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O , O CITY OF ORONO
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� '..�� � Municipal Offices
r�,, .�� � Street Address Mailing Address:
� �j 2750 Kelley Parkway P.O. Box 66
'�9 ,��i Orono,MN 55356 Crystal Bay,MN 55323-0066
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To: The Current Owner of Address 480 DEBORAH DR
City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a
periodic basis. The onsite sewage treatment system at the above address has been inspected and
the following is known about the system. A sketch of the known components of the system is
available for most properties at the Orono City Hall.
Imminent Public Health Threat
Yes �No
If yes, please contact the Onsite Systems Manager at 954-249-4626 within 10 days of receipt of
this notice. The septic system must be brought into compliance within 90 days. Failure to do so
will result in referral to the City Attorney for legal action.
System Identified as Non-Compliant
Yes �No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s) Pump out Needed
Yes /
No ✓
The city recommends the septic tank(s) and/or lift tank be serviced and pumped out every three
(3) years. City records indicate the tank(s) were last pumped out on "'� � ) � �O�
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�
���c���� ����/� Date of Inspection: � �b�
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
� • • •
e
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 ful! cover of grass and keep mowed to a normal height, this grass cover aids
in the evaporation of large amounts of effluent(the fiquid left after the "other" stuff has been removed)
in the summer time and allows the mound system to help breakdown nitrogen in the effiuent,
Do water the grass over the mound in extreme dry conditions, sparingly.
Do avoid unnecessary foot traffic over the mound, mow it and stay off of it. This is especially true in the
winter time. Even human foot traffic can cause frost to penetrate the mound resulting in potential
freezing problems.
Do inspect your mound system annually for winter kiil, (reseed if necessary) animal damage,
(burrowing)or signs of potential failure.
Do not plant trees or shrubs on the mound system, smalier trees and shrubs may be planted at the
edges. Remember, that sunshine is the key to a heaithy maund system.
Do ask questions, if you have any concerns or questions concerning your rnound system
please feel free to call me, I can be reached at 952-249-4626.
1
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II ,;;, �>;_ ',�'; C ITY of ORONO
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� ,�� ����ti �� � �ti�/� Municipal Offices
\ ,� '�� � �,��;r�r���`=`' ��i� Street Address: �lSa.-a4q'�"�6o O Mailing Address:
���.`� ������ �'� �� 2750 Kelle Parkwa P.O. Box 66
��g�%;�� Y Y
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �/�">�� �����i;� � �� ���
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.
SYST'EM CONFORMIT'Y (1-3): �
1 "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 location,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-COMPLTANT SYSTEM" 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 standards of the current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than tluee feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(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.
Tank was last pumped I ���1 `1 ).
Make sure septic tanks are pumped throu�h manhole and not throuEh white inspection pipes. This allows for the proper
cleaning. Keep water softner and iron filter discharEe out of septic svstem to prolong life of drainfield. Ask pumper to test
alarm float to verifv alarm is still workinQ in vour house. The alarm warns owner that septaEe 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 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:
� ��� � �"� � � � � �%
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requ'uements for a mortgage or other transfer of property, be advised that this report does
not euarantee or certifv 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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���a CITY of ORONO
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. +,Zb`� '' ti � Municipal Offices
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� � ':;����:��',�� Street Address: Mailing Address:
`q$EgK,Og'i' 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.
S TEM CONFORMITY 1-3 : �
1 '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 location,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 constniction 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 chtvacteristics.
,J
TANK CONDITION(5-7): S
inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped ).
Make sure sentic tanks are pumped through manhole and not through white inspection pipes. This allows for the
pro�er cleaning. Ke_ep water softner and iron filter dischar�e out of septic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
II INFIELD CONDITION 8-10 : �'�
Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing, not critical yet.
Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
COMMENTS: I`�o ti'^c,� + S S ��!'��--� �^ C�f tetr^ — Kt t A t�t r..����;� ► ?�
��rc\�'.Ur. ���r'� ��. 5����,�� `7''�r�1L y
�JZr\"�� �u� ���r��
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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 thai an existing system will continue to function properly,but is merely an opinion of the adequacy ofthe system under current conditions based on the available
information.
Telephone (952)249-4600 • Fax(952)249-4616
wwwri_nrnnn_mn_n c
o �����
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� , �r�, ` ,� C ITY o� ORONO
'� � �' d� `, ti; Municigai Offices
���'C� ,. 1, '�'';�' C��i
� �� Street Address: Mailing Address:
�'��kEggOg i 2750 Kelley Parkway P.O. Box 66
�J Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address:_� �� �E h C)�q�1 �J r
City Ordinance 199 requires that each existing o�-site sewa�e treatment system in Orono be mspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall mto the categories checked below.
SYSTEM CONFORMITY 1-3 : �
1 "CODE SYSTEM" An[STS which meeu all tt:e location,desi�n and conswction standards of ti-,c current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which dees not meet ail the location.desi�n and conswcbc�n standards of the current Orono Municipal
Code but does meet the three foot separation req;�irement or two foot requirement for systems instailed 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 IOCI-.ear flood plain,any ISTS which may
or may not meet all the location,desi�n,or cons7uction standards of the current Orono Municipa]Code and which is failing for any reason;and
any[STS with less than three feet of unsaturaz:d soil or sand between the distribution device and c�limiting soil chazacteristics.
�
TANK CONDITION(5-7): 5
Tank inspection indicates:
SO Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped ).
Make sure septic tanks are pumped throu�h manhole and not throuah white inspection aipes This allows for the
proper cleaning. Keep water softner and iron filter discharge out of seatic svstem.
7 Inspection risers missinb tanks could not be inspected. Inspection risers(4" dia. pip2)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): 9
8 Drainfield is dry, no surfacing evident.
�Some evidence of surfacing,not critical}et.
Drainfield is saturated and visibly discharsin�untreated effluent to the surface. Cor.tact the City Inspector
immediately. Repairs must be completed«ithin 90 days.
COMMENTS: De�.-.�� .e�e� ��5 S o �.� � L o �. . j.� r-�cu;� S�R�t-
�O SJ{ Cc�LL C,�� �� �tC'.�(� ��0" �"" ,\\ }'�`v� �0 �"f i �1�Ot�(r
5 O�J�"-L'� 't'C7 �C'-� �'(' ,
^] -a.� -�3 ��(x�fi �
Date of Inspection Matt Bolterman - 4�,tic System Inspector
Note: [n the event tha[this inspection report is used to satisfy tt:e requirements for a mortgage or other transfer of propaty,be advised that this report does not guarantee
or certify that an existin�system will continue to function properi}_but is merely an opinion ofthe adequacy ofthe s}r�undercurrent conditions based on the available
information. �
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
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j�� � CITY of ORONO
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'¢� ;� ,� ��,, �h titi Nt�� otr��
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��.`';�a;°,-�g�,G Street Address: Mailing Address:
Eg�I 2750 Kelley Parkway P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ��°��� �--10 �� rr�c� Address: y�Sb �eb o��►, 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.
SYSTEI�1 CONFORMITY (1-3): �
� ��CODE SYS'I'EM° An ISTS which meets all the location,design and construction standards of the current Orono i�funicipal Code.
2 ��CO1�IPLIANT SYSTEM�� An ISTS which does not meet all tht localion,daign and rnnstcuction standards of the cvrrrnt Orono Municipal
Code but does meet the three foot separation requiremecit,and which is not failing or an imminerrt threat to public health or safety.
3 ��NON-COMPLIANT SYSTEM�� A prohibited ISTS;an ISTS located within a dnignated 100-year flood plain,any ISTS which may
or may not mzet all Ute localion,desigi,or construdion standards of the currertt prono\funicipal Code and which is failing for any re3son;and
any ISTS with less than three fzet of unsaturated soil or sand between the distribution de�ice and the limiting soil chazacteristics.
TANK CONDITION(5-10): S
Tank inspection indicates:
VPumpout not needed at this time.
6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 y�s. Tank was last pumped �—�b—�� ).
7 Solids accumulation in tanks is at a ctitical a criticalleveL Taz�ks should be pumped out is soon as possible.
8 Systzm is discharging to the surface. Tanks must be pumped out within 48 hours to zliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must ba installed in each tank at next pumpout If tanks
have not bzen pumped out within the last three years,they should be pumped out now.
1� Inspection pipe is(ocated direcdy over tank baffle(does not give accurate me�suremrnt of solids accumulation). If U'inks have not bezn pumprd
out within the last three years,they should be pumpzd out now.
DRAINFIELD CONDITION(11-1-�): I�-
1 1 Drainfield is dry,no surfacing evident
12 Soma avidence of surfacing,not critical yet
1 Drainfield is saturated and visibly discharging untreated e@luent to the surface. Contact the City Inspector unmediately.Repairs must be
completzd wiUtin 90 days.
1-� Draintield e�Zent and condition unknown.
COMNIENTS: Sy��-cti �•S S�or�c�y o� wcS�— 2r� Sfio� w�,}cr��5
,�o � �� -�-� sc.e ,� r�.u.��,J ��YS ��
� -� -D� G�� ,
Date of Inspection Septic System Inspector '�
hote: In tha evrnt that this irupection report is used to satisfy the requiremrnts for a mortgage or athtt 4aaSfer of property,be advised that this repoR doa not guarantee
or certify that an existing system will continua to function properly,but is maely an opinion of the adcquac.y of the system under current conditions based on the available
informatioa
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
r� �, INSPECTION REPORT
'C�� G~
9kESH�4'�
�1,, �
Owner: //`�G/l�'�'[ ��l�c(x� Address: �C�U �c�ivL%YC7/7 �Yi �� l �J�S��
Permit �'s: Z`� Dates: �— „( 7—� Contractors: a�?C�lf"�S//'� �!?l'.r,e,
City ordinance ntxnber 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is� an existing system [ ) new construction)
SYSTEM CONFORMITY 1-3 :
1 "CODE SYSTEM"-A system Which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONfORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and 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 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 uith less than 3 feet of unsaturated soil or sand
betueen the distribution device and the limiting soil characteristics.
(The limiting soil characteristic�has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identifie� 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.
8 System is discharging to the surface. Tanks must be punped out uithin 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 purtipout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation>.
If tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
11 Drainfield is dry, no surfacing evident.
Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed Within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks.etc.): -�'—
POTENTIAL FOR SYSTEM FA[LURE (depends on soils,water table,etc.): �Q�
COMMENTS:
Date of Inspection Septi 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
tnformatton.
This report must be kept on the pre�nises with the system locetion 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 5 5323-0066 a � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
�� G~
�kESH�4'�
l , �
Owner: .//��/Yf�'� �li�f�{f�� Address: 1 1�
G `� %y�� n
Permit #'s: Dates: ���C�t� 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.
(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 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 seuage 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
Cc>des 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 identified, this classification may be subject to revision.)
TANK CONDIT[ON (5-10):
Tank inspection indicates:
5 Pixnpout 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.
8 System is discharging to the surface. Tanks 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 pumpout. if tanks have not been punped out within the last three years, they should be purr�ped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been purtiped out within the last three year�the shoul be umped out o .
J �l�'
DRAINFIELD CONDITION (11-14):
Dr field 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
immediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): Q,
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��
COMMENTS:
Date of Inspection ' Se tic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises with the system loc=tion 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
'C�� G~
�
�kESH�4'
Owner: / ��1C''T�l(�;' ��r(%�- Address: �C�� ��r�(q� �'
Permit #'s: `� Dates: ��7�p Contractors: .�'1C�/i�il��� �/'J�j':
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked belou.
(This is (� an existing system [ J 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
uithout 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 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 soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic p� 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): �
7ank 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 criticat 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 installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be ptxnped
out now.
10 inspection pipe is located directly over tank baffle <does not give accurate measurement of solids accumulation).
If tanks have not been pumped out uithin 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 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.): /n,�/
�d�r
COMMENTS:
Date of Inspection S 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
properlyi 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=ti�n and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lakc Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �rC�� ' �l�'►�G�, ADDRESS 1l)�-/ J'�1a�1. J/� �
PERMIT NO.'S. ���� DATES �����`� CONTRACTORS � 5 • '' G� .
�
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)
�J� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
�J� properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design,construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or 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 surfaci�g,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 ❑Sysiem is causing visible
urface.disc arge. �
COMMENTS: e �Y 1�\ , I� , p
Ih c-�-� � s t', e � js �,b�r'o�
�-�'� �� � � - a �,� �s,
��la-�l
Date of Inspection ptic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner
On the North Shore o f
Lake Mznnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �C„��I T���C� ADDRESS ��� ����`1 C/Y,
PERMIT NO.'S. C��7`� DATES /'���� CONTRACTORS
City Ordina�ce No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is � an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes.System appears to be functioning properly; no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to desig�,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,a�d a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Ta�k inspection indicates: �Inspection pipe is located directly over tank baffle. (Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump- have 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,�o 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. ❑ 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:
� `1 \ i� � ,-'�
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