HomeMy WebLinkAboutSeptic info s - • SEPTICSYSTEMINVENTORY
Address: 4720Bayside Rd. PID: 31-118-23 33 0006
Building Typ residence #BRs/GPD: 4 #Systems 1 Units Billed 1
Permit#: 1551 Date of Permit: 7/17/67 Installer: Widmer Bros.
System Type standard trench Experimental: no Appliances lndry,dshw,dspl
SYSTEM CONDITION
Conformity: 3 Tank Condition: 5 DF condition: 11 Failure Pot: medium
SEPTIC TANKS
Material: concrete block Capacity: 600, 600
Setback to Bldg: 20 Cesspool:
DRAINFIELD
Length of Lines 300 # Lines: 3 Trench Width: 2
Treatment Area: 600 Type of Filter rock Soil Boring: yes
Tile Size: Under Tile Perc Rate:
Setback DF-Bldg: 30 DF Ht above Wt: 0
Soil Type: loam, clay loam Limitations: water table
WELL DATA
Setbacks - Well-Tanks: 50 Well-DF: 50 Report in File yes
Pump Type: subm. Depth: 155 Diameter: 4 Method: drilled
INSPECTION RECORD PUMPOUT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
10/29/79 no surfacing 2 5/23/80 1200
5/23/80 no surfacing, tanks will be pumped and ri 2 5/1/90 1500
8/4/86 no surfacing 2 3/1/91 2000
6/28/91 no surfacing 2 10/1/91 2000
8/13/93 DF saturated 2 12/2/94 2000
12/16/94 complaint-laundry waste w/sump dischar 2 8/5/97 2,000
7/30/97 non-compliant-repair by 11/14/97 3
12/1/97 non-compliant-tanks overfull,repair by 20 3
11/12/99 non-compliant, repair by 12/31/2007 3
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�,� '��'� CITY of ORONO
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�� �' � ',`,�G Street Address: Mailing Address:
_`qkESHp'¢' 2750 Kelley Parkway P.O. Box 66
--_-_ .. � Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Cun•ent Owner of Address �/���C� �'���� S � �� �
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 followin� 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 refenal 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 s ump out Needed
Yes
No
The City recommends the septic tank(s) and/or lift tanlc be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
�-5 -�(r7 . The tanl:(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments:
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Inspecto��� '�' � '����Q..�. Date of Inspection � ! -� ��
Telephone(9�2) 2�19-460� � Fak (9�2) 249-461(�
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'� --���� ' CITY of ORONO
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,t ` ,'!`,?;������� Street Address: MarTing Address:
��Egg04" 2150 Kelley Parkway P_0. Box 66
Orono, MN 55356 Crystai Bay, MN 55323-0066 .
- — ------------_
_ _ ___ _
To Current Owner: Address: ���'� �`'`�S ���- ��
Ciry Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected e�-erti•nvo years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the ea2e�ories checked below.
YSTEM CONFORMITY 1-3 :
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono�iw.icipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds of t3e current Orono�funicip:.l
Code but does meet the three foot separation requirement or two foot requirement for syste�ru installed 1996 or earlier.and which is not failins or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within_a desisnated 100-yeaz flood plaa am�ISTS which may
or may not meet all the location,design,or conswction standards of the current Orono�tuni;ipal Code and whic�is failin;for any reason;and
any ISTS with less than three feet of unsaturated soii or sand between the distribution device and the limitino soil�racteristics.
TANK CONDITION(5-7): �C
Tank inspection indicates:
5 Pumpout not needed at this time.
6O Septic tanks must be pumped out this year (city code requires tanks to be pumped out once ever��3 �ears.
Tank was last pumped ).
Make sure septic tanks are pumped through manhole and not through white inspectioa aipes This allows for the
proaer cleaninQ. Keep water softner and iron filter discharge out of septic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be mstalled 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 : �
Drainfield is dry,no surfacing evident.
9 Some evidence of surfacin�, not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surfacz. Contact the Cit��Inspector
immediately. Repairs must be completed within 90 days.
COMMENTS: n c S � � �Cc.�:�� ,..�� .���\ } t;c jcJ o 1� _ ��' ��, �Tc�..��S
,��-;,� �� �—�—�t _
(�-\�S-�� �� �'��
Date of Inspection Matt Bolterm2n- Septic S}•stem Im�ector
Note: In the event that this inspection report is used to satisfy the requirements for a mortga�e or other Vansfzr of property,be advisr3 thaz this report dces not�;:zr-antee
or certify that an existin�system will continue to function properly,but is merely an opinion ofthe adequacy ofthe s}stem under curr�t conditions based on the a�ailable
information.
Telephone(952)249-4600 • Fax(952)249-4b16
www.ci.orono.mn.us
SEPTIC SYSTEM APPROVAL
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� �r� ,T� ,� C ITY of ORONO
"�'i� `����;1��`��:�� ,��' Muniripal Offices
�'� �'� ,�`�s;���' G street Address:
,¢�i Mailing Address:
�CEggO 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner ���;s A�►�ev Phone (Home)9Sa-4�d-3[oS(Work)
Address y�ao (i�ys,de Rd Cityr�,ple PI�;� State M,v Zip Ss3s9
Site Evaluator 5�.e�1��,� State License # 3q$ Phone# 4ya- 5$55
Type of Establishment: Single Family �C Multi Family
Commercial Garbage Disposal Yes� No
No. Potential Bedrooms 4 Est. Gallons Per Day bo 0
Water Meter Required: Yes_ No x Soil Sizing Factor . S 3
Perc Rates P-1 a O P-2 d3 P-3 a o P-4 a 7 P-5 P-6 P-7
Restricting Layer Depth B-1 is " B-2 �6" B-3 ►S" B-4 ►6'" B-5 B-6
Type of Treatment System:
Standard X Experimental Alternative
Pressurized Mound System X At-Grade System
Gravity Trenches System Pressurized Trench System
Gravity Trenches W/Lift � Pressurized Bed System
Holding Tank W/Alarm
Septic Tank Size l000 , �ono # of Tanks a Lift Tank Size IOoo
Pump Brand GPM 3 $ Head I 6
Treatment System:
Minimum�o xs��4l x >5) Square Feet with 9 inches of rock below pipe
�
Type of covering Fabric�_ Other
THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan.
A permit must be issued to a licensed septic contractor prior to installation.
NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the
inspector (952-249-4600) Call for inspection 24 hours in advance.
ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and
fencing must remain in place until final site grading. Approval to pour footings will not be granted
until the Inspections Department has verified the primary and alternate sites are protected:
NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20' of tested drainfield sites ever.
ACCEPTED X DENIED By the City of Orono subject to eacisting regulations and
thefollowingconditions: Pun.p �- crv�ti ex"5-1-�,�q fia�k5 Oo �ot p�fi S�M� Pum(�
wa-tt� `�t�o ne..., r�o���. Var;G�c� q�o.��-�� �or west s�de,rR�d Sc�►-bAck D� �o {�efi_
By: �'}1'1ax�. 7—S-O l
Matt Bolterman, On-Site Systems Manager Date
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Telephone(952)249-4600 • Fax(952)249-4616
. www.ci.orono.mn.us
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CITY of ORONO
'�'i, �'°� '�� , r� ,�ti Municipal Offices
�� '' ��; f��;�,p���G Street Address: Mailing Address:
`q$EggO¢ 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
June 6,2001
Peter Achey
4720 Bayside Rd.
Maple Plain, MN 55356
Dear Mr.Achey:
An inspection of your septic system was conducted on June 4,2001. The septic system is an in-ground trench
system. A summary of the inspection is below.
Sentic Tank Condition
1. Pumpout not needed at this tune.
2. Pumpout needed within one year. (Last Pumpout 8-5-97)
3. Pumpout needed within 48 hours.
4. Inspection risers need to be installed on all tanks. Tanks�vere not able to be inspected.
If tanks have not been pumped within l,ast three years, all tanks should be pumped now.
The septic system is non-compliant because it is visibly discharging untreated sewage to the surface of the
ground. This is considered to be an imminent public health threat. This discharge could have adverse effects
to the environment including contamination of your�vell or neighboring wells. City Code requires that the
s��stem be repaired or replaced within 90 days upon the date of this letter. The septic system must be replaced
bS� September 6, 2001. Until the system is repaired or replaced,the septic tanks must be used as holding tanks
and pumped�vhen full so as not to discharge untreated sewage to the surface.
Enclosed is a list of state licensed septic contractors who regularly�vork in Orono.Also enclosed is an as-built
dra���ing showing the approximate location of the septic system.
Please contact the inspector at the City Offices at 952-249-4600 as soon as possible to discuss your options
regarding this situation.
Respectfully,
��
Matt Bolterman
On-Site Systems Manager
Enclosure
In the event this inspection report is used to satisfy the requirements for a mortgage or other gr���ge��yF
property,be advised that this report does no guarantee or certify the existing system will continue g�ffr����;.��
properly,but is merely an opinion of the adequacy of the system under current conditions based on�he
available information.
This report must be kept on the premises with the system location and pumping records.
f
Telephone(952)249-4600 • Fax(952)249-4616 ,
www.ci.orono.mn.us
CITY OF ORONO � O�
Municipal Offices O O
Post Office eox 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�),� �� INSPECTION REPORT
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�9kESH04'�
Owner: C TL'2 — Address: �ll7v �01��51d� �q �SJ.�S� �
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Permit �'s: 5S . Dates: 7 ' �7- 6 � Contractors: /N a C !�? , �C�,
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):
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 uhich 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 instatlation, 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 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 failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
betueen the distribution device and the limiting soil characteristics.
(The limiting soil characteristic j�7 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):
ank` inspection indicates:
Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pimped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. 7anks 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 dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next punpout. If tanks have not been p�xnped out within the last three years, they should be pur�ped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been purtiped out uithin the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
field inspection indicates:
11 Drainfield is dry, no surfacing evident.
Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City lnspector
iim�ediately. 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.): �L'jJ j �jy�
CtOMMENTS: 5 5 n � /1� �c'yt t�:�vv�/�c %,J •t�► c� (Gt t�- C nJ �it r'�t.2� �GC7" S �'r'C��r�G-z
IU{'�LV�Q p r i�i w� r L'� L�' G�1 � il � ci (.�t< fC, ;�I Q � �
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Date of Inspect on eptic ystem 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 uith the system location and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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�-��=�-° ���=� CITY of �ORONO
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=j� 4.� Street Address: Mailing Address:
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�`91fEgK0 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: � Address: 4720 Baysida Rd.
Permit #'s: 1551 Dates: /17/67 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.
� 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 leval [� ] has or [ ] has not been identified at this tima. If the
saturated soil level has not baen identifiad, this classification is subject to revision.)
TANK CONDITION (5-9) : 6
5 Pumpout not needed at this time.
� Solids accumulation in tanks indicates they should be pumped out this year.
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 Maintanance Pumpout tha tanks [ ] wera or [�] were not confirmad
to be watertiqht by the licansad pumping contractor. If tha tanks ware not confirmed to ba
watertight, this classification is subject to revision.)
D AINFIELD CONDITION (11-14) : 11
1 Drainfield is dry, no surfacing evident.
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. ) : high
COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil borings
were performed to verify a 3 foot separation between the drainfield and the seasonal water
table. The separation is 0 feet and the system is non-compliant. Repair or replacement of the
septic system is required by 12/31/2007.
'�l
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Da e of Inspection S tic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue to
function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
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�==a�� � CITY of ORONO
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�� l r !C, MunicipalOffices
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���',,:�,��i7v��¢.�G Street Address: Mailing Address:
$EggO 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ��tP(' !'tCJ1��/ Address: 4720 Bayside Rd.
Permit #'s: 1551 Dates: 7/17/67 Contractors: Widmer Bros.
(This is [�J an existing system [ ] new construction) .
4YSTFM CnMPT TANCE (1-3) : 3
1 Code �ystem: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Comgliant 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.
� N�n-C'nm�] 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 [t/l has or [ ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 9
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
within three years, they should be pumped out and risers installed now.
� Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped oUt within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [ � were not confirmed
to be watertight by the licensed pumping contractor. If the tanks were not confirmed to be
watertight, this classification is subject to revision.)
DRATNFTELD CONDITION (11-141 : 13
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.
�nmcnTmTnr FOR SYSTEM FAILURE• (s�rstem age and condition soils etc.) : failing
COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil borings
were performed to verify a 3 foot separation between the drainfield and the seasonal water table.
The separation is 0 feet and the system is non-compliant. Repair or replacement of the septic
system is required by il/14/97.
��`� -�
Date of Inspection S ic 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
ti
���kESH��'�G
Owner• �i � Address• �7''��� !]G�V.�I� l� /V�,
Permit #'s: /��) Dates: 7�/—�7 Contractors: L�/Ip'/n�� /S�So
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 �1.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 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 soit 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):
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 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. ]f tanks have not been pumped out uithin the last three years, they should be pumped
out now.
10 lnspection 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�ynfield inspection indicates:
(1]7 Drainfield is dry, no surfacing evident.
�f2 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.): �
COMMENTS: � E? � �� � �v
Date of Inspection ' Se ic 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 pre�nises with the system loca±ion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lakc Minnetorika
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER v G�� �G�e ADDRESS �
PERMIT NO.'S. ���� DATES ���/ � � CONTRACTORS + �S�
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be i�spected 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, 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.P�ease 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 Drai field inspection indicates:
should be pumped out as soon as possible. ,�-Drainfield is dry,no surfacing evident.
O 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 14"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) O Adequate
❑ High water table �Low �Fair
❑ Lot size Medium Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drai�age ❑ System is causing visible
surface discharge.
COMMENTS:
�-�z�" -�l �--_
Date of Inspection eptic System Inspector
Note: I� 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 co�ditions 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 Mi��netoyaka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER !�� r�/C.� ��Gh°L `/ ADDRESS `I � ��' L/���-%l/�L' ��G
PERM IT NO.'S. �°'�-'� DATES � � � 7 �� � CONTRACTORS �ti i�U�L�
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 dress has been inspected and appears to fall 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 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 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 wili 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 actionl
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not
,,..�—fl 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. ❑ 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 tabie,and system condition) ---�7 Adequate
❑ High water table ❑ Low ❑ Fair
❑ Lot size ��—� Medlum ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
��C�G l(S�T� � ��"/,��� : �� ��{ �_, ,�� �
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 avaitable information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner