HomeMy WebLinkAboutseptic info DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. COMPLETED �' � V •��
ADDRESS ��a � /�1��T�" ��Q
OWNER CONTR.�D I f�5
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�u /VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR 1MLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
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Inspector. �6 � � �r,�
White Copyllnspector's File Canary CopylSite Notice
.3� 33
�A
APPLICATION FOR SBPTIC SYSTEM PERMIT
CITY OF ORONO
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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General Instructions:
1. You may ap�lY for septic system permits by mail or in person at the
City offices. However, permits will not be mailed out and must be
picked up in person at the City offices.
2. Permits are not valid until you receive a permit card.
3. Work must not begin unless the permit card is available on the job
site.
4. Permits will be issued only to contractors holding a City of Orono
Septic System Installer' s License.
5 . All work must be done in accordance with the approved septic system
design. Design reports are not considered approved unless accompanied
by the "City of Orono Septic System Approval" cover sheet signed by
the City Inspector.
6 . The following ins�ections will be required for all septic systems :
a ) Pre-installation site inspection to include inspector, installer,
and general contractor.
b) Tank installation prior to covering.
c) Drainfield trench installation prior to covering. (For mounds,
inspection is required after rough-up but prior to sand
placement, and again during pressure distribution piping
installation in the rock bed.)
d ) Final inspection to verify proper final cover depths and to
verify that all pump station (where required) components are
functional and comply with codes.
7. Individual holding MPCA Installer Certificate shall be present during
all inspections. 24-hour notice is required for all inspections .
�****�***#********��*************t*t*�:****��*****�****#***********f�****�r�
JOB SITE ADDRESS: ,� -� � } ���i?/l z'' �� � �_�
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Occupancy Type: Residential� Commercial Other
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Owner' s Name: � � - Phone:
Mailing Address: � �' j Cit � it-�r�� Zi
y: C ' p:
Septic Contractor' s Name: >�-,�;,_� , � ,��L�. ,� Bus. Phone:
Mailing Address: City: Zip:�
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SEPTIC SYSTEM PBRMIT APPLICATON - PAGE 2
Permit Type & Fees (check one)
New Construction, Full System $75.00. . . . . . . . . . . . . . . . .
Replace Existing System (1 or more new tanks & drainfield) $50.00. . .
Partial Replacement (replace just tanks or just drainfield) $30. 00. . .
$0.50 State surcharge added to above permit fees
SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES
DO NOT MAIL PAYr�NT WITH THIS APPLICATION
****�****#�#*�*************�*�*********�********�*******#**t*�***�****�****
NOT$: App licant must initial all spaces. Fill in all appropriate blanks,
check all appropriate boxes.
Initial
; �.-�' 1. I have received a copy of the system design including the
. City of Orono Septic System Approval Cover Sheet.
� 2. I will be installing the following:
A. Tanks: �Precast Concrete Other Manufacturer
Tank Capacities: 1 ) ��-��. gal. 2 ) �'<-'�' gal. 3 ) �� �;;• gal.
B. Pump Station (if required)
Pump make & model �� (attach pump curve &
literature) ; system design requires � �� gpm a��= feet
of head. High water alarm make & model
Outside electrical work to be completed by _installer
L`�electrician other Inside electrical work
must be completed by electrician. •
C. Treatment Syst m- G,
Trenches: % • � s.f. Mound
Depth of rock below pipe �" Rock bed dimensions 'x '
� Drop Boxes Sand bed dimensions 'x '
Distribution Box Pressure Dist. Pipe Diam. "
Manifold Pipe Diam. "
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plan)
trucked in
******�*#*:************�****�********t���*:****:*t:**��******�*�*�**:*�*�*�
The undersigned hereby applies to the City of Orono for issuance of a
septic system installation permit, agrees to do all work in strict
accordance with the ordinances of the City and the regulations of the State
of Minnesota, and certifies that al 1 statements made on this app lication
are complete,. true and correct.
" ,, C_ /' ) �-_\` . , � � � C' � ,
Signature of Applicant���� ._ /�°� l ���,_� , . � Date: '� � / ,
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MPCA Certification No. : � �' �' -% �� �
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�� �:.:. �. �ITY of ORONO
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,�,i, ��i' a�:.; '`R�` ,. !Cr ' Municipal Offices .
` '� �`"':'"'�Y. '�:�;�'' �'� C�~ ` � Mailing Address:
,� � ,:f:i�;F.�,�'.� Street Address: �15a.—a4 q-�16 O
''�xE$xp4 2750 Kelley Parkway P.O. Box 66
� Orono, MN 55356 Crysfal Bay, MN 55323•0066
To Current Owner: Address: a3��" /�o r-�-�, S�.e�r�. �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 appears to fall into the categories checked below.
STEM CONFORMTTY 1-3 : �
1 "CODE SYSTEM" An ISTS which tneets all the location,design and construction standards of the cuaent Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the curnnt Oroao
Municipal Code but does meet the three foot separation requiroment 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 ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the tocation,desiga,or constcuction stanc�rds of the current Orono Municipal Code and which is failing for aay
reason;and any ISTS with less than thra fect of unsaturated soil or sand between the distribudon device and the limiting soil characteristics.
TANK CONDITION(5-7):
Tank inspection indicates:
5 Pumpout not needed at this time:
6 eptic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped )•
Make sure septic tanks are aumaed throu¢h manhole and not throu¢h white insaection piaes. This allows for the aroaer.
cleaning Keea water softner and iron filter discharee out of seatic svstem to arolon¢life of draintield. Ask oumaer to test
alarm float to verifv alarm is still workine in vour house The alarm warns owner that seota¢e is about to backun 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.
DRAINFIELD CONDITION(8-10); Y
� Drainfield is dry,no surfacing evident,
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untceated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
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'� CITY of ORONO
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�,�r�`� '� �, X"�.�G Strest Address: Mailing Address:
'`�kEggO�' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
' ��nOwner: Address: 2385 North Shore Dr.
Permit #'s: 3433 Dates: 11/19/90 Contractors: E. J. Petersoa Co.
(This is [J�) an existing system [ ] new construction) .
YSTEM COMPLIANCE (1-3) : 1
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.
3 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 [X j has or ( ] has not beea ideatiffed at this time. If the
saturated soil level has aot been ideatified, this classification is subject to ravision.)
K CONDITION (5-9) : 5
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 the last septic taak Maiatenance Ptu�out the taaks ( ] were or [�j ware aot coafirtaed
to be watnrtiQht by the licensed pua4piaQ coatractor. If the tanks were not confirmad to be
watertiyht, this classffication is subject to revision.)
INFIELD 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.) : low
COMMENTS:
,���9�
Date of Inspection Sep ic 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 4'13-0510
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON—SITE $EWA(;E TRBATl�NT
INSPECTION REPORT
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Owner: Address: ��
Permit �'s: Dates: � � /'��0 Contractors: �1�1 1'f'T�Y�(�l'\ �ia_
City ordinance nunlxr 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is f,�—an existing system [ ] new construction)
VSTEM CONFORMITY 1-3 :
"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 was installed according to the code in effect at the time of installati�, 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 STSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or mey 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 limitin� soil characteristic �has or [ ] has not been identified at this time. lf the limiting soil
characteristic has rwt been identi ied, this classification may be subject to revision.)
TANK CONDITION C5-10): �
T� inspection indicates:
Pumpout not needed at this time.
6 Solids accunulation in tanks indicates they should be punped out this year to help prevent future problc�ns.
7 Solids accunulation 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 punped out uithin 48 hours to eliminate surface discharye.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next punpout. lf tanks have not been punped out within the last three years, they should be punped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
!f tanks have not been punped out within the last three years, they should be punped out now.
DRAINFIELD CONDITION C11-14):
D�fietd inspection indicates:
1 Drainfield is dry, no surfacing evident.
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 cortipleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS Csloce.setbecks.etc.):
POTENTIAL FOR SYSTEM FAIIURE (decends on soils,water table.etc.): >�J
COMMENTS:
Date of inspection Sep i 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
properlyi but is merely an opin�on 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 locetion and punping 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 TREATl�NT
� � INSPECTION REPORT
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9kESH��'
Owner: Ut/,[�TQ171 Tnnv Address:_�0�/(��T{1 ,�/'b✓p d/r
Permit #'s: ��f33 Dates:__ ���9 9� Contractors: ��,�,P�YS[�i�� ��r.
City ordinance number 100 requires that each on-site sewage treatment .system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(7his is �1 an existing system [ 7 neu construction)
SYSTEM CONFORMITY C1-3):
"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 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 ftoodplain; 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 identi ied, this classification may be subject to revision.)
TANK CONDITION (5-10): �
T�qlc inspection indicates:
(yl Pun�wut not needed at th i s t i me.
`b Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems.
7 Solids accu�lation 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 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 pumped out within the last three years, they should be pumped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation).
If tanks have not been pimped out within the last three years, they should be pumped out now.
DRAINfIELD CONDITION (71-14):
Drp,infield inspection indicates:
Lp Drainfield is dry, no surfacing evident.
T2 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be canpleted within 90 days.
14 Drainfield extent and condition unknoWn.
LIMITING SITE FACTORS Cslope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table,etc.): ���
COMMENTS:
Date of Inspection 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 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
informat�on.
This report must be kept on the premises with the system tocetion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner