Loading...
HomeMy WebLinkAboutseptic info .�,�_ . ..,r .�..�..�,. �......,.,..�.,....__,.,._�._ . .,..__.� _ _ ... , , �._:� , _..- ��. _ . , _ _,. ,.__,.� �.Y;.,.�::w�.:.� ,..J...�..�. _.... --_ s,.�...�����,�:-_. __ ... � . ' ' { ,. ; . ` I ` '. � �1 � � 1 � . � y � - � � . 1 '• q'L , . 0 r�J' � .� • �t°► . � L b�� : .—,��.�=�l'__r__� __''!•! .. �ROypfrp. ` � N '�_� ..�._----- --- J ,SM, �' �I�.i� �,ii.i ��ti / I � . /[�/ . ,,,. ,�, ;� � .. � p r�= '� l . ., . . 4 FN`� i�j �'j �► " �� �'i?� �,•�� • "-1(�. , , {iyt� , — 1.11+ ', �� • � ,� 'J�� �( � ,,�� �wo..,� .+ � ' � � / ... '�i�, � y�i eo No�fa 1 ��' ij , ti � ;-�,,�-'R. � J . ��� �� � � b �'yI, � Q .,�I . '� ��y� '��, ,� ,� � ?� • � fE/�Ic ,\ � . .A ; , �.�, • `,- ; .>J+•+ � ` i. L N�►1" , l�wKf �. �'.. _ � „ ���r; 4 _����,, ,'�� ✓J fNi�� -� � � r ' _ _ r•�, r� • ,� . f� � �, ' � ---` ._ .�� � � ._' ...\- . ,d t r F t'' , . �'' � :.�,. , � • l�w�. Kd�i,a'•.�( ` \�j Y \ / �` �'•� �.ei,t,.Ic!/J1B (�1 , ' ,� •. � '.� 'rT�'y= , \ � I� . _ °s 1� .� ` , .� NM�i,v� ` . \, .I.vK ' • . � , � . , ' \ \ , • . . .. .... ,``. . . . •�.. . . � , ` _..L�n�Lc►w..cn lo�`�vnl. / , � oi 4d��,mn� h�u.cti �• ^�` ' � J ' ��� � 1 (J" �-l . '� � d -i�J � ,� • -� � � y-- � y EOl.f at oiK�• � � 1 ' � �` �. ` ` , �� • ` �OCK d!D � �' � ' .,� ` ,'�'♦� 3'�� . h�'•� � �� J Q � � '� O O •t ��_Z � o � ' ' 7 /�� � . ♦ � / o`. '�'' ' � � � � ♦ ,�, � � , � N � ,� •;. � `�r, �., � /y� ;: �.� l �. �• �°e . � . �, � �, � �-. .,�'rM-�ti . � �^T �, � � ` Z . 1� � �' � � � ' � i �!'.�.t . � � s�T'.` .. � � ,�fi�,.,:; • u Or � , /Z—/�—o 9 „ � ` � � �',� ��� �„� � . � � � i� . . � F:. w f A A� .?�+Jr . . .,�+ w� �� � �� � �_., �i 1 . i.e ,�� I3 y . ' ll t�� 4. , , y,• i � �Y�A� e, y.c. d A �„ ��;ru# $�r�r z 7 r��.�'�n1 '�V.,��'d. .� �.`"�.., i ,..� �qX'*t�ti,;�i . . �� � �����j �s fy�_.}, ^���5 y�'�dZ �k �( �' # ' �,, . � . x , .. � � �... , .- , . -.t 3r..?tlds .. ". 1. �k.A.,� �:. , y a2.ra,, ,�.. ,-.`, ,.... . �a:� .t„„ , t`4 �...�� .„'S�?. ,fi, __ /. - � . � 0 0 �� CITY of �IZO1�TO � � � ,� � ��, ; Municipal Offices Street Address: Mailing Address: ���9 �'�G 2750 Kelley Parkway P.O. Boz 66 �E�Tr�� _ Orono, MN 55356 Crystal Bay, MN 55323�0066 To: The Cun�ent Owner of Address S'�(�fj t—LS� 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 follow•in` is known about the system. A slcetch 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 Mana�er at 952-249-4626 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 Ider�tified as 1`1on-Compliant Yes No If yes, system must be brou�ht into compliance by: December 31, 2007 December 31, 2010 ather Septic Tank(s ump out Needed Yes l�To The City recommends the septic tank(s) and/or lift tanl: be ser�iced and pumped out every three yeai•s. Citv records indicate the tanl:(s) w°ere last pumped out on ��• ;.�2 ��-Z . The tarilc(s) should be cleaned tl�rough the manhole and not tlu•ough the inspection pipes, this allo�vs for propei• cleaning. Comments: �� �� �,�'� �'�J�� f �- D � . Inspecto3""� Date o_ Inspection 1'zfe�:�an� (3;?1 ?�r:"-�6d��i � !��:i (9�2) ?�99-=�a5�,� 14��i 35'.C].D?'�f3t).C3i�ti.�3� � o� o ;:, o -r��-=a j C ITY of ORONO , �.,���-} a, ,. �,� � '�► ri � ��`r `� ,ti,E'' Mun;cipal offices � ����-�� �h � ��.'.;�;�x=,�� �'yG � Street Address: � �� �g Mailing Addreu: ESK 2150 Keiley Parfcway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 95a-�4q-y600 To Current Owner: Address: 33ao j'vx S�-. City Ordinance 199 requires that each existin�on-site sewa?e 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): ( OI "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono hiunicipa!Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds of the current Orono Municipal Code but does meet the ttuee foot separation requirement or two foot requirement for systems installed 1996 or ear(ier,and which is not failing or an imminent threat to public health or safery. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS locatcd within a designated 100-ycar flood plain,any ISTS which may or may not meet all the location,design,or construction standazds of the current Orono Municipal Code and which is failing for any reason;and any ISTS with less than three fect of unsaturated soil or sand betwecn the distribution devicc and the limiting soil chazacteristics. TANK CONDITION(5-.7�: � Tank inspection indicates: 5 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 �-�-6-��5` �. Nlake sure septic tanl:s are pumped throu4h manhote and not throuQh white inspection pipes This aUows for the proper cleaninQ. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. D INFIELD CONDITION -�Q : � 8 Drainfield is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yet. 10 Drainfield is saturated and visibly dischar?ing un�eated effluent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. CO���NTS: S-�S j-c� 1 c ci�S � l� ��� k,^k j ,�- �-1,c ���� ��a� �e c,. �„ �p• ..,-.� \�Sr � �enrS. SS- 1 L-0 L �r'�� 1��v�_ Date of Inspection I�Satt Bolterman- Septic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mort�age or other transfer of properry,be advised thai this report does not guaraneee or certify that an existing system will continue to function properly,but is merely an opinion ofthe adequacy of the system undcr current conditions based on the availabic information. //��\1 %�� � � \\. i � O\\ I/i \� �! ��� . r %�;. �, � C ITY of ORONO � , r�,, � ��u '�G, , ti;� Municipal Offices � ;, �� �� � '� �; , , � �:-� G ;, ,L 9 � g,� , Street Address: �15a-a4q,y6o O Mailing Address: �j'E$KQ, 2750 Keiley Parkway P.O. Box 66 _. - Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: �'3 5�:c� 1�-c�X S�� 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. STEM CONFORMITY 1-3 : � 1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of ihe 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 separation requuement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an unminent tlireat to public healfli or safery. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which may or may not meet all the 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 luniting soil characteristics. TANK CONDITION(5-7): �r Tank inspection indicates: OS 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 ��-��--��- ). Make sure septic tanks are pumped throu�h manhole and not throu�h white inspection pipes. This allows for the proper cleanin�. Keep water softner and iron filter discharQe out of septic svstem to prolonQ life of drainfield. Ask pumper to test alarm float to verify alarm is still workin�in your house. The alarm warns owner that septaQe 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. D INFIELD 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: ��'`��� � S�t��C -�-:,�kS (�c,� C�� � �"'�—���--- �' Y�c� � � �--�. Date of Inspection Matt Bolterman - Septic System Inspector Note: In the event that this inspection report is used to satisfy the requiremenu for a mortgage or other transfer of property,be advised that this report does not guazantee 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 infonnation. i ' ;\ /,-' O � � �\\ ���0 0����� ,� �t l��� � CITY of ORONU � ;� ti ;; M�;�,� otf�� "�,� , _, �� „ � ���� � � � ,/ Street Address: Mailing Address: _�1fEggOg'j' 2150 Kelley Parkway P.O. Box 66 ����� ��� ���"� Orono, MN 55356 Crystal Bay, MN 55323-0066 May 16, 2000 William& Judith Trubeck 3300 Fox Street Long Lake, Mn 55356 Dear Mr. & Mrs. Trubeck: An inspection of your septic system was conducted on May 10, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout not needed at this time. The septic system is a compliant system, meaning it meets all or most current City and State Standards. Enclosed is a list of licensed contractors who work in Orono on a regular basis. This list is enclosed simply for your reference in case your septic system needs maintenance in the future. Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built drawing is enclosed showing 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 ectfull � ��� Chris 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��sed that this report does no guarantee or certify the 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 location and pumping records. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us � o� �o 0 'I' �j ,� � CITY of ORONO 1►� �����r�� 'u `�" `�, �� ,`�-,)�s `� ,�ti Municipal Offices � ��,��;.�1-� �.�� G �� �4'�,:'�cl�;��vt� R-o�g.�'y Street Address: Mailing Address: `9�tEggO 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 � Owner: fj� , �� ��,���� Address: 3300 Fox St. Permit #'s: 2950 Dates: 6/1/90 Contractors: Quickway Exc. (This is [� ] an existing system [ ] new construction) . YSTEM 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 leval [ x] has or [ ] has not been identifiad at this tima. If the saturated soil level has not ��bean identified, this classification is subjact to revision.) �K 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. (During the last septic tank Maintenance Pumpout tha tanks [ ] ware or [�] were not confirmed to be watertight by the licensed pumping contractor. If the tanks were not confirmed to be watertight, this classification is subjact to revision.) AINFIELD 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: (s stem age and condition soils etc. ) : low COMMENTS: �-�� _--- Date of Inspection S tic 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 � � ON-SITE SEWAGE TREATMENT � � INSPECTION REPORT ti ��9kESH��'�G Owner: l�I .v,/1 Y.(I�d �;�� Address:__ �C�( a �C� �,� Permit #'s: ��� Dates: 1>—;�—/(� Contractors: L�/iiCGIGniG�i ��!('e 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 C�an existing system [ 7 new construction) SYSTEM CONFORMITY (1-3): 1 , "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City Codes, and uhich 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 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 seuage 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 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 identi ied, this classitication may be subject to revision.) TANK CONDITION (5-10): _ Tank inspection indicates: � Pumpout not needed at this time. Solids acc_umulation in tanks indicates they should be pum ed out this year to help prevent future problems. Solids accumu aT-�ffiBrt-�-i'n-fanks is at a c"�r at-T�—�-shoaFd-bg pamp�d out as soon as possible: 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e. 9 lnspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed tn each tank at next purtipout. lf tanks have not been pixnped out within the last three years, they should be purtiped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out uithin the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): Dr 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. L[MITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): Ll.�,� COMMENTS: �� _�- _�, I Date of Inspection Se t' 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 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 uith the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � a � Crystal Bay, MN 55323 473-7357 � � � OWNER �/%��i 1 >.�i'� ADDRESS ��� �X J � PERMITNO.'S. � DATES —p ��``-� 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;�o 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 nuisa�ce.