HomeMy WebLinkAboutseptic info CITY OF ORONO Date
ADDRESS � Connected to
CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer
Address ��� �X'CDw•'L� /L D Pro i� .� ` � WELL DATA
perty I.D. .S 7�2� ';/ ��/...
�Standard trench �cr 7 A , I I
O Mound 5,��;,,,i �IDD/7/GN � .l rn
System type ❑ Other Legal Description o �
L
Permit No. ���� Date of permit �o-'y-�� Installer �/AJ�� d�/1o5 , � O
No. Bedrooms Garbage .� m I
Building type ���Tj�NC_� or GPD�- y g,� Laundry�_Dishwasher�_ Disposal_� � � =
� oa o
E „
SEPTIC TANKS: Material �¢.�-t,tsT�CJ/�C. RECTAnJ�w�.q� Capacity 1) �DC�C3 2) /bt�U ° � �
!�I N l✓EAR �a�crACc 3t%N 7/f�L'KS f =y � m
Proper outlet and inlet �i� Baffles "�i ""Liquid depth to RO level y'S� � � �
:= 0
S'7'�4cKs cY''/c�.%qL - � m
Height of tank bottom above water table D/C Distance to nearest building -�� },� N �
n �
DRAINFIELD: Total length of lines 3-��t Number of lines J� Trench width �t
Y � �
Total treatment area (sq.ft.) � Height of drainfield above water table � � '� � �`�
U
T B 1 �lii 2, '},
yp of filter material �- 2 � �K Soil type ��v��•N S�w�T ���rY `�'�►"� ,a, �
e- e, ' + � N �, �c. `/5"
E t �
Distance from nearest bldg. �Tile size ti P �erc rate "� min/in ° � � c
� �
u � ���.i � � m`
Depth of fill over drainfield �2'��✓ Depth of rock over tile �� under tile � n " "
y E c �,
��•, ".AC � E'� c D' ,t3G 0 a V �
� �— LOCATION
INSPECTION RECORD PUMPOUT RECORD SKETCH
DATE COMPLIANCE DATE GALLONS �
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Include: 1) Well location ���;Zi� "hvf��f
2) Distance from house to
septic ta�ks,dist.box,
and drainfield
C— CONFORMING S —SUBSTANDARD N —NONCONFORMING 3) North arrow and road
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 a � ON—SITS SEWA(iL TREATl�NT
r�,� , � INSPECTION REPORT
ti
��9k'EsHa�'��
Owner: .�l'l(Y►� /�G/3�1'� Address: ..�� �.�?if�vr�/ �
Permit �'s: �S�- Dates: h�/! Contractors:lw�dn,N�/ L��i3.
.
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 �(1 an existing system [ ] new construction)
STSTEM CONFORM[TY (1-3):
1 "CODE STSTEM"-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 irqwt
without discharging any pollutants into ground or surface aaters.
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.
"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 identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. `fanks should be pianped out as soon as possible.
� System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
lnspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next p�npout. If 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).
If tanks have not been punped out within the last three years, they should be punped out now.
DRAINFIEID CONDITION (11-14): �
Drainfield inspection indicates: '
11 Drainfield is dry, no surfacing evident.
� Some evidence of surfacing, not critical yet.
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 (sloae,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE Cdeaends on soits.water table.etc.):
C NTS: � ,(S � j
ti
Date of Inspection Septi 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 opim on 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 locstion and punping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner —
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER ��� �'�Jd� ADDRESS �� �x� ►
PERMIT NO.'S. �)J �� DATES l�'��J CONTRACTORS rn�
City Ordinance No. 210 requires Mat each on-site sewege 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 fali into the category checked below.
(This is Q9�an existing 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 ali current City standards for new construction (1978 Codel but in most respects appears to be designed,
located, and constructed ge�erally 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 relativety high potential for future prob�ems. 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 enda�gering 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 (m Checked items may require your action)
Tank'nspection indicates: ❑ Inspection pipe is located directly over ta�k 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. ahould be pumped out now.
O Solids accumulatio� in tanks is at a critical level. Tanks rai �eld inspectlon indicates:
should be pumped out as aoon as possible. Drainfield ia 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 surface discharge. ❑ 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 risero (4"dia. pipe)must be instaNed i�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. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiti�g Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Fut.u-r�e"Expansion
❑ Soil table,and system condition) �-r�dequate
❑ High water table ❑ Low �� Fair
❑ Lot size Medium ❑Poor
❑ Lake,wetland,or stream �High ❑ Inadequate
�Drainage ❑System is causing visible
surface discharge. ��
�
COMMEN . (/f�A
�
�=a>-��
Date of Inspection S ic 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
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