HomeMy WebLinkAboutSeptic info , �;���So�a ��������� Cornpliance Inspection Forr�
'���.�_- Car�trol Age�cy
�zc�t�atayette�oad�vorth ��isfing �ubsurface Sewage °Treatment Systeores
St.Pau1,MN 55155-4194 d��T�1
Doc Type:Compliance and Enforcement
Instructions: Inspection results based on Minnesota Poilution Control Agency(MPCA) For local tracking purposes:
requirements and attached forms-additional local requirements may also apply. RE(;E�VE�
5ubmit completed form to Local Unit of Government(LUG)and system owner NOV 1 � 2014
within 15 days _
CITY OF ORONO
System Status
System tafus on date(mm/dd/yyyy):
Corn�liant— Cer�ificate of Gornplo�nce ❑ NOIICUI'i'1B10ia01$- IVO$6CL Of PdOi1C06D1pIl�I�C�
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3)
frame outlined in Local Ordrnance.)
Reason(s)for noncompliance (check all applicable)
❑ Impact on Public Health (Compliance Component #9J-Imminent threat to public health and safety
❑Other Compliance Conditions(Compliance Component#3)-Imminent threat to public health and safefy
❑Tank Integrity(Compliance Component #2)-Failing to protect groundwater
�-, „ ,• „ ,•.. _ ,• ,-. __ ��, � �,,,. a,.,,.+.,.
U v��idt i�vin�uaii�e ...uiii:uiuii�j��ii7j)nailCE vGii7j�v�;C;n.���—�rai�li7y iG j�iGi��,t y�"Cu.�.,�.,.w�
❑ Soil Separation(Compliance Component #4)-Failing to protect groundwater
U vpeidiir�y pe��riumonitoring pian requirernents(Compliance Go�r,po�iC�iP �:,)-ivoncompliant
Proper�y Inforrr�ation � Parcel ID#or Sec/Twp/Range:
Pro ert address: �
p y �g� �'/L.�,�� �,�cc�e� c,.�, _ Reason for inspection:
Property owner. _ Owner's phone: _
or
Owner's representative: Representative phone:
Local regulatory authority: C� �v � Q�D�D Regulatory authority phone:
Brief system description: �p�s rJe.c,a e�.�1� �_�_ c�+- �
Comments or recommendations:�_�A,�s/� � ,� T�� e�..o� �•�- �
�/ -�-� �--.�_�� �Y+-q.,� ._.+�'. �c.S-a"�,
��/' /9� ���/
Certification
1 hereby certify thaf all the necessary information has been gathered to determrne the compliance status of this system. No
determination of future system perfomrance has been nor can be made due fo unknown condrtions during system construction,
possible abuse of the sysfem, inadequate maintenance, or future water usage.
Inspector name: „�o12��J � ��v�:� Certification number. �,�,�
Business name: M L �o Cv cS �-3 ca�=�o.�, S�.c�, ��- License number: p2�'
Inspector signatu : Phone number: 7G,3- �7�!��o
IVecessary or Locally ftequired Attachments
❑ Soil boring logs ❑System/As-built drawing ❑ Forms per local ordinance
❑ Other information (list): __
Property address: f Z q� F�f��� C'��G`< A�--, Inspector initials/Date: ��{�_�l�
1 a Impa�t ot� Public Health—Compliance component#1 of 5
Com iiance criteria: Verification r�ethod(s):
System discharge sewage to the ❑Yes �No � Searched for surface outlet
ground surface. [�]'�Searched for•seeping in yard/backup in home
— ❑ Excessive ponding in soil systemlD-boxes
System discharge sewage to drain tile ❑Yes �No
or surFace waters. ❑ Homeowner testimony(See Comments/ExpJanation)
,� ❑ "Black soil"above soil dispersal system
System cause sewage backup into ❑Yes � �lo [] System requires"emergenc�'pumping
dwelling or establishment. ❑ Performed dye test
�4�►y"yes"answer above ino�icates th�sysfem is ❑ Unable to verify(See CommentsiExplanation)
an Immiltenf ThPea1 to Pu�blic Heaffh and Safety. ❑ Other methods not listed(See Comments/Explanation)
Comments/Explanation:
2 Tdnk Integ�'ity—Compliance component#2 of 5 ,(jy �u ,�.._���,` _ _
Com lianee criteria: Verification rnethod(s):
System consists of a seepage pit, ❑Yes ❑ No ❑ Prob�d tank(s) bott�m
cesspool,drywell, or leaching pit. I ❑ Examined construction records
Seepage pitsmeeting?08Q.255Qm.aybe ❑ Examined Tank Integri'ty ru�iu(Httacii)
complianf if allowed in local ordinance.
❑ Observed liquid level below operating depth
Sewage tank(s)leak below their ❑Yes ❑ No ❑ Examined empty(pumped)tanks(s)
desi ned o eratin de th.
If yes, which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil"
_ - ❑ Unable to verify(See Comments/ExplanationJ
Any "yes"ansv�er a,bove indicages the
❑Other methods not listed (See Comments/Explanation)
syster� is Fail►ng �o Protect Grou�edvvager,
Comments/Explanation:
3 o Oth��' COB'�p�te��1Ce COI1d�$1o�15—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* ❑No O Unknown
b. Other issues(electrical hazards,etc:)to immediately and adversely impact public health or safety. ❑Yes" ❑No ❑Unknown
"Sysfem is an imminenf threaf fo public health and safefy
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes" ❑No
*System is fiailing to protect groundwater
Explain:
Property address: _ OZ �'/Q �,L�,��/ CK�
�� 7��_ Inspector initials/Date:�,� p/,6`� �
----. Tf-�4s
4o So➢I Sep�ratiotl— Compliance component�t4 of 5
Date of in�tallafion: f°g c� �
❑Unknown�- Veri�cation mefhod(s):
ShorelandNVellhead protection/Food Beverage '
�odging? ❑Yes �j No Soi/observation does not expire. Previous soil
Cor9�p17arlce Criteri�: obse�vations by Iwo independent parties are sufficient,
_ unless site conditlons have been altered or local
For systems built prior to Apnl 1, 1996, and ❑Yes �`No re9ui2ments differ.
not locafed in Shoreland or Wellhead
Profection Area ornot seniing a food, �Conducted soii observation(s)(Attach boring logs)
beverage or lodging establishment.� ❑ Two previous verifications(Atfach bonng logs)
Drainfield has at least a two-foot vertical ❑ Not applicable (Holding tank(s);no drain6eld)
separation distance from periodically ❑ Unable to verify(See Comment�Explanation)
_ saturated soil or bedrock. _ ❑ Other(See Comments/Explanation)
Non-performance systems built Apri! 1, �'Yes
9996, orlaterorfornon-performance � NO Comments/Explanation:
systems located in Shore/and or Wellhead �� :'O `` J,4_N�'7 �a„�,,,.. �0 r,,R �r'��
P�otection A�eas orserving a food,
f�ri
beverage, orlodgingestablrshment: " ���� /��c.o�.••.� �,a,,,,,�y �ei�, �dr"' ��
t
Drainfield has a three-foot vertical 3� �- �sy°� rft�,,•,,� �¢",�7 c��?-� dOr°�� ��
separation distance from periodically /s
saturated soil or bedrock.* ���`�G �� ����"��' S.4�-�r (m.s.� omY�� �y
/yc�i'�!L a'o �t°� - /� L�cg X /l-1` �D t �6ir
"Experimenfal'; "Other'; or "Performance" ❑Yes ❑No --�
sy�,,,,-ns bur;f underpre-20U8 Fzcdes; Type!�1 I n�°���� de��y��$e{evaei�ns
or V systems built under 2008 Rules(7080. ��c�
2350 or 7080.2400 /Arl��a.,�o,+ �.,............. A. Bottom of distribution media
. , �,..,Ni.�.�vi _-_._.
Lice�se requ;rcd)
Drainfield meets the designed vertical B Periodicall saturated soil/bedrock � � ��
separation distance from periodically C. System separation `�
saturated soil or bedrock.
— D. Re uired com liance se aration' �
e4ny 66��9f�rasvver a�iove ie�decafes the syste�n is �
Fajl;�7 go py�Ot��p��-����yy�t�� May be reduced up to 15 percent if allowed by Local
---�—
___ Ordinance.
5e Ope7��tlfl� Per►r11t dnd �Ijgg-pg�� �/�P�_Compliance component#5 of 5
[.� ftfot applieabBe
Is the system operated under an Operating Permit?
❑Yes ❑ No If"yes",P,belouv is required
Is the system required to employ a Nitrogen BMP? ❑Yes ��
❑ No If yes", B below is required
BMP=Best Management Practice(sJ specrfied rn fhe system design
l�the answrer fo boti� questions is "rao'; this section does not need to be complefe�'.
Compliance criY�ria
a. Operating Permit number: -
Have the Operatinq Permit requirements been met� ❑Yes ❑ No
b. Is the required nitroaen BMP in place and properly functionin ?
❑Yes ❑No
Aray 66�019 ansv�eri�dicates iVonco�npliance,
Upgrade Requirements(Minn. Stat. §115.55)An rmminent threat to publrc health and safety(1TPHS)must be upgraded,�eplaced,or its use
discontinued within ten months of receipt of fhis notice or wifhrn a shorter penod if requrred by loca!ordinance. lf the system rs failing to protect
ground water, fhe system must be upgraded, replaced, or its use discontinued within the time required by loca/ordinance.lf an existing system
is not failrng as de�ned in/aw,and has at/east two feet of design soil sepa�ation, then the system need not be upgraded,repaired,replaced, or
its use discontinued,notwithstanding any local ordinance fhat is more stricf. This provision does not apply to systems in shoreland areas,
Wellhead Protection Areas, or those used in connection with food,beverage,and lodging establishments as definari;R ia��,
I .
Parce!number: � � System status: L�1'Compliant ❑NoncompliaM
(as determine thi�fo�t .
� � �81l�;s,:1��C��tVti:�,�.� �
rr-
�E3sQ2:3 Z�t�Pt. N� `�
Tank lntegrity and Safety Compliance . �t� A!ticltaet, M�1�i 5��6 �
Comptiance issue#2 of�4 � �.
Date of observat'ion: /�- Z 7— l�� Reason for observation: �E° �����; 1.���'�-e-�
This form expires on(thr�e years):� /�-Z y? � �� �
Compliance questions/cciteria: (Required) Verification Method"":�(Optional) .
Check fhe a rv riate box � (Check the appropriate box) �
Does the system consist of a seepage pit*, ❑Yes �o �bed tank bottorri - �
�cess ool,d ell cr�leachin it? . , .
Oo any sewage tank(s)leak below their ❑Yes "No 0 Obser.ved low tiquid level _
desi ned o eratin de th? � �Examined construction recards � �
If yes, identify which sewage , . Examined empty (pumped}tank
tank leaks. � , [] Probed outside tank for"black soil" � '
Any"yes"answer indlcates that fhe system is failing to protect � -
ground waf�er. ❑ Pressure/vacuum check
. � . ❑ Other. � .
* Seepage pits meeting 7080.2550 may be compliant if ailowed � .
in ordinance by,locai permitting authority. _
� � '*No standard profoco/exists. This list is not exhauslive,in �
sequential order, nor does it indicate which cambinations _
are necessary to inake.fhis defermination.
: .Safety CMeck . � : � �
1. Are any maintenance hole covers damaged,•cracked,or appeared to be structurally unsound? []Yes* 1�J No �
2. Were afl maintenance hole cove�s replaced in a secured manner(e:g.;a{)screws replaced}? - . �?es ❑No•.�
3. Was secondary access restraint present(safefy pan;secohd cover, or safety netting)—highly recommended. ❑Yes �o
4: Was any other safety/health issue present? . � � ❑Yes�' L-TNo
- Explain: , . �.
*System is an immineni threai to public heaith and safery.
Certification -
This form is to be completed and attached to the Summary Focm of.the Minnesvta Poilution Con#roi Agency's (MPCA)-Compliance
inspection For+n for Exlsting Subsurface Sewage�Treatment Systems.Observations,interpretations,and conclusions must be .
completed.by an inspector, maintainer,or service provider.Completed form must be submitted to ihe local unit.of government within
15 days. �
,
Property owner name(s): O�w�a�'� ���
Property address: I.2,�O i��¢v+c�n C �-u iC ��. � --
Property owners address(if different):
County: Phone:
1 hereby certify that tpersona//y made the observations, interpretations, and conclusions reported on this form and that tirey are
coirect
Name: ,1 1 �2� C � �1'�'✓' Cert�cation number. �-� �� �'`�
� Business license name and number. l�r t(i i�r�� �F r��11' �'i`V i Cr� �-E,�°— - �t� �j __ or
Name of Ioca!uni ovemment: � �
Signature: � Date: j ��� Z 7 - /�1-
wq-wwfsts4-31 . Comp(iance lnspectfon Form for Exfsting SSTS
--�
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���� �� � CITY of ORONO
;�
�� � , � ;,, � �+ ��
� � , ti ii Municipal Offices
�� �'`� '�' G��� Street Address: qSa-a4q'y6� � Mailing Address:
l� , �� ,
�ESH�.- 2150 Kelley Parkway P.O. Box 66
-- -- Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: ���l 0 ���^c-�.. Cf c 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.
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 sepazation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an unminent 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 stan�ards 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 distr-ibution device and the limiting soil characteristics.
TANK CONDITION(5-7): �
Tanl:inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tankwaslastpumped �\-1�'dZ- ).
Make sure septic tanks are pumped through manhole and not throuQh white inspection pipes. This allows for the proper
cleaning. Keep water softner and iron filter discharge out of septic system to prolong life of drainfield. Ask pumper to test
alarm float to verifv alarm is still workin�in your house. The alarm warns owner that septage 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 tanl:. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD 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: ��" :�.G-�t1� �- SC�}-;� �'���t-j IOt�iL �K _
� -1� "�� �� �,
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 cuirent
conditions based on the available information.
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-=����=��=� CITY of ORONO
,� �,����:��--� ,,
A.i�` r��'
�„ ��� �:;�; ,yti Municipal Offices
rcf�i+�F�" ~i�
�� '►l;•'�tt��'tk�'�G Street Address: Mailing Address:
`q$�Eg�gOg' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
95d-�49-4600
To Current Owner: Address: �aq L� ���'���` �� e z1� p� "
City Ordinance 199 requires that each existina 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.
YSTEh1 CONFORMITY (1-3): �
1 '�CODE SYSTEM" An ISTS which meets all the location,design and conswction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standuds of the currcnt Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or eazlier,and which is not failing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or conswction 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 chazacteristics.
TANK CONDITION(5=]y: �
Tank inspection indicates:
5 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.
Tanlc was last pumped �6'ZO�� )•
Make sure septic tanl:s are pumped throu�h manhole and not throu�h white inspection pipes.
This allows for the proper cleanin�.
7 Inspection risers missinb tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION - o`: �
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.
CO�IMENTS: 5 y S►�^ 1 o�k� O�_ P�M p 1���ICS ;� �1,e y �5v� na�-—
�'J�c � �i'^�-�'L w�.=c� �Cc S T � y e�i C �-
� �.�-a� ���L !
Date of Inspection Matt Bolterman- Septic System Inspector
Note: ln the event that this inspection report is used to satisfy the requirements for a moRga;e or other transfer of properry,be advised that this report does not guarantee
or certify that an existing system will continue to function properly,but is mere(y an opinion ofthe adequacy of ihe system under cuaent conditions b'ased on the available
infortnation.
o � ,
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CITY of ORONU
� � ,'���� -.. � �
_,. � - MUIllCI� O�1CeS
� •
��.� t ' �G~ Street Address: Mailing Address:
� �9$EggOg'�%' 2750 Kelley Parkway P.O. Box 66
�� � _ �_"� � Orono, MN 55356 Crystal Bay, MN 55323-0066
June 13, 2000
Kenneth & Jeanne Tempero
1290 French Creek Drive
Wayzata, Mn 55391
Dear Mr. & Mrs. Tempero:
An inspection of your septic system was conducted on June 7, 2000. A summary of the inspection
is below.
Septic Tank Condition
1. Pumpout needed within one year (last pumpout 8/20/96).
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 approximate location of the septic system.
If you have any questions regarding this report, please contact me at the City Offices at 249-4600.
Res ectful ,
r,,
ilG��'J, .��'ti`�
C ris 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 existing system will continue to function properly,but
is merely an opinion of the adequacy of the system under current conditions based on the a�•ailable 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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! `� � CITY of ORONO
i � � -�-
��,���r�, �,
�',,� ��I' ���'�, T�� G,�ti Municipal Offices
.�9 ; , ,,r, , g.� Street Address: Mailing Address:
kESHO 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: K�i1 h��'1 1—. ��m�C Y'Z� Address: 1290 Franch Creek Dr.
Permit #'s: 8980 Dates: 4/27/87 Contractors: Coppin Plbg.
(This is [ ✓j an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 1
� Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
3 Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom
of the drainfield and the sa urated soil level.
(The saturated soil level [ �has or [ ] has not baen identifiad at this time. If the
saturated soil level has not been idantified, this classification is subject to ravision.)
TANK CONDITION (5-9) : 5
Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
within three years, they should be pumped out and risers installed now.
9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [ ] were not confirmed
to be watertight by tha licensed pumping contractor. If the tanks were not confirmed to be
watertight, this classification is subjact to revision.)
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. ) : low
COMMENTS:
G-� �� �'---'
Date of nspection 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 cor.tinue to
function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATL�NT
r$,� � INSPECTION REPORT
'C�� G~
�kEsHo4�
Owner: �/��� r If'm, ���-�, Address: /�%� �/, J�'\ (�r�° ./� ��
r�" �s'�( �� c� / �
Bermit �'s: lates: T���C� / C�ntractors: (T if'�.��•
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-stte sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is [�an existing system [ ) new construction>
SYSTEM 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 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 uhich 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.
(7he limiting soil characteristic py—has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
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. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next purtipout. If tanks have not been pumped out within the last three years, they should be purtiped
out now.
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.
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 Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.uater table,etc.): �j�
COMMENTS:
Date of nspection Se t System Znspector
Note: !n 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 eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
ti
���kESH�4�G
, �/ � �-
owner: rX�7�-• IZ"I�Ct'Y� Address: �/"r�('� �Y�P� ��►i
Permit #'s: �� Dates: �0l7�� Contractors: (�1P,GiY� 1'/�-
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is � an existing system [ ] neu construction)
SYSTEM CONFORMITY 1-3 :
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface uaters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but 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 identi ied, this classification may be subject to revision.)
TANK CONDITION (5-10):
7ank 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.
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. lnspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been punped out within the last three years, they should be punped
out now.
0 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumped out within the last three years, they should be pumped out nyow�
DRAINFIELD CONDITION (11-14):
Dr tield inspection indicates:
�j�Drainfield is dry, no surfacing evident.
i2 Some evidence of surfacing, not criticat yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
imnediately. 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 soits,water table,etc.): f_��
COMMENT : C �P ,�. S
i
��
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 wilt 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