HomeMy WebLinkAboutSeptic info ,�� °�
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���I :;:�3;�j�.r - ,, CITY of ORONO
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� � ; .�// Street Address: Mailing Address:
�EB�� 2750 Kelley Parkway P.O. Box 66
Orona, MN 55356 Crystal Bay, MN 55323-0066 .
_ --------__-----------— --
To Current Owner: Address:_ ���� ��'�yS���- ��-�
Ciry Ordinance 199 requires that each existing on-site sewa�e treatment system in Orono be inspected every rivo years.
The on-site sewage treatment system at the abo��e address has been inspected and appears to fall into the categories checked below.
STEM CONFORMITY 1-3 : �
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" M ISTS which does not meet all the location,design and consvuction standazds 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 failin�or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTENi" A prohibited[STS;an ISTS located within.a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,desisn,or construction standards of the current Orono`tunicipal 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.
� Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped ��-�'1-"�� ).
Make sure seatic tanks are pumped throuah manhole and not through white insnection Qipes This allows for the
Qroaer cleanin�. Keea water softner and iron filter discharge out of sentic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4" dia. pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION 8-10 : �
8 Drainfield is dry,no surfacins evident_
9 Some evidence of surfacin�, not critical yet.
10 Drainfield is saturated and visibly dischargin�untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed�r•ithin 90 days.
COMMENTS: r�t� S :;��.c: ., , (�^c J c�� � C C � �� `,� S� t�L
�c•^\L� �=•� Spc �, . � �-'S— �rt'tz5 �� � r—o .;,.�I iC�iD t���'S
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Date of Inspection I�tatt Bolterman - Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other uansfer of property,be advised that this report does not guarantee
or certify that an existing system will continue to function pro�rly,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)2-19-4616
www.ci.orono.mn.us
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f ,�,.�-,-�.�•� �y Street Address: Mailing Address:
9�Egfl�g 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystaf Bay, MN 55323•0066
Owner: 1J 0 Lj�O`,2. �� �-(- L{6 6 0 �G S;d�. I�U
Address:_ y .
Ciry Ordinance 199 requires that each existing on-site setivage 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.
YSTEM CONFORMITY 1-3 : �
��CODE SYSTEM�� An ISTS which mzets all the location,design and construction standards of the current Orono hlunicipal Code.
2 ��COivIPLIANf'SYSTEM�� An ISTS which does not meet all the localion,design and construction standards ofthe currerrt Orono Municipal
Code but doas meet the three foot sepazation requiremen�and which is aot failing oc an imrnineat threat to public hzalth or safzty.
3 "NON-COi�IPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a dz.signated 100-year flood plain,any ISTS which may
or may not meet aIl thz localion,dzsign,or construction standards of the current Orono Nlunicipal Code and which is failing for any reason;and
any ISTS with less than three fezt of unsaturated soil or sand between the distribution device and the limiting soil characteristia.
TANK CONDITION(�-10):
Tank inspection indicates: -
� Pumpout not nzedzd at this time.
� Tanl:must be pumped out this year (city codz requiru tanks to be pumped out every 3 years. Tank was last pumpzd `�-y-9� ),
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 inspzctad. Inspzction riszrs(4"dia.pipe)must ba installzd in each tank at next pumpout If tanks
hava not bezn pumped out within the l�st thrze years,they should be pumped out now.
1� Inspectiun pipe is located directly over tarilc bafflz(does not givz accurate measurement of solids accumulation). If tanks havz not been pumped
out�vithin tha l�st thrze years,they should be pumped out no�v.
DRAINFIELD CONDITION 11-1�: ��
11 Drai�eld is dry,no surfacing evident
12 Soma evidznce of surfacing,not critical ye� � � '
13 Drainfield is saturzted and visibly discharging unireated e&luent to tha surface. Contacc tha City Inspzctor unmediately.Repairs must be
completzd�cithin 90 days.
1� Draintield zstent and condi4on unkno�on
COM�NTS: S S-i�� �-. �S 0 k ,,,, �ks
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Datt of Inspeccion Septic System Inspector {
Not�: In the event that this inspection report is used to satisfy the requirements for a moRgage or otfier transfer of property,be advised that this report does aot guarantee
or certify that an esisting systzm will continue to function properiy,but is merely an opinion of the adequacy of the systzm under cucrzut condilions based on thz availablz
informatioa
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON–SITE SEWAGE TREATMENT
r�`,� �, INSPECTION REPORT
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Owner• ���. ���Address: / 6 — J J
Permit �'s: �V� Dates: � �� � Contractors: IP�R�I �T d�rzS�n.?
City ordi.nance 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 belou.
(This is�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 uaters.
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 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 uhich is failiny 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 soil characteristic � has or [ ] has not been identified at this time. If the limiting soil
characteristic has �ot been identi ied, this classification may be subject to revision.)
TANK CONDITION (5-10):
y�nky inspection indicates:
L5� Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be puriped 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 punped out uithin 48 hours to eliminate surface discharse.
9 ]nspection 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 punped
out nou.
10 [nspection pipe is located directly 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 pumped out now.
