HomeMy WebLinkAboutseptic info , - ��o.__ �:.:,
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I( ,,. ,;, . ,� CITY of OltONO
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Street Address: Mailing Address:
� �9JfE$xp4�'� 2750 Keliey Parkway P.O, Box 66
� �_ __-,._.-_-- Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address ;� � S /l�c�� �G'` /���"/►'� Z-!�
City Ordinance requires that onsite sewage treatment systems in Orono be
inspected on a periodic basis. The onsite sewage treatment system at the above
address has been inspected and the following is known about the system. A
sketch of the known components of the system is available for most properties at
the Orono City Hall.
Imminent Public Health Threat
Yes �
No
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10
days of receipt of this notice. The septic system must be brought into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identif as Non-Compliant
Yes
No
If yes, system must be brought into compliance by:
December 31,2007
December 31,2010 ��
Other '
Septic Tan��ump out Needed
Yes
No
The City recommends the septic tank(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
/�JD f2 c�;- � � . The tank(s) should be cleaned through the manhole and
not through the inspection pipes,this allows for proper cleaning.
Comments:
�
Inspector: �� � Date of Inspection �- bS
Telephone(952)249-4600 • Fax(952)249-4616
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����-4�- CITY of ORONO
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,� �'�:;�;�:���:�t��' Street Address: Mailing Address:
9kEgxp4�i 2750 Kelley Parkway P,O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: � �� ��r�'� ��~ �`+��-
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appeazs to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): �
1 "CODE SYST'EM" An ISTS which meets al(the location,design and construction standards of the curnnt Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standerds of the current O�ono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or eartier,and which is not failing or
an imminent threat to public health or safety.
3O"NON-COMPLIANT SYSTEM" A prohibited ISTS;an[STS 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 reasan;and
any ISTS with less than three feet of unsaturated soil or saad between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-71: 5
Tank inspection indicates:
5� Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped � ).
Make sure septic tanks are aumped throueh manhole and not through white insaection aiaes. This allows for the
proaer cleaning. Keen water softner and iron filter discharge out of septic 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.
DRAINFIELD CONDITION 8-10 : �
8 Drainfield is dry, no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: 0� �..��.:t�� ��S ro�. ca�. ��,�,� ��� ��5�— bt �c�l��c�c�
b---� �2.��� J �.��c� -
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Date of Inspection Matt Bolterman - Septic System Inspector
Note:In the event that this inspection reporc is used to satisfy the requirements for a martgage or other transfer of property,be advised that this report does not guarantec
orcertify that an�xisting system will continue to funetion properly,but is merely an opinion ofthe adequacy ofthe system undercurrent conditions based onthe available
information.
Telephone(952)249-4600 • Fax(952)249-4616
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��,�;�Og�i Street Address: . Mailing Address: �
. -2150 Keiley Parkway P.O. Bux 66
Orono, MN 55356 Crystai Bay, MN 55323-0066
Owner: ��c� �}�• Q f a�Sc� . ' Address: i S 11i S�. A r,� L
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Ciry Ordinaace I99 requires that each existing on-site setivage treatment rystem in Orono be inspected every two yeazs.
The on-site setivage�eatment system at the above address has been inspected aad appears to fall into the categories checked belo�v.
SYSTEM CONFORMITY f1-31: 3 � � '
1 "CODE SYSTEM" An ISTS which meets a11 the loeatioq desiga aad construction standards of the euarnt Orono bivaicipal Code,
2 °COVIPLIANT SYSTEM" Aa ISTS whieh does aot meet a,(1 the laeatiaq daign and eonstruction standac+ds of the�urecrt prano Muaicipal
Code but does meet the three foot separatien tequireme�t,�d��y yt yat fuling a�aa immiae¢t tht�a!to public health or sa;ty.
O3 'N�I�I-001�LIANT SYSTEM" Apcohibited ISTS;an ISTS loeated withia a designated 100 year flood Piaiq aay ISTS wEuch may
or may not meet all tEu loeatioq daign,or cons4vctlon scaadards of the euaeat Oroao Munieipal Code aad wfiich is fa�iag far any reason;and
aay ISTS with less than three feet of unuturatcd soil ac uad betweea the distdbutioa device and the limiting;oil chacaeteristies,
TANK CONDITION(5-101: �, � � •� �
Tank inspection indicates: .• • �
� Puinpout not needed at tlsis time.
OTank rnust ba pumped out this yrsr (city code requua tacilcs to be pumped out every 3 years. Tank was last pumped_ 1J(\ NL��^'n ).
7 Solidv aavmulatian in tu�ks is at a criticai a criti�l lavel Tank�should be pumpad out u sooa as possible.
8 System is discharging to the surface. Tanks muit ba pumped out within 48 hours to elimiaate surfaee dischuge.
9 Ic�pection risea missing-tanks eould not be inspecead Inspectian risers�4"d'�pipe)must ba instaltad in each tank at nese pumpout If tankt
have nut been pumped out within the lact three years,ti��y�uld be pumped out now.
I 0 Inspe��tiun pipr is located d'irectly over tan,�C baffie(doa not give accurate mpsurement of solids accumulation). If Lznks have nat beest pumped
aut�vithin the lzst three yun,they shuuld be pumped out now.
DRAI[vFIELD CO�tDITI0�1 11-14 : ��
I I �Dr.uatidd�dry�no sucfaciag evideni •
12 Some e�idmce of surfaeing,not critial yet � � . ' ' . • •
13 DrainFteld'u situnted aztd visibly diselsarginq yntreued e�luent to tha surface, Cantad the City Inspector immediately.Repairs must be
eompleted«ithin 90 days. .
1� DrainFietd estrnt and eondition uaknowa.
COMl�NTS: Sy��^, ",S t�o�— eoc�p\-,�� d�e �0 lack oF 3 4-oo�t- Se(�eca�-o� be-'rwce.�
bo�a� 0�- �rc�..��..� a�� ?ro �E- Scaso�� ..._a�� b\c. R \a� S, \a.-��,1,p� _ Q�M
�qC��"7 .
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Date af Inspecaoa Se tie S �-� • •
. p� ystem Inspector .
Not�: Ia t!u evrnt that this mspection repod is used to sati�fy tke require��far a moctg�age or othc�aatfa af pcaperly,be advised tbat this teport daa not guaraata
ot actify that an e�sting system will eoatiaue to Riaction properiy,bat is merely m opinioa of the adequsry of the system uada euaeat oon�itiom bued oa the avalisble
infocmatioa
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�), � INSPECTION REPORT
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Owner:_�J�{}yl /'F/��5//2�n� Address:_�r J� 'L/��c�7t �LL{Yt C./`1, l �� ��fJ�
Permit �'s: � 2 Dates: �",���`� .� Contractors:�/��Q/L� ,�/LC�
City ordinance nurnber 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 belou.
(This is , an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich 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 uaters.
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 uith Less than 3 feet of unsaturated soit 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 identffiea;'this classification may be subject to revision.)
TANK CONDITION C5-10):
Tank inspection indicates:
� Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be pu�r�ed out this year to help prevent future problems.
Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 [nspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pun�out. [f tanks have not been punped out within the last three years, they should be pumped
out now.
10 inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation).
If tanks have not been punped out uithin the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14): �
D�field 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 ]nspector
irtmediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
L1MITING S1TE FACTORS (slope,setbacks.etc.): �----
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table etc.): J���Gwi�►1_.
COMMENTS: � f,�j,�,� s ") �
Date of Insp ction Septic System Inspector
Note: !n 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
properlyi but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises with the system loc=tien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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SVeet Address: Mailin�Address:
�`9$EgHOg'� 2750 Kelley Pa�kway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: _��� �ryf.���r O h 4 Address: 215 North Arm La.
Permit #'s: 327 Dates: 7/30/63 Contractors: Widmer Bros.
(This is [ t/j an existing system [ ] new construction) .
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.
� 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.
(The saturated soil level [�] has or [ ] has not been identified at this time. If the
saturated soil level has aot bnen identified, this clas8ificatioa is subject to revision.)
TANK CONDITION (5-9) : 6
5 Pumpout not needed at this time.
� 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.
(DurfnQ the last septic tank �aintanance Pu�pout the taaks� [ ] were or ] were not coafirmed
to be watertight by the licensad pumping coatractor. If the taaks were ot confirmed to be
watertight, this classification is subjact to revisioa.)
DRAINFIELD 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: (system age and condition, soils, etc.) : medium
CONID4ENTS: 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 inches and the system is non-compliant. Repair or replacement of
the septic system is required by 12/31/2007.
�/zz/9�
. Date of Inspection tic System Inspector
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
CITY OF ORONO �O�
Municipel Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWA(�E TREATMENT
INSPECTION REPORT
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Owner: /��I�.S, �1/N. r7l'�.�71?�'11Q Address: ��///I /7Yi71 �✓li
Permit #�'s: Dates: �.�'1-�� Contractors: ��/�'l�'IP_✓ L�'O'S.
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a reguler basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the cetegory
checked below.
(7his is �an existing system [ ] new construction>
S1'STEM COIIFORMITY (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 satisfectorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
"C�IFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of 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-C�IFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which mey or mey not meet all the location, design, end 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 distributia� device and the limiting soil characteristics.
(The limitin� soil characteristic [ 7 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 eccunulation in tanks indicates they should be cxmped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. 'fanks 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. If tanks have not been punped out Within the last three years, they should be Fxnped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
1f tanks have not been p�mped out within the last three years, they should be ixmoed out now.
DRAINFIELD CONDITION (11-14):
D nfield inspection indicates:
� Drainfield is dry, no surfacing evident.
y�P Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repeirs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITtNG SITE FACTORS Csloce.setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (deoends on soils.water table.etc.): ��
C MMENTS: '" �S
K
Date of Inspection e ic System I apector
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 opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the premises with the system locAtion and pumping records.
WHITE COPY/Inspecto�s Flle YELLOW COPY/Homeowner
�
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay,MN 55323
473-7357
OWNER -�y�[Y.�� �,�1'/I�lYal'Ls SI!' ADDRESS _�/� /_JC LlI�IY� !.,//.
PERMIT NO.'S. DATES �3O.�� CONTRACTORS 144�dlri�Y ��
City Ordinance No. 210 requires that each on-site sewege treatment system in Orono be inspected on a regular bssis.The onsite sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is � an exiating system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to deaign,construction,and location.Appears to be operating
properly.
^I�1 2 Does not meet all current City standerds for new construction (1978 Code) but in most respects appears to be designed,
��'� located, and constructed generally in accordance with previous codes.System a
ppears 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,a�d 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.Ptease contact the City Inspector to discuss system repair/
replaceme�t procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contrector must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank inspection indicates: ❑ lnapection pipe is located directly over tank baffle.(Does not
�Pumpout not needed at this time. give accurate measurement of solida 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 eccumulation in tanks is at a critical level. Tanks Drainfield inapection indicates:
should be pumped out as aoon as poseible. �Drainfield is dry,no surfacing evident.
O 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 surfece, This conditio� may require replace-
Inspection risen (4"dia.pipe)must be installed in esch tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanka have not been pumped out within immediately.Repairs must be completed within 90 daya.
the lest three years,they ahould be pumped out now, � Drainfield extent and condition unknown.
SITE CHARACTEFi1STICS:
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 ❑Poor
❑ Lake,wetland,or stream High ❑ Inadequate
❑ Dreinage ❑System is causing visible
surface discharge.
COMMENTS:
��l�1��/
Date of Inspection Septic System Inspector
Note: In the evcnt 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 conditiona based on the available i�formation.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
f
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� . � � 1335 S. Brown Rd.
Crystal Bay,MN 55323
� 473-7357
OWNER �!1��• �Y/19 �ov�ra SY: ADDRESS �/-� /U, H'Y/'Yl G-�1�
PERMIT NO.'S. �7 � DATES 7 ��lS� CONTRACTORS �.� �{
City Ordinance No.210 requires that each on-site sewage troatment syatem in Orono be inspected on a roguler beaia.The onsite sewage
trestment system at the above addreas h�been inspected and appears to fall into the category checked below.
(This ia � an exiating syatem ❑ new construction)
� � Mests or exceeda current City standards in all respects relating to deaig�,construction,and locetion.Appears to be operating
P►oPer�Y.
�2 Does not meet all current City standart� for new conatruction (1978 Code) but in most respects appears to be designed,
located, and conatructed generally in axordance with previous codss.Syatem appears to be functioning properly;no major
upgradinp of Me system is required at this time.
� 3 Does not mest current City standerds in many respects relati�g to design,construction,or location.Appears to be operating
edequately 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 creati�g a public nuisance.Ple�e contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replecement ia necessary,soil teating will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is staned.
SYSTEM CONDITION (m Checked items may require your action)
Tank inspection indicatea: -�-�i Inapection pipe is located directly over tank baffle,(Doss not
❑ Pumpout not needed at thia time. give accurote m�aurement of solids accumulation.) �f�*�—.
❑ Solids accumulation in tanka indicates they ahould be pump- have not been pumped out within the last three years,t�
ed out this year to help prevent future problems. sTi —ouTd pumpe out�ow.
❑ Solids accumulation in tsnks ia at a criticel level. Tanks Drainfie m .
ahould be pumped out as aoon as possible. Q�Orainfield is dry,no surfacing evident.
❑ Syatem is discharging to surface. Tanka must be pumped ❑ Some evidence of surfaci�g,not critical yet.
within 48 houn to eliminete surface ditcharge. O �rainfield is saturated and visibty discharging untreated
❑ Inspection risen missing—tanks could not ba inspected, effluent to the aurface. Thia condition may require replace-
Inspection ritera (4"dia.pipe)muat be ins�lled in each tenk ment o� edditions to drainfield. Contact the City Inapector
at next pumpout. If tenka have not been pumped out within immediately.Repairs must be completed within 90 days.
the laat three years,they should be pumped out now, ❑ Drainfield exte�t 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 condition) ❑ Adequate
❑ High wate�table ❑ Low �Fair
� Lot size �Medium ❑Poor
Q� Lake,wetland,or stream ❑ High . ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
���/-�o
Date of Inspection ptic 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 function property,but is merely an opi�ion of the adequacy
of the aystem under current conditions based on the available informatio�.
This report must be kept o�the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TRfATMENT
INSPECTION REPORT � POST OFFICE BOX 66
� _ � 1335 S. 6rown Rd.
Crystal Bay, MN 55323
473-7357
OWNER ��� �(YL� �► ' ADDRESS s���Iv�r�"h� /4r'm LR�1�
PERMIT NO.'s. 3a� -[��'r- DATES �- �n"�3 CONTRACTORS w��!�+'+pr B/bs,
City Ordinance No. 210 requires that eech on-site sewage treatment system in Orono be inapected on a regular basia.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.
� 2 Does not meet all current City standards for new construction (1978 Co�) but in most respects appears to be designed,
loceted, and constructed generally in accordance with previous codes.System appears to be functioning properiy;no major
upgrading of the system is required at this time.
� 3 Dces 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 tocation, but is failing to properly treat a�d
dispose of the current input,and is endangering a water supply,or is a source of po�lution 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 CONDtTION ( m Checked items may require your action)
Tank inspection indicates: ❑ lnspection pipe is located directly over tank beffle.(Does not
❑ Pumpout not needed at this time. give accurate meesurement of solids accumulation.) If tanks
�Solids aecumutation in tanks indicates they ahould 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 levet, Tanks Drainfield ipspection indiceter.
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, ❑ Drainfield is saturated and visibly diacharging untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition mey 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 exte�t 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 condition) Adequate
❑ High water table ❑ Low �Fair
O Lot size �Medium\p�¢���9 on ❑Poor
❑ Lake,wetland,or stream �High; � l.t5cte�e ❑ Inadequate
❑ Drainage ❑System is causing visible
surface diacha�ge.
COMMENTS:
� - 1y-g�
�ate of Inspection Septic S nspector
Note: In the event that this inspection report is used to satisfy the requi�ements 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 prbperly,but,is merely an opinion of the a�quacy
of the system under current conditions based on the available inf�mation.
This report must be kept orr the premises with systerns,location artd pumping records.
• WH1TE COPY/Inspector's File : GOLD COPY/Homeowner
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