HomeMy WebLinkAboutSeptic info SEPTIC SYSTEM INVENTORY
Site Address: 120 Brown Rd S P��
Owner Name: Orono Creekside
Owner Address: 120 Brown Rd S Long Lake MN 55356
Building Type: residence Installer:
Date of Permit: 9/13/71 Peterson, Murphy Plbg.
System Type: standard trench BRs Designed for: �4
In Musa?: Yes Shoreland?:
SEPTIC COMPLIANCE INSPECTION
Report Date:
Compliant?: Expires:
Non-Compliant?: Report in Street File?
SPEC� IAL NOTES
�—
�—
SEPTIC TANKS
Material: concrete block Capacity: 1000 Tank Filter: �
DRAINFIELD
Treatment Area: Soil Boring: yes DF Ht above Wt: �
WELL DATA
Setbacks-Weil-Tanks: 75 Well-DF: 75 Report in Fiie?: � Depth: 127
INSPECTION RECORD PUMPOUT RECORD
Date Description Q Date Gallons
8/1 /81 not home-system not located 2/10/87 800
10/13/82 tank located 12/24/98 500
7/30/86 no surfacing 1 /12/99 500
7/1 /88 no surfacing �—
10/9/90 no surfacing-need risers,pump tanks �—
5/26/92 no surfacing-riser located,pump tanks
non-conforming-repair by 12/31/97 �
10/2/98 non-compliant-repair by 12/31/2005 �
9/18/00 non-compliant, repair by 12/31/2010 �
6/18/02 non-compliant,replace by 12/31/2010
06/16/04 Non-compliant, replace by12/31/2010
08/01/06 Non-compliant, replace by 12/31/2010
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`4$ESg04'� 2750 Kelley Parkway P.O. Box 66
- Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �� �r0�'"`� U`-�' S '
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs.
The on-site sewage treatment system at the above address has been inspected and appears to fail into the categories checked below.
SYSTEM CONFORMIT'Y (1-3): �
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the ourrent Orono Munic�l Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds of the current Orono
Municipal Code but does meet the three foot sepazadon requirement or two foot requirement for systems installed 1996 or earlier,and
which is not fiiling or an unminent threat to public health or safety.
�3 / "NON-COMPLIANT SYST'EM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which may
`� o r m ay n o t m e e t a ll t h e l o c a t i o n,d e s ign,o r c o n s t r u c t i o n s t an d a r d s o f t h e c u r r e n t O r o n o M u n i c i p a l C o d e an d w h i c h i s f a i l i n g f o r an y
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the luniting soil characteristics.
TANK CONDITION(5-7):
Tank inspectionindicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped ).
Make sure septic tanks are pumped throuEh manhole and not through white inspection pipes. This allows for the proper
cleaning. Keep water softner and iron filter discharse out of septic sVstem to prolone life of drainfield. Ask pumper to test
alarm float to verifV alarm is still working in vour house. The alarm warns owner that septa�e is about to backup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the tast three years,they should be pumped out now.
DRAINFIELD CONDTTION(8-10): I v
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: p�°�:��-:ciJ s�-r�r��s J Cu�nc�— }-�. . S�-�.�� � or
«pi�� s�p�-.-� by �-,-o �
c_��—Dy �a�
Date of Inspection Matt Bolterman - Septic System Inspector
Note: In Uie event diat 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 certitv [hat an esisting system will continue tu function propzrly. but is mercly an opinion of the adequacy of the system under current
conditiuns based on the available intorn�ation.
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�C'F,+ggO 2150 Keliey Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
95d-�49-4600
To Current Owner:
Address: �d ���'w`� �1 � "
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo 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 (1-31: �
1 '�CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYS"I'EM" An ISTS which does not meet all the location,design and conswction standards of the current Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or
an imminent threat to public health or safery.
O3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or conswction standards of the curtent Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the disvibution device and the limiting soil chazacteristics.
TANK CONDITION(5-10): �
Tank inspection indicates:
5 Pumpout not needed at this time.
6� Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped 5—�� `�� )•
Mal.e sure septic tanks are pumped throu�h manhole and not throu�h white inspection_pipes•
This allows for the proper cleanin�.
7 Inspection risers missinb tanks could not be inspected. Inspection risers(4"dia.pipe)must be instatled in each tank.
DRAINFIELD CONDITION(I 1-14): �5
n Drainfield is dry,no surfacing evident.
�3 J Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
6� f����<<� �y 12-3 � -� �o a�
COMMENTS: S�S x� �`'S�" •
..,-�,:.� �- S .:rC--«�� K� q ct�f-�c� . �,:�-� }-�.�1<S -
6-��S-a�-- G�`�Ci,�C 1 10'�`��
Date of Inspection Matt Bolterman - 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 guazantee
or certify that an existing system will continue to function properly,but is merely an opinion ofthe adequacy ofthe system under current conditions based on the available
information.
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�'9$Egg�='� 2750 Kelley Park say P.O. Bax 66
- Orono, MN 5535 Crystal Bay, MN 55323-0066
September 2�, 2000
John F. Dunn
20 Bro��n Road South
Lon;Lake, Mn 5�356
Dear Mr. Dunn:
An inspection of your septic system was conducted on September 18, 2000. A summary of the
inspection is belo�v.
Septic Tank Condition
1. Pumpout needed within one yeai� (last pumpout date 5/1/92).
The septic system is non-compliant due to a lack of a three foot separation distance between the bottom
of the drainfield to the seasonally high�vatertable. The three foot requirement is a State Code, not a City�
Code. A soil boring �vas conducted to determine the depth of the seasonally ���atertable. The septic
system must be replaced b5�December 31, 2010.
Enclosed is a list of state licensed septic contractors ���ho work in Orono on a regular basis. Also
enclosed is a fact sheet e�:plaining how a septic sy�stem functions properly�. Finally, an as-built drawinb
is enclosed that shows the approximate location of the septic system.
If you have any questions regarding this report, please contact me at the Cin� Offices at 249-4600.
e�pect ly,
v�� x�
hris ence
On-Site Systems Manager
Enclosures
In the e��ent this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be
advised that this report does no guarantee or certify the esisting system�rill continue to function properl}',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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�� � ' 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
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Owner: � � / 1 �1 /V j )Y� Address: 20 Brown Rd. S.
Permit #'s: 141 Dates: 7/27/62 Contractors: Long Lake Drainage
i
(This is [h] 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
Ocodes 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 [�.,] 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
5 Pumpout not needed at this time.
� 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.
(Tha tanks are ( ] or are not [ ] water tight or tha condition is [�] unknown. If the tanks
are not confirmad to be watartight, this classification is subject to revision.)
DRAINFIELD CONDITION (11-14) : 12
1� Drainfield is dry, no surfacing evident.
�1 Some evidence of surfacing, not critical yet. Repair is not required at this time.
3 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. ) : high
COMMENTS: In order to confirm that your 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.
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Date of Inspection Se tic 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
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON–SITE SEWAGE TREATMENT
„� � INSPECTION REPORT
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Owner: ��� �/)n� Address: �� ,( �1r�'I,�'Y� ��.�•
Permit #'s: Dates: /�7'—IS� Contractors: �YX� �K-� �//)'L71�P ,
City ordi.nance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatme�t system at the above address has been inspected and appears to fall into the category
checked below.
(This is_Yy. an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM'�-A system uhich 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 SYS7EM�'-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but aas 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 seuage input without discharging
any pollutants tnto 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 which 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.
(7he limiting soil characteristic [ 7 has or ,[79, has not been identified at this time. If the limiting soil
characteristic has not been identified, this cY[assification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates: ``""-- ___.
� Pumpout not needed at this time.
(6J_Solids accumulation in tanks indicates the should b d out this year he �
'? Sot-ids-accvrtiuiat"r�rr-Tn-t�nRs is at a critica eve . out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out uithin 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 pun�out. [f tanks have not been pumped out within the last three years, they should be purnped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dq�i ifield inspection ind' � V�`�'J
/1�/ Drainfield is,�ir� surfacing evid
�f'� Some evidence of sur iticat yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be cortipleted 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.): '' �
COMMENTS:
Date of Inspection p ic System 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 uill continue to function
properlyi 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.
WHI7E COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATMENT
v� � INSPECTION REPORT
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�9kESH��'�
Owner•__ lLA!{'1 �� Address• � lSl�l�fG,�• 1� .�
Permit #'s: � Dates: /v2��o2 Contractors: L1�I�+c� �K� �Gf,1'�t«e-
City ordinance rnmiber 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site seuage 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)
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 satisfactority by treating and disposing of the entire current sewage input
uithout 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 uithout 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 which 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 � has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDIT[ON (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
� 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 pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped 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 purnpout. [f 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).
If 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:
� 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
immediately. 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.): o
COMMENTS: � ti(/y(jJ11t1�Z'G7 Q`f�`��lS � IJ� :�?T�� .S T/�'' '�
_ n,j,�
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 guarantee or certify that an existing system uill 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 Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �1'1 /i �/iY�►"� ADDRESS �� �/�F�C�f� -�'
PERMIT NO.'S. �7� DATES 7!�'7�� CONTRACTORS % `�"�� U/��
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 ihe category checked below.
(This is � an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,constructio�,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,
Iocated, and constructed generally in accordance with previous codes. System appears to be functioning properly;no major
upgradi�g 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
� � 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 oui 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 tabl,e.,r,and system condition) �Adequate
❑ High water table �1 Low Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:� //�f� G>'�? ._� Q�'/y✓ l� /y�J✓t� ,LZ't�t� �iL�/� ��,��? Yf�("'4'��fv /�'Y.�h �'O'v✓'
/v.S f ✓�c��:,�P 6��h� ,r� ������l, �-�' f ,�- �-S � Ga���.�era,��eJ .S'e,��n�la
,a ✓ O✓ � � r v c- �
/�-���
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 opi�ion 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
On t{.�e North Shore of�
Lake Mis�netoyzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
'\
c- -�
OWNER �U �?i•� C�C�.dlY'\ ADDRESS r�L� ��GL�-��l"�- �V��L.I��VI �G�C�C
,; a ��
PERMIT N0.'S. � � DATES � ''� � CONTRACTORS ����;�i—�=='�� �'✓•'-������.-
�
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)
� � 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 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 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 accumutation 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 14" 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�unknown, �,G�,i,>/�,7 �:;�✓',";c:,�/�_�
,
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Faiiure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) �;Adequate
❑ High water table C�Low ❑ Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visibie
surface discharge.
COMMENTS:
•
__ ,
�
� -1- �� i�; .� -�.��/
Date of Inspection � , Septic Syst�n� 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�nder current co�ditions 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
On the North Shore of
Lake iYfi�znetorzkcr
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
J� f ..�
OWNER �✓CLF}'�—���'� �� h� ADDRESS z� ���� �"1/v� / v Jt'
PERMIT NO.'S. �`�� DATES j � � � L CONTRACTORS `�O'''�`" � ����C �'���''��`"�
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 abo�ddress 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 �ot 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 pubiic 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 soiids 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.
�8 Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
shouid 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 �——0 Fair
��7 Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream __---�7 High O Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
���L�f ��° 1�( S l�- ` ��-� �-��-1t�
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 properly,but is merely an opinion of the adequacy
of the system under current co�ditions 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