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SEPTIC SYSTEM INVENTORY Site Address: 1040 Townline Rd PID 30-118-23-32-0004 Owner Name: CMaxine Kickhafer Owner Address: 1040 Townline Rd Maple Plain MN 55359- BuildingType: residence Installer: Jerry Johnson Date of Permit: 5/20/94 System Type: mound BR's Designed for 3 In Musa?: No Shoreland?: SEPTIC TANKS: Material: precast concrete Capacity: 1000,1000,1000 Tank Filter: DRAINFIELD: Treatment Area: 70*39 Soil Boring: yes DF Ht above Wt: 3 WELL DATA Setbacks -Well Tanks: 75 Well DF: 100 Report In File: Depth: INSPECTION RECORDS PUMPOUT RECORDS Date 1 Notes Date GallonsOfLiquid 9/1/2006 Okay 7/31/2018 2500 10/7/2004 Okay 9/4/2015 2500 10/14/2002 no surfacing 7/13/2012 2500 6/14/2000 no surfacing 7/22/2009 2500 10/3/1996 no surfacing 6/13/2007 2500' 8/2/1994 installation 5/6/2004 2500 8/2/1994 installation 9/14/2001 2500 9/14/2001 2500 CITY OF ORONO Date ADDRESS Connected to CODE ////0 � SEPTIC SYSTEM INVENTORY CARD Municipal Sewer Address 407 /C;eUAJL//V E Kz, Property I.D.-3o—He—Z3 32 OODy y WELL DATA ,Standard trench ` I 0 Mound System type ❑ Other Legal Description IANPGA C. 30 L Permit No. — Date of permit — /971 Installer + No. Bedrooms rbage G m Building type or GPD 3 $/2 Laundry i isposal c O CL SEPTIC TANKS: Material CoA-)C— Capec' 1 ± 2) 7S� =� ° 2 Proper outlet and inlet �+� Baffles L depth level I* 3 d Height of tank bottom above water table t to ne building sem ' o y DRAINFIELD: Total length of lines be of li Trench width (^� Y V C Total treatment area(sq.ft.) le ei t of r nf' ove water table Type of filter material it pe C 1 E V1 r Distance from neare Idg. a size Perc rate min/in ° °. a Depth of fill over drain iel D t f rock over tile under the E c c o 3 I AWN L/NC r—V PT u LOCATION INSPECTION RECORD PUMPOUT RECORD \ SKETCH DATE COMPLIANCE DATE GALLONS 9-Z-7-SZ No Sui2F�c�n�c_ iVcT�D Z 0 Q����-�� hCG %>I/VJ-Olc.i'►�0'�u�w+n,'r�w �_ Z?-23 ,DF rz,//ii -1, s/ gyp, - - - - - --;-'- - - - - Include: 1) Well locati6nfr _ 2) Distance om house to septic tanks,dist.box, and drainfield C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) North arrow and road CITY Of ORONO Municipal Offices G Street Address: Mailing Address: �`gkE3l�o�� 2750 Kelley Parkway P.O. Boz 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address /O _( C> '7_0 C J•n .'tir P 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 Publicalth Threat Yes No If yes, please contact the Onsite Systems Manager at 952-249-4626 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 as Non-Compliant Yes No If yes, system must be brought into compliance by: December 31, 2007 December 31, 2010 Other Septic Tank(s) Pump out Needed Yes No The City recommends the septic tank(s) and/or lift tank be serviced and pumped out evgry three years. City records indicate the tank(s) were last pumped out on S _C0 . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: W, 10 f el-0 0 7� Inspector: Date of Inspection 'telephone (952) 249-4600 - Fax (952)249-4616 W--ww.ci.o rono.rn n.us i /o o 11 =q P r CITY of ORONO r 'a++ r I Municipal Offices Street Address: °45o1-a`{9-y6o O MailingAddress: 2750 Kelley Parkway P.O. Box 66 _-- Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: 1690 to\-^ )We, 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). 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): Tank inspection indicates: 0Pumpout 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 S- L-04 ). 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): PDrainfield is dry,no surfacing evident. 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: S 3LrA tj(3 I d oK 6r.) 1 -7 —Ux-� 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. 0 'A4. CITY of ORONO .3 '!j V . a Gti, biunicipal Offices Street Address. Mailing Address: ESTI 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 95d-a4q-4600 To Current Owner: Address: ©�f0 TOw�� �ne Rc� 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 ORMI (1-3): �C�O�DD�ES YSTEM"Ai ISTS 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 thethree foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an imminent threat to ptblic health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISIS;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 oe current Orono Municipal Code and which is failing for any reason;and any ISIS with less than firee feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. TANK CONDITION Tank inspection indicates: n Pumpout not needed atthis time. , -' 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 y-O I Make sure septic tanks are pumped through manhole and not through white inspection pipes This allows for the hoped cleaning. 7 Inspection risersmissing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. INFIELD CONDIT N -lQ : S Drainfteld is dry,na6urfacing evident. 9 Some evidence of sufacing,not critical yet. 10 Drainfield is saturate(and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately.Repair!must be completed within 90 days. CONSMNTS: Mc "c�. 0'r\3 SeG4:L -)•nc\k_S o& Date of Inspection Matt Boltettaan- 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 guarint" or certify that an existing system will continue to function properly,but is merely an opinion ofthe adequacy of the system under current conditions bated on the available information. 0 0 CITY of ORONO Municipal Offices Street Address: Malling Address. `�kEgHO� 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 June 15, 2000 Charles&Maxine Kickhafer 1040 Townline Road Maple Plain, Mn 55359 Dear Mr. & Mrs. Kickhafer: An inspection of your septic system was conducted on June 14,2000. A summary of the inspection is below. 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 drawing is enclosed showing the approximate location of the septic system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. R pect lly, hris ence 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 advised that this report does no guarantee or certify the 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. Telephone(952)2494600 - Fax(952)249-4616 www.ci.orono.mn.us O O CITYof ORONO Municipal Offices r � �G Street Address: Mailing Address: �9�EgU0 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 Owner: C_ it?0&-S ��. Address:1040 Townline Rd. Permit #1s:6102 Dates:5/20/94 Contractors:Jerry Johnson (This is ✓ _ an existing system [ ] new construction) SYSTEM COMPLIANCE (1-3) : 1 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 C has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) K CONDITION (5-9) : 5 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. 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. (During the last septic tank Maintenance Pumpout the tanks [ ] were or fj�I 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 1 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 acre and condition soils etc. ) : low COMMENTS: Date of Inspection Se is 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 0 Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 ON—SITE SEWAGE TREATMENT INSPECTION REPORT ��9kESHo4�G Owner: Address: lit/Yl/,;-�el W, Permit ill's: 610P, Dates: _> oV1— I� Contractors: —rAd City ordinance number 100 requires that each on-site sewage treatment system in Orono 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 A 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 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 P`f.has or I ) has not been identified at this time. If the limiting soil characteristic has not been identi'#ied, this classification may be subject to revision.) TANK CONDITION (5-10): TOinspection indicates: 5 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 Inspectionpipe 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 pooped out now. DRAINFIELD CONDITION (11-14): D�field inspection indicates: ('n Drainfield is dry, no surfacing evident. `tt2r 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.): Z COMMENTS: A If Date of Inspection - 'Keptic 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 .� o1V. 0 0 CITY of ORONO �3k, "<✓ H Municipal Offices 6 ti Street Address: Mailing Address: 2750 Kelley Parkway P.O. Box 66 S Orono, MN 55356 Crystal Bay, MN 55323-0066 January 6, 1994 Mr. Charles Kickhafer 1040 Townline Road Maple Plain, Minnesota 55359 Dear Mr. Kickhafer: Due to the extremely wet year, we realize that the required repair of your septic system may have been difficult to complete last summer. This is a reminder that the septic system repair will be required next year. A licensed septic contractor must get a permit from the City of Orono by July 15, 1994 for the repair of your septic system. The procedure for completing septic system repairs is shown below. Please contact me at the City offices if there are any questions. PROCEDURE FOR SEPTIC SYSTEM REPAIR 1. Hire a Site Evaluator/System Designer to do the soil testing and system design. 2. Submit the design to the City for approval. 3. Once the design is approved, have one or more contractors bid on the approved design. 4. The contractor you choose should then obtain a permit from the City before starting work. He will call the City for the required inspections. Sincerely, Stephen Weckman On-Site Systems Manager SW/ch Enc. Septic Report List of Septic Contractors and Site Evaluators/Designers Telephone (612) 473-7357 • FAX 473-0510 CITY OF ORONO O Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 ON—SITE SEWAGE TREATMENT INSPECTION REPORT ti ��9kEsHo��G Owner: C,J 2cL kjEk", 1_ Address: 1(1'-7(./ � /11�, Q, 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 E-4-an existing system [ ) new construction) SYSTEM CONFORMITY (1-3): z 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 any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM11-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 D4,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. flanks 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 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): Drainfield inspection indicates: 11 Drainfield is dry, no surfacing evident. Some evidence of surfacing, not critical yet. 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: Date of Inspection Sept c System ns ector 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 REPORT i POST OFFICE BOX 66 _ 1335 S. Brown Rd. ON Crystal Bay, MN 55323 473-7357 OWNER <�j06/ IV k"r'� ADDRESS Oj 7OL41111le- FOI. PERMIT NO.'S. I )OfW- DATES CONTRACTORS — City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is 0—an existing system ❑ new construction) E31 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, I� 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.(m Checked items may require your action) Tank Inspect.on indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not I7umpout 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 Drain 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 IK'Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risers (4"die.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) ❑ Adequate ❑ High water table ❑ Low °�-Fair ❑ Lot size 11-medium '(7 Poor ❑ Lake,wetland,or stream E High ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: � 1 Date of Inspection SeNtic 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