HomeMy WebLinkAboutseptic info Inspection Report for Subsurface Septic System
PREPARED BY:
�L� �" Chip's Septic Service LLC.
�\" Pernel "Chip" Hentges
x � 16762 Babcock Ave.
��/� r �� Lester Prairie, MN 55354
� � ' 952-2003176
Minnesota Pollution Control Agency Individual Sewage
Treatment System License No. 2064
For:
Peter Eckerline
2555 Fox Street
Orono, MN 55391
This compliance inspection was completed on April 23, 2012. The site has an existing
on-site sewage treatment system consisting of(2) 1000 gallon pre-cast septic tanks, (1)
1000 gallon pump tank, +- 350 feet of rock trenches. The tanks were pumped at the time
of inspection and meet compliance. Owner has indicated that tanks were pumped on a
regular basis.
Under the MPCA's Agency Rules and Standards, Chapter 7080, and the City of Orono
Septic System Ordinance, this system is considered non-conforming and will be required
to be up-gaded within 3 years from the date of inspection. The system failed due to the
lack of separation (3' feet) from the bottom of the rock trenches to the identified seasonal
watertable.
The system is a fully functioning system, and with normal use should have no problem
handling the waste from a single family home until the system is updated within a time
frame of 3 years.
References:
Home Sewage Treatment, University of Minnesota Agriculture Extension Service
Dave Gustavson, Extension Engineer
And
City of OronoSeptic System Ordinance
And
Minnesota Pollution Control Agency Rules and Standards, Chapter 7080
If you should have any questions or need further information, you can contact staff at the
City or me at you convenience.
Sinc
Pernel "Chip"Hentges
. Minnesota Pollution Compliance Inspection Form
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Pa�l,MN 55155-4194 �$$T$�
Doc Type:Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes:
requirements and attached forms—additional local requirements may also apply.
Submit completed form to Local Unit of Government(LUG)and system owner
within 15 days
System Status
System status on date(mm/dd/yyyy): 4/23/2012
� Compliant- Certificate of Compliance � Noncompliant- Notice 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)—Imminent threat to public health and safety
❑ Other Compliance Conditions(Compliance Component#3)—Imminent threat to public hea/th 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
❑ Operating permiUmonitoring plan requirements(Compliance Component #5)—Noncompliant
Property Information Parcel ID#or Sec/Twp/Range: 04-117-23-44-0002
Property address: 2555 Fox Street, Orono, MN 55391 Reason for inspection: Transfer of Title
Property owner: Peter Eckerline _ Owner's phone:
or
Owner's representative: __ Representative phone:
Local regulatory authority: City of Orono _ Regulatory authority phone:
Brief system description: 2 1000 pre-cast se�tic tanks,(1)1000 gal pre-cast pump tank, 350 lin ft of rock trench drainfield.
Comments or recommendations:
System failed due to lack of a seperation from the bottom of the rock trenches to the seasonal water table. The tanks were pumped
and are in compliance.
Certification
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 during system construction,
possible abuse of the system, inadequate maintenance, or future water usage.
Inspector name: Per " ' entges Certification number:
---- -----------------_--
Business name: Chi ' Se tic Se ' e' License number: _2064
-- .
Inspector signature: �.� __ _ Phone number: 952-200-3176
Necessary or Localty Required Attachments
� Soil boring logs �f System/As-built drawing ❑ Forms per local ordinance
❑ Other information(list):
—_ _-------- --------------- —
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wq-wwists4•31 • 1/24/12 Page 1 of 4
� Property address: 2555 Fox Street, Orono, MN 55391 Inspector initials/Date:``��_ Z=� r�'L
1. Impact on PubliC Health —Compliance component#1 of 5
Compliance criteria: Verification method(s):
System discharge sewage to the ❑Yes � No ❑ Searched for surface outlet
round surface. ❑ Searched for seeping in yard/backup in home
System discharge sewage to drain tile ❑Yes � No ❑ Excessive ponding in soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See Comments/Explanation)
System cause sewage backup into ❑Yes � No � �Black soil"above soil dispersal system
dwelling or establishment. ❑ System requires"emergency'pumping
— -- ❑ Performed dye test
Any"yes"answer above indicates the system is
❑ Unable to verify(See Comments/Explanation)
an lmminent Threat to Public Health and Safety.
