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HomeMy WebLinkAboutseptic info � Elmer J. Peterson Co. 5921 Dague Ave. SE DELANO, MN 55328 - (763) 972-2420 5l�12(� _ _ �� RECEIVED � �`/ ��� 2 4 ZU09 I4�t e�Ce�e�-Swess�rt ;�, r/ ���� �Q"�'�'�-�- �' ` CITY OF ORONO Loflg Lake,MN 55��6 6{3/�QU9 �.. _ �r.: � � � 4.a �. �: � _u . w :� �er�,r�� �`�°� �� _ � ,-` �s � r Silli� P'umped Se�tic T�. Ta�Res�art 3�7.50 i � i � i � I � I � ^ �,`l � ���� � C� L��� � 8�leuee due is 34 de�. �fir�uce ett�r�e of i 1{2°lo per agoa�at 1$'�o p� ` � � �. - ea��i21 t�.r�r �� s�co��rer 3Q=c� ____ _ _--- , _ _ 8?�?-— _ . . --___ __ Y � _ �_--__ -- __ _ __— ;-- _ - - - -- � �t_.._1�.j` 1 ', ,;�" � ��'� . � � -'�-'f ,t ;,; /L 1 `���'" � �� / ; RF�� - �'o� . ���°O �� Parcel number: System status: Compliant ❑ Noncomplian`t/��F ��09 (as determined�is form) 0 RpN� ��gi ���a�ati�$o ���p19���� ar�� �t��� �����iar��e �,�mpli��c� ;ssta� #� �:� �: Date of observation: / ,1 Q Reason for observation: ��(,� This information on this for does not e:;pire. Compliancequestio�s/criieria: (Required) Ve�ificaiion iVethod��: (Optional) (Check the a ro riafe box) (Check the appropriate box) For systems built prior to April 1. 1996;and not � [/�Conducted soil observation(s)(attach boring logs) located in Shoreland or Wellhead Protection Area or not serving a food, beverage or I ❑ Two previous verifications(attach boring logs) lodging establishment: I ❑ Other: Does the system have at least a t�vo-ioot I vertical separation distance from penodicalh� saturated soil or bedrock? j Yes ❑ No For non-performance systems buili April 1, � 1996, or later or for non-performance systems ; located in Shoreland or VVelihead Protection ` Soil observation does not expire. Previous observations Areas or servinc a food,beverage or lodging i by t�nro independent parties are sufficient, unless site establishment: � conditions have been aitered. Does the system have a three-foot vertical ! separation distance from periodically saturated soil or bedrock?* � ❑Yes ❑ f�o For reduced separation distance systems(i.e., � "penormance"s�stems under old 70�0.0179 or i "" May be reduced by up fo 15 percent if allo�ved in local i ype IV or V system under ne�:��7080. 2350 or ordinance. i 70802400): �I "�'No standard protocol exists. 7his lisf is not e%haustive. Does the system meet the designed vertical I in sec�uentia(order, nor does it rndicate !-vhich separation distance from periodically sah.�rated j' combinations are necessary to make this soil or bedrock?` i ❑Yes ❑ No deterrnina`ion. Any"no"ans4ver indicates ihaf ti.e syste,n is failinr to protec: gr�urd waier. �@�"i7�7Ca$]O(E This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Comglianc? ':nspec4�on Form fioo�x"sstinq Subsur�acs Se�n�aae TreaY�aent Sysfems. Observations, interpretations.and conclusions must be comp�eted by an inspector or designer. Completed fon�must 6e submitted to the local unit of govemment��vithin 15 days. Property ov✓ner name(s): Property address: ��� p v v t,�_ _J� � _�•L. r —----------- -- Property owner's address(ifi diiferent): County: �c�✓q/ Phone: 1 hereby certriy that/personally�nade rhe obseniations, interpretations, and conclusions reported on thrs form and that they are correct. i�!ame: e�t�4J e� /L 4'!-L�"It/ Certincation number: ��� Business license name and number: ,o `��S ��✓l�. '�� or — --- — ------ — --__ -- — — Name of lo nit of overnment: �� �Q�1p�f� Signatu : - . Daie: // � 5//8- S v✓G-+vwis'rs4-31 Complianc�1»speciion f=orm jo;Existrng SSTS �/iIOS Parcel number: _ S,siem sta:us ❑ Compliant ❑Noncompiiani (as determined by this form) `��ra3� ����g��t� �r�d ���et� ��r��slia��� �€���ii�r:ee ;ss�p �2 ��s � Date of observation: Reason for observation: This form expires on (three years): Compiiance ques�iors/cri�te�ia: (Requfred) Verifzca�ior iVlethoa��: (Optional) (Check the a ro riate box) (Check fhe appropriate box) Does the system consist of a seepage pit', ❑Yes ❑ No cess ool, dr Nreli, or leachin pit7 ❑ Probed tank bottom i ❑ Observed lo�ni liquid level Do any sewage tank(s)leak be(ovv their I ❑Yes ❑No designed operating depth? ❑ Examined construction records Ifi yes,identify�t�hich seyvage ❑ Examined empty(pumped}tank tank leaks. ❑ Probed outside tank ior"black soil" Llny`yes"anst�e:i;r�'ica_es ii;at the s;si��,~t is�2%Il;ta zo.r,rotec� ❑ grou.nd w.ater. Pressurelvacuum check ❑ Other: ' Seepage pits meeting 7080.2550 may be compliant if allov:�ed in ordinance 6y local pennitting authority. `"No standard profoco!exists. This list is not exhaustive,in sequentia!order,not�does itindicate whrch combinatrons are necessary to make this defermination. Jdf2�� Ci']eC�C 1. �re an;�maintenance hole covers damaged,cracked.or appeared to be structuralh�unsound? ❑Yes" ❑iVo 2. Were all maintenance hole covers replaced in a secured manner(e.g.,aii screv:�s replaced)? ❑Yes ❑ No` 3. �.Nas secondary access restraint present(safety pan.second cover, or saiety netting)-highly recommended. ❑Yes ❑No 4. �fVas any otner safei;�;health issue present? ❑ Yes- ❑ No Exptain: =Sys±em is ar imrrrinent threat ta pu�lic;�ealth and safefy. ���i�3���ii�'!l This form is to be compieted and attached to the Summary Form of the Alinnesota Poiluiion Control Agency's(MPCA)Compiiance inspection Form ior Existing Subsurfiace Sewage Treatmen�Systems. Obsen�ations, interpretations,and concl�isions must be completed by an inspector, main�ainer, or ser�ice provider. Completed form must be submi�ied to the local uni"t of government�,vithin 15 da��s. Property ovdner name(s): " Property address: Property ov�mer's address(if different): --= — -- --- -- - -- ---- --- County: � Phone: r hereby certify that 1 personal(y made the observations, inierpretatrons, and concfusions repor�ed on ihis iorm and that they are correcr. Name: Certincation number: Business license name and number: or Name ot local unit of government: Signature: Date: wq-�nvists4-3i Comptiance lnspection Form forExis"ring SSTS =;1 i lOR Parcel number: System status: j�,Compliant ❑Noncompliant (as determined x�y��is iorm) ����a��ic ����s�e����� �r�� ����� ���s�����c� ti.�PYl��i��iC� I55U� ;=` �; Date of observation: « Z y�'p Reason for observation: .r/�- l� , This forir e;:pires upon nexi inspection or in�ree years,whichever occurs Tirst: f//,L Si /L —�—�7 i.ompiiance quesiions/criteria: (Required) VEri�ication ivietlaod�: (Optinnal) (Check the a ro riate box) (Check fhe appi�opriate box) Does the system discharge sev✓age to the I ❑Yes No round surface? �Searched for surface outlet �/ ❑ Performed hydraulic test Does the system discnarge se�nfage�o drain ❑Yes ��iVo �ile or surFace�+�aters? I �Searched for seeping in yard Does the s�stem cause se�,vage backup f ❑Yes �lo ❑ Checked for backup in home into da�relling or establishmeni? i ❑ E��cessive ponding in soii system/D-boxes Do other sifuations exist that have�he I ❑Yes �o � Homeoviner testimony potential to immediately and adversely impact or threaten public health or safety � ❑ Examined for surging in tank (electri�l,unsaie covers, etc.)? � � "Black soil"above soil dispersal system Any`:�es"ansyver+ndicafes ft�ai;i�e s,�st2;-�is; °%�r-,ni,:er;. fhreaf fo public i�ealih and safefy. ❑ Sysfem requires"emergency"pumping � ❑ Performed dye tes2 Does tne system pose a threat to g;ound I ❑Y'es iti�o � Other: yvaier for any conditions deemed non- ' protactive as determined by the inspector? ; "Yes"indicates rhat tne system is;ailing to protect grcur.c!v�ater.,'f"�ies",d�scribe the ccnc(it,"or. rtote�: "No sfandard profocol e:<ists. This list+s nof exhaustive, - - ----- - - --- ---- rn secruentra(order. nor does if indicate which combinations are necessary to make fl�is de(erminafion. ���'�3�3 Lc�l��; This form is to be compleied and attached to the Summar;�Form or the Niinnesota Polluiion Control Hgency's(P11PCH)Cempiia�ce fnspection �orm for Existiny Subsu�iace SeWrage Trea�ment Systems. Observations, interpretaiions,and conclusions must be completed by an inspector_ Completed form must be submitted to the local unit or government within 15 days. Property owner name(sl Properf address: � ��� C` p v.v r�,� �`� _ �� Property owner s address(if differentj: County: ��y,v Phone: I hereby certify rhar 1,Qersonally made the obsen�aiions, interpretafrons, and conclusions reported on this form and fhat they are correct. Name: �D I�L,�W /t 6"��✓at/ Certification nuinber: ��(O Business license name and number. �j � �La � ���,7� ��� ar iVame oi lo u oi aovemment: �/�/T� Signature: Date: /� ,2. �/ (�� wq-wwists�-31 Compltance lnspection Form for Existing SSTS =�/1/08 ��������������>� ; ������,�,r��� ��� �� - , ������e�g ��s�s��a��^ ���r�g� ��e���ea�� ��s�ems �����3 Instructions on pa�e 7 Parcel number: For Local Tracking Purposes: System status: [�Compliant ❑ f�oncompliani I (based on all combliance r2quiremenfs) � ��i�i�1�� �OPa� �roperty �n�orr�a�io6� Property o�roner name(s): Property address: � ��� C...p er �v �-�, • t t,r�/�r � Property o�roner's address(if different): Counb�: iv, Property o��mer phone: Permitting authority: , � /�,► Date system constructed: �� Reason for inspection: f�Q,,l� S�S�E.'6'� �E'SCB"l���Ofl Brief system descriptq�-��fl��� ��✓ICS -- �D V w�� f y S 7`C ��... Local permit number: /V�� „ iVumber of bedrooms: Design flo�v rate: Is the system: In Shoreland area? ❑Yes �Ci�lo In tNellhead Protection Area? ❑Yes �No An U.S. Environmental Protection System serving a t��linnesota Depariment r�gency(EPA)Ciass V(njection WeII?�Yes �No of Heath(MDH)licensed facility? ❑Yes [�No �OiTi�11�RC2 J'C��19� (Based on state requirements—additionaf local requirements may afso apply.) Based on the information g�thered and reported on attached forms,the compliance status of this system is(check one): �Certificate of Compiiance—vaiid until(3 years from date of�eport): ❑ Notice of Noncompliance-For Noncompliant systems: The reason r"or noncompliance is: d 3�is norc�rnalian:sys�e�is classi��eci as(c��c{c�n� beicvv): ❑ Irnminent threat to public health&safety ❑Failing tn protect ground�n.�ater ❑ Not in compliance v�ith operatrng permit Ce3"�i71Cd�iO�l (Completed fonn must be submitted to the local unit of government�P�ithin 15 days.) I herehy certify ihat all the necessary informatron has been gathered to determine the compliance status of this system. No determrnation of future sysfem performance has been nor can be made due to unkno�vn conditions during system construction. possible ab e oi the system. inade at malntenance, or ruture!-��ater usage. Name: /1 ,��(,J � /�,�EU Certification n�nr�ber: l �,� Business license name and number. ,tp (.�iC S � �k/S . ��� or Name or local unit of vemment: � � � g Signature: O .r-- Date: // D `� _ �ei��1�"ed ,�$t�C��9��5 fnspector Complete: 3his inspection Report is�pag�s fong. Ciieck comp99ane2 fiorms at4ached: �draulic Performance ❑Tank Integrity Soil Separation ❑Operating Permit Form(if applicable) ❑System dra�r�ing/As-built dra�nring ❑An assessment of any focaf requirements thai are different from what is required on this form ❑Soil Boring Logs ❑Abandonment form(if appropriate) ❑Other information Qist): Upg f2d@ R8p!!lPe�17011ts (derived from ft9inn. Stat.§915.55)M immin=n!thraai'ro public heaRn ar,d saety(I rPHS)must be upgrGed,replaced or its use drsccntinued avrthm ten mentns oi receipt ci thrs r,otice or wrfhin a shc�e.r peria7 ii rcquirc-d by Icca/az7rnance /f th,e system is failing to pretect g�ouno water.the system must 6e upgraG�',repfac�:,or iis use d�scontinued wifnin the�ime reouir�by la:al ordinance.!f an existing system rs not fading as dennetl in law.and has at least hvo fest or d srgn�cil s2p2raiion.then tt�e system need not 1�e upgradzd,reparred,iealacecl,cr rrs use discontinusd,notwithstai7ding any Ic�al ordinance ihat is mor2 strici Ti�is provrsicn Coes nci apply b syste�ns in c�r�,-alartd araas. liiiellhead Proiecfron Areas.or tt�ose used in connection�a�ith reod. Deve2ge,and IeJging establishments as d=fined in/a�a� wG-wwists�F-3 i Comotrance Ir,spectien Form for Existing SSTS 41?/08 .;== 0 �,� � � , ;O O ,. " ,: � ��:, �, �ITY of ORONO �`�� ''`'�� 't+��'� � � �, % Municipal Offices !I ' ti " � ��' � `' �'�'� � �� Mailing Address: � �� . ' `,�,� ; Street Address: �l Sa-a4 q-y 6o O kESH� 2750 Kelley Parkway P.O. Boz 66 - - - Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: ��3� ��'�'�fi��S�c�� d �- 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): 1 O"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]ocation,design and construction 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 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: �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 through manhole and not throuQh white inspection pipes. This allows for the proper cleanin�. Keep water softner and iron filter dischar�e out of septic sVstem to prolon¢life of drainfield. Ask pumper to test alarm float to verify alarm is still working in your house. The alarm warns owner that septaQe 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 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 surfacin;,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: N\o� •�� c��C� S�� a=L 'r c�,��CS �0 O�C G�. ���� —�� �� d�-� 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 guarantee or certify that an existing system will continue to function properiy, but is merely an opinion of the adequacy of the system under current conditions based on the available information. /��-`_,. � 7 �\� �/ � O 1`4\I �� � � �. , _ :_ �, ��T� o� o�o 1 r� � . � , �� � �f� Municipal Offices V',�'' b �.,b i ;.. � � � '�, ,,. �`, 'C� ��`'.{ ,' � '�� ` G '% Street Address: Mailing Address: �; l � � ' �'�?:j' P.O. Box 66 :;. <q �¢ . 2750 Kelley Parkway ` .�ESK� ��' C stal Ba MN 55323-0066 ��;�� Orono, MN 55356 ry y� To: The Current Owner of Address � `'� � J ��J���� 5` �� � r , City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a periodic basis. The onsite sewa�e 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 Mana�er at 952-249-4626 within 10 days of receipt of this notice. The septic system must be brought into compliance within 90 days. Failure to do so wi11 result in referral to the City Attomey for legal action. System Identified as Non-Compliant Yes �1�o If yes, system must be brought into compliance by: December 31, 2007 December 31, 2010 Other Septic Tank(�ump out Needed Yes No ' The City recommends the septic tan.k(s) and/or lift tank be serviced and pumped out every three years. City records indicate the tank(s) were last pumped out on C�_��-- �� . The tank(s) should be cleaned through the manhole and not throu�h the inspection pipes, tlus allows for proper cleanin�. Comments: < a` � .� ,� `:� � -�� � Ins � Date of Inspection �� �>�c� P Telephone (9�3) 249-4G00 • Fas (9�2}249-461fi � o� o..1:,, o ��� � CITY of ORONO �r:ti;=�^� � i '�'����? ��, ;. ..:F�. �v "�+�� ;y��,�: �`}'���h G,ti,�' �lunicipal offices �� � ����`i`};;,� ����i " Street Address: Mailing Address: �ESYj�g 2150 Kelley Parkway P.O. Boz 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 95d-�49-y600 To Current Owner: Address: � y 3S �a v�t�yS tc�2 �r Ciry Ordinance 199 requires that each existin�on-site sewa?e 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 C0�1FOR1�IITY 1-3 : � 1 "CODE SYSTEM" An ISTS which mcets all the location,design and construction standards of the currcnt Orono Municipal Codc. 2 '�COI�SPLIANT SYSTEM" An ISTS which does not meet all the tocation,design and construction standards of the cuaent Orono hiunicipa] Codc but does mect the three foot scparation requiremcnt or two foot requircment for systcros installed 1996 ar eazlicr,and which is not failing or an immincnt threat to public health or safery. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood piain,any ISTS which may or may not meet all the location,design,or conswction standards of�he current Orono Municipal Code and which is failing for any reason;and any 1ST5 with Icss than tivee feet of unsaturated soil or sand between the distribution device and the limiting soil chazactcristia. TANK C0�IDITION(5-.7�: 6 Tank inspection indicates: 5 Pumpout not needed at this time. �Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped g- �.—�-13 ). 1�Iake sure septic tanks are pumped throuah manhole and not throu�h white inspection pines This allows for the proper cleanin2. 7 Inspection risers missing tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. DRAINFIELD CONDITION($-ta�: $ 8O Drainfield is dry,no surfacing evident. 9 Some evidence of surfacin„not critical yet. 10 Drainfield is saturated and visibly dischar�ing untreated effluent to L'�e surface. Contact the Ciry Inspector � immediately.Repaus must be completed within 90 days. COR/I��NTS: S�fStt.�-• �ookS O(C,. ���p �ac��S ��5� 1�•e7 w�c� no-r P�'�efJ �c� R�C-�vS�f • S� ��ppencS �n�- You � -1-h.�V '�'��� � �v�r(� �'<� ��S ����--�t� �...a}�r �^fi0 "� _ �-� —�� c'1�a� _ Date of Inspection hiatt Bolterman- Sepcic System Inspector Note: In the event that this inspection report is used to sadsfy the requirements for a mortgage or othar transfer of properry,be advised thu this rcport dces not guaren:ec orcertify that an existing system will continue w function properly,but is mercly an opinion ofthe adequacy ofthe system undetcurrentconditiansb'ased on the available information. O � � � ������� �o o� � ��� � ; �� CITY of ORONO ,� ., _ �, � .t. !4 MunicipalOfTices �''� ` . G'ti �9 ¢.� ,,, SVeet Address: Mailing Addnss: kESII��%�� 2750 Kelley Parkway P.O. Box 66 - Orono, MN 55356 Crystal Bay, MN 55323-0066 May 1, 2000 Michael & Carol Swenson 243 5 Countryside Drive Long Lake, Mn 55356 Dear NIr. & Mrs. Swenson: An inspection of your septic system was conducted on April 25, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout needed within one year (last pumpout 9/2/93). The septic system is a compliant system, meaning it meets all or most current City and State Standards. Enclosed is a list of licensed contractors who work in Orono on a regular basis. This list is enclosed simply for your reference in case your septic system needs maintenance in the future. Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built drawing is enclosed showing the approximate location of the septic system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. Res ectfully I 1 '" Jc�"L"C LJ Chris Pence On-Site Systems Manager Enclosures In the e��ent 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 existing system will continue to function properl�,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 the system location and pumping records. 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 eay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT r�,. �C�, INSPECTION REPORT �' G~ �9kESH�4'� Owner: � ' )� Address• � T � �� Y i � (�y-� , / Permit #'s: Dates: t�'-��C`�, Contractors: . City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-stte seuage 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) YSTEM CONFORMITY 1-3 : 1 "CODE SYS7EM"-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 poltutants into ground or surface uaters. 2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface uaters. 3 "NON-CONFORMING 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 limiting soil characteristics. (The limiting soil characteristic � 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 COkDIT10N (5-10): Tank inspection indicates: ---- 5 Pumpout not needed at this time. /6j Solids accumulation in tanks indicates the ould be pum ed out this year hel ems. 'Y Soii`8s accvrruiation-i�rrtanic ' ' ' eve an e out as soon as possible. 8 System is discharging to the surface. 7anks must be pumped out within 48 hours to eliminate surface dischar�e. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pu�npout. If tanks have not been pumped out within the last three years, they should be purnped out now. 10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): D field insPection indicates: Drai�field is dry, no surfacing evident. 2 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 FAC70RS (slope,setbacks.etc.): � POTENTIAL FOR SYSTEM FAILURE Cdepends on soils,water table,etc.): j�� COMMENTS: � D e of Inspection Sep ic 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=tien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO � O� Municipal Offices O O Post Office Box 66 Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT � � INSPECTION REPORT ti ���kESHO��G owner: �i I/i f� .�I�l�'r Address: ,��f3� C��rv.s��dP. �l. . �.7 /�� �//� Permit #'s: �/�o� Dates: ��'��—(� � Contractors: ,lJi/c�ll�p � �c',� City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is b� an existing system [ 7 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 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 limtting soil characteristics. (The limiting soil characteristic �6Q 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 �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 instatled in each tank at next purtipout. If tanks have not been pumped out within the last three years, they should be pumped out now. 01� Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): Drainfield insPection indicates: 11 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.): L�j COMM NTS• e Y' l(� J'1? '_l�—p� C.T D' �P . Date of Inspection eptic 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 avaitable information. This report must be kept on the pre�nises with the system locetien and pumping records. WHITE COPY/Inspectors File YELLOW 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 �� ^b ADDRESS � �� � PERMIT NO.'S. �1�� DATES ��! �=-� CONTRACTORS sL4 ��- �rr 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. n 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 drai�field 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. 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 co�dition 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) �.Ade uate -� High water table �Low ❑ FairQ O Lot size ❑ Medium ❑ Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: 7�3 91 Date 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 locatio�and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner On the North Shore of Lake Minnetorzka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER �i�� //�l� /�/���rY ADDRESS ���L-G�/n/l'1���`-'. [i1'� PERMIT NO.'S. �1�'� DATES �/_�S 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 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, 2nd 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 tnspector 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 evide�ce of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfietd 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 Futu e 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: �-/�9� 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 Shorc o f Lake Mi�z�zetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 , 473-7357 Jc��;� tt, ,� �'h:l(� � ��' : li� r OWNER l7� 1 I I , ADDRESS ��35 Ci-c.��,�"�"('�,S;c��- L�f`�J� PERMIT NO.'S. / ��� DATES � ~��� � -J CONTRACTORS �uQ�F'_ ��� �x�-. 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) I�I � Meets or exceeds current City standards in ali respects relating to design,construction,and location.Appears to be operating 14� 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 tuture 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 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 directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. � Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace- Inspection risers (4" dia. pipe) must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been 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: r� l 7-� Date of Inspection Septic Sy 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 wili 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