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'� .R1�'�C' '�„�:�?. ,�.�.� ''►� ti"�i� X 'a� -� ��! � �i�• s �'- T• ��3 �'�S�� " �g �'!�' �i�l�t ��. � � ,�•ti%� _ ,� «s::�Jft . �SSa` ..:'i" e�l►� �...e •:i[t•.-. (.� � ��\ �,V � � 1 � � � � CITY OF ORONO Date ADDRESS � Connected to CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer � WELL DATA Address � �� . � Property I.D. D5�-I/7- 23 y� �L�� Standard trench � ❑ Mound � � o, I System type d Other Legal Description �T S'i/�I1�c2=S � � O a� t Permit No. ��Q Date of permit /Z - ��- �� Instailer � �1�-.SpN �H+ePfi`/ � k O No. Bedrooms Garbage � d ( Building type ,�jT�'7uC� or GPD �;j �3�? Laundry�Dishwasher Disposal � o Q E a SEPTIC TANKS: Material ��ECs4�l �A.�G, Capacity 1) fQdC:.� 2) ��7 ° � � o a �. � � > Proper outlet and inlet �K Baffles ��R�aeG[ASC Liquid depth to RO level y'S� •� d � m Height of tank bottom above water table �t'�' Distance to nearest building `d, + � � m � I t DRAINFIELD: Total length of lines .S�� Number of lines ..� Trench width � � � Y I .�- C \ Total treatment area(sq.ft.) /.�7� Height of drainfield above water table � � � � y /i ., " � Type of filter material �-�/ �- R�ICSoiI type 5��`1 CL-A y i ��11"'�, Ci�hY CC�1Y"� ,��, � �. d � t� E � '� Distance from nearest bldg. 2-� '� Tile size � P✓� Perc rate ��--3� min/in o � � .c p v � �� 12�, � � .. �; Depth of fiii over drainfieid �2--Z� Depth of rock over tile � under tile ��- � n � " E c p a cj � LOCATI ON INSPECTION RECORD PUMPOUT RECORD SKETCH � �9�5�, DATE COMPLIANCE DATE GALLONS O 9�',V�..lS'' � ��'l�' �-/�= l /NSTAi1�4TlO/� _� �t`� E . a � -g�l s'v/Li=A-c: r/t�f, �s�7-8(� ��Zv G �� S:.nl=a c,.v�; �y 9D /�00 y-I- ' N�% 3u,Qr=�ac�.�y g�ft�is �,►r� � �L �� .��1-91 - �_ - I-9 c� �7-90- - v, � �_ %3 91 ; ' � �s.� g 6E-`,�1 C�C�C� -� - �' `� � � ' �3�-9� �� - - � , /9-9 ,�d - - _ J �-1��93 �C�� o� 7 ' t=� � � � - a- - �, a� �� ,� � � '' r., W,. . w� Include: 1) Well location 2) Distance from house to septic tanks,dist.box, and drainfield C— CONFORMING S—SUBSTANDARD N — NONCONFORMING 3) North arrow and road � o� CITY OF ORONO O O Municipal Offices Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATI�NT � . � INSPECTION REPORT ti ��9k'Es1;o�`'�G Owner• � �fbf?t2� Address• �7'"/� �fir�►✓l,� �. . Permit �'s:�� Dates: �� Contractors:L,Or1 lf��B�/Sor�-///y1�Q�iy //D�� T7� City ordinance nunber 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 � an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): � 1 "CODE SYSTEM"-A system which meets atl 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 seuage 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 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 so�l 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): � Tank inspection indicates: 5 P ut not needed at this time. y� ds accumulation in tanks indicates they should be p�p�� out this year to help prevent future roblems. (7j accumulation in tanks is at a critical level. a'f nks t as soon as ssi `S System is discharging to the surface. Tanks must be out within ours to e im e sur ace�dischar$e. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next p�mpout. 1f tanks have not been pumped out within the last three years, they should be punped out now. 10 Inspection pipe is loceted directly over tank baffle (does not give accurate measurement of solids accunulation). If tanks have not been pumped out within the last three years, they should be p�enped out now. DRAINF[ELD CONDITION (11-14): � Drainfield inspection indicates: 11 Drainfield is dry, no surfacing evident. ],2� Sane evidence of surfacing, not critical yet. CJ 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. IIMITING SITE FACTORS (slope,setbacks.etc.): POTENTIAL fOR SYSTEM FAILURE Cdeoends on soils.water table,etc.): � COMMENTS:�E--Tn� /17Lt5�' .»+D_ li� ��n.is �a Q e_G�rS��ei..e�. —T^ Date of Inspection eptic 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 cert�fy 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. 7his report must be kept on the premises with the system locstion end pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner 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 �,�1 � ADDRESS . PERMITNO.'S. DATES l�I��O CONTRACTORS s�'�`�� City Ordinance No.210 requires that each on-site sewage treatment system in Orono be i�spected on a regular basis.The onsite sewage treatment system at the above address has been inspected and appears to fall into the category checked below. lThis is �an existing system ❑ new construction) � � Meeta or exceeds current City standards in ali 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, a�d constructed generaily in accorda�ce 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 desig�,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 ot 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.Ple�e contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is neceuary,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 inapection indicates: ❑ 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 aecumulatio� in tenks indicates they shoutd 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 tenks is at a critical level. Ta�ks Drainfield inspection indicetes: should be pumped out as saon 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. withi�48 hours to eliminate surface discharge, ❑ Drainfield ia saturated and visibly discharging untreated ❑ tnspection risers miuing—tanks could not be inspected, effluent to the surface, This condition may require replace- Inspection risers (4"dia. pipe)must be installed in esch 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 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 co�dition) Adequate O High water table ❑ Low Fair O Lot size ❑ Medium ❑Poor ❑ Lake,wetland,or stream �High � Inadequate ❑ Drainage System is causing visible surface discharge. 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 dces not guarantee or certify that an existing system will continue to functio�properly,but is merely an opi�ion of the adequacy of the system under current conditions besed o�the available information, This report must be kept on the premise;with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner �jL.'i 1;, 5�.'J 1.�` T.ra�v�.i =��L :i'� i6r� �:'6�i�:iJ�`l1'.,lv� :.•v`�. �� :��v r ��t �G�;i:T�'. z�� "r'P.U�T iiu:t;3;;ILBs.Ft'.: • E y l r� '?r e,Sb�'�..:r:�. � �1.i S4L+'.:,'�J �.wi I i.L�t�.Y ...� .cL� . .. �. 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