HomeMy WebLinkAboutseptic info CITY OF ORONO
SEPTIC TANK PUMPOUT REGISTRATION
����� � .
� Date �3/��� � --� '7 ���� ��21-10�5 5 10�19
Address ��c : _.z z•-�
Gallons pumped r;: E �:,� : t,I�
Sanitary disposal site �tl.�,
� r--�----�-�---__.__ _ --- �-,
Signature ���,����,
i( i
This registratio���-sZip� ur�-st��turned
in to the City Offices within 7 days
of pumping. �
CITY OF ORO\0
SEPTIC TAI�K YlJM1�0UT itEGISTRIITION
Date �
. � .
Address ���, (� ' �
Gallons pumped .
Sanitary disposal .��.��e
Signature �
. contractor)
This registration slip must be turned
in to Che City Offices within 7 days
of pumping. '
CITY OF OR0�0
�
SEPTIC TAhK YUM1'OUT ItEGISTRATION
_ ��
Date • � �
�+
A d d r e s s ���. �,�—,��',.�►.� Gt��•o-�►�►'' '
Gallons pumped Al�v��1 .
Sanitary disposal site
Signature � ,,,
. (contrac�or)
This registra�ion slip must be �urned
in to the City Offices within 7 days
oL- pumping. '
CITY OF ORO\0
SEPTTC TAI�K YU►;i'OUT REGISTRATION
�
d �
Date �'��
�
, y
Addres s��� !� �
Gallons pumped�'Z'�> .
Sanitary disposal siLe �-���
Signazure � � )
. ( ontractor)
This registra�ion slip must be �urned
in to the City Ofrices within 7 days
of pun�ping. '
CITY OF OZO\0
SEPTIC TAI�K YU►;i'OUT REGISTRI�TION
D a C e '7-
Addr e s s ,F�-�.� �.�.� -,�
r
Gallons pumped /���(J
Sanitary disposal site
Signature � : �
. (contractor)
This registration slip must be turned
in to the City Offices within 7 days
o� pun�p ing. '
CITY OF ORO\0
SEPTIC TAI�K YU�POUT REGIST�ITZON
D a r e � ��_ �r �j� � �
I `�vY'a' '`[°'�'"
Address
�
Gallons pumped � .
Sanitary disposal site
Signature �,
. ontractor)
Thi.s registraL-ion slip must be tUrneci
in to tl�e City Offices within 7 days
o� pumpin� . '
CITY OF ORONO
SEPTIC TANK PU�iPOUT REGISTRATTON
Da�e
Address !�-g;:j
Gallons pumped_ ,
�
Sanitary disposal s'i.L-e
Signature ✓
. (contractor)
This regisL-ration slip must be turned
in to the City Of�ices within 7 days
n�` .++,mni ncr , �
CITY or oRONo • �
SLP'�'TC TANIE 1'UMPOUT REGISTRATION
Date � ' y — � !�
i 7� �
Address �q�cj �
a�C/it� .
Gallons pumped �d o d
SaniCary disposaT site ,S
Signature � . T, �
(contractor) '
ii�is re�isC�:ation slip must be turried
i.n to t11e Ciry Offices within 7 days
oL' pum,�:infi. • .
CIT.1' 01� ORONO '
Slii.'7'IC TAI�1C 1'UMPOUT RLGISI'12t1TI0N
Da t e ��3� 7�' �'� �Ar�,.,a.
�d d r e s s f��' ���y,�..� �n,
Gallons pumped � •• •
Sanitary dispos�l: site
S i gn 1 tu r e �t� T /�.�j�,y1,
(conLr�ctor) '
ihi.s re�,isrration slip must be turned
in to tl�e Ciry Offices within 7 days
oL' �pum;�:infi, •
CITY Or ORONO
SEPTIC TANIC PUMPOUT REGISTRATION
Date /, / :� c'� � -� j � , '
Address - � �^'
i-� 7 � ��_c-'-z.L-�.-,-�.- �,�'.2-
Gallons pumped , � �-��,
Sanitary disposal site ���� �_�: ;�
Signature `- " �'"�� r
(�ntractor) .
