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Home My WebLink Aboutseptic info Oct 20 14 10:59a Joseph Olson 763-498-8290 p.2 Minnesota Pollution Compliance Inspection Form Cantrol Agency 520 LafayettaRoad North Existing Subsurface Sewage Treatment Systems St Paul,MN 55155-419q �S$T$� Doc Type�Compliance and Enforcemenf Instructior:s: Inspection nesulls based on Minnesota Pollution Contro!Agency(MPCA) � For local traehing�py�g� �� requirements and attached forrns—additior�al local requiremen#s may afso apply. RG�.sCI Y G Subrnit completed form to Local Unit of Government{LUG)ancf system owner Q� �Q�0�4 within 15 days �_ System Status CITY Of ORgl�1�3 System status on date(mm/ddlyyyy): 810112014 � Compliant-Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance (Valid far 3 years fiom report dafe, unless shortef 6me (See Upgrade Requirements on page 3) frame outlrned in Loca!Ordinance.) Reason{s)for noncompliance(check al1 applicableJ ❑ fmpact on Publ�c Health (Compliance Component #9)—lmmrnent fhrea£to publrc health and safefy ❑Other Compliance Conditions(Compliance Comporrent#3}—lrnminent threat to pub/ic healih and safety ❑ Tank Integrity(Comp/rance Component #2)—Failing to profect,qroundwater ❑ Other Compliance Condilions{Compliance Componenf�13)—Failing to profect groundwater ❑Soil Separation(CompliaRce Component #4)—Failing to protectgroundwater Ci Operating permiUmonitoring plan requirerr►ents (Compfiance Component #5J—Noncompliant Property Information Parcel ID#or Sec/Twp/F2ange: 34-11$-23-22-OD06 Property address: 725 Dicke�+Lake Road,Orono, MN Reason for inspection; Property Transfer Prope�ty owner: Patnck Pu�h _ _ Owner's phone: or i -- Owners representative: .Eohn Adams __ Represenlative phone: 612-269-9438 —.._ _ Local regulatory authority: _Ci of prono _ Regulatory authority phone: 952-249-460Q 2-1000 gallon septic tan�cs,1-1000 gaElon iift station and 500 square feet of rnound rockbed.per city Brief system description: records — _ -- - — -----__ _ Comments or recomrnendaGons: Certification I hereby cerfiry that aU the necessary information has been gathered fo detenrrine the compliance status of this system.IVo defermination of future systern perfomrance has been�orcan be made due fo unknown conditions during system consfnrction, possi6le abuse of the sysfem, inadequate maintenance, or k�ture wafer usage. Inspector name; Joseph J Olson Cerlification number. 1255 Business name: _Rusi�Olsan's Soil&Perc.Testin� License number: 816 Inspector signature: _____ Phone numher: 763-498-8779 Necessary or Locally Required Attachments ',� Soil boring logs �SystemlAs-built drawing ❑ Forms per local ordinance ❑ Other in(ormation(list): www.pcastate.mn.us • 651-296-6300 • 800-657-3864 • TTY G51•282-5332 or 800-657-3864 • Availabte in a(temative fortnats wq-mvists4-3t • 1/14112 Page 1 of 3 Oct 20 14 10:59a , Joseph Olson 763-498-8290 p.3 Properly address� _ 725 Dickey Lake Road,Orono, Mh! I�spector initials/Date: J.O. 8/Li1l14 '}. (I'71pdCt on Publ1C Health—Compliance companent#1 of 5 Co�liaece criteria: Veri�cation method(s�: Systerr3 discharge sewage to the ❑ Yes �No � SearcF�ed for surface ouilet �c round suriace. v_ _ � Searched for seeping in yardlbackup in home 5ystem discharge sewage to drain tile ❑Yes � No ❑ Excessive ponding in soil systemlD-boxes or surface wate�s. ❑ Homeowner testimony(See CommentslExplanafion) System cause sewage backup into ❑ 'Black soil"above soil dispersal system ; ❑Yes � No (] 5ystem requires"emergenc}r'pumping dwelling orestablishment. - ❑ Performed dye test Any"yes"answer above ir�dicates ffie system is ❑ Unable to verify(See Comments/�xplanafion) an Imminent Fhreat to Public Heahth and Sa�ety. ❑ Other methods not listed(See Comments/ExpranaGon) CommentslExplanation: 2. Tan�C IntegCity—Compliance component#2 of 5 Com liance criteria: _ _ Verifrcation methfld(s): System consists of a seepage pit, � ❑ Yes �No � Probed tank(s}bottom cesspool, drywell, or leaching pit_ � Examined construction records Seepage pifs meeting 7080 2550 may be ❑ Examined Tank Integrity Form(Af!ach} compfrant if a!!a vred in local ordinance. Sewage tank(s) leak below their ❑Yes � f�o � Qbserved liquid level befow operating depth designed oQe��ting depth. ❑ Examined empty(pumped)tanks(s) If yes,which sewage tank(s) leaks: ❑ Probed outside tank(s}for"black soil" ❑ tJnable to verify(See Comments/Explanation) Any "yes"answer above indicates the system is Failing fo Protect Groundwater, ❑ �ther methods not lisied(See Comments/ExplanationJ CommentslExplanatior�: 3. Other Comp(iance Conditions—Compiiance component#3 of 5 a. Maintenance hole oovers are damaged,cracked,unsecured,or appear to strudurally unsound. ❑Yes` �No �Unknown b. dther issues(electricai hazards,efe.)io immedialely and adversely impact pubiic health or safety_ ❑Yes' �No [I Ursknown �System is an imminent threat!o publfc heaffh and safety Explain: c. Syslem is non-protective of ground wa#er for other oonditions as determined by inspector ❑Yes" �I�o 'System is failing to protectgroundwafer Explain: - -- -- _._ __ ___ www.pca.state.mn.�s . b51-296-6300 • 800�657-3864 • TfY 551-282-5332 or 800-657-3864 � Availal�[e in altematiue formats wq-wwists4-3� • 1124/1Z Page Z oj 3 Oct 20 14 10:59a Joseph Olson 763-498-8290 p.4 Property address: 725 Qickey Lake Road,Orono, Mhf _ _ Inspector initials/Date: J.O. 8/01/14 4. $oil Sepatet10r1—Compliance component#4 of 5 Date of installation: 6/27/86 ��_ ❑ Unknown Verification method(s): ShorelandMfellhead protectionlFood Beverage �yes []No Sal observatron does not expire. Previous soil Lodging7 obse►vat�ons 6y rivo independent parfies are s�cienf, GOm�lianCe criterie: unless site concirtions ha✓e been alfered orlocal For systems builtpnor to April 1, 9996, a� ❑ Yes ❑ No �puirements differ. not located in ShorelaRd or Wellhead � Condu�ted soil obseroation(s)(Attach borinq logs) ProteeSon Area ornot se�ving a food, ❑ Two previous verifications(Attach boringlogs) beverage orlodging esfablishmenL� 0 Not appliCable (Hofding tank(s),no drainfield) Drainfield has at least a two-foot�ertical ❑ Unable to verify(See Comments/Expfanation) separation distance from periodical€y saturated so€I or bedrock_ ❑ �her(Seo Comments/Explanat;on) hlon-performance systems builtAprrll, �Yes ❑ No � Comments/Explanatron� 1996, or later or fo�non-performance systems located in Shoreland orWe!lhead Profecfron Ar�as or serving a food, beverage, or lodging establishment Orainfeld has a three-foot vertical separa9ion distance from periodically ' saturated soi�or bedrock* i 'Experimental; "Ofher; or "Performance" ❑Yes ❑ No Indicate de ths of elevations systems built under pre-200B Rules;Type!V ---- - --�— -- or V sysfems built under 20�8 Rufes(7080. A. Bottom of distribu6on media 103.3 2350 or 7080.2400 (Aduanced Inspector License required) I 8. Periodically saturaled soiUbedrock 100.7 Dra€rtfield meets lhe desigr�ed vertical C• System seoaration 2.6 separation distance irom periodically � — .— sa#urated soil or bedrock. D. 12equFred compliance se�aration' 2_6 Any "no"answer above indicates the sys2em is "May be reduced up to 15 percent if aflowed by Local Failin�to Protect Groundwarer. _ _ _ _ ordinance. 5. Operating Permit a�d Nitrogen BMP*—compiianee component�5 of 5 � Not appficable Is the system aperated under an Operating Permil? �Yes ❑ No If"yes",A below is required Is the system required fo employ a hlitragan BMP? ❑Yes ❑ No If"yes",B below is required BMP=Best Management Prac6ce(s)spec�fred!n the system design lf LI�e answer fo both guestions is "no", ihis seci�on does not need to be completed. Corn liance criteria _— P_^---- a. Operating Permit number. T�� , � �u — — ' ❑ Yes ❑ No _Have_the Operatinq Permit requirements been met? b- Is the reguired nitrogen BMP in�lace and pro erl functionin ? ❑Yes ❑ No ` Any "no"answer indicates Nancompliance. Upgrade Requirements(Minn. SYat§115.55J An rmminent threat to pubfic healfh and safety(JTPHS)must be upgraded,replaceC,orits use drscont+nued wifhin Pen months ofreceipt of this notice or wrthin a sltorter perio�if requi�d by focal ordlnance.If the system is failrng to protect ground water,the system must be upgraded, replaced, or ifs use drscontinued wilhin the Line requi�d by loca!ordinance. !f an existir.g system is not failing as deflned ir/aw,and has at least(wo ieet of design soil separatron,then the system need not be upgraded,repaired,replaced,or rts use discontinued.notwithstanding any bca!ordinance thaf is more stnct 7his provision does not appJy to sysfems in shoreland areas, VVellhead Protection Areas,or those use�l in conner,tion wifh food, beverage, and lodging esiablishments as defined ic law. www.pCa.State.mn.u5 • 657-29h-6300 .� 500-657-3864 • TTY 65�-28Z-5332 or 800-657-3864 - Availab�e in aEtemative formats wq-wwists4-31 • i 1T4/12 Page 3 o f 3 J 14 11:OOa Joseph Olson 763-498-8290 p 5 ��r��, 1�� C�; � , r----� _ � � �..� ; •S � `� �N m �."� �'r` /(/ i - �_ �t 51 } � � � :� -� � N — lM1 f � �! �m � � � ct � �, , �, o � � -�- � o M � � . � j � f ( j / ,r. ._ - - ^ � 1 J �/ r _ __ -�i_-- J �'+r � I f � ��-_ -- - ;�--�� '� r .J- � � � - _ _ � \`--. � � � � � rRcP.l.-�� (pf'�''1x��- � . 1 1 .. _. 7 � � / � �—� ` ---- — — --� �►Ct��`'I l�-�-� �D s21 V� �-- ---- ____ ____ ------- --—' � � �, � �..,,, /� / �' � ��' ' C' o�;;l � ��'��' o� (}�i�l�� , � , - !� �I , :. r _ ,� ,� 1, '�'� r '; ,i, ' - �;ll Municipal Offices ,� �,"�. , ?; ` � � "ti � '� ' il'.`� '�' r' r`' � G.�� Street Address: Mailing Address: `� P.O. Box 66 ��: ��4 ' ' � ��'� 2150 Kelley Parkway C stal Ba MN 55323-0066 ��:�.. �i'ESH� i/�, '�� Orono, MN 55356 ry Y� To: The Cun�ent Owner of Address �� .� 1� � �'� �-��- �-�' f A �� City Ordinance requires that onsite sewa�e treatment systems in Orono be inspected on a periodic basis. The onsite sewage treatment systeni at the above address has been inspected and the following is kno��n about the system. A sketch of the known components of the system is available for most properties at the Orono City Hall. Imminent Public Health Threat Yes �No If yes, please contact the Onsite Systems Manager at 952-249-4626 �Tithin 10 days of receipt of this notice. The septic system must be brou�ht into compliance within 90 days. Failure to do so will result in referral to the City Attorney for leQal action. System Identified as l�Ton-Compliant Yes /� �T� a/ If yes, system must be brouaht into compliance by: December 31, 2007 December 31, 2010 Other �eFti� '�'a�k(s; :�� u# Needed Yes ts'" No The City recommends the septic tanlc(s) and/or lift tank be serviced and pumped out every three years. City records indicate the tank(s) were last pumped out on �_ ,�p �y� . The tanl:(s) should be cleaned throuah the manhole and not throuah the inspection pipes, tlus allows for proper cleanin�. Comments: Ins tor ' �� Date of Inspection � '�� '�% Telephone (9�2)249-4600 • Faa (9�2;1 249-461( _—� ,-_ �� ;;� � 0.�.\ � 0 O �; : � �I�Y of ORONO � , � �� , �'' ;y " � Municipal Offices � , ;, �� '� 1<�'�G�;�� Street Address �15a-a�}9-y6o o Mailing Address: `9kEggOg' 2750 Kelley Parkway P.O. Boz 66 ----� Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: ��`� U •�e� ��'�� - City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY 1-3 : � 1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does noi meet all the location,design and construction standards of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or eazlier,and which is not failing or an imm;nent 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 standards of the current Orono Municipal Code and which is failing for any reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the luniting soi]characteristics. TANT�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 �'Z� '>� ). Make sure septic tanks are pumped through manhole and not throu�h 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 verify alarm is still workin�in your house. The alarm warns owner that septa�e is about to backup into basement. 7 Inspection risers missing-tanks could riot 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 rainfield is dry,no surfacing evident. 9 Some evidence of surfacin�,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: /�'`G ,��,( d-- S e�? �--� ��,�.'�5 `b�K ��_ --7 —� —o� uti�-,�� , y Date of Inspection Matt Bolterman - Septic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify 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. � o�. o.;::;, o "y�� C ITY of �RONO �"�" ��`",�� biunici � , �,��j- ,�h 'ti pal OfFces � G �'��;;;�;;,Og'�i � Street Address: Mailing Addreu: E$8 2150 Kelley Paricway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 95a-�4q-y600 To Current Owner: Address: 7 aS ��cke� Lc��e /�f- City Ordinance 199 requires Ehat each existin�on-site sewa�e treatment system in Orono be inspected every two years. The on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONF'OR�ti1ITY 1-3 : � 1 "CODE SYSTEM"An ISTS which mcets all the locadon,design and constrvction standuds of the current Qrono btunicipal Code. 2 "COi1�iPLIANT SYSTEM" An iSTS which does not meet ali the location,design and construction standards of the cuaent Orono Municipal Code but does meet the three foot separation requircment or two foot requirement for systcros installed 1996 or earlier,and which is rtot failina or an immincnt threat to public health or safery. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may or may not meet all the location,design,or construction standards oEt}�e current Orono Municipal Code and which is failing for any reason;and any ISTS with lcss than three feet of unsacuratcd soil or sand between the distribution device and the limiting soil characteristiu. TANK CO�IDITION(5.7�: S Tank inspection indicates: � 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 6-20 —0�- ). I�Iake sure septic tanks are numped throu2h manhole and not through white inspection pipes This allo�vs for the proper cleanin�. 7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. DRANFIELD CONDITION -�Q : � 8 Drainfield is dry,no surfacing evident. Some evidence of surfacin�,not critical yet. 10 Drainfield is saturated and visibly dischar�in�untreated effluent to t,`�e surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. COi��NTS: M o v�c� e��e� Se��.L fi��kS � ��C �(C - � -��-c�. ��u. Date of Inspection hlatt Boiterman - Sepdc System Inspector Note: in the event that this insptction report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this rcport does not guaraneec or ccrtify that an existing system will continue to function properly,but is mere(y an opinion of the adequacy of the system under current conditions bised on the availabie information. � O ��:�,� � �\ � O O , ��,;r,. - �� CITY of ORONO �, ;,: �� ti M�� otr�� l % � Street Address: Mailing Addross: ��9 ,`�_�,G $EggOg'� 2750 Kelley Parkway P.O. Box 66 _=' Orono, MN 55356 Crystal Bay, MN 55323-0066 July 24, 2000 Karen Hagelee 725 Dickey Lake Drive Lon� Lake, Mn �5356 Dear Ms. Hagelee: An inspection of your septic system was conducted on July19, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout not needed at this time. The septic system is a compliant system, meaning it meets all or most cunent City and State Standards. Enclosed is a list of licensed contractors who work in Orono on a regular basis. This list is enclosed simply for your reference in case your septic system needs maintenance in the future. Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built drawing is enclosed showing the appro�mate location of the septic system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. Re ect , ( 1 .L�t/�-� Chris Pence On-Site Systems Nlana�er Enclosures In the event this inspection report is used to satisf�the requirements for a mortgage or other transfer of property, be sdvised that this report does no guarantee or certif�the ecisting 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 the system location and pumping records. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us � o� � o _ o , a�j� ��. CITY of ORONO 1� �� }� � ' '+�� !� Municipa! Offices "�'`� �� , .� '� �<1 Ye�+`�'.�G Street Address: Mailing Address: 9 ';�,,,,.,,. ..¢ JfEggO 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: Pat Pugh/Karen Hagelee Address: 725 Dickey Lake Dr. Permit #'s: 8543 Dates: 6/25/86 Contractors: Clovar Hill Co. (This is [ ] an existing system [ ] new construction) . SYSTEM COMPLIANCE (1-3) : 1 1 Code System: Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating properly. 2 Compliant System: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous codes and is functioning properly. 3 Non-Compliant System: System may or may not meet current City standards for design, construction, or location, but is failing to properly treat and dispose of the current input; and any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level is [ ] or is not [ ] idantified under this saptic system. If the saturated soil level is not identified, this classification is subject to revision.) T_ANK CONDITION (5-9) : 6 5 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out within three years, they should be pumped out and risers installed now. 9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks have not been pumped out within three years, they should be pumped out now. 10 The tank or tanks meet the definition of a cesspool and must be replaced within 10 months. (The tanks are [ ] or are not [ ] water tight or the condition is [ ] unknown. If the tanks are not confirmed to be watertight, this classification is subject to revision.) DRAINFIELD CONDITION (11-14) : 11 11 Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. Repair is not required at this time. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface.' Contact the City Inspector immediately. Repair must be completed within 90 days. 14 Drainfield extent and condition unknown. POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc. ) : low COMMENTS: 4/10/98 , �� L��.�Yyt�.v, ��.i Date of Inspection � Septic System Inspector !/ Note: In the event that this inspection report is used to satisfy the requirements for a transfer of property, this report does not guarantee that an existing system will continue to function properly, but indicates the operation of the system under current conditions. Telephone (612) 473-7357 • FAX 473-0510 CITY OF ORONO � O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT „� � INSPECTION REPORT '�� G~ � 9kESH04' Owner: ��1 �J� �`,�1 � Address: �s �I s Permit #'s: Dates: t��pf'� Contractors: . 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 uhich is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface uaters. 2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and 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 uhich is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic D(f 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. 7anks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be p�mped out within 48 hours to eliminate surface dischar�e. 9 lnspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pumpout. If tanks have not been punped out utthin 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 acaxnulation). If tanks have not been punped out within the last three years, they should be pumped out now. DRAINF[ELD CONDITION (11-14): Dr,c�nfield inspection indicates: `1y Drainfield is dry, no surfacing evident. °R Sortie evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector irtmediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING S1TE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �,�J COMMENTS: Date of Inspection Septi System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certtfy that an existing system will continue to function properly� but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the pre�nises with the system loc�tion and pumping records. WHITE COPY/I�spectors 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: � 1 Address: L� Permit #'s: � Dates:_��`�� Contractors: � 7 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 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 which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and uhich is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic �has or [ ] 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. 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. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been puiriped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): Dr field inspection indicates: �Drainfie[d is dry, no surfacing evident. ,r Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed uithin 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): �`� POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �� COMMENTS: �� Date of Inspection ptic Sys em Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properly� but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the pre�nises with the system loc�tien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER FR✓P/'Z iIQ�.11�e' `�TA� �1.� ADDRESS �i�_� �C�lIJ� L/�'i PERMIT NO.'S. �� DATES �� CONTRACTORS �l�l/�� /�l[..�J. City Ordinance No. 210 requires that each onsite 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 �1. 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 locatio�.Appears to be operating adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at this time. � 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary, soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( m Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not � Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation i� 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 14" 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: �`�-� - � 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