HomeMy WebLinkAboutseptic info � O�
Of , O CI'TY OF ORONO
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,a 5 „��' � MunicipalOffices
r�,, � 'y �, Street Address Mailing Address:
'C� �j'�' 2750 Kelley Parkway P.O. Box 66
�.� ,�y'�i Orono, MN 55356 Crystal Bay, MN 55323-0066
kESHO
To: The Current Owner of Address 560 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 Identi�ed as Non-Compliant
Yes �No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s) Purgp out Needed
Yes 1�
No
The city recommends the septic tank(s) and/or lift tank be serviced and p�ped out every three
(3) years. City recards indicate the tank(s) were last pumped out on �S^��'U�
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
��� ��
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Inspector: Date of Inspection: � ���
Telephone (952) 249-4600 • Fax(952) 249-4616
www.ci.orono.mn.us
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`'� z�ti 'Jk� .- �C,� Municipal Oftices
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,.,\\� ; ,'. ��¢ , Street Address: �15a-a4q'�6o � Mailing Address:
��' 2750 Kelley Parkway P.O. Box 66
`��g�%�,.,
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: � �c�`= �' l�c`� �-�1 �--� �r -
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 ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An LSTS which does not meet all the location,design and consiruction 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 tlueat to public health or safery.
3 "NON-COMPLIANT 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 stan�rds 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 chazacteristics.
1'
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 ( l��l� ).
Make sure septic tanks are pumped throu�h manhole and not through white inspection pipes. This allows for the proper
cleaninE• Keep water softner and iron filter discharEe out of septic sYstem to prolong life of drainfield. Ask pumper to test
alarm float to verifv alarm is still working 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 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:
,
,� ,�`'� �� C� �� �,I �.�
Date of Inspection ' 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 suarantee or certifi� that an existine svstem will continue to function properly, but is merelv an opinion of the adequacy of the svstem under current
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-��-� �-� CITY of ORONO
(a ,!i=f�-�:� ��II
,"�" � ��'•Z�� ':'� '���/ Municipal Offices
'� `r' !"so�'�r �j i
' '�r'-�"��' / Street Address:
� ����� �i Mailing Address:
`�'E,+gg04' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066 •
---_
_— �—
To Current Owner: Address: S�D De►�,r�� � ,
Ciry Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treahnent 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 ISTS which meets all the locaaon,design and consuvcbon standards of the current Orono Municipal Code.
(Z )"COMPLIANT SYSTEM" An ISTS which does not mee[all the location,daign and conswction standards of the current Orono Municipal
�� Code but dces meet the three foot sepazation requirement or two foot requiremmL 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 LSTS;an ISTS located wit3�in a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construcrion standards of the currmt Orono Municipal Code and which is failing for any reason;and
am ISTS with less than three feet of unsaturated soil or sand between the disui�ution device and the limiting soil characteristics.
TANK C0�IDITION(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
6O Septic tanks must be pumped out this year (cit�•code requires tanlcs to be pumped out once every 3 years.
Tank was last pumped �0-1—�4f )_
Make sure seatic tanks are aumaed throu�h manhole and not throagh white insaection nipes This allows for the
proper cleanin�. Keea water softner and iron filter dischar�e out of septic system.
7 Inspection risers missing-tanks could not be mspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanl:s have not been pumped out within the last three years,they should be pumped out now.
INFIELD 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 antreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed withm 90 days.
COMMENTS: Qc �.��.e�l� ��c1�S ��L_ Irv�- Sc �.� fi'��CS �'�-; S
�-. �rc— � ��v� r0�i— �c c,� v i �.--�.�'1:.. ���5}-
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Date of Inspection l�iau Bolterman - Septic System Inspector
Note: In the event that this inspection report is used to satisfy the reqiumnents for a mortga�e orother transfer of property,be advised that this report does not guarantee
or certify that an cxisling sysum will continue to function properly,bui is merely an opinion ofthe adequacy of the system under current conditions based on the available
information.
Telephone(952)249-4600 • Fax(952)249-4616
�w.ci.orono.mn.us
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��==`a=� CITY of ORONO
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'S+• �?�`��..�;�� ti Municipal Offices
'����t',�,�,���,�17��h �'
�� �. ,\ ;;� g�G Street Address: Mailing Address:
�ESH� 2150 Kelley Parkway P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �. V� � ��r� Address: 560
Oebor�,h D�.
Ciry Ordinance 199 requires that each existing on-site sew�a�e treatment system in Orono be inspected every rivo years.
The on-site sewage treatment system at the above address has been ins�ected and appears to fall into the categories checked below.
SYSTEM CO�iFOR�tiIITY (1-3): �
O ��CODE SYSTE�1" An ISTS which meets all the IocaLion,design and construction standards ofthe current Orono�funicipal Code.
2 COMPLIANT SYSTEM�� An ISTS which does not mzet all the localioq design and construction standards ofthe cuar.nt Orono Municipal
' Code but does meet the three foot separalion requiremerrt,and wtuch is not failing or an imminerrt threat to public health or safety.
3 "NON-COIviPLIANT SYSTEM�� A prohibited ISTS;an ISTS localed within a desigiated 100-year flood plain,any ISTS which may
or may not meet atl the localioq desie,,r�or cons4vctioa seandards of tha currerrt Orono Municipal Code and which is fiiling for any reason;and
any ISTS with less than thrze feet of unsatucated soil or sand brn�zen the distribulion device and the 1'uniting soil characteristics.
TA��1K CONDITION(�-10): 5
Tank inspection indicates:
OPumpout not needed at this time.
6 Tank must ba pumpzd out this yzar (city code requires tanks to be pumped out evzry 3 years. Tank was last pumped �G9� ),
7 Solids accumulalion in tanks is at a critical a crilical le�•eL Tanks should be pumped out as soon as possible.
8 System is discharging to the surfacz. Tanks must be pumped out within 43 hours to eliminate surFace discharge.
9 Inspection risers missing-tanks could not be inspected. Irupzction risers(-3"di3 pipe)must ba installzd in each tank at nz�tt pumpout Iftanks
h�ve not been pumped out within thz last threa years,they should bt pumped out now.
10 Inspzetion piQz is located direetly over tank bat�le(does not givz accurate measurement of solids accumulation). If tanlcs have not been pumped
out within the last t}vee yeacs,they should be pumped out now. ,
DRAINFIELD CONDITION(11-1�: I l
1 1 Draintizld is dry,no surfa.ing evident
12 Some evidance of surfacing,not critical yet
13 Drainfield is saturated and visibly discharging untreated e@luznt to tha surface. CorrtaM the City Inspector immediately.Repairs must be
complzted within 90 days.
1=� Drainfield astent ac�d condition unknown
C0�IENTS:__ SYSfierh lo0 5 �k Pvn,� fiG„ks w;-��,�� o�e yeGr
- -- �_�� '�o cG-r��. qoQker -�� P�6�c� T�e�c.�. q��4 .
� �� —� \ �0.�7C � .
Date of Inspection Septic System Inspector {
Note: In the tvent that this inspection report u used to satisfy the requiremec4s for a mottgage or other transfer of property,be advised that this report does not guazantee
or certify that an existing systrm will cocitinue to function properly,but is merely an opinion of the adequacy of the systrm undzr current conditions bazed on the available
informalioa
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CITY OF ORONO O O
Municipal Offices
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
�" � INSPECTION REPORT
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`�k�sxo4'
l0,� Address: � � � �
Owner: ���1�� ��/�./ ��C� ,�d�r�`i v�i r.2��S.���'S t�
Permit #'s: Dates:__�} '"—�" �'7 Contractors: �Ylk�/�!�',•(�ni (�i2Ci,�.
City ordinance number 100 requires that each on-site seuage 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 isJ�] an existing system [ ] new construction)
_
STEM 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 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 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 uith less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soit characteristics.
(The limiting soil characteristic j}�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 punped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped 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 punped out within the last three years, they should be punped
out nou.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pun�ed out within the last three years, they should be pumped out now.
DRAINfIELD COND1T10N (11-14): 'j
fs_
Dye��rl�field inspection indicates:
(,��! 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
imnediately. Repairs must be cortipleted 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.): ��y/
COMMENTS:
�
' Z
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
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 uith 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 Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
�� G~
9kESH�4'�
�
Owner• �l ' Address• � s
�C~�� � �.
Permit #'s: Dates: Contractors: Si '�
l
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 [ 7 new construction)
SYSTEM CONFORMITY (1-3):
1 - "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
uithout 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 sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic py..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 Purt�out 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. 7anks 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 puripout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been purtiped out withi e iea_rs y shoul be umped out n w.
,� -�- `� �? .
��- . - o���
DRAINFIELD CONDITION (11-14):
Dr nfield inspection indicates:
1 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 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�-
COMMENTS:
Da e of Inspection tic 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 wlth 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 a � ON—SITE SEWAGE TREATMENT
v� �, INSPECTION REPORT
'�� G~
�
9kESH��'
Owner: �rn�_ �c�/n'� Address: ��� ,��� �I;
Permit #'s: ��� Dates: ���7 Contractors: ��'Y�/P�I�p ��
�
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 into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic fy7�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):
Tank inspection indicates:
5 Pumpout not needed at this time.
b 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 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 pumped
out now.
0 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 COND[TION (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
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknoun.
LIMITING SITE FACTORS Cslope,setbacks,etc.):
POTENTIAL FOR SYSTEM FA[LURE (depends on soils,water table,etc.): ��
COMMENTS: � P � S --- I �2'�
� 8' o ''►2 .
�
ate of Inspection S ptic yste 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 locstic+n and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of�
Lake Nlinnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �m�� �� ADDRESS �� O�/� ,�I!�
PERMIT NO.'S. �� DATES �V " � CONTRACTORS
City Ordinance No, 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is �l 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,
Iocated, 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.P�ease 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. I�Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped �� Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe) must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table and system condition) '�Adequate
❑ High water table �Low ❑ Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: ` r r 5 ' I. - �Y r�
/ �'f? / !h� /
P✓�'r�.1--
�Q`at� �
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 conditio�s 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
Lakc Mi�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
, `
OWNER r� �D/m ADDRESS ���- J �(X•��l'� �J`�
n� f?�
PERMIT NO.'S. (-�� DATES vu � � CONTRACTORS �
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.
1This is � an existing system ❑ new construction)
�Q( � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
�'Lf 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,co�struction, 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 wil� 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 Drain ield inspection indicates:
should be pumped out as soon as possible. �Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield exte�t 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:
C� �� ��/ a-----�
Date of I�spection 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 i�formation.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner