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HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTOR Y Address: 3280 Watertown Rd. PID: 32-118-23 44 0003 Building Typexesidence BRs Install'd for: 4 In Musa: No Permit#: 10215 Date of Permit: 5/13/98 Installer: Volkenant System Type: mound Performance: no Tank Filter: SYSTEM CONDITION Conformity: 1 Tank Condition: 5 DF condition: 8 Failure Pot: low SEPTIC TANKS Material: precast concrete Capacity: 1000, 10001 1000 (� Setback to Bldg: 25 Cesspool: no Q DRAINHELD Length of Lines: 55 # Lines: 3 Trench Width: 10 Treatment Area: 85*40 Type of Filter: rock,clean sand Soil Boring: yes Tile Size: 1.5 Under Tile: 9 Perc Rate: 4.1 Setback DF-Bldg: 55 DF Ht above Wt: 3 Soil Type: loam, clay loam Limitations: water table WELL DATA Setbacks- Well-Tanks: 75 Well-DF: 85 Report in File yes Pump Type: subm. Depth: 123 Diameter: 4 Method: drilled INSPECTION RECORD PUMPO UT R.TCORD DATE DESCRIPTION COMPLIANCE DATE GALLONS 5/28/98 repair installation 1 I ,c;�-` 11/2/99 no surfacing 1 11/06/01 no surfacing, pump tanks 1 10/9/03 no surfacing,pump tanks 2004 code system 8v-� � UyC 1 F I 2/25/02 Water;VVastewater-ISTS4.31 Compliance Inspection Form for Existing Minnesota Pollution Individual Sewage Treatment Systems Control Agency Completion of this form fulfills the minimal requirements of Minn. Stat. § 115.55(2001)and Minnesota R. ch. 70130(1999). Please refer to local ordinances for other requirements or information, especially for compliance requirements for bedroom additions. General: Date of Inspection: Reason for inspection: h,j1:4 h _ Property Owner(s) &,�Lt fly Telephone(6,14. 967-43a'-" Person requesting inspection 5&dfz Telephone( ) Site Address 3 d City •razz) Zip Code Fire No./ Parcel No. County ' ,0A1A) Township _ Legal Description 1 _ Local Regulatory Authority ! d _ Date system constructed system in Shoreland Area: es o System in Wellhead Protection Area: yes A System serving a MDH licensed facility: yes Local Permit# (F"any)j2/0_a- Systems -Systems built prior to April 1, 1996 and not located in Systems located in Shoreland or Wellhead Protection Shoreland or Wellhead Protection Area or Serving a Food, Areas or Serving a Food, Beverage or Lodging Beverage or Lodging Establishment Establishment, or systems Built after March 31 1996 _ Is the system an imminent threat to public health or Is the system an imminent threa! to public health safety? (a yes answer is an ITPHS system) or safety? (a yes answer is an ITPH.S system) - Discharge of sewage to the ground surface? YES NO Discharge of sewage to the ground surface? YES NO2 -Discharge of sewage to draindle or surface waters? YES NO Discharge of sewage to draintile or surface waters?YES 60D -Sewage backup into dwelling? YES NO -Sewage backup into dwelling? YES -Situation with the potential to immediately and -Situation with the potential to immediately and adversely impact or threaten public health or adversely impact or threaten public hejlth or safety? YES NO safety? YES ' Is the system failing? (a yes answer is a failing system) Is the system failing? (a yes answer is a failing system) - Less than TWO feet of vertical separation between Less than THREE feet of vertical separation between system bottom and saturated soil or bedrock? YES NO system bottom and saturated soil or becrock? YES SNO -A seepage pit, cesspool, drywell, or leaching pit? YES NO -A seepage pit, cesspool, drywell,or leaching pit? YES Is the system non-compliant? Is the system non-compliant? - Is the system regulated under a monitoring plan or - Is the system regulated under a monitoring plan or operating permit? (if no, go to page 2) YES NO operating permit? (if no, go to page 2) YES If yes, If yes, - Has the required monitoring taken place? YES NO - Has the required monitoring taken place? YES NO (If no, the system is non-complying) (If no, the system is non-complying) - Does the monitoring indicate that the system meets - Does the monitoring indicate that the system meets performance expectations? YES NO performance expectations? YES NO (!f no, the system is non-complying) (If no, the system is non-complying) Page 1 of 2 wq-wwists4._'11 + Property Owner(s) r7 A-fZ /20 /�2 Fire No./ Parcel No. ......... . _....... .............................. . ......................... System Components (Please describe the system components and attach site sketch showing s s arl locatiO ): J' D,,2 What methods were used to make the determinations for the compliance inspection? (Note:No standard protocol exists. The following list is not exhaustIve or in sequential order nor indicates