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CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 a � ON—SITE 3EWA(;E TRBATMENT
r�,� . �C�, IN3PECTION REPORT
� G�
�9kESHo�'�
Owner• .1 JQ'Y�►� ' `L1�Y 1�� Address• Lq1� .
Permit #�'s: Dates: `'"' Contractors: ���
City ordinence 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)
STSTEM CONFatMITY 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 aas installed according to the code in effect at the time of installation, and which
is operating satisfectorily by treating and disposing of the entire current sewage input without discharging
any po llutants into ground or surface waters.
"NON-CONFORMING SYSTEM°-A prohibited system; a system located within a designated 100-year floodplain; eny
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; ' of �saturat soil or sand
between the dist�ibution device and the limit ng soil characteristics. ��,� �� �3
;j� (The limiting soil characteristic as or [ ] has not been identified t this time. If the imiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONOITION C5-10): �
inspection indicates:
5 Pumpout not needed at this time.
Solids eccumulation in tanks indicates they should be punped out this year to help prevent future problems.
7 Solids accunulation in tanks is at a critical level. Tanks should be punped out as soon as possible.
8 System is discharging to the surface. Tanks must be punped 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. [f tanks have not been punped out within the last three years, they should be Fxmped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation).
lf tanks have not been punpeci out within the last three years, they should be p�mpc.�d out now.
DRAINFIELD CONDITION C11-14):
Drainfietd inspection indicates:
11 Drainfield is dry, no surfacing evident.
12 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 within 90 days.
�Drainfield extent and condition unknown.
LIMITING SITE FACTORS (sloae,setbacks,etc.):
POTENTIAL FOR SYSTEM FAlLURE (deaends on soils.water table.etc.): � ��
COMMENT : � ��
� ^
� 5��� 1lYY'
Date of Inspection p 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 f�ction
properly� but is merely an opim on of the adequacy of the system under current conditions besed on the available
informetion.
This report must be kept on the premises with the system locetion and ptrnping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON–SITE SEWA(�E TRF,ATI�NT
r�,� . � IN3PECTION REPORT
�' G~
�'�k'Esxo4`'�
Owner:�► �`,�1/�(� Address• ��fb� �Yt3 �AKP ���
Permit �'s: ��_ Dates: '— Contractors: "–
City ordinance nunber 700 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>
S1'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 uhtch 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 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 lassification may be subject to revision.)
TANK CONDITION (5-10): �"'
..�-
T�c inspection indicates:
�/ Pumpout not needed at this time.
b 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 pimped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. if tanks have not been p�xnped out within the last three years, they should be punped
out now.
10 lnspection 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.
DRA[NFIELD CONDITION (11-14):
D�eynfield inspection indicates:
�1y Drainfield is dry, no surfacing evident.
�rz 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 Drainfie►d extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.): ��1��,
COMMENTS:
/D75`9�
Date of Inspection eptic ystem 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
informatton.
7his report must be kept on the premises with the system location and punping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
.
On the North Shore o f
Lake A�Iinnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
• 473-7357
OWNER aL.��y/ �-�R" ADDRESS �'"^' � •
.�- �'
PERMIT NO.'S. DATES CONTRACTORS "
City Ordinance No. 210 requires that each on-site sewage treatmAnt system in Orono be inspected on a regular basis.The on�site sewage
treatment system at the above address has been inspected and appeers to faN into the category checked below.
(This is ❑ an existing system ❑ new construction)
� � Meets or exceeds current City standards in sli respecu r�lating to design,construction,and location.Appears to be operating
properly,
I� 2 Oces not meet ali current City standards for new construction (1978 Code) but in most respects appears to be designed,
�19� located, and constructed generally in accordance with previous codes.System appears to be functioni�g properly;no major
upgrading of the system is required at thia time.
� 3 Does not meet current City stendards 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 ereating a public nuisence.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�equire your action)
Tank'nspection indicates: � ❑ Inspection pipe is located directly over tank baffle.(Dces not
�Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solids aecumulation 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:
ahould be pumped out as soon as poasible. �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 ri�rs 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 w 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. 0. Drainfield extent and co�dition unknown.
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 � Lovfr �Fair
� Lot size �Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
aurface diseharge.
COMMENTS: �
�a
Date of Inspection eptic System Inspector
Note: In the event that this inspection report is used to satisfy the requiYements 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 wiih system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore of�
Lake Mi�anetoyzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER ��h(rt,�C� �LLi'�C� ADDRESS ��C�J�3 i'_._UYt� �k.E. �-`�6Lt��:1 � �C'Yi� �C�G�
.�
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 th ab ve address has been inspected and appears to fall into the category checked below.
(This is �an existing system ❑ new construction)
� 1 Meets o 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 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 drainfie�d 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
S`olids accumulation in tanks indicates they should be pump• have not been pumped out within the last three years, they
etl out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical Ievel. Tanks Dr�ain ield 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 utur Expansion
❑ Soil table, d s stem condition) Ade uate
Y 4
❑ High water table ' Low ❑ ir
❑ Lot size dium ❑ Poor
❑ Lake,wetland,or stream ❑ High 0 Inadequate
� Drainage ❑ System is causing visible
surface discharge.
COMMENTS: L�/�,f,i I��i i f j�.��7 ��'� A.r I' �p �/ ,�a�/�{w12�(.�iYYl. �/Ja7 e,(l,��yy��Q'j,�,�/��_
/C,77)��P.4" �"1 �1„ WP Y'�/'ayr)Nbto�l� i�U�1�Yt,/.��17G U)?!a� �ii/�P�tit,i c� � � ��LEi.N� � r;ciU7�%C:(
�. �--.
� �l. � 1
r �
— �� . �v .
Dateof Inspection �--- SeptiE 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 pumping records.
WHITE COPY/ Inspector's File GOLD COPY/Homeowner
On t.he North Shore of �
Lake Mi�anetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER d�/�JI�I? LUNC ADDRESS �r�s L��+%� L�l�� �Q
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 onsite sewage
treatment system at the ab�ove address has been inspected and appears to fall into the category checked below.
(This is L� an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
�2 Does not meet all current City 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 upgrsding 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)
Tan�k i�n Rection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not
L�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 accumulatio� in tanks is at a critical level. Tanks Drainfield inspection indicates:
shouid be pumped out as soon as possible. �rainfield 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 I�spector
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 Expansion
❑ Soil table,and system conditionl ❑� Adye �uate
❑ High water table ❑ Lpw �r
❑ Lot size �Medium ❑ Poor
�Lake,wetland,or stream ❑ High O Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
/� �9�� �
Date of Inspection Septic Sy te pector
�.
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 opi�ion 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
ADDRESS CITY OF ORONO �
CODE , Date
SEPTIC SYSTEM INVENTQRY CARD Mun cipal Sewe�
Address NG �A�c �
�Standard trench , v�--- Pro�ny�,p, 3S-II�-2 3
O Mound 2Z � WELI DATA
System type ❑ Other � I I
Permlt No. '- �egal Description /Z L S �j �379, r �,
Date of permit ^ � �
Installer —
Buildin t No• Bedrooms � kl S
9 Vpe '�����or GPD °t
-�LP-�Laundry�p�shwasher Garbage � �
SEPTIC TANKS:Material �ONC. � --�._ Disposal � � ` I
��� Capacity 1) ✓ ° �
Proper outlet and inlet 2�---�_ � p� : c
--_�Baffles w .o
Height of tank bottom above water table ��9uid depth to RO level ,� 3 .� �,
Distance to nearest building � ` � O
DRAINFIELD: Total length of lines ro y m
Number of lines /- Z '�► �
Total treatment area(sq,ft,) �--Trench width __�_ ,
' Height of drainfield above water tabie " � � �
TYPe of filter materla� �
« �
Soil type � �
Dlstance from nearest bldg. ��t a
Tile size � _
• ---�_Perc rate E «
�epth of fill over drainfieid min/in ° g c
--�-�Depth of rock over tile � � p :o
under tile � ., �
E "
• � � , o m
O a v 3
����� � J W �� �
� ��
• LOCATI ON
INSPECTION RECORD
PUMPOUT RECORD SKETCH
DATE COMPLIANCE DATE GALLONS •
�_
'7-�-$� �.b SuRFiAGNC+ /Ud'T�D 2 /l)'(Z-S Z� -�� ;_ � _ �, ,
� �
7 -/6-rY(o No ('A�t i Z— � -n �6��_ r
(v-23-88 ° 'eF'�Nv c, Z, �6 90 SOO �� �`3
�� �_ a'��- �b '
���_ �� �, � '} 3y
� �j6�,r�'-i` -��� 3
. �
► I b, ��,�
� ,
i ,
/ �
Include: 1) Well location '
2) Distance from house to
septic tanks,dist.box,
and drainfield
C- CONFORMING S-SUBSTANOARD N -NONCONFORMING 3) North arrow and road