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NEW RICHLAND, MN
507/465-3582
. SEPTIC SYSTEM INVENTORY
Site Address: 630 Deborah Dr PID 31-118-23-22-0008
Owner Name: Mr. & Mrs. Karlen
Owner Address: 630 Deborah Dr Maple Plain MN 55359
BuildinqTvpe: residence Installer: Ingleside Engr.
Date of Permit: 7/1/87
Svstem Tvpe: mound BR's Designed for 4
In Musa?: No Shoreland?: No
SEPTIC TANKS:
Material: precst concrete Capacitv: 1000, 1000, 1000 Tank Filter:
DRAINFIELD:
Treatment Area: 88`55 Soil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: 50 Well DF: 75 Report In File: Depth: 183
INSPECTION RECORDS _ PUMPOUT RECORDS
Date Notes Date GallonsOfLiquid
6/1/2007 OK 9/9/2013 0
5/24/2005 OK 6/7/2010 3000
' 7/21/2003 no surfacing,fix elec box ; 10/23/2008 2000
7/3/2001 no surfacing,replace insp pipes on tanks ' 6/27/2003 2000
I 10/11/1999 code system, no surfacing 6/23/2000 2000 ,
4/23/1996 no surfacing � 6/26/1997 2000
I 7/14/1993 no surfacing-pump tanks 10/10/1995 2000
8/27/1990 no surfacing
� 7/10/1990 no surfacing
7/2/1987 installation
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���' `�'� �x' � , i Steven F:. Schirmers 4-17-07 11:13 '�–� "" 3 '� °� '
Xy„ .:,r �, � :� Pcrco.ation tcst reac.inps mac,c by �n _swning a� p.m. ; � � � i ` t� �
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� „ t , Lot1,B1k.2,M.cCuiley Far�� � 2 4-16-87 �w��: z
� <.� Tc>c hu:c�oca!ior , v,c number ,Da�:holt was prcpazed • �
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`` �,i � a�
< �" r �.� �orings �^ac'.c by S-? c, *n�. Steve Sc��rmers Date 4-16-87 �"'' _; r`{ ,',
kY� '� C'_c1SSi�1C�:Or: J ��nT. ��� ---_ a', < 'rd..
� � � Y � �'� J �A-SCS X Un_.'•:ed Other � � K
'��,� f �t A�ger �ased (chec;; two; . !'.�...d X or nower , � y _Y.
��t , a , F�_ght , or 9ucket X � , { �
�>r S
�,x, De?t'�, Boring nur��er 5 . � k� ' „��,.-`
�,�,�' ,: � ,.; i� I Deo_h, Soring number 6 i tr Mp,.
� :' .� _n �
x ` s fee"_ ( Sur�ace e'_evatio^ °2•� f.eet Surfac� elevaticn 92•� � • '
Jy ��Ay�� � L
� �T� r t t+-� `� �,fs �"
p +1 a'
c ' � - f 0 �"` }
�� 'x ',v i <' - .�
a t .' t ( � '` c � �r.��'�,
x i� ? I � ^:'opsoil very dark brown � n �, �
� ZOd�I '� ��� �
� ti �� { � � 1 - � � , .. 0 - 1'2� � �
� � � ; Dark brown loam � �
�z °, �`��� � � SAME AS BORING '? � I � '�` �
� a r:h �- ' I I 1'z" — i�ie^ x ,
�. y# _�_ 2 — � � 2 _ 2' 2"-mattling '' ' �+"
� .+ �� i i � c� ,
� ;;� � ,�:� �� � � i � • � Brown clay �loam � �b �� �` ���
. �
I � f {5�
r�°�a� ' '. F,��i 3 - 3 i'10" - 2'10" k F�, ?a
�"�,= '��.' i ' � -; 5
olive brown clay loam � '�
�C '� �
� ` �� �j '. � k �{
� �,t! �?' t _ � I 2�1�n ' 3�i��� � `i 4t�
' � � �live brown silty loam � �.t
r 4 -
r��:,P �r 'g'i;.�� � _ 3'10" - 4 '4^
�S 5 , er ' `. e '.t
� � ' Olive brown loam w/ I ;
>; ��•
', � Y� 5 - 5 a'4" - �, traces of sar. `K
� - �
G �, aF : �'-'_`.'e 5, _ 5,4„ brown s�c���i i ; ��i
: L —' 4
�
y ° � ai� � Olive brown loam � �t �,-, �� ,
M4�" r ; �: , 6 ' --- 5��'� - �'� 4
y- " '"7, , ' ' � 6 �'�� �
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� 3 " ::�d of bor:ng at � Feet. �r.d of bori�ig at 6 feet. ' "` �''
f� `'� i: .
� � � ,- ,, Standi::g water �able: Standinq �„�a�e: tab:e: s «�='�
ts E s;
�
��� , r ` present at feet of e;�•h, � F ` r
� present at eet of depth, t ' � �„
� � � � ,� �
���, - , ,� }s � _ hours •a_'ter bor ,
:-:ours after Loring. Q
� X �
m� ` y E`� 1 Not present in ho'_e �
Not present in hole x &�
+y�'+. � �' 4 �
'�s��', :h � �' `s
z
� yp� �i�- ' �� � r� : �.
���r � r "�: S` .Mottled soi!: Nottled soi:: f �i � �'
� � 1�2� �
� F� ' � Observed at E e t o_ d e p t h. feet o f d e p t h. ,,,,�, ��;; , 1 �;�.,.
� _______f F Observed at 2 2� �, ' `'h"`
�»� �:, , 4., � Not present in zo?c �x � ` �
r � '
Not present in hole �� � .
* Comments: � � °' � `
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..,,5 CI'TY OF ORONO
� � ,, �� �„ Municipal Offices
r�,, ; ,a`` �, Street Address Mailing Address:
� G'�' 2750 Kelley Parkway P.O. Box 66
'�.9 ,�y'�i Orono, MN 55356 Crystal Bay, MN 55323-0066
kESH�
To: The Current Owner of Address 630 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) Pu ut 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 ��_���t 3
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�v�(...C.t�., ���.��
Inspector: Date of Inspection: _ C� 'b�
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
. �
• • • •
e
To: Orono residents on mound type septic systems
From: Wiliie Gibbs, ISTS Manager
Date: May 10, 2006
Re: Landscaping Do's and Don'ts for Mound Systems, Quick Reminder
Do plant and maintain a full cover of grass and keep mowed to a normal height, this grass cover aids
in the evaporation of large amounts of effluent(the liquid left after the "othe�" stuff has been removed)
in the sumrner time and allows the mound system to help breakdown nitrogen in the effluent,
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 esp�cially 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 annuaily for winter kill, (reseed if necessary) animal damage,
(burrowing) or signs of potential failure.
Do not plant trees or shrubs on the mound system, smaller trees and shrubs may be planted at the
edges. Remember, that sunshine is the key to a healthy mound system.
Do ask questions, if you have any concerns or questians concerning your mound systerva
please feel free to call me, E can be reached at 952-249�i626.
1
, � °�
;;o o ,
I� = '� CITY of ORONU
l��l�� J'Y��ti — A. ��
i� aj _ ,.,
',�� ,�,, ��,' ��w 'J�'. �.,�� �lC��� Municipal Offices
�\ y � e i �
�������� '���� �37'�i`��1�`�`,��;� Street Address �l Sa.-a�q'y 6� o Mailing Address:
��:'`9�ESKp�;,� 2750 Kelley Parkway P.O. Box 66
���—�
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address:����C= �L�i��: °/-1 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.
SYSTEM 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 LSTS 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-yeaz flood plain,any ISTS which may
or may not meet all the]ocation,design,or construction standards of the current Orono Municipal Code and which is fafling for any
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): �
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 ).
Make sure septic tanks are pumped throush manhole and not through white inspection pipes. This allows for the proper
cleanin�. Keep water softner and iron filter discharQe out of septic system to prolong life of drainfield. Ask pumper to test
alarm float to verifv alarm is still workin�in vour house. The alarm warns owner that septaSe 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:
-� :?7�`� �,� � '"����"�,�>l Jr r�/_" �..,f' �?�
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 certifl� that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system under current
� O ,�
�' � ,, .
O O
�;:;��j�_. C ITY of ORONO
, � `, ,, '"
� �� . �� � � Municipal Offices
�.,�'� � , �j ����,ti C, ,
Street Address: Mailing Add�ess:
� t9kESH�¢� / 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �3� ����� ��..
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 : I
1 ��CODE SYSTEM�� An ISTS which meets ail the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all[he location,design and construction standards of the current Orono Municipal
Code but does meet the three foot separation requirement or two foot requiremen[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►STS loca[ed within a designated I00-year flood piain,any[STS which may
or may not meet ail the location,design,or construction standards of Ihe current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand be[ween the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): 5
Tank 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 6�3"�i �-L7—CS).
Make sure septic tanks are pumped through manhole and not throu�h white inspection pipes. This allows for the
proper cleaninS. Keep water softner and iron filter discharge out of septic system.
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: �o�nC1 �od�CS �'� , 4.,� e.\eL�'�aL �Jdk ba�� Oc� �OS�' ,
`Co,, �<<� c�� �.�SQc�.�--,c.. P�•Q< F-o �,:.��e v� '3`` �F�.k_ ��s-� dc��
C�.1�r �-- �t �-,r�s- . � �P\ac�. �np Or. �:Q�
"7 -a� - 0 3 �� �
Date of Inspection Ma[t Bolterman - Septic System Inspector
No�e: [n 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
orcertify that an existing system will continue to function properly,but is merely an opinion ofthe adequacy ofthe system under current conditions based on Ihe available
information.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
� o�
O�;.� O
��y la=� CITY of ORONO
�
'�'l�`,r�,�
� � �
"'�+',� �����"�'���'�� '�,ti Municipal Offices
l ' �'��h �'
�.`;�;;�„ 4�i Street Addreu: Mailiny Address:
�ES�I4 2150 Kelley Parfcway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: G� 2� ��A� I�r� Address: G3� Oebo�qh Qr.
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected e�-ery two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked belo«•.
SYS'I'EM CONFORI�IITY (1-3): �
� ��CODE SYSTEM�� An ISTS which meets all the localion,desigi and construction standazds ofthe current Orono�funicipal Code.
2 COMPLIANf SYSTEM An ISTS which does not meet a11 the localioq design and construction standards ofthe currrnt Orono Municipal
�� ��
Coda but does meet tha three foot sepazation requiremzrrt,and which is not failing or an imminrnt threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS locatzd within a dzsignated 100-year flood plain,any ISTS which may
or may not meet all the location,desigL,or construction standuds of the currertt Orono tifunicipal Codz and which is failing for any reason;and
any ISTS with less than tttrze feet of unsaturated soil or sand bmczen the distribulion device and the limiting soil characczristics.
TAi�1K CONDITION(�-10): 6
Tank inspection indicates:
� Pumpout not needzd at this time.
6O Tank must be pumpzd out ehis yzar (city coda requires tanks to be pumpzd out zvery 3 years. Tank was l�st pumpzd 6-d6- q� �
7 Solids accumulation in tanks is at a cricical a etitical level. Tanks should ba pumpzd out as soon as possiblz.
S S}'sttm is discharging to the surface. Tanks must be pumpzd out within 43 hours to eliminatz surface dischargz.
9 Inspection risers missing-tanlcs could not bz inspected. Inspection risers(4"dia.pipe)must be installed in zach tank at nzst pumpouC If tanks
have not bten pumped out within the last three years,they should be pumped out now.
1� Inspection pipe is located dirzctly over tarilc bat�le(dozs not give accurate me�surement of solids accumulation). Ift3nks have not been pumped
out within the last t}vze years,they should be pumped out now.
DRAINFIELD CONDITION(11-1-�1: l l
1 1 Drainf'ield is dry,no surfacing evident
12 Soma evidance of surfacing,not critical yet
13 Drainf'ield is saturated and visibly discharging untreatzd e&]uent to tht surface. Corrtact the City Inspector irrtmediate(y.R:paits must be
complzted withirt 90 days.
1� Drainfield estent and condition unknown.
CO�NTS:_ S�Ste� �S oK '�,, �� -r-q�Ks Replqce ;nspecfi�o� ►�,PeS
_ p� SeQ-r-� �t-��ks fi'��r qre ��4�K_eJ o� broKe� r� reJ�ce s���cc
w��c� e�-�cr:��, fia�1c-
7 �-3 —° � ��xc'
Date of Inspection Septic System Inspector �
Note: In the event that this inspection repoR is used to satisfy the requireme�s for a moctgage or other traasfer of propeRy,be ad�•isztii that this repoR does not guarantee
or certify that an axisting systzrn will continue to function proprrly,but is merely an opinion of the adequacy of the systrm under currrnt condilions based on the availabla
informatioa
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~
9kESH�4'�
Owner: �/'`�/„(�G�� /� /4/���4/Li Address: �J.3� ��PE�'�C��► �I�JI/F-( J��3S`�)
Permit �'s: � � Dates: /'-'/�� r] Contractors: �?!'i�P�JC.G�� ��'1��
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 [ ] neu construction)
SYSTEM CONFORMITY (1-3): �
t "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and uhich 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 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 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.
(7he limiting soil characteristic [ ] has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10): i
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be punped 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 pwnped 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 pixnped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pur�ed out within the last three years, they should be pumped out now.
DRA[NFIELD CONDITION (11-14): �
D�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 lnspector
irmiediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM fAILURE (depends on soils.water tabte,etc.):
COMMENTS:
Date of Znspe tion eptic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certtfy that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
tnformation.
This report must be kept on the pre�nises with the system locatien and pumping records.
WHITE COPY/Inspectors File YEILOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
„� � INSPECTION REPORT
�� G~
�
9kEsHag'
Owner• � Address• !"s
Permit #'s: Dates: � /'o ✓ Contractors: - l�/.�IC, �� � �l�s
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 [ ] neu 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 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
Cudes and which is failtng for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(7he limiting soil characteristic [x has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identi�fied, this classification may be subject to revision.)
TANK COkDITION (5-10):
Tank inspection indicates:
5 Punpout not needed at this time.
6 Solids accumulation in tanks indicates they should be p�xnped 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 p�unped out uithin 48 hours to eliminate surface discharge.
9 [nspection 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 uithin the last three years, they should be pumped
out now.
1 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 years, they should be pumped out nou.
DRAINFIELD CONDITION (11-14):
a field insPection indicates:
1 Drainfield is dry, no surfacing evident. •
2 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City [nspector
imnediately. 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.>: �
COMMENTS:
Date of Inspection p c System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an exis*ing system will continue to function
properly� but is merety 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 locption 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
,� �, INSPECTION REPORT
ti
��9kESH�4'�G
Owner: ��f�4!'v 1/7!�'!'� Address: (],�� �y�C�1?�i"1 ��
Permit #'s: Dates: �—�—i�% Contractors: �!"t��@.SC�if? Ul"-�1�,
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
7he on-site sewage treatment system at the above address has been inspected and appears to fatl 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 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 With less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic� has or [ 7 has not been identified at this time. If the limiting soil
characteristic has not been identi ied, 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 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 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 p�xnped out uithin the last three years, they should be pumped out nou.
DRAINFIELD CONDITION (11-14):
Dr 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
imnediately. 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.): �����
COMMENTS: �, � � � • � J� � �
— z �✓ � �fs
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 uill continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
tnformation.
7his report must be kept on the pre�nises with the system locetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lakc Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �f�a�Y l�Rf��%'� ADDRESS �� ���` J/� �
PERMIT NO.'S. �D `� DATES �� 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 � an existing System ❑ new construction)
�� Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
property.
� 2 Does not meet ali 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 endangeri�g a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: �'�} Inspection pipe is located directly over tank baffle.(Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump• have not been pumped out within the last three years, they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. �Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
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 �l.ow ❑ Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface ischarge.
COMMENTS: �/Y CP ICp1 n .S �'1�
� J S n II� �.
O 77;
�/L�-'q�
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 Nortf� Shore o f
Lake A9i�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER � ADDRESS L�. �,!/���`� �r
n �/ �
PERMIT NO.'S. /{� � DATES � / �� 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 fail 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
��t 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,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)
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 ta�ks 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 i�spection indicates:
should be pumped out as soon as possible. � Drai�field 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. ❑ Drai�field is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition► �Adequate
❑ High water table � Low ❑ Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High . � Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
�7-�a _-
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