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SEPTIC SYSTEM INVENTORY
Site Address: 3185 Sixth Ave N PID: 2811823320006
Owner Name: Henry B. &Nancy Brantingham
Owner Address: 3185 Sixth Ave N Long Lake MN 55356
Building Type: residence Installer:
Date of Permit: 6/16/83 Widmer Bros.
System Type: standard trench BRs Designed for: 2
In Musa?: Yes Shoreland?: YES
SEPTIC COMPLIANCE INSPECTION
Report Date:
Compliant Expires:
Non-Compliant?: Report in Street File?:
SPECIAL NOTES Site Address: 3185 Sixth Ave N �l
09/01/06 Told to hook-up before 2010(Jamestown Road Project)-TANKS NOT WATERTIGHT
SEPTIC TANKS
Material: concrete block Capacity: 650,650,500 Tank Filter:
DRAINFIELD
Treatment Area: 1320 Soil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks-Well-Tanks: 50 Well-DF: 80 Report in File?: Depth: 159
INSPECTION RECORD PUMPOUT RECORD
Date Description Date Gallons
11/29/82 surfacing near CR 6 06/02/80 1000
6/20/83 added pump tank(500 gal),Df(1320 s� 06/15/81 1500
8/21/86 no surFacing 06/01/82 1500
9/17/90 no surfacing 01/01/85 1300
8/13/91 no surfacing 08/18/87 1500
10/26/93 no surfacing-pump tanks 07/18/90 1000
7/22/96 no surfacing-pump tanks 11/13/93 1000
10/19/99 compliant system, no surfacing 08/05/98 1300
10/09/02 no surtacing,pump tanks 02/10/00 1000
10/19/04 Okay 07/08/03 1200
09/01/06 Told to hook-up before 2010 07/06/04 1000
06/08/06 1200
09/16/08 1000
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4/3/2009
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LOCATION
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��- � CITY of UR011T0
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v�,e �r�. .� meet Aadress: �l sa-a►4 9-�160 o tl�ai�in�AAdreaa:
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�;$�g���` 2750 Kelley Pa�kway P.p. � �
Orono, MN 55356 Ctysta!8�r, 1N�! 55323-0066
To Current Owner: Address: ���5 S`�- �J`�t- �.�
City Ordinance 199 requires that each existing on-site sewage trealment system in Orono be inspected every two years.
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): �
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� " ODE`SYSTEM"An LSTS which meets all We location,design and construction standards of the cur�t Orono Municipai Code.
(2 J "COMPLIAIVT'SYSTEM" An 7STS which dces not me�all the location,design and construdion standards of die c�ureat Orono
v Muni��l Code but dces a�the d�ree foot sePmahon requi�ment or tvro foot reqair�uent for sys�s in.stalled 1996 or�,and
wluch is not failing or an i�ineat threat to public health or safi�,y.
3 "NON-COMPLIAIVT SYSTEM" A prc►hi�d IS�Ts;an ISTs locacea within a a�i�atea loo-year sooa plain,�y ISTs whicai may
or may not meet all the location,design,or c�udion staac�rds of the�t(kono Municipal Code and which is fs�7ing for�y
reason;and any LS�'S with less than three feet of uosabuated soil or sand betwee�n We distdbution device and the limiting soil charactaisfics,
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TANK CONDITION(5-'n: �
Tank inspection indicates:
�Pumpout not needed at this#ime.
6 Sepiic#anks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last Pumped. ).
Make sare seutic#a�ks are uamced throv�h manhole aed aot tLro��h white insoectioa�ices This allows for the nroner
cieania¢. Kcen.�vater eoftaer a�d iran fitter dischar�e out of sentic svstem to oraiona life af drain5eld Ask uamner to test
alarm float to verifv alarm is stiil worki0e in vour�ouse. Thc a�arm waros owner ffiat senta¢e is xbout to backun i�to basement
7 Inspac�on nse,rs missiag-tanks could not be inspected. Inspectioa risers(4"dia pipej must be installed in each tank. If
tanks have not been pumpeci out within the last three years,they should be pumped out now.
DRAIlJFIELD CONDITION 8-10 : � �
8 D�ainfield is dry,no surfacing evident. -
9 Some evidence of surfacing,nat critical�et.
10 Drainfield is saturated and visibly discharging untreated effluent to�e surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
colvnvt�rrrs: ��"�`�1►� �- S c p�� ��.� �0 6�C. p I _
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Date of L�spection Matt Boltern�an- Septic System Inspector
Note: In the event Wat ihis inspection npc�t is used to saNsfy the requirements for a mortgage or oU�a tr�sfer of propaty,be�vised t�at this rqiort dces
not gu�antoe or cr�tify that an existing system wHl continue to fimdion ProperlY, lwt is meady �opiaion of ffie adequacy of the sys�und�s cutrent
conditions b�sed�We avat�abk informaflon.