HomeMy WebLinkAboutseptic info SEPTIC SYSTEM INVENTORY
Site Address: 2460 Thoroughbred La PID 04-117-23-11-0014
Owner Name: Joseph&Tammi Colianni
Owner Address: 2460 Thoroughbred La Long Lake MN 55356-
BuildingTvpe: residence Installer: Clover Hill Co.
Date of Permit: 10/28/97
Svstem Tvpe: mound BR's Designed for 5
In Musa?: No Shoreland?:
SEPTIC TANKS:
Material: precast concrete Capacitv: 1300, 1300, 1300 Tank Filter:
DRAINFIELD:
Treatment Area: 96``38 Soil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: Well DF: Report In File: Depth: 248
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INSPECTION RECORDS PUMPOUT RECORDS
Date Notes Date GallonsOfLiquid
4/8/2019 Fixed fernco, removed &put plastic fitting. Pumped 1000 1 4/8/2019 2000
8/1/2005Okay 4/13/2013' 2500
10/6/20034no surfacing,pump tanks 2004 4/15/2010' 0
9/26/2001'no surfacing,pump tanks9/7/2004; 2500
4/7/1999no surfacing 11/15/20013000
5/5/19981nstallation
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2/25/02 Water/Wastewater-ISTS4.31
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Compliance Inspection Form for Existing
Individual Sewage Treatment Systems Minnesota Pollution
Control Agency
Completion of this form fulfills the minimal requirements of Minn. Stat.§ 115.55(2001)and Minnesota R. ch. 7080(1999). Please refer
to local ordinances for other requirements or information,especially for compliance requirements for bedroom additions.
General:
Date of Inspection: Reason for inspection:
Property Owner(s) Telephone( )
Person requesting innspectio Telephone( )
Site Address 0?W IAw*- City t ROA1D Zip Code
Fire No./ Parcel No. County b L^✓4/ Township
Legal Description
Local Regulatory Authority
Date system constructed �� le— '� System in Shoreland Area: yes °® System in Wellhead
Protection Area: yes fD System serving a MDH licensed facility: yes r o Local Permit# (if any)
Systems built prior to April 1, 1996 and not located in Systems located in Shoreland or Wellhead Protection
Shoreland or Wellhead Protection Area or Serving a Food, Areas or Serving a Food, Beverage or Lodging
Beverage or Lodging Establishment Establishment, or systems Built after
March 31 1996 -J.
Is the system an imminent threat to public health or Is the system an imminent threat to public health
safety? (a yes answer is an ITPHS system) or safety? (a yes answer is an ITPHS system)
-Discharge of sewage to the ground surface? YES NO -Discharge of sewage to the ground surface? YES ®O
-Discharge of sewage to draintile or surface waters? YES NO -Discharge of sewage to draintile or surface waters?YES O
-Sewage backup into dwelling? YES NO -Sewage backup into dwelling? YES
-Situation with the potential to immediately and -Situation with the potential to immediately and
adversely impact or threaten public health or adversely impact or threaten public health or
safety? YES NO safety? YES
Is the system failing? (a yes answer is a failing system) Is the system failing? (a yes answer is a failing system)
-Less than TWO feet of vertical separation between -Less than THREE feet of vertical separation between
system bottom and saturated soil or bedrock? YES NO system bottom and saturated soil or bedrock? YES N
-A seepage pit,cesspool,drywell, or leaching pit? YES NO -A seepage pit,cesspool,drywell,or leaching pit? YES
Is the system non-compliant? Is the system non-compliant?
- Is the system regulated under a monitoring plan or - Is the system regulated under a monitoring plan or
operating permit? (if no, go to page 2) YES NO operating permit? (if no, go to page 2) YES ld
If yes, If yes,
-Has the required monitoring taken place? YES NO -Has the required monitoring taken place? YES NO
(If no, the system is non-complying) (If no, the system is non-complying)
-Does the monitoring indicate that the system meets -Does the monitoring indicate that the system meets
performance expectations? YES NO performance expectations? YES NO
(If no, the system is non-complying) (If no, the system is non-complying)
Page 1 of 2 wq-wwists4.31
Property Owner(s) Fire No./ Parcel No.
......................................................................................................................................................................................................................................................__....................._..-.......-.............
System Components (Please describe the system components and attach s to sketch showing system location):
3_ ,foo
What methods were used to make the determinations for the compliance inspection?(Note:No standard protocol exists
The following list is not exhaustive, or in sequential order nor indicates which combinations may necessary to make a determination)
Watertight tank(s) Hydraulic Functioning Vertical Separation Distance
❑ Probed tank bottom 14� Searched for surface outlet ❑ Conducted soil borings Q 40
❑ Observed low liquid level ❑ Performed hydraulic test Depth to limiting layer ✓
❑ Examined const. records W Searched for seeping in yard Depth to system bottom A0 o
Exapiemptypu�mped)tank El Checked for back-up in home Examined records
ine�
❑ Probe outside stank for"black soil" C3 Excessive ponding in soil system/D-boxes ElLGU Limiting Layer Verification
❑ Pressure/vacuum check ❑ Homeowner testimony ❑ Other
❑ Other ❑ Examined for surging in tank
❑ "Black soil"above soil system
❑ Other
Status of the system
Based on the compliance criteria,the system status is: (check one) ❑ failing (to protect groundwater) ❑ an
imminent threat to public health or safety(ITPHS), ❑ non-compliant(monitoring issue) compliant(none of the 3
previous conditions). Therefore,this document is a: Certificate of Compliance 11 Notice of Noncompliance
Is this system an EPA Class V Injection Well? ❑ es lX no
Certification
I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qualified Employee Inspector and/or Qualified Employee
Designer I that I conducted an investigation that accurately determined the compliance status of this system and that my recorded
observations are accurate as of this date. No determination of future hydraulic performance has been nor can be made due to
unknown conditions during system construction,abuse of the system, inadequate maintenance,or future water usage.
� •
Inspector's name(print)Z04A✓ /, � iCJ Phone �` V7`� 7e2,o
License and/or Regi trationn Numb oC Addres A 7
Employed b c Lc l� Ac, Address e. S 3
Signat Date
0/1
U a R uirements fderived from Minnesota Statutes§115.55)
An HS 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 fails to provide sufficient groundwater protection, then the system must be upgraded,
replaced, or its use discontinued within the time required by rule or the 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 does not apply to systems in shore/and areas, wellhead
protection areas, or those used in connection with food,beverage, and lodging establishments as defined in law.
Suggested Attachments
1) Site sketch could also include: well,well setback to system, dwelling or other buildings,tan k(s),reserved soil treatment area,
surface water and soil boring locations. Include as-built drawing if available.
2) Soil boring logs,showing each horizon. Indicate the texture, color, redoximorphic features depth to bedrock,standing water and
whether the material is fill
3) A list of any and all requirements of the local ordinance that are different from the state requirements referred to on this form.
4) A homeowner survey of system performance,signed by the homeowner as being factual.
5) Monitoring data as appropriate.
Page 2 of 2
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CITYof ORONO
Municipal Offices
\\� 'i F .;!` � ti�G Street Address: Mailing Address:
kleIS g' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address CN
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
The tank(s) should be cleaned through the manhole and
not through the inspection pipes,this allows for proper cleaning.
Comments:
Inspector&) Z C916Date of Inspection
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
or o
CITY of ORONO
Municipal Offices
Street Address: Mailing Address:
'9$Eggp4' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 r Crystal Bay, MN 55323-0066
vC
To Current Owner: Address: 4 6(? O f U wj�(j�f Len C
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 meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems 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 ISTS 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(5-7):
Tank inspection indicates:
Pumpout not needed at this time.
eptic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped \\—\5-d% ).
Make sure septic tanks are pumped through manhole and not through white inspection Pipes. This allows for the
Proper cleaning. Keep water softner and iron filter discharge out of septic system.
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.
DRAINFIELD CONDITION(8-10):
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: V\0 U,) �0 o S OIiC ^ UEJ r k('
O�
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 guarante
or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system undercurrent conditions based on the availabl
information.
Telephone(952)2494600 - Fax(952)249-4616
. O
CITY of ®MONO
y ?
rs •:�;
�s•til ; ':� 'tib Municipal Offices
Street Address: ss:
Mailing Address:
2150 Kelley Parkway P.O. Box re
Orono, MN 55356 66
Crystal Bay, MN 55323.0066
Owner: Address: y 6U Ordk be
C) I t1
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 :
l "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards ofthe current Orono Municipal
Code but does meet the three foot separation requirement,and which is not failing or an imminent 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 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(5-10):
Tank inspection indicates:
Pumpout not needed at this time.
Tank must be pumped out this year (city code requires tanks to be eve out pumped e
P every 3 years. Tank was last pumped U r1 kn0 w r,\).
7 Solids accumulation in tanks is at a critical a critical level. Tanks should be pumped out as soon as possible.
8 S)stem 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 battle(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.
IELD CONDITION 11-14 : \\
Q-13 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.
COMMENTS: S ^'� O 61<S 0 - U
k
Date of Inspection S Septic p' System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of roe 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 e p �
information adequacy of the System under
0 0
CITY of ORONO
C
Municipal Offices
Street Address: Mailing Address:
�+gYjp 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323.0066
Owner: QV�!\ /�,/( ' Address: 2460 Thoroughbred Ln.
Permit Vs: 9589 Dates: 10/28/97 Contractors: Clover Hill Co.
(This is [,a an existing system [ ] 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 ry,] or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
K CONDITION (5-9) : 5
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 confirme to be watertight, this classification is subject to revision.)
DP,AINFIELD CONDITION (11-14) : 11
1 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 age and condition, soils, etc.) : low
COMMENTS:
Date of Inspection Se 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)249-4600 • Fax(612)249-4616
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