HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTOR Y
Address: 3145 Jamestown Rd. PID: 28-118-23 33 0013
Building Typeresidence BRs Install'd for: 4 In Musa: Yes
Permit#: 8395 Date of Permit: 3/20/86 Installer: Patnode Bros.
System Type: standard trench Performance: no Tank Filter:
SYSTEM CONDITION
Conformity: 3 Tank Condition: 9 DF condition: 8 Failure Pot: low
SEPTIC TANKS
Material: precast concrete Capacity: 1000, 1000, 1000
Setback to Bldg: 20 Cesspool: no
DRAINFIELD I
Length of Lines: 400 # Lines: 4 Trench Width: 3
Treatment Area: 1200 Type of Filter: rock Soil Boring: yes
Tile Size: 4 Under Tile: 12 Perc Rate: 37/2
Setback DF-Bldg: 45 DF Ht above Wt: 28"
Soil Type: loam, clay loam Limitations: watertable
WELL DATA
Setbacks - Well-Tanks: 60 Well-DF: 90 Report in File yes
Pump Type: subm. Depth: 381 Diameter: 4 Method: drilled
INSPECTION RECORD PUMPO UT RECORD
DATE DESCRIPTION COMPLIANCE DATE GALLONS
5/2/86 installation 1 5/29/90 1500
6/20/88 no surfacing 1 10/30/93 2000
5/18/90 no surfacing-need elec. box and fill-DF 1 5/28/02 1500
9/19/91 no surfacing 1
10/1/93 conforming-no surfacing-pump tanks 1
7/15/96 no surfacing-pump tanks 1
9/22/99 non-conforming-repair by 12/31/2006 3
8/13/O1 non-compliant,replace by 12/31/2007 2
8/20/03 non-compliant,replace by 12/31/2007 non-compliant
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� � �, :%��� 'I�`.���` G Street Address: °15a-a49'�"�60 � Mailing Address: �
\�'9��"'''p'4�'��� 2750 Kelley Pa�kway P.O. Box 66
\��i� Orono, MN 55356 Crystal Bay, MN 5�323•0066
To Current Owner: Address: I �� 5 J/4�t P S�t�S� c'�
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appeazs to fall into the categories checked elow.
SYSTEM CONFORMITY (1-3): 3
1 "CODE SYSTEM"An ISTS which meets all the location,cksign and construction standards of the current Orono Municipal Code. I
2 "COMPLIANT SYST'�M" An ISTS which does not meet all the location,design and construction stan�rds of the current Orono
Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and ;
which is not failing or an iiuminent thzeat to public health or safety. I
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which Fnay
or may not meet all the location,design,or construcdon standards of the current Orono Municipal Code and which is failing for any j
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: �'�
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 pumpedi ��O a� ).
Make sure seatic tanks are bumaed throueh manhole and not throu¢h white insuection pipes. This allows for the proper
cleanin . Kee water soft er and iron filter dischar e out of se tic s stem to rolon life of drainfield. Ask um er to t st
alarm float to veri aiarm i still workia in our house. The alarm warns owner that se ta e is about to backu into bas ent
7 Inspection risers miss ng-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each . If
tanks have not been pw�iped out within the last three years,they should be pumped out now. �
DRAINFIELD CONDITIO�T f8-101:
8 Drainfield is dry,no surfacing evident.
9 Some evidence of sur$'acing,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 9U days. i
COMNIENTS: 5�-1 5�-� � ,-�. ► S e�1��U-��,��� �-��T A� � ru�s�
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Date of Inspectior� Septic System Inspector I
I
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised tha this report does
not �uazantee or certify that an e�isting system will continue to function properly, but is merely an opinion of the adequacy of the syst under current
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,� '';�;}�4�.��,,� St�eet Address: Mailing Addre s:
'9�'ESKp4�' 2750 Keiley Parkway P.O. Boz 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �,�� �"��'''`�5���
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City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two y�ears.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categorie checked below.
SYSTEM CONFORMITY (1-3): �
1 "CODE SYS'TEM" An ISTS which meets all the location,design and construction standacds of the cumnt Orono Municipal ode.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the cunent rono Municipal
Code but does meet the three foot separation roquirement or two foot requirement for systems installed 1996 or earlier,and w ich is not failing or
an imminent threat W public health or safety.
3r1 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated]00-year flood plain,any IST which may
v or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing r any reason;and
any ISTS with'less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteris cs.
TANK CONDITION(5-7): � '
Tank 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 yearsj
Tank was last pumped 1�� ___-__). 5-2�{ �p'�
Make sure sentic�anks are pumaed throueh manhole and not through white inspection pipes. This all ws for the
proper cleaning� Keep water softner and iron filter dischar¢e out of seotic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed each tank. If
tanks have not been pumped out within the last three yeazs,they should be pumped out now.
INFIELD COI�DITION(8-10�: �
8 Drainfield is dry,no surfacing evident.
Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspect r
immediately.Repairs must be completed within 90 days.
�:�MMENTS: I f�'{:c��'�L1 �.S ��f.'C,�'w., �1F(�}' E�' P�-n�•�StY 3t. I � ����((,�
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Dau of Inspecdon Matt Bolterman - Septic System Inspecto
Note: In the event that this inspection report is used to satisfy the mquirements for a mortgage or othcr transfer of property,be advised that this port does notguaranteo
or certify that an existing systecs►will continue to function properly,6ut is merely an opinion ofthe adequacy of the system under current conditi ns based on the available
information.
Telephone(952)249-4600 • Fax(952)249-4616
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� �Street Addrou: Maqia�Addross: .
. �`��g�g04' . 2150 Kelley ParkvraY . P.O. Box 68
Orono, MN 55356 Crystal Bay, M�1 55323-0066
Owner: ka��� N e 1 s o c� � Address: 3� 4 S �e�Me s +o w h R�J
City Ordinance 199 req�res that each existing on-site sewage treatment system in Orono be inspected every two years.I
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories ch ked below.
SYSTEM CONFORMITY (1-3): ,� �
1 "CODE SYSTEM"Aa dSTS which meets all tl�e locatioq design and construction standaids ofthe cumat Orono Mwucipal Code. }
2 "COMPLIANI'SYS'T�M" an LSTs wbich a«s noe mac att we toc�sion,a�sign ane�oa,a„dion�aa�oe�c��ot orono t�t,�n�;��t
Code but doa mxt the thtee foat sepuation requicnment�aod wluch is not failing or aa immine�threaL to pnblic heatth or aafdy. :_
O3 "NON-COMPLIANf SYSTEM" AproW'bited ISTS;an ISTS located withia s d«i�ated loo-yeac flood plain,any ISTS which ma�
or may not med all the lo¢atioa,desiga,�eoaihvction atandazdt ofthe cucrent Orono Mvnicipal Code and wluch is failurg foc anY teawn:lsnd
any ISTS with less thaa thcee fed of uasaU�ted soil or aaad betw«a the dista'bution devia aad the limiting soil cl�arada�istics -
f• .
TANK CONDITION f5-10):r �o � �
Tank inspection indicates: I • � �
S Pumpoin noc needed at rh;s tbne.
� Taok must be pumped out this yeat (city code requues tanks to be pumped out evay 3 yeacs. Tank was last pumped ��-3 0-9 3 ).
7 Soli�acwmulation ia tanks is at a aitical s critical IeveL Tanks should be pumpcd out u aoou a�possibla ,
8 Systan is discharging to the surface. Tanks must be pumped out within 48 houn to eliminate surface ditc6arge. I'i
9 Inspation risen missing-tanks could not be iospected inspectioa risets(4"dia Pipe)must be in4Wled in each taak at aeut pumpout Iftaak�
have aot bern pumped out within the last three years,they should be pumped out now. '
10 Inspection pipe is located ditxt(y over tanlc 6a,$le(does not give accurate mezsurement of solids acwmulation). If taalcs have not bcen
out within the tast thcee yeara,they shouid be pumped out now. .
DRAIlIFIELD CONDITION�(11-14): \\
11 Dninfietd is dcy,no siafacin�evident . . �
Somrevidaue ofsiafacing critical yet . .
13 Draiafield is�abu�ated aad vis ly dischar�ng�ted e�luart to the surface. Contact ttu C' I
completed withia 90 days. �'TO�°f�IY.Repaus miut be
.
14 Drainfield exte�t aad oonditi unknown. • �
CONIlV�NTS: S St cr. :� c�on —co�. \:a�.t d�e -ro IQc� o� 3 �o� s tra Io� be-r•,,,ce�
�ro a� eqso�.a� wc��� qb\c. a� bo oh. a •�fcc�c.�s. (Zc �act �. ►a-31- �=00?
� .e-a�.�S ::E- �►a.i 1� r�a1' �er. uh. c : -� 1°+S� . 3 e�tf . '
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.. Date of Inspxtion Septic System Inspcctor '
Note: Ia the evaR thai this iaspx4on cepq�t is nted to satisfy the nquiremeats for a moctgage or o4ha 4aazfc of propecty,be advised tl�st Uus repoR na B�
or cettify that aa eristing system�vill eoudinue to fundion pcoperly,but is merely an opinion of We adequary of t�e system under cvcrent conditioat based the available
informatioa
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CITY OF ORONO O O
Municipal Offices
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON-SITE SEWAGE TREATMENT
r�`, � INSPECTION REPORT
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Owner: 1/ r���il�� ��(5� Address: �( l� \��neo'�"c��r� ����535"6�
Permit �'s: �J � Dates: ���2�"�V Contractors: �l�T<�(�C�K ��CS,
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 I�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 uas installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 � "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system Which may or may not meet all the location, design, and construction standards of the current City
Codes and uhich is failing for any reason; a�d 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 pumped out this year to help prevent future problems.
7 Solids 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 pumped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out withtn the last three years, they should be pt�nped
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): !1
1.L_
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
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): -� l�
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �j�!����
COMMENTS: S� p l�C S /v i'�4( ' ,w� ^ � !ct - `i �-2 tt�-cj�`l4�
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Date of Ins ection ep c Sy 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 will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
tnformation.
This report must be kept on the prEmises with the system toc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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��� ;;�� lS�jl�� Munici al Offices
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�� .� �� �� :� �� Street Address: Mailing Address:
V��fEggO�'�% 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
�
Owner_ �/(�, � Y'�, ���i��,5,.�� Address:3145 Jamestown Rd.
Permit #'s:8395 Dates:3/20/86 Contractors:Patnode Bros.
(This is [ ] an existing system [ ] new construction)
STEM COMPLIANCE 1-3 : 1
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.
3 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 puxnping contractor. If the anks were not
confirmed to be watertight, this classification is subject to revision.)
I�$AINFIELD CONDITION (11-14) : 11
�} Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface.
Contact the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (svstem aqe and condition, soils etc. ) : low
COMMENTS:
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Date of Inspection ept c System Inspector V
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.
Telep6one (612) 473-7357 • FAX 473-0510
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CITY OF ORONO O O I
Municipal Offices '
Post Office Box 66 '
Crystal Bay, MN 55323-0066 a � ON—SITE SEWA(3E TMENT
� � INSPECTION PORT
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Owner: Address•��/G�//7F�t��7Z31n/I� �, .C�I
��C3r� ,��,�/ 13Yr�SA �
Permit #'s: Dates: Contractors: 2
City ordinance number 10q requires that each on-site sewage treatment system in Orono be inspected on a re ular basis.
The on-site sewage treatlment system at the above address has been inspected and appears to fall into he category
checked below.
I
(7his is ��n existing system [ ] new construction) i
SYSTEM CONFORMITY 1-3 : I
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the curr Int City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sew ge 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 sta ards of the
current City Codes, but was installed according to the code in effect at the time of installati n, and uhich
is operating satisfactorily by treating and disposing of the entire current sewage input withou discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM��-A prohibited system; a system located within a designated 100-year fl�odplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and Wh�ch 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 limitin� soil characteristic �C1 has or [ ] has not been identified at this time. If the �limiting soil
characterist4c has not been identi�ieT, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulatidn in tanks indicates they should be p�ped out this year to help prevent future pro lems.
7 Solids accumulati n in tanks is at a criticat level. aT nks should be pumped out as soon as possible.
8 System is dischar�ing to the surface. Tanks must be punped out within 48 hours to eliminate surface ischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) rt�st be ins alled in each
tank at nex� pumpout. If tanks have not been punped out within the last three years, they sh uld be pumped
out now.
1�0 Inspection pipe ils located directly over tank baffle (does not give accurate measurement of solids accumulation).
lf tanks have not been �xmped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION 1-14 :
Dr field inspection indicates:
11 Drainfietd is dry, no surfacing evident.
Some evidence of ,surfacing, not critical yet.
13 Orainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be canpleted within 90 days.
14 Drainfield extent and condition unknown.
i
LIMITING SITE FACTORS ;(slope,setbacks,etc.):
POTENTIAL FOR SYSTEM F�IILURE (deoends on soils,water table,etc.): . i
COMMENTS• � /
Dat� of Inspection S tic System Inspector
Note: In the event �at this inspection report is used to satisfy the requirements for a mortgage or o her transfer of
property, be advised that this report does not guarantee or certify that an existing system will cont nue to function
properly� but is melely an opinion of the adequacy of the system under current conditions based the available
information. , j
ThiS report must be kept on the pre�nises with the system location and pumping records. ,
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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On the North Shore of
Lake Minneton
ON-SITE SEWAGE T EATMENT
INSPECTION R PORT � POST OFFICE BOX 66
1335 S. Brown Rd.
; � � � Crystal Bay,MN 55323
473-7357
OWNER n� ADDRESS �
PERMIT NO.'S. DATES ���g� CONTRACTORS ����
City Ordinance No. 2 0 requires that each on-site sewage treatme�t system in Orono be inspected on a regular basis.The on ite sewage
treatment system at the abo address has been inspected and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or ekceeds current City standards in all respects relating to deaign,construction,and location.Appears to operating
properly.
� 2 Dces not rheet sll current City standards for new construction (1978 Code) but in most respects appears to designed,
located, and constructed generally in accordance with previous codes.System appears to be functioning properl ;no major
upgrading¢f the system is required at this time.
� 3 Dces not fieet current City standards in many respects relating to design,co�struction,or location.Appears to operating
adequately!at this time,but has a relatively high potential for future problems. No major upgrading of system i required at
this time. !
� 4 System m�y or may not meet current City standards for design,construction or location,but is failing to prop rly treat and
dispose of!the current input,and is endangering a water supply,or is a source of pollution to surface or groun waters,or is
creating a isafety hazard,or is oiherwise creating a public�uisance,Please contact the City Inspector to discuss s stem repair/
replaceme t procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be s bmitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ([� Checked items may require your action)
Tan �nspection indicates: ❑ Inspection pipe is loceted directly over tank beffl .(Dces not
Pumpout not needep at this time. give accurate measurement of solids accumulati n.) 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 F�elp prevent future problems. should be pumped out now.
❑ Solids accumulatiqh in tanks is at a critical level. Tanks Drain ietd inspection indicates:
should be pumped�ut as soon aa possible, �Drainfield is dry,no surfacing evident.
❑ System is diachar�ing to surfece. Tanks must be pumped Some evidence of surfacing,not critical yet.
within 48 hours to�3liminate surfa�discharge, ❑ Drainfield is saturated and visibly dischargi untreated
❑ Inspection risera �nissing—tanks could not be inspected, effluent to the surface. This condition may req ire replace-
Inspection risers (4"dia.pipe)must be installed in each tank ment or additions to drainfield. Contact the Ci I�spector
at next pumpout. �f tanks have not been pumped out withi� immediately.Repairs must be completed within days.
the last three years`they ahould be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTIQS:
Limiting Site Factors Potential for System Failure Site Ca bilities for `
❑ Slope (depends on soil types,water Future xpansion
❑ Soil � table,and system condition) dequate
❑ High water table i �Low � air
0 Lot size Medium oor
❑ Lake,wetland,or�tream ❑ High � nadequate
❑ Drainage ❑System is causing visible
j surface discharge.
COMMENTS:
-� -9
Date of Inspection eptic System Inspector
Note: In the event tha this inspection report is used to satisfy the requirements for a mortgage or other transfer of propert ,be advised that
this report dces not gu�rantee or certify that an exisfing system will continue to function properly,but is merely an opinion of the adequacy
of the system under cu rent co�ditions besed 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
' �M�ORTA{�i7' MESSAGE
FOR `�/���
, A.M.
DATE ���`/ TIME��P.M.
M
OF
PHONE �7" ��
� AREA COOE NUMBER EXTENSION
TELEPHONED PLEASE CALL
�^. -� ------
CAME TO SEE YOU '�WILL CALL A6AW
WANTS TO SEE YOU RUSH
RETURNED YOUR CALL SPECIAL ATTENTIDN �
----- -- _'� _ _ _ _.
r���-__ , /
MESSAGE
�������
-T
�S �
SIGNED
LITHO IN U.SA.
TOPS� FORM 3002S
t�� _. , _ . . � � - . . " - � � . � .
, On the North Shore o f
Lake Minnetonk
ON-SITE SEWAGE TREATMENT
INSPECTION R�PORT � � POST OFFICE BOX 66
� . � � 1335 S. �rown Rd. .
Crystal Bay,MN 55323
473-7357
-� E � S-� ��-�
OWNER � Q ADDR SS
F1��� DATES 3' ��� �� CONTRACTORS �Q�n �� �
PERMIT N0.'S. -�r-
i
City Ordinance No.'210 requires that each onsite sewa9e treatment system in Orono be inspected on a regular basis.The o�nsite sewage
treatment system at the abb�e address has been inspected and appears to fall into the category checked below. �
(This is d an existing system ❑ new construction)
�}� Meets or exceeds current City standards in aIl respects relating to design,construction,and location.Appears t�be opereting
J�� �
properly.
� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears t be designed,
located, and constructed generally in accordance with previous codes.System appears to be functioning prop�erly;no major
upgrading of the system is required at this time.
D 3 Does nOt meet current City standards in many respects relating to design,construction,or location.Appears�to be operating
adequa�ely at this time, but has a relatively high potential for future problems. No major upgrading of systetn is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location, but is failing to pr perfy treat and
dispos� of the current input,and is endangering a water supply,or is a source of pollution to surface or gr undwaters,or is
creating a safety hazard,or is otherwise creating a public nuisa�ce.Please contact the City Inspector to discu s system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a de ign and site plan
must pe submitted for review.Your contractor must obtai�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 ffle.(Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accum lation.) If tanks
❑ Solids accumul�ation in tanks indicates they should be pump- have not been pumped out within the last hree years,they
ed out this yeaf to help prevent future problems. should be pumped out now.
❑ Solids accumwlation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be puMped out as soon as possible. �rainfield is dry,no surfacing evident.
❑ System is di�charging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hoyrs to eliminate surface discharge. ❑ Drainfield is saturated and visibly disc arging untreated
❑ Inspection rysers missing—tanks could not be inspected, effluent to the surface. This condition m y require replace-
Inspection ri�ers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact he City Inspector
at next pum�pout. If tanks have not been pumped out within immediately.Repairs must be completed �thin 90 days.
the last thre�'years,they should be pumped out now. ❑ Drainfield extent and co�dition unknown.
SITE CHARACTEFiISTICS:
Limiti Site FactOrs Potential for.System Failure ite Capabilities for
�Ope (depends on soil types,water �uture Expansion
❑ Soil � table,and system condition) �Adequate
❑ High water table �ow ❑ Fair
❑ Lot size ❑ Medium � ❑Poor
❑ Lake,wetl8nd,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge. �
�r � � -�- �Gfi,�,
COMMENTS: � Or S �
� S f C f� lNl. � � �EI.Y�► 1 S�
�
s �l b b�r' �" o� " � �'
� ��/�3�9.0 � .
Date of Inspection Septic Syst m Inspector
Note: In the qvent that this inspection report is used to satisfy the requirements for a mortgage or other transfer o property,be advised that
this report do@s not guarantee or certify that an existing system will continue to function properly,but is merely a 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
I
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