HomeMy WebLinkAboutSeptic info CITY OF ORONO Date
ADDRESS � Connected to
CODE SEPTIC S E INVENTORY CARD Municipal Sewer
<; , ,_. � WELL DATA
Address -}�-`� -- . . :-c.cU �D roperty I.D. �C-II��-Z� -�r ��lv��; �'
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ype � Other Legal Description `-�� � Z-(� - f C (, � O
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Permit No. ��; z ate pe mi - -�:,U Installer �° p
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No. r oms Garbage � ,�,
Building type t'u s F !L� GPD;��'��' "��� au /L'�' Dishwasher � � •
�., /VC� Disposal�U� _
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SEPTIC TANKS: Material � w� Ca acit 1) '' 2► ✓ ° oC c
5'r'kc K OVJ�S�T,qn.{� o L y - � °
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Proper outlet and inlet Baffles Liquid depth to RO level 2 1, � �
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i � m
Height of tank bottom above water ta e Distance to nearest building �� I,� N m
Vj p
DRAINFIELD: Total I�n h of ines �' % � Number of lines � - Trench width �- r (�
� V
� , m
Total treatment area ( .ft.) `� � ^ Height of drainfield above water table .� � �� ., �
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Type of filter material Soil type ,a, � �•
y ! N
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Distance from nearest bidg. � Tile size Perc rate min/in ° n °� •�
p �
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Depth of fi�l over drainfield C�'LDepth of rock over tile under tile � n � "
p a U �
o ('���E�- 1`�LE
LOCATION , /
� � SKETCH —�n�
INSPECTION RECORD PUMPOUT RECORD � �
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DATE COMPLIANCE DATE GALLONS � � ?
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Include: 11 Well focation
septic tanks,dist.box,
and drainfield
C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) North arrow and road
S - 32UWN �1'�:
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
� �, INSPECTION REPORT
'C�� G~
�kEsHo�`'�
Owner: C_JY(/S�/ KY.tY ��yS�t'Q�jc� Address: 1�� ,TSYDw?'\ � �
Permit #'s:�#� Dates: /�� Contractors: !/�?�W1.�w►'�
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 '6(1 an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"-A system which meets all the tocation, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
"CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and uhich
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failiny 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 CONDITION (5-10): �
T�ak inspection indicates:
LY 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.
8 System is discharging to the surface. Tanks must be pumped out uithin 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out uithin the last three years, they should be pumped
out nou.
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 nou.
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.): ���__
COMMENTS:
��� __
Date of Inspection S tic 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 prEmises uith the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake Minnetos2ka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystai Bay, MN 55323
473-7357
OWNER �������.� / ��P ADDRESS /_ -��Ll�>1-✓l� � . � �
PERMIT NO.'S. ������ DATES ��� CONTRACTORS
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatme�t 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 req�ired 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.(Dces not
�Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. �'Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drai�field 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
❑ �ake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
/l�-���,�,�� f-�
Date o 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 merety 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