which means the septic system is non-compliant. (The tanks are [ ] or are not [ ] watar tiQht or the condition is [ ] unknown. If the tanks are not confirmed to be watartiQht, this classification is subject t r vision.) INFIELD CONDITION (11-14) : 11 1 Drainfield is dry, no surfacing evident. 2 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. PGTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc. ) : high COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil borings were performed to verify a 3 foot separation between the drainfield and the seasonal water table. The separation is 0 feet and the system is non-compliant. Repair or replacement of the septic system is required by 12/31/2008. ��1�-�'� _ _ Date of nspection Sep i System Inspector 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 Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT r�`,� �, INSPECTION REPORT �' G~ �9kESH�4'� /5 ' �/ �/1.•� � �7��rt� �: Owner: Y" � �) "�. Addres\ , Permit #'s: �� Dates: — Contractors: /�nK�'t',?,Ji^� City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is �an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): 1 "CODE SYSTEM"-A system 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 uithout discharging any pollutants into ground or surface waters. 2 "CONFORMING SYSTEM"-A system which does not meet alt 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 seuage 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 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. If the limiting soil characteristic has not been identified, this classification may be subject to revision.) TANK CONDITION (5-10): Tank inspection indicates: 5 PumFwut 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 accurtiulation 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 p�xnped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be ins cted. Inspection risers (4" dia. pipe) must be installed in each tank at next ut I tanks have nqt pumNef out within the la '� they should be pumped out now. '�' l� dq��l��rik— ��/YX/�),. ti, p�� /�1:� �'Y7'�i,,,/. 10 Inspection pipe s ocate ir c ly 'o�er�ta baf e does not i adc rat measilremen of solids accumulation). If tanks have not been pur�ped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): Dr field inspection indicates: �� `�'v,�`'�"�(.�1, Ci� �'1��r.�{^� 1 Drainfield is dry, no surfacing evident. � Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector irtmediately. Repairs must be completed within 90 days. 14 Draintield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ', COMMENTS: ,ti_� Dat of Inspection Sep c 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 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 loc�tion 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 a � ON-SITE SEWAGE TREATMENT � � INSPECTION REPORT ti ��kESH�4'�G Owner: f�/'Y�1'�ti✓ �/1^)7!-� Addres s: �� 1��1F' l�'� /(/, Permit #'s: r}''yf?L`' Dates: — Contractors: -""' 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 [ 7 an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): � 1 "CODE SYS7EM"-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. "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface 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 failiny 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 C� has not been identified at this time. If the limiting soil characteristic has not been identified, this c(assification 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 5olids 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 uithin 48 hours to eliminate surface discharge. 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 now. 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): � D�i�nfield inspection indicates: (1y Drainfield is dry, no surfacing evident. TZ Some evidence of surtacing, not critical yet. 13 Drainfield 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 Cdepends on soils,water table,etc.): ��_. COMMENTS: -' �' ,!—_� 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 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 the system locetien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner