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Bayside Road
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4245 Bayside Road - 06-117-23-13-0004 - New PID
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4245 Bayside Rd - PID: 06-117-23-13-0001 - Old PID
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Last modified
8/22/2023 5:23:21 PM
Creation date
9/2/2015 12:04:33 PM
Metadata
Fields
Template:
x Address Old
House Number
4245
Street Name
Bayside
Street Type
Road
Address
4245 Bayside Rd
Document Type
Land Use
PIN
0611723130004
Supplemental fields
ProcessedPID
Updated
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Jan 28 14 05:34p Joseph Olson 763-498-8290 p.6 <br /> Propert{address: 4245 Sayside Road� _ inspector init�'aisfbate: 12li8l13' Y` <br /> 1. Irnpact on Publt� I-Eeafth—Cornpiiance compo�eRt#1 o 5 <br /> Camp9iance criteria: _ __,_ Ve�ificatsan method(sy: <br /> System discharge sewage to the � Q Yes ❑No ❑ Searched for svrface outiet <br /> �round surface. _^_ ___ �_ ��__ ❑ 5earched for seeping in yardlbackup in horne <br /> System discharge sewage to drain tile ; ❑ Yes ❑No ❑ �cessiva ponding ir�scil systemlD-boxes <br /> or surtace waters. _^_� Q Ffomeow�er testimony{See Comments�ExptaraGon) <br /> System cause sewage baekup into j ❑Yes ❑ "���c�saif"above soit dispersal system <br /> dweflirtg or es�ablishment. � G N� ❑ System requires"emerge�c�pumping <br /> � Periormed dye test <br /> Any"yes"a�swer ahove indicates the sysfern is � Unable to ve�fy(See Commenfs�Explanation) <br /> an lmrrtinenf Tt�reat to Puh/ic�Iea/th and Safety. <br /> --- —__. ❑ Other methods not{isted(See Comments�E.xpfar,atlorrf <br /> Comments/Expfanafion: <br /> 2. Tar9K Entegrity—Compliance component#2 of 5 <br /> eompl;ance criter�a. � �_ _ �__ erification method(s): <br /> 5ystam consists of a seepage pit, j ❑Yes �C] No Probed tank(sj boftom <br /> cess�ool, drywell, or feaching pit Examined construction records <br /> seepage pits meetinp 7080.2554may be I Exar�ined Tank Integri.ry Form(Attach) <br /> compliantlfa/lowed rn�oca!ordlnanee- <br /> �—- Observed lic{uid level befow operating de�th <br /> Sewage tank(s}lea�C be;ow Yheir j ❑ Yes <br /> desicned operaling�th. ��a Examined err,pty(pumped}tanks(s) <br /> t�Ves,wh:ch sewa5e tank(sj feaks: � Probed outside tank(sl for"black sn�1° <br /> Any "31@S",3RSN�E/'a�OV�1/td/C�lLS th@ `� �lnabie 2o verfy (See Comments/Expfanaoon) <br /> S�/S�In f5 F3!llR�20 �t0�$Ct GJ'OURdW8f21'. Other methods nat listed(See CammentsrExplanation) <br /> Comments/Explanation: J – - T� <br /> On 12J18/13,Elmer..�.Pefe�son Co. uncovered and purr�ped septic tan s. See rotes on at#acned tank report. <br /> 3. �ther CompEiance Cac�ditions—compliance component af 5 <br /> a. Maintenance hole covers are�amaged, crac}ced,unsecu�ed,cr appea to sfructutally unsound. 0 Yes" p tvo ❑Unknov�, <br /> b. Otfier issues,elecfncat hazards,etc.}to i-nmecffately and adverszly impa � public health or safety. ❑Yes" [�No ❑UnkRown <br /> '�ystem Fs an imminenf threat ta putrlic heahfi and safety <br /> Expiain, <br /> c. System is non-protective of ground��ater for other conditions as dete ined by ihspedor ❑Yes` �No <br /> *Sysiem is failing tD proi�cct groundwater <br /> E�ca?ain: <br /> wvnv.pca.state_mn.us �651•296-63G0 • 80D-657-3864 • Ti1'651-282 5332 or 800�697-3854 • Availabte in atternative formats <br /> +✓q-mvists4-31 • 1I24112 Poge 2 of 3 <br /> -- -- <br />
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