HomeMy WebLinkAboutSeptic info � DATE TIME
CITY OF ORONO CALLED IN i "�
INSPECTION NOTICE-7 SCHEDULED ��"�/ "��' '� �'
PERMIT NO. ���� � / COMPLETED �� �C—
ADDRESS ���� �
OWNER � . �n CONTR. ���-�- �'�SSoc.
TELEPHONENO. ��� '`3��I
� DESCRIPTION ��f-�� � �-05
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED �SSUE CERT�FICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING �pERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract ite:
Inspector. -
White Copylinspector' File Canary CopylSite Notice
SEPTIC SYSTEM INVENTOR Y
Address: 4565 Bayside Rd. PID: 06-117-23 21 0005
Building Typ residence #BRs/GPD: 3 #Systems 1 Units Billed 1
Permit#: 2486 Date of Permit: 11/1/89 Installer: Patnode Bros.
System Type mound Experimental: no Appliances
SYSTEM CONDITION
Confornuty: 1 Tank Condition: 9 DF condition: 11 Failure Pot: low
SEPTIC TANKS
Material: precast concrete Capacity: 1000, 1000, 1000
Setback to Bldg: 70 Cesspool:
DRAINFIELD �
Length of Lines 120 # Lines: 3 Trench Width: 10
Treatment Area: 70*39 Type of Filter rock,clean sand Soil Boring: no
Tile Size: 1.5 Under Tile 9 Perc Rate: 11.2
Setback DF-Bldg: 120 DF Ht above Wt: 3
Soil Type: loam Limitations: water table
WELL DATA
Setbacks - Well-Tanks: 50 Well-DF: 75 Report in File
Pump Type: Depth: Diameter: Method:
INSPECTION RECORD PUMPO UT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
11/1/89 replacement installation 1 9/3/93 1000
7/25/91 no surfacing 1 12/8/97 2000
8/13/93 no surfacing-pump tanks 1
7/29/97 no surfacing-pump tanks 1
11/12/99 no surfacing 1
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S$PTSC SYSTrM PSRMIT APPI,IC�TON - PAG� 2
Per.nit Typ e & Fe�s (c�ec.� one) - � -
New Construction, FuII System $75. 00. . . . . . . . ."; � . . . , �, . _
Replace Existing Systeat (1 or more new tanks & drainfield) $�0. 00. . . �
Partial Replacement (replace just tanks or just drainfield) $30. 00. . .
$0.50 State surcharge_ added to above permit, fees � - -" � �
SEE FEE SCHEDIILE FOR NON-3ESIDENTIAL PERMIT FEES
I� DO NOT MASL PAYMENT WITH THIS BPPI�IC�TION
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NOTE: Ap�Iicant must initial alI s�aces. Fill in all a�progriate blaaks,
check aIl appro�riate boxes.
Initial
� 1. I have received a cogy of the system design including the
. City of Orono Septic System A�nroval Cover Sheet.
2. I will be installing the following:
A. Tanks: �Precast Concrete Other Manufacturer LU�� �
Tank Capacities: 1) /U � 1 gal. 2) C�v�,� gaI. 3 ) /�v�� c� ga1.
B. Pump Station (if req�xired) �3,L: f^ �O �
Pump make & model /� L� �= ��v�-c,�� (attach gump curve &
literature) ; systea� design requires �C�gFin at �'. fe�t
of head. High water alar.0 make & model f-}�.fi'�-/c:; S�,' �>.�.�,' �;��,��
Outside electrical work to be com�leted by installer
�electrician other Inside electrical work
must be completed by eiectrician. �
C. Treatment System: �(
Trenches: s.f. '\ Mound
Depth of rock below pipe " Roc?c bed dimensions () 'x '
Drop Boxes Sand bed dimensions�'x� '
Dis�ribution Box Pressure Dist. Pine Diam. "
Manifold Pipe Diam. � r , "
,�"'r-�'".�`",��
D. Final Cover/Togsoil to be.' borr wed from site "
•�"-- ���_"` (show location on site plan)
- ._ _ �trucked in -
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7e undersigned hereby applies to the City of Orono for issuance of a
�ptic system iastal Iation permit, agrees to do aIl work in strict
�cordance with the crdinances of the City and the regulations of the State
_ Minnesota, and certifies that all statements made on this application
=e complete,. true and correct. .
_ . . .. ___.._.
..
- ----- _ . .
:gnature of AFplicant: i�2� ,.� � �-�-+c�`.' Date: �U �' ��
: >: � _ . .. _ --
'CA Certification No. : �. ��g
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' � _� APPI.�C�TSON FOR Si�PTIC SYSTEM P�MIT . ._;,,.._ -_ _. _.
- - - . �� ; ���.:.(/-/=�_j.:- --
CST�' OF ORONO . - - . �. � N �
Box 60' (1335 So Brown Rd) --� . .
C�ystal Bay, 1�T 5�323
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Ge�eral Instructions: � ~ '
1. You may a��Iv for septic system permits by mail or in person at the
City ofiices. However, pe�its will not be mailed out and must be
pic:�ed np in person at the City offic�s.
2, permits are not valid until you receive a permit card.
3 . Work must not begin unless the Fermit card is available on the job
site. �
4 . Permits will be issued only to contractors holding a City of Orono
Septic System Installer` s Licnnse.
5 . A?I work must be done in accordance with the approned septic syste:n
design. Desic?n re�orts are net considered a�proved unless accompan.ied
by tne "City of Orono Septic System A�proval" cover sheet signed by
t:�e City Inspec�or.
6. The following ins�ections will be recruired for all septic systems :
a) Pre-installation site ir.s�ect_on to include inspector, installer,
and general contractor.
b ) Tank ir.stal lat=on Frior to covering.
c) Draini�eld t�encn instz?Iation prior to covering. (ror mounds ,
ins�ection is required after rough-up but prior to sand
placement, and again during pressure distribution piping
instal Zation in the rock bed.)
d) Final inspection to verify proper final cover denths and to
verify that a 11 pump station (wnere required) components are
functional and com�ly wi�h codes.
7. Individual holding MPCA Ir.sta?Ier Car�i�icate shall be present during
a11 inspections. 24-hour notic� is recuired for all inspections .
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JOB SITS ADDRESS s � � �—'� � �' �`��- �`',�� /�J
Occupancy Type: Residential�_ Commercial Other
Cwner' s Name: �G� /� c> ��'� Phone: /�-��J>>� �
�Sailing Address: City: Zin:�_
l?4 � ,�v,,��?- ,l��!?� � Bus. Phone: � �-�° -� ��
Sentic Contractor's Name: .
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*�iailing Address: -l�: l �j���c.r Jl��h�:�-�.£ity: ��'I -��r-� � a��.-Zip: .�5.� �
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[�:�ErB�F SERffS _ .�zar ._
- -- "'�-- C.�APACiTY (U.s. G�,l.I.OWS/Il�IN.)
--- ___ _
TOTAL __ _ __ _---�,�_.
� �.<, HEAD PUMP
13- � �`�� r� (FEETj E3EF BFF BSE� BSE BSE BSE ` ��
� '�, 40 60 50 75 100 200 e.00 �=� ,,_/
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( � 10 �1,� l 3.� 155 _ 180 _ 215 /
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15 $4 105 115 150 185 230 ----- -- -�`
__ ��T 20 43 6t3 65 120 150 210 f ____ _�
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I ,, 25 - 2�3 65 117 175 � '1
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MODEL BSE MIODEL BEF
ELECTRICAL CNAfiACTERIS�fiCS Shipping
Wt.
— —_ _-------_ _ __ _ — _ _ _ _--__---- —- — ---
8EF-40 .d HP-115V 60 hz 59 {b�.
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BEF-60 .S HP-115V 6il hz 60 Ibs.
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BSE-50 '� HP-115V 6D hz 103 lbs. i
—___ _--_ _ _ _ _ _ _
BSE-75 ?/a td�'-23(lU 6U hz 105 Ibs. �
- ---- — _ _ _ _ - - --- - -- -- -
BSE-100 1 NF-231JU 6Q hz 1fl7 Ibs.
----- --- —___ _- - ---- -- — --- _--- __ ._ _ _
ESE-2C0 2 HP-23fJV 60 hz 111 Ibs.
PERFOR�iA�CE CUR'!E P�QQEL BEF PEFiF�R��AmCE CURVE 1�31ilEL BSi�
PfRF�'°`A:7GE GUTSi�E T}if URiIT U!�:�5 I:lSOT RfCO!r1R�E�tD€� Y. PfRf�R�:'lA%CE OUTSIOE THE L1�:1iT LINES iS 710T�1EC0lAAAENQED
30 -- _ 1 ; z 6D I
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r--- � I
50% '"' 5(3 �
25 � � 6Uw; ____ _ _ � ,B
eFF,� 65''0 �lJ1dIY
- -�% - ___ _ Q 40°%
70°6 � � r� ..
