Loading...
HomeMy WebLinkAboutseptic info CITY OF ORQNO Dake ADDRESS ii Conne4 to f CODE SEPTIC SYSTEM INVENTORY AItD' 'MSnicipaj Seker r " , " Address 2957 7-0rV�.9 Property I.D. i0�-�f7TZ3 t 13 iDOaf WELL DATA �1 Standard trench O Mound J System type ❑ Other SN44LQ1, j9AE111CWFS Legal bescr"piion BAYSIZ-be Permit No. Date of permit —30 — 8C] Installer'!RrE1 No. Bedroomsi ' ' t darbage; �" m I Building type REs/1��t�r F or GPD Z gQ wa Laundfy I ishsfier ' ,Disposal t c� CL E 0 p` SEPTIC TANKS: Material Pkc—rA-T �'gni Capacity ,1) C� :211 " _ ' ° oc s c iZ C�i^af gATV'7 VWX wi m a Proper outlet and inlet QK Baffles A<ECAS7- I !Liquio d6ptFj td RO le I ; 6,' '^ 3 Height of tank bottom above water table LI) Distance to nearest�uiading ' 4 i DRAINFIELD: Total length of lines 17.5 t Number'of lines S Trench width Total treatment area(sq.ft.) 75-0 Height of drainfield above water table ABCU� SIATUle Ea Zi—4 a Y Type of filter material j•——�_ Soil te _ PAQ4 LOAM O f/42 Y40TTZ� CLAY C � g � AlyPm` E Distance from nearest bldg. 0 Tile size PLP%" rate min/in ° o' 14 00 M a Depth of fill over drainfield " 2 Depth of rock over tile Z under tile L Z Ec m o d 0 3 '1 LOCATION INSPECTION RECORD PUMPOUT RECORD SKETCH D-(;oX TIES IN B-Z FILE DATE COMPLIANCE DATE GALLONS f;ADu/Ut�:, s47-vRA'►T _ 8-30-7 Aw sU,eFAGNG _ -i-SG /©rid I I I I I II 7-3 wo /16 SC"CFi4rJ.v'< Alom--y 12--1 -137 /LUO Site FAci/�V rr i l l i l ! I I I A - I I � _I Q Include: 1) Well location 2) Distance from house to septic tanks,dist.box, and drainfield C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) North arrow and road SSTS Abandonment form Minnesota Pollution Rep°rte(SST Program) encY tment gyste� Control Ag Wage Tres 520 Lafayette Road North N 55155-4194 $albsgtr�ace Stat• St.Paul,M Inn. osure Requirements of M' R 7080.2500 and Doi d SSTS- ent unit(1-GU) require be of Minn ceded by an aband Instructions dormant req n also be *tad to me►oral 90. Ual 0 has red to meet the aban well placement ca must be s s p or by Sill nd This form is offe a water supply may anoncompo this a Certified SSTS pradit►°ner 115.56,subd'6'Futur however the information on this fon this form is not mandat ant.This form The use of after the abandonm within 90 days of how the system was abandoned. direct knowledge Information ' / property 1 Reason for abandonment: � �---- ent: _ Date of abandonm property°wner name(s): 1 State: , Property owner's address: �– -' _ zip: City: State: �— Site address(if different)= City: - Compliance Information ? Yes [3 — — No - -- 1, All solids and liquids removed from all tanks. ❑ Disposal Site: mercury removed? C3 Yes 13 No 2. All electrical devices and devices containing -- Disposal Site: _— – --– ro cro 0 -- a tanks crushed and filled with soil or rock materiel? Yes ❑ 3, All underground sewag � Yes ❑No Removed and disposed off site. ❑ Disposal Site: _--— 4. Contaminated materials`removed and disposed off site? C1Yes [INo Disposal Site: 5. All underground cavities"crushed and filled with soil or rock material? Yes ❑No or. Removed and disposed off site? ElYes ❑No Disposal Site: 6. Future discharge to system permanently denied? Yes ❑No Method(s)used: 'Contaminated materials- Distribution media,soil or sand within three feet of the system bottom,distribution pipes,geoteotile fabrtclrosin paper/straw,tanks,contaminated soil around leaking tanks,any soil that received sewage