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HomeMy WebLinkAboutseptic info May 1710 10:59a 763-213-0695 p.1 rof ,. Minnesota Pollution Compliance Inspection Form Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) St.Paul,MN 55155-4194 Instructions on page 7 Parcel number: 1 YQ fl - r R9 For Local Tracking Purposes: System status: A Compliant Q Noncompliant (based on all compliance requirements) Summary Form Property Information Property owner name(s): Property address: 4 (9, 4-124 _0j �- ,•w Property owner's address(if different): A County: 7.1.se-wj t Property owner phone:6 Pg.--7� � 3 7 Permitting authority: Date system constructed: Reason for inspection: System Description r� Brief system description:(2- J 5LN 5 pp r —ot'd q ' f3 s-v? i._aap�,,�,u�,iy T re'6 ll Local permit number: Number of bedrooms: Design flow rate: Is the system: In Shareland area? NJ Yes ❑ No In Wellhead Protection Area? ❑Yes (a No An U.S. Environmental Protection System serving a Minnesota Department Agency(EPA)Class V Injection Well?❑Yes 1:4 No of Heath(MDH)licensed facility? ❑ Yes kNo Compliance Status (Based on state requirements-additjonal local requirements may also apply.) Based on the information gathered and reported on attached forms, the compliance status of this system is(check one): 010 Certificate of Compliance-valid until years fromtiateifresort): ❑ Notice of Noncompliance-For Noncompliant systems: The reason for noncompliance is: l This noncompliant system is classified as (chebk one below): ❑ Imminent threat to public health.&safety Failing to protect ground water Not to compliance with operating permit Certification (Completed form must be submitted to the local unit of government within 15 days.) I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. Name: �. ,�° 1 Certification number: Business license name and number: ' [ ddo,e�,e�C' N2+14. i ?23 or Name of local unit of government: Signature: 411h • ! _ ,,► Date: 1 -- — Required Attachments Inspector Complete: This Inspection Report is i pages long. Check compliance forms attached: Hydraulic Performance CI Tank Integrty Soil Separation 0 Operating Permit Form (if applicable) Vj System drawing/As-built dr wing ❑An assessment df any local requirements that are different from what is required on this form flci Soil Boring Logs ❑Abandonment form(if appropriate) 0 Other information(list): Upgrade Requirements (derived from Minn.Stat. §115.55)An imminent threat to public heailh and safety(ITPHS)must be upgraded,replaced,or its use discontinued within len months of receipt of this notice or,vilhin a shorter period if required by local ordinance. If the system is failing to protect ground wafer, the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance.If an misting system is not failing as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or its use discontinued,notwithstanding any local ordinance that is more sirict. This provision does not apply to systems in shoreland areas,Wellhead Protection Areas,or those used in connection with food• beverage,and lodging establishments as defined in taw. wq-wwists4-31 Compliance Inspection Form for Existing SSTS 4/1/08 May 171010:59a 763-213-0695 p.2 Parcel number: 115D t .-t-111Ari fig ---System status: titr,ompliant ❑ Noncompliant (as determined by this form) Hydraulic Performance and Other Compliance Compliance Issue #1 of 4 Date of observation: i3-#) Reason for observation: This form expires upon next inspection or in three years,whichever occurs first: Compliance questions/criteria: (Required) Verification Method*: (Optional) (Check the appropriate box) (Check the appropriate box) Does the system discharge sewage to the ❑ Yes GS No ground surface? 54Searched for surface outlet Does the system discharge sewage to drain 0 Yes rig No ❑ Performed hydraulic test tile or surface waters? 1,21 Searched for seeping in yard Does the system cause sewage backup ❑Yes MI No l' Checked for backup in home into dwelling or establishment? ❑ Excessive ponding in soil system/D-boxes Do other situations exist that have the ❑Yes 1 No potential to immediately and adversely Homeowner testimony impact or threaten public health or safety I Examined for surging in tank jelectrical, unsafe covers,etc.)? Any"yes"answer indicates that the system is an imminent "Black soil"above soil dispersal system Iter-e-- threat to public health and safety. ❑ System requires"emergency"pumping Does the system ❑ Performed dye test y pose a threat to ground ❑ Yes al No water for any conditions deemed non- ❑ Other: protective as determined by the inspector? "Yes"indicates that the system is failing to protect ground water. If"yes'; descrl the condition noted: *No standard protocol exists. This list is not exhaustive, in sequential order,nor does it indicate which combinations are necessary to make this determination. Certification This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA) Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations, interpretations, and conclusions must be completed by an inspector. Completed form must be submitted to the local unit of government within 15 days. Property owner name(s): Property address: ` "-' 3. 0 0l_ Property owner's address(if different): ,'�` County: l/iiyY` C� �/ Phone: 6 j.; -• - (�7 " !hereby certify that I personally made the observations,interpretations, and conclusions reported on this form and that they are correct. Name: 90-kr— iizte Certification number: ?6--- Business license name and number: )Z Si+o �, , ' ' J 93 or Name of lova; unit of government: Signature: �4� Date: • wq wwists4-31 Compliance Inspection Form for Existing SSTS 4/1108 May 171011:00a 763-213-0695 p.3 Parcel number: I-15P O cry Le t'JA..«va..iP.Ad`-- S3�y t status: lel Compliant 0 Noncompliant (as determined by this form) Tank integrity and Safety Compliance Compliance Issue #2 of 4 Date of observation: 5— )3 —/6 Reason for observation: ' This form expires on(three years): Compliance questions/criteria: (Required) Verification Method'.: (Optional) (Check the appropriate box) (Check the appropriate box) Does the system consist of a seepage pit", 0 Yes l}yJ No lac, Probed tank bottom cesspool, drywell, or leaching pit? Do any sewage tank(s)leak below their RI Observed low liquid level ❑Yes 0 No designed operating depth? K Examined construction records If yes,identify which sewage 0 Examined empty(pumped)tank tank leaks. ( ( P-obed outside lank for"black soil" Any"yes"answer Indicates that the system Is failing to protect ground water. 0 Pressure/vacuum check ' Seepage pits meeting 7080.2550 may be compliant if allowed ❑ Other: in ordinance by local permitting authority. ""No standard protocol exists. This list is not exhaustive,in sequential order, nor does it indicate which combinations are necessary to make this determination_ Safety Check 1. Are any maintenance hole covers damaged,cracked,or appeared to be structurally unsound? ❑Yes" 6i1 No 2. Were al maintenance hole covers replaced in a secured manner(e.g.,all screws replaced)? NE Yes ❑No' 3. Was secondary access restraint present(safety pan, second cover, or safely netting)—highly recommended. ❑ Yes RINo 4. Was any other safety/health issue present? ❑Yes' KNo Explain: ''System is an imminent threat to public health and safety. Certification This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be completed by an inspector, maintainer, or service provider, Completed form must be submitted to the local unit of government within 15 days. Property owner name(s): _ ,p Property address: 96-0 t cp- ..0.-4.-1- _ Property owner's address(it different): // G � County: _ to— Phone: / " f - / - (337 I hereby certify that I personally made the observeticns, interpretations, and conclusions reported on this form and that they are correct. Name: .0A. _ Certification number: 2_4 3•" — 3 Business license name and number: R— b-' 73 or Name of local unit of government: Signature: ct,,cs&e... ev_____11.416i _ Date _ I —fb wq-wwists4-31 Compliance Inspection Form for Existing SSTS 4/1/08 May 171011:00a 763-213-0695 p.4 Parcel number: "7SZ t jzi 67,,,cs,..42 System status: SCompliant 0 Noncompliant (as determined by this form) Soil Separation Compliance and Other Compliance Compliance Issue #3 of 4 r Dale of observation: 6--I3-10 Reason for observation: Ska.4/3 This information on this form does not expire. Compliance questionslcriteria: (Required) Verification Method*': (Optional) (Check the appropriate box) (Check the appropriate box) Far systems built prior to April 1, 1996, and not [I Conducted soil observation(s)(attach boring logs) located in Shoreland or Wellhead Protection Area or not serving a food, beverage or 0 Two previous verifications(attach boring logs) lodging establishment: 0 Other. Does the system have at least a two-foot vertical separation distance from periodically saturated soil or bedrock? 0 Yes ❑ No For non-performance systems built April 1, 1996,or later or for non-performance systems Soil observation does not expire.Previous observations located in Shoreland or Wellhead Protection by two independent parties are sufficient, unless site Areas or serving a food,beverage or lodging conditions have been altered. establishment: Does the system have a three-foot vertical separation distance from periodically saturated soil or bedrock?' EX Yes ❑ No For reduced separation distance systems(i.e., 'performance" systems under old 7080.0179 or May • Maybe ordinance.reduced by up to 15 percent if allowed in local be Type IV or V system under new 7080. 2350 or 7080.2400): "No standard protocol exists. This list is not exhaustive, Does the system meet the designed vertical in sequential order,nor does it indicate which separation distance from periodically saturated combinations are necessary to make this soil or bedrock?' NT Yes 0 No determination. Any"no"answer indicates that the system is failing to protect ground water. Certification This form is to be competed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations, interpretations,and conclusions must be completed by an inspector or designer. Completed form must be submitted to the local unit of government within 15 days. Property owner name(s): 1<.. Property address: 17'57) CP fiono--- (0 i''4 X+4tv.(2_ !"e`'� Property owner's address (if different): County: .knvr� - _ Phone: �� '�F - 17(3 7 I hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are correct. Name: Certification number. 6 3S-- Business license rfdme and number: fi-� 12 , " 73 — or Name of local unit of government: Signature: Date: 6-- l33 — wq•wwists4.31 Compliance Inspection Form for Existing SSTS May 171011:00a 763-213-0695 p.5 Site Sketch: • • t t Z i fr r • ' ' 14- .4 •• ''''';""• ;'" '' ; .r4• .. :: :: , :: ••fe, ; .; r r-" • . r • i i s 7 r r t t r .. .. .. .Ott. . y 1 .. .. ; 't r t 1� ri1■/ t t t t t A1� � .i 9.. t • ` • • J • • 1� too. �" :-..•�;Q. .. 10' ® 20' Suggested items for site sketch: Well,well setback to system,dwelling or other establishment,tank(s),soil treatment system, rescrved.soil treatment arca,curtain drain,property lines,waterways,and buried lines (those NOT installed by the utility). Include sizes and length and approximate distances from fixed reference points such as streets and buildings..Pleasc attach previous as-built drawings,inspection reports,Certificate(s)of Compliance and Notice(s)of Noncompliance. Soil Borings (SB #): Locate each boring on the map above, indicate on the right of the columns 'low the texture, structure,color, depth of each different soil type, evidence of mottling,bedrock and .ending water. Also indicate if the material is fill. SB WI SB #L SB # I .' W r yi a-1 r/�/e4,�"-X1 3 •/y , ',I :/ r„:041 ,y v�� V to I// - I iVG7J/� c) 13)-teAtirt- i °II^ rV ' 3 ' 'e41-1, jj).4,44,14"- .i.-Irell-r / • • Comments: ,_„.41.,,t. _ ifC...±(r4L- 1Le • 010Gf • SEPTIC SYSTEM INVENTORY Address: 450 Orono Orchard Rd. S. PID: 02-117-23 31 0047 Building Type residence BRs Install'd for: 8 In Musa: No Permit#: P03161 Date of Permit: 10/26/00 Installer: Patnode Bros. System Type: mound Experimental: no Tank Filter: SYSTEM CONDITION Conformity: 1 Tank Condition: 5 DF condition: 11 Failure Pot: low SEPTIC TANKS Material: precast concrete Capacity: 1000, 1000, 1500, 1500, 2000 Setback to Bldg: 50 Cesspool: no DRAINFIELD Length of Lines: 100 # Lines: 3 Trench Width: 10 Treatment Area: 146*50 Type of Filter: rock, clean sand Soil Boring: yes Tile Size: 1.5 Under Tile: 9 Perc Rate: 13.8 Setback DF-Bldg: 100+ DF Ht above Wt: 3 Soil Type: loam, silty clay loam Limitations: water table WELL DATA Setbacks - Well-Tanks: Well-DF: Report in File yes Pump Type: subm. Depth: 392 Diameter: 8 Method: drilled INSPECTION RECORD PUMPOUT RECORD DATE DESCRIPTION COMPLIANCE DATE GALLONS 10/31/00 combined with 480 Orono Orchard 1 6 -i ci-G? S-700 10/01/02 no surfacing code system C)' DILA-1 Ia -0( cry i 1/50/1/80 o pwo 0►echua.b 5 . I li N .---- add ilion 4,10, oloo At I ti A A 1 1 „>„ ,z. I ° l�� Ne,,) Gat 71 7,00D Arr CS) PO 4 Aimdaned a r X-- I PA 'IC I Kf j �� qso � ^ , x I O 1 to c) X "q © well 1 - s x si,Bo gnRN 4 ,B a .a 1 35'9 6,4'3 ( - i 115'9 573 �i CITY of ORONO v$ Jf `_ + 47 / Municipal Offices • s. Street Address: Mailing Address: 7xEg Og i 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address S 0 0roe00 Q rOn Ae- s 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 Identified as Non-Compliant Yes No If yes, system must be brought into compliance by: December 31, 2007 December 31, 2010 Other Septic Tanks)Pump out Needed Yes 1/ 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 IUp . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: Inspectorice/� �''--'� <g‹-Vit2S Date of Inspection /62 -O6 Telephone (952)249-4600 0 Fax (952)249-4616 www.ci.orono.mn.us 0 sit t z 4, CITY of ORONO ,A'% I.yj{i�C� Municipal Offices . 't-44 Street Address: Mailing Address: 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 95d-A4q-4600 To Current Owner: Address: 1150 O COn( 0 r c-i -r J Ja 3 • 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 CONFORMITY (1-31: I 1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" 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 ISTS located within a designated 100-year flood plain,any ISIS 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): S Tank inspection indicates: • Pumpout not needed at this time. 5 . 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 pumped through manhole and not through white inspection pipes. This allows for the proper cleaning. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. DRAINFIELD CONDITION(S-1Q): 5( 8O 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: o ac., 5 e k: A-° 4-5 l o oK ak . ( O —\ — 03- c 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 orcertify that an existing system will continue to function properly,but is merely an opinion ofthe adequacy of the system undercurrent conditions based on the available information. 1. 0k. 0 0 A CITY of ORONO \\A :-1 ,-7---,, ,,-----_,. c` ti Municipal Offices \\1044 � fd .'ems,-" 1r .c \\ t ,1 -''<t;-.', + Street Address: Mailing Address: \\ gg04 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 August 3, 2000 Kevin Garnett 450 Orono Orchard Road South Wayzata, Mn 55359 Dear Mr. Garnett: An inspection of your septic system was conducted on August 1, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout not needed at this time. The septic system is non-compliant due to a lack of a three foot separation distance between the bottom of the drainfield to the seasonally high watertable. The three foot requirement is a State Code,not a City Code. A soil boring was conducted to determine the depth of the seasonally watertable. The residence must be connected to the municipal sewer system no later than December 31, 2010. Enclosed is a list of state licensed septic contractors who work in Orono on a regular basis. Also enclosed is a fact sheet explaining how a septic system functions properly. Finally, an as-built drawing is enclosed that shows the approximate location of the septic system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. Rxtfp, Chris Pence On-Site Systems Manager Enclosures In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does no guarantee or certify the 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 the system location and pumping records. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us 40, 04.• O O :._, . _,,.. ,,,,_, .,,,,A:::_, CITY of ORONO V , : W;, ..,..›. N ,�lC� Municipal Offices 'N----___ ,� Iwo,' Street Address: Mailing Address: eat 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 47Owner: f— A J 4, Address: 450 Orono Orchard Rd. S. Permit #'s: none Dates: Contractors: unknown (This is [)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 6)3 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 is [ ] or is not [ ] identified under this septic system. If the saturated soil level is not i eat fied, this classification is subject to revision.) CONDITION (5-9) : 5 401 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. 10 One or more tanks are cesspools, which means the septic system is non-compliant. (The tanks are [ ] or are not [ ] water tight or the condition is [�] unknown. If the tanks are not confirmed to be watertight, this classification is subject t re ision.) aINFIELD CONDITION (11-14) : 11 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.) : medium COMMENTS: 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 0.5 feet and the system is non-compliant. Repair or replacement of the septic system is required by 12/31/2008. C718. 00l�V .�.l��C�/' - r,..� Date of n-7— spection S- . is 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 a FAX 473-0510 CITY OF ORONO Municipal Offices ((----"--:I:"N Post Office Box 66 '�- 0, Crystal Bay, MN 55323-0066 a ' l ON—SITE SEWAGE TREATMENT �I. INSPECTION REPORT ,4). its14- „os 9k -, SHON, 4 Owner: f U'iAX 74 / (CJrTi1r\ Address: 9 Of iV achici kV. s Permit #'s: hale Dates: Contractors: 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. (This is "4 an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): l 6) "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City 1 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 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 1 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 classification may be subject to revision.) TANK CONDITION (5-10): Tank inspection indicates: � :. Pumpout not needed at this time. L6� So accumulation in tanks indicates the should be .A.-• out .- - - - s. 77 o ics acc _ - - - ri Ica eve an s s ould be pumpedout as soon as possib e. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 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 pumped 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 accumulation). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): /jl D�pfield inspection indicates: 11Y Drainfield is dry, no surfacing evident. 2 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 completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): /4 -� COMMENTS: . fi-%I .04/4r Li!.!/A//' Date of Inspection -.tic 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 information. This report must be kept on the premises with the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 ORONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER F/2V /d #1 ilewni7"N ADDRESS '"5-0 �CJr,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 on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is 21 an existing system 0 new construction) E' 1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. U 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. El3 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. U 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) Tank inspection indicates: 0 Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks Eif 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. O Solids accumulation in tanks is at a critical level. Tanks Drainfield 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 0 Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. 0 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. 0 Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for O Slope (depends on soil types,water Future Expansion ❑ Soil table and system condition) 0 Adequate ❑ High water table Low 0-Fair O Lot size 0 Medium 0 Poor ❑ Lake,wetland,or stream 0 High 0 Inadequate ❑ Drainage 0 System is causing visible surface discharge. COMMENTS: /0---?`?-70 1. 12,44114*-- 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 information. This report must be kept on 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 TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 ORONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER gabtiarel Ha ADDRESS '••/ . Is, • I -A 14 A ' i 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 the above address has been inspected and appears to fall into the category checked below. (This isXran existing system 0 new construction) ,,zi1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. O 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 I 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. U 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 ( I0 Checked items may require your action) Tank inspection indicates: 0 Inspection pipe is located directly over tank baffle.(Does not ❑ 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. 114 ❑ Solids accumulation in tanks is at a critical level. Tanks Drai field 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 0 Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge.N.i6s, 0 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 4 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 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) ❑ dequate ❑ High water table .Low air *Lot size Medium ' ❑ Poor `Lake,wetland,or stream ❑ High ❑ Inadequate Drainage 0 System is causing visible surface discharge. COMMENTS: z V .,i•__ i /L., D to of nspection Septic System I s•-ctor 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 the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 ORONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER EDWAR �' I�A/�M ADDRESS 4"50 0/?040 ORc /n?Q r[O PERMIT NO.'S. A/6/VE 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 the above address has been inspected and appears to fall into the category checked below. LJ (This is an existing system ❑ new construction) 1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. EJ2 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. D 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. U 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 ( 2 Checked items may require your action) Tank inspection indicates: 0 Inspection pipe is located directly over tank baffle.(Does not i. 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 accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. _—I] Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped 0 Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. 0 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. 0 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) --B Adequate ❑ High water table Low 0 Fair ❑ Lot size 0 Medium 0 Poor ❑ Lake,wetland,or stream 0 High 0 Inadequate ❑ Drainage 0 System is causing visible surface discharge. COMMENTS: A(4Gus1 /q� Date of Inspection ptic System Inspector Note: In the event that this inspection report is used to satisfy the requirements or 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