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�ropeRy address: 2295 Lon�c vi�w_Circls,Orano, MN lnspector initiaistDate: .�.0.5/24117 <br /> 7. tmpact on Pubtic Heatth—ComRiiance corn�nent#1 of 5 <br /> _Compliance criteria:_ Verification method{s}; <br /> System discharge sewage to the ❑Yes � No � Searched for surface autlet <br /> rg ound surface.__v ___ � Searched for seeping in yard/badtup in home <br /> System discharge sewage to drain tife ', Q Yes � No <br /> Q Excessive ponding in soil sySiemlD-baxes <br /> or surfiace waters. ' ❑ Homeowner testimony(See Comme»r�xWanar;on) <br /> _�__---....-- - <br /> System cause sewage backup inta ❑Yes �No II �S1adc soft"a�ve soil dispersai syst�m <br /> dwellirsg or establishment. � Systerr►requires"emergency"pumping <br /> ---__..._._ _ ___ � }�erFormed dye test <br /> Any"yes"answer above Indlcates the sysiem is ❑ Unable to verify(see Comments�x�tanat;on} <br /> an lmminsnt Threat to Public Health and Safet'y. ❑ pther methods no4 listed(See CommenrsiExptanstic�r) <br /> Commenis/Explanation: <br /> 2. Tank It1'Ce��rity—Compliance component#2 of 5 <br /> Compiiance.critsr�a:_ Verificatian me#hod(s): <br /> System cansis2s of a seepage pit, ' ❑�'es � No u Probed tank(s}bt�ttom <br /> cesspool,drywell,or lesching pit. ' ��,, Exam�ned construdio�records <br /> Seepage prrs meeting�080.255o may t,e j� F.acamined Tank Iniegrity Form;Anacn) <br /> _compliern i�allowed in/ocal orrlinanc�. <br /> Sewage tank(S)leak beiow their � ",' ❑Yes � No a Qbserved liqvid ievei balow operating cfepth <br /> �esigne�opErating depth. ❑ Examined empty(pumped}ianks(s) <br /> ___� <br /> df yes,which sewage tank(s)leaks ❑ �'ro�outside tank(s}for"biack soil" <br /> � � ----� L] Unable to ve�ify(See�ommentslExptanadion, <br /> A�Iy "yeS"answer abc�ve indicates the �pt}yer methods not listed(Sae CommentslEx,�tanation) <br /> system is Faiting to Rrotect Groundwater. <br /> CammentslExplanation: <br /> Peterson Campany pumped the tanks. <br /> 3. Other Co�ptiance Conditians—Compliance companent#3 of 5 <br /> a. Maintenance ho4e e.overs ars Eiamaged,cracked,unsecvred,ar appear to structurally unsound. ❑Yes• B�No �unscr,awn <br /> b. Other issues(e/ectricet hazaros,stc.)to immediately ana adversely impad public healih or safety. ❑Yes" �Na C unxnown <br /> "System is an imminenP thneat to pu�lc hesl�►a�d asfaty <br /> Explain: <br /> c. System is non-protec�ive of ground water fior crthe�conditions as determined by inspector �Yes• �Ivc <br /> 'System is failing to protecf groundwater <br /> Expiain: <br /> _. _. _. _ _ _.�. __�� ____�........_� <br /> _ . ...___ ---- <br /> www.pcastate.mn.us • b5�•296•6300 • 8�-657-386� • tTY b51-282-5332 or 800-657-3864 • avaitabie in altemative formats <br /> wq-wwists4•31 • 1/24/12 0,,,,��„f, <br />