_ ___ __ ___ ❑ Other methods not listed (See Comments/Explanation)
Comments/Explanation:
2. Tdnk Integrity—Compliance component#2 of 5
Compliance criteria_ _ Verification method(s):
System consists of a seepage pit, I ❑Yes � No � Probed tank(s)bottom
cesspool, drywell, or leaching pit.
❑ Examined construction records
Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form (Attach)
compliant if allowed in local ordinance.
� Observed liquid level below operating depth
Sewage tank(s)leak below their ❑Yes � No � Examined empty(pumped)tanks(s)
designed operating depth.
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil"
— ❑ Unable to verify(See Comments/Explanation)
Any "yes"answer above indicates the
system is Failing to Protect Groundwater. ❑ Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Tanks passed inspection. Recommend to have tanks pumped every 2 years.
3. Other ConlplldnCe COndltiOnS—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* � No p Unknown
b. Other issues(elect�ical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* �No ❑ Unknown
*System is an imminent threat to public hea/th and safety
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes` �No
*System is failing to protect groundwater
Explain:
------- _--- ---------------— ------------
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Property address: 2555 Fox Street, Orono, MN 55391 _ Inspector initials/Date: �,��Z 3 ) Z
4. SOII $epdrdtlOn -Compliance component#4 of 5
Date of installation: 1993 ❑ Unknown Verification method(s):
ShorelandNVellhead protection/Food Beverage �Yes
Lodging't � No Soil observation does not expire. Previous soil
observations by two independent parties are sutficient,
Compliance criteria: unless site conditions have been a/tered or local
requirements differ.
For systems built prior to April 1, 1996, and ❑Yes ❑ No
not/ocated in Shoreland or Wellhead � Conducted soil observation(s)(Attach boring logs)
Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs)
beverage or lodging establishment: i
❑ Not applicable (Holding tank(s),no drainfield)
Drainfield has at least a two-foot vertical I ❑ Unable to venfy(See Comments/Explanation)
separation distance from periodically
saturated soil or bedrock. ❑ Other(See Comments/Explanation)
Non-performance systems built April 1, i ❑Yes � No Comments/Exp/anation:
1996, or later o�for non-performance I
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage, or lodging establishment:
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
"Experimental'; "Other'; or "Performance" ❑Yes ❑ No IndiCate depths of elevations
systems built under pre-2008 Ru/es; Type IV
or V systems built under 2008 Ru/es(7080. 24-30 inches
2350 or 7080.2400 (Advanced Inspector A. Bottom of distribution media from surface
License required) � 42 inches from
Drainfield meets the designed vertical B. Periodicall saturated soil/bedrock surface ___
separation distance from periodically less than 16
saturated soil or bedrock. C. System separation inches
� __ D. Required compliance separation' � 36 inChes
AI1y "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local
Failing to Protect Groundwater. Ordinance.
5. Operating Permit and Nitrogen BMP*— Compliance component#5 of 5 ❑ Not applicable
Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required
Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required
BMP=Best Management Practice(s)specified in the system design
lf the answer to both questions is "no", this section does not need to be completed.
Compliance criteria
a. Operating Permit number: - ❑Yes ❑ No
Have the Operating Permit re uirements been met?
__b__Is the reguired nitrogen BMP in�lace and_�r�e�functionin ? ❑Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stat. §115.55)An imminent threat to public health and safety(ITPHS)must be upgraded,replaced,or its use
discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect
ground water,the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance. If an existing system
is not failing as defined in law,and has at least two feet of design soil separation, then the system need not be upgraded,repaired,replaced, or
- - - - -.. -- -- ------- __ .__- —- --- --... _ ____ _---- -.___- --_ __ _ _ __---------____
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
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U of MN Onsite Sewage Treatment Program Soil Boring Log -,
Clientl Address: Legal Description/GPS: Date:
�S��S �x s�tc� Q/�o S a - 1
�. �/Z��`�
Soil Parent Material(s) Ti Outwash Lacustrine Alluvium Loess Organic Matter Bedrock
(circle all that app y
Landscape Position: Summit S er Back/Side Slope Foot Slope Toe Slope
(circle one)
Vegetation: Soil Survey Map Unit(s): Slope(%):
�jraa3 Les� � `z
Weather conditions/Time of Day: Slope Shape:
Saturated Soil
Depth(in) Texture Matrix Mottle Redox Indicator(s) I--------------Structure--------------I
Color(s) Color(s) Kind(s) (see back) Sha e Grade Consistence
Granular We� Loose
COnCentr3tlonS P�atY Moderate Friable
Depletions Pr�ma ic Strong Firm
GIe ed Loose Extremely Firm
� � � �(>�'1 /� �� �.� Y SingteGra�n
� �� Massrve Rigid
Granular WeyJ� Loose
Concentrations P�a�' Moderate Friable
Blocky
/ �� s Depletions Strong Fim� �
� ,j� Prismatic Loose Extremely Firm
Z� � �. Gleyed Single Grain
Massive Rigid
� Granular Weak Loose
Concentrations P�a�' Moderate Friable
Blocky
?�` �3 C� � Depletions Strong Fim�
L. �/ � Gle ed Prismatic Loose Extremely Firm
.Z Y Single Grain
Massive Rigid
Granular Weak Loose
Concentrations P�ary Moderace Friable
Blocky
�Z /� /��� Depleti0ns Prismatic Strong Fimi y
� `/Z �- Gle ed Loose Extremel Firm
y Single Grain
Massrve Rigid
Granular Weak Lovse
��� onCentratio P�a�' Moderate Friable
' S B1oc1c�' Strong Firm
/ Prismat�c
�� � Cs� �� � � Gleyed Single Grain Loose Extremely Firm
Massive Rigid
Granular Weak Loose
Concentrations p�ah' Moderate Friable ,
B�OC�' Stron Firm
Depletions Prismatic Loos e Extremely Firm
Gleyed Single Grain Rigid
Massive
Comments: �l�% C� �� �� '.P- �C��� €�� �'i�f�c��.�, � �� �Q � �"T� r°��)�.
/'�.1�t � ..�C�"f-<�3a� ��z�an ,,,,,�'c���'
Chip's Septic Service, LLC
Maintenance/Pumping Report
�
DatP SPrvi�P�l• �����`� I� Driver: ���
��,l� 5��
Residential � Commercial Start: Finish �
Type of Service: Regular Maintenance: /� Emergency:
Name: ��'���=���i�1'E'� Phone: ___
t'� � `.
Address: ��J> ����� City,State, Zip: Qf�►��
Gallon Pumped: Tank #1:__�_�t,�_ Tank #2: �_�(�._ Pump Tank:� Total:. .���l�
Access used for pumpin Manhole Standpipe (Explanation):
Tank Condition: �ty�'.:�� Evidence of problems: fi��
Comments:
Disposal Location:�ln�i��'�$��
��
Waste type: Dom�t c Holding Tank
Next recommended pumping date: z� � y�l��-
Chip's Septic Service, LLC
Designs, Inspections dz Maintenance Billin� Information:
Pernel "Chip" Hentges Pumping:
16762 Babcock Avenue Exposing Manholes
Excessive Distance
Lester Prairie, MN. 55354 Excessive Grade
#952.200.3176 Materials:
Fax #320.395.5825 Labor:
MPCA License No. 2064
Total Due:
"The G'uy� rn �he B.tg Yello w Truck"
__...
� �
i; � � '`..
CI�'Y of UIZOl��
� �� I' Municipal Offices
Stree4 Address: Mailing Address:
���,�� p�'�G 2150 Kelley Parkway P.O, Boz 66
�Tr1
Orono, MN 55356 Crystal Bay, MN 55323�0066
To: The Cun�ent Owner of Address � S S 5 �p �
City Ordinance requires that onsite sewage treatment systems in Orono be
inspected on a periodic basis. The onsite sewa�e treatment system at the above
address has been inspected and the followin� is knotivn 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 brought into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
le�al action.
System Identificd as l�Ton-Compliant
Yes �No
If yes, system must be brouQht into compliance by:
December 31, 2007
December 31, 2010
ather
Septic 'I'ank(s) Pump out Needed
'Yes �
IiT o
The City recommends the septic tank(s) and/or lift tanl: be serviced and pumped
o�.tt everv three years. City records indicate the tanl:(s) were last pumped out on
� ��- �� . The tanl:(s) should be cleaned through the manhole and
not tlu•ouah the inspection pipes, this allo�vs for proper cleanina.
Comments:
�
Izlspecto� � ����/� Date of Inspection `/ '"� �
Tlele�ho�a� (��?) 2;�-=�6�� � F�ax (�9�Z) '��-��Il�,
sw��3�.ci.�_^o�o.r:�a.as
CERTIFICArI'E OF INSPECrI�ION
ACCORDING TO MPCA 7080
ORONO BUILDING & ZONING DEPARTMENT
2750 Kelley Parkway
P.O. Box 66
Crystal Bay, MN 55323
This certificate has been issued this 4`" day of September 2012, to certify compliance with
provisions of the Orono Municipal Code and Minnesota Rules Chapter 7080, regulating
installation of individual sewage treatinent systems.
Owner: John & Ashton Grudnowski Site Address: 2555 Fox Street
P.I.D.: 04-117-23-44-0002 Permit #: 2012-00465
Installer: George's Excavating
Com liance Officer: ����G �<�.�/�
P �w
data/forms/blank cerl of inspection MPCA 7080
�%'_��
ii/� O� ��
i;'� `.,\ . .
I��'i���O O �\�',1���
�� � '���� CITY of ORONO
''''', ►� '� r''`'J`' � 'i
�` .',�� � �� `��I � � ,�ti/� Municipal Offices
�'�' G � Street Address: �15c�.-a�}9-y 6o O
�� "' , ' �y . Mailing Address:
kE$H�4 2750 Kelley Parkway P.O. Box 66
` --- -�""�" Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: as S �j �—c%� �-}��
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 whicli 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 separation requirement or rivo foot requirement for systems installed 1996 or earlier,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-year 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 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 characteristics.
TANK CONDITION(5-7): ��
inspection indicates:
5 Pumpout not needed at this time.
Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped a-'�—(>�`� ).
Make sure septic tanks are pumped through manhole and not through white inspection pipes This allows for the aroper
cleanin�. Keep water softner and iron filter dischar�e out of septic svstem to prolone life of drainfield Ask pumper to test
alarm float to verifv alarm is still working in your house. The alarm warns owner that septa2e 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.
D 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: DLP'�•��'-��' �' S �� �'��. �'qnkS `0��� C�I`
� �-� -G� `� 1"�C�� �
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.
i�� �
� ''�`� �iT�� O� ��►��
' � '_: �!;
� �; � �� ' Municipal Offices
Sfireet Address: Mailing Address:
��� �'�� 2150 Kelley Parkway P.O. Boz 66
�E���
Orono, MN 55356 Crystal Bay, MN 55323�0066
To: The Cun•ent Owner of Address
o? S S 5� i—o x-
City Ordinance requires that onsite se�va�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 followin� is known about the system. A
sl:etch of the known components of the system is available for most properties at
the Orono City Hall.
Imminent Public Health 'I'hreat
4'es �
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 brought into compliance
within 90 days, Failure to do so will result in referral to the City Attonley for
legal action,
Syste� Identifi�d as Nan-Compliant
Yes �No
If yes, system must be brouaht into compliance by:
�ecember 31, 2007 �
December 31, 2010
athe�-
Septic Tank(s) Pumg� out 1�eedec�
'Yes �
l�Ta
The City- recommends the septic tai�l<(s) and�'or lift tanl: be serviced and pumped
n�.lt �ver.y three years. Citv records indicate the tanlc(s) were last pumped out on
y� _�.�— �--1 . The tanl:(s) should be cleaned tlu•ouah the manhole and
ri0t tlll'OLlah the inspection pipes. this allo�vs for proper cleanina.
Comrnents:
��
� i �� �- � �� � �h %
Insn�c:o;'�����..Y�. �Y ��, �ate o*In=P�C�1�n r �-' �'
_�i:Di�1J;: ('��+�) � :S's•���;� ' _�.. (i�'9� l_jCi.a't7_�n�
•,o;�,�,�.r�.�-c��.rn-.�s
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=r`,:,'.�,.:� ���� �O
,� �;������r� ,� of �]E�O
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.,, �,-.��,;�_��' ti
�''��,.�;D��}�j- ,� �'ti biunicipal offices �;
�'���`�x��,�h� Str�et Address:
- E'S�I 2150 IS�IIey Parkway Mailing Addressc
,�� .r,ti�g'
Orono, MN 55356 P.O. Box 66
95a-�49-y600 Crystal Bay, MN 55323-0066
To Current Owner: Address: a S 5 S �pX ST._
City Ordinance 199 requires that each existin�on-site sewa�e treatment system in Orono be inspected every two years.
The on-site sewa�e treatment system at the above address has been inspected and appears to falI into the categories checked below.
SYSTEM CONFORNSITY 1-3 : �
1 "CODE SYSTEM" An ISTS which mcets all the location,design and construction standards of tha current Orono Municipal Code.
2 "CO�IPLIANT SYSTEM" An ISTS which does not meet all the►ocation,dcsian and construction standards of the cuacnt Orono hiunicipal
Code but does mect the three foot scparation rcquirement or two foot requircment for systems installed 1996 or earlier,ar:d which is not failing or
an imminent threat to public health or safcty.
3 "NON-CO�IPLIANT SYSTENi" A prohibited ISTS;an iSTS located within a designatcd 100-year flood plain,any ISTS which may
or may not meet all the location,dasion,or conswction standazds of t}�e current Orono biunicipal Codc and which is failing for any rtason;and
any ISTS with lcss than thrce fcet of unsaturaccd soil or sand bctween the distribution device and thc limitino soil charactcristia.
TAIv'K CONDITTON(�-:7): � _
T inspection indicates:
��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 years.
Tank was last pumped `3"1`�- OO ).
Nlake sure septic tanks are pumped throuoh manhole and not throu;h�vhite insoection nipes
This a11o«�s for the proper cleaning.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
�
DR4INFIELD CONDITION -tQ�: �
8 Drainfield is dry,no surfacin�evident.
9 Some evidence of surfacin„not critical yet. �
10 Drainfield is saturated and visibly dischargin�untreated effluen[to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COti1►1�NTS: SJ«.:��-c1� c,�� r��kS �o�iL C`�t - � �-'�Q Se� t,-�.
�-�.�..\�� s�ZXr S.;�—r���
� -� -�a.. ��� l�
Date of Inspcction I�fati Bolterman— Septic Systcm Inspector
No�e: ln tl:e event that this inspection report is used to satisfy thc rcquiremcnts for a mortpaae or other trarufer of properry,be advised that this rcgort does not guaranc��
or ccrtify that an eristing system wili continue to funcdon properly,but is merely an opinion ofthe adequary ofthe system tmdercurrent conditionsbased on the availabic
in;or.nation.
� _ _ -
�
O�
�� � �\
�� - �� �� � CITY of ORON4
,�, , �f ��•- � � ';
r�, � ;y �!S �' Municipal Offices
�� �� ������.��%' Street Address: Mailing Address:
`91fEggOg'� 2750 Keiley Parkway P.O. Box 66
-- -- � Orono, MN 55356 Crystal Bay, MN 55323•0066
May 16, 2000
Pete & Martha Eckerline
2555 Fox Street
Wayzata, Mn 55391
Dear Mr. & Mrs. Eckerline:
An inspection of your septic system was conducted on May 8, 2000. A summary of the inspection
is below.
Septic Tank Condition
1. Pumpout needed within one year (last pumpout date unknown).
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 advised that this report does no guarantee or certify the esisting 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.omno.mn.us
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� � ��� �� CITY of ORONU
� ��, �.� ��
�,� ,�� _�� � �,
,v�„ ��`�; ��f j� �ti Municipal Offices
�.��' 1;��1,,�'�"��.�G Street Address: Mailing Address:
k'EaKo 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ��� ,����`���� Address: 2555 Fox St.
Permit #'s: 4721 Dates: 12/9/92 Contractors: Clovar 8i11 Co.
(This is [x] 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 saturated soil level [�] has or [ ] has not been identified at this time. If the
saturated soil leval has not been identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 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.
O 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 Maintenance Pumpout the tanks [ ) wara or [�] were not confirmed
to be watartight by the licensed pumping contractor. If tha tanks were not confirmed to be �
watartight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 11
1 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:
q�� � �
Date of Inspection Sep ic 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 � � ON—SITE SEWAGE TREATMENT
r�` �, INSPECTION REPORT
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�kEsHo4'�
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Owner• �/�Ji Il 1�71�'� �Ti�� Address• ��,� T�}3.1� �T,'
Permit #'s: � Dates: /,�.~ /�-/nZ Contractors: C-�/l�►� /II/� [.(�•
City ordinance rnmiber 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
7he on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is b�]-.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
uithout 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 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): �'
T�I�, inspection indicates:
(5/ 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. Tanks must be pixnped 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 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 punped out within the last three years, they should be pumped out now.
DRA[NFIELD CONDITION (11-14):
D field inspection indicates:
Drainfield is dry, no surfacing evident.
12 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 ep ic 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 witl 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 pre�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 Offite Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
,� � INSPECTION REPORT
ti
���kEsHo�'�G
�^ /� � �'''
Owner: G� t'—'r'Ke��%'1� Address: ���— J`�C�X ���
Permit �'s: �7�,� Dates: ��— /�n2 Contractors: ��D�o'✓ �1/l[A,
City ordinance number 100 requires that each on-site seuage 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 �neu construction)
SYSTEM CONFORMITY (t-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
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
betueen the distribution device and the limiting sotl characteristics.
(7he limiting soil characteristic �has or [ ] has not been identified at this time. [f the limiting soil
characteristic has not been identi ied, this classification may be subject to revision.)
TANK CONDITION (5-10): �
T,ar�c inspection indicates:
(� Pumpout not needeci at this time.
6 Solids accumutation in tanks indicates they should be p d out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tan s should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pu�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 purt�out. !f tanks have not been pumped out uithin 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 p�xnped out within the last three years, they should be pumped out now. �
DRAINFIELD CONDITION (11-14):
Dr nfield inspection indicates:
� Drainfie[d 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 S1TE FACTORS (slope,setbacks,etc.):
POTEN7IAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �-����
COMMENTS:
Date of Inspection S ptic Sy tem 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 pre�nises uith the system locetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner