HomeMy WebLinkAboutseptic info � o�
O , , O CI'TY OF ORONO
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� �,�, Municipal Oftices
r�,, �, Street Address Mailing Address:
� �j'�' 2750 Kelley Parkway P.O. Box 66
'�.� '�i Orono, MN 55356 Crystal Bay,MN 55323-0066
kESHO�'
To: The Current Owner of Address 625 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) Pum,p 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 '-7—��O�{
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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Insp����� a ,,� �`���_ Date of Inspection: �� � �
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
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�, $ESKp ;;-�' 2750 Kelley Parkway P.O. Box 66
�'�--�' Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �r,,,�� �(' C�vl� � �•
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 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 construction stan�ards 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.
Tanlc was last pumped � �lf'� ( ).
Make sure septic tanks are pumped throuEh manhole and not through white inspection pipes. This allows for the proper
cleanin�. Keep water softner and iron filter discharge out of septic system to prolong life of drainfield. Ask pumper to test
alarm float to verify alarm is still worl:ing in�our house. The alarm warns owner that septa�e is about to backup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION(5-10): �
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:
� r`l _C=`a (-=�,9 �—
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 euarantee or certifv that an existine svstem will continue to function properly, but is merely an opinion of the adequacy of the svstem under current
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��� CITY of ORONU
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'�+' ��,:°�,'���`:,� �'� Municipal Offices
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Street Address: MuTint Address:
'$Egg04' 2150 Kelley Parkway P.O. Baz 66
Orono, MN 55356 Crystal Bap, MN 55323-0066 '
To Current Owner: Address: G aS Q�bd��,►, pr
Ciry Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every t�o years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the rategories checked below.
SYSTEM CONFORMIT'Y 1-3 : �
1 "CODE SYSTEM"An ISTS which meets all the location,design and construciioa standards of the current Orono`[uniciga]Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,desi�and construction standazds of the currcai Orono Municipal
Code but does meet the three foot separation requirement or two foot requiremrnt for systems installed 1996 or ear;ier,and vvhich is not failing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located w�th�a designated 100-yeaz flood pla:.z any ISTS which may
or may not meet all the location,design,or co�struction standards of the current Orono Municipal Code and which is fail�for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the distrib�mon device and the limiting soii characta-isvcs.
TANK CONDITION(5-7): �
Tank inspection indicates:
� Pumpout not needed at this time.
Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped �b-Z-6 � ).
Make sure seatic tanks are�umaed throuEh manhole and not throuah white inspection uines This ailows for the
proper cleaning. Keea water softner and iron filter discharee out of sentic svstem.
7 Inspection risers missinb 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 yeazs,they should be pumped out now.
D 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 untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: �c�..��-�,\� 1U�1� �k. Qv^-� SCP �-:L -j-��k� -�'l;S
SR�=� b4)
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Date of Inspection �iatt Bolterman - Se tic S stem L
p y �spec'.er
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or ot�cr transfer of property,be advised that this rzport does not guarantee
or certify that an existing system will continue to function properly,but is merely an opinion ofthe adcquacy of the system under current condi�s based on the available
information.
Telephone(952)249-4600 • FaY(952)249-4616
www.ci.orono.mn.us
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��:��:;��� ,, C ITY of ORONO
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� �1���. �`;'`� ,�,ti hiunicipal Offices
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,,.•�"���°-���`� G street Addreu.
g�i MailinQ Address:
�E$K� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystai Bay, MN 55323-0066
Owner:R°�� A f nQ SD� Address: 6a5
Oebo�qti pr
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo 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 CONFOR�'�IITY (1-3): 1
� ��CODE SYSTEM�� An ISTS which meets all the localion,design and construction standards ofthe current Orono 1�funicipal Code.
2 '�CONIPLIANT SYSTEM° An ISTS which dozs not meet all the locatioq design and consUvction standards ofthe cuirrnt Orono Municipal
Codt but does meet the three foot sepazalion requitemerrt,and which is not failing or an imminecrt threat to public health or safety.
3 ��NON-CONIPLIANT SYSTEM�� A prohibitzd ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the localioq design,or construction sLindards of thz cvrrerrt Orono Municipal Codz and which is failing for any re�son;and
any ISTS with less than thrze fzet of unsaturated soil or sand bztween the distribution device and the limiting soil charactzristics.
TANK CONDITION(�-10): (�
Tank inspection indicates:
� Pumpout not needed at this time.
OTartk must be pumped out this yeaz (city code requires tanks to be pumped out every 3 yeazs. Tank was last pumped �a- s- 9� �
7 Solids accumulation in tanks is at a criGcal a crilical Izvel. 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 inspzctzd. Inspeccion risers(4"dia pipe)must be uutalled in each tank at next pumpou� If tanlcs
have not been pumpzd out within the last three yeats,they should be pumped out now.
1� Inspzction pipe is located dirzccly over tank ba$1e(does not givz acwrata measurement oFsolids accumulalion). If tanks have not been pumped
out within the 13st three years,they should be pumped out now.
DRAINFIELD CONDITION fll-l-t): 11
1� Drainfield is dry,no surfacing evideut
i 2 Soma evidence of surfacing,not crilical yet
13 Drainfield is saturated and visibly discharging untreatzd z8luent to the surface. Corrtad the City Inspector itnmediatzly.Repairs must be
completed within 90 days.
1� Drainfiald e�ctznt and condilion unknoan
COl�1ENTS: SySte�-. � 5 bk. ��MP t���k5 I I
� ^� —�\ '1�c�C -
Date of Inspection Septic System Inspector �
Piute: In the event that this inspection report is used to satisfy the requiremenis for a mortgage or other tr.�fer of proparty,be advised that this repoR does not guarantee
or certify that an e�risting system will continua to function properly,but is merely an opinion of the adequacy of the sysenn under cvrrent conditions bazed on the available
informatioa
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
�`,, �, INSPECTION REPORT
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9kEsHo4
Owner:��/1A6v�N �JYtE2�L�C�C Address:_�1� �E�p{�'�� �IZjV'�" J�J�" ��q�
Permit �'s: CJ�[ I Dates: ��y—�� Contractors: /7/'� ��$ _ ��CC;
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 : �
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
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 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 which is failing for any reason; and any system uith less than 3 feet of unsaturated soil or sand
between the distribution cJevice 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 CONDITION (5-10):
Tank inspection indicates:
Purnpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumPed out this year to help prevent future problems.
Solids accumutation 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 discharse.
9 Inspection risers missing-tanks could not be inspected. lnspection risers (4" dia. pipe) must be installed tn each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be p�xnped
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 nou.
DRAINFIELD CONDITION (11-14): �
O�field 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
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
L1MITING SITE FACTORS (slope,setbacks,etc.): r
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): � r/j�����
.�
COMMENTS: �l` LC(�Tx�' 1 c� '! /2cc � i( ' /G
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\
Date of Inspec ion Septic Sy tem 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
informat�on.
This report must be kept on the prE�nises with the system locetion and pumping records.
WHITE COPY/Inspectors File YELIOW COPY/Homeowner
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
'�� G~
9kESH��'�
Owner• ✓! l��"✓/�`� ��r�� Address: �-�'% i
Permit #'s: Dates: �/ /'C� ? Contractors: � �
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-s�te sewage treatment system at the above address has been inspected and appears to fall into the category
checked belou.
(This is � an existing system [ ] new construction)
TEM 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 seWage input without discharging
any pollutants into ground or surface uaters.
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
Cades 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 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 COIdDITION (5-10):
y� inspection indicates:
(�7 Purnpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pu�e d 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 pixnpout. If tanks have not been pu�nped out within the last three years, they should be p�xnped
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 within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
g�ai�field inspection indicates:
VJ/ 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 completed within 90 days.
14 Drainfield extent and condition unknoun.
LIMITING SITE FACTORS (slope,setbacks,etc.): P�
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �
COMMENTS:
Date of nspection - ep ic System nspector
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�ti�n and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�, � INSPECTION REPORT
'�� G~
9kESH04'�
Owner: /��1�1� ����� Address: lJ[�`� .1��"�� ��
Permit #'s: Dates: /"'� �� Contractors: �/1� TT��/�� �G,
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 E�an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface 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 uith less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic �,7�.,has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
� Pumpout not needed at this time.
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 shoutd 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. lf 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 pumped out uithin the last three years, they should be pumped out nou.
DRAINFIELD CONDITION (11-14):
Drainfield insPection indicates:
>1�, Drainfield is dry, no surfacing evident.
/7� Some PvirlPnr_e_of_surfacina. no Cf 1t1Cel Yet
"T Dratnfield is saturated and visiTTy 7isc�rging untreated effluent to the surface. Contact the City Inspector
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S[TE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �
COMMENTS:
�
- - � �r�-_.
Date of Inspection e ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
tnformation.
This report must be kept on the prF�nises with the system locetien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lakc Mi�znetor:ka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER 1�C. 1�C.Ir1 ' L�C/ ADDRESS ��t�c�.�J� � —
PERMIT NO.'S. u� DATES / �QJ CONTRACTORS e�
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)
�� 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.
D3 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 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 accumulatio� 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. �rainfield 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 co�dition 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) "�1-Adequate
❑ High water table �Low ❑ Fair
� Lot size ❑ Medium O Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
�--/0--91
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
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On the North Shore of
Lakc Minnetonka
ON-StTE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER ,���G' y(iC/1����J ADDRESS �� -��� Jlfi
C� /�f�`,�� CONTRACTORS��°�<?�' C�
PERMIT NO.'S. DATES
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)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
❑ 3 Does not meet current City standards in many respects relating to design, construction,or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 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 repairl
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 O 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. Co�tact 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 ischarge.
COMMENTS: � /` PG % 1'� � T` /l l�✓1 /
��o?7-�d � �
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 with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner