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� ! �,,�� s��� .�, Street Add�ess: Mailing Address:
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kEggO 2150 Kelley Parfcway P.O. Box 66
Orono, MN 55356 Crystal Bay; MN 55323-0066
Owner: G�`/ e n�J ��y � Address:_ 3�0 ��q �S�c���
City�Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site se�vage treatment system at the above address has been inspected and appears to fall into the categories checked belo�v.�
SYSTEM CONFORMITY (1-3): \
� °CODE SYSTEM�� An ISTS which meets all the location,design and construction standards of the current Orono hfunicipal Code.
2 '�COI�SPLIANT SYSTEM° An ISTS which does not meet all the location,desigp and constcuction standards ofthz current Orono Municipal
Code but dozs meet the three foot separation requirement,and which is not failing or an irruninent thrzat to public hzahh or safety.
3 ��NON-COviPLIANT SYS'I'EM" A prohibited ISTS;an ISTS located withirt a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the localion,design,or construction standazds of the cunznt Orono Municipal Codz and which is failing for any reason;and
any ISTS with less thanthree feet of unsaturated soil or sand between the distribution dzvice and tha limiting soil chazactzristics.
TANK CONDITION(5-10): S -
Tanl:inspection indicates:
� Pumpout not nzeded at this tima.
6 Tank must bz pumped out this year (city code requirzs tanks to bz pumped out every 3 years. Tank w•3s last pumped ),
7 Solids accumulation in tanks is at a critical a critical level. Tanks should be pumped out as soon as possibla.
8 System is discharging to the surfacz. Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspzction risers missin;-tanks could not be inspectzd. Inspection risers(4"dia,pipe)must be installed in each tank at nzSt pumpout Iftanks
havz not bezn pumped ou[within the last three yeacs,they should be pumped out now.
1� Inspection pipe is located directly over tank 6affle(does not give accurate measurement of solids accumulation). If tanlcs have not been pumped
out within thz last thrze years,they should be pumped out now.
DRAINFIELD CO�IDITION(11-14): �1
11 I?rainfizld is dry,no surfacing evidrnt
1? Some zvidznce ofsurfacing,not critical yet • ,
13 Drainfield is saturated and visibly discharging untrzated e$luent to thz surface. Contact the City Inspzctor immediately.Repairs must be
complztzd w'ithin 90 days.
1=� Drainfie(d estent and condition unknown.
COI��vv1ENTS: SySfiec�-� ��Sfiq\\c� a-�,-��
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Date of Inspection Septic System Inspector
Note: In the evznt that this inspection report is tued to satisfy the requiremenLz for a mortgage or other transfer of property,be advised that this report does not guazantee
or certify that an e�scing system will continue to function properly,but is merely an opinion of?he adequacy of the system under curreut conditions based on the available
information.
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON-SITE SEWAGE TREATMENT
„� � INSPECTION REPORT
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Owner• ��/ - f�l �"► �� Address• �
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Permit #'s: Datea: �/�1'-t���> Contractors: �����1� ��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 [ ] 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 uhich is operating satisfactorily by treating and disposing of the entire current sewage input
uithout discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich 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.
"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 an s stem uith less than 3 fee of u aturated i nd
� betueen the distribution device and the limitin soi i s. ��� i` �-y,,��
�>y�.�✓
(The limiting soil characteristic has or [ ] has not been identified at this ime. If the l�fmtting soil
characteristic has not been identi e , this classification may be subject to revision.)
TANK CONDITION (5-10):
�et� inspection indicates:
�57 Pumpout not needed at this time.
-d Solids accum�lation 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 purnped out as soon as possible.
8 System is discharging to the surface. Tanks rt�st be Fxxnped 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 purtipout. If tanks have not been pumped out within the last three years, they should be purtiped
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 nfield 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 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.): ���
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�OMMENTS: ' � ^ � ,� v �.,�,r�
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Date of Inspection Septic ys m I spector
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 witl 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
On the North Shore of
Lake Misznetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER � 2lAJ�l'�I����� .', ✓-`5�^ ADDRESS �c'�Z"1 �� #y�� �� .�����
PERMITNO.'S. ��� DATES ������ CONTRACTORS 6+���r�
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, and constructed generally in accordance with previous codes. System appears to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design, construction,or location,Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
� creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must 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
�flumpout 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 Orainfield 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. ❑ Drainfietd 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. ,�,Drai�field 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 �air
❑ Lot size O Medium ❑ Poor
❑ Lake,wetland,or stream ,�-High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
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COMMENTS: ��' / ) � � �G c�' '
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Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requireme�ts 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 curre�t 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