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SEPTIC SYSTEM INVENTORY °'
Address: 340 Leaf St. PID: 04-117-23 23 0008
Building Type: residence #BRs/GPD 3 Systems/unit 1/1 `�
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Permit#: 7522 Date of Permit: 7/18/84 Installer: Widmer Bros. �
System Type: mound Appliances: lndry
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SYSTEM CONDITION k.«
Conformity: 1 Tank Condition: 8 DF condition: 11 Failure Pot: low '��'
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SEPTIC TANKS
Material: precast concrete Capacity: 1000, 1000, 1000 _�-� .'� .�� � � �` ��
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� � Setback to Bldg: 20 � .: �
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DRAINFIELD ��''' ��� F ���
Length of Lines 150 #Lines: 3 Trench Width: 10 � � °� °
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Treatment Area: 60*35 Type of Filter: rock,clean sand y�
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Tile Size: 1.5 Under Tile 9 Perc Rate: 7 ` �
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� Setback DF-Bldg: 100 DF Ht above Wt: 3 '����' � �� � _ �
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Soil Type: clay loam,silty clay loam Limitations: water table ����'�,�� � �� � �A ti� � � ��
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WELL DATA y� � � � �
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Setbacks - Well-Tanks: 75 Well-DF: 145 Report in File: n ���` ; � �,� � .� " �;
Pump Type: subm. Depth: Diameter: 4 Method: drilled ; � ��
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INSPECTION RECORD PUMPO UT RECORD �
DATE DESCRIPTION COMPLIANCE DATE GALLONS �'`
9/1/84 replacement installation 1 6/13/91 800 � '`�
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5/1/85 no surfacing 1 4/8/96 2000 `
� 9/15/86 no surfacing � 1 � �� �
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$� ' 12/22/87 no surfacing � 1 �- � �''-� ,
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5/2/91 no surfacing-pump tanks 1 � "
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8/5/97 no surfacing-hookup by 3/24/98 1 ' \�'� �� �x "' �,.�� �� . ;.,
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SEPTIC SYSTEM INVENTORY
Site Address: 2400 FOx St PID 04-117-23-41-0011
Owner Name: Julie Lindbloom
Owner Address: 2690 Rainey Rd Wayzata MN 55391-
BuildinqType: sfr Installer: Burns Excavating
Date of Permit: 05/27/10
Svstem Tvpe: mound BR's Designed for 5
In Musa?: Shoreland?: yes
SEPTIC TANKS:
Material: Precast concrete Capacitv: 1300, 1300, 1300 Tank Filter: yes
DRAINFIELD:
Treatment Area: 630 Soil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: 50+ Well DF: 50+ Report In File: Depth:
INSPECTION RECORDS PUMPOUT RECORDS
; Date Notes I Date GallonsOfLiquid I
� 5/27/2010 New construction mound system 5/27/2010 0
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����� CITY of ORONO
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� "'`�� lS� Municipal Offices
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.� �; � -�;\�-'� Street Address: Malling Addrou:
'�'E+ggOg' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
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Owner: C�.�,Q �I-', /C!/I� � + �� Address: 340 Laaf St.
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Permit #'s: 7522 Dates: 7/1H/84 Contractors: Widmer Bros.
(This is [x an existing system [ ] new construction) .
5 STEM 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 saturatad soil leval [x] has or [ ) has not been ideatified at this time. If the
saturated aoil laval has not been ideatified, this clasaificatioa is subject to revisioa.)
TANK CONDITION (5-9) : 8
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.
� 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.
(DuriaQ tha last septic taak Maintenance Pua�out the tanks [ ] were or �] mere not confirmed
to be watertiQht by tha licansed pu�inQ contractor. If the tanks were not coafirmed to be
watertiQht, this classification is subject to revisioa.)
INFIELD CONDITION (11-14) : 11
1 Drainfield is dry, no surfacing evident.
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
COMMIIVTS: Connection of your residence to municipal sewer is required by 3/24/98.
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Date of Inspec ion . ep c 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
On the North Shore o f
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay,MN 55323
473-7357
OWNER _rd/l�P ���Y'� �[.�/JYJ�'�9� ADDRESS J�l��_L�S�
PERMIT NO.'S. '2 - DATES ���7��� CONTRACTORS m��
City Ordinance No.210 requires that each on-site sewage treatme�t system in Orono be inspected on a regular basis.The onsite sewage
ueatment system at the above address has been inspected and appears to fsll into the category checked below.
(This is � an existing system ❑ new conatruction)
� � 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 upgrading of system is required at
this time.
� System may or may not meet current City standards for design,construction or location, but is failing to properly treat and
4 dispose of the current input,and is endangering a water supply,or is a source of poltution to surface or groundwaters,or is
creating a safety hazard,or is othervvise ereating 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 ( m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank bsffle.(Does not
q Pumpout not needed at this time, give accurate measurement of solids accumulation.l If tanks
�l Solids accumulation in tanks indicates they should be pump- have not been pumped out within the Iast 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 Drai field inspection indicates:
should be pumped out as soon as poasibte. � 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 surf�e discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risen 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 tast 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 condition) 4Adequate
�High water taWe � Low �t Fair
❑ Lot size ❑ Medium [7 Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage O System is causing visible
surface discharge.
COMMENTS:
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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 existi�g 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