HomeMy WebLinkAboutseptic info v
� " Minnesota Pollution Compliance Inspection Form
`d�"°�� Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St Paul,MN 55155-+4194 ($$T$�
Doc Type:Compliance and Enfo�ement
�_ ____�
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCAj � For local tracking purposes:
requirements and attached forms—additional local requiremenks may also apply. ;
Submit completed form to Local Unit of Govemment(LUG)and system owner
withln 15 days
$y5t@Rl $tdtUS
System status on date(mm/ddlyyyy): 8115/2018 _
� Compliant-Certificate of Compliance ❑ Noncompliant-Notice of Noncompliance
(Velid for 3 years fiom report date, unless shorter dme (See Upgrade Requirements on page 3)
frame outlined in Local Ordinance.)
Reason(s)for noncompliance(check a/l applicable)
❑ Impact on Public Health(Compliance Component #1)—lmminent threaf to public health and safety
❑Other Compliance Conditions(Compliance Component#3)—Imminent fh�at to pu6fic hea/th and safety
❑Tank Integrity(Compliance Component #2)—Faiting to profect grr�undwater
❑Other Compliance Conditions(Compliance Componenf#3)—Failing to protect groundwater
❑Soil Separation(Compliance Component #4)—FaiJing to protect groundwater
❑Operating permiUmonitoring plan requirements(Compliance Component #5)—Noncompliant
Property Information Parcel ID#or SecJTwp/Range: 2911823410005 __
Property address: 3240 Sixth Ave. N.,Orono,MN• ___ ___ Reason for inspection: Property Transfer�
Property owner: Mary Monahan __ Owner's phone: 812-940-0458
or
Owner's representative: Representative phone: __
Local regulatory authority: City of Orono _ Regulatory authority phone: 952-249-4600
2-1000 gallon septic tanks,l-1000 gallon lift station and 380 square feet of mound rockbed.per city
Brief system description: records
Comments or recommendations: �
TBM:Top of the lift station manhole cover. I drilled through the rack bed and found the original grade at 101.0.7he bottom of the
rock bed is at 102.4.There is 1.4 feet of sand under the rock bed.The City has no tank pumping records.The septic tanks should
be pumped.
Certification
!hereby aertify that a!!the necessary i»fo►mafion has been gather�ed to determine the compliance status of this system. No
determination of future system perfom�ance has been nor can be made due to unknown conditions duRng system construcfion,
possib/e abuse of the system,inadequate maintenance,or future water usage.
Inspector name: Joseph J Olson Certification number: 1255
Business name: Rus Olson's Soil 8 Perc.Testing License number: 810
Inspeotor signature: Phone number: 763-498-8779
Necessary or Locally Required Attachments
�Soil boring logs �System/As-buiit drawing ❑ Forms per Iocal ordinance
❑Other information(list): _ _
__ _ _ _ __. __
www.pca.state.mn.us • 651-296•6300 • 800-657-3864 • TTl'b51-282-5332 or 800-b57-3864 • Availabte in attemative formats
wq-wwists4-31 • 1/?4/92 Page 1 of 3
Property address: 3240 Sixth Ave.N.,Orono,MN Inspector initials/Date: J.O.$/15/18
1. Impact on Public Health—Compliance component#1 of 5
Compiiance criteria: _ Verifieation method(s):
System discharge sewage to the ❑Yes �No � Searched for surtace outlet
�round surface. _ __ � Searched for seeping in yardJbadcup in home
System discharge sewage to drain tile ❑Yes �No ❑ Excessive ponding in soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See Comments/Explanation)
-' ❑ "Bladc soil"above soil dispersal system
System cause sewage backup into I; ❑Yes �No w
dwelling or establishment. , ❑ System requires emergency'pumping
Any"yes"answer above indicates the system is � Performed dye test
❑ Unable to verify(See CommentsiExplanation)
an/mmfnent Threat to Publlc Hea/th and Safety. ❑ Other methods not listed(Ses Comments/Exp�anation)
Com ments/Expla nation:
2. Tdnk Integrity—Compliance component#2 of 5
Compliance criteria: Verification method(s):
System consists of a seepage pit, � ❑Yes �No � Probed tank(s)bottom
cesspool,drywell,or leaching pit. � Examined construction records
Seepage pits meeting 7080.2550 may be � ❑ Examined Tank Integrity Form(Attach)
compliant if allowed!n Joca!ordinsnce. I
❑ Observed liquid level below operating depth
Sewage tank(s)leak befow 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"
Any "yes"answer above indicates the � unab�e to verity�see commenrs✓�raaner;o��
system is Failing to Protect Groundwater. ❑Other methods not listed(See Comments/Explanation)
Comments/Expla nation:
The baffels are in place and the tanks are operating at there designed level.
3. Other Compliance Condition5—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,�appear to structurally unsound. ❑Yes" �No p UnknoHm
b. Other issues(elechica!hazaros,etc.)to immediately and adversely impact public heafth or safery. ❑Yes� �No ❑Unknown
`System Is an imminent throsaf to public health and safety
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes• �No
'�System Is fafling to pr+�tect groundwater
Explain:
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www.pca.state.mn.us • 651•296-6300 • 800•657•3864 • TTY 651-282-5332 or 800•657-3864 • Available in altemative formats
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Property address: 3240 Sixth Ave.N.,Orono,MN Inspector initials/Date: J.O.8/15/18
4. SOiI SepdratiOn—Compliance component#4 of 5
Date of instailation: 2/13/97 �Unknown Verification method(s):
Shorela�dlWelihead protection/Food Beverage �Yes ❑No Soil observation does not expire. P�vious soi!
Lodging? obse�vations by two independenf partres are sulTicient,
Compllance criteria: unless site conditions have been altened or local
requirements differ.
For systems built prior to April 1, 1996, and ❑Yes ❑No
not located in Shonalend or Wellhead � Conducted soil observation(s)(ABach boring Jogs)
Pratection Area ornot serving a food, ❑ Two previous verifications(Attach boring logs)
beverage orlodging establishment:
❑ Not applicable(Holding tank(s),no drainfield)
Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/E�cplanation)
separation distance from periodically , ❑ Other(See Comments/Explana6on)
saturated soil or bedrock. !
Non-pedormance systems built Ap�i11, , �Yes ❑No CommentsJ�xplanation:
1996,or/afer or for non-performance �
systems located in Shoreland or Wellhead ;
Protection Areas or serving a food, '
beverage, orlodging esfablishmer►t:
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock*
"Experimental" "Othe�;or 'Performance" ❑Yes ❑No Indicate depths of elevations
systems built under pre-2008 Rules;Type lV -
or V systems built under 2008 Rules(7080. A. Bottom oi distribution media 102.4
2350 or 7080.2400 (Advanced Inspector I '
License required) ; B. Periodically saturated soiubedrock �99.8 �
Drainfield meets the designed vertical ' C. System separation ` 2.6
separation distance from periodicaUy — , - -—
saturated Soil o�bedrock. D. Required compliance separation` � 2.6
_. _..—
ARy "no"answer above indlcates 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*-Comp�iance 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
8MP=8est Managemenf 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: �
Have the Operating Permit requirements been met? ; ❑Yes ❑No
b. Is the required nitrogen BMP in place and prope�ly functioning? ❑Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn.Stet§115.55)An imminent threat to public health and safety(lTPHS)must be upgraded,replaced,or iis use
discontinued w'rthin ten months of receipt of this notice or within a shorter period if required by/ocal ordinance.!f the system is feiling to protect
qround water,the system must be upgreded,replaced,or its use discontinued within the time required by Jocal oniinance.If an existing system
is npt failing as defined in law,and has at least hvo feet of design soil seperation,then the system need not be upgiaded,repaired,replaced,or
its use discontinued,notwrthstanding any loca/ordinance that is more strict. This prov�'sion does not apply to systems in shoreland areas,
Welthead Protection Areas,or those used in connection with food,beverage,and lodying establishments as de�ned in law.
_ _— _ _ _— -
www.pca.state.mn.us • 651-296•6300 • 800•657•3864 • TTY 651-282-5332 or 800-657•3864 • Available in altemative formats
wq-wwisrs4-31 • 1/24/12 Page 3 oj 3
Soil Observation Log
�vw��.SepticResource.com vers 12.d
Owner Information
Property Owner/project: Mary MOn�1a11 Date 8/15/2018
Property Address!PID: 3240 Sixth Ave.N.
Soit Surve Information ❑refer to attached soil wroey
Parent matl's: Q Till ❑Outwash ❑ Lacustrine ❑Alluvium ❑Organic ❑Bedr�k
landscape position: ❑Summit ❑Shoulder �Side slope ❑Toe slope
soil survey map units: L37f3 slope % direction-Linear
Soil Lo #1
� � Boring ❑ Pit Elevation 103.0 Depth to SHWT 20 Inches
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-6 Topsoil <35 10yr4/2 Loose Moderate Blocky
6-20 Clay Loam <35 10yr5/4 Friable Strong t3�oc�,y
20-2b C1ayLoam <35 10yr5/4 10y4/8,1-6/10y Firm Strong Block��
�35 loose loose singie grain
friable weal: granular blocky
35-50
firm moderate prismatic pi�y
>50 rigid strong massi�•e
<35 loose loose single grain
friable weak granular blockv
35-50 f� moderate prismatic platy
>50 rigid strong ma�s�ve
Comments:
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'' � CITY of OIZON�
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i ''� ' ,„ �;I�� Municipal Offices
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�� � �' ��G,�' Street Address: Mailing Address:
'9I�ESHp'4�' 2750 Kelley Parkway P.O. Boz 66
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:,------ Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address ����� J����'1
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.
Systern Identified as Non-Compliant
Yes =�No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank( ump out Needed
Yes
No
The City recommends the septic tank(s) and/or lift tanl: be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
/�� 'i,�F'�; . The tanlc(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Gomments:
�" - � �
Inspe�t'� � � Date of Inspection �"
Tele�hone(9�?)2�9-�d600 � �'ax(9�2) 2�9-46�6
W'W5M1'.C1.03'Ofl0.I17e1.11S
_ ___-----------_,_.—..._.
�O� _
O��, O
���� CITY of URONO
� ;���� _ _ �
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,��� ,� ��,{�. . �ti M�� o��
�'�;;�'ti� .�,;, �,�,G Street A�roas: qsa-�49-�160 o Mailin�Address:
�g0 2150 Kelley Parkway p:p. � �
Orono, MN 55356 Crystal �ay, MN 55323-0066
To Current Owner: Address: ��-�� s, �T� ��,- /�' i
City Ordinance 199 requires that each existing on-site sewage treatm�t system in Orono be inspected every two years.
The on-site sewage treat�►ent system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-31: �
_
�"CODE�SYSTEM"An ISTS'wlricli meets all the location,design and construction standards ofthe cu�ieut Orono Municip�l Code.
2 "COMPLIANT SYSTEM" An ISTS which does not me�all the location,design and cons�ction standards of the current Orono
Municipal C.ode but das meet t�e Wrce foot separation requirement or two�oot requirement for systems installed 1996 or earlier,and
which is not Sailing or an immin�t thmat to�blic health or safety.
3 "NON-COMPLIANT SYSTEM" A prohb;tea LS1s;an iS�rs locacea within a aesignaced loo-year aooa plain,any rsls which may
or may not meex all ihe location,design,or consirucbon standards of the curnut Urono Municipal Code and wluch is failing for any
' reason;and auy LSTS with less than duee feet of unsadirated soil or sand bcxwcen the distribution dewice and the limiting soil characteristics.
T�cormrriorr�s-�n: ,�
Tank inspedion indieates:
Pumpout not needed at this time.
6 �c tanks mast be pumped out this year (city code recommends tanks to be pumped out once eveay 3 years.
Tank was last pumped ).
Make sere sentic tanks are na�oed throu¢h�an6ole and not throueh white insuection flices. This sllows for tLe nroaer
ckanin�. Kcen�rater softner and iroe filter discharge out of se�tic svstem to nraion¢life�f drainfield Ask uumuer to test
alarm float to vereiv atarm is st�7(working ia vour haese The alarm warns ow�er t�at sentaee is about to backuu iato basement
7 Inspaction nseas miss�g-tanks couid not be inspected. Lispection riseis(4"dia pipej must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDTTION 8-10 : � � _,
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effiuent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: I���,.d � �bIGS ��-— 1 J S� �L �; Sv�..,�,.,1/—
�pe�,
`� ��°t-Uy 1(�.,,,ti ---
Date of Inspoction Maft Bolterman- Septic System Inspector
_ Note: In the event that Wis inspedion report is used w satisfy the requir�ents for a mortgage or otLa traosfe.r of properly,be advised lhat ffiis report does
not guacantee or caGifY fhat an oxistin8$5'stem will continne to fimctron P�P�Y> but is merely m opinion of the of tbe
�uaCy systtm under cu�t
conditions based on the ava7abk�'rnmation.
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� .�a����;��,� Gti �i���� o�;��s •
�g�'',��s#��i"g'`Y Street Addreu: Ma1in
� �'SF10 2150 Ke11ey Parkway Y Addreu:
Orono, MN 5535b . P•a• Box 66
� 95d-�yq-y600 Crystal6ay, M,Y 55323-0066
To Current Owner: Address: 3 a 4 c S��'� ��� ,/�/
Ciry Ordinance 199 requires that each existin�on-site sewa�e treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to falI into the categories checked below.
STEM CONFORMITY 1-3 : I
1 "CODE SYSTEM"An ISTS which meecs ali the locatian�design and eo�truction standards oithe current Orono l�funicipal Code.
2 "CO�iPLIANT SYSTEM" An iSTS which dau not meet all the locatian,daign and canstruction standards of the current Oruno biunicipal
Code but docs meet the ttuee foot separation requirement or two faot rcqu'uement for rysums irutalled 1996 or eariier.and which is not failin�or
�"'an lmminent threat W public health or safery.
3 "NON-CO�iPLIANT SYSTEbi" A prohibited ISTS;an ISTS located within a duignated l00.year tlood plain,any.ISTS which may
or may not meet all the location.design,or construcdon standards of We current Orono Municipal Code and which is failing for any reason;and
any ISTS with leu than ituee feet of unsacurated soil or sand between the d'utribudon device and the timiting soil characuristia.
TANK CONDITION(�-:7): b � .
Tank inspection indicates: � .
S Pumpout not needed at this time. .
� Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was Iast pumped L'^��c'�-�-. l. �
1Viake sure seotic tanks are oumned throuQh manhole and not through white insoection vioes
Th�s allo�ss for the proaer cleanin,;,
7 Ins�ection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
RAINFIELD CONDITION -10 : �
8 Dninfield�s dry,no surfacing evident. _-
9 Some evidence of surfacin„not critical yet. ;, =���-. �
10 Drainfield is satunted and visibty discharging untreated effluent to the surface. Contact the Ciry Inspector
immediately.Repairs must be eompleted within 90 days.
co�rrrs: �^o��� �,��� s�� ��� �-c,�c-5 I�oIL ' o1L p���p SQ�� �
_ ��.�k5 ���r 5 �� ��a ,
1 O -`�-D�-- G�
Date of Inspection I�iatt Bolterman- Se nc S stem I
p � Y nspector
Note:in the event that this inspection rcpert is used to satisfy the rcquiremcnts for a mortgage ar other transfer ofproperry.be advised that this rcFoR does not gu�^3a��-
orcertify thu an existing rystem wi1J continue to funcdon properly,6ut is merely an opinion ofthe adequacy ofthe system ursder eurrent eondidons based on tf:e ar•ailabie
infocmation.
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�`,,� �� INSPECTION REPORT
G
�9kESH�4'�
Owner: D�n mo2s�-�-� Address: 32�( �ik�'�1 /�V'd%/l�. ��,��cS�/
q ct // �
Permit #�'s: .5 Datea: !'o�Jr� /�i Contractors:_�!!9-�E.� �X-�.
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)
YSTEM CONFORMITY 1-3 : 1
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 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 limitin� soil characteristic�has or [ ] has not been identified at this time. [f the limiting soil
cheracteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10): �
T inspection indicates:
5 Punpout not needed at this time.
Solids accunuletion in tanks indicates they should be �ur�ed out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. afi nks should be punped out as soon as possible.
8 System is discharging to the surface. Tanks must be puiped 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 instelled in each
tank at next pu�pout. lf tanks have not been punped out within the last three years, they should be punped
OUt f10N.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation>.
If tanks have not been pu�ed out within the last three years, they should be pumped out now.
DRAINFIELD CONOITION C11-14): j/
-k--
ield inspection indicates:
t1 rainfield 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 canpleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS Cslope,setbecks,etc.):
POTENTIAL FOR SYSTEM FAILURE (decends on soils.water table.etc.): /n �
COMMENTS:
�
Date of I spection Sept c 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
property� but is merely an opinton of the adequacy of the system under current conditions besed on the available
�nformat�on.
This report must be kept on the premises with the system tocetion and punping records.
WHITE COPY/Inspectors File YEILOW COPY/Homeowner
On the North 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 LLI�SON / fC.`' l'r'CL ADDRESS J ''Z �� � CC' d (� �� � /�/
m
1 �C
PERMIT NO.'S. ��`��� DATES f f`5`� 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 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 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 upgreding 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
�8 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 �-e 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 Potentiai for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
❑ High water table ❑ Low �-f7 Fair
—B-Lot size —� Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage �'fl System is causing visible
surface discharge.
COMMENTS:
I.�C��l 5'% � � < h �" ,
t-CL��
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
�o�
O�,�:; O
-� � CITY of ORONU
,�, `r������,�,,-�. �
, �'��,�, l4 Municipal Offices
'�► '�,,=,,,
� ���'��� '1'�� G� �
�9 �,������, 4� Street Address: Mailing Address:
�C�;ggO 2150 Kelley Parkway P.O. Boz 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner_,���1 � �� Address:3240 Sixth Ave. N.
Permit #'s:8415 Dates:9/25/96 Contractors:Hayes Sxc.
(This is [ ] an existing system � new construction)
STEM COMPLIANCE 1-3 : 1
1 - Code Svstem: 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 not been identified, this classification is subject to revision.)
�ANK CONDITION (5-9) : 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 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.
12 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 con3ition unknown.
POTENTIAL FOR SYSTEM FAILURE: (svstem acTe and condition, soils, etc.) : low
COMMENTS:
�->3�7 �
Date of Inspection Sep c System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this repo:rt does not guarantee that an existing system will continue
to function properly, but indic<ites the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
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� CITY of ORONO
,� �a���' ����. � �
r�, �lS�, Municipal Offices
� � � G�'� Street Address: Mailing Address:
�9$�,+ggOg'�- 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: /�� � ������'/`� Address:3240 Sixth Ave. N.
Permit #'s:244 Dates:l/1/55 Contractors:unknown
(This is [�] an existing system [ ] new construction)
SYSTEM COMPLIANCE (1-3) : 3
1 Code Svstem: 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.
� 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 � has or [ ] has not been identified at this time. If the
saturated soil level has not been 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 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.
� 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 ta ks were not
confirmed to be watertight, this classification is subject to revision.)
INFIELD CONDITION 11-14 : 11
�11 Drainfield is dry, no surfacing evident.
12 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. ) : medium-high
COMMENTS: The non-conforming septic system must be repaired by 12/31/96.
��-�� � ' ; -�-
Date of Inspection Sept Syste 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.
Telep6one (612) 473-7357 • FAX 473-0510
� o�
CITY OF ORONO O O
Municipal Offices
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON–SIT� SLWA(3E TREATMENT
,� � INSPECTION REPORT
ti
��9kESH���G
Owner: Addres s: �b��Q—7X� .�Y/h f1'1/P�JV t
r
Permit #'s: �i Dates: — Contractors: 1M�oWb�
City ordinance nunber 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 CONFORMITY (1-3): �
7 "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 uaters.
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 uaters.
3 "NON-CONFORMING SYSTEM��-A prohibited system; a system located within a designated 700-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 failin for any reason; and an s stem uith less than 3 feet soil or sand
between the distribution ' " ' � ics.� � /�3
(The limiting soil characteristic � has or [ 7 has not been identified�at this Ci�. If the limiting soil
characteristic has not been identi�ied, this classification may be subject to revision.)
TANK CONDITION (5-10):
7ank inspection indicates:
5 Pu�out not needed at this time.
6 Solids accumulation in tanks indicates they should be puniped out this year to help prevent future Problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be ptanped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
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 punped
out now.
� Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pixnped out within the last three years, they should be pwnped out now.
DRAINfIELD CONDITION C11-14):
Dr nfield 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 Inspector
immediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): �'�
POTENTIAL fOR SYSTEM FAILURE (depends on soils.water table,etc.): �- �'
�
COMMENTS: r
O a�
Date of Inspection Se c Sy tem nspector
Note: In the event that this inspection report is used to satisfy the requirements for a �rtgage or other transfer of
property, be advised that this report does not guarantee or certity 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
�nformatton.
This report must be kept on the premises uith the system locetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal ay, MN 55323
473-73
OWNER �»C,� /"�"� �ADDRESS -���� ` Q � � ✓�� /�'+
PERMIT NO.'S. -A�� DATES � CONTRACTORS v
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(Thia is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to deaign,construction,and location.Appears to be operating
properly.
{�2 Does not meet all current City standards for new co�struction (1978 Code) but in most respects appears to be designed,
u'� located, and conatructed 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,constructio�,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.
� System may or may not meet current City standerds for design,construction or location, but is failing to properly treat and
4 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 othervvise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement proc�dures. If drainfield replacement is necesaary,soil testing will usualty be required,and a design and site plan
must be submitted fo�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 meesureme�t of solids�cumulation.) 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.
O Solida accumulation in tanks is at a critical level. Tanks Drainfield i�spection indicates:
should be pumped out as soon as possible. �Drainfield is dry,no surfacing evident.
❑ System is diacharging 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 risera missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risere (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 exte�t and conditio�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 O Inadequate
❑ Drainage ❑System is causing visible
s face discharge
COMMENTS: " � � �
Y
_ �t .
d�-/3-91
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 Nortb Sbore o f
Lake�Iinnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICf BOX 66
� . � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER FYI���� ���-?�(G/�e �oDno,I ADDRESS ��4 (�t.J S�'� J�T✓L�, �",
PERMIT NO.'S. ����� DATES �� CONTRACTORS �
City Ordinance No.210 requires that each on-site sewage troatment system in Orono be inspected on a regular basis.The on-site sewage
troatment system at the above addrea haa been inapected and eppeara to fall into the category checked below.
(This is �l an ezisting syatem ❑ new consuuctionl
� � Meets or exceeds current City standerds in all respects relating to design,construction,and location.Appears to be operating
ProPe��Y.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and conatructed generally in accordan�with previous codes.System appears to be functioning properly;no major
upgroding 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
edequately 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 sta�derds for design,construction or location, but is faili�g to properly treat and
dispoae of the current input,and is endangering 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 repl�ment is neoessary,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 requirs your actionl
Ta�k inspection indicates: ❑ Inspection pipe is loceted directly over tank baffle.(Does not
❑ Pumpout not needed at this time. give accurate m�urement of solids accumulation.) If tanks
f�Solids aecumulation in tanks indicstes they ahould ba pump- have not been pumped out within the last three years,they
ed out thia year to ha�p prevent futuro problems. ahould be pumped out now.
❑ Solid� accumulation in tanks ia at a critical level. Tanks Drainfield inapection indicates:
should be pumped out as soon sa posaible. � Drainfield is dry,no surfecing evident.
❑ System is diacharging to aurface. Tanks must be pumped ❑ Some eviden�of surfacing,not critical yet.
within 48 hours to elimi�ate surface discharge. ❑ Drainfield is aeturated and visibly discharging untreated
❑ Inspaction riaera misaing—tanka could not be inapected, effluent to the surface. This condition may require replace-
Inspection risera (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 ahould be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (dePends o�soil types,water Future Expansion
❑ Soil table,and system conditio�) q Adequate
❑ High water table �Low �-fair
❑ Lot size ❑ Medium �Poor
❑ Lake,wetland,or stream ❑ High . ❑ Inadequate
❑ Dreinage ❑System is causing visible
surface discharge.
COMMENTS:
� — C.9
Date of Inspection eptic Syatem 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 conti�ue to function properly,but is merely an opinion of the adequacy
of the system under current conditio�s 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