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Propertr address: 2T30 Rainey Rd,_Orono,MN ___.. knspector Prii4alslDa�be:, � 40/17/2016 <br /> -- - (i►�YYYY1 <br /> !. tm on Public Health—Com�iance oomponent#1 of 5 <br /> C4mptiance crl�sria• _ . Verlflcatlon r�qtod(s): <br /> �,�����,� aY� �No a����� <br /> ground aiufaoe. _. .. ..._ �Searched tor aeeping in yardlbsdcup in t�ome <br /> S�Stem disd�arges sewage 10 dratn ❑Yes �No ❑E�ooessire po�riding in aal sysienW-bwoes <br /> lile or�soe weters. _ 0 Homea�er testimony{Sae(aorrxn�ents/FxPI�►�atiw►) <br /> System causes sewage backuP ir►� ❑Yes �No ❑•Bladc soil'8bove so�dispersal sysoem <br /> dwelling or estebY�ahrnent. . ❑�re4uir+es'emergenc��Pump�g <br /> At�y"y�"answer above fnc�ca�e�the ❑pe�ionr�ed dye mst <br /> syst�n 1a sn lmminerrt fhre�t t�publlc ❑unawe to v�er;ry�ses ' J <br /> h�and sa�ety. ❑ou,�mea�oas r�oc�s�ea rs� <br /> Cammanb�on: __.. <br /> 2. Tank Integrity--Compt�anoe canponent#2 of 5 <br /> romp�noe cela�ia: _ vriflcatlon nwtllod(s}: <br /> System consis�of a seepage pit, ❑Yes �No ❑Probed tank(s)bollom <br /> cei�pool,drywell,or leaching pit. ❑E�mir�d aonehuc�on reoo�ds <br /> Se�pe pf[s mae�g 7080 z550 may b�e ❑Examined 7ank Integrily Form(,4tfach) <br /> if eNowed irr�o�ef o�Yr�e. <br /> ❑ObsefVHd iQUid 19V91 b910'W operatlng depth <br /> sewage tenlc(s)bak bebw tl,eir �Yss O� �Exarr,;ned e�y iP�P���cs) <br /> deeigned ope�atng depth ❑Probed a�tside tenk(sj�'bladc soil' <br /> If yes,whtch sewage tank{s)feaks: <br /> Any"�es"answer abov�e inc6cates tlie ❑Unede sa�e�r lsae I <br /> syst�m is i�aihng ta prntect gor�ovndwats� ❑otner methods not�ed lsse aa�snrarEx�aba►� <br /> cammenbtlExplsnatlon: <br /> mejor rod intrusion ttxough tank lids.risers and inle/s of tanks. <br /> 3. Oi�er Compliance Conditions�Complianoe o�mponer►t#3 of 5 <br /> a. Meirrie�r�oe�w�e oovens e�e damaged,cxadced,�u,sewred,«appear b be�fi,cb�,roly u�iaound. ❑vea• �wo p u� <br /> b. otl�er�(e�ical ha:sN�e�)b i7m�iY���Y��P�healEF►or saifs'�ty. �Yea' �No ❑UMmown <br /> �j�Ls at 6n�n�rrt Btnat tapvbiNc he�l�h ar�dsalbg. <br /> �� <br /> c. S�ra�em is na►�pro�ac�inne of ground�T�or dher oond�ons as de6ermined by ir�spec�or- ❑ves� �No <br /> 'SYs�m!s�iig bo Pro�ect 9►�wr�d�ar. <br /> Expialn: <br /> www-pca.state.mn.us • G51-296-630D • �0�37-3i64 • TTY 651-282-5332 or 500-657-3EW • Available in albeRwti+re formats <br /> rrq-wwis�/-31b - 6/4l fI ' Paqe 2 oJ 3 <br />