from a surface failure(7080.2500 subp.3). pump ••underground cavities= Cesspools, subp.ing 1). Does not include its,drywells, chamber media,drop boxesge pits,vault pri%jes,pit, distt ributtion boxes. www.pca.state.mn.us 651-296-6300 • 800.657-3864 TTY 651-282-5332 or 800-657-3864 Available in altemative formats wq-wwists4-03 11121108 Page i of2 Mapits, and other pits. Also Include location of building reference point(s)'and dimesoil nsions'Spersai system, cesspools,seepage p I include a permanent T North j• /',� � ��, 66- old �� �' ` aod 6eP77c Vert # � r orad �a �caste�e -7- 10 ` d�"L v,4 be pvperl�O ke,4 a v% fl9P � l�n oG-• r��u Certification corda ed in a m was abandoned the system ncrequirements. nce with Minn.R. 708().2500 and any car�, I hereby certify A . J n f a c Title: Q°,2 i`' Name(please print): rr'i' 'r r'Aj '�1 Address: i 0_I /ti I�� � State: fM►1� Zip. City: L ` License#if applicable): ' Phone: r Signature: Date: TTY 651-282-5332 or 800.657-3864 Available in alternative formats www.pca.state.mn.us 651-296-6300 • 600-657-3864page 2 of 2 wq-wwfsts4-03 • llIZ1108 N LOCATION INSPECTION RECORD PUMPOUT RECORD SKETCH f V-Box-rigs IN 8-2 FILE DATE COMPLIANCE DATE GALLONS 6KlOuNn 5,+7vRAT'em 9-30-72- Ak, SuKFAc,/uG _ x-2-130 'IDOn -3-8o NtrwTM/K- ,t T).F. coo 7•/(__$N Ain SyiCFf9fiA/6 N07't=1/ �-a ( I � � 1 � 1 1 !z-!'(-07 No su2.FAcrNiJ a Include: 1) Well location 2) Distance from house to septic tanks,dist.box, and drainfield C— CONFORMING S—SUBSTANDARD N— NONCONFORMING 3) North arrow and road CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH AND SAFETY! o � o a 00� n 0o8s T8 v -i o > -0z0 cn Zy mm0n OZ 0 fzmT m ¢ v mN O o To o me c m m w N m Z m 'z � o �X) m s x � � O 3i c g „ m 7R°1 3m0 '.07 O 0 � o � 0 rn nn n � Z 00� !P I I p j O O � 0 M � Z - -t z X --4Z go o T N i_z� /fin o Z OS M m -0 0 V) M Z r O M Z O O M a 22 x X n C1 Z Z Z Z V� Dm ncivvox F M O 00 m r p r rA -1 O 7 O n � Z r p O n m 0 A n D O m (b m r � 0 0 0 ; ^r c -p0 N Z Z m m iyij cn A ns a w + ;, tp D m � O c m m m y m m "� J = m I =1=j o O c 'z °x Z I nc� t� � xg � 5 0 o s < " ; x 8 0 n N D Z H 7C O n D ? _ Z T 9 y m m C C I2 Q rn C r N y O w z O O Z O Ot i7 r 0 n Z i D Q _ m j D O C O f� O m `m o rn Co m T -i 0 (`�' n m V m Z Imo 3 n r \ O $ O O M m Q 10 0 3 v D r c F3 � � rmn CA) m > O rn E f O Z m M 3 =_^ A01 4 < O 2 x y 0 O0 2 C 3 3 z O 3 m n D p On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 1335 S. Brown Rd. _ ONO Crystal Bay, MN 55323 473-7'-357 OWNER4ADDRESS �,/AMJ160• PERMIT NO.'S. DATES 7632-93 CONTRACTORS S & City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is 9L an existing system ❑ new construction) 1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. E92 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. El3 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. FI 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 ( (7J Checked items may require your action) TanDUnspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not 19-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. Mould 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, 0.0rainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped U 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 4MLFair ❑ Lot size Medium ❑Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: Date of Inspection Septic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner