HomeMy WebLinkAboutSeptic info , ��finnesota Pollut'ron �Qmpliance Ins ection Form
. Controi Agency P
� 520 Lafayette Road North Exlsting Subsueface Sewage Treatme�t Systems
SG Patd,MM 55155-4194 ($$TS�
Doc Ty�:Compliance and Enforcement
_. __ _.
Instructians: I�spection results based on Minnesota Poilution Contral Agency(MPCA) For local tracking pu�oEs'vED ,
requirements and attached forms-additionai loeai requirements may a6so apply. �
Submit completed form to Local Unit of Govemment(LUG)and system owner �
within 15 days �"�A� o � ?��s
System Status ����
System status on date{mmlddlyyyy): 512/2018
� Compliant—Certificate of Compliance ❑ Noncompliant—Natice of Noncompliance
(Valid for 3 years from reporf dete, unless sharter dme (See Upgrade F?equirements on page 3)
frame outlinad in Local Qrdinance.)
Reason(s)for noncompliance(check all applTcable)
❑ Impact on Public Health (Compliance Companenf #1)-lmminent fhreat[o pubtic health and safety
❑Other Compliance Conditions(Corrrplianee Com�ent#3)-lmminent threat to pub!!c health and safety
❑Tank Integrity(Compliance Camponenf #2)-Failing fo protect groundwater
❑Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwafer
❑ Soil Sepa�ation(Compliance Component #4)-Failing to protect groundwater
❑ Operating permiUmonitoring plan requirements(Carnpliance Component #5)-Noncompliant
130 JVI,a.v►o-�' �c.�'��
Property Informa �on Parcel iD#or Sec/Twp/Range: 04-117-23-11-0025
_._�e � __
Property address: 1 Manor Circle�_Orono, MN Reason for inspection: Pro e Transfer
--._.__ �. __ __-_
Property owner: Julie Morrison Owner's phone: 812-708-2556
.._ .._._ ____..�.. __ _.
or
Owner's representative: _ _ Representative phone:
�..._._ _-----
Loca!regula#ory authority: Ci of Orono ___ Regulatory authority phone: 952-249-4600
- ---_- -�-
Approximately 2-1000 gaAon septic tanks,l-10U0 gatlon lift station and 630 square feet of mound
Brief system description: rockbsd.
_ _ _ _ _---.. — ____...__---.__ . _ .. ____
Comments or recammendations:
Certification
I hereby certify that al1 the necessary information has 6een gathered to determine fhe compliance status of this system. No
detemrination of future system pe►formance has been nor can be rrrade due ta unknawn conditions during system construction,
possible abuse of the system,inadequate maintenarrce, or future water usage.
Inspecto�name: Joseph J Olson __ __ _...........� eertification number. 1255
--_.���__---...._ _ __
Business name: Rust�+ on's Soil&Perc.Testing__ License numbsr: 810
_ _��w __
Inspector signatur • _ _ �'�"�� _ Phone number: 763-498-8779
Necessary or Localty Required Attathments
� Soil boring logs ❑System/As-built drawing ❑ Forms per local ordinance
❑ Other information (list):
_._._ ____.__ __ _ ___ ._.._ _..._. _.,. ______.-- --_------
www.pca.state.mn.us • 651-246-63� � 800-657-3864 • TTY 651•282-5332 or 800-657-3864 . Available in attemative formats
