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� SEPTIC SYSTEM INVENTOR Y
Address: 1945 Fox Ridge Rd. PID: 03-117-23 13 0006
Building Type: residence BRs Install'd for: 4 In Musa: Yes
Permit#: 546 Date of Permit: 7/6/64 Installer: Schoening
System Type: standard trench Experimental: no Appliances: lndry
SYSTEM CONDITION
Conformity: 3 Tank Condition: 6 DF condition: 11 Failure Pot: high
SEPTIC TANKS
Material: concrete block Capacity: 750, 750
Setback to Bldg: 10 Cesspool: unknown
DRAINFIELD
Length of Lines: 150 # Lines: 2 Trench Width: 2
Treatment Area: 300 Type of Filter: rock Soil Boring: yes
Tile Size: Under Tile: Perc Rate:
Setback DF-Bldg: 30 DF Ht above Wt: 0
Soil Type: Limitations: water table
WELL DATA
Setbacks - Well-Tanks: 50 Well-DF: 75 Report in File yes
Pump Type: subm. Depth: 235 Diameter: 4 Method: drilled
INSPECTION RECORD PUMPO UT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
7/19/78 no surfacing s 2/20/81 2000
6/16/82 no surfacing 2 1/2/82 1800
6/23/87 no surfacing 2 3/26/82 1800
8/16/90 no surfacing 2 12/23/82 2000
7/25/91 no surfacing 2 6/24/86 2000
7/23/92 no surfacing 2 3/1/90 2000
4/18/94 DF saturated-tanks overfull,pump tanks 2 4/18/94 2400
11/4/98 non-compliant-tanks overfull,repair by 12 3 2/10/95 2000
�oo� c o:.�<<,-�� �c Se w�� 9/23/96 2000
1/10/97 2800
9/16/98 1500
2/5/99 2000
2/5/00 2000
4/3/00 2000
3/23/O1 2000
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�� �. ���., �� CITY of ORONO
,� _ �.
lS� Municipal Offices
�� '4� f " G~ Street Address: Mailing Address:
����9$EggOg'� 2750 Kelley Parkway P.O. Box 66
_—__ — Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: � ,�;�� f"—/' ( � '� � Address: 1945 Fox Ridge Rd.
l 1 ��—�' i
rermit #'s: 546 Dates: 7/6/64 Contractors: Schoaning
(This is [ �] an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 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.
� Non-Compliant System: System may or may not meet current City standards for design,
t 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 [�x, ] or is not ( ] identifiad under this septic system. If the
saturated soil level is not identifiad, this classification is subject to ravision.)
T.�IVK CONDITION (5-9) : 6 1 - 1 �
5 Pumpout not needed_at this time��}t�L�-_� ��V'� �
�� �rUs a„�:^' ,*��� 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 bean 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 watertight, this classification is subjact to revision.)
AINFIELD CONDITION (11-14) : 11
�1 ' 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. ) : high
COt-IMENTS: In order to confirm that your septic system meets Minnesota standards, soil berings
were performed to verify a 3 foot separation between the drainfield and the seasonal water
table. The separation is 0 feet and the system is non-compliant. Repair or replacement of th�
septic system is required by 12/31/2008.
1 _-� �'�� �/ '/�-- '� r ; �y
[ ' t...' / � / ' �,�/� .
Date �f Inspection '� Se tic System Inspector
r
Note: In the event that this inspection report is used to satisfy the requirements for a
transier of property, this report does not guarantee that an existing system will continue to
tunction 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 � � ON—SITE SEWAGE TREATMENT
r�,� � INSPECTION REPORT
ti
��9kESH�4'�G
Owner• �l/►f'� �l��K..Y��r�- Address• � �
Permit #'s: Dates: ��Contractors:
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked belou.
(This is�an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system uhich 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
uithout discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with Less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic [ ] has or ,�..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:
5 Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be purt�ped out this year to help prevent future problems.
Solids accunulation in tanks is at a critical level. Tanks
8 System is discharging to the surface. Tanks must be purnpe a e surface discharge.
9 Inspection risers missing-tanks could not be inspected. lnspection risers (4" dia. pipe) must be installed in each
tank at next pixnpout. If tanks have not been pumped out within the last three years, they should be punped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accurnulation).
If tanks have not been purn�ed out within the last three years, they should be purtiped out now.
DRAINFIELD CONDITION (11-14):
� Dr field inspection indicates:
�1] Drainfield is dry, no surfacing evident.
T2 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 within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE fAC70RS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �
CO ENTS: 1 � � � � � � � � ��
S i � �/'
��
Da e of I spection S tic 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
informatton.
This report must be kept on the prE�nises with the system locetion and pumping records.
WHI7E COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office eox 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
� �, INSPECTION REPORT
ti
���kESH�4�G
Owner: �✓IZ.� l�i I��l'�i►^� Address: / /� �UX �� KOf_
Permit #'s: � 7C Dates: /�fe����Contractors: ��/'�C�/?li�.�l
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 ,�Cl an existing system [ 7 neu construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system which meets atl 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
uithout discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants tnto ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic [ ] has or p�] 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,ar�k inspection indicates:
cy Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out 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 pumped out within the last three years, they should be pumped
out now.
10 Inspection pipe is tocated directly ouer tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumped out uithin the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr 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
imnediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE fACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,uater table,etc.): �J'��'�.^
�.�
COMMENTS:
_�'�� r�.�
Date of Inspection e tic 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
properlyi 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 uith the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lake Mi�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OW N E R �r1 /�i �v/s'e�-P� A D D R ESS /�T S �/3 /�il�P b��,
�
PERMIT NO.'S. --=� `'" DATES �� [� / CONTRACTORS�� ✓�-����h✓��Q
City Ordinance No. 210 requires that each on-site sewage treatme�t system in Orono be inspected on a regular basis.The on-site sewag�
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is �I° 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.
,.CJZ'2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
��S 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 b 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=�/
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 wiih system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner
. _ . .. . r .. _. ..;:. _ .:: _.... . _:� .� ..�.m. .; ......� �.�._ .�
� ._<_.�.:� �.. __....;..,, .._.. A�.:. .�. . . .,_,: .,...�..w �'�.:.,...
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O�t tb���ti'urtl.r tibore�uj
l.akr,ti1 iun��tn►rk��
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER — �"�''/� f-f� 1L/✓t�TZ�-- -- ADDRESS ��� !'�x K,L�tC f[� --
PERMIT NO.'S. -���— DATES —L�i-S=!----- CONTRACTORS� -�-�—
C�ty Ordlnance No. 210 raquues M�t each on-cite sewspe treatment system�n Orono be inspected on�requl�r bsus.The onilte pwp�
tnatm�nt ry�Nm�t the�bove�ddress ha been m�pactad�nd app�u�to fsU�nto the cateyory check�d balow.
(Thu ic Ga en esnung systam ❑ new conitructio�l
� � Msett or�xceeds curront Gty standards in all rospects rel�tinp to desiqn,conitrucUon,�nd locabon.Ap{x�n to be o{�r�unq
properly.
� I�f 2 Dces not meet all current Gty slandards tor new construction (1978 Code) but m most respects appnart to be designed,
� �� located, snd co�structed penerally in accordance with previous codes.System appeart to be tuncuomnq properly;no malor
( upgradmq M the system n required at this time.
� (—� 3 Does not meet current Gt� �tandsrds In many respec[s relaUng to des�yn,construcuon,ur IocaUon.Appean�o be op�rat�np
u adeqwtely at t�n uma,but has a relat�vrly high potenhal Irn tuture problems. No ma�or upyrbdmp ot systern n rryuired at
thi.time.
{ � 4 System may or may not mPet cunent C�ty s�a�derds 1or desiyn,conttruction or louuon,but it tmlmp to properly unal and
� d�spose ol the current �nput,and �ti nndangerinp e water supply,or Is s tioures ot polluuon eo surlsce or proundwate��,o� n
; creating e wtaty hazud,or �s otherwise creatmg a public nulsance.Please contact the Gty Inspector to diuuss system rtpeul
� replacement procedures. If draint�eld �eplacement �s necxssary,soil testing w�ll usually be required,and a des�gn and site plen
� must be submrtted for review.Your contractor must obtam a permit betore work is started.
SYSTEM CONDITION (� Checked items may iequue your actlonl
T�nk mspection 1nd�cates: ❑ InspecUon pipe is located dnectly over tank baHle.(Doet not
� Pumpout not needed et this tlme. pive eccurate measurement of tolids accumulation.) If tanks
❑ $ol�d�aCcumulation in tanks indiutes they should be pump� have not been pumped out w�thin the latt three yesrs,they
ed out thit year to hslp provant luture problemi. should be pumped out now.
' ❑ Sol�ds accumul�tion in tanks it �t a cricical level. Tankf Drainfield intpaction Indicetes:
thould be pumped out as Won�s pouible. � Oraintield is dry,no surfeciny ev�dent.
❑ System is diuharqiny to turtece. Tank• must be pumpad ❑ Soms�vidence of surfacinp,not criticsl ytt.
within 48 hours to eliminate surface discharge. ❑ Drainfield it saturated and visiWy duthary�ng untrested
❑ Inspect�on risen miuiny—tanks could not be inspected. eitluent to the surface. This condition may requ�re replece-
Inip�ction ritien (4"dia.plps)mutt bn msta��ed in aech tank ment or addiUont to dnin(ield. Contact the C�ty IntDector
et next pumpout. If tanb h�ve not been pumped out wi[hin immediately.Repsirs mutt be complated withm 90 days.
the last threa years,they should be pumped out now. O Oramtield e■tent snd condition unknown, ,
SITE CHARACTERISTICS.
L�mrting Srte Facto�s PotenUal tor System Fa�lure S�te CaWbdrties lor
❑ Slope (depr.nds o�so�l ty�xrs,water Fuwre Eapans�on
❑ �,i table,and sys�em condit�onl �1 Adaquatr
❑ H�gh water t�de ❑ Low �fa�r
❑ Lot tire bC Mud�um ❑Poor
❑ Lake,wetland,or ftr�am C] H�d� ❑ Inadeqwte
❑ D�am�qe �.�Systarn�s caus�n9 v�siblv
surlacr.discharge.
COMMENTS ------- --- ----� —
— '? � - —__
���A �!�_ — ` � —
Oate ot InsPecUon ut�c Svstem Inspector
N�Ie In the event that th�s ��s{xction repor• is usnd to setis�y the �eqwrnmr.nts toi a mortgage o�other trant�er ol Vroyurty,b�advised that
tMs report tices not guarantee or cerufy that an e■�shng system w�il continue ro func��on Vr�lerly,but�s merely an opin�on ol thr aWsyuacv
oi rhe system under turrent co�d�bons based on the avadable�ntorm�•�on
TMs�eport must be keV�o�i tl�n��iemisrs wi�h eystr.rn iocat�on a�W Vump�ng�ecOrds.
WI�ITE COPY �Ins�cto�'s F��e GOLI)COPY !Homeownr�
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