Loading...
HomeMy WebLinkAboutseptic info DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. // COMPLETED . ADDRESS 6/4S---OZ/Z-02/ L �� OWNER ,..";C" CONTR. TELEPHONE NO. DESCRIPTION LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE' „I •L Q 05 FINAL 13 METER SET/TURN ON +• I E INSPECTIO 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL • OWNER/CONTRACTOR TO MEET YOU:_YES --co o COMMENTS:CC / / a 4 l r G /171;.77hGh161/ D Oho e cre0 O 0 U cc WL e • tee cc Lu ❑WORK SATISFACTORY:PF CC ❑CORRECT WORK&PROC :UPANCY • ❑CORRECT WORK,CALL F O BEFORE COVERING ❑CORRECT UNSAFE CONE INSPECTOR WILL RE ❑STOP ORDER POSTED.C, ❑ INSPECTION REQUIRED. Call for the next inspection 24 hours in advance.4I 0-1.30� Owner/Contra«,o o , ite: Inspector. r White Copy/Inspector's File Canary Copy/Site Notice CITY OF ORONO Date ADDRESS Connected to CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer eeNTAL )+ 4 — Address g -r -D O- G1r,NCs L-,FAKE" R...-) PO--? Property I.D.SS' P3 '1/ 000.2 WELL DATA O Standard trench O Mound System type 0 Other Legal Description 4//3.g.5_ - ZJ s0 O • m — r Permit No. Date of permit — Installer ? d O No. Bedrooms Garbage • I Building type /',JGE" or GPD /- 2- QiC Laundry Dishwasher Disposal v t Q E a SEPTIC TANKS: Material Capacity 1) 2) ° ¢ c •o d a Proper outlet and inlet Baffles Liquid depth to RO level D Height of tank bottom above water table Distance to nearest building N m O DRAINFIELD: Total length of lines Number of lines Trench width Y c Total treatment area(sq.ft.) Height of drainfield above water table $ ✓ Type of filter material Soil type , - Si N. 41 E .c :;-- Distance from nearest bldg. Tile size Perc rate min/in 2 �+ mO c m >, -° o m` Depth of fill over drainfield Depth of rock over tile under tile c a 6• a 0 INSPECTION RECORD PUMPOUT RECORD LOCATION SKETCH DATE COMPLIANCE DATE GALLONS 5-22--80 /00 SuieFAG,G NOTED , i A307 e1€ I S`VS'r;ry /S /-107- Lc'cAfi - - -?l - 3 erkivie.s or LOG°tTct A w /OD 9r acKT Os+st.' bo-P e/SEW Vt.( AA, .Su,2 9C//V6; A%71-n e ' g 17-0 S .A/o /Wisp Rise /0110 f sdeice, ILdorwci 4 • Include: 1) Well location 2) Distance from house to septic tanks,dist.box, and drainfield C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) North arrow and road 111110 SEPTIC SYSTEM INVENTORY Address: 845 Old Long Lake Rd. PID: 35-118-23 41 0007 Building Type residence #BRs/GPD: 4 #Systems 1 Units Billed 1 Permit#: 898 Date of Permit: 10/26/59 Installer: F & L Plbg. System Type standard trench Experimental: no Appliances SYSTEM CONDITION Conformity: 3 Tank Condition: 5 DF condition: 11 Failure Pot: medium SEPTIC TANKS Material: concrete block Capacity: 750 Setback to Bldg: 20 Cesspool: unknown DRAINFIELD Length of Lines #Lines: Trench Width: Treatment Area: Type of Filter Soil Boring: yes Tile Size: Under Tile Perc Rate: Setback DF-Bldg: 20 DF Ht above Wt: 1 Soil Type: Limitations: water table WELL DATA Setbacks - Well-Tanks: Well-DF: Report in File Pump Type: Depth: Diameter: Method: INSPECTION RECORD PUMPOUT RECORD DATE DESCRIPTION COMPLIANCE DATE GALLONS 5/22/80 no surfacing 2 8/27/86 800 9/20/83 no surfacing-pump tanks 2 4/21/88 800 7/22/86 no surfacing-pump tanks 2 8/23/95 800 8/17/88 no surfacing 2 9/25/90 no surfacing 2 10/23/92 no surfacing-pump tanks 2 10/21/94 no surfacing-pump tanks 2 11/2/98 non-compliant-repair by 12/31/2008 3 /- 611/(4ek A4O 4- (4_40, 0.4 `bL7-144 0 ? - ?? rpep1 s - Ye 16 FOS re (vvauL , -OF 8,-/S od tong 1, keR)Iti I 1 171--;1 A 1,ri, ag,t) 180 _- ,, 0 N. O O ,,, pi ,, r . Al CITY of ORONO rs, ;y >' ,. ti/ Municipal Offices R., G~ Street Address: Mailing Address: \ $EvsilID 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: Address: 845 Old Long Lake Rd. Permit #'s: 898 Dates: 10/26/59 Contractors: F & L Plbg. (This is [ X an existing system [ ] new construction) . SYSTEM COMPLIANCE (1-3) : 3 1 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 ,r- 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.) SANK CONDITION (5-9) : 5 (5 ` Pumpout not needed at this time. 5 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. 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 [ ] or are not [ ] water tight or the condition is [y\] unknown. If the tanks are not confirmed to be watertight, this classification is subject to revision.) GRAINFIELD 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.) : medium COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil borings were performed to verify a 3 foot separation between the drainfield and the seasonal water table. The separation is 1 foot and the system is non-compliant. Repair or replacement of the septic system is required by 12/31/2008. / l'te of Inspection _ S=,•tic System Ins•ec or Note: In the event that this inspection report is used to satisfy the requirements for a transfer of property, this report does not guarantee that an existing system will continue to function properly, but indicates the operation of the system under current conditions. Telephone (612) 473-7357 • FAX 473-0510 CITY OF ORONO O Municipal Offices O O Post Office Box 66 ' , ;�, Crystal Bay, MN 55323-0066 t ON–SITE SEWAGE TREATMENT a�` I ► `�41 INSPECTION REPORT +1. i WI l 4,p kESH04' Owner: V•+INJ�WCta6 y Address: gS Old / i / Permit #'s: ?2S Dates: i094—S14 Contractors: At!), 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 t>ii 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. "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 (4 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 (5-10): Tank inspection indicates: 5 Pumpout not needed at this time. ipSolids a umulation in tanks indicates they should be ; •-• out this year to�het. . -. ure • •• au!-. TT o i.s acc : •n in an s - - - - as soon as posse. e. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): )) Dr ' field inspection indicates: L7f�/� Drainfield is dry, no surfacing evident. 2 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope.setbacks.etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.): COMMENTS: ID-- /—Sys ":.77, ' .7f Date of Inspection ept c System In pector 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 location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner gv :11, CITY OF ORONO O Municipal Offices O O Post Office Box 66 ',, Crystal Bay, MN 55323-0066 P ON—SITE SEWAGE TREATMENT 1 A1, INSPECTION REPORT Tin kESHO�' .4 wa: Owner: Address: Rte" ailL �'� l�c� MA" .�jt�° , s2►� / /y� Permit i's: Dates: /012-aa Contractors: `f /:'/ r 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 04-an existing system I ] new construction) SYSTEM CONFORMITY (1-3): 457 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. "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 I 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 (5-10): Tank inspection indicates: Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next punpout. If tanks have not been pumped out within the last three years, they should be pumped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pupped out within the last three years, they should be pupped out now. DRAINFIELD CONDITION (11-14): # Drptifield inspection indicates: QY Drainfield is dry, no surfacing evident. 2 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope.setbacks.etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.): iotk COMMENTS: Date of Inspection S tic 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 location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORTOF POST OFFICE BOX 66 O R O N O 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER //fir G� 1� ADDRESS t/� /a PERMIT NO.'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 16 an existing system 0 new construction) El1 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, 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. El3 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. ElSystem may or may not meet current City standards for design,construction or location,but is failing to properly treat and 4 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 ( I Checked items may require your action) Tank inspection indicates: 0 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. 0 Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped 0 Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. 0 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. 0 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) 0 Adequate ❑ High water table 0 Low 0 Fair ❑ Lot size 0 Medium 0 Poor ❑ Lake,wetland,or stream 0 High 0 Inadequate ❑ Drainage 0 System is causing visible surface discharge. COMMENTS: l/ - rt054nce ahandonidSD 1 s- C s 51 e7-1 , l Vg 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 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 . On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 ORONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER Ic-f7 SWGa+S er- ADDRESS 83 5 O1 l_v i Lake 2oaaf PERMIT NO.'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 an existing system 0 new construction) Di Meets of/exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. E32 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. Does not meet current City standards in many respects relating to design, construction, or location.Appears to be operating LAILkl10 -)4 3 adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at this time. LJ4 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 ( m Checked items may require your action) Tank inspection indicates: 0 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. 0 Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped 0 Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. 0 Drainfield is saturated and visibly discharging untreated XInspection 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. A Drainfield extent and condition unknown /- SkM.iN n0 St.lrwac,'A, , SITE CHARACTERISTICS: .g Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) 0 Adequate I_❑ High water table 0 Low Fair NO , /Lot size Medium SySferyi iS eta-c...„ ...464.001' ❑ Lake,wetland,or stream 0 High 0 Inadequate ❑ Drainage 0 System is causing visible surface discharge. COMMENTS: *See atiathed. 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 system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 ORONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER A-I-4N 6W E-e-127 ADDRESS 03S- OZb LQi)G /?.D PERMIT NO.'S. DATES f 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 ress has been inspected and appears to fall into the category checked below. (This isan existing system 0 new construction) 1 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 constructed generally in accordance with previous codes.System appears to be functioning properly; no major upgrading of the system is required at this time. a3 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. U 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 ( Di Checked items may require your action) Tank inspection indicates: 0 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. 0 Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped 0 Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. 0 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 Future Expansion ❑ Soil table,and system condition) 0 Adequate ❑ High water table 0 Low 0 Fair -e Lot size 0 Medium —0 Poor ❑ Lake,wetland,or stream _0 High 0 Inadequate ❑ Drainage 0 System is causing visible surface discharge. COMMENTS: /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 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