Laserfiche WebLink
Property Address: 1995 West Farm Road., Orono <br />Business Name: Rustv Olson Soil & oercolation Testin <br />1. Impact on public health — Compliance component #1 of 5 <br />Date: 01/19/2022 <br />_Compliance criteria: Attached supporting documentation: <br />System discharges sewage to the ❑ Yes' 0 No ❑ Other: <br />ground surface <br />®Not applicable <br />System discharges sewage to drain ❑ Yes* M No <br />tile or surface waters. <br />System causes sewage backup into ❑ Yes" ® No <br />dwelling or establishment. m <br />Any "yes" answer above indicates the system is an <br />imminent threat to public health and safety. <br />Describe verification methods and results: <br />Visual. Nothing was found <br />2. Tank integrity — Compliance component #2 of 5 <br />Compliance criteria: <br />System consists of a seepage pit, ❑ Yes' ❑ No <br />cesspool, drywell, leaching pit, <br />or other pit? <br />Sewage tank(s) leak below their j❑ Yes` ❑ No <br />designed operating depth? <br />If yes, which sewage tank(s) leaks: <br />Any "yes" answer above indicates the system <br />is failing to protect groundwater. <br />Describe verification methods and results: <br />Elmer J. Peterson Company pumped the tanks. <br />https://www.pca.state.mn.us • 651-296-6300 <br />wq-wwists4-31b • 4/28/2021 <br />• 800-657-3864 - <br />Attached supporting documentation: <br />❑ Empty tank(s) viewed by inspector <br />Name of maintenance business: <br />License number of maintenance business: <br />Date of maintenance: <br />® Existing tank integrity assessment (Attach) <br />Date of maintenance 8/10/2021 <br />(mm/ddlyyyy): (must be within three years) <br />(See form instructions to ensure assessment complies with <br />Minn. R. 7082.0700 subp. 4 B (1)} <br />❑ Tank is Noncompliant (pumping not necessary - explain below) <br />❑ Other: <br />Use your preferred relay service • Available in alternative formats <br />Page 2 of 4 <br />