HomeMy WebLinkAbout02-24-2016 Septic Compliance 02/26/2016 10: 14AM FAX 9528733112 �0001/0003
� ���:��,,,� MinnesotaPollution Compliance Inspe�tion Form
���,�,�,� Cantrol Agency
520 Lafayette Road North �xisting SubsurFace Sewage Treatment Sysfiem� (SSTS)
St.Paul,MN 55155-4194 Doc Type:Complisrtce end Enforcement
InspeCtion reSults based on Minnesata Pollution Control qgency(MPCA) For local trac���ED �
requirements and attached forms—additfanal looal requirements may also apply.
Submit completed form to L.oca! Unif ofi Government(LUG)and system owner FEB 2 6�Q�� I
within 15 days __
�TM��RONO
System Status
System status on date(mmldd/yyyy): 2/24/2016
❑ Gampliant—C�rtificate of Compliance � Nvncompliant— Notice of Noncompliance
(Valid for 3 years from report date, �nl�ss shorter time (See Upgrade Requirements on page 3.)
freme ouflined in Local Ord;nance.)
Reason(s)for noncompliance (check all applicgble)
❑ Impact on Public Health(Compliance Componenf#1)—lmminent threat to pu611c health�nd safefy
❑ Other Complfance Canditions(Compliance Component#3)—Imminent threat to public health and safety
❑ Tank Integrity(Compliance Component#2)—�ailing to profect groundwater
❑ Other Compliance Conditions(Compliance Component#3)—Failrng fo protect groundwater
� Soil 5eparation(Compliance Componenf#4)—Failing to protect groundwater
❑ Operating permiUmonitoring pfan requirements(Comp(iance Gomponent#5)—Noncomplianf
Pro�erty Informatio� Parce! ID#or SeclTwp/Range:
Property address: 2465 French Laka Road,Orono, MN Reason for inspection, Sale
Property owner� Joan Dayton Owner's phone: 852-475-9207
or ---
Ownsr's representative: Representative phone:
Local regulatory authority: Regulatary authority phone:
Brief system descriptiorc: _
Comm�nts or recommendations: �
Certification
J hereby certify fhat a!I the necessary information has be�n gathered to determrne the c�ompliance sfatus of fhis system. No
determination of future syst�m peri'ormance has been nor can be mede due to unknown conditions during system constructfon,
possib/e abuse of the system,inadequste maintanance, or fufure water usage.
Inspector name: Josh Swedlund Certification number: C1659
Business name: Swedlund Septic Service Licanse number 2502
Inspectorsignature;�� 7,�,�,�,� ��d _ 1 _ _ Phone number. 952-873-3292
Necessary or Locally Required Attachments
� Soil boring logs ❑ System/As-bui[t drawfng ❑ �orms per local ordlnance
❑ Other information(list)�
www.pca.state.mn.us • 651•296-63QQ • 800-657-3864 • TTY 651-282-5332 or 800-557-3864 • Availablc in alternative formats
wq•wwists4-31 . 3/16112 Page f of 3
02/26/2016 10: 14AM FAX 9528733112 f�0002/0003
� Property address; 2465 French Lake Road, Orono, MIV _ _ Inspector initials/Date: JS � 2I24/2016
(mrNddhYYY)
4. Soi l Separation —Compliance component#4 of 5
Date of installation: 4/23/1984 ❑ unknown Verification rriethod(s):
(mm/ddryyyy) Sofl obsen•ation does not expire, Prevlous soil
Shorela'd/Wellhead protection/�ood beverage � Yes � No obsen�afions by two independent parties are suffcienf,
lodging.
unJess site condrtions have been alfered orloca!
Compliance criteria: requirements difrer.
For systems burlf prror to ApnT i, 1996, and ❑ Yes � No ❑ Gonducted soil observation(s)(Attacn baring logsJ
not located in Shoreland or Wellhead
Protecfron Area or not serving e food, ❑ YWo previous veri�cations(Attach boring Jogs)
beverage orlodging est�ablrshmenf: ❑ Not applicable(Ho1d;nQ rank(s), no drar'nhe�d)
Drainfield has at least a two-foot vertical ❑ Unable to verify(5ee Comments/Explanation)
separation distance from perlodically ❑ Other(See Comments/Fxplanation)
saturated soil or bedrock.
