HomeMy WebLinkAboutseptic info Nov 12 2015 09:26PM HP FaxRusty Olson 7634988290 page 16
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�.�'� Minnesota Pollution '
Control Agency Com pl�ance I nspection Form
520 Lafayette Road North Existing Subsurtace Sewage Treatment Systems
Sc.Paul,MN SS755-4194 (SST$�
Doc Type:Compl�ence and Enforcement
Instructions: Inspectian results based on Minnesota Pollution Controi Agency(MPCA) For local tracking�urpoEIVED
requirements and attached forms-additional local requirements may also apply. REC
Submit completed form to Lacal Unit of Government(LUG)and system awner '
within 15 days ' NOV � � 2Q�� I
System Status CITY OF ORONO
System staius on date(mm! lyyyy): 1Q/30l2015
� Cornpliant-Certifi ate of Complia ❑ Noncompliant- Notice of Noncompliance
(Valid for 3 years fmm re rt dafe, unle orter time (See Upgrade Requirements on page 3J
frame outlined in Local Orciin
Reason(s)for noncompliance (check al!applicableJ
❑ Impact on Public Health (Compliance Component #1)-Imminent threat to public health and safety
❑ Other Compliance Conditions(Compliance Component#3j-Imminent threat fo public health and safety
❑Tank Integrity(Compliance Component #2)-Failing to protect qroundwater
❑Other Compliance Conditions(Cornpliance Component#3)-Failing to protect groundwater
❑ Soil Separation (Complisnce Component #4)-Failing to protect g�undwater
❑ Operating permiUmonitcring plan requirements(Compliance Componenf #5)-Noncompliant
Property Information Parcel ID#or SeclTwp/Range: 0411723210011
Property address: 2990 Somerset Lane, Orono, MN Reason for inspection: Property Transfer
Property owner: M.E. Bundy _ Owner's phone:
or ---
Owner's representative: Joe Cashrnore Representative phone: 612-695-8137
Local regulatory authority: City of Orono Regulatory authority phone: 952-249-46a0
2-1300 gallon septic tanks,l-1300 gallon lifl station and 630 square feet of mound rockbed. per city �
Brief system description: records
Comments or recommendations:
Certification
I hereby certify that all fhe necessary information has been gathered to determine the comp/iance sfarus of this system. No
determination of fvture system performance has been nor can be made due to unknown conditions dunng system constructron,
possible abuse ofthe system,inadequate maintenance, or future water usage.
Inspector name: Jose�h J Olson Certification number: 1255
Business name Rust Olson's Soil&Perc.Testin License number: 810
Inspector signature: Phone number: 763-498-8779 i
Necessary Lacally Required Attachments
� 5oil boring logs �System/As-built drawing ❑ Forms per local ardinance
❑ �ther information (list):
www,pta.siace.mn.us . 651-246•63Q0 • B00-657-38b4 • TTY 651-282�5332 or 800-657•3864 • Available in alternative Formats
wq-wwists4-31 • i/24l12 Page 1 af 3
Nov 12 2015 09:27PM HP FaxRusty Olson 7634988290 page 17
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Property address: 2990 Somerset Lane, Orono,MN Inspector initialslDete: J.o. 10/30/15
1. Impa�t on Public Health—Cornpliance component#1 of 5
Compliance criteria: Verification method(s):
System discharge sewage to the j ❑Yes �No � Searched for surface outlet
ground surface. _ ___ t � Searched fvr seeping in yardlbadcup in horne
System discharge sewage to drain tile ' ❑Yes �No ❑ Excessive ponding in soil system/D-boxes
or surface waters. � ❑ Homeowner testimony(Sea CommentsrExplanatron)
❑ "Black soil"abvve soil dispersal system
System cause sewage backup into ❑Yes �No ❑ System requires"emergency'pumping
dwelling or establishment. �
❑ Performed dye iest
Any"yes"answer above indicates the system is p Unable to verfiy(see comrrrentsiExp�anation)
an/mminerit Threat to Public Health and Safefy. ❑ Other methods not listed(See Commenta/Exp/anat;on)
Com ments/Expla nation:
2. Tank Integrity—Compliance component#2 of 5
Compliance criterla: _ Verification method(s}:
System consists of a seepage pit, ; ❑Yes �No � Probed tank(s)bottom
cesspool,drywell,or leaching pit. • � Examined construction records
SeepagB pitsmeetirrg7U80.2550maybe i ❑ Examined 7ank Integrity Form(Atfach)
co iant if allowed in local o�inance.
; ❑ Observed liquid level below operadng depth
Sewage tank(s) leak below their ❑Yes � No � Examined empty(pumped)tanks(s)
designed operatin depth. ;
If yes,which sewage tank(s)leaks ❑ Probed outside tank(s)for"black sal"
❑ Unable t0 verify(Sea Comments/Explanation)
Any"yes"answer above indfcates the �pther methods not listed (Sea Comments�xplanatioa)
system is Failing to Protect Groundwater.
Co m m e ntslExpla nation:
3. Other COmplianCe GOnditiOrts —Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsewred,or�pear to sVucturally unsound. ❑Yes` �No ❑Unknown
b. Other issues(e►ectricaJ heaerds,etc.�to immediately and adversely impact public health or safety. p Yes` �No ❑unknown
''Sysi�em�s an lmminent tBreat to publfc health and safety
Explain:
c. System is non-protective of ground water for other conditions as determirred by inspectar ❑Yes• �No
"System Is failing to protect groundweter
Explain:
www.pca.state.mn.us • 651-296-6300 • B00-657•3864 • TTY 651•2ffi•5332 or 800-657-3864 • Available in altemative formats
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Property a�ness: 2990 Somerset La� Oronc MN Inspedor inidalslDate: J.O. 10f27J16
4. Soi I Separation—Compiianc�cx�mponent�a o�5
Date of i�tailation: 5125N995 ❑Unknowm VeNfFcatbn n»thal�s�:
Shore�anmlMalit�pro�ectioNFood esverapa �Yes �No Sai!obsenration does not explra.Previous s�Jl
Lodpin{}�
observetiar►.s by Nvo independenf pafiea are sulfrcient,
Com lianC!Ctlto�is: unless s�e coriditi�s havg bsen afterad orlocal
Forsystems bullt,ptia�b A�ril t, 19�', and �Yes ❑No ����nts dilfer.
not tocated in Shonetand or Wetlhead � Conducted sai observation(s}(Attedr bwing�logsl
P�te�on Area or rwt senrir►g a h�od, , ❑ Two previous verifications(Ana�h t�ii9lags)
beversgre orlodgnng estet�lishrr�nt.• I
° ❑ Not applicable(Notdingr tenk(s).no drainteld)
Drainfield has at�t a two-foaR veRicai ' ❑ Unab�to verify(See Cwrrn►entstExplanat�a►)
seperatio�distance irom p�riaiicalty E
saturated soii or bedrock. j ❑ Other(See CanmentslEacptanatbn)
Non-petforrrrance Systems built�4�url�, � ❑Yes ❑No CommentslExplanetia�:
1996,or later or ior non-perforinan�e �
systems loc�ted in Sha+elanQ or WeNhead ',
Protectiott Areas or serving a f�d.
beverage,orloa�ing estab%shment: !
Drainfiefd has a thr�-foot vertical �
separation distarK;e from periodically '
saturated sal or bedrodc." �
� �
Experimental" "Other",Ar f+erformance" �Q Yes ❑No indicate Rlepths of eleVstiOns
systems built under pre-2�JU8 Ru�s;Type!V P
or V syst�ms bu/tt uruier 2�8 Rules(70�. � A. eottan of distributan m�ia ' 1�.5
2350 or 7080.2400 (Advanced Inspector "
License re+quired) � B. Pe�iodicaily saturated saiil4edrocic � 103.5
Drainfiefd meets the tiesigned vsrticai ;
separation distanae fran periodic�l � C. �����ron ; 3.0
saturated soil or bedrodc. � { i
D. Requirodc�mPiiance__ ration' � 2A
Any"no"answer aboire In�cst6�S the System l� •M�y p��uc�ed up to 95 pe�csnt if ailow�d by�ocal
_Fa1/ing to Prote�t Groundr�ater: Or�narxx�.
5. Operating Permit and Nitro�en BMP*—ca„pN�nc�e camponent#5 of� �Nbt appiicable
ts the system operated under an Operating Permit? ❑Yea ❑No If"yes",A below N nquired
Is the system requirod�o empby a Nitrogen BMP? ❑Yes ❑No If"yss",B below is requlred
BMP--Best Manegement Pr�cGlce(s)spsc�"re�d in the sys�Eern cfe.sigrn
Jf the answer to both qu�sHc►�s f�"nd°;thfs soc�ore dass not need�o�comp/etod.
Compliance criteria
a. Operating Pe�rnit number:
Have the 0 ' Pemiit r uiremerKs been met? �Yea ❑No
3
b. Is the required nitrogen BMP in piscc�and Property functtroni�? � ❑Yg8 ❑No
Any"na"answ�indYcat�ss Noncompti�nce.
Uppnd�Raquf rem�ob(Ma►n.Stat§1 f 5.55)An lrrunlr�ent d�reat ta pubYc heaHt►ar�d safery(17PNS)m�rst be upg�adetl,rep/sasd,�Jts u�
disconNnued wlUdn�n months ot ro�ipt d lfria nol�e ar wdh�n a st�afisr p�rc�d if required by focaf adYnem�e.N ffie syatem is hailkrg to pvviect
g►ound wster,Me By�em muat be up�repJea�ed,or its u4e discontinutd wiM�r►�tlme requfred by bca!adl�rance.!f an ex1�H►g syatem
ts t►otla�ing es defined in 18w,erld has�teast h�av Aret af des�r►��pBr�t6ori,M�r the sy8fem need not be up$ta�cleal,repairsd,roptaced,or
its Lse dlscOrrtirtuetl,ri�fst�rp�y bCBI orpWtBr�cs that is mo/�B�Ttus provt8kut doea�wt eppfy to sy8tem8!tr sharelBAd a+�ees,
Weubesd Pratec�on Areas,ar thos�t�d!n co»m4ctJon wdth food,bsvierege,a�rd Jod�n9 eslablfshments as rlefii�ed in law.
