HomeMy WebLinkAboutseptic info �j�
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��� ``��`! CITY of OIZONO
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, � t ' � ��, ; Municipal Offices
Street Address: Mailing Address:
��9� � p'Q��G 2750 Kelley Parkway P.O. Box 66
Es� Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address j ��C3 � : ��"�
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 Health 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 Identifi s Non-Compliant
Yes
No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010 � .
Other
Septic Tank(,�Pump out Needed
Yes e,/
No
The City recommends the septic tank(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s) were last pumpec� out on
n,}��,�.�v . The tank(s) should be cleaned through the manhole and
not tluough the inspection pipes, this allows for proper cleaning.
Gomments:
r,.. �.
Inspec�r � � Date of Inspection � ' C���
'�'�lep4�on�(9�?l 249-�600 � �'as(9�2) 249-46:�
w'�vss'.Ci.oroe�c�.maa.us
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,�:�- �,;: ,� CITY of 4RON0
, `�► �4� ����+��� ,� M�;�;� o�
� '�v;� ��, `�",�rG Street Addross: qsa-�49—�"�6o O Mailing Addresa:
��0�' 2750 Kelley Parkway P.U. Bmc i6
Orono, MN 55356 Ct�stal�r, #�1 55323-0066
To Current Owner: Address: I 3 00 S'�1` �V e . M ,
City Ordinance 199 requires that each existing on-site sewage trea�ent system in Orono be inspected every two yeazs.
The on-site sewage trcalment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-31: �
1 - "CODE SYSTEM"An ISTS which meets all the location,design and construdion stsndards of the ci�rrent Orono Municipal Code.
2 "COMPLIANI'SYSTEM" An�.STS wluch does not meex all the location,design and construcxion standards of the cument Orono
Municipal Code but does me�the thrce foot separation requu+�nent or two�Ooot requ'uement for syst�s installed 1996 ar earlier,and
w}rich is not fsiling or an i�ineat threat to public Lealth or safe�y.
( 3 1`mION-COIVIPLIANT SYSTEM" A p�o�bited ISTs;an rsls located wimin a aesi�loo-year aooa plain,mmy ISTS which may
�J or may not me�all the location,design,�cons�udion stand�rds of fhe�►t Urono Municipal Code aad which is failing for any
reason;and any LST'S with less Wan Wrce feet of unsabuatod soil or sand between the dishibution device and the limiting soil c�azacterisbics. -
TANK CONDTTiON(5-7):
Tank inspection indica#es:
� Pumpout not ne.eded at this time.
6 Septic tanks must be pumped out this year (city code recomme,nds#anks to be pumped out once every 3 years.
Tank was last Pumped )•
Make sure seotirta�ks sre n■e�aed ffirea�h�a�ole sed aot ffiroegh w6ite iasceetion nines. T'�ic allows for t�e nroaer
cleanias. Kceu waber soft�er:ad iron filter discLaree out of sentic svstem to nrolon¢life of draiafield. Ask na�cer to te.st
alarm float te.verifv:Iar�is still worlrin¢ie vour�ouse. T�e alarm war�s owner t�it senta�e i4 siwat to backun ieto bssement
7 Inspection riseis missing-tanks could not be insp�. Tnspection risers{4"dia.pipe)must be installed in each tank. If
tanlcs have not b�een pumped out w�thin the last three years,they should be pumped out now.
LD CONDTTION 8-10 : -
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saUu�ated and visibly discharging untreated effluent to die�urface. Contact the City Inspector
immediately.Repairs must be cotnpleted within 90 days.
�OMMENTS: �(`�;c�.�.�\J ^aS nan- C���.-�c� d- M��" �iL `{���icc
� �t�\ -'LU\� .
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Date of Inspaction Matt Boltem�an- Se�tic System Inspector
Note: In the evart that Wis�on report is used to satisfy We requirements for a mortgage a ottxa tr�sftr of propeRy,be�Ivised Wat tl►is report dces
not gaarantee or�tl�mm e�usting eyst�will continue to function PmPe�'1Y, but is merely an opini�of We adequacy of We sy�under curre�t
conditions b�sed on We availabk�a�Ormatioa.
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���?� CITY of �RONU
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Z�,�� ��~� �
� ,��,i�'��f� '�, Munlcipal Ofiices ..
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�.,� �,� ��►�G - Street Address:
���►���g Mailing Addreuc
S 2750 Kelley Paricway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
. 95d-�4q-4600
To Current Owner: Address: �3� S'X� A�e - �/-
Ciry Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM C0�IFORMITY (1-31: 3
1 "CODE SYSTEM"An ISTS which meets all the location,dcsign and construction standards of the current Orono Municipal Code.
2 "COArIPLIANT SYST'EM" M ISTS which doa not meet all the location,design and eonsuvction standards of the eurrent Orono biunicipal
Code but doa meet the t}uee foot separation rcquirement or two faot requirement for rystems ir�talled 1996 or eariier.and which is not failino or
-an irsuninent threat w public health or safery.
O3 "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 conswction standards of�he eurrent Orono Municipal Code and which is failing for any reason;and
any ISTS with less than ttuee feet of unsaturated soil or sand between the distribution device and the limiting soil eharacuristia.
TANK CO�JDITION(5:71: 6 �
Tank inspection 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 ��Kc.c�-^ �, �
�Iake sure sentic tanks are numoed throuah manhole and not through white inspection pipes.
This allor+s for the arooer cleanin¢.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
INFIELD CONDITION -tQ : �eS
8 Dninfield is dry,no surfacing evident.
Some evidence of surFacing,not critical yet. �
10 Drainfield'u saturated and visibty discharging untreated effluent to the surface. Contact the Ciry Inspector
immediately.Repairs must be completed within 90 days.
CO��NTS' �c�:�-F �\� ^�S c�o r.. CoM \.��-� a�� r�.�5-r bc ('c \�te�
�� �t=��-tp �o • p.,,.�Q S e p �- . � �-�,�kS
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�0 7 —o� �a.-� -�--�--�
Daie of Inspection hiatt Bolterman- Septic Sysiem Inspector
Note: In the event that this inspection report is used W satisfy the aqairements for a mortgage or other transfer of propecty.be advised that this teport does notguacan.ec
or certify that an e:cisting rystem wilt continue to funetion propecly,but is merely a,�opinion ofthe adequary o[the system�sder current conditions based on the availabie
infomution.
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAQ�E TREATMENT
� � INSPECTION REPORT
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9kESH�4'�
I�� ���� Gr� ` ' ;�v- �
Owner: \ /1�� � Address: ����� St7`�iti �-
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 seuage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is DC] an existing system [ ] new construction)
/�
SYSTEM CONFORMITY (1-3):
1 "CODE 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
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 sewage input uithout discharging
any pollutants into ground or surface uaters.
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 uhich is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
betueen the distribution device and the limiting soil characteristics.
(The limiting soil characteristic [ 7 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:
� Pumpout not needed at this time.
� 6, Solids accumulation in tanks indicates they should be Pumped out this year to help prevent tuture problems.
� 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 purt�out. If tanks have not been p�miped out within the last three years, they should be purtiped
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 within the last three years, they should be pumped out now.
DRAINFIELD CONDITION C11-14):
D field inspection indicates:
�Drainfield 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 lnspector
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.): �4 ��,;�
COMMENTS: G� �,t 1'� l!l � (�n -�i�L� . L-� J-P.r�rt ;�z� � ' �CI��' /.72�
l c;��P iZ- l�t �J /Z— /— fx�2. ' '�Fn tti 5 ;n u sl- /7-<.- u�u �vE � �E�g ics c�,'FG�cr(I cc�u �e2
V� ✓r . • ( r tfc'c� � µi C; �
v.,------
Dat of Inspe tion 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 pre�nises with the system loc�ti�n and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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� }� � I�� CITY of ORONO
'fi 3�f ,��C�� /7
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M� �, � '�� � MUIIICI� ��1CeS
\� !* '� ' �i ��, /�.�'
,t � � �'� ��wr't �v Street Address: Mailing Address:
`�EgHOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: �h� ������ r ` Address: 1300 Sixth Ave. N.
Permit #'s: none Dates: Contractors: unknovan
(This is [�] 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 level is [�] or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to reviaion.)
TANK CONDITION (5-9) : 8
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.
� 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.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [ ] or are not [ ] water tight or the condition is [ ] unknovm. If the tanks
are not confirmed to be ovatertight, this clsssification is subject to ev aion.)
INFIELD CONDITION (11-14) : 11
1 Drainfield is dry, no surfacing evident.
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.) : high
COMMENTS: 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 12/31/2008.
'rl"+
Date f Inspection Se tic ystem nspector
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 O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON–SITE SEWA(�E TRBATNEI�IT
INSPECTION REPORT
ti
ti
��9k o4�G
EsH
Owner:��� �l°! �Y\ Address: I�=�X� ]�TV�. JIII
Permit #'s: �rl� Dates: "— Contractors: //hlZYY�'�.
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)
STSTEM 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 discherging 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 gro�d 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 lim�ting soil characteristics.
(The limiting soil characteristic [ ] has or lr,i has not been identified at this time. lf the limiting soil
characteristic has not been identified, this c'lassification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accunulation in tanks indicates they should be punped 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 pumped out within 48 hours to eliminate surface dischar$e.
lnspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next punpout. If tanks have not been punped out aithin 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 eccunuletion).
If tanks have not been pimped out within the last three years, they should be puiped out now.
DRAINFIELD CONDITION C1t-14):
Dpei�field inspection indicates: ��
lU/ Drainfield is dry, no surfacing evident.�
'f2 Sane 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 completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (sloae.setbacks,etc.):
POTENTIAL FOR SYSTEM fAILURE Cdeoends on soils,water table.etc.): �
COMMENTS:
Date of Inspection Sep ic System nspector
Note: In the event that this inspection report is used to satisfy the require�nts 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 function
properlyi but is merely an opin�on 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 locetion and punping records.
WHITE COPY/Inspectors Flle 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 ✓�n �� �l��/�Y� ADDRESS lJ�/V S.C7/) �_+G. �
PERMIT NO.'S. � DATES CONTRACTORS
City Ordinsnce No,210 requires that each on-eite sewage t�tment system in Orono be inapected on a regular basis.The onsite sewage
trastment aystem at the above address has been inspected and appesrs to fall into the category checkad below.
(This ia � an existing system ❑ new construction)
� � Meets or exceeds current City standard:in all respects relating to design,consuuction,and location.Appean to be operating
properly.
� 2 Doea not meet all current City atandarda for new construction (1978 Code) but in most respects appears to be designed,
loceted, and constructed generally in accordance with previoua codes.System appears to be functioning properly;no major
upgroding of the system is required at this time.
� 3 Does not meet current City stendsrds in many respects relating to design,conatruction,or location.Appears to be operating
adequately at this time,but has a relatively high potential for future proWems.No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction or locstion,but is failing to properly treat and
dispoae of the current input,and is endsngering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a aafety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replecement 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)
Te�k intpection indicatea: ❑ Inapection pipe is loceted directly over tank baffle.(Does not
❑ Pumpout not needed at this time, give accurate mesaurement of solida accumulation.) If tanks
❑ Solids�cumulation in tenks indicatea they ahould be pump� have �ot been pumped out within the last three years,they
ed out this year to help prevent future problems. ahould be pumped out now.
❑ Solida accumulation in tanks is at a criticel level. Tanks Drainfield inapection indicetea:
�ould be pumped out as aoon as poasible. �Drainfield is dry,no surfacing evident.
O System is discharging to surfa�. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 houn to eliminate surface discha►ge. � Drainfisld is saturated and visibly discharging unt�eated
�� Inspection riaen miaing—tanks could not be inapected, effluent to the surface, This condition may require replace-
I�apection risera (4"dia.pipe)must be instslled in esch tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanka 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
O Drainage ❑System is causing visible
surf ce discharge.
COMMENTS: � � � U � //7 �A
/�[
�.ci/7�7Jh Oj'1� VQAY
9-�a-�
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
,
�
On the North Shore of
Lake Mi�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER c-�dl-t�N '��,%��E f�f�^t ;�/� ADDRESS � �� � ��� ,,����°� �'�
� � �
PERMIT NO.'S. DATES CONTRACTORS -
City Ordinance No, 210 xequires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the abov�address has been inspected and appears to fall into the category checked below.
1
(This is LJ an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet a�l 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.
� 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 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 ai 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. ❑ Drainfieid 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. ---� 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
-�'8 High water table ❑ Low ❑ Fair
----�] Lot size _._--� Medium ---[] Poor
--"� Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
i
�#�G i,( S i l� :_ I'l ,�Ce i►/Y�-
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 tra�sfer 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
n�� tl�r� N��rt�� Shore o f
Lake Mi�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �U'�'LYl S��'lL[bL ADDRESS I.7UU ` �p`� /-t'Vf{'lL�� N• ,�G L�L�C2,�
_ �
PERMIT NO.'S. ^ DATES CONTRACTORS
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 abovg address has been inspected and appears to fall into the category checked below.
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IThis is I� 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.
�2 Does not meet ail 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.
� 4 System may or may not meet current City standards for desig�, 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 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 evide�ce of surfacing,not critical yet.
.within 48 hours to eliminate surface discharge. ❑ Drai�field is saturated and visibly discharging untreated
�Inspection risers missing—tanks couid 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. ❑ Drainfield extent and condition unknow�.
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) ❑ dequate
❑ High water table ❑ Low �_ �Fair
❑ Lot size �,Medium (S�t�S�Z�VY� 5 �{�L'� O Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
�Drainage ❑ 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 existi�g 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