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HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTOR Y Address: 3135 Jamestown Rd. PID: 28-118-23 33 0006 Building Typexesidence BRs Install'd for: 4 In Musa: Yes Permit#: 7420 Date of Permit: 5/15/84 Installer: Gene Hayes, Volkenant System Type: standard trench Performance: no Tank Filter: SYSTEM CONDITION Conformity: 3 Tank Condition: 5 DF condition: 8 Failure Pot: medium SEPTIC TANKS Material: precast concrete Capacity: 1000, 1000 Setback to Bldg: 20 Cesspool: no DRAINFIELD Length of Lines: 350 # Lines: 4 Trench Width: 3 Treatment Area: 1000 Type of Filter: rock Soil Boring: yes Tile Size: 4 Under Tile: 6 Perc Rate: 29 Setback DF-Bldg: 30 DF Ht above Wt: 0.5 Soil Type: silty clay loam Limitations: water table WELL DATA Setbacks - Well-Tanks: 100 Well-DF: 120 Report in File yes Pump Type: subm. Depth: 161 Diameter: 4 Method: drilled INSPECTION RECORD PUMPOUT RECORD DATE DESCRIPTION COMPLIANCE DATE GALLONS 11/11/76 installation c 9/1/90 2000 7/24/79 no surfacing 1 4/18/94 2000 5/21/84 DF add.,(3'*45'),replace destroyed DF 1 10/22/98 1800 6/20/88 no surfacing-need risers 1 9/19/91 no surfacing-need risers 1 8/15/O1 2000 10/1/93 non-conforming-repair by 12/31/95 3 10/07/02 2000 7/15/96 non-conforming-repair by 12/31/96 3 �'"`='`� 9/22/99 non-conforming-repair by 12/31/03 3 8/13/O1 non-compliant,replace by 12/31/2007 3 8/20/03 non-compliant,replace by 12/31/2007 non-compliant 5 '�� -L`� �tG� �l �` '� . L C.J i , � � � � �� S UJY� Y(�-C�a � 1�� J�me � � w���'6 , '� 3 �- ; � \ i ��11h�"n � ;— � ,� 3� - - �r ` �S � ' �'y. 39 y �(�° � � 6 ��s � � � � — "ii ys, y� � , �\� � � � � � 25'_ � � � � � � � ��o � � � � � � � � � � � � � � � � � � O � � O O ' � � � CITY of ORONO Y�y \'�,� '�'���l�'� � �G Municipal Offices � �'f��r'r .(I�� v�� Street Address: �ISa-a4q-ybo o ' Mailing Address: ,I \�`���p4�� 2750 Kelley Parkway P.O. Box 66 �_ / Orono, MN 55356 Crystaf Bay, MN 55323-0066 To Current Owner: Address: 31 3 s �f�r��2. S�^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 checke below. SYSTEM CONFORMITY (1-31: � 1 "CODE SYSTEM"Aai ISTS which meets 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 Oron 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 imminent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any LSTS whic may or may not meet all the location,design,or construction stan�ards 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 ar�pumaed throueh manhole and not throush white inspection uiaes. This allows for the proper� cleanins Keen water sof�er and iron ftlter discharee out of seatic svstem to nrolons life of drainfield. Ask oumaer to�est alarm float to veri alarm s still workin in our 6ouse. The alarm warns owner that se ta e is about to backu into ba ement 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each . 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 saturatad and visibly discharging untreated effluent to the surface. Contact the City Inspector , � immediately.Repairs must be completed within 9U days. � COMMENTS: � � l�C S S 11 O .� 1 , !��Z ��u ,tit�-ec� U `� � F y S+�n� - C �. .a..7- n.�v �- l fC l �e� �3 I -31 0 � � -a y _ o � � �- � � Date of Inspection Septic System Inspector i Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised th t this report does not quarantee or certify that an existing system will cont�nue to function properly, but is merely an opinion of the adequacy of the sys�em under current �°� � o :... o ;�.M�s �'�'h/.`.�.� . 5:;�, ..� .:-� CITY of ORONO ' � ;�������� � i , ,�, �,�` d!• ,�,�' Municipal Offices � r � � �f��"����-!.� G Stroet Address: Mailfn Addre s: �9ltE8Kp�'�' 2150 Kelley Parkway P,0 gBox 66� Orono, MN 55356 Crystai Bay� MN 55323-0066 er: Address: � �qrn�� d,.r� ��C,� T� Currext�wn � City Ordinance 199 requires that each existing on-site sewage�eatment system in Orono be inspected every two}�ears. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categorie�s checked below. SYSTEM CONFORMITY 11-3): � 1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipall Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the curren Orono Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and ich is not failing or /�^ an imminent throat to public health or safety. ( 3 ) "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any IS S which may `-� or may not meet all the location,design,or conshuction standards of the current Orono Municipal Code and which is failin�for any reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteriytics. I TANK CONDITION(5-71: S Tank inspection indicates: 5 Pumpout not needed at this time. I Septic tanks rqust be pumped out this yeaz (city code requires tanks to be pumped out once every 3 yea�s. Tank was last pumped �,p�'7 -o� ). I Make sure seutic tanks are pumaed through manhole and not throu¢h white inspection pipes. Th�ows for the prouer cleaning. Keep water softner and iron filter discharge out of septic system. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installe�l in each tank. If tanks have not been pumped out within the last three yeazs,they should be pumped out now. D INFIELD CCINDITION 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 Insp ctor immediately.Repairs must be completed within 90 days. C�M�"�S'. ��r^•�Sa-:t� t`� 610�— Cc�. t.r�r.,� G'ic.� itiV5-3- �C r 1�1`td b ��� J� ��b �� �C�1— ��'O r� t-:\�f' r�-� �"r'Ci�C S� 5 d�ar1�l� a`�'f d I� .5 eQ�"•'C_ 5—�51��-- ,�- a�,5 L1-�.�a� o v�—s: � o(� �k� o w a�� -T � -2� .-p'3 �� ��� � � Date of Tnspection Matt Bolterman- Septic System Inspe�tor Note:In the event that this inspecdon report is used to satisfy the requirements for a mortgage or other trsnsfer of property,be advised that is report does not guarantee or certify that an exisdng system will continue to function properly,but is merely an opinion of the adequacy of the system under current con�itions based on the available information. Telephone(952)249-4600 • Fax(952)249-4616 � www.ci.orono.mn.us I � • i - 0 I � � O a O ��:�-� CITY of ORONO � ,��� �. .i � ' . �� ��; � ; G,�l�► � Mnnldpal O�ces � -Street Address: M�ilia� I ss: M . O�' . 2150 Kelley ParkwaY P.O. Bar� � Orono� MN 55356 Crystal Bay�, MN 55323-0066 Owner: w ;\1��M l.�r-t-o�� � Address: 3 I 35 �q�Sto I n RJ . City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two y . The on-site sewage treatrnent system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMD.'TY (1-3): 3 � 1 "CODE SYSTEM" Aa LSTs which meds all the tocatioa,d«ign aad coattruction standards of the cucrwt Orono Municipal Coda I . 2 "COMPLIAIVT SYSTEM" Aa LS1s which doa not meet a!1 the location,design aad coas4vctioa standards of the cu�r�rt Omno 'cipal Code but does med the tbm foat separation t+equiremeut,and which is not failing ac an immine�threat to public heslth or safdy. ' 3� "NON-COMPLIAT]'T SYSTEM" A�om��a rs�rs;�rsTs l�a�a a��a l0ay�fl�a pw4,ay ts�rs�;��y or may not meet all locatioq daigo,or oonst�uction atmdards of the cuaait Orono Muaicipal Code snd wluch u failing for my cd�on;aad any LSTS with less�tlux fat of unsabuated soil or aand behveen the distn'batia►devica and the]imitiog soil chu�actaistics. I • o•. TANK CONDITION(5-10): C� � � � Tank inspection indicates: • �� � Puinpout not needed at this time. � 6O Tank must be pumped out this yesr(city�xde cequires tanlcs to be pumped out evay 3 yeazs. Tank wa4 last pumped (0-�,�,—9�I ). 7 Solids accumutation iq tanks is at a critical a aitica(leveL Tanks should be out as soon a4 I P�P� posu'ble. 8 System is discharging�to the surface. Taalcs must be puatped out within 48 houn to elimuiate surface diacharge. 9 Icupectioa risecs missipg-taak�could nat be impected Inspection risers(4"dia.Pipe)must be installed ia each tmk at next pumpo�rt. I�'tanks have not bern pumped out within the last tbree yeacs�they should be pumped out aow. 10 Inspection pipe is located directly ovet tadc tia@le(does�t give accucate�a�u�eent of solidt aavmulation). If tanks I�ave not been I out within the la4t duee yeazs,they should be pumped out now. . � DRAII�LD CONDITTON(11-141: 11 11 nrain6eld ia dry,no nufaemg evidea2 � 12 Some evid«ioe of�g�t aitical yet . . • . 13 Ihainf eld is�aUuated and vis�bl3'dischargin8 uodrated e�lueat W the surface. Co�ac#the City laepxWr immedlately.Repaus must be II eompleted within 90 days. . � 14 Drain6eld extent aad aond'itioa uokaowa � COMN�NTS: Syste�•. ;�. n��-�oMA1;a�-t- duc � Iq�k �� 3 �oofi� sepera�--o� be�cw e�� �ca� a k 5ea5 0„�� ...,�.���-�,b1e a�a bo�a�. a F 't'�CnC.�eS Re P lacc � 6� ►a 3�-a.00�. P�..,�o �.n�c 5 - . . , �d - 13 - o � �ct� .. Date of Inspection � Septic system Iaspector '' Nate: 1a the evart that this�on repo�t is used to satisCy the reqnirame�s fa a moctgage a otha traaifa of proPerty.be advised that this does aot guaraa�ee or catify that an eristing system a+ill ooa2iaue to fuadioa propaly,but is meroly an opini�of We adequary of the system aada cuczeot ooaditi Ya�d on the svailabte iaforcnatioa � �� CITY OF ORONO O O Municipal Offices Post Office 8ox 66 Crystal eay, MN 55323-0066 � � ON-SITE SEWAGE TREATMENT � � INSPECTION REPORT �t G~ � 9kESH��' Owner: /�� UU�f�l�p671 �L1/��fOIJ Address: 3��5 ���u9/'1 ,�1 (S$��$lS� Permit #'s: � �7 Dates: ��'�Z�IC� Contractors: /7�f�(.:S City ordi.nance 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�an existing system [ ] neu construction) SYSTEM CONFORMITY (1-3): � t "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 without discharging any pollutants into ground or surface waters. 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 sewage input without discharging any pollutants into ground or surface uaters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system 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 he limiting soil characteristics. (The limiting soil characteristic fJ�j has or [ 7 has not been identified at this time. If the limiting soil characteristic has not been identi�ie?1 this classification may be subject to revision.) TANK CONDITION (5-10): � 'nspection indicates: Pumpout not needed at this time. Solids accumulation in tanks indicates they should be puniped out this year to help prevent future problems. 7 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 punped out within 48 hours to eliminate surface dischar�e. 9 Inspection risers missing-tanks could not be inspected. lnspection 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 punped out now. 10 lnspection pipe is located directty 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): � n ield inspection indicates: Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated efftuent to the surface. Contact the City lnspector irtmediately. Repairs must be completed uithin 90 days. 14 Drainfield extent and condition unknown. LIMITING S1TE FACTORS (slope,setbacks,etc.): ��-�.� r4 ��,� POTENTIAL FOR SYSTEM FAILURE (depends on soils,uater table,etc.): jyjL A j� �.�,� COMMENTS: S�A!f C S� � tS � �C1Y1 -C ��/l�L�//C o .�� �L� � �.�1 " �6�. c��t' U� �GI t��C.� �tl� 5�'f'67iZ1 � � ^ 5' la �e lZ- c.�C� � C !�1 Date of Inspection ptic S'ystem Inspector Note: !n the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system 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 locatien and pumping records. WMI7E COPY/Inspectors File YELLOW COPY/Homeowner \ / ���� � � 0,� ., � ,; � �� ,, O O ''' CITY of ORONO �,a�;r �, , � � , : ���,, � ;;,.� �� �lS� ` Municipal Offices �\� �� �'� � �� Street Address: Mailing Address: \�9k'EggOg'�%� 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 .- ���Y-:�.�, � Owner_� T �p� � � Address:3135 Jamestown Rd. Permit #'s:4696, 7420 Dates:ll/12/76, 5/15/84 Contractors:Gene Hayes, Volkenant (This is � an existing system [ ] new construction) SYSTEM COMPLIANCE (1-3) : 3 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. �'� 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 no��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.) D INFIELD CONDITION 11-14 : 11 �11 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 acie and condition, soils, etc. ) : medium-high COMMENTS: The non-conformin s stem must be re aired b 12 31 96. ���� -�'.� Date�spection Sept'c System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a '-ransfer of property, this report does not guarantee that an existing system will continue � 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 SEWAQ�E TREATMENT � �, INSPECTION PORT ti ��9kESH.��'�G Owner• �Nl/!//u71Y7�"\ L-LT /�1 Address• •o�� Permit �'s: Dates: '�Contractors: � City ordinance number 700 requires that each on-site sewage treatment system in Orono be inspected on a r gular 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 curr nt City Codes, and wlhich is operating satisfactorily by treating and disposing of the entire current se ge input without discMarging any pollutants into ground or surface uaters. 2 "CONFORMING SYSYEM"-A system which does not meet all the location, design, and construction sta ards of the current City Codes, but was installed according to the code in effect at the time of installati n, and which is operating satisfactorily by treating and disposing of the entire current sewage input witho t discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING !SYSTEM"-A prohibited system; a system located within a designated 100-year fl odplain; 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; and an system with less than 3 feet of unsaturated soil or sand between the distribution device and the limitin ' (The limiting soil characteristic Tyl�has or [ ] has not been identified at this time. If the limiting soil characterist�c has not been identified, this classification may be subject to revision.) TANK CONDITION (5-10): Tank inspection indicate : � Pumpout not needed at this time. Solids accumulatio in tanks indicates they should be rxniped out this year to help prevent future pro lems. Solids accumulatio in tanks is at a critical level. 7anks should be pianped out as soon as possible. 8 System is discharg ng to the surface. Tanks must be pumped out within 48 hours to eliminate surface ischar�e. 9 Inspection risers issing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be inst lled �n each tank at nextipumpout. if tanks have not been punped out within the last three years, they sh ld be punped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids ccumulation). If tanks have not been punped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11�14): Dr field inspection indicates: Drainfield is dry, no surfacing evident. Some evidence of surfacing, not critical yet. 73 Orainfield is saturated and visibly discharging untreated effluent to the surface. Contact the C'ty Inspector inmediately. Repairs must be completed within 90 days. ; 14 Drainfield extent 8nd condition unknown. i LIMITING SITE fACTORS (s�lope,setbacks,etc.): I POTENTIAL FOR SYSTEM FAI�URE (deaends on soils,water table,etc.): , CO NTS• J✓/ S � i �i A' � . Date of Inspection ic S stem nspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or othe transfer of property, be advised that this report does not guarantee or certify that an existing system will continu to function properlyi but is merely an opinion of the adequacy of the system under current conditions based on he available information. This report must be kept on the pre�nises with the system locQtion and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner I On the North Shore o Lake Minne nka ON-SITE SEWAG� TREATMENT INSPECTION� REPORT � POST OFFICE BOX 6 1335 S. Brown Rd. ' � � � � Crystal Bay, MN 553 3 473-7357 OWNER �m �v ADDRESS PERMIT NO.'S. DATES �����/���a' CONTRACTORS �� �KI�7�1� City Ordinance N .210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.Th onsite sewage treatment system at the�bove address has been inspected and appears to fall into the category checked below. (This is �an existi�g systern ❑ new construction) � � Meets o�exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly, � 2 Does nqt meet all current City standards for new construction (1978 Code) but in most respects appears o be designed, located and constructed generally in accordance with previous codes.System appears to be functioning pro rly;no major upgradi�g of the system is required at this time. � 3 Does n t meet current City stendards in many respects relating to design,construction,or location.Appears to be operating adequa�ly at this time,but has a relatively high potential for future problems. No major upgrading of syste is required at this tim . � 4 System may or may not meet current City standards for design,construction or location,but is failing to pr perly treat and dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or gro ndwaters,or is creatin a safety hazard,or is othervvise creating a public nuisance.Please contact the City Inspector to discu system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a desi n and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION (m Checked items may require your action) Tank inspection indicate¢: ❑ Inspection pipe is located directly over tank ba fle.(Dces not '� Pumpout�ot nee�led at this time. give accurate measurement of solids accumula ion.) If ta�ks ❑ Solids accumulatibn in tanks indicates they ahould be pump- have not been pumped out within the last thr e years,they ed out this year t help prevent future problems. should be pumped out now. ❑ Solids accumula on in tanks is at a criticat level. Tanks Drai ield inspection indicates: should be pumpe�out as soon as possible. �Drainfietd is dry,no surfacing evident. ❑ System is dischaFging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours t�eliminate surface discharge. ❑ Drainfield is saturated and visibly dischar ng untreated ❑ Inspection risera, missing—tanks could not be inspected, effluent to the surface. This condition may r quire replace- Inspection risera (4"dia.pipe)must be instelled in each tank ment or additions to drainfield. Contact the ity Inspector at next pumpout If tanks have not been pumped out within immediately.Repairs must be completed withi 90 days. the last three yea�s,they ahould be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors i Potential for System Failure Site C pabilities for ❑ Slope (depends on soil types,water Futur Expansion ❑ Soil table,and system condition) �Adequate ❑ High water table �Low air ❑ Lot size � Medium Poor ❑ Lake,wetland,or,stream High � Inadequate ❑ Drainage ❑System is causing visible ' surface discharge. COMMENTS: i l"'` 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 gu rantee or certify that an existing systern will continue to function properly,but is merely an opinion of the adequacy of the system under cur ent conditions based on the available information. , This report must be kept on the premises with system locatio�and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner