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HomeMy WebLinkAboutSeptic System Inspections .1\\ On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 ORONO 1335 S. Brown Rd. Crystal Bay, MN 55323 n�1 473-7357- OWNER L. �..i1 (�u Jr: 1.--ADDRESS P7i c�c.�L L IirCIe PERMIT NO.'S. 4742' DATES ! / CONTRACTORS / ,ilmr [.3i1 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 fig an existing system ❑ new construction) NMeets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. E12 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. J4 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 ( (,� Checked items may require your action) Tank inspection indicates: 0 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 Drainfield inspection indicates: should be pumped out as soon as possible. 54 Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped 0 Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. 0 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. 0 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) 0 Adequate ❑ High water table 0 Low air ❑ Lot size -Medium U Poor ❑ Lake,wetland,or stream 0 High 0 Inadequate ❑ Drainage 0 System is causing visible surface discharge. COMMENTS: Date of Inspection ptic 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 CITY OF ORONO O Municipal Offices O O Post Office Box 66z= Crystal Ba MN 55323-0066 Y Y. A ''� `' r ON—SITE SEWAGE TREATMENT vSk t.A1.% e INSPECTION REPORT Mir Owner: 1-4 37 17)q{I PY Tr, Address: t L/t 1(' / Permit #'s: `"tl7a Dates: 7, Contractors: /i,cIMelr- Bras. 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 I/Y an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): / 0 "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 [ 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): f® 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 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 directlyover 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): 1 DCPfield inspection indicates: 1 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.): Ad,- �� COMMEE1"�NT$: ' -.�I. :i - /r_ ' )10.Fr.ta N £ l s)hy /OO p A/Ord .V1. - pd :" Gtr1 p -ye if,,re. pr., ems, J �` Date of Inspection S=.tic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner 4----, o4,.. /O O i( -,...., ,, ��' CITY of ORONO V` , ti Municipal Offices .c ' . ` ,,&. Street Address: Mailing Address: 9$EgKOg' 2750 Kelley Parkway P.O. Box 66 LI Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: rn e c" )BJP(5 Address:2775 White Oak Cir. Permit #' s:4942 Dates:9/15/77 Contractors:Widmer Bros. (This is [X] 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. 3 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 drainfie1d 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.) K CONDITION (5-9) : 5 (5 Pumpout not needed at this time 6 Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out within three years, they should be pumped out and risers installed now. 9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks have not been pumped out within three years, they should be pumped out now. (During the last septic tank Maintenance Pumpout the tanks [ ] were or A 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. ) RAINFIELD CONDITION (11-14) : 11 (ii 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, soils, etc. ) : medium COMMENTS: The non-compliant septic system must be repaired by 12/31/2006 or within 90 days of failure (surface discharge) , whichever comes first. J �r i / -s--9X Gl 0-- 4_41- Al lam------ Date of Inspection epic System Insp-ctor 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 tea ,. (0 CITY of ORONO Municipal Offices yw'G�i Street Address: Mailing Address: 9kEI`I Y jI SI4.0.e° 2750 Kelley Parkway P.O. Box 66 -�--�% Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address ? j (,,�hC' G i k r 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 Identji as Non-Compliant Yes No If yes, system must be brought into compliance by: December 31,2007 December 31, 2010 ✓ Other Septic Tank(s..Pump out Needed Yes ��// No The City recommends the septic tank(s) and/or lift tank be serviced and pumped out every three years. City records indicate the tank(s) were last pumped out on to (.4 -`lo-t . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: r/r Inspecto-r: 4 Date of Inspection /0 .c� . Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us CITY of ORONO ,t,_410 y F Municipal Offices �`t ''> ° � z'�G Street Address: Mailing Address: ( 1',10 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Arrer ' Owner: 1 { � Address: 2775 White Oak Cir. J Permit #'s: 4942 Dates: 9/15/77 Contractors: Widmer Bros. (This is )1,] 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. !3 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 is [x] or is not [ ] identified under this septic system. If the saturated soil level is not 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. 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. 10 One or more tanks are cesspools, which means the septic system is non-compliant. (The tanks are [ ] or are not ( ] water tight or the condition is C>41 unknown. If the tanks are not confirmed to be watertight, this classification is subject to revision.) INFIELD 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, soils, etc. ) : medium COMMENTS: The septic system is non-compliant, but does not appear to pose an imminent threat to public health or safety (surface discharge or backup into the dwelling) . The system must be repaired or replaced by 12/31/2006 or within ninety days of posing an imminent threat to public health or safety, whichever comes first. Date of S Inspection is S steT'ffs ec or P Y 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 ofthe system under current conditions. Telephone(612)249-4600 • Fax(612)249-4616 Co?: °.410_ .,,,,‘,. :.* , CITY of ORONO 1 A '0'.0..,?-77 , ,S, ' I. ' ,yti Municipal Offices . fli� '�, 5�";� G Street Address: Mailing Address: `�kEgH04� 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: 1 2 S-F e( Mq r " e 1 Address: QT) S VA,-,1c O (0-cX 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 DCode but 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): 5 Tank inspection indicates: OPumpout not needed at this time. 6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped 1 0-I y-9°t ). 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. DRAINFIELD CONDITION(11-14): 0 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: SyS1eM -,s roc\- Low?l-.c,c'r c)ve_ 'ric, 10.t-1( o-F 3 cool seQerc&*—.. b,z,.xw c.c.,--- -f o S- S ccaS 0 r o.\ -c�-t-er '-0 \e_ oko.t) La0-v0^. o C 1 tc.. J.eS R.e_plocc by I).-1,1-1.olU . o —c\-- 0 \ °6)1\"\ Ga - 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. .4.;,. . CITY of ORONO 41: °.4?.0: r _ A4 � ir' �6" Municipal Offices \�,t9 ,,�,,f s." / Street Address: Mailing Address: EsH�-/ 2750 Kelley Parkway P.O. Box 66 - Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: . Address: �� C l'A - 0 c t C:r it' - 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 0 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 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: 5 Pumpout not needed at this time. 0 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped l U'A'-\—c\`1 ). 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. PCAAINFIELD CONDITION(8-10): e ( 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. \COMMENTS: Oa^,c`C \ NS 6-NO e,- ---. Cp : - a— 1``�j-)- b` Au() b 1 N-k.,='a -=2-O \CI Y U sl 5kv-_.z >,Z\n1C.S - -may `,°,vk_ fir- be , +--�� _ \ - \--c 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 of the adequacy of the system under current conditions based on the available information. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us FROM : Rvc PHONE N0. : 4422091 Apr. 07 2004 01:44PM P1 "kt r 2/25/02 Water/Wastewater-I5T54.31 Compliance Inspection Form for Existing Individual Sewage Treatment Systems Minnesota Pollution CQ91 Agency Completion of this form fulfills the minimal requirements of Minn. Stat.§ 115.55(2001)and Minnesq ( se refer to local ordinances for other re•uirements or information. es aeciall for corn•lance re.uirements For bedroom additions. General- ,4 k .a .r. Date of Inspection: /7-A0/Reason for inspection: -.v Property Owner(s) 7 #' C//i(„7",.13 Telephones/2) a 77-7/el Person requesting inspection ,k1Mt Telephone ( ) Site Address.Z7 ' 1,4.4 i-1G oma?e dig ) / City O ,�i ' �O Zip Code � �''� � Fire No./ Parcel No. County /j/4i)et) Township Legal Description Local Regulatory Authority Ci I1 e,.✓ a Date system constructed System in Shoreland Area: ye- no System in Wellhead Protection Area: y: 411, System serving a MDH licensed facility: a no ocal Permit # (if any) 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 syaem an imminent threat,t2.geligcipalth safety? (a yes answer is an ITPHS system) or safety? (a yes answer is an IIPHS$ ' -Discharge of sewage to the ground surface? YES 40 - Discharge of sewage to the ground surfacW7, YES NO -Discharge of sewage to draintile or surface waters? YES 10 - Discharge of sewage to draintile or surface waters?YES NO -Sewage backup into dwelling? YE "-i O -Sewage backup into dwelling? YES NO -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 health or safety? YES ' 0 safety? YES NO 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 Aar -Less than THREE feet of vertical separation between system bottom and saturated soil or bedrock? 0 system bottom and saturated soil or bedrock? YES NO :OP -A seepage pit,cesspool, drywell, or leaching pit? 0 -A seepage pit, cesspool, drywell, or leaching pit? YES NO 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) YE NO operating permit? (if no, go to page 2) YES NO If yes, If yes, - Has the required monitoring taken place? Y,ES0 - Has the required monitoring taken placg? YES NO (If no, the system is non-complying) (If no, the system is non-comp4,q , -Does the monitoring indicate that the system meets , - Does the monitoring indicate that'th, tem meets performance expectations? Y 0 performance expectations'? ` ' , YES NO (If no, the system is non-complying) (If no, the system is non-complying) Page 1. of 2 wq-wwists4.31 FROM : RYS PHONE NO. : 4422091 RPI-, %7 %5• %, 44PM P2 •, I.. � " Property Owner(s) 1 C _ /./f• 4A-.) Fire No./ Parcel No, n M' .k. � System Components (Please describe the system components and a ach site s etch showing system location): l /^ 4.)iS/e;Z / R i, /114'le d -- . -# ,,,_ . ,, What methods were used to make the determinations for the compliance inspection? (Note:No standard protocol exists- The following list is not exhaustive, or/n sequential order nor indicates which combinations may necessary to make a determination) Waertight tank(s) Hydr is Functioning Vert I Separation Distance Pr d tank bottom Searched for surface outlet Conducted soil borings // Observed low liquid level Cl P rmed hydraulic test Depth to limiting layer ,Z5 ❑ mined const. records Searched for seeping in yard Depth to system bottom' ' t� Examined empty(pumped)tank 0 Checked for back-up in home ❑ Examined records ❑ Probed outside tank for"black soil" 0 essive ponding in soil system/D-boxes Cl LGU Limiting Layer Verification ❑ Pressure/vacuum check Homeowner testimony ❑ Other ❑ Other ❑ Examined for surging in tank ❑ "Black soil"above soil system ❑ Other Status of the stem Based on the compliance criteria, the system status is: (check one) failing (to protect groundwater) p an imminent threat to public health or safety (ITPHS), ❑ non-compliant(mon to ing issue) Is compliant (none of the 3 previous conditions). Therefore,this document is a: ❑ Certifi to of Compliance :i Notice of Noncompliance Is this system an EPA Class V Injection Well? CI yes 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 usage. Inspector's name (print) JEFF SWEDLUND Phone 2—Sel, — tS75"~ License and/or Registration Number 398 Address .-.40 A - ..e- a, -- 4 .tt94 Employed 13,,q—e / ',. . R _ C Address /d )0 R%.•'e. r.; :aa ,,„ o4 06.4:,, Signature 1 7 ��`�--�C/ llara -Q. . Date Upgrade Re, i r-/Bents [derived from Minnesota Statutes§115.55) An 17PHS must be upgraded, rep/aced, 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 falls to provide sufficient groundwater protection, then the system must be upgraded, replaced, or its use discontinued within the time required by rule or the 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 does not apply to systems in shore/and areas, we//head 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 treatment 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. Dana, 7nf7 FROM : RYS PHONE NO. : 4422091 Apr. 07 2004 01:45PM P3 Site Sketch: ! J / : • j . r ? J r , ; , 1 r r .,i.. - y j-- ,. f r i y/I f44.i r , r ..$,. f • r 100' ., ; 3is .,' zoo Please indicate the location of: Well,'well setback to system,dwelling or other establishment,tank(s).soil treatment system, reserved soil treatment arca,curtain drain,property lines,wntcrways,and buried lines (those NOT installed by the utility). Include sizes and length and approximate distances from fined reference points such as streets and buildings, Please attach as- built drawings,inspection reports,Certificat(s)of Compliance and Notice(s)ofNoncomplitnce.if alvailable. Soil Borings (BR#): Locate each boring on the map above, indicate on the right of the column the soil texture, structure, color, depth of each different soil type, evidence of mottling,bedrock and standing water. 7q Also indicate if the material is fill. BR#/ BR# BR# BR# BR 14 BR# ey Ry4, ya 2'P .3, 4'4 G�9y Cdr z8„ RECORD DEPTH OF MOTTLING,SEASONAL MIIC1, MATER OR BEDROCKON ABOVE LTNI,S Comments: £;3P4(°- �••0l C �-09 /lfvdl G� ' 4i/ c,A) (, 4ede . A? AWhat ncc�15 to be comp] ted[i.briDg the,lhovc:}"Sftitt into compliance if found not in compliance?. ck'�l- ' 1G V�E ! s' •i4 N.,4 pet() 6.-' fi 0Y Qi Ltd co.L.01 O , O CITY OF ORoNo Municipal Offices A . ` `a �r �, 1� "��. r. Street Address Mailing Address: } r]1 Ch �.�; `'�` (j~fy 2750 Kelley Parkway P.O.Box 66 �. illI 0 4 Orono,MN 55356 Crystal Bay,MN 55323-0066 To: The Current Owner of Address 2775 WHITE OAK CIR 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 hreat Yes No If yes, please contact the Onsite Systems Manager at 954-249-4626 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 n-Compliant Yes No If yes, system must be brought into compliance by: December 31, 2007 V December 31, 2010 Other Septic Tank(s) Pu ut Needed Yes No The city recommends the septic tank(s) and/or lift tank be serviced and pumped out every three (3) years. City records indicate the tank(s)were last pumped out on / 0- (`( _q I . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: Inspector: ditwilLe Slati. Date of Inspection: 7 07 Telephone (952) 249-4600 • Fax(952) 249-4616 www.ci.orono.mn.us Septic System Upgrade Deadline is Approaching Here's a friendly reminder to all Orono property owners with non-compliant onsite septic systems. Beginning in the mid-1990s the City began to identify those septic systems that made use of trench drainfields, a majority of which do not maintain the minimum required vertical separation above seasonal water tables. Each existing system was subjected to soil borings to determine the seasonal water table depth. When a system was identified as non-compliant, the owner was notified of the need to bring the system into compliance and given several years to complete the upgrade. The deadlines to upgrade were divided into whether or not the property was in the Shoreland District (within 1000' of a lake, or within 300' of a protected tributary stream). Properties in the Shoreland District were given until December 31, 2007 to become compliant. Properties outside the Shoreland area with non-compliant systems were allowed until December 31, 2010 to conform to the septic code. Don't wait until the last minute! The City is strongly recommending that property owners not wait until the deadline arrives to bring their systems into compliance. The process to upgrade your septic system can be quite lengthy. The first step in the process is to hire a site evaluator & designer to determine what type of system is required and provide the blueprint for the system installation. The property owner must then contract with a septic system installer to have the system constructed. The installation of septic systems is very weather dependent, especially for mound systems, which can only be installed when the ground is relatively dry, i.e. typically June thru September. Contractors' schedules fill up quickly, so it's important to start your planning and design process now to ensure a timely installation. The period of time from deciding to update your septic system to the actual installation can easily exceed three to four months or more. Please contact the Building and Zoning Department at (952-249- 4600) with any questions you may have about bringing your septic system into compliance. For a list of licensed designers and installers you may go to www.ci.orono.mn.us, click on City Departments, click on Septic, then click on the link to www.pca.state.mn.us/programs.