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2D -- --- � ���� 60'�
r 74% /
y1 �-•.' 73I � LLA � 62°!a
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10 50°�o UP11T
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0 SO 1� 150 2�0 2`il 3�]
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0 29 4p 6p 8D 10U 12U 14D 1Ca�J CAF!CITY- U.S. f,",t1.0a5Fff��."'Jlk
CArACITY--U.S. GALLf;;iS f'�ii h'::ti1T't �
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SITE ADDRESS `
��`��- � 'L� F`` INSTALLER �':`"�� ,� �,�'1��'
. ,
PRESSURE DISTRIBUTION SYSTEM WORRSHEET - RESIDENTIAL
A. Number of laterals ��' �A C��1 f��� r :� �����---
B. Perforation spacing - ft�B
C. Rock layer length ft less 2 ft = ft CO
(total length if end load)
(� total length if ctr load)
D. Number of spaces between perf's = CO/OB = sp�ces OD
E. Number of perf' s per lateral = DO+ 1 = perfs /lat. EO
F Total perforations =�A x E�= perforations OF
G. Flow rate per perf: � 1 4"_,��e_��s, use 0.74 gpm �
If 7/32" perfs, use 0.56 gpm
************** ��
* *
H. Required f low rate = F�x LG =* gpm *
**************
STANDARD REQUIRED FLOW RATES ( 1/4" perfs, 3 ' spacing)
Rock Bed Length 37.5 ' 40.0 ' 50_0' 55.0` 63.0' 70.0 '
Bedrooms 3 3+10� 4 4+10$ 5 5+10�
Total # perfs 36 39 51 54 � 60 72
REQ'D GPM 26.6 ` 28_8 37.7 40. 0 44.4 53.3
**** **** **** **** **** ****
TO REDUCE REQ'D FLOW RATE:
1 . Use 7/32" perfs instead of 1/4" (Reduce GPM by 25�)
OR
2. Reduce number of perfs by increasing spacing between perfs
(Maximum spacing allowed = 5.0 ' ) (Re-calculate A thru H)
MAXIMUM ALLOWED PERFS PER LATERAL ;
End load Center load
Perf spacing, ft Lateral diam. : 1 .5" 2_0" * 1 .5" 2.0"
*
_ *
2.5 - - - - - - - - - - - - - - 18 28 * 9 14
*
3.0 - - - - - - - - - - - - - - 17 26 * 9 13
*
3.3 - - - - - - - - - - - - - - 16 25 * 8 13
*
4.0 - - - - - - - - - - - - - - 15 23 * 8 12
*
5.0 - - - - - - - - - - - - - - 14 22 * 7 11
*
SIDE 1 OF 2
o �
PUMP STATION REQUIREMENTS
J. MANIFOLD DISCHARGE ELEVATION � I '� FT J-1
ELEVATION AT PUMP � I � FT J-2
DIFFERENCE (J-1 minus J-2) ��FT (ELEV. HEAD) �
K. DISCHARGE LINE LENGTH (PUMP-T�-MANIFOLD) �� FT �W
D GE NE DIAMETER (BETWEEN PUMP rS� INCH
( 1 .5" O 2" typ. ) AND MANIFOLD)
FRICTION LOSS PER 100 FT OF PIPE:
(FRICTION LOSS IN FT/100 FT, PVC�
BR'S GPM 1 .5" PVC 2" PVC
****** ***** ******** *******
3 26.6 4.21 1 .25 �
3+10$ 28.8 ,� 4.87 1 .44
4 37.7 8.01 2.37
4+10� 40.0 8.91 2.64 � � ��a FT/100 FT O
5 44.4 10.81 3.20
5+10$ 53_3 --- 4.50
1 .25 x�W x�X / 100 = HEAD LOSS DUE TO PIPE FRICTION
1 .2 5 x � x �"/•. '�~� / 10 0 = �FT Y'
L. ADD 5.0 FT BY DEFINITION FOR LOSSES IN LATERALS/MANIFOLD
TOTAL HEAD REQUIREMENT = 5.0 + VO+ Y'
= 5.0 + � + � - FT HEAD REQ'D
********
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MINIMUM REQUIRED PUMP RATING:��---
r,... l �r=� ..
