Loading...
HomeMy WebLinkAboutseptic info � � MinnesotaPollution Compliance Inspection Form Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) St.Paul,MN 55155-4194 Doc Type:Compliance and Enforcement �— �I InspeCtion results based on Minnesota Pollution Control Agency(MPCA) I For local tracking purposes requirements and attached forms–additional local requirements may also apply. i Submit completed form to Local Unit of Government(LUG)and system owner I within 15 days j System Status System status on date (mm/ddtyyyy): 9/11/2015 _ _ _ � 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 ❑ Operating permit/monitoring plan requirements (Compliance Component#5)–Noncompliant Property Information Parcel ID#or Sec/Twp/Range: Property address: 2790 Silver View Drive __ _ Reason for inspection: Replacement system Property owner: __ _ Owner's phone: or Owner's representative: John Peterson Representative phone: 763-972-2420 Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 Brief system description: Type III Mound Comments or recommendations: Certification 1 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, possib/e abuse of the system, inadequate maintenance, or future water usage. Inspector name: Ro er Peitso _ Certification number: C6683 Business name: License number: Inspector signature: Phone number: 952-249-4625 Necessary or Locally Required Attachments ❑ Soil boring logs ❑ System/As-built drawing ❑ Forms per local ordinance ❑ Other information (list): www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31b • 6/4/14 Page 1 of 3 ` Property address: 2790 Silver View Drive Inspector initials/Date: RLP � 09/11/2015 (mMdd/yyyy) 1. Impact on Public Health— Compliance component#1 of 5 Com liance criteria: Verification method(s): System discharges sewage to the ❑Yes � No ❑ Searched for surface outlet round surface. ❑ Searched for seeping in yard/backup in home System discharges sewage to drain ❑Yes � No ❑ Excessive ponding in soil system/D-boxes tile or surface waters. ❑ Homeowner testimony(See Comments/Explanation) System causes sewage backup into ❑Yes � No ❑ "Black soil"above soil dispersal system dwelling or establishment. ❑ System requires"emergency"pumping Any"yes"answer above indicates the ❑ Performed dye test system is an imminent threat to public ❑ Unable to verify(See Comments/Explanation) hea/th and safety. ❑ Other methods not listed(See Comments/Explanation) Comments/Explanation: Replacement system type III mound and tanks 2. Tank Integrity— Compliance component#2 of 5 Com liance 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 may be ❑ Examined Tank Integrity Form (Attach) com liant if allowed in loca/ordinance. ❑ Observed liquid level below operating depth Sewage tank(s) leak below their ❑Yes � No designed operating depth. ❑ Examined empty(pumped)tanks(s) If yes,which sewage tank(s) leaks: ❑ Probed outside tank(s)for"black soil° AI1y "yes"answer above indicates the ❑ Unable to verify(See Comments/Explanation) system is failing to protect groundwater. ❑Other methods not listed (See Comments/Explanation) Comments/Explanation: New tanks 3. Other C0111p118nCe C011d1'tlOnS—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally unsound. ❑Yes* �No ❑Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes" �No ❑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: www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in altemative formats wq-wwists4-316 • 6/4/14 Page 2 of 3 � Property address: 2790 Silver View Drive Inspector initials/Date: RLP � 9/11/2015 (mm/dd/yyyy) 4. Soil Separation— Compliance component#4 of 5 Date of installation: 9/11/2015 ❑ Unknown Verification method(s): (mm/dd/YYYY) Shoreland/Wellhead protectioNFood beverage Soil obseivation does not expire. Previous soil lodging? ❑Yes � No obse►vations by two independentparties are su�cient, unless site conditions have been altered orlocal Com liance criteria: requirements differ. For systems built prior to April 1, 1996, and ❑Yes ❑ No ❑ Conducted soil observation(s)(Attach boring/ogs) not located in Shoreland or Wellhead ❑Two previous verifications(Attach boring logs) Protec6on Area or not se►ving a food, 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 ❑ Other(See CommentsiExp�anation) saturated soil or bedrock. Non-performance systems builtApril 1, �Yes ❑ No Comments/Explanation: 1996, or later or for non-performance systems located in Shoreland or Wellhead Mound Replacement Protection Areas orseiving a food, beverage, orlodging establishment: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* "Experimental'; "Other'; or `Performance" ❑Yes ❑ No Indicate de ths or elevations systems built under pr�-2008 Rules; Type IV or V systems built under 2008 Rules(7080. A. Bottom of distribution media 2350 or 7080.2400 (Advanced Inspector License required) B. Periodicall saturated soil/bedrock Drainfield meets the designed vertical C. S stem se aration separation distance from periodically saturated soil or bedrock. D. Re uired com liance se aration" AI)y"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 comp/eted. Com liance criteria a. Operating Permit number: Have the O eratin Permit re uirements been met? ❑Yes ❑ No b. Is the re uired nitro en BMP in lace and ro eri functionin ? ❑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 shor�land areas, We/lhead 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 altemative formats wq-wwists4-31b • 6/4/14 Pnge 3 of 3 Jun 28 2015 03:47PM HP FaxRusty Olson 7634988290 page 1 , , , .� Fax Transmittal Form Date: 6/26/2015 Total Pages: +I7 To: City of Orono Phone Number: Fax Number: 952-249-4626 REC�IVED E-mail; �uN 2 � zo�5 Frorn: Joseph J Olson c�`�OF ORONO Phone Number: 763-498-$779 Fax Number: 763-498-8290 E-mail: ruS1V2654�comcast net ❑ Urgent � For Review ❑ Please Comment ❑ Pfease Reply Message: This is the septic cert for 2790 Silver View Drive. Please file. Jun 28 2015 03:47PM HP FaxRusty Ols«i 7634988290 page 2 �r�.� � Minnesota Po�lution Compliance Ins ection Form Cantrol Agency p 520 Lafayetto Road North Existing Subsurtace Sewage Treatment Systems St Pdt�,MN 55155-4194 �ssTs' Doc Type•Compliance and Enfwcemant Instructiona: Inspection results based on Minnesota Pollut(on Gontrol Agency(MPCA) I For local tr D requirements and attached forms-additional local requirements may also apply. I Submit completed fonn to Local Unit of Government(�UG►and sysbem owner �UN 2 9 20�� virithin 15 days � .cmroFORONo Systern Status System status on date(mmldd/yyyy); 6125l2015 ❑Compliant-Certificate of Compliance � Noncompliant- Notice cf Noncompliance (Valid for 3 years from r�port date, unless shorter dme (See Upgrade Requirerr�nts on page 3) frarne ouBined in�ocal Orclinance.) Reason(s}for noncompliance(check a!1 appNcable) ❑ Impact on Public Health(Compliance Componenf #1)-lmrn�nent threaf to public health and safety ❑�ther Compliance Cortditions(Compliance Component#3)-Imminent throat to public health a�d safery ❑Tank Integrity(Complrance Component #2)-Failing to protect groundwater ❑Other Compliartce Cond'Nions(Compliance Component#3)-Farling fo profect groundwater �Soil Separation (Compliance Component #q)-Failing fo protecf groundwafer ❑Operating permitlmonitoring plan requfrements(Compliance Component #5J-Nancpmpliant Property Information Parcel ID#or SeclTwp/Range: 3311823420002 Property address: 2790 Silver View Drive. Orono, MN Reason for inspection: Property Transfer Property owner: Patridc Coughlin � OwnePs phone: 651-245-3141 or Owner's representative: Representative phone: Local regulatory authoriiy; Ci af Orono Regulatory authonly phone: 952-2�9-460p Brief system descriptlon: 2-1000 allon tic tanks and a roximaiel 1350 lineal feet of trench er cl records Commenls or recornmendations: Certificatlon l hens6y ceriify tha�aN the necessarylnfortrra6on has been gathered to determine the compliance status of this system.No determination of futu�system pertormance has been nor can be made due to unknown conditions during system construction, possible abuse of the system,inadequahs maintenance, orfuture water usage. Inspector name: Joseph J Oison Certification number: 1255 8usiness name: _Rusty Olson's Soil&Perc Testinq License number: 810 Inspector signature: _ A Phone number: 763-498-8779 � Necessary or Locaily Required Attachments �Soil boring bgs �System/As-built drawing ❑Fort�ns per local ordinance ❑Other information (list); www.pca,state.mn.us • 651•296•6300 • 800•657-3864 • TTY b51-Z82-5332 or 800�657•3864 . i wq•wwists4-31 . 1/24112 Availabte in alternative formats Pugelof3 Jun 28 2015 03:47PM HP FaxRusty Olson 7634988290 page 3 Property address; ±! REF Text114 l'MERGEFORMAT2790 SilverUew Inspedor initialsiDate: J. O.6l28/15 1. Impact on Public Health—Comp�iance component�t� ot 5 Complfance c�iteria: Verification method(s): System discharge sewage to the � ❑Yes �No � Searched for surfaoe outlet ground surface. i � Searched for seeping in yard/backup in home System discharge sewage to drain tile � ❑Yes � No � �cessive ponding in soil system/D-boxes or surtace waters. L ❑ Homeowner testimony(See Commenrs�ExplenaUon) S stem cause sewa e backu mto I ❑ "glack soil"above soil dispersal system Y g p� ❑Yes �Np ❑ System requires"emergency"pumping dwelling or establishment. � ❑ Pertormed dye test Any"yes"answer above Jnd/cates ihe system is ❑ Unable to verify(see CommentsiE'xplanation) an lmminent Threat to Public Health arrd Safety, � pther methods not listed(See Comments/ExpJanaUon) Com memslExplanation: 2. Td11k Integ�ity—Compliance component#2 of 5 Compliance criteria: Verification method(s�: System consists of a seepage pit, i ❑Yes � No ❑ Probed tank(s)battom cesspool,drywell,or leaching pit. � � Examined construction records Seepage pits meeting 7080.2550 may be ; co l�ant if aJlowed in loca!ordinance. ❑ Examined Tank Integrity Form(Attach) ❑ Observed liquid level befow operating depth Sewage tank(s)leak below their ❑Yes �No designed operatinq depth. � ❑ Examined empty(pumped)tanks(s) If yes,which sewage tank(s}leaks: � ❑ Probed outside tank(s)for"black soil" /�fly"yes"answer above indicates the ❑ Unable to verify(See Comments/Explanatron} system is Falling to Profect Groundwater. �Other methods not listed (See Comments�Exp/anation) Comments/Exp la nation: City Records 3. OthEr CompllanCe Conditio�l5—Compliance component#3 of 5 a. Maintenanee hole covers are damaged,cradced, unsecured,or appear bo structurally unsound. ❑Yes• �roo ❑unknown b. Other issues(elechi�cai hazerds,etc.)to immedialely and adversely impact public health or safety. ❑Yes' �No ❑Unknown *5ystem is an imminen!thr�at to puWic healtfi and safery Explain: c. System is non-protective of ground water for other corxlitions as determined by inspector p ves� �No "System is failing to protect groundwatei Explain: www.pca.state.mn.us • 651-296-6300 • 860-657-3664 • TTY 651-282-5332 or 800-657•3864 . Available in alternative formats wq•wwisrs4-3f • 1/24/12 PaRe 2 of 3 Jun 28 2015 03:47PM HP FaxRusty Olson 7634988290 page 4 Property address: 2780 Silver Vew D�ive.,Orono,MN Inspedor initials/Date: J. O.6/28l15 4. SOII S@pd�dtl0� —Campliance component#4 of 5 Date cf installation: 1Q/04/1988 ❑ Unknown Yerification method(s): ShoralandlWelthead pro6ectbNFood Beve�age �Yes � No Lodging? Sal o6servation does nof expire.Pnsvious soil observations by two independanf parties ar�s�cienf, _CompJidnCe C�Iteria: r unless slte cnnditions have been alten�o►orlvcal For systems built pnor to April 1, 1996,and ' ❑Yes �No �Quirements differ. not located in Shon9Jand or Weflhead � Conducted soil observation(s)(Attach bonng fogs) Protection Area or not serving a faod, � ❑ Two previous verifications(Attach boring logs) beverage orlodging establishment: i ❑ Not applicable(t+ordir,q tank(s),no drainfield) Drainfield has at least a two-foot verlical ': ❑ Unable to verify(5ee Comments�xpianatron) separatian dlstance from periodically saturated soil o�bedrock. ❑ �ther(See CommentsiExplananon) Non-peiformance systems builtApriJ 1, I ❑ Yes ❑No Comments/Explanation: f 996,or later oi for non performance � systems loceted in Shoreland or WeNhead Protecfion Ar�sas orserving a food, beverage,or lodging establishment: Drainfield has a th�ee-foot vertical separation distance from periodically i saturated soil or bedrock.* i � "Experimenfal" "Other'; or "Perinrmance" ' ❑ Yes ❑ No Indicate dapths of elevations sysfems built under pre-2008 Rules; Type!V j - or V systems builf under 2008 Rules(708�. i A. Bottom of distribution med ia l 93.0 2350 or 7080.2400 (Advanced inspector Llcense required) � i B. Periodicall saturated soiUbedrodc 94.2 Drainfield meets the designed vertical j 0 0 separatior'�distance from periodically C. SYstem separation saturated soil or bedrodc. � � D. Required compliance separation" ; 2 D A/1y "l10"answer above indfeafes the system is *May be reduced up io 15 percent it allowed by Local Failing to Protec!Groundwater. ordinance. 5. Operating Permit and Nitrogen BMR*-Compliance component#5 af 5 � Not applicable Is the sysiem operated under an Operating Permit? ❑Yes ❑ No If"yes", A below is required is the system required to empby a Nitrogen BMP? ❑ Yes ❑ No If"yes", B below is required 8MP=8est Management Practice(s}speci(red in the system design !f the answer to both quas[ions is "no', th;s section does nor need to be completed. Com liance criteria a. Operating Permit number: I Have the O eratin Permft r uirements been met? j ❑Yes ❑ No b. Is the re uired nitro en BMP in lace and o erl functionin ? � ❑Yes ❑ No Any"no"answer fndicates Noncompllance. Upgrade Requireme�ta(MJnn. Stat.§115.55)An imminent threat to public heslth and saiety(17'PHSJ must be upgr�sded,replaced, pr its use discontinued within ten months of receipt of thls notice or within a shoRer penod if requlred by local ordinance.If the system!s fsilirrg to protect ground water,the system must be upgreded,nBpfBced,or its use discontrnued within the time required by lacel ordinance.1i an ezisUng system is not failing as defined In law,and has at least Mro feet of design soil separatlon, then the system need not be upgreded,repaired,repfaced,or its use�iscontinued,notwithstanding any local ordinan�that is more shr�ct. This/�rovision does not app/y tn systams in shoreland areas, We!lhead Protection A�eas,or those used in connection with fopd,beverage,and lodging esfablishments as defined in law. www.pca.state.mn.us • 651•246-6300 • 800-657-3864 . TTY 651•282•5332 or 800-657-3864 . Availabte in alternative formats� wq•wwists4•31 • 1/1d/11 Pnge 3 of 3 Jun 28 2015 03:47PM HP FaxRusty Ols� 7634988290 page 5 Soil Observation Log www.5epticResaurce.com vers 12.4 Owner Information Pcoperty Owner/project: Patrick Coughlin Date 6/25/2Q 15 Property Address/PID: 2790 Silver View Drive Soil Surve Informatian ❑ refer to attadied soil survey Pazent matl's: Q Till ❑ Ouhwa� ❑ Lacustrine [] Allwium ❑ Organic ❑ Bedrock latldSCape posidott: ❑ Summit ❑ Shoulder [�] side slope ❑ Toe sl � soil survey map units; L25A slope % direction-L,1rieaT Soil Log#1 0 6°"ng Q P+t Elevation 96.3 Depih to SHWT 22" Depth(in) Texture fragment% matrix cotor redox color consistence grade shape 0-7 Fill <3s Firm �Veak Platy 7-14 Topsoil <35 10yr4i2 IOy4/8 Firm Weak rtaty 14-22 Clay Loam <35 10yr4l4 Rigid Weak Pfaty <35 22-30 Clay Loam 35-50 I OyrS/4 10y4l8,1-6/l0y Ftrm Strong Prismatic >50 <35 loase loose sin�te grain 35 -50 friable weak granular blceky >50 �� moderate prismatic platy rigld SttOng massive Comments: Soils feel compacted Jun 28 2015 03:48PM HP FaxRusty Olson 7634988290 page 6 2790 Silver View Drive Soil Lo #2 [�] Boring ❑ �it Elevation 95.2 Depth to SHWT 12" De th(in) Texture fragment% matrix color redox color consistence grade sha 0-12 Topsoil <35 10yr4l2 Loose i,00se Singtega�n 12-24 ClayLoam <35 LOyrS/4 IOy4/8,1.6/IOy Firm S[rong eiocky �3j lOOse ]OOse singlegrain 35-50 friable weak granular blocky �50 f� moderate Prismatic pla�y cigid strong massive �35 loose loose s;nglegrain 35-50 friable weak granular blocky >50 h� Rloderate prismatic plary rigid 5trong �Sive �35 Ioose loose single orain 35-50 fiiable weak granular blocky >Sp f� rnoderate prysmaz;c platy rigid strong m�"`� 2790 Silver View Drive Soil Lo #3 C Bonn9 ❑ Pit Elevation Depth to SHWT Depth(in) Texture fragment% matrix color redox color cansistence rade shape �35 loOSC lOose single grain 35-50 friable weak �anutar btocky >50 f� moderate prismatic platy rigid suong mazsive �35 loose loose single grain 35-50 friable weak gra„uiar blocky >50 �� moderate pr;smatic p�ary rigid strong massive �35 loose loose s�ngle�rsin 35-50 friable weak granutar blocky >50 fi� moderate pI�smacic ptaty ri�d StrOng massive �3g loose loose � �ain sin e 35-50 friable weak granutar blocky >50 f� moderate prismacic plary rigid Snong mass��e <3S loose loose singlc grain 35-50 friable weak granular blocky >50 f� rnoderate prismatic plary Ilgld strong massive /hereby certify this work was campleted in accordance„�ith MN 7080 and arry local seq's. Rust Olson's Soil &Perc 810 Designer Signature Company License# Jun 28 2015 03:48PM HP FaxRusty Olson 7634988290 page 7 �74D �S'��1�� 1/`�e� �� N�r � S��i�' +�,., �•__• !' 8 A 7; ��+ 23' �9' . o,.�+ �7'L ZS' C rZ `� !�'� Z�1 o�rr �y ` 33�� ��, ab�b ��� �a l �g� -,$�c� z Syr ��� 3 i �'g'� gy,� y �7 ' f39'� r 7 e' �S' � $S' /ot' �� - ------ �s S g�►� 3 k83 3 XSf 3 x77 3 x73 . S��? 3 xlao r, — -- — - $ �� I � � � I rr_ _ i -�` -�- r y 1 � U'� � { , � s i��'e�e. Vic.Xw D�•1 v�' '=o~ / � � ``�.�\ !��� ��`� ONa �� ��. i CITY o� �it � ,�I, � 1��� �i.�,a.. � r�i � MunicipalOffices l � � r i , � ' �� � , �' `+ Mailing Address: ��` '� ;,' ` � `� G '' Street Address: '; � ' ; '` '� P.O. Box 66 �. ,<q�Esx�¢, 2750 Kelley Parkway '���:__ — Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address ���� �� 1 J P� J +�P�s City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a periodic basis. The onsite sewage treatment system at the above address has been inspected and the following is known about the system. A sketch of the known components of the system is available for most properties at the Orono City Hall. Imminent Public Health Threat Yes No �L If yes,please contact the Onsite Systems Manager at 952-249-4626 within 10 days of receipt of this notice. The septic system must be brought into compliance within 90 days. Failure to do so will result in referral to the City Attorney for legal action. System Identified as Non-Compliant Yes � No � If yes, system must be brought into compliance by: December 31,2007 December 31,2010 , Other Septic Tank�Pump out Needed Yes No The City recommends the septic tank(s) and/or lift tank be serviced and pumped out ry three years. City records indicate the tank(s) were last pumped out on �°- 1 �' q � . The tank(s) should be cleaned through the manhole and not through the inspection pipes,this allows for proper cleaning. Comments: r. r °a: . � �p �� Inspector: Date of Inspection ���� Telephone(952) 249-4600 � Fax(952)249-4616 www�i r►rnnn.mn.us �O� O �� O �:��.�� CITY of ORONO '� ,�1 �. �;� ti -•_=� /�� � � �r .1) �. M�WM� VlilCe$ � '����'",���� G~ Street Addrou: � ,����g� 2150 Keil Parkwa M�iitn�Addross: eY Y P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner:_Vv;l l;q� N;�e Address: d�9a S:Iv�� V;e,,,, � City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspecced every t�,o years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORNIITY 1-3 : � 1 "CODE SYSTEM" An ISTS whic}t meets all the location,design and constcuction���as�Q ofthe cuerent Ocona Mucucipa(Code. 2 "COMPLIANT SYSTEM" An LSTS which does not meet all the locatioq design aad const�uction standards ofthe cun�R prono Municipat Code but daes meet the three foot separation requirement,and which is not failing or aa immiaent threat W pubGc health or safety. 3 NON-COMPLIANT SYSTEM" A prolubited ISTS;an ISTS located witl�in a desigiated 100-year flood plain,any I3TS which may or may not meet all the locaLioq design,or coast�uction standards of the cuaent prono�funicipa!Code and which is failing fa any reason;and any ISTS with less than U�ree fcet of ucuatarated sail or sand between the distribution devia and the limiting soil d�aractaistics, r.arnc cormrriox rs-io�: S T:uik inspection indicates: - � Purnpout not needed at this time. 6 Tank must be pumped out this year (city code requires tanks W be pumped out evay 3 yeus. Tank wa4last pumped �'��-Q� ). 7 Solids accumulation in tanks is at a critical a critical(eveL Tanks should be pumped out as soon as poysibte. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to e(iminate sucface discl�arge. 9 L�cptction rise�s missing-tanks could not be inspected Inspection risas(4"dia pipe)must be installed in each tank at next pumpout If tan(cs have not been pumped out witl�in the last tivee yeazs,they should be pumped out now. 10 Gupection pipe is located directty over tank ba�le(doas not give accucate measuremrnt of solids accumutation). If tanks ha�e not ban pumped out within the last three yeazs,they should be pumped out now. D LD CONDITION 11-14 : 11_ 11 Ikainfield is dry,no surfacing evidart. 12 Some evidence of surfacing,not critical yet 13 Drainfield is saturated and visibly duchsrBinB uatreated eglurnt to the surface. Co�act the City Inspector immediately.Repaics must be completed within 90 days. � 1� Ihaintield extent and condition unknown. � COI�NTS:�stc� �ooKS oK A��,p .�-a�� ne,f�, yPtir �-S-o� ��# Date of Inspec6on Septic System Inspector ` Note: In the evrnt that this inspection report is used to satisfy the requirements for a moctgage or other ficcaasfa of property,be advised that thir repod does not guarantee a ceRify that an eldstu►g syscem will continue W function properly,but is merely an opinion of the adequsry of the aystem under cu�rent condiUans based on the available infocmatioa �� �� � O � � � �,;// O �v,� O 1 �� i CITY of ORONO � � - � . '' � ,�� r�� �, �, i� '����►� �v �,�;`�������� ,�ti// M��,� ot��� �.t �' . ' i. `cR~ G � Streat Addross: Mailing Address: `q�'�gp4'� 2750 Kelley Parkway P.O. Box 66 Ororro, MN 55356 Crystal Bay, MN 55323-0066 ------ ------.. To Current Owner: Address: a7 9 U S� �V�r �/- e w �r City Ordinance 199 requires that each existing on-site sewa�e treatment system in Orono be inspected every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY (1-3): ! lO "CODE SYSTEM" An ISTS which meets all the locatioa design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which dces not mnt all the location,design and construction 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 failing or an imminent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS:aa ISTS located within a designated 100-yeaz flood plain,any ISTS which may or may not meet all the location,desi�n,or construction staadards of the curzent Orono Municipal Code and which is failing for any reason;and any ISTS with less than three feet of unsa[urated�il or sand between the disuibution device and the limiting soil chazacteristics. TANK CONDITION(5-7): � Tank inspection indicates: OS 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 99 ). Make sure seatic tanks are aumaed through manhole and not throueh white inspection aipes. This allows for the proper cleanin¢. Keen water softner and iron filter discharge out of seatic system. 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 thre�years,they should be pumped out now. DRAINFIELD CONDITION(8-101: � � Drainfield is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yet. 10 Drainfield is saturated and visibly dischargin�un�ated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. COMMENTS: ���:c��'.cl J an� S��t;� �a�kS (oOk 0�'., q-�� -o� �a� Date of Inspection Matt Bolterman - Septic System Inspector Note: In the event that this inspection report is used to satisfy the requiremeau for a mortgage or other Uansfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly.but is ma�eh•an opinion ofthe adequacy ofthe system under current conditions based on the available information. Telephone(952)2-�9-4600 • Fax(952)249-4616 wwR.ci.orono.mn.us �o� 0 0 a ,�S �;��._� ,, CITY of ORONO � � �!4 Munlcipal OtHces � �` ��`- � , .... ��f \-3=�:�"�`�' G Street Addross: M�ilina Addrou: , .:,t; '� $+gK04' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 May 30, 2000 William&Kimberly Hile 2790 Silver V'iew Drive Long Lake, Mn 55356 Deaz Mr. & Mrs. Hile: An inspection of your septic system was conducted on May 26, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout not needed at this time. The septic system is a compliant system, meaning it meets all or most cunent 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 drawing 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. ec , �i�� 's ence On-Site Systems Manager Enclosures In the event 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 eaisting 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 with the system location and pumping records. Telephone(952)249-4600 • Fax(952)249-4616 www ci.omno.mn.as �°� 0 0 ��� CITY of ORONO ��,�,�� I 9��3'.f/�� � ���+�y�r!'y �� �lry MUII1Cl� D�CCS � -:��� G . . � � f��.r�¢.� Street Address. MailinQ Addross. ��;gg0 2150 Kelley Pa�kway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: Address: 2790 Silver View Dr. Permit #'s: 1096 Dates: 8/15/88 Contractors: Clover Hill Co. (This is [� an existing system [ ] new construction) . SYSTEM COMPLIANCE (1-3) : 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.) K CONDITION (5-9) : 5 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. S 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. 10 One or more tanks are cesspools, which means the septic system is non-compliant. (The tanks are [ ] or are not [ ] ovater tight or the condition is [�] unknomn. If the tanks are not confirmed to be watertight, this classification is subject to revision.) INFIELD CONDITION (11-14) : 11 1 Drainfield is dry, no surfacing evident. 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: In order to confirm that your septic system meets Minnesota standards, soil borings were performed to verify a 3 foot separation between the drainfield and the seasonal water table. The separation is 0.5 feet and the system is non-compliant. Repair or replacement of the septic system is required by 12/31/2009. Da��Inspection Sep i System 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)249-4600 • Fax(612)249-4616 CITY OF ORONO �O� Municipal Offices O O Post Office Box 66 Crystel Bay, MN 55323-0066 � � ON—SITE SEWAQ�E TREA'I'NIENT INSPECTION REPORT ti ti ��9k o4�p EsH �� �� � �;� c/ � ,�^� Owner: (/►/1 ''I Q�I� / I I � Address: J / I Permit �'s: Dates: ��� Contractors: � City ordinance nunber 100 requires that each on-site sewage treatment _system in Orono be inspected on a regular basis. The on-site sewage treatment system at the above address has been tnspected and appears to fall into the category checked below. (This is � an existing system [ ] new construction) SYSTEM CONFORMITY 1-3 : 1 "CODE SYS7EM"-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 SYSTEM"-A system uhich 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 instaltetion, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface uaters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may 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. (The limiting soil characteristicif/!�has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identi#ied, this classification may be subject to revision.) TANK CONDITION t5-10): Tank inspection indicates: Pumpout not needed at this time. 6 So i ' in tanks indicates they should be out this year o help prevent f . o ids accunulation in " " ' s o s possib e. 8 §ystem is discharging to the surface. Tanks must be out uithin 48 hours to eliminate surface dischar�e. 9 inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pumpout. If tanks have not been Fxmped out within the last three years, they should be punped out now. 10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation>. !f tanks have not been pumped out within the last three years, they should be punped out now. DRAINFIELD CONDITION (11-14): Dr nfield inspection indicates: � Drainfie[d is dry, no surfacing evident. �42 Some evidence of surfacing, not critical yet. 13 Dreinfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector imnediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbecks.etc.): POTENTIAL FOR SYSTEM FAILURE (deoends on soils.water table,etc.): COMMENTS: Da e of nspection Se c Sys em nspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properlyi 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 with the system locetion and punping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO �O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWA<3E TREA'PI�NT � � INSPECTION REPORT ti ��9k'Esxo4'�o Owner• `N� l'IA!'� 117� Address• � � Permit �'s: �09� Dates: ���'� Contractors: City ordinance number 100 requires that each on-site sewage treatment .system in Orono be inspected on a regular basis. The on-site sewage treatment system at the above address has been tnspected and appears to fall into the category checked beloa. (This is �]. an existing system [ ] new construction) SYSTEM CONFORMITY 1-3 : "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 SYSTEM"-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 ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may 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. (The limiting soil characteristic (jEl, has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identified, this classification may be subject to revision.> TANK CONOITION (5-10): Tank inspection irxiicates: Purtipout not needed at this time. Solids accumulation in tanks indicates they should be p�n�ed out this year to help prevent future problems. Solids accumulation in tanks is at a critical level. Tanks should be punped out as soon as possible. 8 System is discharging to the surface. 7anks must be pumped 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 installed in each tank at next Fxnpout. lf tanks have not been punped out uithin the last three years, they should be pumped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been punped out within the last three years, they should be punped out now. DRAINFIELD CONDITION (11-14): D field inspection indicates: Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. 73 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 unknown. LIMITING SITE FACTORS (sloae,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (deaends on soils,water table,etc.): � COMMENTS: Date of Inspection eptic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properly� but is merely an opinion of the adequacy of the system under current conditions based on the available tnformation. This report must be kept on the premises with the system locQtion and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER � /�7�A T�� I I�� ADDRESS �/ N �1�1�I� �'/i��'`� �/r PERMIT NO.'S. �v{� DATES ���� CONTRACTORS -s-�t11� `' �`�- City Ordinance No,210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage treatment system at the above address has been inspected and appean to fall into the category checked below. (This is �an existing system ❑ new construction) � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. � 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in�cordance with previous codes.System appears to be functioning properly;�o major upgrading of the system is required at thi:time. � 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating adequately at this time,but has a relatively high potential for future problems. No major upgrading of system is required at this time. � 4 System may or may not meet current City atandards for design,construction or location, but is failing to properly treat and dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION (m Checked items may require your action) Tank inspection indicates: 7�''�.Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.l If tanks ❑ Solids accumulation i�tanks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help prevent future problems. should be pumped out now. ❑ Solic� accumulation in tanks ia at a critical level. Tanks Drainfield inspection indicetes: should be pumped out as soon aa possible. ❑ Orainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surfa�discharge. ❑ Drainfield is saturated and visibly dischargi�g untreated ❑ Inspection risen missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risera (4"dia.pipe)mutt be installed in each tank ment or additiona to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Futu e Expansion ❑ Soil table and system condition) �Adequate ❑ High water table ,�-�ow O Fair ❑ Lot size ❑Medium O Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: � � UI/' �LbJ'1 � � � � �Y�6�m�. �a9-91 Date of Inspection Septic System Inspector Note: In the event that this i�spection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing 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 with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner