Laserfiche WebLink
Property address: 3285 Graham Hill Road Inspector initials/Date. 11/29/17 <br /> 1. Impact on Public Health-Compliance component#1 of 5 <br /> Compliance criteria: Verification method(s): <br /> System discharge sewage to the ; 0 Yes 0 No 0 Searched for surface outlet <br /> ground surface. _ 0 Searched for seeping in yard/backup in home <br /> System discharge sewage to drain tile ❑Yes 0 No <br /> 0 Excessive ponding in soil system/D-boxes <br /> or surface waters. 1 0 Homeowner testimony(See Comments/Explanation) <br /> t <br /> 0 'Black soil"above soil dispersal system <br /> System cause sewage backup into ( 0 Yes 0 No <br /> dwelling or establishment. 0 System requires"emergency pumping <br /> --- 1 0 Performed dye test <br /> Any"yes"answer above indicates the system is 0 Unable to verify(See Comments/Explanation) <br /> an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Comments/Explanation) <br /> Comments/Explanation: <br /> 2. Tank integrity-Compliance component#2 of 5 <br /> Compliance criteria: Verification method(s): <br /> System consists of a seepage pit, ❑Yes ®No 0 Probed tank(s)bottom <br /> cesspool,drywell.or leaching pit. 0 Examined construction records <br /> Seepage pits meeting 7080.2550 may be 0 Examined Tank Integrity Form(Attach) <br /> compliant N allowed in local ordinance <br /> 0 Observed liquid level below operating depth <br /> Sewage tank(s)leak below their 0 Yes ®No <br /> designed operating depth. ® Examined empty(pumped)tanks(s) <br /> If yes,which sewage tank(s)leaks: 0 Probed outside tank(s)for"black soil" <br /> ❑ Unable to verify(See Comments/Explanation) <br /> Any"yes"answer above indicates the ❑Other methods not listed(See Comments/Explanation) <br /> system is Failing to Protect Groundwater. <br /> Comments/Explanation: <br /> On 11/29/17,Elmer J.Peterson Co.pumped tanks. <br /> 3. Other Compliance Conditions-Compliance component#3 of 5 <br /> a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. 0 Yes' 0 No ❑unknown <br /> b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes' D No ❑Unknown <br /> 'System is an imminent threat to public health and safety <br /> Explain: <br /> c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes' ❑No <br /> 'System is failing to protect groundwater <br /> Explain: <br /> www.pca.state.mn.us • 651.296-6300 • 800-657-3864 • TTY 651-282-5332 or 800.657.3864 • Available in alternative formats <br /> wq-wwists4-31 • 1/24/12 Page 1 of 3 <br />