HomeMy WebLinkAboutseptic info __ -o����
�:-� � �
;�o ���
<<
,;�� ��,
o���
;� , r ;,,a_ CITY of UIZONO
i., r'� ,.:':,, :, , < C,'�+,I Municipal Offices
�,� � j a. I `�1� :.
' '
� `, , `-� G '' Street Address: Mailing Address:
� �`qJtESKpg'� 2750 Kelley Parkway P.O. Box 66
=_____._-_ Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address ��O S�%✓ 13k'J 8f�`�� �� ��
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 systern. A
sketch of the known components of the system is avaitable 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 refenal 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 eve three years. City records indicate the tank(s) were last pumped out on
(r� �-�� 'u.� . The tank(s) should be cleaned through the manhole and
not through the inspection pipes,this allows for proper cleaning.
Comments:
� �
Ins ec1��y°�� � .� ` Date of Inspection �`� � `'s
�
Telephone(952)249-4600 � FaK(9�2)249-461h
www.ci.orono.mn.us
�°�
o �. o
��:��`,N CITY of ORONO
'� ��� �, rt��t om�s
���
. �� � ��' �
��,•;`�,.°���,�� Street Addross: MaiNnt Addreas:
�Hp�" 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-OQ66
To Current Owner: Address: ?00 �`��� u`��F F4- �-
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treahnent system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFOIiMITY 1-3 : �
1�"CODE SYSTEM"An ISTS which mests all the location,desi�snd coostruction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" M LS1'S which does not meet all the location,design and conswction standards of the cuneat Orono Municipal
Code but does meet the tluee fioot seperation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or
an imminent tlueat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located witfiin a designated 100-year flood pisin,any ISTS which may
or may rat meet all the location,design,or construction sfsndards of tlie current Orono Munictpal Code and which is failing for any reason;and
any ISTS with less than three teet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-71:
inspection indicates:
pout not needed at this time.
6 Septic tanks must be pumpfd out this ear (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped b'�'�� ).
Make sure seatic tanks are pumned throueh manhole and not through white insaectioa aines. This allows for the
pro�er cleaning. Keep water softner and iron filter discharge out of sentic svstem.
7 Inspection risers missing-tanks could not be inspe�ted. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanks ha.ve not been pumped out wi�in the last�years,they should be pumped out now.
D IELD CONDTITON 8-10 : �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visbly discharging untreated eft]uent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
co�rrrs: r^o�.-� 10 o�.s v� ,
�-L'�—o'� ��'�ca�
Date of Inspection Matt Boltertnan- Septic System Inspector
Note: In the event thatthis�on report ia used to s�isiy the requin�►t�for a mortgage w other transfu of property,be advised tl�at this rc,po�t does not guarnntx
�ardfy thrt�e�cisting sys�em witl continice to function properiY,b�rt is a�erely�apinion of tl�e adequacy of tl�e system under cunent conditioas baaed ai the ava�7able
inEorma�ion.
lielephone(952)?A9-4bOA • Fhz(952)249-�616
w�vvr.d.orono.mn.�
. � °� �
� Os�. � �
� - � CITY of �RONO
,:�::�.��
5':?
� ����.'�� j►+
�'+' �ti`.;y�%:��_°��i �' .. Municipal Offices
'� ;.�,;}•��',���r G~ � SVeet Address: Mailing Address:
� •�i .
��EB�Yi�g 2750 Keiley Parlcway P.O. Box 66
Orono, MN 55356 Crysta( Bay, MN 55323•0066
Owner: a ,C,�G c � 'S-V' v��S . Address: ��6 S fi v b�S �� �� .
� N
Ciry Ordinance 199 requires that each existing on-site se�vage treatment system in Orono be inspected every rivo yeazs.
The on-site sewage treatment system at the above address has been inspected and appeazs to fall into the categories checked below.
YSTEM CONFORMITY 1-3 : � �
1 "CODE SYSTEM" An ISTS K�hich meets a11 tEie location,daign aad construction standards ofthe cuaent Orono blunicipal Code. .
2 "CO�LIANT SYSTEM" Aa ISTS which does not meec all the locatioq desigi and cons4uction standards of the curreut Oroao Municipal
Coda but doa meet tha three foot separation requiremen�aad wluch u not failing or aa immiaeat threat to public health or safety.
3 "NON-CONlPLIANT SYSTEM" Aprohibited ISTS;an ISTS located within a designated 100-year flood plaiq any ISTS which may
o�may not meet all the locatioq daigx�or construction staadatds of the currrnt Orono Muaicipal Coda and which is failiag for any reasoa;and
any ISTS with las than three feet of unsativated soil or sand betwern the distn'bution device and the limiting;oil characteristics.
TAMC CONDITION(5-10): � �
�T mspection indicates: �• �
Pumpout not needed at this time.
6 Tank must ba pumped out this year (city code requ'ues tanks to be pumped out every 3 years. Tank was last pumped 7"��� �f ),
7 Solids aavmulation in tanks is at a critical a ecitical IeveL Tanks shou(d ba pumped out ac soon as possible.
$ S}stem is d'ucharging to the surface. Tanks must be pumped out within 48 houn to eliminate surface discharge.
9 Inspection risers missing-tanks could not be uupected Inspection risars(4"dia.pipe)must ba installed in each tank at next pumpout If tanks
hsva not been pumped out within the lbst thrte years,they should be pumped out now.
10 lnspntiun pipe is la:ated direcdy over tanlc ba�le(does not give accurate measurement of solidi accumulalion). If tanks hava not been pumped
out within the list three years,they shoutd be pumpad out now.
DRAINFIELD CO�IDITION 11-14 : l�
11 rsinfield'u dry,no surfacing evident
12 Some e�7dince of surfacing,not ctitical yct . � ' '
13 Drainfield is satursted and visibly dis:l�arging untreated e@luent to tha surface. Contactthe City Iacpector immediately.Repaus must be
complated��ithin 90 days.
1� Drsinfiald aatent and condition unkuoKa
CO1�Ii�LENTS: 5 �S�r-. �� oo�� � � � V r..p �c��� S�t ;� �O�
�'.\\ w e ��- �� c�� r�.0� c�
� -�3 -� � . �� �?��z,�,
Date of Iaspection Se 4c S p �
p� ystem Ins ector
Note: Ia ttu evrnt that ihis iaspectioa repoct is used W satisfy the reqnirementt for a moct�sge or other t�a�nsfa of property,be advised thai th;s repod dea not guarantee
or eeRify that an e�sting system will eontiaue to function properly,but is metely aa opinion of the adequary af the syscem nnder eurreat conditioes based oa the availsbla
infocmztioa
CITY OF ORONO � O�
M�micipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SBWA(�E TREATl�NT
INSPECTION REPORT
'�t' Gti'
�9k'Esxo�'4�
Owner: ��.�ha2a ��b�S Address:_ ��� c��it�e�OS ,�i¢r/ /�. /1� �js'3$GJ
Permit #'s: S 7 Dates: 9�0���4/ Contractors: �'E�.,+ J vhnao�
City o�dinance nunber 100 rcquires 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 j� an existing system [ ] new construction)
STSTEM CONFORMITT C1-3): �
t "COOE STSTEM"-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 e�tire current sewage input
without discherging any pollutants into ground or surfaee waters.
2 "CONFORMING STSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed acco�ding to the code in effect at the time of ir�stallation, and which
is operating satisfactorily by treating and disposing of the entire current serage iriput without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designa:ed 100-year floodplain; any
aystem 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 �nsaturated soil or sand
between the distribution device and the timiting so�l characteristics.
(The limiting soil characteristic [ ] has or [ ] has not been identified at this time. If the limiting soit
characteristic has not been identified, this classification may be subject to revision.>
TANK CONDITION CS-10):
Tank inspection indicates:
� Punpout not needed at this time.
Solids accunulation in tanks indicates they should be punped out this year to help prevent future problems.
Sotids accunulation in tanks is at a critical tevel. tanks should be punped out as socn es 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 instalted �n each
tank at next pumpout. If tanks have not been pu�ed out within the last three years, they should be punped
out now.
10 Inspection pipe is located directl over tank baffle (does not give accurate measureaent ot solids accunulation).
If tanks have not been p�a�e�out within the last three years, they should be purped out now.
DRAINFIELD CONDITION (11-14): �
Or field inspection indicates:
11 Drainfie[d is dry, no surfacing evident.
Sane 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.
�tMITING SITE fACTORS Csloae.setbacks.etc.): ��,�jZ.f.�, ��
POTENTIAL FOR SYSTEM FAlLURE (decends on soils.water table etc ): 1 Q� �
' COMMENTS: �GLt Sv St�2�r� . (��►RO �I K.J �/� yE1�C
� •
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a 'ortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing systa� will continue to function
properly� but is merely an opinion of the adequacy of the system wider current conditians based on the evailable
information.
'This report must be kept on the premises with the system location and punpir.g records.
WHITE COPY/Inapeetors File YELLOW COPY/Homeownx
�
o�
0 0
��-�y =� , CITY of ORONO
� ,;��,r� ,� �
� �, ,��� �
'� � ��, �, �!4 Municipal Offices
�.�r!�',��'?�;`'�`�a�`�"�G Street Address: Mailing Address:
�I`�i;�<�i�
9k�;gg0g' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �I����`��� ✓/ �-�`�'+'� Address:400 Stubbs Bay Rd. N.
Permit #'s:3957 Dates:9/23/91 Contractors:Jerry Johnson
(This is � an existing system [ ] new construction)
STEM COMPLIANCE (1-3) : 1
1 Code Svstem; Meets or exceeds current City standards in all respects relating to
design, construction, and location. Appears to be operating properly.
2 Compliant Svstem: Does not meet all current City standards for new construction,
but in most respects appears to be designed, located, and constructed in accordance
with previous codes and is functioning properly.
3 Non-Compliant Svstem: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the
current input; and any system with less than three feet of vertical separation
between the bottom of the drainfield and the saturated soil level.
(The satursted soil level �j has or [ ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to reviaion.)
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 J, ] 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 reviaion.)
AINFIELD CONDITION 11-14 : 11
1 Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface.
Contact the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system acre and condition, soils, etc. ) : low
COMMENTS:
?''�/��, , P
Date of Inspection Sep 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 TREATI�II:NT
r�,, � INSPECTION REPORT
'C�� G~
9kESI3��'�
Owner: /�1C/Yl�/C.� /V. .�7T.1[�Q� Address: `�C�1 S�lJLX)S �f�/ /'�(sY./V.
Permit �'s: Dates:__ 7�0��� Contractors:_��rY�JO/1 r1S�71�\
City ordinance number 100 requires that each on-site sewage treatment .system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been tnspected and appears to fall into the category
checked below.
(This is D� an existing system [ ] new construction)
SYSTEM CONFORMITY C1-3):
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 tnto ground or surface waters.
3 "NON-CONFORMING SYSTEM��-A prohibited system; a system located aithin 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 limiting soil characteristic�,P� 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 C5-70): �
T� inspection indicates:
5 Pumpout not needed at this time. •
Solids accunulation 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 punped out as soon as possible.
8 System is discharging to the surface. Tanks must be pu�nped 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
tank at next punpout. If tanks have not been punped out within the last three years, they should be ptanped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumuletion).
If tanks have not been punped out within the last three years, they should be punped out now.
DRAINFIELD CONDITION (11-14):
D nfield inspection indicates:
� Drainfield is dry, no surfacing evident.
`T2 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (sloae,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (deaends on soils,water table,etc.): /,,,,��
�s�er
COMMENTS:
Date of Inspection ic Sy em 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
properlyi but is merely an opinton of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises with the system tocstion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
l ���OWNER ���� C� ��u ADDRESS � ��G
/
PERMIT NO.'S. I�'� DATES `� CONTRACTORS "'
City Ordinance No,210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has bee�inspected and eppears to fall into the category checked below.
(This is �.an existing system ❑ new construction)
� � Meets or ex�eds current City standards i�all respects relating to design,co�struction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standards for new construction (1978 Codel 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
upgradi�g of the system is required at this time.
� 3 Does not meet curcent City standards in many respects relating to design,construction,or location.Appears to be operating
adequately at this time,but has a relativety high potential for future problems. No major upgrading of system is required at
this time.
� 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 I�spector to discuss system repair/
replacement procedures. If drainfield replacement is necessery,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 baffle.(Does not
�{�P�a�. o,!J�not needed at this time. give accurate measurement of solids accumulation.) If tanks
� Ss{�f'e�cumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they
ed out thia year to help prevent future problems, should be pumped out now.
❑ Solids accumulation in tanks is at a critical level, Tanks Drainfield inapection 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. �Orainfield is saturated and visibly discharging untreated
❑ Inspection ri�rs miuing—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.Rn�n'� r++��•t be como�.,*e.+W�����^�--;-
the last Mree 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 tabte,and system condition) ❑Adequate
❑ High water table ❑ Low �'•Fair
❑ �ot size ❑ Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage �-System is causing visible
surface discharge.
COMMENTS:
�/��l
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 existi�g system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditio�s based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the Nortb Shore o f
Lake�finnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
.
OWNER _� ADDRESS , � I
PERMIT NO.'S. V DATES � CONTRACTORS `
City Ordina�ce No.210 requires that each on-site sewage treetment system in Orono be inspected on a regular basis.The onsite sevrage
trestment system at the above addrea has been inspected and appean to fall into the category checked below.
(This ia � an existing system ❑ new con:uuction)
� � Meats or exceedt current City standards in all reapects relating to deaign,construction,and location.Appeen 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 conatructed generally in accordance with previous codes.Syatem appean to be functioning properly;no major
upgroding of the system is required at this time.
� 3 Does not mest current City standerda in many respects relating to design,construction,or location.Appears to be operating
edequately at this time,but has a reletively high potential for future probtema. 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 ia endangering a water supply,or ia a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisence.Please contect the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement ia necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a pe�mit before work is atarted.
SYSTEM CONDITION�m Checked items may require your actionl
Tank inspection indicates: ❑ Inapection pipe is loceted directly over tank baffle.(Does not
�,Pumpout not needed at this time. give accurate m�surement of solida accumulation.) If tanks
❑ Solidt aecumulatlon in tanks indicates they should be pump- have not been pumped out within the laat three years,they
ed out thia year to help prevent future problems. �F►ould be pumped out now.
❑ Solids accumulation in tanka ia at e criticel level. Tanks Drainfield inapection indicates:
should be pumped out aa aoon es posaible. �,� Orainfield is dry,no aurfacing evident.
❑ System is diacharging to surface. Tanka must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface ditcharge, O Oreinfield is seturated and visibly discharging untreated
O Inspection risen misaing—tanks could not be inapected, effluent to the surfscx, 7his condition may require replece-
Inapection rieers (4"dia. pipe)muat be inatalled in each tank ment or additiona m drainfield. Contact the City Inspector
at next pumpout. If tanka have not been pumped out within immediately.Repairs muet be completed within 90 days.
the last threa years,they ahould be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) O Adequate
❑ High water table Q Low �Fair
� Lot size �Medium O Poor
❑ Lake,wetland,or stream ❑ High . D Inadequate
❑ Drai�age ❑System is causing visiWe
surface discharge.
COMMENTS: � / s +B J7
��S �I�i.� T� Si�� /� / �' ��7�m.
� � �
Date of Inspection ptic System Inspector
Note: In the event that this inspection report is used to setisfy 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 conditio�s based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeow�er
On the North Shore o f
"Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� . � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �I-�ILU lr' JTUB BS ADDRESS 7OD STUI�',�fS �Y /�D /V
PERMIT NO.'S. � DATES CONTRACTORS `
City Ordinan� No.210 uires that each o�-site sewege treetment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the abo ddress 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 ali respecu relating to desig�,construction,and IoGation.Appears to be operating
properly, _
2 Does not meet all current City standards for �ew 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 drainfietd 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)
k inspection indicates: ❑ Inspection pipe is tocated directly over tank baffle.(Dces not
Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ 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. ❑ 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 eFiminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers misaing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risera (4"dia.pipe)must be instaNed 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,
P R�v mt�O F�tRt�.+�4 3)'R�(
SITE CHARACTERlSTICS:
Limiting Site Factors Potential for.System Failure ite Capabilities for
❑ Slope (depends on soil types,water ure Expansion
O Soil ble,and system condition) Adequate
❑ High water table Low ❑ Fair
O Lot size Mediurn � 0 Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge:
COMMENTS:
l� Iqg�
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the reyuirements for a mortgage or other trensfer of property,be advised that
this report dces not guarantee or certify that an existing system will cbntinue to function prope�ly,but is merely an opinion of tFSe adequacy
of the system under current conditions based on tFie available information.
,
This report must be kept on the premises with system,:location and pumpirSg records. ,
WHITE COPY/Inspector's File GOLD COPY/Homeowner