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PAGE t72 <br /> � �iLC.r __. .... _... .. <br /> ' / `� . <br /> � ° <br /> IMinnes�ta PolEu��c�n � �orr��l�ance Ir�����t�or� ���r� <br /> �e! ������ ��8Y9tiro0 �i�tC1C�' �= ,, � � � ��. � ��,� ��;;��!�, <br /> �'a �MLe}M `! <br /> s��I�aye�r��o�d Nar� 6cl�iting �ubs�r'�t�e �ewage '�P��¢��+�Y �y°atot�s (��4�� <br /> r ,, <br /> sc.�au�,nnr��s�s�-a�9� Instructions on page� <br /> 9�er��i number: 03-11�-2347-�3n10 � For Lara!7racking Purpvses: <br /> Sys�m status_ �� Gompliant L�NoncumplleM <br /> (b�as���i�n sJf complience�quirements) <br /> �?.��y�i+4i��1��OP(i� <br /> �re��a�rty Informa�tion � � <br /> rr�3��rty ovmer nam�(�): Jc���rr GreelY.... ...,..� ..----- �-- --�--- <br /> Pr��.��ty add�ess: �„_420 F�r�n Road S�Oron�, MhJ 56391 ,,�,�, ,,,.__._.__ .—...:-�..— <br /> F���perty nv►m�rs address(iF ditf�rent): 14508 M�Ginty Ro�d W,Minn�tonke, MN 55391 __ - <br /> Caunty: Fisnnepfn �'roperty owner pF��one: 952-933-2818 Pennitting euthonty: _ Ci of Orono _, ,___ <br /> �>��sysbe��oon�ivcRed: -Z''f 3/97 :._ Ree�on for insp�erion:� Prope�#y Transi�r,' -,�-��„,�.-r-- <br /> ����r;��n �scription <br /> �prc�ximately 2-1300 gaUon septic tan�cs,9-15t�0 gallon Ifit stetion�nd�lpproxitnately i50�q��i� <br /> �ry. f�4 of mound rodcbed-... �, .. , "�,° : ^, �, ` <br /> ,� � � .��, <br /> � ;_� <br /> ��•ias�yst�m da�scn���i �,,, , , , <br /> �:; , k i � �.,,1 a f�t,-^.'C`-:.,..: � a; �a ,.. �. �, r ' e� � ' <br /> l:.� �I � it r umb r Number vf bedraorttis e� Design fto�rste {83 <br /> p � �. r,�y �� - , <br /> � ,. , , ,° <br /> Y`te'�`C'�9���l��f�Y:�. ::,� r'z,. _.r �. : '�'... �-� i :d;r�., �.�,'� � �I�:,�l6E�,i�'��E��;�iGN�9f �� ;:. . �„ i �a"a � a.� <br /> i►�Shor�l�t�d erg�? _, �Yes ❑No In Wellh�ed F'r�tectlon Aree? i� �rI],Y�S;, �t�� {,. ,x <br /> � <br /> ;�n U.�u-Ei7dironenentsl Pr��ec.tion Syete�m geniin�a Minnesata Departr��nt <br /> �" I c,y( �V Inj�cfi+�n Well?�Yes � No of Hedth(FJ�flH)lioensed facility�� .--- -C]Y�es-.�i��i ' `i <br /> 8ff <br /> E :� v '.�, � . ;.�, � <br /> G��� liar�ce 5�atu� <br /> �� <br /> s:. _ <br /> 4 >; , ����on,state requirem�n�s-additio�al I�I�q�irernents msy�1$a�pply.) j <br /> p [� ( , a <br /> ��.a��d orti�:i�forrnatlan.ge�red and reported on attach�d formffi,tF��ampli�nce status of ttti6a systern is(cherJc ot�s): � <br /> 54j����t�,prtt¢Idnte°(.,�qmplience-valfd until(3 ye�rs h»m det+e of►sp�ort): 1,*20/Z015 �� <br /> � , <br /> nt .�.,.......__. _ _._.� <br /> �,otirQ af iVqnG�m �ce-�ar Noncomplierrt�ysfi�ms: .�.... . _. _.. <br /> "'�`3��i• �.,. <br /> � , , u3nce is: �_ .... �.,, - -- <br /> �z.{ , � + i ,. _ .._.... <br /> . nancat�� <br /> Th�re�son r,t; , . <br /> ; ;, � � �r.ara <br /> T'h�e nancomp4larrt�s�rn ia clssst(iad�s(checkone bsloqw): -- <br /> ,.r�r: ; -[]Ea#itvti�r�gr+t thte�t tr�,;�btic h��lth�sa�fety ❑FailiaYg W protect ground water ❑ Not.i[t_t�mpli�nce w��tl.operSt�n.�p�Io►t�ik. <br /> ��r�.��i�����n(Cg� i��a��,�,ust�Bu��tiee ee�,�°o em�r�d ;�:.:. ,, <br /> �►�F�►�b ���s� t�at�� , � . .,., , - ,� > <br /> �' � , avaer�enentwiitnn 15 __ _ , . __ <br /> c�l u�rit af <br /> � �].. . <br /> �,,, ,ar,_ ���r � �ac <br /> , '�" f , y � ` .ly � ll the nt�r:�ssery info►mation has Deen g ta c�tem�ine the compliar►cv st�tf.�of this syst�►rr f'Jt� " - <br /> I s���rrnin�?ia�i�al future�syste�n parfo�mance has been�nor can b�rrrede drre tn unMww►�condidons.du�n�system aonst,ru�f+a».-. ..--. <br /> p:.,��lble,�buae of trhe sysi�ni.in�dequate meintenenc�, or future raeter u�g+x. <br /> , � , , <br /> 6p:a, , � -��w� � � , � A�, � <br /> h�9�rr+�: Jc�s�a�h J Oir�on C��`'c�`�c�tlon nuenb�r: 1255 <br /> ...w ,.._ . — ^ . -�r-a-�t-' -- <br /> � � . � : ��,. � . : � � �.�t �---��^� .�.��,�,..:����� � <br /> `����e�qs�x,:��c.�r;�se„nam��nd�u►n��r; . Rusty Olson's soil and�ercut�tion t�sting Lic#810 . �____,. �r.... .. <br /> �rn�r��r�t: C' of Orono , �, ,,,;.._ , ;� � � ;s.�r �r�,�,. .':.; <br /> R(���Q,�,t��,Esn�k, gav ity _._ _.....___.__.._._ <br /> _ _ <br /> � oate: �rxa�� <br /> ya�..��Bur�s: ----�.�..�,.�.. -...,, � �_..�., <br /> ,� ,,;��, <br /> , F �: , _; ;�, � .i <br /> ���.��ir` .�a�t�����ery�w�. _, inspecxor�prrssst.�:�hls Inspa�ctia�„��4�t I��pages bn�. : <br /> �"'sa��:it C6��S��OIaPta;e���sr'ti9��e'�,,t�;heC�: �Hydraulic Perfnrmance �?'�nE�inCaydty �Soll Sbpeir�tlon (]Operi�'tin�'Pem�R FtiRTi�IF <br /> ��rpliceble) �System drpwliti(�Vl4s-bulk drawing Q An�sa�aament of+a�iy i�l requlroments thet ar�diffa�nt frarn v�hat is roqulFw�d on this <br /> ;,a�:f�ri�jTr�,��Si�il�C}tin0,l�o�s [���rendar�ment form(k ePProDr�be�?`❑�Other ir��srm�timn�(Ilat): i� �i.�.��:� a��;p;!� �r � � <br /> �� pg ,idS F1��131 n ( Phs olrecei r of this nahce or'wrthin e,hnolMi'!r���aet�bl�heeffh and so1 �s"'"4�'�+ Y r <;° <br /> _, ...,....,.,.. � . � <br /> !! � � POm�nffi ur�nved hom Minn. Stat .^_ qu ii�ty(iTPFi5J�usY sre uppleded mp7cccw or <br /> .:�. �Is u�B di6Con..nt�e�W�tJrP ten mc�n pt . . ps isqi D Ioeal a�Ylnence.M tl,e sY�m:s faibnp.to pmMct grewn+ _ _ <br /> v�afer,Phe syst�em muat bA upqradvd,ropJa;eO,or fts use Olscc+nfPnuad wMdn Me Nme�e�uired by lacel ordlnance.If an eristlnp system la nofl�INnp cra da�ln,:d in <br /> �i '`P�W.&!'�fP;�83�Bt MlbSt fiW0`PBei o/ff8��(/n eoH sep9►eNon,lhen Nre ayadem need nat Ae upqradad.repsksd,►splace0.Ot lfs us0 dleaunlA�ue,�.nofw�thstendinU wny <br /> � �,x.el adl�anca thst la mae sb'fc�, This provia�on daes not eppJy to sy�ms in stroreland a�sas.YIMIU1eaG f'roQ�ecNon Areas,or Hroaa uaed'm connettran uINI fxrl. <br /> dla�na�►cr,�$,t�^d aodBJnpi�ebNsfi�i�ae der�ured inlew. _ ._ ___.__.... . _.__.,..___.....__. <br /> �y�f � iLC.vi r I,i�.i rd f�� .� � ... ..., � °'�^ , ` .. C�m � <br /> � . .� 1 # i v �� .. <br /> �<r � �� .<: ,��� . , ' �,;�r., ti;��..r.�p�:�a�in�" lance/n� tir}r�'F`o►'ryi o'r'Exts't��i '�5�'SE <br /> w�evw'rsi�=3y Pr l�'f � � <br />