Laserfiche WebLink
Property address: 350 North Arm Lane, Orono, MN Inspector initials/Date: J. 0. 2/08/18 <br /> 1. Impact on Public Health -Compliance component#1 of 5 <br /> Compliance criteria: Verification method(s): <br /> ........... <br /> System discharge sewage to the ❑Yes ® No ® Searched for surface outlet <br /> ground surface. ® Searched for seeping in yard/backup in home <br /> System discharge sewage to drain tile ❑Yes ®No ❑ Excessive ponding in soil system/D-boxes <br /> or surface waters. ElHomeowner testimony(See Comments/Explanation) <br /> "Black soil"above soil dispersal system <br /> System cause sewage backup into ❑Yes ®No <br /> dwelling or establishment. ❑ System requires"emergency"pumping <br /> 0 Performed dye test <br /> Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation) <br /> an Imminent Threat to Public Health and Safety. 0 Other methods not listed (See Comments/Explanation) <br /> Comments/Explanation: <br /> 2. Tank Integrity—Compliance component#2 of 5 <br /> Compliance criteria: Verification method(s): <br /> System consists of a seepage pit, 0 Yes ®No 0 Probed tank(s)bottom <br /> cesspool,drywell,or leaching pit. 0 Examined construction records <br /> Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form (Attach) <br /> Compliant if allowed in local ordinance. <br /> Observed liquid level below operating depth <br /> Sewage tank(s)leak below their 0 Yes ®No <br /> designed operating depth. ❑ Examined empty(pumped)tanks(s) <br /> If yes,which sewage tank(s)leaks: ElProbed outside tank(s)for"black soil" <br /> Any "yes"answer above indicates the ❑ Unable to verify(See Comments/Explanation) <br /> system is Failing to Protect Groundwater. Other methods not listed(See Comments/Explanation) <br /> Comments/Explanation: <br /> Elmer J Peterson Company Pumped the tanks. <br /> 3. Other Compliance Conditions-Compliance component#3 of 5 <br /> a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* ®No 0 Unknown <br /> b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. 0 Yes* ®No 0 Unknown <br /> *System is an imminent threat to public health and safety <br /> Explain: <br /> c. System is non-protective of ground water for other conditions as determined by inspector 0 Yes* ►s No <br /> *System is failing to protect groundwater <br /> Explain: <br /> www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats <br /> wq-wwists4-31 • 1/24/12 Page 2 of 3 <br />