HomeMy WebLinkAboutseptic info �
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' ' • Street Address: Mailing Address:
��9xEsxp'4�� 2150 Kelley Parkway P.O. Box 66
----�. Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address ���' j�' �"�'"'�
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 mp out Needed
Yes
No
The City recoinmends the septic tank(s) aizd/or lift tarilc be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
� t:y 's 3'-� '7 . The tank(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments:
�...
Inspe t � °� Date of Inspection �"��
Te9ep9�one(95?)2�9-=460�0 � �ax(95�)?�9-�6��
�i'W'dY.0 1.O i'OI30.773[I.IPS
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,�:� . _,,_ � CITY of ORONO
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�' �v;�� -�,�, ,�,G Street Addreu: �15a-a►49-�160 0 �lailing A�rou:
�'��p'�" 2150 Kelley Parkway P.O. �c 66
Orono, MN 55356 Crystal �, �I 55323-0066
To Current Owner: Address: ��� S'� �'v�- �J
City Ordinance 199 requires that each existing on-site sewage treatir►ent system in Orono be inspected every two yeazs.
The on-site sewage treatment system at ffie above address has been inspected and appears to fall into tt►e categories checked below.
SYSTEM CO1�iFORMITY (1-3): �
- .___ .
� "CODE�SY5TEIVI"An ISTS wliich meefis sll the location,desigu and constructiwn standards of fhe cuirent Orono Municipal Code.
2 "COMPLIAIVT SYSTEM" An ISTS which dces not me�all ihe Mcstion,desi�and construcxion standards of the�rreat Orono
Municipal Code but does med the three foot separation requu+e�xit or twro�oot requu�nt f�systems instslled 1996 or earlier,and
wluch is not failing�an inominent tLtrat to public heaid�trr safi�y.
3 "NON-COMPLIANT SYSTEM" A pro�t�rsTs;ffi ISTs lo�stea w;thin a aesi�atea loo-year 800a P1sin,any ISTS whic�may
or may not meet all t�e location,design,or constr�dion �&rds of the current Orono Municipal Code and which is failing for any
reason;�d any ISTS with kss Wan fhree fed of unsat�uated soil a sand betwe�t�e distnbution device and ti�e limi#ing soil�cs.
TANK CONDITTON(5-7): �
Tank inspection indicates: ,
5 Pumpout not nceded at this time.
�Septic tanks must be pumped out this yeaz (city code recommends#anks to be pumped out once every 3 yeazs.
Tank was last Pum}�ed. )• .
Make sure seatic�taeks are aa�wed t4roa��sehole sad�t�roa�wLite igsaeetion niaes. T�is�llows for ffie uroaer
cleaniaE. Kcea vvA�er sol�er and iron Slter disc�arse odt ef�alic svste�to aroion¢life of drainfield. Ask�mper to test
slsrm�oat to xerifv aiar�is still workia¢in vour rouse. T�e alxr�waras owner tl�xt�e�c aboat to baciwo into basement
7 Inspec�on ris�s missing-tanks could not be inspected. inspection risers(4"dia.Pipe)must be installed in each tank. If
tanks have not been pumpad out within We last thrce yeais,they should be pumped out now.
D IELD GONDiTION 8-lU : � '
8 Drainfield is dry,no surfacing evident
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibiy discharging untreatad e$luent to t�e surface. Contact the City Inspector
immediately.Repairs must be completed within 9U days.
COMMENTS: r'`n�^V � U o1�.S ��L, �il S t ,Z c}+��. S
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Date of L�tion Matt Bolter�ac►- Septic System Inspector
Note: Ia We eveat d�at Wis�oCti�repcxt is used to satisfy ihe require�nts for a mortgage or othc haosfer of pmpQty,be advised lhat this rqwrt dces
not guaiantoe or oe�tify that��xistimg syst�will cwntinue to fimcnon PropedY> but is merely an opinio�of�e adeq�acy of the syskm md� cument
c�ditions based o�n the available iaformati�.
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������-� CITY of ORONO
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'� '��%r„;i i�� �i Street Address:
g Mailing Addreu:
�'BHO 2150 Kelley Pa�icway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
. 95d-�4q-4600
To Current Owner: Address: a 600 S;k�� AJ�. �l.
Ciry Ordinance 199 requires that each existin�on-site sewage treatment system in Orono be inspected every two yean.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY 1-3 : I
1 "CODE SYSTEM"An ISTS which meets al!the lacation,daign and construction standards oithe current Orono biunicipal Cade.
2 "COMPLIANT SYSTEM" An iSTS which does not m�et all the lacation,dcsign and consbvction standards of the current Orono hiunicipaI
Codc but does meet the t}uee foat separation requirement or two foot requirement for systems installed 1996 or earlier.and which is not failing or
�an imminent threat to public health or safery.
3 "NON-COMPLIANT SYST'EM" A prohibited ISTS;an ISTS located within a duignated t00-year flood plain,any IS'IS which may
or may not meet all the location,daign.ar construction standards of tj�e current Orono Municipal Code and which is failmg for any teason;and
any ISTS with less than three feet of unsaturated soil o�sand between the distribudon device and the limidng soi]characterisdcs.
TANK CONDITION(5:71: 6 ..
Tank inspection indicates: � . .
5 Pumpout not needed at this time.
�Septic tanks must be pumped out this year (city code requires tznks to be pumped out once every 3 years.
Tank was last pumpzd !0�►3- q 7 1. �
�iake sure seatic tanks are aumoed throuah manhole and not through white insoection oines
This allows for the orooer cleanin¢.
7 Inspection risers missina tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
D INFIELD CONDITION!8-tQl: �d
8 Dninfield is dry,no surfacing evident. -__
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9 Some evidence of surfacin„not critical yet. r �
10 Drainfield is saturated and visibly dischugin�untreated effluent to the surface. Contact the City Inspector
immediateiy.Repairs must be completed within 90 days.
CO�I�NTS: (�o� �� a�� S�p+; � �-�.,,��5 1 ook vk, /���p s�p�. �
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Date of Inspection Matt Boitermari- Sepac System Insptctor
Notr. In the evrnt that this inspectioa rcport is used to satisfy the rcquirements for a mortgage or other transfer of properry.be advised that this rcpoR doa not guar�c►tee
or certify that an existing system will continae to funcdon pcoperiy.but is merely an opinion ofthe adequary olthe system under current conditions b'ased on the available
information.
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON-SITE SEWA(�E TREATNIENT
r$`,,� ��, INSPECTION REPORT
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Owner: I n8ZY1l�.S �.Gi V'►'e ' Address: Z�OD J /X�I /dl� /v (��5��
��
Permit #�'s: �� /5 Dates: /�-'�r�J Contractors: �2�/a�S'iGL�C. I� 4��
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 falt into the category
checked below.
(This is �Q„ an existing system [ ] neu construction) �
SYSTEM CONFORMITY C1-3):
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 atl the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic (� has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identifie?i, this classification may be subject to revision.)
TANK CONDITION (5-10): �
tnspection indicates:
5 Ptmpout not needed at this time.
Solids accumulation in tanks indicates they should be p�anped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. tanks should be punped 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. lnspection risers (4" dia. pipe) must be installed �n each
tank at next punpout. If tanks have not been punped out within the last three years, they should be pumped
out now.
10 [nspection pipe is located directly over tank beffle (does not give accurate measurement of solids accumulation).
If tanks have not been puipea out within the last three years, they should be pumped out now.
DRAINFIELD CONDiT10N (11-14): (1
-j-F-
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 lnspector
immediately. Repeirs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS Cslope,setbacks.etc.): —
POTENTIAL FOR SYSTEM FAILURE Cdeoends on soils.water table.etc.): /��
f-
COMMENTS: S
�
Date of Ins ection Septic 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
informatton.
This report must be kept on the premises with the system locstion and punping records.
WHITE COPY/Inspectors Flle YELLOW COPY/Homeowne�
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II \\ CITY of ORONO
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�,� ��+ �r�:� Street Address: Mailing Address:
�`��'EggO� 2750 Kelley Parkway P.O. Box 66
�___==' Orono, MN 55356 Crystal Bay, MN 55323-0066
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Owner•
'��' � 'ti� j �_„(����� Address:2600 Sixth Ave. N.
,
Permit #'s:7195 Dates:l0/11/83 Contractors:2ngleside Engr.
(This is [�] an existing system [ ) new construction)
,/ �
SYSTEM COMPLIANCE 1-3 : 1
1 Code System: Meets or exceeds current City standards in all respects relating to
design, construction, and location. Appears to be operating properly.
2 Compliant Svstem: 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 Svstem: 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 [J�] has or [ ] has not been identified at this time. If the
saturated soil level has no't`been identified, this classification is subject to revision. )
TANK CONDITION (5-9) : 6
5 Pumpout not needed at this time
�� Solids accumulation in tanks indicates they should be pumped out this year.
��"'7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been
pumped out within three years, they should be pumped out and risers installed now.
9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If
tanks have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [� were not
confirmed to be watertight by the licensed pumping contractor. If the tanks were not
confirmed to be watertight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 11
1 Drainfield is dry, no surfacing evident.
�'1 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 acTe and condition, soils, etc. ) : low
COMMENTS:
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..,J✓i.Tr...,-�-.�---'
Date of' Inspection e tic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue
to function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(iE TREATI�NT
r�, �, INSPECTION REPORT
'�� G~
9kEsxo�'�
Owner: �/�'YIL�� �rlr�3/� Address: �t�(�[9 ,S/X/Y� 1T✓�. 1�
Permit �'s: 7�� Dates: �0—��� Contractors: /_i'K)l�Si� �WaY.
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)
SYSTEM CONfORM1TY (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 uas installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONfORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting sotl characteristics.
(The limiting soil characteristic [��has or [ 7 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.
�,�� Solids accumulation in tanks indicates they should be p�np� out this year to help prevent future problems.
'-x 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 punped out within 48 hours to etiminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4�� dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been punped out within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumpetl out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr nfield inspection indicates:
� Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
73 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 (depends on soils.water table etc.): �
COMM NT • �
� ►
Date of Inspection S ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirer�nts 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
properlyi 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 locption and p�anping records.
WHITE COPY/Inspectors File YELLOW 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 �J'YY)'S �-A1rY0/� ADDRESS �C�1 .���. JT1Ip� !�I
PERMIT NO.'S. ��� DATES ��� CONTRACTORS � � �'
City Ordinance No.210 requires that e�h on-site sewege treatment system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address h�been i�spected a�d appears to fall i�to the category checked below.
(This is �, an existing system ❑ new construction)
�� Meett 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 i��cordance 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 msny 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 sourt�of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisance.Ple�e 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 m�urement of solids accumulation.)� *a^��
❑ Solids aecumulation in tenks i�dicates they should be pump- have not been pumped out within the last three years,t_hey
ed out this year to help prevent future problema. ou pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drein ield inspection indicates:
should be pumped out as soon aa possible, �rainfield is dry,no surfacing evident.
O System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Dreinfield is saturated and visibly discharging untreated
❑ Inspection risen missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risera (4"dia.pipe)must be installed in each tank ment or edditions to drainfield. Contact the City Inspector
at next pumpout. If tanka have not been pumped out within immediately.Repaira 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 Futu e Expansion
❑ Soil table and system conditio�) �dequate
�igh water table �Low ❑ Fair
lJ Lot size ❑Medium O Poor
❑ Lake,wetland,or stream ❑ High � Inadequate
❑ Drainage ❑System is causing visible
surfa discharge.
I
COMMENTS: � � 'P�
' 9 l�v be
,X�e .
�13-91 -
Date of Inspection S tic 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 Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� . � � 1335 S. Brown Rd.
Crystal Bay,MN 55323
473-7357
OWNER //�dh'1Q S C����� ADDRESS ��x-.1�� S� lTi/S°, /!/►
PERMIT NO.'S. �/� DATES �� ��S3 CONTRACTORS � � �
City Ordinance No.210 requires that esch on-site sewage troatment ayatem in Orono be inspected on a regular basis.The o�site sewsge
treatment syatem at the above address has been inspected and appean to fall into the category checked below.
IThis ia � an existing system ❑ new construction)
� � Meets o►exceeda current City standards in all respects relating to design,construction,and location.Appean to be operating
properly,
� 2 Does not meet all current City sta�derds for �ew 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.
� Doea not meet current City standarda in many respects relating to design,construction,or location.Appears to be operating
3 adequately at this time,but has a relatively high potentiat for future probtems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standerds for design,construction or location,but is failing to properly treat and
dispose of the current input,and is e�da�gering e water supply,or is a source of pollution to surface or groundwaters,or is
creating e tafety hazard,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 wilt 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 ection)
Tank inapection indicstes: �Inapection pipe is located directly over tank baffle.(Doss not
❑ Pumpout not needed at this time, gi�ro accurate measurement of solids accumulation.) f tenks
❑ Solids accumuletion in tanks indicates they should be pump� have not been pumped out within the I�t three y�ra,the
ed out thia year to help prevent future problems, ou um out now.
❑ Solid� accumulation in tanka ia at a criticel level. Tanks Drai ie inspection indicates:
ahould be pumped out as aoon a poaaible, �Drainfield is dry,no surfacing evident.
❑ System is ditcharging to aurfaos. Tanks must be pumpsd ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminete surfsoe ditcharge. ❑ Drainfield is setureted and visibly discharging untreated
� Inspection riaen missing—tanks could not be i�apected. effluent to the surface. This condition may require replace-
Inspection risaro (4"dia. pipe)must be installed in each 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 Potentisl for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table and system co�dition) �Adequate
❑ High water table �Low O Fair
❑ Lot size ❑ Medium �Poor
� Lake,wetland,or stream ❑ High . O Inadequate
O Drainage O System is causing visible
surface discharge.
COMMENTS:
- - D
Date of Inspection ptic System Inspector
Note: I� 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�ot guarantee or certify that an exisfing system wil� continue to function properly,but is merely an opinion of the adequacy
of the system under current conditio�s based on the aveilable informetion.
This report must be kept o�the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake Mis�netonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
�
owNER 1���1�S C �k/�'c�L L aooREss ���� � �� � �G�° ��rf�Tld
PERMITNO.'S. � / �15 DATES �U �� `�� CONTRACTORS �NG[t-si�� Gnr6�2.
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 abo�address has been inspected and appears to fall into the category checked below.
(This is an existing system ❑ new construction)
I—'I � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
`/U 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 creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary, soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( � Checked items may require your action►
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not
�—� Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. —�—� Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge, ❑ Drainfield is saturated and visibly discharging untreated
❑ I�spection 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) --0 Adequate
�� High water table �0 Low ❑ Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High O Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
�z�GcLS% �'� �'�Ic�� t�e�-�� ,
Date of Inspection /� eptic System �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 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