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Home My WebLink AboutSeptic info r 04/26/2610 07: 28 9528733112 PAGE 01/05 v MinnesotaPollution Compliance Inspe�tion Form Control Agency SZolafayeaeRoadNorth Existing SubsurFace Sewage Treatment Systems (SSTS) S�.PauI,MN55155�4194 InSLruCtions on pa�e ' Parcel number; For Local Tracking Purposes System status: �Cempliant ❑ Noncompllant (based on ell coMpiiance requ/rements) Summary Fvrm Property Information Property owner name(s): ! �!� ��U �� „__,_.__._... ,. Property address; Y � • ' - � I? �' __......... , Property owner's address (i1 different): _,__,_.,___..._,. _ County; � Pr�perty owner phone; /��- yf�� y�Pe�mitting authorlty: , ._ , , , _ � 1,, Oate system constructed: . G O Resson for inspection: �Q c�-- �_.,,, ,. , . _ r r System Descriptian Brief system descriptfon: � �G�� - S "'� f12�`' � y�'� __.,,,, ,. . Lo�al permit number: Number of bedrooms: Design flow rate: _. �Q.�:� Is the system: In Shoreland area? ❑ Yes �,No In Wellhead Protectlon Area? ❑ Yes �No An U S. Environmental Protection � System serving a Minnesota Department Agency (EPA) Class V Injection Well?� Yes �.No of Heath (MDH)licensed facility? ❑ Yes �] No COI11p�1��C@ StdtUS(Based on state requirements-addllional local requirements may also apply,) Based on the inFormation gathered and reported on attach�d forms, the compllance status o(this system is(check one� �Certificate of Compliance-valid untif (3 years from dafe ol reporl): _________,. � Notice of Noncompliance- For Noncompliant systems: The reason for noncompliance is: Thls noncompHant syatem Is classiffed as (check one below); ❑ imminent threat to publlc health 8 safety ❑ Failing to prolect ground water ❑ Not in compliance wi�n opera��nG p�rT;: C2�t1'f1Ca�iOf1 (Completed form must be submitted to the local unit of government within 15 days.) f hereby certify thal a►1 fhe necessary infoimation has been gafhered lo determ�ne fhe compliance ste�us o!Ih�s sysre�� r�c determination of luture sy5tem pe�formence has been nor can be mede due to unknown conditions during system consu��_t�� possible abuse ot the system, �nedequ te main�nance, or furure wsfer usage. Name: _.,,�� IL�� Certification number, ��y�-.\._ .... . 8us�ness license name and number: ��y�,�Ea�L111[� �,,��1(Q5�`�C_ r�j, 'rJ—��—_.._._. or Name of Iocal unll o ernment: „___ . ... . . Signature; ` - v Date� /��... _ .._.__ _. _ _ � Required Att�ch�ments Inspector Completg; This Inspectlon Report is �j pages long. Check Compfla ce forma attached: �Hydraulic Perform9nce ,CJ�Tank Integrlry �5oil Separa�ion ❑ Operaling Perm�� F�rm��' applicab�e) ��yslem drawing/As•built drawing � An assessment of any lacal requirements thet are GiFferent from wnai�s reo��rce on ;r.�s form ❑ Soil 8oring Logs ❑AbanOonment forrn (�f approprlata) ❑ Other information(li�t); Upgrade RBqUifBmefltS (deflYBd/rom Minn, StAt.§ 115.55)An lmminenl threal lo puDlic fleallAanO srlefy(ITPHS)musl De upgrsar,o.reorA�ec : rfs use disconli�ued wilAi�lsn monlha ol ieeelpf of Ihla noUce or wiiAin a ahoRer penod�l�oQuirod Dy Ipcef o�d/nenee,I(tne sys(em�s Jadmg ro pro�eci�ro�r.c Nalo�.Ihe system musl D�up�radsd,ropl�ced,orita use discanUr+ued wilhin IHc lin+e�e0v/rod Dy ioea!orvinance. I!en exlsfing sys�em�s noi lac.r•g as:ar:�a: - �a..,enC nea ar�eaar rwo/��f old��ipn aoil separo�;on,inen IAe eystem ncee nol ee vpgreoeo,�epelred,repleced,or ils use a�sconbn„ed.no�•�.u+r>:�.:.::;:-• rocal ordinancs fha!�s�+'�oro sfiicl. Th;s provlslon does no/apply lo sysfems in shoreland areas, Weflhead Piofeclion Areas.or Mose useo��;o��ec:.;�: .� - _._ oe�erage. a�d 1odq�np eslaDlisnmenrs as tlellned in law. 04/26/2610 67:28 9528733112 PAGE 02/05 � � _ ..,-' P2rCel number: ___ ___ � `_ System status: �Compliant ❑ Noncompliant (as determined by this formJ Hyd�aulic Per#vrmance and Other Compliance Compliance Issue #1 of 4 ' Date�f observalion: � U Reason for observation; �_� ^y! _ This form expires upon next inspection or in three years,whichever occurs first: Compllance questionslcriteria: (Required) Verification Method*: (Optional) (Check the a ro rlete bex (Check the approprlate box) Does the sysiem discharge sewage to the ❑Yes � No �( Searched for surface outlet yround surFace? �-- D�es the system discharge sewage to drain ❑Yes �No � Performed hydrautic test tile or surFace waters? ! ��Searched inr saeping in yard Does the system cause sewage backup ❑ Yes �No ❑ Checked for backup in home intv dwellin or establishment? � ` ❑ Ex�essive ponding in soil system/D-boxes Do other situations exlst that have the ❑Yes �No � womeowner testimony potential to immedlately and adversely � impact or threaten public health or safety �'{ Examined fo�surging in tank clectrical, unsafe covers,etc.? ` Any"yes"answer Indicafes that fhe system!s an lmminent � �B�ack soil"abowe soil disporsal sys[em threat to pub!!c hea/th a�d safety. ❑ System requires"emergency'pumping —"'" � ❑ Performed dye test �O;'� Ooes the system pose a threat b ground ❑Yes No / ,,��, water for any conditions deemed non• ! � �he�� _-.�.._�9_�"1d-___ . ...�v��:�_ rotective as dete�mined b the ins ector? r7 _ �71►�' _ �//+� C f��, ��a�� _ —��,---._._.. "Yes"lndlcates rhat the system is failing to protect `��d � �%,c�__ ground water. If"yes'; descrlbe the conditlon noted: - - � 'No stendard protocol exisfs. This list is not exhaustrve, •• - in sequenfia!order, noi does it indicate wl�rch ___ _ combinafions are necessary fo make tl�is determinatior�, Certification This form is to be completed and attached ta the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compfiance Inspection Form for Existing Subsurface Sewage T�eatment Systems. Observations,interpretations, and conr,lusions must be completed by an inspector. Completed form must be submitted to the local unit of government within 15 days. PropeRy owner name(s); � � 1,� (j e � —•-- ••— -w..,�^-•--- --- . _._._....._ Propertyaddress: � 1�1� ,. �� __......._.+ .__._.. Properly owner's address(If dlfferent): � County: �.(�(1.�0 � t '�� _ Phone: I hereby certi�y tha(1 personally marle�he ob5ervations, interprc�ations, and conclusions reported on this form and thal they are correct. Name: , �O j� '��1u�1�1 _ _� Certification number; 1��J-f ------ - --.._......_ ausiness license name and number. �-U„y��U(�� _ • ��S _,`�L �(}� • „V _____ or � Name of local unit vemment/ -- � .......------ Signature: � J ^ . ---- - .. Date: �!._......__._.....,.. ._, wq-wwists4•31 CORIOIIU�C2 1f7MPrtinn Fnrrn fnr Frictirtn CCT< 04126/2010 07:28 9528733112 PAGE 03I65 � -� - ° Parcel number: A w __._. „ ^ _ � System status: ��mpliant [�Noncompliant (as detemrined by this form) Tank integrity and Safety Compllance Compliance Issue #2 f 4 ti ' � Date of observation: �_ `�. � ^(�_ Reason for observation: � This form expires on (three years): T ~ Compliance questionslcriteria: (Required) Verlfication Method"*: (Optional) (Check the approprlete boxJ (Check the appropriate box) Does the system consist of a seepage pit", ❑ Yes �No ❑ Probed tank bottom cesspool,drywell,vr leaching_pit? Do any sewage tank(s)leak below their ❑Yes No ❑ Observed low liquid level . designed operatin de th7 �� Examined constructlon records If yes, identify which sewage �Examined empty(pumped)tank �;��r,7��' tank leaks. ❑ Probed outslde tank for"black soil" Ar1y"yes"a�swar lnd/cates thaf the system Is faflJng to profecf ground water. • Q Pressure/vacuum check ❑ Othe�: ' Seepage pits meeting 7Q80_2550 may be compfiant if allawed ��-- -� In ordinence by Iocal permitting authority, ••No standard protoco!exists. this list is npt exhaus�ive, in sequential orde�,nor does it indicate which combinations a�e necessery to make this detorminalion. Safety Check 1. Are any maintenance hole covers damaged,cracked,or appeared lo be structurally unsound? ❑ Yes' �No 2. Were all maintenance hole covers replaced In a secured manne►(e,g„ all screws replaced)? Yes � � ❑ No� 3� Was secondary access restraint prese�t(safely pan, second cover,or safety nett�ng)-highly recommended. ❑ Yes �No 4, Was any other safety/health issue present? ❑ Yes' [��No Explain: r •System �s an lmminent threat t�o publlc heallh and safetj+. ~ � �� Certification This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's (MPCA) Compliance Inspection Form for Existing SubsurFaee Sewage T�eatment Syatems.Observations, interpretations, and conclusions must be completed by an inspector, m2intainer,o�service p�ovfder. Completed form must be submitted to Che local unit of govornmenl wlthin 15 days. / • Property owner name(s): ` � �- Propertyaddross: �(� �� v r- (� ��/('� Property owner's address (if o�fferent): County: �('�r�� ` �r� Phone: 1 hereby cBrtify that I personally made the observations, lnterpretations, and concluslons reported on thrs form and that they are correct. � �.S'n Sc��1 Ul�d _� ) Name: Certification number: �"`��(pJr__ __� _ Business license name and number; �,�� ,1 �1 � • 1(Q,5_ __�,�'1 L �NC�.,,_ _ or Name of local unit vernm . �� Signature: � i � _ �ate: � . . -�-�. wq•wwrsCs4-31 Complion[e Inspectron Form jor Existino, SSTS 04/26/2010 07:28 9528733112 PAGE 64165 ,.,5 .; ,.�� Parcel number: __ _ _ System status: Compliant ❑ Noncompli�nt (as determined y his form) Soil Separatlon Complia�ce and Other Compllance Compliance Issue #3 f 4 ' Oate of observation_ I 1 � � Reason for observation: JC� �. This inTormat;on on lhis iorm does not expire_ 'y Compliance questionslcriterla: (Requi�ed) Ve�ification Method"`: (Optional) �Check the a ro rlate box (Check ihe appropriafe box) For systems built priorto April 1, 1996, and not �Conducted soil observation(s}(aitach boring logs) located in Shoreland or Wellhead P�otection Area or not serving a food,beverage or [] Two previous verlficatlons (attach boring logs) lodging establishment; ❑ Other: Does the system have at I�ast a two-foot '� ""- "-�'— vertical separation distance from periodically ^,_ saturated soi�or bedrock? Yes ❑ No For non-pertormance systems built Aprll.1, ^T� 1996, or later or for non-pertnrmance systems �' ---��--- located in Sho�eland or Wellhead Protection Soil observatlon does not expire, Previous observations Areas or serving a food, beverage or lodging by two independent parties are sufficient, unless site establishment: conditlons have boen altered, Does the system have a three-foot vertical separation distance from periodically saturated soil or bedrock?' Yes No For reduced separation distance systems (i,e,, `performance"systems undar old 7080.0179 or ' May be reduced by up to 15 percent if allowed in local Type IV or V system under new 7080. 2350 or ordinance, 7080.2400): *'No standard protoco!exists. This liSf i5 not exhaustive, Does the system meet the designed vertical in soquential order, nor does ir indicate wh�ch separation distance from periodically saturated combinatrons are necessary to make th+s soil or bedrock?' ❑Yes No determination, Any"no"snswer indicates fhat fhe system!s failing fo protect ground water. Certification � This form Is to be completed and attached to the Summary Form of the Mlnnesota Pollution Control Agency's (MPCA)Compliance Inspectfon Form for Existing Subsurtace Sewaee Treatme�t Systems. Observations, inte�pretations,and conclusions must be completed by an inspector or designer.Completed form must be submitted to the Iocal unit of govemment within 15 days, Property owner name(s): _,.,�F "�'�%�• ��.!'�' ';� ' �/ Property address: � '� '�� W� � S �� ` � ----_._..�_.___ -----�.,. �� _.._ o , �.� Y U_U.±Q-- — -- ..... Praperty owner's address(iFdlfferent}� County: �1f V��1, ^1 VL Phonc_ ,. —.--....... . _... ._ � _...._._�_— _ ... I hereby ce�t�fy that 1 persona!!y made the observatlons, interpretations, and conclusions r,�ported on this form and�hat they are correct, Name: _ . - � � r Ce�tiflCatiion number: �'�� Business�icense name and number; j��}1� ��U1lg <,� ��L ��C7�, _._ or Name of local unit of g men� / .�_ � __ Signature: --"�Q Date: � // �1� wq-ww15ts4•3� ('mm�linn��, I�rn.,�.i.... C....., c..� r,-_'.:__ r�-rr 04/261201e 07: 28 9528733112 PAGE 05l05 . � � . +g52a4Qa616 T-B63 P.o0Z/00� F-994 Sea-11-2008 12:04pm Fram-CITY OF ORONO R � �� av� r� S . 3-�'. �_ _ � _ .,. o . •q, y -�;�., a oc� -� st° �, � J P' 1'�l �Q�9 � � ' � �� r �� i . , �i �� , , 33 �a � ��3 �_�� -03 I ��\\\� / � O\\\�� : , ';� �i�� O� 0�� "'� � ;.r ,f `^ �, �' Municipal Offices "�" ;, , I ,. � ;; � � '`�` ' �. '� � �� Street Address: Mailing Address: ��9 � ' ��%'� 2750 Kelley Parkway P.O. Box 66 ��,,kESH� ii Crystal Bay, MN 55323-0066 ` � Orono, MN 55356 To: The Current Owner of Address �� i3��'� � City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a periodic basis. The onsite sewage treatment system at the above address has been inspected and the following is known about the system. A sketch of the known components of the system is available for most properties at the Orono City Ha1L Imminent Public Health Threat Yes �No If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10 days of receipt of this notice. The septic system must be brou�ht into compliance within 90 days. Failure to do so will result in referral to the City Attorney for legal action. System Identified as Non-Compliant Yes N� If yes, system must be brought into compliance by: December 31, 2007 December 31, 2010 Other Septic Tank(s) Pump out l�Teeded Yes �No The City recommends the septic tar�k(s) and/or lift tanlc be serviced and pumped out every three years. City records indicate the tank(s) were last pumped out on �-'- � 3- v� . The tank(s) should be cleaned through the manhole and not through the inspection pipes, tlus allows for proper cleaning. Comments: T @�AL��, p 1 d <J\ �..�l� Inspector: Date of Inspection �- v� • Telephone(952)249-4600 • Faa (952)249-4616 www.ci.orono.mn.us � - -0�� . 1V' ; O O�, � ��'� ciTYof o�co�o :: ,, �:: , � �ar:�. � � � �;�,� } � ��j�,'� ,;,F.` , ��, Municipal Offices ` '�� r fr' �;t;'�G Street Address: �15a'a�q—�"16� � Mailing Address: •9xEs�p'� 2750 Kelley Parkway P.O. Box 66 - Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: �f4� Q��.,,, Rd . s � City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMTTY (1-31: � 1� "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal Code but does meet the ttuee foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an iccnninent threat to public health or safety. 3 "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 construction standards of the current Orono Municipal Code and which is failing for any reason;and any ISTS with less than thcee feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. TANK CONDITION(5-7): �' Tank inspection indicates: �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 throu�h manhote and not through white inspection pipes. This allows for the proper cleanin8 Keep water softner and iron filter discharge out of septic svstem to prolong I�fe of dra�nfield. Ask pumper to test alarm float to verifv alarm is still workinQ in your house The alarm warns owner that septage is about to backup mto 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 last three years,they should be pumped out now. DRAINFIELD CONDITION(8-10): � 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. �- SC }-�Z �c.n� \6�� - COMMENTS: Mo v�� P - (� �ti.'�- a y v'"'`a; Date of Inspection Matt Bolterman - Septic System Inspector Note: ln the event that this inspection report is used to satisfy the requirements for a mortgage or other transf'er of property, be advised that d�is report does not guarantee or ceitify that an existing system �vill continue tu function properly. but is mercly an opinion of the adequacy of the system under current conditions based on the available intorniation. � °� , o 0 � -':-�� . CITY of �RONO -�-�.�:z._� � ��_:-=. � .� A��. r�:�, � `r�� r1'.•.;1�=,;��`;�'`I� ,�,�' MunicipalOffices � ,�.::%�.��;;.� G � ,�,.�';� '•� Street Address: '� Mailing Address: 9kE813�g 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystaf Bay, MN 55323-0066 Owner: ��n M�1SSC�pOS-}- Address: �{�}0 ��'Ow�. . Ra s. City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo yeazs. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY (1-3): 3 1 °CODE SYSTEM�� An ISTS which meets all the location,design and construction standards ofthe current Orono blunicipal Code. 2 °COi�IPLIANT SYS'I'EM" An ISTS which does not meet a11 tha location,desigt and construction standards ofthe current prono Municipal Code but dors meet tha three foot sepazation requiremrn�and which is not failing or an immiae�threat to public haalth or saE:ty. O "NON-COMPLIANT SYS'I'EM" Aprohibited ISTS;an ISTS located within a dzsignated 100-year flood plain,any ISTS which may or may not meet all the location,dasign,or construction standards of the cuirent Orono Municipal Coda and which is failing for any reazon;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. TANK CONDITION(5-10): � • Tank inspection indicates: • � Pumpout not needzd at this time. � Tank must ba pumped out this year (city code requires tanks to be pumpzd out every 3 years. Tank was last pumped 9-a`+-q� ), 7 Solids accumulation in L1nks is at a critical a aitical levzL Tanks should be pumpad out as soon as possible. $ Sy�stam is dis�harging to the surface. Tanks must ba pumpad out within 48 houcs to aliminate surfaca discharge. 9 Inspzction risers missing-tanks could not be inspzctad. Inspection riszrs(4"dia.pipe)must be installed in each tank at nzxt pumpout If tanks h�va not been pumped out within tha last three years,they should be pumped out now. 10 Inspzctiun pipe is locatzd directly over tank ba�&le(does not give accurata mzasurement of solids accumulation). If tanks have not heen pumped out�vithin tha last thrze years,they should be pumptd out no�v. DRAINFIELD CONDITION 11-14 : � 11 Drainfiald'u dry,no surfacing evident 12 Some evidanca of surfacing,not crilical yet ' ' 13 Drainfield is saturattd and visibly discharging untreated effluent to the surface. Contact the City Inspzctor unmediatzly.Repairs musi be completed�cithin 90 days. 1=� Draintizld aatent and condition unkno�vn. COlVIi�IENTS: Dra�.��.e4� �,S c�d - C.a�•. ��,a� d�e, nd-� ee , �a�r �}.o�. berc--��.r. a a ti5 a�.al ,,.,��e� ��C. �,� b o o� a� r c�.�,�eS. lA c.e, b . `�\ - � �0 a r ...f�,�� S 5�-c�. 5�o w S �� P,rn. 'r��K 5 � :k �,'*,e-( �.v� �Dk' �� .,�,,,� .,., .�,��. \s s�- 3 y e� S . �- 1 — � \ �0.�C1C � o.,iw�r� Datz of Inspection Septie Systcm Inspector 4. Note: In tha event that this inspaction report is used to satisfy the requuemrnts for a moRgage or other transfer of property,be advued thai this repoR does not guarantee or cectify that an esisting system will continua to function properly,but is merely an opinion of the adequacy of the systzm under cucrent conditioas bazed on the availabla informatioa =o��, ,�� o o�� ,� � ��;�., � ,, �'�� CITY of ORONO � ; ti ,- Municipal Offices ,�,��'C� � ;� �7� �' ' Street Address: Mailing Address: �9$'EggOg'�%� 2150 Kelley Parkway P.O. Box 66 '�� - - ' Orono, MN 55356 Crystal Bay, MN 55323-0066 September 25, 2000 John Massopust 440 Brown Road South Wayzata, MN 55391 Dear Mr. Massopust: An inspection of your septic system was conducted on September 21, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout needed within one year(last pumpout date 9/24/98.) The septic system is a compliant septic system which means it meets all current City and State Standards. The drainfield is slightly saturated meaning there are "wet spots" over the drainfield. No repair is needed regarding the system at this time. There are two possible reasons for the saturated drainfield. There may be leaky fixtures in the home or there may be more water being used than the system was designed for. Check all fixtures for leaking and try to reduce the amount of water being used on a daily basis. Enclosed is a list of state licensed septic contractors who work in Orono on a regular basis. Also enclosed is a fact sheet explaining how a septic system works and an as-built drawing that shows the approYimate location of the septic system. The septic system will be inspected again next summer to check and see that the mound system is functioning properly. If you have any questions regarding this report please contact me at the City Offices at 249-4600. Respectful ly, I r ,-�� , �� hris 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 existing system will continue to function properly,but is merel�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 -�_—__� i'Q�" �11�'��` - � �\,,. ,,a i �... ,�, C ITY of ORONO , �., f F� � Municipal Offices \��,t � lr � �`F„ G�// Street Address: Mailirtg Address: ��`��fEgg,O�� 2150 Kelley Parkway P.O. Box 66 '--=%" Orono, MN 55356 Crystal Bay, MN 55323-0066 � Owner: �� l ��/��(.t`.S L�.ls� Address: 440 Brown Rd. S. `� Permit #'s: 8142 Dates: 10/24/85 Contractors: Widmer Bros. (This is [X ] an existing system [ ] new construction) . SYSTEM COMPLIANCE (1-3) : 3 1 Code System: Meets or exceeds current City standards in all respects relating to desiqn, 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. � 3 ) 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 curr�rt 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.) rTANK CONDITION (5-9) : 5 r 5 ; Pumpout not needed at this time. �� Solids accumulation in tanks indicates they should be pumped out this year. 7 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 o.�t 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 tar.ks 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 [ ] water tight or the condition is [ ] unknown. If the tanks are not confirmed to be watertight, this classification is subject to revision.) DRAINFIELD CONDITION (11-14) : 12 ll, Drainfield is dry, no surfacing evident. �� 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. ) : high COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil bor�_�.�s were performed to verify a 3 foot separation between the drainfield and the seasonal water tab'�e. The separation is 0 feet and the system is non-compliant. Repair or replacement of the septic system is required by 12/31/2008. � _ � _ L , � � te of Inspection S ic 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 a � ON-SITE SEWAGE TREATMENT r$,. �C�, INSPECTION REPORT '�� G~ �kEsHa4'� Owner• �� Address- �� Permit #'s: Dates: r�;��'��'�� Contractors: � � 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 [ 7 new construction) SYSTEM CONFORMITY 1-3 : 1 "COOE 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 uaters. 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 feet of unsaturated soil or sand betueen the distribution device and the limiting sotl characteristics. (The limiting soil characteristic �has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identi ted, this classification may be subject to revision.) TANK CONDITION (5-10): Tank inspection indicates: 5 Pumpout 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 pumped out as soon as possible. System is discharging to the surface. Tanks must be pwnped out within 48 hours to eliminate surface dischar�e. 9 Inspection risers missing-tanks could not be inspected. Inspection ri,sgrs (4" dia. pipe) must be installed in_each � tank at next _pumpout. If tanks have not been pumpe�'Orf uithin t�e"'[`a's�'ffi��e'q�a�s, chey sfiou[d be d out now. -.�_ . _�� 'C��i� 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of so i a c la� o �� If tanks have not been p�xnped out within the last three years, they should be pumped out now. � DRAINfIELD CONDITION (11-14): Drainfield insPection indicates: Drainfie[d is dry, no surfacing evident. 1 Some evidence of surfac�, not critical yet. Drain�ierd is'—'s�LVT'8ted 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.): P POTENTIAL FOR SYSTEM FAILURE (depends on soils.Water table,etc.): � COMMENTS: -� Da e of Inspection S i Syste 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 informatton. This report must be kept on the prE�nises with the system loc�tion and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO � O� Municipal Offices O � O Post Oftice Box 66 Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT ,� �, INSPECTION REPORT ti '�' G �9kESH��'� Owner: ��I�J ��ap� Address: Tl�,()��ri I�G[. J Permit #'s: ��7� Dates: �(v�y—�� Contractors: l�.i�� 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): "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 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 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 With less than 3 feet of unsaturated soil or sand betueen the distribution device and the limiting soil characteristics. (The limiting soil characteristic 1� 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: 5 Pumpout not needed at this time. 6 Solids accurtiulation 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. System is discharging to the surface. 7anks 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 pumpout. If tanks have not been punped 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): � D,ra�field inspection indicates: �]X 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 imr�ediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. IIMITING SITE FACTORS (slope,setbacks,etc.): ��,�� POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �� COMMENTS: ,Dr�, �'P ` r ��c �o a� �' r — / �_ 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 will 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. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore of Lake Minnetoytka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 OWNER �/c�11'� !�'C�SSO�DU� ADDRESS ��{J �►�� K(�� J' PERMIT NO.'S. ��`�`� DATES �� a�� CONTRACTORS ��`-�5� City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be i�spected 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. 1This is � an existing system ❑ new construction) �'JI � 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 testi�g 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 um ed out within immediately.Repairs must be completed within 90 days. the last three years,t ey s ould 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 ❑ Lot size ❑ Medium ❑ Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: � �' ' ' S i l�� - / / L° / i � ' - J /O'//-90 `� .� Date of Inspection S ptic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other tra�sfer 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