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Home My WebLink Aboutseptic info � ' � r�R�� MPIlnesotaPollution Compliance Inspection Form �� Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment S�stems Si.P�ul,MN 55155-4194 (SSTS� Doc Type:Complla�toe artd EMoicerrrent Instrucdons: Inspection resutts based on Minnesota Pollution Control Agency(MPCA) For local tradclnp purposes: requirements and attached forms-additlo�al local requirements may also apply. Submit compleDed form to Loeal Untt of(iovemment(LUG)and system owner withfn 15 days System Status System status on date(mmldd/yyryy): � -a9��"� ❑Compliant-Certificate of Compliance �Noncompliant-Notice of Nonaompliance (Valld for 3 years hmm�sport date,unless shoRer time (See Upgrade Requlrements on page 3) /rame outllned!n Local Ordlnance.) Reason(a)for noncompliance(check ail appllcable) ❑Impad on Public Health(Compliance Cnmponent#1)-Imminent threat fo pubOc heatth and sa(ety ❑Other Compliance Conditbns(Canplianoe Componenf#3)-Imminent threat to publk heafth and safety ❑Tank Integrity(CompAance Com�arent#2)-Failing to pratecl groundwater ❑Other Compliance Conditions(Comp!lance Component#3)-Failing�o protecf groundwater ■Soil SeparaUon(Complianc�e Component#4)-FaDing to protect groundwater ❑OperaUng permiUmonitoring p�an requirements(Compliance Component#5)-Noncompliant Property Information Parcel 1D1�or SerlTwp/Range: Ikrdl.It,S,��. , Propertyaddress: �SS GOv��S�I��vJ v2. o4.�uc� Reasoniorinapection: �¢dp�it�( ��, Propertyowner. NOr�[.� 6�LYv� t7��1�1 . Ownersphone: . or Ownersrepresentative: � , Representative phone: Local regulatory authority: (�-(� oF O"4.194ao Regulatory authorlty phone: 9Sd -ay9-4b00 Brief system descripfwn: a.=I o00 0,d,S �fYa�.s.�5 4 �f¢G�..L ta.k� � Commenfs or recommendatlo� � . , , � Certification i hereby certily tltat aN the necessery fnfomtaUon has been gathered to determTne the compliance status of this system.No determinaffon of future system pedormance has been nor can be made due to unknown condl6ons during system construction, possibJe abuse of fhe system,inadequate maintenance,or firture water usage. Inspector name: �+(�Jy(�jc�1 ,�j. �L'NY�M�4 CertlfkaUon number. (o a� Business neme: � � License number. �q.t-�. Inspector signature: , �.�.� �,� Phone number: �J(o� ��.}q�-3 5�n(v Necessary or Locally Required Attachments ��Soi!boring bgs �SystemlAs-built drawfng ❑Fortns per locat ordinance ❑Other infortnation(list): www.pca.sWte.mn.us • 651-296-6300 • B00•657•3864 • TfY 651-282•5332 or 800�657•3864 � Available fn altemative fotmats w4-wwktst-31 • f/24/12 . ' Property address: C,5 �t7LJd��,/1�� b � Inspector iniUaleJDate: tF-'o1g—ti 3 1. ImpatE on Public Hedlth—Compliance component#1 of 5 Com Iiance criteria: Verification method(s): System dischsrge sewege to the ❑Yes �No ❑ �erched for surfece outlet round surface. � Searched for seeping in yrardlbadcup in home 1,1A S�stem discharpe sewage to drain tile ❑Yes ❑No � ��Ponding fn sofl systeml0.boxes or surface waters. ❑ Homeowner testimony(See Comments�Fxplenatior,)laa System cause sewage badcup into ❑Yes �No � �B18�s°Y ab°ve soi�dispersal system 1.10 dwelling or establishmer►t ❑ SYS��quires"emergency'pumping Any"yes"artswer above Jnd/cates the system ts � Pe��test an/mminent Threat to Publlc Health and Safety. ❑ Unable to verify(Sae Comments/Exp/anaUon) ❑ Other methods not Itsted(See Canments/Exp�enaUon) CornmentaJE�lanaUon: 2. TBnk integrity—Compliance component#2 of 5 Compliance criteria: __ Veriticatlon method(s): System oonsiats of a seepage pit, ❑Yes ❑No ❑ Probed tank(s)bottom cesspoot,drywell,or ieachi�g pit. ❑ Examined construction reco�ds Seepape pits meeHny 7080.2550 may be ❑ Examined Tank Integrity Fotm(Ntach) oan ieM if allowed rn bcaf ordlnenae. Sewage tank(s)Ieak below their ❑Yes ❑No � Observed I(quid level below operating depth desi ned o ral(n de th. ❑ Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: ❑ Probed outsfde tank(s)for"bladc aoU' ❑ Unable to verify(See Commer�fs/Explenatlon) Any'�res"ansWer above Indicates the ` �p�ryer meti�ods not Itsted(See CommentsiE,rplanetion) system is Fa!!/ng to Protect Groundwater. Comments/Explanation: S�� C�(��rGq �S��a� �N�t�-t��( 4-�?�'�' -T�a+�.�� ,��,►s��c,t� 3. Othe�COmplidllt@ Co�dltio�s—Compliance component#3 of 5 a. Maintenance hole oovers are damaged,cradced,unsecured,or appear to sUuc;turapy unsound. Q Yes• �No ❑unknown b. Other issues(elecMrrN hazards,efc.)to immediet@ly and edversely impect pubGC healfh of 8afety. ❑Yes' �No p Unknown �ystgm is an lmmlrtenf fhreat to puWlc hea/th snd safety E�lein: c. System is non-protadive of ground water for other conditions as determined by inspector ❑Yes• ■No 'System is falUng to protectgnwndwater Explain: www.pca.scace.mn.us • 651-296•6300 • 800•657-3864 • TTY 651•282•5332 or 800�657•3864 . Avaitable 6�altsmattve formats »,�•�+5w-s� . rnair� , ' Propertyaddress: 4S L,ovokti.l��.�J � Inspectorinitfals/Oate:'Lj/��. q-�a,q-)� 4. 5oil Sepd�dtiOtl—Compliance component#4 of 5 Date oi installation: _ �'q�� ❑�� Verificatton method(s); Sho�landlWellhead pmtactloNFood Beverage �Yes �No Solf observatlon does not expire.Prevlous soil LodyingT observatlons by two independent parties a�u stdlfderM Com Ilance C�itetia: unless site condltfons have been altered or loca! Forsystems built priorto Apri11,1996,and ❑Yes �No +�4uf�ements dllFer. not located M Shoreland orWelfhead �Conduded soil observation(s)(Attach borrng loqy� Protection Area ornot servfng a food, Q Two prevlous verifications(Anacn oodng roas� beveraqe orlodgfig establlshment: ❑ Not appliceble(hlolding tenk(s),no d.alrMel� Drainfteld has at teast a two-foot veRical ❑ Unable to verify(See Comments�icplaneBon) separetion distance firom periodically � �� saturated soii or bedrock. plenaUon) Non�eAormance systems buiMApri11, 0 Yes ❑No CommentsiF�cplanaGon: 1996,orlaferorfornor�-petfprmance systems located In Shorelartd or Wellhead P�otecUon Areas or serving a food, beverege,orlodgingesteblishmenh. Dreinfield has a three-ioot vertical separaIIon dfstanoe from periodically saturated sal or bedrodc.• Expedmental''Other or PeAo►man�e^ Q Yes ❑No Indlcate de ths of elevatlons systems bullt under pre-2008 Rules;Type IV or V systems buitt under20D8 ftules(7D80• A. eottom of dtstributbn madia H 2350 or 7080.24D0(Advanced Inspector License require� s. r�r�oa�� wr�ceaso�waa� �.�6`��f�3or Drefnfield meets the designed vertical C. System separation y`� "� ' separation dlstanoe from periodically e saturated soil or bedrock. D. uired can iance se ratbn• a•u Any"no"answer above Jndlcates the sysiem Is •May be reduced up to 15 perceM ff allowed by Local Fa11Fng to Protect Groundwater ordinarx;e. 5. Operating Permit and Nitrogen BMP*—Compliance oomponent#5 of 5 �Not applicable Is the syetem operated under an Operatin9 Pe�� ❑Yea ❑No If"yea",A below is required IS th@ Sy3tem reqUired t0 empby a NiVogen BMP? �Yes ❑NO If"yes",B belovy[S reqUifed BMl�BestMenagementPracHoe(s)spedfre<f!n fhe system design H the answer to both questlons!s"no';thls sectlon does not need fo be completed. Com tiance crite�ia a. OperaNng Permit number: Have the 0 eratln PermR uirements been met? ❑Yes ❑No b. Is the r uired n en BMP in iace and functbni 1 Yes No Any"no"answer lndreates Noncompllance, Upgrade Requiremenffi(Mlnn.Stat§115.55)An 1mmlr�ent threat to pubNc(�eaffh end safety(lTPNS)must be upqraded,replacad,a ny use disconBrMred withln ten monU�s ol rgcelpt of this�roGos or wlfhln e ahorter perlod 1/royuFred by local or�nance.ff fhe system!s leiliny to protect gruurtd water,lhe system must be upgreded,rep/aoed,w lb use discontinued w11hln the tlme requfred by Mcal adfnance.N an exisUng sysfem (s not faUing as deflned in lew.Mrd has st least two feet ol deslgn so/l separaHon,then Ihe system need not be upgreded,�epeind,replaoed,or Ks uae WsaonNnuea;rroMdthstendlnQ arry focel orQlnance thet Js mae shkL ThJs proHslon voes not eppy fo systems!n shorelend areas, Weflhead Protection Areas,arthose used kr connecdon wr7h foal,Deverape,end lod�lny estebllshmenfs as de�ined fn law. www.pca.state.mn.us • 651•296•6300 • 800-657•3864 • TTY 651-282•5332 or 800-657•3864 • Avaltable tn altemaUve formatr wq-wwlstsf3l . }/24/12 CEl� ICA� OF INSPEC`�ON ACCORDING TO MPCA 7080 ORONO BUILDING & ZONING DEPARTMENT 2750 Kelley Parkway P.O. Box 66 Crystal Bay, MN 55323 This certificate has been issued this 9`h day of September 2013, to certify compliance with provisions of the Orono Municipal Code and Minnesota Rules Chapter 7080, regulating installation of individual sewage treatment systems. Owner: Van & Nancy Erickson Site Address: 55 Golden View Drive P.I.D.: 33-118-23-43-0011 Permit #: 2013-00434 Installer: Kothrade Sewer & Water Com liance Officer: " ��J.�T` p data/forms/blank cert of inspection MPCA 7080 - _ _ _ -_-- ---- �'',5'Cso�.� `.•�.�w.�--�,` (�..-�-�.u,, - �N �� .� ` � � A �� ', ` � �S ' �` ,o a �,�� , 3 `.�� l�g, �f � �� z o � � l0-�(�3 �� - � o� O �� o CI'TY OF ORONO � � �, Municipal Offices r�, ,��' �, Street Address Mailing Address: � G'�' 2750 Kelley Parkway P.O. Box 66 '� ,��i Orono, MN 55356 Crystal Bay, MN 55323-0066 9kESHD To: The Current Owner of Address 55 GOLDEN VIEW DR 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 Health 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 for 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) Pum t Needed Yes No The city recommends the septic tank(s) andlor lift tank be serviced and pumped out every three (3) years. City records indicate the tank(s) were last pumped out on �- �`/—ps� The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: � Inspecto`r�� Date of Inspection: Co '� � Telephone (952) 249-4600 • Fax (952) 249-4616 www.ci.orono.mn.us / //� � ' 1' � //O o� ' C ITY of �RONU i . ,, `� � �'��`:r%�`��- : � �; ,\� � •��, 1� .� �E.,/; Municipal Offices �� 4;�. � ��:t,'��, i; '`'� ' ., � y„� `,J+'" G�%� Street Address: q5a-a4 q"y 6o O Mailing Address ��kE8H��'�'� / 2750 Kelley Parkway P.O. Box 66 ��-�' Orono, MN 55356 Crystal Bay, MN 55323-0066 To Cunent Owner: Address: � ,� (-r�> � �' -'� �,� ��L� City Ordinance 199 requires that each existin�on-site sewage treatment system in Orono be inspected every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY (1-31: d 1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIAI�TT SYSTEM" An ISTS which does not meet all the location,design and conshuction standards of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requ'uement for systems installed 1996 or earlier,and which is not failing or an unminent threat to public health or safety. 3 "NON-COMPLIAIv�T SYSTEiV1" 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 stanc}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 distribution device and the limiting soil characteristics. TANK CONDITION(5-7): � Tank inspection indicates: � Pumpout not needed at this time. 6 Septic tanl:s must be pumped out this year (city code recommends tanks to be pumped out once every 3 years. Tank was last pumped )• Make sure septic tanks are pumped throuQh manhole and not throuEh white inspection pipes. This allows for the proper cleanine Keep water softner and iron filter discharge out of septic system to prolonQ life of drainfield. Ask pumper to test alarm flo�t to verifv alarm is still workinQ in your house. The alarm warns owner that septa�e 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 tanlcs have not been pumped out within the last three years,they should be pumped out now. DRAINFIELD CONDITIOrT(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: � — �� - �� . --�_� , _ Date of Inspection Septic System Inspector � °� o , �. o ��° - CITY of ORONO � ,,a7,;.r�` a � �''R,�. /�� 4aS. - Y7 !v`�^'��.; �, Municipal Offices . '�',�, ��,,, ji�., �`6� � � ��, r�. Y � ��-,��,'�.��.� �G Street Address: Mailing Address; �91�ESHp4 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: �s G �''�� t`� �`e``� U� 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 standazds 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 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 constniction standazds of the current Orono Municipal Code and which is failing for any reason;and any ISTS with less than diree feet of unsaturated soil or sand beriveen the disVibution device and the limiting soil chazacteristics. � TANK CONDITION(5-7): S Tank inspection indicates: OPumpout not needed at this time. 6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped � - �Z-'�� ). Make sure septic tanks are pumped through manhole and not throueh white inspection pipes. This allows for the groaer cleaninS. Keep water softner and iron filter discharEe out of seatic svstem. 7 Inspection risers missing-tanks could not be inspected. Inspection risers (4"dia. pipe)must be insta]led in each tank. If tanks have not been pumped out within the last three years,they should be pumped out now. D�AINFIELD CONDITION 8-10 : � 8 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: �� .�:�1� ��`�� '��. ��1 �� ''�- 5�6�'� C �-. '��2�L�Z� - ^ � �� S''�i._ly c, r— � Date of Inspection Matt Bolterman - Septic System Inspector Note: In[he 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 guazantee or certify that an existing system will continue to function properly,but is merely an opinion ofthe adequacy of the system under current conditions based on the available information. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us . � �1V' .. . � 0�;�., O - . , �+�� :�'�-� CITY of �]EZONU ,�y-=' ?. � �'�, .'�r � !'ti�!��;-. ��;�' ti ,. �, .� ti, �� Municipal Offices >.�-�.,��, � . �� } g, Mailing Addnss: � � � �;;•� �i Street Address: . .�ESHO 2150 Kelley Parkway � P.O. Box 66 Orono, MN 55356 Crystai Bay, MN 55323•Q066 Owner: van ��' �L�S o t� - � Address: SS Vol�e� V;2w �� . Ciry Ordinance 199 requires that each existing an_site se�vage trea�ent rystem in Orono be inspected every two years. The on-site se�vage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMtTY (1-31: l � lO "CODE SYSTEM" An ISTS which meets all the location,daign aad coastruction��+�Q of the curreat Orono bfuaicipal Coda, 2 °COI�LIANT SYSTEM" An ISTS which doa not meet a11 the locatian,daiga aad coastruction standards of the cucre�proao bfunicipal Code but does meet the three foot separation requircmeat,and which is nat failing oc an immiae�threat te pnblic heahh or saf�[y. 3 "NON-COMPLIANI'SYSTEM" Aprohibited ISTS;an ISTS locaied withia a drsignated 100-year fload plain,aay ISTS which may or may not meet all the locatioq drsign,or ceashuction staadatds oFthe cvrreat proao Municipal Code aad which u faling for aay reasoq aad . any ISTS with las than three feet of unsahuated wil or sand between the disiabution device and the Iimiting soil ehar3cceristia. TANK CONDITION(�-10): � � ' •• ' Tank inspection indicates: .. • � Pumpout not needed at this time, 6 Tank must be pumped out this year (city code requita tanks to be pumped out every 3 years. Tarilc was lbst pumpad_ -I-°�- I� ) 7 Solids ac�vrauIation in tanks is at a cricica(a criticallavaL Tankz should be pumprd out as soon as pouibla. $ Systrns is dis�hatging to the surface. Tanks must be pumped out within 48 hours to elimiaate suzface dischstge. 9 Irupection risers missing-tanks could not be inspecttd Inspection tisers(4"dib pipe)must ba installtd in each tank at next pumpout If tanks have not b<rn pumped out within the lut three years,they should ba pumped out now. 1� Insprrtiun pipa u located dirn:dy over tank baHla(dou not give accurate measurement of solids accumulation). If tan3cs hava not bern pumped out�vithin the list three years,they should be pumpad out no�v. DRAINFIELD CONDITION(11-14): \1 Q�DninField is dry.no surfacing evidtnt � 12 Some etldeace oFsurfacing,not ccitical yet � � . ' ' • 13 Dtsinfield'u szC�nttd and visibly d'ischarginq untreated e@lurnt to tht surface. Contad tfie City IcLtpcctor immediately.Repairs must be eompltced�sishia 90 days. , 1� Drsinfield estrnt and condition unkaown, �o��v1's: 0��,�.��.-,�.�� s ak. ��.x �r�,�ke� ;� �� : o�• -, � �ac.\�. ' -1 -�j0- O \ �� Datc ofInspecQon Septic Systcm Inspector .�` � Natr: Ta the evrnt that thi.s iaspsciioa repod is used to satisfy the requiremeats for a moctgage or otha traasfa of property,be advised tbai this report daes not guaruitee or certify that aa esisting sysrrm will eontiaua to fuaction properly,but is mereIy aa opiaion of tfie adequary of the system uader cvae�coaditioas bued oa th�e avu'lab[e inforautioa CITY OF ORONO � O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT r�,\ � INSPECTION REPORT 'C�� G~ 9kESH��'� Owner: 1lAr1 �21�`K�$�}Ti Address: S�J Gc)�CJ��/� �,i�%J �IZ ( J�s.3';�7 ) �� Permit #'s: �1 Dates: GfSa�f�1� Contractors: �d�11S �pCk"�IAr 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 belou. (This is �, an existing system [ 7 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 seuage 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 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. (The limiting soil characteristic � has or [ 7 has not been identified at this time. If the limiting soil characteristic has not been identifi d, this classification may be subject to revision.) TANK CONDIT[ON C5-10): inspection indicates: Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be p�nped out this year to help prevent future problems. 7 Sotids 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 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 purt�out. If tanks have not been pumped out within the last three years, they should be purt�ed out nou. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). !f tanks have not been pu�ed out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): 11Re�it�field inspection indicates: L.1�� Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector irtmediately. Repairs must be completed within 90 days. 14 Drainfield extent arxi condition unknown. L1MITING SITE FACTORS (slope,setbacks.etc.): .___ POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): /�� COMMENTS: �`�Z r r�� r�� r� S�Y 7Z�i� Cr l�f� : �i�� Cx- c'�� "9��7 �i r '_ ` ,C Date of Inspection ptic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properlyi 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 loc=tien 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 a � ON—SITE SEWAGE TREATMENT r�, � INSPECTION REPORT 'C�� G~ � 9kESH��' � /` )J � ) `� Owner: f �l �r'IC��J�� Address: �� (�i'�l/f/{�i^�/if l„J �T' Permit #'s: Dates: �1�( 7 p� Contractors: ,��5 [Y�"�►'�(�(? 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 uhich is operating satisfactorily by treating and disposing of the entire current seuage 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 uithout discharging any pollutants into ground or surface Waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system uith less than 3 feet of unsaturated soil or sand 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'fied, 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. 8 System is discharging to the surface. 7anks must be pumped out uithin 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pumpout. If tanks have not been p�xnped out within the last three years, they should be pixnped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been punped out within the la�t t!.��c+ years, the ho ld be pump d out now. � DRAINFIELD CONDITION (11-14): D�n field inspection indicates: (1V Drainfield is dry, no surfacing evident. � Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly dischargi�g untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �� COMMENTS: Date of Inspection p ic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properly� but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the prE�nises with the system loc�ti�n and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO � O� Municipal Offices O � O Post Office Box 66 Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT � �, INSPECTION REPORT ti ��kESH��'�G Owner• � � Address• �� ( �,',�CIf�YI I,�t�i,ti.� LJ� Permit #'s: +-�� Dates: �;$��C�7 Contractors: �I�S �"�14�- /�f=.iC(. 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 p� 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 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 tnto ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system uith less than 3 feet of unsaturated soiL or sand betWeen the distribution device and the limiting sotl characteristics. (The limiting soil characteristic �1 has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identified, this classification may be subject to revision.) TANK CONDITION (5-10): � T�c inspection indicates: (5� Pumpout not needed at this time. �5' 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 pumped out within 48 hours to eliminate surface discharge. 9 Inspect�on 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 pumped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINfIELD CONDITION (11-14): D nfield insPection indicates: 1 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. LIM[TING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,uater table,etc.): ��,�J COMMENTS: . r- '+ , �-�C3- _� 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 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 On the North Shore of Lake Mifznetorzka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 OWNER Y // ADDRESS S� l 1�� % PERMIT NO.'S. /�� DATES �? �w f CONTRACTORS ' !�n-r'� ��p ��_�� 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 Code1 but in most respects appears to be designed, located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major upgrading of the system is required at this time. D3 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 ta�ks 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. Ta�ks Drai field 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- I�spection 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 Futu e 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 surface discharge. COMMENTS: �-��9l - Date of Inspection S tic System Inspector Note: In the event that this inspection report is used to satisfy the requireme�ts 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