www.pca.state.mn.us • 651-246-6300 • 800�b57-38b4 • TTY 651-282-5332 or 800-657-3864 • Available in altemative formats
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Pumping Report � Sewer Services
(Midwest TrenchlesstSwedlund/SullivanlThaemert)
Date Serviced. � - ��" i� Driver's Name:
Residential: Commercial: Start: Finish:
Type of Service: Regular Maintenance: Emergency:
Narne: � �•l
.. -
Address: �,Q�.V ��r+�,no.rcn,E .�� City: ��'t�v�a
Gallons Pumped: Tank#1�T2�.5C� Tank#2 �•�U Pump Tar�k � Total �CtOC�-
Access Used for Pumping: anhole Standpipe{Explanation):
Tank Condition: ��, Evidence of Problems: ,�n ,,,
Comments:
Filter. Yes/� Type of S�stem: __��u,r�
Disposal Location: Chanhassen Blue Lake eS e Watertown �
Waste Type: Commercial Waste ���ie.ti Wa t Holdin�Tank
Ncxt Recommended Pumping Date: ��-��� � �
Septir t�tnks should be panrped e�ery 1 to 3 yeor� B�lling Informatiun
Many dif�`'erent v�riabtes deternain�how o,ftrn pumping(first 1000 gal.): Z'$
a tank needs pumping: Additional gallons t�s.00�rcma�t.�: 1•�,(�
❑ Type and age of system Expasing Manholes�a"dr.ep ot leas oo c6arge):
o Number of people�'tt th�house EXCCSSiVC Dl3tariC8{muce t1�an 120�>: ' �'
❑ Garba$e d�sposal Excessive Grade c���Zo�r��i rft>:
o Tatsk h�stoTy Riser:
New Cover:
PUMP REPLACEMENT5 M��'�S�
DESIGNS & INSPECTI4NS Labc>r: �
Penmit:
REPAIRS & NEW INSTALLATIONS Paytnent Method: Tota1 Due:
Nvne -Cash -Check (# )
Stat¢Cert�fted Cre�ift Csrd=
Type � �p•
25648 200`�Si�Belle Plaine,MN 56011 �952-873-3292
1
Soil Observation Log
ww�v.SepticResource.com vers 12.4
�,�l1'IiCt' 8
Property Owner/project: Mich$el Bundy Date 10/27/2016
Property Addness/AID: 2990 SOmeiset Lane
���14 � _ t�t►lt ❑ r�er Lo attad�ed s�9�vsy
Pareni matl's: Q Til! ❑ �twash ❑ L� ❑ AIU�+ium ❑ Organk ❑ Bedra#c
Iandscape position: ❑ Summit ❑ Shou�ler' Q S�ie sbpe ❑ Tce�e
soil survey map units; L41(;2 s�ope % directian-Lineal
S� �lz
� �� ❑ �t Elevation 105.2 Depth to SHWT 18 Inches
De tfi(in) Texriue fragment% mauiu eolor eedox color consistence e sha
0-12 Topsoil <35 10yr4/2 Lnose Loose Singk grai�
12-24 Clay Loarn <3S IOyr5/4 Friable Strong s�ocky
��S loose loase s�ngte gra�n
35-50 friable weak granu�ar blocky
�50 firm moderate P�matic ptaty
rigid strong massive
C35 loose loose singte grain
35•SO friabte weak p�aru,�ar bkxky
>$a firm moderate Prism�ic plary
rigid strong messive
�3� loose loose singte grain
35-SO �abie weatc granu!ffi b�ocicyy
�Sp firm moderate pr�smacic p�a�
rigid strong massive
Comments:
`
29�0 Somerset Lane Svi�i ` #�
� �"'9 ❑ � Elevation 1 U5.2 Depth to SHWT 24 Inches
De (in) Texture fragment% msttix cotor redox colar consistence e s
0-6 Fill <35
6-12 Topsoit <35 10yr4/2 Loose Loose Cranular
I2-24 Clay L�m <35 10yc514 Friable Strong aE�v
<35 loose loose singte grain
friable weak granutar blocky
35-50 firm moderate tm�« v��r
�5� t'tgid strong massive
loOse lOOse single grain
<35
35-50 ��le weak g�u�ar blocky
�SQ firm moderate P�matic platy
rigid Str'Ong massive
2990 SOtllerSCt Larie Se�il �3
❑ ��9 ❑ � Eievation Depth to SHWT
Depth(in) Texture fragmem% matrix color redox cotor consistence e shape
loose loose single gain
<3S friable weak
3S-50 granular blocky
�Sa firm moderate P�amacic piacy
rigid y�pn� �ssive
�35 I�se loose singte grain
35-50 friable weak granutar b�ocky
�54 firm raoders#e Prisrtmcio pfaty
rigid SUong massive
�35 loose loose singie g,r�in
35-50 frisble week granular b�ocky
firm mOdecste P��a�ic piaty
>SO
rigid strong ��ve
{�$ loose loose 5;,���;�
friabte weak granuiar biocky
35-50 firm moderate Pri�� P�eh'
�50 rigid strong �ive
�35 loose loose single gain
friabte weak grenular blacky
35-SO � m�e�� pr;smatic platy
>SO rigid StrOng messive
I hereby certi,jy this work wrrs co�pleted in accordance with MN 7080 arul any lecal req's.
,__�
Rusty Olson's Soil&Perc 81D
0esigner Signature Company License#
Nov 12 2015 0927PM HP FaxRusty Olson 7634988290 page 19
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Loas of Soil Borinqs
License#810
Locatfon or Project: 2990 Somerset Lane
Borings made by: Rusty Olson's Soii and Perc testing 10/30/2015
Classlfication System: AASHO : USDS-USDS-SCS X : llnified :�ther
Auger used (check two): Hand X�,or Power_,Flight, Bucket or Probe_X_
Boring Number_1_Surface elevation_105.2_ Mottled Soil at_1.5_feet
0-6" Dark brown loam 1Qyr413 in original soils
6"-18"Brown clay loam 10yr5/4 H20 present at_X_
Boring Number_2_Surface eievation 105.2_ Mottled Soil at 1.5 feet
0-6" Fill in original soils �
6-12" Dark brown loarn 10yr4/3 H20 present at_X,
12"-24"Brown clay loam 10yr5/4
TBM: Top of LiR station manhole cover Elv.-100.0 assumed
Bottom of rock bed Elv.-106.5
Original soil under the rockbed Elv.-105.0
There is 1.5 feet of sand under the rockbed
Nov 12 2015 0927PM HP FaxRusty Olson 7634988290 page 20
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SEPTIC SYSTEM INVENTORY
Site Address: 2990 Someraet La PID 04-117-23-21-0011
Owner Name: Michael Bundy
Owne�Aadress: 2890 Somerset La Long Lake MN 55356-
Butldins�TvDe: residence Instalkr: Hayes Exc. `
Date ot Permit: 12/Z0/84
3ystern Tvpe: mound BR's Designed tor S
In Musa?: No Shareland?:
SEPTIC TANKS:
Material: procast concrete Capacitv: 1300, 1300, 13Q0 Tank Filter:
DRAINFIELD:
Treatment Area: 90"40 Soil Bor[ng: yea DF Ht above Wt: 3
WELL DATA
Setbacks-Well Tanks: Well DF: Report In Fils: Depth:
IN TIO ORD UM C
D�te Notes ' Da�e . ,_ :, : GaElo�sOfLrqu�d t
._ _ : . ` _:.... ..: .._
_ ,.:...:.,
7/25/20o5}Okay _ .7 15/2015 3000�
, _. _ ____
___ .
9/22/2003 no swf�acing - _ 7/Z6/2012' 27�0;
;.. _.
_._._.._ _ ._
� _.;
` _/__. _... ... 0�
9/10/2001icode system,no surfacing 7 30 2009
. . . .... _ . __ _ . .
,
4�4/1999:no surfacir� 7/1/2005 _ 250ni
.:. _ _.. __. _ . _..
5/25/1995�installation 9/20/2002, ZOQO�
5/4f200d 2U00;
_ . ..._....
1 ,�
5���� '✓ 9/15/1998� _ 2800�
10/7/1996 30p0i
�..._ _
5/23/1995� 3000�
Nov 11 2016 09:08AM HP FaxRusty Olson 7634988290 page 2
Minnesota Poilution Cornpliance Inst�e�tion Form
Control Agency N
SZOLafayetteRoadNorth Existing Subsurfaee Sewage Treatment Systems
SL Peul,MN 55155-4194 �$$��
�oc Type;Compliance and E'nforcement
Inatructfons: Inspection results based on Minnesota Pollution Control Agency(MPCA) � For local track'
requiremerrts and attached forms—additional local requirementa may also apply. i ���E D
Submlt completed form to Local Unit of Government(LUG)and systern owner NQV � 4 ���6
within't5 days
�
System Status
c�rr oF oRon,o
System status on date(mrnlddlyyy ): 10l27116
�Compliant-Certificate o Complianc ❑ Noncompliant- Notice of Noncompliance
(Valid fvr 3 years from rieport daf unfess shorfer ti (See Upgrade Requirements on page 3)
frame outlined in Zoca!Ordinance
Reason(s)for noncompliance (che plicable)
❑Impact on Public Health (Compliance Component #1 J-Imminent th�eal to public health and safety
❑ Other Compliance Conditans(Compliance Compa�ent#3)-Imminenf thraat to public healfh and safety
❑Tank Integrity(Compliance Componenf #2)-Faif;ng fa protect groundwater
❑Other Compliance Conditions(ComplianCe Component#3)-Failing to proteCt groundwater
❑Soil Separation (Compllance Camponent #4)-Fai►ing ro protect groundwater
❑Operating permit/monitoring plan requirements(Compliance Comporrent #5)-Noncompfiant
Property Information ParCel ID#or Sec/Twp/Range: 0411 72321 001 1
Property address: 2990 Somerset Lane Orona, MN Reason fnr inspedion: Pro ert Transfer
Property owner: Michael Bund Owner's phane:
or
Owner's representative: Chelsea Shaw Representative phone: 505-809-4503
Local regulatory auihority: City of Orono Regulatory authority phone: 952-249-4600
2-1300 gallon septic tanks,l-1300 gallon lift station and 830 square feet of mound rockbed, per city
Brief system description� records .
Commenls or recornmendations:
Certification
I hereby cert!!y thaf al!the necessary infom�a6on has been gathered to dete�mine tha eompliance status of bhis system.No
detennination of/uture system performance has been nor can be made due to unknown conditions durrr►g system conshuction,
possible abuse of the sysfem,Inadequete mainAsnance, or futum water usage.
Inspector name: J h J Olson Ceriification number: 1255
Business name: Rus n's Soil&Perc.Testin License number: 810
Inspector signature: Phone number: 763-498-87TS
Necessary or ocally Required Attachments
� Soil boring logs �SystemfAs-built drawing ❑ Forrns per local ordinance
❑ Other iriformation pist):
www.pca.state.mn.us • 651-Z96-6300 • 800•657-3864 • TTY651-282-5332or8U0-657-3$64 • Availableinaitematfveformats
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Nov 11 2016 09:08AM HP FaxRusty Olson 7634988290 page 3
Property address� _2990 Somerset Lane,Orono MN � Inspectar initialslDate: J.O.1 Qf27/18
1. Impact on Pubtic Health—Compliance component#1 of 5
Ccm liance criteria: Veriflcation method(s):
System discharge sewage to the ❑Yes � No � Searched for surface outlet
_ground surface. _ I � Searched fo�seeping in yardlbackup in home
Sysfem discharge sewage to drain tile ❑Yes � No ❑ �cessive ponding in soil system/D-boxes
orsurface waters. i ❑ Homeownertestimony(See comments/Explanetion)
❑ "Black soil"above sal dispersal system
5ystem cause sewage backup into ❑Yes � No ❑ System requires"emergency°pumping
dwelling or establishment. ,
❑ Performed dye test
Any"yas"answer above indlcates the system is ❑ UnBble to verify(See Comments�Explanation)
an Irnminent Threat to Publ;c Health and Safety. p Other methods no1 listed(See CommentsiExplanation)
C om ments/Expla nation:
2. Tdtlk Int2grity—Compliance component#2 of 5
Compllance crlteria: Veriflcation mstl�od(s):
System consists of a s�page pit, , ❑Yes �No � P�obed tank(s)bottom
cesspool,drywell,or f�ching pit. ; � Examined construction recrords
5eepage pits meering 7080.255o may be � ❑ Exarnined Tank Integrity Form(Attach)
complianf if eNowed irt locs!oMinance. I
❑ Observed liquid leve!below operating depth
5ewage tank(s)leak below their i ❑Yes �Np
des' ned a ratin de th. ❑ Examined empty(pumped)tanks(s)
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for°black soil"
❑ Unable to verify(See CommenfsiExplanation)
/�/'ly"yes"answer above fndicates fhe �p�er methods not llsted(See GommanfslExpfenefion)
system is Failing to Protect Grourtdwater.
Commer�tslExplan ation:
3. Other COmpfienCe Conditlons—Compliance component#3 of 5
e. Maintenance hole covers are damaged,craGced,unsecured,or appear to strudurally unsound.• ❑Yes' �Na p Unknown
b. Other issues(e/echrca�hazerds,etc.)to imrnediately and adversely impad publlc healih or safety. p Ye$" �No ❑ Unkrtawn
"System is an imminent Llrr�sa!to publlc hea/th and safefy
Explain:
c. System is non-protective of ground water for other cpnditions as determined by inspedor ❑Yes• �No
"Sysfem!s iaiNng to p�oteetgroundwater
Explain:
www.pca.state.mn.us • 651-296-6300 • 800-657�3864 . TTY 651-262•5332 or 800-657•3864 • Available in altemative formats
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Nov 11 2016 09:08AM HP FaxRusty Olson 7634988290 page 4
Property address: 2990 So_merset Lane Orono MN _ Inspector initials/Date: J. 0, 10l27h6
4. SOiI S2pa�ation—Compliance component#4 of 5
Date of installatlon: 5/25/1995 Q unknown Ve�liication method(s}:
Lh�orelandlWelihead protectiaVFood Beverage �Yes � No Sor!observa6on does not expire. P�vrous soi!
a' e
observaHons by two independent partles are suffrcient,
CompliarlCe C�'ite�ia: unless site condifions have been affeied or loca!
i� requiiements differ
For sys[ems 6uilt prior to April 1, 1996, and I �Yes ❑No
not locatod in Shoreland or Wellhead ' � Conducted soil observation(s)(Attach bonng fogs)
Protection Area or not serving a food, ; ❑ Two previous verifications (Attach bwinglogs)
beverage or lodging establishment• i
❑ Not applicable(Hokting tank(s),no drainfield)
Drainfiefd has at least a two-foot vertical ❑ Unable to veriiy(see CommentsiExptenavon)
separation distance from periodically ;
saturated soil or bedrock. � ❑ Other(Sse CommentsiEup/anat�on)
Non-peAormance systems builf April 1, i ❑Yes ❑No Commer+ts/Explanation:
199B,orla�erorfornon-performance I
systems Jocated in Shoieland or WeNhead �
Protectia►Areas orserving a food,
beverage, orlodging esfabflshment: i
i
Drainfield has a three-foot vertical
separation distance from periodicaly
satureted sa!or bedrock.* i
`Experimental" "Othe�;or "Performance" i ❑Yes ❑ No Indicate depths of elevations
systems buiJt under pre-2008 Rules; Type!V I
or V systerns built under 2008 Ru1es(7080. A. eottom of disiribution madia 106.5
2350 or 7080.2400 (Advanced tnspector '
License required) I B. Periodicau saturated soillbedrock I 103.5
Drairrfield meets ihe designed vertical C. S stem se araUon 3.0
separation distance fram penodieally i
saturated soii or bedrock.
D. Required oompliance separation• I 2.0
AI9y"no"answerabove indicates the sysfem is •May be reduced up to 15 percent if allowed by Local
Failin to Protect Groundwater. Ordinanoe.
5. Operating Permit and Nitrogen BMP'"—Compliance component#5 of 5 � Not applicabfe
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",6 below is required
BMP=Best Management Prscdce(s)spe�ed in ths system design
N the answer[o both questions Is "no", this sect/on does net need i�o be completed.
Compliance criterla
a. Operating Permit number:
Have the O eratin Permit r uirements besn met? ! ❑Yes ❑No
b, _ Is the requi�ed nitrogen BMP in place and properly functioning7 ❑Yes ❑ No
Any"no"answer indicafes Noncompliance.
Upgrade Requirements(Minn. Stat§115.55)An immirrent threat to public health end satey(lTPHS)must be upqraded,repla�d,or its use
dlsconlinued within ten monfhs of receipt oi this nottca a'within a shorter period ii required by bce!�nence.!f the system is failing to profect
ground water,the system must be upgraded,replaced,or its use discontinued within the time required by loca!prClinence.ff an existing system
is not faifiny as defined in law,and hes at least h+vo feet of desigvr soif sepe�tion,then the system need nat be upgraded,r�paired,replaced,or
its use discontinued,nohnrith�arxling eny loce!ordlnanCe that!s more strict. This pmv/slort does not apply to systems in shaeland aleas,
We1/head Pmtectlon Areas,or those used in connecSun wlth food,bev�srage,end lodging establishmenfs as defirted in law.
www.pca.state.rnn.us • 651-2%•6300 . 840-657-3864 . TTY 651-282-5332 or 800-657-3864 • Available in altemative formau
wR-�sts4•31 • 1/14/12
Aage 3 oj 3
Nov 11 2016 09:08AM HP FaxRusty Olson 7634988290 page 5
Pumping Report Sewer Services
(Midwest Trenchless,�Swedlund/SullivaniThaemert)
Date Serviced: � - ��" �� Driver's Name:
Residential: Gommercial: Start: Finish:
Type of Service: Regular Maintenance: Emergency;
Name: �:�2 . �,,!
Address: �9�,() ���_ l�c�,n,,e City ��'�
Gallons Pumped: Tank#1,,2.5C� Tank #2 �25C� Pump Tank .�40 Total dQ+U
Access Used for Pumping: anhole Standpipe (Explanation):
Tank Condition: �K_ Evidence of Problems: ��n� _
Comments:
Filter: Yes/� Type of System: �i�
Disposal Location: Chanhassen Blue Lake LeSueur VVatertown �
VVaste Type: Comrnercial Waste mestic Waste Holdin�Tank
Ncxt Recommended Pumping Date: ��-}�j�' � �6 __ _ _
Sephc tanks should be pumped every 1 to 3 years. Billing Information
R�Iany differertt variables determine f�ow ofte� pumping(fust 1D00 ga(.)� �$�
a ta�k needs pumping: Additional�allons(36s.00�r i000 e�.�: (,�]
o Type and age of system Exposing Manho(es�e"decp or ksa no charge):
❑ Number of people in the ltouse Excessive Distance trn�re�nan�zo�}: ,,,,��______
o Garbage d�sposal Excessive Grade�more cn�zo�m����>:
o Ta�k h�s'tory Riser:
New Gover:
PUMP REPLACEMENTS Matenals:
DESIGNS & INSPECTIONS permit: ��� �
REPAIRS & NEW INSTALLATIONS Payment Method: Totai Due: �
None -Cash -Check {# )
Sta1e Certifaed cre�ut cara=
T��pe # Eap.
25648 200te Sl•Belle Plaine. MN 56011 .952-873-3292
Nov 11 2016 09:09AM HP FaxRusty Olson 7634988290 page 6
Soil Qbservation Log
unvw.SepdcResource.com vers 12.4
Owner Information
Property Owner/project: Michael Bundy Date I O127/2016
Propercy Address/PID: 2990 Somerset Lane
Soil Snrve Information ❑ refer to altached soil svrvey
Pazent mad's: � Till ❑ Outwash (] Lacustrine ❑ Allwlum ❑ Organic ❑ Bedradc
Iandscape position: ❑ Summit Q Shoulder [� Side slope ❑ Tce slope
soil sun�ey map units: L41�:2 slope a/o direction-Lineal
Soil Lo #1
C �^"9 ❑ P�t Elevation 105.2 Depth[o SHWT 18 lnches
Depth(in} Texture fragment°/a matrix color redox color consistence e sb
0-12 Topsoil <35 10yr4/2 Loose Loose Singlegrain
12-24 Clay Loam <35 10yr5l4 Friab[e Strong Blocky
loose �oose singlegrain
<35 friable wCBk granular blocky
35-50
>50 f� rnoderate pr�smatic p�nry
rlgl� StYOng massive
�3� �OOse lOose single grain
35-50 friahle weak granulaz btocky
>50 f� moderate prismatic piary
17g1d strong massive
<35 lOose loose single grain
35 -56 friable weak �ranu�er blocky
>50 f� moderate prismacic ptaty
rigid strong m�sive
Comments:
Nov 11 2016 09:09AM HP FaxRusty Olson 7634988290 page 7
2990 Somerset Lane Soil Lo #2
� �'"� ❑ � Elevation 105.2 Depth to SHWT 24 Inches
De th(in) Texture fragment% matrix color redox color consistence grade shape
0-6 Fill <35
6-12 Topsoil <3� 10yr4/2 Loose Loose Granuiar
]2-24 Clay Loam <35 1 UyrS/4 Friable Strong Blocky
<3S LOOSe loose singlegain
friable weak granular blocky
35-50
firm rnoderate p�smatic platy
>50 rigid strong m�ssir•e
�35 IOOSC lOOSe singlegrain
35-50
friable weak granulaz blocky
�� rnodel'ate prismazic plary
�50 Mgia strong massive
2990 Sornerset Lane 5oil Lo #3
❑ Boring ❑ Pit Eievation Depth to SHWT
D th(in) Textwe fragment% matrix color redox color consistence de shape
<35 loose loose sinsla grain
35-50
friable weak granular blocky
>50 f� rnoderate prismar;c platy
rigid strong m�ssive
<35 �oose loose sin�le 6rain
friable weak granular btocky
35 -50
>50 f� rnoderate prismatic piacy
rigid strona massive
<3S loose loose single grain
35 -50 friable weak granulaz blocky
>50 f� moderate prismatic platy
ngid st1'Ong massive
�35 loose loose s�a�lcgrain
35 -50 friable weak granular blocky
>50 f� moderate prismahc platy
flgtC� StrOng massive
�35 loose loose single grsin
35 -50 friable weak p�renulnr blocky
>50 firm moderate prisma�ic placy
rigid strong massive
1 her•e6y certify this work was completed in accordance wrth MN 7080 and arry local ieq's.
Rusty Olson's Soil& Ferc S l0
Designer Signatwe Company License�#
Nov 11 2016 09:09AM HP FaxRusty Olson 7634988290 page 8
SEPTiC SYSTEM lNVENTORY
Sibe Addr�eas: 2990 Somers�t La PID 04-117-23-21-0011
Owner Flame: Mich�of Bundy
Owner Addr�ss: 2890 Somerset La I.o�p Lake MN �s;�.
BuildinaTVns: residencs Insqller. Mayes Ex�.
Dat.ot Permit: t�/ZO/94
8vstem TvDr mound BR'�Oasl�n�d to► 6 �
In Musa?: Na 9horolandT:
SEPTlC TANKS;
M�terial; pr�cast�or�ct�ts Capachy: 1300, l300,1300 7ank Filter.
ORAIN FI ELD:
Trwt�nent Ar�a: 9p•�p Soll Bonng: yp OF Ht above YVt: 3
WELL DATA '
Sstbacks-Well Tanka: Wsll DF: Report In Flle: D�pth:
Oate Nptes Date GallonsOfliquld �
7/25/2d05 Okay i �/15/2015 3000 �
9/22/Z003 no surfacing ��26/2fl12 �
2�50 '
9/10/2001 code system,no surfacing ��3Q�2009 a
4/4/1999 no surFating ��1�2005 2500
S/25/1995 instaNation 9�2o�ZooZ
2000
5j4/2000 Zppp �
J /'��y� 'J 9/15/1998 2800 �
� �� .-S 20/7/1996 300p
5/23J1995 �
soao I
Nov 11 2016 09:10AM HP FaxRusty Olson 7634988290 page 9
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�`����� CITY of URONO
4j�.:��
,p1� �1.�'�,", �'. ., i ,�►
��i�,y�r.3��„'__•,:
� f'��� ,���, �,'�.. F Municipal Offices
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� � �;�r.����.,`�C}��' G� Street Address: `�5a-a4q—ybo O Mailing Address:
\ �`�.1�`�'r��`�pg'�! 2750 Kelley Parkwa P.O. Box 66
\ ���%� Orono, MN 55356 y Crystal Bay, MN 55323-0066
To Current Owner: Address: � '���1�� �c�./f���=��`�"
City Ordinance 199 requires that 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 cate�ories checked below.
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the cuirent Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the cutrent Orono
Municipal Code but does meot the three foot sepazation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an inmminent threat to public health or safety.
3 "NON-COMPLIANT SYS'I'EM" A prohibited ISTS;an ISTS located within a dcsignated 100-yeai flood plain,any ISTS which may
or may not meet all the location,design,or conshvction standards of tl�e current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDTTION(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped � -�� ��, ).
Make sure seatic tanks are pumped throueh manhole and not through white insaection aipes. This allows for the proaer
cleaning. Keep water softner and iron filEer discharse out of septic svstem to prolonQ life of drainfield. Ask aumper to test
alarm float to verifv alarm is still workine in vour house. The alarm warns owner that seatage is about to backua into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanlcs have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITTON(3-10): �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS:
�
�
� � �'i.� J
Date of Inspection Septic System Inspector
���
O -� Z O
����� � � N CITY o� ORONO
,� � �'�����. �.
�.
� � � �;.. � MunicipalOffices
'� ' �''.�,....:�� G
', }�F�,• Street Addreu: Mailin�Addresa:
�`�'��Q'�'� 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystai Bay, MN 55323-0066
To Current Owner. Address: a�990 SOi''`f.('SL�' ���e
City Ordinance 199 requires that 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 : �
1 "CODE SYS1'EM"An IS1'S which meet�al1 the location,design and consWction stsndards of the current Orono Municipal Code.
"COMPLIANT SYSTEM" M ISTS which does not meet all the location,design and construction standards of the curnnt Orono Municipal
Gode but dces meet tl�e three foot separation iequirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or
an imminent threat to public lxaith or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year 800d plain,any ISTS which may
or may aot meet all the location,design,or construction standards of the current Orotto Municipal Code and which is failing for any reason;and
any ISTS with less than three fcet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDPTION(5-7):
Tank inspection indica.tes:
5 Pumpout not needed at this time.
Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 yeazs.
Tank was last pumped �1 1a ^o?� ),
Make sure seatic tanks are pumped through manhole and not through white insnection aiaes. This allows for t6e
proner cleanin¢. Keep water softner and iron filter discharge out of septic svstem.
7 Inspection risers missing-tanks could not be inspected. It�spection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three yeazs,they should be pumped out now.
DRAINFIELD CONDITION 8-10 : b
8 Drainfield is dry,no surfacing evident.
9 Some evidence of siu�facing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: /�o�� �� � S���.� -�-.��C� I o oIC. 0�.
q=l..�--a 3 G��a�c ��b'�
Date of Inspection Matt Bolterman- Septic Syst�n Inspector
Nooe: In the event�this inspection report is used to a�isfy tl�e requirertbnts for a moRgege or other transfe.r of ProP�Y,be advised tl�at this ropoR does�t guarentee
or arcify that�exis0ing system will conLinue I+o fund5on propedY,but is maely�opinion ofthe adequacy oftl�e system unAer curnnt conditioos based on the available
infonaation.
1�elephone(952)249-�600 • Fax(952)?A9-4616
�v�vw.r3.oro�o.mn.ns
� � °� .
� o�:., o � .
� ������ CITY of �]E�ONO
.� ;�'`��r .��� �
.�1 ��'�
� '� �% �,��'`(� �' .. Municipal Offices
'�C� `„-�'•:'�}��,�'��sY G~ Street Address:
g,'�Y Mailin�Addrass:
��E$��I� 2150 Keiley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �--�'`�C `�S � ��� �mC (' . a-`�q 0 S d mc�S e. 1
Address: _ -�- ^ .
City Ordinance 199 requires that each existing on-site se�vage treatment system in Orono be inspected every two years.
The on-site se�vage treatment system at the above address has been inspected and appeazs to fall into the categories checked belo�v.
SYSTEM CONFORMITY 1-3 : � �
1 "CODE SYST'EM" An ISTS which meets all the locatioq daign and construction standazds ofthe current Orono btunicipal Code,
"CO�LIANT SYSTEM" An ISTS which does not med atl the locatioq design and consttuction standards of the cu:reat Orono Municipal
Code but does meet the three foot separation requiremen�and wluch u not failing or an unminent threat to public health or safety.
3 "NON-CONIPLIANT SYSTEM" Aprohibited ISTS;an ISTS located within s designa�ted 100-year flood ptaia,aay ISTS which may
or may not meet all the Iocatioq design,or construction standardc of the cuirrnt Orono Municipal Coda and which u failiag for any reasoq and
any ISTS with las than three feat of unsaturated soil or sand betweea the distn'bution device and the limitin�goil charactecistics.
TANK CONDITION(5-10): -��._ �
inspection indicates: :• •
�, J.Pumpout not needed at this time.
v c
6 Tank must be pumped out this year (city codt requires tanlcs to be pumped out every 3 years. Tank was last pumpad J —��
7 Solids accumutation in Lu�ks is at a c�itical a criticalleveL Tanks should be pumpad out as soon as pouible.
8 Systtm is d'ucharging to the surfaca Tanks must ba pumped out within 48 hours to eliminate surface dischsrge.
9 Inspection risers missing-tanks could not be inspected Inspection risen(4"dia pipe)must be insta!!ad in each tank at naxt pumpout If tanks
hava nut been pumped out within the last three years,they should be pumped out now.
10 Icupectiun pipe is located dirndy over tacilc ba81e(does not give accurate measurement of solids accumulation). If tanks have not bernpumped
out within tha l�st thrae yeacs,they should be pumped out now.
D IELD CONDITION 11-14 : \1
infield'u dry,no surfacing evident
12 Some erldance of surfacing,not critica(yet . ' ' •
13 Drsinfietd'u sstursted and visibly discharging nntreated e@luent to iha surfaca Contace the City Iiupector immediately.Repairs must be
eomptrted�sithin 90 days. .
1� Drainfirld tstant and condidon unkno�ia.
COM�NTS: S y 5�.�- �o o��� �K,
�—\D — p\ � —
Datc oFInspection Se t�e S •
p� ystem Inspector
Note: Ia the errnt that this inspection repod is used W sati.sfy the requirementt for s moRgage or otha trarufer of ptoperty,be advised thaL thit repoR does nat guarantee
or cectify that aa e�sting system will contiaue to functioa propaly,but is merely sn opinion of the adequacy of ihe system under cuaent conditioas bued on the availabte
infocmatioa
� �n
� O�
O O
�r`�,, � CITY of ORONO
� ti Municipal Offices
�� 'Y G~ Street Address: Mailing Address:
�'`qlf�Hp�'� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �, ��� ���� Address: 2990 Somerset Ln.
Permit #'s: 6722 Dates: 12/20/94 Contractors: Hayes Exc.
(This is [�] an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 1
1 Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
3 Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level is [�] or is not [ ] identified under this septic system. If the �
saturated soil level is not identified, this classification is subject to revision.)
TANK CONDITION (5-9) : 5
� Pumpout not needed at this time.
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 not [ ] water tight or the condition is [ ] unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
DRAINFIELD CONDITION (ll-14) : 11
Drainfield is dry, no surfacing evident.
2 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. ) : low
COMMENTS:
� '✓�J
�. . . Q— ., _�
r�— �
Da e o I spection Se c System Inspe to
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