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Home My WebLink Aboutseptic info CITY OF ORONO Date ADDRESS � Connected to CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer Address /_S�� (o�� ,�tiE I�.�. Property I.D. .=�'J/�—Z� '3'Z. C�G+�`>S,� V,� WELL i ATA �Standard trench -T-R, �4;�., � I ❑ Mound �, System type O Other Legal Description �.�l(o(., ` �1JZ�%. E�e=-�: 4 0 � L Permit No. `-��G� Date of permit L�-Z�1 —7 i� Installer /Kur.rH✓ P� %-� � �(I O No. Bedrooms Garbage � m ( Building type +c—��» p' or GPD � ± Laundry_�Dishwasher Disposal `� � = ( � a � o °' " SEPTIC TANKS: Material �iJL. Capacity 1) �1UP>O 2) �rU � � •o �TA ck:-S' G r� � i � � � Proper outlet and inlet ��Baffles Liquid depth to RO level � f � � m p � Height of tank bottom above water table �/� Distance to nearest building `ab J+ � N m 0 DRAINFIELD: Total length of line� Number of lines 2 Trench=j� � Y Y C Total treatment area (sq.ft.) �vv(. " Height of drainfield above w t bl � � U 1 �.-11 T �— i2[�r-K Soil type C a �• ype of filter material Z' � H d �� y E t �_ Distance from nearest bidg. 1_Sc'�Ti size rc rate �� min/in ° � d c p v /! _ .._ m «�'. .. � Depth of fill over drainfield � th oc � under tile � n � " 10 E c = p a Cj � � � � , r �LOCATION / INSPECTION RECORD PUMPOUT RECORD I � SK�fCH � Vy �� i O � DATE COMPLIANCE DATE GALLONS � / I i �-Z3�3C� n,v� s�„e�ac;,��n��r,� �_ //-�Z--`�-''S� fe�t3 � .- 3 s� �: ., „ � $�ll- SS� '7 28�a� i�/v �Sun_�=�ci�c.� / ��-�2- ISO� i `� � ' �— �� ► � F�� 6-�l 93 '' ''- ��.� �� -7 d � �_ �� I See S,'�r�t�`9 /�w-�r �S✓�r J �_ SS� 6`1�6 , �`3(� �2��.� ��'.r �I 1` � � l ' �- / �- �' —�' / � � � � � � �fnclude: 1) Weli location� 2) Distance from house to / �septi tc anks,dist.box, / � and drainfield � C— CONFORMING S—SUBSTANDARD N — NONCONFORMING / / / y 3) North ar�and road / �� / / ��E i � � ; � �� MinnesotaPollution Compliance Inspection Form Control Agency 520lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) St.Paul,MN 55155-4194 Doc Type:Compliance and Enforcement InspeCtion results based on Minnesota Pollution Control Agency(MPCA) i For local tracking purposes requirements and attached forms-additional local requirements may also apply. i I Submit completed form to Local Unit of Government(LUG)and system owner within 15 days � System Status System status on date(mm/dd/yyyy): 10/22/2016 � Compliant— Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance (Valid for 3 years from report date, unJess shorter time (See Upgrade Requirements on page 3.) frame outlined in Local Ordinance.) Reason�s)for noncompliance (check all applicable) ❑ Impact on Public Health (Compliance Component#1)-Imminent threat to public health and safety ❑ Other Compliance Conditions(Compliance Component#3)-lmminent threat to public health and safety ❑Tank Integrity(Compliance Component#2)-Failing fo protect groundwater ❑ Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwater ❑ Soil Separation (Compliance Component#4)-Failing to protect groundwater ❑ Operating permiUmonitoring plan requirements(Compliance Component#5)-Noncompliant Property Information Parcel ID#or Sec/Twp/Range: 2611823320005 Property address: 1540 Sixth Ave N, Orono, MN 55356 Reason for inspection: ProQer�i transfer - - -- _ _- --- _ - - Property owner: Owner's phone: or --- -- -- _ -- - ___ _— _ ----- -- - _ _ _ - Owner's representative: Patty Napier Representative phone: 763-476-1188 __ --- - - Local regulatory authority: Cityof Orono _ _ _ _ _ _ _ _ _ Regulatory authority phone: _952-249-4625 Brief system description: �_1000 gallon se�tanks, (� 1000 c�allon�ump tank, and an above rade mound system. Comments or recommendations: Maintain septic system by pumping tanks every 3 years.Tanks were pumped at time of inspection. Certification 1 hereby certify that all the necessary informafion has been gathered to determine the compliance status of fhis system No determination of future system performance has been nor can be made due to unknown conditions during system consfruction, possible abuse of the system, inadequate maintenance, or future water usage. Inspector name: Pernel" ' "Hentges _ _ _ Certification number: - -- -- - -- ___- ___. __ -- — Business name: Chi Se tic Servi s LLC License number: 2064 - - --- - -_-- _ __ _ - Inspector signature: � Phone number: 952-200-3176 Necessary or Locally Required Attachments �Soil boring logs �System/As-built drawing ❑ Forms per local ordinance ❑ Other information(list): _ __ - -- - _ -- __- __ - • - - - - - - - - - - www.pca.state.mn.us • 651-296-6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 3/16/12 Page 1 of 3 r' a Property address: 1540 Sixth Ave N,Orono, MN 55356 _ Inspector initials/Date:��10/22/2016 _ � (mMdd/yyyy) 1. Impact on Pubtic Health—Compliance component#1 of 5 Compliance criteria: Verification method(s): System discharges sewage to the ❑Yes � No �Searched for surface outlet ground surface. ____ ____ � Searched for seeping in yard/badcup in home System discharges sewage to drain ❑Yes �No ❑ Excessive ponding in soil system/D-boxes tile or surface waters. ❑ Homeowner testimony(See Comments/Explanation) System causes sewage backup into ❑Yes �No ❑"Bladc soil"above soil dispersal system dwelling or establishment. _ _ ❑ System requires"emergency"pumping Any"yes"answer above indicates the ❑ Performed dye test system is an imminent threat to publlc ❑ Unable to verity(See Comments/Explanation) hea/th and safety. ❑Other methods not listed(See Comments/Explanation) Comments/Explanation: Ran pump to determine hydraulic loading and found no issues 2. Tank Integrity—Compliance component#2 of 5 Com liance crlterla: Verification method(s): System consists of a seepage pit, ❑Yes � No ❑ Probed tank(s)bottom cesspool,drywell,or leaching pit. �Examined construction records Seepege pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form(Attach) compliant if allowed in bcal ordinance. ❑Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes �No designed operating depth. �Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: �Probed outside tank(s)for"black soil" A/!)/ "yes"answer above indicates the ❑ Unable to verify(See Comments/Explanation) system is failing to protect groundwater. ❑Other methods not Ifsted(See Comments/Explanation) Com ments/Explanation: .Tanks were pumped at time of inspection. 3. Othe�COmplianCe Conditlons—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally unsound. ❑Yes" �No ❑Unknorvn b. Other issues(electrical hazards,etc.)to immediately and adversely impad public heafth or safety. ❑Yes" �No ❑Unknown 'System is an im►ninent threat to public health and safety. Explain: c. System is non-protedive of ground water for other conditions as deteRnined by inspedor. p Yes• �No "System Is failing to protect groundwater. Explain: — ---- —---- --- ------ -- — --- www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TT`!651-282-5332 or 800-657-3864 • Available in atternative formats wq-wwfsts4-31 • 3/16/12 Page 2 of 3 l a Property address: 1540 Sixth Ave N,Orono, MN 55356 Inspector initials/Date: � � 10/24/2016 — — — — -- — --_ _ _ - (mm/dd/yyyy) 4. Soil Separation— Compliance component#4 of 5 Date of installation: 09/17/1993 ❑ Unknown Verification method(s): (mm/dd/YYYY) — — ShorelandlWellhead protection/Food beverage Soil observation does not expire. Previous soil lodging? ❑Yes � No observations by two independent parties are su�cient, unless site conditions have been altered or local _Com�liance Crlteria: requirements differ. — -- _ - . __ For systems built pnor to April 1, 1996, and i �Yes ❑ No � Conducted soil observation(s) (Attach boring logs) not located in Shore/and or Wellhead ❑Two previous verifications(Attach boring logs) Protection Area or not serving a food, beverage or lodging establishment: ❑ Not applicable(Holding tank(s), no drainfield) Drainfield has at least a two-foot vertical I ❑ Unable to verify(See Comments✓Explanation) separation distance from periodically ❑ Other(See Comments/Expianation) saturated soil or bedrock. I, Non-performance systems builtAprrl 1, � ❑Yes ❑ No Comments/Explanation: 1996, or later or for non-perfoimance ' 12 inches of sand under rockbed systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage, or lodging establishment: � Drainfield has a three-foot vertica� separation distance from periodically saturated soil or bedrock.* s s ems built under re-2008 Rules; T e IV "Ex enmental", "Othe►", or "Pe�formance" i ❑Yes ❑ No Indicate de�ths or elevation8 - _ -- - - _ Y P YP ' or V systems built under 2008 Ru/es(7080. i A. Bottom of distribution media 12 inches of sand - _ - - - - - _ 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 24 inches — — --- -- —_ . _ _ _ _ Drainfield meets the designed vertical C. S sy tem se�ation 1 _ 36 inches separation distance from periodically � — - -- -- — — -- - - saturated soil or bedrock. I D. Re uired com liance se aration' I 31 inches _ _ _ _ - -- - .._- - -= -— -— — — _9_ P— � _ _ _ __ _ _ _ Any "no"answer above indicates the system is `May be reduced up to 15 percent if allowed by Local failing to protect groundwater. Ordinance. 5. Operating Permit and Nitrogen BMP*— Compliance component#5 of 5 � Not applicable Is the system operated under an Operating Permit? ❑ Yes ❑ No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required BMP=Best Management Practice(s)specified in the system design If the answer to both questions is "no", this section does not need to be completed. Compliance criteria - -- ___ _ _- --- _ -- .-- --- --- a. Operating Permit number: _ _ _ __ ❑ Yes ❑ No Have the OperatincZPermit re uirements been met? b. Is_the required nitrogen BMP in place and�roper�functionin�? ❑Yes ❑ No _ _ _ — - -- . Any "no"answer indicates Noncompliance. Upgrade Requirements(Minn. Stat.