HomeMy WebLinkAboutCompliance Inspection Form/onsite sewage treatment Minnesota Pollution Compliance Inspection Form
� Control Agency r r
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55155-4194 (SSTS)
Doc Type:Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local trFVL*d
requirements and attached forms—additional local requirements may also apply.
Submit completed form to Local Unit of Government(LUG)and system owner FEB 0 12016
within 15 days
CITY OF ORONO
System Status
System status on date(mm/dd/yyyy): 1/19/2016
® Compliant- Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3)
frame outlined in Local Ordinance.)
Reason(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 permit/monitoring plan requirements (Compliance Component #5)—Noncompliant
Property Information Parcel ID#or Sec/Twp/Range: 3211823340013
Property address: 3765 Watertown Road, Orono 55359 Reason for inspection: Transfer of title
Property owner: David Chute Owner's phone:
or
Owner's representative: Greg Hahn Representative phone: 612-867-8244
Local regulatory authority: City of Orono Regulatory authority phone:
Brief system description: Pre-cast Septic Tanks, and above grade drainfield.
Comments or recommendations:
Existing tanks were pumped by others summer of 2015. System should be pumped on a three year schedule
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: Pernel" es Certification number:
Business name: Chip's Se ' b - -7-,%, License number: 2064
Inspector signature: Phone number: 952-200-3176
Necessary or Locally Required Attachments
® Soil boring logs ® System/As-built drawing ❑ Forms per local ordinance
❑ 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
wq-wwists4-31 • 1124112 Page 1 of 3
Property address: 3765 Watertown Road, Orono 55359 Inspector initials/Date: 1-19-16
1. Impact on Public Health—Compliance component#1 of 5
-Compliance criteria: Verification method(s):
System discharge sewage to the ❑Yes ® No ® Searched for surface outlet
round surface. ® Searched for seeping in yard/backup in home
System discharge sewage to drain the ❑Yes ® No
❑ Excessive ponding in soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See Comments/Explanation)
System cause sewage backup into ❑ Yes ® No
El "Black soil"above soil dispersal system
dwelling a establishment. ❑ System requires"emergency"pumping
— [IPerformed dye test
Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation)
an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See CommentsiExplanation)
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)
compliant if allowed in local ordinance.
❑ Observed liquid level below operating depth
Sewage tank(s)leak below their ❑Yes ® No ❑ Examined empty(pumped)tanks(s)
designed operating depth.
If yes,which sewage tank(s)leaks: ® Probed outside tank(s)for"black soil'
❑ Unable to verify(See Comments/Explanation)
Any "yes"answer above indicates the ❑Other methods not listed(See Comments/Explanation)
system is Failing to Protect Groundwater.
Comments/Explanation:
Tanks were pumped by others summer of 2015..
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* ®No ®Unknown
b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* ®No ❑Unknown
*System is an imminent threat 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 protect groundwater
Explain:
www.pca.state.mn.us • 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
wq-wwists4-31 • 1124112 ^--- 1
Property address: 3765 Watertown Road, Orono 55359 Inspector initials/Date: 1-19-16
4. Soil Separation—Compliance component#4 of 5
Date of installation: 2008 ❑ Unknown Verification method(s): /
ShorelandMellhead protection/Food Beverage ❑Yes ® No Soil observation does not expire. Previous soil
Lodging? observations by two independent parties are sufficient,
Compliance criteria: unless site conditions have been altered or local
For systems built prior to April 1, 1996, and ❑Yes ElNo requirements differ.
not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring logs)
Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs)
beverage or lodging establishment: ❑ Not applicable(Holding tank(s),no drainfield)
Drainfield has at least a two-foot vertical ❑ Unable to verify
separation distance from periodically (See Comments/Exp/anation)
❑
saturated soil or bedrock. Other(See Comments/Explanation)
Non-performance systems built April 1, ®Yes [:] No Comments/Explanation:
1996, or later or for non-performance 12 inchs of sand under upper end of rock bed.
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage, or lodging establishment:
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
"Experimental, "Other, or "Performance" ®Yes ❑ No Indicate depths of elevations
systems built under pre-2008 Rules; Type IV
or V systems built under 2008 Rules(7080. 12 inches of
2350 or 7080.2400 (Advanced Inspector A. Bottom of distribution media sand
License required)
Drainfield meets the designed vertical B. Periodically saturated soiVbedrock 24 inches
separation distance from periodically C. System separation 0
saturated soil or bedrock.
D. Required compliance separation* Winches
Any"no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local
Failing to Protect Groundwater. 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 "not; this section does not need to be completed.
Compliance criteria
a. Operating Permit number:
❑Yes El No
Have the Operating Permit requirements been met?
b. Is the required nitrogen BMP in place and properly functioning? ❑Yes ❑No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stat.§115.55)An imminent threat to public health and safety(ITPHS)must be upgraded,replaced,or its use
discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. 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
is not failing 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 not 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.pca.state.mn.us • 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in altemative formats
uin_unuirhrA_�1 - 1/7.4/11 ' 1'
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3265-
. J- W4Lt,,P--1 , WI-C,0% Soil Log a
Boring ❑ Pit Elevation Depth to SHWT
Depth(in) Texture fragment% matrix color redox color consistence grade shape
<35 loose loose single grain
35-50 friable weak granular blocky
>50 l0� � firm moderate prismatic platy
i / rigid strong massive
<35 loose loose single grain
35-50 friable weak granular blocky
>50 firm moderate Prismatic platy
' G rigid strong massive
<35 loose loose single grain
35-50 friable weak granular blocky
/ L > firm moderate prismatic platy
50 Y rigid strong massive
b <35 loose loose single grain
35-50 friable weak granular blocky
>50 ' fum moderate prismatic platy
rigid strong massive
<35 loose loose single grain
35-50 friable weak granular blocky
>50 firm moderate Prismatic Platy
rigid strong massive
9 75- Soil Lo Z
Boring ❑ Pit Elevation Depth to SHWT
Depth(in) Texture fragment% matrix color redox color consistence grade shape
<35 loose loose single grain
35-50 friable weak granular blocky
>50 / �
firm moderate prismatic platy
Q ' 0 [ 0 �/ rigid strong massive
<35 loose loose single grain
friable weak granular blocky
35-50 firm moderate prismatic platy
f'Q Q A, >50 t� rigid strong massive
<35 loose loose single grain
35-50
friable weak granular blocky
Y, � f >50 f firm moderate prismatic platy
(� rigid strong massive
<35 loose loose single grain
friable weak granular blocky
35-50 firm moderate prismatic platy
>50j rigid strong massive
<35 loose loose single grain
35-50
friable weak granular blocky
firm moderate prismatic platy
>50 rigid strong massive
1 hereby certify this work was completed in accordance with MN 7080 and any local reqs.
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Designer Signa Company License#
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CITY of ORONO
V$ 4 !, Municipal Offices
r
' G�
Street Address: Mailing Address:
; �xE8I3�4 2750 Kelley Parkway P.O. Box 66
-- Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address -3-76S_ (_*_),A-4tf40CJ'AJ
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 Identi ed as Non-Compliant
Yes
No
If yes, system must be brought into compliance by:
December 31,2007
December 31, 2010
Other
Septic Tanks mp 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
11—,20 -Q 3 . The tank(s) should be cleaned through the manhole and
not through the inspection pipes,this allows for proper cleaning.
Comments:
Inspector: Date of Inspection d
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:
` yg�04 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
3 / 6
To Current Owner: Address: 5- \A/cttfr wn ROq
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): 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
imminent threat to public health or safety.
034N-COMPLIANT SYSTEM" A prohibited ISTS;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 fat of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): 6
Tank inspection indicates:
5 Pumpout not needed at this time.
6Deptic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped h—U"`k�l ).
Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the
groper 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.
DRADMLD CONDITION(8-10):
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
CONMENTs: bc'K�a4-%44 s IF\t,C\- coC�,,- a ,) r,4r. t,,, itOov-j
�—! \�-=�\_Zala • y� Sc4 �;� 'r��kS Sv�Mcf��dy
\`-� -V _�o cy, h1k rL,
Date of Inspection Matt Bolterman- 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 ofthe adequacy of the system under current conditions based on the available
bdxmsdion.
Wephone(952)2494600 - Fax(952)2494616
www.cLoronojnn.us
0
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CITY of ORONO
r Y titi Municipal Offices
.ryG Street Address: Mailing Address:
Egg04' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323.0066
Owner: Q c t co 0 k Address:
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): 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
03Codebut does meet the three foot separation requirement,and which is not failing or an imminent threat to public health or safety.
"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):
Tank inspection indicates:
5 Pumpout not needed at this time.
(60 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped 40 3 ).
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.
DBAUEIELD CONDITION(11-14)' 11
11 rainfield 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
CONDAENTS: S y S�c� ;S " \gcY. v�- 3
iJ fr SQ aS o r,4\ v�+t r k abl` d b oq o -ID -TT t�,C.W , ?,q oku_ b Z-31-Z-0\U . P u
ne�x A r--,� �,e�r r - 1cs L.a�vt r tee, �U
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 ttaasfer 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
a$) INSPECTION REPORT
�9kESHO��
Owner: �_-i9gdd l�� Address: A)
3705 ,4 L, t-' Pj /Gel j (55s --
Permit #'s: Dates: '�- Contractors:
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 X an existing system I 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 sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic has or I I has not been identified at this time. If the limiting soil
characteristic has not been identilKied, 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 umped 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.
System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next punpout. If tanks have not been 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):
J1ili)lnieLd ispection indicates:
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,e1c.):
COMMENTS: ,5�, S % Aon-c"44"411 � ;, &2!/
S c
4_74r
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 � .
CITYof ORONO
Municipal Offices
G Street Address: Mailing Address:
2750 Kelley Parkway P.O. Box 66
// � // Orono, MN 55356 Crystal Bay, MN 55323.0066
Owner: hG r r 4 • (2Oe �� Address: 3765 Watertown Rd.
Permit Vs: 9989 Dates: Contractors: unknown
(This is [ /, an existing system [ I 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 [t/] 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) : 9
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
within three years, they should be pumped out and risers installed now.
C9�y 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) : 11
(L-177 Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface.
Contact the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : 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 feet and the system is non-compliant. Repair or replacement of the
septic system is required by 12/31/2007.
//Z/9 -7 ,YA
Date of Inspection Se tic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue to
function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO O
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a ON—SITE SEWAGE TREATMENT
INSPECTION REPORT
ti
sxo��o
Owner: Address: Z2&fZ !tel� iunr� KCS,
Permit #'s: Dates: Contractors: /JI L2b✓►^1.
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 CA 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.
"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 I ) 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 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 pumpout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
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):
Drpp��nfield inspection indicates:
(11J Drainfield is dry, no surfacing evident.
ii22 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.): fid
COMM NTS: e tG / e
Date of Inspection S tic Sys em Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
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
_ONO 1335 S. Brown Rd.
Crystal Bay, MN 55323
ilk 473-7357
OWNER ADDRESS J�� �'�a✓�^ •
PERMIT NO.'S. DATES -7 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 A 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.
192 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.
E] 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.(la Checked items may require your action)
Tank inspection indicates: f Inspection pipe is located directly over tank baffle.(Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) Ift_ anks
❑ Solids accumulation in tanks indicates they should be pump- knot been pumped out within the last three years,they
ed out this year to help prevent future problems. should be pumaout now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainf a 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. :01 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 .I13-Fair
El Lot size Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surf ce discharge.
COMMENTS: r3 / v •
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