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����� . CITY of ORONO
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,�, � �'�%�=�' ��, M�,;�,� otr��
� P , `• ' G Street Address: Mailing Addross:
�`�'�E g g Og'� 2 1 5 0 K e l l e y P a r k w a y P.O. B o x 6 6
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: ��Y� Address: 398 Leaf St.
Permit #'s: none Dates: Contractors: unknown
(This is [�] an existing system ( ] new construction) .
I/�
SYSTEM COMPLIANCE (1-3) : 3
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.
U 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 lavel [ �] has or [ ] has not beaa ideatified at this time. If tha
saturated soil level has not '� ee a identified, this classification is subject to revisioa.)
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.
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.
(DurinQ tha last septic tank Mainteaanca Pumpout the taaks [ ] were or [;�] were not confirmed
to be watertight by the licensed pua4pia� contractor. If the tanks were not confirmed to be
watertiffht, this classification is subject to revisioa.)
D INFIELD CONDITION (11-14) : 11
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. ) : mediwa
COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil borings
were performed to verify a 3 foot separation between the drainfield and the seasonal water
table. The separation is 0 feet and the system is non-compliant. Connection of the residence
to municipal sewer is required by 3/24/98.
�--�_`?� �=
Date of Inspection ep 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
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � � Crystai Bay, MN 55323
473-7357
OWNER �1/rn� v� �r7�P��'h ADDRESS �/�_L�f� ��/�
PERMIT NO.'S. ��Q- DATES ` CONTRACTORS �
City Ordinance No.210 requires that each on-site sewage treatment system in Oro�o be inspected on a regular basis.The on-site sewage
treatment system at the above address has been i�spected and appears to fall into the category checked below.
(This is � an existing system ❑ new construction)
� 1 Meets or exceeds 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 conatructed generally in accordance with previous 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 i� 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 i�put,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazsrd,or is otherwise creating a public�uisance.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)
, T�nk'�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 tanks
Solids aecumulation in tanks indicates the y shoufd be pum p- have not been pum p ed out within the Isst three years,the y
ed out this year to help prevent future problems. should be pumped out now.
❑ Solida accumulation in tenks is at s criticat level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. � Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped Some evidence of surfaci�g,not critical yet.
within 48 hours to eliminate surface discharge. O Dreinfield is saturated and visibly discharging untreated
❑ Inspection risera missing—tanks could not be inspected, effluent to the surface. This condition mey require replace-
Inapection risero l4"dia. pipe)muat be instelled 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 exte�t and condition unk�own.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) ❑ Adequate
❑ High water table ❑ Low '�Fair
❑ Lot size �Medium O Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge. � �
COMMENTS:� S ✓ P O
CD Gfr�' O —
�- • sv�l�
Date of I�spection 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 dces 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�t9innetoyaka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER �.LiVe.rvt�. /-��,iStM ADDRESS ��Y� I�.EtX� Sl' • ��--
�
PERMIT NO.'S. DATES CONTRACTORS -
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
�,,,, ///��� properly.
!'R"I 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
����� located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
❑ 3 Does not meet current City standards in many respects relating to design, construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( � Checked items may require your action)
Tank 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 tanks
❑ Solids accumulation i� 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 levei. Tanks Drainf'eld inspection indicates:
should be pumped out as soon as possible. �Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
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 should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansio�
❑ Soil table,and system condition) P Adequate
❑ High water table �Low �StiSf{�f,� a � �i�air
❑ Lot size MediumJ ] y ❑ Poor
❑ Lake,wettand,or stream ❑ High ❑ inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS: ��e a'��"""�
3 �r
ate of Ins ection Septi stem 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 system location and pumpinq records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake Mis�netorzka
ON-SITE SEWAGE TREATMENT .
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER L/4V�I�N� 17N��'�,d� ADDRESS ��� � �=�H' S���L j
�
PERMIT NO.'S. f - DATES 1 CONTRACTORS
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above dress has been inspected and appears to fall into the category checked below.
(This is an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes.System appears to be functioning 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 probiems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is
creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( � Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. ❑ Drainfield is dry,no surfacing evident.
\ ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
Inspection risers missing—tanks could not be inspected, effluent to the surface, This condition may require replace-
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 should be pumped out now. Drai�field extent and condition unknown.
��� L 5�m,�;� 1'��1��'f� Q�'�
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water ture Expansion
� ❑ Soil table,and systern condition) Adequate
\L� High water table �❑ �ow Fair
�F� Lot size �E7 Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
15 1�' . �1 _
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 exisiing 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
�� a�� s-�
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�� SEPTIC SYSTEM INVENTORY � � ��
x�
Address: 398 Leaf St. PID: 04-117-23 23 0007 =�
Building Type: residence #BRs/GPD 2 Systems/unit 1/1 �;
Permit#: none Date of Permit: Installer: unknown r
" `�
� System Type: standard trench Appliances: lndry �,; �
�
�� SYSTEM CONDITION �,�
Conformity: 3 Tank Condition: 9 DF condition: 11 Failure Pot: medium �
h .#�
i
SEPTIC TANKS s
Material: concrete block Capacity: � �� �� - ��
�%.�� Setback to Bldg: 48 �� � � � �
`F � s. ��
�� DRAINFIELD f '��'
-: , �
I� � � ` � =� , �
�' Length of Lines #Lines: Trench Width: , ,� �
` , �� f
��� Treatment Area: Type of Filter: '� � �' -�:�- � �
: � ' �
Tile Size: Under Tile Perc Rate: ' �,��: � ,� , '� �'�
d/
� �' t �.. 7 �- S
Setback DF-Bldg: 50 DF Ht above Wt: 0 �,=:� a�� �: �
� � �
��:� Soil Type: Limitations: water table � `.�, � � "� �,y�" �� �� �'
„� ��4 ��. �r.
,„`, � f -y
- ;�w� ���
WELL DATA ` �, ?��a � :�� ,�°��'
ti �
Setbacks - Well-Tanks: 50 Well-DF: 50 Report in File: n �"�4'`� ����;,; ' � �� ,Y �
���N �~� '��
Pump Type: subm. Depth: 123 Diameter: 4 Method: drilled ,, � f `:` ,�
%:„_ ,��s
� �f�-.
INSPECTION RECORD PUMPO UT RECORD ��r , ; E ti�
DATE DESCRIPTION COMPLIANCE DATE GALLONS � � ' � � ��
9/23/82 no surfacing � 2 9/15/82 1000 � � � =
�;
9/15/86 no surfacing 2 9/11/87 800 ��-- � ; <
8/3/86 no surfacing 2 4/22/91 800 �� 4 � ; j -� < `��
r t ,f,.
�� ��
8/3/88 no surfacing 2 10/19/94 800 ,�> 4._.
," � � .. �:��``"`�`�
5/2/91 no surfacing 2 �=,� ' ��� s� � � �
� � �•r � �� �
� 8/5/97 non-compliant-sewer connect by 3/24/98 3 '`` ' � �' �` 4
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