HomeMy WebLinkAboutseptic info �—�
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` .t ' �`� ' ; :� � Street Address: �15a-a�{q-�16o o Mailing Address:
9kE8HOg: 2750 Kelley Parkway P.O. Box 66
` ---" Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: ���v �'x S'i'-
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 CONFORMITY (1-3): �
1 "CODE SYSTEM" An ISTS which me:ets all the location,design and construction standards 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 does meet the three foot sepazation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an unminent threat to public health or safety.
� "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the cunent 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 characteristics.
TAI�TK CONDITION(5-7): ��
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped \C'"-'�-C � ).
Make sure septic tanks are pumped throueh manhole and not through white inspection pipes This allows for the proper
cleanin�. Keep water softner and iron filter dischar�e out of septic system to prolong life of drainfield Ask pumper to test
alarm float to verify alarm is still workin�in your house. The alarm warns owner that septa�e is about to backup into basement
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• r�.;c��:��U 1S s��c�— Ce�... i,,�tti�— �}-- I�`�✓S.�-' �C
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Date of Inspection Matt Bolterman - 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 opinion of the adequacy of the system under current
conditions based on the available information.
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�X�::�:-� CITY of �RONO
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,� �',:`};;�"� �''Y - Street Address:
g Mailing Address:
�'8K� 2150 Keliey Pa�kNay P.O. Box 66
Orono, MN 55356 Crystal Bay, M�V 55323•0066
95a-�4q-y600
To Current Owner: Address: o���d �X ��-
City Ordinance 199 requires Ehat each existin�on-site sewa�e treatment system in Orono be inspected every two years.
The on-site sewage oreatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEhi CONF'ORNIITY (1-3): �
1 "CODE SYSTEM"An ISTS which meeis all the location,duign and construction standazds of the current Orono hlunicipal Code.
2 "CO�fPLIANT SYSTEM" An ISTS which does not meet all the location,dcsign and conshvction standards of the cuacnt Orono blunicipa]
Code but docs mect the thrce foot separation requircment or two foot rcquinment for rystcros installed 1996 or earlier,and which is not failino or
�� an imminent threat to public health or safcty.
\3 ) "NON-CO�fPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a daignated 100-year flood plain,any ISTS which may
�� or may not mc:t all the location,design,or conswction standards of tju currcnt Orono Municipal Codc and which is failing for any rcason;and
any IS"tS with Icss than thrcc fcet of unsaNratc3 soi]or sand bccween the dis�ibution devicc and thc limitino soil characteristia.
TANK CONDITION(5:71: S
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 l�st pumped (U -y— ° ' ).
I�Iake sure septic tanks are pumped throush manhole and not throuQh�i•hite inspection pipes
This allo�3�s for the proper cieanin�.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION -�Q : �
8 Drainfield is dry,no surfacin�evident.
Some evidence of surfacin„not critical yet. �
10 Drainfield is saturated and visibly dischar�ing un�eated effluent to the surface. Contact the Ciry Inspector
immediately.Repairs must be completed within 90 days.
CO��IMENTS: �j�r...�=.-c1� �S i�oc-.- C�7�� I;c,r.T- �x�(1 T�tJS�-- �j` ;ep�G(c�� ��
��-'�I - 1� �o .
4� -� -c�1- ��c� / �v�2-„w—�
Date of Inspection hiaK Bolterman— Sepcic System Inspcctor
Note: In tt:e evcnt that this inspectioo rcport is uscd to satisfy the rcquircmcncs for a mortgage or other trartsfcr of properry,be adviscd that this report doa not ouarant�e
orccrtify that an existing rystem wiil continue W function properly,but is meccly an apinion ofthe adequary ofthe system undercurtentconditions b'ased on the available
information.
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CI�'Y of O1t01��
,� , � ' Municipal Offices
Stree4 dddress: Mailing Address:
���9 �'�G 2150 Kelley Parkway P.O. Boz 66
�E�T�Io
- - Orono, MN 55356 Crystal Bay, MN 55323�0066
�
To: The Cun•ent Owner of Address � G� �G' X
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City Ordinance requires that onsite sewa�e 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-?49-�626 within 10
days of recei�t 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
le�al action.
System Identi as Non-Compliant
�'es
No
If yes, system must be brouQht into compliance by:
December 31, 2007 �
December 31, 2010
ather
Septic 'I'ank(s ump out Needed
'Yes
iiT o
The City recommends the septic tank(s) and/or lift tanl: be serviced and pumped
olit ev�rv three years. City records indicate the tanl:(s) were last pumped out on
i � -.c�( �UI . The tanl:(s) should be cleaned through the manhole and
not tlu•ough the inspection pipes, this a11o«-s for proper cleanin�.
Comments:
���(�� ��t�'' '.,` . C' _
Inspector: Date of Inspection C�
'lle�e��or�� (9�=) 2 r9-w6��3 � �'�:� (9�3) y��-����
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�� CITY of ORONO
v�„ �E� Municipal Oftices
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�,t � �G Street Address: MailinQ Address:
i
���,��t'EgKOg'�' 2150 Kelley Parkway P.O. Box 66
�' Orono, MN 55356 Crystal Bay, MN 55323-0066
May 16, 2000
Draper & Molly Jaffray
2620 FoY Street
Wayzata, Mn 55391
Dear Mr. & Mrs. Jaffray:
An inspection of your septic system was conducted on May 9, 2000. A sumrnary of the inspection is
below.
SepNc Tank Condition
1. Pumpout not needed at this time.
The septic system is non-compliant due to a lack of a three foot separation distance between the bottom
of the drainfield to the seasonally high watertable. The three foot requirement is a State Code, not a City
Code. A soil boring was conducted to determine the depth of the seasonally watertable. The septic
s_ystem must be replaced no later than December 31, 2010.
Enclosed is a list of state licensed septic contractors who work in Orono on a regular basis. Also
enclosed is a fact sheet explaining ho«� a septic system functions properly. Finally, an as-built drawing
is enclosed that shows the appro�mate location of the septic system.
If you have any questions regarding this report, please contact me at the City Offices at 249-4600.
R ectful
� .��ivu/
hris Pence
On-Site Systems Manager
Enclosures
In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be
ad��ised that this report does no guarantee or certify the esisting s}'stem 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 location and pumping records.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.omno.mn.us
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' ` � '�� CITY of ORONO
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�.� ���1'�����`r�`�`e�i`�'".�� Street Address: Mailing Address:
`9�C'EggOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �����j� �L�h�,� Address: 2620 Fox St.
Permit #'s: 6155, 1943 Dates: 10/22/B0, 9/3/68 Contractors: Widmar Bros., Sullivan
(This is [� 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 saturatad soil level [x] has or [ ] has not baen idantified at this time. If tha
saturatad soil leval has not been identifiad, 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.
OInspection 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 [x] were not confirmed
to be watertight by the licansed pumpinq contractor. If the tanks were not confirmed to be
watertight, this classification is subject to revision.)
D INFIELD CONDITION (11-14) : 11
1 Drainfield is dry, no surfacing evident.
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: 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 12/31/2007.
��9� �
Date of Inspection S ic 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) 4'73-7357 • FAX 473-0510
CITY OF ORONO � O�
Municipal Offices O � O
Post Office eox 66
Crystal Bay, MN 5 5323-0066 � � ON-SITE SEWAGE TREATMENT
,� � INSPECTION REPORT
ti
�L9kESH��'�G
Owner: ����L�� L�UI 1�[�� Address: ��{ 1 �(��( i�l.
Permit #'s: ~' � � Dates: �;���//���=�J°� Contractors: .SUl�I(/lAl'�/1n�Y#1'1'1�il��u�¢�•
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 belou.
(This is [�1 an existing system [ ] neu 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 uhich is operating satisfactorily by treating and disposing of the entire current seuage input
uithout discharging any pollutants into ground or surface waters.
� "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
betueen the distribution device and the limiting soil characteristics.
(7he limiting soil characteristic [ 7 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 CONDIT[ON (5-10):
7ank inspection indicates:
5 Purtp�out not needed at this time.
6 Solids accumulation in tanks indicates they should be purnped out this year to help prevent future problems.
7 Solids acaxiwlation 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 discharge.
lnspection 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 d out uithin the
out now. "
10 InspeC'fi�ea-$ipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumpetl out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr,a�field inspection indicates:
( 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 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,uater table,etc.): ���..,
COMMENTS• " � Q �, ,
�
Date of Inspection ep c System nspector
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 certtfy 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 with the system loc�tien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake Nlitznetonka
ON-SiTE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER ��G'r"o �� d.�Ullr�l� ADDRESS �
PERMITNO.'S. y3 - DATES �J3�������`� 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 Code1 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 desig�, 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 ( � 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.l 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 Drainfie�d 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
� � Ins ctio ' " in —tanks c uld not be inspected, effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be insta e in eac tan' ment or additions to drainfield. Contact the City Inspector
at next u ut., tan s ave not been pumpe out within immediately.Repairs must be completed within 90 days.
e ast 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
`6 Drainage ❑ System is causing visible
surfac �sc arge.
COMMENTS:� O�� "�C(.y�-s i et�� � 11 S �� /�
'� q�� � 4��� !�»�r e - �
�'� �S
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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 system location and pumping records.
WHITE COPY/�nspector's File GOLD COPY/Homeowner
On t.he North Shore of
Lake Mi,tszetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER C��rc�crn �u.hre� A��REss av�D Fz>x S1r-e�'f � I/��ty Zc'����
PERMIT NO.'S. ��Q"��� ��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 abovg address has been inspected and appears to fall into the category checked below.
\��
(This is ,L�rian 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 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 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 ( � 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 Drai ield 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 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 tabie,and system condition) ❑ Adequate
❑ High water table ❑,Low �Fair
❑ Lotsize �Medium (SJStZijyj���'' , ❑ Poor
�Lake,wetland,or stream ❑ High � ❑ Inadequate
❑ Drainage ❑ System is causing visibie
surface discharge.
COMMENTS:
,.� /��� � ,� �.�
D te of Inspection Septic System spector
Note: In the event that this inspection report is used to satisfy the requireme�ts 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 properiy,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
On tl.�e North Shore of
Lakc Mi�arretonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �C�R0�3N I�U�I��R ADDRESS ��•�G �j�:k .S�J�P���
r �lY3 , � -�- ry �' S'.�lCL1V/�
PERMIT NO.'S. �� DATES --��� � �' � - �D CONTRACTORS Zti'i On/t 12
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 ab,o_ve address has been inspected and appears to fall into the category checked below.
(This is ILJ 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 c�rrent 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 suppiy, or is a source of poliution to surface or groundwaters,or is
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 directly over tank baffle.IDoes 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 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. i� Drainfield extent and condition unknown.
SITE CHARACTERISTICS: �)��' ������ << Y��~ C��"J r
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ---� Adequate
----�1 High water table -----� Low ❑ Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
/�-w��-s-� �? ��r �� � �.?, �vz� /�- ��.� �
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 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
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