HomeMy WebLinkAboutSeptic info i'
' � SEPTIC SYSTEM INVENTOR Y
Address: 5 Brown Rd. S. PID: 34-ll 8-23 34 0009
Building Type residence BRs Install'd for: 4 In Musa: Yes
Permit#: 442 Date of Permit: 12/5/63 Installer: McWilliams
System Type: standard trench Experimental: no Tank Filter:
SYSTEM CONDITION
Conformity: 3 Tank Condition: 6 DF condition: 11 Failure Pot: medium
SEPTIC TANKS
Material: concrete block Capacity: 750, 750
Setback to Bldg: 10 Cesspool: yes
DRAINFIELD
Length of Lines: 150 # Lines: Trench Width: 2
Treatment Area: 300 Type of Filter: rock Soil Boring: yes
Tile Size: Under Tile: Perc Rate:
Setback DF-Bldg: 20 DF Ht above Wt: 0
Soil Type: Limitations: water table
WELL DATA
Setbacks - Well-Tanks: Well-DF: Report in File
Pump Type: Depth: Diameter: Method:
INSPECTION RECORD PUMPOUT RECORD
DA TE DESCRIPTION COMPLIANCE DA TE GALL ONS
7/13/81 no surfacing 2 9/11/91 1500
11/5/85 no surfacing 2 5/18/99 1500
7/30/86 no surfacing 2
7/1/88 no surfacing 2
10/9/90 need risers 2
5/26/92 no surfacing 2
9/27/95 no surfacing-pump tanks 2
9/25/98 non-compliant-repair by 12/31/2008 3
4/29/99 non-compliant-repair by 12/31/2008 3
9/14/00 non-compliant, connect to sewer by 2010 3
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���- ������������� CITY of ORONO
�a ',a �j��,� = �, ;;
,�:� !� ;' Municipal Oftices
"�+�'� `.o: G�
Street Address: Mailing Address:
\��9$Egg04'�/� 2750 Kelley Parkway P.O. Box 66
� -___—�� Orono, MN 55356 Crystal Bay, MN 55323-0066
September 25, 2000
Bruce & Linda Mathison
5 Brown Road South
Long Lake, Mn 55356
Dear Mr. & Mrs. Mathison:
An inspection of your septic system �vas conducted on September 14, 2000. A summary of the
inspection is below.
Septic Tank Condition
1. Pumpout not needed at this time.
The septic sti�stem is non-compliant due to a lack of a three foot separation distance beriveen the bottom
of the drainfield to the seasonally high watertable. The three foot requirement is a State Code, not a City
Code. A soil boring was conducted to determine the depth of the seasonally watertable. The residence
must be connected to the municipal se�ver system by December 31, 2010.
Enclosed is a list of state licensed septic contractors who work in Orono on a regular basis. Also
enclosed is a fact sheet elplaining how a septic system functions properly. Finally, an as-built drawing
is enclosed that shows the approximate location of the septic system.
If you ha��e any� questions regarding this report, please contact me at the City Offices at 249-4600.
Respectfully,
;
2�� , �?stiC��
Chris Pence
On-Site Systems Manager
Enclosures
In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be
ad��ised that this report does no guarantee or certify the esisting 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 the system location and pumping records.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
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� � , ��� ``i`�`' G� Street Address: Mailing Address:
�`�l�'�HQ'g'� 2150 Kelley Parkway P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: �v�? ' Address: 5 Brown Rd. S.
Permit #'s: 442 Dates: 12/5/63 Contractors: McWilliams
(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.
J 3/ Non-Compliant System: System may or may not meet current City standards for design,
U 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 is [� or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 6
� Pumpout not needed at this time.
f6J Solids accumulation in tanks indicates they should be pumped out this year.
'��f 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.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [ ] or are not [ 7 water tight or the condition is [� unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 11
1 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: (system age and condition, soils, etc. ) : medium
COMMENTS: The septic system is non-compliant, but does not appear to pose an imminent threat to
public health or safety (surface discharge or backup into the dwelling) . The system must be
repaired or replaced by 12/31/2008 or within ninety days of posing an imminent threat to public
health or safety, whichever comes first.
� �
Date of Inspection 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)249-4600 • Fax(612)249-4616
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�' ��� ���� CITY of ORONU
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`� �, , ,��� �' !S'� Municipal Offices
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�� ,� � ����� ``:°�,`�'.�� Street Address: Mailing Address:
��1��HOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
i
Owner: �� Address: 5 Brown Rd. S.
Permit #'s: 442 Dates: 12/5/63 Contractors: McWilliams
(This is [ �j 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 level is [X j or is not [ ] identifiad under this septic system. If the
saturated soil lavel is not idti�ntified, this classification is subject to revision.)
TANK CONDITION (5-9) : 6
� Pumpout not needed at this time.
(6J_ 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.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [ ] or are not [x] water tight or the condition is [ ] unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 11
1 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: (system age and condition, soils, etc. ) : madium
COMMENTS: In order to confirm that the 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 12/31/2008.
���g
Date of Inspection Se ic Syste Inspe tor
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
r�`,� � INSPECTION REPORT
'C�� G~
9kESH�4�
rhI,� �j�
Owner: ,���� ����,�V 1 Address: � �l� p�C.�lr Ji
/ / r
Permit #'s: Dates: ��'��� Contractors: /�j' �/�� /�]�[
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
7he on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is ,fly. 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.
"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 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 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�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: ____w__ _
� P�mipout not needed at this time. �
(6�) Solids accumulation in tanks indicates th_e�should pu ed out this year to h lp prevent future problems.
�� o i s accumu ation in an s is a�a criticaT-ieve . --sbauick:i.s� -as soort as possitrte.--
8 System is discharging to the surface. Tanks must be pumped out within 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 pixnpout. ]f tanks have not been pumped out within the last three years, they should be puir�ed
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement ot solids acc�nulation).
If tanks have not been puir�ed out uithin the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Cyr�nfield inspection indicates:
( 1y Drainfield is dry, no surfacing evident.
�TZ Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknoun.
LIMITING S1TE FACTORS Cslope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.uater table.etc.): � �/�j-��
COMMENTS:
� _ r
Da e of Inspection Se c 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
tnformation.
This report must be kept on the prEmises with the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office eox 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�, � INSPECTION REPORT
ti
���kESH�4'�G
Owner: �L/��1'I'� l��'Y�h'f� Address: � L5//.�,/}'1 IC� J .
Permit #'s: ��� Dates:�`5-�3 Contractors: /!/C_ ,���1pYYl�
City ordinance number 100 requires that each on-site seuage 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 [�Q, an existing system [ 7 neu construction)
SYSTEM CONFORM[TY (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 uas 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 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
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic [ ] has or j74. 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): �
T inspection indicates:
5 Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be p�xnped 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 dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
1f tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14): �
Dr nfield inspection indicates:
1 Drainfield is dry, no surfacing evident.
2 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City lnspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ���`
COMMENTS:
_ 6..
Date of Znspection 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 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 of
Lake Misznetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �U-�i'11 J� C.�'!��/�� ADDRESS � �+'��� /C.�— ��
PERMIT NO.'S. `�`�� DATES ��`��? CONTRACTORS -!�'�c «./!1a'�s
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
creati�g 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
❑ 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 table,and system condition) � Adequate
❑ High water table ❑ Low �-Fair
❑ Lotsize �Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: � ,( /��(a^, !�/S�/�' /�G�'T� �GF /%�S�AII�� �I2'� T/T� �I?�� �lll'Y�� !b/�/�1�
L�h t.'. lfQq�,
�
l�-���� ���
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.
WH�TE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake�Ylinsaeto�2ka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystai Bay, MN 55323
473-7357
C`
OWNER �1G��;��,i'� �(�i��/���..� ADDRESS � `���'-t'�i ��17),vr'1 �!G� ,Ll'/,v?U Ll.l�
PERMIT NO.'S. `��� DATES ��`� �'��'� CONTRACTORS �"���1-���ff/��%Y'�
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 fail into the category checked below.
(This is ,�l an existing system ❑ new construction)
� � Meets or exceeds current City standards in ali respects relating to design,construction,and location.Appears to be operating
properiy,
�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 potlution 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 replaceme�t 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 ( � Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is tocated directiy 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.
ithin 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
�I�spection 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 dmmediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ��Drainfield extent awd.oeniiiiow unknown� j Il.' S�i,;,i�'ti/_/rlt�
%'�,r<l.��r
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Futur Expansion
❑ Soil table,and system condition) �Adequate
❑ High water table 0 Low � � Fair
� Lot size �-Medium �5�-��1�'Yr%�i ��7��� ❑ Poor
❑ Lake,wetland,or stream ❑ High O Inadequate
� Drainage ❑ System is causing visible
surface discharge.
COMMENTS: �/(� �� ✓�..%��9/�1 ���/,�'��fJ ����i/f�.1�1!-Yl.� /�f.%/�C1 �C(Jf �Ll-N1 y-Z�� I�l � ���� n/',
�
�t,.�`�r �f�� '���u� ll_�� ✓`tkCi-1'ri�il�?!-2/�� 7�i��� ���� '1iC� �,l_.�;1.��� c1 �i �;lil.[��rl �tJ
';'� �'�( � ("� �,i- �� ��"� � " �
, � ,
�_�_��7' � �''%'' �c-z�
Date of Inspection � Septic System 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 existin� 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 GOLO COPY/Homeowner
On t.he North Shore of
Lake Mi���etonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �J���"�� ����> ADDRESS � ��1,'�1.�� ��►� ��
PERMIT NO.'S. /��'' DATES �`'l �' ' CONTRACTORS �1C'j�'iI/l��in,s
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 ab�ove a'ddress has been inspected and appears to fall into the category checked below.
(This is L7 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 generaliy 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 ( � 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 Drainfield inspection indicates:
should be pumped out as soon as possible. ❑ Drainfieid 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. ❑ Orainfield 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. -e---�E] 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:
�JkL�� 3�' 1 �`fS'S�' ( w , E��t-lc-�✓
Date of Inspection � ptic 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 properiy,but is merely an opinion of the adequacy
of the system under current conditions based on the available i�formation.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner
On tl.�e North Shore o f
Lake Mirt�aetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OW N E R J���'P �t C����-S A D D R ESS 6-1- L��'-�.�'�v/� �,�-A --'O�c�.
PERMIT NO.'S. "���— DATES � � � � �` C' -� CONTRACTORS / ` < <"�`��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 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 usualiy 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 action)
Tank i�spection 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. �9.Drainfieid 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. � � t ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Siope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) 0 Adequate
❑ High water table ❑ Low �Fair
❑ Lot size �yVledium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
�Drainage����, ,n,y���A ^;��,� ❑ System is causing visibie
�'n%`� tyF= Cud,+N�—jE"1� surface discharge.
COMMENTS: A�C-� �-'�e'�'i��_I'7 1�� �'�1� PL'�l�lF C�Gw�T . , �
._`"� f�'TT�'i-e�� /Ll�rl/J� �J%-�> ��l �'�7E'
, -
; �^
/� ._S-�� L �"'i �-�_` C��d��k��..� f��,_�.�! �
Date of Inspection Septic System Inspector �_T��=..
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 GOLO COPY /Homeowner