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Minnesota Pollution Compliance Inspection Form
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55155-4194 (SSTS)
Doc Type:Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes:
requirements and attached forms—additional local requirements may also apply.
Submit completed form to Local Unit of Government(LUG)and system owner
within 15 days
System Status
System status on date(mmldd/yyyy): 5/16/2018
® Compliant- Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3)
frame outlined in Local Ordinance.)
Reason(s)for noncompliance (check all applicable)
❑ Impact on Public Health (Compliance Component #1)—Imminent threat to public health and safety
❑ Other Compliance Conditions (Compliance Component#3)—Imminent threat to public health and safety
❑ Tank Integrity(Compliance Component #2)—Failing to protect groundwater
❑ Other Compliance Conditions(Compliance Component#3)—Failing to protect groundwater
❑ Soil Separation (Compliance Component #4)—Failing to protect groundwater
0 Operating permit/monitoring plan requirements(Compliance Component #5)—Noncompliant
Property Information Parcel ID#or Sec/Twp/Range:
Property address: 1235 Lyman Avenue, Orono, MN 55356 Reason for inspection: Property Transfer
Property owner: Owner's phone:
or
Owner's representative: Structure Tech Representative phone: 952-915-6466
Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600
Brief system description: Two pre-cast septic tanks,a pre-cast lift tank, and a mound.
Comments or recommendations:
According to city records,the mound surfaced in 1987 and at the time additional fill was brought in for the base of the mound. No reports of
surfacing have been reported since.Although not a compliance criteria,the lift pump alarm may not be working properly. The alarm should be
verified that it works and if found not working it should be replaced as soon as possible to notify the occupants of the house in the event of a pump
malfunction. In addition,there are two large trees adjacent to the mound red bed and a cluster of smaller trees on the rock bed that should be cut
flush to the ground,taking special care that no equipment be driven on the mound.
Certification
I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
determination of future system performance has been nor can be made due to unknown conditions during system construction,
possible abuse of the system, inadequate maintenance, or future water usage.
Inspector name: Brian Humpal Certification number: L5342
Business name: Inspect Minnesota, Midwest Soil Testing License number: L2896
Inspector signature: ,a,` Q Phone number: 651-492-7550
Necessary or Locally Required Attachments
® Soil boring logs ® System/As-built drawing ❑ Forms per local ordinance
® Other information(list): Report Summary, Property Information, Disclaimer, License
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Inspect Minnesota & Midwest Soil Testing
P.O. Box 10853 White Bear Lake, MN 55110 Brian Humpal
651-492-7550/Brian@Midwestsoiltesting.com MPCA Licensed Advanced Inspector
SUBSURFACE SEWAGE TREATMENT SYSTEM (SSTS) COMPLIANCE REPORT
Date: May 16, 2018 Time: 9:15 AM Owner: Paul Pesek
Inspection Address: 1235 Lyman Avenue, Orono, MN 55356
REPORT SUMMARY
I have performed an "MPCA Compliance Inspection" on this system and have reviewed
the limited records on file with the City of Orono and a previous compliance inspection from
April 25,2018 on file with the owner. This very old system (installed in 1984) consists of two
pre-cast septic tanks,a pre-cast lift tank,and a mound. It should be noted that the average life
expectancy of a septic system is approximately 30 years.
According to city records, the mound surfaced in 1987 and at the time additional fill was
brought in for the base of the mound. No reports of surfacing have been reported since.
Although not a compliance criteria, the lift pump alarm may not be working properly.
The alarm should be verified that it works and if found not working it should be replaced as soon
as possible to notify the occupants of the house in the event of a pump malfunction. In addition,
there are two large trees adjacent to the mound red bed and a cluster of smaller trees on the rock
bed that should be cut flush to the ground, taking special care that no equipment be driven on the
mound.
Predicated on my inspection of the system and my review of the records records,it is my
opinion that this system presently meets MPCA minimum compliance inspection requirements.
Inspect Minnesota and Midwest Soil Testing have been hired to perform a compliance
inspection of this SSTS for compliance with local ordinances pursuant to Minn. Stat. § 115.55
(2013). This compliance inspection covers only the criteria required by Minn. Stat. § 115.55
Subd. 5a (2013) and Minn. R. 7080.1500 (2011). A compliance inspection is an indication of the
current compliance status of the system and does not guarantee the performance or longevity of
this system beyond the date of inspection, as it is impossible to determine the future performance
of any system. Inspect Minnesota and Midwest Soil Testing disclaim any use of this compliance
inspection beyond determining SSTS compliance pursuant to Minn. Stat. § 115.55 Subd. 5a
(2013) and Minn. R.7080.1500 (2011).
Please contact me should you have any questions.
Brian Humpal
NOTE: This report is not complete without the inclusion/attachment of the additional pages which consist of up to three(3)MPCA drafted
Compliance Inspection Documents,one(1)Homeowner/Occupant Information Sheet(when obtainable),one(1)site diagram,one(1)log of soil
boring(s),one(1)Brian L Humpal,Inc.Disclaimer Sheet,and one(1)MPCA License.
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Property address: 1235 Lyman Avenue, Orono, MN 55356 Inspector initials/Date: 5/16/20180.*
1. Impact on Public Health—Compliance component#1 of 5
Compliance criteria: Verification method(s):
System discharge sewage to the ❑ Yes ® No ® Searched for surface outlet
.round surface. ® Searched for seeping in yard/backup in home
System discharge sewage to drain tile IDYes ® No ® Excessive ponding in soil system/D-boxes
or surface waters. 111Homeowner testimony(See Comments/Explanation)
❑ "Black soil"above soil dispersal system
System cause sewage backup into [' Yes ® No
❑ System requires"emergency"pumping
dwelling or establishment.
❑ Performed dye test
Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation)
an Imminent Threat to Public Health and Safety. ® Other methods not listed (See Comments/Explanation)
Comments/Explanation:
According to city records,the mound surfaced in 1987 and at the time additional fill was brought in for the base of the mound.
No reports of surfacing have been reported since. In addition, there are two large trees adjacent to the mound red bed and a
cluster of smaller trees on the rock bed that should be cut flush to the ground,taking special care that no equipment be driven
on the mound.
2. Tank Integrity—Compliance component#2 of 5
Compliance criteria: Verification method(s):
System consists of a seepage pit, ❑ Yes ® No ® Probed tank(s)bottom
cesspool,drywell,or leaching pit. ® Examined construction records
Seepage pits meeting 7080.2550 maybe ❑ Examined Tank Integrity Form(Attach)
compliant if allowed in local ordinance.
Cl Observed liquid level below operating depth
Sewage tank(s)leak below their ❑ Yes ® No
C1Examined empty(pumped)tanks(s)
desi.ned o.eratin. de.th.
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil"
❑ Unable to verify(See Comments/Explanation)
Any "yes"answer above indicates the
system is Failing to Protect Groundwater. CIOther methods not listed (See Comments/Explanation)
Comments/Explanation:
Lowered underwater camera into tanks-baffles and tank walls OK.
Although not a compliance criteria,the lift pump alarm may not be working properly. The alarm should be verified that it works
and if found not working it should be replaced as soon as possible to notify the occupants of the house in the event of a pump
malfunction.
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged, cracked, unsecured,or appear to structurally unsound. 0 Yes* ® No ❑Unknown
b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* ® No 0 Unknown
*System is an imminent threat to public health and safety
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes* ® No
*System is failing to protect groundwater
Explain:
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Property address: 1235 Lyman Avenue, Orono, MN 55356 Inspector initials/Date: 5/16/201800
4. Soil Separation -Compliance component#4 of 5
Date of installation: 1984 ❑ Unknown Verification method(s):
Shoreland/Wellhead protection/Food Beverage ❑ Yes ® No Soil observation does not expire. Previous soil
Lodging?
observations by two independent parties are sufficient,
Compliance criteria: unless site conditions have been altered or local
requirements differ.