� (� GPM AT /,,_.: FT TOTAL HEAD
******** ********
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SIDE 2 l�i
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CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
r�`, �C�, INSPECTION REPORT
'C�� G~
9kESH�g'�
Owner: �fi✓— �n��{1� Address: `7�� ���dZ /CC�+i.
Permit #'s: Dates:.7�I—�S�//$9 Contractors:G`�, 1�7�Y�D�/j�T�e�/p N�S,
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-stte sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is �L 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 uas 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 uithout 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 p� 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 uithin 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):
Dr,a�nfield inspection indicates:
(1Y Drainfield is dry, no surfacing evident.
`1'L Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. 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.): 1�,1 �
COMM N j{�
J
s v
Date of Inspection Sep c 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 pre�nises with the system loc=tien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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��fa ;�;� '; CITY of ORONO
,�, ���� �,� � �,
�, fy, �y: '��,`��;�" �!4 Municipal Offices
'� ��,�,,���'��' ,����'�r G
.t9 �,�` ���"�¢.� Street Address: Mailing Address:
jfEggO 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
J t (
Owner: � �r'i �lC�r')P!)O(1v� Address: 4565 Bayside Rd.
Permit #'s: 2486 Dates: 11/1/89 Contractors: Patnode Bros.
(This is [ � an existing system [ ] new construction) .
SY4TFM COMPLIANCE (i -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 Comp�,iant 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-Com�liant 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 [ v1 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 (S-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.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [Nj�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 (11-141 : 11
11 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.
PnTFNTTAT, FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : low
COMMENTS:
��-�'-� -
Date of Inspection ept'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 • 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
�' G~
�9kEsHo4'�
� c
Owner: � � �� P!�/'1 Address• �56.5 6'�- 5 j�Z— J��J�
Permit �'s: �2��b Dates: ��f��O / Contractors: ' I�OS'.
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site seuage treatment system at the above address has been inspected and appears to fall into the category
checked betow.
(This is � an existing system [ ] neu 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 uhich
is operating satisfactorily by treating and disposing of the entire current sewage input uithout discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYS7EM"-A prohibited system; a system located uithin 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 uith less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soit characteristic �has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identi ie , this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
b 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 pixnped out as soon as possible.
System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia, pipe) must be installed in each
tank at next punpout. ]f tanks have not been punped out uithin the last three years, they should be punped
out now.
10 Inspection pipe is located directty over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been punped out within the last three years, they should be p�xnped out now.
DRAINFIELD CONDITION (11-14):
at ield inspection indicates:
11 Drainfie[d 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 [nspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS Cslooe,setbacks,etc.): •--�'
POTENTIAL FOR SYSTEM FAILURE (deaends on soils.water table,etc.): /� 4
I
COMMENTS:
�
Date of Ins ection 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 uith the system locetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake Misznetonka
ON-SiTE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OW N E R ���Y' �' �/Y�✓O'1''� l�n h�Eb�►'ti'ti A D D R ESS �SO� �1^3ar'�P_ K.L{�
PERMIT NO.'S. ���� DATES l��6 / CONTRACTORS ���� �r�
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)
�� 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.
D3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary, soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
� �'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. 'f�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 ❑ Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: �-�,L� YIS�i�' I�Yy7 /�� �I'1(�I �4Y��,1��— U���t�c� �O S�/f'fT�L'� ?�
_LQX�f/��
�-���r
Date of Inspection ptic System Inspector
Note: In the eve�t 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
„ � °�
,�% '
�;- o�
�' y1 �-�ii�!�=� ���- CITY of ORONO
Y'�
I��1� �I A;�3���� �.
\�, a'.�'�',-'�;_� '��`y ,�ti;�' Municipal Offices
� ir
� l i ,�`f^�,���i'�y � '
�9 - ; -;�: g�/ Street Address Mailing Address:
$'EggO�i 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066 .
--___ _---___
--___ _ _ _._- -
To Current Owner: :�ddress: (-{5�5 )�"'�S���C �
City Ordinance 199 requires that each existing on-site sewa�e rrea�ient system in Orono be inspected every rivo years.
The on-site sewa�e treatment system at the above address has�en mspected and appears to falt into the categories checked below.
SYSTEM CONFORMITY 1-3 : I
1 "CODE SYSTEM” An ISTS which meets all the location,desion an�construction standazds of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which dces not meet a!1 the I��abon,design and consuuction standards of the current Orono Municipai
Code but does meet the three foot separation requirernent or tuo foot rcquirement for systems installed 1996 or earlier,and which is not failin;or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS Icti:ated within.a designated 100-year flood plain,any ISTS which may
or may not meet all the location,desien,or consvuction 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 t�n�ee�the distribution device and the limitins soil chazacteristics.
TANK CONDITION(5-7): �
Tank inspection indicates:
SO Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped �'Z-?—C��- ).
Make sure seatic tanks are pumped throueh manhole and not through white insaection pipes This allows for the
proper cleaning. Keea water softner and iron filter discharge out of septic svstem.
7 Inspection risers missinb tanks could not be inspected_ In�ction risers(4"dia. pipe)must be installed in each tank. If
tanks have not been pumped out within the last three��ears.ihey should be pumped out now�.
D INFIELD CONDITION 8-10 : �L
8 Drainfield is dry, no surfacing evident.
9 Some evidence of surfacin�, not critical yet.
10 Drainfield is saturated and visibly discharoin�untreated eft7uent to the surface. Contact the City Inspector
immediately. Repairs must be completed«•ithin 90 da�•s.
COMNIENTS: r'`c ��� 5 c<:\� c'� �r����S 1 C�.i< �� �
��-\� �C� ��l,�C ��� �.C,��-�..-,
Date of Inspection N1att Bolterman - Szptic S��stem Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a m��sta�e or other transfer of propert}�.be advised that this report does not guarantee
or certify that an existing system�vill continue to function properiy.but is merel}an op�ion of the adequacy of the system undu current conditions based on the a�ailable
information.
Telephone(952)249-�b00 • Fax(952)249-4616
w�vw.ciorono�n.us
__ _._...
_ �
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���' �� �� � � ``��`��� CITY of OIZONa
�, � r � ;;
,, `�� ��r ,�' ' ���,,'',
Municipal Offices
Street Address: Mailing Address:
��9kEsHp4�� 2750 Kelley Parkway P.O. Boz 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
• t wner of Address ���.� � j �J�`f 5 ` `�� '"
To: The Cunen O
City Ordinance requires that onsite sewage treatment systems in Orono be
inspected on a periodic basis. The onsite sewage treatment system at the above
address has been inspected and the following is known about the system. A
sketch of the known components of the system is available for most properties at
the Orono City Hall.
Imminent Public Health Threat
Yes _�
No
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10
days of receipt of this notice. The septic system must be brought into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identified as Non-Compliant
Yes
No �
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other �
Septic Tank(�-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
�'j- �`7 -c:.�� . The tank(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments:
�..
� � ,
.%",�9;�..y��4'�����_, ' J � -fJ.J-
Inspector: �' Date of Inspection
Te►ephone 19�2) 2�9-4600 � �'ax (9�2) 249-461h
.......... ......�„..,., ���
Oct 21 14 07:05p Joseph Olson 763-498-8290 p.2
�innesota �ol�utian Compliance Inspection Form
Control Agency
52p LaFayette Road t�orth Ex�sting Subsurface Sewage Treatment Systems
St.Paul,MN 55155-�194 �SSTS�
Doc Type:Complrance and Enforcement
RE��le��'�,
Instructions: Inspeclion results based on Minnesota Poffution Corrtrol Agency(MPCA} �or lor:al tracking purposes:
requirements and attached forms—additional loql reGuiremerrts may also apply. �CT 2 2 Z��4
Submit completed form to Lacal Unit of Government{LUG}and systern owner
within 15 days
System 5tatus
System stateis on date(mm/dd/yyyy�: 911712014
� Compliant- Certificate of Compiiance ❑ Noncompliant-Notice af Noncornpliance
(Valid for 3 years fram report date,unless shorter�'me (See Upgrade Requr�men�s on page 3)
frame outlined in Locai Qrrlinance.)
Reason(s)for noncompliance (check alf applicable)
❑ Impact on Public Health(Compliance Component #i)—lmminent threaf to pubJic health and safety
❑ Other Compliance Conditions(Compliance Component#3)—Jmminent threat to pubfic healfh and safety
❑Tank Integrity(Compliance Component #2)—Failing to proteet graundwater
�Other Compiiance Conditions(Comp/iance Component#3)—�ailing to protect groundwater
❑Soil Separation (Compliance Component #4)—Farling to profect groundwater
(]Operating permit/monitoring p�an requirements(Compliance Component #5)—/Uoncomplianf
Aroperty Infarrnation Parcel ID#or SecJTwplRa�ge: 0$11723210005
Properiy address: 4565 Bayside Road,Orono, MN Reason for inspedion: Property Trans�er
Property owner: Peter Rennebohm Owner's phone:
or -
Owner's representative: Representative phone:
Local regulatory authority: Gity of Orono Regulatory authority phone: 952-249-4600
Brief system description_ 2-1000 and 1-1000 gallon lift station and 4'f0 square feet of mound rockbed. per city r�eoords
Comrnents ar recomrnendations�
--
Certification
!he�by certfy that alI tf�e necessary irrformafion has been gathered tv determrne the compliance status of this system.No
detenninatioR of firture system performance has been nor can 6e made due to unknown cortdi&ons dunng system construction,
possible abuse of the system, inadequate maintena�ce; or future wafer usage.
Inspector narne: Joseph J Olson _ Certification number: 1255
Business name: Rus Ofson's Soil&Perc.Testin License number: 810
Inspector signature: Phone number: 763-498-8779
Necessary or Locally Required Attachments
� Soil bo�ing logs ❑ SystemlAs-builE drawing ;]Forms per local ordinance
❑ Other information{lisi):
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • T7Y 651-282-5332 or 800-657-3864 • kvaiEabte in alterna[ive formats
wq-mvists4-31 • i1241 i2
Paqe i of 3
Oct 21 14 07:05p Joseph Olson 763-498-8290 p.3
Property address: 4565 Bayside Road,Qrono,MN Inspector initiaJs/Daie: J. �.9/17/14
1, IlllpaCt o�1 PUbI�C Hedlth—Compliance component#1 of 5
Compliance criteria: _ Verification method(s):
System discharge sewage to the � ❑Yes � No � Searched for surFace outlet
ground suriace. � Searched for seeping in yardlbadcup in home
System discharge sewage to drain dle ❑Yes Q�iVo � �cessive ponding in soil systemlD-boxes
or surface waters. ❑ Homeowner testimony(See Comments�lExplanatron)
(] "Black soil"above soil dispersal system
Systern cause sewage backu�into ❑Yes �No ❑ System requires'emergency"pumping
dwelling orestablishment.
❑ Performed dye test
Any"yes"answer above indicates the system is [] Unable to verify(See Commentsl6rplanation}
an lmminent T�rreaf fo PubJfc Hea/th and Safety. ❑ pther methods not listed(See CommentsiE�cplanation)
CommentslExpfa nation:
2. Tank Integrity—Cornpliar�ce component#2 of 5
Compliance criteria: Verification method(s):
System consists of a seepage pit, ❑Yes �No I� Probed tank(s)bottom
cesspool,drytivell,or leaching pit.
� �camined construction records
Seepage pits meeiing 7080.2550 may be '� ❑ �camined Tank lntegrity Form(Attach�
compliant if aAowed in loca!prdinance,
Sewage tank(s}leak below their ❑ Yes � No � Observed fiquid level below operating depth
designed operating depth. ❑ Examined empty(pumped)tanks(s)
— - --
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soi�"
�IRy "yeS"anSWel's�bOVe llldiCates t'he ❑ Unable to�er'rfy(See CommentsiExplanation)
sysrem is Farling to Pratect Graundwarer. ❑Oiher methods not listed (See Comments/Exp►anation)
CommentslExplanatio�:
3. 4ther Compliance Conditions—Compl�ance componer�t#3 of 5
a. Maintenance hole covers are damaged,cracked, unsecured,or appear to struciurally unsound. ❑Yes" �No ❑Unknown
b. Other issues(elecbicarhazards,erc_)to immediately and adversely impac!pubEic heaith or safety. ❑Yes" Q�No ❑Unknovm
*System is an imminent threat to public health and safety
Explain:
c_ System is non-protective of ground water for other conditions as dete►mined by inspector ❑Yes` �No
"System is failing to proteci groondwater
Explain:
www.pca.state.mn.us • b51-296-6300 • 800-65T-3864 • TTY 651-282-5332 or SOQ657-3864 • Available in aLternative formats
wq-wwlsts4-31 • t/Z,f/11 Aage 2 of 3
Oct 21 14 07:05p Joseph Olson 763-498-8290 p.4
Property address: 4565 Bayside Road Orono MN Inspector initialslDate: .3.O.9117/14
4. SOl f Sepdt'at1Or1—Compliance component#4 of 5
Date of instaflation: 11/01189 ❑ Unknown Verification methnd�s):
ShorelandhNellhead protectionlFood Beverage �Yes � No
�dg;�? Soi!observafion does not exprre. Pr�vious soil
obse�vations by fwa independent pa�ties are s�cienf,
Compliance Cr�teria: unless s11e canditions have 6een alte�or bca!
requirements differ
Forsystems 6urlt priorto�4pn!1, 1996, and I ❑Yes ❑ No
not located in Shoreland or Wellfread � CondUCted soil observation{s}(Attach bonng logsJ
Protection.4na or not servirrg a food, Q Two previous verifications(Attach boring logsJ
beverage orlodging establishment_
❑ Not appliC2ble(Hoh/fig tank(s),»o drarnSeldJ
Drainfield has at least a two-ioot vertieal ❑ Unable to verify(See Comments�xp�arrah'on)
separation distance from periodically
Saturated soil or bedrock. ❑ ah�(5ee CommerrtslF�rplanalion}
Non-performance systems builf April 1, �Yes ❑No CommentsJExplanation:
1996, orlaterorfornon-performance
systems located rn Shoreland or We!lhead
Protection Areas orserving a iood,
beverage, orlodgirrgestablishmenf.�
Drainfield has a three-foot vertical
separation distance frorn periodically
saturated soil or bedrock.`
"Experimental" "flther; or Performance' Q Yes ❑ No Indicate depths of elevations
systems built under pre-2008 Rules; Type IV �
or V systems butlt under 2Q08 Rules(708Q. A. Bottom of distribution media 98.4
or 70802400 (Advanced Inspector
- -
Licertse required} B. Periodically saturated soiVbedrock 95.6
Drainfield meets the designed�ertfcal C. System separation 2.6
separation distance from periodically - ----
S81Ura1ed soil or bedrOCk. ' D. Required com liance se aration• 2.6
ARy "no"answer above indica#es the system is �May be reduced up to 15 percent if allowed by Local
Failing to Protect Groundwater. ordinance.
5. Operating Permit and Nitro�en BMP"—Compliance component#5 ot 5 � Not applicabfe
�s the system operated under an Operating Pe�nit? ❑Yes ❑No If"yes",A below is required
!s the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yss", B below is required
BMP=6esf Management Practice(s)specified in the system design
If the answer fo both questions is"no'; this section does not need to be complefed.
CompEiance criteria
a. Operating Permit number:
❑Yes ❑ No
Have the Operating Permit requirements been met?
b. Is the required nitrogen BMP in place and properl functionin ? i ❑Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minrr_Staf.§915.55)An imminent threat to public healih and safery(17PNS)musf be Upqraded,replaced,or its ose
discontinued with,h fen months ofreceipt of this noUce or withrn a shoRer penod ifr2qui�d bylocal ordinance.If ti�e system is failing to pmtect
ground water,fhe sysYem musf be upgraded, repfaced,orits use discontinued within the time required by loca!orriinance.Ifan existing system
is not failing as defrned in la�v,and has at Jeast two feet of design sorf separation,then the system need not be upgraded,repaired,replaced, or
its use disct�ntinued,nohn+ithstanding anylocal ar/inance that is more sfnct. Thrs provisron does not apply to systems in shoreland aress,
WeAhead Profectron Areas,or those used in connectrort wiih food,beverage,and lodging estab/ishments as defined�n law.
www.pca.state_mn,us • 651-Z%-6300 • &(f0-657-3864 • 7'TY 651-282-5332 or 80D-657-3864 . Available in alternative farmats
wq-wwists4-31 . 112411? Page 3 of 3
Oct 21 14 07:06p Joseph Olson 763-498-8290 p.5
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Oct 21 14 07:05p Joseph Olson 763-498-8290 p,1
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Fax Transr�.ittal Farm
Date: 10/21/2014 Total Pages_ II6
To: City of Orono
Phone NUmber:
Fax Number: 952-249-�616
E-ma il:
From: Joseph J Dison
Phone N�mber: 763-498-8779
Fax Number: 7b3-498-8290
E-matl,- rustv2654[c�comcastnet
❑ Urgent
� For Review
❑ Please Comment
[] Please Reply
Message: This is the septic cert for 4565 Bayside Road.
Pfease file.