DRAINFIELD CONDITION (11-14):
pNei�►field inspection indicates:
L.Lt' 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 canpleted uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITiNG SITE FACTORS (slope,setbacks,etc.): —
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��Gf
COMMENTS:
Date of Inspe tion Septic S stem 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
properlyi 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 location and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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Street Address: Mailing Address:
�`9xEs.KpS�'� 2750 Kelley Parkway P.O. Boz 66
-:_.__.. Orono, MN 55356 Crystal Bay, MN 55323-�066
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To: The Cur�ent Owner of Address `r�'' �� �3�}�I S :� L�-�
City Ordinance requires that onsite sewa�e treatrnent 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 �L
No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tankf�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
��— �(� 7 . The tank(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments:
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Inspecto�� �= Date of Inspection
Telephone (9�2) 249-460� � Fax (952) 249-461f�
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� # � m C ITY of ORONO
� �"��a�r�� � �ti Municipal Offices
"� ��°r �������C�
\�.� �'���J���''.�G Street Address: Mailing Address:
i;,r�l�
'q$EggOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
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Owner: �,•hh�C� u"T-"'" Address: 4660 Bayside Rd.
Permit #'s: 4009 Dates: 10/14/91 Contractors: Jerry Johnson
(This is [ �an existing system [ ] new construction) .
SY4TFM COMPLTANCE (� -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 Com�liant 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�iant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level [ ] has or ( ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 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 taaks [ ] 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
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.
pnTFNT7Ai FOR SYSTEM FAILURE• (system age and condition soils etc.) : low
COMMENTS:
� ���
Date of Inspection Se 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 eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�,� �G�. INSPECTION REPORT
ti
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Owner: ��J^(°� ��'T Address: �7�J LY]�lS�/JIP, �(�1.
Permit #'s: ' Dates: ��`t'�Contractors: �('��)C)/ly1S��
/
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 [� an existing system [ ] new construction)
SYSTEM CONFORMITY 1-3 :
"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 poll�tants into ground or surface uaters.
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.
(7he limiting soil characteristic �], 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): �
7�c inspection indicates:
�5) Pumpout not needed at this time.
3 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. [nspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out uithin 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):
D field inspection indicates:
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
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 tabte,etc.): I,,,� �
�ri�
COMMENTS:
� ����
Date of Inspection S tic System nspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises with the system toc�±ien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake Mi�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �-z�1�1 P �lI �°�/� �1J � ADDRESS �L�CL,,l�V'S�GfF. /`'�t.�
PERMIT NO.'S. �,�� DATES � CONTRACTORS �
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The 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 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, a�d constructed generally in accordance with p�evious 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 locatio�, 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,a�d 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. ❑ 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, eftluent to t e sur ace, his condition may require replace-
Inspection risers (4" dia. pipe) must be installed in each tank ment or additions to drainfield:_CQniacr +hP C�rv Insoector
.._.:.e._ _
at next pumpout. If tanks have not been pumped out within immediaxelK_Renaus_must.be completed wrthin 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. J
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 ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage �System is causing visible
surface discharge.
COMMENTS:
6-�g�-�l .��
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
On the North Shore o f
Lakc Miz�7aetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
owrvER �'�����3i C ��:. i,�• �'u�= '= a��REss �l(ulvc 1�>/-f��Si/�� l�D
PERMIT NO.'S. DATES CONTRACTORS
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the abov address has been inspected and appears to fali into the category checked below.
(This is an existing system ❑ new construction)
� 1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generaliy 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 drainfield replacement is necessary, soil testing wiil 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: ❑ 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
��7 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. ��7 Drainfield extent and co�dition 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 �--�7 Fair
�-� Lotsize _---� Medium O Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visibie
surface discharge.
COMMENTS:
�1 c =�,,
t I,t�- ���; '�7� l I � - - �- �
Date of Inspection , Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT POST OFFICE BOX 66
•
1335 S. Brown Rd.
� _ � � Crystal Bay, MN 55323
473-7357
OWNER C>>G�I7►l: � W• Gl} F� ADDRESS -7b�o(� ��fSI��
PHONE PERMIT NO'S. `'"— DATES
City Ordinance No. 210 requires that eacF�`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:
� � Meets or exceeds current city standards in all respects relating to design, construction, and focation. Appears
to be operating properly.
� � Does not meet current city standards in some respects relating to design, construction, or location. Appears
to be operating properly.
❑ � Does not meet current city standards in many respects relating to design, construction, or location. Appears
to be operating adequately.
❑ � Does not meet current city standards of design, construction or location, is being overused, or is failing to
properly treat and dispose of the current input and is therefore endangering a water supply, is a source of
pollution to surface or groundwaters, is creating a safety hazard,or is otherwise creating a public nuisance.
Please contact the inspector to discuss requirements for repairs to your system. Soil testing may be re-
quired. In all cases a design and site plan must be submitted for review. Your contractor must obtain a permit
before work is started.
WORK REQUIRED:
� Septic tanks must be pumped within 48 hours.
� Drainfield must be repaired or replaced within 90 days.
� Inspection riser (4"diam. pipe) must be installed in each tank.
� Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that
tanks be pumped out every three years.
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.
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Date of Inspection S tic System Inspector
This report must be kept on the premises with system location and pumping records.
WHITE COPY / Inspector's File GOLD COPY /Homeowner