Laserfiche WebLink
Property address: 120 Truffula Trail,Orono,MN Inspector initialsMate: J.0.5/12/17 <br /> 1. Impact on Public Health—Compliance component#1 of 5 <br /> Com Ip lance criteria: Verification method(s): <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 tie ; [:]Yes ®No <br /> El Excessive ponding in soil system/0-boxes <br /> or surface waters. ❑ Homeowner testimony(See CommentwExplanation) <br /> System cause sewage backup into ❑Yes 0 No ❑ "Black soil"above soil dispersal system <br /> dwelling or establishment. ❑ em requires"emergency"pumping <br /> _ ❑ Performed dye test <br /> Any"yes"answer above 1ndiCaMs the system/s ❑ Unable to verify(See CommenwExplanawn) <br /> an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Commenwaplanarion) <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, ❑Yes ® No ❑ Proud tank(s)bottom <br /> cesspool,drywell,or leaching pit. <br /> ❑ Examined construction records <br /> Seepage pits meeting 7090.2550 may be ❑ Examined Tank Integrity Form(Attach) <br /> compliant N allowed in Axel otdinance. f <br /> Sewage tank(s)leak below their ❑Yes ®No ❑ Observed liquid level below operating depth <br /> designed operating depth. ❑ Examined empty(pumped)tanks(s) <br /> If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil" <br /> ❑ Unable to verify(See Commentw xplanation) <br /> Any "lyes"answer a60Y@ 1t'ff�C@t@S the �Other methods not listed(See Comrrrents/Exptanation) <br /> system is Failing to Protect Groundwater. <br /> Comments/Explanation: <br /> 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 ❑Unknown <br /> b. Other issues labs icer hazards,eto.)to immediately and adversely impact pubic health or safety. ❑Yes* ONO ❑Unknown <br /> *System is an imminent throat to public hob and safety <br /> Explain: <br /> c. System is non-protective of ground water for other conditions as deterntined by inspector ❑Yes' ®No <br /> *System is failing to protect groundwater <br /> Explain: <br /> www.pca.state.mn.us - 651-2%-6300 • 800.657.3864 TTY 651.282.5332 or 800.657-3864 - Available in attemative formats <br /> wc-wwists4.3 t " 1124112 <br />