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HomeMy WebLinkAboutseptic info ^:•dy c I I t tep tJEl..e:lr+ � y;•,:_..,•... �... s.. �F A 2011 SEPTIC MAINTENANCE REPORT Nuri mr cof tam�'.s Dwe last pumne, 5f� � / r/� ��e1s D"r.' ;pd: Name of pum2er%ma r+,enax, provit:er, � &W20 Are Larks watertighO' SES 4RTHERNCESSPOOL INC ;clause rials one ERN CESSPOOL,STRgET NW //JJ ANOKA,MINNESOTA .s the syster.- runction-rig oropKl % (dlh:� (ie slow drainage, vlalnes% 'l tl•F• Or?arrlf+old', / a/ Do yet: move a^;• soeciflc cghcems or issues tt3t ycu c like to w:tm the -ST!-: i"-o-ram rtilaraser'� If so. please indimto best time arc to ephone nwr-ca ;s)In be reached bemeen a wy, Qna 4,1K i.�'•:. Hest -nmGa Te'eonare Nimber(s) RETURN IN THE ENCLOSED ENVELOPE AS SOON AS POSSIBLE WILLIE GIBBS CITY OF ORONO PO Box 66 CRYSTAL BAY MN SS323-0766 �r 764-'13-0695 p.1 Minnesota ota Pollution Compliance inspection Form Minne Agency SM6affyoupPleadNorth illbNf♦�NtwoMP TMNfII wA 81 men 1a St Paul,NN SS1'5.4194 ism) 1+8trucl7ons: Insptsdon renN a Dew.on Mrinmia Pclhrtion Control Agerxy�MPCA) �Fo-r' 1'. .,c►,:,p Put., -- -----� requirements and attached forma-addr onal bral requirements may also apply. Submit- Plated torn to Local Unit oti Govemme t(LUG)and system owrw- within i6 days Sysiern Status Sysbm status an date(mmMdlyyyy): Compliant-Cerdficeft of CotnpNance Cl Hall=, pliant -Notice of Noncampliance (Valid kr 3 yearn liar spat data, uNwss sho►tartime (See Upgrade RagL,re,-jenft on page 3) harm outrAw in tooaf On MrWrice.) Resson(s)for noncompliance(chock aN epplicaW 0 Impact on PubUC Msmhh(CorWisaee Canp*wN 07)-•)mminant"Irw to pubk 1 -a119,.Ynd sale•y Q Other Compliance Conditions(Contpparrce Co 7wnent 43)-hnmlrrw:`tAreaf.o p...'c hookh and Wsly ❑Tank Integrity(CorrWama Cornparvent 02)-Fadksp to pralW grow+awsler ©Other Compliance ConddWorla(Cor*ft&me COMPOnag#3)•-Falliing k,,ifWect prc.jr,.ivraler ❑Soll Separation(Compllence carrwnert 04)-Faft to pn ffia!peau•:C►pm1ar Q 01mralling painiVoxaftinig pWn requiletnanla(Corrrp7ance Carwrwt:' ti+r'-Nana•oh:-nr Property InformationParaal 1t7t1 or Seen*WR _ Property address: }a•Keeson for Beep- .!ion: Property owner: _ owners phone: or Owners reprersenWUYe: __ Repreaentmive phone L Local regulatory authority Rei aulhor2y l rcr, G r1• � - �5' Brief system description: Comments or rscomrnandadars: Certification I hereby cojOy that as the nevowery information has been ptAwad to derermsne the co npliarve AM. i AL4 system. ht detera neWn offutura syWom perfamance nes been nor con be meds dire w unlurown condit/o•, due 1WIV77 wnatru0r-1"' possible abuse of the system.,hwdequate malnio7ows,or flrtunf water usage _ Inspector na;ne: -,_. CertiRartbn numbe Business name �.! .. Licence number _�..!r3, --- Inspector signature: : Phone number: l Necessary or Locally Required Attachments P0 Soil boring bps %LSyslarNAs-bulll drawing VForms per hese ordinance Q Odw informed=tlist) �.._... ... ..,R�.. ._ www.pca,sTate.mn.us 651-2964300 • 1100-657-1x64 TTY 651.2ti2•5312 or MX)-457-3&d • Avafla tlt in alt: rWive fo."ar. wq-wwfdA-31 . 1/24)12 Ade IV/3 Jun to iY ue;Jup 763-21 •-1X9y p 2 L . , Properly sddtess: $D Inspector iniliaIsMate: Io= 1. Impact on Public Neakh—Compliance component#1 of 5 CornaMawnoe criteria, iVecifle.atton trlethed(s): System discharge sewage to the U Yes IN No ES Sewched for surface outlet ground audfaae. 19 Sawcnsa t`a;seeping in ya,-&bW up in homes SyvWn discharge sew®ge a drag his Yes 01 No EMeasive oondN it soil sys*r%V,4 t yes or surface waters. Nomea w arwrtimony;See ct>Irinw fteexpwww;,I System Cause _ ❑ 40ledc as:"above soil oisoarsal systerr. sewage backup into i ❑Yes �No dwelling or Mablishment ❑ System muires'eme-gerr-'run-ping • El ?erfarrtted aye tees Any"S+ea'snswerr ef�oew NJd/eatas:lie oyatem/s Q UnOtle to verly(See Cammenre&plernrnonr an l►nminvnt ThMW to Arbl/c NadMt and Salary. p Mer rrsittods nor listed(Sas Oam n#a SA rpWM"i Comini ntslExplanation: 2. Tank Integrity—Compliance component 42 or F� Complance cHtwis: Verification rivAhod(s): System colnialb of a seepage ph. ❑Yes 0 No ® Probed ranks)bodom cesspool.drywer,or 1escHng pit Examined wrs'ructk)v^mnr, seepewplts/lr env?M2330 maybe Q Ekarrined Iwk integrity Form'A.rwo) r Mwlowodin Mg owe• IX_ Sewage lank(s)lank below their ❑Yes 10 No Observed liquid level Calow eprarating daptl i A" oneratirrB death. I 0 Examured er•+pty;puviped)tene*a) M yes,which sewage tank(s)leaks: ❑ Probed milside tank(s)for`oledr Soil- 0 ilnaole to verity!Sas Cawmwdsjirdan+Aiorr; Any Ryas"answer above indl eetes rhe syMM is Failing to Pmiteet Oroundw"W ❑Osher molwds not asked(sne Cwrrwrrs--xpuwrapoN CommentdExplanetion: _..._.... 3. Other Comphar>Iee Conditions—Compliance component#3 of 5 a- Maintenance hole oovers are damaged,cracked, unsaaued,or appear to alni turally unsound. O YeE• X.No O Unknowr. b. Other testes Meda*Mum*ex.)b irontadwt*end adversely impact pubik:r!ealh or aatellr, p res- )04o O unknom Sysasm is en Imminwrt thre.r to vubft health and aafrty Explain: a S tem is of d water tr+ r�peta�ea e� ter etherstMMlons aw retarrnrr>w by irnpeacr L]Ytee• �I No 'System i$faft Ito P wt 9rwndMAsW Explain: Mw.v.pcastate.mn.us 6S1 X296-b3pp 800.657-316/ - TTY 651-tL2.53�2 0•fBOO.667.38W -�Avaittbse in a:0eiracive tor»�aw w4-ww1sW-31 . 1/24112 /63-�13-0t:95II P.3 PrO"eddress: I � 4' SOIiaribtil ,Eli tnapeotor in�ials}I:�a�: � .` j'k� - J"� ^li SOP on—Complianoe oorr,ponsnt 64 of 5 Dab Of Mist W69n: Sh"landlYvellhead pr tiotYFMl- 0" ❑ �Wlourn VermeWan mothod(p): C3 Yes oSO*obserWhan does not expi,u.F'teviw..s soil m ante critarii: ob"'Vs*42 by IRV nftWjWnr unless sdb cora ons nave been a�2d or 10 j Ftir syalerAs DtNt prior b April 1. 1896.a1t�tl _�` II e0t Mated in$horelend or LV@"a r C Yes ❑No ParMrwrlards ditt, Pnlr&CUM Ama ornofdnducted it oevw�e or so obsswation(sj(ArLKritorlr�Brwai IIS 01e �"p eS rant ❑ CoTic Prevloua W-11c0tbns Vuyac*t:arilV,gQ,1 DrauMtsld has at least a two-bot venlrA, I ❑ "aPpl06eOfOWffQ rw►K(si,nodrainf kt� aQprstlon dlstanoe flora periodically ❑ Unable b ve*f$o&Comm other(sea c wrratnt9�&pWedon nal/or►} N0rl"'i*AbvM&XV sYSMMa WNApt#1. Yea ❑No 4omrr!ents/Exp/artat(on: f9ft Or orAor nat`p9dbw ance systems bcated in shotleiwrd or"kiwad I Pmftflpn Ate"or serving a&ad, 60Ve10,or lodging e�eWlsluleu)r: Drsird'isld has a three-scot veNcal ,separation distance from penodicaily saturallsd 90 or bedrock' `Ettpt:rlraental', Vow.or 'Perlorrnarms � tttdiospa Mtems bulk under pre-20008 Rules;Type tV ! ❑ 9e, No d RhS Of el"atlol'ta _ or V syafems&L*tinder 2009 Ruin(700. I A. - F3omom or oiblrlbWlon mad '` 250 0*709Q,2400 (Advanced Inapecwr ^'--;-��-•�=�-; ��}_.—.__. LlCW=required) fl B. Denodinll�t�e��pp� Dralntield meets the designed vertical �� eeParadon dis* pef .$n0!from bor*ly C. 5121M""amian � �_ satureted soil or bedrock. 0. Zroulna ouwlph�lnoe>teParatbN _� 3 l• Any"noN answer allow/hadClltAi the lystsm Ifs May d9 rWuoed up to 18 peraent if aliovwc by Lrcal F810W to Pl 3pty GmurWtlwter, u►dfnance. 5. Opet'ating Permit and Nitrogen BMP"—Conplia,ce=mpnrrert *s of 5 p Not applicabb Is ttre system operded under an operating Permit? D Yes W'No If"Yen".A below Is required Is dte eye em vm*r*d b employ a ftogen BMP? ❑Yes jr- No If-P3",8 below is required aWP'Best Adartegerttent P10109*4 spea5ed In the ayatem dss(grr N the anawrr to lboM gumSom fa'tiro,this ascdon doss not reed to be complemd. coma;encs criteria a. Operating Permit n tuber. i Have the Permit uiir n me yes ❑No b. Is the Mglu red tai 19MP in 0=4804 D ioni ❑Yes li No Any`ne alresrwr lndleafts Non ' Banco Jppradw RegtNrerlrsn0e(Minn.SErit§f f S�An lrevr+intnr three:to pudtie twt�r;and a.rha►p rvMs►musr bs up�aed. .kir sa vsv dtrronanued wttl�rt an.months o/raceip;d r1Rl.trntioe ortiyr�f:i`n a ahovter pedoQ xnlptahad by iocet orafistoe.Mthe system 1s faring to uvte,�► 91M.94 were►,this M-10m must he.wadma.tsPlacaol or b we disoordi* d wo&isle tone mewre b1 rood of ikonce N an KVIA rg sr,tsm Is ROr fe ft s1 d&%,od(n(nw,and Miss at Amar two het of kteaign soN ssparM-%Men Me SJel n need.mat be#ppv*d.moeited,rdLta W,o• rte use dMCW*nkrsa nOtwoXF&dMig MY lard ours WM an a MOM?Nkt TAW WDYMM does as aypy to tAaUe=in albn khm areas Yi mo*d r-mftei'on Areas,or those vae0ln conntcaorr w 1h kw oevwggo,end 10d<' M lsrebllMmann"dal and An Yw wwwmmstate.mn,us b51 296 b]Op 000.667-3"4 T1b 851•Ze2-1331 or 90Q•631'•3isb1 wvailaple in iltPrrldttYe tormMs r�wwrrW-31 N,i�1 t7 �v 3 of J Juq 2012 05:02p 762-213-0695 v.4 Site Sketch: •�. TJ 7 P9 'y� .•.t. ....:t :... : : �.. .. �1Q ...;. ,,,..�.. � ...:.. .. ... ' fit•• � •fl''�,.;.. , '• � �i „�.....,..♦ •.f•.• ... .. /N. low .... ,..;r. .. yY�l• r•.. lQ♦ ' III 5u99e5t9d Ikm$tar sire A`md�: Welt wvll mbwk!o sysxta♦d+uelliog arsaber enabt:�cktne.ti tactk{�),sail traattriettt system, ro::rveQ sail seeMMI 0-9%atnak dr iiL property lhlc%wSkmMys,trtd butted litres (rh:.te.�OT lat:atled#7the utiiiry) irclude si=rs end length snd epprozimete dimms From fixed mfr mf�pcioes suds as stra•.s WW bsitd"u P-Pine Wuh previous v-built drarriop. nspectioo repass,Ce�ipp;e(s)orCoatylieeee and Notta�a)of Nunctxnpiinte:. Soil Borings(SBM): Locate elich Loring on the map above,indicate on the rig'-'E of the rol•,uans `low the texture,structure,color,depth of each different soil type,evidence of'vottling; bi*oek and -4win,ff water. Also indicate ifthe mateiial is Fill. SB # SBI, .��BN I .................. i Comttteats: � ak��(�.� 6 — I'�— i'�• i 1 � Confirmation Report — Memory Send Time Jun-26-2012 09:36am Tel line +9522494616 Name CITY OF ORONO Job number 719 Date Jun-26 09:35am To 9529153957 Document pages 001 I Start time Jun-26 09:35am i End time Jun-26 09:36am Pages sent 001 I Status OK Job number 719 *** SEND SUCCESSFUL *** N 4504 'S1 7�� cn cn 1 Jam— r Z8 a T- FL s G ro (o/o� CO � 1] , — I- ! L -- 02/06/2009 10:19 7634275934 SYSTEM SOLUTIONS PAGE 02 ...... ......e Minnesota Pollution� compliance Inspection Form , ec- Control Ag• n y 520 Lafayette Road North Existing Subsurface Sewage Treatment Systema (SSTS) St.PaUL MN 55155-4194 Parcel number: For Local Tracking Purposes: System status: Compliant El Noncompliant (based on all co b nee requirements) Summary Form Property Information Property owner name(s): G•es�/��- l r - Property address; �' J� ly .rT1 /t e ClC=`14 0age Property qwpees qddress(If different): County: Property owner phone: Permitting authority: Date system constructed: Reason for inspection: Rg19.. System Description , Brief system description: Local permit number: Number of bedrooms:Design flow rate: Is the system: In Shoreland area? ❑Yes No Irk Wellhead Protection Area? ❑Yes;.&No An U.S.Environmental Protection System serving a Minnesota Department Agency(EPA)Class V Injection Well?❑Yes No of Heath(MDH)licensed facility? ,❑Yes ,TNO Compliance Status(Based on state requirements—additional local requirements may also apply.) Based on the information gathered and reported on attached forms,the compliance status of this system is(check one): Certificate of Compllanc®—valid until(3 years from date of report): _ ❑ Notice of Noncompliance-For Noncompliant systems:' The reason for noncompliance is: This noncompliant system Is classified as tcheck one below): ❑imminent threat to public health&safety Li Failing to protect ground water ❑Not In compliance with-operating permit', Certification (Completed form-must be submitted to the local unit of government within 15 days.) I hereby certify that all the necessaryinformation has been gathered to determine the compliance status of this system.No determination of future system performance has been rior can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. .(shone: 763-427-59 4 Name: . C VIC HAGENAH -15231 Jackel St. N Business lipense name'and number: SYSTEM SOLUTIONS_Ramsey, MN 5530 Name of local unit govern nt: el (� MPCA#1483 Signature: Date: Required Attachme s Inspector Complete:This Inspection Report'ls pages long. "Check compliance forms attached.grHydrowe PerformanceTank Integrity ❑Still Separation C)operating Permit Form(ii applicable) ❑System drewinglAs-bul drawing ❑An assesimen of any local requirements that are different from what is required on this form ❑Soil Boring Logs ❑Abandohni'enr form(N appropriate) ❑Other lnfonnetion(fist): Upgrade Requirements(derived fmm Minn.Slat§118.58)An Imminent threat to public hash end safely frrPH8)must be upgraded,mobeed'or is use dlaconlinved within fen months or recelpt of tMa rmt/oe or wth/n s shorter period IFrequhed by We/odinance.it the eyalem Is faAMg to prated ground. water.rho system must be upgrodad Mooed.or sir Use disconRnved within the time regtdred by boat ord norica.Iran v0stMd syst*m,is not►*flog ss;defined In Isw,and heir of least two feet of design soil soperef/on,then the sysfam need not be upgraded,repaired,replaced,or He use dacord/nued,nofwthsfantling airy local ordMwrrce that is more saki. This pmWv Ian deet net apply to systems In shomiand areas,Wiellhend Protection Areas,or those used in conneotitm wlrh food, beverage,and lodging estabgshments as detned/n few. I 02/06/2009 10:19 7634275934 SYSTEM SOLUTIONS PAGE 03 this Parcel number. System status; Compliant, p Noncomplient (as determined form) Hydraulic Performance and Other Compliance Compliance Issue #1 of 4 Date of observation: 9 Reason for observation: rJ This form expires upon next inspection or in three years,whichever occurs first' Compliance questionsicriteria:(Required) Verification Method': (Optional). Check thea ro rfate box ' (Check the appropriate box) Does the system discharge sewage to the El Yet P No E] Searched for surface outlet around surface? ❑ Performed hydraulic test Does lhe'system disbharge sewage to drain C)Yes to No �( Searched for seeping in yard uls or surface Waters? Does the system cause sewbge backup ❑YesNo [] Checked for backup in home into dwelling or establishment? ❑ Excessive ponding in soil systemlD-boxes Do other situations exist that have the ❑Yes No Homeowner testimony potenllalto Immediately and edverdely ❑ Examined for surging In tank Impact or threaten public health or safety electrical -unsafe covers Big,)? ❑ "Black soil"above soil dispersal system Any"yes-answer indicates that the system is an Imminent [j System requires"emergency'pumping threat to public health and safety. . '• ❑ Performs d dye lest Does the system pose a threat to ground ❑Yes' No Other: aec,,k_ _M f'P0Al2 water for'sny conditions deemed'non- d protectIvy owdetermined by the ins ecW l� "Yes"indicates.thdt the•system is failing to protect ground water. if"yes; describe the cond(tfon noted. No standard protocol exists. This list is hot exhaustive, a in.sequential order,nordpes it Indicate which combinations are necessary to make this determination. 40ala 61e 'y-h -0 &71CC4- Certification " This form is to be completed'end attached to the Summary Form of the Minnesota PdOulion Control Agency's(MPGA)Compliance Inspection Form for Existing Subsurface•Sawage Treatment Systems.Observations,interprelationk,•and condusfons must be completed py an inspector,.Completed form must be submitted to'lhe local unit of government within IS-lays. Property owner name(s):) Property address: �- Property owner's address(irditf, rem Q. Phone: County: .I hereby cerfiy that 1 personally made the observations,.Interpretations, bnd conclusions?eported on this form and that they are correct -5934. w.1C kIAGENAH Name: SYSTEM SOLUTIONS-15231 Jackel St. NW Business license name and number: MPCA#1483 -Ramsey,MN 55303 Name of local unit of vamment: - Signature: Date: . t r 02/06/2009 10:19 7634275934 SYSTEM SOLUTIONS PAGE 04 System status: Compliant ❑Noncompllefrt Parcel number: (as determined y this form) Tank Integrity and Safety Coimpllanee Compliance Issue #2 of 4 Dale of observation: Reason for observation' This form expires on(three years): Compliance questlons1criterla: (Required) Verification Method":j0ptioneo Check the apeNristo box (Check the approprfate box) Does the system consist•of 4 seepage pit', ❑Yes No ❑ Probed tank bottom cess ool d ell•or•leschin its ❑ Observed low liquid level Do any sewage lenk(s)leak below their ❑'Yes No [1 Examined constructivtl records designed operatin do 31h? Examined empty(pumped)tank If yes,identify which sewage tank leaks. ❑ Probed outside tank for"blac'k soli" Any"yes,,answer Indicates that'the system Is failing to protect ❑ Pressurelvacuum check ground water. Ir (�Other: =�=i7 Seepage pits mdeting 7080.2550 may be compliant tf allowed F in ordinance by local permitting authority. •'No standard protocol axis($. This list is.not®xhausfive,in sequential order,nor does It Indicate which combinations are necessary to•inake this determination. Safety Check 1. Are any maintenance hole covers damaged,•cracked.or appeared to be structurally unsound? ❑Yes' �N6 2. Were all me!nlenance hole covers replaced In a secured manner(e:g.;all screws repleced)7 .0Yes ❑No'• 3. Was secondary access restraint present(safety pan,see6hd cover,or safely netting)—highly recommended. ❑Yes N' 4. Was any other solely/health issue present? ❑Yes, Nd Explain: *System Is an Imminent threat to public health and Safety. Certification This foim is to be completed and attached to the Summary Form of the Minnesota Pollulion Control Agency's(MPCA)'Compllance Inspection Form for Existing Subsurface Sewage.Treatment Systems.Observations,interpretations,and conclusions must be completed by an inspector,maintainer,or service provider.Completed form must be subndtted to the local unit.of government within 15 days, Property owner nome(s): 4 ' Property address: 2.Q ,J Property owner's address(if dllie nt): County: Phone: I hereby certify that I personalty made the observations,interpretations, and conclusions reported on this form and that they are correct. V1C HAGENAN. Phone: 763-427-5934 Name: _ SYSTEM SOLUTIONS_._.1523.1 Jackel St. NW-- Business license name and nur MYCA#1483 Ranasey, MN 55303 _ ? or Name of local unit of governmenl: COX _,�VA 0 Signature: Date: 02/0612009 10:19 7634275934 SYSTEM SOLUTIONS PAGE 05 Parcel number. _ System status: /Compliant [3Noncompliant (as determinedthis form) Soil Separation Compliance and Other Compliance Compliance Issue #3 of 4 Date of observation: �jdReason for observation: -- This information on thisform o not expire.' Compliance questfons/criteria: (Required) Verification Method'-•(Optional) (Checkthe appm nate box (Check the approprfete box) For systems built prior to April 1, 1996,and not [I Conducted soil observation(s)(attach boring logs) located in Shoreland or Wellhead Protection Area or not serving a food,beverage or ❑ Two previous verifications(alta h boring logs) lodging establishment: Other: 1 (��` Does the system have at least a two-foot, vertical separation distance from periodically T�— saturated soil or bedrock? Yes, No For non-performance systems built April t, 1996,or later or for non-performsnce systems Soil observation does not expire. Previous observations located In•Shoreland or Wellhead Protection by two Independent parties ani sufficient,unless.sile . Areas or serving a food,beverage or lodging conditions have been altered. establishment: Does the system have a three-foot vertical separation distance from periodically saturated ' soil or bedrock?* Yes No For reduced separation distance systems(I.e., * Mey be reduced by up to 15 percent if allowed in local "performanps"systems under old 7080.0179 or ordinance. Type IV or V system under new 7080.2350 or 7080.2400):• '*No standard protocol exists. This list is not exhaustive, Does the system meet the designed verticalin sequential order, nor does it indicate which separation distance from periodically saturated 'combinations are necessetyto make this _soil dr bedrock?* Yes QNo dete'rm/nation. Any"no"answer,Indicates that the system/s falling to protect ground water. Certification, This form*Is to be'completed and attached to the Summery Form of the Minnesota Pollution Control Agency's(MPCA)Compliance Inspection Form for Existing Subsurface Sewage Treatment Systeme.Observations,Interpretations,and conclusions must be completed by an inspector or designer.Completed form must be.submitted lo.the local unit of government within 15 days. Property owner name(s): C if Property address: Property owner's address(if dmf rent): l County: Phone: 1 hereby certify that i personally made the.observations, interpretations, and conclusions reported on this form and thief they am correct. VIC HAGENAH Phone: 763,427,593 Name: ' SYSTEM SOLUTIONS.�15231 Jackel St. N Business license name and number. MPCA#1483 Ramsey, MN 55303 Name of local unit ofg• mment: Signature: Date: 02/06/2009 10:16 7634275934 SYSTEM SOLUTIONS PAGE 02 SYSTEM SOLUTIONS .15231 Jackel St NW Ramsey, MN 55303 Phone: 763-427-5934 Date Ad_ dressS,., ervice, Due 2/04/2009 2570 Throughbred In septic insp $265.00 Orono, MN septic pump3S 50.00 Total $615.00 0 CITY of ORONO Municipal Offices Street Address: Mailing Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address rte' _10-0 1 J c0 /C� ✓�' i ur' 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 G If yes, system must be brought into compliance by: December 31,2007 December 31,2010 Other Septic Ta:!50 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 '11- A) -L)C) . The tank(s) should be cleaned through the manhole and not through the inspection pipes,this allows for proper cleaning. Comments: Inspector: Date of Inspection T"D Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us o :* o CITY of ORONO Municipal Offices ;•'}�,r.t i�. ,� Street Address: Halling Address: �'9ltHp4�' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: �ao Q r 0 vc�6(ff� 1-gr& 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 (1-31: 1 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: 66 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 Ck=-A-4-00 ). 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): ramfield 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. COUNTS: r-,.o0r\, looks ak . Qv S )r-� No, +a;1 S _ opt dor oo\ o„ u 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 guaran e 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 avall ab e information. Tlelephone(952)2494600 • Fax(952)2494616 vraom m^�"A•nn vile • O CiTyof ORONO Municipal Offices t"' Street Address: •q Mailing Address: xES1�I� 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 Owner:�( �Ar, m-t-at-ev MA, Address: 01,5J,0 y 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. STEM 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 ofthe current Orono Municipal Coda but does meet the three foot separation requirement,and which is not failing or as imminent threat to public health or safety, 3 "NON-COMPLIANT SYSTEM" Aprohibited ISTS;an ISTS located within a designated 100-year flood pla4 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: PPumpout not needed at this time. 6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped G -6 U 1 7 Solids accumulation in tanks is at a critical 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 : 11 Drainlield 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.Repairs must be completed uithin 90 days. 14 Draintield extent and condition unknown. COMMENTS: S .-IS - sty) 01 r�. 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-,--# ,.a:.:___L-- --.L-_._n-L,- o o . o CITY of ORONO d:a ti Municipal Offices :. Street Address: Mailing Address. 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: , rUf JIIQ Address: 2520 Thoroughbred In. Permit Vs: 9667 Dates: 11/14/97 Contractors: Clover Hill Co. (This is [ ] an existing system [ ] new construction) . SYSTEM COMPLIANCE (1-3) : 1 1 Code System: Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating properly. 2 Compliant System: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous codes and is functioning properly. 3 Non-Compliant System: System may or may not meet current City standards for design, construction, or location, but is failing to properly treat and dispose of the current input; and any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level is [ ] or is not [ ] identified under this septic system. If the saturated soil level is not identified, this classification is subject to revision.) TANK CONDITION (5-9) : 5 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 [ ] or are not [ ] water tight or the condition is [ ] unknown. If the tanks are not confirmed to be watertight, this classification is subject to revision.) DRAINFIELD CONDITION (11-14) : 11 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. POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc. ) : low COMMENTS: Date of Inspection Septic 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