HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTORY
Address: 45 Smith Ave. PID: 02-1 17-23 22 0008
Building Type residence BRs Install'd for: 3 In Musa: Yes
Permit#: 581 Date of Permit: 9/9/57 Installer: unknown
System Type: standard trench Experimental: no Tank Filter:
SYSTEM CONDITION
Conformity: 3 Tank Condition: 9 DF condition: 11 Failure Pot: medium
SEPTIC TANKS
Material: concrete block Capacity: 500, 500
Setback to Bldg: 15 Cesspool: unknown
DRAINFIELD
Length of Lines: 110 # Lines: 1 Trench Width: 2
Treatment Area: 220 Type of Filter: Soil Boring: yes
Tile Size: Under Tile: Perc Rate:
Setback DF-Bldg: 30 DF Ht above Wt: 0
Soil Type: Limitations: water table
WELL DATfI
Setbacks - Well-Tanks: 50 Well-DF: 60 Report in File yes
Pump Type: jet Depth: Diameter: 3 Method: drilled
INSPECTION RECORD PUMPOUT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
8/1/81 system not located-no surfacing 6/10/82 1600
9/13/82 tanks located-no surfacing 2 8/1/87 1600
7/30/86 no surfacing 2 5/1/91 2000
7/14/88 no surfacing 2
9/27/90 no surfacing-need risers,pump tanks 2 9/12/O1 1500
4/21/94 no surfacing-pump tanks 2 � - �p-p � ����
7/19/96 non-compliant,repair by 12/31/2006 3 � � �?-cS ��v�
7/13/98 non-compliant,repair by 12/31/2006 3
7/11/00 non-compliant,connect to sewer 12/31/2(3
10/03/02 non-compliant,connect to sewer by 12/3lnon-compliant
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� � � ' ;'�'� G ��` Street Address: Mafling Address:
'��9kEs�p'S�'�. 2750 Kelley Parkway P.O. Box.66
___... Orono, MN 55356 Crystal Bay, MN 55323•0066
To: The Current Owner of Address `"'� S'� S Nl. ����"��
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-�49-4626 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 refenal to the City Attorney for
legal action.
System Identif as Non-Compliant
Yes
No
If yes, system rnust 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
� 1 -���-- O�' • The tank(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments:
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Inspector: Date of Inspection /� "�� . .
Telephon2 f9�2) 2=�9-�600 � �as (9;?) ?�9-�6i�s
• �5'��'S4',ci.o�ono.mn.us
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� : `'` CITY of ORONO
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� ''�"` �; ;,q� �� ,. ��, Municipal Offices �
�,t;:,� �;�, ,l�.;�'��.`•tN�,G Street Address: °1Sa-a49—y6o O M�iling Address:
'9x�Hp�' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �S S�'`�'�"`� /'�V e
City Ordinance 199 requires that 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.
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds of the current Orono
Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an imminent threat to public heatth or safety.
\3 �"NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
v or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil chuacteristics.
TANK CONDITION(5-7): 6
Tank inspection indicates:
5 Pumpout not needed at this 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 ����--�`i ),
Make sure Septic tanks are pumped through manhole and not through white inspection pipes. This allows for the proper
cleanin¢ Keep water softner and iron Tilter dischar¢e out of septic svstem to prolon¢life of drainfield. Ask aumaer to test
alarm float to verifv alarm is still workine in vour house. The alarm warns owner that septaee is about to backup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION(8-10): �
ODrainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: D� �.����� �S c�o�..— c�� �-�,�r a— ,�-,�1�- 6�
0 ��`c�� � 5e..�t r b � 3 >-0((� • tJ Si hL '�'���
SJ� r--+�--'�f 7-17���
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Date of Inspection Matt Bolterman - Septic System Inspector
Notc: In the e��ent that this inspection report is used ro satisfj the rec�uirements for a mortglge or uther transfer of'properh. be advised that this repurt does
nui �u.u'antee or eertitj that an e�isting system ���ill continue tu funclion prop�rl��, but is merel� an opinion of the adequac} of the s�stem un�er curreni
cun�itiuns based un the a�•ail�ble inlormation.
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�����? CITY of ORONO
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Z' �.� t'` �" � otr��
`�.� � 4i�j-.�.� G'ti► Mun3ci .
�`'�'`} ��'y ' Street Address: .
� ����'�"�g Mailing Address:
�H 2150 Keliey Paricway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
� 95d-�yq-4600
To Current Owner: Address: �f s S"`;�1� A.0�,
City Ordinance 199 requires that each existina on-site sewage treatment system in Orono be inspected every two yeazs.
The on-site sewage treatment system at the above address has been inspected and appeazs to fall into the categories checked below.
SYSTEM CONFORMITY (1-31: 3
1 "CODE SYSTEM"An ISTS which meets all the location.duign and construction standards of the current Orono Municipal Code.
2 "CO�'LIANT SYST'EM" An 1STS which dou not meet all the location,design and construcdon standuds of the cumnt Orono Municipal
Cade but does meet ihe three foot separation rcquimment or two foot cequirement for sysurtu ir�talled 1996 or earlier.and which is not failing or
=an imminent threat W public health or safery.
�"NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS lacated within a daignated l00-ycar flood plain,any ISTS which may
or may not meet all the lacation,duign,or conswction standards of tj�e current Orono Municipal Code and which is fa�'ling for any rcason;and
any ISTS with leu than thrce feet of unsaturated soil or sand between the distribudon device and the limiting soii characteristiu.
TANK COWITION(�-.71: � ��
Tank inspection indicates: .
� Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requi�es tanks to be pumped out once every 3 yeazs.
Tank was last pumpzd_ °�-�'L-o t ), �
1�Iake sure seatic tanks are oumoed throuah manhole and not through white insoection oines
Thts allows for the arooer cleaning.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION(S-�Q�: �
8 Drainfield is dry,no surfacing eyident.
9 Some evidence of surfacing,not critical ye� �
10 Drainfield is saturated and visibly ilischarging untreated effluent to the surface. Contact the Ciry Inspector
immediately.Repairs must be completed within 90 days.
COiI/I1�NTS: 5y5��. �5 rp�. -���P�;�.�-c a�.� rv�vS�-- b� � �oc,ne�fieC� t c�
5e-..cr �-� �t�1��-01 0 ,
�o =3- o�- �a-�
Date of Inspection Matt Bolterman— Sepdc System Inspector
Note:tn the event that this inspection report is tued to satisfy the rcquiremeaes for i mortgage or other transfer olproperry.be advised that this report docs not guardnue
or certity that an e:cisting rystem wiii continue W funcdon properly,bat is merely an opinion ofthe adequary otthe system tmder current conditioat based on the availabie
information.
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, ,f� ,. � � CITY of ORONO
� � .��, ��' ,�ti M��i� ocn��
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� * 7����`�'',�G Street Address: Mailin�Addreu:
�,+g'g0�" 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: ��)�� Address: 45 Smith Jive.
Permit #'s: 5B1 Dates: 9/9/57 Contractors: unkaovrn
(This is �] an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 3
1 Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
� codes and is functioning properly.
Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom
of the drainfield and the saturated soil level.
(Tha saturatad aoil laval is ] or is aot [ ] ideatifiad uadmr this septic system. If the
saturated soil leval is not idsat fied, 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, the should be um ed out ow.
10 One or more tanks are cesspools, which means the sept c system is non-compliant.
(The tanhs are [ � or are aot [ ] watar tiQht or the conditioa is [�j unkaaaoa. If the Eanks
aze aot confirmed to be watertiQht, this classigication is mubject to ravisioa.)
INFIELD CONDITION (11-14) : 11
1 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface.
Contact the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : madium
CONa4ENTS: In order to confirm that your septic system meets Minnesota standards, soil borings
were performed to verify a 3 foot separation between the drainfield and the seasonal water
table. The separation is 0 feet and the system is non-compliant. Repair or replacement of the
septic system is required by 12/31/2006.
�/��
Date of Inspection Sept 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.
Tdephone (612) 473-7357 • FAX 473-0510 ;
___
O�\� �
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'���' � ,�����,�� � ;; CITY of ORONO
� r� �y'��' '�p'' � ti%% Municipal Offices
,� � �.;:'� �,�,�;:�.� G���
Street Address: Mailing Address:
��jfEggO�'j 2750 Kelley Parkway P.O. Box 66
----' ' Orono, MN 55356 Crystal Bay, MN 55323-0066
�1�
Owner: �, T � � Address:45 Smith Ave.
Permit #'s:581 Dates:9/9/57 Contractors:unknown
(This is j�] an existing system [ ] new construction)
SYSTEM COMPLIANCE (1-3) : 3
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.
� Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the
current input; and any system with less than three feet of vertical separation
between the bottom of the drainfield and the saturated soil level.
(The saturated soil level �] 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 [ J 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. )
D 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
COMMENTS: The non-conforming septic system must be repaired by 12/31/2006 or within 90
days of failure (surface discharge) , whichever comes firs .
7�4��`/��? f---=y ;�iL -
Date of Inspection Sept' = 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 S�WA(i8 TRBATl�N7.'
� yh
INSPECTION REPORT
��'�k�sxo�'�G
Owner: _�'>)/i�;Y� � �Address:__�f� ,S1'1')►� /71/P,i
Permit �'s: Dates: 9��7 Contractora: //h�.l^�
City ordinence 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 V9, 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.
"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 setisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into gro�d or surface waters.
3 "NON-CONFORMING STSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or mey 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):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be p�niped 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. Inspection risers (4'� dia. pipe) must be installed �n each
tank at next punpout. If tanks have not been pu�ed out within the last three years, they should be puiped
out now.
10 Inspection 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 ou .
DRAINFIELD CONDiTION (11-14):
Dpe�field inspection indicetes:
V,Y Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated end visibly discharging untreated effluent to the surface. Contact the City [nspector
immediately. Repairs must be canpleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slorx,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (decends on soils.water table,etc.): ���
COMMENTS:� �� C�I'IX� l�JI�►�P t'�?—__���"l�j��'��(�J�'� YY�In��
Da e of Inspection e ic Sys em 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 evailable
information.
This report must be kept on the premises with the system locetion and Fxmping 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
� � � L
OWNER �1 �J�, � ADDRESS _,. S ��/j°�
PERMITNO.'S. L��sg� DATES / 9�7 CONTRACTORS �
City Ordinance No.210 requires that each on-site sewage treatmerit system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has been inapected and appears to fali into the category checked beiow.
(This is � an existing system ❑ new construction)
� � Meets or exceeds current City standards in ali respects relating to design,construction,and location.Appears to be operating
properly.
I� 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;�o major
upgrading of Me 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
creati�g 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 usualty 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.(Dces not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids aecumulation in ta�ks 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 lewel. Tanks Drai field inspection indicates:
should be pumped out as soon as possible. � Orainfield is dry,�o surfacing evident.
O System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
...l within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
h51 Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risera (4"dia.pipe)must be instslled in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not bee�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) sAdequate
❑ High water table �Low �h Fair
❑ Lot size ❑ Medium �Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage O System is causi�g visible
surface discharge.
COMMENTS: ����_Y/� � YY) � )17�A/R� L�/! �� �l�� YPG)1��� �
�/.7n,��" .L�L��G� GT 7/la� T/f�P• ��iP e�ri�4 �.✓P►r'r �aS�.b.t�,,(�Q� 6��-gr�l
/
9 a��
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 locatio�and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
nn tbe �'�'nrth. Shore of
l,ake Minnetoyaka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST �FFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER ���l b�►-f �T�wn�s�,-� ADDRESS q5 �Sv�;�h A-�e,hr,rP. (ft�c�2�,tr�
PERMIT NO.'S. ��� DATES �-9 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 address has been inspected and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
�2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generaliy 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 relati�g 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
� Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risers (4"dia. pipe) must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table, nd system condition) ❑�4dequate
❑ High water table �Low jo�Fair
❑ Lot size `.�Medium �yS'teYy�G[L/2� ❑ Poor
❑ Lake,wetland,or stream ❑ High J ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
.,�-
�� ��� /%�B - % �
ate o Inspection Septic Sy 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
On the North Shore o f
Lake Mi�znetoyrka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �I L�'��% �fcly����'ai✓ ADDRESS 7 � rJ 1�;%If ��—
PERMIT NO.'S. ��� �S � � DATES �� � `� � 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 ab�ov�e address has been inspected and appears to fall into the category checked below.
(This is l.� 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 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. --8 Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
---� Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
❑ High water table ❑ Low [� Fair
—f7 Lot size �---L7 Medium =—El Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
.�� �� 3� �4 ��
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the require 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 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