HomeMy WebLinkAboutseptic info CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWA(�L TR8AT1�M1'
r�, � INSPECTION REPORT
ti
�� �p
9k'ESH04
Owner: l.�[./l�� Qr/L1 �Address: ��Oo� L1J'/G�//�1����
Permit #'s: Dates: !'�'1Y� Contractors:�'� �
City ordinance nunber 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 CONFORMITT C1-3):
1 "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.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but aas installed according to the code in effect at the time of installation, and which
is operating satisfectorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
"NON-CONfORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floo�lain; any
system which mey or mey not meet all the location, design, and construction standards of the current City
Codes and which is faili for any reason; and an system with less t f unsaturated soil or sand
� between the distribution ' ' s, �r I
(The limiting soil charecteristic�as or [ 7 has not been identified a this ti . I the im�t ng soil
characteristic has not been ident ied, this classification may be subject to revision.)
TANK CONDITION C5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumutation in tanks is at a critical level. Tanks should be puriped 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 Inspection risers missing-tanks could not be inspected. lnspection risers (4" dia. pipe) must be installed in each
tank at next punpout. lf tanks have not been punped out within the last three years, they should be punped
out now.
10 Inspection pipe is lxated directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pun�cd out within the last thre t y shou d be punped out no
DRAINFIELD CONDITION C11-14):
D�fietd inspection indicates:
1 Drainfietd is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
13 Drainfield is saturated end visibly discharging �mtreated 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 (sloae,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE tdecends on soils.water table.:etc.): �
O ENTS. �
� H i
ate of Inspection S t' 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 en existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions besed on the available
informet�on.
This report must be kept on the premises with the system locetion and punping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON–BITE 3EWA(;13 TREAT�R'
� � IN3PECTION REPORT
'�� G~
'�
9kE8H.�4'
Owner: �G�/� .�1r Address:���:..�?C L•6�F�'.///�i,�.� 1L3�_
Permit �'s: ��� Dates: ���'D� Contractors: �-
�
City ordinance nuni�er 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 C1-3):
1 "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.
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 �nto 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 mey not meet all the location, design, and construction standards of the current City
Codes and which 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 so�l characteristics.
(The limitin$ soil characteristic [ ] has or .[7y.,has not been identified at this time. If the limiting soil
characteristic has not been identified, this c"lassification may be subject to revision.)
TANK CONDITION (5-10):
Tp� inspection indicates:
(y Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be punped out this year to help prevent future problertis.
7 Solids accunulation in tanks is at a critical level. 'fanks should be punped out as soon as possible.
8 System is discharging to the surface. Tanks must be p�mped 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 in each
tank at next puipout. If tanks have not been punped out within the last three years, they should be punped
out now.
10 Inspection pipe is lxated directly over tank baffle (does not give accurate measurement of solids accunulation>.
lf tanks have rwt been punped out within the last three years, they should be Exanped out now.
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
1 Drainfield is dry, no surfacing evident.
Sane evidence of surfacing, not critical yet.
13 Orainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
IIMITING S1TE FACTORS (slooe.setbacks.etc.):
POTENTIAL FOR STSTEM FA[LURE (deaends on soils.water table,etc.): ////d����
—r�rL.[C
COMMENTS:
Date of Inspection pt c System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify thet en existing system will continue to f�mction
properly� but is merely an opin�on of the adequacy of the system under current conditions based on the available
informat�on.
This report must be kept on the premises with the system locetion and punping records.
WHITE COPY/Inapectoro File YELLOW COPY/Homeowrrer
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay,MN 55323
473-7357
OWNER 1�P�f�J�'1T�� ADDRESS J��[/d ����l,L(°� /���
PERMIT NO.'S. ��� DATES !r�"L�-6,' CONTRACTORS
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 above address has been i�apected a�d appears to fall into the category checked below.
(This is �I an existing systern ❑ new construction)
� � Meets or exceeds current City stsndards 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 Dces 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 prob�ems. 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�uisance.Ple�e 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)
Tank i�spection indicates: ❑ Inspection pipe is loceted directly over tank baffle.(Does not
�Pumpout not needed at this time, give accurate measurement of solids accumulation.) If tanks
❑ Solids�cumulation 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.
❑ Solida accumulation in tanka ia at a critical level. Tanks Drai�field inapection indicates:
should be pumped out aa soon aa possible. � Drainfield is dry,no aurfacing 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 risen missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risera (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 table and system condition) ❑ Adequate
❑ High water table � Low �Fair
❑ Lot size O Medium O Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
0 Draina� ❑System is causing visible
surface discharge.
COMMENTS:
/D�9�
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 dces not guarantee or certify that an existi�g 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 � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(;E TREATMENT
� � INSPECTION REPORT
ti
��9kEsxo4`'�0
Owner: �'e 1 ��i1�� Address: �O�c �Q�p10/CIJ /��f!'
Permit �'s: W Dates: ���^D� Contractors: �S J'/�.�ttTb.
—�.
City ordinance nunber 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 tnspected 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 locatio�, 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.
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 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 failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic [ ] has or�has not been identified at this time. If the limiting soil
characteristic has not been identified, this assification may be subject to revision.)
TANK CONDITION (5-10): �
T�Q�c inspection indicates:
(� Pinpout not needed at this time.
`'� Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems.
7 5olids accunulation in tanks is at a critical level. Tanks should be p�snped out as soon as possible.
8 System is discharging to the surface. Tanks must be punped 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 p�npout. If tanks have not been pumped out within the last three years, they should be punped
out now.
10 Inspection pipe is located directl over tank beffle (does not give accurate measurement of solids accumulation).
If tanks have not been punpe��out within the last three years, they should be punped out now.
DRAINFIELD CONDITION (11-14):
Drainfield inspection indicetes:
1�� Orainfield is dry, no surfacing evident.
/t'PJ�me ev'd� ence of surfacina. not cfitical vet.
T�D'�ai�'9�d ts sa u—f�d a' r�i visi ybC�'isTing 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 (sloae.setbacks.etc.):
POTENTIAL fOR SYSTEM FAILURE Cdeaends on soils.water table,etc.):
COMMENTS:
Date of Inspection eptic System Inspector
Note: ln the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the premises with the system loc�tion and punping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
_ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER ��� �" ����_ ADDRESS D e � ���
PERMIT NO.'S. < <�tf� DATES �7 � � CONTRACTORS �
City Ordinance No. 210 requires that each on-site sewage trlatment system in Orono be inspected on a regular basis.The on-site s wage
treatment system at the above address has been inspected and appears to fall into the category checked beiow.
(This is �an ex'isting system ❑ new construction)
� � Meets or exceeds current City standards in ell 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 upgrading of system is required at
this time.
� 4 System may or may not meet current City standards tor 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 grouqdwaters,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 ususlly be required,and a design and site plan
must be submitted for review.Your contractor mutt obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffl¢.(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, ahould be pumped out now.
❑ Solids accumulation i� tenks is at a critical level. Tanks Drain ' Id inspection indicates:
should be pumped out as soon as possible. Dreinfield 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
❑ I�spection risers miuing—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 withirt immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped put now, ❑ Drainfield exte�t and condition unk�own.
SITE CHARACTERISTICS:
Limit'ng Site Factors Potential for.System Failure Site Capabilities for
�Slope (depends on soil ty�s,water Future Expansion
Soil table,and system condition) ❑,�dequate
❑ High water table ❑Sow ffi Fair
❑ Lot size �Medium ❑Poor
❑ Lake,wetland,or stream ❑ High . ❑ Inedequate
� Drainage ❑§ystem is causing visible
surfaCe discharge.
� COMMENTS: � �� u � { lS � �i �
� .
Dat of I�spection S�pticSystem 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 k¢pt on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore o f
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �t�� V''��'�'��� ADDRESS I 2�� 2 .L-�i(��l�/EG� /E'/�/I�G�
IG � /�- �5- - � C� %3��� �ca�- t f�r-�-
PERMIT N0.'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 above address has been inspected and appears to fall into the category checked below.
(This is �J 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;
tJ 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 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 Drainfield inspection indicates:
should be pumped out as soon as possible. �`� Orainfield 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
�L�J Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risers l4" 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 exte�t 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
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
���.�Y�� ���r�lG � .
�� Date of Inspection � �ieptic 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 GOLO COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
_ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �+ ��h�� ADDRESS �gO2 L�C'�1°�1/lew ���Y�tC�
PERMIT NO.'S. �l�� DATES �'-�� CONTRACTORS�b�5 RYNby '� � .
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�ddress 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,conatruction,and location.Appears to be operating
properly.
Dces not meet all current City standards for new construction 11978 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 Dces 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 nuisance.Please contect the City Inspector to discuss system repair/
replacement procedures. If drainfietd replacement is necessary,soiF testing will usuatly 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)
Tank inspection indicates: ❑ Inspection pipe is located directly o�rer tank baffle.(Dces not
O Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
�olids accumulation in tanks indicates they should be pump- have not been pumped out within the tast three years,they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumutation in tanks is at a critical level. Tanks Dr�'1�nf�' d inspection indicates:
should be pumped out as soon as possible. `,IQ 6rainfield 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—ta�ks could not be inspected, effluent to the surface. This condition may require repiace-
Inspection rise�s (4"dia. pipe)must be instaNed 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 5ystem Failure Site Capabilities for
❑ Slope (depends on 9oil types,water F tu Expansion
❑ Soil ta le, d system conditio�) �j4dsquate
❑ High water table ow ❑ Fair
❑ Lot size ❑Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
6 -�i - 88
Date of Inspection Septic Sy nspector
Note: In the event that this inspection report is used to satisfy the r�quirements 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 � Daie
� • � Connected to
ADDRESS
CODE SEPTIC SYSTEM INVENTORY CARD Munic�pal Sewer
� � nT � '7�'�_'� [i3 O�� WELLOATA
Address. ��� �AK�V/CL�] T�_�—� ProPenl+l•D-,., r �/ I I
�Standard trench �T z 8�'� -T �
O Mound - L�ZC.�7O =- S�� � o �
System type ❑ Other Legal Desaiption � � m
L
/ � O
Permit No. . �1�� Date of permit ��-.�-'�C� Installer Bo�c PLB-_t��._ �
Garbage � � (
No. Bedrootns ' °'
► IBuilding tYpe 2E5/D En1 GE or G?D ,Q12 Laundry�_Dishvrasher �1b Disposal_� � a �
E
�O� 0 2 , c
SEPTIC TANKS: Materiel CONG QLOC� . CapacitY 1) 7S� 2� - _ - �o
. � a
� >
Proper outlet and inlet Baffles Liquid depth to RO level }� d O
O.0 " ' Distance to nearest building �j� * `Q N `E'
Height of tank bottom above water table � �
DRAINFIELD: Total length of lines '��� F'T Number of Ilnes Z Trench width -i fT• _
Q,pO z•�. -'r .ic � V1
PD��..D /N �73 � P+�cGwstY . 7VTRCS � l�
y�� + Hei ht of drainfield above water table Ok � m
Total treatment area(sq. ft.J 9 � �
� a � �..
Type of filter material Soil type � � "
E t �
-�,�i ''� o m n c
Oistance from nearest bldg. l�.�—Tile size Perc rete min/in ,r a � �
� � ri N c�i " �j u
Depth of fill over drainfield Depth of rock over tile under tile �� .N a
E c m
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COMPLIANCE DATE GALLONS
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Include: 1) Welf focatio�
- Z) Oistanee from house to
, septie ta�ks,dist.box.
and drainfieid
3) North arrow and rosd
C-CONFORMING S -SUBSTANOAAO N -NONCONFaRMING . _