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Property Address: 2600 'Rainey Roa¢ Orono MBusiness Name: Chip's Septilc Services <br />N <br />1. Impact on public health — Compliance component #1 of 5 <br />criteria: <br />� <br />System discharges sewage tothe OYes, El No <br />ground surface <br />System discharges sewage to drain O»m, No <br />-tile, orsurface waters. <br />_-_ <br />System causes backup into O,es, No <br />dwelling or establish-ment. <br />Any'lms',answerabnve/nOitsmsU,esysten is an <br />'nlrninemt throwir) T�ublic hoa/li; a?���ty.__ <br />Describe verification methods and results: <br />Visual. Ran pump to determine hydrolic loading of system, <br />Date: 9/23/2O25 <br />- - <br />Attached supporting documentation: <br />El Other: <br />Ej Not applicable <br />2. Tank integrity — Compliance component #2 of 5 <br />Compliance <br />System consists ofa seepage ph. OYos� El No <br />meoopoo|, d�*e|, leaching pit. �- - —- <br />oxother pit? <br />Sewage tank(s) leak below their EJ Yes, El No <br />designed operating depth? <br />� <br />vYe« which sewage tank(s)leeko: <br />A n�V')xes"ens�er��ome/n��a�eo&heSysiem <br />Attached supporting documentation: <br />NEmpty tank(u)viewed byinspector <br />Name o/maintenance business: Sewer Services <br />License number ofmaintenance business: 2502 _ <br />Date ofmaintenance: 9/23/2025 <br />0 Existing tank integrity assessment (Attach) - <br />Date ofmaintenance <br />(mmmmvvy)� (n��v�ho��hi�'���e- <br />' years) <br />(See form instructions mensure assessment complies with <br />Minn R. 70820700xub». 4B(1)) <br />LJTank ioNoncompliant (pumping not necessary - explain below) <br />_ _ _ Ljumec beIequ�od <br />oeoohbeveh�oaUunmo�hods and results:��- - -- - <br />Tanks were pumped and camera inspected egthe time o/inspection, The second 1UU0gallon septic Xonh and ||»» <br />pump mnxwo�cama�innpe�edand found tohave �adkoonside waUoand uei|ing The 1nt tankisuh'go <br />showing corrosion <br />and "i"""m.vv`enunaoun. The oepUutanks will need tubereplaced, City permit w|U'erequired. Pump tanks every <br />"years <br />mtp,://°w=.wo.state. m"u` ^ 651'296-6300 ^ u000s�auov o <br />���wuu+azu ^wzu�uz ~~` ^ ��~'n�w�d�uvse�/ce ^ xm//am*."a/,m�*/"e�"na,, <br />Page 2ny4 <br />