HomeMy WebLinkAboutseptic info CITY OF ORONO Date
ADDRESS � Connected to
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer
Address �?� j'�Liu�i� �h'7' r�l� %� . Property I.D. ��'—"/It� 2� �� '.�.> ' + WELL i ATA
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System type ❑ Other Legal Description ���-3��_ - -3 C���� O
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Permit No. ��.g Date of permit � �Z� � ���- Installer v��2,N F'� -�r sc.til � �( O
No. Bedronms • Garbage .� ,�, f
Building type �E�I 1��N LC or GPD 2 3 �.?_ Laundry x' Dishwasher " Disposal ? � � • I
E a o`
o °' �
SEPTIC TANKS: Material �in�� ���C,� Capacity 1) 2►✓ ,� � .� .o
d a
Proper outlet and inlet Baffles Liquid depth to RO level � �
R
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Height of tank bottom above water table 3 Distance to nearest building 7-S �,n N m
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DRAINFIELD: Total length of lines Number of lines � Trench width - �/�
Y V�,
� �L
Total treatment area(sq.ft.) Height of drainfield above water table �
U Q
Type of filter material Soil type a ��
H d
/ � Y =
Distance from nearest bldg. ,��Tile size Perc rate min/in �° ,n a ,c
d > � �
c � �� c�i
Depth of fill over drainfield Depth of rock over tile under tile a
f0 E c —
p a U �
5��rs r5.� cs�r 7 oe 1� . N ,
� ATION '
INSPECTION RECORD PUMPOUT RECORD � SKETCH
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DATE COMPLIANCE DATE GALLONS � �
/� tiv s���eF�+c�.Uc,nx�%� 2 � �
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I nclude: 1 I�WeI�loc�t�
� �2) �ance from house to
� / septic tanks,dist.box,
�— � and drainfield
C— CONFORMING S—SUBSTANDARD N —NONCONFORMING
� 3) North arrow and road
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0 o CI'T'Y OF ORONO
Municipal Offices
� r � 3treet Address: Mailing Address:
,� Gti, 2750 Kelley Pazkway PO Box 66
,� Orono,MN 55356 Crystal Bay,MN 55323-0066
�`9kE8H�4'
May 22, 2008
Donald B. Malby
75 Stubbs Bay Rd N
Maple Plain, MN 55359
RE: 200$ Septic Maintenance Report
Our records indicate that it has been three (3) years, or longer, since the septic tanks were pumped at
the following address:
75 Stubbs Bay Rd N
City of Orono's Municipal Code Sec. 58-51(b) System Operation, Use and Maintenance states that,
"...No sewage tank shall remain in service without being pum ed at least once every three years,
-�hether or not m asureme,�t inpIicat s sludge buildup." -� �ir1U� P�t-'-� Ct�Q, p� S Y,�
�'�RG�p�q. � k��1�, �V'0� � — ��t,c�_
Complete the attached 2008 Septic Maint�nance Report before Se ember 2, 2008, providing the
City of Orono proof of pumping since January 1, 2004.
Your cooperation is greatly appreciated. � ��'��C �� /(,vC�.S �
Sincerely, � C(^,►�" �n� C,PI-ri•�n-� i SS :-�-�
CITY OF ORONO
W . I 1 t� C��{ld� c�
Willie Gibbs
SSTS Program Manager
952-249-4626
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��-�� �� C ITY of ORONO
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,��,�`��;�. �
+���h� �` ��, Municipal Offices
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,t ���1�;��f�����G Street Address: Mailing Address:
9l��xp4 2750 Kelley Parkway P.O. Box 66
Orano, MN 55356 Crystal Bay, MN 55323•0066
To Current Owner: Address: �� S��°� '�```� �� ✓" �'
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 standards of the current Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or eartier,and which is not failing or
an imminent throat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
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 throe feet of unsaturated soii or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7):
Tank inspection indicates:
� 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 last pumped °►—1`S—t+� ).
Make sure septic tanks are oumaed through manhole and not throu¢h white inspection uiues. This allows for the
proaer cleaning. Keep water softner and iron filter dischar�e out of seatic system.
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): �
8 Drainfield 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: ���`•:�C-:e.1 0 6�., � SC �L. S �—
���V t ��'�� � t �`^t��. ��.Sfi' eti�s .,
�=�o—�� ��; �
Date of Inspection Matt Bolterman - Septic Systern Inspector
Note: In the event that this inspection report is used to satisfy the roquirements for a mortgage or other transfer of properiy,be advised that this nport does not guarantee
or certify that an existing rystem will continue to function properly,but is merely an opinion ofthe adequacy ofthe system under current conditioas based on the available
information.
Zi�lephone(952)249-4600 • Fax(952)249-4616
www ci.ornno.mn.us
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�i� ��� CITY OR4N0
,,� A�����:��::�, ,� of
`�"� i�fi,����,�`�;�� G'ti� Municipal offices
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,� q O¢�i Street Address: Matlin�Addrou:
ES�I 2150 Keliey Parkway P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner:_ � D n /�/��`��� Address: � S �'uh�5 �q I�t� N
Cin�Ordinance 199 requires that each e�dsting on-site se�vage treatment system in Orono be inspected every rivo yeazs.
The on-site se«�age trea[ment system at the above address has been inspected and appeazs to fall into the categories checked belo�v.
YSTENI CONFORI�IIT'Y 1-3 : 1
1 "CODE SYSTEM" An ISTS which meets a11 the locatioq daign and construction standards ofthe cucrent Orono�funicipal Code.
2 °CONIPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction staadards ofthe cunzat prano bfunicipai
Code but does meet ihe three foot separaticn requue�e�;Md w,�ch is not failing or azt imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located withiit a designated 100-year flood p(ain,arry ISTS which may
or may not meet all the locatioq design,or construction staadards afthe curre:rt Orono Municipal Code and which is failing for any reazon;and
any ISTS with less than three faet of unsaturattd soil or sand betwern the distribution device and the limiting soil charactecistics,
T�.NK CONDITION(5-10): 5
TCs.�k inspection indicates:
JPumpout not naeded at this time.
6 Tank must bt pumped out this year (city code requires tanks to be pumped out avery 3 yeazs. Tartk was last pumptd �—� '�1
7 Solids accumulation in tanks is at a critical a critica(leve(. Tanks sheutd be pumpad out as soon as possible. ,
8 System is discharging to tha surface. Tanks must be pumpad out within 48 houn to eliminate surface dischacge.
9 Iiupeetion risars missing-tanks eould not be inspected Inspaction risees(4"dia p[pe)must be ir�tallad in each tanlc at ne:ct pumpout If tarilcs
ha��z nut been pumpad out within the Iut three years,they shouid be pumped out now.
10 Inspaaion pipe is locatad diractly over tank ba@�z(doas not give accurata meazuramrnt of solids accumulation). If tanks}iave not baen pumpad
out within the last thret years,they should be pumptd out now.
D�F�LD CONDITION 11-14 : �_
11 �raintield is dry,no surfacing evidrnt
12 Some evidrnce of surfacing,not critical yet
13 Drs�eid'u saturstad and visibly discharging urtreated e@luent to the sudace. Contact the City Irupector immediately.Repairs muct be
completed within 90 days.
1� Draintiatd a�ctent and condition unknoKn �'
CO1�IL�NTS: S YS�"c!�-� � U o�CS �K
��--� ^0 \ - 1 r\0.�T�. 1 ��N*-*�.�.
. Date of Inspcctioa . �
Septie System Inspector
Note: In the evrnt that thi�inspection repoR u used to satisfy th�r�quireme�for a mortgage or otha transfer of property,be advised that this repoR doa not guarantee
or cectiFy that ao e�tiyting syste;r�wi11 continue to function properly,but is meroly an opinion of the adeauacv of the�e'.,,,,.,a.r,..._�.---�- -
�.,F,,,,,�;,,.. . . . .• --
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'` . ��� NO
I( ,, � CITY of ORO
�,', ''� '�' i r _ �C�,� Munici al Offices
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� �� - r '' G '' Street Address: Mailing Address:
' '�`9.kEsxp4'� 2150 Kelley Parkway P.O. Box 66
�_-�.-___- -- Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner ofAddress �'7 5 S �;u��g$ g�jy �
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(�Pump out Needed
Yes r/
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 1 . The tank(s) should be cleaned through the manhole and
not through the inspection pipes,this allows for proper cleaning.
Comments:
�
InspectoT: Date of Inspection /c�-u J
Telephone(952)249-4600 • FaY(952)249-4616
www.ci.orono.mn.us
CITY OF ORONO � O�
Municipel Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON-SITE SSWAt�E TREATMENT
INSPBCTION RSPORT
'� Gti'
�9kESH��'�
Owner: IJDN�4�D �I/1�9-1 b� Address: _/5 STN�0�7t B�4�1 /�C�• /v �J��'�J 9
Permit #'s: 95s Dates: �" 2� "�� Contractors:��F�'
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 betow.
(This is [ ] an existing systero [ ] new construction)
STSTEM CONPORMITY (1-3): �
1 "COOE STSTEM��-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 gro�u�d or surface waters.
2 "CONFORMING SYSTEM"-A systdn which does not meet atl the tocation, 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 potlutants into gro�d or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year flooclNlain; any
system which may or may not meet alt 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
characterist�c has not been identified, this �la�sification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
� Punpout not needed at this time.
Sol�ds accumulation in tanks indicates they should be pu�ed out this year to help prevent future problems.
7 Solids accunulation in tenks is at a critical level. 7anks should be punped out as soon as possible.
8 System is discharging to the surface. Tanks must be punped 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
ta�k at next punipout. If tanks have not been pumped out within the last three years, they should be p�mped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunutation).
If tanks have not been punped out within the last three years, they should be punped out now.
DRAINFIELD CONDITION C11-14): �
D� nfield inspection indicates:
11 Drainfield is dry, no surfacing evident.
Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated e4fluent to the surface. Contact the City Inspector
immediately. Repairs must be caipleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE fACTORS Csloce,setbacks.etc.): WprER,ThBlE
POTENTIAL POR STSTEM FAILURE (decends on soils.water table.etc ): ���,1/
' COMMENTS:
.
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requireme�ts for a mortgage or other transfer of
property, be advised that this report does not guarantee or ceriify that an ex�sting system wilt continue to function
properly� but is merely an opim on of the adequacy of the system under current conditions based on the available
tnformation.
This report must be kept on the pre��ises with the system locetion and punping records.
WHITE COPY/Inspeetors File YELLOW COPY/Homeowner
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0 0
�j� CITY of ORONO
,����-��r�
a �� , , .�' :7� �
I�, � �l�r Municipal OtTices
� f'���'�'��"�`'�i� G
'� � '� ��,�, � �,_.
,� !';- ,<;�;e .� Street Address: Mailing Address:
`9$'Egg04' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystai Bay, MN 55323•0066
f - r -� ����
Owner: . � l( � . Address:75 Stubbs Bay Rd. N.
Permit #'s:3955 Dates:9/20/91 Contractors:Hayes Exc.
(This is �] an existing system [ ] new construction)
SYSTEM 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 aoil level Y y has or ( ] has not been identified at this time. If the
saturated soil level has not been identified, thia 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 tanks 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: (svstem acre and condition, soils, etc. ) : low
COMNIENTS:
��l-�6� ,�.-�-�/ , �,r---
Date of Inspection e ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
. transfer of property, this report does not guarantee that an existing system will continue
to function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATMENT
„� � INSPECTION REPORT
ti
��`�x'�sxo�'�G
Owner: ��1'G7/(� I�Y�� Address:
Permit #'s: Dates: ��"7, Contractors: G
City ordinance number 100 requires that each on-site seuage 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 [ 7 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 instatled 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 �y not meet all the location, design, and construction standards of the current City
Codes and uhich is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic D'�. 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 C5-10): �
T�qk inspection indicates:
��� Punpout not needed at this time.
6 Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pu�nped out as soon as possible.
8 System is discharging to the surface. Tanks must be punped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. lnspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been punped out within the last three years, they should be punped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
tf tanks have not been pu�ed out within the last three years, they should be punped out now.
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
�] Drainfield is dry, no surfacing evident.
12 Sane evidence of surfacing, not critical yet.
73 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City lnspector
iim�ediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (deoends on soils,water table,e c.): �
COMMENTS:
Date of Inspection S tic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
informat�on.
This report must be kept on the premises with 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 /�� ����� ADDRESS l
PERMIT NO.'S. �.��_ DATES /���!/ CONTRACTORS
City Ordinance No, 210 requires that each on-site sewage treatment system in Orono be i�spected on a regular basis.The onsite sewage
treatment system at the above address has been inapected and appears to fall into the category checked below.
(This is ❑ an existing system�.new construction)
�� Meets or exceeds current City standards in all respecu relating to deaign,co�struction,and tocation.Appean 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 appea►s to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Dces 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 curre�t 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/
reptacement 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 atarted.
SYSTEM CONDITION (m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
�Pumpout not needed at this time. give accurate m�surement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicetes they should be pump- have not been pumped out within the I�t three yea►s,they
ed out this year to help prevent future problems, should be pumped out now.
❑ Solids eccumulation in tanks is at a critical level. Tanks Drain 'eld inspection indicetes:
should be pumped out as aoon as posaible. �.Dreinfield is dry,no surfacing evident.
❑ System is diacharging to surface. Tanks must be pumped O Some evidena of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfietd ia saturated and visibly discharging untreated
❑ Inspection risen missing—tanks could not be inspected, effluent to the surface, This condition may require replace-
Inspection risera (4"dia. pipe)must be instsNed in each ta�k 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. ❑ Drainfietd extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope Idepends on soil types,water Future Expansion
❑fSoil table and system condition) �Adequate
�High water table �1.ow ❑ Fair
❑ Lot size ❑ Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
�—(J"/OC
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 exisfing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER l�l �i✓ ns�` ADDRESS �-s���J'� �� �'v'
PERMIT NO.'S. /� / DATES /'�!"'"Ll� CONTRACTORS -����i��UJ�►'`
City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewa�
treatment system at the above address has been inspected a�d appears to fall into the category checked below.
(This is ,�an existing system ❑ new construction)
� � Meets or exceeds current City standards in ell respecu relating to design,construction,and location.Appears to be operating
properly.
�2 Does not meet all current City standards for new constructio� (1978 Code) but in most respects appears to be designed,
loceted, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major
upgreding 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 ot 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 (m Checked items may require your action)
Tank j�apection indicates: �nspection pipe is located directly over tank baffle.(Does not
LZ Pumpout not needed at this time, give accurate measurement of solida accumulation.) If tanks
t7 Solids aecumulation in tanks indicates they should be pump. have �ot 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. '�Drai�field 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 eliminste surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection ri�n missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risero (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
❑ Lot size �'Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage �System is causing visible
surface discharge.
COMMENTS:
�-/���I
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 locatio�and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner