HomeMy WebLinkAboutseptic info �
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�' ' �`� ' `�'��' G ' S tree t A d dress: �1 5 o ti-a 4�1-�-I bo O
� ��� �('y ,�- Mailing Address:
\ ��E$H�4 ' 2750 Kelley Parkway P.O. Boz 66
-----"� Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: ��P�� r�X S� -
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.
SYSTEM CONFORMITY (1-3): �
1 "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 separation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an imminent threat to public health or safety.
( .i ) "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
�J 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 beriveen the distribution device and the luniting soil characteristics.
TAI�'K CONDITION(5-7): �
Tank inspection indicates:
� 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 �3 C -'�`'� ).
Make sure septic tanks are pumped throuQh manhole and not throueh white inspection pipes This allows for the proper
cleanin�. Keep water softner and iron filter discharee out of septic svstem to prolon�life of drainfield Ask pumper to test
alarm float to verifv alarm is still workine in your house. The alarm warns owner that septaQe 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(8-101: �
8 rainfield 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: ����:.��-.e.\L �5 s�c�- ��r��I;c,�;'1� � (`�vs�— ��
�'�-�\,t�.�� �--� \2-31—Z� l0 �
� -"t_.��,Li� �� -
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,�,.
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:�::���.�� ,, CITY of �R4N0
,� a� . .
`� �� �'' .���,`^� � biunici of�ices
�K�i�(�+h G~ P�
�� ���.`'�;;x°„���� - Street Address:
g� Mailing Addressc
�'E$�3� 2150 Kelley Parfcway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
95a-�49-4600
To Current Owner: Address: 0�63� �-"OX S? .
City Ordinance 199 requires fhat 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 fall into the categories checked below.
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standazds of the current Orono btunicipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the cuaent Orono Municipal
Code but does mect the three foot separation tequirement or hvo foot requirement for systems installed 1996 or eazlier,and which is not failing or
an immincnt threat to public health or safety.
O3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated IQO-yeaz flood plain,any ISTS which may
or may not mect all the location,design,or consuvction standards of the curtent Orono Municipal Code and which is failing for any reason;and
any ISTS with less than tivee feet of unsaturated soil or sand between the distribution device and the limiting soil chazacteristics.
TANK CONDITION(5-.7�: b
Tank inspection indicates:
5 Pumpout not needed at this time.
OSeptic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped �d'�-�`� ).
Nlake sure seetic tanks are pumped throu�h manhole and not throuah white insnection pipes.
This allows for the proper cleanin�.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
D INFIELD CONDITION -�Q : �
8 Drainfield is dry,no surfacing evident.
Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly dischar?in�untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
CO�I�NTS: S�5-fie� �S �,c�- ���r�;l����- ��� �,v5,- �: c'z�ylc�c�c.� �y ►Z��I-2c�1 �
6� w�.t� S� t �-���.�-� - ��^C, t�^1�S �F 1'Lt,y �`'�VC ;-�z i b z C,. `u^n�c�/
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��.-��'c� \CIST' � v�C��� "
g -� - ��-- �� ! �d�.�.m-�.,.._
Date of Inspzction l�iatt Bolterman- Septic System Inspector
Note: In the event that this inspcction rcport is uscd to satisfy the requirements for a mortaagc or other vansfer of properry,be advised that this report does not guarantee
or ceRify that an existing system will continuc w function properly,but is mcrely an opinion of the adequacy of the system under cumnt conditions based on the available
information.
�
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- CITY of ORONO
.� � :r f�.�.- �
15r Municipal Offices
�� " G~' Street Address: Mailing Addross:
�''9 4'� 2750 Keltey Parkway P.O. Boz 66
�'ESI;�, .;;/
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' � ,�g��;� � ,� ; CITY of ORONO
ly A �
�', '�; ���;,�`�>�� Municipai Offices
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�.,`E�;i,�g.� Street Address: Mailing Address:
�9kEgg0 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: r\ � ��j�� Address: 2630 Fox St.
/
Permit #'s: 3347 Dates: 10/13/72 Contractors: Thompson Plbq.
(This is [x] an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 3
1 Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
� Non-Compliant System: System may or may not meet current City standards for design,
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 identified, this classification is subject to ravision.)
TANK CONDITION (5-9) : B
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.
OInspection risers missing-tanks could not be inspected. If tanks have not been pumped out
within three years, they should be pumped out and i ers installed now.
9 Inspection pipe is located over tan a e-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 Maintananca Pumpout the tanks [ ] were or [�] were not confirmed
to be watertight by the licensed pumping contractor. If the tanks were not confirmed to be
watertight, this classification is subject to ravision.)
DRAINFIELD CONDITION (11-14) : 11
11 Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface.
Contact the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system age and condition soils etc. ) : madium
COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil borings
were performed to verify a 3 foot separation between the drainfield and the seasonal water
table. The separation is 0 feet and the system is non-compliant. Repair or replacement of the
septic system is required by 12/31/2007.
�
Date of I spection Se i 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 a � ON—SITE SEWAGE TREATMENT
v�,� � INSPECTION REPORT
�� G~
9kESH�4'�
Owner: ��ri LIYYA��V"�'"� Address: �UJ� ��( S�
Permit #'s: ,��5�� Dates: l(�—l�7,1 Contractors: �/'17r�13}}'11"/lXl,
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-s�te sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is 17�1 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 uhich is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
"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 uithout discharging
any pollutants into ground or surface uaters.
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 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 V9�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 acc�xnulation 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 purnped out uithin 48 hours to eliminate surface discharge.
9 ]nspection risers missing-tanks could not be inspected. Ins ection risers (4" dia. i e) must be installed in each
tank at next punpout. lf tanks have not been pumpe ou utt in e as ree years, ey
0
10 Inspec i� on pipe is located directly over tank baffle (does not give accurate measurement of solids acuanulation).
If tanks have not been pixnped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
D ield 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 Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTEN7IAL FOR SYSTEM FAILURE (depends on soils,Water table,etc.): ��,O��,y�
!/J
COMMENTS: �" ,N � - � �•p, Q
r
�
..-� ,.,�--�
Date of nspection Sep ic System nspector
Note: ln 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 �ot guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
informatton.
This report must be kept on the pre�nises uith the system locatien 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
ti
��9kESH��'�G
Owner: ��h ��/Y�1l��[� Address: r�I��Q �C�C ��
Permit #'s: Dates:'�-��-� � Contractors: l/��►�,rL-33� ��.
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site seuage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(7his is � an existing system [ J 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 waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in etfect 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
betueen the distribution device and the limiting soil characteristics.
(The limiting soil characteristic [ ] has or y�3-�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 discharge.
9 Inspection risers missing-tanks could not be inspected. ns ect' risers (4" dia. i e must be installed in each
_ ank at next punpout. ]f�adczhave not been pumpe out wit in e ree years, t ey s e
out no . '
10 Inspection ptpe 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 now.
DRAINFIELD CONDITION (11-14):
Drainfield inspection indicates: �
11 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
immediately. Repairs must be completed uithin 90 days.
O4 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL fOR SYSTEM FAILURE (depends on soils,water table,etc.): /���j�rY�,
/
co�E � : J Y" n n' � �� �,rt�
_ �
• ti a
Date of Inspection e tic System nspector
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
informatton.
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 Norti� Shore o f
Lake Mi�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER �`jr� ``��"Y/►�a� ADDRESS �'�� ��3C: S/r
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 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 all current City standards for new construction (1978 Code) but i� 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.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary, soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. ❑ Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ 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 �ot 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, s ou ou ___ �Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
'�High water table ❑ Low -{�Fair
❑ Lot size $,Medium ❑ Poor
�.Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
sur ace discharge.
COMMENTS: ' Y � � �{f�� �(�j'�
� � � �? �a � ��
�/3-��
Date of Inspection S tic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system under current conditio�s 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
� _ T --r----- _--.�, r, _
Oyz the North Shore of
Lake Minnetozzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �ea� �i�c��lv�m ADDRESS ����C% 1=�x S1-r��f, I/���zU,�t..
PERMIT NO.'S. `��3� 7 DATES I C �2 CONTRACTORS���Yll}��G'Yl PIYYZG.��.
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 properiy; no major
upgrading of the system is required at this time.
❑ 3 Does not meet c�rrent 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 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/
repiacement procedures. If drainfield replacement is necessary, soil testing will usually be required,and a design and site plan
must be s�bmitted 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.
❑ Sotids accumulation in tanks is at a critical level. Tanks Drainf' Id 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 ta Il�e,�nd system condition) ❑ Adequate
❑ High water table �ow '�Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wettand,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: OLi%L �CDY��D �1.G�/U � ��,f.ti'l.�f ' �„L��C'� ./Yl� �� �tizn-��( �'�r��e. %�l7�
t����- ,.'�t� C.c'>�����r�E1��� �(.(. �j2(e ��',u� c���� �_ltC�r,r.�� �U G�.Uc)iC� COS'��u
G7i{/��.
�9 �-� �-.�, �..
�� ate of nspection Septic Sy�e nspector �
/
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
On t.he North Shore of�
Lakc Mhinetoraka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
,De�v L�No,�.'�� �C�,�c' �� s T���T
OWNER ADDRESS
PERMITNO.'S. `�`�/ / DATES �G � � � �� CONTRACTORS ������f�s�'�� �,L/�G
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 inspecied and appears to fall into the category checked below.
(This is �an existing systern ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
,___n 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
LJ located, and constructed generaliy in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
❑ 3 Does not meet current City standards in many respects relating to design, construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary, soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( � 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. O 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 instailed 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. i—E� Drainfield extent and condition unknown.
SITE CHARACTERISTICS: I���i SL���K �� �� � � �� ����
�
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soii types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
�—�7 High water table —� Low !f7 Fair
�—�7 Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
�
r /�7�G� , �_
/�cCG-Gt S% � � ,� �E, ,-�,-�_
Date of Inspection �; Septic System Inspector
L'
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
On the North Shore o f
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT POST OFFICE BOX 66
1335 S. Brown Rd.
� Crystal Bay, MN 55323
• - • •
473-7357
OWNER U�:l'�W r..iw11��LCst)i�Y� ADDRESS c��1�a �fJ'l�
PHONE PERMIT NO'S. ��`17 DATES j�-�3 ��-
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:
❑ � Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears
to be operating properly.
� � Does not meet current city standards in some respects relating to design, construction, or location. Appears
to be operating properly.
❑ � Does not meet current city standards in many respects relating to design, construction, or location. Appears
to be operating adequately.
❑ � Does not meet current city standards of design, construction or location, is being overused, or is failing to
properly treat and dispose of the current input and is therefore endangering a water supply, is a source of
pollution to surface or groundwaters, is creating a safety hazard, or is otherwise creating a public nuisance.
Please contact the inspector to discuss requirements for repairs to your system. Soil testing may be re-
quired. In all cases a design and site plan must be submitted for review. Your contractor must obtain a permit
before work is started.
WORK REQUIRED:
� Septic tanks must be pumped within 48 hours.
� Drainfield must be repaired or replaced within 90 days.
� Inspsction riser (4"diam. pipe) must be installed in each tank.
� Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that
tanks be pumped out every three years.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑Slope (depends on soil types, water Future Expansion
❑Soii table,and system condition) � Adequate
❑High water table ❑ Low ❑ Fair
❑Lot size [�Medium ❑ Poor
�.Lake,wetland,or stream ❑High ❑ Inadequate
❑Drainage �System is causing visible
surface discharge.
COMMENTS:
/
�'�-,a7�- f�4 � .iaa�•�-.,
Date of Inspection eptic System Inspector
This report must be kept on the premises with system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner