HomeMy WebLinkAboutseptic info CERTIFICATE OF INSPECTION
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 1 S` day of December, 2010, to certify compliance with
provisions of the Orono Municipal Code and Minnesota Rules Chapter 7080, regulating
installation of individual sewage treatment systems.
Owner: Peter Passolt Site Address: 885 Hunt Farm Road
P.I.D.: 30-118-23-43-0004 Permit #: 2010-01027
Installer: Hayes and Sons Excavating
Compliance Officer:
data/forms/blank cert of inspection MPCA 7080
���
O O CI'T'Y OF ORONO
,� � Municipal Offices
�,, �, Street Address Mailing Address;
'� G�' 2750 Kelley Parkway P.O.Box 66
'�.� ,��i Orono,MN 55356 Crystal Bay,MN 55323-0066
kESsHO
To: The Current Owner of Address 885 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 lazown components of the system is
available for most properties at the Orono City Hall.
Imminent Public Health hreat
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- ompliant
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) and/or lift tank be serviced and�u,mped out�ery three
(3) years. City records indicate the tank(s)were last pumped out on S —I(_' -b J
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�
�s���G� ��i�:� Date of Inspection: ��C3�
Telephone (952) 249-4600 • Fax(952) 249-4616
www.ci.orono.mn.us
�'�
�
O O
���-�� � - CITY of ORONU
,rrt��r��.c`
''a '�� y •,. �, � Municigal Ofeces
,�'� ����,�,�`.;���:�GN� ti;,
�' � � � � � Street Address: �15d�'a4q'y6� o Mailing Address:
� ���;y� �/
�;;�� �'`�''� ��� 2750 Kelley Parkwa P.O. Box 66
�����' Orono, MN 55356 y Crystal Bay, MN 55323•0066
To Current Owner: Address: ���� 1'���. � �' A �`a�
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): '
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and conshvction standards of the cuaent Orono
Municipal Code but does meet the three foot separation requ'uement 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 prohibited 1STS;an LSTS 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 characterisdcs.
TANK CONDITION(5-7): �
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.
Tanlc was last pumped �- � �- ��- ).
Malce sure seatic tanks are aumaed throu�h manhole and not throush white insvection aiaes. This allows for the proaer
cleanin� Keea water softner and iron filter discharse out of seatic svstem to orolon¢life of drainfield. Ask aumaer to test
alarm float to verifv atarm is still workins in vour house. The alarm warns owner that septa2e 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 tanlc. 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
�°� .
O,�;�, O .
�-,����_�� �� CITY of 4RON0
� `�'4�5,��`� Municipal Offices
. '�'n �`� ' ,�
'�' ��;,�s��'���► G
,� J ,. r��:.� ,� Street Addrsss: MailinQ Addross:
'�Ij'EgHOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
To Current Owner: Address: � �� �U^} ��r� �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 : I
1 "CODE SYS'fEM" M ISTS which meets all the location,design and construction standards of the cutrent Orono Municipal Code.
2 "CONIPLIANT SYSTEM" An ISTS which does not meet all tha loca6on,design and construction standards of the current Orono Municipal
Code but does meet the three foot separa6on requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or
an imminent threat to pubiic health or safety.
3 "NON-COMPLIAN'T SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood piain,any ISTS which may
or may not meet all the location,design,or construction standards of the cuaent Orono Municipal Code and which is failing for any reason;and
any ISTS witti less than tivee feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. �
TANK CONDITION(5-71: �
inspection indicates:
5 Pumpout not needed at this time.
Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tankwaslastpumped �^�"�1� 1.
Make sure septic tanits are pumped throu�h manhole and aot through white inspection aipes. This allows for the
proper cleaning. 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 installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION 8-10 : �
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.
CONIMENTS: ���.�:ci� ,�}� Se��,Z ���C� �oo� �)� �
�S -�4�—0� v�� ��0'''�--.
Date of Inspection Matt Bolterman- Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised thatthis report docs not guarantee
or certify that an existing system wiU continue to function properly,but is merely an opinion of the 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
0
� �
o .� o
���-� CITY of ORONO
� ���� � .
r y� ,�ti Munkipal OQices
' ` • .
�G _ -Street Address: Mailin�Addross:
�`�gHO�" 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �2��- L.2Q. Address: ��S Nun-fi' '���. ��
City Ordinance 199 re�quires 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 CONFORNIITY (1-31: I
�"CODE SYSTEM" An ISTS w6ich meefs all Uu locatioq design and consttuction staadards of the cucre�Orono Municipal Code.
"COMPLIANT SYSTEM" An ISTS which d«s not meat al!y�e locatiuq desiga and conatructioa scandards of ihe cnrtent Orono Muni '
Code but does meet the three foot aeparation requiromud,and which is not failing or aa immineot threat to public heaMh or safety. �
3 "NON-COMPLIANT SYSTEM" A pro6ibited ISTS;an ISTS Located withit►a desigrsted 100.year flood plaio,any ISTS wluch may
or may�t me�t sU the locatioq desigq or coastcuction standarda of the curre�Orono Municipal Code and which is failing for any ceason;and
aay LSTS with less thaa three feet of unsaturated soil or sand betwan the distnbutioa device snd Uu limitin$soil characteristics.
1
TANK CONDTTION(5-10): t _ �
Tank inspection indicates: •
OPumpout not needed at this time.
6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 yeazs. Tank was la4t puroped_�a S- q 9 ).
7 Solids accumulation in tanks is at a critical a critica!IeveL Tanks should be pumped out as soon as possibla
8 System is discharging w tha surface. Tanks a►ust bo pumped out within 48 hours to eliminate surface discharge.
9 Incpection risers missing-taaks cou(d not be inspected. Inspection risers(4"dia pipe)must be installed in each taak at next pumpout If tanks
have not been pamped out within the lagt thtee yeazs,they should be pumped out now.
10 lnspection pipe is located direcUy over tanlc baffle(does not grve accurate measuroment uf solids accumulation). If tanks have not been pumped
out within ffie last three yeacs,they should be pumped out now.
DRAINFIELD CONDTTION 11-14 : �\
1 Ihainfield is dry,no surfacing evidrnt
12 . Some evidence of surfacing,not critical yet
13 Drainfield is saduated and visibly discharging ucdreated efflueet to the surface. Contact the C'
complded within 90 days. rt3'�r immediately.Repairs must be
,
14 Drainfield extmt aad condition uaknown. •
coNnv�rrrs: S�s��. . �o oK5 � ok - � �a�.�.e� ea : ��s e�-� ;� ; e
� C� .SS0.\\0 w S J f�Ce "`'q�C(' 1'i-ra� Qt�i'Cf:rq �1
� -°�-° � ��
. Date of Inspection Septic System Inspector '
Note: Ia the aveat that tbis inspection ceport is used to aatisfy th�e tequiromeo�s f�a modgage or othc Lraanfer of proPertY>be advised that this repoit does not guararrtee
or c«tify tt�at an existing system will continue to fundion propaiy,but ia maely aa opinion of the adequacy of the
infom�atioa system unda��ure�conditioas based on the available
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�), � INSPECTION REPORT
�' G~
�9kESH��'�
�
Owner: `���'t'��1ZC,=� ( ,��� Address: ��J�� �J`Gf6'�� �69�� �(�`� ��-7 .J�'�
Permit �'s: �SJ�I Dates:__���7"�;� Contractors:� /U��� �J2l�s.
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 l� an existing system [ ] neu construction)
/v
TEM CONFORMITY 1-3 : I
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 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 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�as or ( ] has not been identified at this time. If the timiting soil
characteristic has not been ident' ied, this classification may be subject to revision.)
TANK CONDITION (5-10):�
'nspection 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 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 pixnped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. ]f tanks have not been pumped out within the last three years, they should be p�xnped
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 nou.
DRAINFIELD CONDITION (11-14): �
tn ield inspection indicates:
11 Drainfie[d is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City inspector
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
L1M1T1NG SITE FACTORS (slope,setbacks,etc.): ��,�� �6��y
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): /Q�
i
\
COMMENTS: S-
Date of Inspec ion 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 pre�nises with the system location and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
�
O�
O _� � O
� �:�� ;,. ,� CITY of ORONO
�, �; �;vF.. ti Mu��;� ot���
Y ti
�� .�G Street Addresr. Mailing Address:
�C�ggOg' 2750 Kelley Pa�kway P.O. Box 66 •
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: a b Address: 885 Hunt Farm Rd.
Permit #'s: 6551 Dates: 11/12/81 Contractors: Widmer Bros.
(This is �] an existing system [ ] new construction) .
S TEM COMPLIANCE (1-3) : 1
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.
(Tha saturated soil level � has or [ ] has aot baea ideatifiad at this time. If the
saturated soil level has not beea ideatified, this classification is subject to revision.) •
K CONDITION (5-9) : 5
5 Pumpout not needed at this time.
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.
(Durin� the last septic tank Maiatenaace Pumpout the tanks [ ] wnre or [ ] were not confirmad
to be watertight by the liceased pu�pinQ coatractor. If the tanks were aot confirmed to be
watertiQht, this classificatioa is subject to revision.)
INFIELD CONDITION (11-14) : 11
1 Drainfield is dry, no surfacing evident.
2 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface.
Contact the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : low •
CONIMIIQTS:
���-9�
Date of�nspection S ic System nspector
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 SEWAf;E TREATl�NT
r�,, � INSPECTION REPORT
� pti
��kEsH.o4'�
Owner: �t-fl�C�� T Il�1 � Address: �� ��IL� l'G?�� /�L.t,.
Permit #�'s: Dates: �/—/�'—o � Contractors:ll��m�� I/yC�si
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 [ ] new construction>
S STEM 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-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which mey or may not meet all the location, design, and construction standards of the current City
Codes and which is failing tor any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic�has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identi i , this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
Pumpout not needed at this time.
Solids ac ' n in tanks indicates the should be out this ear to help preve .
accumu ation �n ca s s ou on as possib e.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 lnspection risers missing-tanks could not be inspected. lnspection risers (4" dia. pipe) must be installed in each
tank at next punpout. If tanks have not been pumped out within the last three years, they should be punped
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.
DRAINFIELD CONOITION (77-14):
D fietd inspection indicates:
�Drainfield is dry, no surfacing evident.
-'f2 Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (stooe,setbacks.etc.): ���
POTENTIAL FOR SYSTEM FA[IURE Cdeoends on soils.water table,etc.): `���
COMMENTS:
Date o 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 existing system will continue to function
properly� but is merely an opim on of the adequacy of the system under current conditions based on the available
informetion.
This report must be kept on the premises with the system locstion and punping records.
WHITE COPY/Inspecto►s File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(;L TREATMBNT
� . � INSPECTION RLPORT
ti
��'�k'Esxo�'�G
Owner: YC��`�-� ��a TTUC�_ Address: ��ITI/1'1� �l�l�� �•
Permit �'s: 56� Dates: ����—�� Contractors: /i!/1��')'1� rp'�
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 [ ] new construction)
SYSTEM CONFORMITY C1-3):
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-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 sotl 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 C5-10): �
T�Mc inspection indicates:
\5� Purtipout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 lnspection 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 punped
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 punped out now.
DRAINfIELD CONDITION (17-14):
Dr,a�field inspection indicates:
�L1� Drainfield is dry, no surfacing evident.
72 Same evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (deoends on soils.Water table,etc.): ��
COMMENTS:
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
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
intormation.
This report must be kept on the premises With the system locetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore o f
Lake�Iinnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay,MN 55323
473-7357
OWNER �� ��YJ� ADDRESS �a�,,�?� �✓1Y� /�•
PERMIT NO.'S. ��' DATES ����gl CONTRACTORS �
City Ordinance No.210 requires that each on-site sewage treatment system i�Orono be inspected on a regular basis.The on-site sewage
treatment system at the above address has been inspected a�d appears to fall i�to the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or exceeda current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Dces not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accorden�with previoua codes.System appears to be functioning properly;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 a�d
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 othervvise creating a public nuisance.Please contact the City I�spector 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.(Ooes not
'�-Pumpout not needed at this time. give accurate m�surement 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 Drain ield inspection indicates:
should be pumped out aa soon aa posaible. �Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped O 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-
Inspection 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 ahould be pumped out now, O Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Futur Expansion
❑ Soil table,and system condition) �Adequate
❑ High water taWe ❑ Low ❑ Fair
❑ Lot size �Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
�/�/
Date of Inspectio� 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 functio�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 of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT POST OFFICE BOX 66
� . � � 1335 S. Brown Rd.
Crystal Bay,MN 55323
473-7357
OWNER ��//�n� ADDRESS �� ����'1'� ��
PERMITNO.'S. ��� DATES ���-6� CONTRACTORS � �/X1�_ �'��
City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inapected on a regular basis.The onsite sewage
ueatment system at the above addre�hss been i�apected and appears to fall into the category checked below.
(This ia � an existing system ❑ new consuuction)
�� Meets or ext�eds current City atandards in all respects relating to design,construction,and location.Appean to be operating
prope�ly.
� 2 Does not meet all current City standerds for new construction (1978 Code) but in most respects appears to be designed,
loceted, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major
upgreding 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 nuieance.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 actionl
Tank'nspection indicates: ❑ Inapection pipe is located directly over tank beffle.(Dces not
,�Pumpout not needed at this time. give accurate measurement of solids eccumulation.l If ta�ks
❑ Solids eixumulation in tanks indicstes they ahould be pump- have not been pumped out within the last three years,they
ed out this year to hslp prevent future probtems. should be pumped out now.
❑ Solids accumulation in tanks ia at a critical level, Tanks Drainfield inspection indicates:
should be pumped out as soon ss possible. ,� Drainfield is dry,no surfscing evident.
❑ Systam is diacharging to surface. Tanb must be pumped ❑ Some evidence of surfaci�g,not critical yet.
within 48 hours to eliminate aurface discharge. ❑ Orainfield is saturated and visibly discharging untreated
❑ Inapection riaers misting—tanka could not be inapected, effluent to the aurface, This co�dition may require replace-
Inspection risera (4"dia.pipe)muat be installed in each tank ment or additione to drainfield. Contact Me City Inspector
at next pumpout. If tankt have not been pumped out within immediately.Repaira must be completed within 90 days.
the last three years,�ey 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 rypes,water Future Expansion
❑ Soil table,and system condition) �Adequate
O High water table �Low Fair
❑ Lot size Medium ❑Poor
❑ Lake,wetland,or stream ❑ High . ❑ Inadequate
❑ Drainage ❑System is causing visible
surface dischar�.
COMMENTS:
� �
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report does not guarantee or certify that an existi�g 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