Non-performanca sysfems built April 1. ❑ Yes [] No Comments/Explanation:
1996, orlaterorfornon-performance
systems located in 5horeland or We!lhead Boring:
Protectron Areas or serving a fooG, 1-10" 10YR 2/2 Loam
beverage, orlodgrng establrshment:
11-35"10YR 4/4 Glay toam
Drainfield has a three-foot vertical
separation distance from periodically Motfs�25"
saturated soil or bedrock."
"Experimental° "Other", or "Pertormance" ❑ Yes � No Irtdicate depths or elevations
systems buiR under pr�2008 Rules; Type IV � --
or V systems built under 2008 Rules(7080. A. Battom of distribution media 24"
2350 or 7080_2400 (Advanced Inspector
L1Cense reqUifed) B. Periodically saturated solllbedrock __25"
Drainfield meets the designed verticaf C. s tam se aration 1"
separation distance from periodically
saturatad soil or bedrnck.
D. Re uired com liance se aration' 24"
Atly "no"answer above lndlcates fhe system is "May be reduced up to 15 percent if allowed by Local
failing to protect groundwafer. Ordinance.
S. Operating Permit and Nitrag�n BMP�— Compliance component#5 of 5 � ►vot app�icab�e
Is the system operated under an Operatiny Permit? ❑ Yes ❑ No If"yes",A below is required
Is the system required to employ a NiTrogen BM�'? ❑ Yes ❑ No If"yes", B below is required
BMP=Best Managemenf Practice(s}specified in the system deslgn
If ihe answer to bofh questions�s "nv", this section does not need to be complefed.
Compliance criteria
a. Operating Permit number:
Fiave the Operating Permit requirements been met? ❑ Yes ❑ No
b, Is the required nitrogen BMP in placa and properly functionin ? ❑ Yes ❑ No
Any "no"answer indicates Noncompllance. �
Upgrade Requirements (Mlnn, Staf.§775.55)An imminent th�eef to public healfh and safety(fTPHS)musf be upgraded,replaced, ariis use
drscontinued wifhin ten months of recefpt ol fhls notlee ol'wfthln a sho�ter penod if required by local ordinance.If the system!s falling to proteCf
ground water,the system mu&f be upgrdded,replaced,orits use discontinued wifhin lhe Hme requlrsd by Jpea!ord/nanee.If an existing sysfem
is not failing as defined rn law, and has at laast two faet of design soi!separatron,then the system need not be upgraded,repalred, replaced,or
its use dlsContlr+ued,nofwifhstdndlhg any loc�l ordinance that rs morr�stticf. This provlslon does not dpply to Sy5fem5!n Shoreland areas,
Wellhead Protection Areas, or those used in connectlon with lood,beverdge, and lodgrng establishments as defined in few.
www.pca.state.mn.us • 651-Z96-6300 • 800-657-3864 . TlY 651�282�5332 vr 800-657-3864 • Available in altemative formats
wq-wwists4-37 • 3/16172 Page 3 of 3
02/26/2016 10: 15AM FAk 9528733112 �0003/0003
. Swedlund Septic Services, Inc.
' ' � 25648-200'�Str.eet • Bcllc Plaine,MN Sb011
T 952�873-3292
U o�n ��`}���� Josh J. swed�und T,i�.#2so2
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O , O CI'TY OF ORONO
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� � � MunicipalOffices
r�,, ,���` �, Street Address Mailing Address:
�t �j'�' 2750 Kelley Parkway P.O. Box 66
4i Orono,MN 55356 Crystal Bay,MN 55323-0066
�kESH�4
To: The Current Owner of Address 2465 FRENCH LAKE RD
City Ordinance requires that onsite sewage 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 Healt Threat
Yes
No
If yes, please contact the Onsite Systems Manager at 954-249-4626 within 10 days of receipt of
this notice. The septic system must be brought into compliance within 90 days. Failure to do so
will result in referral to the City Attorney far legal action.
System Identified as Non-Compliant
Yes
No
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s) Pu��t Needed
Yes ✓
No
The city recommends the septic tank(s) and/ar lift tank be serviced and pumped out every three
(3) years. City records indicate the tank(s) were last pumped out on �O-�� -Q�
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�
Inspectdr!C�/��� ��,�/� Date of Inspection: Cp' d�
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
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I = - �� CI7�Y of �RONO
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\"� M1�,' �� ��J � `�' �%/` Municipal Offices
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� � '! � ���;��;�+'�`,�G,� Street Address: q5a-a49—ybo O Mailing Address:
�'�`�kESH�g;'� 2750 Kelley Parkway P.O. Box 66
��—�—'' Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address:��'�CD� I lC�1C�� �. A 1� ��
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 constrvction 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 iumiinent threat to public health or safery.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TAI�'K CONDITTON(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanl:s to be pumped out once every 3 years.
Tank was last pumped /p- a s- q 9 )•
Make sure septic tanks are pumped throuah manhole and not throu�h white inspection pipes. This allows for the proper
cleaning Keep�vater softner and iron filter discharQe out of septic svstem to prolon�life of drainfield. Ask pumper to test
alarm float to verifv alarm is still working in�our house. The alarm warns owner that septaee 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.
DRAINFIELD CONDITION(3-10): �
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:
� - �� -a s- �
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requuements 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
„��� °���,
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.� ��
�,� � , ;,: � ;,; CITY of ORONO
a�,� ,
;�,� ,, : � ,
L° , �� ' � l5�;' Municipal Offices
�, � ,;; „ �' ,��i`� G~ �
,� ' �� .�, ;;� Street Address: Mailing Address:
'��9kEgg04�' 2150 Kelley Parkway P.O. Box 66
�-_--'� Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: a � �5 �Zr�t-� �--�;k� ��C1
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 : E
1 "CODE SYSTEM” An ISTS whiclt meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An[STS 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 fail ing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an[STS 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[STS with less than dvee feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANIC CONDITION(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
� Septic tanks must be pumped out this year (city code requir•es tanks to be pumped out once every 3 years.
Tank was last pumped 10-��'`�"� ).
Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the
proper cleaning. Keep water softner and iron filter discharge out of septic s s�tem.
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.
DRAINFIELD CONDITION(8-10): �
� Drainfield is dry,no surfacing evident.
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:__ QcF-,:��:c.i� �L�1� O�C � ��,�..� 5���`� �"�,�1(� U���
�V Z�y � �y ����� ,
� —�1i --1�� ��`l`»T ��
Date of Inspection Matt Bolterman - Septic System Inspector
Note: [n the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer ofproperty,be advised that this report does not guarantee
or certify that an existing system will continue to function properly,but is merely an opinion ofthe adeqiiacy ofthe system undercurrentconditions based on the available
information.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
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�����=�=� CITY of ORONO
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� ��������� �
� � ��`� �� ,��► Ntun��,pal ot'fi�es
. �
't ��;i� `�;:�¢�yG Street Addreu: Mailln4 Addross:
'�'EggO 2150 Kelley Paricway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: Rab��� ��y fi6� Address: a�6 5 �re�c� �-�ke �r�
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORNIITY (1-3): I
Ol ��CODE SYSTEM�� An ISTS which meets all the location,desigp and construction standards ofthe cucrent Orono Muniripal Code.
2 °COMPLIANT SYSTEM�� An ISTS which does not meet a11 the locatioq design and construction standards of the cua�Orono Municipal
Code but does meet the three foot separation requiremer�and which is aot failing or an imminent threat to public health or safety.
3 "NON-CONIPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the cucrecrt Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsativated soil or sand between the distribution device and the limiting soil charactaistics.
TANK CONDITION(5-10): 5
�T• inspection indicates:
Pumpout not needed at this time.
6 Tank must be pumped out Uus year (ciry code requires tardcs to be pumped out every 3 yeazs. Tanlc was last pumped I o as -q� �
7 Solids accumulation in tanks is at a critical a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tariks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected Inspection risecs(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 lnspection pipe is located directly over tank ba@7e(doas not give accurate measurement of solids accumulation). If tanks l�ave not been pumped
out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION(11-14): � �
Drainfield is dry,no surfacing evident
1 Some evidence of surfacing,not critical yet ,
13 Drainfield is saturated and visibly discharging untreated efflurnt to the surface. Cocrtact the City Inspector immediately.Repaus must be
complzted within 90 days.
14 Drainfield extent and condition unknown.
COMNIENTS: S �S�e� �oo�S � �� _
� '�.- 0 � �`�C ��-�n„�_.,_
. Date of Inspection Septic System Inspector '
Note: In the eveiR that this inspection report is used to satisfy the requiremenis for a mortgage or other transfer of property,be advised that this repoR does not guarantee
or ceRify that an e�sting system will con2inue to function properly,but is merely aa opinion of the adequacy of the system undet current conditioas bbsed on the availabfe
informatioa
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON–SITE SEWAGE TREATMENT �
�, � INSPECTION REPORT
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�9kESH�4'�
owner:����-/2�- �i4-�1�29/�1 Address: 2`�1�.r7 �vti:'�1C�61 �!� r2�f ���3`j'l�
� .,
Permit �'s: ���5 Dates: `r /�3'/�� Contractors: ����5 �/�.i� �L�'?!'►2�
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 belou.
(This is� 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 all the location, design, and construction standards of the
current City Codes, but uas installed according to the code in effect at the time of installation, and uhich
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface uaters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system 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.
(7he limiting soil characteristic�has or ( ] has not been identified at this time. If the limiting soil
characteristic has not been ident fie , this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
Punpout not needed at this time.
Solids accumulation in tanks indicates they should be pixnped out this year to help prevent future problems.
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 tn each
tank at next purtipout. If tanks have not been pumped out within the last three years, they should be purtiped
out nou.
10 Inspection 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 now.
DRAINfIELD CONOITION (11-14):
ield inspection indicates:
1 : rainfield 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
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknoun.
LIMITING SITE FACTORS Cslope,setbacks,etc.): �—
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): 1��
c��Etr�rTs: � ��c � � ��ks o� !d ���� � �l���i ' u � � �- ��z� /����r� ;e t�en l- czzT
C`C•?'1�.L'LL �
Date of Inspection Septic Sys em Znspector
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 prF�nises with the system loc>tien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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�� ��-- CITY of ORONO
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, �, � {*,g, '� j� ,�l�r Municipal Offices
.� i',a�,C i�'���{3�''qedt�t. G
t � Street Address: Mailing Address:
.� ,,;�z�: �,
$EggO 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: 1� ��r� .�J • LC 1 i�r,h Addres s: 24 65 Franch Lake Rd.
Permit #'s: 7385 Dates: 4/23/84 Contractors: 8alstad Coatr.
(This is [� 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 saturated soil level.
(The saturated soil level [ J/] has or [ ] has not been identified at this time. If the
saturated soil leval has not been identifiad, this classification is subjact to revision.)
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 tha last saptic tank Maintenance Pumpout tha tanks [ ] were or [ ] were not confirmed
to be watertight by tha licensed pumping contractor. If the tanks wera not confirmed to be
watertight, this classification is subject to ravision.)
DRAINFIELD CONDITION (11-14) : il
1 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:
���� ���
Date of Inspection Se ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue to
function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
„� � INSPECTION REPORT
ti
���kESH�4�G
Owner: Address: c�/Z�_� T l'1D/.C� �-c �.(.�.
Permit #'s: Dates: `� 0���7" Contractors:
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a reg lar 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 L� 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 waters.
2 "CONFORMING SYSTEM"-A system uhtch does not meet all the location, design, and construction standards of the
current City Codes, but uas installed according to the code in effect at the time of installation, and uhich
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 uhich may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing tor 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 identifi2d, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Purtipout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be purnped out uithin 48 hours to eliminate surface dischar�e.
9 [nspection risers missing-tanks could not be inspected. ]nspection risers (4" dia. pipe> must be installed in each
tank at next p�xnpout. If tanks have not been p�xnped out uithin the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
!f tanks have not been pumped 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
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SI7E FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �J
COMMENTS:
_ �
Date of Inspection Sep ic System Inspector
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 not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises uith the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
� o�
CITY OF ORONO O � O
Municipal Offices
Post Office eox 66
Crystal Bay, MN 55323-0066 � � ON–SITE SEWAGE TREATMENT
r�,� � INSPECTION REPORT
ti
���kESHog'�G
Owner: KC�(�t'�� �.C�✓T�t'1 Address: ���� / ���L`� 4-dKE? �'�.
Permit #'s: ���� Dates: �-7'�o��—�Contractors: f�Z�/S�/'-i.�� ��,►�i�,
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 belou.
(This is �} an existing system [ 7 new construction)
SYSTEM CONFORMITY (1-3): 1
-1--
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface Waters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but uas installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system 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):
Tank inspection indicates:
Purtipout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to etiminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers <4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be p�xnped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr�nfield inspection indicates:
(1y Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not criticat yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL fOR SYSTEM PAILURE (depends on soils,Water table,etc.): �1�
COMMENTS:
,�
Date of Inspection 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 witl continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the premises with the system locatien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner