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O O CITY OF ORONO
� r � MunicipalOffices
�, Street Address Mailing Address:
� �j'�' 2750 Kelley Parkway P.O. Box 66
'�,� �i Orono,MN 55356 Crystal Bay,MN 55323-0066
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To: The Current Owner of Address 825 HUNT FARM 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 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) Pump out Needed
Yes �No
The city recommends the septic tank(s) andlor lift tank be serviced and umped out every three
(3) years. City records indicate the tank(s)were last pumped out on �. .�,�
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
Inspector: `' Date of Inspection: � — ��
�4���
Telephoae (952) 249-4600 . Fazc(952) 249-4616
www.ci.orono.mn.us
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To: Orono residents on mound rype septic systems
From: Wiliie Gibbs, ISTS Manager
Date: May 10,2006
Re: Landscaping Do's and Don'ts for Mound Systems, Quick Reminder
Do piant and maintain a full cover of grass and keep mowed to a norrnal height, this grass covsr aids
in the evaporation of large amounts of effluent(the liquid left after the "other' stuff has been removed)
in the summer time and allows the mound system to hetp breakdown nitrogen in the effluent, •
Do water the grass over the mound in extreme dry conditions,sparingly.
Do avoid unnecessary foot traffic over the mound, mow it and stay off of it. This is espe�ially true in the
winter time. Even human foot traf6c can cause frost to penetrate the mound resulting in potential
freezing problems.
Do inspect your mound system annually for winter kill, (reseed if neeessary) animal damage,
(burrowing)or signs of potential failure.
Do not plant trees or shrubs on the mound system, smaller trees and shrubs may be planted at the
edges. Remember,that sunshine is the key to a healthy mound system.
Do ask questions, if you have any concerns or questions concerning your mound system
please feel free to call me, I can be reached at 952-249�626.
1
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� �� CITY of ORONO�
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`� � � �y' h��. ' " �C, Municipal Offices
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��� ,� •� ;J�<������� . Street Address: qsa-a4q"�6 � Mailing Address:
�`\'`��('k`$Hp�'��� 2750 Keiley Parkway P.O. Box 66
�—�� Orono, MN 55356 Crystal Bay, MN 55323•0066
To Current Owner: Address: �� � I-�v,�T �"r� !�''``
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 SYSTEM" An ISTS which meets all the location,design and construction standards of the cturent Orono Municipal Code.
2 "COMPLIANT 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 separatioa requirement or iwo foot requirement for systems instaUed 1996 or earlier,and
which is not failing or an immineat 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 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.
TANK CONDITION(5-71: �
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped � �� ).
Make sure seatic tanks are pum�ed throush manhole and not throueh white insaection aipes. This allows for the aroaer
cleanine Keea water softner and iron filter discharse out of seotic svstem to arolons life of drainfieid. Ask pumper to test
alarm float to verifv alarm is still workinQ in vour 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(8-101: �
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
�
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��� ::� :� CITY of 4RON0
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'�, � � j.`� ,�ti M��i off'�
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� �� ,�G Street Address: Mailing A�dreu:
`�$'EggO�` 2750 Kelley Parkway P.O. Box 66
, Orono, MN 553�6 Cr�rs#al Bay, MN 55323-0066
_ __.-- _ _ _ __.....
_
_ _.__.-----___ .__._
___ __.
T��urremt 4w�r: Address: ��� �Un.-j— "�,�•� �
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.
STEM COIVFORMITY�1=3�: �
"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 loca#ion,design and construction standards of the current Orono Municipal
Code but does mcet the duee foot sepazation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A protubited 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 standazds of tfie 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 tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 yeazs.
Tank was last pumped �'Z�—0(7 ). '
Make sure seotic tanks are pumped through manhole and not through white inscection pipes This allows for the
proper cleanin¢. Keeu water softner and iron filter discharge out of septic sv�tem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be install�d in each tank. If
tanks have not been pumped out wii3�in the last three years,they should be pumped out now.
D INFIELD CONDITION 8-10 : �
8 Drainfield is dry,no surfacing evident. _
9 Some evidence of surfacing;not critical yet.
10 Drainfield is saturated and visibly dischazging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMI��NTS: /�'�O v^� ����S 6 _ �v^- St �'L� �n���s
S v��� �--0 D� -
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Date of Inspection Matt Bolteiman- Septic System Inspector
Note: In the event matt�is a�spaction report is used to satisfy the requirements for a moctgage or offier transfer of property,be advised that this re„�ort 6oes notgu�
ar o�'y i�at ae a3ci�t��will continue to function properly,but is merely an opinion of the adequacy ofthe system ander cumnt conditio�.s�Sed oa ihe avaiiaible
Telephone(952)249-4600 • Faa(952)249-4616
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FROM : 'YS PHONE N0. : 4422091 Oct. 03 2002 01:20PM P2
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Z/25/02 Water/wastewater-ISTS4.31
Compliance Inspection Form for Existing
Individual Sewage Treatment Systems Minnesota Pollution
Control,Agency
Campletion of rhis lorm fulfills the minimal requiremena of Minn. Stat § �T5.55(2001)�nd Minnesota A. ch. 7080(1999�. P►ease refer
to�xal ordinances for other requirements or information,especially for compliance requirements for bedroom additions.
e I:
Date of Inspection:/O'3`0� Rea�son for inspection: m��/�iv�
propetty Owner(s) � i O Telephone� �
Pee�on reguesting inspection o�Ai�'! Telephone( )
5ite Address � �'� ���'1 �r A G� City��011,,I� Zip Code-��5�
Fire No./Parcel No. Caunty �.rl� Township
Legal Description
t.ocai Regulatory Authority
Date system constructed � System in Shoreland Area: ye no S�rstem in Welihead
Probection Area: yes�Sys�tem serving a MDH licensed faality: ye�o .ocal Permit# (if any)
S�stems built prior fi�April 1, 1996 and not located in Systems located in Shoreland or Wellhead Protection
Shoreland or Wellhead Protection Area or Serving a Food, Areas or Serving a Food, Beverage or Lodging
Beverage or lodging Establishment Establishment, or systems Buift altet
March 31 1996
Is e sv�tem an imminent thr�at to public health or I e s rr�an imminent threat to �ubiic health
�(a yes ansrv�eris an ITPHSsy.st�m) or safetv� (a yes answer is an 1'TPHS system)
-Dlscharge of sewage to the ground surFace? YES - Discharge of sewage to the ground surface? YES NO
-Disd�arge oF sevvage to drairitile or surFace wdters? YES -Dfscharge of sewage ta draintile or surFace waters?YES NO
-Sewage backup irrto dwelling? YES � N -Sewage backup into dwelli�g? YES NO
-Sftuation with the poterrtial to lmmediately and -5ituation with the potienbal to immediately and
adversely impact or threaten public health or adversely impact o�threaten public heatth or
sdFet� YES safety? YES NO
Is the s�►5tem failinc�?(a yes answer is a fai/ing system) 2s the svstem failing'� (a yes answer is a fai/ing system)
-Less than 7'INC feet of verNcal separatfon beiween -Less than THREE feet of vertical separation between �
system bottom and saturated soil or bedrock? YES system bottom and saturated soil or bedreck? YES NO
-A seepage pit,cesspool,drywell,or leaching ptt? YES -A seepage pit,cesspool,drywell, er leaching ptt? YES NO
Is the sy�m,�on-compliant? Ys the svstem_non-compl��nt?
- Is the system regulated under a monitoring plan or (� - Is the system regulated under a monitoring plan or
operating pe�mit? (if no,go to page 2) YES• operating permit? ('rf no, go to page 2) 'YES NO
If yes, If yes,
-Has ihe required monitoring taken place? - Has the required monitoring taken place? YES NO
(!f no, �e system is non-complying) (If no, the system is non-complying)
-Does the monitoring indicate that the system msets -Does the monitaring indicate that the sysiem meets
performance expectations? —performance expectations? YES NO
(Il no, the system is non�omplying) (If no, the system is non-comp/ying)
Page 1 of 2 wq-wwists4.31 .
FROM : 'YS PHONE N0. : 4422091 Oct. 03 2002 01:21PM P3
� _ �
P�operty Owne�(s)� � ¢ �� � �l"o Fire No./ Parcel No. ,
Svstem Co�oonents (Please describe the system compo ents and attach site sketch showing system/ocaHon):
� — �E i
�/ � —�� �s,I�!IO ..nc��'f�� � /7F��=+vt
7 --
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What tftet ods were used to make�e determinaUons for e tomoliance ins�ec�on� (Nate:No standard p�ot�coleX%sL�
The fol%wing Ustis notexhausb►�, or in sequentia/arc�er norindicat�s whkh canbinatians nlay necessary t�make a determ/nadon)
Watertight tank(s) Hydraulic Functioning Vertical Separation Distance
� Probed tank bottom � Seard�ed for surface ouHet � Conducted soil borings �
O Observed low liquid level O Performed hydraulic test �epth to limiting layer�.,
� Fxamined const records � Searched for seeping in yard 'DepCh to system bottom o�'
� Examined empty(pumped)tank o Checkeci for badc-up in home � Examined records
O Probed ouCside tank for"biack soil" O Excessive ponding in soil system/D-boxes ❑ LGU Limiting l,ayer Verification
o Pressure/vacuum check � iiomeowne�testimony o Other
' o Other ❑ 6camined fior surging in tank � �����' ����'��,f' � �y,�,d
o "Black soil"above seil systern
❑ OCher
Status of the svsten�
Based on the complianae criteria,the system status is: (check one) ❑ failing (to proF.ect groundwater) 0 an
imminent threat to public heafth or safety(ITPHS), ❑ non- mpliant(monitoring issue)�compliant(none of the 3
p�evfous conditions). Therefore,this documen#is a:�Certificate of Compliance �IVotice of Noncompliance
is this sys�em an EPA Ciass V Injection Well? ❑ yes no
Certifica�ion
I hereby certify as a state of Minnesota licensed Inspector and/or Desfgner I or Qualified Employee Inspecto�a�d/o�Qualified Employee
Designer I that I conducted an investigation that accurately determined the compliance status of this system and that rtry recorded
observaiions are accurate as of this date. No determination of future hydraulic performance has been nor can be made due to
unknown conditions during system construction, abuse of the system,inadequate maintenance, or future watier usage.
Inspector's name(print) JEFF SWEDLUND Phone_�Z-GS7�'�v39�
Llcense and/or istration Number . 398 Address_ ����% s� � ,�1�.�
Employed by � � Address ��'I�
Signature Date �����
U�arddeReclUirelt�gllts [der/vcdfromMlnnesotaStahutes§115.55)
An l7PHS mc�-be upqrdded, �plaaad,or its us�dis�nlrnued withln ten months oirereipt of hhis notias or with>n a shat�r period�
�+qulred by/ocal ord/nanc�. If the system fai/s!n provide sufFicientgroundwater prot�tlan,therr the system must be upgrader/,
replac�or fir us�e discondnued within d�e d'me required by rule or the local orrlinari�e. If an excsbng system is not failing as de/9ne�d in
/aw,sad has st I�ast Mro feet of dPsign soil separatlon, then the system necid not be upgraded, repair�d,rep/ac�ed, or/L use
dismnd�ued,notwitfisbnd�ng any/aca/adinanc�thatis more strrcC This does nvtapply to systems in shore/and a�s, wd�head
protE+ction a�as, or those use�d in avnne�ction w�h iecd, deve�aq�and lodging establishments as dc�fined in law.
Suaaested Altachments
i) Site sket�h could alsa Include:well,well setback to system,dwellfng or other buildings,tank(s),reserved soil treatmern area,
surtace water and soil boring locations. Include as-built d�awing if available.
2) Soil boring logs,showing each horizo�. Indicate the texture,color, redobmorphic features depth to bed�oc�,standing watier and
whether the mate�el is fl(l.
3) A list of any and all requirements oF the iocal ordinance that are different from the state requirements referred to on this form.
4) A homeowner survey of system performance, signed by the hom�wner as being factual.
5� Monitoring data as appropriate.
• Pano � nf�
FROM : RYS PHONE N0. : 4422091 Oct. 03 2002 01:21PM P4
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Site Sketch:
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Pleuse indic�tc t6c locatioo of: Wcll,well setback to systcm.clwelling or othec estol�tishmrnt,tank(s),$�+;)tte��1cnt s�•stem,
reserved soil lrtatmcnt arca,curtain drain,propacq•linrs,wwtcrway;�nd buried lines (t6ose NOT iastalled by tha utiliry).
Include c��q les�ch flnd appraeintiatz dista��oes fioen fi�ed nfur.ncc poinu such as stncts and buildiqgs, Plrnse attaeh ss-
built dta«�ings,inspeetion ra�rts,Ccrtificat(s)of Compliaqez And Ncmcc(s)ofNoncompliane�,if ah�ailable.
Soil Barings (B�#): Locatc eaeh boring o�the map above, ir�dxcate on the right o�the colwnn the soil
leXtW�C,structure, color, deptla of eacli differcat soil type, evidcnc�af mottling,bedroc��nd st��ndir�w-at�r.
Also indicate if the rnaterial is fill.
BR# BR# ��# SR# BR# BR�
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xl�CO��Er'IH OF�L07TLING,S�SGNAx,�T!C1;wAT$R OR SEUROCKOK ADOVE LIATCS
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1��'hat nceda to be completed to bring d�e�b�v�,�•,ttm in[�cvmPlianco iCfound n�t in compliance?
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��- -� CITY of ORON�
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� �SVeet Addrou: M�Iqa��ddross:
. 44" 2150 Kelley ParkwaY P.O. Box 66
- Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner. L°�C C� A f�C�:�O . � Address: �s ���t F5 r M R�
City�rdinance 199 reqirires that each ea�sting on-site sewage t�aUment system in Orono be inspected every twu 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 LSTs which meets all the locasion,desigu and coaswdioa seandards ofthe cuaent Omno Mw�icipa!Coda .
2 "COMPLIANI'SYSTEM" An LSTS which does not meet au the location.design and coa�uction stsaduds of the cuue�Orono Muaicipal
Coda but doe�meet the tlnee foot xparatioa taNuemeat.and which is not failing or aa imminmt threat to pablic health or safdy.
3 'NON-COMPLIANT SYSTEM" A prohibited LSTS;aa ISTS located withia a deaigwted 100-year flood plaiq any L4TS whic�may
or may not m«t all the locatioa,de�igq or coashudion staadazds of the curre�Oraao Muaicipal Code aad which is failing for any reisoq and
any LS'TS with less than thr«feet of uasabuated wil or aand bdwan the dis4sbution device and tlu limiting aoil characta�istics. •
�
TANK CONDTTION(5-10): � � �
� Tank inspection indicates: • �
OPumpout not needed at this time.
6 Tank must be pumped out this year (city code requires taaks to be pumped out evay 3 yeacs. Tank was last Pumped o �a�-0 U ).
7 Solids accuawlation ia tanks is at a aitical a critical leveL Tanks should be pumped out at sooa as possible.
8 Systan is diacharg�ing W the surface, Tsaks must be pumped out within 48 hoius to etiminate sucFace discharge.
9 Iospe�xion risas missing-tanks could not be iospected. Inspectioa risecs(4"di�Pipe)must be iastalled ia each taok at next pumpaut 1f tanks
have not b«n pnmped out withia t!u laqt thra Yeacs,they should be puroped oat now.
10 Iiupectian pipe is located directly ova taak tia�le(does not give accu:ate meaguremeat ef aolids aca�mulation� If fan(cs Lav��t boea pumped
o�t within the la4t three yesrs,they should be pumped out now. .
DRAIl�IFIELD CONDTTION 11-14 : \L
11 Dniofield is dcy,�surfacing evidmt .
12 Soau cviduuoe of wrfaciag,not aitical yet . • ,
13 I)raia6eld is sahuated aad viu'btY discharging uvtreated efflue�rt to the suuface. Co�ad the C' .
oompleted withia 90 days. �Y��immediately.Repain must be
�
14 Drainfield e�cteat and cond'ition unknown. • � �
co�rrrs: S�s�� ��o o�s �
-�a�� 0�(. �p\�cc i r.S�cc�- :o� �q� o� S��%C.
� -� -o� �'ha�
.. nate af InspeChon . � sepao sysc�m Inspector '
Nate: Ia the avm2 that fhis mspation cepoct is wed to satid'y tlu tequiremeab far a matgage a a�her tranifa of pmPert3+.be advised that this repoR doa not guaca�x
or catit�that an e�asting system will coatiaue W foadioa pmperly.but is maely aa opinion of the adcquary of the system under cuaeot conditions ba�ed on the svu'lable
infocmatioa
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON–SITE SEWAGE TREATMENT
r� �, INSPECTION REPORT
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Owner: !�!'L/Z� /7��1 �� Address:_��s ���f�-� F�a'I /�U�3�( ( ��3S6)
Permit �'s: �ZUZ Dates: / –l3� �� Contractors: �f2�j'��"SiU� �"i'Zq/Z.
s � ��—
City ordinance number 100 requires that each o�-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�n existing system ( ] new construction)
TEM 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 Without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORM[NG 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 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 identified, this classification may be subject to revision.)
TANK CONDITION (5-10): /f`i
_�_L.0
Tank inspection indicates:
5 Punpout 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 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 instatled in each
tank at next purtipout. If tanks have not been pumped 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 last three years, they should be pumped out now.
D_RAINFIELD CONDITION (11-14): t�
Dp�r field inspection indicates:
�t,�j Drainfield is dry, no surfacing evident.
7Z 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.): ���.��-72: /�j ,�'
POTENTIAL FOR SYSTEM FAILURE (depends on soils.uater table,etc.): � y�
COMMENTS: ��d,Qt S� S�Pt�
Date of Inspection Se ic Sys�em Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system wilt continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the prE�nises with the system loc=tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O O
Post Office eox 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�, � INSPECTION REPORT
�� (J~
9kESH�4'�
Owner: � �) r� Addres s: �� 1TU� �r� ���
����� f�I�
Q )?�pp� �
Permit #'s: Dates: -I—IJ pC� Contractors: �� 1 Q rj';� �
City ordi.nance number 100 requires that each on-site sewage treatment system in Orono be inspected on a� re�asis.
The on-stte seuage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is� an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
"CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and uhich is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface uaters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and 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 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 [�Q� has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identi�ie?1, 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. Tanks must be pumped out uithin 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. lnspection risers (4" dia. pipe) must be installed in each
tank at next purtipout. If tanks have not been pumped out within the last three years, they should be puny�ed
out now.
I� [nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
� If tanks have not been purtiped out within the last three years, the sho ld be ump out nou. �
� i
� � ro;✓J,�
DRA[NFIELD CONDITION (11-14):
D�e�field inspection indicates:
(1]/` Drainfield is dry, no surfacing evident.
Yz 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 unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��
i �
COMMENT : C )� '" � (�,�.
Date of Inspection Se 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 exis±ing 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�tion and pumping records.
WHITE COPY/Inspectors Fiie YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATMffi�1T
� � INSPECTION REPORT
ti
��`�kEs�xo�'�G
.
Owner• Address• .
Permit #'s: Dates: /�J�O Contractors: ►� � .
City ordinance nunber 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 tnspected and appears to fall into the category
checked below.
(This is b(1, an existing system [ ] new construction)
SYSTEM CONFORMITY C1-3):
7 "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 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 [ ] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be p�mped 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 punped out within 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 puipout. If tanks have not been punped out within the last three years, they should be punped
out now.
0 inspection pipe is located directly over tank baffle (does not give accurate measurement of solids acctmulation).
If tanks have not been punped out within the last three years, they should be punped out nou.
DRAINfIELD CONDITION (11-14):
Dr nfield inspection indicates:
1 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
73 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 SITE FACTORS Cslope,setbacks,etc.): �/^�
�-r
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table.etc.): 12/�
COMMENTS:
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 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 the system locption and ptrnping records.
WHITE COPY/Inspectors File YELLOW 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 �'I��S �� ADDRESS -������� ��
PERMIT NO.'S. I�O� DATES ��3 6� CONTRACTORS r
City Ordinance No,210 requires Mat each on-site sewage treatme�t system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is l�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 standerds 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 of the system is required at this time.
� 3 Dces not meet current City standards in many respects relating to design,constructio�,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 enda�gering 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 i�spection indicates: �Inspection pipe is located directly over tank baffle.(Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If t�k�
❑ Solids aecumulation in tanks indicates they should be pump- have not
ed out this year to help prevent future problems. ould be pum ed o �y„
❑ Solids accumulation in tanks is at a critical level. Tanks Drai fie inspect�on 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. ❑ Dreinfield is saturated and visibly discharging untreated
❑ Inspection risera missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risera (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 ;�-•l.ow Fair
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
�-���1
Date of Inspection eptic System tnspector
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 co�ditions based on the available information.
This report must be kept on the premises with system locatio�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 ��e��L�'e/ ADDRESS � 7i!/I'1'l %G�Y/'1� �w►�
PERMITNO.'S. 0/°�'�a DATES /'"��� CONTRACTORS ' � �
City Ordinanae No.210 requires that each on�site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment syatem at the above address haa 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.Appean to bs operating
properly.
� 2 Does not meet all current City standards for �ew construction (1978 Code) but i� most respects appears to be designed,
loceted, and co�structed 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 stendarda 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 standerds for design,construction or location,but is failing to properly treat and
dispose of the current input,and is e�dangering 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 Ciry I�spector to discuss system repair/
replacement procedures. If drainfield replacement is necesaary,soil testing wil!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)
Ta�k inapection indicates: ❑ Inspection pipe is located directly over tank bsffle.IOces not
'�Pumpout not�eeded at thia time, give accurate m�suremant of solids accumulation.) If tanks
❑ Solids aecumulation in tanka indicates they ahould be pump� have not been pumped out within the lest three y�rs,they
ed out thia year to help prevent future problema. should be pumped out now.
❑ Solida accumulation in tsnks ia at a critical level. Tanks Drai field inapection indicetea:
should be pumped out as soon as poseible. � Drainfield is dry,no surfacing evident.
O System is discharging to �urface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Dreinfield is seturated and viaibly discharging untreeted
❑ Inapection riaere miaing—tanks could not be inspected. effluent to the aurface. This condition mey require replace-
Inapection risera (4"dia.pipe)must be installed in each tank ment or additions to drainfield. Contact the City tnspector
at next pumpout. If tanks have not bee�pumped out within immediately.Repairs m�t be completed within 90 days.
the laat three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Faiture Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
O Soil table and system condition) �Adequate
❑ High water table � Low ❑ Fair
D Lot size ❑ Medium O Poor
O Lake,wetland,or atream O High . ❑ Ina�quate
❑ Drainage ❑System is causing visible
surface discF►arge.
COMMENTS:
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 dces not guarantee or certify thst an exicting system will continue to function properly,but is merely an opinion of the adequacy
of the system under current co�ditions 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