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Oct 14 13 06:21 a Joseph Olson 763-498-8290 p.3 <br /> - Property address: 3070 Farview lane, Orono, MN __ Inspector initiaislDate: ,�. 0.09108l13 <br /> 1. Impact an Public Hedkth —Compliance companent#1 of 5 <br /> Co�npliance criteria: _ Verification method(s): <br /> System discharge sewage to the ❑Yes � No � Searched for surFace outlet <br /> ground surface. _ _ � � Searched for seeping in yard/backup in home <br /> System discharge sewage to drain iile ❑Yes �fVo � ��ssive ponding in soil system/D-boxes <br /> or surface waters. ❑ Homeowner testimony(See Comments/Explanation) <br /> ❑ "Slack soil'above soil dispersaJ system <br /> System cause sewage backup into ❑Yes �No � System requires"emergency"pumping <br /> dwelling or establishmeni. ❑ Pe�Formed dye test <br /> Any"yes"answer above indicates the system is ❑ Unable to verify(See CarnmentsiExpfanation) <br /> an lmminent Threat to Public Hea/th and Safety. ❑ Other methods not iisted{see commenrs�xp�anahon� <br /> Comrn ents/Explanation_ <br /> 2. Tartk Inte��ity—Compliance component#2 of 5 <br /> Compliance cr�teria: Verification method(s): <br /> �—_— �— <br /> System consists of a seepage pit, ❑Yes � No ❑ Probed tank(s)bottom <br /> cesspool,drywelt,or leaching pit ❑ Examined consiruction records <br /> Seepage pds mee6ng 7080.2550 maybe ❑ Examined Tank IntegRty Form(Atfach) <br /> com bant ii allowed in local orUinanc�e. <br /> -- � ❑ Obser�ed liquid leve!below operating depth <br /> Sewage tank(s)leak below their ❑Yes � tda ❑ Examined emQty(pumped)tanks(s) <br /> designed operatin depth. <br /> If yes,which sewage tank(s)leaks: ❑ probed ovtside tank(s)for`biack soil" <br /> Ar1y "yes"answer above indicates tf�e ❑ UnatTle io verify(See CommentslEuplanation) <br /> system is Failing to Protect Groundwater. � Other methotls not listed(See Comments/Exp�anatron) <br /> Comrr3entslF�cpla nation: <br /> Swedland pumped the tanks on$/21/13 <br /> 3. Other Compliance Conditions—Compliance component#3 af 5 <br /> a. Maintenance hole oovers are damaged,cracked,unsecured,or appear to siru�tvrally unsound. ❑Yes* �No []Unknown <br /> b_ Other issues(elecrrical hazards.etc.)to irnmediafely and adverseiy impact puk�fic heafth or safety. p Yes* �No ❑unknown <br /> "System is an lmminent threaf to public health and safety <br /> F�cplain: <br /> c. System is non-protective of grour�d water for other conditions as determined by irtspector p Yes' �No <br /> *System is failing to protect groundwater <br /> Explain: <br /> www_pca.state.mn.us • 657-296-6300 • 800-557-3864 • TfY 651-282-5332 or 800-b57-3864 • Available in altemative formats <br /> wq-wwists�-3i • 1124/12 PoSe 2 af 3 <br />