HomeMy WebLinkAboutseptic info � ,
� r Minnesota Pollution Compliance Inspection Form
�' Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS)
St.Paul,MN 55155-4194 Doc Type.•Compliance and En/orcement
InspeCtion results based on Minnesota Pollution Control Agency(MPCA} For local tracking purposes:
requirements and attached forms—additional local requirements may also apply.
Submit complefed form to Local Unit of Government(LUG)and system owner
within 15 days
System Status
System status on date(mm/dd/yyyy): 5/21/2014
� Cornpliant — Certificate of CompliancE ❑ Noncompiiant — Notice of Noncompl'rance
{Valid for 3 years irom report date, unless shorter time (See Upgrade Requirements on page 3.)
frame outlirred in Loca!Ordinance.)
Reason(s)for noncompliance (check all applicah/e)
❑ Impact on Public Health (Compliance Component#J)—Imminent threa7 to public health and safety
❑ Other Compliance Conditions (Compliance Component#3)—Imminent threat to public hea/th and salety
❑Tank Integrity (Compliance Component#2)—Failrng to protect groundwafer
❑ Other Compliance Conditions(Compliance Componenf#3)—Failing to protectgroundwater
❑ Soil Separation (CompJiance Component#4)—Failing to protect groundwater
❑ Operating permiVmonitoring p�an requiremenis (CompJiance Component#5)—Noncompliant
Property lnformation Parcel ID#or Sec/Twp/Range:
Property address: 888 Dakota Ave- Orono ___ Reason for inspection: sale
Property owner: Byron Calderon __ Owner's phone: 763-478-1234
or �
Owner's representative: Representative phone:
Local regulatory authority: City of Orono Regulatory authority phone:
Brief system description: 2 - 1000 Septics& 1000 gallon Pump, Mound _
Comments or recommendations:
Should contact electrician to fix electrical at tank-not a health threat
Certification
!hereby certily fhat al!the necessary rnformation has been gafhered t�determine the compliance stafus of this sysfem. No
determination of future sysfem performance has been nor can be made due to unknown conditrons durrng system consiructron,
possible abuse of the system, inadequate maintenance, or luture wafer usage.
Inspector name: Josh Swedlund Certification number: C1659
Business name: Swedl Se �S ce License number: 2502
Inspector signature: Phone number: 952-873-3292
Necessary or L cally RequSred Attachments
� Soil boring logs �System/As-built drawing � Forms per local ordinance
❑ Other information (list):
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TfY 651-282-5332 or 800-657-3864 • Available in atternative formats
wq-wwists4-31 � 3/16112 Page i of 3
Property address: 888 Dakota Ave -Orono Inspector initials/pate: JS � 5/21/2014
(mm/dd/yyyy)
1 . Impact on Public Health — Compliance component #1 of 5
Compliance criteria: Verification method(sj:
System discharges sewage to the ❑Yes � No � Searched for surface outlet
_ground surface. � Searched for seeping in yard/backup in home
System discharges sewage to drain ❑ Yes � No ❑ Excessive ponding in soil system/D-boxes
tile or surface waters. ,
❑ Homeowner testimony (See Comments/Explanation)
System causes sewage backup into �rn�Yes � No ❑ "Black soil"above soil dispersal system
dwelling or esiablishment.
---- ❑ System requires"emergency"pumping
Any"yes"answer above indicates the ❑ Performed dye test
system is an imminenf threat to public ❑ Unable to verify (See Comments/Explanation)
health and safefy.
_ ❑ Other methods nOt listed (See Comments/Explanation)
Comments/Explanation:
2. Tank Inte�rity— Campliance component #2 of 5
_ Com liance criteria: Verification method(s}:
System consists of a seepage pit, ❑Yes � No ❑ Probed tank(s)bottom
cesspool,drywell,or leaching pit. � Examined construction records
Seepage prts meeting 7080.2550 may be ❑ Examined Tank Integrity Form (Anach)
compliant i(allowed in local ordinance.
❑ Observed liquid level below operating d�pth
Sewage tank(s)leak below their ❑ Yes � No
designed operating depth. � Examined empty(pumped)tanks(s)
If yes,which sewage tank(s) leaks: ❑ Probed outside tank{s)for"black soif'
AfT y "yes"answer above indicates the ❑ Unab(e to verify(See CommentslExp�ana[ion)
system is failing to protect groundwater. ❑ C)ther methods not listed (See Comments/Explanatton)
Com mentslExplanation:
3. Othel" COmpli8nC2 COtlditiOtlS— Compliance component #3 of 5
a. Maintenance hole covers are damaged,cracked, unsecured,or appear to be structurally unsound. ❑Yes' �No ❑Unknown
b. Other issues (electrical hazards, etc.)to immediately and adversely impact public health or safety. ❑Yes` �No ❑Unknown
rSysfem is an imminent fhreat to pubtic health and safety.
Expiain:
c. System is non-protective of ground water for other conditions as determined by inspector. Q Yes' �No
�System is failing to protect grourrdwater.
Expiain:
www.pca.staCe.mn.us • 651•296-6300 • 800•657•3864 • TTY 651•282-5332 or So0-657-3864 • Available in altemative formats
wq-wwists4-3t • 3/16/!2 Page 2 of 3
Property address: 888 Dakota Ave-Orono Inspector initials/Date: J8 � 5/21/2014
(mm/dd/yyyy)
4. Soil Separation —Compl€ance component #4 of 5
Date of installation: 5/18/1988 __ ❑ Unknown Verification method(s):
(mm/d�/yyyy)
Shoreland/Wellhead protectioNFood beverage Soi!observation does nof expire. Previous soil
lodging? � Yes ❑ No observations by two rndependenf parties are sufficient,
unless sife co�ditions have been a![ered or loca!
_Compliancecriteria: _ requirementsdifter.
For systems built prior to Apri! i, 199&, and i ❑ Yes ❑ No �Conducted soil observation(s) (Attach boring logs)
not facated in Shoreland or We!lhead
Protection Area or not servrng a food, I ❑Two previous verifications(Attach bor;ng logs)
beverage or lodging establishment: ❑ Not applicable (Hording tank(s), no drainl;eld)
Drainfield has at least a two-foot vertical ❑ Unable to verify (See Comments/Explanation)
separation distance from periodically ❑pther(See Commenrs/Explanatron)
saturated soil or bedrock.
Non-performance systems built April r, �Yes ❑ No Comments/Explanation:
i996, or lafer or for non-performance
systems located in Shoreland or Wellhead Boring:
Protectron Areas or serving a food, 1-12" 10YR 2/2 Loam
beverage, or lodging establrshment:
13-19" 10YR 4/4 Loam
Drainfield has a three-foot vertical
separation distance from periodically 20-24" 10YR 4/6 Sandy Loam
saturated soil or bedrock.` No Motts
"Experimental'; "Other'; or "Performance" ❑ Yes ❑ No Indicate de ths or elevations
systems built under pre-2008 f3ules; Type l V
or V systems built under 20(J8 Rules(7080. A. Bottom of distribution media lus 12"
2350 or 7080.2400 (Advanced Inspector
L+cense required) B. Periodicall saturated soiUbedrock 24" lus
Drainfield meets the designed vertical C. System separation 36" lus
separation distance from periodically —
saturated soil or bedrock.
__ __. __ _ ! __� _D. Required compliance se aration' 36"
Any "no"answer above indicates the system is 'May be reduced up to 15 percent if allowed by Local
failing to protect grvundwater. Ordinance.
5. Operating Permit and Nitrogen BMP*— Compliance component #5 of 5 � Not applicable
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 Practice{sJ specified in the system design
If the answer to both questions is "no'; this section does not►teed to be comp/eted.
Compliance criteria
a. Operating Permit number:
Have the Operatinq Permit re uirements been met? ❑Yes ❑ No
b. Is the re uired nitro en BMP in lace and ro erl functionin ? ❑ Yes ❑ No
Any "no"answer indicafes Noncompliance. �
Upgrade Requirements (Minn. Stat. § i i5.55)An imminent threat to public health and safety(ITPHS)must be upgraded,replaced, or its use
discontinued wrthrn ten months ol receipt of�his notice or within a shorfer period if required by local ordrnance. /f the system rs failrng to protect
ground wafer, the system must be upgraded, replaced, or its use disconfinued within the time repuired by loca!ordinance. ll an existing system
is not faDrng as defrned in law,and has at least two leel of design sor!separation, then!he system need not be upgraded, repaired, replaced, or
rts use drscontinued, notwithstanding any loca/ordrnance that is more strict. This piovisron does not apply to systems in shoreland areas,
WeJlhead Protection Areas,or those used in cannection wifh lood, beverage, and lodging establishmenfs as deiined in law.
www.pcastate.mn.us . 651-Z96•6300 • 800-657-3864 • TTY b51-282-5332 or800-657•3864 • AvailabEe in at[ernative formats
wq-wwists4-31 • 3/16/12 Page 3 of 3
d5•�6/2014 14:07 952249�616 CITY OF OROND PAGE 02/02
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`�����'� 1,; -`'>�``�:\;���' �~�� Street Address: Mailing Address:
,:�. � `;.'� ` " '�%%' P.O. Box 66
A � 2750 Kelley Parkway
�::, �fESB� ,-,:;
��i Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address �!�� � A I� � ;(�
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 952-249-4626 within 10
days of receipt of this notice. The septic system must be brou�ht 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 years. City records indicate the tank(s) were last pumped out on
-'')_ � -Cj� . The tank(s) should be cleaned throuah the manhole and
not through the inspection pipes, tius all�ws for proper cleaning.
Comments:
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Inspector: ' -� ;� ���o �: Date of Inspection � •- L� .
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Telephone 1:9�2)249-4600 • Fa� (9�2) '=�9-461f
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��`� G Street Address: qSa-a4q-y6� � Mailing Address:
��9�E!xp�'� 2750 Kelley Parkway P.O. Box 66
�
- Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: ��� ��`���� ��
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): �
lO "CODE SYSTEM" An ISTS which meets all the loca[ion,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and constructio�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 umninent 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 ihe location,design,or constructio❑ 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(5-71: �
Tank inspection indicates:
�umpout 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 �`Z�-�-5 ).
Make sure septic tanks are pumped through manhole and not throu�h white inspection pipes. This allows for the proper
cleaning Keep water softner and iron 51ter dischar�e out of septic svstem to prolong life of drainfield. Ask pumper to test
alarm float to verifv alarm is still workin�in vour house The alarm warns owner that septage is about to backup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be mstalled m each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION 8-10 : �,
8 Drainfield is dry,no 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: �''����} d' SCp�'��- �-c,n`CS I ub�� C K �
� ,"� --bt� ��
Date of Inspection Matt Bolterman - Septic System Inspector
vote: In the event that this inspection report is used to satisfy the requirements for a morteage or other transfer of property, be advised [hat fllis report does
not guaraniee or certitj that an esistine system will eontinue to function properly. but is merdy an opinion of die adequac� of the system under cwrent
�un�itions based on the available iniormaUon.
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�����-�-� CITY of ORONO
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�� �1='��j'-�`���'�G Street Address: Mailing Addressc
i
`9$��,+g�KOg' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
95d-�49-4600
To Current Owner: Address: � �� �`���' � �v e.
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 '�CODE SYSTEM" An[STS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds of the current Orono Municipal
Code but does meet the three foot separation requirement or Rvo foot requirement for systems installed 1996 or eazlier,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 standazds of the current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than tivee feet of unsaturated soil or sand between the distribution device and the limiting soil chazacteristics.
TANK CONDITION(��j: �
Tank inspection indicates:
5 Pumpout not needed at this time.
USeptic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped ~-1 - � )•
iV'Iake sure septic tanl:s are pumped throu�h manhole and not throu2h white inspection pipes.
This allows for the proper cleaning.
7 Inspection risers missinb tanks could not be inspected. Inspection risers(4"dia. pipe)must be installed in each tank.
D INFIELD CONDITION - o`: �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly dischar�ing unoreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
� l
COMMENTS: S �S�,-- � c���ti �;I( _ Q �� ���i ��i�S _ -
� _�\-�� �� . � �
Date of Inspection I�iatt 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 rcport does not guarantee
or certify that an existing system will continue to function properiy,but is mercly an opinion ofthe adequacy of the system under current conditions based on the available
information.
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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Owner: ��1,1 C,A 1/V��/V�r� Address: j
Permit #'s: � fi �� Dates: � " ` � I G�Contractors: :Y �4 ) ��
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.
(7his is �n existing system [ ] neu construction>
SYSTEM CONFORMITY (1-3):
1 "CODE SYS7EM"-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
uithout discharging any pollutants into ground or surface waters.
2 "CONFORM[NG 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 uhich 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 identrfiea this classification may be subject to revision.>
TANK CONDIT[ON (5-10):
Tank inspection indicates:
5 Purtipout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumPed out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
System is discharging to the surface. 7anks must be pumped out within 48 hours to eliminate surface discharge.
� 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pimiped out uithin the last three „ they should be pu�ed
ou nou —'--
10 Inspec io�n 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�1p field inspection indicates:
�7Y 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.): 1�`J
COMMENTS: �? .�' � - �rr ,
Date of Znspection Sept 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 exis±ing system uill continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
tnformatton.
This report must be kept on the premises with the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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'ii, � ,� :r��- . � �, CITY of ORONO
�� � ; ,��� � !4/' Municipal Offices
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Street Address: Mailing Address:
�`�`9 � �4'�� 2 0 Kelle Parkwa
�$Eg� 75 y y P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ��G�� ���� Address: 888 Dakota Ave.
Permit #'s: 823 Dates: 5/17/88 Contractors: Jerry Johnson
(This is [� an existing system [ ] new construction) .
S STEM COMPLIANCE (1-3) : 1
1 Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
3 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 [ ] or is not ['�] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 9
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
� within three years, they should be pumped out and risers installed now.
l 91 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 [�] or are not [ ] water tight or the condition is [ j unknown. If the tanks
are not confirmed �.o be watertight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 11
1 Drainfield is dry, no surfacing evident.
2 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact
the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAZLURE: (system age and condition, soils, etc.) : low
COMMENTS: The residence must be connected to municipal sewer by the end of this constzuction
season (usually by 12/31/98) .
s��=q g `�
Date of Inspection Se ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue to
function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
'�� G~
9kESH��'�
Owner: �V�� �� !I^�!/�,�i�� Address: � - �
Permit �'s: o� Dates: —� � Contractors: �,. }'��,
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 betow.
(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 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 uhich
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING 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.
(7he 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):
Tprtk inspection indicates:
5 Purtipout not needed at this time.
o Solids accumulation in tanks indicates they should be pumPed out this year to help prevent future problems.
7 Solids acamulation 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.
lnspection risers missing-tanks could not be ins cted. Inspection risers (4" dia. pipe) must be installed in each
tank at nex� �t If tank���a;ek ot �ee�n purnped out uithin the last three years, they should be purtiped
out now.�..L�{rx� �U'�DY� OIII�
10 Inspection pipe'i§ tocated directly over tank b ffle (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 nou.
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
�Drainfield is dry, no surfacing evident.
Some evidence ot 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 uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL fOR SYSTEM FAILURE (depends on soils,water table,etc.>: 1D��✓
COMMENTS:
Date of Inspection Se c Sys em 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 YEILOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O O
Post Office eox 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r$)� �, INSPECTION REPORT
ti
���kESH�4`'�G
Owner: �Vii;7 G�1^�71rA� Address: � �rs�� _t'1//t°�
Permit #'s: �� ��a Dates: ' V—� — ? Contractors:�6�jajvY 15y.!3=i. /T�'YL �j'j�'py�
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 �an existing system [ ] 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 uaters.
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 �nto 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 uhich 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 1�- 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 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
System is discharging to the surface. Tanks must be p d out within 48 hours to eliminate surface dischar�e.
�' Inspection risers missing-tanks could not be inspectec� Ins ction risers (4" dia. i e) must be installed in each
tank at next pumpout. �f tar�}cs have not been pumpe out w�t i e a ree y ar ey s ou �
out`fiow. 1 �7}nk r,�Y't k '��1�—i✓!�S l��s��=�'�'r"�x S�c�,�
10 Inspection pipe is located directly over an a (does not g ve a cur te measurement af solids accumulation).
If tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
�Drainfie[d 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
irtmediately. 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.): yv
COMMENTS:
� }
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 certtfy 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 location and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner