HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTOR Y
Address: 3085 Jamestown Rd. PID: 28-ll 8-23 33 0007
Building Type residence BRs Install'd for: 4 In Musa: Yes
Permit#: 6067 Date of Permit: 8/12/80 Installer: Jerry Johnson
System Type: shallow trench Performance: no Tank Filter:
SYSTEM CONDITION
Conformity: 3 Tank Condition: 6 DF condition: 8 Failure Pot: medium
SEPTIC TANKS
Material: precast concrete Capacity: 1000, 1500
Setback to Bldg: 15 Cesspool:
DRAINFIELD
Length of Lines: 480 # Lines: 4 Trench Width: 3
Treatment Area: 1400 Type of Filter: rock Soil Boring: yes
Tile Size: 4 Under Tile: 6 Perc Rate: 41
Setback DF-Bldg: 40 DF Ht above Wt: 17"
Soil Type: loam Limitations: water table
WELL DAT�1
Setbacks - Well-Tanks: 70 Well-DF: 90 Report in File yes
Pump Type: subm. Depth: 297 Diameter: 4 Method: drilled
INSPECTION RECORD PUMPO UT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
8/25/80 installation 1 10/27/93 1000 �-
7/17/84 no surfacing 1 8/27/98 2000
5/26/88 no surfacing 1 ll/26/02 2000
9/19/91 no surfacing-pump tanks 1
10/1/93 conforming(testing)-no surfacing 1
7/15/96 no surfacing-pump tanks 1
9/22/99 non-conforming, repair by 12/31/2006 3
8/13/O1 non-compliant,replace by 12/31/2007 3
8/20/03 non-compliant,replace by 12/31/2007 non-compliant
� 'u���'�S Cr= f�•'�1 Y , I�i:.'w �� i!�.�1�!S :• �,
� �
' �T �� s� � ��
i !
�s� �r�e.s�-�r� �. �
I
I
�
- �� i
�
-� _ _ � i
�
` _ _ _
�
D
0
�
� �
�,LJ�.I � �'� �b'�
G
� � �- ��'o �o'c�
1
;
� I�-t ���� �/�
� ��
� � ��' '�
�J�� � 1 b
D� fi� '� 6�`C�
�
� °�
o :. o �
� � , CITY of ORONO
+,� 'r4���`r�`' ;.: p+
�„� '��� �` �, Municipal Offices
� � P �y �I �` ~ Street Address: q5a-a4q—�16o O
� '��.;.� � G/ Mailiag Address:
\�'`��'� '�p'¢'�/ 2750 Kelley Parkway P.O. Box 66
��x-�� Orono, MN 55356 Crystal Bay, MN 55323•0066
To Current Owner: Address: 3D�� �A"� S�-Oc.J�1 �
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 meets all the location,�sign aad construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An LSTS which does not meet all the location,design and construction standards of the current Orono
Municipal Code but does meet the tluee foot separation 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. I
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may ii
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 limiting soil characteristics. '
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 recommends tanks to be pumped out once every 3 yeazs. '
Tank was last pumped ). '
Make sure seatic tanks are aumaed throush manhole and not throu¢h white insnection aiaes. T6is allows for the uroaer
cleanine Keea water softner and iron filter discharee out of seatic svstem to arolons life of drainfield. Ask pumaer to test
alarm float to verifv alarm is still w�orkins in vour house. The alarm warns owner that seutase is about to backua into basement
7 Inspection risers missing-tamks 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(8-101: $
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: �TA.� IC S ��/Ic'�J �7� � �2 ��Y�� � C�v T �'/d�✓ I
`� �— �� � �'i'
� c � I-D
��a�-o�- .� �-
Date of Inspection Septic System Inspector �
Note: In the event that this inspection r6port is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this�eport does
not euarantee or certifv that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system un er current
. � °� .
o:�:� _:�: o �
��� CITY of ORONO
� ; -���'�--�. �,
� �� �
�s �,;- Fr MunicipalOffices
,�j r 1�r � � ti
��J�;�r�''��� G Street Address: Mailing Addross:
�,9 � g,�i
$�xQ 2150 Kelley Pa�kway P.O. Boz 66
Orono, MN 55356 Crystal Bay, MN 55�23•0066
To Current Owner: Address: ���� ��+�'���-or�� ���
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs.
The on-site sewage treat�nent system at the above address has been inspected and appears to fall into the categories checkqd below.
SYSTEM CONFORNIITY (1-3): �
1 "CODE SYSTEM" M ISTS which meets all the►ocation,design and construction standards of the cuaent O�ono 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 requirement or two foot roquirement for systems installed 1996 or earlier,and which is not failing or
(�-''� an imminent threat to public health or safety.
\3 /'NON-COMPLIANT SYST'EM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which m y
`� or may not meet atl the location,design,or construction standatds of the current Orono Municipal Code and which is failing for any re�son;and
any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. , '
TANK CONDITION(5-71: �
Tank inspection indicates: '�
� Pumpout not needed at this time.
6 Septic tanks must be pumped out this yeaz (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped_ 1 i -'Zb-0�. ). ,
Make sure segtic tanks are pumQed through manhole and not through white inspection pipes. This allows for�he
proaer cleaning. Keeo water softner and iron �lter discharge out of septic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each nank. 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: Q��.��.�\� '�� r�d�,� Co�r.b��ac.�r �� s��5a- be. t'����rc cd
1�-� \�--'S1 -2,b o°� r
� -Zo�-o'� � —'.
Date of Inspection Matt Bolterman- Septic System Inspector
Note: In the event that this inspection roport is nsed to satisfy the requirements for a mortgage or other transfer of property,be advised that this report doe3 not guazantee
or certify that an exisdng system will continue to function properly,but is merely an opinion ofthe adequacy ofthe system under current conditions based an the available
information. �
Telephone(952)249-4600 • Fax(952)249-4616
www ci.orono.mn.us
_ �°� -
0 0
���:� ci�of oRONo �
� � '� `, � Municjpal
� � � � Un �ClS
�iG -����� N�illa¢Addross:
�`��O¢ 2750 Kelley ParkwaY P.O. Box 66
� Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �a��/ L�,c'S o �� � . Address: 3 0�5 �q�.eSto�,,, 1��
.
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 i'below.
SYSTEM CONFORNIlTY (1-3): 3 �
1 "CODE SYSTEM" Aa ISTS which mafs all the location,daign aad coastiudion standards ofthe cucre�Orono Municipa(Coda . '
2 "COIviPLIANT SYSTEM" An ISTS which does not mat all the locatioq desiga aad oonso�udion standazds ofthe wa�Orono Municipal I
� Cade but does meet the three foat aeparation requireme�aad which is nat failiag or aa immiaeat fhreai to pablic heatth a safdy.
"NON-COMPLIANT SYST'EM" Aproh�,ir�rsrs;an ISTS located within s daig�ated lOQ-year flood piaiq any ISTS which may
or may not meet all the localioq de.tigq a coas�udion 4��+��•ofthe currait Orono Muaicipal Code aad which is failing for aay reason;and
any 1STS wEh less than three feat of�rated so�or sand betwem the distn'butioa device snd the limiting soil charactetistics. •
r.
TANK CONDTTION(5-101: C� � �
Tank inspection indicates: • .
� Yuinpout na needed at this time.
� Tank must be pumped out this year(city code requires tanks to be pumped out evay 3 yeacs. Tank wa4last pumped b�e�7 �b ).
7 Solids accumulatioa in tanks is at a critical a criticai lweL Taoks should be pumped out at woa as posst'ble.
8 System is disei�acging to the s�ufaoe. Taolcs must be pnmped art within 48 houes to eliminate sucface discharge,
9 Inspectioa cisas missing-taaks could aot be impaxed, Inspedioa ris«s(4"dib Pipe)must be installed ia each taak at next pumpout, If tanks '
have aot baa pumped out within the last three ywrs,they should be pumped out�w.
10 Inspection pipe is located directly ova tank�le(dou aot give acctuate mea�uremenc of solids acc.umutation). If tanks have nat baa pamped
out withia the last thtea years,they ahou(d ba pumped out aow. . ..
DRAINFIELD CONDITION(11-141: 1\
11 Drai„6eta is dry,no surfac;og evidee�, .
12 Some evideaer of surficmg,nat aitica!yet .
13 Dninfield is sawcated and visibly discharging u�ated egluart to the surface, Coatad t!u City Taspator�mediately.Repain must be
oompletcd withia 90 days. �
.
14 nraiofield e�teac ane conaition nnkaown. � ' �
CONIl��NTS: SyS+eM �5 noc�- c-o�•�,�1;�,.r �)ue fio lack o� koat SePerq+'o� 6e-t�ee�
�-op a� SeaSo�\ wQ�ce�fiqb\e_ �,� botto�. o� �����s Re�\�� � 11 3� -�.00� Pon•a ��KS
��t �C-1 �V� t�OJI __.�C�n nUn.QtO w�:.-. �� 3 Y�S�s � � •
� i
$-�3= o � �c�
DaOe of tion � f,
. �� Sep6c System Inspector
Note: 1a ffie ave�that Wis iaspection nport is used to aati.dy the tequ�for a moRgage or oth�4aa�a of ProP�Y.be advised tha!this tepoct doa aot guararIIee
or catify that an e�dstiag system will coatinue W fimction ProPa1Y,Mrt u ma�ly m opiaioa of the of the
iafocmation. �!°�Y sys�m unda aitsart conditiom baud oa the availsble
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�), �, INSPECTION REPORT
'�� G~
9kESH��'�
� �/ F�� �, � �:�-I C�S.�;6�
Owner: ��r7 ��5� Address: �v�� �)!¢-�J�E�S��II.
y�"''
Permit �'s: Dates: C) -�z- �� Contractors:_ � � C'k°lc'r �� i/�F:G?5'CFli/V
City ordinance nurtiber 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 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 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 uhich
is operating satisfactorily by treating and disposing of the entire current sewage input uithout 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 faiting 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 has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been ident fie , this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
� Purtipout not needed at this time.
Solids accumulation in tanks indicates they should be puriped out this year to help prevent future problems.
Solids accumulation in tanks is at a critical level. 7anks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 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.
10 ]nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accurtiulation).
!f tanks have not been pumped out within the last three years, they should be pumped out nou.
DRAINFIELD CONOITION (11-14): �
D 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
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): ,L 2 - , �!
�
POTENTIAL FOR SYSTEM FAILURE (depends o� soils,water table,etc.): �����U y�,�
COMMENTS: ���7 r� S'�. < ,�.�% i 5 v���,� Cc v� l+r a�=7� c-���.J � cu ��-G, Z, y-.���c�
�j c D�4i�l4Tlclyl ;,." ' � � � - � -.C � 5 J �
.- -u--�,
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 uill continue to function
property� 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.
WHI7E COPY/Inspectors File YELLOW COPY/Homeowner
��// O�\
i� �
; O 0���
� � '������ CITY of ORONO
� ,� ����f f��s �, .
�\r�,, �`, �,`;�p� � !4 ,; Municipal Offices
��� � � �` �, G�i�
��,� �� �� :��' Street Address: Mailing Address:
�fEgHO�'� 2750 Kelley Parkway P.O. Box 66
� - "'�� Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner� I '� Address:3085 Jamestown Rd.
Permit #'s:606 Dates:8/12/80 Contractors:Jerry Johnson
(This is [ 1 an existing system [ ] new construction)
SYSTEM COMPLIANCE 1-3 : 1
1 Code Svstem: Meets or exceeds current City standards in all respects relating to
- design, construction, and location. Appears to be operating properly.
2 Compliant Svstem: 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 Svstem: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the
current input; and any system with less than three feet of vertical separation
between the bottom of the drainfield and the saturated soil level.
(The saturated soil level � has or [ ] has not been identified at this time. If the
saturated soil level has not been identified, 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.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [ ] were not
confirmed to be watertight by the licensed pumping contractor. If the tanks were not
confirmed to be watertight, this classification is subject to revision.)
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.
POTENTIAL FOR SYSTEM FAILURE: (system acTe and condition, soils, etc. ) : medium
COMMENTS:
� � �� �� �
Date of Inspection 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 eay, MN 55323-0066 � � ON—SITE SEWAGE TREATI�IENT
� �, INSPECTION REPORT
�Z Gti
9kESH�4'�
Owner: "� Address: .����.l�r�aE.�ST�In 1)'\ � .
Permit �'s:� sDates:___a— v�—� Contractors: ` �YY\/,/�Yi4T1•�
City ordinance number 700 requires that each on-site sewage treatment system in Orono be inspected on a regular bpsis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the cat�gory
checked below.
(This is �an existing system [ ] neu construction)
SYSTEM CONFORMITY (1-3):
"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. I
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 hich
is operating satisfactorily by treating and disposing of the entire current sewage input without discha�ging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplatn;� any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; arxi any system with less than 3 feet of unsaturated soil or 'sand
between the distribution device and the limiting soil characteristics.
(The limiting soil cheracteristic �has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identi ied, this classification may be subject to revision.) I
TANK CONDITION C5-10):
Tank inspection indicates:
5 Pumpout not needed at this �ime.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tank is at a critical level. Tanks should be punped out as soon as possible.
8 System is discharging to th� surface. 7anks must be punped 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 tn ach
tank at next pumpout.' If tanks have not been punped out within the last three years, they should be
out now.
� [nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulati n).
If tanks have not been punped out within the last three years, they shoulsl be oimoed out now. i
DRAINfIELD CONDITION (11-74):
D a field inspection indicates:
Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. 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,water table.etc.): _�����
COMMENTS: � �� p1i1�
Date of Inspection Se ic System Inspector I
Note: In the event that this inspiection report is used to satisfy the requirements for a mortgage or other transfer�of
property, be advised that this re{bort does not guarantee or certify that an existing system will continue to funct on
properly� but is merely an opim on of the adequacy of the system under current conditions based on the availa le
informatton.
This report must be kept on the premises uith the system locetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f I'
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66 �
1335 S. Brown Rd.
� � � Crystal Bay,MN 55323
473-7357 �',
OWNER ►'� ADDRE Jym I
� �
PERMIT NO.'S. 7 DATES �'�"S� CONTRACTORS �
City Ordinance No.210 requi�es that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sew�ge
treatment system at the above addres�has been inspected and appears to fall into the cetegory checked below.
(This is � an exist�ng system ❑ new construction) I
� � Meets or exceeds cuerent City standards in all respects relating to deaig�,construction,and location.Appears to be operati�g
properly.
� 2 Does not meet all current City standards for new construciion (1978 Code) but in most respects appears to be designep,
loceted, and construCted generally in accordance with previous codes.System appears to be functio�ing properly;no maj¢r
upgreding of the syst�m is required at this time. �
� 3 Does not meet current City stendards in many respects relating to design,construction,or location.Appears to be operati�g
adequately at this time,but has a relatively high potential for future problems. No major upgrading of system is required t
this time. I
� 4 System may or may not meet current City standards for design,construction or location,but is failing to properly treat an�l
dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or�s
creating a safety hazal-d,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repai�}/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site pla�
must be submitted for review.Your contractor must obtain a permit before work is started. !
SYSTEM CONDITION (m Checked i�ems may require your action)
Ta�k inspection indicates: ❑ Inapection pipe is located directly over tank baffle.(Does not
❑�,rPumpout not needed at thia time. give accurate measurement of solids accumulation.) If tanks
qriSolids accumulation in tanks indicates they should be pump� have not been pumped out within the last three yea►s,they
ed out this year to help prevent future problems. should be pumped out�ow.
❑ Solids accumulation in tanks is at a critical level. Ta�ks Drain ield inspection indicates:
should be pumped out as soon aa!posaible. �Drainfield is dry,no surfacing evident.
❑ System is discharging to surfaqe. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surfbce discharge. O Drainfield is saturated and visibly discharging untreated
❑ Inspection risera missing—tanka could not be inspected, effluent to the surface. This condition mey require replace-
Inspection risera (4"dia.pipe)rrivat be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have�hot been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they ahould tle pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope ldepends 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 � �nadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
I
`�g-p,� I
.�
Date of Inspection Septic System Inspector
Note: In the event that this inspection rqport is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify xhat an existing system will continue to functio�properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report rmust be kept on the premises with system location and pumping records.
WHITE COPYi/Inspector's File GOLD COPY/Homeowner
I