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( m Checked items may require your action) Tan�spection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not umpout 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 Drain ield inspection indicates: should be pumped out as soon as possible, j�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 Futurg Expansion �Soil tabl�e/,and system conditio�) "��Qdequate igh water table (�F-}_ow ❑ Fair 0 Lot size ��7 Medium ❑ Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: ��!.� �!� � Date of Inspection eptic 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 CITY OF ORONO Date ADDRESS � Connected to CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer Address -5��(���' r-;'x ->; Property I.D. [i�-//�7-�3 ��( G7t.-c� � WELLDATA L7 Standard trench � Ld'� ,��S (3`,r� I I O Mound /I Y=� A 2�S r27 System type ❑ Other Legal Description ��' p �/3/�L- y ' f � L Permit No. Date of permit - Installer — �° p d No. Bedrooms Garbage ,� d � Buildingtype ���3�J�h.:L� orGPD y��2�f- Laundry_ C�Dishwasher Disposal `� � • v a o `� � E �, SEPTIC TANKS: Material �aw.c C� • � , Capacity 1) : ;"'�'%' t!l�r<IN � 2)1�S�✓.�. :�'� ° aC c : \ ,I � - .o m a Proper outlet and inlet Baffles Liquid depth to RO level �'I � '- • ;; o � � m Height of tank bottom above water table Distance to nearest building � t N m � �' ' DRAINFIELD: Total length of lines Number of lines Trench widt �� \ � Y � C Total treatment area (sq.ft.) Height of drainfield above water table ' ;? 1 \ 7 U � . \/ Type of filter material Soil type v a n\` �• ✓ y I� � Distance from nearest bldg. Tile size Perc rate min/i a+ L � � n c ��� a � � Depth of fill over drainfield Depth of rock over tile under tile� / c a � `�' _ y E c - - d p a cj � � � 1 ��Uli t'C..�� � . _ � � v, ,� � , � If ' � � ( a �y �„ �.+ ti , � '� � ��� � �� � � ' � / � !(J� ����,�� ___..� '� /� c, r � � V , m ` � . V �v� ��� �� ��n. • �� � �- i� ! ` �'` �`'� �� � ���� � � ��� f1f�` !, ��r ' - ' ' �;1�f� pl`> r' �. M ' �NI �� . , _ �- .' � � � i`' � , �" �a � r - � I:--=-- � � ��.J�, , � '� . �. �'3 33' �' _. ^. ��, \ 7 � � `.c��¢. � ' Q.�RTE N P CITY OF ORONO Date ADDRESS � Connected to CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer Address --�=!'�� f- C.'x ��>T WELL DATA Property I.D. US-//�7-�3 �� G�c�c��Z I O Standard trench �/�, �d� «s 13-'�� � ❑ Mound (l I 1�'. A 2�S �Z 7 rn System type � Other Legal Description 7 3��C L— y(�?�i p a� L Permit No. Date of permit — Installer — � O No. Bedrooms Garbage .� „ ( Buildingtype 1��;�1�L`hrC� orGPD y$�2-l- Laundry_ C�Dishwasher Disposal `� � = �° a 0 E �, SEPTIC TANKS: Material Ccs,vC__ ����c1c , Capacity 1) %�'-�`r ' ,!��h7N ) 2��� ° OC c - 'o �, a Proper outlet and inlet Baffles Liquid depth to RO level � � ' °% O � Height of ta�k bottom above water table Distance to nearest building G � t � N � O DRAINFIELD: Total length of lines Number of lines Trench widt ';�� � H Y l� � C Total treatment area(sq.ft.) Height of drainfield above water table � ;? �� V , Type of filter material Soil type t � � ,a, � \+ � � � � �; ��. L Distance from nearest bldg. Tile size Perc rate �min/i / ,�� � a m •c �, � � � Depth of fill over drainfield Depth of rock over tile under tile� � - � E � " p d U �i LOCATION INSPECTION RECORD PUMPOUT RECORD SKETCH DATE COMPLIANCE DATE GALLONS j_L� Ndi S yt K'FA C i N is �l'O'7�� � � /5 C� ., °� �I - �3(; , „ , , t�.1(� d� �SSuU -2�-���� N�S�€2�u�v�� Z- �(-17-$� �� ��� �t ri:, ;_ ,-�. f� �_; Include: 1� Well location 2) Distance from house to septic tanks,dist.box, and drainfield C— CONFORMING S—SUBSTANDARD N —NONCONFORMING 3) North arrow and road • \ 4 `" � � Z � �_� ���. '� �` � .� � � � �",.: � � � � �� � �� � ��� � � 0 � ; . n,� ��" 5�`' _ _ � � ,��� - , rfiitat� ? � ��RcWt �.. � _, - _ '� � , j ��l � r Y,�-y . � C�5 � J � � ? � � 4�'C r� � � � � G 1� - _ .. �" '" � � _ - , �� ,��,�pu � / - - - - � - - � J' �I�_ I 7 ; � { �I�b� •bi� I O� !� i ,I . 2 r 41 �, � ' -^- -__._ .... ��R �y % ,._�_._._ __ __- > � h- l � �� i �