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°ir`��=�-� �ITY of OR011T0
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� �S���'��,:�;I�� ,y Munici offices
.� �'�'`���"' �`�f �� StreEt Address: Mailing Address:
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. k�gKO 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay; MN 55323-0066
Owner: P efi e.r '���5 5 a7 D
Address:_ ��� �SIti�J
Cit��Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.'
SYSTEM CONFORMITY (1-3): 3
1 ��CODE SYSTEM�� An ISTS which meets all the location,desi�and construction standards ofthe currerrt Orono hfunicipal Code.
2 ��C0�1PLI?.NT SYSTEM" An ISTS which does not meet all the locazion,design and construction standards ofthe currznt Orono hiunicipal
Code but does meet the three foot separalion requiremen�and�c-hich is not failing or an irt,�,,;.,ent thrzat to public heahh or safrty.
� °NON-CO�LPLIANT SYSTEM" Aprohibitzd ISTS;an ISTS locatzd within a desigiated 100-year flood plaiq any ISTS which may
or ma}'not mzzt ali the localion,design,or construction standarbs of the cunznt Orono Vlunicipal Codz and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand b�.:rn the distribution device and the limiting soil chazactzristics.
TANK CONDITION(�-10):
Tank inspection indicates: _
� Pumpout not neaded at this time.
6 Tank must be pumpzd out this year (city code requires tanks to be pumped out evzry 3 years. Tank was last pumped V�k�0 w r� )
� Solids accumulation in tanks is at a critical a critical 1zveL Tanks should be pumped out as soon a.s possibla.
� Systzm is discharging to the surface. Tanks must be pumped out�.Lzthin 43 hours to eliminate surface discharge.
9 Inspzction riszrs missing-tanks could not be inspected. Inspection riszrs(4"dia.pipe)must be installed in each tank at nzxt pumpout If tanks
havz not bezn pumped out within thz last three yeacs,they should be pumpzd out now.
1� Insp:ction pipe is located directly over tank ba@le(does not givz a�curate mzasurement of solids accumulation). Iftanks have not been pumpzd
out�vithin the last three years,they should be pumped out now.
DRAINFIELD CO?VDITION(i 1-14): �y
11 I?rainfield is dry,no surfacing evidznt.
1� Some evidencz of surfacin,,v,not critical yek • ,
13 Dra�eld is saturated and visibly dischazging untreatzd effluent to the surface. Contact the City Inspector immediatzly.Repairs must be
complztzd�c'ithin 90 days.
1� Drainfield e�ctznt and conditionunknown.
COMNIENTS: Sys�-e� c�oe5 �o�r n�2efi 3 �o o fi SePera fi-o� d�5-►-o.�ce
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Date of Inspection Sepfic System Inspector
Notz: In the event that this irLspzction report is used to satisfy the requirements fer a mortgage or other transfrr of property,be advised that this repoR does not guuantee
or ceRify that an existing system will continue to function properly,but is mzrety an opinion of the adequacy of the system under curreat conditions based on the availab(e
infoc�ation.
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�' ��������� � CITY of ORONO
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��r{y, �����`'��� �� lS� Municipa! Offices
Fr;(�u `,{;r 'i 'ti
�� IE',,,';��'�'Q�'��'.�G Street Address: Mailing Address:
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$EggO 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ��� � Address: 270 Big Island
Permit #'s: none Dates: Contractors: unknown
(This is + � an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 3
1 Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
�3 Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom
of the drainfield and the saturated soil level.
(The saturated soil level [x] has or [ ] has not been idantifiad at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
TANK CONDITION (5-9) : .
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.
9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [ ] were not confirmed
to be watertight by the licensed pumping contractor. If the tanks wara not confirmed to be
watertight, this classification is subject to ravision.)
DRAINFIELD CONDITION (11-14) :
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.
POTENTIAL FOR SYSTEM FAILURE: (s stem age and condition, soils, etc. ) :
COMMENTS: The non-compliant �r ����� must be repaired by 12/31/98 or within 90 days of
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failure (surface discharge) , whichever comes first.
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Date o nspection Sep 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
On the North Shore o f
Lakc Minnetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER F✓��Ql't'S ADDRESS �/�'�'/ ��-�� ��� �Sl�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) '� n�y,,�r•.
� � 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 a�d
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.(Ooes 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 elimi�ate surface discharge. ❑ Orainfield is saturated and visibly discharging untreated
❑ Inspection risers missi�g—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 nezt 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:
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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 guara�tee 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