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HomeMy WebLinkAboutseptic info r Minnesota Pollution Compliance Inspection Form Control Agency Control Road North Existing Subsurface Sewage Treatment Systems (SSTS) St.Paul,MN 55155-4194 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): 10/11/2016 ® 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 outlined in Local Ordinance.) Reason(s)for noncompliance (check all applicable) ❑ Impact on Public Health (Compliance Component#1)—Imminent threat to public health and safety ❑ Other Compliance Conditions (Compliance Component#3)—Imminent threat to public health and safety ❑ Tank Integrity(Compliance Component#2)—Failing to protect groundwater ❑ Other Compliance Conditions (Compliance Component#3)—Failing to protect groundwater ❑ Soil Separation (Compliance Component#4)—Failing to protect groundwater ❑ Operating permit/monitoring plan requirements (Compliance Component#5)—Noncompliant Property Information Parcel ID#or Sec/Twp/Range: Property address: 1460 Tanglewood Road,Orono, Reason for inspection: sale Property owner: Jerry Bolte Owner's phone: 952-476-6539 or Owner's representative: Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: Brief system description: 3 bedroom mound system Comments or recommendations: Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination 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: Josh Swedlund Certification number: C1659 Business name: Swedl nd Septic Service License number: 2502 Inspector signature: Phone number: 952-873-3292 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 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 3116112 Page 1 of 3 Property address: 1460 Tanglewood Road,Orono, Inspector initials/Date: JS 1 10/11/2016 (mm/dd/yyyy) 1. Impact on Public Health— Compliance component#1 of 5 Compliance criteria: 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 waters. ❑ Homeowner testimony(See Comments/Explanation) System causes sewage backup into ❑Yes ® No ❑ "Black soil'above soil dispersal system dwelling or establishment. ❑ System requires"emergency"pumping Any"yes"answer above indicates the ❑ Performed dye test system is an imminent threat to public ❑ Unable to verify(See Comments/Explanation) health and safety. ❑ Other methods not listed (See Comments/Explanation) Comments/Explanation: 2. Tank Integrity— Compliance component#2 of 5 -Compliance criteria: Verification method(s): System consists of a seepage pit, ❑ Yes ® No ❑ Probed tank(s) bottom cesspool, drywell,or leaching pit. ® Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form (Attach) compliant if allowed in local ordinance. Sewage tank(s)leak below their El Yes ® No ❑ Observed liquid level below operating depth designed operating depth. ® Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil' Any"yes"answer above indicates the ❑ Unable to verify(See Comments/Explanation) system is failing to protect groundwater. El Other methods not listed (See Comments/Explanation) Comments/Explanation: 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked, unsecured,or appear to be structurally unsound. ❑Yes* ®No ❑Unknown b. Other issues(elechtalhazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* ®No ❑Unknown "System is an imminent threat to public health and safety. Explain: c. System is non-protective of ground water for other conditions as determined by inspector. ❑Yes* ® No 'System is failing to protect groundwater. Explain: www.pca.state.mn.us 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-ww1sts4-31 • 3116112 Page 2 of 3 Property address: 1460 Tanglewood Road,Orono, Inspector initials/Date: JS 1 10/11/2016 (mm/d&yyyy) 4. Soil Separation —Compliance component#4 of 5 Date of installation: 7/1/1984 ❑ Unknown Verification method(s): (mm/dd/yyyy) Soil observation does not expire. Previous soil Shoreland/Wellhead protection/Food beverage ❑ Yes ® No observations by two independent parties are sufficient, lodging? unless site conditions have been altered orlocal Compliance criteria: requirements differ. For systems built prior to April 1, 1996, and ® Yes ❑ No ® Conducted soil observation(s) (Attach boring logs) not located in Shoreland or Wellhead ❑ Two previous verifications(Attach boring logs) Protection Area or not serving a food, beverage or lodging establishment: ❑ Not applicable(Holding tank(s),no drainfield) Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation) separation distance from periodically ❑ Other(See Comments/Explanation) saturated soil or bedrock. Non-performance systems built April 1, ❑ Yes [:] No Comments/Explanation: 1996, or later or for non-performance systems located in Shoreland or Wellhead Boring: Protection Areas or serving a food, 0-10" 10YR 2/2 Loam beverage, or lodging establishment: 11-16"10YR 4/4 Clay Loam Drainfield has a three-foot vertical separation distance from periodically Motts @ 16" saturated soil or bedrock." "Experimental", "Other'; or "Performance" ❑Yes [:] No Indicate depths or elevations systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules(7080. A. Bottom of distribution media 12-14" 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 16" Drainfield meets the designed vertical C. System separation 26"+ separation distance from periodically saturated soil or bedrock. D. Required compliance separation* 24" Any "no"answer above indicates the system is 'May be reduced up to 15 percent if allowed by Local failing to protect groundwater. Ordinance. 5. Operating Permit and Nitrogen BMP*— Compliance component#5 of 5 ® Not 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"yes", B below is required BMP=Best Management Practice(s)specified in the system design If the answer to both questions is "no". this section does not need to be completed. Compliance criteria a. Operating Permit number: El Yes ❑ No Have the Operating Permit requirements been met? b. Is the required nitrogen BMP in place and properly functioning? ❑ Yes ❑ No Any "no"answer indicates Noncompliance. Upgrade Requirements(Minn. Stat.§115.55)An imminent threat to public health and safety(ITPHS)must be upgraded,replaced,or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect ground water,the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance. If an existing system is not failing as defined in law,and has at least two feet of design soil separation, then the system need not be upgraded, repaired,replaced,or its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas,or those used in connection with food,beverage,and lodging establishments as defined in law. www.pca.state.mn.us • 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 3116112 Page 3 of 3 1® CITY of ORONO •\, � ��, Municipal Offices Street Address: Mailing Address: �9kEsxp4��' 2750 Kelley Parkway P.O. Boz 66 Orono, MN 55356 Crystal Bay, MN 55323 0066 To: The Current Owner of Address _T-AA S'/CSO 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 Tanks p 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 5 r- ( (— 2J . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: Inspect Date of Inspection r- ` Telephone (962)239-4600 a Fax (952) 249-4616 www.ci.orono.e mus o a CITY of ORONO "�► ,? � &. Municipal offices Street Address: 9Sa-a49-4(so o Halling Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: 1 400 lAcn1C v—o 0d 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 ISTS which meds all the location,design end construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An 1.STS which does not meet all the location,design and construction standards of the current Orono Mrmw*W Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an imminent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISIS;an ISIS located within a designated 100-year flood plain,any ISIS which may or may not and all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any reason;and any ISIS with less than three fed of unsaturated soil or sand between the distribution device and the limiting soil characteristics. TANK CONDITION(5-7): ank inspection indicates: 5 Pus? not needed at this time. 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 septic tasks are pumped through manhole and not through white inspection tabes. IMis allows for the proper cleaning Keep water softaer-and iron filter discharge out of septic system to prolong life of drainfield Ask pumper to test alarm float to verify alarm is still working in your house. The alarm warns owner that septan is about to backup 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. IELD CONDPIION(8-10): �)Some Drainfield is dry,no surfacing evident.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: L) ° - u CJ c3`-t N c c'C S . b Ale, Date of Inspection Matt Bolterman- Septic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system under current conditions based on the available information. CITY of ORONO Municipal Offices Street Address: Malling Addressc ES>:IOg 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Cryst 1 Bay, MN 55323-0066 gid-atig-4600 To Current Owner: Addressj 4 60 'To t\e,1 C V_0 0C). h 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. SySTE,.V CONFORMITY (1-3): 1 'CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISIS which does not meet all the location,design and construction standards of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which Is not failing or an imminent threat to public health or safety. 3 ,NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISIS located within a designated 100-year flood plain,any ISTS which may or may not meet all the location,design,or construction standards 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 between the distribution device and the limiting soil characteristics. TANK CONDITION(517): 6 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 -��_crS L Make sure septic tanks are pumped through manhole and not through white inspection pines. This allows for the proper cleaning. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. nINFIELD CONDITION -iQ): g Drainfield is dry,no surfacing evident. 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. CONBENTS: M� �� t o c) <, C K - K;t- W+;_ S v 6 -kLA &Lzi�� Date of Inspection Matt Bolterman- Septic System Inspector Note:in the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property.be advised that this report does not guarantee or certify that an existing system will continue to function property,but is merely an opinion ofthe adequacy arthe system under current conditions bkted on the available information. //O O r CITYof ORONO Municipal Offices Street Address: Mailing Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 June 20, 2000 Jerry W. Bolte 1460 Tanglewood Road Long Lake, Mn 55356 Dear Mr. Bolte: An inspection of your septic system was conducted on June 19, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout not needed at this time. 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 regular 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. R es ectful , 3 �ItiLGe Chris Pence On-Site Systems Manager Enclosures In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does no guarantee or certify the existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with the system location and pumping records. Telephone(952)2494600 • Fax(952)2494616 www.ci.orono.mn.us CITY of ORONO ,�;, i ,�E,► Municipal Offices Street Address: Mailing Address: 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: Address: 1460 Tanglewood Rd. Permit #'s: 5.7131,/ 8932 Dates: 9/10/79, 4/30/97 Contractors: Clover Hill Co., E. J. Peterson Co. (This is [1-4] 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 I ] or is not [ ] identified under this septic system. If the saturated soil level is not i en}ified, this classification is subject to revision.) ZZEK CONDITION (5-9) : 5 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out within three years, they should be pumped out and risers installed now. 9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks have not been pumped out within three years, they should be pumped out now. 10 One or more tanks are cesspools, which means the septic system is non-compliant. (The tanks are [X] 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.) INFIELD CONDITION (11-14) : 11 Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. Repair is not required at this time. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repair must be completed within 90 days. 14 Drainfield extent and condition unknown. PCTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc.) : medium COMMENTS: Date of Inspection is System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a transfer of property, this report does not guarantee that an existing system will continue to function properly, but indicates the operation of the system under current conditions. Telephone (612) 473-7357 • FAX 473.0510 CITY OF ORONO O Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 ON-SITE SEWAGE TREATMENT INSPECTION REPORT ESIIO4�G Owner: �DI'7"�e. Address: fi�La Permit #Is: Dates: -1'7d 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 1� an existing system I ) new construction) SYSTEM CONFORMITY (1-3): 1 "CODE SYSTEM11-A system which meets all the location, design, and construction standards of the current City Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year ftoodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic has or [ ) has not been identified at this time. If the limiting soil characteristic has not been identi ied, this classification may be subject to revision.) TANK CONDITION (5-10): T—k inspection indicates: (,b! Pumpout not needed at this time. Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical Level. ranks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (41, dia. pipe) must be installed to each tank at next pumpout. If 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 pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): DMnfield inspection indicates: VDrainfield is dry, no surfacing evident. 2Someevidence 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 (sloae.setbacks.etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.): COMMENTS: Date of nspection SeptiW System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO O Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 a ON-SITE SEWAGE TREATDMT INSPECTION REPORT ti ��9kEsKo��G Owner: /i-YYi/ 6Jy Address: ��iS0 Permit #'s: Dates: —0-l^_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 -)A-an existing system [ ) new construction) SYSTEM CONFORMITY (1-3): 1 "CODE SYSTEM11-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 SYSTEM11-A system which does not meet all the Location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic has or [ I has not been identified at this time. If the limiting soil characteristic has not been identi Pied, this classification may be subject to revision.) TANK CONDITION (5-10): Tpl�k inspection indicates: C5� Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. 'tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pumpout. If 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 pumped out within the Last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): Drainfield inspection indicates: 11 Drainfield is dry, no surfacing evident. 12 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 (depends on soils.water table.etc.): COMMENTS: -95 Date of Inspection Septic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with the system Location and pining records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner