HomeMy WebLinkAboutseptic info SP TESTING INC.
� Steven B.Schirmers—951 Katydid Lane NE-5t Mi�ael,MN 55376
CerL No 627—State License#394 — Phone 763-497-35b6— Fax 763-097-5011
www.sntestfn¢.wastewater(a�comcast net— schirmerswasbewater.com
Octo6er 4, 2016
John Adams
4245 Chippewa Lane
Medina, MN
A Compliance inspection was completed for the existing on-slte sewage
treatmen#system located on this property, The system consists of 2-1250
gallon septic tanks, 1-7250 gallo�pumping chamber 8 a pressurized mound
system with a 10'x 68' rock bed built in 2001'for a 5 bedroom home.Soit
boring #1 found mottled soll (redox features�at 2.3'fr�to the original soil. Soil
boring #1 found the original soil at elev.91,4 8 the bottom of the rock bed at
elev.92.21eaving .8'of sand b�low tfie rock bed S a 3.1'separafion from the
bottom of the rock bed 8 redox features. Soil boring#2 found mottled soif at
.S'into the original soil. Soil boring#2 found the original soil at elev. 90.5 8
the bottom of the rock bed at elev.92.5 feaving 2'of sand below the rock bed
8 a 2.8'separation from the bottom of tt�e rock bed 8 redox teatures. This
system is classified as in compliance wfth Minnesota Chapter 7080 rules
using the 15%reduction allowed.
The tanks were pumped 8 certified by Elmer J. Peterson Co.
Nothing other than gray water(laundry,showers etc.)hurr�an waste 8 toilet
tlssue shouid be disposed of i�o the septic tanks. Garbage disposals are
not recommended due to adding more s�lids&fine solids passing through
into the system. Iron fllters are also not recommended 8 should be diverted
out of the system. Exceasive amounts of soaps,aatlbacterial soaps,
cleaning aeents,shower cleaners used every shower 8�chlorine agents may
kill the bacteria you need living In the system. Additives are not
recommended. Recommend to pump 8 clean you tanks through the manhole
by a certified pumper every 2 years. Check with your pun�per to set up a
schedule.
Thfs certificate of compliance is no guarantee that this systetn will eontinue
to function indefinitely.
St�ven B. Schirmers
' S—P TESTING; INC. . �n$.��►�•M�,��.�o.62,
' . 951 Katydid Lane NE•St Michael,MN 55376•(783)497-3566
' FAX(763)497-501't �
Stete Llcense�394
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� SP TESTING/NC.
Steven B.Schirmers—951 Katydid Lane IYE—St Michael,MN 55376
Cert.No 627—State Lice�e#3S4—Phone 763-497-3566— Fax 763-497-5011
www.sotestine.wastewater�oom�st.n�t— sthirmerswastewater.com
SOIL BORIN�3 PROFILE
John Adsms
4245 Chippowa La�
Or�ono,MN
Soil borl�s compisted with a bucket swger on 9-26-16
SOIL BORING#1-ELEV.95.�MOTTLED SOIL PRESENT AT 2.S'iMo the
original soll- NO STANDING WATER PRESENT IN THE 80RIN�.
Q - ZS" FIN soil clay loam 8 losm
28" - 46" FIII soil medium sand
46" - 74" ONginal soil vory dark brown loam 2.SY 3/2
SOIL BORING#2-ELEV.85.2-MOTTLED SOtL PRESENT AT.8'into the
oMginal soll-NO STANDING WATER PRESENT IN THE BORING.
0 - 30" FlII soEi lowm S cisy bam
30" - 56� Fill�fi medium sand
567° - 60" Original soil dark brovvn Ioan110YR S!2-
falnt mottl�s 10YR 6J8
60" - 66" Brown clay loam 10YR S/2
66" - 72" Brown clay loam 10VR 3/3-
distinat mottles 10YR 6/8,�OYR T11
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� . }� :�Y:..__ �� �IT� of ORONO
1 a ,�,, `r,�� _ �''JI
�, ,� , �J� " �, , Municipal Offices
�'�;.�`�'',� .��,�i`yG�_- �,���r�:�_ G�';'%� Mailing�Address: �
„ f �,:, r �f` ,� Street Address: �lSa.-a4q-�6o O
\��•�t�9 ''`� ' ��''� 2750 Kelley Parkway P.O. Box 66
�\�g�%;;-.
Orono, MN 55356 Crystal Bay, MN 55323-OOfi6
To Current Owner: Address: �'� � L� � � �` ���� LL �t
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 cateaories checked below.
SYSTEM CONFORMITY (1-3): �
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 curreni Orono
Municipal Code but does meet the three foot separation requuement or rivo foot requirement for systems installed 1996 or earlier,and
which is not failing or an unminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS]ocated within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction stanc�rds 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 f 5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic ta.nks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped 1��1 � �•
Malce sure septic tanks are pumped throu�h manhole and not throu2h white inspection pipes. This allows for the proper
cleanin� Keep water softner and iron filter discharQe out of septic svstem to prolong life of drainfield. Ask pumper to test
alarm float to verifv alarm is still workin�in Your house The alarm warns owner that septaQe is about to backup_into basement.
7 Inspection risers missina tanks could not be inspected. Inspection risers(4" d�a.pipe)must be mstalled 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 surfacin�evident.
9 Some evidence ofsurfacin;,not criticai yet.
10 Drainfield is saturated and visibly dischargina untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must.be.completed within 90 days.
COMMENTS: ���.,; ��� �� 1 s� � D� � ._ . $ � � v d'��%' �'� '�.� � y��;f :�ri�/`j�
r�� y����.-�-
�/ � 9 n
� �;, � � ,,�
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Date of Inspection Septic System Inspector
_ . ,. , , ,----, �t_.._._ _____.,,.e�
;� � °�
,
�;� o_�., o ,,
���� � � � ��' C ITY of ORONO
�.���:-�-�
�� ����° t�; � �,►,i,
�, 1�, ��� ���'�,.�'�� E�►li Municipal Offices
���'�, f i'.��1_'��.;i;�.� Gti�
� ```, ; :�;��k��/ Street Address: Mailing Add�ess:
9kEggOg' � 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066 :
To Current Owner: Address: 4 ��f S �.1.- P p �w � ��n�
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 CONFORMITY (1-3): �
lO "CODE SYSTEM" An ISTS which meets all the location,design and cons[ruc[ion standazds 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 Municipa!
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 safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an[STS located withina designated]00-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 failin�for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limitina soil chazacteristics.
TANK CONDITION(5-7): b
Tank inspection indicates:
5 Pumpout not needed at this time.
6O Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped ).
Make sure seatic tanl:s are aumped throu�h manhole and not throuQh white insaection ppes This allows for the
aroaer cleanin�. Keeo water softner and iron filter discharge out of septic system.
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.
D INFIELD CONDITION 8-10 : �i
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: �' Q•„�� lo�k-S oK P���� S�P�.-t t�� ��,:5 5�� ,,.� _
�
-7-1 —�� �c�
Date of Inspection Matt Bolterman - Septic S}�stem 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 conditioas bazed on the available
infortnation.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�` � INSPECTION REPORT
'C�� G~
�
9kESH�4'
Owner: �t,'l��� r �����JSU/`� Address: 7 Z �J� �l'1,P��=w�� Ln/ C 55'3��� �
/ / 7,� /� •-
Permit �'s: ( �7� Dates: ,L7 / Contractors:__�''��� /"C=��S�'►7�
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 belou.
(This is�¢.�n existing system [ ] neu construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system which meets alt 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 uhich does not meet all the location, design, and construction standards of the
current City Codes, but uas installed according to the code in effect at the time of installation, and uhich
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system uith less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic�as or ( ] has not been identified at this time. If the limiting soil
characteristic has not been ident' ied, 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 punped out uithin 48 hours to etiminate surface dischar�e.
9c 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 pixnped
out nou.
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 n ield 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 SITE FACTORS (slope,setbacks,etc.): :� �� �
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��C=���
COMMENTS: � 3' ZvtJ QQe�I � �� ' �' �Crc�Ea'� G�Lu� � Gc.� L'� '� � ��t.J /G��y�-�'' �%/
SS�P /1. I h =c �r. �' �, 5 Z 2� ✓ a r�- %2 j/-2Ocl� .
i
_ L' -t
Date o Inspection S tic ystem Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises with the system locetien and pumping records.
WHITE COPY/Inspectors File YELLOW COPV/Homeowner
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!q: � �� ��r��,_,: ,� �� C ITY of ORONO
�� '�� �,'�`� r�t_-��� ,�ti � Municipal Offices
� � ' �, „�;���'��� Street Address: Mailing Address:
`9�gg0� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
�
Owner: �Jy�=�1rT ��-J��/�SQr� Address:4245 Chippewa Ln.
Permit #'s:1570, 397 Dates:7/28/67, 10/14/63 Contractors:Vern Peterson, Long Lake
Drainage
(This is � an existing system [ ] new construction)
SYSTEM COMPLIANCE (1-3) : 3
1 Code Svstem: Meets or exceeds current City standards in all respects relating to
design, construction, and location. Appears to be operating properly.
2 Compliant Svstem: Does not meet all current City standards for new construction,
but in most respects appears to be designed, located, and constructed in accordance
with previous codes and is functioning properly.
� Non-Compliant Svstem: 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 an�r system with less than three feet of vertical separation
between the bottom of the drainfield and the saturated soil level . --
(The saturated soil level [�] has or [ ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 9
5 Pumpout not needed at this time
6 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 out within three years, they should be pumped out and risers installed now.
� 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.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or �] were not
confirmed to be watertight by the licensed pumping contractor. If the tanks were not
confirmed to be watertight, this classification is subject to revision. )
DRAINFIELD CONDITION (11-14) : 11
1 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 aqe and condition soils etc ) : medium
COMMENTS: The non-compliant septic system must be repaired by 12/31/2006 or within 90 days
of failure (surface discharge) , whichever comes first.
/�/V!� �� ��v�/ 1i
Date of Inspection Se c System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue
to function properly, but indicates the operation of the system under current conditions.
Telephone (612) 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�,� �, INSPECTION REPORT
ti
��9kESH�4`'�G
Owner: 1����' ��('I'��dY� Address: v� � ,� L,��
Permit #'s: � i Dates: /!�/�?//v2`t�'"1�%Contractors: G-�f L�-��'��'IYlC�{�i�-//�J'/'�. �(SCi�
Di-c+c��n✓�
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 belou.
(This is D4. an existing system [ ] neW construction)
SYSTEM CONFORM[TY (1-3):
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface Waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface 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 timiting 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): /G�
,�SL
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 �olids 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.
ti/ � lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
7� If tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION C11-14):
Dr�field 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.
L1MITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): /����,�
lfl
COMME TS: � , � p �
P �-
� �.. � �
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 transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises with the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake Minnetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER � �'�s�'1 ADDRESS7'�`-�"/��
/S74 J>G'a4 ., � 7�g�7 ern
PERMIT NO.'S. �q7 ���r� DATES ���y�S CONTRACTORS L�-.�Cd�
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 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 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 Dr in ield 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 Futur Expansion
❑ Soil table,and system condition) �Adequate
❑ High water table ❑ Low ❑ Fair
❑ Lot size �-Medium ❑ Poor
❑ Lake,wetland,or stream O High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
�/d���/ /'V ��,
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 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 GO�D 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 �Q�� �Sv'��Qh � �a,�.�4DDRESS ��� � ' �' �, _
� ✓h dl^
PERMIT NO.'S. �T^�'d� DATES �����{ hJ CONTRACTORS �'a''��
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 accorda�ce with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design, construction,or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( 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 b e out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfie 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 dischargi�g untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
❑ High water table ❑ Low �-Fair
❑ Lot size �Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High . ❑ Inadequate
❑ Drainage ❑ System is causing visible
, sur ace disc arge.
COMMENTS: �I e � �
,� � 6 �
���'� � �
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 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 of
Lakc�Ltizanetoyaka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER ��� �LRCNS'ON� ADDRESS y'� y-5 �������'�
IS7U- ADD iSa' iF �.Zy- �7 ���r2N ��T�R�+r1
PERMIT NO.'S. 3�� h'�''�� DATES «""�- �p � CONTRACTORS «'u� ��� � G�i�iN�!-tsE
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 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/
repiacement procedures. If drainfield replacement is necessary,soii 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 acc�rate measurement of solids accumulation.) �f 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. pipel 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. Drainfieid 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: ����'YI� L-���'T��_ CGtt�t.1 iV�� ,(�il�"T/c/C /�S fs� �� SfiAPE,
.�
/ �� - � ac�--�—�
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requi ments 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
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