HomeMy WebLinkAboutseptic info Andrew Mack
From: Andrew Mack
Sent: Monday, August 25, 2014 3:19 PM
To: 'shauna grove'
Cc: Lyle Oman
Subject: RE: Drain field -744 Dickey Lake Rd
Shauna,
Yes that is correct. I will sign off on the building permit with regard to septic conformity to remodel the lower level with the
addition of a 4th bedroom when an application is submitted.
Good luck with your purchase.
�~�1������•, CommunityaDevelopment Director
�.'�,i Direct 952.249.4626
ti , p�� f amack(�ci.orono.mn.us
- -''` www.ci.orono.mn.us
From: shauna grove [mailto:shauna.qrove gmail.com]
Sent: Monday, August 25, 2014 3:13 PM
To: Andrew Mack
Subject: Drain field - 744 Dickey Lake Rd
Hi Andrew,
Thanks for answering all of our drain field questions on 744 Dickey Lake Road. I know you spoke to my
husband today and said the current drain field can accommodate a fourth bedroom as well as everything
regarding the septic system is in compliance. Can you please respond to this email that my understanding is
correct.
Thank you,
Shauna Grove
i
� ' '
:5 t�"'�,�So�� �°����'°" RECErvEo Compliance Inspection Form
" s.�� �� Cor�trol Age�cy
� szo�a�ayerte�oaa tvorth AUG 21 20 F�'sting SubsurFace Sewage Treatment Systems
st.Pau�,MN 55155-4194 (SSTS)
CITY OF ORONO Doc Type:Compliance and Enfor�ement
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes:
requirements and attached forms-additional local requirements may also apply. RECE�VE�
Submit completed form to Local Unit of Government(LUG)and system owner
within 15 days �i ir_ � 1 �f11A
_ �----
System Status CITY OF OROND
System status on date(mm/dd/yyryy):
�ompliant— Certificate of Compliance ❑ Noncompliant— PVotice of Noncompliance
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3)
frame outlined in Local Ordinance.)
Reason(s)for noncompliance (check all applicable)
❑Impact on Public Health (Compliance Component #1)-fmmrnent threat to public health and safety
❑Other Compliance Conditions(Compliance Component#3)-lmminent threat to public health and safety
❑Tank Integrity(Compliance Component #2)-Failing to protect groundwater
❑ Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwater
❑Soil Separation(Compliance Component #4)-Failing to protect groundwater
i. .1 r)nar�tinn nr rrnit/mnnjtCCl^g�la,^,rsG�:reme^ts(Com,p!:a^c�Com,per,cnt #5) Nor,ccmpliant
�..�._... � �.,..,
Property Informafiion Parcel ID#or Sec/Twp/Range:
Property address: 7'�5/ ��„f�t•�, �,,��(� .J,t,__ Reason for inspection: ;�',��r
Property owner: _ _ _ _ Owner's phone:
or
Owner's representative: _ _ _ Representative phone:
Local regulatory authority: ��(,�___��� p,��,�,� _ Regulatory authority phone: _
Brief system description:
---- — ---- --- —-------- —
Comments or recommendations:a„ %!?a�'f,E J S 4'/� ��r .�s�N,��y �_ �p�a• ���,�,�� �L,�f w k
P�O b4� /�'G �G1 I e CY �/�£ 3 ��/ r� J `r.S��.t.�� . / 0��� � �C C/� /J tc✓
�° f!< �
� �Sl'` .� S l i w � �!
t�f �' `� 5 C9� aw �� o,,.�' �i C— w�. �,� „�7 /s' � f t c
• �o,:.. ,q :3�ba��i.00,..y,` /
Certification /�„�•z..,,,�� � �� F3c a rL�c,( ��N � y 6�r�1',Qo�,,,_
° Gj'1 c �m^.c�x',c`;,��f�_.:.
I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
determination of future system performance has been nor can be made due to unknown conditions dunng sysfem construction,
possible abuse of the system, inadequate maintenance, or future water usage.
Inspector name: ,�� �,�,s, �„u�,v __ Certification number: �,Jr�,
Business name: /!y� j�tiv `��j� ,1.`"�. �.,,_�� ���, ,�`, License number. �1
Inspectorsignature:���� l,�,t,�"- " _ __ Phonenumber. 7G3- y���. /J�O --
Necessary or Locally Required Attachments
❑ Soil boring logs ❑ System/As-built drawing ❑ Forms per local ordinance
❑ Other information (list):
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 � Available in alternative formats
wq-wwists4-31 • 1/24/12 Poge 1 of3
�
Property address: _��� � _ �.,k< .�. �./�l� vh, Inspector initials/Date: ��_��,tr}�T
1 o ImpdCt o►� PUbIiC Healfih— Compliance component#1 of 5
Compliance criteria: Ve ication method(s):
5ystem discharge sewage to the ❑Yes No ��earched for surface outlet
round surface. LJ 5earched for seeping in yard/backup in home
System discharge sewage to drain tile ❑ Yes dNo ❑ Excessive ponding in soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See Comments/Explanation)
❑ "Black soil"above soil dispersal system
System cause sewage backup into ❑Yes � No
dwelling or establishment. ❑ System requires"emergency"pumping
__� - - ❑ Performed dye test
Any"yes"answer aboVe indicates fihe system is ❑ Unable to verify(See Comments/Explanation)
an Imminent Threat to Public Health and Safefy. ❑ Other methods not listed (see Comments/�irp�anation)
Comments>Explanation:
Za Tdnk Integt'ity—Compliance component#2 of 5 ,g��✓�,�,,.,,p�.,V �
Compliance criteria: Verification method(s):
System consists of a seepage pit, ❑Yes ❑ No � Probed tank(s) bottom
cesspool, drywell, or leaching pit. ❑ Examined construction records
Seepage pits meevng iU&U.2550 may be ❑ Examined Tank Integ�ity Form(A(tach,;
compliant if allowed in local ordinance.
❑ Observed liquid level below operating depth
Sewage tank(s) leak below their ❑Yes ❑ No
desi ned o eratin de th. ❑ Examined empty(pumped)tanks(s)
If yes,which sewage tank(s) leaks: ❑ Probed outside tank(s)for"black soil"
❑ Unable to verify(5ee Comments/Explanatron)
�ll7y "y@S"al7SWLP abOVe II1dICat�S fhC ❑ Other methods not listed (See Comments/Explanation)
systeret es Failing fo Protect Grounclwater
Comments/Explanation:
3 o Oth�r CO�1'lplia�ICe COiid�$1of�5—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes'` ❑No ❑Unknown
b. Other issues(electrical hazards,etc:)to immediately and adversefy impact public health or safety. ❑Yes" ❑No ❑Unknown
*Sysfem is an imminenf threaf to public health and safefy
Explain:
c. System is non-protective of ground water for other condifions as deterrnined by inspector ❑Yes" p No
*System is failing to protecf groundwater
Explain:
www.pca.state.mn.us � 651-296-6340 a 800-657-3864 � TTY 651-282-5332 or 800-657-3864 = Available in alternative formats
wq-wwists4-31 � 1/24/12 - Page 2 of 3
- Property address: � /j/�
��f� �L ��/�L �� Inspector initials/Date;
�%{ os'.7u ��-
4. SOiI Sepat-ati0ll— Compliance component#4 of 5
Date of installation: l����
Shoreland/Welihead protection/Food Beverage �Unknown Verification method(s):
Lodging? ❑Yes , No
Soil obseivation does not expire. P�evious soil
Compliance Cpiterla' obseivations by iwo independent parties are sufficient,
unless site conditions have been altered orlocal
For systems built pnor to April 1, 9 gg6, and �9u�rements differ.
not located in Shoreland or Wellhead Yes ❑No ,�,�
Protectron Area ornot serving a food, �7 �-onducted soil observation(s)(Attach boring logsJ
beverage orlodging establishment.� ❑ Two previous verifications(Attach bonng�ogs)
Drainfield has at least a two-foot vertical ❑ Not applicable(Holding tank(s);no drainfield�
separation distance from periodically ❑ Unable to veri
fy(See CommentsiExplanation)
saturated soil or bedrock. _ ❑ Other(See Comments/Explanation)
Non perfo�rnance systems built April 1,
>996, orlaterorfornon-performance �Yes No Commenfs/Explanation.•
systems located in Shoreland or Wellhead
Protection Areas orserving a food, 4�/� v �,�� /�� ����
beverage, orlodging esfablishment:
I oZ�m2y" �Aik �v�lrti
Drainfield has a three-foot vertical �Q j 9 `
separation distance from periodically �� " �� ''4 t A����x� "��`
saturated soil or bedrock.*
"Experimental'; "Other'; or `Pertormance"
systems built underpre-2008 Rules Type�� �Yes o IndiCate depths of elevations
or V systems built under 2008 Rules(7080. -----
??�n�.�no��..,,,, A. BOYfOfYI Of riictrjhiitinn,.,Aa,�
.<��� jniivdtiueti ulspect�r — ��4 /- �/
i.icense required)
Drainfield meets the designed vertical B Periodicall saturated soil/bedrock ,,Z °�
separation distance from periodically C Svstem separation
saturated soil or bedrock. -- �`��
Any "no"answer above indicates the system is � Re uired com Iiance se aration' �
Failin to Protect Groundwater. "May be reduced up to 15 percent if allowed by Local
-- ___ Ordinance.
5e Operating Permit and Nitro en BMP*
g —Compliance component#5 of 5 '
Is the system operated under an Orerating �ermit? P1ot appliCable
❑Yes ❑ No If"yes",,4 below is required
Is the system required to employ a Nitrogen BMP?
❑Yes ❑No ��°�yeS��� g belowr is required
BMP=Best Management Practrce(sJ specified in the system design
l�the answer fo both questions is "no", this section does not need to be complefe�.
Compliance criteria
a. Operating Permit number. ----
Have the Operatin Permit require b n met?
❑Yes ❑No
b. Is the required nitroqen BMP in lace and ro erl functionin ?
Any "no"answer indicates Noncomplfarrce. �Yes ❑No _
Upgrade Requirements(Minn. Stat §115.55)An imminent threat to public health and safety(/TPHS)must be u
discontinued within ten months of receipt of this notice or within a shorter pen'od if required by local ordinance. lf the system is failing to protect
pgraded,�eplaced, or its use
g�ound water, fhe system must be upgraded, replaced, or its use discontinued within the trme required by local ordinance. lf an existing system
is not failing as de�ned in law,and has at least two feet of design soi/separation, then the system need not be upgraded, repaired, replaced, or
its use discontinued,nofwithstanding any local ordinance that is more strict. Thrs provision does not apply to systems in shoreland areas,
Wellhead Protection Areas, o�those used in connection with food,beverage, and lodging establrshments as defined in law.
v✓ww.pca.state.mn.us = 651-296-6300 0 -_
w'q-wwists4-31 a y/Zq��� 800-657-3864 • TTy 651-282-5332 or 800-657-3864
° Availabte in alternative formats
Page 3 o f 3
, .
Parcel number. � �7 � �K . �'- �i System status: ompliant ❑ Noncompliant
� � _ (as determine t�rs�f � .
� ����.���#i�'�MC���.I.0
�:• ,
:€7���;3��i Py. N�
Tar�k Integrity and Safety Compiiance . ��• ��ic�ael, iVI� S��76
_ Compiiance Issue#2 of�4 � .,
Date ofobseroation: �- � �' �`� Reason forobservation_ �`l Y'Yl(a '� ��15 pc-' C�
� " This form expires on(thr$e years}:- - oZ d �- � �,
Compllance 4uestionslcr�teria: (Required) Verification aiAethod'*:�Optional) ,
Check the a ro riate box - (Check the appropriate box) �
Does the system consist of aseepage pit*, ❑Yes �No � Probed tank bottorri `
cess ool d ei) or leachin it? � -
Do any sewage tank(s) leak below their_ ❑Yes �(J No � Obsecved low liquid level .
desi ned o eratin de th? � -Examined construction records . � - �
(f yes, identify which sewage , � . � Examined empty(pumped)tank �
tank leaks. � , � Probed ocitside tank for"black soil" � �
Any"yes"answer indfcates that the system is faf/fng to proteci � . .
ground water.- ❑ Pressure/vacuum check • .
� . � ❑ Other. "`�-`/oo Q
' Seepage pits meeting 7080.2550 may be compliant if ailowed � -I`+—`-'
in ordinance by_iocal permitting�authoriry. . ,
- � • � "No standard protocol exists. This list rs nof exhaustive,in ' -
. . sequen�ial order, nor does it indicate which combinafions .
are necessary to�make.this determination. �
: .Safety Check � . � : � � :
i. Are any mainfenance hole covers damaged,-cracked,or appeared to be structuratly unsound? �Yes* [�J'f� � � .
- 2. Were al6maintenance hole covers replaced in a secured manner(e:g.;all screws replaced)? � �"�es ❑ No".�
3. Was secondary access restraint present(safety pan;second cover,flr safety netting)-highly recommended. ❑Yes [}Pfo '
4: Was any other safety/health issue present? : � ❑Yes' [�to
Exptaln: � � � �
*System is an imminent thieat to publJc healtii and safefy. �
Certification -
This foim is to be completed and attached to the Summary Form of.the Minnesota Pollution Control Agency's (MPCH)-Compliance
inspection Form for F�cisting SubsurFace Sewage�Treatme�tSystems.Obsen►ations;�interpretations, and conclusions tnust be.. . •
completed_by an inspector,maintainer,or service provicier.Completed form must be submitted to the local unif.of govemment wifhin
15 days. -
. � � � .
Property owner name{s): C _ :
Properry address: � - � .
Property owne s add�ess (if different): �
- County: Phone: �
I _ _
!hereby certify that/personally made the observations, interpretations, and conclusions reported on this form and fhat they are �
correct.
Name: �' � Certification number: ��� �'' � `�
Business license name and number: %�I i(a f'Ir�� �P�J{'1 L �'i"L'i Cf� L�^e- - f� 7��� or �
Name of local unit-o�f�ovemmen� � .
Signature: �=%u-�--._.� '��i-- =�u-�'�, � Date: _ % .
_- --__ _ _ .
wq-wwfsts�4-31� . . � Comptionce Inspection Form for F�cisting SSTS
ei�inR �
• SEPTlC SYSTEM INVENTORY
Site Address: 744 Dickey Lake Dr PID 27-118-23-33-0007
Owner Name: Gerald 8 Alice Pettis
Owner Address: 744 Dickey Lake Dr Long Lake MN 55356-
Buildins�Tvpe: residence Installer: Hoff Plbg.
Date of Permif: 10/30/84
System Tvpe: mound BR's Designed for 3
In Musa7: Yes Shoreland?: Yes
SEPTIC TANKS:
Material: precast concrete Caqacitv: 1000, 1000,1000 7ank Filter:
DRAINFIELD:
Treatment Area: 70*40 5oil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks-Well Tanks: 50 Well DF: 75 Report In File: Depth: 198
INSPECTION RECORDS PUMPOUT RECORDS
fl�t� . _ . _._ _._. �otes Da�C i. 6allonsOfLiquid.
_ _ __. _._ ...__ ._ ,._. � __. .... _... . . . _ _.
6/1/2006 10/4/2012' _ - 2800
. _. _ _....._.__._. .._..__ . . _�._. . _._ . ... ..... __ ..._. . _---- __ _ ___.._ . _
7/8/2004 OK _.__ . . . .._ ; 9/28�Z�09' 25d0
,. __._ ._. . . _ . .. ,. ... _ �. .. .. . ... ._ _. .._ ... .. ........
7/16/2002�no surfaang,pump tanks ' 10/13/2005; 2500
.. . . .. _ ... . . ____ _ ..._ _....._._,....,.__,.�......_. . . . _.�._....:,.. . __--_:.
7/19J2�00"no surtacing, pump tanks 7/26/�Q02 2800
. . . _.__-- --..�_ __ .._._...� _,..__ ._ _ ._. .....___ ..:.__ __..___ .___ . _ _ . _ _. ..
4/10/199$�no surfacing-pump tanks 7/20/1998' 2800 f
_ _ .. ._. ___ ._. . .,._.. . . _... _.. _ ....... _...__..... , ___._.__._._ ._._.._. :._._... . .._____. _ ._. __.. .
5/3/1�'95 no surfacing-pump tanks 1Qj1/19�Q: 3000
.. _... ... .._ .. - ... ._._. _.__.__ ._ __.�.._..__.._..}.__....
8/28/1992,no surfacing
_ .. . ___.__._ .._�. .... .._ _ ... .. . ... .. ..__. .__. _ __ .._._ _
8/28/i99a no surtacing-neeti risersf pump tanks
_._ . . . _._..... _ .. .__ _ ...___._.. _._._. __..: .___.____. __. .._.. .. ....___. . ..._....._ _ .
8/4/1988:no surfacing
_ . _ . .. . . _. ._ _ _ ... _... .... _ .
6/27/19&fifinal trtspection
__ ._._ . ___ � . .
11/6/1984,installation
_ _. ._ . _ __ .`
----_ _ _ _____ _. _ __ . _.. ___. _.
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, CITY OF ORONO �e�e
ADDRESS • � Connected to
CODE SEPTIC SYSTEM INVENTORY CARD Municipel Sewer
Address �� � Aroperty 1.D. 27—IIS-23 33 b0�0'7 1 WELL DA7A
L7 Standard tranch 1 07� 'y �L�+GK I T ! �
�Mound l.. �
v�
SyBtem ty� .b ah@� ��al�Eai�clOn 12�N��S woc�� p m
Permit No. ��v�� DaYe of permit �d 3�'�87 insteller �� �L-�aCo � k��
m �
No.Bedrooms y� Garbape � $ (
( euildinp type �� or GPD � '�3/� Laundry /� Dfshwasher x Disposal a o p` '
SEPTlC 7ANKS:Materlal cfllu �pe¢�ty �) �) o ��, c I
�
-��j� w �,��- � �� - ��
Proper outlet end inlet d�- Bafflea L'�iC - Li uid depth to O level S"r�' � � �
P�' O
Helght of tenk bottom ebove weter table �K- ' ' Distance to neereat buliding _�n ' � � � m I
O }
DRAlNFIELD: Tote!length of Iines "� Number of Ilnea � Trench w(dth C��8� I
j/�o xya ,e�c,� ' : �
'Tote!Veatment area(aq,f t.)�'Tb X"7O .�-'�'Height of drainfleld above weter table 3 � r �
� 3�Y-Z�," /taGdc . , ., ,.Sa .
Type of filter mater(ai���+�+�J�-� Sofl type _ ���'"'y G-f?/�i"'�— � - �
� Q.�� r w
Dietance from nearett bldg. �D '� Tite size i �D� Aerc rote .F"� ��" ��� min/in ° n c �
.. ,k � a ' i
' /' u ,�. � �� g a .. - �
Depth of till ov�Ar drafnf3eld �Depth of rock over tile_ 2 under tile— � � E y a I
.�1D� /�SS t/i42�=�/S ���i..!�7 e�y'�-j GC/J� a a' �c.�1 � �
i
�
_ _ _ �
CITY OF ORONO Date
ADDRESS � Connected to
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer
Address �7 ��CiK�'!G �-.��I(�� Propertyl.D. �7-/I� "'Z-3 33 C,D�C?7 WELLDATA
�Moundrd trench ��T � ,/�;��„� 1 � I I
System type ❑ Other Legai Description +\�n'���S 1.����� � '
t� , / �� O �
Permit No. ��L'� Date of ����3�.?"��7 p L
permit Installer ��` 0 d-��'� � �� p
m
,� No. Bedrooms Garbage ,� �„ I
Building type /��-S or GPD � i3;' Laundry � Dishwasher X Disposal `� � = I
v
� E � O
SEPTIC TANKS: Material LC S"� vl�%C Capacity 1) 2) �D(�r� ° ¢ `, c
���GtoO w P��^'t� si ,9-Z-Q�:'�. � �, a
Proper outlet and inlet �� Baffles C�K Li uid depth to O level S"l'_'t � `
:% �
m
Height of tank bottom above water tabie �K Distance to nearest building �� � + � �
0
DRAINFIELD: Total length of lines ��-C7 � � Number of lines 3 Trench width U j�t'�►D
i o Xt�D �o.�,�� � � �
� c '�
Totai treatment area (sq.ft.)��X'�Q .y�-�AHeight of drainfield above water table � � �
3/Y-��y`` /LoG�ti �
Type of filter material�'���-�*-<''�"J�"'�� Soil type �L�"1 L-E>�"Y'"�,_ � „
� H d
Distance from nearest bld �� '� i P� ��n f �� E L w
g. Tile size Perc rate min/in o � n ,c
� �f' ! ,�, , �t rl 1 r d ,�, � 'O
Depth of fill over drainfield �Depth of rock over tile � under tile U c a �
�`i.EVU��--�� ytlr$S v;,y_�r—.ri!S j���7../��".� �/'aI.0/'��J p a V �
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��,'� ii`{� '' � '�;�' G;!� Street Address: Mailing Address:
':��9k ' � p�� "' 2750 Kelley Parkway P.O. Box 66
���/ Orono, MN 55356 Crystai Bay, MN 55323-0066
To: The Cunent Owner of Address � `��''� f�� � K`� ��
City Ordinance requires that onsite sewa�e 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 l:nown 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 within 10
days of receipt of this notice. The septic system must be brou�ht into compliance
within 90 days. Failure to do so wi11 result in referral to the City Attomey for
legal action.
System Identified as 1\Ton-Compliant
Yes �
N� �–
If yes, system must be brou�ht into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s) Pump out Needed
Yes �No
The City recommends the septic tar�(s) and/or lift tai�be serviced and pumped
out every three years. City records izzdicate the tank(s) were last pumped out on
��. .�; `3-�;.; . The tank(s) should be cleaned throuQh the manhole and
not throuah the inspection pipes, tlus allows for proper cleaninQ.
Comments:
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Inspe������ �'���— Date of Inspection � �����
Telephone f9�2)249-4600 • Fax (9�2j 249-4616
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� �� CI�Y of ORON4
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��.1 �'�' G Street Address �15a-a4q-�{6o O
Mailing Address:
`9�C'EggOg'� 2750 Kelley Parkway P.O. Box 66
- -_ = Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: ��y 'J����� �--��C. U�,
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): �
O"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 separation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an unminent 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 location,design,or construction stan�irds of the current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil chazacteristics.
TANK CONDITION(5-7): �,
Tank inspection indicates:
� 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 through manhole and not through white inspection pipes. This allows for the proper
cleaning. Keep water softner and iron filter discharge out of septic system to prolon�life of drainfield. Ask pumper to test
alarm float to verifv alarm is still working in your 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 8-10 : D
8 Drainfield 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: N�� �-,``�� �' Se¢-�-.L .`--c�nK� ' 66�(_ (�� _
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Date of Inspection Matt Bolterman - Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does
not guarantee or certify 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.
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-�j���=�a=� CITY of ORONO
� ��j�����.��:�. �
�'�,� rS�,;��fi��.,.}-"I�h ,�,ti Municipal Offices
����'"���=\lx G Street Address:
'� � {�, g,'� Mailing Address:
�EgH� 2150 Kelley Parkway P.O. Box 66
Orano, MN 55356 Crystal Bay, MN 55323-0066
95a-�49-4600
To Current Owner: Address: � �� 0 ��i�P/ �-`�k� � r
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY 1-3 : �
1 '�CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and conswction standards of the current Orono Municipal
Codc 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 imminent threat to public health or safery.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the curtent Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil chazacteristics.
TANK CONDITION(5-.7?: �
Tank inspection indicates:
5 Pumpout not needed at this time.
O6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped 7--ac�-9� ).
Make sure septic tanl:s are pumped throu�h manhole and not throuah white inspection pipes.
This allows for the proper cleaning.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION' —�Q�: �
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: 5 y S+r�-- l cn� C� `� . F•�S�- fi�'��'� �5 ���t:e� �c��� t�c� Szc .
�C�c�^1 �'.."`4� 1 e o C.S o'�- Q�+^p '��'4.5 �'G. 1Ce<D o n �3-'-1 y c a r S c�c��i C.
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Date of Inspection Matt Bolterman- Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgagc or other transfer of property,be advised that this report does not guarantcc
or certify that an existing system will continue to function properly,but is merely an opinion ofthe adequacy of the system under current conditions based on the available
infortnation.
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CITY of ORONO
�, ;� - ,�ti �� M�;�,� ot���
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� `� � "� Street Address: MailinQ Address:
'� �� � '��j
� � 9$EggO�'�% 2750 Kelley Parkway P.O. Box 66
___=� Orono, MN 55356 Crystal Bay, MN 55323-0066
July 24, 2000
Gerald Pettis
744 Dickey Lake Drive
Long Lake, Mn 55356
Dear 1�1r. Pettis:
An inspection of your septic system was conducted on July19, 2000. A summary of the inspection
is betow.
Septic Tank Condition
1. Pumpout not needed at this time.
The septic system is a compliant system, meaning it meets all or most current 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 explainin�your septic system and how it functions. Finally, an as-built
drawin� 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�pectfully,
. -l�vtu./
Chris Pence
On-Site Systems Manager
Enclosures
In the e��ent this inspection report is used to satisf�the requirements for a mortgage or other transfer of property,
be ad��ised that this report does no guarantee or certif�the esisting system�vill continue to function properly,but
is merel��an opinion of the adequacy of the system under current conditions based on the available information.
This report must be kept on the premises�vith the system location and pumping records.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.omno.mn.us
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� ,���;�,�_,� ,� � CITY of ORONO
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r�, �;`� ��� r ti Municipal Offices
�.���` ��`���`��!`�'.��� Street Address: Mailing Address:
�,�: s���3
$'EggO g' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
owner: Gerald Pettis Address: 744 Dickey Lake Dr.
Permit #'s: 7685 Dates: 10/30/84 Contractors: Hoff Plbg.
(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 saturatad soil level is [ ] or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 8
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 ara not [ ] water tight or the condition is [ ] unknown. If the tanks
are not confirmad to ba 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 Inspecter 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:
4/10/9 8 ,�u.� CCJ " ' �,-,
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
r�, � INSPECTION REPORT
'�� G~
9kESH�4'�
Owner• ��rC�l� ��L�i Addres s: �� 4...C� �
Permit #'s: Dates: ���v��`�` Contractors:
City ordi.nance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site seuage treatme�t 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 SYS7EM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and 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.
(7he 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):
7ank inspection indicates:
� P�mipout not needed at this time.
Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accunulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been p�xnped out within the last three years, they should be pun�ed
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):
D ai field inspection indicates:
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 Inspector
immediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): r J
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��)
COMMENTS:
Date of Inspection Sept c Syst m Inspector
Note: ]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 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
informatton.
This report must be kept on the pre�nises uith the system loc�tien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�` � INSPECTION REPORT
'C�L G~
`�kESHo�'�
Owner: �IZI(G7 /�(��//S Address: ��/�J L�1C�PV' �K-� ,(/r,
Permit #'s:__ ��`_� Dates: /�—�1:`� Contractors: !7!'�N�T- f/'G�t�
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 I�y an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
"CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface uaters.
2 "CONFORMING SYS7EM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but uas installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface uaters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system 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 identified, this classification may be subject to revision.)
TANK CONDITION (5-10): �
T�+�(c inspection indicates:
l57 Pumpout not needed at this time.
3 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. 7anks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been purtiped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14): /)
'j'�--
D�field insPection indicates:
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 Inspector
irtmediately. 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:
_ ,� —
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 the system location and pumping records.
WHITE COPY/Inspectors Fiie YELLOW COPY/Homeowner
On t.he North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT o POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER � �1�✓a/(�� /�C�ir/�-S ADDRESS 7��7 ����K�' �/r ,
PERMIT NO.'S. ��g� DATES /�_�v� CONTRACTORS /
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatme�t 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 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 shoul pumpe out now. ❑ Drainfield exte�t 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) ❑ Adequate
❑ High water table � Low f�Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High . ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: / ^ � �S �� �� � ��+�" �J�
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Date of Inspection eptic System Inspector '���1���
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditio�s based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner