HomeMy WebLinkAboutseptic info �
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�j��,��- CITY of ORONO
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"� ' � '`'� ��: � � Municipal Offices
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�\� Mailing Address:
� � ,, ., G Street Address: °ISot-•14q-y6o O
\ ��`�"�p'4�� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal 9ay, MN 55323-0066
To Current Owner:
Address: Q� �Y��� �uU`�
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 CONFORMIT'Y 1-3 : �
1 "CODE SYSTEM".An ISTS which meets all the location,design and construction standards of the current Orono Municipat Code.
2 "COMPLIANT SYSTEM" An LSTS which dces not meet all the location,desi�and conshvction standards of the current Orono
Municipal Code but dces meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failiag or an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prolubited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which maY
or may not meet all the location,design,or constuction stan�rds 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 dishibution device and the limiting soil charactcsistics.
TANK CONDTTION(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this�+ear (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped �'l�i—Q c! ).
Make sure seatirtanks are aumned throu¢h manhole and not through white insaection uiaes. This allows for the proper
cleanin¢ Keea water softner and iron filter dischar¢e out of seatic svstem to prolon¢life of drainfield. Ask aumper to test
alarm float to verifv aiarm is still workin¢in vour house The alarm warns owner that seata¢e is about to backup into basement
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed u►each tanlc. If
tanks have not been pumped out within the last three years,they should be pumped out now.
IELD CONDTITON 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 ef�luent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 9U days.
COMI��NTS:
�U�^J Ioak.s o�.- ��� - s� �-,z. �KS
S.�Mr��,r �C�_
�'-�1-Q�1 G�-�'��r�'
Date of Inspection Matt Bolterman- Sepric System Inspector
Note: In the event that dus inspection report is used to satisfy the requ'vements for a mortgage or other transfer of property,be advised that this report does
not guaraatee 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 infoimation.
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�1 °�y���� � CITY of �RONO
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��''����': ti, Munlcipat Of�'ices
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����'�g,�,�' ' Street Address: MaAin�Addross; � .
E'$fI . 2150 Keiley Parfcway P.O. Bax 66
Orono, MN 55356 .� Crystal Bay�.MN 55323-0066
. 9Sa-�4q-y600 �
To Current Owner. Address: G 0 M ��t`^-co�J . f�U
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.
YS M O NFORMITY 1-3 : �
1 "CODE SYSTEM"An ISTS which meets all the location.daign and eonssvc6on standards of the eurrent Orono Munictpal Code.
2 "COMPLIANf SYST'EM" M ISTS which does not meet all the location.daign and canstruction standards of the aurent Ocono Municipal
Code but doa meet the three foot separation requircment or two foot requitement for sysuau installed 1996 or earlier.and wbich is aot failing or
aa Imminent threat to public heslth or safery.
3 "NON-COMPLIANT SYSTEM" A prohibited ISl'S;an ISTS located within a daignated I00-year flood plain�any IS?S which may .
or may not meet all the location,daign.or conswction standards of t�e cratent Orono MunIcipa]Code and which is fa�']ing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand behvee�the d'utribution derice and the limiting soil eharacuristia.
TANK CONDITION(_�-:71: S . �
Tank inspection indicates: . � . . . .
� Pumpout aot aeeded at this time. �
6 Septic tanks must be pumped out this eaz (city code requires tanks to be pumped out once every 3 years.
T'ank was lazt pumped 6-\�-�� l. .
Make sure seatic tanks are oumoed throuQh manhole and not through white insoection oines
�his allow�s for the prooer cleanin¢. �
7 Inspecrion cisers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed ia each tank.
pRAINFIELD CONDITION(S-tQ�: ,�
8�Drainfield is dry,no surfacina evident
9 Some evidence of surfacing,not critical ye� '
10 Dninfield'u saturated and visibly discharging untreated effluent to the surface. Contact the Ciry Inspector � �
immediately.Repa'irs must be completed within 90 days.
co�rrrs: r�o���� �^� st�fi� �.�5 to�� u�: P�� s� �z
��.���5 �ey,fi 5 ti�,�,,.��_
�s -�.6 —Uz. Gl��
Date of Inspection Mait Bolterman- Sepdc System Inspector
Note:In the event that this inspection rcpore is iued to satisfy the rcquirement�for a mortgage or o�her transfu of properry.be advised that this rcport does net 8uacancee
or artity that an acisting sysum will continue w function propedy,but ts meceiy an opinion of the adequary of the sysum under enrront condtdons based on the availabie
infom�ation.
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'' ��->� CITY of ORONO
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� f � �� �: �` ``f�',�G Street Addreu: Mailtna Addrou:
��,�+gg0�" 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
July 24, 2000
Kevin Thompson
90 Myrtlewood Road
Wayzata, Mn 55391 .
Dear Mr. Thompson:
An inspection of your septic system was conducted on July19, 2000. A summary of the inspection
is beiow.
Septic Tank Condition
1. Pumpout not needed at this time.
The septic system is a compliant system, meaning it meets all or most current City and State
Standards. Enclosed is a list of licensed contractors who work in Orono on a regular basis. This
list is enclosed simply for your reference in case your septic system needs maintenance in the future.
Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built
drawin' is enclosed showing the approximate location of the septic system.
If you have any questions regarding this report, please contact me at the Ciry Offices at 249-4600.
Re ectful ,
r JZ�
Chris Pence
On-Site Systems Manager
Enclosures
In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,
be udvised that this report does no guarantee or certify the eusting system will continue to function properly,but
is merely an opinion of the adequacy of the system under current conditions based on the available information.
This report must be kept on the premises with the system location and pumping records.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.ns
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� , ���� �.�� �� � CITY of ORONO
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�� ��.� SVeet Address: Mailing Address:
� � ���,9�!'�gHO¢ � � 2750 Kelley Parkway � �P.O. Box 66 �
��=-- Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ` L� � `�(''���1 � ,�/ Address: 90 Myrtlewood Rd.
Permit #'s: 7071 Dates: 6/16/95 Contractors: John Schmitz
(This is (,�� ] an existing system [ ] new construction) .
�XSTEM COMPLIANCE (1-3) : 1
�lj Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
3 Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level is [X ] or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
TANK CONDITION (5-9) : B
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.
� Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
L-J within three years, they should be pumped out and risers installed now.
9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped out within three years, they should be pumped out now.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [x] or are not [ ] water tight or the condition is [ ] unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
D NFIELD CONDITION (11-14) : 11
11 � Drainfield is dry, no surfacing evident. �
12 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 age and condition, soils, etc. ) : low
COMMENTS:
��' � :��- %=s' ���r _�--
Date of Inspection Sep c 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 eox 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(iE TREATN�NT
INSPECTION REPORT
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Owner: ��Q t/'�N ��01N1�$�� Address: ��J ///l�f'1'�-P�(�(�u ��c
Permit �'s: �7 ! Dates: � [v^`S Contractors: V��YI �1 L'�MiT�
City ordinance nunber 100 requires that each on-site sewage treatment system in Orono be inspected on a regular besis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is �1 an existing system [ ] new construction)
� �
STEM CONFORMIT� 1-3 :
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 uaters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and Which
is operating satisfactorily by treating and disposing of the entire current 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 limitin� soil characteristic [ ] has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION C5-10):
Tank inspection indicates:
Pumpout not needed at this time.
6 Solids eccunulation in tanks indicates they should be punped out this year to help prevent future problems.
Solids accunulation 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 dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next �xn�out. If tanks have not been pumped out within the last three years, they should be punped
OUL f10M.
10 Inspection pipe is located directly over tenk baffle (does not give accurate measurement of solids accunulation).
If tanks have not been pimped out within the last three years, they should be punped out now.
DRAINFIELD CONDITION (11-14):
field inspection indicates:
11 Drainfield is dry, no surfacing evident.
Sane 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 Csloce,setbacks,etc.): �2 b�QJ �
POTENTIAL FOR SYSTEM FAILURE (deaends on soils.water table,etc.): 1d
COMMENTS:
.
Date o 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 will continue to function
property� but is merely an opinion of the adequacy of the system under current conditions besed 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 TREATMENT
INSPECTION REPORT
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'�k�sHo�'�
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Owner• Address•
(� /fi l.� �--�
Permit #'s: Dates: Contractors:
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is [ ] an existing system f�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, end 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 �ich 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 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 limiting soil characteristic �j has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identifi�d, this classification may be subject to revision.)
TANK CONDITION C5-10):
Tpnk inspection indicates:
�J Punpout 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 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 pumpout. If tanks have not been punped out within the last three years, they should be punped
out now.
10 Inspection pipe is located directl over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pu�out within the last three years, they should be punped out now.
DRAINFIELD CONDITION C11-14):
Dr ield 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 tnspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (sloae.setbecks.etc.):
POTEN7IAl FOR SYSTEM FAILURE Cdecends on soils.Water table.etc.):
COMMENTS:
Date of nspection ep ic Syst 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 re,port does not guarantee or certify that en existing system will continue to function
properlyi 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 Date
ADDRESS � Connected to
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer
Address �Q /'rY12TLEl�L�� lCC�A�1� Property I.D. �Cr-�'�l�`e.�.� �3 /�)��c? �I WELL i ATA
�Standard trench I
❑ Mound L-c�T� t3 i�cl� � '�
rn
System type ❑ Other Legal Description C'�C� � O
t �
/ L
Permit No. ��f�9/ Date of permit �—�-b� Installer � p
a�
No. Bedrooms rbage � � I
Building type Q�5»[� or GPD � $/� �' Laundry�D her Disposal � a Q
/� E
SEPTICTANKS: Material �N�� 1�L.�C.Jc Capacfty 1) 2) r��� � � c
'o
�, a
Proper outlet and inlet �/� Baffles �± �') � >
Liquid de th to level .S � •
0
Height of tank bottom above water table �� Distan to near s uilding 20+ '� � m
O
DRAINFIELD: Total len th of lines Z � Z. �
9 um of lines Trench width �_
� Y
C
Total treatment area(sq.ft.) � � Hei t of infiel abov water table '3 "� �K � •
U
Type of filter material Soil ty � �.
d
� E r =
Distance from nearest bldg. �� Til size Perc rate min/i� o d n ,c
a O �o
ll V M .. �
Depth of fill over drainfield ���. Dep of r k o tile under tile ,�, a y "
y E c �
p a U 3
_ �ti,��� _ �
LOCATI ON
INSPECTION RECORD PUMPOUT RECORD SKETCH
DATE COMPLIANCE DATE GALLONS
5-y-f_3C) �No s����s+c;Wc�. ���eD 2- `>��`i�9� ����� �o' �
1 �
y-� �;� � ���� � �— __ - ---
�1.�r�s� �,�u��, .� S f��� if3En �_ ''" _ - - - - ��
y �S n�- _,--rr;�:,�_�- n�f� c_ o _ � - -
Z�a �— � -�-�- ,�
/r�-a��a " '' � � p3�-Q.2��� yz ` N�,�
� -q D�Svr-�vcs.�� 3 �1�J�_ -3-,° -
iA%EL�
�
( / �
' / �� �� —�j.
Includ�: 1) Well location
� ��Distance from house to
�� � septic tanks,dist.box,
� and drainfield
C— CONFORMING S—SUBSTANDARD N — NONCONFORMING � / 3) North arrow and road
/ �
— — . _
M YpyZ.�G�SP�r�� �Pc��A�
CITY OF ORONO �O�
M�micipel Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(;E TRFAT�IT
� � INSPECTION REPORT
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Owner: �\'P�/�I t Q►�I�UO� Address: W ����vl
Permit �'s: �� Dates:��`�f''�I Contractors: VIlAI1V�/ 1
City ordinance nunber 100 requires that each on-site sewage treatment system in Orono be inspected on a reguler basis.
The on-site sewage treatment system et the above address has been inspected and appears to fall into the category
checked below.
(This is �L 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 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 alt 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 potlutants into ground or surface waters.
"NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or mey not meet ell 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 [ l has not been identified at this time. If the limiting soil
characteristic has not been ident i , this classification may be subject to revision.)
TANK CONDITION CS-10):
Tp qk inspection indicates:
C5/ Punpout not needed at this time.
lS Solids accumutation in tanks indicates they should be p�rnped out this year to help prevent future problems.
7 Solids eccunulation 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 dischar�e.
9 lnspection 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 pumped out within the last three years, they should be punped
out now.
10 inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation>.
1f tanks have not been pumped out within the last three years, they should be punped out now.
DRAINFIELD COND[TION (11-14):
Dreinfield inspection indicates:
11 Drainfield is dry, no surfacing evident.
� Sane evidence of surfacing, not critical yet.
Drainfietd is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. ' must be completed within 90 days.
14 Drainfield extent a condit .
LIMITING SITE FACTORS Csloce,setbecks.etc.):
t
POTENTIAL FOR SYSTEM FAILURE (decends on soils,water table.etc.): `
COMMENTS:
�
Date o Inspection S ic System nspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opim on of the adequacy of the system under current conditions based on the available
�nformetton.
This report must be kept on the premises with the system locetion end pi�nping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O O
Post Office eox 66
Crystal Bay, MN 55323-0066 a � ON–SITE SEWA(�L TREA'1'I�NT
� � INSPECTION REPORT
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��9kESH.�g'�G
Owner: �tf� � �L501r� Address: /� //lv✓?J�� Kl.L.
Permit �'s: Dates: %^��� Contractors: —"
City ordinance number 100 requires that each on-site sewage treatr�nt .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 D�l.an existing system [ ] neu construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system which meets all the location, design, arxi construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
O without discharging eny pollutants into ground or surface waters.
"CONFORMING SYSTEM"-A system which 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 which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface watgrs.
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 c assification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection irxiicates:
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 5olids accumulation in tanks is at a critical level. 'fanks should be punped out as soon as possible.
8 System is discharging to the 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 in each
tank at next pumpout. If tanks have not been pu�nped 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 accumulation).
If tanks have not been punped out within the last three years, they should be punped out now.
DRAINFIELD CONDITION (11-74):
Dr nfield inspection indicates:
� Drainfield is dry, no surfacing evident.
'f2 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City [nspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slooe,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (deoends on soils,water table,etc.): ���.�,
COMMENTS:�C'�{di �r �r�� G.�P✓P I�3�" �DL1'nDP� ��•
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 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 locetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner