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'° Minnesota Pollution Compliance Inspe�tion Form
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55755-4194 (S$T$�
Doc Type:Compl�ance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control l�qency(MPCA) For local tracking purposes: I
requirements and attached forms—additional local requirements may also apply.
Submit completed form to Local Unit of Government(LUG)and system owner I
within 15 days
Systern Status
System status on dats(mmlddlyyyy): 3120/201T
� Compliant—Certifcate af Compliance ❑ Noncompliant—Notice of Noncompliance
(Valid for 3 years from report date, unless sho�ter 6me (See Upg�ade Requirements on page 3)
frame outlined rn Local Ordinance.)
Reason{s)for nortcompliance (check all applicable)
❑ Impact on Public Health (Compliance Component #1)—Irnmrnent th�eat to public health and safety
❑Other Compliance Conditions(Compliance Component#3)—lmminent threat to public hea/th and safety
❑Tank Integrity(Compliance Component #2)—Failing to profectgroundwater
❑ Other Compliance Conditions(Compliance Component#3)—Failing to pr�tecf gmundwater
❑Sail 5eparation(Compliance Component #4)—Failing to protecf grourrdwater
❑ Operating permiUmonitoring plan requirements(Complrance Component #5)—Noncomp/ianf
Property Information Parcel !D#or SeGTwplRange: 2i118234100�2
Property address: 1805 Sixth Ave. N., Orono, MN Reason ior inspection: Property Transfer
Property owner: Laurent Migault _ Owner's phone: 612-216�646
or -
Owner's representative: Representative phone: _
Locaf regulatory authority: City of Orono Regulatory authoriry phone: 952-249-4600
Approximafely 2-1300 gallon septic tanks,1-1500 gallon lift station and 780 square ieet of mound
Brief system description: rockbed.
Comments or recommendations:
Certification
!hereby certify that all the necessary informa6on has been gathered to determine the compliance status of this system.No
determination of fufure system performance has been nor can be made due to unknown conditions during system consfruction,
possible abuse of the system, inadequate maintenance, or future water usage.
Inspector name: Jose h J plson Certification number: 1255
Business name: Rust Qlson's Soil&Perc.Testin License number: 810
Inspector signature: Phone number: 763�98-8779
Necessary or LocalEy Required Attachments
� Soil boring logs ❑System/As-built drawing ❑ Forms per loca!ordinance
❑Other information (list):
www.pca.5tate.mn.us • 651-296-6300 • 800-657-3864 • TTY b51-282-5332 or 800-657•3864 • Avallable in altemative formats
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Mar 28 2017 1022AM HP FaxRusty Olson 7634988290 page 3
Property address: 1805 Sixth Ave. N.,Orono,MN Inspector initials/Date: J.O.3/20/17
1. lmpatt on Public Health—Cornpliance component#1 of 5
Compliance criteria: Verification method(s}:
System discharge sewage to the ❑Yes � No � ��hed for surface ouilet
ground surfacs. � Sparched for seeping in yard/badcup in home
System dischar'ee sewage to drain tile � ❑Yes � Na
❑ Excessive ponding in soil system/D-boxes
or surface waters. I ❑ Hameowner testimony(See CommentsiExp/anetion)
Sysfem cause sewepe backup iMo ❑Yes �No � 'Bladc soil'above soil dispersal system
dwelling or establishmeM. ❑ Syatem requires emergency'pumping
Any"yea"answer above ind/cates!he system is � Pertortned dye test
❑ Unable to veriFy(see Comments/Ezplanation)
an lmminenf Threat to Public Health and Safety. ❑ Other rnethods not listed(See Comments/Explanatron)
CommentafE�lana0on:
2. Tank Integrity—Compliance component#2 of 5
Com liance crit�ria: Verificatlon method(a):
Sysiem consists of a seepage pit, ❑Yes �No ❑ Prabed tank(s�botiom
cesspool, drywell,or leaching pit.
❑ Examined construction records
Seepage pits meeting 7080.2550 msy be ❑ Exarnined Tank Irrtegrity Form(Attaach)
corn liant i�a!lowed M bcal ordinanoe.
Sewage tank(s)leak below their ❑Yes �No � Observed liquid level belo�v operating depth
desi r�ed o eratin de ih. ❑ Exarnined empty(pumped}tanks(s}
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"bladc soil"
Any"yes"answer above indlcates the ❑ Unable to veriry(See Comments/�cplanat;on)
system Is Failing i�o Protect Groundwater. ��her methods not listed(See Comments�cpranaSon)
CommentslExpla natbn:
Elmer J. Peterson Company pumped the tanks
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole oovers are damaged,cradced,unsecurEd,or appear ta strt�ctutaay unsound. ❑Yes• �No ❑ Unknown
b. Other issues(e/ect�ical hezards,ecc.)to immediately end adversely impact public h�lth or safety, p Yes` �Na ❑unknown
'"SysKem 1s an imminent threat to publfc haaltb and safety
Expiain:
c. System is non-protective of ground water far other conditions as detemvned by inspector ❑Yes" �No
'Syst�em is iafling to prolectgroundwnter
Explain:
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Mar 28 2017 10:22AM HP FaxRusty Olson 7634988290 page 4
Property address: 1805 Sixth Ave. N.,Orano,MN Inspector initials/Date: J. 0.3/20l17
4. $011 Separati011—Compliance component#4 of 5
Date of instatlatlon: 7/10/2006 ❑Unknown Verification m�thod(s�:
3horefarldNUellheed protaCtlonlFOod B6v9rage �Yes � No Soil abservation does not ex re.Prevlous soi!
Lodging4 obseroations by two independent parfies are scrh9clen�
Com lianCe Criteria: un�ess site condltlons have been altered orloca!
requiraments dif/�r.
For systems built priar ta Apri!1, 1998,and ❑Yes ❑No
nof�ocaled in Shoreland or Weflhead � Conducted soil obsenra6on(s)(Anach bo►inglogs)
Protectlon A�a ornotseiving a food, ❑ Two previous ver�cations(Attach bonbylogs)
beve�nge orlodging establishmenf.•
i ❑ Not applicable(Hokiingr tank(s),no drainiield)
Drain6eld has at least a two-foot vertiCal � ❑ Unsble to verify(Sse Commer►ts/Explenatlon)
separation distanoe from periodically ❑ p�er(See Comrnents/Exp/anacia�)
saturated soil or bedrodc.
Non-peAWmance systems built ApriJ 1, �Yes ❑ No Comments/ExpJanatron:
1996,or later or fornon-periormence
systems located in Shoreland or WeNhead
Protection Areas arserving a fbod,
beveraga,or lodging establishment•
Drainfield has a thr+eo-ieot vertical
separation dista�ce from periodically
saturated soil or bedrock`
°Experimenta!" "Othe�;or "Pertormance" � ❑Yes ❑ No Indicate de ths of elevatlons
syatems built under pr�-2008 Rules,�Type IV
or V systems bullt under 2008 Rules(7080. A. 8ottan of dlatrlbution media 105.6
2350 or 7080.2400 (Advanc�d Inspedor �
License required) B. Penodicall aaturated soiUbedroCk 1Q2.8
Dreinfield meets the designed vertical C. tem se eraton 3.0
separatian distance from periodicafly
saturated soil or bedroCk. D. uired com liartoe ratan' 2.8
A►'�y"no"�RswerabOve indic8te5 the system 1s •May be reduced up to 15 percent if allowed by Local
Failing to Protect Groundwat�er. Ordinance.
5. Operating Permit and Nitrogen BMP"—Compiiance cornponent#5 of 5 �Not applicable
Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is
requl red
Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes",B below is required
8MP=8esf Management Practioe(s)specified in the system design
If the answer tn both questlons!s "no'; thls section does nct nood to be comp/eted.
Compliance crite�la
a. Operating Permit number: I
Have the Operating Permit requirements been meY? � ❑Yes ❑No
b. Is ihe required nitrogen BMP in place and properly fanctioning� ' ❑Yes ❑No
Any "no"answer indicates Noncompliance.
upgraae Requ�remenrs(n�linn.stet.§f 15.ss)A„Jmmrnenr mreat ro poalFc neand snd satery pTnr�s1 musr ne upqraded,ieplaced,or Rs use
discontinued wi(Mn ten months of roceipt of thls notiae or within a shater period il raqu/red byloce/orCinance.If U►e system is feifrng to prot�ct
ground watBr,8he system must be upgraded,r9pleCeCl,or its us9 disCOnlinued within the drne requir�d by(ocel ordirtance.!f an existing system
is rrot failing as defined in law,and has st leasf fwo fsef af dasign aod s�eparation,then tfte System naed not be upgraded,repafred,rt9placed,or
ils use dr'sr.ontln ued,notwithstarrding arryloce!ord�nance that is mor�sirict.Thls piovisian does not epRly to systems in shoreland ardas,
Wellhead Protection Areas,pr those used in connection with food,beverage,and lodgirp astablishments as defined!n law_
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Mar 28 2017 1022AM HP FaxRusty Olson 7634988290 page 5
• Tank Regort
Date: �rch 20,20"7
Elmer 7.Yeterson Co.
5921 Dague Ave.
Deluno,MN 55328
Phone?63-9'72-2420
Fax 763-972-7217
�IPCA License#219
Laurent Migault
1805 County Road 6
Orono.MN 55358
612-218-46R8
Baflles:'�,ON ; O1�F'
Tanlc Capac:ity: 2-�30o Gellon Tanks,1-1500 GaAon Lift Slgtion
{r of Tanks:_� �
i'ype of Tanks: Concrete
Gallons I'utnped; 4000
Manholes ta Gcade:j� YF$� NO
�J
Commencs:
On ftiSarch 20,20'7,Elmer J.Peterson Co.pumped seo6c�nks. No cracks or water lealdng in tanks a;
that time.
NOTE:"I'his is only a lank report. This is not a cu�npliaaoa inspeclion for poi�rt of sale nor doas it
replace a complience ins�xction,
Mar 28 2017 1022AM HP FaxRusty Olson 7634988290 page 6
, Pr�7eRy eddross: 1905 County Rond E Inspecbor initielWate: _3I20l17 _
�
f, Impatt on Public Heakh—Compt�nce component�t�ot 5
Compiiencs criesria: YNII1c�tlon method�s�:
SystBm dieChe�ge eewage M fhe ❑Yes ❑No ❑ �rched for aurTxe ouUet
�round eurfece. ❑ $�arched for seepk�g in yardlpackap in tqme
System dicctwryo sewaee to drain tila ❑Yee ❑No ❑ �we ponding In soil syatenVOfiooces
Or wfiaco watsra. ❑ HomeoMiefa►ta�tlm�Ml(bYe Comm�nk/E,cplerNNon)
Syatem cauae sewipa bx#up Irrto ❑Yp ❑No � �81ad�wiP abov9 6a1 tllepefW syMem
tlwalling or Ea�abAshmenl. � �°m�Oa���a'^m'"Q
❑ Peifortned dye tast
Any�yae"d►awvr abow frrdlcatas tM ayatam[s ❑ Unable fo vaify{see commenrmErpa�oru
����t���p�f����S��• ❑ Othar methoda not Itsted(See Conrnenfs/EKpfarraHonj
CommaMslExplenation:
2. Tank Integrity—Compllance component iR2 ot 5
cam Isnce erita�la: --- VoNlic�tlon mathod(i):
Systwn catelats of a seepe9e Pi►. ❑Yes �No ❑ Probed tank(s)bot6om
eesspool,dryweA,or Isaching pR, ❑ �minetl o�onstrudfpn reCords
S�epeD°pMs'ro°6rg�Dd02SSpm°Yb° ❑ ExaminstlTanklMegAtyForm(Alteeh)
can�P1!urt N�nowdln lbal ordw+ano�. _. ❑ Obeerved Ipuld level below operaUnp dePth
Sewegs tar+k(s}leak below their ❑Yes �No � �����1e��s�
desianetl cperatiny depth,
If yes,which sewage tank{s)leeks: _.__ ❑ Probsd oulside lank(s)kr"bladc toiP
-- ❑ U11ib18 to veAf�'(Sea Qxnmente�Explanatvn)
My«yYS••sAswer above indk+rNs fhe ❑ou�«men�ods na��stee(see cemn»nla�xplaneud,)
system Js FailJnB to Protec!Groundwat�u:
CommemtlE�Isr�etbrc
On 3l20M7,ElmerJ.Peterson Co.pumpe�itev�ka.
3. Other CompNan�Condittons—com�ianoe componenc rq ot5
e. Meir�ta�ance Ible�eis are damegsd.aeelted.urueared�a apFwar m sbuchirely urwound. �ves' Q No ❑Unknown
b. O1her fstues{suancdhara�,Ne.)to irmiediably and advaraely impact pub�FNaIM oraabty. ❑Yes• ❑No ❑Unbwwn
'Sysam b�n Ynmlrwnt tlnart to publlc hoaMh n►d snMy
Explafn:
c SyaEem h non-prolee�Ne of qarnd wa�r tor olher cmditione ae detenrined bY inapedor ❑Ya' ❑No
'Sf�an ia/alfing to pret�clQ/aredwal�r
E�Iak►;
www.pa.uate.mn,u: • 651-2%-6300 . 60a657•386a . TTY641-282-5337or8W-557•)86a . AvaMableNallemaWaformab
, wq•ww�ts�)1 . 7/24!)1 P68eioj7
Mar 28 2017 1022AM HP FaxRusty Olson 7634988290 page 7
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Mar 28 2017 1022AM HP FaxRusty Olson 7634988290 page 8
Soil Ubservation Log
www.SeppcResource.com vers 12.4
Owner Information
Property Owner/project: Laurent Migault Date 3/20/2017
Property Address/PID: 1805 Sixth Ave.N.
Soil Surve Infarmation ❑refer to attaa�ed sa�s�rvey
Aarent matl's: ❑� lill ❑ Outwash ❑Lacustrine ❑AHwium ❑Organlc ❑Bedrodc
landscape position: ❑Summit ❑Shoulder 0 5���ope [�Toe slope
soii survey map uniu: L3713 slope % direction- Linear
Soil Lo #1
0�"� � gt Elevation 104.7 Depth to SHWT 22 Inches
De th(in) Texture fragment�o matrix eolor redox color consistence shape
D� Topsoil <35 10yr3l2 Loose Loose Single grain
6-22 Loam <35 10yr4/3 Friable Strong B�ocky
22-28 C2ayLoam <35 10yr5/4 10y4/8,1-6/IOy Firm Strong Prim�atic
<35 friable �y�e� $'nglegrain
35-SO gtanulat blocky
�SQ firr►1 moderdte Pn�atic platy
rigid strong massive
�3$ loose loose singtegraia
35 -50 friable weak granu�ar btoeky
>50 f m'' moderate P����� p►�
rigid Stc'ong massive
Comme►�ts:
Mar 28 2017 10:23AM HP FaxRusty Olson 7634988290 page 9
1805 Si�h Ave. N. Soil Lo #2
���9 ❑Pit Elevation 103.7 Depth to SHWT 16 Inches
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-6 Topsoil <35 10yr3/2 Lo09e Loose Single gain
6-16 Loam <35 10yr413 Friable Strong Blocky
16-24 Clay Loam <35 lQyrS/4 10y4/8,1-6/10y Firm Strong Prismacic
<35 loose loose 5;,,�te�rain
35-50
fi`iable weak granuler blocky
7$Q fim] mOderete Fr+smetic platy
rigid � S�� massive
<35 friable �,�� s�ngle grain
35-5� �anuiaz btocky
�Sp f� moderate prismatic placy
rigid str'ong �ssive
1805 Sixth Ave. N. Soil Lo �3
❑Boring ❑P�t Elevation Depthto SHWT
Depth(in) Texture fragment% matrix color redox color consistence de shape
�5 loose ioose singlegain
35_SO friable weak gran�tar blocky
�SQ fin11 modeCStO Pn�ic platy
rigid strOng �sive
�3� fr able �y� single grain
35-50 granular blocky
f� moderate prisrnatic plary
>S� massive
rigid slrang
<35 loose loose singlegain
35-50 friable weak greno�ar blocky
�SQ firnt cppder�ate Prismatic platy
rigid s�png massive
�5 laose loose single�ain
35 -50 fr��1e �Ye� granuter b�ocky
>5D fi� moderate prismatic platy
rigid y�png massive
<35 loose loose singlegraia
35-SO friable weak granute� b�octcy
>50 f� rnoderate P�m��c platy
rigid strong m�"'e
1 hereby certi his work wtrs completed rn accordance with MN 7080 and arry local req's.
Rusn�Olson's Soil& Perc 810
igner Signature Company License#
o _ __
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��- CITY of ORONO
,���
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� �G Street Address: qsa-a49—�6o O M�iling Address•
�,�j�`gg0�" 2150 Kelley Parkway P.O.Baoc�
�ono, MN 55356 , Cr�al 9a�r, MN 55323-0066
To Current Owner: Address: I��S S;X�'�. �V t, � .
City Ordinance 199 requires 1�at each existing on-site sewage treatme�t system in Orono be inspected every two years.
The on-site sewage treatnient system at the above address has been inspected and appears to fall into die categories checked below.
SYSTEM CONFORMITY (1-3): �
1_. "CUDE`SYSTEM"An ISTS vvliich meers all We -
location,design and conshucbon sfaadards of the cucreat Orono Municip�l Code.
2 "COMPLIAIVT SYSTEM" An LSTS which does not meex all We bcati�,design and c�ucxion stan�rds of the current Orono
Municipal Code Mrt does meet We duce foot se�azation req�ue�ent�two Eoot require�ne�nt for systems instelled 1996 or earlier,and
wluch is not failing or an immineaut Wreat to public health or safety.
�3'�"NON-COMPLIANT SYSTEM" A pcoh�ited LS1s;an rsZs located w;th;n a aesignaced loo-year flood plain,any LSTs wluch may
��or may not med all the location,design,or construcri� stan�rds of ibe cum�t Orono Municipel Code and whic�is failing for any
reason;and�y LSTS wiW l�ss than three fee#of unsa0uated soil or sand betw�e�We dish�'bution device and d�e limiting soil chatadaistics.
TANK CONDTTION t5-71:
Tank inspedion 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 Pwnped. 11"1�'q� 1.
Make sure seatir tu�lcs are�n�r�ed tbro�h e�aahok aud aot throu¢h w�ite i�suectioe uiaes. This allows for t�e orouer
cleani�s. Keee wster set�er aad ir�n#'ilter disc�nrge out af sentic svstem to urolo�s life of drainfield. Ask aemuer to test
�tarm floxt te xerifv s�larm is sti11 worltiee ie vour`oase. T�e alarm waras�waer ffiat�is about to bsckaa iato basement
7 �nspection risers missing-tanks could not be inspec�eci. �nspection risers{4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last thr�yesrs,they should be pumped out now.
IELD CONDTiTON 8-10 : � .
R nrainsela is ary,no surfacing ev;aen�-
9 Some evidence of surfacing,noi critical yet
10 Drainfield is sat►u�ted and visibly discharging untreated effluent to the surface. Contact the Gity Inspector
immediately.Repairs must be compl�ed within 9U days.
Cp �CS;��.�cW �S �� �o� \�j' �-- c`^��d— � �
CCQ\0.c ' � �� �1--3\- Zo�U _ Qv�a sc�}�t- �^l� �.,.�.<� .�� ��^_
.
10-\Z-o�+
Date of Inspection Mau sotterman- se�ic system tnspecbor
Nou: In the evmt ffiat this iaspxtion report is used to satisfy We requrc�ts fa a mortgage or oma traosfea of property,be adviged that this report does
not guarantee ��t6at an e�cisting sysoem will contimue w function propetly, but is merdy�o�inion of the adaryacy of the system undes curre�t
oonditions based on the ava�lable�fam�ion.
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s��°�T� CI'T`Yof �RONO .
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,�'t'��i�'.�t!;,,`,�a �,~'
��;►-,;;,Og�i Street Address: Malling Address;
�'SI'j . 2750 Kelley Parkway P.O. Box 66
Orano, MN 55356 Crystal Bay, MN 55323-0066
. 95d-�4q-4600 �
To Current Owner: Address: � g Q s S�X-��. ��/�, N ,
Ciry Ordinance 199 requires that each existin�on-site sewage treatment system in Orono be inspected every two years.
The on-site sewaae treatment system at the above address has been inspected and appeazs to fall into the categories checked below.
SYSTEM CONFOR1�tITY (1-31: „�
1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Oroao Municipal Code.
2 "CO�iPLIANT SYSTEM" An ISTS which does not meet all the IocatIon,design and construction standards of the currcnt Ocono biunicipal
Code but does meet the three foot separatian rcquirement or two foot requiremeat for rysterru irutalled 1996 or earlier,and which is not failina o�
� 'an immiaent threat to public health o�safery.
"NON-COyiPL1ANT'SYSTEM" A prohibited ISTS;an ISTS located withia a datgnatcd 100-year flood plain�any ISTS which may
or may not meet all the location,duign.or construcGon standards oFtju current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand betwccn the distribudon device artd the timidng soil characteristiu.
TANK CONDITION(5-.71: 6 .. �
Tank insYection indicates: � . . . .
5 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_ �1-10--`'i� l.
blake sure seatic tanks are oumaed throuah manhole and not throngh white insoection pipes.
This allo«s for the nrooer cleaning.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)musi be installed in each tank.
8(�INFIELDCONDITION($-tQ�: �
Dninfield is dry,no surfacina�vident.
9 Some evidence of surfacin��not eritical ye� . �
10 Dninfield is saturated and visibly dischargina un�eated effluent to the surface. Contact the Ciry Inspector
immediately.Repairs must be completed within 90 days.
co�,�rrrs: a<<,�.��:��� ; s �d�,- <<��. �;��T ��J �.vsr bc r� iR�:�
S� �Z,3�-Z.a1a - PL�p SeQ�-� i-��l(� �e,��-- SLr..�t�_
\ � -� -L�1- ��
Date of Inspection biatt Bolterman- Septic System Inspector
Note:In the event that thu inspection rcport is uted to satisfy the rcquirement�fa�a mortoage or othet transfer of properry.be advised that tl�is report does not gu��.���=
or certify�kst an existing rystem wili continue to function properly,but is merely an opinion ofthe adequ3ry of the system under eucrent eondidons based on the avaiiabie
infomution.
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�� Y CITYof ORONO
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\� � , i�� `4� Street Addross: Mailin�Addross:
�'�g H O 2 1 5 0 K e l l e y P a r k w a y P.O. B o x 6 6
Se ptemb� 00 Orono, MN 55356 Crystai Bay, MN 55323•0066
Raymond R. Olson
1805 Sixth Avenue North
Long Lake, Mn 55356
Dear Mr. Olson:
An inspection of your septic system �vas conducted on September 5, 2000. A summary of the
inspecrion is below.
Septic Tank Condition
1. Pumpout not needed at this time.
i
The septic system is non-compliant due to a lack of a three foot sepazarion distance bett�-een the bottom
of the drainfield to the seasonally high watertable. The three foot requirement is a State Code,not a City
Code. A soil boring was conducted to determine the depth of the seasonally �vatertable. The septic
system must be replaced by December 31,2010.
Enclosed is a list of state licensed septic contractors who �vork in Orono on a regulaz basis. Also
enclosed is a fact sheet ehplaining how a septic system functions properly. Finally, an as-built dra�vin;
is enclosed that sho�vs 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.
Respec ,
r ��J
's Pence
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 esisting system will coatinue 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 rvith the system location and pumping records.
Telephone(952)249-4600 • Fax(952)249-4616
www ci.orono.mn.us
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;�;, � ,, �r�,- :; ,� CITY of ORONO
` �` ,�y ; �, lS� Municipal OtTices
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� � '' � r F�� �G Street Address: MaiUng Addross:
�`9�C'Egg04' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: ��' ,,�J J�-�} � Address: 1805 Sixth Ave. N.
Permit #'s: none Dates: Contractors: unknown
(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 ide�itified, this classifiestion is subject to revision.)
TANK CONDITION (5-9) : 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.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [ ] or are hot [ ] water tight or the condition is [x unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
DRAINFIELD CONDITION (11-14) : 14
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.
�4• 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 feet and the system is non-compliant. Repair or replacement of the septic
system is required by 12/31/2008.
C�,�,��� �' ,
Date of Inspection Se tic System Inspect r
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 � � ON—SITE SEWA(;S TREAT�ENl'
INSPECTION REPORT
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���k o4�G
EsH
Owner• q Address• !�)VJ ��l I�/ h �• .l V�
�
Permit #�'s: Dates: '� Contractors:�/h�.l�
City ordinance number 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 CONFORMITY (1-3):
f "CODE SYSTEM��-A system which meets all the location, design, and construction standards of the current City
Codes, end which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
"CONFORMING SYSTEM"-A system which does not meet all the location, design, and constr�tion standards of the
current City Codes, but uas 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 discherging
any pollutants into ground or surface waters.
3 "NON-CONfORM1NG STSTEM"-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 so�l characteristics.
(The limiting soil characteristic [ ] has or 1�1 has not been identified at this time. If the limiting soil
characteristic has not been identified, this �lassification may be subject to revision.)
TANK CONDITION (5-10):
Tenk inspection indicates:
5 Punpout not needed at this time.
6 Solids accunulation in tanks indicates they should be punped out this year to help prevent future problems.
7 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. 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 installed �n each
tank at next pun�out. If tanks have not been punped out within the last three years, they should be punped
out now.
i 1 Inspection pipe is located directly over tank baffle (does not give eccurate measurement of solids accumulation).
� If tanks have not been punped out within the last three years, they should be punped out now.
DRAINFIELD CONDITION (71-14):
Drainfield inspection indicates:
11 Drainfield is dry, no surfacing evident.
12 Same 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.
�Drainfield extent and condition unknown.
LIMITING S1TE FACTORS Cslooe,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (decends on soils,water table,etc.): �
C MME TS:
Date of Inspection ep ic 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 cert�ty that an existing system will continue to function
properlyi but is merely an opinion of the adequacy of the system under current condit�ons besed on the available
informetion.
This report must be kept on the premises with the system locetion and pimping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowrror