HomeMy WebLinkAboutseptic info ,
, ►v�innesota Pollution Compliance Inspection Form �
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Pdul,MN 55155-4194 �SSTs�
Doc Type:Compliance and Enfortaemenf
Instructlons: Inspection resuits based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes:
requirements and attached forms—additional local requirements may aiso apply.
Submit completed form to Local Unit of Government{LUG)a�d system owner
within 15 days
System Status
System status on date(mmldd/yyyy): 4/76/2093
� Compliant-Certiflcate of Compiiance ❑ Noncompliant- Notice of Noncompliance
(Valid for 3 years frr�m�oport date, unless sho�fer t/me (See Upgrade Requir+aments on page 3)
frame outlined in Loca/Ort�inance.)
Reason(s)for noncompliance(check all applfcab/e)
❑Impact on Public Heallh(Compliance Component #1)—lmminent thr+�af to public health and safety
❑Other Compliance Conditions(Compliance Component#3)—lmminent fhreat to public health and safety
❑Tank Integrity(Compliance Component #2)—Failing to protect groundwater
❑Other Compllance Conditions(Compliance Componenf#3)—Failing to protecf groundwater
❑Soil Separation(Compliance Component #4)—Failing fo protecf groundwater
❑Operating permit/monitoring plan requirements(Compliance Componsnt fR5)—Noncompliant
Property Information Parcel ID#or Sec/Twp/Range: 30111823330007
Property address: 4785 Creekwood Trail,Orono MN Reason for inspection: Proparty Transfer i
Property owner: Lonnie&Marsha Underhill Owner's phone: 952-449-0068 G/�•`�o`I • S�v��' �
or
Owner's representative: Representaiive phone: ,
Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600
11300and1000 gallon septic tanks,l-1300 gallon I(fl station and 68U square feet of mound rockbed.per
Brief system description: city records I
Comments or recommendations: P
�
I
Certification
�
!hereby certify that aIl the necessary information has been gatherad to deteimine the compliance status of this sysfem.No
detemrination of futu�a system perfoimance has been nor can be mads due to unknown conditions during system construction,
possib/e abuse of the system,inadequate marntenance,or futur�water usage. I'
Inspector name: Joseph J Olson CertificaUon number: 1255
Business name: Rusiy ql�son's Soil&Perc.Testing License number: 810 '
Inspector signatur�,r...t�----"''�i Phone number: 763-498-8779
.
Necessary or Locally Required Attachments �
�Soil boring logs �System/As-built drawing ❑Forms per local ordinance �
❑Other information(tist): �
www.pca.state.mn.us • 651•296-6300 • 800•657-3864 . TTY 651-282-5332 or 800-657-3864 • Avaitable in alternative formats
wq•mvlsts4•3i • 1/24/11 Page 1 of 3
, Property address: 4785 Creekwood Trail,Orono MfV Inspector initials/Date: J.O.4/23/13
1. Impact on PubliC Health—Compliance camponent#1 of 5
Com Ifance criterla: Verification method(s):
System discharge sewage to the ❑Yes �No � Searched for surface autlet
round surface. � Searched for seeping in yard/backup in home
System discharge sewage to drain tile ❑Yes �No � ��ssive pond(ng in soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See Comments/Explenation)
❑ "Black soil"above soil dispersal system
System cause sewage backup into ❑Yes �No ❑ System requires"emergenc�°pumping
dwelling or establishment. ❑ PerFormed dye test
Any"yes"answer above lndlcates the system is ❑ Unable to verify(See Comments/Explanation)
an Imminent Threat to Public Health and Safety. ❑ Olher methods not listed(See Comments/ExplanaUon)
Comments/Expianation: I
2. Tank Integr"ity—Compliance component#2 of 5 i
i,
Compliance criteria: Verification method(s): �
System consists of a seepage pit, ❑Yes �No ❑ Probed tank(s)bottom t
cesspool,drywell,or leaching pit. '
❑ Examined construction records
i
Seepege pits meebng 7080.2550 may be ❑ Examined Tank Integrity Form(Attach) I
oom liant if sllowed in loca!orclinance.
❑ Observed liquid level below operating depth �
Sewage tank(s)leak below their ❑Yes �No � Examined emQty(pumped)tanks(s) '
desf ned o eratin de th. i
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil'
Any"yes"answer above indicates the ❑ Unable to verify(See CommentsiE�cplanation) �
system!s Failing to Protect Groundwafer. �Other methods not listed(See Comments/Explanation) ��
Comments/Explanation: �
3. Other COmpllanCe COndltio115—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* �No ❑Unknown I
b. Other issues(elecbical hazarrls,etc.)to immediately and adversely impact public health or safety. O Yes' �No p Unknown '
*System!s an lmminent threat to publTc health and safety
Explain:
c. System is non-protective of ground water for other oonditions as determined by inspector ❑Yes' �No
'System is fa111ng to protect groundwater
Explain:
I
www.pca.state.mn.us • 651-296-6300 • 800-657-3664 • TTY 651-282-5332 or 800-657-3864 • Availabie in altemative formats
wq•wwists4-31 • i/24/12 Page 2 of 3
Property address: 4785 Creekwood Trafl,Orono,MN Inspector initials/Date: J.O.4/23/13
4. SOiI Sepd1'dtioll—Compliance component#4 of 5
Date of installatton: 8/08/90 ❑Unknown Verification meth�d(s):
Shoreland/Wellhead protectfonlFood Beverage �Yes �No Soil obseivation does not ex Ire.Prsvious soil
Lodging7 p
observatlons by hvo independent parties are suffrcient,
Com lianCe criteria: unless sifs conditions have been altered orfoca!
For systems built prror to April i, 1996, and requirements differ.
�Yes ❑No
notlocated in ShoreJand orWe!lhead � Conducted soil observation(s)(Attach boringlogs)
Protec6on A�a ornot seiving a food, ❑ Two previous veriRcations(Aftach boringlogs)
beverage orlodging estab//shment:
❑ Not appliqble(Ho/ding tank(s),no dralnfreld)
Drainfield has at least a two-foof vertical ❑ Unable to verify(Sae Comments/Exp/enation)
separation dlstance irom periodically�
saturated soil or bedrock. ❑ Other(See Comments/Explanafion)
Non pe►fom►ance systems built Apri11, ❑Yes ❑No CommentslExplanatlon:
1996,orlaterorfornon-perfo�rr►ance
systems locafed!n Shoroland or Wellhead
Protectron Ar�as orserving a food,
bever�ge, orlodgJng establishment:
Drainfield has a ihree-foot vertical
separation distance from periodically
saturated soil or bedrock."
Experimental; 'Othe�;or "Pedon►rance" ❑Yes ❑No Irtdicate de ths of etevations
systems builf under pne-2008 Rules;Typs IV
or V systems built under 2008 Rules(7080. A. Bottom of distribution media 100.3
2350 or 7080.2400 (Advanced Inspector
LiCense required) B. Periodicall salurated so(Ubedrock 97.5
Drainfield meets the designed vertical C. S stem se aration 2.8
separation distance from periodically
saturated soil or bedrock.
D. Re uired com lia�ce se ration' 2.0
Al1y"no"answer above indlcates fhe system is �May be reduced up to 15 percent if ailowed by Local
Falling to Protect Groundwater. ordinance.
5. Operating Permit and Nitrogen BMP*—Comp�iance component#5 of 5 �Not appltcable i
Is the system operated under an Operating Permit? ❑Yes ❑No If"yes",A below is required '
Is the system required to employ a Nitrogen BMP? ❑Yes ❑No If"yes",B below Is required '�,
BMP=Best Management Pracflce(s)specified in the system design
If the a»swer to both questions!s "no'; thfs sect/on does nof need to be comp/eted
Com Ilance criteria
a. Operating Permit numbe�: ,
Have the O eratin Permit r uirements been met? ❑Yes ❑No i
b. Is the re uired nitro en BMP in lace and ro erl functionin ? Yes ❑No
Any "no"answer indicates Noncomplfance.
Upgrade Requirements(Minn.Stat§115.65)An fmmfnent threat to public health and sefefy(ITPNS)must be upgreded,�eplaced,or ils use
dlscontinued wlfhln ten monlhs of receipt oI this not/ce or within a shorter pedod!f required by Iocal orc/inance_!f the system!s feiling to protect
ground water,the system must be upgraded,naplsced,or lts use disconUnued wifhin the time required by local orrlinance.!f an exisfing sysfem �
!s nof fa!ling as defined ln law,a►xi has at/east lwo feat of deslgn soil separetion,then the system need not be upgraded,ispaired,replaced,or
Its use dlscontinued,notwllhstanding eny local ord(nance that!s more slrict. This provlslon does not app/y fo systems In shore/snd areas,
Wellhesd Piotection Areas,or those used in oonnection with tood,beverage,and loafging astablishments as deflned in law.
www.pca.state.mn.us . 651•296-6300 • 800-657-3864 • TTY 651-282•5332 or 8U0-657-3664 • Available in altemative formats I
wq-wwlsts4-31 • i/24/12 Page 3 of 3
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Loas of Soil Borinas
License#810
Location or Project: 4785 Creekwood Trail
Borings made by: Rusty Olson's Soil and Perc testing 4/16/2013
Classification System: AASHO ; USDS•USDS-SCS X ; Unified ; Other
Auger used (check two): Hand�X�, or Power , Flight, Bucket or Probe_X_
Boring Number_1�Surface elevation_98.5_ Mottled Soil at_X feet
0"-14"Dark brown loam 10yr3/2 H20 present at_X ,
14"-24"Brown loam 10yr4/4
i
Boring Number_2_Surface elevation_97.6_ Mottled Soil at_1.8_feet �
0"-12"Dark brown loam 10yr4/2 H20 present at_X,_
12"-22"Brown loam 10yr5/4
22"-26" Rusty brown loam to clay loam 10yr5/4 !
i
TBM: Garage concrete slab Elv. 100.0 assumed
Original soil under the �ockbed Elv.-99.3 �
Bottom of rock bed Elv.-100.3 J
There is 1.0 feet of sand under the rockbed �
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O , O CITY OF ORONO
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v�,, p� �, Street Address Mailing Address:
� � �j'�' 2750 Kelley Parkway P.O. Box 66
'Z9 '�i Orono, MN 55356 Crystal Bay, MN 55323-0066
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To: The Current Owner of Address 4785 CREEKWOOD TR
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 No ompliant
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 � � �O'OS
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
...
" �
Inspector: Date of Inspection: �r ��
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
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To: Orono residents on mound type 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 heip breakdown nitrogen in the effluent,
Do water the grass over the mound in extreme dry conditions, sparingiy.
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 failure.
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, !can be reacheci at 952-249-4626.
1
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`,\"� �� a�., 11� �, � � Municipal Offices
�\� Mailing Address:
��(�`�' "r` � �-� G,/ Street Address `�5a.-a4q-�{6o O
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�`�`��kES.YI���� 2750 Kelley Parkway P.O. Box 66
��--� Orono, MN 55356 Crystal Bay, MN 55323-0066
To Cunent Owner: Address: `'� ��� �,!�������G�? ��
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 cate�ories checked below.
SYSTEM CONFORMITY (1-31: 1
1 "CODE SYSTEM"An LSTS which meeu all the location,design and constructioo standards of the current Orono Municipal Code.
2 "CONIPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono
Municipal Code but does meet the three foot sepazation requirement or rivo foot requirement for systems installed 1996 or eazlier,and
which is not faIling or an iu�inent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an LSTS located within a designated 100-yeaz 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 CO?�DITION(5-7): �
Tank inspection indicates:
5 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.
Tanl:was last pumped )•
Make sure septic tanks are pumped throu�h manhole and not through white inspection pipes. This allows for the proper
cleaninQ 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 workin�in your 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 tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION(8-101: _�
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:
� � � -��� C__�_� Gr-
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requ'uemenu for a mortgage or other transfer of property, be advised that this report does
not �uarantee or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system under current
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� , .� SVeet Address: Mailing Address:
`9�CEgg04' 2150 Kelley Paricway P.O. Box 66
�rono, MN 55356 Crystal Bay, MN 55323•0066
To Current Owner: Address: �7�S C 1 C C k w a o� '�f n� �
City Ordinance 199 requires that each existing on-site sew-aQe treatment syst�m 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 meeu all the locatioa design and construcvon standards of the current Orono tilunicipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not mret all the location,d��and construction standards of the current Orono Municipal
Code but does meet the three foot separation requirement or two foot requiremzat 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 withm a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction s[andards of the curre�Orono Municipal Code and which is failing for any reason;and
any[STS with less than three feet of unsaturated soil or sand between the distr-�ution device and the limiting soil characteristics.
TANK CONDITION(5-7): 5
Tank inspection indicates: y.
5� Pumpout not needed at this time.�l`
6 Septic tanks must be pumperd out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped t—� — �� ).
Make sure septic tanks are pumped through manhole and not thronah white inspection aipes This allows for the
proper cleaning. Keep water softner and iron filter discharge out of seatic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia. pipe)must be installed in each tank. If
tanlcs have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION(8-10): �
8Q' 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: M o U� 0 o�C.S O � `��. S< fi�L }�,�e5 �� �1,e
�c.J L s�o�s- 6«� pv�--pc .,.,��..:r. \as� 3 ve�,�S Yvv ��.
L��r ��SQz��-;v,� p:pc5 �-o �la�e.. o� Mu .,�a .
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Date of Inspection bi3tt Bolterman - Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a morta�e o�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 thc adequacy of the system under current conditions based on the available
infortnation.
Telephone(952)2�39-0600 • Fax(952)249-4616
w�.ci.orono.mn.us
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�'���l� CITY of ORONO
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�� �,:��� �'����G Street Address: Mailin�Addross:
`��;ggOg' 2750 Kelley Partcway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: Lonn �e U��2r�;11 Address: y7�35 �rteKwood 7�_
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage veatment system at the above address has been inspected and appeazs to fall into the categories checked below.
SYSTEM CONFORMIT'Y (1-3): �
O °CODE SYSTEM�� An ISTS which meets all the location,desigt and constiuction standards of the cuirent Orono Municipal Code.
2 ��COMPLIANT SYSTEM° An ISTS which does not meet all Ute location,design and cons�truction standards ofthe cu[rerrt Orono Municipal
Code but does meet the three foot separation requirement,and which is not failing or an inunineirt threat to public health or safety.
3 ��NON-COMPLIANT SYS'I'EM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction startdards of the cucrerrt 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): 5�
Tank inspection indicates:
$ Pumpout not needed at this time.
6 Tank must be pumped out this yeaz (city code requires tanks to be pumped out every 3 years. Tank was last pumped �9�9 )
7 Solids accumulation in tanks is at a critical a crilical level. Tanks should be pumped out as soon as possible.
g 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 risecs(4"dia.pipe)must be installed in each tank at next pumpout ff tanks
have not been pumped out within the last three yeacs,they should be pumped out now.
10 Inspection pipe is located direclly over tank baflle(does not give accurate measuremeirt of solids accumulation). If tanks have not been pumped
out wiUun the last three years,they should be pumped out now.
DRAINFIELD CONDITION 11-14 : ( 1
1 Drainfield is dry,no surfacing evidetR
12 Some evidence of surfacing,not critical yeL •
13 Drainfield is saturated and visibly disck�arging untreated e�luent to the surface. Coirtact the City Inspec[or immediately.Repairs must be
completed within 90 days.
14 Drainfield e�ctznt and condition unknown.
CONII�IENTS: SYS1'C M �5 6 k
6-aS -ai �1�
Date of Inspeclion Septic System Inspector �
Note: In the event that this uupection report is used to satisfy the requirements fot a mortgage or other transfer of propeRy,be advised that this repoR does not guazantee
or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under cucrent conditions based on the availabie
information.
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�� j � � � CITY of ORONO
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„� �� ,�,� } �� G l� Municipal Offices
�,� ' ��%��I'�r�����n,, �'�
\ � Street Address: Mailing Address:
�°HQ4'� 2750 Kelley Parkway P.O. Box 66
--- Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ��Ll/'///� � �/' '`'"��� 'I Address: 4785 Creekwood Tr.
Permit #'s: 3158 Dates: 8/8/90 Contractors: Hayes Exc.
(This is [�] an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 3
1 Code System: Meets or exceeds current City standards in all respects relating to desiqn,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet a11 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 System: 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 any system with less than three feet of vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level is [x] or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
�NK CONDITION (5-9) : 5
� Pumpout not needed at this time.
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.
9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped out within three years, they should be pumped out now.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [X] or are not [ ] water tight or the condition is [ ] unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
DRAINFIELD CONDITION (11-14) : 13
11 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet. Repair is not required at this time.
]3 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact
the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : failing
COMMENTS:
�{-��9q -- ,
Date of Inspection tic Syste 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)249-4600 • Fax(612)249-4616
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 5 5323-0066 � � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
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Owner: ���►�� V�CJ( / r� �l Address: e
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Permit #'s: � Dates: Contractors:
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site seuage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(7his is J�j 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 seuage input
without discharging any pollutants into ground or surface uaters.
2 "CONFORM[NG 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 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 uithin 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 soit or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic [ 7 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 COtdDITION (5-10):
Tank inspection indicates:
5 Purrpout not needed at this time.
b Solids accumulation in tanks indicates they should be p�nped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out uithin 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pixnpout. If tanks have not been pumped out within the last three years, they should be pixnped
out now.
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 tast three years th y sho ld pumped ou noN.
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DRAINFIELD CONOITION (11-14):
DySlrpfield inspection indicates:
( 1]/ Drainfield is dry, no surfacing evident.
`i2 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 uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): �m
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��
COMMENTS:
Date of Inspection ep c 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 exisiing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
�nformation.
This report must be kept on the pre�nises with the system loc�ti�n and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r$)� � INSPECTION REPORT
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9kESH��'�
Owner: G_L�"f n 1�'�'' L/i"4^(�� �I '' Address: 7 / �� ( ,l�i P�C/�'�1 / �i
Permit #'s: �r�`�'; Dates:__ ��—�-�i� Contractors: 17�i'VPC ��G.
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-stte sewage treatment system at the above address has been inspected and appears to fall into the category
checked 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 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 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 [ 7 has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10): �
T inspection indicates:
5 Pumpout not needed at this time.
Sol�ds accurnulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out uithin 48 hours to eliminate surface discharge.
9 [nspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
10 Tnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
[f tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINfIELD CONDITION (11-14):
Dr nfield inspection indicates:
11 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
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
L[MITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �1�
COMMENTS:
��
— �; ��.
Date of Inspection e 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
tnformation.
This report must be kept on the pre�nises with the system loc=_tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner