HomeMy WebLinkAboutSeptic info �
~ CITY OF ORONO Date
ADDRESS � Connected to
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer
-� 7 7 WELL DATA
ddress 3�-�:�i tSAYsia� kD Property I.D. G'�—//�7—.Z3 /�/ nr:}'r�
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System type O Other Legal Description �ry�o -- �.��� 411 0
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Permit No. � Date of permit — Installer — � p
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No. Bedrooms Garbage ,� d I
$�1~ Laund 1O I
Building type Ej i j��)C�, or GPD � ry � Dishwasher Disposal � =
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SEPTIC TANKS: Material �— Capacity 1) �� 2) � ° � �
w � 'o
iNt�-r f''Pf. C�K a
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Proper outlet and inlet Baffles ��� S���L Liquid depth to RO level ��—� *i � •'—
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Height of tank bottom above water table d1� Distance to nearest building `/ , '� � m
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DRAINFIELD: Total length of lines Number of lines Trench width /�'
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Total treatment area (sq.ft.) Height of drainfield above water table ;?
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Type of filter material Soil type a ��
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Distance from nearest bldg. Tile size Perc rate min/in ° � � c
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Depth of fill over drai�field Depth of rock over tile under tile � a y �
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/" LOCATION
INSPECTION RECORD PUMPOUT RECORD SKETCH
DATE COMP�IANCE DATE GALLONS
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rainfield
C— CONFORMING S—SUBSTANDARD N — NONCONFORMING '�� N�rth arrowand road
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On the North Shore of
Lakc Mi��yzetoraka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER C�c��e �• ���iG�S1�+ ADDRESS -��-�`, �)�`(S�✓� ���.�E)
PERMIT NO.'S. ��'r�'��'� 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 above address has been inspected and appears to fall into the category checked below.
(This is �.an existing systern ❑ new construction)
� � 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 properiy; 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 upgrsding 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 draintield 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)
�fank 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 ��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. O Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limri,t,[ing Site Factors Potential for System Failure Site Capabilities for
KrSlope (depends on soit types,water Future Expansion
❑ Soil table,and system condition) ❑.Adequate
❑ High water table ❑ Low �Fair
�Lot size ❑ Medium mPoor
Lake,wetland,or stream High ❑ Inadequate
❑ Drainage �System is causing visible
surface discharge.
COMMENTS: -�+ �):.P-N ��/�-!)4':.�t/� ,Qii.,Lli C�',v;t� TJ�'�y""K /N�(�PC-�G'�'� - (_,��: tZt2.c:c:si!v7S S�U��J 'C'►`t"1'��.5
i,v�`tY }si �.. 11�� /li C..c)�,�-rr. �L V��'S ��.�c �:iU:: �'Ll'/� �-'11.G.�i .,M�@�
,+ �
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(jiYr�l'.�(-ibCx� �-��7 ^'.�' 1 � ,�p l '.Y1Y�
Date of Inspection Se ic System Inspecto�—
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
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER ��� ��l��mP� ADDRESS �� ��✓yP l�,
�
PERMIT NO.'S. �� DATES � CONTRACTORS v
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.
IThis is �an existing system ❑ new construction)
� � 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,
Iocated, and constructed generally in accordance with previous codes. System appears to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtai�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 measureme�t 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. ❑ 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) Adequate
❑ High water table ❑ Low �air
Lot size Medium O Poor
Lake,wetland,or stream High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surf ce discharg
COMMENTS: 0
/ � �
' a �e TT� rs �r- ,�� r ��' -
_ � ' �d
,
� �
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