HomeMy WebLinkAboutseptic info CITY OF ORONO Date
ADDRESS � Connected to
CODE SEPTIC SYSTEM INVENTORY C Municipal Sewer
Address �- �� � � � '— �J�- � WELL DATA
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System type ❑ Other Legal riptio - �� � �/' �
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Permit No. " Date of per it taller 7 �� XI O
No. B ro ms arbage d I
Building type /nE.ji DE�t'c� or GP t Lau ry )( D' washer Disp al �
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SEPTIC TANKS: Material �" C C � Ca ci 1) C� ^ U *' 2) ° � - �o
S%Aci� CK � � � d
Proper outlet and inlet Baffles Liquid dept t RO vel �� — �� � •'- �n
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Height of tank bottom above water table Distance o nearest bu din �� 1' N m eU �.,,�
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DRAINFIELD: Total length of lines Numb�of n ren h width _
Total treatment area(sq.ft,) Height o rainfiel above at table � � v � t��
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Type of filter material Soil � �%' ^• �
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Distance from nearest bldg. Tile s ze Perc ate min/in ° Q ,��, c
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Depth of fill over drainfield De th of rock o e under tile � n " " �
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INSPECTION RECORD PUMPOUT RECORD ��� SKE CH
DATE COMPLIANCE DATE GALLONS
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Include:�1) Well focation /�
21\Distance from house to
septic tanks,dist.box,
an�S,drainfiel�
C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) NortF�arrow and road_
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-yy����� CITY of �RONO
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� ��'�''`���I-��h G � Street Address:
'� g,'`Y Mailing Address:
�Eg�I�iO 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
95d-�49-4600
To Current Owner: Address: ab�� F�X s�-
City Ordinance 199 requires that each existin�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): �
( 1 J"CODE SYSTEM"An ISTS which mects 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 conswction standazds of the cunent Orono hiunicipa!
Code but does mect the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or
an imminent thrcat 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 Icss than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-.7�: b
Tank inspection indicates:
� Pumpout not needed at this time.
Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped V�k�IIw� �.
Nlake sure septic tanks are pumped throu�h manhole and not throuEh white inspection pipes.
This allows for the proper cleaning.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION[$-�Q�: �
O8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacin�,not critical yet.
10 Drainfield is saturated and visibly dischargin�untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
C0v1MENTS: S �rSfic� l0�'�5 oK -_ �u�^� fi"�,�I<� }a �X1��� � ��
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Date of Inspection Matt Bolterman- Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requiremcnts for a mortDaae or ather transfer of property,be advised that this nport does not guarantee
or certify that an eristing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the availabie
information.
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CI�'Y of �.1RO1�T�
� �� , � ��, , Municipal Offices
Stree4 Address: Mailing Address:
���9 p��G 2150 Kelley Parkway P.O. Boz 66
�E�TrI
- Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Cun�ent Owner of Address � � .�-� �C` �
City Ordinance requires that onsite sewabe treatment systems in Orono be
inspected on a periodic basis. The onsite sewage treatment system at the above
address has been inspected and the following is known 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 brouQht into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identified as Non-�ompliant
1'es �
No
If yes, system must be brotibht into compliance by:
December 31, 2007
December 31, 2010 '
ather
Septic 'I'an�k ump out Needed
'�'es
l,To
The City recommends the septic tank(s) and/or lift tai-il: be serviced and pumped
out ev�ry three years. Cit�� records indicate the tanl:(s) were last pumped out on
( �- �2� - C'� . The tanl:(s) should be cleaned throu�h the manhole and
not tlu•ough the inspection pipes, tlzis allo���s for proper cleanina.
Comments:
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Inspec!�E+!��_� Date of Inspection _/ � � � .
7�e1e��o�� (��2) 2=i9-�6��? � ��� (9�2) '�9-?�r�i�
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;,, ;,,;,. ,� CITY of ORONO
� !4 Municipal Offices
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�,� � � �G~ ' Street Address: MailinQ Addross:
`�1fEgg0�',, 2750 Kelley Parkway P.O. Box 66
'" "� Orono, MN 55356 Crystal Bay, MN 55323-0066
May 16, 2000
David E. Peterson
2625 Fox Street
Wayzata, Mn 55391
Dear NIr. Peterson:
An inspection of your septic system was conducted on May 9, 2000. A summary of the inspection
is below.
Septic Tank Condition
1. Pumpout not needed at this time.
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.
R ectfu ,
` ���
Chris 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 propert�,
be advised that this report does no guarantee or certify the existing system will continue to function properly,but
is merel�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
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� � �� � C ITY of ORONO
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��'�'�`�`?ti �a�4.�G Street Address: Mailing Add�ess:
kESHO 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
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Owner: �1��� ��-LJ/ \ Address: 2625 Fox St.
Permit #'s: 4974 Dates: 2/26/93 Contractors: Ritter Exc.
(This is [� an existing system [ ] new construction) .
SYSTEM COMFLIANCE (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 [x ] has or [ ] has not baen identified at this time. If the
saturated soil level has not been idantified, this classification is subjact 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.
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 Maintanance Pumpout the tanks [ ] were or [x] wera not confirmed
to be watertight by the licensed pumping contractor. If the tanks wera not confirmed to be
watertight, this classification is subject to ravision.)
D INFIELD CONDITION (11-14) : 11
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:
/ �� r
Date of Inspection S tic 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 bb
Crystal Bay, MN 55323-0066 a � ON–SITE SEWAGE TREATMENT
r�,, � INSPECTION REPORT
'C�� G~
�kEsHo�'�
Owner: �✓�, ���'„��L��'�`� Address: �o�� ��x �/.•
�
Permit �'s: Dates: c�r �" /� Contractors: /V 71,��r� /X C.•
City ordinance rnmiber 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatme�t system at the above address has been inspected and appears to fall into the category
checked belou.
(This is [ 7 an existing system �new construction)
SYSTEM CONFORMITY (1-3):
t� "CODE SYSTEM"-A s stem which meets all 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
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 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 SYS7EM"-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 identifie , this classification may be subject to revision.)
TANK CONDITION (5-10): �
T� inspection indicates:
Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pun�ped 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. 7anks 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 p�xnped
out now.
10 [nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
!f tanks have not been punped out within the last three years, they should be pumped out nou.
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
�Drainfield is dry, no surfacing evident.
2 Some evide�ce 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,water table.etc.): ��
COMMENTS:
' — --' _/
Date of Inspection e 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 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 with the system locption 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 SEWA(�E TREATMENT
„� �, INSPECTION REPORT
ti
��9kESH��'�G
Owner: �l�l� 7"���1'� Address: v��� /l�X �!,
,. —, [�-� L'�� � �/
Permit #'s: Dates: v� v1� t� Contractors: 1`) 1� J�J��
City ordi.nance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatme�t system at the above address has been inspected and appears to fall into the category
checked below.
(This is .j� 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
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet alt 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 uithin a designated 100-year floodplain; any
system which may or may not meet all the locatton, 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 �(1 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): �
7,6�g inspection indicates:
(.Y 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. 7anks should be pumped out as soon as possible.
8 System is discharging to the surface. 7anks must be pumped out uithin 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 purtipout. If tanks have not been punped out within the last three years, they should be puny�ed
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 uithin the last three years, they should be pumped out noW.
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
11 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 [nspector
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): ti
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��V;
COMMENTS:
�� �.
Date of Inspection p c Sys em 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 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 a � ON—SITE SEWAGE TREATMENT
,� � INSPECTION REPORT
'�� G~
�
9kESH��'
Owner: _11?v��' t'���1'� Address:��� �C�J( S?�
Permit #'s: ��� Dates: � 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 fall into the category
checked below.
(7his is � an existing system [ ] neu construction)
SYSTEM CONFORMITY (1-3): 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 uhich 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 instatlation, and which
is operating satisfactorily by treating and disposing of the entire current seuage input without discharging
any pollutants into ground or surface waters.
"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 [ 1 has or .p(1_ 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.
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.
� 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. [nspection 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 p�xnped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14): �
Drainfield inspection indicates:
11 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
1 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Re�rairs must be comnleted wj�h,jn 9n rla�c,
14 Drainfield extent ana—COT1Qfit .
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL POR SYSTEM FAILURE (depends on soils,water table,etc.): ��„r�.�y �L,��rihi
COMMENTS:
�
1.
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 uill 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�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-StTE SEWAGE TREATMENT
INSPECTION REPORT • POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER —s ►/�f'�i �CTt'irS(�'1"� ADDRESS �� / d� SJ�
PERMIT NO.'S. ��'L- DATES CONTRACTORS �
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 and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet alf current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
� 3 Does not meet curre�t 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 fo�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 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, ef uent o ur ace. This con ition may require re I ce-
Inspection risers (4" dia. pipe)must be installed in each tank meni nr�ddiiions to drain �e ontact the ity Inspector
at next pumpout. If tanks have not been pumped out within i mediatel .Re airs must be com I s.
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,wettand,or stream �High ❑ Inadequate
❑ Drainage ystem is causing visible
surface discharge.
COMMENTS:
�3 �
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
Oyz the North Shore o f
Lake�Y1in�aetonk�r
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OW N E R �C�v i CI I�e-���'S avl A D D R ESS ��v�.J �X S tYeP�f �_V��V'Za I �C,
PERMIT NO.'S. DATES CONTRACTORS
City Ordinance No, 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
�3 Does not meet current City standards in many respects relating to design,construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Piease 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 ( � 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 Draiq{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 criticai 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 �7�iigh ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: .
����9 ��1�y� ���� '
� Date ot Inspection Septic Sys 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 wili 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
Os7 the North Shore of
Lakc Miranetorlka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystai Bay, MN 55323
473-7357
l � � �S �-a x ST�P�'7"
OWNER ����� ' E j�-�i-5c'^' ADDRESS
�
PERMIT NO.'S. — DATES CONTRACTORS "
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the abov jdress has been inspected and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
—.� 3 Does not meet current City standards in many respects relati�g to design, construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrsding 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 wili 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 ( � 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.l 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 ❑ 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 Potentiai for System Failure Site Capabilities for
�� Slope (depends on soil types,water Future Expansion
❑ Soil table,and system conditionl � Adequate
❑ High water table ❑ Low �-f] Fair
�� Lot size �� Medium ❑ Poor
❑ Lake,wetland,or stream �—�] High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
% ' i
/�-�Ll C '��� .' �� �"/ :S�" ,r "IL � `_[:., ---
Date of Inspection Setitic 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