HomeMy WebLinkAboutseptic info S �
CITY OF ORONO Date
ADDRESS � Connected to ;�> -� �_.��-
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer [�:f-�� < �
Address _ .'-��`��'I �,4c•— �1�Y--� �'; Property I.D. C%�-11'7 - ''_ / ;[:;_i - WELL i ATA
O Standard trench I
❑ Mound
System type ❑ Other y �'�� ` �
�egal Description l /(�U ` y7�� �
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Permit No. Date of permit Installer � p
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No. Bedrooms Garbage � „ (
Building type or GPD Laundry Dishwasher Disposal `� =
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SEPTIC TANKS: Material Capacity 1) 2) ° � c
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Proper outlet and inlet Baffles Liq id d p to R level � �
d 0
m
Height of tank bottom above water table Distan e arest 'ding � � m
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DRAINFIELD: Total length of lines Nu ber of I es Trench width
. �
Total treatment area (sq.ft.) eight f rainfield abov water table �
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Type of filter material go' yp � ,,.
m
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Distance from nearest bldg. Tile e Perc rate min/in o � n •c
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Depth of fill over drainfield Depth of rock over tile under tile c a �' `�'
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LOCATION�
INSPECTION RECORD PUMPOUT RECORD SKETCH
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DATE COMPLIANCE DATE GALLONS m.�.4 �,`
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Include: �1 wen iocauon
2) Distance from house to
septic tanks,dist.box,
and drainfield
C— CONFORMING S—SUBSTANDARD N —NONCONFORMING 3) North arrow and road
On the North Shore of
Lakc Mi�znetorika
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �� ��/S(�I��'r1�-c� ADDRESS �7V % ,f�S��f� ��
PERMIT NO.'S. m�'� DATES �f 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
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
creati�g a safety hazard,or is otherwise creati�g 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 desig�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. ❑ Orainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
�J�^�ithin 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
�Inspe ti ' r missin —tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risers l4_' dia,pipe must be insta e in eac tank ment or additions to drainfield. Contact the City Inspector
at next o�mpp�t If Lnlcc hnvo .,ot 6een o�nP�t���*�,�rh�., immediate�y.Repairs must be completed within 90 days.
the last three vear�thev shn�i��Prl 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 tabte,and system condition) � Adequate
'�Fiigh water table ❑ Low O Fair
�.Lot size ❑ Medium Poor
� Lake,wetland,or stream �Fiigh �Jnadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
���H
Date of Inspection eptic System Inspector
Note: In the event that this inspection report is used to satisfy the requireme�ts 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 o�the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake Mirznetostka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
47�
OWNER ���/1'��� �/P/������ ADDRESS � �,�/�� :��
PERMIT NO.'S. i 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
properly.
� 2 Does not meet all current City standards for new construction (1978 Code1 but in most respects appears to be designed,
located, and constructed generally in accorda�ce 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 co�tractor 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�eeded 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 Iast 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 ❑ Low ❑ Fair
❑ Lot size �Medium �Poor
❑ Lake,wetland,or stream ❑ High . ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: � � �-„'� � -S ' / 1/ �
� � n
��e � � s ►��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 guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
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CITY OF ORONO Date �
ADDRESS � Connected to r
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer
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Address �y�) ��c L�iY_.F S, Property I.D. D�-l!"7 - ?_'3 /_� ,[:"� _, WELLDATA r�
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System type ❑ Other Legal Description y/��� ` y�7C�`'Q p' �
Permit No. I r -
Date of permit Installer 'o -
m 0 .
No. Bedrooms Garbage ,� �, I A
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E a � r � Vv
SEPTIC TANKS: Materiai Capacity 1) 2) � Q c � �
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Proper outiet and inlet Baffles Liquid depth to RO level � � \
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Height of tank bottom above water table Distance to nearest building N „ jy �
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DRAINFIELD: Total length of lines Number of 11nes Trench width r �
Total treatment area(sq.ft.) Height of drainfield above water table � � �
Type of filter material Soil type a J � i� �
y �
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INSPECTION RECORD PUMPOUT RECORD
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DATE COMPLIANCE DATE GALLONS
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