HomeMy WebLinkAboutseptic info c
O O CITY OF ORONO
a
et,,, Municipal Offices
a � �„��� s I A, Street Address Mailing Address:
'� "'��q,`,,l k G'� 2750 Kelley Parkway P.O.Box 66
�9 0' �� �� •
Orono,MN 55356 Crystal Bay,MN 55323-0066
kESHO�'
To: The Current Owner of Address 680 ORCHARD PARK RD
City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a
periodic basis. The onsite sewage treatment system at the above address has been inspected and
the following is known about the system. A sketch of the known components of the system is
available for most properties at the Orono City Hall.
Imminent Public Healt hreat
Yes
No
If yes, please contact the Onsite Systems Manager at 954-249-4626 within 10 days of receipt of
this notice. The septic system must be brought into compliance within 90 days. Failure to do so
will result in referral to the City Attorney for legal action.
System Identified a on-Compliant
Yes
No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010 t.
Other
Septic Tank(s) Pump o Needed
Yes
No
The city recommends the septic tank(s) and/or lift tank be serviced and pumped out every three
(3) years. City records indicate the tank(s)were last pumped out on ( (- d(p .
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
Inspeezj 1. g 3! Date of Inspection: ‘ -6-7
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
Septic System Upgrade Deadline is Approaching
Here's a friendly reminder to all Orono property owners with non-compliant onsite septic
systems. Beginning in the mid-1990s the City began to identify those septic systems that
made use of trench drainfields, a majority of which do not maintain the minimum
required vertical separation above seasonal water tables. Each existing system was
subjected to soil borings to determine the seasonal water table depth. When a system was
identified as non-compliant, the owner was notified of the need to bring the system into
compliance and given several years to complete the upgrade.
The deadlines to upgrade were divided into whether or not the property was in the
Shoreland District (within 1000' of a lake, or within 300' of a protected tributary stream).
Properties in the Shoreland District were given until December 31, 2007 to become
compliant. Properties outside the Shoreland area with non-compliant systems were
allowed until December 31, 2010 to conform to the septic code.
Don't wait until the last minute! The City is strongly recommending that property
owners not wait until the deadline arrives to bring their systems into compliance. The
process to upgrade your septic system can be quite lengthy. The first step in the process
is to hire a site evaluator&designer to determine what type of system is required and
provide the blueprint for the system installation. The property owner must then contract
with a septic system installer to have the system constructed.
The installation of septic systems is very weather dependent, especially for mound
systems, which can only be installed when the ground is relatively dry, i.e. typically June
thru September. Contractors' schedules fill up quickly, so it's important to start your
planning and design process now to ensure a timely installation. The period of time from
deciding to update your septic system to the actual installation can easily exceed three to
four months or more. Please contact the Building and Zoning Department at (952-249-
4600) with any questions you may have about bringing your septic system into
compliance.
For a list of licensed designers and installers you may go to www.ci.orono.mn.us,
click on City Departments, click on Septic,then click on the link to
www.pca.state.mn.us/pro grams.
(04 °.
CITY of ORONO
30,:.,. ,.
�C„ / Municipal Offices
`�G Street Address: q53-a`t9-46o 0 Mailing Address:
tek
\� `r'' 4' 2750 Kelley Parkway P.O. Box 66
ESB Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: (o<O Ore ti At 11 RACK
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 CONFORMITY (1-3): 3
1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono
Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any
. reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): J
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped ).
Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the proper
cleaning. Keep water softner and iron filter discharge out of septic system to prolong life of drainfield. Ask pumper to test
alarm float to verify alarm is still working in your house. The alarm warns owner that septage is about to backup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION(8-10):
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: -
Ai '^� /l(rt- C d mei/AA-I- AAt c YLt v s e--
G¢_ k.r9d 4"re 4 C ia - 31 -02c. t® ,
...
CO —sql •-odtizi....e, .:g zioejti
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.
•
°C .7
;..4 CITY of ORONO
1 , Q:.�
\ iii vr- �,/i Municipal Offices
\ t ,; ;�,'•'' +// Street Address: Mailing Address:
ESHp� 2750 Kelley Parkway P,O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: 65Co o f CL sr l PR 4..
Ad
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 CONFORMITY (1-3): 3
1 "CODE SYSTEM" An ISIS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISIS which does not meet all the location,design and construction standards of the current Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or
an imminent threat to public health or safety.
t.3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
0
or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): 5
Tinspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped i i-2...1-06.3 ).
Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the
proper cleaning. Keep water softner and iron filter discharge out of septic system.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
D INFIELD CONDITION(8-10): 5f
(, Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: b(ck.;n ze.\ q l s tfi.ti c .}0-5 104. or-_
-vi..-03 Gly fk
Date of Inspection Matt Bolterman - 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.
Telephone(952)249-4600 • Fax(952)249-4616
•
•
•
0,4.. "
1 - . ;:;�,s (JITYofORONO
yt� -�44 ti Municipal Offices
,�.� ,;,�: f'i_,..ti �YG~ Mailing Address:
i;,; Street Address:
'EB1I�g .2750 •
Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066 •
Owner: C)0BIAS w;�te�5 L>
UAddress: 6�fG °� ,qcd Pqr k Pd.
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 CONFORMITY (1-3): 3
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. .
•
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal
Code but does meet the three foot separation requirement,and which is not failing or an imminent threat to public health or sa;_ty.
03 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any reason;and
arty ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
.
•
TANK CONDITION(5-10): 6 . .
Tank inspection indicates: •
5 Pumpout not needed at this time.
Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped /0-7- 9 6 ),
7 Solids accumulation in tanks is at a critical 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 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): I I
C) Drainfield is dry,no surfacing evident •
12 Some evidence of surfacing,not critical yet. ' •
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the CityInspector immediately.
Y Repairs must be
completed within 90 days.
14 Drainfield extent and condition unknown.
COMMENTS: S YS-+c,--• s- man-c o41I;ate-- a tee t-0 Ic?d t1F 3 -Coot or SSrc6+o•\ 'c-r‘,,.te-
f qc% DC SP"a -q ;o,-) be wee. 6• o of frrNcAe et • io) O-i Se930, I w-q-lcr*461e. PC/n,/l fa'\kf.
- -OI 02750t 4Qger/m,
•
Date of Inspection .10'.
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.
CITY OF ORONO O
O
Municipal Offices O
Post Office Box 66 '= p_
Crystal Bay, MN 55323-0066 r ON–SITE SEWAGE TREATMENT
AIjJ�' INSPECTION REPORT
kESHO1.'
Owner: D011/045 YV ;JO #E/ 5 Address: (9 80 ( nCti�4-/g-() Pa "'et CDS'05-)
Permit #'s: /6Ok3 Dates: /—/-1,7 / Contractors: SZ(//it/A/J 7-0Ie•.)
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 [ ] new construction)
SYSTEM CONFORMITY (1-3): ,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 sewage input without discharging
�3 ) 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 classification may be subject to revision.)
TANK CONDITION (5-10): G�
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 accumulation in tanks is at a critical level. Tanks should be pupped out as soon as possible.
System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
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): /II
Dp�aa+�►g�field inspection indicates:
111/Drainfield is dry, no surfacing evident.
12 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.): W4.4_64.4doki
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.): M 1,' :7%41v%
COMMENTS: blS4ls1 npa.d,o fD ill) (12X2040( by /2 - 3/- cob.
7 -/0r yq OA;Date of Inspection ic 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
.0, 04.,
0 0
-,„,,_
� t �,__ CITYofORONO
A 11IA if 357, t tv Municipal Offices
+ i ' `,-.44,,,,!A‘ Gti
t ' ',, , • ` Street Address: Mailing Address:
P.O. Box 66
'q$EgYjOg' 2750 Kelley Parkway
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: /& ,'r ( /tJ11&)) } Address:680 Orchard Park Rd.
Permit #'s:1608, 5297 Dates:9/1/67, 8/28/78 Contractors:Sullivan, Loren Brown Plbg.
(This is ,[�1 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 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 ,JY) has or ( ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 9
5 Pumpout not needed at this time
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been
pumped out within three years, they should be pumped out and risers installed now.
0 Inspection pipe is located over tank baffle-can not measure solids accumulation. If
tanks have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks ( ] were or (X were not
confirmed to be watertight by the licensed pumping contractor. If the tanks were not
confirmed to be watertight, this classification is subject to revision.)
DRAINFIELD CONDITION (11-14) : 11
(114 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: The non-compliant septic system must be repaired by 12/31/2006 or within 90 days
of failure (surface discharge) , whichever comes first.
f
t4arrA----
Date of Inspection Sept 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 4:, O
Post Office Box 66
Crystal Bay, MN 55323-0066 1.4 ;� PON-SITE SEWAGE TREATMENT
o1 INSPECTION REPORT
.i4P
Owner: Utirn"te'(,$I LA Address: RO O(clrid Pak lC,(,X•
Permit #'s: /s-A97 Dates: I I-C7J o?-]Contractors: Sill Ili1 il_Oy?ir' BrowY Map
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 [ ] new construction)
SYSTEM CONFORMITY (1-3): a
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.
22 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of e
current City Codes, but was installed according to the code ithe
n 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 classification may be subject to revision.)
TANK CONDITION (5-10): 57
Tye inspection indicates:
(b7 Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 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 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): //
,x_,DIAInfield inspection indicates:
Drainfield is dry, no surfacing evident.
12 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.): AerhimeN
COMMENTS: t i - • 0111110 •. ilL Is. Rid i--4 IT Ais OI/
s." f• rt, st I' i �►• '. .L_ "'.►i.( *t.kt 1i&. IV,.1 .-- - I - .a. ,o .. b IA .i9
-< 0 ar ca . S .- / ^ami
Date of Inspection ..- -'ptic Syste 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 /L V\ and JACK � ermlei-N ADDRESS 03 OSS& i
PERMIT NO.'S. 400-a97 DATES 117/g a?-12r CONTRACTORS Sv0/Ui LSCA Brbst/h/05
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 Q9 an 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.
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.
El4 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 ( 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
• out is year to elp prevent uture pro•ems, should be pumped out now.
i accumu cntical level. Tanks Drai field 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. 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 irg Low Di"Fair
❑ Lot size 0 Medium 0 Poor
❑ Lake,wetland,or stream 0 High 0 Inadequate
❑ Drainage 0 System is causing visible
surface discharge.
COMMENTS:
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