HomeMy WebLinkAboutseptic info ___ 04/15/2010 11:58 763498829�0 RUSTYS PERC TESTING PAGE 02 /
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` M���esota Po���x�o� Compliance Inspection Form
. Control Agency
520 Lafayette Road North �Xlstl� �ubsu�aC� 8�wa9! Treat111�et Syste�ns (SSTS)
sc.paui,nnN ss�ss-a�a4 Instrudions on page 7
Parcc�ll number. 3111823120007 For Local Trecking Pucposes:
System steWs: �CompiaM ❑NcnoomPliarit � � � _ i j *
(based on aN COmp/la►►ce►�lrementa) i k
. ,
Sum�nary For�n ,
Property Informat4an
Properqr owner neme(s): Mk�eet&Rebecca Nelson "
Property eddres�: 4280 Stxth Av�N. Orono MN�i.",3�W
Properiy owr►er's address{d dMeron�: . �
Cvurtty_ Hennepin Properly awner phone: Pertnitti�g aut��oRty_ City of Orono
pete eys�bam oon�lruc�ed- 1 W16/00 Reeaon ior inspec�on: Property Tranafer
System DescHption
Approobrl►9t6ly 2-t000 gallOn eeaRfc tahlcs� 1-1000�allon lift Steibn and Approxfmaeely 380 aquere
Brief sys�n deacripdon: iaet o(mound rodcbed•
Lxal peimit number. ?298 Numbmr of bedrooi►es: 3 Desi�n 11aw rate: .83
Is ths sps�m: '
i�sno��r,d�� p v� {�r�o In WeNAeed Probedlor�Ar�i? ❑Ye$ �No
An U.S.EnvironmenEel Pro�eciton 3yst�em serving a Minne'aa�DepertrneM
A�en�y(EPA)CIeaB V inj�tlon Wd17 D Yes �P!o of Heath(MOFi)Iicenae�!fe�dlity? ❑Yes �No
CompNahc� Ststus(easod on et�te►equiremeMs-aadnlone��xa�ro�irementa may e�so apply.)
6ased on the U�farrnerion g�thered and reporoad on�tt�ched forms.�te oompiianoe stetus af thi�sysUem Is(d�eck o�e):
�Ceniticste of CompElerioe—vaffd until(3 yeers 1ran dat�of�epo►�: 4JBR013
❑Notfce oT Nanmmpllence-Fcr Nonoompliar�t systs�r�s:
The reasvn tor rwncan�la
Thls non�ompllar�t�y�sm Is cla�itisd as ch�ek on�belaw):
Q 1mmlr�M threat to{wbl�iieal�&safely �Falling ta prtited grvund wede� ❑Not in oomplianoe wlth operaiing permit
C@f't1flCatI011(Completed torm mu8t be submhtad to fhs looal umt of govemmeM wllt�ln 1S dm�rs.)
r ner�by oert�y u�ar ea the neaessa►y intwmetfvn has be�n gatheied ro determire the canp�Jenoe sralus af ri�is sysrem_nAo
det�mtlnadon af ffuh�ie sy�tlem pe�ibrmenoe Aas besn rta cen be made du�e b unb►owr►c�a�d/do�►rrs duri►ry system oonstnecdon,
po�saolblVe abuse of the system,!►radequaDs meli�onence,or fiRwe water usa�s.
N.me: Joseph J.Oison C.erdflCaUon numbe� 1256 ---
8usiness liCense name 8rM numbec Rusty Ohon'a soil�d pe�a�le�fon�astln0 l-fc#�10 or
Nems at bcal unit of goMemmen� C' of Orono - --
Signature: De�te: 4M 2/10
Required Attachments m�oo�com�ste:Th�s�nspect�o���Port k�pa9es�on�.
Cheak compllAnCa fomw altached: �Hydraullc Perfortnenoe ❑Tank Intagrity �Shc Separatlon ❑OpereCing Pertnh Form(If
appllcablo) ❑sYst�m a�winplAe-0uN[drawin0 O��af any loc4{requl�mbt�ks ttist are dlPferont lrom whet la requNed on thls
fum �Soll 9orin6 tvas []Abaodanrt�r►t fomi(IF,aDPtopf9Y00),[]Ofher InTortn�dbn(Ibt):
Upg�ads R�qutremsr�b fdrrlrsd hom A�nn.S1et§11�ss)M,lm�r�a+1 d►�est to p�Ye ne�m ano sa�b IniPHS)must as uyqoao�a,npuoia o►
1�1me dk�nmm�uad�Idn Aan mcntlrs d ncaMpf of UII�noNc1 Or WdNn e a11o�1erPe+lbd Nnq�drsd bY loo1V dQlMna�.R d►e ay�n At/e�p to p►oNCt O�ntl
waf�r,Vw ayahm mu�ba uAD+ads��a�M�d or�a uas�wr0 wl�Nn tlhr EAn��rbed bY bcd or�lrrarroa 1f an axbw,v s�rn la not M�fnp es C�MMr�01n
a,�,.nd n.a ar►e�u n«��r w o.sr�s�r��uo+,.e�,.,n►.�a.�n n..o na w u�,aaed,���a ns us�a�a�d��d,�►wrnv+�►r
rocel adlneqoe d►et(s morr aDkt 7htr pvNmbn do�a not eAaY b aya�e M�Aohlsnd ers�s,W�d Protac�bn as�ar N►oa�usod M oo�nec6ra►�l,�bod
p�y�rip�,N101oCp��D o�b�ananm es dMbied M Asw.
wq-wwfsts�-3f � . Comp/tance Ins�attlon Form jor Existinq SSTS
4/4/OB
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„ 04j15/2016 11:58 7634988290 RUSTYS PERC TESTING PAGE 03
parosl number. 31118231Z0007 ���: �C�� ❑����
. ,
(as deAvrrnJned hY this fb�rm)
Nyd�11iIC PAKO�Iti1MIC0 eMl OtIN�r Cq1lp�laAC� . ' .
Comptiante Issue #1 o�f 4 ; .
Oste of oba�valiar 4/�9/10 Reseor►tcr observalfon_ , Pobperti T�� '
This Tvnn eocPi�effi upon nmd insps�on or in 1Mee yeais�whicl�ooaes� 4K16/13 '
Cp��lyncs que�qpnsifxibe�t:(Requirec� 1/s�ifld�lion Mertllod':(O�ior�al)
Greck the bwr � (Clieck nrs epp�p�da barl
�oes the sysMem dis�ar9e�w�a�the ❑Yes �No � Seard�ed for suRsce ouUet
ndsurf�oe? [] p�p�.�rauNc�eat
Doet�e s!►s�e c�d�e sew�o tio drain ❑Yes �NO � Seerd�ed tOr seepin9�+�rd
a�staoe waws'r
Doas�mystem cawe aswea8e b�ckuP ❑Yes �No � Chedoed f�bacJwP In homa
i�dwsl or ❑ F�ooe�ei�ponding in soil SystenW-b�ces
Do otl�er s�wBoro e�ast It�heve Ihe C'Ye� �No [] Homeo�wner bstimor►�►
pp�rbisl tn krvried'aitey and adrergelq ❑ �mpd 1�cr wr�ing in tar�c
Impact or tlHsetsn pub�ic tie�llh ar ea4ety
� �? � ❑ '61�Ck aa�”above soil dispereal eys�m
Mp��s"an�sw�r�nd�s tlwt tlk�n�an 6n�rMr�rrt ❑ System req�'�srp�o!►�i„�P�9
tlwMt�o p��llk Awltl►a►�d talbq�
❑ Petformsd dy4'�
Dosi�e sya�n Po�e a�1t�t b�pro�d ❑Yes �No (� p�;
w�Aerfa en�l oor�ilions�eaned non- ;
deleraired the ; ,
ry�w6..w�4�w�y�/w����W�/����rrrwr�W�� . . .
���!R•II«r�1���IIYW�Ir �� *I�fI WOIf/W V��fi�. �MD{���f/i�f1�7���V�
IA�JB/1a9�O�f.AO/'dO�S h�ti Wldl�/
f.�0//�1�d18 8/e/1606SSil/��O R191(B�IIS d�lilUlf8G�011-
t
Certiflcation �
This 6arm is t��e oomple�ed end etbeched to�e Su�nary Farm•o�E p�e Mlnr�o�e Po�on Contrd Agenc�s(MPCJU�P�
Inapectlon Fam tbr E�dNf�p 8ubaafscs�way�T��bsms.O�sstve�.in�p�s�s.and candusior�s must be
oon�qe�ea ey en�r,�ec�or.C�omple�ed i�orm rru�st bs subrr�bed�01he(ocd unit of gov�mmer�t wlthin 15 days.
propsrly owrror r�ne(s): Mid�6ie1 b ReOeoce Noloon �
propeRy add�+ess: 4280 SbAh Ave N �Orono.Nq�l l�6�19
Pippilrly owner8 eddr�e�(If dilfw�nq: ,
CouMY H�a�in Phur�e:
I he�by osrb�y�1►at 1 perso+�j+rn�de d�e obaervstlor�irdeip�orts.end oandi�ons►epabed on dMs forrr►end Ehet they ere
cars�.�
Ne►ne: Joaenh�I Oleon C�on�umber: 1255
8uaina�s lios��se name and mxnber: Rud1l OMon's�od snd oeicule6on�LJc*810 a
Nams of locx+l CkY ot Orono'
��_.�—
Sg�: Dete: 4/1?J 4
; ^
wq-wwisW-31 CornplMnce leisp�ttion Form Jor Existins SSTS
4/4/A8
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04/15/2010 11:58 7634988290 ' RUSTYS PERC TESTING PAGE 04
--� . �
Paros�rnimber: 31�te23�2000'I ' sy�staa�: �I compl�+t CI Nonoompuane
(ea diell�emwrwd dY thia Go�ml
Tsnk In�s�rit�l�nd �ahtY C�P��� :
Compliance Issue #2 of 4 , ' � .
Dete aF ob�va�on: �JOB/10 Rmeso�,for obeerve�ion. , i Tra�sier
This fam eoq�ires on(Un'e�years): �
Cqnplf�noa qu�stb�lcrib�ris:(Requined) ' Vsriflcatlon M�thod":(�P�one�
cl�a�C�he daar ' (G1nsc#u�e a�oprie�buxJ
poes the syatem oonsiet af e seepsge Pit". D Yes �No �j probed t�k botbm
a � Obseaved low Gquid level
po�ry aew�e 1,ar�k(sI leak below tl�eir ❑Yes ($1 No , � Examinee oor�slnrc�lon reoads
?
�Y������ ❑ Examined emph►(P�tenk
tank Isaks. , ❑ Probed ouleide�nk for"bladc saT
/ury rjws'�nswer Mdcabs tlat HM s�b�n Is�a►probct 0 ,P�+essure/vecuum check
���
❑ Ott�' , PaRerson CampanY
' geePssp Pi�s meedn9 7080.?.b50 maI►De oompse�rt if albwed
in oNinanos by local PemdGfnB eutho�h►• � ,. : ;.';
�"11b s�r�s+d Prntc+aol exist� ThlB Atat is not ezNauatMs�M
�q�or�isr,r�or duea�w�dicate Nddch�ornNlneti�ons
. � � .�eqe necessery b n�ke EINs detenn�nafbn•
Safe�ty Check �
1. Ais any mainlenenos hob oo+rers dam�ad,asdcsd,a adPearod�o be sb�u�nNY unsqund? ❑Ye�• �No
Z. W�s sp m�nbei�nnos hols c�s re�xd M a�sa+red menner(ap..all sawrs pepldoed� �Yea ❑No'
3. Was seoa�darY aooess iesbsint W+e�ent(saTsty Psn.,seoond co�ro�,vr salelY netl1�0)—hghh reoo�ra�s^ded. ❑Yas �Nc
4. Wss arry atl�er�afst�►R�ealth iawe Pro�ent? r r , , ❑Yas' �No
��� '
�ya0wri l�sn�mrn�nt tl�nd in pyblk I�IMh and saFety ,
;4 .�
,.
Certffication . '
�rnls fonn is to be compat�e ana�ed�o the summen►F«m af ine nANn�aote�Pdl�n�coi,tia Agenc�rs(MPCA)canplisnc.
Inapectlon Form fvr Exisqng Subsuf�cs S�wap�T�bnent�-Observedona�k�rp�ons,end oor�uaior�s must be
oompl�d b'!►an 1nsPecbot��r�tak�,or se�viCe profvkbr.(:ompl9ted f4nn h�q,be�uhh��r�iM,�d to ths iocal urdt o�govemme�wilhir�
15 days. ! ' ; � ' '. .
Property vwner neo�e(s): AIGd�ael 8 Rebecca Neleo�+ ' '{` .
Propeiiy address: 4260 Sidh Av�s N. Oraa MN 559�0 . ,,,�;.
Property vwra�s addr�ess(�d�:
CouMy: Herx�in � P��� .
•�
�ns►eap oera9ry►fhat�per�ov�lY,nede fhe obsen►ai�ov�s.rMe�eta�or�s.e�►rd,Gondumians�apoRed on a►is ro►m end met aisy a►e
co►r�cx ,� , � ,
Narrie: JaceDh J Olson _ Ce�iifi�tion number. 1256
Buanea�qcense neme snd m�ribe�: Rue�i�r Olson's aoM e�d ' �esWig Uc�810 a
Nama of locet�m�. C" of Or�o��o '! ,
��: �' pa�e:, 4/'I?J10
'
wp-wN�lsts431 Carngllrinte Inspe�cNoA Fortn for E�dst'!ng 5573
�/I/A6 j' � , ; '�, ' ��' �� ,r"
.
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94/15/2019 11:58 7634988290 RUSTYS PERC TESTING PAGE 95
-�---- � . >
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Pe��nber: 311192312000� Sy8'eem stalus: �I ComPli�nt ❑��
, (as de�errrpned bY fhis 1�cmi1
Soll �atlou Coe�pilance and OthNr Con�pli�nce
Compliance Issue�#3 af 4
Qe�e of observa�ion: Mi08N0 Reason Tor obsetvatlon: Propert�l Tren�
71�is bybrrr�v►r on ti�a l bnr►cloes not eurpirs_
�a q��;�q�� V4rifl�atlon Metliod"�(OP�)
qie (Chedr tlie apaoiprfah bacl
For syslems built pria�April 1.1906�and no# � Conducmd w�o�K$)(���bOs)
IoCa�ed in Shaelsnd or WdFbad Probec�ion ❑ T��veriflcations(a�tect�bodn9 bgs)
Mea or nok serving a�ood,bsMe�age a
lod�in8�ab�f�ent ❑ Othee
Does tl�e sysb�m have at ka�a two-lbot
vertiwl separa�lon dist�ance from pe�iodicaMr
•o�or bedrodc? Yee IVc
For non-parfon'nanoe sYslen�s DuNt AprM�• �
1996�Or le�or fw rwn-pe�fom�enos system8 Sod vbesrvaAlon does nOt exp�e.Provfous obee�va�Or�s
bcs�9d in SNorsland or Welhead P�otedion �by�wo indepe�dent pertles ero sul�icient�uMess ai�9
A�eas or ssivkg a iood.be+re�BQe or lo�inp con�Uons hav�e been 8ltered.
establmhmen�
Doss 1he system hev�e a IF+ree-�oo�veNcal
�aepara�fon�� hom Pe�iodic�►satur�d
Yes No
For reduoed��sye�ams(I.e.. • Mpy be reducsd Dy up[e t S peroent!f eYawied in la.:al
�'eyeterr�s under vld 7080.0178 or
7ypa IV o�V syatem unds�new 7080.2350 or aof�nenoe.
7090.2�00): "No standa►�p►otvod e�dsts. 7his dst�s not exheusdv+�,
Ooes f�e eys�ern meet Ihe dssi�ned ve�fical 1hn�sq�►a�ar�r,nw cJoes!t NMlca(+�wl�ch
aeperation dstarwe from Pe�1od�I�saburatad oorr�inadons eie neaessery b meke Has
sol or rock�' Yee No ���.
Any'rw"+ins�rr NidcaMs tl»t tAe syae�n ts�1�P�
��
C@I'�HG��1�1 .
17,k ronn is tio be oorn�eted acb aAtaa�ea�n the s�►Fvrm of�he IWn�e�ots Poauuon cona�o�Agenc�e(MPCPa complfano.
Inspedipn Fann for E�dsfino Subsurfa�re Saw�s TrotOnMK SYsbma.Ob�rvatlons�k�xp�ns,and vondusio�e muet be
oorr�e�d br a�i��a de�ener•ComP�torm trn�st bs submi!!ed to the locsl unil of govetnment within 1S dnya.
praparty owr�nemo(aj: AAidtae!6 Rebeoca Nelsen
prvpe�ty addre�: 4Z80 5oclh Ave N Ora�o,'MN 563I0
Prcpertr c�wners addiess(�da�e�enq:
Cour�ty: Hen ' Phone:
I hereby�q►�I permn►re�y msd��e qb�ssnrstlons,iKe►Rnatsd�oves,�d oorKaltisio�ns►eporlsd on NMs Ifomi and tl+st d►ey ere
ocned
N�ne: Jo�eph J Olson __ C.ertll�io�number 1Z56
6usinees Noense nartis snd nurr�her. . Rt�l Olson's so�and Oa+cule�ian�Uc�810 �
Neme of bcal und o�F . , , of Oro�
���: .. ' DeEe: �1/'IZ/10
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wq-wwist�/-31 " '[qrhpllance I►�spectlaf Form for ExlsNng SSTS
4/4/0B ,
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94/15/2016 11:58 7634988290 RUSTYS PERC TESTING PAGE 06
_�ri : .
�ASI�Qf��
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LiosnN�10 �
L.oC�tlOn or ProJee� 4280 Socth Ave. N , •
gp�ni�ds by: Rust�Olson's Soll�nd P�+c b�tl�p 4f9/Z010
CbssMcatlon Sysb�n: AASNO : USDS-U808-8CS � X unMod, :Otlwr
Auger us�d(�hralc lw�o�:Hsnd_�(�or PvwM'�Flight.Buaket or Peobv_X
8�nch m�rk M top d bMwnsnt ooncr�e shl�EIv.-100.00 Aasrned
Boring Number 1_Su�fec�eleva4on 97.3 Mottled 9oil at^1.0 feet
0'-8"Dark b�own loam 10yr42 H20 present at X
6"-1�'8�vwn bam m day bem 10yr4/4 , � . _
�2"24�R�sty brow��►bem �0�4 ,
TBM:Top af ex�ny weN Elv:100.00 assurned ; �
Original soil under tl�e rvdcbed Elv:97.0
8otbom c�f nack bed Elv.-99.0 �
ll�em i�2.0 f�t af s�d ut�der the rodcb�d ' "
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'�' CITY of OItONa
�� ��
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��', ,� "�; ��,;'11 Municipal Offices
`' '�,�' '� � ` �''�,�G '' Street Address: Mailing Address:
�9�Esxp'4� 2150 Kelley Parkway P.O. Boz 66
-..:----...- Orono, MN 55356 Crystal Bay, MN 55323•0066
To: The Current Owner of Address �"',��� �:+ � �'�
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
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 9Q 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(s)Pump out Needed
Yes �No
The City recommends the septic tanlc(s) and/or lift tanl:be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
d ( - �G'� � . The tank(s) should be cleaned through the manhole and
not tluough the-inspection pipes, this allows for proper cleaning.
Gomments: �
� - C�
Inspe��� �, � Date of Inspection � �
�'elephone(9�?) 249-=�600 � �'ax (95?}2�9-�&6��,
W'W d3'.C1.00ORO.IP1IH.11S
o _ _ _
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���w- CITY of ORONO
,���,
\ 'r�'+� � ,l��r Munidpal Off�s
� , �'q i.;�, ,�,G . Street Addross: �ISd.-�t49-�'16o O MaiNng Addross:
��0�" Z750 Kelley Parkway P.O. �ox b6
�ono, MN 55356 Crystai �, AMI 55323-0066
To Current Owner: Address: �t�4 �'��' " �_vt /� ,
City Ordinance 199 requires that each exisring on-site sewage 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 COI�IFORMTTY 1-3 : �
.,. _.,. _.:_:� , .... ,. _.., ___ --_ _.,._ _
1 "CODE SYS"I'EM"An ISTS which meets all the location,design and conshudion standards of the caureat Orono Municipal Code.
2 "COMPLIAN'f SYSTEN!" An ISTS whid►does not meet all the location,design and canstruaron stan�rds ofthe c�urent Orono
Municipal Code b�rt does med the ihrae foot separation requir�e,nt or iwo Soot requir�nt for syst�s installed 1996 or earlia,and
wludt is not�iling�an inmin�t threat to public hesLh or safdy.
3 "NON-CO1�Il'LIANT SYSTEM" A prohbited tsTs;an rsTs locared within a a�;,gnscea 1oo-year aooa plain,�y ISTs whic�may
or may�t meet all the location,design,or conshudion stan�cds of the cumut Orono Municipal C.ode and wiuch is failing for any
reason;and any LSTS with less than Wrce fe�of unsapuated soil or sand betwe�the distri'bution device and the limiting soil�cs.
TANK GONDITION(5-71: �
Tank inspection indicates:
�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 pwmped ).
. Make sare sentictanks are nae�ced ffiroa��anhok xnd aot throu¢6 w6ite insaection niaes. T�is allows for�e nrocer
cieaein¢. Keen water softner and iron filter disc�aree out of seatic svste�to nrotoa¢life of draiafield Ask oumcer to test
alarm flos#to verifv alarm is stili wocitia¢in vour�oase. T�e alar�warns owner ffiat seot�ge is aboat to backun ioto basemen#.
7 Inspedion risers missing tanks could not be inspected. Inspedion risers(4"dia pipe)must be installed in each tank. If
tanks ha.ve not been pumped out within d�e last thrce years,they should be pumped out now.
IELD CONDPTION 8-10 : ,� � -
8 Ihainfieid is dry,no surf.acing evident .
9 Some evid�ce of surfacing,not critical yet.
10 Drainfield is saxurated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completsd within 90 days.
CONQvIEENTS: �'`O v� a— �c }��L b o�C � _ C.�c�.,�
C�.\�� a „ S c c,a � �.�tC• v�c c. « co�' ,
\0 —1�1—U� U�ath�
nate of Inspect;on Mau Bolterm�,- se}rtic systen,rnspe«or
Note: In ibe eveat d�at this i�spection report is used to satisfy We requirements for a mortgage�otlx�r transfra of P�P�Y,be adviaed ihat this repoit dces
not guarantee or oeatify mat an e�dsting system will continue to function ProperlY> but is merely an opmion of the adequacy of ihe systean unde,�c�urent
conditions based on the available�formation.
� o� �
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=�`�.:�.y /�� CI�'X of �RO1�T0
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�,� � 4i��- ��� G4 biunicipal Of�ices
���•r-�a- �� �
'Z ''"�'.;;i�� '�Y ' Street AddrEu:
��K�g 2 1 5 0 K e i l e y Pa r f c way Ma ling Addressa
P.O. Box 66
Orono, MN 55356 Crystal Bay, M�4 55323•006E
95d-�4q-y600
To Current Owner: Address: ��L�� �'�Ct� ��� � � ..
City Ordinance 199 requires that each existin�on-site sewage treatment system in Orono be inspected every two yean.
The on-site sewa�e treatmen[system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORI�tITY 1-3 : �
1 '�CODE SYSTEM"An ISTS which mec�s a11 thc location,design and construction standards of the currcnt Orono htunicipal Cade.
2 "COVIPLIANT SYSTEM" An ISTS which does not mect all the location,dcsign and canstruction standards of the cuaent Orono I�iunicipa]
Code but docs mcct the threc foot separation rcquircmcnt or two foot rcquircment for rystems installcd 1996 or earlier,and which is not failino or
an imminent thrcat to public health or safcty.
3 "NON-COvfPLIANT SYSTEM" A prohibited iSTS;an ISTS locatcd within a duignatcd 100-ycar flood piain,any ISTS which may
or may not mcct all the location,duign,or construcLon standards of tju current Orono Municipal Code and which is failin�for any rcason;and
any ISTS with Icss than thrce fcct of unsatwated soil ot sand betwccn thc distribution devicc and thc limiting soil charactcristiu.
TANK CONDITION(5:7�: �
Tanl:inspection 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 �, �
I�Iake s�re septic tan�:s are pumped throuah manhole and not through�vhite insaection pipes
This allo�ti•s for the proper cteaninQ.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tartk.
DRATNFIELD CONDITION -1Q : �_
8 Drainfield is dry,no surfacino evident.
9 Some evidence of surfacin„not critical yet. �
10 Drainfield is saturated and visibly dischargin�un�eated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
CO��ENTS: /`�o�.;�.�� ��� 5 C jt �� -r-.� nc� 5 c' ..JSfi �.+n. e� �
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Date of Inspcction I�Satt Boiterman- Sepric Systcm Inspector
Notr. tn the event that�'�is inspection rcpoct is used to satisfy the requicements for a mortgage ot othet transfer of prope .ry,be advised that this tepaR does not gu�raa.=
ar certify that an existing rystcm will continue to luncdon properly,but is mcrely an opinion ofthe adequaey of the syst:n�nder current conditioru based on the availabl
information.
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�������T-� CITY of OR4N0
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'�` ��� � I���" '�
•� ' '�•�s� r Municipal O�ices
�'��};;,�`��iG " Street Address: �
�g Mailing Addressc
ESI; 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystai Bay, MN 55323•0066
95d-�4q-460o
To Current Owner: Address: 4a6� S-k�. �v� N �
Ciry Ordinance 199 requires t�hat each existing on-site sewage 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.
YSTEM CONFORMITY 1-3 : j
1 "CODE SYSTEM"M ISTS which meets all the location,design and conswction standuds of the current Orono Municipal Code.
2 "COMPLIANT SYS'I'EM" An ISTS which does not meet all�the location,design and construction standards of the current Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems installcd 1996 or earlier,and which is not failing or
an imminent threat to public health or safery.
3 'TiON-COMPLIANT SYST'EM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet a11 the location,design,or conswction standards of t�e current Orono Municipal Code and which is failing fo�any reason;and
any ISTS with less than three feet of unsaturated soil or sand behveen the distribution device and the limiting soil eharacteristics.
TANK CONDITION(5-:7�: �
Tank inspection indicates: . � .
S� Pumpout not needed at this time.
6 Septic tanks must be pumped out this yeu (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped ).
Make sure septic tanks are aumaed throu�h manhole and not through white insoection oipes
This allows for the aroner cleaninQ.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
8�D INFIELD CONDITION!S-�(�): �
Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet. - - �
- �:.
10 Dninfield is saturated and visibly dischazging untreated eftluent to the svrface. Contact the City Inspector �
immediately.Repairs must be completed within 90 days.
� •
CONIlViENTS: M o�rcl q�`c� Se�+; ` �+�k� ( 00�� 0�C_ �e�t�Se�
-� c..\e��. �:\tt� d� Se�r..d s;P�.� . ��1C d��<< � ye5!' _
10 -tC� -O�. �azC
Date of Inspection Matt Bolterman— Sepbc System Inspector
Note: ln the event that this inspection rcporc is used W satisfy the rcquirements for a mortgage or other transfer of properry.be advised thai this rcport does not guarantee
orcertity that an existing system wili continue to funcdon properly,but is mercly an opinion ofthe adequary of the system under current condidons bited on the available
information.
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal eay, MN 55323-0066 � � ON—SITE SEWA(3E TREATI�NT
INSPECTION REPORT
�' G~
�9kEsKo4'�
owner: �_�t•ri 5�hd1 CDlG�7 V'� Adare s s: �2(s�(7 Sr`x�. ,9.v�.n1 �553�5'6 �
Permit #�'s: � Dates: 3—.3C�—G y Contractors:�('(�V/�`l/�
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 inspected and appears to fall into the category
checked below.
(This is �an existing system [ ] new construction>
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 '�CONFORMING 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 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 characteristic �Q has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been ident�fie8, this classification may be subject to revision.)
TANK CONDITION (5-10): G�
Tank inspection indicates:
5 Punpout not needed at this time.
6 Solids accumulation 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. aT nks should be punped out as soon as possible.
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. lnspection risers (4�� dia. pipe) must be installed in each
tank at next p�mpout. If tanks have not been punped out within the last three years, they should be p�mpcd
out now.
10 Inspection pipe is loceted directl over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pu�out within the last three years, they should be punped out now.
DRAINFIELO CONDITION (11-14): �
field inspection indicates:
11 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be campleted within 90 days.
14 Drainfield extent and condition unknown.
LIMITiNG S1TE FACTORS (sloce,setbacks.etc.): ���,�.�.yy(0�
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.): ���_
� � � � ���
COMMENTS: J �
r �
_ Z.v�b ^
Da f p on Se t'c Sy tem 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�fy that an existing system will continue to f�mction
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
informetion.
This report must be kept on the pre�nises with the system locstion and punping records.
WHITE COPY/Inspectors Ffle YELLOW COPYIHomeow�er
� o�
o�,�_ o
,��,,r��,_;� � CITY of ORONO
r��,, '��`� '��F r" �lS� Municipal OtTices
� ����
��`;�'��j�,'��`�" G S t�e e t A d d r e s s: M a l i i n g A d d r e s s:
�'9k'EggOg'� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner� J� ��`-�.�1 4
� �� Address:4260 Sixth Ave. N.
Permit #'s:1437 Dates:3/30/64 Contractors:McWilliams
(This is � an existing system [ ] new construction)
SYSTEM COMPLIANCE (1-3) : 3
1 Code Svstem: Meets or exceeds current City standards in all respects relating to
design, construction, and location. Appears to be operating properly.
2 Compliant Svstem: 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.
� Non-Compliant Svstem: 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 (� has or [ ) has not been identified at this time. If the
saturated soil level has not been identified, this classification 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.
� Inspection pipe is located over tank baffle-can not measure solids accumulation. If
tanks have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or �J were not
confirmed to be watertight by the licenaed pumping contractor. If the tanks were not
confirmed to be watertight, this classification is subject to revision.)
INFIELD CONDITION 11-14 : 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.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (svstem aqe and condition, soils, etc. ) : medium
CONIl�IENTS: The non-compliant septic system must be repaired by 12/31/2006 or within 90 days
of failure (surface discharge) , whichever comes first.
���= � r__„��
IIY�.
Date of Inspection ep c System Inspector
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 eox 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
ti
��9kESH���G
Owner: / . �!�/A'�D✓�, Addre s s: �a�CxJ' .Sl 1�7/, ftll�c./V.
Permit #'s: h�/�'7 Dates: ��Q�� Contractors: ///G /IL�7'►'1S
City ordinance nurt�Lier 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 inspected and appears to fall into the category
checked below.
(This is ,pQ an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
"CONFORMING SYSTEM"-A system ahich does not meet atl the location, design, and construction standards of the
current City Codes, but aas 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 mey or may not meet all the location, design, and construction standards of the current City
Codes and which is failiny 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 4Q has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10): //)
��
Tank inspection indicates:
5 Punpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be purt�ped out as soon as possible.
8 System is discharging to the surface. Tanks 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 instatled in each
tank at next pumpout. If tanks have not been pumped out withtn the last three years, they should be pumped
out now.
0 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumped out uithin the last three years, they should be pumped out now.
DRAINFIELD CONDITION C11-14):
D�field inspection indicates:
1 Drainfield is dry, no surfacing evident.
Sane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (deaends on soils.water table,etc.): �
COMMENTS:�
Date of Inspection e ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transter of
property, be advised that this report does not guarantee or certtfy 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
informatton.
This report must be kept on the pre�nises with the system locption and pumping records.
WHITE COPY/Inspectors File VELLOW COPY/Homeowner
On the North Shore of
Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER T����� �Y C_OIG�Y�Ve.. ADDRESS ��4YXJ �� �� �
PERMIT NO.'S. ��� DATES �� CONTRACTORS
City Ordinance No.210 requires that each on�ite sewage treatment system in Orono be inapected on a regular basis.The onsite sewage
treatment system at the above address has bee�inspected and eppears to fall into the category checked below.
(This is �an existing systerr► ❑ new const►uction)
� � 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 generaily in accordance with previous codes.System appears to be functioning properly;no major
upgrading of the system is required at this 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 sta�dards 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 othervvise ereating a public nuisa�ce.Please contact the City Inspector to discuss system repair/
replacement procedures, If drainfield reptacement 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 i�spection indicates: ❑ Inspection pipe is located directly over ta�k baffle.(Dces not
❑ Pumpout not needed at this time. give accurate measureme�t of solids accumulation.) If tanks
❑ Solids aecumulation in 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.
O Solids accumulation in tanka ia at a criticel level. Tanks Drai field inspection indicates:
should be pumped out as soon as posslble. �Drainfield 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 surface discharge, ❑ Drainfield is saturated a�d visibly discharging untreated
��Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
Inspection risera (4"dia. pipe)must be ins Iled in esch tank ment or additions to drainfield. Contact the City Inspector
at next oumoout. I tanks gve net 6een oumped out within immediately.Repairs must be completed within 90 days.
the last three vears_thev should 6e oumoed out now �' O Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope Idepe�ds on soil types,water Future Expansion
❑ Soil table,and system conditio�) ❑ Adequate
❑ High water table ❑ Low '�Fair
�Lot size �'Medium ❑Poor
Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surf c discharge.
COMMENTS: O ���`� � n�3 ✓ �l' Y1
7� d� a e .
��-�!�
Date of I�spection Septic 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 information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeow�er