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SEPTIC SYSTEM INVENTOR Y
Address: 540 Big Island PID: 22-1 17-23 42 0001
Building storage BRs Install'd for: 0 In Musa: No
Tvne:
Permit#: none Date of Permit: Installer: unknown
System Type porta-pit Experimental: no Appliances
SYSTEM CONDITION
Conformity: 2 Tank Condition: 5 DF condition: Failure Pot:
SEPTIC TANKS
Material: Capacity:
Setback to Bldg: Cesspool:
DRAINFIELD
Length of Lines # Lines: Trench Width:
Treatment Area: Type of Filter Soil Boring: yes
Tile Size: Under Tile Perc Rate:
Setback DF-Bldg: DF Ht above Wt
Soil Type: sandy loam, loam, clay loa Limitations: none
WELL DATA
Setbacks - Well-Tanks: Well-DF: Report in File no
Pump Type: Depth: Diameter: Method:
INSPECTION RECORD PUMPOUT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
10/31/90 porta/plastic holding tank; outhouse is fitt
5/22/96 holding tank OK,no record of pumping a 2
10/24/O1 Property is now vacant
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�������� , �,r���., _ � CITY of ORONO
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��� r�',, � ;�, r� �,�� !4,l� Municipal Offices
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�� .� `�� ,r'"�`�G Street Address: Mailin� Address:
\\�$Egg04' 2750 Keliey Parkway P.O. Box 66
___� Orono, MN 55356 Crystal Bay, MN 55323-0066
9sa-ay9-46o0
Owner: ��� �� r� I �`��e Address:_ �y� � �� ZS�a n c�
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site se«�age treatment system at the above address has been inspected and appears to fall into the categories checked belo��-.
SYSTEM CONFORMITY 1-3 :
1 °C�DE S�'STEM" �n ISTS which mzets all the location,design and construction standards ofthe currznt Orono Municipal Code.
2 °C��L,Il�� SYSTEM" An ISTS which does not meet all the location,design and construction standards ofthe cunent Orono Municipal
Code but dces meet the three Yoot sepazation requirement,and which is not failing or an imminent threat to public health or safety.
3 "N�N-COMPLIANT SZ'$TElV��� A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,desig�,or construction standards of the current Orono Municipal Codz and which is failing for any reason;and
any ISTS with less than thrzz faet of unsaturated soil or sand between the distribution device and the luniting soil characteristics.
TANK CONDITION(5-10):
Tank inspection indicates:
� Pumpout not needed at this tima.
6 Tank must be pumped out this year (city code requires tanks to ba pumped out zvzry 3 years. Tanl:was last pumped ).
� Solids accumulation in tanks is at a critical a critical level. Tanks should be pumpad out as soon as possible.
g Systzm is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surtace discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipz)must bz installed in each t�1nk at nent pumpout. If tanks
ha�e not been pumped out within the last three years,thay should ba pumped out now.
10 Inspection pip�is located directly over tank batlle(does not givz accurate measurement of solids accumulation). If tanks have not been pumped
out within thz last thrzz yzars,they should be pumped out now.
DRAINFIELD CONDITION(11-14):
1 1 Draintield is dry,no surtacing evident.
1? Some evidence of surfacing,not critical yet.
13 DrainYield is saturated and visibly dischazging untrzatzd e�luent to the surface. Contact the City Inspector immediatzly.Repairs must be
complatzd within 90 days.
1-� Draintizld zh�tent and condition unknown.
CONIlVIENTS: Qc�p��1-� �s �ac��, NU Noi���, -t�-�I: �x•5^S o� �ro�er.�_�
i o � y-� I �'�� P�����
Date of Inspection Septic System Inspector
Note: In the zvent that this inspection report is used to satisfy the requirements for a moRgage or other transfer of property,be advised that this repoR does not guarantae
or czrtify that an zxisting system will continue to function properly,t�ut is merely an opinion ofthe adequacy ofthe system under current conditions based on ihe available
intonnation.
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON–SITE SEWAGE TREATMENT
� � INSPECTION REPORT
ti
��9kESH�4'�G
Owner• l(/I��� 1--/l�� Address• –� (�J <"
Permit #'s:�D'(�P Dates: —' Contractors: r/�/�J7�h.aJ�
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.
(7his 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 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 disposin of the entire current sewage input without discharging
an ll t ' waters.
3 "NO - RM1NG SYS7EM"-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 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-6,(j has not been identified at this time. If the limiting soil
characteristic has not been identified, this c'L�ssification may be subject to revision.)
TANK CONDITION (5-10):
Tprtq inspection indicates:
�5/ P�xnpout not needed at this time.
6 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 punped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out uithin 48 hours to eliminate surface dischar�e.
9 [nspection 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 pumped out uithin 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.
DRAINFIEID CONDITION (11-14): _ �,.,�y.��
(.��f 1C�
Drainfield inspection indicates:
11 Drainfie[d 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 table,etc.):
COMMENT : > �
� �.
> >
Date of Inspection � S ic Sy te 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 loc=_tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lakc Mizznetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �Pr.ni:�- 1� Cy'�'tcrr�r����L.:�tn� ADDRESS �C°R� ��'� ���`�,��
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) � ��/�y,..f.�('_,
� � 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 constn . �_ �rA,, ned,
located, and constructed enerall ��7•'1��'�y ����''�������'- ��? �"�''r�`"
g y in accordance with prev � iajor
upgrading of the system is required at this time.
i�,
� 3 Does not meet current City standards in many respects rel� ��g �j ��5�/�' 3ting
adequately at this time, but has a relatively high potential � �d at
this time. t
� 4 System may or may not meet current City standards for d ``.� ��;�/ /"��J �5���� and
dispose of the current input, and is endangering a water su ; � �'✓ or is
creating a safety hazard,or is otherwise creating a public n pair/
replacement procedures. If drainfield replacement is necess plan
must be submitted for review.Your contractor must obtain
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: iot
❑ Pumpout not needed at this time. �ks
❑ Solids accumulation in tanks indicates they should be pump- iey
ed out this year to help prevent future problems.
❑ Solids accumulation in tanks is at a critical level. Tanks Dra
should be pumped out as soon as possible.
❑ System is discharging to surface. Tanks must be pumped
within 48 hours to eliminate surface discharge, ted
❑ Inspection risers missing—tanks could not be inspected. ce-
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 table,and system condition) L ❑ Adequate
❑ High water table j� ❑ Low /1d,� ❑ Fair
❑ Lot size n0� ❑ Medium ���� Poor
�Lake,wetland,or stream �,��❑ High O�� ❑ Inadequate
❑ Drainage �jC° ❑ System is causing visible
surface disc arge.
COMMENTS: � S L'� C�y/�C./1� �(}
— �' � � t,
/�� 3l`�O �
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