§115.55)An imminent threat to public health and safety(ITPHS)musf be upgraded,replaced. or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. lf the system is failing to protect ground water, the system must be upgraded, replaced, oi its use discontinued within the time required by local ordinance H an existing system is not failing as defined in law,and has at/east two feet of design soil separation, then the system need not be upgraded,repaired, replaced,or its use discontinued,notwithstanding any/ocaf ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas,or those used in connection with food,beverage, and lodging establishments as defined in law. - _ __ ___ -- ----- -- - __ _ — _ __ — www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Avaitable in alternative formats wq-wwists4-31 • 3/16/12 Page 3 of 3 r i .� .� g �� X� �V�e� l� � ., � ; ; �.............._..._..,_... �.,_ � , � � � �. � � � ; � �� . t ! � � , ° �,2 T rn� I , �� a T f1?I�' 1`�D ys�6 � . � ► � �g-� i ' � �\ `�� I� � q �� ' � �� :� � � �� i 7 � N � . . � . � , � , � � � ' � r r � }� � � � ��, , � ` � � ` � : c �� , ` ; . , � � � + � � ; � � . , �s o s,��, Q..c. s✓ o�o.-� so�i Lo #.� �d Z= �c. �eo�"9 ❑ �t Elevation Depth to SHWT� Depth(in) Texture fragment% matrix color redox color consistence grade shape <35 loose loose single grain 35-50 friable weak grar,��ar blocky � � moderate prismacic plary O 1� ��"` �50 ��r�y// rigid strong messive <35 loose loose $�ngle grain 35-50 friable weak ganutar btocky 3 fum moderate prismacic platy �� G t� >50 Z rigid strong massive <35 loose loose g;�g��g,sin 35-50 friable weak gar,ular b�ocky Cl. �50 S//y firm moderate prysmacic platy �6� Z� rigld strong massive �5 ��C�u'�"'' friable 1�� single grain 35-50 granular blceky Z,�� L �50 �y firm moderate prysmacic ptacy rigld stroIIg massive �5 loose loose s,ngle grain 35-50 fi'iable weak granutar btoaky firm moderate pn'smacic platy >50 rigld s�ong messive o sou Lo #: 2 �ring ❑ Pit Elevation Depth to SHWT `Zy . th(in) Texture fragment°/a matrix color redox color consistence grade sha e <35 loose loose s;ngle grain 35-50 friable weak ganu�ar btocky firm mOdei'ate Prismatic platy 6� �Z C.0'� >50 ��7� Z � rigid strong massive �5 friable We� single gain 35-50 3/ granu�ar b�ocky firm modeiate prismatic platy �Z -�� C e.— >50 Z rigid strong massive �35 friable �� single grain 3s-so y/ �u�� b�� fiiID mOde1'3te prismacic platy ��L/ `i�— >50 � rigid strong macsive Y <35 loose loOse single grain 35-50 / / friable weak gra�,uiar b�ocky 2 t,� C � >50 �/y /l��"�`"' � moderate prismacic plary rigid Sti'ong massive <35 loose loose single gain 35-50 friable weak granu�ar btocky >50 � moderate prismatic Ptary rigid strong massive I here cert�this work was completed in accordance with MN 7080 and arry local req's. Z(Xo t Designer Signature Company License# f C��6(p°S��p��6��alo��o L�d� �fl�B�$��u�c�9�a��r�� f�� Date Serviced• �(�/ZZ�/�. Driver• ��' Residential � Commercial 5tart: Finish • Type of Service: Regular Allaintenance: 'Y Emergency f y/►.�cc. ?.y�cvfi. IVame: Phone: Address: � S�y � S•x!'� ��- � City,State,Zip: /��t� � /�� S�3 s� Gallon Pumped: Tank#1:- C7v Tank#2: !0� Pump Tank• � TofaL• ZsT�1 Access used for pumping: B�o9 and�i��(Explanation): Tank Condition:_�c�o°-� Evidence of problems: �� Comments- s�.k-- �/K�/.� C•�l � Z'�. �cv� Ca�v-� � /'/�seccf Ti�s �./c a�- �ks �ta� �d !�o t�y� �f C�c Ls G.�d fy � /'Do fs — Disposal Location: ��'b"v^ — Waste t,ype• orse�s4i IF8o0dBn��aue�C Next recommended pumping date: 3 C9�ip'�Se��c Ser�ri�,L�� . Designs, Inspections& Maintenance Bill'ing�Information: Pernel "Chip" Hentges P�P�g' 16762 Babcock Avenue ��•� y°~" Exposing Manholes Excessive Distance _ester Prairie, M1V. 55354 Excessive Grade 4�952.200.3176 Materials: �hipseptic@gmail.com � Labor: o Ob4 �� ViPCA Ucense N . 2 'I'otal Due: �e CC�� ie��e1fo�?'�u� :--.._� 7' � '�� '�� o �'. �� `, CITY of UIZONO �i � �.. ��r '�� , �, ,�+ Municipal Offices ;: � � , '� � ', ' � G � Street Address: Mailing Address: ��k E s K p4�� 2750 Kelley Parkway P.O. Box 66 ' Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address � -� `�� 5�� '�'�"�"� 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 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 �es �No The City recommends the septic tank(s) and/or lift tanlc be serviced and pumped out every three,years. City records indicate the tank(s) were last pumped out on �`] -l�a ' CJ� . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: Inspec w F Date of Iiispection � �- � � �� 'elep�aor�e (9�2) 2�9-�d6�� 'ax(9;�)2a9-�61� W'Y6'b1'.C I.0�'063 O.Y3'171.U S �O� __ _ __ O �}:. � O . ,�;.�- ,;: CITYof ORONO a �i� -� _ �► v�,, �:;.. �l�r Mnnicipai Off'ices � �;,, � �, ,�yG Street Address: 9Sa-a49-y6o o Mailin�Addross: �:�`��'O�" 2750 Kelley Parkway ?A. �ooc 56 Orono, MN 55356 Crjrstal 8ay, MMI 55323-0066 To Current Owner: Address: �S�� S'�\ ��/'L �� City Ordinance 199 requires that each existing on-site sewage tream�e.nt system in Orono be inspected every two years. The on-site sewage treatrnent system at the above address has been inspected and appea�s to fall into the categories checked below. SYSTEM CONFORMIT'Y (1-3): � ( 1 )"CODE SYSTEM"An IS1'S which meets all the location,design and construction stan�rds of the curreut Orono Municipal Code. \J 2 "COMPLIANi'SYSTEM" An LSTS which doe.s not meet all the location,design a�d conshuction stan�rds of the curreut Orono Mvnicipal Code but does meet tf�e three foot separation requirement at two�ot tequit�ent for systems installed 1996 or earlier,and which is not failing ar an immineat threat to public heaith or safety. 3 "NON-COMPLIANT SYSTEM" A pmlu'bited rsTs;an IS1s iocated within a aesignarsd l oo-year aood plain,any LSTS which may or may not meet all t�e location,design,or construdion stan�rds of We curr�t Urono Municipel(',ode ffid wluch is fa7iug for any reason;ffid any ISTS wiih less than three fe�of unsaduated soil or sand b�wcen the dish�ibution device and tbe limiting soil characteristics. TANK CONDTTION(5-71: 5 Tank inspection indicates: � Pumpout not nceded at this time. 6 Septic tanks must be pumped out dus year (city code recommends#anks to be pumped out once every 3 years. Tank was last PumPed ��d3'�7— ). . Make sare sentic taaks are nunaed thron¢h maoLole asd eot tLron�h white inspection pipes. Tbis allows for t�e nrooer cleanieg. Keeu water softaer aad iron�ilter disc�ar�e oat of se:atic svstem to arolong life af drainfield. Ask�nmaer to test alarm�t to verifv alarm is�ill worki�g ia vour Louse. The xiarm svaras owner f�at seati�e is aboat to backau iato b�sement 7 Inspedion 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 yeats,fl►ey should be pumped out now. D LD CONDTiTON 8-10 : � -� ' field is dry,no surfacing evident. Some evidence of surfacing,not critical yet. 10 Drainfield is satur�ated and visibly discharging untreated e�luent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. coM�vTs: �o�� ,-- St 4�-��- -�.�c.s - 1 ao� o�_ \o -'�-o`� G�'•c� U� nate of Insp�im, Matt solt�n- septi�system Insp�Or Note: In the evcnt that Wis in�rion report is used to satisfy the roquire�ents for a mortgage�otha hansf�of properiy,be advised that ihis report does not guarantce or c�tify tLat an existing system will continue to fimction properlY> but is maely an opinion of the adequacy of ihc system under caurent conditions ba4od an the availabk informatian. � o�. .� .:�, o . ��y? � CI�`Y of �RONO � '� �►��,��_�' �+' � � bivaicipalO�ces :: ,� . 4i ��^•�� Gti Z �'%:��`�Og,�i ' Street Address: Mailing Address: ..:�i �1; 2750 Keiley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 . 95d-�4q-4600 � To Current Owner: Address: � � �0 S�X�'�` �v� ��/• Ciry Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY 1-3 : I 1 "CODE SYSTEM"An ISTS which meets aIl the locatian�duign and construction standarbs of the cumnt Orono hfunIcipal Code. 2 "CO�LIANT SYST'EM" An ISTS which doa not meet ali the location,daign and construction standards of the eurrertt Orono biunicipal Code but does mect the ttuee foot separation requirement or two foot requirement for rysums iiutalled 1996 or earlier,and which is not failing or 'an imr.iinent threat to pablic health or saftry. 3 "NON-CO�iPLIANT SYSTEM" A prohibited ISTS;an ISTS lacated within a duignated 100-year flood plain,any ISTS which may cr may not meet all the location,design,or conswction standards of�e current Orono Municipal Code and which is failing for any reason;and any ISTS with less than three feet of unsaturated soil oc sand betwcen the distribution device and the limitina soil eharacurisdu. TANK CO�tDITiON(�-.7): S A Tank inspection indicates: � . . 5 Pumpout not needed at this time. � Septic tanks must be pumped out this year (c'tty code requires tanks to be pumped out once every 3 yeazs. Tank was last pumped I O-3- Oa 1. ' 1�Iake sure septic tanks are Aumaed throuo_h manhole and not through�vhite insnection oioes This allo�ts for the aro�er cleantn�. 7 Inspection risers missin�tanks couId not be inspected. Inspection risers(4"dia.pipe)musi be installed in each tank. DRAINFIELD CONDITION(S-IQ): �S �Drainfield is dry,no surfacing evident. Some evidence of surfacing,not critical ye� 10 Drainfield is saturated and visbly dischargina untreated effluent to the surface. Contact the Ciry Inspector immediately.Repairs must be completed within 90 days. COtini IENTS: M�� c� Sc��' c tRn{�.S �oo�. O �C . �o - � -p�- ��n4� /��"�� Date of Inspection biatt Bolterman- Septic Sysiem Inspector Note: In�:e event thst this inspection rcport is used to satisfy the rcquiremenu fa�a mortoage or other tracufer ofproperty.be advised that this tcpoR does not gu��.��- or certiFy�';u an existing system wili continae to funcdon propecly,but is mereiy an opinion ofthe adequary of the system under current condidons based on the avsilabic inCormation. � '� � �: ' Compliance Inspection Form for Existing � Individual Sewage Treatment Systems �.�.s ;.. ,�A�� y This form reflects the requirements of the 1996 version of MN Rules Chapter 7080 Minnesota Pollution Control Agency �; �;_ <: Note:Local inspection standards may be more or less restrictive than the state requirements. These differences must be made available by the Local Unit of Govemment. ` Date of Inspection: " G' ' Property Owner(s) %: -•` �` {''. ; �, ,::"�` Telephone( ) Person requesting inspection(if different than owner) � j"�-77\�;' lU;��?'�': Telephone( ) Reason for inspection: t Site Address ' City '�� ;r Zip Code Unit of Government Regulating this property Fire No. Parcel No. Township Name Township Range Section Quarter (Check appropriate sewer system component and indicate location on site sketch). Tank Soil Treatment System: Other�briefly describe�: Flow Meter =Septic tank Rock trench _Alternative system _Aerobic tank _Gravelless pipe trench _Experimental system Yes No Pump tank Chamber trench Warrantied system If yes, Holding tank Seepage bed Exp.Date: Other ,X Mound Other �At-grade �stem Classification System Built Prior to April l, 1996 and not Located in Any System located in Shoreland or Wellhead Shoreland or Wellhead Protection Area or Serving a Protection Area or Serving a Food, Beverage or Food, Beverage or Lodging Establishment Lodging Establishment, plus all systems Built after April 1, 1996 Is the system an imminent public health threat(IPHT)?U�grade Is the system an IPHT? U�grade 1.Discharge of sewage to the ground surface? YES NO 10 mo 1.Discharge of sewage to the ground surface? YES NO ]0 mo 2.Discharge of sewage to draintile 2.Discharge of sewage to draintile or or surface waters? YES NO 10 mo surface waters? YES NO 10 mo 3.Sewage backup into dwelling? YES NO 10 mo 3.Sewage backup into dwelling? YES NO 10 mo 4.Situation with the potential to immediately and 4.Situation with the potential immediately and adversely impact or threaten public health or adversely impact or threaten public health or safety? � YES NO 10 mo safety? YES NO 10 mo Is the system failing? Is the system failing? 5.Less than TWO feet of vertical separation between 5.Less than THREE feet of vertical separation between systetn bottom and saturated soil or bedrock? YES NO LGU** system bottom and saturated soil or bedrock? YES NO LGU** 6.A seepage pit,cesspool,drywell,or leaching pit? YES NO LGU** 6.A seepage pit, cesspool,drywell,or leaching pit?YES NO LGU** ,;: **LGU=Local Unit of Govemment ordinance must spccify the time period within which the system must be upgraded. STATUS OF THE SYSTEM Based on the compliance criteria above the system status is (check one)Q in compliance(functioning)O failing�an imminent threat therefore,this document is a(check one)�'Certificate of Compliance ❑Notice of Noncompliance. Page 1 of 2 � .,t'.4-.'�.��q„b,.,�r'-cR��r."�.=�vl�,{��s�; '�'r,r„�'�'�i ..� .. , t&,�,.�,r�xr-w^ , What methods were used to make the determinations for the compliance inspection? .. -«�,,- � Please attach the followin� 1) Site sketch. Suggested items for drawing include:Well,well setback to system,dwelling or other establishment,tank(s),soil treatment system, reserved soil treatment area,curtain drain,property lines,waterways,and buried lines(those NOT installed by the utility). Include sizes and length and approximate distances from fixed reference points such as streets and buildings. 2) Soil boring logs,showing each horizon. Indicate the texture,structure,color,depth of each different soil type,evidence of mottling,bedrock and standing water and whether the material is fill. Locate each boring on attached site sketch. 3) A list of any and all requirements of the local ordinance that are different than the sate requirements referred to on this form. CERTIFICATION A. I hereby certify that all the information I have provided regarding the individual sewage treatment system is true,accurate,and complete. Property Owner Date B. I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qualified Employee Inspector and/or Qualified Employee Designer I that I conducted an investigation in accordance with applicable requirements that accurately determined the compliance status of this system and that my observations recorded are accurate as of this date. No determination of future hydraulic performance has been nor can be made due to unknown conditions during system construction,abuse of the system,inadequate maintenance,or future water usage. Inspector's name(print) �t� � i�.�,c"•.:�..6. . ,.,.,: Phone ,�w:�-�'-�i�<'_ '° ;�: ,. � , ._ ,_ License and/or Re istration Number ' Address ,.�:'"�:c-: F`,-��•, w "` � g �: �'s: _ sr_-;cf .,+ Employed by ;i Address ;;. r��/�... Valid until ,unless the system becomes an imminent threat to public health or safety as defined at Minn.R.7080.0020,subp. 19a,before that time. � Signature �^ -•��-�..:r'" Date �"'f UqqCBC�e C�It@I'18 Minnesota Statutes § 115.55 ("law") Upgrade Requirements Any situation witt the potentiaf fo immediately ar�d adversely affect or threaten public health or safety, must be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period of time if rzquired by local ordinance. If the/ocal unit of govemment with jurisdiction over the system has adopted an ordinance containing altemative local standards, the existing system must comply with fhe oirlinance. If the system does not comply with the ordinance, it must be upgraded, replaced, or its use discontinued according to the ordinance. If a seepage pit, drywell, cesspool, or leaching pit exists and the local unit of govemment with jurisdiction over fhe system has not adopted local standards to the contrary, the system is failing and must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If the system fails to provide su�cient groundwater protection, then the local unit of govemment or its agent shall order fhat the system be upgraded, replaced, or its use discontinued within the time required by rule or the local ordinance. If an existing system is not failing as defined in law, and has at least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more sfrict. This does not apply to systems in shoreland areas, wellhead protection areas, or those used in connection with food, beverage, and/odging establishments as defined in law. p:\ists\prog_dev\exinp9.doc-6/99 Page 2 of 2 R �,,� a,,,,f�_�..� ` � . : � , -, : � i . • ' ^s, Site Sketch: .. . .. .. . ..t� . . .. .. . .. . � •• ;-�•�'. �4f . ' � . . .. . .. .�. . . . .. . i . .. . :L]..�...�. .�'j�� . .. . .. , . .. ' .. r r . :. .-?.^� Z �' : .. . .. �r-j',�"�. ,;.,/.� !: � ... . . . ' . ' . . . . .. ' . .; . ' . . . ..��:�.: .;.,��.;.% ..,... . . . .. . .. . .. . .. ..:. . . .. . .. .. . .. . .. . .. . .. . .. . .�..�.-. .. . .. . . ....... .. .. .. . . .. . .. . _ .. . .. .r:... . . . i. . . .. .. .. .. . . . . .. . . . . .. . . . . .. �;��c . ...; . .. . �... . . . . . . . . . . .`. . ..:;... . . ..' .. . 100' ..._.. _f ::-;�._. ' . .. ' ..;._. � 10' 20' � ..� . . .. .. ...... . . .: .. .. . .. .. . N . .. . .. . .. . .. . . .. . . • w�i� .. .. .. . .. .. .. . .. . .. .. � 100' Plense indicate th�lueation of: Wcll,�r•cll setback tu S}'�tcm,dwelling or othe.r est�blishmcnt,tazik(sj,soil treci�icnt s,�ste.m, reserved coil trttttmcnt arca,ciutain drain,pruperl)�linrs,watcnva}•s,and buried linrs (thosc N07 installed by thc utiliri�). Include s.izes atici length�1nd approximate dictances fr�m fi�ced refcrcnce points such�s strcets and buildings, p]ease attach as- bvilt dra�4•in�5,inspection re�+orts,Certificat(s}of C:ompliaqce nnd Noticc(sj ofNonc��mpliimcc,if Alvaiiable. Soil Burings (BR#): Locatc each boring oxx ttze map above, indicate on the ribht o£t��e coluinn ihe soil � texture, struch�re, color, deptkx of each ditferent soil tY1ae, evidence uf motf]ing, be�rock and st�u�ding w•at�r. Also i�zdicate if the material is lill. ' - _; � BR n }3R# $R# BR# BR#� BR� k '�� : ,�� Ir ` I�`� � ,F. } W:CORD DEPTH OF�-IUTTLING,SEASUNAL lI?c;t;wAT�R OR BEDROCKOh ADO��E LTNI:S >"- Cnmment�• ��'hat nceds to l�e completed ti�briilg the ahi,ve system imo ci,mpIiancc if found not in compiiance? '„ _ ' ; . . ,:, ; t ; . , , ,. .., ..:.,�. . � : �o ; � � ,/o _ o , �� i CITY of ORONO ' � ��t� � � , 1'.� � 3 ' :^'� i ` �. !�r / Municipal Offices , #\ G� V�`� � l�- ri \�� r�.1 `�:�� Street Add�esr. MailinQ Addreas: �'�,+gg0g' 2750 Itelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 September 5, 2000 John Puckett 1540 Sixth Avenue North Long Lake, NIN 55356 Dear Mr. Puckett: An inspection of your septic system was conducted on August 31, 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 appro�mate location of the septic system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. R�pectfu y, � . �1� C is Pence On-Site Systems Manager Enclosures In the e�•ent this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be ad�•ised that this report does no guarantee or certify the esisting s�stem will continue to function properly,but is merely an opinion of the adequacy of the s�stem under current conditions based on the a��ailable information. This report must be kept on the premises with the system location and pumping records. Telephone(952)249-4600 • Fax(952)249-4616 www ci.omno.mn.us � °� . , o,�,. o � ,t�� ;:� CITY of ORONO '� A1, r ,.� �� ,� '�� r�� G,�l4 Municipal Offices , �� ,� 14� � � , ,�^ e,- � Street Address: Mailin�Address: �'EggOg' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: �e n� �.(��► \ Address: 1540 Sixth Ave. N. Permit #'s: 5483 Dates: 9/7/93 Contractors: E. J. Peterson Co. (This is (x] an existing system [ ] new construction) . YSTEM 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 ia [�] or is not [ ] identified under this septic system. If the saturated soil level is not identified, this classification is subject to revision.) TANK CONDITION (5-9) : 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 98 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. � Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks have not been um ed out within three ears, they should be pumped out now. �— 10 ne or more tanks are cesspoo s, which means �the septic s^ystem is non-compliant. (The tanks are [�] or are not [ ] water tight or the condition is [ ] unknoam. If the tanks are not confirmed to be ovatertight, this classification is aubject to revision.) INFIELD CONDITION (11-14) : 11 1 Drainfield is dry, no surfacing evident. 2 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.) : loov COI�IENTS: q-l7�-1 g ¢--� Date of Inspection Se i 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 �O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(iE TRFATI�NT � � INSPECTION REPORT '�� G~ �kESHo�'� Owner• I�C� L�� Address• /�7�7 JI 1U h �►Jt�( � Q (}� �''� /� Permit �'s: � Dates: /J�7 1 Contractors: LIV 1 �/\1 �]►i City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on e 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) STEM 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 ahich does not meet all the location, design, and construction standards of the current City Codes, but wes installed according to the code in effect at the time of ihstallation, 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 floo�lain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which �s failing for any reason; and any_system with less than 3 feet of �saturated soil or sand between the distribution device and the limiting soil characteristics. (The limitin� soil characteristic � has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identiYied, this classification may be subject to revision.) TANK CONDITION (5-10): jel�; inspection indicates: (�/ Pumpout not needed at this time. Solids accumulation 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. 8 System is discharging to the surface. Tanks must be punped 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 punpout. If tanks have not been punped out within the last three years, they should be punped out now. 10 Inspection pipe is located directl over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pu�out within the last three years, they should be pumped out now. DRAINfIELD CONDITION C11-14): D field inspection indicates: 1 Drainfield is dry, no surfacing evident. Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effl�rent to the surface. Contact the City Inspector immediately. Repairs must be campleted within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS Csloae.setbecks,etc.): POTENTIAL FOR SYSTEM FAILURE (deoends on soils.water table.etc.): COMMENTS: Date of nspection e 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 f�x�ction properly� but is merely an opim on ot the adequacy of the system under current conditions besed on the available information. This report must be kept on the premises with the system location and punping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO �O� Municipal Offices O O Post Office eox 66 Crystal eay, MN 55323-0066 � � ON-SITE SEWA(iE TREATNIENT � � INSPECTION REPORT '�� G~ �kEsKo�'� Owner: Address: �� /,�//1 , JL/, � Permit #'s: Dates: n��7��Contractors: ///lirLylli ��- � 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 l�-an existing system [ ] 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 arxi which is failing for any reason; and an s stem with Less than 3 saturated soil or between the distribution device and the limitin oi c ics. 1 . � �S�iA�r� 1^2�ce!►�/1! 1��1� i p�,e � (The limiting soil characteristic� has or [ ] has not been identified at this time. If the limiting soil �� characteristic has not been identi �ed, this classification may be subject to revision.) TANK CONDITION C5-10): � Tank inspection indicates: 5 Punpout not needed at this time. 6 Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems. � 7 Solids accumulation in tanks is at a criticat level. Tanks should be punped out as soon as possible. 8 System is discharging to the surface. 7anks must be punped 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 �n each tank at next pimipout. lf tanks have not been punped out Within the last three years, they should be punped � out now. Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation). If tanks have not been puriped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): D�field inspection indicates: 11 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 Inspector imnediately. Repairs must be completed 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:� sa brir y, C � � , „ �' -' - / / sr�% Date of Inspection S ic S s nspector � 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 eroperlyi 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 locetion and pumping records. WHITE COPY/Inapectors File YELLOW COPY/Homeowner On tbe Nortb 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 �`►/ � /C, !�✓,fi��n ADDRESS �7� S�?h �P� /� PERMIT NO.'S. ��/ DATES U � `'7� CONTRACTORS . City Ordinanoe No.210 requires that each on-�ite zewage treatment aystem in Orono be in�pacted on a regular basis.The onsite sewage trestment system at the above address h�been i�apected a�d appean to fall into the category checked below. (This ia � an existing system ❑ new consuuction) � � Meets or exceeds current City standerds in all respects relating to design,construction,and location.Appears to be operating properly. � 2 Does not meet all current City standerds for new construction (1978 Code) but in most respects appean to be designed, locsted, and conatructed generolly i�aCcordance with previous codes.System appears to be fu�ctioning properly;no major upgrading of the system is required at this time. � 3 Doss not mest current City standerds in many respects relating to design,construction,or location.Appears to be operating edequately at this time,but has a relatively high potential for future problema. No major upgrading of system is required at this time. � 4 System may or may not meet current City standerds for design,co�struction 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 hezard,or is otherwiae 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 muat 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: ❑ Inapection pipe is located directly over tank beffle.(Does not �-Pumpout not nesded at this time. give accurate m�uroment of solida accumulation.) If tanks ❑ Solids accumulation in tanks indicstes they ahould be pump� have not been pumped out within the last three yesro,they ed out this yesr to help prevent future problema. should be pumped out now. ❑ Solic� accumulation in tanks is at a aitical level, Tanks Drai field inspection indicatea: should be pumped out aa aoon es possible. �Drainfield ia dry,no surfacing evident. ❑ System is ditcharging to surface. Tanks must be pumped ❑ Some evidence of surfaci�g,not critical yet. within 48 hours to eliminate surface discharge. O Drai�field is seturoted and visibly discharging untreated ❑ Inspection riaers missing—tanks could not be inspected, efflue�t to the surface, 7his condition may require replace- Inspection risen (4"dia. pipe)muat be instelled in each tank ment ot additiona to drainfield, Contect the City Inspector at next pumpout. If tanka heve not been pumped out within immediately.Repaira must be completed within 90 days. the last Mree yean,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTtCS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table and system condition) '�1 Adequate ❑ High water table � Low ❑ Fair ❑ Lot size ❑Medium O Poor ❑ Lake,wetla�d,or stream ❑ High . ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: 9-/3--9D Date of Inspection eptic 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 u�der current conditions based on the available information. This report must be kept on the premises with system location and pumpi�g records. WHITE COPY/Inspector's File GOLD COPY/Homeowner On the North Shore o f Lakc Miyznetoyzka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER ��'�t L�h� h'�'ru�'1 ADDRESS �`�4�� J�X�I"� /=�venu.� l�l. : LL , PERMIT NO.'S. 4�� / DATES � �4� .��' 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 above a dress has been inspected and appears to fall into the category checked below. (This is ❑ n 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 all 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 creati�g 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: �nspection 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. ❑ Sotids accumulation in tanks is at a critical level. Tanks Drainf"eld inspection indicates: should be pumped out as soon as possible. �Drainfieid 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 (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 Faciors 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 � Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible • surface discharge. COMMENTS: � �S,F� Ct,�ar��i r�e-��F=-S ' D�.c.� ,I�E�tLl`/� �.+D�Z 1.��1-J !i iJ��v� .�L�.utif�vv� /.��t1� ��'��'Gt /vZ ��j 4 - /.�� ✓�.Q N_UVYI Y2't.�;�7� 1�-LL4'Y1�Ji v7 U G`3'1 L� �C�t/,�-1,�1 %� � � � �S V� � � z� �� . , � �D�e of Inspection eptic System Ins/e or 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 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 /� ` � ' UV �-�'17��} � ADDRESS �� l�� {/t �� /I�u PERMIT NO.'S. j� � �`/DATES jx •� � �I CONTRACTORS �^t��'��ff Y �f7 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 ab�address has been inspected and appears to fall into the category checked below. (This is 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 all 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 upgrsding 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 ( m Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not `._—�7 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�ow. ❑ Solids accumulation in tanks is at a critical level, Tanks Drainfield inspection indicates: should be pumped out as soon as possible, r--� 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 (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) _.___--E7 Adequate ❑ High water table ___.--� Low ❑ Fair � Lot size ❑ Medium ❑ Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate � Drainage ❑ System is causing visible surface discharge. COMMENTS: --��i�� 3 l�' �6 - �.,_ Date of Inspection S c System Inspector � 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 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