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Home My WebLink Aboutseptic info Nov, 6, 2 12 12:47PM No, 1056 P. 2 . S- TESTING� �NC� Steven B. Schirmers • MPCA Cert.No. 62? 951 Katydid tane NE • St. Michael, MN 55376 • (783) 497-3566 FAX (763) 497-5011 State License#394 www.sptesti�g.wastewaterQcomcast.net - schirmerswastewater.com � � X � N �� r 3 2012 � � Nove be , �� \ Jake homas 20$0 horelin� Dr. Oron , Henn. Go,, MN p ca pliance inspection was completed for the existing on-site sewage treatment syste located on this property. The system consists of 2 septic tanks &3 trenches accor�ing to city records. The top of the 2nd tank was 30" below grade with the flow line a�60" below ground (�irst tank flow line the same). l"his would leave the bottom of the tr�nches approximately 78 below the ground surFace. Soil boring #1 found mottled so�l (r ox features) at 20 below the surface 8�boring #Z found mottled soil at 24" (12" fill so I) into the original soil. This system has no separation from the bottom of the trenc es 8�redox features & is classified as non-compliant, failing to protect the ground wate . The ity of Orono will require an upgrade for property transfer, �.., 5tev n B. Schirmers 1 Nov. 6. 2 12 12;47PM No, 1056 P. 3 .� . r� , • ;��.�� i�nesota Pallution • .��r�� Com l�a�nce Inspection Form ��"R �_�� ontrol Agenty p ..�,,:;�v 5 �la[ayette qoad North Existing Sybsurface gaw�9a �tm�nt Systems 5 P7ul,MN 55155-4194 (SSTS) Doc Ti7�:Canp�piarxx end Enlw�rnent �nstructlone inspeciion results besed on Minnesota Polfufio�Confrol Agerxy(Mp�q� For local tr�cking purposes: requiremer�ts nd attacl�ed fortns-additional Ioca1 requiremer�s rney also app�y. Submlt com leted fvrm to 1.pca�Unft of Govemment(LUG)and sysbam owne� withln 15 da System S tus System status on date(mm/dd/yyyY1� �t��1 r�Z ❑ Co pliant-Certiflca�of Compliance � Noncompliant-Notice of Noncompliance (Ve for s y�ears/rom r�pp�ds�. unless shorte��irr�e (Ses Upgraa►e ,- !ra oubined Jn t.ocal Ordinance.) �Wuliemen�s on pag�9� Resso (s)for noncompliance(check ell appliceb/e) ❑I act on Public Health(Compliance Covnponent #1)-Imminent thn9at M public health and safety ❑ er Compllance Condfions(Compliance Canponent�q)��mm;,►ent throat ro public hea/th and sef�ly ❑T k Integrity(Comp�ience Compo��t #2)-Feiling to prol�ct g�undN,ater ❑O er Compliance Conditlons(Complianc�e Compo��M�J-Fei�nq do proi�t g�n�,yafer � I Separation(Complianoe Camponent #4)-FeQing�p p��groundwater Ca 0 ►�8n9�rmit/monitoring plar�requlremeMs(Comp//8nco Component #5)-IVorrcomppant Property I formation. Pa�cel ID#or SecJTwp/Range: Property addre : _ a 0�S O 5�-1 v .�[,�►�1�r,Ri o� in Resson for ins ection: p�m,� •—,—Q..,�,� p � or ONmers phone: Owners�ep ntetive: ��.. 'rl�•l7 M�-S Represent�alive phone: (�S -'�17�9! Locai reguleto authorlly: � Regularory authoriLy phon�: o � B�fef system d crlption: a S / � q�,� . �,,��. _ L� - , a �a t, , ('(0 u p�.�� -�0 Comments or mme►tdetions: �(�y ��F v"t,�9�-�Q 'i��'Sr11L ?�p r.l.� F1,C71.0 LI1.1�� (oDW'�v�°`-V-� n�g'�� Certificatio 1 heroby certily at ell the ne�essary in/amaGw►hes been 8rather�l�o�te,mine�e�npllance s�eh�s of this system,� determlr►alion o ture sysl�em perfoimence has been nor can be made due b un/a►own condltlons dum�9 sY�cons�iucbion, possible abuse fhe system,inadeque�e melntenarrce,prfu�p�i�v�(�r�ege � Inspecbo�name; ��i y(� � ,/� �L ��,_ Cem�ca�n number: eusiness name� 5 -� .(' --�.a� , Licenae number� ^- Inspector signa ; ��. �i).f '.,;,� ,c"_�,_,_� � Phone number: �j .� • --._. Necessary o locally Required Attachments �Soil boring I gs �.SysterrVAs.bui7t drawing ❑Fprms per tor,�l ordinance ❑Other iMo ffon pist): �.DW.St�te.mn �c . r.c�_�oc c��,�. ...... .----• Nov, 6, 2 12 12;47PM No, 1056 P, 4 • Properlyadd : a0�d0 5�0��.�►s�' 'p� Inspectorinitials/Date: C��!� � a,�s�1�-.. 1. lmpac on Publ�c Health—Compliance component#1 of 5 Com II nce arite�a: Verlfication method(s); System ischa�ga sewage t�the ❑Yes �No ❑ Searched ior surFaoe ou0et round s rface_ I� Searched�or seeping in yerd/badwp in home f�� System tscharge sewage to drain Ule ❑Yes ❑No d �Ssive ponding in sofl systemlD-boxes n�surfa weters. Dry Homeowner tostimoriy(see Commentsl�c�enation) u �Bl�ck solP above soil dispersal system System use sewage backup into ❑Yes ❑No ❑ System requires'emergenc�'pumping dwelling establishment. � Any" "answar above indlcates the system is � P°�O�'"�dye test an Imm t Th�eat to Publlc Hea/th and Safety. � Uneble to verlfy(See Canmants�xp/enerio►,) ❑ Oq�er methods nat Usted(See Comments/�xpJeneNon) Comme Exp�anation: N o�S�' F•m�P'�'� �(o o �F`�� f� �poC?�• ¢04�.: -�..��r,�r�l�:r:� 2. Tank I tegrity—Compliance component#2 of 5 �(�,a, � � �� Com li nce cHte�i�: VeNBcativn metbod�s): System nsiats of a soepage pit, ❑Yes ❑No ❑ Probed tank(s)botlom cesspool dtywell,or Iesching pit ❑ Examined oonstruction reCords Seepage ' meeting T090.2550 may be ❑ Examl�ed Tank I�tegrity Fom�(Aaach) lian! allowed'm local oNl�ence. Sewage nk(s)leak below their ❑Yes ❑No � ��liquid leve!below operating depth desi ned o ratin de th, ❑ E�camined empty(pumped)tenks(s) If yes, h sewage tank(s)leaks: ❑ Probe�outslde tank(s)for"bladc soil" Any'� "answer above incNcates the ❑ Unable to veriy(See Comment�zpuenstion) syste /s Falling to Protect GrouRdwater. ❑�her methods not 1i61,ed(See Commenfsl�xpleneE;o„� Comm lanetion' �� -�'4�'��-��a�.-�-��r�� 3. Other cmpliance Conditions-Compiiance component�13 of 5 e. hol�covers are damaged,cradced,unsewred,or appear bo strueturelly unsound. ❑Yee` �No ❑Unkrrown b. Other es(e�rir,alha�ard�edc.)to imrrre�atehr and adv�impac�publlc heatth or sefety, p Yes' �No O Un�own *S !s an immineri!thraat�o ptrWic health snd sa�ety Explal : c. Sys is non-protective of grou�d water for other c�ndfions as deEemiined by inspector Q Yea• �No '� is falong b probect groun�tsr Explei ..........�....►.... ... .r. nn. •�m n.u� .■....•. �.�...�' �� •� --- -----. . . . Nov, 6, 2 12 12;47PM No, 1056 P. 5 , ° Property addr s: a0�0 S�Q�� .�� Inspeqor initials/Dete: �,f'�• /��5�2. 4. SOi I Se d�dt1011—Compliance component#4 of 5 Date vf Ilation: D�� O Unknown Ve�ification method(s); s�ren allhead probecnoNFood 9ew�ape �Yes ❑No Soil obsenratiron does not expire.F'►evlous soll e � obse►v�dons by two i�dependentpaiiies are sW�rNenf, Corn I nce c��teria: unless site cand/tlats have been aQ�ered or Ixe! Forsys s buill prrorfo Apd11, 199f�and ❑Yea ❑No ��diller. not loca in Sha�lsnd or Wellhead � Conducted soil observadon(s)(Aftach bom►g�oas) Protec' Araa or not senring a Mal, ❑ 7wo prevfous verifir,ations(A(tec�boring/ogs) beva�a or lodging eata6lishmenL• ❑ Not epplicable(Floldlnq tenlc(s1,no drep�flsi� Drai�fiel has at least a lwv-foot veiticel ❑ Unable to verity(See f.bmments/F.�cplenatior,) separati distence from periodically ❑ pther(See Canments/Fxplanaticn) saturated soil or bed�odc. Nor�-peri ance syst�ems bullt Ap�19, ❑Yes �No Comments/Exp►a�adon: 1996, or fer or for norrpeiiormence systems eted in Sho�eland or WeNhead ' P�ote ' Aiee$oPSetYJn�a food. beverag orlodging establlshment- Drainfiel has a three-foot vertical separatio distence irom periodically , saturated soil or bedrock.' 'Experim ntal" "Othe�', or �erlormanoB" �Yes ❑No IndiCate de S of elevat10t1s syst�ems uilt under pre-2009 Rules;Type IV F� or V sys ms builf under 2008 Ru/ea(7080. A. Bottom ot distribution msdi� . � � 2350 or �.2400 (AdvBnoed�Inspedor �� License uired) 9. Periodicalf seturated soiVbedrook �0 b a'�1 Dralnfiel meets the designed vertical C. S tem aradon }.►.d y�. separati distance from periodically saturat soil or bedrock. � p. uired com liance se aratbn• �'� Any"n "answer above indicat�s�he syslem is »�y be�uoed up l015 percont If allowed by Local Failin Protec!Groundwater. OrdinancB. 5. Opera ng Permit and Nitrogen BMP'�—Compliance component#5 of 5 �Not applicable Is the sys m opereted under an Operating Petmit? ❑Yes [� No If"yes",A belaw is requfred Is the sys m requir�ed to employ a Nitrogen BMP? p Yes ❑No If'�yes",B below is nequtred BMP� sst Mairegement Pisc�f/ce(s)sioecif+ad�in the syslO�m desi� If the a r to 6oth quesHons is"no'; this sectlon does not need to be comp/eted, Com lia ce crlCerla a. Ope inp Permi�number: Have the O ratln Pertnit uirements been met? ❑Yes ❑No b, Is th ulred nitro n BMP in lace and ro funcHorii ? Yes Q No Any"no 'answer lndfcates No�cvmpliance. Upgrade ul�anlsoCs(A�lim.Stef.§115.55)An lmmh►�nt�reet to publk healbh and selbty pTP.HS)must be�de�rapleoed,or lts use a�acontlnue wRhln te�►monfhs of reoeipt d this nobce or wlthln e aho�ter period,Y,equired 6y local ordtnar�oe.!f the sy�tem la fell�f�do p�otect ground we ,the syatem muat be�g�ded,replewd,or i�usa dl�aonHnued wifhfi f/re 6me�w►ed by local a�nanoa If an exlsGng aystem is not loil►ny deflrrad In leW,end hes et�est!Wo Iraet o�design soll seAe►aflon,then ehe sYsten►need rwf 6a upgrnded,repai�ed,rep�aoed,a� its usa � dnwd,nolwl�hsMnding arq�kcal ad/nence thetls more sMct Thla pr�Wa/on daes not eppy to systema!n aAoreland e►eas, wlauhved " n Areas,or thoae uaed M oonrtection with food,bev�e�ge,and bdging esteblisbr►rent�as de�iired In/aw. •.��.�� L�� ..� Ir• �{I�I I1I�R AM/�111�I• �w�i�• �� .�r��.. . �. .. . . . - Nov, 6, 2 12 12;41PM No, 1056 P, 6 . , S' TEST�NG� �N�. Steven B. Schirme�s • MPCA Cert.No. 827 851 Katydid tane NE • St. Michael, MN 55376 • (763) 497-3566 FAX• (763) 487-5011 Stste License#'394 LOGS �� S�IL B�RINGS Jake homas 2080 horeline Dr. OrQn , Henn. Co., MN Borin s completed on 11-1-12, with a hand bucket auger. - MOTTIEQ SOIL AT 2�" - no standing water present in boring. 0 10" Topsoil dark brown loam 2.5Y 3/1 10" - 20" Gray brown loam 2.5Y 5/2 20" - 24" Gray brown loam 2.5Y 6/2 - distinct mattles 10YR 7/1, 10YR fi/8 24" - 36" Gray brown clay {oam 2./5Y 6/2 - distinct mottles 10YR 7/1, 10YR 6/8 -MOTTLED SOIL AT 36"- no standing water present in the boring. 0 - 12" Fill soil loam 12" - 16" Original soil dark brown loam 10YR 3/3 18" - 24" Gray brown loam 10YR 5/Z 24" - 36" Brown ctay loam 10YR 5l3 36" - 48" Brown clay loam 10YR 5/3- distinct mottles 10YR 7/1, 10YR 618 I � ov, 6, 2012 12;48PM No. 1056 P. 7 . • � � � i , I a� � � � � � � � - -� , � ! � i � � / �,_ . 1 �,_ o_ - / � _ i �� m_ ,,�_ �- ; . � �,� . �, , � - � � �� :,�� .. - . , _ �� i y �_ a I� +� �4 � �� l�� l �� °� _ � � � � s� ��x � � � ' ' x I :..,I .� ' � � • ,r'.✓ � � v - a � � , -o�� . � � o o��.��, �'�� CITY of ORONO , r,,f�,:. �, � ,;��, . � ��,i` ti . Municipal Offices "�� i!':,��y. ;,,', �,. . �.. ti �, t �•t�� G Street Address: �lSa-a49'y6o � Mailing Address: t'9.�(��HpQ'� 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: �� C ��e � � City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. YSTEM CONFORMITY 1�: � "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYST'EM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal Code but does meet the three foot separation requuement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an irmninent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may or may not meet all the location,design,or construction stanchrds of the current Orono Municipal Code and which is failing for any reason;aad any ISTS with less than three feet of unsaturated soII or sand between the distriburion device and the limiting soil characteristics. TANK CONDITION(5-7): � Tank inspection indicates: 5 Pumpout not needed at this time. 6� Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years. Tank was last pumped SC'�1�—e Z- ). Make sure septic tanks are pumped throueh manhole and not throuSh white inspection pipes. This allows for the proper cleaninQ Keep water softner and iron filter dischar¢e out of septic svstem to nrolong life of drainfield. Ask uumaer to test alarm float to verifv alarm is still workin¢in vour house. The atarm warns owner that seata¢e is about to backup into basement. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If tanks have not been pumped out within the last three years,they should be pumped out now. D INFIELD CONDITION 8-10 : �, 8 Drainfield is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yet. 10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. COMMENTS: �J re�.r��-,rc1�J I oclk S Q � _ ��. n. SC �,� �^�CS j�'••�cr" � ��1C � 200� — N<� a�c,^^ ti.Saci-'h7.. �o.� dr. Scca�. °�'z�-0� �� Date of Inspection Matt Bolterman - Septic System Inspector Notc: In the e��ent that this inspection report is used to satisti' dre requirements for a mortgage or other transf'er of propert�. be advised that this report does iwt ��uar,uitee or ecrtit� that an existing s��stem �vill continue to Cunclion properl}•. but is merel� an opinion of the adequac} of the s�•stzm uneler current �un�itiuns based on the a�-ailablc infurmation. �o� .i o O`A\ • ��'�T-� CITY of ORONO � ��1��,�z 3� - . n,' � �� '• � �� h,� ��11II�C1� �{�CCS � '��'`�'�'��l;-�� G - Street Address: t�.�- ''��:;;�� g,� Mailing Address: ��SI;� 2750 Kelley Partcway P.O. Bax 66 Orano, MN 55356 Crystal Bay, MN 55323•0066 . 95d-�49-4600 To Current Owner: Address: a0�� S�`°�� QC - Ciry Ordinance I99 requires fhat each exist�na on-site sewage treatment system in Orono be inspected every two years. The on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below. � STEM CONFORMITY 1-3 : S 1 'CODE SYSTEM"An ISTS which meets all the location.design and conswction standazds of the cumnt Orono hiunicipal Code. 2 "COMPLIANT SYSTEM" M ISTS which doa not meet all the location,daign and canstruction standards of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier.and which is not failina or '�n imminent threat W public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited TSTS;an ISTS locazed within a duignated 100-ycar flood plain,any ISTS which may or may not meet all the location,design,or conswcdon standards of the cuaent Orono Municipal Code and which is fail'mg for any reason;and any ISTS with less than three feet of unsaturated soil or sand between the d'utribution device and the limiting soii ehazacuristics. ' TANK CONDITION(_5-:71: s T tnspection indicates: � . � ��Pumpout not needed at this time. 6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped `�'�-� -�� l. ' �Iake sure seatic tanks are oumaed through manhole and not through�vhite inspection aioes. This allo�ys for the arooer cleaninQ. 7 Inspection risers missing•tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. DRAINFIELD CONDITION CS-�Ql: � 8 Dninfield is dry,no surfacing evident. 9 Some evidence of surfacing�not critical ye� � 10 Drainfield is satunted and visibty dischazging untreated effluent to the surface. Contact the Ciry Inspector � immediately.Repairs must be completed within 90 days. CO��MENT$: Q��'�C- :e\c� o,�c� Se�-r; � �n�5 I oo�� a� . \ O ��-- 'v�- �� t 3 0�-'-�� Date of Inspection l�tatt Bolterman- Sepcic System Inspettor Note:in the cv:nt that this inspadon report is uud w satisfy the rcquiremenes fo�a mortgaoe o�other transferof properry.be adviscd thas this npoR does nat guarante= or cenify that an ecisting system will continue to funcdon properly,but is merely an opinion ofthe adequary ofthe system undercurrent condidons based on the availabie infomiation. �o� 0 0 � =�� CITY of ORONO � �,��t;�� ,� ; ' . C;,� ��' �z`` �,�' ,�ti ; Ntun�capa, ot�ices �'�,�`�`;�:t;��,�� G � Street Addrou: Mailtn�Add�ess: ��O,+gHO� 2150 Keiley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 July 24, 2000 Ragael& Diana Saldana 2080 Shoreline Drive Wayzata, Mn 55391 Dear Mr. & Mrs Saldana: An inspection of your septic system was conducted on June 29, 2000. A summary of the inspection is below. Septic Tank Condition � 1. Pumpout needed within one year.(last pumpout date 7/1/87). The septic system is a compliant system, meaning it meets all or most current City and State Standards. Enclosed is a list of licensed contractors who work in Orono on a regular basis. This list is enclosed simply for your reference in case your septic system needs maintenance in the future. Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built drawin�is enclosed showing the approximate location of the septic system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. Respect ly, 1 ��A.G�� is Pence On-Site Systems Mana�er Enclosures In the e�ent this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does no guarantee or certify the ezisting system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises�vith the system location and pumping records. Tetephone(952)249-4600 • Fax(952)249-4616 www ci.orono.mn.us � O� O O � � .,�F, � CITY of ORONO t�r Municipal Offices ti ��,� �G Street Address: Mailing Address: '9�fEgH04' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 , Owner: /�N ��"'� Address: 2080 Shoreline Dr. Permit #'s: 6273 Dates: 3/17/81 Contractors: Coppin Plbg. (This is [�,1 an existing system [ ] new construction) . SYSTEM COMPLIANCE (1-3) : 1 Code System: Meets or exceeds current City standards in all respects relating to design, �� construction, and location. Appears to be operating properly. 2 Compliant System: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous codes and is functioning properly. 3 Non-Compliant System: System may or may not meet current City standards for design, construction, or location, but is failing to properly treat and dispose of the current input; and any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level is [:�] or is not [ ] identified under this septic system. If the saturated soil level is not identified, this classification is subject to revision.) TANK CONDITION (5-9) : 5 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out within three years, they should be pumped out and risers installed now. 9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks have not been pumped out within three years, they should be pumped out now. (During the last septic tank Maintenance Pumpout the tanks were [ ] or were not [�] water tight or the condition is [ ] unknown. If the tanks are not confirmed to be water�ight by the licensed pumping contractor, this classification is subject to revision.) DRAINFIELD CONDITION (11-14) : 11 11 Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. Repair is not required at this time. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repair must be completed within 90 days. 14 Drainfield extent and condition unknown. POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc. ) : medium COMMENTS: �.._. La"�� '� � Date of Inspection ep Sys Inspec or Note: In the event that this inspection report is used to satisfy the requirements for a transfer of property, this report does not guarantee that an existing system will continue to function properly, but indicates the operation of the system under current conditions. Telephone (612) 473-7357 • FAX 473-0510 CITY OF ORONO � O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � Op_SITE sEWAaE ,I,RBAZ�I�T A ti INSPECTION REPORT � Gti �9kEs8a�'� owner: (��I��P� �!�'l�l� Address: cy� �YY-7vP�l�P .�Y"� Permit �'s: Datea: ,�� Contractors: (�1I'ICe L�D� City ordinance nunber 100 requires that each on-site sewage treatment system in Orono be inspected on a regular besis. The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is �an existing system ( ] new construction) SYSTEM CONFatM1TY 1-3 : � 1 ��CODE SYSTEM'�-A system which meets all the location, design, and construction standards of the current City Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 2 ��CONfORMING S1'STEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into gramd or surface waters. 3 ��NON-CONFORMING SYSTEM'�-A prohibited system; a system located within a designated 100-year ftoodplain; any system which mey or mey not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any.system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (7he limitin� soil characteristic �] has or [ 7 has not been identified at this time. If the limiting soil characteristic has not been identifi2d, this classification may be subject to revision.) TANK CONDiTION (5-10): Tank inspection indicates: 5 Punpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. ' 7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be punped out within 48 hours to eliminate surface dischar�e. — 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be instelled in each tank at next puipout. If tanks have not been pu�ed out within the last three years, they should be p�mped � out now. 1 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation>. if tanks heve not been pimped out within the last three years, they should be punped out now. DRAINFIELD CONDITION C11-14): D�nfield inspection indicates: (1y Drainfield is dry, no surfacing evident. TL Sane evidence of surtacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition �mknown. ,i LIMITING SITE FACTORS (slooe setbecks etc ): � _ POTENTIAL FOR SYSTEM FAILURE (decends on soils water table etc ): �i��Lel� � a COMMENTS: �o �' '��C L�l,�I/.��--1'�fA'�L--�--�!��1 l.7��I��V� � �--'T Date of Inspection Sept' System Inspector �i Note: !n the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of n property, be advised that this report does not guarantee or certify that an existing system will continue to function � properly� but is merely en opim on of the adequacy of the system urxier current conditions based on the availeble informatton. � This report must be kept on the premises with the system locstion and pumping records. � WHITE COPY/Inspectors Flle YELLOW COPY/Homeowner .,._. ,...,._.. .,......... ... . .. . _. � 4=�4;'''�'6;''1'�99 �_. �= 61'�49_�=�'�'�F� F'I_I�=�T'�r' i i��=�01J F'EF'�_; F'��:�E F=�'� s:,� _ , � � � � �� r�u;ry �_ii�u� � , . :�.��txd Pe�18ti�on `f�� f•' n � �"�� N�Rra��a�� d.�� :c��r�� ,�;�,��c� ��'�.�� :�� Rr�erview�d. �;� r,, � � ��;�II� � � � �+rover, FaN 55�,a�'', �,; �� '�� w��x��,�3e��€� �;�st�� ;;: �,�„�,�,��.,..w,�.,o,, h�� D.1Z��.L'':.�.+t�.i.S�L:�,rl.� i.��,.. � "�'?I�.S� . ^y... . , .� . . �•; ._e- ...., ..,,,_.�,.,..._. .��.,��..:,�'�.,t ,_.. �kl'�:8"I�t��t.��;Ck�V31Fi'l257d� ...;,.�S6.s7��.,,�..__ �'�`�.�wi.��,°t�.'.M:�.w�-«=a;3.1.M-SF�3��='�r'��? y� g,�. `.�.�?a`!F�Lzi.l�l�i1::�.."L"�'!;.�i`� Z�,�+J°,��:t.�:�YJ� � (1 (�edroorn�';i ::a�h,t,::��ra�srrr„{ebi,r,ri }'�6iA�IC�'�Y��br1G451 'ki ,`,rA+e�.�e��bzc '_ �#�+�fd'}�'�l+f}i X1P( ; )`/uiu�c: Si1�Cffi.��C� �$,t��i ��fC: C�► ��, � �� . �� r/�r. � '�iI � �<S'�, f.�.� !A 7 � � ' ()Car'np�iin: �t�.P+��R�� '� 9 'wr^"' � � .-r-.,.�....,- : y. rJ�`7+S�CfIy�'.�.r��15�i1p .. . � . 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NE 1 1 199� Minnesota Pollution Control Ageocy (NiPCA) ��Y .� Inspect�on Form for�ExistlnE Sep�ic Systems � �Ver, MN �� . ,�, . o��OF INSP CTION• ..��-/�9`� T1ME: IO'3v /a n-� WEA'if(ER CONDTTTONS: GIeAIZ !m PERMIT N 1MB .R �a�� BE�SON FOR INSPF('TION 1DENT1F1 _A7'ION ()Bcdroom or bstAroom�ddition Prope�ty Owaer(s) 11 N O C C P i c� Telephone( ) ��vu""�� Site Addcess,7o Frv SHorc_[.i�v�� D Z��G Ctry o RoN v t)Comp►ii�� Zlp COde � , .;;:,Cbnnty�L'"NNiPL� (q Property Truufcr FI�'e Na_ Towashlp Nsme ()Ot�cr y ryskm opeaed up! Y � Fuq p�ttW Coatraetor/instillcr aimc: SY�IEd � . Hai t�nk(s)ever bcco puraped7 � p Yq�Sytttw BuUt: l�Fr I • If Yts.how ottcnT UN K�vQ�=_ Fot whtt reaspp: �OutlnelY O ��RS pQ sluulsh plumbin� Qo�htr •Any rcp�ir donc on srstcm? Y � W� W�p By wbom Usa=c; O othcr escablishmtnt�dwdl'tn=Qt�aspna!Qot!►u 7 W�tcr usine aDDli�nccs:�Clothcs wuhcr�DlsAwasher N0.BedtOoms�_ No. o(occupants Ncaros�$urfscc Watcr; - Q ftpmwblCh �o��6ak�� OWh��'� W��diti0nin�wtit OSdf-ticaninQ humidiGcr in fumacc rypc of surtsee waur O�Ivtr O take p:treaa O othcr (Chcck approprii�c sewer system component and indlcue loc.atlon oo,iita=Iceteh on back otfortn). Tink(3�: Tink(�)M�terlil: Sell Tre�tment Rvite••�; �L: XSc tic tank Ac�robic tank y p�� v�ujve system (idcntify ryPc) — _�ravelleu trenth experitnental rysttm (idcntitY�YP�) _ Pump tank Mttal _�� other(idcntlty typc) _Ho�ding tank �Concrctc �p�� —' _Othu _mound • at•�tsde 7ank(s)Size:o�-lUO Q rsl, Soil t�eaemene srq tlst(i): A(�2px $!O sn.Q, - �'OMPLIAN . INSP C"i'ION• ic there or hac there•��r b n��Y evld`��.�tL � �jy�n D�schugc o�scwa�e w thc�roucsd sw�tce? � Dischargc of scwaYc to�surfsu wate� � ' � A sccpa�c pit,drywcll,ccupool or kachin�pitl Y� Lcss tha71 l}1rCC tCC.t of vCJSlCi�SCpifitjon bCtWtqt�1e.f0il uCilJTltllt ryftCfi So 1� 60;�,�•�: Lti�:.�,��c ,��t s ysT�n� boctom and satunted soil or bcdrockp �.Y NO iS zN SA TV fP 1 C U s��, Scw�ge backup into dwellinY ot otlur establishment p r q a t d y p e e�r�(� ' y�. � S�ws�ions wi�h the potentfal to lmmedtacely�nd adyersely(t npaci or dirqteA � public hcal�h o�ufetyl Y� � • i f Y ES wu answcrcd for any of t!u'abeve questioas�tlse=y;ta�(��:�p�tp�.R.ch.7080.0060. (if wcll sctbuks are violued,a ppieatjal(mm(ne��:�p,��.��) STATUS OF TH SYSTRM Bssed on the compUiau InspeetJco eoadueted abov�tb�=y=�m tvtyf'b �A I�i,(/I� • '• , therefore, this document is a /1Jp7';G.� pF NOAJ('i)M P�.IAN!' G� . `��u� ��mp�� OR failing ) (Choo�.CcNncato of Compll�oe OR Notla otNoneoepp!l�nee ) ' �: . . �EBTIFICATI�N , I hcrcby cutify u�stue of Minncsota licens�d Ins u otthe due u the top of thb toeen for the a(ta=�r'��r��Y obiervations recorded on this form arc acc�n�c tbOvs,' No detsttttlnWpe'pttljwn bydr�ulfC p�{o��made due to unknoWn nditions durin�system eonstru�uon,futuro wattr uutt ovtr tht Ilft Oftlis tyststtf;abuse etthe rystem��nd/or inadequate maintcnan:c ,ii o� nich will sC�crse�.af(cct the life of the systetn. In�pector's name d$t Qj�Uti , ' • p� �� Phons No. F1-8' 9 Llunx and/or Reeisuadon Number �/(� D In3pcctor's sijn�wrc f • ( . ' _•.._-.-• -.,. —•-.--•----� I�ate �;,+,�,_ �� --- �___ . -- -------- ----� . • - � gS. o,v�_ k tR CN"1__ fr_7,S � « fl2o.$9,p 53�1 ELV- 91.G Mv� g 9.�2 Ha.o 4's'7.��. G�lovnin TRtNGH _ � Y7 2 TaP i2uciS_713en�c.N 1 -- O Barr _ L�_ �'_ _ _� 1 u�'LV-9 f�(o ,l�u�. 89.� O-s� FI l.L b��_ffl��H M1_ 4�,5_ 'fo? 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SLAf3 � -- -i___-- ___._ --_ ELv- ►u�•va OR i v�Lva�{ �------ i • i i �� I "x�sr,.,� ��Tests Scak��. =30 i c ; NousE �8a�c?� Mork i i � ; . \ � � � s Pf2CPERT1f OF= - � �RJ �£sU Sflo�e L��vt DR�v[= l �h�s7�uL � w L L�- �RL�/VO H EN�v L'O Dat�:,��/9� Ph.512-4�3-E290 Rusty Olaon's and per+colatlon Testl�g