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� Praperty address: 575 Kokesk Farm Road, Orano, MN__ inspector i ��te: ,�,;Q..�4/17 ,: <br /> -----.____.—____.. _ <br /> 1. tmpact ott Public Health —Compiiance componen�#� a�5 <br /> Compliance criteria: Verification method(s): <br /> __ ---- _ _ <br /> System discharge sewags to the Q Yes � No � Searched for surface outlet <br /> grounc!surface. � 5earehed for seeping in yard/badcup in home <br /> _ __..._......__.__ — <br /> System discharge sewage to drain tile ❑Yes � No � Excessive ponding in soil system/D-baxes <br /> or surEace wasErs. ❑ Homeowner testimony(See Comments✓Explanatian) <br /> --.... _ <br /> __----_ ........_,_ .__,,,,,. <br /> System cause sewage backup into ❑Yes � No " lack soi above soi ispersal system <br /> dwelling or establishrnent ❑ System requires`emergenc�`pumping <br /> ,____-- --___.....__..__-- ❑ Performed dye test <br /> Any"yes"answer above indicates the system is ❑ Unable to verity(See CommentsiExptanation} <br /> an Imminent Threat to Public Heatth and Saiety. ❑ Oiher methods not listed�see CommentsrExpranar�on� <br /> Com mentslExpianation: <br /> 2. '�ank Integrity—Compiiance component#2 af 5 <br /> Compliance criteria� _ _ �_ Verification method(s): <br /> System consists of a seepage pit, �Yes � No � Probed tank(s}bottom <br /> cesspool,drywell,ar leaching pit. <br /> � Examined construction records <br /> Seepage pits meeting 7080.255Q msy be ❑ Examined Tank(ntegrity Focm(Attachj <br /> compliant i�allowed in tacat ordinence. <br /> Sewage tank{s}leak below their ', �Yes � No � Observed liquid level beiow operating depth <br /> designed o rating depth. <br /> ❑ Examined empty(pumped)tanks(s) <br /> _ ._ <br /> If yes,which sewage tank(s) leaks ' ❑ Probed outside tank{s)for"black soil" <br /> ____.. �.- ---_ -- ------ ❑ Unable to verify(See Comments/Explanation) <br /> Any "yeS"aTISWet'abOV�itldlCatBS fhe ❑ Other methods not listed (See Comments/Exptanation) <br /> system is Failing to P�otect Groundwater. <br /> Comments/Exp lanation: <br /> The tanks were pumped on 11/16/15. I opened the the tanks and the iiquid level was a#the operating level and the baffels <br /> were in place. <br /> 3. Other Comptiance Conditions—Compliance component#3 of 5 <br /> a. Maintenance hote covers are damagecl,cracked,unsecured,or ap�ear to strudurally unsound. �Yes* �No p Unknown <br /> b. 4ther issues(etectncat hezards,etc.)to immediately and adversely impact public hea�h or safety. �Yes" �No ❑Unknown <br /> "System is an imminent threaf to public health and safety <br /> ExpCa'rn: <br /> c. Systern is non-protective af ground water for other canditians as determined by inspectar 0 Yes• �No <br /> *Sysiem is failing to Fr»l�ect groundwater <br /> Explain: <br /> _.__ __ _ —_.__.— _....._ _ _ . — <br /> www.pcastate.mn.us • 651-296-63Q0 • 800-657•3864 • TTY 651-282-5332 or 800•657-3864 • Availabte i+rt atternative formau <br /> wa-wwisrsa-3f . 1l�a/t7 - - -- <br />