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Home My WebLink Aboutseptic info CITY OF ORONO � O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREA'1'l�Nl' � INSPECTION REPORT � Gtiti. � 9kEsHo�' Owner: �� / N/ ��/'1��Address: /(1�0 /.-�/�'/��L✓ ��G.ej Permit �'s: Dates: 1��`��1 Contractors: cS)!/lvCI1'� City ordinance rxmber 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 "COOE 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 uaters. 2 "CONFORMING STSTEM��•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; e 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 end which is failing for any reason; and an s th le of unsaturated soil or sand �tween the distribution device and the ' ' . r �r /"013 (The limitin$ soil characteristic�has or [ ] has not been identified a t is ti . If the limiting soil characterist�c has not been identi i , this classification may be subject to revision.> TANK CONDITION (5-10): � Tank inspection indicates: 5 Pur�pout not needed at this time. 6 Solids eccumulation in tanks indicates they should be punped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be punped out as soon as possible. 8 System is discharging to the surface. Tanks must be punped out within 48 hours to eliminate surface discharqe. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed �n each tank at next pumpout. If tanks have not been puiped out within the last three years, they should be Fxnpet! out now. 1 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids eccunulation). If tanks have not been punped out within the last thr�ee v_eers_th s ould out now. � �I �Q � DRAINFIELD CONDITION (11-14): Dr,d1}�field inspection indicates: fi�y Drainfield is dry, no surfacing evident. �1'L Sane evidence of surtacing, not criticat 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 S1TE FACTORS (slope.setbacks,etc.): POTENTIAI FOR SYSTEM fAILURE Cdecends on soits,water tabte,etc.): �p��y., -T�+�^. NTS: � Date of nspection 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 evaitable information. This report must be kept on the premises with the system locstion and pumping 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—SITE SEWA(�E TREATl�NT INSPECTION REPORT ti ti '�' G �9kEsHo�'� Owner:� 1 I 1 11 �.1�?�0� Address: l�� /��P,,� fi,�� Permit �'s: Dates: h�� Contractors: _�////iL/�l'� City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regutar besis. The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked betow. (This is �.an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): 1 ��CODE SYSTEM"-A system which meets all the location, design, arxi construction starxiards 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, end 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 mey 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 soil characteristics. (The limitin� soil characteristic [ ] has or�#-has not been identified at this time. If the limiting soit characteristic has not been identified, this classification may be subject to revision.) TANK CONDITION CS-10): Tank inspection indicates: 5 Pumpout not needed at this time. 6 Solids accunulation in tanks indicates they should be punped out this year to help prevent future problems. 7 Solids accumutation in tanks is at a critical level. Yanks should be punped 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. Inspection risers (4" dia. pipe) must be installed �n each tank at next punpout. If tanks have not been pimped out uithin the last three years, they should be punped out now. 0 Inspection pipe is loceted directly over tank beffle (does not give eccurate measurement of solids accumulation). If tanks have not been punped out within the last three Years, they should be punped out now. .�..�_ ^_„� ��iC[JI �r�� DRAINFIELD CONDITION (71-14): Dr field inspection indicates: �Drainfield is dry, no surfacing evident. 'f2 Sane evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repeirs must be completed within 90 days. 14 Drainfield extent and condition �known. LIMITING SITE FACTORS (sloce.setbacks,etc.): POTENTIAL FOR SYSTEM FAfLURE Cdeaends on soils.water table.etc.): COMMENTS: ... Date of Inspection Se ic Sys em spector 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 o� certify that an existing system witl continue to function properly� but is merely an opim 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 locstion 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—SITE SEWA(�E TREA'1'I�NT � � INSPECTION REPORT ti ��9kEsHo��G Owner: /�rr,�I .�l/LCIl1� Address: /lC�� l��✓�i.> lt'iY�'. Permit #�'s: � Dates: D'�� 1 Contractors: �/��Wa Y� 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 �nspected and appears to fall into the category checked belou. (This is �an existing system [ 7 new construction) SYSTEM CONFORMITY (1-3): 7 "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 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 tloodplain; 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 p'� has not been identified at this time. If the limiting soil characteristic has not been identified, this classificatian may be subject to revision.) TANK CONDITION (5-10): Tank inspection irxiicates: 5 Punpout not needed at this tirr�. 6 Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems. 7 Solids accunulation in tanks is at a critical level. Tanks should be Exmped 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. Inspection risers (4" dia. pipe> must be installed in each tank at next pumpout. If tanks have not been punped out within the last three years, they should be punped out now. � Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation). If tanks have not been punped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): D field inspection indicates: 71 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 (sloae,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE Cdecends on soils.water table,etc.): � COMMENTS: Date of inspection Septic 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 properlyi but is merely an opinion of the adequacy of the system under current conditions based on the available �nformation. This report must be kept on the premises with the system locAtion and punping 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. � � � Crystal Bay, MN 55323 473-7357 OWNER _J��i-/I �1 Sln.l7l1S[� ADDRESS /�B�'�,�-�✓ �V✓�tC� PERMITNO.'S. a�� DATES b+S�9 CONTRACTORS 5��✓�'h City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regufar 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 standerds for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generaliy 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 atandards 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 endan�ring 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 nuisence.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 obtai�a permit before work is started. SYSTEM CONDITION ( m Checked items may require your actio�) Tank inspection indicates: ❑ Inapection 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 Orainfield inspection indicatea: should be pumped out as soon es possible. ,� Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. withi�48 hours to eliminate surface discharge. ❑ Drainfietd is saturated and visibly discharging untreated ❑ Inspection risero miuing—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. O Drainfield extent and co�dition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion O Soil table,and system conditio�) ❑ Adequate ❑ High water table � Low �Fair ❑ Lot size ❑ Medium ❑Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: /� �� Date of Inspection ptic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditio�s 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 'i , On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 56323 473-7357 OWNER ��'i'� �� JW��kS�/►'1 ADDRESS 1 gZn L�.�evir,�,� T�r,-uc� PERMIT NO.'S. �l� DATES "' �� J CONTRACTORS `��'�'lll ��'� 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 inspecYed 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,apo location.Appears to be operating properly. �'`�,2 Does not meet all current City standards for �ew construction (1978 Code) but in most respects appears to be desig�ed, )`�' located, and constructed generally in accordance with previoua 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 ma�y 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 upgreding!of system is required at this time. � 4 System may or may not meet current City standards for design,construction or locatio�,but is tailing to properly treat and dispose of the current input,and is endangering a water supp�y,or is a source of pollution to surface or groundwaters,or is creating a safety hazard,or is otherwise creati�g 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� m Checked items may require your action) `� Tank inspection indicates: JKJ Inspection pipe is located directly over tank baffle.(Dces not ( " - ❑ Pumpout not needed at this time, grve 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 Dr 'n " Id inspection indicates: should be pumped out as soon as possible. �rainfield 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 risera miuing—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. Co�tact 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 unk�own. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope Idepends on soil types,water Future Expansion ❑ Soil tabl�„apd system cQndition) � �dequate ❑ High water table ��`��w ❑ Fair ❑ Lot size �0 Medium O Poor O�ake,wetland,or stream ❑ High ❑ Inadequate ��,rainage O System is causing visible surface discharge. COMMENTS: -�l _ � Date of Inspection 5eptic Sy 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 fuhction properly,but is merely an opinion ot the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner On 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 /'r��1'/��C L Sl'✓f�/1�5�� ADDRESS � S�4 C-/�"/i L�V�L'�✓ TE/�iI�C� PERMIT NO.'S. � �y� DATES �' �`� � � / CONTRACTORS S�tL C /1lfl/t� 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 ab�ov�e address has bee�inspected and appears to fall into the category checked below. (This is L1 an existing systern ❑ new construction) � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. \, U 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and co�structed 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 ls 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 ( m Checked items may require your action) Tank i�spection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) (f 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 i� tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. �—� Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing-tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risers (4" dia. pipe) must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water F�ture Expansion ❑ Soil table,and system condition) ❑ Adequate ---0 High water table ❑ Low ❑ Fair --� Lot size - -� Medium -�—.� Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visibie surface discharge. COMMENTS: ' ��' �' :� � � �� ' -cir'i ��_� � Date of Inspection ^ � � Septic System Inspector / Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system wiil 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 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�'�ER('tICG �. ,5�:.lANS(;nJ ADDRESS 18a� L.f�1CC:1(ElW T=R�'./�C; -" PHONE PERMIT NO'S. ��1� DATES � " �' b9 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: ❑ � Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears to be operating properly. � � Does not meet current city standards in some respects relating to design, construction, or location. Appears to be operating properly. ❑ � Does not meet current city standards in many respects relating to design, construction, or location. Appears to be operating adequately. ❑ � Does not meet current city standards of design, construction or location, is being overused, or is failing to properly treat and dispose of the current input and is therefore endangering a water supply, is a source of pollution to surface or groundwaters, is creating a safety hazard, or is otherwise creating a public nuisance. Please contact the inspector to discuss requirements for repairs to your system. Soil testing may be re- quired. In all cases a design and site plan must be submitted for review. Your contractor must obtain a permit before work is started. WORK REQUIRED: � Septic tanks must be pumped within 48 hours. � Drainfield must be repaired or replaced within 90 days. � Inspsction riser (4"diam. pipe) must be installed in each tank. (�-K ��{�S YrR� � Tank inspection indicates maintenance pumpout is needed as soon zcpsasib�e. City ordinance requires that tanks be pumped out every three years. 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 Q Low ❑ Fair ❑Lot size �,Medium ❑ Poor ❑Lake,wetiand,or stream ❑High ❑ Inadequate �Drainage �System is causing visible surface discharge. COMMENTS: � '�� `� c��..� �JY►�.d/►. Date of Inspection Se System Inspector 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 Municivai SeN.er Address�('7 �1ly1'/F1J 1 G'7�-M� Property I.D.�7��$�23 y� ODI� WELL DATA �'Standard trench Le� 7 B lrc i� � � I I l, � � System type O O her� Legal Description 7ZY7� — Z��OD (� � L Permit No. 2/ y� Date of permit _�� $--�9 Installer S�[LL/L'A�J � l+ O No. Bedrooms Garbage � d I �/ m Building type R.�l I pFX1C._F ar GPD 3 �,� Laundry�_Dishwasher�_ Disposal/� � o � a SEPTIC TAN KS: Materiel �'-6NL _ ��-O CK Capacity 1) �at�� Z� �D O o Q � c .a a .�, � > Proper outlet and inlet Baffles Liquid depth to RO level „ ' � /D ' �' � N � Height of tank bottom above vYater table Distance to nearest building — � ' DRAINFIELD: Total length of lines 2�� r='T Number of I(nez Z Trench width 2- GT 11 Y L C Total treatment area(sq.ft.) y�� Height of drainfield above water table «4 . � Type of filter material Soil type a " � d E � Distance from nearest bldg. �Tila size Perc rate min/in � g � � m � o � Depth of fill over dreinfield Depth of rock over tile under tite .M � � " . o a '� 3 . �- J/ V (� S � �/� � LOCATION INSPECTION RECORD PUMPOUT RECORD SKETCH DATE COMPLIANCE DATE GALLONS ^ L�KE��C� `T�R�►cE q-� -7 �,�-. S�F��- S �c�- ,ar-s- Isoo '• , 3��6 � � 17 w� a �� b�6_� n�c S��2Facwti n��,�,c.�n ,�. f z-3o-87� ' ' ��q. ?-as-�� , „ %� � �-3h$9 �soo (p o2-(�$ No�Su�.l�C!/�lL� v2 �� /S'�1C� /Q-�-`� j'ID SlfV-Ktc,'nci — � l� �— �� " " a e° a°` �s' . . q�r� �' '' '"��mn�I1�Cz � o � . o o �� N � ',!= � � �� i �1�� —�' / _ _ Include: 1) Welllocation � 2) Distance from house to septic tanks,dist.box, a�d drainfield C—CONFORMING S—SUBSTANDARD N —NONCONFORMING 3) North arrow and road