Laserfiche WebLink
01/22/2015 13:35 9528733112 PAGE 01/04 <br /> t <br /> IWO. <br /> Minnesota Pollution Compliance Inspection Form <br /> Control Agency <br /> 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) <br /> St.Paul,MN 551554194 Doc Type:Compliance and Enforcement <br /> Inspection results based on Minnesota,Pollution Control Agency(MPGA) For local tracking purposes: <br /> requirements and attached forms-additional local requirements may also apply. <br /> Submit completed form to local knit of Government(LUG)and system owner <br /> within 15 days <br /> System Status <br /> System status on date(mm/dd/yyyy): 1/22/2015 <br /> Z Compliant— Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance <br /> (Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3_) <br /> frame outlined in Local Ordinance.) <br /> Reason(s)for noncompliance(check all applicable) <br /> ❑ Impact on Public Health (Compliance Component#1)-Imminent threat to public health and safety <br /> ❑Other Compliance Conditions(Compliance Component#3)-Imminent threat to public health and safety <br /> ❑Tank Integrity(Compliance Component#2)-Failing to protect groundwater <br /> d Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwater <br /> [3 Soil Separation (Compliance Component#4)-Failing to protect groundwater <br /> []Operating permit/monitoring plan requirements(Compliance Component#5)-Noncompliant <br /> Property Information Parcel ID#or Sec/Twp/Range- <br /> Property address: 4765 Watertown Road-Orono Reason for inspection: Sale <br /> Property owner: Michael Schultz Owner's phone: 612-4836970 <br /> or <br /> Owner's representative: Representative phone: <br /> Local regulatory authority: City of Orono Regulatory authority phone: <br /> Brief system description: 2-1000 gal septic tanks, 1000 gal pump tank&mound system <br /> Comments or recommendations.- <br /> The <br /> ecommendations;The discharge line for the sump pump Is currently dumping out and flowing across the manholes of the septic tanks and water is <br /> definitely entering the tanks. <br /> Extend the sump pump lines downhill of the tanks <br /> Certification <br /> 1 hereby certify that all the necessary information has been gathered to determine the compliance status of this system.No <br /> determination of future system performance has been nor can be made due to unknown conditions during system construction, <br /> possible abuse of the system, inadequate maintenance, or future water usage. <br /> Inspector name: Josh Swedlund Certification number: C1659 <br /> Business name: Swedlun is is License number: 2502 <br /> Inspector signature: Phone number. 952873-3292 <br /> Necessary or Lo lly Required ,Attachments <br /> ®Soil boring logs M System/As-built drawing M Forms per local ordinance <br /> ❑Other information(list): <br /> wwW.pCa.state.mn,us • 651.296.6300 • 800.657.3864 TTY 651.282.5332 or 800.657.3864 . Avallable in alternative formats <br /> wq-wwists4-31 . 3116112 Page f of 3 <br />