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, L6/9 ,"'E+59E2005=NL/00E6-anlsatlpy-la)isee-pue-aaggn -aouewaolaad-y6iH-aua.idoaN-nci—/slonpoad-wE-Ile/sn-luedwoo/sn ua/lN£iwoo.w£nnnnnn//ad114 <br /> 1 <br /> 9 . . Minnesbta Pollution Compliance Inspection Form <br /> ControPAgency <br /> 520 Lafaytte Road North Existing Subsurface Sewage Treatment Systems (SSTS) <br /> St.Paul,MN 55155-4194 Doc Type:Compliance and Enforcement <br /> Inspection resultslbased on Minnesota Pollution Control Agency(MPCA) For local tracking purposes: <br /> requirements and attiched forms—additional local requirements may also apply. <br /> Submit completed form to Local Unit of Government(LUG)and system owner <br /> within 15 days <br /> System Status .1 <br /> System statuion date(mm/dd/yyyy): 6/18/2019 <br /> }Q Compliant:l— Certificate of Compliance Noncompliant— Notice of Noncompliance <br /> (Valid for 3 yeas from report date, unless shorter time (See Upgrade Requirements on page 3.) <br /> frame outlined in Local Ordinance.) <br /> Reason(s)fox noncompliance (check all applicable) <br /> ❑ Impact ort 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 /> ❑ Other Compliance Conditions(Compliance Component#3)—Failing to protect groundwater <br /> ❑ Soil Separation (Compliance Component#4)—Failing to protect groundwater <br /> ❑ Operatinig permit/monitoring plan requirements(Compliance Component#5)—Noncompliant <br /> L <br /> Property Infori,ation Parcel ID#or Sec/Twp/Range: <br /> Property address: 990 Sussex Road, Orono Reason for inspection: Sale <br /> Property owner: Justin Kelly Owner's phone: 612-360-3528 <br /> or 1 <br /> Owner's representative: Representative phone: <br /> Local regulatory auttiority: City of Orono Regulatory authority phone: <br /> s 4-bedroom system-2-1000 septic&2-1000 gallons pump tanks with a mound system-pool house <br /> Brief system descripon: has pump tank lifting to 1St septic tank <br /> Comments or recommendations: <br /> This house is being sold as a 5 bedroom house,all City records indicate this is only a 4 bedroom septic system. <br /> Electrical at tank is nbt up to code and needs to be fixed in order for this system to be compliant-A-1 Electric of Waconia has spoke <br /> with Sewer Services)lnc and is conducting necessary repairs for this system to be complaint <br /> If owner cancels or fq ils to follow through with electrical upgrade the system will not be complaint <br /> Pump tank does have some degredation from Hydrogen Sulfide Gas and should be noted but is not a structural problem and no rust <br /> or rebar is exposed I <br /> Certification <br /> I 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 thf.system, inadequate maintenance, or future water usage. <br /> Inspector name: Jpsh Swedlund Certification number: C1659 <br /> Business name: lewer S;/,' es I. . License number: 2502 <br /> Inspector signature: ! r Phone number: 952-873-3292 <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 •si11?19AE11ur1 INE OKI,anisagpv lm{se0 pue aaggneouewaolaad g8iH euaadoeN wild£ PcIWOZMit <br />