This registration slip must be turned
in to the City Offices within 7 days
of pumping. �
CTTY OF ORONO
SEPTIC TANK PU�iPOUT REGISTRATION
6��� f� ��
Date ��:: i�,�.:s��s—
�
Address ,c,r ;�� r;� ,�,�. � ��-�
iGallons pumped � �! � .
f �
� Sanitary disposal siL-e :�ttr� �
i
f ; .
; � Signature ,----�-�� 7� -...,
� . (contractor)
This registra�ion slip must be turned
in to the City Offices within 7 days
oi pumping. '
CITY OF ORONO
SEPTIC TANK PWPOUT REGISTRATION
Date_ ��,. l�, �� � `�� ���� Q .
�.�"'..�
' AddreSS �i i: ;urt,:.i ,r::. , ive
i
� Gallons pumped � }� .
G
�
i Sanitary disposal site t�:Etro .
i
' ����.�' �-,�-,
� Signature
� (contractor)
This registration slip must be turned
in to the City OfFices within 7 days
of pumping. '
CITY OF ORONO
SEPTIC TANK �'U�POUT REGISTRATION
Da�e �y 19 , 19�2
Address 19F0 Shoreline D��ive
Gallons pumped 18Cc
Sanitary disposal site �;Prro •
, ,�.
� Signature s'`�' �
. (�b�� _----_ .a
This registration slip must be turried
in to the City Offices within 7 days
of pumping. '
CITY OF ORONO
SEPTIC TANK PWi,POUT REGISTRATION
J une 2
Date �x'�c, 1982
19F0 Shoreline Drive
Address ��xX�xX�x���X�X.�_
Gallons pumped l�oo .
Sanitary disposal siL-e �ot�,o �
� Signature
. t<�(contractor) ,. :
This registration slip must be turned
in to the City Offices within 7 days
of pumping. '
CITY OF ORONO �
SEPTIC TANK PU�2POUT REGISTRATION
� Date Nov .29, 1982 '
Address 1950 Shor � ��� nr_ �
Gallons pumped 3000 . �
Sanitary disposal site �,mt„�.
Signature ���30�;��. ���`�`;��'.;��� ����..
. co���
� *,��P,�14� �� ,
, This registration slip must be turned
: in to the City Offices within 7 days ;
• of pumping. � .
� �� �� z ����
CITY OF ORONO �ate
ADDRESS � Connected to
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer
�'" ` WELL DATA
Address ��.,� ,�i-Fc�t'-�Zr n%F �1Z � Property I.D. %D ••//7—Z� �/Z ��'r��i Z. I
I7 Standard trench t� �Z I
O Mound � / rn
System type �Other /-toLD;^'C. �A�r� S Legal Description �Z7��� - `�y�L°' �
d
L
Permit No. Date of permit Installer �l'--'(Dyh�12 ��''`�;, � O
y ✓1�-�7-S` No. Bedrooms Garbage .� ,�, f
� � I
Building type ��1i DES�UE�-�> or GPD Laundry Dishwasher Disposal .o =
E a �
SZ'rTtZ'TAN KS: Material p!_'�titi�r' ���/J� Capacity 1) f0��� 2) �-���� ° � � c
�fvir��ti� t � �
a
Proper outlet and inlet ��Baffles `— Liquid depth to�level S '� + � •'-
m 0
i �
Height of tank bottom above water table /L�f�� Distance to nearest building �� � N Q
DRAINFIELD: Total length of lines Number of lines Trench width C�
Y �
C �
Total treatment area(sq.ft.) Height of drainfield above water table ;�
Type of filter material Soil type � � ^�
m
E r -
Distance from nearest bidg. Tile size Perc rate min/in ° � ,��, c
� T p �
u m
Depth of fill over drainfield Depth of rock over tile under tile ,�, a y "
�L� �f�//�'�l �'ZL� ,���"/Uy'��/L�� p a' U �
LOCATI ON
INSPECTION RECORD PUMPOUT RECORD SKETCH
DATE COMPLIANCE DATE GALLONS
S ZGf- � "'y �` /b�-7� �2��C.
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T,4�.�i�s ,4 S P�r�,�r-r��c�-c� y-27$i _.,�,5�
S��'7zr-! Foje �t-L. � �.r��-r s ,�-J�{��f� 2-c�a.
�� O Y!? r _ � L� Gr �l �_
q�'y„� _ ,�-12-Si /.�Da
— � 20_g �
_B to-s� �SDo
8-��1 scx�
�_ � _ frl ' Q� Include: 1) Well location
�(L1 2) Distance from house to
� ?- Z t � (�,,�DO septic tanks,dist.box,
�0- S- �J � ��O d and drainfieid
C- CONFORMI G S-S BSTANDARD N -NONCONFORMING 3) North arrow and road
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4-5--qo a3oe3
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On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 6b� �
� _ � � 1335 S. Brown Rd.
Crystal Bay,MN 55323
� 473-7357
OWNER �/�YS� KO�� (�✓�'Yne AODRESS / � �/L'�r/1G c�r�
PERMIT NO.'S. DATES CONTRACTORS ��Y�i�Y
City Ordinance No.210 requires that each on-site sewage ueatment syatem in Orono be inspected on a regular basis.The oniite sewage
treatment system at the above address has been inspected and appean to fall into the cetegory checked below.
(This is � an existing system ❑ new construction)
� � Meets or exceed:current City standerds in all re�pects�elating to deaign,conatruction,a�d location.Appean to be operating
properly.
� 2 Does not meet all current City standards for new co�struction (1978 Code) but in most respects appears to be designed,
loceted, end constructed generally in sccordance with previous codes.System appears to be functioning properly;�o major
upgroding of the system is required at this time.
� 3 Does not mest current City standerds in many respects relating to design,co�struction,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.
� 4 System may or may not meet current City standards for design,construction or location,but is failing to properly treat and
dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisence.Please contact the City Inspector to discuu system repair/
replacement procsdures. If drainfield replacxment is necessary,soil teating 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 CONDITION (m Checked items may require your action)
Tank inspection indicatea: ❑ Inapection pipe is located directly over tank baffle.(Does not
� Pumpout not�eeded at this time. give accurate m�urement of solida accumulation.) If tanks
❑ Solids accumulation i�tanks i�dicatea they should be pump- have not been pumped out within the last three yesrs,they
ed out this yesr to help prevent future problems. should be pumped out now.
� Solida accumulatio� in tanks ia at a criticel level. Tanks Drainfield inapection indicatea:
ahould be pumped out aa�on sa poaaible. ❑ Drainfield is dry,no surfacing evident.
O System is discharging to aurface. Tanks must be pumped O Some evidence of surfacing,not critical yet.
within 48 houra to eliminete surface ditcharge. � D�ainfield is seturated and visibly diacharging u�treated
❑ Inapection risers mi�ting—tanks could not be inapected, effluent to the surface. This condition may require replace-
Inspection ri�n (4"dia. pipe)must be instaNed in each tank ment or additions to drai�field. Contact the City Inspector
at next pumpout. If tanka have not been pumped out within immediately.Repairs muat be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainf�i/eld extent and co� � ion un nowl�n.
SITE CHARACTERISTICS: � � u������ ��J �Fs �r
Limiting Site Fectors 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 O System is causing visible
surface discharge.
COMMENTS:
-/9-90
Oate of Inspection ptic System Inspector
Note: I� the event that this inspection report is used to aatisfy 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 besed on the available informatio�.
This report must be kept on the premises with system location and pumpi�g records.
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