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onsite sewage treatment system/compliance inspection form
Dec 1812 04:04p Joseph Olson 763-498-8290 p.1 ,� Fax Transmittal Form Date: 12/18/2012 Total Pages: 118 To: City of Orono Phone Number Fax Number: 952-249-4616 From: Joseph J Olson Phone Number: 763-498-8779 Fax Number: 763-498-8290 E-mail: Irus v2_654Cal--conicastnet urgent 0 For Revlew El Please Comment Please Reply Message: This is the cert for 3743 Watertown road. Please file Dec 1812 04:04p Joseph Olson 763-498-8290 p.2 Minnesota Pollution Com Bance Inspection Form Control Agency P P 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St.Paul,NIN 55155-4794 (SSTs) Doc Type:Compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes: requirgments and attached forms—additional local requirements may also apply. Submit completed form to Local Unit of Government(LUG)and system owner within 13 days System Status System status on date(mm/ddlyyyy): 1 211 312 01 2 Compliant—Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance " (VWid for a years firorfi'i2perrt date, unless shorter time (See Upgrade Requirenliks on page 3) frame outlined in Local Ordinance.) Iteason(s)for noncompliance(check all applicable) ❑ Impact on Public Health(Compliance Component #1)—Imminent threat to public health and safety ❑ Other Compliance Conditions(Compliance Component#3)—Imminent threat to public health and safety ❑Tank Integrity(Compliance Component #2)—Failing to protect groundwater ❑Other Compliance Conditions(Compliance Component#3)—Failing to protect groundwater ❑Soil Separation(Compliance Component #4)—Failing to protect groundwater ❑Operating permitlmonitoring plan requirements(Compliance Component #5)—Noncompliant Prpperty Information Parcel ID#or SecfTwp/Range: 32-118-23-34-0012 Property address: 3743 Watertown Road,Orono, M,N _ Reason for inspection: Property Transfer Property owner. Lorna Butterfield Owner's phone: 612-718-9867 or Owner's representative. Representative phone: Local regulatory authority. City of Orono Regulatory authority phone: 952-248-4600 2-1000 gallon septic tanks,9-1000 gallon lift station and 380 square feet of mound rockbed.per city Brief system description: records Comments or recommendations: Viµ; Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance,,-or future water usage. Inspector name: Joseph J Olson Certification number. 1255 Business name: Rusty Olson's'SW&Perc.Testing License number ' 810 Inspector signature: - Phone number. 763-498-8779 I ;.` Necessary or Locally Required Attachments ®,Soil boring logs ®System/As-built drawing ❑Forms per local ordinance (3 Other information(list): www.pca.state.mn.us 651-296.6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 Available in alternative formats Dec 1812 04:04p Joseph Olson 763-498-8290 p,3 Property address: 3743 Watertown Road Orono,MN _ Inspectorinitials/Date: 10. 12/14/12 I. Impact on Public Health—Compliance component#1 of.5 Compliance criteria: Verification method(s): System discharge sewage to the Q Yes ®No 0 Searched for surface outlet ground surface- _ ® Searched for seeping in yarrllbadcup in home System discharge sewage to drain the ❑ Yes ®No ❑ Excessive ponding in soil system/D-boxes or surface waters. — ❑ Homeowner testimony(see Comments/Expl"ian) System cause sewage backup into ❑Yes ER No ❑ "Black soil"above soil dispersal system dwelling or establishment. ❑ System requires"emergency'pumping Any"yes"answer above indicates the system is ❑ Performed dye test an Imminent Threat to Public Health and Safety, ❑ Unable to verify(see Comments/Explanation) El methods not listed(See Comrnents/Explanatfon) Comments/Explanation: 2. Tank Integrity—Compliance component#2 of 5 Compliance criteria: Verification method(s): System consists of a seepage pit, ❑Yes ® No ❑ Probed tank(s)bottom cesspool,drywell,or leaching pit. ❑ Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank integrity Form(Attach) com iiant if Mowed in lord ordinerrce. ❑ Observed liquid leve{below operating depth Sewage tank(s)leak below their El Yes ®No designed operating depth. _ ® Examined empty(pumped)tanks(s) If'yes,which sewage tank(s) leaks: ❑ Probed outside tank(s)for"black soil' Ry "yes"answer above indicates the El Unable to verify(See CommentslExplenation) system is Failing to Protect Groundwater. ® Other methods not listed(See CommenM,JExplanadon) C: mments/Fxplanation: Elmer J Peterson pumped the tanks on 4/27112 3. Other Compliance Conditions—Compliance component#3 of 5 a. .Maintenance We covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* ®No ❑unknown b. Other issues("deka/hazanis,etc.)to immediately and adversely impact public health or safety. ❑Yes* ®No ❑Unknown *System is an imminent thfeat to public health and safety Explain: C. System is non-protective of ground water for other conditions as determined by inspector ❑Yes* ®No *System is failing to protiect groundwater L, Explain: www.pca.state.mn.us 654-296-6300 800.657-3864 TTY 651-282-5332 or 800-657-3864 Available in alternative formats Dec 1812 04:04p Joseph Olson 763-498-8290 p,4 Property address: 3743 Watertown Road, Orono MN Inspector iniEials/Date_ J.O. 12/14/12 4. Soil Separation—Compliance component#4 of 5 Date of installation: 9114199 ❑ Unknown Verification method(s): Shoreland/Wellhead protection/Food Beverage Dyes ® No Lodging? Soil observation does not expire. Previous soil Compliance criteria: observations by two independent parties an:sufficient. unless site conditions have been altered or local For systems built prior to April 1, 1996, and ❑Yes ❑ No mquirements dhTer not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring logs) Protection Area or not serving a food, beverage orlodgirig estab/ishment� ❑ Two previous verifications(Attach boring lop) Drainfield has at least a two-foot vertical ❑ Not applicable(Hording tank(s),no drainfield) separation distance from periodically ❑ Unable to verify(See CommeNaCkplanation) saturated soil or bedrock. El Other(See CommenWFxplanation) Non perfomnance systems built April 1, ®Yes ❑ No CommentwExp/anation: 1996, or later or for noir-performance systems kcated in Shoreland,or Wellhead Protection Areas or serving a food, beverage,or lodging establishment, Drainfield has a three-foot vertical separation distance from periodically saluraled soil or bedrock' "Expeli'ntental, "Other, or "Performance' ❑Yes ElNo Indicate depths of elevations systems built under pre-2008 Rules, Type!V or V systems built under 2008 Rules(7080. A. Bottom of distribution media 100.5 2350 or 7080.2400 (Advanced Inspector License required) B. PeriWfcally saturated soVbedrodc 97.8 Drainfield meets the designed vertical separation distance from periodically C. System separation 2.7 saturated soil or bedrock. D. Required compliance separation* 2.6 Any "no"answer above indicates the system is Failting to Protect Groundwater. Maybe reduced up to 15 percent if allowed by Local Ordinance. 5. Operating Permit and Nitrogen BMP*—compliance component#,5 of 5 ® Not applicable Is the system operated under an Operating Permit? ❑Yes ❑No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No if"yes". B below is required BMP--Best Management Practice(s)specified in the system design If the answer to both questions is "no'; this section does not need to be completed. Compliance criteria a. Operating Permit number. Have the Operating Permit requirements been met? ❑Yes ❑ No b. is the required nitrogen BMP in Place and properly functioning? ❑Yes No Any"no"answer indicates Noncompliance. Upgrade Requirements(Minn.Stat.§195.55)An imminent threat to public health and safety(tTPHs)must be upgraded,mplarsrd,Or its use discontinued within ten months ofreoeipt of this notice or within a shovterpediod if required by local ordnance If the system is failing to protect ground water,the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance.if an existing system fs not faNng as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or its use discontinued,notwithstanding any local ordinance that is more strict. This provision does rtot apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food,beverage,and lodging establishments as defined in law. www.pta.state.mn.us 651.296-6300 800-657-3864 TTY 651-282-5332 or 800.657-3864 • Available in alternative formats Dec 1812 04:05p Joseph Olson 763-498-8290 p,5 Property address: 3743 Watertown Road _ Inspector initialslDate: 4127112 1. Impact on Public Health –Compliance component#1 of 5 Compliance criteria: _ _ Verification method(s): System discharge sewage to the I ❑ Ye5 ❑ No ❑ Searched for surface outlet ground surface, I _ ❑ Searched for seeping in yard/backup in home System discharge sewage to drain tile ❑ Yes ❑ No ❑ Excessive ponding in soil system/D-boxes or surface waters. ❑ Homeowner testimony(See commenLv&p/aneticn) System cause sewage backup into ❑Yes Q No ❑ 'Black soil"above soil dispersal system dwelling or establishment. I ❑ System requires'emergency,pumping Any"Yes"Wswer above indicates the system is C Performed dye test an Imminent Threat to public Health and Safety. ❑ Unable to verify (See CommenfslExplanation; ❑ Other methods not listed(see CommenfsJExplanatroy Comments/Explanation: 2. Tank Integrity—Complianc( component#2 of 5 Compliance criteria: _ i Verification method(s): System consists of a seepage pit, I ❑Yes ® No ❑ Probed tank(s)bottom cesspool, drywell, o.leaching pit Examined construction records Seepage pits meeting 7080.2550 rrray�e I ❑ Examined Tank integrity Form(Attach) compliant if aftowed in local ordinance. Sewage tank(s)leak below their ; ❑ Yes No Observed liquid level below operating depth designed operating depth._ ® Examined empty(pumped)tanks(s) If yesw , hich sewage tank(s)leaks:' Q Probed outside tank(s)for"black soil" Any "Y�"answer abovre i diCates the ❑ Unable to verify(Sea CommnfsiExpfanauon) _system is Failing to Protect Groundwater. ❑ Other methods not listed (See Commenfsl�xplanaf on) Comments/Explanation: On 4/27112, Elmer J. Peterson Co. umped septic tanks and cleaned2nd filter in 2 tank. No cracks or water leaks at that time. 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked, unsecured, or appear to structurally unsound. —0Yee ®No O Unknown b. Other issues(elecMcai hazards,etc.)to immediately and adversely impact public health or "System is an Imminent to public health and safety ❑Yes• p No p Unlmown nt tht Explain: c. System is non-protective of ground water for other conditions as determined by inspector 0 Year 0 No •Systey►►is failing to protect groundwater Explain: www.pcs.state.mn.us 651.246-6300 800-657-3864 TTY 651-282-5332 or 800-657.3864 ,,rq-wwisls4-j f • 112411Z Available in alternative formats Page 2 of 3 Dec 1812 04:05p Joseph Olson 763-498-8290 p.6 Tank Report Date: April 27,2012 1':Imer J. Peterson o. 0921 Dague Ave. Delano, MN 55328 Phone 763-972-242 Fax 763-972-7-217 MPCA License# 21 Loma Butterfield 3743 Watertown Road Maple Plain, MN 55359 Paffles:lON / OT Tank Capacity: 3-1040 Gallon Tanks # of Tanks: 3 Type of Tanks: concrete Gallons Pumped: 25oo Manholes to Grade:jYES / NO Comments: On April 27, 2012, Elmer J. Peterson Co, pumped tanks and cleaned filter in 2,d tank. No cracks or eater leaks at that time. NOTE '1 Ms is oniv a tank report. This is not a compliance inspection for point of sale nor does it replace a complianre inspectiom License # 21,9 Dec 1812 04:05p Joseph Olson 763-498-8290 p.7 ,I Loas of Soi! Borings License#810 L cation or Project: 3743 Watei town Road 9 'nas made by: Rusty OIs n's Soil and Perc testing 12/13/2012 C silcation System: AASHO USDS•USD"CS X Unified—; Other I A ger used(check two): Hand X , or Power . Flight, Bucket or Probe15� �X rin Number Surface elevation_99.9 g Mottled Soil at 1.2_ feet �11 "Dark brown loam 10yr4/2 6" 14"Brown loam 1 Oyr5/4 H2O present at_X 1 '-W Rusty brown clay,loam 10r/3 Bc ring Number–2—Surface ele ation_98.4_ Mottled Soil at 1.5 feet 0" " Dark brown loam 10yr4/2 H2O present at_X 6" 18" Brown loam to clay t 0yr5/4 18 -24" Rusty Brown Gay loam 10 Vr514 T M:Top of liftstation manhole cgver ElvA00.00 assumed O ginal grade under the rockbed Iv.-99.0 Bo om of rock bed Elv.-100.5 Th re is 1.5 deet of sand under th rockbed j Dec 1812 04:05p Joseph Olson 763-498-8290 p.8 i 71 la I � ' r , � 3 r' rj I -W ;; G =U. _ IL � co fuCx TO SEPTIC SYSTEM INVENTORY Addr: Watertown Rd. PID: 32-118-23 34 0009 Building Type : greenhouses # BRs/GPD: # Systems/units : 1/1 Permit No: none Date of Permit : Installer: unknown System Type : Appliances : SYSTEM CONDITION Conformity: 2 Tank Condition: 5 DF condition: 14 Failure Pot : medium SEPTIC TANKS Material : Capacity: Setback to Bldg: DRAINFIELD Length of Lines : No. Lines : Trench Width: Treatment Area: Type of Filter: Tile Size : Under Tile : Perc Rate mn/in: Setback DF-Bldg: DF Ht above WT: Soil Type : Limitations : WELL DATA Setbacks - Well-Tanks : Well-DF: Report in File? : Pump Type : Depth: Diameter: Method: INSPECTION RECORD PUMPOUT RECORD Date Compliance Date Gallons 12/9/82 no surfacing 3 12/2/81 500 9/3/86 no surfacing 3 2/23/82 500 7/12/88 no surfacing-strong odor from tank 3 5/1/92 800 5/10/91 DF saturated? 3 6/15/93 no surfacing 2 c(et.. k0uSt- 56nq, I I S143 I I I I � I � ,3-7/�3 I� -er78 ry ------------------ �J i � l � i II �7 V I I I I I CITY of ORONO Municipal Offices Street Address: Mailing Address: �9kESIIp¢+ 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323 0066 To: The Current Owner of Address 3-?qS7 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, lease contact the Onsite Systems Manager at 952-249-4626 within 10 days oyreceipt 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 TanOump out Needed Yes No The City recommends the septic tank(s) and/or lift tank be serviced and pumped out every three years. City records indicate the tank(s) were last pumped out on e7- I '-( - `tt q . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: Inspector- b., Date of Inspection l C% o Telephone(952)249-4600 • Fax (952)249-4616 www.ci.orono.mn.us o.�,. O �. O _ CITY of ORONO Municipal Offices Street Address: Mailing Address: jy+gg04 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 37L/3 7L/3 Crystal Bay, nMN 155323.0066 To Current Owner: Address: 7 yrfd wn l�0 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. 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 ISIS;an ISTS located within a designated 100-year flood plain,any ISIS 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): �o Tank inspection indicates: 5 Pumpout not needed at this time. USeptic 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 nines 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. DRAINFIELD 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. CONIlviENTS: moy� ��a 0��_ Pyc,•P S�Q �L }�n�5 5�,.�.c� `�L_oby , til . L\ear, o�� �:1nr o�. Se�o,.� t��k oe,( qtr Imp, Date of Inspection Matt Bolterman- Septic System Inspector Note:In the event that this inspection report is need to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guaramee or cart*that an cdsdng system will continue to function property,but is merely an opinion ofthe adequacy ofthe system under current conditions based on the available i 1formation. Wephone(952)2494600 - Fax(952)2494616 www.doronomn.us -� CiTy0f ORONO ` r'Y I c GEIS' Municipal Offices W *y great Address: Mailing Address: E*gy�0g 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner:—N Q-� d 0-V Address:—3 7 4S- \^'q-Ytr t -- 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 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 docs meet the three foot separation requirement,and which is not failing or an imminent threat 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 ofthe 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(5-10): �o Tank inspection indicates: 5 Pumpout not needed at this time. OTank 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 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. AFIELD CONDITION(11-14): 11 Drainfield is dry,no surfacing evident. 12 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 COMMENTS: S y COCK Date of Inspection Septic System Inspector Note: In the evert that this inspection report is used to satisfy the requirements for a mortgage or other traieer 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. CITY OF ORONO O Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 ON—SITE SEWAGE TREATMENT v� Fv INSPECTION REPORT �9kESH0 Owner: NC--b &U AC_P Ff E( b Address: 3?VS Whh7tbuio /°Cd Permit #'B: 11165-1 Dates: ( ` r_f L72 Contractors: (Tl`F` p JCC i 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. X (This isA an existing system new construction) SYSTEM CONFORMITY 1-3 : 1"') "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 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 sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic has or [ ] has not been identified at this time. If the limiting soil characteristic has not been ident fie , this classification may be subject to revision.) TANK CONDITION (5-10): rankk)inspection indicates: ( 5�! Punpout 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 (41, dia. pipe) must be installed in each tank at next punpout. 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): 4 pirainieLd eld inspection indicates:is dry, no surfacing evident. ome 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.): to COMMENTS: /V L Su►2F61c`(iR ve 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 o : o CITY of ORONO VA titi Municipal Offices ti G Street Address: Mailing Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 Owner: Address: 3745 Watertown Rd. Permit #'s: none Dates: Contractors: unknown (This is [,Y] an existing system [ ) new construction) . SYSTEM COMPLIANCE (1-3) : 3 1 Code System: Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating properly. 2 Compliant System: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous © codes and is functioning properly. Non-Compliant System: System may or may not meet current City standards for design, construction, or location, but is failing to properly treat and dispose of the current input; and any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level [/_] has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) TANK CONDITION (5-9) : 6 Pumpout not needed at this time. Solids accumulation in tanks indicates they should be pumped out this year. 6 . 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 IA 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.) DRAINFIELD CONDITION (11-14) : 13 11 Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. Repair is not required at this time. yL�jy Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repair must be completed within 90 days. 14 Drainfield extent and condition unknown. POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : failing COMMENTS: The septic system must be repaired or replaced by 7/15/98. Date of Inspection Sep is 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 a FAX 473- M10 CITYof ORONO Municipal Offices �G Street Address: Mailing Address: '�kEggOg' 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 Owner: Amy 'g H J L_r1 Address: 3745 Watertown Rd. Permit Vs: none Dates: Contractors: unknown (This is CV]' an existing system [ ) new construction) . SYSTEM COMPLIANCE (1-3) : 3 1 Code System: Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating properly. 2 Compliant System: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous codes and is functioning properly. Non-Compliant System: System may or may not meet current City standards for design, construction, or location, but is failing to properly treat and dispose of the current input; and any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) TANK CONDITION (5-9) : 6 5 Pumpout not needed at this time. `/67 Solids accumulation in tanks indicates they should be pumped out this year. 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.) DRAINFIELD CONDITION (11-14) : 13 11 Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. Repair is not required at this time. Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repair must be completed within 90 days. 14 Drainfield extent and condition unknown. POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : failing COMMENTS: 6::'//2J9 -7 ./ Date of Inspection ep c 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 9 FAX 473-0510 CITY OF ORONO O Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 ON—SITE SEWAGE TREATMENT INSPECTION REPORT ti ��9kEsH.o��G Owner: --- A. J e� Address: ,7773 —322E( A gh Pa. Permit #'s: Y)OYV-, Dates: — Contractors: 07K-y� 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 k, an existing system [ I new construction) SYSTEM CONFORMITY (1-3): 2 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 SYSTEM11-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 I I has or 34 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): Tpq inspection indicates: CV Pumpout not needed at this time. 6 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 (4" dia. pipe) must be installed to each tank at next pummpout. if tanks have not been pumped out within the Last three years, they should be pumped out now. 10 Inspectionpipe 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): D ifield inspection indicates: [ITL]! Drainfield is dry, no surfacing evident. 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 soils.water table,etc.): � l/im ULA COMMENTS: Date of Inspection a is 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 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 473-7357 ' OWNER ��� ✓><r ADDRESS PERMIT NO.'S. A1012& 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 been inspected and appears to fall into the category checked below. (This is J4 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. 03 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- 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 ._D`ra�i f,ield inspection indicates: should be pumped out as soon as possible. Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped _ ,❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace- Inspection risers (4"dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) q,Adequate ❑ High water table ❑ Low `•f air ❑ Lot size Q Medium ❑ Poor /Lake,wetland,or stream migh C3 Inadequate $.Drainage U System is causing visible surface discharge. COMMENTS: G /_J-ZcS{T- /Q afis di?�'►�e 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_ONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 C2t 3743-45 kaferf wn OWNER �'" fe1� ADDRESS —IJ30f1, k PERMIT NO.'S. 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 been inspected and appears to fall into the category checked below. (This is)<an existing system ❑ new construction) F11 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. y /I 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating 17,E adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at this time. M4 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) T nk" spection indicates: 7 El Inspection pipe is located directly over tank baffle.(Does not umpout not needed at this time. 374 5J W&te give accurate measurement of solids accumulation.) If tanks //❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. 0Drainfield is dry,no surfacing evident. 3743 -3745 ❑ 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 purylpeq out now. ❑ Drainfield extent and condition unknown. .3743 bV&,t 6r1V1'n0 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) ❑ dequate El High water table ❑ Low Fair Lot size Medium oor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible pn -•_ / surface _discharge. y L _1 COMMENTS: PASIC Mtc.Sysi?4T_ t S o GreMhfkaf, �tpf4o►'2 sa&y1A l!� be a CYfO�I�//J 10N/1 Lie1f lS iVi t7 4.d4u_ Wt,A tarn Yu*7d {� fn Gw0 f AWG!Mt"OL ,¢so Wt 104 -fir, &)61 eUQQua tQ -/ --�j U41V'S Skl S t.a -Y L. Dat e of Inspection Septic Sys nspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENTCITY INSPECTION REPORT OFPOST OFFICE BOX 66 O.ONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 /` / a OWNER ( 9� 6 ✓�1`ITL F� I-� ADDRESS 7 y1 37 ` 5-A14rmm✓a/ D PERMIT NO.'S. ��otll� DATES CONTRACTORS City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage treatment system at the aboveaddresshas been inspected and appears to fall into the category checked below. (This is J 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. \LILY-1 JI 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. L SYSTEM CONDITION ( m Checked items may require your action) { 3 ank inspection indicates: 1 ❑ Inspection pipe is located directly over tank baffle.(Does not Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks �S —© Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they / ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. ❑ Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace- Inspection risers (4"dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within `�_ immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. LTJ Drainfield extent and condition unknown. SITE CHARACTERISTICS: PY� uM�A >q/eg7qs OR/ Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) `7— Adequate \❑ High water table ❑ Low ----El Fair Lot size Medium ❑ Poor ❑ Lake,wetland,or stream High ❑ Inadequate ❑ Drainage ❑System is causing visible C surface discharge. COMMENTS: 5`rYRO>Fofriil (SITS IN TANK �37L/5 MAY D�m�?G,� Af�IN�IELd. .�� 3 / �� 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 location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner