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- SEPTIC SYSTEM INVENTOR Y
Address: 920Brown Rd. S. PID: 10-117-23 12 0002
Building Type residence BRs Install'd for: 3 In Musa: Yes
Permit#: 356 Date of Permit: 8/27/63 Installer: Widmer Bros.
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: 15 Cesspool: yes
DRAINFIELD
Length of Lines: 150 # Lines: 2 Trench Width: 2
Treatment Area: 300 Type of Filter: rock Soil Boring: yes
Tile Size: Under Tile: 12 Perc Rate:
Setback DF-Bldg: 20 DF Ht above Wt: 0
Soil Type: Limitations: water table
WELL DATA
Setbacks - Well-Tanks: 50 Well-DF: 50 Report in File no
Pump Type: subm. Depth: Diameter: Method: drilled
INSPECTION RECORD PUMPOUT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
9/1/81 no surfacing 2 11/1/88 1800
7/28/86 no surfacing 2 1/1/89 1500
6/30/88 no surfacing 2 10/2/93 1200
10/11/90 no surfacing 2 11/10/95 800
5/19/92 no surfacing 2 8/23/00 2000
10/16/95 non-conforming-repair by 12/31/95 3
10/20/98 non-compliant-repair by 12/31/2002 3
9/21/00 non-compliant, repair by 12/31/2010,pum 3
7/02/02 non-compliant,replace by 12/31/2010 non-compliant
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`.'�,� ''�r.:3 t�;`�G~ Street Address: qSa—a4q—y6� 0 Mailing Address:
'9.k�xpQ� 2750 Kelley Parkway P.O. Box 66
- Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner:
Address: ��� Qr��^'^ ��, 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 (1-3): �
1 "CODE SYSTEM" An ISTS which meets all the location,.design and conshucdon standards of the curreni Orono Municipal Code.
2 "COMPLIANT SYSTEM" An LSTS which does not meet all the location,design and construction standards of the current Orono
Municipal Code but does meet the three foot separarion requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an i�mninent threat to public health or safety.
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 construction standards of the current 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 distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped �'Z-`t"a`� )•
Make sure septic tanks are pumped throu�h manhole and not throu�h white inspection pipes. This allows for the proper
cleanin� Keep water softner and iron fitter dischar�e out of septic svstem to prolone life of drainfield. Ask pum�er to test
alarm float to verifV alarm is still working in vour house The alarm warns owner that septage is about to backup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dta.pipe)must be installed m 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 criticai 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��=��-_�:�� ;s ��_ ���Q�.�� q� �,�� e�
c�,p�.�u) �� �z"��- 2Q�p
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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 �uarantee or certify that a� esisting system will continue to function properly. but is mercly an opinion of the adequacy of the system under current
conditions based on the available information.
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�s������ CITY of �RONO
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� . ��;�i i�h �'y � Street Address: Mailing Address:
�E$I;Og 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
9sa-�49-yboo
To Current Owner: Address: �a� �f°'''^ �d '�-
City Ordinance 199 requires fhat each existin�on-site sewa�e treatment system in Orono be inspected every two yeazs.
The on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below.
�
SYSTEM CONFORI�SITY (1-3): -�
1 "CODE SYSTEM�'An ISTS which meets all the location,daign and construction standards of the current Orono Municipal Code.
2 "CONfPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono biunicipal
Code but docs meet the thrce foot separation requircmcnt or two foot rcquirement for systcros installcd 1996 or eariier,and which is not failing or
an imminent threat to public health o�safety.
� "NON-COMPLIANT SYSTEI�1" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
`�� or may not mect all tha location,design,or conswction standards of t�e current Orono hlunicipal Codc and which is failing for any reazon;and
any ISTS with less than three feet of unsaturated soil or sand betwccn the distribution devicc and the limiting soil chazactcristics.
TANK CONDITION(5-.7�: S
Tank inspection indicates:
� 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 �S-13-P�� ).
Nlake sure seatic tanks are aumped throush manhole and not throu�h white inspection pines.
This allor��s for the proper cleanin�.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DR4INF[ELD CONDITION -�Q : �S
Drainfield is dry,no surfacing evident.
9 Some evidence of surfacin„not critical yet. �
10 Drainfield is saturated and visibly dischargin�untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
CO�I�I��NTS: ���i�nl-.�1(, � S ^C^- �Cr�� �.�n,a- ��V /�l!»` V� ( t�'Cl�(� � /
12.-�i-t�i d ��•�-P t��KS n e�cr- S���.,r�c�
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Dat�of Inspection Matt Bolterman- Septic System Inspector
Note: in the event that this inspection rcport is used to satisfy the requiremcnts for a mortDage or other transfer of property,be advised thai this rcpoR docs not guarantee
or certify that an e!cisting systcm will continue to function prop<rly,but is merely an opinion of the adequary of the system under cumnt condidons b'ased on the availabie
information.
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��� .; �,,._- �� CITY of ORONO
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2750 Kelley Parkway P.O. Box 66
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��__� Orono, MN 55356 Crystal Bay, MN 55323-0066
September 2�, 2000
Nicholas Strand
920 Bro�rn Road South
Wayzata, MN 55391
Dear Mr. Strand:
An inspection of your septic system was conducted on September 21, 2000. A summary of the
inspection is belo�v.
Septic Tank Condition
1. Pumpout needed within one yea►•(last pumpout date 11/10/95).
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 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 septic
sS�stem must be replaced 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 e�plaining how a septic system functions properly. Finally, an as-built drawin�
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,
�
1+✓� �y�
Chris Pence
On-Site Systems Manager
Enclosures
In the ecent 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 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
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;.;�;.. CITY of ORONO
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��� kEBH�,-�,� 2150 Kelley Parkway P.O. Box 66
=_ _ = Orono, MN 55356 Crystal Bay, MN 55323-0066
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Owner: � i (' � %t_.:>�;� �-�-��y� C� Addres s: 920 Brown Rd. S.
Permit #'s: 356 Dates: 8/27/63 Contractors: Widmer Bros.
(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 currer.t 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,
�i
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.
(6 � Solids accumulation in tanks indicates they should be purr,ped 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 �umped 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.
�� 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.)
�1RAINFIELD CONDITION (11-14) : 11
/;11 . Drainfield is dry, no surfacing evident.
�2� 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 12/31/2002 or within ninety days of posing an imminent threat to public
health or safety, whichever comes first.
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Date of Inspection S ic Syst m 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 eay, MN 55323-0066 � � ON-SITE SEWAGE TREATMENT
� �, INSPECTION REPORT
ti
��9kESH0�'�G
Owner• �( (�„L�Address• ��Q t�r�:��f\ f.11���
Permit #'s: .�`' � 'Dates: ��� J`(� S contractors: l�1�J y'J;!'�"� l�]�CY.
City ordi.nance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-stte sewage treatment system at the above address has been inspected and appears to fall into the category
checked belou.
(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 uhich is operating satisfactorily by treating and disposing of the entire current sewage input
uithout discharging any pollutants into ground or surface uaters.
2 "CONFORMING SYSTEM"-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 sewage input uithout 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 uhich 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 a� system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soTcf�aracteris t�"'cs.— �
—--
� �
--
__ _- __ __-- ('?�.��r � I�� - 7
(The limiting soil characteristic �1 has or [ ] has not been identified a t is ti . 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 accumulation in tanks indicates they should be p�nped 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 discharge.
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 punped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
[f tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
D field inspection indicates:
1 Drainfield is dry, no surfacing evident.
�Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS (slope,setbacks,etc.): 4!J
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��-,/r��
f!
1
COMMENTS:- '� • I (7.5 ✓r �. _ � <�i(X �.. �2_ ,
� m �' � P � v� \
�y - �1 / �-r,
�
Date of Inspection e Sys e Inspe tor
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 exis±ing 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�tien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 5 5323-0066 � � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
ti
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��kESH��'�
Owner: ��1�!'Y,( /,�U�P�J Address:_ _ �� _/c�� /�(-. �•
Permit #'s: 3�� N� Dates: �� �`S Contractors: /�,/���r
.
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�L an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3}:
1 "CODE SYS7EM'�-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 seuage 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 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 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 anc� 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 limtting soil characteristics.
(The limiting soil characteristic [ ] has or �1 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�q(c inspection indicates:
�y Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they shoutd be Fxxnped 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 discharge.
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 [nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
lf tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14): /�
D�a.�qfield inspection indicates:
«-Y Orainfield 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 Cdepends on soils,water table,etc.): �,(��_
�c/
COMMENTS:
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
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�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake Mi�znetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
/ �,[ � / /� � C� p � p
OWNER %( �(/1���5 _,�YY.,�//C�� f,I� ADDRESS /� .C�✓G�✓/7 ,(CA'� ��
PERMIT NO.'S. J--- � DATES n c�7�� CONTRACTORS �L/l��L �nS.
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 � 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 Code1 but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design, constructio�,or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfietd 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'nspection 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 i� 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 Drain ield inspection indicates:
should be pumped out as soon as possible. �Orainfield 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 elimi�ate 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 tast 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 z[�}Fair
❑ Lot size � Medium ❑ Poor
❑ Lake,wetland,or stream High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
��// �� �a
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY /Homeowner
Osz tjie North Shore of
Lakc Mi�znetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �1G610/OS S�2`Zr�l� /��. d�(.�L�/ ADDRESS � rS'�'�,C'ij1 ,Bi2��c.'�! �20<�CCY � �l�_/�,t..
PERMIT NO.'S. � S�' DATES � �� �%� CONTRACTORS �'�-�%�(���' r'Z�5.
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 suppiy, 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 directiy over tank baffle. (Does not
❑ umpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
olids 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 D.r�ainff'�Id inspection indicates:
should be pumped out as soon as possible. �Qrainfield 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 couid 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 Potentiai for System Failure Site Capabilities for
❑ Slope (depends on soil types,water F t�u�Expansion
❑ Soil table,and system conditionl %�-Adequate
❑ High water table ❑ Low ❑ Fair
❑ Lot size Medium ❑ Poor
❑ Lake,wetland,or stream �High ❑ Inadequate
� Drainage ❑ System is causing visible
surface discharge.
COMMENTS: �(;;' , ����G�(�� ���Lrl!.0 �U1��1 i.�s�4h,�-Ld�iv �1G�� �-'y�l)/ K1�L�,C'i21�l�!/1'��4� S� ✓1C.� �'7zJ1 i
�ti�� n�._1'_�»��r��.���,����,���iv� r�� v��,�,�� 3 -�� � ��-� � G.�vi cI Cvs-t�Cc_i �
� G I''�
� � `
� ���� � ��� ��' ���
Date of Inspection Septic System� ctor
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
_ �
On the North Shore o f
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER � � R�ND/ (jcD�LL ADDRESS �1�' �f�Ow�✓ /Ci) S�
--�
PERMIT NO.'S. ��'����'`"r DATES '� � ZZ � j CONTRACTORS �����"����� ��`��'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 a dress has been inspected and appears to fall into the category checked below.
(This is an existing system ❑ new construction)
� 1 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,
iocated, 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 pubiic nuisance.Please contact the City Inspector to discuss system repair/
repiacement 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 i�spection indicates: ❑ Inspection pipe is located directiy over tank baffie.IDoes 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. —�3 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 instailed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield exte�t and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
❑ High water table ❑ Low —0 Fair
�� Lot size ---� Medium ❑ Poor
—�] Lake,wettand,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
J�-. 1�, 2 � 1 i 8 � �� --;� �
—TDate of Inspection eptic System Inspector
Note: In the event that this inspection report is used to satisfy the requireme�ts for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner