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Home My WebLink Aboutseptic info CITY OF ORONO �a� ADDRESS � Connected to CODE SEPTIC SYST&M INVENTORY CARD Municipal Sewer Addreu �2� S /LL Property I.D. �S—�Ig—2 3 33 �� WELL DATA Standard trench � I I O Mound �, System type C] Other Legal Description UN/°�L�`rT�� SEt , 2"�--� p' m fL Permit No. — Date of permit — Installer — '� � m No. Bedrooms ' / Garbage � �° I Buildin9 tYPe �lD�!CE or GPD �—y $,�Laundry Dish her — Disposal - � r •� � n � SEPTIC TANKS: Material �peC1 ' y) o p� � Proper outlet and inlet Baffles i id depth to RO level � � .` � O Height of tank bottom above water table Distan to nearest building y a 0 DRAINFIELD: Total length of lines R N mber of lines N Trench width y� a Y Totai treatment area(sq,ft.) eight o infield above water table � u Type of filter material �i & � � '� Distance from nearest bldg. T� Perc rate min/in o n c � � � Depth of fill over drainfield Depth of rock over tile under tile � a y; " . •� E c — c d 'ci 3 � �� LOCATION INSPECTION RECORD PUMPOUT RECORD { SKETCH H DATE COMPLIANCE DATE GALLONS � � � � 1 ._l7- �lJ� S�i�'-FAcin-`C, N�`TZ� �-- b•Zb°-?S�i s�o � � s�-�?-g�. „ „ ` -(� a�-s9 �ba ' '�� ,, „ / ^� q� , �,`' �o Z rS'��J •�'Ti9N,C ll�G4'77..'� � � � I ' N V� a � ' � - ��-90 - � � � �� b- � , ��l-'�3 r��SU� '-/n�%6�/A�D �l�l?l� d�, � ' I i w � r � I �= n 1 � � 3 t i i � E---�'1 � � I / .r � � . � \ 1� 1 � � Include: 1) Well location I 2) Distance from house to � septic tanks,dist.box, � and drainfield f C- CONFORMING S-SUBSTANDARD N -NONCONFORMING 3) North arrow and road I 1 � / :�, �►►innesota Poilution Compliance Inspection Form Control Agency 520lafayette Road Nortfi Existing Subsurface Sewage Treatment Systems SL Paui,MIV 55155-4194 (SSTS) Doc Type:Compiiance and Enforcement Instn�ctions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes: requirements and attached forms-additional local requirements may also apply. E Submit completed form to Local Unit of Government(LUG�and system owner within 15 days System Status System status on date(mmldd/yyyy): 3J712017 � Compfiant—Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance (Valid for 3 years from report date, unless shorter time (See tJpgrade Requirements on page 3) frame ouflined in Local Ordinance.) Reason(s}for noncompliance(check al!applicabte) ❑ Impact on Public Health(Complrance Component #t)-lmminent threat to public health and safety ❑Other Compliance Conditions(CompJiance Component#3)-tmminent threat to public health and salety ❑Tank Integrity(Compfiance Component #2)-Failing to prvtecf groundwater ❑Other Campliance Conditions(Campliance Component#3)-Failrng to protect groundwater ❑Soil Separation(Comp/iance Component #4)-Failing to protect groundwafer ❑Operating permiUmonitoring plan requirements(Comp(iance Component #5)-Noncompliant Property Information Parce!ID#or SecJTwp/Range: 2511823330003 _� Property address: 625 Spring Hill Road, Orono,MN Reason fior inspection: Prope�Transfer Property owner: Van Zandt&Elizabeth Nawn Owner's phone: 612-379-0062 -- . �.. _.- --- - a _�__. __._.._._._._.__ or Owner's representative: Representative phone: _. _ . Local regulatory authority: City of Orono __ Regulatory authoriry phone: 952-249-4800 --- - — _...... Brief system description: 2-1__OQO gallon septic tanks and approximately 727 Squarel fest of trench_per ci _records . _ _. __--- Comments or recommendations: The maximum depth of the trenches are 30 inches deep. Three soii borings in the area of the septic system found that the periodically saturated soils are greater than 5.1 fest below grade. Certification 1 hereby certify that all fhe necessary information has been gathered to deterntine the cvmp6ance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possib/e abuse of the system,inadequate mainfenance, or future water usage. Inspector name: Joseph J Olsan Certification number: 1255 Business name: Rust Olson's Soil$�Perc.Testing License number. 810_ ` . .__ Inspector signature: ___ Phane number: 763-498-8779 Necessary or Locally Required Attachments �Soil boring logs � System/As-built drawing ❑ Forms per local ordinance ❑Other information(list): _ - _ _—__ --- - _.__ -- . . _..___---_ -- _._.._ ..... www.pcastate.mn.us • 651-296-6300 • 800-657-3864 • T7Y 651-282-5332 or 800-657-3864 • Available in attemative formats wq-wwists4•31 . t/24/t1 Page 1 of 3 Property address: 625 Spnng Hiii Road,arono�_MN Inspador initials/D�ts: J.0_3l12/17 1, ImpaCt on Public Heelth—Compliance component#1 of 5 Compliance criteria: Ysriflaation method(s): System discharge sewage to the ❑Yes �No � Seer�ched for surface outlet ground swface. � Sea�ed for seeping in yard/badcup in home System discharge sewage to drain tile i ❑Yes �No � �cessive ponding in soil system/D-boxes or surface waters. ' ❑ Homeowner testimcx►y(See Comments/�'xplanat;a►) ' "' ❑ "Biadc soii"above sal dispersai system 5ystem cause sewage backup into ' ❑Yes � No � dwelling or establishment. ❑ System requires"emergency pumping --- ❑ Rerformed dye test Any"yes"answer abave/nd►caies the system la ❑ Unabls t0 verify(See GammenfslExp/anatfon) an Immina►t Threat to Pubpc Hea/th and Satety. ❑ Other methods not listec!(See Comments/Explanation) Comments/Explanation: 2. Ta11k 111t@g�ity—Compliance component#2 of 5 Complfance criteria: Verification method(s): _._ _....______ �_�..._.� System cansists of a seepeqe pit, ` ❑Yes �No ❑ Probed tank(s)bottom cesspool,drywelf,o�leaching pit. ; � Exami�ed co�strudion records Seepege pits meeting 7060.2550 may be ❑ Examined Tank Integrity Form(Attach) c�mAliant rf alloa�ed in.bca!ordinarrc:e. - - ' ----- ❑ Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes �No designed operatin de h. ❑ �mined empty(pumped)tanks(s) �._�__---;— --....------- If yes,which sewage tank(s)leaks: ', ❑ Probed outside tank(s)for"btack sal" Any"yea"snsw�r above Indfcafea the ' ❑ Unable to verify(See Comments/Explartadon) system is Faftfng to Protec!Groundwater. �aner metnc�ds not rstea�see com,nenrsrEx�enar�on� CommentslExplanaUon: Previous septic cert.and aty records 3. Other Compliance Canditions—comp�iance component#3 of 5 a. Maintenance hole oovers are damaged,cradced,uns�ured,or appear to strudurally unsound. p Yes" �No ❑Unknowm b. Other issues(e/ecdica►heza�ats,eec.)to immediately a��dversely impad public heatth or safety. ❑Yes` �No ❑UnknaMm *Sysiem fs an lmminent threat to puWie Mea/Eh and ssfsty E�lain: a System is non-protedive of ground water for other conditions as determined by inspedor p Yes' �No *Syabem is fell/ny Go pmtectgroundwatar Explain: ___.......�. .._ _._............... ..._._._. �.__........._._ __._.._.._.— - www.pcastate.mn.us • 651-2%-6300 • 800-657-38b4 • TTY b51•2$2-5332 or 800-G5T-3864 • Available in attemative formats wq-wwls[s4-31 • 1/24/12 Poge 2 of 3 Ptoperty address: 625 Spnng Hill Road,Orono,MN ___ inspector initials/Dete: J_Q_3/12/17 4. SOiI Sepa1'BtiOl1—Compliance component#4 of 5 Date of inatallation: 9104/94 ❑Unknown Verification method(s�: sh°nis"dNVN�Mad proactl°NF°°d e°v°r�g° �Yes ❑No Sa/observa6on does not expine. Pievious�i! �O�i�� observadons by haro indepen�nt parties are suKrcient Compliance criteMa: unless site catdifwns have been altered or lacat ��- �equiiements dilKer. For sysiems built prior to April 1, ?996,and , ❑Yes ❑Na not locat�ed in Shorelend or Wefihesd � Conducted soil observation(s)(Attacn don!ng�ogs) Protection Area or not senrir►g e food, ❑ Two previous verifications(Attach 6aing lags) beve�age or lodging establish�nent: ❑ Not applicable(Hddirtg tank(s),r�draiMieldj Drair�field has at least a two-foot vertical I ❑ Unable to verify(See Corrrments�E'�cpJanatio�y separation distance from periodicaily setureted 5oi1 Or bedroCk. ❑ �het(See Carrmentsl�xpienation) Non perfomtance systems built ApRI 9, '' �Yss ❑No CommentslEJcp/anation: 1996,or later or ior non-perfomrance systems bcated M Shore/and or Wellhead Protec6on Areas or serving e food, bevergge, or bdging esteblishment: Drainfield has a three-foot vertical separation distance hom periodically ' saturated soil or bedrodc.* -- _..... _..._..— _�—._ . ___.____...._ "Experimental" "Othe�; or Pe►formance" '; ❑Yes ❑No Indicate depths of elevatlons systems built underpre-2008 Rufes;Type/V ; or V systems buik under 20Q8 Rules(7080. ' A. eottwn of distribution media ' 90.6 2350 or 7080.2400 (Advanced Inspedor ' License required} ', B. Periodically saturated soivbedrock � 87.6 _ Drainfield meets the designed vertical C. System sevaration � 3.0 separation distance from periodicelly ' __.................. saturated soil or bedra�c. j D. Required c�mDliance separation' ,. a.._2.6 _.___..__ Any"no"answer above lndfcates the syst�rr Is •May be reduced up to 15 percent if allov�d by Local Fa/l�ng to Protect Groundwater. Ordinance. 5. Operating Permit and Nitragen 8MP*—compiiance component#5 af 5 �Not applicabls 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? ❑Yss ❑No If"yes",B below is required BMP=Best Management Prectice(s)specified in the sysfiem design li the answer to both questlons is "no'; this secUon doea nvt need to be comp/eted. Compliance criteHa a. Operating Permit number: __...__._._ ❑Yes ❑No Have the Operating Perrnit requirements been met? ; _.b. Is the required nitro.gen BMP in place and properiy fundioning? ? ❑Yes �No_ Any"no"answer indicates Noncompliance. Upgrade Requlromenb(Minn.Stat§115.55)An immir►eret threat to publ�hestth and se�ety(ITPHS)must be up,qraued,repleced,or its use dis�onNnued within bn rnonths of receipt of this notioe or within�shorfer period if requaed 6y bca!adinenc�.!f the sysd9rtt�s fel�/ng to protect gr�ur►d water,Ure system must be upgraded,re�eced,or its usa disoonUnued w+thin the tin�raqaired by foca!oNinarnrn�.!f an exi�ing system is rrot falNng es defrned in law,and hes at 1ea�Mro feet af des�n soil sep8r8tion.then bre sysi�m need not be upgraded,repaired,rspleced,or its use disc�tinued,+rofwithstanding any lacal adlnance that is mae strict. This pm�sior►does m�t apQ/y to systems in�lend sreas, Wellf�ed Protectior+Areas,or those used in c�+nection with fooal,beverage.�nd lodging establishments es dei►ned in law. _..___.__ _ _. _._....__...-- --_._. ..___ _ _..--- www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY b5t-282-5332 or 800-65?-3864 • Avaitable in alternative formats wq-wwists4-31 . 1/24112 Pege 3 of 3 Soil Observation Lag www.ScpticResource.com vers 12.� Owner Information Property Owner t project: Van Zandt Hawn Date 3/7/2017 Property Address�PID: 625 Spring Hi11 Road Soil Snrve Information p re�er to atcacned sai sur,rey Parent matl's: �Tiii Q Outwash ❑Lacustrine ❑Alluvium ❑Organic ❑8edr'odc landscape position: ❑Sumrt�t �Shoulder ❑Side��e ❑Tce slope soil survey map units: L22ll2 stope % direction-C;onvex Soil Lo #1 ��^►KJ ❑ �t Elevation 42.4 Depth to SHWT 66 inches Depth(in) Texture fragmant% matrix color redox color consistence de shape 0-6 Topsoit <35 10yr3t2 Friable Loose Singie grain 6-12 Loam <35 10yr4t3 Friable Strong atacky 12-22 Clay Loam <35 10yr504 Friable Strong $�ocky 22-48 Loam <35 2.Sy5/4 Friable Strong Blacky 48-66 Sandy Loam <3S 2.Sybt3 Friable Loose Granulaz Comments: 625 S rin Hill Road Soil Lo #2 ��'"� ❑� Elevation 93 Depth to SHWT 66 Inches De th{in) Te�cture fragcnent% matrix color redox color consistence rade sha 0-6 Tapsoil <35 1 Dyr3l2 Friable Loose Single grain 6-12 Loam <35 10yr4i3 Friable Strong Biocky 12-20 Clay Loam <35 14�r5/4 Friable Strong Blocky 20-40 Sandy Loam <35 2.Sy5/4 Friable Strong alocky 40-66 Loamy Sand <35 2.Sy6/4 Loose Loose Granu�ar 625 S rin Hill Road Soil Lo #3 ��'�n9 ❑� Elevation 96.1 Depth to SHWT 72 inches Depth(in) Texture fragment°.�o matrix color redox calor consistence de shape 0-8 Fill <35 8-I8 Topsoil <35 10yr3f2 Friable Loose Single�,rain 18-24 Loam <35 10yr4/3 Friable Strong Btocky 24-4b Clay Loam <35 10yr5/4 Friabte Strong etoc�,y 46-60 Sandy Loam <35 10yr5l4 Friable Strong B�ocky 1 hereby c tify this work was evmpleled in accordance xfth MN 7080 and any lnca!req's. Rusty Olson's Soil & Perc. $10 igner Signature Company License# 625 S rin Hill Road Soil Lo #3 0 eonng �Pit Elevation 96.1 Depth to SHWT 72 Inches De th in Texture fra ent% mauix color redox cotor consistence grade sha 60-66 Loam <35 2.Sy6/3 Friable Strong siceky 66-72 Sandy Loam <35 2.Sy6/3 Friable Strong Granular <35 loose loose s;ng�e�rain 35-50 friable weak �ranu�ar b►ocky firm moderate pris�ac;c p�ary �5� rigid strong massive loose loose single grain <35 35-50 friable weak ganular b�ocky fi1'm mOdelBte P*��atic plaly >SO Tjgjd strong massive �35 loose loose single grain 35-50 friable weak granuiar blocky firm moderate prismatic Piary �5� rigid strong massive 625 S rin Hill Road Soif La #� ❑Baing ❑p�t Elevation 98.9 Depth to SHWT 72" Depth(in} Texture fragment% matrix color redox color consistence grade shape <35 loose loose singie grain friable weak p,ranular b�oc�;y 35-50 firm moderate prismatic p�a� 'Sd iigid StcOn;g massive �3� loose loose single grain 35-50 friable weak granular biocky fiTm moderate prismatic platy >50 massive rigid strong �35 IoOse loOSe single grain 35-50 friable weak @ranuiar blocky firm moderate prismatic platy >50 massive rigid strong loose looSe single grain <35 35-50 friable weak granu�ar blceky ftrm moderate Prismatic platy >50 rjgjd strong massive <35 loose loose single gain 35-50 friable weak &anu�ar blocky firm moderdte prismatic platy >50 rigid strong massive I hereby c ' this work was completed in accordanee wr'th AfN�080 and arrv loca!req's, Rusty Olson's Soil& Perc. 810 signer Signature Company License# . � ` �� • l � I � i ' O� ` �/y, � �. Z� �ac� ��„�p�'�-�._.___. � . � .�� +� '� � t�. , � � . � ` , i� ♦ tL , r� � G � O ` t�- -t- ""' �,�� 41 � � . .^ �°"� �b � c�., :� �� oy ?i .' � o �� fle ,�y �. . Q .�,n , �n � . �� _ � • *` F M �C�� !4"` '",,,3, / I y1 ' / �n ( ,,''s � / v' �r � � l� � r o°.. . ``.�._.'`� � . i,.�ti•-�, j � � 1 � � ! � � r��1 �� -'� r.. c� � .4 � � a ,,�^�� r ' � �""\�f � � � �...,� � i� dy �' � h t w � �` � ,� ,i � � � �� ,'- - � - �'-� , �� `� �r' � � � .s c�`" � ";� �, � �� I « 3 �� ,1 i �.? �3 �� _� � `� u�e� w �; G� � `€",! z e¢ f �� d""'� ��ti"'a�'�� '� "� '� T K i � s !F � i a � � �, ' J J� S � � �� s��fP� Z ...E :�i C * � : � � "� " � - �! ' � �_ � ° " �'�� m � ` � � -'� �' ,� - � _ �Q �I � � �� - = �� a °� � x . r �,�� Minnesota Pollution CO1�'lp�ldl'1Ce �IISpC'Ct101�1 FOrI'1'1 �' � Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) St.Pdu1,MN 55155-4144 Doc Type:Compliance and Enforcement Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes: requirements and attached forms—additional local requirements may also apply. Submit completed form to Local Unit of Government(LUG)and system owner within 15 days System Status System status on date(mm/dd/yyyy): 2l22/2017 ❑ Compliant— Certificate of Compliance � Noncompliant— Notice of Noncompliance (Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3.) frame ouUined in Local Ordinance.) Reason(s)for noncompliance(check all applicable) ❑ Impact on Public Health(Compliance Component#1)—lmminenf threat to public health and safety ❑ Other Compliance Conditions(Compliance Componenf#3)—Cmminent threat to public health and safety ❑Tank Integrity(Compliance Component#2)—Failing to protect groundwater ❑ Other Compliance Conditions(Compliance Component#3)—Failing fo protect groundwater � Soil Separation(Compliance Component#4)—Failing to profect groundwater ❑ Operating permit/monitoring plan requirements(Compliance Gomponent#5)—Noncomplianf Property Information Parcel ID#or Secll'wp/Range: 25-118-23-33-0008 Property address: 625 Spring Hill Rd,Orono Reason for inspection: Property Transfer Property owner: Owner's phone: or Owner's representative: John McWhite Representative phone: 612-805-1577 Local regulatory authority: City of Orono Regulatory authority phone: Brief system description: (2) 1000 gallon septic tanks, and rock trench drainfield. Comments or recommendations: Existing system will need to be up-graded to current city codes,as the drainfield does not meet the 3 foot seperation from a seasonal watertable. Certification 1 hereby certify that all the necessary information has been gathered to deterrnine the compliance status of this system. No defermination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system,inadequate maintenance, or future water usage. Inspector name: Pernel" " ent es Certification number: Business name: Chi e tic Servi es LLC License number: 2064 Inspector signature: - ,,_� Phone number: 952-200-3176 Necessary or Locally Required Attachments ❑ Soil boring logs �System/As-built drawing ❑ Forms per local ordinance ❑ Other information (list): www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TT`(651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwtsts4-31 • 3/i6/12 Page 1 of 3 Property address: 625 Spring Hill Rd,Orono Inspector initiais/Date:�- � 2/22/2017 (mn✓dd/YYri) 1. Impact on Pubtic Health—Compiiance component#1 of 5 Com Ilance crlterla: Verification method(s): System discharges sewage to the ❑Yes � No �Searched for surface outlet round surface. �Searched for seeping in yard/backup in home System discharges sewage to drain ❑Yes �No ❑Excessive ponding in soil system/D-boxes tile or surface maters. ❑Homeowner testimony(See CommentsiExplenation) System causes sewage badcup into ❑Yes �No ❑"Bladc soil°above soil dispersal system dwelling or establishment ❑System requires"emerge�cy"pumping Any"yes"answer above in�cates the p Per�ormed dye test system is an imminent threat to public ❑Unable to veri(y(See CommentslExp/anation) hea/th and safety. ❑Other methods not listed(see Comments�xp►anation) Comments/Explanation: 2. Tank Integrity—Compliance component#2 of 5 ' Com liance criteria: Verification method(s): System consists of a seepage pit, ❑Yes �No �Probed tank(s)bottom cesspool,dryweil,or leaching pit. ❑Examined construcction records Seepage pits meeSng 7080.2550 may be ❑Examined Tank Integrity Form(Attach) liant if allowed in loca!ordinance. Sewage tank(s)leak t�low their ❑Yes �No �Obsen►ed liquid levef below operatirtg depth designed operating depth. ❑ Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: �Probed outside tank(s)for"black soi!" Any"yes"answer above indicates the ❑Unable to verify(See Comments/Explanation) ' system is failing to protect groundwater. ❑Other methods not listed(See CommentslExplanadon) Com ments/Explanation: .Tanks were not pumped at time of inspection. Existing tanks are pre-cast 3. Other COmplidllCe Col7ditions—Compliance component#3 of 5 ' a. Maintenance hole oovers are damaged,cracked,unsecured,or appear to be structurally unsound. O Yes" �No ❑Unknown b. Other issues(elec�nrca�hazarrls,etc.)to immediately and adversely impad public heal�or safety. ❑Yes" �No ❑Unkn�vn '�ystem is an Imminent threat to public health and safety. Explain: c. System is non-protective of ground water for other oonditions as determined by inspedor. ❑Yes• �No *System is failfng to protectgrounafwater. ' Euplain: www.pca.state.mn.us • b51-296-6300 • 500-657-3864 • TTY 651-282-5332 or 800-657-3864 w Availabte in attemative formats wq-wwists4-31 • 3/16/12 Pnge 2 of 3 Property address: 625 Spring Hill Rd,Orono Inspector initials/Date: � � 2/2212017 (mmldc�/yyyy) 4. Soil Separation—Compliance component#4 of 5 Date of installatlon: 9/29/1994 ❑Unknown Verification method(s): ��d�y� Soil obseiva6on does not expire.Pr+evious soil ShorelandNYellhead protectioNFood beverage �Yes ❑ No obseivations by two independent parties are su�cient, ��g��9� unless site conditions have been a/tered or local Com liance criteria: requirements differ. For systems built prior to Apri/1, 1996, and ❑Yes ❑No �Conducted soil observation(s)(Attech tmring lo�s) not/ocafed in Shoreland or Wellhead ProtecGion Area or not se►ving a food, ❑Two previous ver�cations(Attach boring bgs) beverage or lodging establishment� ❑Not applicable(Holding tank(s),no drainfield) Drainfield has at least a twafoot vertiql ❑Unable to verify(See CammentslExplanallon) ' separation distance from periodicaily ❑Other(See Comments/Explanat�on) saturated sal or bedrodc. Non-pe►formance systems builtApril 1, ❑Yes �No Commenta/Explanation: 1996,orlater or for non perfom►ance systems located in Shoreland or WeJlhead Pmtec6on Areas or senring a foocl, beverage, or/odging establishmenf: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrodc." Experimental" '�ther", or Perfarmance" �Yes ❑No Indicate de th8 or elevatiOns systems built uader p►e-2008 Rules; Type IV or V sysfems built under 20Q8 Ru/es(7Q80. A. Bottom of distribution media 36+ 2350 or 7080.2400 (Advanced Inspector License required) B. Periodicall saturated soiubedrock 38 inches Drainfield meets the designed vertical C. S stem se ar�tion 2 separation distance from periodically saturated soil or bedrock. D. Re uired com liance se aration• 31 inche8 Any"no"answer above indicates the system is 'May be reduced up to 15 percent if allowed by�ocal failing to protect groundwater. ordinance. 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 � Mot applicable ' Is the system operated under an Operating Permit? ❑Yes ❑No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes ❑No If"yea",B below is required BMP=Best Management Practice(s)specified in the sysfem design N the answer to both questlons is "no'; thfs sectlon does not need to be completeal. Com Ilance criteria a. Operating Permit number: Have the O eratin Pertnit r uirements been meY? ❑Yes ❑ No b. Is the r uired nit en BMP in lace and ro e functionin ? Yes No Any"no"answer indicates Noncompliance. Upgrads Requirements(Minn.Stat§115.55)An imminent threat to publk heatth and safety(lTPHS)must be upgraded,repleced,or iis use discontinued within fen months of�eceipt of thls notice or wfthM a shorter period if reyui�ed 6y locel ortfinance.!f the system is failirtg fo protect ground water,the system must be upgraded,replaced,or Its use discbnGnued withi»the time requiied by/ocat ordinance.!f an exlstlr�g system is nof faiting as de�rned in law,and has at leest two feet of design sal seperation,then the system need not be upgtaded,repalred,replaced,or its use discontinued,notwithstending any�oca!adinance that is more strict Thls provlsron d�s nat eppfy to systems in shoie/and amas, ' Wellhead Prvtection Areas,or those used fn cw►r�fron with food,beverage,and lod�ing estabtFshments as defined in law. www.pcastate,mn.us • 651-296-63� • 800-657-3864 • TT1'651-282-5332 or 800-657-3864 • Available in altemative formats ' wq-wwists4-3f • 3/16/12 Page 3 of 3 � ��/ � �'� .�,Y;,� � �?�. 9 � `~�[� +r�-r �d �� oG� T�Edcr� R�o�l �+�.,o lJ�t- �� s,�-�-. O C2� tUoo C�a•J � S�n�.-r.�x.s 56- i v �\ r � ' � �`� {�,ZS SPfa . �,7i �,r��+o Soil Lo #� t ❑ Boring ❑ Pit Elevadon Depth to SHWT Depth(in) Texture fragment% matrix color redox color consistence grade shape lOOSe IOOSe single grain • <35 friable weak �t��c� ss-so jJ�i�3�'z. �� b�o�� firm moderate prismatic p�aty d'1 Z �,.f1�1'�•• >50 rigid strong massive loose loose single grain <35 [,.pA�^� 35-50 f friable weak ganular btocky f 2 r,�,a � �50 f(��fl�- �f� � iriOdg te Prismatic platy ( v � ri d Stron �ssive <35 lOOse loose $;r,�e grain friable weak granutar blacky 35-50 .�G {„0�lwY >50 6�S- firm moderate prismatic piaty l.�'3� �+�► rigid Strong massive loose loose singte grain <35 friable weak granular btocky 35-50 ' �L� (p �' �j{/� firm moderate Prismacic placy ?,,4y �.,A„_ >50 3� '2� rigid strong massive ' �35 loose loose single grain friable weak granular blocky 35-50 firm moderate Prismatic plary ' >50 rigid strong massive � Soil Lo # z, ❑ ��9 ❑ Pit Elevation Depth to SHWT Depth(in) Texture fragment% matrix color redox co14r consistence grade shape loose loose y�gle grain �5 friable weak grac►u�ar btocky '' �� 3>50� /� Z j firm moderate prismatic ptary ' �'j—� ( 'r'' f�"" rigid st1'ong messive ��5 loose loose s�ngle gcain ( ,y�� 35-50 friable weak granutar btactcy �"" � fitm modeiate prismatic piaty l�" 3� s� >50 !012 '�� ijgid Sh'Ong massive , �35 loose loose S;ngtc grain �p..�'� friable weak g�an��ar b�ocky 3�50� �'',� firm moderate prismatic platy ��Y� S� rigid strong massive ' �35 loose loose $,og�e��;n 35-50 �i�� ^'' �able weak granutar blocky ,t� G� �50 `„/� fitm moderate Prismacic piaty 7 1 o�n. � rigid strong massive lOOse loose s�ngle gain <35 friable weak gcanular blocky 35-50 � moderate pr►smacic platy ' >50 rigid strong massive I h eby certi his work was completed in accordance with MN 7080 and any local req's. �. � Designer Signatwe Company License# ' ��o�� . � ; o o� ,, : ':` C ITY of ORONO �� ,,},� �:,:: ,, � . � � � : r r�� . ,� '�i; .�. s,;i. ,, ��C,, . Municipal Offices :;±;�.. . '�,t� , �.{._'�'''�,:`;'�G Street Address: �15ot-a49-y6o 0 Mailing Address: '9k��p4' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 6�s s �: ,�, �t� To Current Owner: Address: �`I � 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 CONFORMIT'Y 1-3 : � 1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standazds of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requ'uement for systems installed 1996 or earlier,and which is not failing or an inm,ir,ent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may or may not meet all the location,design,or construction stand�rds of the current Orono Municipal Code and which is failing for any reason;and any ISTS with less than three feet of unsaturated soil or sand beriveen the distribution device and the limiting soil characterisdcs. TANK CONDITION(5-7): o 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 6� ��—� � ). Make sure septic tanks are pumped throu¢h manhole and not throush white inspection aipes. This allows for the proper cleaning Keep water softner and iron filter dischar¢e out of septic svstem to prolong life of drainfield. Ask aumaer to test alarm float to verifv alarm is still workine in vour house. The alarm warns owner that seatase 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 tanks have not been pumped out within the last three years,they should be pumped out now. D INFIELD CONDITION 8-10 : Y 8 Drainfield is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yet. 10 Drainfieid is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. COMMENTS: ��:��<c�� o�1CS �� vri(� �e��-�— ��k� S,, �.�1 r �c�5''_ � b - �—a� �� Date of[nspection Matt Bolterman - Septic System Inspector Not�: in the even[[hat this inspection report is used to satisf� the requirements for a mortgage or uther transfer of'propert�. be advised thet this report dues nut guarunlee or certih that an e�istin¢ 5�•stem ��ill continue tu Ilmction properl�. but is merel� an opinion of the adequac�• oFthe s�stem Lmder currcnt �un�itiuni based on the avail�blc inl�nnation. ;�/�O� /O O � =� �`� CITY of ORONO , A,,y� r�, = ,,, i� '� 1 � ti Nt��i� ot�� `.�� a '� �rE i � � , �,,,. �� G ,t � , ,�:,: ..:�:`;�� Street Addross: Mailin�Addrou: �\�$+gg0�' 2150 Kelley Parkway P.O. B� 66 Orono, MN 55356 Crystai Bay, MN 55323-0066 July 12, 2000 VanZandt& Elizabeth Hawn 625 Spring Hill Road Wayzata, NIN 55391 . Dear Mr. & Mrs. Hawn: An inspection of your septic system was conducted on July 12, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout needed within one year (last pumpout dzte unknown). The septic system is a compliant system, meaning it meets all or most current City and State Standards. Enclosed is a list of licensed contractors who work in Orono on a regulaz basis. This list is enclosed simply for your reference in case your septic system needs maintenance in the future. Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built drawing is enclosed showing the approximate location of the septic system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. Re ectfully, � �� hris ence On-Site Systems Manager Enclosures In the event this inspection report is used to satisfy the requiremcnts for a mo rtb.igc ur other transfer of property, be advised that this report does no guarantee or certify the existing sy�stem��ill continue to function properly,but is merely an opinion of the adequacy of the system under current conditions I��ised on the available information. This report must be kept on the premises`vith thc s��stem location and pumping records. Telephone(952)249-4600 • Fax(952)249-4616 www ci.orono.mn.us �.� o.�,. ��o 0 �;�; � ,,� �f�r;,s, ,� CITY of ORONO ' �� ,,� =�E ti M�� ot�� ,�+► . , � �,�'r �' �, �`��`�G~ Street Addresr. Mailin� Address: �C'EgKO�' 2750 Kelley Pa�kway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 � Owner: �� Address: 625 Sprinq Hill Rd. Permit #'s: 6474 Dates: 9/29/94 Contractors: Patnode Bros. (This is [x] an existing system [ j new construction) . STEM 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 (x] or ia not [ ] identified under this septic aystem. If the saturated soil level is not identified, this clasaification is subject to revision.) �,NK 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 watertiqht, this classification is subject to revision.) INFIELD CONDITION (11-14) : 11 11 Drainfield is dry, no surfacing evident. Some evidence of surfacing, not critical yet. Repair is not required at this time. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repair must be completed within 90 days. 14 Drainfield extent and condition unknown. POTENTIAL FOR SYSTEM FAILURE: (system aqe and condition, soils, etc.) : loW COMMENTS: /' 9-�,9� ,� :� r ��--- Date of Inspection Se tic 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. Telep6one (612) 473-7357 • FAX 473-0510 � -T .�. . CITY OF ORONO �O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATl�NT v�„ ti INSPECTIOIQ REPORT � G� �9kEsKo�'� Owner: �r/�'Pi ��2/� Address: Permit #'s: Datea: /'�a�/"' Contractors: City ordinence number 100 requires that each on-site sewage treatment system in Orono be inspected on a regutar 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) STSTEM CONFORMITY C1-3): 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 installati�, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into gro�d or surface waters. 3 "NON-CONFORMING STSTEM��-A prohibited system; a system located within a designated 100-year floodplain; any system which mey 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 end the limiting sotl characteristics. (The limitin$ soil characteristic 'q�}_has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identi�fied, this classification msy be subject to revision.) TANK CONDITION C5-10): � inspection indicates: Punpout not needed at this time. 6 Solids accunulation in tanks indicates they should be p�anpe� out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. aT nks should be �xmped 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 lnspection risers missing-tenks could not be inspected. Inspection �isers (4" dia. pipe) must be installed in each tank at next punpout. If tanks have not been punped out within the last three years, they should be punped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumuletion). If tanks have not been p�mped out within the last three years, they should be punped out now. DRAINFIEID CONDITION (11-14): D ield 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. Repeirs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (sloce.setbacks.etc.): POTENTIAL FOR SYSTEM FAILURE (decends on soils.water table.etc.): COMMENTS: Date of I spection Se 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 certify that an existing system will continue to f�ction properlyi but is merely an opim on of the adequacy of the system under current conditions based on the available informet�on. This report must be kept on the premises with the system locetion and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeow�er CITY OF ORONO �O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAt�L TREATl�ENT r�,� �, IN3PECTION REPORT ti '�' G �9k'EsHo�'� Owner: ��U t'701�r Address: / . Permit �'s: mJY��. Dates: Contractors: //�K1�L!/Y�. 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 p�an existing system [ ] new construction) SYS7EM CONFORMITY C7-3): 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 satistactorily 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 floo�tain; 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 unsatu�ated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic [ ] has or �has not been identified at this time. If the limiting soil characteristic has not been identified, this c assification may be subject to revision.) TANK CONDITION CS-10): �(� f Y Tank 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. 'fanks should be punped out as soon as possible. 8 System is discharging to the surface. Tanks must be punped out uithin 48 hours to eliminate surface dischar�e. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next puipout. If tanks have not been punped out within the last three years, they should be punped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation). If tanks have not been punped out within the last three years, they should be punped out now. DRAINFIELD CONOITION (11-74): Dr�_e_�(�field inspection indicates: lU9 Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging �treated effluent to the surface. Contact the City lnspector , immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition �known. LIMITING SITE FACTINtS (slooe,setbecks,etc.): POTENTIAL fOR SYSTEM FAILURE Cdeaends on soils.water table,etc.): � corsrsE Ts: � o. �� n�s �,✓e� l�-jp,r.t�n,� 6—�g=g9 G�v►,+� � .m , Date of Inspection ic System i spector Note: In the event that this inspection report is used to satisfy the requirements for a �rtgage 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 op�nion of the adequacy of the system under current conditions based on the available �nformation. This report must be kept on the premises with the system locetion and pu�ing records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner