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����-��� CITY o� ORONU
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� � � , 3 , .�.- / Street Address: Mailing Address:
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.,._,�E$�,pi;% 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner; Address: .�7�� /2 �4�:�e-'�-f � Ga
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.
SYS�TEM CONFORMITY (1-3): �
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 rivo foot requuement 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-yeaz 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.
TAN�CONDITION(5-7): �
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 ).
Mal�e sure seatic t�nks are pumoed throush manhole and not throush white inspection aipes. This allows for the proper
cleanine. Keea w�ter softner and iron filter discharse out of seotic svstem to arolons life of drainfield. Ask aumaer to test
alar�float to verifv atarm is still workin8 iQ vour house. The alarm warns owner that septa¢e is about to backua into basement.
7 Inspection rislers 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.
DRA,�N'FIELD 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:
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Date of In9pection Septic System Inspector
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�;:;j�j�: CITY of ORONO
�'i, � ' � MunicipalOffices
�t 6 ���`1� � ������ G~ Street Address: Mailing Address:
`9Jt"Egg04� 2750 Kelley Parkway P.O. Box 66
-- Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: a / �� �q,�e y J'CC'
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 (I-3): �
Ol ��CODE SYSTEM�� An ISTS which mee[s all the loca[ion,design and construction standards of[he current Orono Municipal Code.
2 "COMPLIANT SYSTEM�� An(STS which does not meet all the location,design and construction standards of the curtent Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems ins[alled 1996 or earlier,and which is not failing or
an imminent threat to public heal[h or safety.
3 ��NON-COMPLIANT SYSTEM'� A prohibited[STS;an ISTS located within a designated 100-year tlood plain,any[STS 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 be[ween the distribution device and[he limiting soil characteristics.
TANK CONDITION (5-7): S
Tank inspection indicates:
OPumpout 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 ���3 ).
Make sure septic tanks are aumped throu�h manhole and not through white inspection pipes This allows for the
proper cleaning. Keep water softner and iron filter discharge out of septic svstem.
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.
DRA[NF[ELD CONDITION (8-10): �c
8O 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: �v�� 10okS Ok , (�Cou wnfic� ��,tic; ;r,Fd "3� � ,
'��'-S w'.�1 a�� c-�oC� �� � �- t�v�� a� r.o.�� .,..:�� 6� S t S5�
� ,—o�\� c�.Q R k, ;e.aro o�i�s'�w c�e.,__ �v��� -��K �� :S �)c r �D�o c� .
Q-i S -�3 �1''�i� -+��,,,
Date of Inspection Matt Bolterman - Sep[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;uarantee
or certify that an existing system will continue[o function properly,but is merely an opinion ofthe adequacy ofthe system under curren[conditions based on the available
information.
Telephone(952)249-4b00 • Fax(952)249-4616
www.ci.orono.mn.us
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�r� �:=���.? CITY of ORONO
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�� `��'�;,t�.� Street Addross: Matlin�Addrou:
'�� 2150 Keliey ParkwaY P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Ow�er: � � �►�I�r Address: d7 r�S R9:n e R�J
Cin Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo yeazs.
The o,n-site sewage treatment system at the above address has been inspected and appeazs to fall into the categories checked below.
YSTEM COIyTFORI�iTI'Y 1-3 : �
1° "CODE SYSTEM" An ISTS which meets all the location,design and consttuction standarda ofthe cucrrnt Oronu Municipal Code.
2 "CONIPLIANT SYSTEM" An ISYS which doa not med ait the locatioq design aad cocutruction standard4 epthe cunrnt prono Municipal
Code but doa m«t the Nvee foot xpar�tion requiremec�and wluch is not failing or an i***•*+;�s••►tlu�eat W pubtic health or safety.
3 "NON-COIvIPLIANT SYSTEM" A prohibited ISTS;an LSTS(ocated withia a designated 100-year flood plain,any ISTS which may
or may not meet all the locatioq daign,or constcvctioa standard4 of the cuireea Orono�funicipa(Code and which u failing for any reason;and
any ISTS uvith less than three feet of unaaUirated wil or sand between the distribution device and the limitiag soil characteristics,
T.�1IC CONDTTION(5-10): �_
Tarik inspection indicates: •
aPumpout not needed at this time.
6 Tank must be pumped out this year (city cede requires tanks W be pumped out evay 3 ywts. Tank wbs Last pumped ��� —� � ).
7 Sotids ucumutation in tanks is at s ccitical a critical(eveL Tanks should be pumped out as soon ac possibte.
8 � System is discharging to tha surface. Tanfac must be pumped out within 48 hours to eliminate surface discharge.
9 Uupection risaes missing-tanks could not be incpected lnspection risets(4"dib pipe)must be instailed in each tank at next pumpout If tanks
ha�•e not been pumped out within the lagt Wree yeazs,they shuuld be pumped out now.
1� , Inspection pipe is located directly over tank ba�la(doa not give accucate measuranrnt of solids accumulation). If tanks have not been pumped
out within the(ast ihree yeacs,they should be pumped out now.
D � LD CO ITION 11-I� : �_
11 'Drainfield'u dry,no surfacing evident
1� Some evidrnce af surfacing,not critical yet
13 Drainfield is saWrated and visibly discl�arging untreated e@lurne to the surface. Co�act the City Inspeccot immediately.Repain must be
completed withic190 days. �
1� Draintield esten�and condition unknoat�
COMNIENTS: � S fi��*�• � �0 0
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y �—�t —a, � �
. Dau of Iaspection S 4c S '
; �P Ystem IasPector
Note: In the evecrt that this' on repod is vsed W sati�ty the requireme�s for a moRgage or otha tiaasfer of property,be advued that this repoR doa aot guarantoe
or¢ortify that an e�sting syste wiII continue to function pcopa(y,but is merely an opiaion of the adeqnacy of the system unda cuerent conditions based on the availabla
inf9cmatioa
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CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
�" ti INSPECTION REPORT
'C��, G~
9kESH�4'�
Owner: � C��/ �/1)C1d Address: �7�� Cs/rl,Q �� �3i��
Permit #'s: ��� � Dates: /(/'—/D ' %�/ Contractors: ����/,X=�- {-���� � ^.
City ordinance number 100 requires that each on-site seuage 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 [ ] neu construction)
/ —
TEM CONFORMITY 1-3 : �
1 "CODE SYS7EM"-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 uhich does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current seuage input uithout 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. [f the limiting soil
characteristic has not been identffied;"this classification may be subject to revision.)
TANK CONDITION (5-10):
n nspection indicates:
� umpout not needed at this time.
Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
Solids acc�unulation 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 uithin 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 purnpout. ]f 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).
If tanks have not been punped out uithin the last three years, they should be purt�ed out noW.
DR - IELD CONDITION 11-14 :
ain i ld inspection indicates:
1 rainfield 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
irtmediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks.etc.): �
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table,etc.): /�
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COMMENTS:
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ate of Ins ection Sept' 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 prE�nises with the system locetien 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 SEWAGE TREATMENT
r�). � INSPECTION REPORT
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�9kESH0�'�
[ � �/� / . /�
Owner: ���[`�! �Cl�/�1� Address: P /� .
Permit #'s: Dates: ���D'/� Contractors: ( �/� `// / ( ,j)��
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 [ ] neu construction)
SYSTEM CONFORMITV (1-3):
"COOE SYSTEM"-A system uhich 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
uithout discharging any pollutants into ground or surface uaters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current seuage input without discharging
any pollutants 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 [JY has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identifie2i, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be p�mped 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 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 pumped out uithin 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 .
[f tanks have not been pumped out within the last three vears,. hould be p mped out now
t
DRAINfIELD CONDITION (11-14):
D�nfield inspection indicates:
(,�t� Drainfield is dry, no surfacing evident.
Q2�9 Some evidence of surfacing, not critical yet.
i3- Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be canpleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS (slope,setbacks,etc.): �
/
POTENTIAL FOR SYSTEM FAILURE Cdepends on soils,water table,etc.):
COMMENTS:
Date of Inspection ep 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 exis+ting system uill continue to function
properlyi but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the premises with the system loc�tic+n and pumping records.
WHI7E COPY/Inspectors File YELLOW COPY/Homeowner
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� On the North Shore o f
� Lake Minnetonka
i �N-SITE SE AGE TREATMENT
INSPE(ITION REPORT � POST OFFICE BOX 66
� I 1335 S. Brown Rd.
� � � Crystal Bay,MN 55323
� 473-7357
NER � ADDRESS �C�1o`�
ERMIT NO.' . -�3�� � DATES ��v�6 (� CONTRACTORS ►
I City Ordi a�ce No.210 requires th�each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
�tment syste at the above address has n inspected and appears to fall into the category checked below.
This is �an existing s tem ❑ new construction)
� � � eets or exceeds current ity standards in all respects relating to design,construction,and location.Appears to be operating
roperly.
; � 2 �ces not meet all curren�City standards for new construction (1978 Code) but in most respects appears to be designed,
p, ocated, and constructed nerally in accordance with previous codes.System appears to be functioning properly;no major
� pgrading of the system is irequired at this time.
t � 3 oes not meet current Ciiy standards in many respects relating to desig�,conatruction,or location,Appears to be operating
� �dequately at this time,byt has a relatively high potential for future problems. No major upgrading of system is required at
his time.
� 4 ystem may or may not rrheet current City standards for design,construction or location, but is failing to properly treat and
ispose of the current inpUt,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
i reating a safety hazard,qr is otherwise ereating a public nuisance.Please contact the Ciry Inspector to discuss system repair/
�placement procedures. I�drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
ust be submitted for revi w.Your contractor must obtain a permit before work is started.
�STEM COND$ION (m Checked items�nay require your action)
1'�nk inspection i dicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
q ❑ Pumpout�t needed at this time. give accurate m�surement of solids accumulation.) If tanks
� ❑ Solids acc mulation in tanks indicat�s they should be pump- have not been pumped out within the last three years,they
( ed out this ear to help prevent futur�problems, ahould be pumped out now.
❑ Solida acc mulation in taoks ia a�, a critical level. Tanks Drainfield inspection indicetea:
should be umped out as soon as ible. �Drainfield is dry,no surfacing evident.
� O System is!discharging to surface�. anks must be pumped Some evidence of surfacing,not critical yet.
i within 48 oura to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
� �Inspection�riaera missing—tanks c ' Id not be i�apected, effluent to the surface. This condition may require replace-
�
Inspection isera (4"dia.pipe)must installed in each tenk ment or additions to drai�field. Contact the City Inspector
� at next pu pout. If tanks have not n pumped out within immediately.Repairs must be completed within 90 days.
the last thr years,they should be p�mped out now. ❑ Drainfield extent and condition unknown,
w
S E CHARACT RISTICS: �
L iting Site Fact rs ! Potential for System Failure Site Capabilities for
❑ Slope " (depends on soil typea,water Future Expansion
� O�,f S''oil l table,and system condition) `�.Adequate
��r�igh water�able I �Low ❑ Fair
q ❑ Lot size ❑Medium O Poor
i ❑ Lake,wetlahd,or stream , ❑ High ❑ Inadequate
j ❑ Drainage � ❑System is causing visible
� surface discharge.
C�MMENTS:
-� �
�, � 9
; I Date of Insp ction eptic SYstem Inspector
N e: In the eventi that this inapection rep� t is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
� th report does nQt guarantee or certify th�t an existing system will continue to function properly,but is merely an opinion of the adequacy
of e system undek current co�ditio�s base on the available information.
I
This report mu be kept on the premises with system location and pumping records.
I� WHITE COPY/Ihspector's File GOLD COPY/Homeowner
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CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�,� � INSPECTION REPORT
'�t' Gti
�9kESH�4'�
Owner:_.�[2t��'�� /sL?/)I{�1� Address: ��� �
Permit #'s: �3�(� Dates: ���/��9� Contractors: (_/pl/r�;i- t7"li'���
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-stte sewage treatment system at the above address has been inspected and appears to fall into the category
checked belou.
(This is [� an existing system [ ] neu construction)
SYSTEM CONFORMITY 1-3 :
"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 uhich 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 waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system uhich 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 D<1 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.
b Solids accunulation 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.
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. Ins ection risers 4" dia. i e must be installed in each
tank at next pumpout. If tanks have not been p�xnpe ou w� in t e ast ree years,
ou
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):
Drp.�field inspection indicates:
(1]J Drainfie[d 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 Inspector
irtmediately. 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:
�
Date of Inspection S 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 conditions based on the available
information.
This report must be kept on the pre�nises uith the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner