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���'�.,,`�����`Og� Street Address: Mailing Address:
. E$$ 2750 Kelley Parkway P.O. Box 66
_ Orono, MN 55356 Crystal Bay; MN 55323-0066
Owner: Rc�b2l'� �ti-.�Qy Address:_ 3q D Q '9 �5�Gn d
Cit��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 below.�
SYSTEM CONFORMITY (1-3): 3
1 °CODE SYSTEM" An ISTS which meets all the location,design and constntction standards ofthe current Orono blunicipal Code.
2 °C01�1PLIANT SYSTEM" An ISTS which does not mezt all the localion,dzsi�and construction standards of the current Orono Municipal
" Code but does meet the three foot sepazation requirement,and Khich is not failutg or an imminerct threat to public heahh or safety.
3O NON-COvfPLIANf SYSTEM Aprohibited ISTS;an ISTS locatzd within a designated 100-year flood plain,any ISTS which may
or may not mzet all the locatioq design,or construction standards of the currznt Orono biunicipal 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 characteriscics.
TANK CONDITION(5-10): -
Tan.l:inspection indicates: _
� Pumpout not needed at this timz.
6 Tank must be pumped out this yeaz (cit}'code requires tanks to be pumped out evzry 3 years. Tanl:was last pumped v��np w� )
� Solids accumulation in tanks is at a critical a critical level. Tanks should be pumped out as soon as possibla.
g S}scem is discharging to the surfa.e. Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risecs missing-tanks coufd not be inspected. Inspection risers(4"dia.pipz)must be installzd in each tank at ne�-t pumpout. If tanks
havz not been pumpzd out within th�last three years,they shou(d be pumped out now.
1� Inspection pipz is located directly over tank baffle(does not give accurata measurzmznt of solids accumulation). Iftanks have not been pumped
out within thz last thrze yzars,they should be pumped out now.
DRAIi�iFIELD COiVDITION(11-14): �y
11 Drainfield is dry,no sucfacing e�7dent
1� Somz evidznce of surfacing,not ccitical ye� • ,
13 Drainfietd is satu:ated and visibty dischazging untreated e$lurnt to thz surface. Contact the City Inspector unmediately.Rzpain must be
completed within 90 days.
1=l Drainf�iald ex[�nt and condition unknown.
COM�NTS: 5`( 5�-e�-. � c�de5 �afi mee-� 3 �oo fi sePerq+;o� d�st��c_e.
eP\ac.�. �y �a 3�- 0 7
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Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to salisfy the requiremenis for a moRgage or other transfer of properiy,be advised that tfiis report does not guarantee
or ceRify that an esisting system will continue to function properly,but is merely an opinion of the adequacy of the system under curre�conditions based on the available
informalioa
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�,, �C�. INSPECTION REPORT
ti
��9kESH�4'�G
Owner• / �/�� )�l. Address: ✓C
•�1�3r:`LL
Permit �'s: Dates: 7d� i�—� Contractors: ��C�I'�%(�1� /,�Y����
City ordi.nance nurtiber 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 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 without discharging
any pollutants into ground or surface uaters.
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 il or sand
between the distribution device and the limiting s ics. -�
.,�,� ,b� I��,-��
(The limiting soil characteristic has or [ ] has not been identified this ti If the Limiting soil
characteristic has not been identi ied, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Soltds accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids acaxnulation in tanks is at a critical level. 7anks should be pumped out as soon as possible.
� System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
Inspection risers missing-tanks could not be inspected. lnspection 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 pumped
out now.
10 Inspection pipe is located directty 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):
Drainfield inspection indicates:
11 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
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SI7E FACTORS (slope,setbacks,etc.): �/
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �.�
COMME S: ^ �
� r � �,�fe. � �
'� � � £?
� � ir 2
Date of Inspection Sep ic 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
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 prEtnises with the system locatien 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
OWNER ��y�✓�� I �l/�� ADDRESS �c'vf�s( L-o� � S S, io �SIc�J"Y�
PERMIT NO.'S. ��� DATES ,�t�`��`�� CONTRACTORS �'�`�ry'�'� ���=�-
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) �CJEI/p�a.,�se
� � 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,constructio�, 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)
Ta�k 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, 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 exte�t 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:
la�s�y� �
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