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HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTOR Y Address: 1150Heritage Ln. PID: 10-117-23 13 0004 Building Type residence BRs Install'd for: 5 In Musa: Yes Permit#: 923 Date of Permit: 9/28/65 Installer: L. & L. Plbg. System Type: standard trench Experimental: no Tank Filter: SYSTEM CONDITION Conformity: 2 Tank Condition: 8 DF condition: 11 Failure Pot: medium \ G � SEPTIC TANKS � � Material: concrete block Capacity: 1000, 750 �� Setback to Bldg: 33 Cesspool: unknown �� DRAINFIELD Length of Lines: 250 # Lines: 3 Trench Width: 2 Treatment Area: 500 Type of Filter: rock Soil Boring: yes Tile Size: 4 Under Tile: 12 Perc Rate: Setback DF-Bldg: 80 DF Ht above Wt: 3 Soil Type: Limitations: WELL DATA Setbacks - Well-Tanks: 65 Well-DF: 50 Report in File yes Pump Type: subm. Depth: 168 Diameter: 4 Method: drilled INSPECTION RECORD PUMPOUT RECORD DATE DESCRIPTION COMPLIANCE DATE GALLONS 10/31/78 compliance s 5/11/88 1000 6/18/84 no surfacing-need risers 2 10/26/92 1500 9/24/87 no surfacing 2 7/10/90 no surfacing 2 10/U92 no surfacing-need risers,pump tanks 2 6/8/94 no mottling to 60",trench bottom unknov2 4/14/98 trench bottom 42"-need risers,pump tank2 7/26/00 connect to sewer by 12/31/2007 2 7/29/02 non-compliant,connect to sewer 12/31/2(compliant systen �(�,-i��'�I C`3k � ��, M ? iF�nrS S -c7�o C�(L - /�c�n-Ca.�. f ..� �.� S � �,.�� � � . I I�C� �,�i-�-z� e, �. g � � i ( � � ,,, ��Y��aX�� I � I i b � � _� � , ( �f� �,YG� 2��.17 I � � I � � l � �� �3`� ��'0 1� �� ��'0 �� '� ,� , ��f0 gg (� �,�a �U �`S,D �D�3 6�� ioa d o��� . ; �. � . .� _ 0 0 � ,, �� - : � CITY of ORU11T0 �, ,,.},.,r,:�� � ►� � , S v�y,� � �. ,'Jl ��3 �!� ` Municipal Offices ' :` ?:, .`���`�` G Street Address: �l Sa-a4 q-�"I bo O Mailing Address: `��Y'EggOg'� 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: I�sd ��� �'l`'��}�, L-,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 (1-31: �' 1 "CODE SYS`I'EM"An ISTS which meets ail the location,design and construction standards of the current Orono Municipal Code. O "COMPLIANT SYSTEM" An ISTS which does not meet all[he location,design and construction standards of the cunent Orono Municipal Code but does meet the three foot separation requirement or rivo foot requirement for systems installed 1996 or earlier,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 construction stanchrds 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(5-71: � Tank inspection indicates: 5 Pumpout not needed at this time. 6Q Septic tanks 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 throu�h white inspection pipes. This ailows for the proper cleaninQ. Keep water softner and iron filter discharge out of septic svstem to prolonQ life of drainfield. Ask pumper to test alarm float to verifv alarm is still workin�in vour 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 tank. If tanks have not been pumped out within the last three years,they should be pumped out now. D INFIELD CONDITION 8-10 : d" 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: �C-.������� ... �.. � ook5 0�` I'V�l� _3�.6 �, � -1.�^l(j f I Sv ti�.� Zvd� - �-�--�y �' r'� I :� Date of Inspection Matt Bolterman - Septic System Inspector Note: ln the e��ent that this inspection report is used to satisf��the requirements for a mortgage or other transfer of propei�ty. be advised that this report does not �uarantee or certif) that an existing system will continue to tiinction properl�. but is merel} an opinion of'the adequacJ� of the s�srem undi-r cw�rent �onditiun;bascd on d�e a��ailablc inlonnation. � °� .�. o ... ������-� CITY of ORONO ,� � �'����:� ��� �:�� � �� �;'�-�J�� ,�,� Munlcipal Ot�'ices ��ti��i�,��G � SVeet Addrou: Mailtn�Addrossc Eg�I4� 2150 Kelley ParlcwaY P.O. Boz 66 Orono, MN 55356� � Crystal Bay, MN 55323-0066 95d-�4q-4600 To Current Owner: Address: � �S� �e f 't��Z. L°`^e 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 CONFORMIT'Y (1-3): a 1 "CODE SYSTEM"An ISTS which mccts all the location,dcsign and construction standazds of the eurrent Orono Municipal Code. (� "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and conswction standuds of the currcnt Orono Municipal v Codc but does mect thc three foot scparation requirement or two foot rcquirement for systems instailed 1996 or earlicr,and which is not faiting or an imminent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yoaz flood plain,any ISTS which may or may not mcet all the location,dcsign,or conswction standazds of the current Orono Municipal Code and which is failing for any ceason;and any[STS with Icss than tivice fcct of unsaturatcd soil or sand bctwecn the d'utribution device and thc limiting soil charactcristics. TANK CONDITION(5-:��: 6 Tank inspection indicates: 5 Pumpout 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 ��"a6"a�- ), Make sure septic tanks are aumned through manhole and not throu�h white inspection pipes. This allows for the aroaer cleaning. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. DRAINFIELDCONDITION[$-lQ�: $ � 8O Drainfield is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yet. 10 Drainfield is saturated and visibty discharging untreated ef�luent to the surface. Contact the City Inspector � immediately.Repairs must be completed within 90 days. CO��S: Sys�-e..� �S g Co ^•.p�:�rfi SySK.� A�1 t��5a- �C Co�c�ce�e� � se.,.rc� by ��-�l I- �007_ P�^-� �4-a�,1Cs- � -��-��. �� Date of Inspection Matt Bolterman- Septic System Inspector Note: In the event that this inspccdon rcport is used to satisfy the rcquiremcnts for a mortgagc or other transfer ofproperty.be advised thai this repoR does not guarancee orcertify that an existing system will continue to function properiy,but is merely an opinion ofthe adequary of thc system under current condidons based on the available infortnation. � O� „ O _ O , � ��j ,,9��r��, � � �� CITY of ORONO V'``�' �` �; ��� ti Municipal Offices V\ f� �.��.��� � �;, ti � `=j '�.-�G Street Address: Mailing Address: \ / I ' g $'ESKQ 2750 Kelley Parkway P.O. Box 66 � Orono, MN 55356 Crystal Bay, MN 55323-0066 owner: Anthony NiCkloW Address: 1150 seritage Ln. Permit #'s: 923 Dates: 9/28/65 Contractors: L. & L. Plbg. (This is [ ] an existing system [ ] new construction) . SY5TEM COMPLIANCE (1-3) : 2 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 saturatad soil level is [ ] or is not [ ] idantified under this septic systam. If the saturatad soil level is not idantified, this classification is subject to ravision.) TANK CONDITION (5-9) : 8 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. 10 The tank or tanks meet the definition of a cesspool and must be replaced within 10 months. (The tanks are [ ] or are not [ j watar tight or tha condition is ( � unknown. If the tanks are not confirmed to be watartight, 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. ) : madium COMMENTS: 4/14/98 W � Date of Inspection Septic 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 �� (J~ � 9kESH��' Owner: Z !� Address: �L�1• Permit #'s: Dates: /oZp-�y� Contractors:[�L., ���, iLfTJ�`��• City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-stte seuage 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 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 was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input uithout discharging any pollutants into ground or surface uaters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located uithin a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand betueen the distribution device and the limiting soil characteristics. �(The limiting soil characteristic [�has or [ ] 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 inspection indicates: 5 Pumpout not needed at this time. Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accunulation 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 dischar�e. 9 Inspection risers missing-tanks could not be inspected. lnspection risers (4" dia, pipe) must be installed in each tank at next p�xnpout. 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�field 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. LIMITING S1TE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE Cdepends on soils,water table,etc.): C MMENTS: � � � Q(� ,, r. � h e � ' m " ',a� 5 � ��/�[� 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. 7his report must be kept on the prE�nises with the system loc�tien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO � O� Municipal Offices O � O Post Office Box 66 Crystal Bay, MN 55323-0066 a � ON-SITE SEWAGE TREATMENT � �, INSPECTION REPORT ti ���kESH��'�G Owner: H171/Y�'!1/ �,�ll��al� Address: �/�t J �rl�r.�fP �. Permit #'s: 9�� Dates: I;���.1� Contractors: �-�'`. �f�4:t-��� City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. 7he 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 [ 7 new construction> SYSTEM CONFORMITY (1-3): 1 "CODE SYS7EM"-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 /y without discharging any pollutants into ground or surface waters. (U "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 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 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 p�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. b Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. � System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. Inspection risers missing-tanks could not be inspected. ,��nspct�'qn risers (4�� dia. pipe) must be installed in each tank at next pumpout. If tanks have not been pumoe o t wit in t e last t ree vears v rxmQQd �d7f' - 10 InspeZfiorr'p'fpe 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: � Drainfie[d 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 and condition unknown. LIMITING S1TE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE <depends on soils,water table,etc.): ���_ COMMENTS:� � ' �--�y ,r- , . � , Date of Inspection ptic ystem 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 toc=tien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On tl�e North Shore o f Lakc Mi�z7aetoyzka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER � �" �a � � �� ADDRESS �/�Q , �✓���- PERMIT NO.'S. �� DATES ��� �� CONTRACTORS �� f ' City Ordinance No, 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage treatment system at the above address has been inspected and appears to fali 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 properiy. �2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major upgrading ot the system is required at this time. � 3 Does not meet current City standards in many respects relating to design,construction, or location.Appears to be operating adequately at this time, but has a relatively high potential for future probiems. No major upgrsding of system is required at this time. � 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repairl replacement procedures. If drainfield replacement is necessary, soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( � Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not �Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a criticai level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible, l� Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not criticai yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risers 14" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) ❑ Adequate ❑ High water table �Low � Fair ❑ Lot size ❑ Medium � Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: ��D-�O Date of Inspection eptic 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 wili continue to funciion properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/ Inspector's File GOLD COPY/Homeowner On tl.�e North Shore o f Lake Mi�znetor2ka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER /"t 1`\-1�,[5►�.z.r_ � � �k IOW ADDRESS ��� �-'Ic�.!'�."�c_c�Q. L�t+'1�� PERMITNO.'S. ����� DATES ���r �� CONTRACTORSLf �— F'LtS� �' �'�T� 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,co�struction,and location.Appears to be operating properly. � 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previous codes. System appears to be functioning properiy; no major upgrading of the system is required at this time. � 3 Does not meet current City standards in many respects relating to design, construction,or location.Appears to be operating adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at this time. � 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary, soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( � Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. .� Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated � Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- �nspection risers (4" dia. pipe)must be instailed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanksFiave not been pumped out within immediately.Repairs must be completed within 90 days. the last_�ree years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potentiai for System Failure Site Capabilities for ❑ Siope (depends on soil types,water Future Expansion ❑ Soil tab�e,and system condition) � Adequate ❑ High water table ❑ Low ❑ Fair � Lot size � Medium ❑ Poor ❑ Lake,wetland,or stream ❑ High O Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: �LZt11E� ��rt �L:(� C� I���O/� �� J�(t,Q V Y�S �I�� G�li�'�rC7{ v ��,r����� �,� ��r�_ c�r�r.� n r������� c-� r�cr� r , �_ - � ; _ � ����-!- r� � Date of Inspection Septic Sy �ispector 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 guaraniee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY /Inspector's File GOLD COPY/Homeowner On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT POST OFFICE BOX 66 � 1335 S. Brown Rd. � _ � � Crystal Bay, MN 55323 473-7357 OWNER (-�f.►�tJK '7 C ;i1� ; ' �5 ADDRESS 1 / ��' /�C=ri i�F1�c_. �.i�N� PHONE PERMIT NO'S. �1 a 3 DATES r/'J�� �S City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below: ❑ � Meets or exceeds current city standards in all respects relating to design, construction, and location. Appears to be operating properly. � � Does not meet current city standards in some respects relating to design, construction, or location. Appears to be operating properly. ❑ � Does not meet current city standards in many respects relating to design, construction, or location. Appears to be operating adequately. ❑ � Does not meet current city standards of design, construction or location, is being overused, or is failing to properly treat and dispose of the current input and is therefore endangering a water supply, is a source of pollution to surface or groundwaters, is creating a safety hazard,or is otherwise creating a public nuisance. Please contact the inspector to discuss requirements for repairs to your system. Soil testing may be re- quired. In all cases a design and site plan must be submitted for review. Your contractor must obtain a permit before work is started. WORK REQUIRED: � Septic tanks must be pumped within 48 hours. � Drainfield must be repaired or replaced within 90 days. � Inspsction riser (4"diam. pipe) must be installed in each tank. q7 NEXT Pu�►'�Pi�v�` � Tank inspection indicates maintenance pumpout is needed as soon as possible. City ordinance requires that tanks be pumped out every three years. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑Slope (depends on soil types,water Future Expansion ❑Soii table,and system condition) � Adequate ❑High water table � Low � Fair ❑Lot size 0 Medium ❑ Poor ❑Lake,wetland,or stream ❑High ❑ Inadequate �Drainage �System is causing visible surface discharge. COMMENTS: 6 /�� }�y d�,. Q�.lrn.ci,n•. Date of Inspection Sep c System Inspector This report must be kept on the premises with system location and pumping records. WHITE COPY/ Inspector's File GOLD COPY/Homeowner