The URL can be used to link to this page

Home My WebLink Aboutseptic info � y� � �� '` , � � _ �. ,;,� � �', 2/25/02 Water/Wastewater-ISTS4.31 �� Compliance Inspection Form for Existing �■�K Individual Sewage Treatment Systems Minnesota Pollution v Control Agency Completion of thrs form fulfills the minimal requirements of Minn. Stat. § 115.55 (2001)and Minnesota R, ch. 7080(1999). Please refer to local ordinances for other requirements or information, especially for compliance requirements for bedroom additions. General: Date of Inspection: %� '�'�'`� Reason for inspection: ,�� 1�v Property Owner(s) �1 e�t nll.? �,'.1�"�S��n.` Telephone (G;I� ��'� ��y7 � Person requesting inspection _ �� c Telephone ( ) Site Address I�( �-� ��x �"� City Zip Code Fire No./ Parcel No. County N��=`�� Township �-��<-�'��n Legal Description Local Regulatory Authority Uate system constructed /�•��/ ^ �5 System in Shoreland Area: esy no System in Wellhead Protection Area: yes n�.r System serving a MDH licensed facility: yes �Local Permit# (if any) Systems built prior to April 1, 1996 and not located in Systems located in Shoreland or Wellhead Protection Shoreland or Wellhead Protection Area or Serving a Food, Areas or Serving a Food, Beverage or Lodging Beverage or Lodging Establishment Establishment, or systems Built after March 31 1996 Is the system an imminent threat to public health or Is the system an imminent threat to pubiic heai'th safe ? (a yes answer�s an ITPHS system) or safety? (a yes an.swer is an ITPHS system) - Discharge of sewage to the ground surface? YES NO'� -Discharge of sewage to the ground surface? YES NO - Discharge of sewage to draintile or surface waters? YES N� -Discharge of sewage to draintile or surFace waters?YES NO - Sewage backup into dwelling? YES N0, -Sewage backup into dwelling? YES NO - Situation with the potential to immediately and -Situation with the potential to immediately and adversely impact or threaten public health or adversely impact or threaten pubfic health or safety? YES J0 safety? YES NO Is the svstem failin4? (a yes answer is a failing system) Is the svstem failing? (a yes answer is a failing system) - Less than TWO feet of vertical separation between -Less than THREE feet of vertical separation between system bottom and saturated soil or bedrock? YES NO system bottom and saturated soil or bedrock? YES NO -A seepage pit, cesspool, drywell, or leaching pit? YES � -A seepage pit,cesspool,drywell, or leaching pit? YES NO Is the svstem non-compliant? Is the system non-compliant? - Is the system regulated under a monitoring plan or - Is the system regulated under a monitoring plan or operating permit? (if no, go to page 2) YES � operating permit? (if no, go to page 2) YES NO If yes, If yes, - Has the required monitoring taken place? YES NO - Has the required monitoring taken place? YES NO (!f no, the system is non-complying) (!f no, the system rs non-comp/ying) - Does the monitoring indicate that the system meets - Does the monitoring indicate that the system meets performance expectations? YES NO performance expectations? YES NO (If no, the system is non-complying) (!f nq the system is non-complying) Page 1 of 2 wq-wwists4.31 ' � .�-- i Property Owner(s)_ -J�'` �.'ti��c C�� ^ r.-� Fire No./ Parcel No. _........ _.. _.. .._.. __... _........ .__....... .... .._.. _..._...... Svstem Components (P/ease describe the system components and attach site sketch showing system locatron): � — /e�-z�' � �'t-C `7'a-� L�t I — J c� �aX �-�� ,h c--z , /c�c� <� �y��,��'�L1 What methods were used to make the determinations for the compliance inspection� (Note:No standardprotoco/exists. The fol%wing list is not exhaustive, or in sequential order no�indicates which combinations may necessary to make a dete�mination) Watertight tank(s) Hydraulic Functioning Vertical Separation Distance �Q Probed tank bottom ,� Searched for surface outlet I� Conducted soil borings �( Observed low liquid level ❑ Performed hydraulic test Depth to limiting layer �� S� � Examined const. records jtl. Searched for seeping in yard Depth to system bottom � ' L� Examined empty(pumped)tank � Checked for back-up in home �( Examined records ❑ Probed outside tank for"black soil" � Excessive ponding in soil system/D-boxes ❑ LGU Limiting Layer Verification ❑ Pressure/vacuum check � Homeowner testimony ❑ Other o Other � Examined for surging in tank ❑ "Black soil"above soil system ❑ Other Status of the svstem Based on the compliance criteria, the system status is: (check one) f�l.failing (to protect groundwater) ❑ an imminent threat to public health or safety (ITPHS), ❑ non-compliant (monitoring issue) ❑ compliant(none of the 3 previous conditions). Therefore, this document is a: ❑ Certifcate of Compliance C�Notice of Noncompliance Is this system an EPA Class V Injection Well? ❑ yes � no Certification I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qualified Employee Inspector and/or Qualified Employee Designer I that I conducted an investigation that accurately determined the compliance status of this system and that my recorded observations are accurate as of this date. No determination of future hydraulic perfiormance has been nor can be made due to unknown c�nditions during system construction, abuse of the system, inadequate maintenance, or future water usage. n 1 Inspector's name(print) L_7c ��;�Q ��.P�1,,�,y.,[f Phone "7 �° �3 --�'79 -- /S�/ � License and/or Registration Number '��^ Address Employed by � C�� -C_ Address 9 � �� si nature �ate ll� -' ,.S`° � Upqrade Requirements (derived from Minnesota Statutes§115.55) An 1TPHS must be upgraded, rep/aced, or its use discontinued within ten months of receipt of this notice or within a shorter period rf �equired by local ordinance. If the system fails to p�ovide su�cient groundwater protection, then tfie system must be upgraded, replaced, o�rts use discontinued within the trme requi�ed by ru/e o�the local ordinance. If an existing system!s nnt failing as defined in law,and has at/east hvo feet of design soi/separation, then the system need not be upgraded, repaired, replaced, o�its use discontinued, nohvithstanding any local ordinance that is mo�e st�ict. This does not apply to systems in shore/and areas, wellhead p�otection areas, or those used rn connection with food, beve�age, and lodging establishments as defined rn law. SuqQested Attachments 1) Site sketch could also include: well, well setback to system, dwelling or other buildings, tank(s),reserved soil treatment area, surface water and soil boring locations. Include as-built drawing if available. 2) Soil boring logs, showing each horizon. Indicate the texture, color, redoximorphic features depth to bedrock, standing water and whether the material is fill. 3) A list of any and all requirements of the local ordinance that are different from the state requirements referred to on this form. 4) A homeowner survey of system performance, signed by the homeowner as being factual. 51 Monitoring data as appropriate. Page 2 of 2 / � ';'� C I��' o� O�t N � � - ��; � Municipal Offices '�,� `l �,�c�, Streef Address: Mailing Address: ��:�pi�� 2750 Kelley Parkway P.O. Boz 66 - - Orono, MN 55356 Crystal Bay, MN 55323�0066 To: The Cun�ent Owner of Address � � � � �� X City Ordinance requires that onsite sewage treatment systeins in Orono be inspected on a periodic basis. The onsite sewage treatment system at the above address has been inspected and the followin� is known about the system. A sketch of the known components of the system is a�ailable for most properties at the Orono City Hall. Imminent Public Healtih 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 brouQht into compliance within 90 days. Failure to do so will result in referral to the City Attorney for legal action. �ys7e� Yden�ifieu' as I�Tar-�or.:plia�t YTeS � NO If yes, system must be brouaht into compliance by: December 31, 2007 y December 31, 2010 ather Septic 'Tank Pucnp oc�t Needed Yes l�T a The City recommends the septic tanl:(s) and/or lift tanl� be serviced and punlped out �ver,y three years. City records indicate the tanl:(s) were last pumped out on i � � 3 f �o( . The tanl:(s) should be cleaned tl�rouQh the manhole and not tlu-ough the inspection pipes, this allows for proper cleanin�. Comments: P Inspe Date of Inspection �/ � d� '�'elep�o�� 195�) ?��-w6�� ; (9�2) ?�•�-�hIl� S°��Y 35'.C Z.4D 2'O S10.I�3 Zli.4d'S �-- \ .�O��, ;!� �` i', ,O O I�I� { .�."'y''.r .,. �'y 'I i�l C I�Y of ORO�O � �� , '�;�� Municipal Offices � � '�� G'� Street Address: �i 5a.-a4 q-�60 � Mailing Address: l9 , '¢�. x'�KO 2750 Kelley Parkway P.O. Box 66 - -= Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: I��`s ��` 5 fi, 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. YSTEM CONFORMITY (1-3): � ] "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 construction standards of the current Orono Municipal Code but does meet the three foot sepazation requirement or two foot requirement for systems installed 1996 or eazlier,and which is not failing or an imminent 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 standards of the current Orono Municipal Code and which is faffing for any reason;and any ISTS with less than three feet of unsaturated soil or sand beriveen the distribution device and the lirniting soil characteristics. TANK CONDITION(5-7): � �nk 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 �C'��'C ` ). Make sure septic tanks are pumped through manhole and not throueh white inspection pipes. This allows for the proper cleaning. Keep water softner and iron filter dischar�e out of septic system to prolong life of drainfield. Ask pumper to test alarm float to verifv 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 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. INFIELD CONDITION 8-10 : � 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: �(�;��:ei� I o�K-S OI� � �u�� St�}-L fi-�,�kS S,�._�« �--o c S . �—�.7-� U� �o� �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 ��:��.�� ,, CITY of OR4N0 � ..r:�. '� y1 �� ni�in E„ '� � � • " MunkS of�ices _ `� � �,� �= ,•11�r �j'ti P� t-.-- � �y;};�;�g�, � Street Address: Mailtng Addreu: . �ES�I� 2750 Kelley ParkwaY P.O. Bax 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 . 95d-�4q-4600 To Current Owner: Address: 1 q a s FOX ST-- Ciry Ordinance 199 requires tllat each existin�on-site sewa�e treatment system in Orono be inspected every two yeazs. The on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below. SYS'I'EM CONFORMITY (1-3): � 1Q"CODE SYSTEM"M ISTS which meets all the locadon,design and consuvction standazds of the current Orono Municipal Cade. 2 "COMPLIANT SYSTEM" An ISTS which daes not mect all the location,design and construction standards of the eunent Orono Municipal Code but does meet the tfuee foot stparadon requirement or two foot rcquircment for rystems installed 1996 or earlier,and which is not failing or an imminrnt threat to public health or safery. 3 "NON-COMPLIANT SYST'EM" A prohibited ISTS;an ISTS located within a daignated 100-year flood plain,any ISTS which may or may not meet all the location,design,or conswction standards of t�e current Orono Municipal Code and which is fa�'ting for any reason;and any ISTS with less than three feet of unsatunted soil or sand beRvicen the distribution device and the limidnD soil eharactcrisda. TANK CONDITION(5-:7�: � Tank inspection indicates: . o5 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 yean. Tank was last pumped 1 U- 1-01 ). � Make sure septic tanks are pumped through manhole and not through white inspection aipes. This allo�cs for the proper cleaning. 7 Inspection risers missing tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. DRAINFIELD CONDITION -�Q : ,� 8 Drainfield is dry,no surfacina evident. 9 Some evidence of surfacing,not critical yet. � 10 Drainfield'u saturated and visibty discharging untreated ef�luent to the surface. Contact the City Inspector � immediately.Repain must be completed within 90 days. - COl�i1�NTS: ��``:^�YI� �� Sep�-.-� fiG�kS loo� 0�'._ � ,6 0� �� Date of Inspection Matt Bolterman- Septic System Inspector Note: in the event that this inspection rcport�uud W satisfy the rcquirements fo�a martgagc or other transferofproperry.be advised thai this rcport dou not guarancee orcertify that an eristing system will continue to tuncdon properly,but is mercty an apinion ofthe adequary ofthe system undercurrenteonditions based on the available information. -o � „ � � �o o�� CITY of ORONO �, r�' �ti;; M�;�� ot�� ,��:�G Street Address: Mailing Addross: ��- 9$EggO�'.� 2750 Kelley Parkway P.O. Box 66 — Orono, MN 55356 Crystal Bay, MN 55323•0066 May 16, 2000 Peter Watson Joanne Ashdown 1925 Fox Street Wayzata, Mn 55391 Dear Mr. Watson& Ms. Joanne Ashdown: An inspection of your septic system was conducted on May 5, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout needed within one year (last pumpout date 10/14/91). 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 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 ectfully, � �� is Pence On-Site Systems Manager Enclosures In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be ad��sed that this report does no guarantee or certify the ezisting 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 'I'� �,�'��j�� ,� !i C ITY of ORONO � A�� ;. � . � � �', � �,, �� ,� Mumcipal Offices rr`,,�✓-,�'�`�� '�' I� ,�<'j �� G •t9 r;`s},��¢.� Street Address: Mailing Address: $'EggO 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: / � ��.J� Address: 1925 Fox St. Permit #'s: 8153 Dates: SO/29/85 Contractors: Widmer Bros. (This is [�] an existing system [ ] new construction) . �STEM 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 level [�] has or ( ] has not been identified at this time. If the saturated soil level has not'�been identifiad, this classification is subject to ravision.) 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. (During the last septic tank Maintenanca Pumpout tha tanks [ J were or [�] were not confirmed to be watertiQht by the licensed pumpinQ contractor. If tha tanks ware not confirmed to be watartight, this classification is subject to revision.) D INFIELD CONDITION (11-14) : 11 Drainfield is dry, no surfacing evident. 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: �'�59� � Date of Inspection S ptic 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 eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT � � INSPECTION REPORT �' G~ �9kEsHo4'� , Owner: � � I.t/�^ Address: t� I -,, �.>.._. �� - Permit #'s: -�� Dates:_/(��'��5� 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 fatl into the category checked below. (This is fly_ 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 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 SYSTEM"-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 uhich 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 betueen the distribution device and the limiting soil characteristics. (The limiting soil characteristic _j�- 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): T inspection indicates: 5 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 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 uithin 48 hours to eliminate surface dischar�e. 9 Inspection risers missing-tanks could not be inspected. [nspection risers (4" dia. pipe) must be installed tn each tank at next purtipout. 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 pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): D�field inspection indicates: 1 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 [nspector 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,uater table,etc.): J7y� COMMENTS: l�\1 � Date of Inspection e 'c System Ins ector 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 uill 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 prF�nises with 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 Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT r�,. � INSPECTION REPORT 'C�� G~ �kESH�4� Owner: G,.A�3G)'\�.S�y�(�tn/V\ Address: /�i�'S r��C � Permit #'s: �J_� Dates:_ 1�p� !'OJ Contractors:��j��i� ��. City ordinance nimiber 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 CONFORM[TY (1-3): � 1 "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 waters. 2 "CONFORMING SYSTEM"-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 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 uith 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�n�c inspection indicates: (,� 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 p�nped 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 pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): Dr nfield inspection indicates: 1 Drainfield is dry, no surfacing evident. 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 FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): � �o ENTS: —✓�r Y��r• � ,r r ' � ��l r 3-7.�57, 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 tnformatton. This report must be kept on the prE�nises with the system locatien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore of Lakc Misznetorzkn ON-SITE SEWAGE TREATMENT INSPECTION REPORT ! POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 OWNER �7ClP✓ lN�t�SDY� �-- �f3'GIY;117' ��h�lo�.iY�4DDRESS [ ��5 �� Lr' PERMIT NO.'S. �/S� DATES �� d` ly �S CONTRACTORS I�11� Y � �4'�: City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage treatment system at the above address has been inspected a�d 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;�o 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 nuisa�ce.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 Drain ield 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 conditio�) �Adequate ❑ High water table � Low ❑ Fair ❑ Lot size ❑ Medium O Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: ��/��(Q � —�— Date of Inspection ptic 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