HomeMy WebLinkAboutseptic info 11/05/2010 00: 47 7634975011 SPTESTINGINC PAGE 02109 ,/
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' .��� T����� ,�,7i �NC. Steven B. Schirmers • MPCA Cert.No. 627
, 951 Katydid Lane NE • St. Michael, MN 55376 � (763) 497-3566
FAX (763) 497-5�11
State �.icense #394
November 1, 2010
The Relocation Cenfier
485 No. S#ubbs Bay �td.
Orano, MN 55356
A Compliance Inspection was comple�ted for fihe existing an�site sewage tr�eatment
system located on this property. The systeim consists of 2-1000 gallon septic tanks, 1-
1000 gallon pumpi�g chamber & a pressurized mound system wifih a �0' x �49' rock bed
built in 1998. Soil boring #1 found mottled (redox features) at 2' below the ground
sur�ace. Soil boring #3 found the original soil at elev.99.1 8�the bottom of the rock bed
�t elev.100.9 leaving 1.8' of sand below fihe ro�k bed & a 3.8' separation fror�the
bottom af the ra�ck bed & redox features. Soil boring #2 found mottled soil at 1.7' below
the ground surface. Soil boring #4 found the original soil at elev.98.6 $�#he bottom of
the rock bed at elev.100.9 leaving 2.3' of sand below the rock bed & a 4' separation
from the bottorr� of the rock bed 8 redox features. This system is classifed as in
compliance with AAinnesota Chapter 7080 rules,
The tanks were pump�d by Elmer J. Petersan Co. 8�were found to be compliant at this
tirt�e.
Nothing other than gray water (laundry, showers, etc.) human waste & toilet tissue
should be disposed of into the septic tanks. G�rbage disposals are not recommended,
due#o adding mare soiids &fine solids passing through to the system. Recommend to
divert iron filters oufi of the system, recommend to divent the water softner also if
diverting the iron filter. Excessiv� amounfis of soaps, antibacterial soaps, cleaning
agents, shower cleaners used every shower & chlorine agents may kill the bacteria
needed to treat septic efFluent. Additives are nofi recommended. Recommend to pump
& clean your tanks fihrough the manhole by a certifiied pumpe� every 2 years. Check
with your pumper to set up a schedule.
This Certifieate of Compliance is no guarantee thafi this system will continue#o function
indefinitely,
� ,�`"v�. � .
Stev�n B. 5chirmers
1
11/95/2016 06:47 7634975011 SPTESTINGINC PAGE 93169
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Mir,nesota Pallu�ior� COCY�p�1�nGC InSpE'Ct10�1 ��rl'�1 �
���,ff�;.;;;�'. Contrnl Ac�ency �xps�pnc� Subsurface Sewage Treatment Systems (S$TS) �
5Za LaFayett�Road Norsh
SC Paul,MN 55155-4194 Doc Type:Complianca anal F�fbrvemen!
Instructions On page B
�Surrtmary Formi (Completed fonn must be submitted to the local unit of govemment within 15 days.)
�
Parcel number: __ I
System status: �Compllarrt [] fVoncompliaM For I.ocal Tracking Purposes: �+� ��
(based�n alf compliance requirements)
Properky Information ����
Properly owner name(s): �_����,��� PropeNy owner phona: „(m,S„1,�_�.�=0�.$�d �
Properky add�ess: _,'�`�6.5�_��?�`?..��►'.`,�::`��4^ M.t�'�...,L��i1.1._.�.Q,''�. ,.,_�
Property owner address(if different}:
_____.._____.....:...,.,.,....._..�..,...........___._ ...:. i
County,1a��'(��� Permliang authorlty: _.L.�'(."(..,.0_�!__G�'�4.j.l�.----- , "I
Date sy�ttem cansUucted: 1 a-�l- `14� Reason for ins�x�:�¢o�-� �(4�9�g�G�C�. �
System Descr�ption . '
Briefsystemdescription: .�_1lT���l.�`�'�C'�1�l��V�`�,�„/odee�,'P�+M1R �t:p'!"'i�.��rW1oa,F'�.�ru�,c��v�s�;
local permit number: ___..„r , „ ,, yy 1�.,, ,_, Number of bedl'oome: � Design flow rate: . . _y.�V y__�j
�
Is the system: i
In Shoreiand a�ea? Q Yes � No In Weflhead Protoction Ar�a? []Yes �No
A�U.S. F_nvironmental Proteciion Sys#om senring a Minnesota Oepartment
Agency(FPA)Class V Injectlon Well?�]Yes � No of Meath(MDW)licensed facility? ❑Yes �No
1
COIY1p�1811Ce Sfia�US(Based on stat�r�equinements—addfflonaJ lacal nequirements mey also epply.) '
8ased on the infortnaUon ggthered and reported on aitaohed forma, tlte compllence status of this systam is(check one): �
�Certificate of Compllance—valld untll(3 years hnm dats of repprfJ; �
Q Nobce of Noncompliance-�or�lancomplia►►t systems; I
The reason for noncoinpliance is: _ _.......,,�,..,..,...,.,..:._.,._..� _ .,..�-
7his noncompllant system Is clas�lfled as(check one belaer):
❑Imminent threat to publ�health S safety [� Failing ta prolect ground water ❑ Noi in compliance with operating permit �
Certific�tion �
1 heneby certilj�thet all thR neccassary info�mallon has been gathered lo dete►mine fhe compllance sfsfus df fhis system.No
deferminafion of fuh,re syst�m pPrformance has been nor can be m�de due to unknown condibons durina system constr�uctia�,
p�ssiblc�a6use of the syslem,lnedequale maintenance, or fu(u�weter usage. �
Name: ^ �?�,f�,� ,�, �pj����,��a Cettifiaaiion number. _ (o�,�_____,_
Buslness Ilcense name and number: 5�'�' -i'��5���.lv �i.1 C , 1..►�,�,�3�___p����'3�y�r,���, ur �
Name of local unit of govemme�t: ., ,�___._�,_,�_„. ..r__._.... ..,._._�_ .
Signature: 1�� �. _ ._w_ _� Date: 1 1 .
3 -ad�_..--
Required Atxachments ,
� Hydraulic Performance �Tanlc Integrity [� Operating Permit Form('if applicable) I
� Soil Boring Logs Sail Seperation ;
� System drawing/As-built dr'awing []Any(ocal requlrements that are difFerent from what is required on this form ;
❑Other i�ormation(list): �� T,,, . �
.. ,
Upgrade Requiremen�(derived from�nn. 5tat.§i 15 55J M lmmlrrenf thr�t to pubUc health snd s�i�ly(11PHS)must be upgradad,
.repleCed,or fts use discondnu�d utn"thln ten mor�s of�ceipt of d�ls na(Ica or WlN1In 9 all0lfer period if requi►ed by locel oniinance_If Ihe syst�m Is
falf/ng Io pro�oct g►vund wafar,tNe aystem mual be upqreded.�ap/aQed,or,7s use discontinued wlfhln Iha tlme required by locaf oMinnnr�, If An
existutg system is not fa►1ing as d�linad/n law,and has at least Mro haot oP desfgn so;l sapsrelion,tAen the sysfem need not be upgradBd,reN.alred, � �
rep/acod,orlts use dlsconGnueal,nolwltllafahding ony Iocal ordinance d�atls nrore SMCt Thls prnwsia��s not apply to systems In ahaeland
eroas, Wellheed Pml�cflqn Areea,or fhoae used In connec8an wIH�food,beverage,and Mdging establishments as deA�ed In l�w. '
11/05f2616 06:47 7634975611 SPTESTINGINC PAGE 04109
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� Parcel number. , ___ __". ,__._ _ �. . , System status: �J Compliant ❑Nonc�mpliant
..�,. _- �� (as detemtinod by this fiorm)
Soil5eparation Connpli�nce and Other Com�liance- Complia�ce Inspecfion Form forExisting SST�
Compliance Issue #3 of � j
Date of observatlon: �� .a,g-ao�� Reason for observation:�.�o4��"� �'Prt�kl.1S� ,_ �
�
1'his infnrm�Nan on this form does not expim. ;
Compliance questions/criterfa: (Requlred) Ve�ification Method*": (Optlonel) �
. _(Check the app►vpriate box) ..,..,,._ (Checic the appropriate hox)
For systems built prlor lo Aprll 1, 1996,and not � Conducted soil observation(s)(attach boring bgs)
localed in Shoreland or Wellheed Protection
Area or not serving a food,beverage or ❑ Ywo prevfous veriflc�tions(attach boring logs) �
lodging establishment; � ►
❑ Other. �.t5d..__'�'_�.��.�1?I�►.c9�.—._.�.�
Does the system have et least a two-foot
vertical sep�ratlon dislance from periodically � �`� ��'������-���I
satureted sofl or bedrock? �Yes 0 No s0�,. ..._�
, . y ��_ T_.._
For non-performance syslems bullt Aprll 1,
1986,or later or for non-performance systems Soil observadon does not ire. Previoua observahons
Iocated in Sho�eland or Wellhead Protection by Iwo inde endent a�tiesre suffiaent, unleas sit� I
A�eas o�se►ving a food, beverage or lodging P P
estoblishment: conditions have been altered_ �
I
Dv�s the system have a three-foot vertical !
separafion distance from periodically saturated :
soil or bedrack?" �Yes ❑No i
— �
For reduced separadon distance systems(I.e., '
'pertortnance"systems under ald 7080.0179 or * May be►educed by up ta 95 pencent If ellowed in local �
Type IV or V sysiem under new 7080.2350 or ordinence. �
7080.2400): "No standard protocol exists. 77iis list is not exhaustive, �
Does the system meet the designed vertic�l In sequenHel order,nor does It!nd(cet�e which i
separatlon dlstance from peflodically saturated combinatlana ere necessery to make thls ;
soil or bedrock?' �Yes �No defer►ninAtion.
Any"no"answsr indicatas that the system is fail/og!�o proMc! i
ground water. �
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Cert9fication �
Thls fo�m Is to be completed and attached to the Summary Form of the Minnesota Pollution Cantrol Agency's(MPCA)Compliahce ,
Inspectlon F�rn�for E�cisting Subsu�fiaca Sewage Treatment Systems.ObservAflons, InRerpretations,and conclusions must be ;
completed by an inspecior o�deai�rt�r.Completed form must be submflted ta lhe local unit of govemment within 15 days. ;
Property owner name(s): ��i'�i.'�'rG��.���....�.....�.�,.��......_ _,...__—;
Property address: �'�5 �0� �►-�u�,:�._.."_�-�..�`.".�,__��• _.���v . .---I
y, ..
Property owner's sddress(ii dlR�er�nt): ,.,.. ___..__.,.. �
County- }��}-��''�'Q 1�� _ Property owne�phone: (p��� 2�,°y,^,��' U a,���--�,
�—�
1 hereby ceKify fhaf 1 personally made the o6servetions, inte►prietelions, and conclusions r�ported on this form and that fhey ere '
co►rect. ;
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,
Name• .,.S�{��/��.\. �,,, , L1a__� Certification number:
• ... . 5.,., . 1'����.� (r�r�� . ._
9usiness I'�ense name and number. �S�rr'��.�J:,I1�.,.,..1..1,1_C�_�—....Vl..(`..;�M �`� '�`�'),Ia�'����..''.��..3�S,as�_ �� �
Name af local unil of govem ent �
— .. _ � _..__....._.— .._..._..._ ..._.. �. i
Signature: � . �' �-�.�-"_.---... ,....,...__.------ �ate: _���'7��0'1• I ;
r, ....... -^- ----i
..�.�..��� ���a� ..�.� ... /r� 1/�/ /1�I� 1�I�/� I�1 7%� ��11 II• qM Y��r� w�w •�w w�i i • �� •• • �. N . � �
11f65/2910 90:47 7634975011 SPTESTINGINC PAGE 65/69
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� Parcel number: .. . ._,_____ System status: �Compliar� [)Noncompliant �
(as determined by this form)
I
Hyd�uAic Pe�#ormance a�wd O#i�er Co�nplian�-- Campliance lnspeation Form for Exis�ing SSTS �.
Compliance Issue #1 of 4 �
Date of obsenratlan: �a.1d-„�c9�J_ Reeson for observatlon: ��0'0� '�rf•(.��r.,�!�.., ,�
This form expires upon next lnspectlon or in threa years,which�er occurs first: �,�„� �„_,,^ �
.._.,..._�
Compllance questionslcriteria: (Requlred) Verificatlon Method�': (Option�l)
(Check the appropriate hox) ,__^ _ (Check the epprop�iate box)
Does 1he system discharge sewage to the [�Yes �No ❑ Searched for surface outlel
ground surface? "�,�r __„
Does the system discharge sewage io drain ❑Yes [I No � Perfomned hydraulic test
tile or surface waters7 � Searched for seeping In yard �p
Does lhe system cause sewage backup Q Yes �] No [� Checked for beckup In home
..,into dwelling,or,establishinent?_,.,_ � Excesslve ponding in soil systemlD-boxes �la .
Do other sihi�tions exist that have the C]Y�s �No ❑ Homeowner testlmony
pokential t4 immqdi�#ely�ncJ a�versely
impect or ihreaten public heatlh or sflfety ❑ Examined fo�surging in tank
..�electncal,unsafe covers etc. ? � � °Bladc soil"above soil dispersal system k.l�
.._���........_._....— .,�...�_,......_
Any"y�rs"answerind/cates tha!tho system is an imminent
thr�at i�n puWlc hea1N►and saPety. ❑ System requires"emergency"pumping
-•,�-•.� ,-�•. ❑ Pertormed dye test
Does the system pose A threet to ground ❑Yes �No � p�her:
weter for eny conditfons deemed non- �-�'"��"' --""'°�� -"I
Drotective as dete�rnined by the inspector? �
"Yes"/ndkaMs tha!�Ne system►s falling to prot+esct N ��
ground water:If"ye�s';desaribe tha condition noted: �" ' '�
*No sEsndaM protocol exlsts. This list is nol exhaustive,
,---,,.,------�.�-.� !n sequentlal order,nor does it indicate wl�ich �
canbinatlons ere necessary b make fhls determinetlon. i
_..,.r��.,.._ _._... i
Certification
�
This form Is to be compleied and srltached to the Summary�orm of the Minneaota Pollulfon Contro)Agency's(MPCA)Compllance �
Inspectlon Form for F�clsting Subsurface Sewage Treatment Sy�tema.Observations,interpretatlons,and conclusions must be ;
campleted by an inspector.Completed fonn must be submitted to Ihe Iocal unit of govemment within 15 days. �
Property owner name(s): -'(1�� LI�(I�4� G� '� '-- .......�„__ _ „_ �
Property address: 4.� 5 Al . �1'��,..'�_-� ^^�......'Q�?�._,.,�._O'�d.�1� I
�
Properly owmer's eddress(iFdl�erent): _ , ,_,--� y ,
. _. . ... _
County: �'1-�S...S�.'�r/'Q 1 1►.!, Propetty ow�er phone: �1�'-�'Z�"D�,'�� .
_�..,.__, ,__ __ . �
1 hereby ce►t!ry thal 1 personelly made the observations, ��rem►�t�ao�s, and conclosions reparted on thls form and thet they a�e
corr�ct. '
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Name: G',1�.�_rCK�r���,��J�a1��.��,"�,�� --•-.,�._,..�. Certifica#ion number b:�ry _. •
eusi�ess license name and number. �_-������C� 1►.,L ;� �,^���.t,�'�q�„_ '��1'�'' '11.�3 W��r1,�� ;��,or .�
Name of Iocal ri of gvvemme t: �
Signature: _�' ^' �r ���� ---- ......__,....�..,....�. �. ., Date: �� �Z!oZ 01 c� r ....-�
�— " �
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.._--•--•-- --- -�- �• �
............ .��a.,..... ..� ce� �Ae c�nA oM ee'!!oe I rnr sra �a� e���_.nnn i�ti �ni i �.._:�_��_ :._ _�.._.. . . .
11/95/2910 06:47 7634975611 SPTESTINGINC PAGE 06109
Nov U1 1U 12:58p Eimer J,Peterson Cu, 763-972-7��7 p•�
� � Ta Re or�
Date; �ovemb�r 1,2010
El.mer J. �'eterson Co.
;i921 Dag��e Ave.
Delano. lV�N 66328
Ph�ne 76g-972-24�0
T�ax 763-9"r�-�°17
MPCt1 Li.c�nse## d19
S—P Tes�ing
485 N.Stubbs Bay Rd_
�.ong I.ake, Mtd 55356
Baf�1e ON / OPF
'rank C;�pacity: 3—�Obb Qellon 7anks
�fi of Tanl�s: 3 .
Type of�!"anks: GOn�'�e
Gallons: 2500
11�1anholes to Gra�.e: YES ! �0
Commentq:
On November 1,2010, ElmoiJ. Peterson Co. Uncovered ManhaEes (1`� &Z"�Manholes—8 Inches Deep,
Lift Statio� Man�le To G�ade) and Pum�ed Tar�ks. No Cracks or Waler Leaks�t that Time. Elect�lcal
Box is Loose—Sh�uld Be Faed,
NOT�:This i5 only a kRn�C c�ort. Tbis is �aot a c�mpliance inspoctt�n for point n�sale tiar c�oes
1�TC(7�Af.P.8 COQI[1�7AJIC6 1��7ECL1011,
T�icPn.gE �# 219
11f05/2010 66:47 7634975611 SPTESTINGINC PAGE 67/69
Nov U'I 1012;58p Elmer J,Peld�son Co, 763-972-7217 p.:�
P9rcel number. 9ysl�em steh�s: �Campllant ❑Nor►compliant
• • (ae detemfrned bY this fonn)
Tank IAtegrity a�nd Ssfetyr Complia�nce- Corrrp�ance Jnspe�tion Fom�for Existing SSTS
Compliance Issue #2 of 4
Oate aF observation: 11l1/40 Resson for obsetvatlan: P����e
7�is form expires on(three y�ars�: 11fi110
Cornp{ianco questlonslcMena:(Requiredy VerlRcation(Wethod":(Optlonal)
� heck fhe a ro 'Ate bex (Chedt!he approiwiete bv�)
Gves the system co�sist vf�seepage piC, Q Yes �No n Pro6ed tank bolkom
Cess ool d ell or leachi �t?
[I Observed low liquid level
17o any sEwege tar+k{s)le�k belvw their ❑Ye� �No
d� ned e ratln d ? (] Ex9mined cor�truction�ecords
IFyes,identity which � Exami�ed empty(pumped�tank
sewage Ix+nk leaks. [] Probed oWside tankfar"blacK soli"
AAy��ye5'8/13W9�1/1d�f�tE�S lh�8t�!Q 9]f�efll(S�flfFlg td p/nl9CZ
gmUHtl 1Ys1er. ❑ PiessureMacwm chack
❑ OthE� - - �....,
' Scepege pils meeling i0d0.2S50 may be compllant iF allowed
in ordinance by lasal permittiilg fl�ihorlly.
••No sler�dar+d�rvbeof exr�s.71sis list is eo�erha�stiv@,In
scquanNo/order.nor doas it mclJcate wMch con►Wnallons
�necosaary fo make fhis detarminstio+�.
Safety CheCk
1. l�re main��anoe holo covers dam9ged,cracked,or appe�d to be strudi�rally unsound7 ❑Yes" �J No
2, Were malnt�nance htole covers repl�ed In e s�eured manner(e.g.,screws replac�? �Yes Nd
3, W�secorldary a�ess res4'f11nt pr�eM(seteq►pa�.secand cover,or safety netU ng)-hlghiy recommended. ❑Yes� �f No
d. Are ott�er safe2yltiealth lssue preserit? ❑Y�' �No
Exphain: ___ �,
"system is an Imom��rent tltre�t ra puarlc he�rh anasalaty.
Certif�catien
This form is to be completed and att�ched to lhe Summary Form of the MinnPsvla Polluti�Cootrol�qencY's(MPCA)Compllance
Inspectlon�orm fo�Exlstlng Subsurl�ae Sewage TreattnenCSystems.Observa�ons,InUerpretaqons,and cuncluglan�nxist bo
completed hy an inspector, ms�inialnor,or service provider,Completed Form muat be sullmitbed#o thc local unit of govemme�twHhin
15 days. •
Property own�r name�s):
Prope�ty address: 4B5 N.stu6bs Bay Rosd Long LakE,MN 55356
Properly owner's address(�td�fteren!): .._._.._.._..._..
County: Mennepin_ Properly oWner phane:
I he�eby certly thal l persontr/�y made('he observations,rnterpretations.and oonclusions r+eported on this form end fhat lfrey ere
carr�d.
Name; James Breegelmenn � Cer6ificativn numbar.
Business licen�e name and number: Elmer J.Petei!aon Cn. fJoense�219 4r
Name of laea �mment
SignatuP'e: pa�; 11l1/10
www.pca. � .rnn.�,s • 66�-z9e-6300 • eao-657-3664 • TTY 651-Z62-533Z or a06657•38d4 � Avail�ble In alternativa fom�ats
wq�wwlsts4-31 • s13AI04 Poge 3 of 8
11/05/2610 60:47 7634975011 SPTESTINGINC PAGE 08/69
" �••� T��TI,N ,a� �N ,�,r• Steven B. Schinners • MPCA Cerk.No. 627
� 951 Katydid Lane NE � St. Michael, MN 5537fi • (763) 497�35B6
. . FAX • (783) 497-5011
State License#394
J„�p��F��l - BO INGS
The Relocation Center
485 No. Stubbs Bay Rd.
Orono, MN 55356
Borings comple�ted on 10-28-10, with a hand budcet auger.
�Qg�G��I�ER 1_ Elev.99.7 - MOTTLED SOIL AT 2�" � no standing water present in boring.
0 � 16" Topsoil very dark brown loam 10YR 3/2
16" - 20" Dark brown loalm 10YR 3/3
z0" � 24" Brown clay loam 1�OYR 5/3
24" - 36" B�own clay loam 10YR 5/3 - distinct mottles 10YR 7/1, 10YR 6/8
�O�G�B.�B,��E�ev.99.2. - MO'TTLED SOIL AT 38" - no standing water present in the
boring.
p �- 14" Filt soil loem &sandy loam
14" � 18" Fill soil medium sand
1 g - 28 Original soil very dark brow� loam 10YR 3/2
„ ��
28" - 38" Very dark brown clay loam 10YR 3/2
38" - 42" Very dark brown clay loam 10YR 3/2 - distinct mottles 10YR 6/8
42" - 50" Pale brown clay loam 10YR 6/3 - disfiinet mottles 10YR 7/1, 10YR 6/8
,BO�C�.�U��,..�EIev.102.4 �through the mound.
0 - 12" Fill soil Ivam
12" - �0" Fill soil medium sand
40" - 46" Original soil very dark brown loam 10YR 3/2
�QB,ly_G_�!�l����EIev.102.6. �through fihe mound.
0 - 12" Fill sail loam
12" � 48" Fill soil medium sand
48" � 54" Original soil very dark brwon loam 10YR 3/2
11/05/2019 00:47 7634975011 SPTESTINGINC PAGE 69/09
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�( ;.�::�:, =� :�, ' CITYof OIZONO
'i "'� ,;;' r ' •;• � I Munici al Offices
1t, r�, � F;: l�►�? P
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` � � ;� G ''� Street Address: Mailing Address:
�9,kE,Sx�4�� 2750 Kelley Parkway P.O. Box 66
`�.__.:_--— -= Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address `�— �
�-�'$`� � � u�s'�S �.3A f-t �J �
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 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identified as Non-Compliant
Yes
No �—
If yes, system must be brought into compliance by:
December 31, 2007
December 31,2010
Other '
Septic Tank(s) Pump out Needed
Yes �No
The City recommends the septic tank(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s)were last pumped out on
�� ��� u� . The tank(s) should be cleaned through the manhole and
not through the inspection pipes,this allows for proper cleaning.
Comments:
�..
Inspector: '�� u �.�9.�,�� Date of Inspection /c? ` v S�
Telephone(952)249-4600 � Fax(95�)249-4616
N W w.ci.orono.mn.us
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��:��- � ;�. CITY of ORONO
,� �'�:}. A+
,� �;.;� � MunicipalO�ices
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�, '�f����. ,� Strost A�dreu: Matling Addrou:
y��p'¢' 2150 Kelley Pa�kway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: T�S `��� �,/ �- N�
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.
SYSTEM CONFORMITY (1-3): �
�1 "CODE SYSTEM"An IS7'S which meets all the location,design and consWction standards of the current Orono Municipal Code.
"COMPLIANT SYSTEM" M ISTS which does not meet all the location,design and construction standards of tlu wrrent Orono Municipal
Code but does meet the tluee foot separation requirement or rivo foot requirement for systems installed 1996 or earlier,end which is not failing or
an imminent Wreat W 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�t mcet ali the location,design,or construdion standards of the current Orono Municipal Code and whic6 is failing for sny teason;end
any ISTS with less than three feet of unsaturated soil or sand betwan the distribution device and the limiting soii characteristics.
TANK CONDITION(5-7):
Tank inspection indicates:
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 years.
Tank was last pumped ).
Make sure septic tanks are pumned throu¢h manhole and not through white insnection nines. This allows for the
prouer cleaning. Keea water softner and iron filter dischar¢e out of seotic svstem.
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 yeazs,they should be pumped out now.
IELD CONDITION 8-10 : 7�
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.
co�rrrs: �ov�� loo�� 01�. �uM� scQ�-�� -��k� 3��.�.��
�o o Lt -
��,�_d-� G�.� (��
Date of Inspection Matt Boltennan- Septic Systecn Inspectar
Note: In du event th�Wis iospec.tion repcnt is u9ed to sffiisfy the roquirements for a rrmrtgage or other transfu of property,be advised that this report�es not guar�nta
or ce�tify t�s2�exisdng syatem wiU continue bo function properly,but is merely an opinion ofthe adeq�acy of tlx system under cunent condition�baRed a�the tvsilable
inEorma2ion.
lidephone(952)Z49-4G00 • Fax(952)249-4616
'►ww.ci.oroao.mn.ns
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� ���:�:�-�� CITY of �RON4
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�:�,�':��� �f) ,ti,�' Municipal Offices
�� `'%'�`t��''���iG � Street Address:
'�.9 �.=�t� g, Mailing Address: .
. �ES�I� 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: ����c-''` �j � �:�, rtiS y�5- S��b�S DJ°� '� �I,I,
� Address: �.
Ciry Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every t�vo yeazs.
The on-site se�vage treatment system at the above address has been inspected and appeazs to fall into the categories checked below.
SYS1"EM CONFORNIITY (1-3): � �
O "CODE SYSTEM" An ISTS which meetc all the location,daign aad construction standards ofthe current Orono biunicipal Code.
2 "CO�LIANT SYSTEM" An ISTS which doa not meet a1(the locatioq design and cons4uction standards of the curtrat proao Municipal
Code but does meet the three foot separatioa requirement,aad which is not failing or aa immiaeat threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" Aprohibited ISTS;an ISTS located within a desigiated 100-year flood plain,any ISTS which may
or may not ctaet all the locatioa,design,or conshvction standacds of the cuae¢t Orono btunicipal Code aad which is failiag for any reasoq and
any ISTS with las than three feet of unsaturated soil or sand betwern the distdbutioa device and the limitu►g�oil chacacteristia.
TANK CONDITION(5-10): �. �
Tank inspection indicates: �• -
� Pumpout not needad at tEus time.
fi Tank must ba pumped out this year (city code requires tanics to be pumped out every 3 yeazs. Tank was last pumprd �,
7 Solids ac�vmutation in tanks is at a cricical a ecitical LaveL Tanke should be pumpad out av sooa as possible.
$ S}stam is discharging to the surface. Tanks must ba pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspectad Inspection risers(4"dia.pipe)must be installad in each tanlc at next pumpout If tanks
have nut been pumpad out within the last three yeacs,they should be pumped out now.
10 Inspraiun pipa is located dirn:dy ova tuilc baffle(dors not give accurate measuremeat of solids accumulation). If tanks have nat beenpumped
out�vithin the list three yeazs,they should be pumped out no�v.
IELD CONDITION 11-14 : ��
11 DrsinField is dry,no surfacing evidant
12 Some e��idrnce of surfacing,not critical yet . ' ' -
I3 Drainfield'u satunted and visibly discharginq untreated e�lurnt to the surfaca Cocrtad the City Inspector immediately.Repairs must be
eomp(tud atthin 90 days. .
1=� Drainfield rstent and eondition unknown.
co�Nrs: 5�5+c� � IaakS a(� co��� ro�- �o�qt�
���� .
�,_��-b� ��
Date ofIaspection Se tie S •
p� ystem Inspector
Note: In the evrnt that this iaspeetion repod is tued to satisfy the requicemmts for a mortgage or other�ansfa of property,be advised tbat this repoR does not guarantee
or actify that an esisting systam will eontiaue to function propaly,but is merely an opinion of the adequacy of the system under curreat eonditions bbced on the availabla
infocmatioa
� o�
0 0
� �,��,_ ,� CITY of ORONO
�� ��F�� ,��r � ti M������ ot���
!H(�ur I��,�¢�F�i,P �~
,t � ,,�<`�ry.��� .� Street Address: Mailing Add�ess:
9 �"�ti� g'
$�gg0 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
�� ` ."l �l l �
Owner: �n!�C�� ��r-� -[ ��..(�1_% Address:485 Stubbs Bay Rd. N.
Permit #'s:2320, 5381 Dates:l0/31/69, 10/26/78 Contractors:Day Plbg. , Sullivan
(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.)_
�,ANK CONDITION 5-9 : 5
(5` Pumpout not needed at this time
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
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.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or � were not
confirmed to be watertight by the licensed pumping contractor. If the anks were not
confirmed to be watertight, this classification is subject to revision.)
INFIELD CONDITION 11-14 : 11
11 Drainfield is dry, no surfacing evident.
1 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.
-�—J�y��? � i��';��
Date of Inspection Sep ic 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
�O�
CITY OF ORONO O O
Municipal Offices
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATNIENT
,� � INSPECTION REPORT
ti
��9kESH�4�G
Owner: N�i+E� . 1C�'.'�1�11� Address: .
Permit �'s: Dates:lD:3l�9�,�'-�� Contractors: .
City ordinance number 100 requires that each on-site sewage treatment .system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is � an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
"CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM��-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING STSTEM"-A prohibited system; a system Located within a designated 100-year tloodplain; 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.
(7he limiting soil characteristic [ 7 has or �. has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10): �
T�yc inspection indicates:
(5) Pimpout not needed at this time.
� Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids acc�anulation in tanks is at a critical level. 'fanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be punped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed tn each
tank at next pumpout. ]f tanks have not been pumped out within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pu�nped out uithin the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr nfield inspection indicates:
1 Drainfield is dry, no surfacing evident.
2 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 completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (decends on soils.Water table,etc.): �������
COMMENTS:
Date of Inspection tic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
tnformation.
This report must be kept on the premises with the system locetion and pumping records.
WHITE COPY/Inspectors File YELLOW 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 �¢ �n�' ���T�]C�Y^ ADDRESS �/ o-� ���� � �""`
, �3� b3�--69�l(�-�� �
PERMIT NO.S. — DATES -�-r—� CONTRACTORS�
City Ordinance No.210 requires that each on-site�wage treatment system in Orono be inspected on a regular basis.The onsite sewage
trestment system at the above address has bee�inspected and appears to fall into the category checked below.
(This is � an existing system ❑ new construction)
1�7 � Meeu or exceeds current City stendards in all respects relating to design,construction,and location.Appears to be operating
jir-r 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 codea.System appears to be functioning properly;no major
upgreding of the system is required at this time.
� 3 Does not meet curre�t City atandards 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 standards for design,construction or location, but is faiting to properly treat and
dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION (m Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not
❑ Pumpout not needed at this time, give accurate me�ureme�t of solids accumulation.) If tanks
�Solids accumulation 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�ow.
O Solids accumulation in tanks is at a critical level, Tanks Drain ield inspection indicetes:
should be pumped out as soon as possible. �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 surfa�discharge. ❑ Drainfield is saturated and 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 instslled in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and co�dition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (dePends on soil types,water Future Expansion
❑ Soil table,and system condition) O Adequate
❑ High water table ❑ Low �Fair
❑ Lot size �Medium ❑Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface discharge.
COMMENTS:
�
Date of Inspection Septic System I�spector
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 dces not guarantee or certify that an existing system will continue to function properly,but is merely a�opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept o�the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner