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.SEPTIC .SYSTEM INVENTORY
Address: 1930 Shoreline Dr. PID: 10-117-23 42 0005
Building Type: residence #BRs/GPD 3 Systems/unit 1/1
Permit#: none Date of Permit: Installer: unknown
System Type: standard trench Appliances: lndry
SYSTEM CONDITION
Conformity: 3 Tank Condition: 5 DF condition: 11 Failure Pot: low
SEPTIC TANKS
Material: concrete block Capacity: 500, 500
Setback to Bldg: 55
DRAINFIELD
Length of Lines 75 #Lines: 2 Trench Width: 3
Treatment Area: Type of Filter:
Tile Size: 4 Under Tile 24 Perc Rate:
Setback DF-Bldg: 75 DF Ht above Wt:
Soil Type: Limitations: water table
WELL DATA
Setbacks - Well-Tanks: 50 Well-DF: 50 Report in File: n
Pump Type: subm. Depth: 115 Diameter: 4 Method: drilled
INSPECTION RECORD PUMPOUT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
6/22/S 1 no surfacing 2 6/29/83 1400
7/1/84 replaced piping from house to dist. box 2 8/14/90 1000
6/23/87 no surfacing 2 7/16/96 2000
9/10/90 no surfacing-need risers 2 11/30/96 1600
5/5/94 non-conforming-repair by 12/31/96,pump 3 7/7/97 1800
10/21/97 non-compliant-repair by 12/31/2001 3 12/22/97 1600
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�-���� CITY of ORONO
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"�`+�� P ; ;Y, ,�� G�l� Municipal Offices
� "' Street Address: Mailing Addrou:
�C�;ggOg'� 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: ��s� � ,�� Address: 1930 Shorelias Dr.
Permit #'s: aona Dates: Contractors: unkaown
(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
codes and is functioning properly.
03 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 leval [� ] has or [ ) has not been ideatified at this time. If the
saturated soil level has aot been idantifimd, this classificatioa is subject to revision.)
NK CONDITION (5-9) : 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.
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.
(DuriaQ the laet septic tank Maiateaaace Pw�out the tanks [ ] wera or [�J wsre not coafirmad
to be v�atertiQht by the licaased pu�inQ contractor. If the tanks ware not confirmed to be
watertiQht, this classification is subject to revision.)
INFIELD 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 age and condition, soils, etc.) : low
Co1�IENTS: 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 0 feet and the system is non-compliant. Repair or replacement of the
septic system is required by 12/31/2001.
���°� 1 q� �,�'
Date of Inspection S tic 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 4'73-0510
CITY OF ORONO �O�
M�icipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON–SITE SEWA(�E TREATl�I�1T
INSPECTION REPORT
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Owner: _1��� .�—/ I�.Y'� Address: / /JL7 ��/�C J )�
Permit #�'s: /�i Dates: '— Contractore: /.�7lCl1ak.1^�
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular besis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is �an existing system [ ] new construction)
STSTEM CONFORMITI' (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 S�STEM"-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
eny pollutants into ground or surface waters.
"NON-CONFORMING STSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which mey or mey not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and an s ' 3 feet of �saturated soil o and
between the distribution device and the timiti oi c aracteristics.
� � _t ��j'�yj 1�3 9�6•
(The limitin soil characteristic f77�has or [ ] has not been identified t this ti If t e limitin soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION CS-10):
Tank inspection indicates:
5 Punpout not needed at this time.
6 Solids accumulation in tanks indicates they should be puriped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. 'fanks should be punped out as soon as possible.
System is discharging to the surface. Tanks must be punped out within 48 hours to eliminate surface discharye.
Inspection risers missing-tanks could not be inspected. Ins ' ' �� ' ' stalted in each
�ank at next cxmpout. If ta have not been out wit in t e last three years, t ey s ou
ou� now.
10 Inspecti pion pe is lxeted directly over tank beffle (does not give accurate measurement of solids accunulation).
tf tanks have not been p�mped out within the last three years, they should be puiped out now.
