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9kESX�g 2750 Kelley Parkway P.O, Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: ��� r{�'�'�� �+�- ' `� ��
Ciry 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): �
lO "CODE SYSTEM" An ISTS which meets aii the location,design and construction standazds of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds 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 fail ing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the current Orono Municipai Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the disVibution device and the limiting soil characteristics.
TANK CONDITION(5-'7): �
inspection indicates:
5 Pumpout not needed at this tirne.
Septic tanks must be pum ed out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped �0 —���,�L��- ),
Make sure sentic tanks are pumeed through manhole and not through white inspection pipes. This allows for the
proper cleanin�. 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.
FIELD CONDITION 8-10 : �
8 Drainfie(d 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: /`'�a � ^c� �- S�(� t�. t- �-`��1CS (oc� dl'�.
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Date of Inspection Matt Boiterman - 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 guazantee
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.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
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� � ��,:�;;•� �i Street Address: Mailing Address: �
.�xES�IOg 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystaf Bay, MN 55323-0066
Owner: �-�i�� �� � 5�" � �
— �� �� Address:_ S�7 �er�c,1c � N �
Ciry Ordinance 199 requires that each existing on-site se�vage treatment system in Orono be inspected every rivo years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): ( '
O °CODE SYSTEM�� An ISTS which meets a11 tlie location,daign and construction standards ofthe cuaent Orono I�funicipal Code.
2 °C01�IPLIANT SYSTEM" An ISTS which does not meet all the locatioq design and coastruction standard4 ofthe currrnt Qrono hfunicipal
Coda but doas meet tha three foot sepazation requiremrnt,and which is not failing or an immine�thceat to public health or saf�:.y.
3 '�NON-CONIPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a drsig3ated 100-year flood plain,aay ISTS wfiich may
or may not meet all the location,design,ar coastruction sLaadards of the cutrrnt Orono bluaicipal Coda and which is failing for any reasoq and
any ISTS with less than three faet oFunsaturated soil or sand betwern the distribution device and the limiting�oil charactcristics.
TANK CONDITION(�-101: �. � •
Tank inspection indicates: -
OPumpout not neadad at this tima.
G Tank must be pumped out this yeat (city coda requires tarilcs to be pumped out every 3 years. Tank was last pumpzd_�—� ' �9 )
7 Solids accumulation in tanlcs is at a crilical a crilical LaveL Tanks should be pumped out u soon as possiblz.
8 S}stem is discharging ta tht surface. Tanks must be pumped aut within 48 hours to eliminate surface d'uchuga.
I Irupeclion risers missing-tanks could not be inspecttd. Irupection tisers(4"dia.pipe)must ba instailzd in each tank at next pumpout If tanks
hava not bren pumpad out wiehin the last three yeacs,they shoutd ba pumped out now.
10 Inspectiun pipe u locattd dira:Uy over tank baHle(does not give accurate meuurement of salids accumutalion). If tanks havz not bern pumped
out�vithin the(�st three years,they should be pumped out no�v.
DR.AINFIELD CONDITION 11-14 : ��
11 Drainfield is dry,no surfacing evidanL
12 Same e�ndtnca of surfacing,not critical yet . � ' '
13 Drainfteld is s;iturattd and visbIy discharginq untreated e$luent to tha surfaca Contad the City Iasptctor immediately.Repairs must be
complated«ithin 90 days.
1� Driuit'itld e�tent and condition unknown.
COMMENTS: 5 yS�-e� � \aakS 6 l�
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Date of InspccQon Septie Sysicm Inspector .- �
Note: Ia the evrnt that this iaspection repott is used to satisfy the requirements for a mortgage or atha transfa of praperty,be advised that this regoR does not guaraafee
or ctrtity that aa e�sting systam will corrtiaue to functioa properly,but is merely aa apinion of the adequacy of the system under eucreut conditioas based on the avei'labla
infocmatioa
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Street Address: Mailing Address:
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�`�, '9Jt' � p4'�' 2750 Kelley Parkway P.O. Boz 66
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Orono, MN 55356 Crystal Bay, MN 55323-0066
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Owner: GQ� � Address: 507 Ferndale Rd. N.
Permit #'s: 6134 Dates: 6/1/94 Contractors: Rober Exc.
(This is [ �(] an existing system [ ] new construction) .
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YSTEM COMPLIANCE (1-3) : 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 leval is [,� or is not [ ] idantified under this septic system. If tha
saturated soil lavel is not identified, this classification is subjact to revision.)
K CONDITION (5-9) : 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 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are �] or are not [ ] water tight or the condition is [ � unknown. If the tanks
are not confirmed to be watartight, this classification is subject to ravision.)
D INFIELD CONDITION (11-14) : il
1 Drainfield is dry, no surfacing evident.
2 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:
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Date of Inspection Septi 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.
Telep6one (612) 473-7357 • FAX 473-0510
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SEPTIC SYSTEM INVENTORY
Addr : 507 Ferndale Rd. N. PID: 36-118-23 13 0007
Building Type : residence # BRs/GPD: 5 # Systems/units : 1/1
Permit No : 6134 Date of Permit : 6/1/94 Installer : Kober Exc .
System Type : mound Appliances : lndry, dshw, dspl
SYSTEM CONDITION
Conformity: 1 Tank Condition: 5 DF condition: 11
Failure Pot : low
SEPTIC TANKS
Material : precast concrete Capacity: 1250 , 1000 , 1250
Setback to Bldg: 25
DRAINFIELD
Length of Lines : 180 No. Lines : 3 Trench Width: 10
Treatment Area : 94*41 Type of Filter: rock, clean sand
Tile Size : 1 . 5 Under Tile : 9 Perc Rate mn/in: 8
Setback DF-Bldg: 20 DF Ht above WT : 3
Soil Type : sandy loam, loam, clay Limitations : water table
WELL DATA
Setbacks - Well-Tanks : 50 Well-DF : 75
Report in File? : Pump Type : subm.
Depth: Diameter: Method:
INSPECTION RECORD PUMPOUT RECORD
Date Compliance Date Gallons
6/10/94 replacement installation 1
7/11/95 no surfacing 1
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