8-5-20 Septic Design - Laserfiche WebLink

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Property address: 2850 Wear Circle Long Lake, MN Inspector initials/Date 8/5/2020 (mm/dd/yyyy) 1. Impact on Public Health — Compliance component #1 of 5 System discharges sewage to the ❑ Yes ® No ground surface. discharges sewage to drain I ❑ Yes ® No 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. Com ments/Explanation: 2. Tank Integrity - Compliance component #2 of 5 Compliance criteria: System consists of a seepage pit, ❑ Yes ® No cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant it allowed in local ordinance. 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: 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 CommentsrExplanation) ❑ Other methods not listed (See Comments/Explanation) Tanks risers and the tank lid leaks ground water pretty excessively in the spring time and during wet periods of the years. While the tanks are compliant they should be replaced to keep the mound from becoming over saturated. 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-wwists4-31b • 614114 Page 2 of 3