HomeMy WebLinkAboutseptic info Apr291410:41a Joseph Olson 763-498-8290 p.1
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Fax Transm�ttal Form
Date: 4/29/2014 Total Pages: ��5
To: City of �rono
Phone Number:
Fax Number: 952-249-4616
E-mail:
From: Joseph J Olson
Phone Number: 7b3-498-$779
Fax Nurnber: 763-498-$290
E-t7lall: rusty2654�rJ,comcast.net
❑ Urgent
� For Review
❑ Pfease Comment
❑ Please Repfy
Message: This is the septic cert for 3535 Christine Drive.
�lease f i le
Apr 29 14 10:41 a Joseph Olson 763-498-8290 p.2
Minnesota Pollution Compliance Inspection Form
Corttrol Agency
520 La#ayette Road North Existing Subsurfaca Sewage Treatment Systems
St.Pau1,Mf�55155-4i 94 4$$T5�
Doc Type:Compliance and Enforoement
Instructions: InspecBon resulis based on Minnesota Pollution Control Agency(MPCA) �Fp��ocal tracking purposes:
requirements and attached forms—additional local requiremenEs may also apply.
Submit completed form to Local Unit of Government(LUG)and system owrter
within 15 days
S)/S�@iY1 $�cltl3S
System status on date(mmlddlyyyyJ: 4/21114
❑ Compliant-Certificate o#Co�pliance � Noncompliant-Notice of Noncompliance
(Valid for 3 years friam repo�t date, unless shorter time (See Upgrade Requiremenfs on page 3)
frame ouilined in Loca!Ordinance_J
Reason(s)for noncompliance(check all applicable)
� Impact on Public Health(Compliance Component #1)—lmminent threat fo public heafth and safety
❑Other Campliance Conditions{Gompliance Component#3)—lmminenf threat to pubfic healfh and safety
❑Tank integrity{Compliance Component #2}—FaiGng to protect groundwater
❑ Other Compliance Conditions(Compliance Component#3J—Failrng to protect groundwater
❑ Soil Separalion(Complia��ce Component #4)—Failing to protect graundwater
❑ Operating permiVmoniforing plan requirements (Compliance Comppnent #5}—NoncompJiant
Property Information Parcel ib#or Sec�f"wplRange: 0511723230012
Property adc�ress: 3535 Christine Drive, Orono, MN Reason for inspection: Property Transfer
Property owner: Robert Ryan Owner's phone: 612-8892212
or
Owner's representative: RepresentaUve phone:
Local regulatory aulhonty: Ciiy of Orono Regu3atory authority phone= 952-249-460Q
2-3 D00 gallon septic tanks,1-1000 gallon iift station and approximately 500 square feet of mound
8rief system description: rockbed.per ciry records
Comments or recommendations:
CQFt1�1Cat1011
!herehy certify that all the necessary informafion has been gathered to deteirr�ine tf�e compliance status of thrs system.No
deferminafion of future system performance has been nor can be made due fo unknown conditions during sysfem construction,
possrble abuse of fhe system,inadequate maintenance, or future water usage.
Inspecior narne; Joseph J Olson Gertification number: 3255
Bvsiness name: Rusty Olson's Soil 8�Perc_Testing License number: 81D
-- -.. .
Inspector signature: __ �``� Phone number: 763-498-8779
Necessary or LocaUy Required Attachments
❑ Soil boring logs �System/As-buili drawing ❑ Forms per local ordinance
❑ Other information(list)' �
www.pcastate.ma.us • 651-296-6300 - 800-657-3864 • TTY 651-28Z-5332 or 800•657-3864 • Available in attemative formats
wq-wwists4-3i • il14/1Z Page ?of 3
Apr 29 14 10:42a Joseph Olson 763-498-8290 p.3
Property address: 3535 Christine Drive,Orono,MN Inspector initiafslDate: J. O.4l21114
1. Impact on Public Health—Campliance eomponent#1 of 5
Compliance criteria: Verification me#hod(s):
System discharge sewage io the I �Yes ❑ No � Searched for surFace outlet
ground surface._ � Searched for seeping in yardlbackup in home
System discharge sewage to drain tile ❑Yes �No n �cessive ponding ir�soil system/0-boxes
or st�ffaCe walers. ❑ 1�omeowner testimony(See Commenis/��pJanatron)
❑ "Black soil"above sal dispersal system
System cause sewage beckup into ❑Yes � No
dwelfing ar estab3ishment. ❑ System req�ires"emergency° pumping
❑ Performed dye test
Any"yes"ansrver above indicafes fhe system is ❑ Unable to ver'
an lmminent Threat to Public Healfh and Safety. '�Y(S��amments�xpianatron)
_� _ � _ ❑ Other methods not listed{See CommentsiExplanation)
Comme ntslExp la nafian:
When the purnp is running septic efFlueni comes out of the mound system.
2. Tatlk IlltePr'ity—Compliance component#2 of 5
Compliance criteria: Verification method�s):
System consisls of a seepage pit, ❑Yes ❑ No ❑ �'robed tank(s)bottom
cesspool,drywell,or leaching pit.
❑ Examined oonstr�ction records
5eepage pits meeting 7080.2550 maybe I ❑ Examined Tank Integrity Form(Attach)
cornpfiant if allowe�rn local ort�inance. '
-- — - ❑ dbserved liquid leael below operating depth
Sewage tank(s)leak below their I ❑Yes ❑ No
designed operating depth_ ❑ Examined empty(pumped)tanks(s)
If yes,which sewage tank(s}leaks: ❑ Probed auiside iank(s�for"black soil"
Any "yes"answer above indicates the � �nable to venfy(see Comments��icplanation)
sysfem is Failing to Profect Groundwater. �01her methods nat listed (See Comments�Explanation)
Comments/Explanation:
3. Other Compliance Condifiions—Compliance component#t3 of 5
a. Maintenanr,e hole covers are darnaged,craciced,unsecured,or appear to structurally unsound. ❑Yes* ❑No p Unknown
b. qther issues{elechicafhazarols,erc_)to irnmediately and adversely impact pubEic healfh or safety. ❑Yes' G No O Unknown
"System is an immirtent threai to pubfic heal�and safety
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes' ❑No
"System is failrng to protectgroundwater
Explain:
www.pcastate.mn.us • 659-Z96-6300 • 800-657-3B64 • TTY 651-282-5332 or 800-657-3864 • Available in alternative iormaCs
wq-wwists4-31 • lfZ4/1Z Page 2 of 3
Apr 29 14 10:42a Joseph Olson 763-498-8290 p.4
' Property address: 3535 Chnsiine Drive,Orono,MN _ Inspector initialslDate: J.O.421/94
4. Soil Sepd�dtlon—Compliance cornponent#4 of 5
Date of irtstatlation: 7114J88 ❑ Unknown Verification rnethod(s):
ShorelandANellhead protectionlFood Beverege �Y2s ❑�Io
Lodging? Soil o6servaSon does nof expire. Pr�vious soil
observah'ons by two rndependent parties are sufficient
Comp�iance criteria: unless site conditlons have been altered or JocaJ
Forsystems built pnorfo Aprr!1, 9996, and ❑Yes �9uirements difler.
❑ No
notlocafed in Shoneland orWellhead I ❑ Conducted soil obsenration(s)(Attach bonng togs)
Profsc6on Area ornot serving a food, i ❑ Two previaus verifications(Anach 8onnglogs)
beverage or lodging establ�shment�
� Not appGcable(Holding tank(s),no drainheld}
Drainfield has at least a two-foot vertical ❑ UnablB to verify(See Camments�ExpianationJ
separation distance from periodically
saturated soil or 6edrock. ; 0 Other(See Commeats/Explanation)
Non perfonnance systems builfApril 1, i ❑Yes ❑No Comments/�xpJanatro�:
1996, or later or for non performance ,
sysfems focafed in Shoreland or WeUhead
Protection Areas ar servrng a food, �
beverage, orlodgingestabfishment:
Drai�eld has a three-foot vertical
separalion distance from periodica�ly
saturated soil o�bedrodc."
"Expenmental" "Other'; or "Performance" ❑Yes ❑No Indicate de ths �f eievations
systems built under pre-2008 Rules;Type!V
or V systems built under 2008 Rules(708(1. '. A. Bottorn of distribution media
2350or7080.2400 (Advanced Inspector --
License required) B. Periodicall saturated soiUbedrock
Drainfield meets the designed vertical C. System separation
separafion distance from periodically _—
saturated soil or bedrock.
� D. Required compliance se aration'
Any"no"answer above�ndicates the system is •May be reduoed up to 15 percent if aaowed by Loca1
Failing fo Proteet Groundwater. Ordinance.
5. Operating Perr�it and Nitrvgen BMP�`—Compliance companent#5 of 5 � Not applicable
Is the system operated underan Operating Permit? []Yes ❑ No If"yes",A below is required
Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No lf"yes", B below is required
BMP=Best Management Pracfrce(s)spec�ed in the system design
If the a�swer to 6oth questions is "no'; this section does not need to be comp/efed.
Compliance criteria
a. Operating Perrnit number_ ~ �
❑Yes ❑ No
Have the Operating Permit requirements been met7 ;
b. ts the required nitrogen BMP in place and properly functioninq? ; ❑Yes ❑ No
Arry "no"answer indicates lVoncompliance.
Upgrade Requirements(Minn.Staf. §i15.55J An imminent thrieaf to public health andsafety(ITPNSJ mustbe upgradeQ,replaceaf,orrts use
disconbnued within ten monihs ofreceipt p1 this notice or within a shorter penoQ if 2quired 6y loca!ordinance. If the system is faifrng fo protect
ground water,the system mus!be upgraded,repJac�e�or its use discpnfinued within the Gme required by loca!ordinance_!f an existrng system
is not farling as defined in/aw, and has af feast Iwo feet of design soi/separation,fhen the system�ed rtot 6e upgraded,repaired; replaced, or
its use disco�hnued,nohvrthstartding any lOca!o�inance that is more sfnct This provision does not apply to systems in shorefand areas,
Wel/head ProtecLon Areas,or ihose used�n connection with food,beverage,artd lodging eslablrshmenfs as deftned in law.
www.pca.stdte.mn.us • G51-296•6300 • 800-657-3864 . TTY 651-282-5332 or 800-657-3864 • Available in atternative tormats
wq-mvists4-31 • 1/24l�2 Page 3 of 3
Apr 29 14 10;42a Joseph Olson 763-498-8290 p.5
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O , O CI'TY OF ORONO
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Municipal Offices
a �� Street Address Mailing Address:
�� 2750 Kelley Parkway P.O. Box 66
'� 4�iG Orono, MN 55356 Crystal Bay, MN 55323-0066
�kESH�
To: The Current Owner of Address 3535 CHRISTINE DR
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 Hall.
Imminent Public Health Threat
Yes �No
If yes, please contact the Onsite Systems Manager at 954-249-4626 within 10 days of receipt of
this notice. The septic system must be brought 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 �No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s) Pump out Needed
Yes �No
The city recommends the septic tank(s) and/or lift tank be serviced and pumped out every three
(3) years. City records indicate the tank(s) were last pumped out on `'�—v�`�'� '0�?
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�
Inspec�� � �`.'����� Date of Inspection: C.D '6 7
Telephone (952) 249-4600 • Fax(952) 249-4616
www.ci.orono.mn.us
. �- .
• � � •
e
To: Orono residents on mound rype septic systems
From: Willie Gibbs, ISTS Manager
Date: May 10, 2006
Re: Landscaping Do's and Don'ts for Mound Systems, Quick Reminder
Do plant and maintain a full cover of grass and keep mowed to a normal height, this grass cover aids
in the evaporation of large amounts of effluent (the liquid left after the "other' stuff has been removed)
in the summer time and allows the mound system to help breakdown nitrogen in the effiuent.
Do water the grass over the mound in extreme dry conditions, sparingly.
Do avoid unnecessary foot traffic over the mound, mow it and stay off of it. This is especially true in the
winter time. Even human foot traffic can cause frost to penetrate the mound resulting in potential
freezing problems.
Do inspect your mound system annually for winter kill, (reseed if necessary) animal damage,
(burrowing)or signs of potential faiture.
Do not plant trees or shrubs on the mound system, smaller trees and shrubs may be planted at the
edges. Remember, that sunshine is the key to a healthy mound system.
Do ask questions, if you have any concerns or questions concerning your mound system
please feel free to call me, I can be reached at 952-249-4626.
1
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
� �, INSPECTION REPORT
ti
��9kESH��'�G
Owner• 1 � � � Address• r / �l./i.
Permit #'s: Dates: � /'7 � Contractors: �If �
City ordi.nance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is � an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating 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 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 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
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic `l� has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identi�"ied, this classification may be subject to revision.>
TANK COIdDiTION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pixnped out this year to help prevent future problems.
7 Solids acc�nulation in tanks is at a critical levet. Tanks should be pumped out as soon as possible.
System is discharging to the surface. Tanks must be pumpe
� Inspe ' � ' -tanks could not be inspected. ' alled in eac
tank at next purtipou . jf tan h ve no be n p�xnped o with'n last th a s the s ou
ou now. --- L�'V�� �� ���3 �� � � t�ie c t'li; a�E` l7��
10 Inspection pipe is located directl o r an ba fl� (d es t e acc ra e e ure n � §o i cumulation).
If tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
DyS�,ifield inspection indicates:
11,�" Drainfield is dry, no surfacing evident.
�f2 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknoun.
LIMITING SITE FACTORS (slope,setbacks,etc.): �
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): / `y�
_s�7r
COMMENTS:
Date of I spection Se 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 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 prEmises with the system loc�tion and pumping records.
WHITE COPV/Inspectors File YELLOW COPY/Homeowner
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
'C�� G~
�
9kESH�g'
n / � /� ��, / /
Owner: /(,/t�.l +(J�'IJr�Y i l Address: .��.�� ��]YirSTii^,� ���'.
Permit #'s: ��i�� Dates: /�� ��`�� Contractors: �JY1�'"st�p �Y'�?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 belou.
(This is �an existing system [ 7 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 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
betueen 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):
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 5olids 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 pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Ins ' " �� ' e�must be installed in each
tank at ne out. lf tanks have not been pumpe out within the last three yea�s, tTiey s ofi-uT7��ed
ow. �
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been p�xnped out within the last three years, they should be pumped out now.
DRAINfIELD CONDITION (11-14):
Dr 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
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): �T
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��
.
COMMENTS:
_ h
_ ,C`' ��e
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 pre�nises uith the system loc�tien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER /'���� �����1�1.� ADDRESS ��(�✓�J � �
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
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 ali 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.
D3 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 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 hav no i ' immediately.Repairs must be completed within 90 days.
the last three year , ey 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) dequate
� High water table �Low �air
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface ischarge.
COMMENTS: �i� �� � � � l`�.
O�T/�'�. b '"� � I/
Date of Inspection ptic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current 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
Lakc Misznetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER ���/ �j� ADDRESS ���� ���� �-°� �Cl�
PERMIT NO.'S. L�! DATES 3�IV CONTRACTORS �Y� �rr►
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 curre�t 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)
Ta�k 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 �ot 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. ❑ Drai�field is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This co�dition 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
surface discharge.
COMMENTS:
n ���
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 thc 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
OWNER /I/��l �j'�G� ��q�r'►P_ ��UI'I'10nT ADDRESS �3C� C`i✓,'S�"y� Dr
PERMIT NO.'S. �� DATES ���y�� 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
treatment system at the above address has been inspected a�d appears to fall into the category checked below.
(This is l� 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 ls
creating a safety hazard, or is otherwise creati�g a public�uisance.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 i�spection 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 tuture problems, should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks D ainfield 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
]G�'Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
7C Inspection risers 14" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pum out. If t been pumped out within immediately.Repairs must be completed within 90 days.
e ast three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
_ r
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system co�dition) �Adequate
❑ High water table � Low ❑ Fair
❑ Lot size ❑ Medium � Poor
❑ Lake,wetland,or stream ❑ High . ❑ Inadequate
� Drainage ❑ System is causing visible
surface discharge.
COMMENTS: �.1/1jf�PC�Tor� .-�s��s rnv�� br IrS���� lY1 ('/'�C'�. TC'n� G✓I��i1 C�IN� Y1P�3/✓ GrI"X7f l"/1P
-�b_�Cs s/,�<<�,m � av�- a�' ���- ��, , � �� �ie� �►rn. �-.�es �i�. �� mnur�.
� c� � � �l�►' .�v��t �e �ob��.
9=�D—�l�
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
CITY OF ORONO � O�
Municipal Offices O O
Post Office eox 66
Crystat Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
�` � INSPECTION REPORT
�' G~
t9kESH�g'�
J � /'
Owner: (�GJi=�� �{-JAr.; ���#N Address: ��J,�.S (, �iir1:7� ��e �lz �(/�= _5,j35��
Permit #'s: (J Date �� Contractors:��q ��.$/�rt' L-y'1q Y_
City ordinance nunber 100 requires that each on-site seuage treatment system in Orono be inspected on a regutar 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�an existing system [ � neu construction)
SY TEM CONFORMITY 1-3 : �
1 ' "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current seuage 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 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 grow�d or surface waters.
3 "NON-CONFORMING STSTEM"-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 timiting 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): C�
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accunulation in tanks indicates they should be punped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Yanks should be p�nped out as soon as possible.
� System is discharging to the surface. Tanks must be punped out uithin 48 hours to eliminate surface dischar�e.
Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed tn each
tank at next punpout. If tanks have not been punped out within the last three years, they should be purped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation).
If tanks have not been punped out uithin the last three years, they should be punped out now.
DRAINFIELD CONDITION (11-14): ��
�etd inspection indicates:
11 rainfield is dry, no surfacing evident.
Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be canpleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FAC70RS (slope,setbacks,etc.): ,) P�,. Q ��
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table etc ): �j�/
� ' COMMENTS: (� .Sy(T �G�Lt_ ( I'�S ��U`n,i
�� �
Date of In ection ptic S stem Inspector
Note: in the event that this inspection report is used to satisfy the requirements for a rtartgage 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 uith the system location and punping records.
WHITE COPY/inspectors File YELLOW COPY/Homeowner
� o�
o�_� o
��-�;,��� ; ,� , CITY of ORONO
�1 ��i�`,, �� F�" l4/ Municipal Offices
�i��` '�.:.�;��',��� G'�
I
�� �;��;�`� � Street Address: Mailing Address:
'9$'Egg04' 2750 Keiley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066 �
To Current Owner: Address: 3 S 3 S C�f-S�,c1e �l', —
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 CONFORMIT'Y 1-3 : I
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standazds of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" M ISTS which does not meet all the location,desi�and construction standards of the current Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for rystems installed 1996 or earlier,and which is not failing or
an imminent threat to public health or safery.
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 three feet of unsaturated soil or sand between the disVibution device and the limi6ns soil characteristics.
TANK CONDITION(5-7): S
Tank inspection indicates:
OPumpout 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 �"�"6 3 ).
Make sure septic tanks are pumped throu�h manhole and not through white inspectioo pipes. This allows for the
proper cleanin�. Keep water softner and iron filter dischar¢e out of sentic svstem.
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 no�v.
DRAINFIELD CONDITION 8-10 : �
$ Drainfield is dry, no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly dischar�ing untreated effluent to the surface. Contact t6e City Inspector
immediately. Repairs must be completed within 90 days.
COMMENTS: Mo u� � o o�S p� , ���-.P �o-� .,.,-o�\�.�� a�- ;��zc�=��
t��Q��cc_ ��� o � ��.c 5 r � '�-a�1� ,
^7 � —o� �Gzc ��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 ofthe adequacy of the system undrr current conditions based on the available
information.
Telephone(952)249-4b00 • Fax(952)249-4616
www.ci.orono.mn.us
/, � °�
io 0
I � � CI'�CY of ORON�
�r� f ,� _ � �
�� "� 'n��7.�+ %j� ` � E.,�' Municipal Offices
\� � ,,� , ,.r. . �
,� , ,�;`� , z :.�,,:�- �,,%,
, Street Address: q5a—a4q'�6� � Maiiing Address:
`'�':�`41�ESKpg'�;-�,:% 2750 Kel{ey Parkway P.O. Boz 66
��--%' Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address:�� ����.(-' S•f'�tifC ��
City Ordinance 199 requires that each existin�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): I
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
? "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and cons�vction standards of the current Orono
Municipal Code but does meet the three foot sepazation 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 ISTS located within a designated 100-year flood plain,any ISTS which may
or may no[meet all the]ocation,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 soi]characteristics.
_�
`
TANK CONDITION(5-7): �-
Tank inspection indicates:
� 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 throuQh manhole and not through white inspection pipes. This allows for the proper
cleaninQ Keep water softner and iron filter discharge out of septic svstem to prolona life of drainfield. Ask pumper to test
alarm float to verifv alarm is stilt workin�in vour house. The alarm warns owner that septa�e is about to backup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tanlc If
tanks have not been pumped out within the last three years,they should be pumped out no�v.
DRAINFIELD CONDITION(8-10): �
8 Drainfieid is dry,no surfacinQ evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly dischar�ing untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
�COMMENTS:
�
_ �' �— � _ �.
��- � -�.�
Daie of Inspection Septic System Inspector
� o�
o�::� , o
���+�=� CITY of ORONO
i,''a��'
� '�',f ';-f�
:� �
r�`„ i"j�?��%5` �� !�r Municipal Offices
� y �r
�.���'4,`�: �'�¢.�G~ Street Addross: Mailtn� Addross:
`�'EggO 2150 Kelley Pa�kway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ROb�,!`-j- �yq� Address: 35 3.� ���S t�n� ,Q('
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 (1-31: �
O ��CODE SYSTEM" An ISTS which meets all the location,design and construction standards ofthe cutrent Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,desigi and constcuction standards ofthe cucrent Orono Municipal
Code but does meet the three foot separation requirement,and which is not failing or an imminent threat to public health or safety.
3 "NON-COMPLIAIVT'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 ofthe curreirt 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(5-10): S
Tank inspection indicates:
l �I Pumpout not needed at this time.
\/
6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped �a'��-d� ),
7 Solids accumulalion in tanks is at a crilical a critical level. Tanks should be pumped out as soon as possible.
8 System is dischazging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspzction 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 withirt the last three years,they should be pumped out now.
1� Inspection pipe is located directly over tank baftle(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): (1
1 1 Drainfield is dry,no surfacing evident.
12 Some evidence of surfacing,not critical yet .
13 Drainfield is saturated and visibly discharging urrtteated ef�luent to the surface. Contact the City Inspedor immediately.Repairs must be
completed within 90 days.
14 Drainfield extent and condition unknown.
CONINIENTS:__ nee� r�.5�� o� -�;rSfi �r��K� elec�rr �� box nee�s fep��r
S�Si�c� ;s ok
6-as-a� �c� �
Date of Inspeetion Septic System Inspector �
Note: In the event that this uupection report is used to satisfy the tequitemeats for a moRgage or other transfer of property,be advised thai Uvs report does not guuantee
or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under cuaert condilions based on the available
infocmalion.