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HomeMy WebLinkAboutseptic info CITY OF ORONO �ate ADDRESS � Connected to CODE SEPTIC SYSTEM INVENTORY CARD Municipai Sewer Address 3.S/S � K . - �.' Property I.D. Z� " j�''�-� `'� WELL DATA �:Standard trench I ❑ Mound rn I System type � Other • Legal Description 3c�— � � S(cS�S � 'l� 7� J�RY NN � t Permit No. Z���7 Date of permit /9�9 Installer � � � O No. Bedrooms Garbage ' c m ( Building type �'—E� i�`T7UC�or GPO BR �- Laundry X' ' was X Disposal k' � o Q E d .. SEPTIC TANKS: Material �a.�� , LS Lac� Capacit 1 2) ° � � c 'o sTAcKS �+aaEn � � � Proper outlet and inlet Baffles Li ui epth to RO level • . � � � Height of tank bottom above water table ta to nearest building /� N m � DRAINFIELD: Total length of lines � um r of lines � 'r Trench width 3 � Y �� C Total treatment area (sq.ft.) �' H ' t drainfield above water table 3 � M� U % � Type of filter material ' K type �.'�ELL.•�ca 8;��„n; Cc-A y La4w. n �� N d � t �/ Distance from near t bld . d '�' ile size N Perc rate min/in ° n °' •� p � /I t! U � .. �p Depth of fill over drai fi Depth of rock over tile �t� under tile �v'"/Z M a N " E c p a V � LOCATION INSPECTION RECORD PUMPOUT RECORD SKETCH DATE COMPLIANCE DATE GALLONS �� 8'� /'}D7� �v� S.!_. I��Z �� J�"L_ , -�5-�� N� S�{�Ff� � Nt= Nt'i� 1 �Z � _ � P _ � ,� � � �1� DU � Q�qi �� ,� � �, ,�� � `�"_, o LL �` � z" �Q�}�C/ -/Gdh'�,v�talt���q _� 2�� ;,� � �,�.,crT�!9�1 J '��q. -- .� ,;-,, - - -, - �. � _ �°R�� r � � �O�nl � \ , ,_ �'c���. 7 �``� � \ _ � S�'�� . �_ � Include: 1) Well location 2) Distance from house to septic tanks,dist.box, and drainfield C— CONFORMING S—SUBSTANDARD N —NONCONFORMING 3) North arrowand road � r � �`�� AJlinnesota.Pollution �� C pliance Inspection Form Controt�1r��ncy �� 5�t7 Lat'ayette Rnad North � `� ting Subsurface Sewage Treatment Systems st�aur,��1 s�ss-a�sA /'1,� (SSTS) `�U Doc Type:Compliance and Enforoement Instructions: Inspection results based on Minnesota Pollution Coritrol Agency(MPCA) For local tracking purposes: requirements and attached forms=additional local requirements may also apply. Submit completed form to Local Unit of Govemment(LUG)and system owner within 15 days System Status System status on dat�e(mm/ddlyyyy): .�o O ?� �mpliant-Certificate of Compliance ❑ Noncompliant-Notice of Noncompliance (Valid fi�r 3 years finm report date, unless shorter time (See Upgrade Requi�ments on page 3) frame outlined in Local ONinance.) Reason(s)for noncompliance(check alI applfcable) � � ❑impad on Public Health(Compliance Component #1)—lmminent threat to publ'rc hea/th and safety ❑Other Compliance Conditions(Compliance Component#3)—Imminent threat to public healti►and safety ❑Tank Integrity(Comp/iance Componenf #2)—Failing to pr�tect graundwater ❑Other Compliance Conditions(Compliance Component�1,3)—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 SeclTwp/Rarrge: Property address: ��/.f �;� ���, /V, Reason for inspection: - Property owner: Owner's phone: or Owners representative: Representative phone: Local regulatory authority: �� m IQQ,�/�� Regulatory authority phone: Brief system description: /=f,�.,,� ��T� �+� �,4,,�k /Dw�4.�./ � �q�,,.....i, ��[.. Jj{s.�.�.,,�S.S,fJ�i,y. Comments or recommendations: /o'x y/' ��,�fC ,�O Certification l hernby certify dhat al!the necessary infoRnaSon has been gather�d to determine the compliance status of this system. No determination of futuie system perfoimance has been nor can be made due to unknown condiNons during system construction, possible abuse of the ystem, inadequate mair�tenance, or futu�water usege. Inspector name: �,� Certfication number: ?'�� Business name: t o : ...� �'�.r,.,,�,� License number: ,� / Inspector signature Phone number: Necessary or Locally Required Attachments ❑Soil boring logs ❑SysteMAs-built drawing ❑Forms per local ordinance ❑Other information(list): www.pca.state.mn.us • 657-296-6300 • 800-657-3864 • TlY 651-282-5332 or 800-657-3864 • Available in altemative formats wq-wwfsts431 • i/24/12 . Page.l of 3 � w Property address: ,�,���j^ �!�J'�� /� V� � inspector initials/Date: < < � �a , 1. Impact on Public Health-Compliance component#1 of 5 Com liance criteria: V�.e,/rification method�s): System discharge sewage to the ❑Yes 0 No �L'�f,/5earched for surface ouUet round surface. pd 5earched for�seeping�in yard/badcup in home System discharge sewage to drain tife ❑Yes �o � ����ve panding in soil system/D-boxes or surfac:e waters. ❑ Homeowner testimony(See Canments�€xplanabon) System cause sewage backup iMo ❑Yes �o ❑ "Black soil°above sal dispersel system dwelling or establishment. ❑ System requires eme�c�'pumping � Any"ye�s"answer abo've lndJcates the�ystem is � Performed dye test ❑ Unable to verify(See Comm�pfanetion) an lmmjnent Threat to Publ�C Health and Safety. � p�,er methods�ot�isted�see con,men�xp��r,� CommentslExplanation: 2. Tdnk Integi'ity—Compliance component#2 of 5 " Com liance criteria: Verification method(s): System consists of a seepage pit, ❑Yes ❑No � Probed tank(s)bottom cesspool,drywell,or leaching pit. ❑ Examined construdion records Seepage pits�meeHng 7080.2550 may be ❑ Examined Tank IMegrity Form(Attaad�) com ►ant if allowed in loca/ordlnance. Sewage tank(s)leak below their ❑Yes ❑No ❑ Observed liquid levei below opei�ating depth � desi ned o ratln d th. ❑ Examined empty(pumped)tanks(s) � If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black sal" ❑ Unable to verify(SeeCommentslExplanatlon) Any"yes"answer above inalicates the �Other methods not listed(See Comments/Explanation) system is Failing to Protect Groundwater. Comments/F�cplanation: A,}'��t.e.i+i�i �� 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cradced,unsecured,or appear to strudurally unsound. ❑Yes' ❑No ❑Unknown b. Other issues(elecbrk�lhazeids,etc.j to immediately and adversely impad public health or safety. ❑Y�' ❑No p Unknoam *System!s an imminent threaf to publfc health and safeiy Explain: c. System is nor�pro�eetiue of grourid wa�r for other conditions as determined by inspedor ❑Yes" O No *System is faiNng fio protec!groundwater Explain: www.pea.state.mn.us '•- 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-65.7-3864 • Available in altemative formats : _ _ :... . _ _ wq-wwist34-31 � i/24/12 -- - . - . Page 2 of 3 , � Property address: �.�/'� �'����VEs' w Inspector initials/Date: T.�e�� 4. SOid SepdPBtiOt1—Compliance component#4 of 5 Date of installation: g ❑Unknown Veriflcation method(s): 3horelandNVelihead protectioNFood rage Lodg(ng? ❑Yes ❑No Soil observatlon does nof expire. Pnavious sal obseivabons by iwo independent partes ar�suficient, Com liance crlteria: unless site condfions have been alieiod orlocal For systems built pdor to April 1, 9996,and [�Yes ❑No �guirements di�er. not locat�sd in Shoreland or Wellhead [✓�Cc�nducted soil observation(s)(Attach boring logs) Protecfion Area or not se►ving a food, ❑ Two previous verifications(Attach boring Mgs) beve�age orlo�ing establ�shment.• ❑ Not appltcable(HoMing tank(s);rro dr�Jnfield) Drainfield has at least a two-foot vertical ❑ Unable to veriiy(See CommeM�irplanatlon) separation distance from periodically saturated soil or bedmck. ❑ �her(See Comments/Ekplananon) Non-perfonnance systems built Apri19, ❑Yes ❑No Comments/Explanation: 1996, or later orfornor�-perinrrrrance ��_/ systems located in Shorsland or Wellhead ' �� g Tor s+a�/ '�p,�,,,_— Protection Areas or serving a f�od, �'" beverege, orlodging establishment.• ��:.,�y�r / Drainfield has a three-foot verticai � C l�c.-`� �.�,.,.� separation distance from periodically �3'� p��D�, saturated soil or bedrock. �� °Experimental", 'Other; or Pe►f+o►mance" ❑Yes ❑No IndiCate de ths Of elevations systems built under pie-2008 RWes;Type IV or V sysiems built under 2008 Rules(7080. A. Bottom of disMbution media 2350 or 7080.2400 (Advanced Inspector License required) B. Periodical saturated soiUbedrock Drainfield meets the designed vertical � � �� separation distance from periodicalty C. S stem se aratlon saturated soil or bedrock. D. R uired com Ifance se aration" Any "�o"answer above indicates ti►e system is *May be reduced up to 15 perc�nt if allowed by Local Failing to Protecf Groundwater Ordinance, 5. Operating Permit and Nitrogen BMP*—comp�iance component#s of s ❑Not�pplicable Is the system operated'under an Operating Perrnit? ❑Yes No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes to If"yes", B below is required BMP=6est Managem�nt Practice(s)specified in the system design If the answer to both questions is "no'; tiris section doas nof need to be completed. Com liance criteria a. Operating Permit number: Have the O eratin Permit re uiremerrts been met? ❑Yes ❑No b. Is the r uired nit en BMP in iace and ro e functionin ? Yes ❑No Any "no"answer indfcates Noncompliance. Upgrade Requirements(A9inn. Stet§115.55)An imminent threat to publk heaith and safety(lTPHS)must be upgraded,replace�/,or its use discontinued withln ten monfhs of rec�lpt of thfs rtotke or withln a shorter period if required by local ordinance,If the system is failing to protect ground weter, the system must be upg�aded,iep/aced,or its use di�onbnued a�thM the tlme required by/oca/oidinance./f an existing systerri is not failing as defined in law,and has at/east two feet of desrgn soil separation,then fhe system need not be upgraded,r�paired repleced,a its use disconHnued,nofwithstanding any local omlinance that is more strict. This provision does not apply to systems in shoreland eroas, Wellhead Protecfion Areas, or those used in connecNon with food,beverage, and lodging establlshments as deflned ln 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-lvwists4-31 r 1/24/12 ' _.- -. .. .-- Page3of3 . � , Parcei number: � System status: tB'Compliant ❑Noncompliant (as determined by this form) . Duane s Septic Service, LLC 10502-31st Place N.E. Tan3c Integrity and Safety Compliance � St. Michael, MN 55376 - Comptiance lssue#2 of�4 7s3-497-27s4 Date of observation: � - 3 (i - 1 a Reason for observation: This form expires on(three years):� '7 - 3 G - f `� Compliance qusstions/criteria: (Required) Verification Method"*:(Optionap Check the e ro riafe box � (Check the appropriate box) Does the system consist of a seepage pit', ❑Yes No [�'�robed tank bottorri . cess ool,d ell,orleachin it? � - [�Dbsecved low liquid level Do any sewage tank(s)leak below their. �Yes �j No ._,/ - � . desi ned a eratin de th? CI Examined construction records � � !f yes,identify which sewage , �Examined ernpty(pumped}tank tank leaks. � � , �robed outside tank for"black soil" ' Any"yes"answer Indfcates that fhe system!s fa!ling to protect . ground water.� ❑ Pressure/vacuum check ' ❑ Other. �. ^.��.0 6� ' Seepage pits meefing 7080.2550 may be compliant if allowed - in ordinance by local permitting authority. , '*No standard protocoi exiSfs. This list is not exhaus(ive,in � . . sequenGal order,nor does it indicate which combinations ' ars necessary to inake this deferminafion. Safety Check . - . . - 1. Are any maintenance hole covers damaged,•cracked,or appeared to be structurally unsound? �Yes' �.�#6�` . 2. Were all mai�tenance hole covers replaced in a secured manner(e:g.;all screws replaced)? . es ❑No` 3. Was secondary access restraint present(safety pan,second cover,or safety netting)-highiy recommended. � Yes = o 4: Was any other safety/health issue present? : ❑Yes* �� � � Explain: *System Is an lmminent threat to public healtit and safety. Certification - This foRn is to be compieted and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA}-Compliance lnspection Form for Existing SubsurFace Sewage Treatment 3ystems.Observations,interpretations,and conclusions musf be completed.by an inspector;maintainer,or service provider.Completed fonn must be submitted to the local unit.of govemment within 15 days. . � Property owner name(s}: �� � � � � � ; � �� � Z r � ~ Property address: �j I "� �n. 'l�� �o �i►��° ,'1 (�-,—�,� J S _�S� Property owners address(if different): County: � � i] j)C v.!!� Phone: I hereby certify that I personally made the obsenrations, interprefa6ons, and conclusions reported on fhis form and fhat they are comecr. Name: _J l,l Q �'l� ��G��►`7�_I Certification number. C � L �� `/ Business license name and numbe� I�(,��1,0 �� ��.�,t� �'I C 1-F'{'V JC e�- �C �-s Lf or Name of local unit of�ovemment: � � Signature: � Date: f- 3 L, � l�� � wq-wwists4-31 Complfance/nspection Form for Existtng SSTS AI1/08 . ' . --_. ' .�O ` � �. i','o ` /': 0.�.;, !� - �i�� CITY of O1ZON0 , �' ,� '.; T '� �I' ,�� �'.. :. G��,,',. Municipal Offices Street Address: Mailing Address: ��4�Esxp4�� 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 To: The Cunent Owner of Address �.S i � � ti'� ��'�'' 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 Yes �No The City recommends the septic tank(s) and/or lift tank be serviced and pumped out every three years. City records indicate the tank(s) were last pumped out on 'o.. �j-_�� . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: w. Inspector: �������� �� �- Date of Inspection � ' �%� Telephonz (9�2)2-i9-�600 � �a� (952)249-�6��, w�w�w�.ci.orono.rr��a.us __--__----._....._ --- - �O� _ O <:�,.., . O ����- CITY of URONO , �.� �_ ,� � _ ,��� .��i,4� ��� �l4 MunkipalOffices �'v���F ;;* l�",�y� s��c�da�::: q 5a-�4 q-y bo o Meilin�Addross: j�g�0�" 2750 Kelley Parkway P:O. 8ox 66 Orono, MN 55356 C�►stat �a�r, #IN 55323-0066 To Current Owner: Address: �� �� '��'� '4� N� City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sewage treat►nent system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY (1-3): � __ -- - -_ ._ _� 1 "CODE$I'STEM"�An LSTS which meets all the location,design and construction standards of tiie cucrent Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS wluch does not meex all the bcation,design and cons�uction standards of the cuirent Orono Muuicipai Code but does meet the thrce foot separation requiremeat or iwo foot requir�ne�t for systems installed 1996 or earlier,and which is not ffiiling or an i�ineatt Wreat to public heaith or safety. 3 "NON-COMPLIAN'T SYSTEM" A prohibitea�S�s;an rs�rs locacca within a aesignarea lo�year�ooa plain,any rsls whicai may or may uot meet all the location,design,or conshudion stan�rds of the currmt Urono Municipal Code and which is�iling f�any reason;and any LSTS with kss t�an Wree fce�t of vnsawrated soII or sand between the dish�bution device and the limiting soil characterisfics. TANK CONDTTION(5-71: � Tank inspection indicates: 5 Pumpout no#needed at tlus time. Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years. Tank was last pumped ). . Make sure seotic taaks are en�eed t�reugh�aahele aad not throngh white insr►ecEioa nices. T�is silows for the urocer cleaAin�. Keea svater eaftaer and iron Slter disc6arge out of seatic svstem to nrobne life of drainfield Ask oumner to test alarm 8oat to verifv�lar�is still worltin¢in vour hoase. T�e alarm w�rns owner that sentaee is about to backuu into basement 7 Inspection risea�s missing tanks couid not be inspe.cted. Inspection risers(4"dia pipe)must be installed in each tank. If tanks have aot been pumped out v►�thin the last three yeazs,they should be pumped out now. DRAINFIELD CONDTITON 8-10 : ,� -� 8 DrainSeld is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yex. 10 Drainfield is saturated and visibly discharging untreated ef�luent to the surface. Contact the City Tnspector immediately.Repairs must be completed w'tthin 9U days. co�xTs: r-o�,.� ` u o�5 0� _ pv - .S t �L �.,kS SJ .�—r�c.� 'L v d s`> � o '�a-0� �� Date of Inspecxion Matt Bolterman- Septic System Inspector Nou: In me eveat that this inspection report is usod to satisfy the requirt�ents for a mortgage or otha transfer of property,be advised that Wis report dces not guarantoe or cwtify Wat an existing system will continue to fundion pmperly, but is meaely �opinioa of 1�e adequac.y of the system imder curma►t conditions based on the availeble�ufomoatiaa. � o,� .� o.:, o ������-� CITY of ORONU �: ,. ? � '�������'�. � � r�`��'��'�ry ti, MunIcipal OfTices n;.. ��► G . �����,Og�i Street Address: Maiiln�Address: E8II 2150 Kelley Paricway P.O. Box 66 Orono. MN 55356 Crystal Bay, MN 55323-0066 95d-�4q-4600 To Current Owner: Address: 3 S �5 S'Xf� , �t Vt � . City Ordinance 199 requires tl�at each existing on-site sewage 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 fall into the categories checked below. S� STEM CONFORMITY 1-3 : E 1 "CODE SYSTEM"M ISTS which meets all the location,daign and construction standards of the current Orono Municipa!Codc. "COMPLIANT SYST'EM" An ISTS which does not meet all the location,design and conswction standards of the curtent Orono Municipal Code but does meet the ttuee foot separation requircment or two foot rcquircment for systertu installed 1996 or earlier.and which is not failing or an imminent tluest w public health or safery. 3 "NON-COMPLIAN'T SYST'EM" A prohibited ISTS;an ISTS located within a daignated 100-year flood plain,any ISTS which may or may not meet all the location,design,or conswction standards of tju current Orono Municipal Code and which is failing for any reason;and any ISTS with less than three feet of unsaNrated soil or sand betweee the distribudon device and the limiting soil eharacteristics. TANK CONDITION(_5-:7�: S - Tank inspection indicates: . ' SO Pumpout not needed at this time. 6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was lazt pumped ). Make sure sentic tanks are aumaed through manhole and not through white insnection nines This aflows for the oroaer cleaning. I 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. RAINFIELD CONDITION -tQ : � 8 Drainfield is dry,no surfacing evident. Some evidenee of surfacing,not critical yet. -- _ ' 10 Dninfield is saturated and visibly dischazging untreated effluent to the sarface. Contact the City Inspe�toc � immediately.Repain must be completed within 90 days. � • COMNiENTS: Mbu�(� Gs� 52 t.�. �'c,�.IC� IOOK CF _ Yd�/ fGn ��"'}� ��`Sf���c r;��. �`•1�5 �'a ,C��e. �3n Se!� �.Z ��t�kS �uS-r t d^� c�ve� �-���, �'� �� T , • � o -�- �� �� ����.� Date of Inspection Matt Botterman— Sepdc System Inspector Note: in the cvent that this inspecdon rcport is used W sacisfy the rcquiremenu for a mortgage or other transfer of properry.be advised that this rcport does not guarancee or certify that an existing rysum will continue W function properly,but is merely an opinion ofthe adequary of the system under currcnt conditions baSed on the available information. .,y..� CITY OF ORONO � O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(iE TREATMENT INSPECTION REPORT �' G~ �'�k'�sKo�`'� Owner:__�T L7GRJ�.� Address: �S�s S�k�'�► 1�✓c� N ! J$35` I Permit #'s: 2-� Dates:_ �(� —'�3" 9� Contractors: ci�l� �ETFRS?7') �, 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 : � 1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City Codes, end which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 2 "CONFORMIN6 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 mey or mey not meet all the tocation, 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. If the limiting soil characteristtc has not been iden i , this classification may be subject to revision.) TANK CONDITION (5-10): � inspection indicates: Punpout not needed at this time. 6 Solids eccumulation in tanks indicates they should be punped out this year to help prevent future problems. 7 Sotids accimulation in tanks is at a critical level. `fanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be Fxnped out within 48 hours to eliminate surface dischar�e. 9 Inspection risers missing-tanks could not be inspected. [nspection risers (4�� dia. pipe) must be installed in each tank at next p�mpout. If tanks have not been punped out with�n the last three years, they should be pu�ed out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). lf tanks have not been punped out within the last three years, they should be punped out now. pRA[NPIELO CONDITION (11-14): � � ield 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 immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slooe,setbecks.etc.): _.^ POTENTIAL FOR SYSTEM FAILURE (deoends on soils.water table.etc.): � COMMENTS: Date o nsp tion Septi ystem Znspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be edvised that this report does not guarantee or certtfy that an existing system will continue to function property� but is merely an opim on of the adequacy of the system under current conditions based on the available informet�on. This report must be kept on the pr�mises with the system locetion and punping records. WHITE COPY/Inspectors File YELIOW COPY/Homeowner -- _ - _ �._ ,_ � ������, „ O O``������ ��� , a ,:� � ��� CITY of ORONO � , � � � � . �, V�'r�,, 1��� ,,�'� � �� ��l4��� Municipal Offices \ ' � � ��.� ' �� �,"rt�'.� � Street Address: Mailing Address: � 1fEgg0� 2750 Kelley Parkway P.O. Box 66 �__=� Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: �1�� ��� Address:3515 Sixth Ave. N. Permit #'s:6523 Dates:l0/13/94 Contractors:E. J. Peterson Co. (This is [,� an existing system [ ] new construction) TEM 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 � has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) K CONDITION 5-9 : 5 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 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 aqe and condition, soils, etc. ) : low COMMENTS: ��-�� ,� .�,�- Date of Inspection S t' 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 c�ntinue 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 eox 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREA'1'�NT v�,, � INSPECTION REPORT '�� G~ 9kEsHo�'� Owner:� ��Address• .�.7�� J!/C7h t7V�°.. /V+� Permit #'s: Date : �[J—!� -/� Contractora: �i.�1 y'p I�✓SC�� W City ordinence 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 CONFORM[TY (t-3): "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 gro�d or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limitin� soil characteristic [ ] has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identified, this classification may be subject to revision.) TANK CONDITION (5-10): � inspection indicates: Pu�pout not needed at this time. Sotids eccumulation in tanks indicates they should be punped out this year to help prevent future problems. 7 Solids accunulation 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. Inspection risers (4" dia. pipe) must be installed in each tenk at next p�npout. If tanks have not been pumped out within the last three years, they should be punped OUt �10M. 10 ]nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation>. If tanks have not been punped out within the last three years, they should be punped out now. DRAINFIELD CONDlTION (11-14): D field inspection indicates: Drainfie[d is dry, no surfacing evident. 2 Sane evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surtace. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING S1TE FACTORS Cslooe,setbacks,etc.): r POTENTIAL FOR SYSTEM FAILURE (decends on soils.water table,etc.): �j,� COMMENTS: _ ��� Date of Inspection Se 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 thet an existing system will continue to function properly� but is merely an opim on 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 File YELLOW COPY/Momeowner CITY OF ORONO �O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATMSNT r�`,� �, INSPECTION REPORT ti ��9kESI����G Owner• � CJ Address• � � Permit #'s: � ates: ���� Contractors: � 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 tnspected and appears to fall into the category checked below. (This is � 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 uaters. "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 f soil or sand between the distribution device and the lim' " ics. ����� / �3 y (7he limiting soil characteristic L�J has or [ ] has not been identified t t is t lf tK limiting soil characteristic has not been identi�iecJ, this classification may be subject to revision.) TANK CONDITION (5-10): /� �1L Tank inspection indicates: 5 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accunulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surtace 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 uithin the Last three years, they should be pumped out now. Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been punped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): D nfield inspection indicates: 1 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 immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): �^� POTENTIAL FOR SYSTEM FAILURE (depends on soils water table,etc.): � �� C MMENTS: � - r�d � � � wi/GY'�, I � ate of Inspection Se c Sys m Inspector Note: In the event that this inspection report is used to satisfy the requirements for a nartgage 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 informatton. This report must be kept on the premises wTth 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 Bay, MN 55323 473-7357 OWNER �1� 1�'"1�'N�1'� ��lK�7YG ADDRESS PERMIT NO.'S. ��g7 S DATES ��( { .��� CONTRACTORS ��0i'� City Ordinance No.210 requires that each on-site sewage treatmer►t system in Orono be inspected on a regular basis.The on-site sewage treatment system at the above address hes been inspected and appears to fail 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 codea.System appears to be functioning properiy;no major upgrading of the system is required at this time. � 3 Does not meet current City standerds 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 probtems. 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 disposc 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.Pleese co�tact 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 beffle.(Dces not ❑ Pumpout not needed at this time, give accurate mNsurement 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. ❑ Solida eccumulation in tanks is at a critical Ievel. Tanks Drainfield inspection indicatea: 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 surFa�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 risera (4"dia.pipe)must be instatled 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 Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Futur Expansion ❑ Soil table,and system condition) �Adequate ❑ High water table ❑ Low ❑ Fair ❑ Lot size $�Medium ❑Poor ❑ Lake,wetland,or stream ❑ High � Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: ��a 9l 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 under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/I�spector's File GOLD COPY/Homeowner _,