For systems built prior to April 1, 1996, and ® Yes ❑ No
not located in Shoreland or Wellhead ® Conducted soil observation(s) (Attach boring logs)
Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs)
beverage or lodging establishment:
❑ Not applicable(Holding tank(s),no drainfield)
Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation)
separation distance from periodically
Saturated soil or bedrock. ® Other(See Comments/Explanation)
Non-performance systems built April 1, ❑Yes ❑ No Comments/Explanation:
1996, or later or for non-performance
systems located in Shoreland or Wellhead Reviewed previous compliance inspection from April
Protection Areas or serving a food, 2018.
beverage, or lodging establishment: Reviewed limited records.
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
"Experimental", "Other", or "Performance" ❑Yes ❑ No Indicate depths of elevations
systems built under pre-2008 Rules; Type IV
or V systems built under 2008 Rules(7080. See Attached
2350 or 7080.2400 (Advanced Inspector A. Bottom of distribution media Boring Log(s)
License required)
Drainfield meets the designed vertical B. Periodically saturated soil/bedrock
separation distance from periodically C. System separation
saturated soil or bedrock.
D. Required compliance separation*
Any "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local
Failing to Protect Groundwater. Ordinance.
5. Operating Permit and Nitrogen BMP*-Compliance component#5 of 5 ® Not applicable
Is the system operated under an Operating Permit? ❑Yes ® No If"yes",A below is required
Is the system required to employ a Nitrogen BMP? ❑Yes ® No If"yes", B below is required
BMP=Best Management Practice(s)specified in the system design
If the answer to both questions is "no", this section does not need to be completed.
Compliance criteria
a. Operating Permit number:
❑ Yes ❑ No
Have the Operating Permit requirements been met?
b. Is the required nitrogen BMP in place and properly functioning? ❑ Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stat.§ 115.55)An imminent threat to public health and safety(ITPHS)must be upgraded,replaced,or its use
discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance.if the system is failing to protect
ground water, the system must be upgraded,replaced, or its use discontinued within the time required by local ordinance.If an existing system
is not failing as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or
its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas,
Wellhead Protection Areas, or those used in connection with food,beverage, and lodging establishments as defined in law.
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
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Inspect Minnesota eMidwest Soil Testing
Subsurface Sewage Treatment System Owner/Property Information
This information will be used for the purpose of conducting an MPCA Compliance Inspection.
Date of Inspection: May 16, 2018 Time: 9:15 AM
Property Address: 1235 Lyman Avenue, Orono, MN Zip: 55356
Property Owner: Paul Pesek Phone:
Tank(s) Tank(s)Material Soil Treatment System Other
®Septic 2 ❑Fiberglass ❑Rock trench ❑Alternative system
DAerobic ['Plastic ❑Gravelless trench ['Experimental system
®Lift ❑Metal ['Chamber trench DCesspool system
DHolding ®Concrete ❑Seepage bed DOther system
❑Other: ❑Block ®Mound
❑Other DAt-grade
Are the tank maintenance covers accessible? ®Yes ❑No *If no,proper maintenance must be
performed through the maintenance holes. Maintenance hole covers should be made accessible to
the ground surface to facilitate access and proper maintenance of the system.
Year house built: 1984 Year septic installed: 1984 Tank size (gals.): 2-1000
How long has seller owned the property? Number of residents in home?
Number of bedrooms? 5 r Are all floors drained by gravity? Y
Garbage disposal? Whirlpool bath?
More than one system(laundry, etc.)?
Does this property have any footing drain tiles connected to the septic system?
Are any buildings on this property such as garages or out-buildings connected to this system?
Are there any additional systems on this property serving other buildings?
Location of septic system on lot? South Side
Location of water well on lot?Northwest Side Is the well a deep well?Y
Have you ever experienced any problems with the system such as: tree roots, sewage back-ups,
surfacing of sewage onto the ground, septic tank overflowing, etc.; or have any repairs been made
to the system? If yes, explain:
When was the system last pumped? April 25? Name of pumper: Unknown
How often pumped in previous years? Every 3 Is system on a monitoring plan?
Have you received notices from any government agency concerning this system?
Is your property located in a shoreland management area?N
Do you have any additional information that should be given to the new owner?
I hereby certify that the above information is correct to the best of my knowledge. I also understand that if the system is
considered"non-compliant/failing"per MPCA rules, that the inspector must by law submit a copy of this report to the
local government unit within 15 days of the date of inspection completion. I also agree that unless otherwise noted in
this report,that I/we are ultimately responsible for payment of all fees for all work performed relative to this inspection
by Inspect Minnesota and Midwest Soil Testing.
Owner/Occupant: Date:
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Well°
Deck
House
111
*Septic Tanks
Driveway
1
Lift Tank
Big Trees
isl\t0000pp
Area Of Little Trees >
Mound 0
B-1 By Inspect MN
NO SCALE 1235 Lyman Avenue, Orono, MN 55356
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Log Of Soil Borings
Location of Project:.1235 Lyman Avenue, Orono, MN 55356
Borings Made By:.Inspect Minnesota Date: 5/16/18
Auger Used: Hand/Bucket Classification System: USDA
Boring Number: 1 Boring Number:
Surface Surface
48" below top of mound on
Elevation of Elevation of
original contour
Boring Boring
Depth In Soils Encountered Depth In Soils Encountered
Inches Inches
0-8 10YR 2/1 Loam
8-16 10YR 4/2 Clay Loam
16-28 10YR 4/2 Clay Loam With
7.5YR 5/8 & 10YR 7/2 Redox
16" Depth To End Of Boring Or Redox Depth To End Of Boring Or Redox
+48" Elevation Of Boring Relative To System Elevation Of Boring Relative To System
-25" Depth To Bottom Of Distribution Media Depth To Bottom Of Distribution Media
=39" Of Separation Of Separation
End Of Boring At: 28" End Of Boring At:
Redox Present At: 16" Redox Present At:
Standing Water Present At: None Standing Water Present At:
Bottom Of Distribution Medium At: 25 Inches
8 o f 1 1
Property address: 1235 Lyman Ave,Orono Inspector initials/Date: JS 1 4/25/2018
(mm/dd/yyyy)
4. Soil Separation—Compliance component#4 of 5
Date of installation: 7/11/1984 0 Unknown Verification method(s):
(r►+rn/dd/YyYY) Soil observation does not expire. Previous soil
Shoreland/Wellhead protection/Food beverage0 No observations bytwo independent
p
ffies are sufficient,
lodgir�l ®Yesunless site conditione been altered or local
Com•Mance criteria: requirements differ.
For systems built prior to April 1, 1996,and 0 Yes 0 No ®Conducted soil observation(s)(Attach boring logs)
not located in Shoreland or Wellhead ❑Two previous verifications(Attach boring logs)
Protection Area or not serving a food,
beverage or lodging establishment: 0 Not applicable(Folding tank(s),no drainfeloq
Drainfield has at least a two-foot vertical 0 Unable to verify(See Comments/Explanation)
separation distance from periodically ❑Other(See Comments/Explanation)
saturated sal or bedrock.
Nonperformance systems built April 1, ®Yes ❑No Comments/Explanation:
1996, or later or for non-performance
systems located in Shoreland or Wellhead Boring:
Protection Areas or serving a food, 1-20"10YR 212 Loam
beverage,or lodging establishment:
21-25"10YR 4/4 Clay Loam
Drainfield has a three-foot vertical
separation distance from periodically No Redox
saturated soil or bedrock.*
'Experimental", 'Other",or "Performance" 0 Yes 0 No indicate depths or elevations
systems built under pre-2008 Rules;Type IV
or V systems built under 2008 Rules(7080. A. Bottom of distribution media 12"+
2350 or 7080.2400 (Advanced Inspector
License required) B. Periodically saturated soil/bedrock I 25"+
Drainfield meets the designed vertical C System separation I 36"+
separation distance from periodically i
saturated soil or bedrock. D. Required compliance separation' j 36"
Any "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local
falling to protect groundwater. Ordinance.
5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 ® Not applicable
Is the system operated under an Operating Permit? 0 Yes ❑No If"yes",A below is required
Is the system required to employ a Nitrogen BMP? 0 Yes 0 No If"yes",B below is required
BMP=Best Management Practice(s)specified in the system design
If the answer to both questions Is "no", this section does not need to be completed.
Compliance criteria
a. Operating Permit number:
❑Yes ❑ No
Have the Operating Permit requirements been met?
b. Is the required nitrogen BMP in place and properly functioning? 0 Yes Q No
Any"no"answer indicates Noncompliance.
Upgrade Requirements(Minn.Stat§115.55)An imminent threat to public health and safety(IPffS)must be upgraded,replaced,or its use
discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance.If the system Is failing to protect
ground water,the system must be upgraded,replaced,or its use discontinued within the lime required by local ordinance.If an existing system
Is not falling as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or
its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas,
Wellhead Protection Areas,or those used in connection with food,beverage,and lodging establishments as defined in law.
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800.657-3864 • Available in alternative formats
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Page 3of3
SEPTIC SYSTM INVENTORY
Site Address: 1235 Lyman Ave PID 02-117-23-21-0005
Owner Name: Paul & Rae Pesek
Owner Address: 1235 Lyman Ave Wayzata MN 55391-
BuildinaType: residence Installer: Peterson Co
Date of Permit: 5/29/87
System Type: mound BR's Designed for 3
In Musa?: Yes Shoreland?:
SEPTIC TANKS:
Material: precast concrete Capacity: 1000,1000,1000 Tank Filter:
DRAINFIELD:
Treatment Area: 60*50 Soil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: 50 Well DF: 75 Report In File: Depth: 169
INSPECTION RECORDS PUMPOUT RECORDS
Date Notes Date GallonsOfLiquid
8/24/2004 OK 7/22/2015 2500
8/26/2002 no surfacing 5/24/2011 3000
8/2/2000 no surfacing,pump tanks 11/21/2007 2500
7/16/1998 compliant, no surfacing 4/24/2007 3000
4/22/1994 no surfacing, pump tanks 6/29/2004 3000
10/22/1992 no surfacing 9/12/2001 1500
10/1/1990 no surfacing 4/16/1997 3000
6/1/1987 topsoil added-add to basal area (800 sf) 7/3/1996 2000
5/1/1987 DF surfacing 5/1/1992 2000
7/11/1984 installation
OK
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DISCLAIMER
Brian L. Humpal, Inc. dba. Inspect Minnesota, Midwest Soil Testing
Relative to Subsurface Sewage Treatment System(SSTS) Compliance Inspections
1. This inspection/report is being performed for only the seller/owner of the property on which the SSTS is located. In such
case that another party is paying for the inspection, the contract is between only said party and Brian L. Humpal, Inc.;
there is no contract between Brian L.Humpal,Inc.and any other party unless otherwise noted.
3. Brian L. Humpal, Inc. has not been retained to warranty, guarantee, or certify the proper functioning of the SSTS for any
period of time beyond the date of inspection or into the future. Because of the numerous factors (usage, maintenance, soil
characteristics,previous failures, etc.)which may affect the proper operation of an SSTS, as well as the inability of Brian
L. Humpal, Inc. to supervise or monitor the use or maintenance of the SSTS, the report shall not be construed as a
warranty by Brian L.Humpal,Inc.that the SSTS will function properly for any particular party for any period of time.
4. Brian L. Humpal, Inc. is unable to verify the frequency and/or, quality of prior or future maintenance of the SSTS.
Maintenance of the tank(s) must be performed through the tanks maintenance hole. The removal of solids from any
location other than the maintenance hole is not a compliant method of maintenance. It is strongly recommended that
maintenance covers be made accessible to the ground surface to facilitate proper maintenance.
5. Minimum Compliance Inspection requirements relative to this inspection and this report include only verification that the
SSTS has tank(s) (septic tanks, lift tanks, dosing tanks, stilling tanks, etc.) which are watertight below the designed
operating depth, the required separation between the bottom of the subsurface soil distribution medium and seasonally
saturated soils,no back-ups of sewage into the dwelling, no discharge of sewage/effluent to the ground surface or surface
waters,and no imminent safety hazards. Brian L.Humpal,Inc.does not inspect plumbing or pumps prior to the first SSTS
component as these are plumbing components. The performance of exterior pumps and associated components are not
inspected as they are considered to be maintenance items. Additionally, no indications relative to compliance with
electrical code requirements have been made. It is recommended that any other applicable plumbing, electrical, housing,
etc. inspections be performed by a qualified inspection business. Sewage back-up verification is limited to observing the
floor drain area and/or the information supplied by the last occupants of the building prior to inspection. Brian L.Humpal,
Inc.cannot guarantee that the information given to them by the last occupants of the building prior to inspection relative to
back-ups is accurate.
4. Certification of this SSTS does not warranty future use beyond the date of the inspection. Any SSTS, old or new, can
become hydraulically overloaded or discharge sewage/effluent to the ground surface as a result of more people moving
into the house than were previously occupying the house, improper maintenance,heavy usage, leaking plumbing fixtures,
groundwater infiltration, tree roots, freezing conditions, surface drainage problems, poor initial design, poor construction
practices, or unsuitable materials used in constructing the system; the system can also simply stop working because of its
age. An SSTS that has been properly designed and installed, properly maintained, and used in the manner for which the
system was designed can be expected to provide service for twenty to twenty-five years on average. Some parts of the
SSTS such as alarms, switches,pumps, filters,etc. will most likely have to be repaired or replaced over the lifetime of the
system.
5. A Compliance Inspection is not meant to be a test or inspection for longevity of the system; a Compliance Inspection is
strictly for the purpose of determining if the SSTS is protective of public health and safety, as well as the groundwater at
the date and time the inspection was performed. This inspection is not intended to determine if the SSTS was originally
designed or installed to past or present MPCA or other Local Government Unit code requirements. This inspection is not
intended to determine if the SSTS was designed and/or installed to support the anticipated flow from the building as the
use of the building may have changed since the design and construction of the SSTS due to the addition of bedrooms,
occupants, etc. In addition,this inspection is not intended to determine the quality of the original SSTS design,the quality
of the construction practices used while installing the SSTS,or the quality of the materials used in constructing the SSTS.
6. Brian L. Humpal, Inc. cannot guarantee the performance of SSTS products/components such as: gravelless pipe, chamber
trenches, effluent filters, tanks, sewage pre-treatment components, piping, etc. Products such as gravelless pipe are no
longer approved for installation in the State of Minnesota and may have a significantly reduced performance and/or life
expectancy.
7. WINTER WORK: By accepting this report, it is understood that inspections conducted during winter months
(approximately November ls` through April 1S`) are more difficult to perform because of possible snow cover and/or
ground frost. SSTS components such as tanks,maintenance covers,tank inspection pipes,subsurface distribution medium
inspection pipes, and soil treatment areas are more difficult or impossible to locate due to snow cover and/or ground frost.
In addition, soil borings are more difficult to perform due to snow cover and/or ground frost. Brian L. Humpal, Inc. will
attempt to use the same level of standards when performing work during winter periods as when performing work during
non-winter periods. However, the recipient of this report understands that because of the aforementioned considerations,
the same level of standards may not be possible.
8. By accepting this report, the client understands that Brian L. Humpal, Inc. will not be responsible for any monetary
damages exceeding the fee for the services provided.
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Subsurface STreatment System
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Non-transferable • -...--..-•
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Inspect Minnesota, Midwest Soil Testing
License # L2896 License Expires: 12/22/2018 Issued: 10/10/2017
Spe f IIW area(0.) DeggirfiV.ed CeirR0friecyln o oloQ(4)G
Installer Cert # Name Certification Expires:
C9633 Anthony P Scully 7/28/2018
Maintainer Installer, Designer (Conditional)
C5342 Brian L Humpal 10/15/2020
Service Provider Installer, Maintainer, Sery Prov,Adv Designer, Adv Inspector
Advanced Designer C9852 Christopher R Uebe 3/4/2018
Designer, Inspector
Advanced Inspector
mi MINNESCONTROOL TAAGENCYPOLLUTION
Cita, h. 6)/14/1/2"14'.------
520 Lafayette Road North Charles K Thompson, Supervisor
St. Paul, Minnesota 55155-4194 Certification& Training Unit