DRAINFIELD CONDITION (11-14):
Dpe�field inspection indicates:
(1�/ Drainfield is dry, no surfacing evident.
't2 Some evidence of surfacing, not critical yet.
13 Drainfield is seturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be campleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slooe,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (decends on soils,water table.etc J: 1���
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COMMENTS: �
• (�,Y�
i
Date of Znspection e ic System Inspector
Note: In the event that this i�nspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or cert�fy that an existing system will continue to f�mction
properly� but is merely en opim on ot the adequacy of the system under current conditions based on the available
informet�on.
This report must be kept on the premises with the system location and punping records.
WHITE COPY/Inspectora File YELLOW COPY/Homeowner
On the North Sbore o f
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay,MN 55323
� 473-7357
OWNER ^�✓� �/Jern� ADDRESS 11JC� ���1�1/�/J%�L �r
PERMIT NO.'S. � DATES "`� CONTRACTORS —
City Ordinance No.210 requires Mat each on-site sewage trestment system in Orono be inspected on a regular basis.The onsite sewage
t�tment system at the above address has been inspected and app�rs to fall into the category checked below.
(This is f� an existing system ❑ new construction)
� � Meets or exceeds current City stendards in all respects relating to design,conatruction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standsrda for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in sccordance 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 standerds in many respects relating to design,construction,or location.Appears to be operating
adequately at this time,but has a relatively high potential for fut�re problems. No major upgrading of system ia required at
this time.
� 4 System may or may not mest current City standards for design,construction or location,but is failing to properly treat and
diapose of the current input,and is en�ngering a water supply,or is a source of pollution to surface or groundwaters,or is
cxeating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inapector to discuss system repair/
replacement procedurea. If drainfield replecement is necessery,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contrector must obtain a permit before work is started.
SYSTEM CON�ITION ( m Checked items may require you�action)
Tank inspection indicatea: ❑ Intpection pipe is located directly over tank baffle.(Does not
❑ Pumpout not needed at this time. give �curate m�turement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicetes they ahould be pump� have not been pumped out within the last three yean,they
ed out this year to help prevent futuro problema. ahould be pumped out now.
❑ Solida accumulation in tanks ia at a critical level. Tanks Drainfield inapection indicates:
should be pumped out es soon aa poasible. � Drainfield is dry,no surfacing evident.
❑ System is diacharging to surfa<x. Tanks must be pumped ❑ Some evidence of surfacing,�ot critical yet.
within 48 hours to eliminete surfacc�discharge. ❑ Drainfield is aaturated and visibly discharging untreated
� � Inspection risers miating—tanks could not be inspected, effluent to the aurface. This condition may require replace-
Inspection risen (4"die.pipe)must be instslled in eech tank ment or additiona to droinfield. Contact the City Inspector
at next pumpout. If tanka hava not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they sF�ould 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
O Soil table and system condition) �Adequate
❑ High water table �Low O Fair
❑ Lot size Medium ❑Poor
O Lake,wetland,or stream ❑ High . ❑ Inadequate
❑ Dreinage ❑System is causing visible
surface discharge.
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COMMENTS: h�Apr �or� Y�s�V< /YIU�S �ns l,� /h PA�
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Date of Inspection Septic System tnspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other trensfer of property,be advised that
this report does not gua►antee or certify thet an existing system will continue to function properly,but is merely an opi�ion 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 o f
Lakc A�Iisznetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �'��� �. �SCfj2r)[�C Jr ADDRESS I�� Sf1tX'e.: ,::>� �� J�
PERMIT NO.'S. DATES � CONTRACTORS �?�-`���L��-�`'�''����
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 systern ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly, '
I�I 2 Ooes not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
��y located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the systern 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. z
� 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 surtace 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 ( � Checked items may require your action)
Tank inspection indicates: ❑ 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. � 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. ❑ 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 14" 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) ❑ Adequate
❑ High water table ❑ Low �Fair
❑ Lot size �.Medium ❑ Poor
� Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
(� ��3 - �7 � -� _
Date of Inspection Se i ystem Inspecto
Note: In the event that this inspection report is used to satisfy the requireme�ts 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