wq-wwists4-3! . t/24/12 D,,,,a ,„s o
Pro�rty address: 103 Manar Cirde Orono,MM _ Inspedor initials/Date: J. O.5/02/1�' �
1, Impact on Public Health–Compiiancs component#1 of 5
Complis�ncs criteria: Verification method(s):
-�---- —
System discharge sewage to the ; ❑Yes �No � ���'�d for surtac�outiet
ground surface. ; � Sea�ched for seeping in yard/badcup in home
System discharge sewage to drain tile : ❑Yes �No � ��sive ponding in soil system/DWboxes
or surface waters. ___ � ❑ Homeormer testimony(58e CanmentsiExQlanetla►)
System cause sewage badcup into ; ❑Yes �No � B�s°i��above soil dispe�sal system
dwelling ar establishment. � ❑ System requires"emergency"pumping
` ❑ PelfOmt@d dye teSt
Any"yes"answer abave 3ndfcatas the system is ❑ Unable to vetify(See Comrrwents/Explsnetron)
an tmmine»t Thr�at to Public keaith end Safety. � pt����$not listed(See Comrr�nts/Exp/anation)
Comments/Explanatian:
2. Ta11k Integt'ity–Compliance component#2 of 5
Compliance criteria: � Verificatian method(s):
System consists of a seepage pit, � ❑Yes �No � Probed tank(s)bottom
cesspool,drywell,or leaching pit. �
, � Examined construdion records
Seepege p�ts msetir�7080.2550 msy be I ❑ E�mined Tank Infegrity Form(Atted,)
cor»pliant if altowed!n bca!ort�"irta�. �
Sewage tank(s)leak below their � ; ❑Yes �No � Observed liquid level below operating depth
designed operating dePth. ' ❑ Examined empty{pumped)tar�k$(s)
� � ❑ Probed outside tank(s)for"black soil"
If yes,which sewage tank(s}baks: �
D Unable to verify(ses comments/Fxptenation)
Any"ye.s"answer above lndicates the ❑p�er methods not tisted(See Camments/Explanation)
system is Fa1/!ng to Protect Groundwater.
Comments/E�lanation:
3. Other Compliance Conditions—Comp�iance component#3 of 5
a. Mairrtenanoe hole oovers are dama�d.craciced,unsecured.cK appear to strtxturally unsound. p Yes* �No ❑Unknav�m
b. Other issues(etecxrkaJ haze►ds.ehc.}to immediateiy and adversely impad pu�ic healtl�o�safety. Q Yes" �Na ❑un�cna�un
*Sys�em is an lmminent�rnat in pu�Jfc h�al�h and�a/ety
Explain:
c. System is non-pro�ecxive of grour�d water for att�er cor�iti�s as determined by inspec;tor p Yes" �No
"'Sysiwt►fs falH�tg t+o prptect qnpundwaby
Explain:
www.pca.state.mn.us • 651-296-6300 • 80Q-657-3864 • TTY 651-2$2-533?or 800-657-3864 • Avaitabte in attemative formats
wq-wwfsts4•31 • i/24/12 � ^-- ^ --
Property ad5lress: 103 Manor Circle,Orona MN Inspector inttials/Date: J.O.5�D2h6
4. Soil Separation—Compliance component#4 of 5
Date of instailstion: �Unknown Veriflcation method(a):
Shorolan�Mlatl�d pro�c�°n�°ad e�r�° ❑Yes �No Sa!observatiar does not expire. P�evious soi!
�� obsenrations by two indeperr�M petties a►te suA'Fcient,
CompliarlCe CHteNs: unless site canditions have been atfered or bcal
For systems buJtf prrvr to Apd!1, 1996, ar�f � ❑Yes ❑No �G!uirements d119�er.
not b�aat�sd in Si�reJand or WellJ�ead � Conduded soil observation(s)(Attach bwtng logs)
Protection Art�a or not ser►ring a ibod, ` ❑ Two previous�erifications(Attech baing/a�x)
beverage or lodging establishrr►snt: '
� ❑ Not applicable(MoMing tenk(s),no drainileld)
Drai�'ield has at I�aast a twafoot vertical ❑ Unabte to verify(See Comments�xplsneUon)
separation di�t8t�from periodiCally I ❑ Other(See Comments/Exp/anation)
saturated soil or bedrock. i
Nat-periormance systems buiit Aprii 1, �Yes ❑No Comments/ExpJane6on:
1996, orlat�rorfornon-�rformern:e
sys�tems bcsted in Shor+�lar�d or We�head
Protecctia�Areas or serving a iood. I
bever�ge�or'bdg�in9 estaWishment �
Drainfield has a thnee-fcwt veRlcai i
separation distanCe from�riodically
saturated soii or bedrodc' i
� +
"Experimentel", "Othe�; or P�erformmsnce" ' ❑Yes ❑No Indicate depths of elevations
systems bultt um�er pre-2008 Rules; Type lV � � �
or Y sysQerr►s 6uilt under 20Q6 RWes(7080. A. eottan of diat�ibution media � 98.6
2350 or 7080.2400 (Advanced Inspector �
Li�nse required) � 8. Periodicaqy saturat�l soiUbedrodc � 95.6
Orainfletd meets the designsd verticai j i
seParat[�t distence from peariodically � C. Syatem ser�araiioa � 3.0 .
saturated soi)or I�drodc. D. Required o�npliance separation" I 2.8
Any"no"answer above fnc�c�tea the systern fs 'May be reduc�d up to 15�rce�t if aliawed by Local
Fal/fng i�o Proteci Groundwai�er. Ordinar�e.
5. �perating Permit and N9trogen BMP*—Compliance component#5 of 5 � Nat applk:able
Is the system operated under an Operating Permit'? ❑Yes ❑No !f"yss",A below b required
Es tt�system required to empby a Nitrogen BMP? ❑Yes ❑No N"yes",B below is required
BMP=Best Mana�ment Practice(s)specified in the system tlasign
If the answer M both ques�ons Js "no'; th/s secNon daes nat neeaf�be comp/eted.
Compliance c�iteria
..._ .—,—�_
a. Operating Permit num�r: j ❑Yes ❑ No
Have the Operating Pertnit requirements been me#? �
_. . ,
b. is the required nitrogen BMP in plec�s ar�d properly fur�tio�ing� ' ❑Yes ❑ No
Any"no"answer lndicates Noncomplfance.
Upyrads Requiremsnts(A�inn.Sfat§115.5�j An immJrtent th�e#to publacc heatth and sedety(lTPHS)must be upgreded,replaced,or its use
�sconGinued wdhin ten rr�ths oP r+�[ael�cX thls noti��e or wlMin a shafer period if�qufiod by lo�c�at onaanarxa�.!f tiie system is failir►Q to prohect
grounti wa�ar,th8�m must be upg�adad,replaoeel,w its e�e�sra►Nnued within 1�he tirr�required by bcal adinenoe.!f an exis6inq syshsm
is►at feldng es aRat/»er�in law,end hes at/east two�feet c�ideslspt s�N�paratlon,�n the aystem need not be upgradsd,repeired,replsoed,ar
it�u��ued,ndwibhstan�g any bcal or�na�thst i9 rnors sbfd'. ThTs prrn�ision does not ap�ly to systems in�lertd arees,
Wel�ead P�t�on Arees.or d�+�ed iri ca�+aaction wfth 1bod.bevenags,and lod��g establishments as del�ned in law.
www.pca.staat,e,mn.us • 651-296-6300 • 800-657-3$64 • 'f'TY 651-282-5332 w 840•657•3864 • Avaitabte in altemative formats
wq-wwfsts4-31 • 1/24/12 D,,,,e,„f,
Soil Observation Log � - r
www.SepticResource.com vers 12.4
diYt���'Il1fOP�!l�ttlOD
Property Owner/project: Julie Momson Date 5/2/201 b
t�roperry Address!P1D: 130 Manor Circle
Sa��Sarv I�orms#�n ❑ �'� sc��
Parent matl's: � liil ❑ Outwash ❑ Laar�rine ❑ Allwium ❑ Organit ❑ Bedrodc
landscape position: ❑ Summit ❑ Sha,Ider � Side slope Q Tce sbpe
soil survey map units: L37B slope % direction-Lineal
S�il L #1
0 �� ❑ �t Elevation 100.5 Depth to SHWT
Depth(in) Texture fraginent% matrix colur redox calor consistence de s
0-33 Filt <35
33-53 Topsoil <35 I Oyr3/2 L�se Loose Siegte grain
53-60 Clay Loam <35 IOyr4/3 Friable Strong B�ocky
�35 loose loose single gain
35-50 friabte weak grsnutar b�ocky
>50 f� rnodErate Prismatic platy
rigid sttong �ssive
�35 loose loose single gain
35-50
friable weak ganuter blocky
fti'm mOdCiBte P�matic plsty
��� rigid strong ��;ve
Comments:
13Q r�i�+cle ' #��
� � ❑ �� Elevation 97.3 Depth to SHWT 20"
th(in) Texture fragment% matrix calor redox calor consistence grade shape
0-8 Topsoil <35 1Qyt3f2 Loose Loose Single grain
8-14 Clay l.aam <35 10yr4/3 Friable Strong Blocky
14-2U Clay Loam <,35 IOyrS/4 Friable Strong Blocky
20-30 Ctay Loam <35 10yr5l4 IOy4l8,1-b/l0y Friable StTong Prismatic
loo5e loose singie grain
�5 friable weak gtanular biocky
35-SU
>50 f� moderate pr;smacic platy
rigid suong �ive
130 Manor Circle �� M3
❑ ��9 ❑ � Elevation Depth to SHWT
De th(in) Texture fragment% matrix color redox color consistence e sha
�35 loose loose single grain
friable weak �ranu�ar bioc►,y
35-SO f� moderate prisma�ic ptary
�s� rigid strong massive
�35 I�se loose single grain
35-50
friable weak ��anutar blocky
firm moderate Prismacic platy
>50 rigid stron massive
�35 l�� l�� singie grain
35-50 friable weak granutar blocky
>50 f� moderate p�ismac�c plary
rigid strong �ive
�3s Ioose loose single grain
friable weak granuiar biocky
35-SO �� mpderate Prismatic pl�ty
>50 rigid strong "'�"'e
�35 loose loose single grain
35-50
friable weak granu�ar b�ocky
firnt mflderdte prismatic plary
>50 rigid strpng massive
1 hereby cert�this work was completed in accnrdance H+ith MN 70$0 and any local req's.
Rusty Olson's Soil & Perc 810
Designer Signature Company License#
f
CITY OF ORONO
HENNEPIN COUNTY, MINNESOTA
SEPTIC SYSTEM UPGRADE AGREEMENT FOR
.r
� C�...�i �� •�-,�U,, i�i �c'� ��_il C� ;r. : ��,-i\ {�r ik.
(Property Owner's Name)
� 3 c�, �c�,��v r� � �: < <�
(Address)
THIS AGREEMENT, Made and entered into this '`L— day of
��✓��r` , Z c�oW , by and between the City of Orono, a municipal corporation
organized under the laws of the State of Minnesota (hereinafter called "City"), and
_��,_\cc ���•,:-; ,��e� e�-���� �s ;�_�� � � ��.. , their heirs,
successors and assigns, (hereinafter called "Property Owner").
WITNESSETH:
WHEREAS, the Property Owner is the owner of certain property and has made
application to the City of Orono for a building permit to construct improvements on such real property
legally described as, 130 Manor Circle.
WHEREAS,the septic system serving the property has been determined by the City to be
non-compliant; and
WHEREAS,the Property Owner desires to obtain a building permit for improvements to
the Property, which include bedrooms or water using appliances, but due to weather constraints cannot
complete the required septic system upgrade until the 2007 construction year; and
NOW,THEREFORE,in consideration of the premises and of the mutual promises and
conditions hereinafter contained, it is hereby agreed as follows:
1. Propertv Improvements: In accordance with the policies and ordinances of the City,the following
described private improvements are proposed to be constructed by the Property Owner or his/her
contractor, who has applied to the City for a building permit for said private property
improvements (the "Property Improvements"):
Initials of Property Owner����'
Page 1 of 4 c�
J
2. Issuance of Building Permit for Property Improvements: The City agrees to issue a building
permit for the Property Improvements at this time, subject to conformance with all current City
standards and ordinances for all applicable work.
3. Septic Svstem Up r� ade: In accordance with the ordinances and requirements of the City, the
Property Owner hereby agrees to complete the required replacement of the septic system no later
I than July 31, 2007 (the "Completion Date").
4. Septic Svstem Up�rade Installation: The design location,construction,installation and materials
for septic system upgrade shall be in accordance with the plans and specifications approved by the
City.
5. Performance Deposit: For the purposes of assuring to the City that the Septic Improvements will
be completed according to the terms of this agreement, the Property Owner has deposited with
the City at the time of the execution of this agreement a certified check satisfactory to the City
providing that the City is able to cash the check in its sole discretion to complete the Septic
Improvements if the Property Owner fails to satisfactorily complete the work prior to the
Completion Date. City shall return the check to Property Owner upon final inspection approval of
the Septic Improvements.
6. Bindin E�ct: The terms and provisions hereof shall be binding upon and inure to the benefit of
the heirs, representatives, successors and assigns of the parties hereto and shall be binding
deemed covenants running with the land. References herein to Property Owner,if there be more
than one, shall mean each and all of them. This agreement shall be executed by the Property
Owner and City and shall be placed of record so as to give notice hereof to subsequent purchasers
and encumbrances of all or any part of the property,and all recording fees,if any,shall be paid by
the Property Owner.
7. Notices: Whenever in this agreement,it shall be required or permitted that notice or demand be
given or served by either party to this agreement to or on the other party, such notice or demand
shall be delivered personally or mailed by United States certified mail(return receipt requested)to
the addresses set forth below. Such notice or demand shall be deemed timely given when
delivered personally or when deposited in the mail in accordance with the above.
Notice to Citv Notice to Propertv Owner
City of Orono =T�u, Y��,, „ , �s-� ��r�G„n �r n�,
Clerk/Administrator U
P.O. Box 66 �30 �`��m-o^�' C�rc-�
Crystal Bay, MN 55323 ��� �� �35�
Lo►-�g ,
Initials of Property Owner�/�°��'GC/'
Page 2 of 4
8. Disclaimer by Citv: It is understood and agreed that the City,the City Council,and the agents and
employees of the City shall not be personally liable or responsible in any manner to the Property
Owner or the Property Owner's contractors, subcontractors, materials, laborers, or any other
person,firm or corparation,for any debt,claim,demand,damages,actions,or causes of action of
any kind or character, arising out of or by reason of the execution of this agreement or the
performance and completion of the Septic Improvements.
9. Hold Harmless and Indemnification: The Property Owner shall indemnify and hold hannless the
City, the City Council, and the agents and employees of the City from and against all claims,
damages, losses or expenses, including attorney fees, which the City, City Council and agents
and employees of the City may suffer or for which it may be held liable,arising out of or resulting
from the assertion against them of any claims, debts or obligations in consequence of the
performance of this agreement by the Property Owner, its employees, agents or subcontractors,
whether or not caused in part by a party indemnified hereunder.
10. Remedy for Default: Default by the Property Owner of any of the terms of this agreement shall
automatically result in the suspension or withholding of all permits, licenses, occupancy
certificates or other authorizations issued by the City in connection with the Property,and may,at
City's sole discretion, give rise to a draw upon the check by City to remedy such default.
A. The Property Owner hereby grants to the City, its agents and its employees, the right to
enter on the Property for the specific purpose of constructing or completing the Septic
Improvements should the Property Owner not complete those Septic Improvements by the
Completion Date.
B. The remedies afforded to the City under this Section shall be in addition to any other
remedies which the City may be entitled by law or equity or other agreement.
Initials of Property Owner
Page 3 of 4
IN WITNESS WHEREOF,the City and Property Owner have caused this agreement to be duly
executed on the day and year first above written.
CITY OF ORONO
By: _
STATE OF MINNESOTA )
) ss.
COUNTY OF HENNEPIN )
The foregoing instrument was acknowledged before me on this c� day of
�� CLa�-��-�;- , 20 C(,� � bY (;t,',\\;� (� �6 b5 &
�
� /��� �, � �
l�'i� �t/u �i
i DENISE M. LESKINEN Notary Public
��'
NOTARY PUBLIC-MINNESOTA
:�,,:.� My Commission Expires Jan.31,2010
PROPERTY OWNER(S)
,,,, , __ ' .
�
By: ;� �� -- And:
STATE OF MINNESOTA )
) ss.
COUNTY OF HENNEPIN )
-Z"��: The foregoing instrument was acknowledged before me on �,��+���,�,�he.r- �( ,
��� Uy �1�:1�C;�C�� �f �L_ l�Cl C� � lil`�'L �{O f!�i SU n \ l�e�<.•Y��']�r �o�Z.�i,ly>
/' .
_ s
�,_�����' � DENISE M. LESKINEN � ���ti ,� �
��� 's NOTARY PUBLIC-MINNESOTA NOTARY PUBLIC
:``� My Commission Expires Jan 31,2010
This document has been drafted by:
City of Orono
2750 Kelley Parkway
P.O. Box 66
Crystal Bay, Minnesota 55323
Initials of Property Owne���',�'�
Page 4 of 4
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����-=��� CITY of ORONO
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,� ��1 ���'� ti
�'�'• 1���'-�. �.,�`� ,�, Municipal Offices
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\� r�;.:��"�`i� G Street Addross:
'� , r4�i� 'ry Mailin�Addrou:
�'Eg�I�g 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: 3 �°��� �"'���S o^ � Address: �3 O hq�o� C;��(�
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo years.
The on-site se�vage treatment system at the above address has been inspected and appeazs to fall into the categories checked belo�v.
sYs��corrFo�� ri-3�: 3
1 "CODE SYSTEM" An ISTS which meets ail the locatioq design and construction standards ofthe currrnt Orono Municipal Code.
2 "CONLPLIANT SYST'EM" An ISTS which does aot meet ail the locatioq design and conshvction standards ofthe cunmt Orono Municipal
Code but does meet the three foot separation nquirement,and which is not failing or an imminecrt threat to public health or safety.
3� "NON-CONIPLIANT SYST'EM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the locatioq design,or cocutructioa standard4 of the cucrecrt Orono Vlunicipal Code and which is failing for any reason;and
any ISTS with less than three faet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
T.4NK CONDITION(5-10): s
T;ink inspection indicates:
QPumpout not needed at this time.
6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 yeazs. Tank was last pumped s-I�-0 1 �
7 Solids accumulation in tanks is at a critical a critical levet. Tanks should be pumQad out as soon as possible.
8 System is dischazging to tha surface. Tanks must be pumped out within 48 hours to eliminata surface discharge.
9 Inspaction risers missing-tantcs could not be inspected Inspection tisees(4"dia pipe)must be installed in each tank at next pumpout If tanks
lu�•a nut bean pumpad out within the last three years,they should be pumped out now.
10 InSpaction pipe is locatad directly over tank ba�le(doas not give ucurate measuremrnt of solids ucumulation). If tanks have not bern pumpad
out within tha lazt t}vee years,they should be pumped out now.
DRAIlv'FIELD CONDITION 11-1� : \�
11 DrainField is dry,no surfacing evident
1� Some evidrnce of surfacing,not critical yet
13 Ursiafield is saturatad and visibly discharging untreated e8lurnt to the surface. Contact the City Inspector ixnmediately.Repaus must be
complttad wiUun 90 days.
1� Drainfield e�ctant and condition unknown.
CONIl�i1ENTS: S s�-e� ;S no�- co��1-���,� �vc ru \a�K cl� 3 -�oofi sc er��,o�
b��c�� �-o� ��- Scsso�� �-q�e�i-tib� ��� bat'ra . �� t�P ��.cs Rep\�c� 6� ��. 31 ieia ,
� -�b-� � �a.� �
Date of Inspection Septic System Inspector '
Note: In tha e�rnt that this inspection repoR is used to satisfy the requirements for a mortgage ot other transfa of property,be advised that this repoR does not guararttee
or certify that an e�sting systzm wiil continue to function proQerly,but is merely an opinion of the adequacy of the system under cucrent conditions ba�ed on the availabla
informatioa
�o�
o;�..� o
��� � : CITY of URONO
'r��,�•''r� ; ,
, .
� ���,`� '��� �.� ti Municipal Offices
., �.. ..,.�,�,�.,�� ti
\� �';:����,t�''t��G� Street Address: Mailing Address:
,r,t;.i �
��ESI'i�4%' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
ToCurrentOwner: Address: �3� �'''��t�dr C:�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 appears to fall into the categories checked below.
SYSTEM CONFORNIITY (1-3): ,�
1 "CODE SYSTEM" An ISTS which meets all the location,design and consWction standards of[he current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and conswction standards of the current Orona 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 imminent threat to public health or safety.
( 3 J"NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
�.� or may not meet a(I the location,design,or construction standards of the curnnt Orono Municipal Code and wl�ich is fail ing for atiy reason;end
any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-71: �
Tank inspection indicates:
5 Purnpout not needed at this time.
6O Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped 5-11—D 1 ).
Make sure seatic tanks are oumued throueh manhole and not throu2h white insnection aiaes. This allows for the
proaer cleanin2. KeeQwater softner and iron filter discharge out of seotic 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.
D INFIELD CONDITION 8-10 :
8 � urainfield is dry, no surfacing evident.
9 Some evidence of surfacing, not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
COMMENTS: ����:�•t\� ;S �o _ ��� l;�,,,f � r-.�5-r b� rc �s�u�� ��.
�a-=S� =t.i;\0 - v�6 5�� 1-'L �.,,1 S ..
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°�5—u'S �� �-�
Date of Inspection Matt Bolterman - Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee
or ceRify that an existing system will continue to function properly,but is meroly an opinion of the adequacy of the system under current conditions based on the available
information.
Telephone(952)249-4600 • Fax(952)249-4616
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' � ���'S�� 1; �� �;��` G~�` Street Address: °15a.-a4°I-�6o � Mailing Address:
'�''9 � 'Q'� 2750 Kelley Parkway P.O. Boz 66
, kEggO., ".;
--. -.----" Orono, MN 55356 Crystal Bay, MN 55323-0066
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To Current Owner: Address: � r"�n��' r �:� L� �,
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
�YSTEM CONFORMITY (1-3): �
"CODE SYSTEM"An ISTS which meets all the locadon,design and construction standazds of the cunent Orono Municipal Code.
2 "COMPLIANT SYS'TEM" An ISTS which does not meet all the location,design and construction standards 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 imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an LSTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic ta.nks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped �.��`"t ).
Make sure seatic tanks are aumaed throueh manhole and not throu¢h white insaection aipes. T6is allows for the arover
cleanin¢ Keea water softner and iron filter discharge out of seatic svstem to arolone life of drainfield. Ask oumaer to test ,
alarm float to verifv alarm is still workin¢in vour house The alarm warns owner that septaae is about to backuo into basement.
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.
D INFIELD CONDITION 8-10 : �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
CONIlvIENTS: �C�.� �r.�\c� ��S c�Ot�- Co�.-���ae.,� aa.� s����- b< CCQ�nce.�
� -� \Z..I '3� � to �c� ,
1� ��-�'�`� ��
Date of Inspection Matt Bolterman - Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does
not guarantee or certify that an e�dsting system will continue to function properly, but is merely an opinion of the adequacy of the system under cucrent
oonditions based on the available infoimation.