HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTOR Y
Address: 2995 Jamestown Rd. PID: 28-118-23 31 0004
Building Type residence BRs Install'd for: 4 In Musa: Yes
Permit#: 5600 Date of Permit: 6/12/79 Installer: Arvid Goepfert
System Type: standard trench Performance: no Tank Filter:
SYSTEM CONDITION
Conformity: 3 Tank Condition: 9 DF condition: 8 Failure Pot: medium
SEPTIC TANKS
Material: precast concrete Capacity: 1000, 1000
Setback to Bldg: 12 Cesspool: no
DRAINFIELD
Length of Lines: 270 # Lines: 5 Trench Width: 3
Treatment Area: 810 Type of Filter: rock Soil Boring: yes
Tile Size: 4 Under Tile: 12 Perc Rate: 15
Setback DF-Bldg: 30 DF Ht above Wt: 0
Soil Type: silty clay loam Limitations: water table
WELL DATA
Setbacks - Well-Tanks: 80 Well-DF: 100 Report in File yes
Pump Type: subm. Depth: 290 Diameter: 5 Method: drilled
INSPECTION RECORD PUMPO UT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
7/10/79 installation 1 5/1/85 2000
7/21/86 no surfacing 1 12/1/88 2000
6/18/88 no surfacing 1 9/1/91 2000
9/19/91 slight surfacing-high liquid levels,pump 1 9/27/96 2000
5/8/92 DF moist,no surfacing 1 8/13/97 3000
9/29/93 non-conforming-repairby 12/31/95 3 t.�,,,��,_��
7/15/96 non-conforming-repair by 12/31/96 3
9/17/99 non-conforming-repair by 12/31/06 3
8/13/O1 non-compliant,replace by 12/31/2007 3
8/20/03 non-compliant,replace by 12/31/2007 non-compliant
�- �i�'��� v �C �1 y �. '►
� S � � �r.
1 �f �
N
/�1 LO CATI O N �t.L
INSPECTION RECORD PUMPOUT RECORD I SKETCH �j� `
DATE COMPLIANCE DATE GALLONS �{'
�7._ � :.�s�r.ae.�•ric,lJ / � �7 � ,--; _.
'1 ,�� Y4� ,��� -5�,��'ii���ti �- / I� �
.� �
(o'� /Ilc.5u�'i�YC!/IVi� � �_ 1Cl'�'�J :r..`'' , �o`
f�_ � I Q �S � I r),���s.�,� ay.
Sl�� 1� L � �•.W4S�C YPI `I
r4�r�
� 2 �� r h �$�
�h� S�r✓�Cihe _� 3��8�
9� �3 � _� ' 3�,
fZ,¢ ir x 36`yo
�� � 57�
��� .3xSo
i.-�/ 3 x,Sb
3Y� ���
C Include: 1) Well location
� 2) Distance from house to
? septic tanks,din.box,
�� and drainfield
� C—CONFORMING S—SUBSTANDARD N —NONCONFORMING 3) North arrow and road
�,"\
�
�
�
�
�
��
�
�
( "
� ��
O : O
�4� CITY of ORONO
� ���1��,������-: _ ,,,
\� F�«y. �� M . ��, Municipal Offices
� Dt� ` ~
� ���,,-y� ��` G Street Address: qsa-a`tq'yb� � Mailing Address:
\�`9��,"'�p'4�'�� 2750 Kelley Parkway P.O. Box 66
�EaH�/ Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: ,���,� ��91�1L�S fZ�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 current Orono Municip�l Code.
2 "COMPLIANT SYSTEM" An ISTS which�es not meet all the locadon,design and construction standards of the current Orono
Municipal Code but does meet the three 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 prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction stanc�rds 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 characteris6cs.
TANK CONDTTION(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 yeazs.
Tank was last pumped (��� 7 ).
Make sure seutic tanks are pumaed throue6 manhole and not through white inspectiop pipes. This allows for the aroper
cleanin . Kee water softner and iron filter discha e out of se tic s stem to rolon life of drainfield. Ask um er to test
alarm float to verifv atarm is still workinQ in vour house. The alarm warns owner that septaee is about to backun into asemen�
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in ea�h 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 4U days.
COMMENTS: 5�l �-�e r►.�. �� s� �� ����►�c� �3�I ��-3! -c��7 -
-r� c �IA�105 c, � c�
2 QC,e ;.�-f- ��:�+z.: ��e�' ,� �-�-`-f �
�
i
� E-I'-b� �-�' �r—
Date of Inspection Septic System Inspector
Note: In the event that this inspecdon report is used to satisfy the requirements for a mortgage or other transfer of properiy,be advise�l that this report does
nnr Quarantee or certifv that an existin� svstem will continue to function properly, but is merely an opinion of the adequacy of the�system under current
� o� �
o -.. o .
��-���v�=�- CITY of ORON
� i��������' ti Municipal Offices
'�+',� ��.�'J�� �� G'ti
,� f,�f�.���,� ,� Street Address: Mailtng Address:
`q$�KOg' 2750 Kelley Parkway P.O. Boz 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: c�q�� ��t�"��.5 fi'�;�.� �f�
City Ordinance 199 requires that each existing on-site sewage�eatment 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 (1-3): �
1 "CODE SYSTEM" An ISTS which meets all the location,design end construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the currez►t Orono Municipal
Code but does meet the three foot separatioa requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing ar
an imminent threat to public health or safety,
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any I9TS which may
or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is faili�hg for any reason;and
any ISTS with less than three feet of unsaturated soil o�sand between the distribution device and the limiting soil characte�+istics. �
TANK CONDITION(5-71: �
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 yeats.
Tank was last pumped �'i��-°�7 ).
Make sure septic tanks are oum�ed through manhole and not through white inspection pipes. This allows for the
proper cleaning. Keep water softner and iron filter discharge 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.
INFIELD CONDITION 8-1�: �
8 Drainfield is dry,no surfacing evident.
Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: ;� '.c.\ � �s.– o�v. �;��,�- � � ,��Sfi' b� f� latt d
� \ =��� . 2p o7 . � Se �=.�. � S ��- �'►.� �.a�t—� be�
�� � `^�—- :c� ��5.^S-- 3 �',
�, Zo --�� ��''~c� ����
�
Date of Inspection Matt Bolterman- Septic System Inspector
Note: In the event that this inspection report is used to satisfy the roquirements for a mortgage or other transfer of property,be advised that th�report does not guarantee
or certify that an existing system will continue to funetion properiy,but is merely an opinion of the adequacy of the system under current condi'ons based on the available
infoimation.
Telephone(952)249-4600 • Fax(952)249•4616
www.ci_orono.mn.us �
�°� =
o � o
���r -�� . CITY of URON
,���� � . �� � .
� ��,�� F► - Munia� ots�
� � G~'
-Street Addresx . �
���$�I��� 2750 Kelley ParkwaY. M P.O. Bax 66�
� Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �an,eS S w q�S o� . � Address:_a99 S 3q�ne5 tvw� R�
City Ordinance 199 requires that each existing on-site sewage treatment system in prono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appeazs to fall into the categori�s checked below.
SYSTEM CONFORMITY f1-31: 3
1 "CODE SYSTEM" Aa ISTS which m«ts au tlie tocation,desgn and oons4uction standards of the c�ure�Orono Municipa!Code, .
2 "COMPLIAIVT SYSTEM" An LSTs which d«s nat mea au tl�e tocatioa,design and oonsttuctioa staadards of the cuo��Oronb Muoicipal
Code but does med the three foot separation requirwuat,aad�u not Siling�an imminwt U�reat to public heatth or aafety. :
3� "NON-COMPLIANT SYSTEM" A prolu�ited LSTs;an LSTS located within a desigiatod 100.year flood p(aiq anY LST'S whpch may
or may not mat all the locatioq desigq or croa4huctioa standar3s ofthe wae�Omno Muaicipal Code and which is failing for any reawq aad
aay ISTS with less than thrx f«t of uniaAuated wil or sand b�tweea Uu distn'butioa dcvice aad the ' a
limitiag soil charactaistia. �
r
TANK CONDTTION(5-10): G �
� Tank inspection indicates: • .
� Puir,ponc not needed at th;s t;me.
OTank must be pumped out this Year (citY code requires taoks to be pumped out every 3 yeats. Tank was last pumPed_�-I 3- �7 ).
7 Solids accumulation in taniu is at a aitical a critical leveL Tanks should be piunped out as soon as possfble.
8 System is disdiarging W the su�'ace. Tanks must be pumped out within 48 hours to eliminate surface diicharge.
9 Intpection risers mi.ssing-tanks could not be iavPected Lupection cise:s(4"dia.pipe)must be ic�talled ia each taak at next pumpout fftaaks
have not boen pumped out withia the last three yean,thry should be pumped art now.
10 Lupation pipe u loc�ted dirxUy ova tank bagle(does not give acevrate measuremetrt of solids accumulation). If tanks have nat baa pumped
out within the last ttuee yeazs,thry should be pumped out rww. .
DRAINFIELD CONDTTION fl 1-141: ,�_
11 Drainfield is dry,no sucfacing evideat .
12 Some evidence ofsiufacing,nat aitical yet : .
13 Drainfield is�aad visiblY ducharSing untreated effivart to the sucface. Coatact the City Inspector�istely.Repairs must be I .
aomptded withia 90 days. � �.
14 Dra;nfietd aGmt and coaeition�mkaown. � I
COMMENTS:_ SyS-ten. �5 r�o�- �o�.pl-qc.t d�e tv lac,k o� 3 �oo-r se�er�t o�
�.,ee� to 0 5easo�w� .�.ate�-�-ab�� w� 6o-rro�, oF -r�c�c►�es Re�lace, �,J ��31 �,00� .
(��n.0 '�-c,�KS ��- -C�.e,� k��e c�o�- p��..Dtd ��-t�,�� las-r 3 �qr
� � � •
�-'�3 —4� �q,� ��arr�,�,,.,�� � �
.. Date of laspection Septi�System Insp�tor •
Nate: la Use ave�that this mspe�ioa report is osed to satisfy We requiremm�fac a a ather haa�'er of
ar that an � P�P�Y.�advised thaL t6is repoKt does not guaca�rtee
�+FY �8��will eo�e W fuadion pmPclY.lnrt is mady m opinion of the adequacy of the systeia under current ooaditioa�based on We available
infocrostioa
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON-SITE SEWAGE TREATMENT
v�`,, ('y INSPECTION REPORT
�' G~
�`�k�sHo4'�
� -� /
Owner:_ 04by1E5 �+ Si.���4G15�i Address: _���5 �1N`v1�S �(.��;� �f� ( 5.�.3�6,
�
Permit �'s: 5�� Dates: (n'�Z"-l f Contractors: ��'�f 1 6� V O[�X�/-��'�'
City ordi.nance nurtiber 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 (t-3):
1 ��CODE SYSTEM"-A system uhich meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction standards of the
current City Codes, but 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 uhich is failing for any reason; and any system uith less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic�has or [ 7 has not been identified at this time. If the limiting soil
characteristic has not been ident� ie , 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 Sotids accumulation in tanks is at a critical level. Tanks should be punped out as soon as possible.
System is discharging to the surface. Tanks must be punped out uithin 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pimpout. If tanks have not been pumped out Within the last three years, they should be pumped
out nou.
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 CONDITION (11-14): '
n ietd inspection indicates:
11 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS Cslope,setbacks,etc.): ,� �
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): sM�,�u�
�r�.�-
COMMENTS: �J:- -�` / i � GL/ G: ,� J f�� �,�
` C� I�A[N l `L/ . — '�
� �
Date of Insp ction Se ic S tem Inspector
Note: In the event that this inspection report is used to sati the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises uith the system loc=tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeow�er
0
„� � ��
0 0 ���
� �;��,, � CITYof ORONO
� ., { �
��v�, � ,�� '�}�,- �. ��� !�r Municipal Offices
/
��� � � ���:�G�� Street Address: Mailing Address:
\9�C'EgHO�'-/ 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ���y�� �1✓✓(��,�'�''6^� Address:2995 Jamestown Rd.
Permit #'s:5600 Dates:6/12/79 Contractors:Arvid Goepfert
(This is [� an existing system [ ] new construction)
SYSTEM COMPLIANCE (1-3) : 3
1 Code Svstem: Meets or exceeds current City standards in all respects relating to
design, construction, and location. Appears to be operating properly.
2 Compliant Svstem: 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.
� Non-Compliant Svstem: System may or may not meet current City standards for design,
� construction, or location, but is failing to properly treat and dispose of the
current input; and any system with less than three feet of vertical separation
between the bottom of the drainfield and the saturated soil level.
(The saturated soil level (�j has or ( ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision. )
TANK CONDITION (5-9) : 9
5 Pumpout not needed at this time
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been
pumped out within three years, they should be pumped out and risers installed now.
� Inspection pipe is located over tank baffle-can not measure solids accumulation. If
tanks have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [ ] were not
confirmed to be watertight by the licensed pumping contractor. If the tanks were not
confirmed to be watertight, this classification 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 acTe and condition soils etc ) : medium-high
CONIMENTS: The non-conformin s stem must be re laced b 12 1 96.
�
�-/�=- �� ' ,�..
Date o—'Inspection Sep ic ystem 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
�o�
CITY OF ORONO O O
Municipal Offices
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(� TREATMENT
„� �, INSPECTIO�1 REPORT
ti
��9kESH.��'�G
Owner• +/� ���� SC�1�\Address•
v n
Permit #�'s: �ZSQ� Dates: U'���� Contractors:
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular besis.
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 (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 installetion, 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 an s with less than 3 feet of unsaturaRed soil or sand
� 6etween the distrihuiio� device and the limitina soi c arac e
' �xr���6y /2 3
(The limiting soil characteristic D9, has or [ ] has not been identified t 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 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. 'fanks should be pixnped out as soon as possible.
8 System is discharging to the surface. Tanks must be �xmped 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 punpout. If tanks have not been punped out within the last three years, they 'should be punped
out now.
� Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation).
If tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
DPai�field inspection indicates:
V.Y Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FA[LURE (depends on soils,water table,etc.): I
COMMEN S• '� j �
�� , „ , 3�'
.
Date o Inspection ic Syste Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or ther transfer of
property, be advised that this report does not guarantee or certify that an existing system will cont�inue to function
properlyi but is merely an opinton of the adequacy of the system under current conditions based pn the available
information.
This report must be kept on the premises with the system locstion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
�°�
CITY OF ORONO O O
Municipal Offices
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITI4 SI�WA TREATl�NT
� � INSPECTIO REPORT
ti
��9kESYI�4'�G
Owner: //��S �py� Address: /�Q�. I
�
Permit �'s:�l�Ci Dates: ����7� Contractors: <7
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall in�o the category
checked below.
(This is�L an existing system [ ] new construction)
SYSTEM CONFORMITY (t-3):
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the c�rent City
Codes, and which is operating satisfactorily by treating and disposing of the entire current ewage input
without discharging any pollutants into ground or surface uaters.
2 "CONFORMING SYSTEM"-A system uhich does not meet all the location, design, and construction s andards of the
current City Codes, but was installed according to the code in effect at the time of install tion, 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 �loodplain; any
system which mey or may not meet all the lxation, design, and construction standards of t e current City
Codes and which is failing for any reason; and any.system with less than 3 feet of unsaturatled soil or sand
between the distribution device and the limiting soil characteristics. �
(The limiting soil characteristic [ ] has or b�, has not been identified at this time. If th�e limiting soil
characteristic has not been identified, this classification may be subject to revision.> '
TANK CONDITION (5-10): � '
T�n�c inspection indicates: i
(,�7 P�npout not needed at this time.
6 Solids accumulation in tanks indicates they should be punped out this year to help prevent future prbblems.
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 uithin 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be in�talled �n each
tank at next Fxmpout. If tanks have not been Fxn�ed out aithin the last three years, they s ould be punped
out now. �
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids, accunutation>.
If tanks have not been punped out within the last three years, they should be punped out now. 'I
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
�Drainfield is dry, no surfacing evident.
Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact thelCity Inspector
immediately. Repeirs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (sloae,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE Cdeaends on soils.water table,etc J: I
COMMENTS:,� � �
Date of Inspection eptic System inspector
Note: ln the event that this inspection report is used to satisfy the requirements for a mortgage or ot er transfer of
property, be advised that this report does not guarantee or certify that an existing system will conti e to function
properly� but is merely an opim on 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 locetion end punping records. '
WHITE COPY/Inspectors File YELLOW COPY/Homeowner I
On the North Shore II' f
Lake Minn�tonka
ON-SITE SEWAQE TREATMENT .
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55 23
473-7357
OWNER o��'1��� � ������ ADDRESS / /v m�S 1�•
PERMIT NO.'S. �� DATES �2 CONTRACTORS _s�'�er�"
City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.T e on-site sewage
treatment system at the above address has been inspected and appears to fall into the category checked below. j
(This is � an existing system ❑ new construction)
l�f � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appea to be operating
���� properly,
� 2 Dces not meet all current City standards for new construction (1978 Code) but in most respects appear to be designed,
located, and constructed generaliy in accordance with previous codes.System appears to be functioning pr perly;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.Appea to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of syst�em is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location,but is failing to p operly treat and
dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or gr undwaters,or is
creati�g a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to disc ss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a de ig�and site pla�
must 6e submitted for review.Your contractor must obtain a permit before work is started. I
SYSTEM CONDITION ( m Checked items may require your action) ,
Taok inspection indicatea: ❑ Inspection pipe is located directly over tank�ffle.(Does not
❑ Pumpout not needed at this time, give accurate measureme�t of solida accumul tion.) If tanks
❑ Solids accumulation in tanks indicates they should be pump� have not been pumped out within the last th ee years,they
� vu is year to help prevent future problems. ahould be pumped out�ow. I
umulakion in tanks is at a criti I level, Tanks Drainfield inspection indicates:
should be pumped out es soo�as posaible. {�/�j� 3Q� ❑ Drainfield is dry,no surfacing evident. li
❑ System is discharging to surface. Tanks must be pumped �Some evidence of surfacing,not critical yet. j
within 48 hours to eliminate surFace discharge. ❑ Drainfield is saturated and visibly dischar$ing untreated
❑ Inspection risero missing—tanks could not be inspected, effluent to the surface. This condition may rlequire replace-
Inspection risere (4"dia. pipe)must be instaNed in each tank ment or additions to drainfield. Contact the ICity Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed withih 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 apabilities for
❑ Slope (depends on soil types,water Futu Expansion
O Soil table,and system conditio�) ❑ Adequate
❑ High water taWe ❑ Low air
❑ lot size ❑ Medium Poor
❑ Lake,wetla�d,or stream [.�High 0 Inadequate
❑ Drainage ��System is causing visible
surface discharge.
COMMENTS:
�
Date of Inspection SepticSystem Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgege or other transfer of property,be advised that
this report does not guerantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy
of the systerr►under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/�nspector's File GOLD COPY/Homeowner