which combinations may necessary to maks a determination) Watertight tank(s) Hydraulic Functioning Vertical Separation Distance ❑ Probed tank bottom lei Searched for surface outlet Conducted soil borings O Observed low liquid level <u Performed hydraulic test Depth to limiting layer 3� n X Examined const. records 0 Searched for seeping in yard Depth to syster-i bottom V1d� } r ❑ Examined empty(pumped) tank ❑ Checked for back-up in home Examined records ❑ Probed outside tank for"black soil" ❑ Excessive ponding in soil system/D-boxes ❑ LGU Limiting Layer Verification ❑ Pressure/vacuurn check Homeowner testimony ❑ Other _ o Other Examined for surging in tank CJ "Black soil"above soil system Other._. �' I rrrr CwP/L Status of the system w. Based on the compliance criteria, the system status is: (check one) ❑ failing (to protect grotirclwater) ❑ an imminent threat to public health or safety (1TPHS), ❑ non-compliant (monitoring issue)Acompliant (none of the 3 Previous conditions). Therefore, this document is a: Xcertificate of Compliance ❑ Notice of No icompliance Is this system an EPA Class V Injection Well? ❑ yes X no • Certification I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qualified Employee Inspector and/or Qualified Employee Designer I that I conducted an investigation that accurately determined the compliance status of this system and that my recorded observations are accurate as of this date. No determination of future hydraulic performance has been nor can be made due to unknown conditions during system construction, abuse of the system, inadequate maintenance, or future water wage. Inspector's name (print) L5 llP Phone 3 479— J License and/or Registration Number (, Address l���O 6".✓YL/ )2 F-3 Employed by T Address &421eUT &n/_ Signature c tq._ Date Upgrade Requirements jderived from Minnesota Statutes g 115.55) An ITPHS must be upgraded, replaced or its use discontinued within ten months of receipt of this notice or within a shorter period if equired by local ordinance. If the system fails to provide sufficient groundwater protection, then the system must be upgraded, replaced, or,t57 use d1scont1nuEd within the time required by rule or the local ordinance. If an existing system is not failing as defined in law, and,5as at least two feet of design soil separation, then the system need not be upgraded, repaired, replace], or its use dyscOfMrued, notwithstanding any local ordinance that is more strict. This does not apply to systems in shorelana areas, wellhead protection areas, or those used in connection with food, beverage, and lodging establishments as defined in law. Suggested Attachments 1) Site sketch could also include: well, well setback to system, dwelling or other buildings, tank(s),reserved soil t-eatment area, surface water and soil boring locations. Include as-built drawing if available. 2) Soil boring logs, showing each horizon. Indicate the texture, color, redoximorphic features depth to bedrock, standing water and whether the material is fill. 3) A list of any and all requirements of the local ordinance that are different from the state requirements referred to on this form. 4) A homeowner survey of system performance, signed by the homeowner as being factual. 5) Monitoring data as appropriate. Page 2 of 2 w A ` O O\ CITY of ORONO %fit A,\ ��, Municipal Offices G - Street Address: Mailing Address: `9kE3I1 ci 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323 0066 To: The Current Owner of Address 3;290 i,�A -V e ��-}' ✓ 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 Tan! (*'Pump out Needed Yes 11// 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 AkrPc e)q> . The tank(s) should be cleaned through the manhole and not through the inspection pipes,this allows for proper cleaning. Comments: Inspects y ,� �, <z Date of Inspection Telephone(9_52) 249-4600 o Fax (952)249-4616 www.ci.orono.mn.us o O .r. O CITY of ORONO 14 Municipal Offices Street Address: MalOng Address: F p�� 2150 Kelley Parkway P.O. Box 66 ESS Orono, MN 55356 Crystal Bay, MN 55323.0066 To Current Owner: Address: 3asj0 k 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. S STEM 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 earlier,and which is not failing or an imminent threat to public health or safety. 3 'TION-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 three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. TANK CONDITION(5-7): Tank inspection indicates: I 'm pout not needed at this time. tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped ). Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the proper cleaning. Keep water softner and iron filter discharge out of septic 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. D&kWIELD CONDITION(8-10): 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. COMNE1vTS: ter,, 10 O's r Z-0 01A 10 -0�-ds Date of Inspection Matt Bolterman- Septic System Inspector Note:In the event that this hopection 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 on 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 inion. TelepLone(952)2494600 • Fax(952)249-4616 www.doronomn.as CITY of ORONOON Municipal Offices Street Address: Mailing Address: E$I'i0 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 Owner:_ Gck rRd Address: �vq+trrowr. 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): O "CODE SYSTEM" An ISTS which meets all the location,design and construction standards ofthe current Orono I funicipal Code. 2 "COMPLIANT SYSTEM" Aa ISTS which does not meet all the location,design and construction standards ofthe eurtem Orono Municipal Code but rices meet the three foot separation requirement,and which u not failing or an imminea threat to public health ar safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISIS 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 three feet of unsaturated soil or sand between the distribution device and the limiting;oil characteristics. TANK CONDITION(5-10): _ Tank inspection indicates: 5 Puinpout not needed at this time. © Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped ), 7 Solids accumulation in tanks is at a critical a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank at next pumpout If tanks have not been pumped out within the last three years,they should be pumped out now. 10 Inspection pipe is located directly over tank ba81e(does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the List three years,they should be pumped out now. DRAINFIELD CONDITION(11-141: \\ 11 'Drainfceld is dry,no surfacing evident 12 Some evidence of surfacing,not critical yet 13 Drainfteld 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 COMMENTS: 100kcs Ol( , aJMP I-g�KS nexfi Spc, Date oflaspection 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 information system under current conditionsbased an the available CITY OF ORONO O Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 a ON—SITE SEWAGE TREATMENT r$` INSPECTION REPORT �9kESHO4� Owner: I.I6{�l�s /I /L Address: Permit #I s: -Dates: Sr�3, r/S Contractors: Vy1K Pmarf 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 inspected and appears to fall into the category checked below. (This is �<an existing system [ l 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 SYSTEMII-A system which does not meet all the Location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEMII-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic k has or [ l has not been identified at this time. If the Limiting soil characteristic has not been identified, this classification may be subject to revision.) TANK CONDITION (5-10): inspection indicates: 5 Pumpout not needed at this time. Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (411 dia. pipe) must be installed in each tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): nn eld inspection indicates: 11 rainfield is dry, no surfacing evident. i ISome evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): /0(A/ 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 the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner 0 0 *54 CITY of ORONO �T y �tv Municipal Offices Street Address: Mailing Address: ` CEgKOg' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 Owner: H-OY- Address: 3280 Watertown Rd. Permit #Is:v 7077 Dates: 7/28/83 Contractors: Widmer Bros. (This is Ian existing system [ ] new construction) . SYSTEM COM✓✓✓✓PLIANCE (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. (The saturated soil level EX has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) TAHK—CQNDITIQN (5-9) • 5 5 V Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out within three years, they should be pumped out and risers installed now. 9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks have not been pumped out within three years, they should be pumped out now. (During the last septic tank Maintenance Pumpout the tanks [ ] were or [� were not confirmed to be watertight by the licensed pumping contractor. If the tanks were not confirmed to be watertight, this classification is subject to revision.) DRATNFTELD CONDITION (11-14) : 11 Drainfield is dry, no surfacing evident. 2 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, soil .) : medium COMMENTS: 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 0.5 feet and the system is non-compliant. Repairs must be completed by 10/31/97. �] Date of Inspection Sep c System nspector 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 a ON—SITE SEWAGE TREATMENT VA INSPECTION REPORT �kES 04� Owner: i'��� Address: Z22o LjaL , U Permit 's: .Dates: Contractors:L1hkjV,4&,, /li✓ L V"- 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 inspected and appears to fall into the category checked below. (This is 9k an existing system [ I new construction) SYSTEM CONFORMITY (1-3): 1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sa!31 between the distribution device and the limiting soi c aracieristics. (The limiting soil characteristic t< 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 purred out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (41, dia. pipe) must be installed in each tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped out now. 1 Inspection pipe is located directl over tank baffle (does not give accurate measurement of solids accumulation). if tanks have net leen n �•:«�:a +tie ismer Three nears they should be pimped out now. DRAINFIELD CONDITION (11-14): Dr,�a�,,nfield inspection indicates: (�Y Drainfield is dry, no surfacing evident. �I22 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope.setbacks.etc.): POTENTIAL FOR SYSTEM FAILURE (depends on so Rs.water table.etc.): eQM TS: Date of Inspection —SeL7ttic System InElpector 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 the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 1335 S. Brown Rd. O_O O Crystal Bay,MN 55323 473-7357 OWNERADDRESSQ� PERMIT NO.'S. t BATES �0 _?3 CONTRACTORS e 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 51 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. E32 Does not meet all current City standards for new construction 11978 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. E34 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 ( 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 measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- [`lave not been Puumnad­4 withim ghv list 4hrs@*@ass,..1b&X ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drah1field inspection mdi�cater 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 Futa Expansion ❑ Soil table,and system condition) =dequate ❑ High water table table, ❑ Fair ❑ Lot size ❑Medium ❑Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible urface discharge. COMMENTS: O 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 On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 O'O O 1335 S. Brown Rd. Crystal Bay, MN 55323 f , 473-7357 OWNER DOu�)QS ADDRESS �28D w � �Wh lcoGtOf PERMIT NO.'S. 7077 DATES 7-25'83 CONTRACTORS lotd�-4--'Bros 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 Oran exinem ❑ new construction) GCG1 T �/ 2t4*tnk dt_airl^i e!O 1 Meets or exceeds current City standards in all respects relating to design,construt&ion,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 ( m Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not 91Pumpout 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 DrEscome * Id inspection indicates: should be pumped out as soon as possible. rainfield is dry,no surfacing evident. El System is discharging to surface. Tanks must be pumped 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) gAdequate ElHigh water table Low LJ Fair ❑ Lot size Medium ❑ Poor Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible ,, ,!/ surface discharge. COMMENTS: >V� a e- ,61A h /A/e ust 22'x' Iq IV - r— 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 On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 _ONO 1335 S. Brown Rd. Crystal Bay, MN 55323 q� 473-7357 OWNER Uou GLA-s HA ADDRESS 32 ,60 W4y-EK—j&w>✓ r\,) PERMIT NO.'S. 7077 DATES Ig-79" 7-2g- S3 CONTRACTORS ? Z W/&"M 0/ft C_ 01116 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. I✓1ea (This is 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. 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 ( [0 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 amfield 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: L sting Site Factors Potential for System Failure Site Capabilities for \ Slope (depends on soil types,water ture Expansion [�] Soille,and system condition) Adequate El High water table Low ❑ Fair Lot size ��E Medium ❑ Poor Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: Date of Inspection 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 information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner