HomeMy WebLinkAboutseptic info CITY OF ORONO Date _ ^ r
ADDRESS � Connected to /�"� / s�(,��
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer d���
Address 4 y�� C ;'GN�T r Lfif� Property I.D. C'y"//7 — 2-� � 3 (�C7!J WELL DATA
�Standardtrench �OT � ,Qux_,c � + I I
❑ Mound �n
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System type 0 Other Legal Description �/�I�� — �o�C �C� p'
3oc..0 y -i�-'�z ���nw�.nn� 4 sw��TN PL6C+ .c
Permit No. S 3 2.S Date of permit 9-25-�� Installer �1 trL�y JoHNSON � f O
No. Bedrooms Garbage � „ (
.�
Building type �'E.�!�D_�N�-E or GPD ..�'S� B� Laundry Dishwasher�_ Disposal JC � � =
- � a �
SEPTIC TANKS:�M,a/te�ria��Ct�tic• �touc "'s 2Ewsr Capa 't 1) Q t3� 2) LiCf�� ° a� c
��dv�+Y' r�:r-� l�..+C 'TRNK- 'Tz3 D<S'�- P�,^I� 3 rr p�.l'trP 3"Gr�nEt?� y m
Proper outlet and inlet D�C Baffles t�k Li id pth to RO level 5 �'� ""µ� � �
^� m �
Height of tank bottom above water table E i nc t earest building 2� t"r ± � � m
�
i� �
DRAINFIELD: Total length of lines 2-3� umbd f nes � Trench width J FT.
/ Y `
Total treatment area(sq.ft.) `7G�a� ig t o drainf' d above water table 3� '� � +� �
- v
Type of filter material z-- �L 1' Rt�GK oil t -% ' CK a � -
h ai
Distance from nearest bldg. , # Til siz ��"'S"���Per rc ate / � min/in ° a ,��, ,c
0 �
� �J �Z �l � •�', �o
Depth of fill over drainfield .2- De f rock over tile ?�L/ under tile � a � "
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p a U 3
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LOCATION `'`�
INSPECTION RECORD PUMPOUT RECORD SKETCH o �.
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DATE COMPLIANCE DATE GALLONS
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Include: 1) Wel�cation
2�, Distance from house to
� septic tanks,dist.box,
/ � and drainfield
C— CONFORMING S—SUBSTANDARD N — NONCONFORMING / ���'J 3) North arrow and road
iAN� 1 .- 2 '-i`+ P�P�s 'z' S:F�=FAcE �,,�,'�
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On the North Shore of
Lake Misznetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �n ��►►'� ADDRESS �/� ���r� T I`
PERMIT NO.'S. �C�S� DATES �r17` � CONTRACTORS ./Uvy ;, �-S �
�vy �
City Ordinance$No��requires that each on-site s��atment system in Orono be inspected on a regular ba'sil.The on-s� i�te ewage
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,
�'LT located, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location, but is failing to properly treat and
dispose of the current input,and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
�Pumpout not needed at this time, give accurate measurement of solids accumulation.) If tanks
Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks 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-
I�spection risers (4" dia. pipe) must be installed in each ta�k ment or additio�s 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:
g 6��{�/ �
Date of Inspection eptic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore 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 ��r+ �0�� ADDRESS � ��� /
30 6n -i�� ,,,r.,,� s�yr,,�/�-
PERMIT NO.'S. -�5�� DATES 9"ZS"�K CONTRACTORS � �.Qhn�1 �
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 .�h an existing system ❑ new construction)
� 1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
�71 2 Does not meet all current City standards for new construction (1978 Codel but in most respects appears to be designed,
L�L�J• located, and constructed generally in accorda�ce with previous codes.System appears to be functioning properly; no major
upgrading of the system is required at this time.
� 3 Does nat 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 sta�dards 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: � l�r Inspection pipe is located directly over tank baffle.IDces 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 elimi�ate surface discharge. ❑ Drai�field 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 dis harge.
COMMENTS: � L' - l�'� � li✓� iL ✓P ''� �
� P l � (� .� Gi/, 1 h
�-��'��
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/Hameowner
On t1�e Noyth Shore of
Lake Mi�znetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �=� ��` � � _ ;� � ADDRESS �``��� � r �<r1�.��- /'�.�� "'_—
� -Ir-�2 —�' /�crNkin , S'�� T¢rr-
PERMITNO.'S. �G������ ���- DATES ����= "� CONTRACTORS �L�' fn`� r►
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 fali 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
L.J dispose of the current input, and is endangering a water supply, or is a source of potlution 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 baffie. (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.
❑ Sotids 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 criticat 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 Capabiiities for
❑ Slope (depends on soil types,water Future Expansion
O Soil table,and system condition) (� Adequate
❑ High water table L� Low ❑ Fair
❑ Lot size �Medium � Poor
❑ Lake,wetiand,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
s {, � �
COMMENTS: =k�-r. - J �. '. - - ,..�, �
i.' ��` �i��� � �CSd.�LI't�,rL�� ��Z:',(��l.l.(-e' C�ir�['- C'C:���(�, ��,� ; ,
_` , �� �
7 -�� -� ��S� , ` �.�
Date of Inspection Septi y Inspector
� �,
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY / Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT POST OFFICE BOX 66
1335 S. Brown Rd.
� Crystal Bay, MN 55323
� - • •
473-7357
OWNER _ �C�A► /11Gvihl` ADDRESS ��� �-Y�N�.� �L/�CL
PHONE PERMIT NO'S. �_3�3irioti DATES --y "+3�'����1'/)" 7.�-'
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:
❑ � Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears
to be operating properly.
� � Does not meet current city standards in some respects relating to design, construction, or location. Appears
to be operating properly.
❑ � Does not meet current city standards in many respects relating to design, construction, or location. Appears
to be operating adequately.
❑ � Does not meet current city standards of design, construction or location, is being overused, or is failing to
properly treat and dispose of the current input and is therefore endangering a water supply, is a source of
pollution to surface or groundwaters, is creating a safety hazard, or is otherwise creating a public nuisance.
Please contact the inspector to discuss requirements for repairs to your system. Soil testing may be re-
quired. In all cases a design and site plan must be submitted for review. Your contractor must obtain a permit
before work is started.
WORK REQUIRED:
� Septic tanks must be pumped within 48 hours.
� Drainfield must be repaired or replaced within 90 days.
� Inspection riser (4"diam. pipe) must be installed in��tank. /�T N�:�T �c1mPr�t1:
� Tank inspection indicates maintenance pumpout is needed as soon as possible. Citv ordinance requires that
tanks be pumped out every three year�
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 0 Poor
(�Lake,wetland,or stream ❑High ❑ Inadequate
❑Drainage ❑System is causing visible
surface discharge.
COMMENTS: �U� I�..EL�r�S .Sj-IOw JUC� PG'�1�'//vC� �Si/l1 'G P.EP/)/� //V
�q 7_S's'. TA N�S s�o us:.�o r3c �✓srrP�v f�' r�� n��+vC nr c�r- [��Erv �rnf�-la
/iV T/�iC �As i � Y�ff�� ?� ��OLc/l�� TffE �.��'� Of= YOvC� ip2�iN�=lt.C.�,
6�r ,�9- ��r `-P ..,._._
Date of Inspection Se tic System inspector
This report must be kept on the premises with system location and pumping records.
WHITE COPY / Inspector's File GOLD COPY/Homeowner
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