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SEPTIC SYSTEM INVENTOR Y � � ��� �
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Address: 400 Oxford Rd. PID: OS-117-23 41 0016 i ;
Building Type residence #BRs/GPD 4 Systems/unit 1/1 � �`��� �
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Permit#: 7935, 45 Date of Permit: /85, 5/29/92 Installer: Sullivan Sullivan �' �'"z�� �'
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System Type: shallow trench Appliances: lndry
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SYSTEMCONDITION ~ r �� `; , x ;�r
Conformity: 3 Tank Condition: 8 DF condition: 13 Failure Pot: low � � ' ' �
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SEPTIC TANKS �' `"
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Material: precast concrete Capacity: 1000, 1000 � : �,`
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Setback to Bldg: 15 � �� �
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DRAINFIELD l
Length of Lines 330 #Lines: 5 Trench Width: 3 - '
Treatment Area: 1000 Type of Filter: rock �� ', _ , �� F;
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Tile Size: 4 Under Tile 6 Perc Rate: 15 ,
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Setback DF-Bldg: 30 DF Ht above Wt: 3
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Soil Type: loam, clay loam Limitations: water table M ;�
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WELL DATA �
Setbacks - Well-Tanks: 50 Well-DF: 75 Report in File y �` ' �;;
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Pump Type: subm. Depth: 135 Diameter: 4 Method: drilled ' �, �1 �'`
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INSPECTION RECORD PUMPO UT RECORD �" -
DATE DESCRIPTION COMPLIANCE DATE GALLONS , � (�
6/14/85 installation 1 5/8/90 1500 `�'
6/16/88 no surfacing 1 6/4/91 1500 y,, , :�;�. �� f"-� ��
5/21/91 DF surfacing 4 � ��� _ � � �
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5/7/92 DF surfacing 3 _� '�`
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5/29/92 drop box repaired 1 , '
- 7/10/97 DF surfacing-repair by 10/31/97 ; 2 i � ��
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�����=� CITY of ORONO
"'� ����,y=;�'�h'�' !�► Municipal Offices
'�►� � I�'`''����� G,�'
,t ��;���i��t�� SVeet Address: Mailing Add�ess:
`�'E+gg04' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: Address: 400 Oxford Rd.
Permit #'s: 7935, 4507 Dates: 5/31/85, 5/29/92 Contractors: Sullivaa, Sullivan
(This is [ �] an existing system [ ] new construction) .
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SYSTEM COMPLIANCE (1-3) : 3
1 �ode Sx,�tem: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 �omgliant SX,stem: 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-Comoliant 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 aaturated soil level [}�] has or [ 7 hae not beea identified at this time. If the
saturated aoil level has not �lSeea identified, thia clasaification is subject to ravision.)
TANK CONDITION (5-91 : 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.
�1 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.
(During the last septic tank Maintenaace Pumpout the tanks [ ] were or [� were not confirmed
to be watertight by the liceased pumping contractor. If the tanka were not confirmed to be
watertight, this classification is aubject to revision.)
DRAINFIELD CONDITION (11-14) : 13
11 Drainfield is dry, no surfacing evident.
12� Some evidence of surfacing, not critical yet. Repair is not required at this time.
� 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.
POTENTI� FOR SYSTEM FAILURE: (system age and condition. oil . .) : low
COtrIlNENTs: The fourth drainfield line is exposed to the surface creating a discharge. The system
must be repaired or sewer connected by 10/31/97.
7�/��
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 473-0510
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON-SITE SLWAt�E TREATMENT
� � INSPECTION REPORT
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��9kESH.��'�G
Owner: �L� lX�1/IPD Address• �C10 VX-Fdrfi' Y_L,l�
Permit �'s: O Dates:��l-�/5-�9--9� Contractors:_ ���dB/JS�>i/�/�'�/B/I C
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 tnspected and appears to fall into the category
checked below.
(This is G�' an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
7 "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 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
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):
Tpqk inspection indicates:
(y Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be punued out this year to help prevent future problems.
7 �olids accumulation in tanks is at a critical level. Tanks should be purnped out as soon as possible.
8 System is discharging to the surface. Tanks must be p�mped 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 �n each
tank at next purtipout. If tanks have not been punped out within the last three years, they should be punped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation).
If tanks have not been punped out within the last three years, they should be punped out now.
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
11 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
73 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 Csloae.setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE Cdepends on soils.water table,etc.): L��
COMMENTS:
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 aill 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 locetion and punping records.
WHITE COPY/Inspectors File YEILOW COPY/Homeowner
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 a � ON—SITE SEWA(�E TREA'1'l�I�1'!.'
� � IN3PECTION REPORT
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���kESHO��G
Owner• .IC�.� �/�ICC� Address• `7t� CJX� /<d.
Permit �'s: Dates: �3/�'�� Contractors: .S���I/vI�'
City ordinance n�mber 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 �}. an existing system [ l new construction)
SYSTEM CONFORMITY (1-3): 3
1 "CODE SYS7EM��-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 aaters.
2 "CONFORMING SYSTEM"-A system wh�ch 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 satisfactority 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 mey 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 mey be subject to revision.)
TANK CONDITION C5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems.
7 Sotids accumulation in tanks is at a critical level. 'fanks should be pumped out as soon as possible.
� System is discharging to the surface. Tanks rtwst be punped out within 48 hours to eliminate surface dischar$e.
Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed �n each
tank at next Fxmpout. If tanks have not been purped out within the last three years, they should be pu�ed
out now.
10 inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation>.
If tanks have not been p�mped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14): �
Drainfield inspection indicates:
11 Draintield is dry, no surfacing evident.
�,? Same evidence of surfacing, not critical yet.
(,�,1 Drainfield is saturated and visibly discharging untreated effluent to the surface. Coatac� the Citv In`soector
imnadi.aieLy. Repairs must be completed within 90 days.
14 Drainfield exten� and condition unknown.
LIMITING S1TE FACTORS (slope.setbacks,etc J:
POTENTIAL FOR SYSTEM FAILURE (deaends on soils,water table.etc.):
COMMENTS:� � �� AoIM�T 11 1/3� �SS �� T� I, � OY /t4a/ d� l.✓�/I Lj,Q �e�PY�•
:S 7 d2
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
properlyi but is merely an opim on of the adequacy of the system under current conditions based on the evailable
information.
This report must be kept on the premises with the system location and punping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lake�Iinnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER ADDRESS /�J�'►'�✓U
.
PERMITNO.'S. DATES �3�6-� CONTRACTORS
City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inapected on a regular basis.The onsite sewage
treatment system at the above addrest hss been inspected and appears to fall into the category checked below.
IThis is � an existi�g 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 Code) but in most respects appears to be designed,
located, and conatructed generally in sccordance with previous codea.System appears to be functioning properly;no major
upgrading of the system is required at this time.
� 3 Does not meet current City standerds in many respects relating to design,construction,or location.Appears to be operating
adequately at this time,but has a reiatively 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 ia otherwise creating a public nuisance.Ptease contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replaceme�t 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 baffle.(Does not
❑ Pumpout not needed at this time, give accurete me.esurement of solids accumulation.) If tanks
❑ Solids aecumulation in tanks indicates they should be pump- have not been pumped out within the lest three years,they
ed out this year to help prevent future problems, should be pumped out now.
❑ Solids accumulation in tanka ia at a critical level, Tanks Drainfield inspection indicatea:
should be pumped out as aoon as posaible. ❑ Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped � �g Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. �L�F-Drainfield is saturated and visibly discharging untreated
�Inspection risers missing—tanks could not be inspected. ��- is con �t�on may reqwre replace-
Inspection risera (4"dia.pipe)muat be inatalled in each tank ment or additions to drainfield. ntact e �ty nspector
at next pumpout. If tanks have not been pumped out within ' hin ays.
the last three years,they ahould be pumped out now. O Drai�field extent and condition unknown.
StTE CHARACTERISTICS:
Limiting Site Factors Potential for Syatem Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) Adequate
0 High water table ❑ Low �Fair
❑ Lot size ❑ Medium ❑Poor
❑ Lake,wetla�d,or stream ❑ High ❑ Inadequate
❑ Drainage �-System is causing visible
surface discharge.
COMMENTS:
.� 9/
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortga�or other trensfer of property,be advised that
this report does not guarantee or certify that an existing system will conti�ue 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 locatio�and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
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