Compliance Insp_1290 French Creek Dr_Passed 8-12-20

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Property address: 1290 French Creek Dr Orono, MN 1 Impact on Public Health — Compliance component #1 of 5 Compliance criteria: System discharges sewage to the ❑ Yes ® No round surface. System discharges sewage to drain ❑ Yes ® No tile or surface waters. System causes sewage backup into ❑ Yes ® No dwelling or establishment. Any "yes" answer above indicates the system is an imminent threat to public health and safety. Comments/Explanation: 2. Tank Integrity — Compliance component #2 of 5 criteria: System consists of a seepage pit, cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. _ ❑ Yes ® No Sewage tank(s) leak below their ❑ Yes ® No designed operating depth. If yes, which sewage tank(s) leaks: Any "yes" answer above indicates the system is failing to protect groundwater. Com ments/Explanation: Tanks pumped by Ende Septic Service on 08/07/2020 Inspector initials/Date 8/12/2020 (mm/ddtyyyy) Verification method(s): ❑ Searched for surface outlet ® Searched for seeping in yard/backup in home ❑ Excessive ponding in soil system/D-boxes ❑ Homeowner testimony (See Comments/Explanation) ❑ "Black soil" above soil dispersal system ❑ System requires "emergency" pumping ❑ Performed dye test ❑ Unable to verify (See Comments/Explanation) ❑ Other methods not listed (See Comments/Explanation) Verification method(s): ❑ Probed tank(s) bottom ❑ Examined construction records ❑ Examined Tank Integrity Form (Attach) ❑ Observed liquid level below operating depth ® Examined empty (pumped) tanks(s) ❑ Probed outside tank(s) for "black soil" ❑ Unable to verify (See Comments/Explanation) ❑ Other methods not listed (See Comments/Explanation) 3. Other Compliance Conditions — Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound. ❑ Yes* ® No ❑ Unknown b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety. ❑ Yes* ® No ❑ Unknown *System is an imminent threat to public health and safety. Explain: c. System is non -protective of ground water for other conditions as determined by inspector. ❑ Yes' ® No *System is failing to protect groundwater. Explain: www.pca.state.mn.us • 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-ww4sts4-31b • 614114 Page 2 of 3