Laserfiche WebLink
Ju1051210:14p Joseph Olson 763-498-8290 p.3 <br /> Property address: 605 Sdibbs Bar Road N. �rono NIN Inspedor initiais/Date: J.O.7102/i2 <br /> 1. Impact on Public Health—Compliar�ce component#� of 5 <br /> Com liance criteria: Verification method�s�: <br /> System disd3arge sew�e to the ❑Yes � No � Searched for surFace outlet <br /> round surface. � Sesr�ched fior seeping in yard/backup in home <br /> System dischsrge sewage to drain fife ; ❑Yes � No � ����nding in sal system�D-boxes <br /> or surface waters. ❑ Homeowner testimony(See Gbmment�xplanatforr) <br /> m cause sewa backu into � 48�����L above soil�ispersal system <br /> SY� 9e A' ❑Yes ��lo <br /> dwellirg or estabfishmerrt. ❑ System requires"emergency,'pumping <br /> ❑ Performed dye tesi <br /> Any�'J�es"answer above lndicates the system Js ❑ Urmble to veriEy(See Gbmments�Explenatron} <br /> an Immineat Threat to Pubiic Hea/th and Safety. ❑ Other methods not list�(5ee commants�x�anebon} <br /> Comment;�JE�lanation: <br /> The pump is missing.With out a pump the systern wiA badwp into the house or run out the tank. <br /> 2. Tank lntegrity—Compliance component#2 of 5 <br /> Com tiance crite�- . VerJfication method(s): <br /> System consists of a seepage pit, ❑Yes �No ❑ Probed tardc(s)bott�m <br /> cesspovl,drywell,or leaching pit. <br /> � Examined wnstruc4on rec�rds <br /> Seep�g�e p�ta meetiny 7080.2550 mey be ❑ Examined TaNc lntegrity Form(Attach) <br /> ent if eAowed in loca!or�nance. <br /> Sewage lank(s) Eeak below their ❑ Y� ��p ❑ Observed Iiquid level below c�perating depth <br /> desi ned eraiin � Examined emP�Y(P�mpecJ?tanks(s) <br /> If yes.which sewage EaNc(s)leaks: ❑ Probed outside tank(s)for"blsck saI" <br /> ❑ Unable to verify(See Comments/Exp�anetion) <br /> Any"yes"answer a6ove in�cates the �Other methods not fisted(See Conm�ents/Exp�enetton) <br /> system is Failing to Proi�ect Groundwater. <br /> CommeirtslExplanation: <br /> The tanks where pumped by Elmer J.Pete�son Company. <br /> 3. Oth�l'COrf'�pli8rlCE Cond'itiOns—Compiiance component#3 of 5 <br /> a. Maintenanoe hole covers are damaged,cradced,unsecured,or appear tio strucfiirally ur�nd. ❑Yes� �No p Unknowe <br /> b. Other issues(elerbncal h�etc)tn immediaisly and adversety impad public h�lth or safety. ❑Yes* �No p Unknonm <br /> '`S�rsiam Is ar+fmmTnant thiaat t+o pubtic heaHh andsafety <br /> 8cplain: <br /> c. System is non-prob�iive of Arour�waRer for other condtions as detemrned by inspe�ctor p Yes• �No <br /> 'System is faNMg m pnot+act gnrrmdw0ter <br /> Expfain: <br /> www.pca.staOe.mn_us • 651-296-63� • 800-657-3854 • TTY 651-282-5332 or 80Q-657-3864 . Available in albemative formats <br /> �.ww..�.1J�I 1f II1IIIn <br />