HomeMy WebLinkAboutseptic info jan za ZUib U/'U4PM HP FaxRusty Olson 7634988290 page 1
Fax Transmittal Form
Date: 1/28/2016 Total Pages: 116
To; City of Orono
Phone Number:
Fax Number: 952-249-4616
E-mail:
From: Joseph J Olson
Phone Number. 763-498-8779
Fax Number: 763-498-8290
E-mail.- rL Sty26 54(E7camcast net
❑ urgent
Q For Rev ew
❑ Please Comment
❑ Please Reply
Message: This is the septic cert for 2575 Thoroughbred
Lane.. Please file.
Jan 28 2016 07:04PM HP FaxRusty Olson 7634988290
page 2
Minnesota Pollution
Control Agency Compliance Inspection Form
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55155-4194
($STS)
Doc Type.Compl/ante and Enfomemeni
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPGA) j For local trad
requirements and attached fomlq—additional local requirements may also apply.
Submit completed fonm to Local Unit of Government(LUG)and system owner JAN 2 11116
within 15 days
System Status CnyOFORON )
System status on data(mm/dd/yyyy); 1/27/2016
® Compliant-Certificate of Compliance ❑Noncompliant-Notice of Noncompliance
(Valid for 3 years from report date, unless shorter time
frame outlined in Local Ordnance.) (See Upgrade Requirements on page 3)
Reason(s) for noncompliance(check all applicable)
❑ Impact on Public Health(Compliance Component #1)-Imminent threatto 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 9nwndwater
❑Soil Separation (Compliance Component #4)—Failing to protect groundwater
❑Operating permit/monitoring plan requirements(Compliance Component #5)—Noncompliant
Property Information Parcel DO or Sec/Twp/Range: 0¢117-23-11-0021
Property address: 2575 Thoroughbred Lane Orono,MN
Reason for inspection:
Property owner. Steven Sapletal Property Transfer
or Owner's phone: 612-708-2556
Owner's representative:
Local regulatory authority: C!Y of Orono Representative phone:
2-1300 gallon septic tanks,1-1300 lion lift stationeand 630 ory authority phone; 952-244600
Brief system description: records square fast of mound rockbed.per city
Comments or recommendations:
Certification
I hereby c@n'yy that ail the necessary information has been gathered to determine the compliance status orchis system. No
determination of future system performance has been nor can be made due to unknown conditions during system
possible abuse of the system,inadequate maintenance, or future water usage. construction,
Inspector name: Joseph J Olson
Business name: Rust OI 's Soil&Perc.TestingCertification number: 1255
License number: 810
Inspector signature:
Phone number: 763-498-8779
Necessary or Locally Zequi�redAttnhrnents
®Soil boring logs ®System/As-built drawing ❑Forms
❑Other information(list): Per local ordinance
www-pca.state.mn.us - 651.296-6300 . 800.657.3864 TTY 651.282.5332 or 800.657-3864 Available in alternative formats
wq-wwlsts4.31 . 1124112
Page 1 of 3
Jan 28 2016 07:04PM HP FaxRusty Olson 7634988290 page 3
Property address: 2575 Thoroughbred Lane Orono MN
Inspector initials/Date: J.0. 1/27/16
I. Impact on Public Health—Cornpliance component#1 of 5
Compliance criteria: Verification method(s):
System discharge sewage to the ❑Yes ®No ® Searched for surface outlet
round surface-
® Searched for seeping in yardJbackup in home
System discharge sewage to drain tile ❑Yes ®No ❑ Excessive ponding in soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See Comrnents/Exptanatlon)
System cause sewage backup into ❑Yes ®No ❑ "Black Boll'above soil tlispersal system
dwelling or establishment ❑ System requires"emergency"pumping
Any"yes"answer above Indicates the system is ❑ Performed dye test
an Imminent Threat to Public Health and Safety. ❑ Unable to verity(See CammentvExtuanation)
Comments/Explanation: ElOther methods not listed(See Comments/Explenatron)
2. Tank Integrity—Compliance component#2 of 5
Com liance criteria: Verification method(s):
System consists of a seepage pit. ❑Yes ®No ® Probed tank(s)bottom
cesspool,drywall,or leaching pit.
Seepage pits meeting 7080.2550 maybe ® Examined construction records
compliant 9 alknved in total ordinance ❑ Examined Tank Integrity Form(Attach)
Sewage tank(s)leak below the!r103 Observed liquid level below operating depth
designed operating depth. ❑Yes ®No ❑ Examined empty(pumped)tanks(s)
If yes,which sewage tanks)leaks: ❑ Probed outside tank(s)for"black soil"
ElUnable to verify(See commentwExplanatton)
Any"yes"answer above indicates the
system is Failing to Protect Groundwater. ®Other methods not listed(See comment&Exptanation)
Co mmen ts/Explanati o n:
Alban septic Company varified the tanks
3" Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. []yea* O No ❑unknown,
b. Other issues(etecbkWhazards,etc.)to immediately and adversely impact pubic health or safety. ❑Yes• ONO ❑Unknown
'SY810M is an Imminent threat to public health and safety
Explain:
c. System is non-protective of ground water for other condition as determined by inspector ❑yes* ®No
'System is falling to protect groundwater
Explain:
www.pca.state.mn.us 651-296-6300 800-657-3864i
wq-ww/sts4-31 • 1/24112 TTY 651 282 5332 or 800.657-3864 Available in alterative formats
Page 2of3
jan Lts LUl b U 1:U4F" HN FaxRusty Olson 7634988290 page 4
Property address: 2576Thor-ogghbred Lane Orono MN Inspector initials/Date: J-0-J. 0, 1127/16
4. Soil Separation—Compliance component#4 of 5
Date of installation: 6127197 ❑ Unknown Verification method(s):
ShorelandWallhead protecdoNFood @overage ❑Yes ®No
Lodging? Soil observation does not expire.Previous soil
observations by two independent parries are sufficient,
Compliance criteria: unless site oori tions have been altered or local
For systems built prior to April 1, 1996,and ❑Yes ❑No requirements differ.
not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring lops)
Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs)
beverage or lodging establishment
❑ Not applicable(Hoding tank(s),no drainfreld)
Dralnflald has at least a two-foot vertical ❑ Unable to verify(See Commentsexplanation)
separation distance from periodically
❑ Other(See commentslExplanafion)
Non-performance systems built April 1, i ®Yes ❑ No CommentsiExplanation:
1996,or later or for non-pedhrmanrae
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage,or lodging establishment
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
Experimental; *Other,or Performance" ❑Yes ❑ No Indicate depth*of elevations
systems built under pre-2008 Rules, Type 1V
or V systems built under 2008 Rules(7080. A. Bottom of distribution media 101.0
2350 or 7080.2400 (Advanced Inspector
License required) B. Periodically saturated soiubedrock 98.2
Drainfield meets the designed vertical
separation distance from periodically C. System separation 2.8
saturated soil or bedrock.
D. uired compliance se ration" 2.6
Any "no"answer above/ndlcatea the system is *may be reduced up to 15 percent if allowed by Local
Falling 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 Prwhw(s)specified in the system design
N the answer to both questions is -no",this secdon does not need to be completed.
Compliance criteria
a. Operating Permit number:
Have the Operating Permit requirements been met? i ❑Yes ❑No
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(1TPHS)must be upgraded,replaced,or its use
discontinued withinin tan ten months of receipt of this rrotice of within a shorter period if required by local ordinance.ff the system is failing to protect
ground water,the system must be upgrad&A replaced,or its use discontinued within the time required by Axel ordinance.If an existing system
it not I dsc as defined to theaw,and has at feast twc feet of design soil separation,then the system need not be upgraded,repaired,replaced,or
its use dhscontlnued,notwtthstarhding any ioca!ordinance that is More stnct This provision does not apply to systems in shoreland areas,
WW#wd 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 . 1124112
Paye 3 of 3
Jan 28 2016 07:04PM HP FaxRusty Olson 7634988290 page 5
Low of Soil Borings
License 9810
Location or Project: 2575 Thoroughbred Lane
Boringa made by: Rusty Olson's Soil and Perc testing 1127/2016
Classification System: AASHO : USDS-USDS-SCS X ; Unified :Other
Auger used(check two):Hand X,`,or Power_,Flight,Bucket or Probe X
[28-32
oring Number_i_Surface elevation_100.5_ Mottled Soil at 1.8 feet
-18" Fill in original soils
8-28" Dark brown loam 10yr3/2 H2O present at X�
Brown loam 10yr4/3
32-40 Brown clay loam 10yr5/4
40"-48"Rusty brown clay loam 10yr5/6
Boring Number-2_Surface elevation_100.0_ Mottled Soil at 1.8 feet
0-14"Dark brown loam 10yr'3/2 in original soils
14"-22"Brown loam 10yr413 H2O present at
22"-30"Rusty brown clay loam 10yr5/4
TBM:Top of lift station manhole cover Elv.-100.0 assumed
Bottom of rock bed Elv.-101.0
Original soil under the rockbed Elv.- 100.0
There is 1.0 feet of sand under the rockbed
Jan 28 2016 07:04PM HP FaxRusty Olson 7634988290 page 6
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2/25/02 Water/Wastewater-ISTS4.31
Compliance Inspection Form for Existing
Individual Sewage Treatment Systems Minnesota Pollution
IMP 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 i spection: 54 le
Property Owner(s) Telephone{� �G - d�(
Person requesting inspection i+1 Telephone( )
Site Address 5 &4 o + A ek\% City (�r�':'t%rrrL�' Zip Code
Fire No./ Parcel No. County AI,¢1n)/d Township
Legal Description ,t
Local Regulatory Authorityd'a ry d+ A-z-o'-Vo
Date system constructed 4 `7/�& System in Shoreland Area: yes System in Wellhead
Protection Area: yes System serving a MDH licensed facility: yes a 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 Establishme Built after
March 31 1996
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 I7PHS system)
-Discharge of sewage to the ground surface? YES NO -Discharge of sewage to the ground surface? YES N
-Discharge of sewage to draintile or surface waters? YES NO -Discharge of sewage to draintile or surface waters?YES
►
-Sewage backup into dwelling? YES NO -Sewage backup into dwelling? YES(V
-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 CCO)
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
-A seepage pit, cesspool, drywell, or leaching pit? YES NO -A seepage pit,cesspool, drywell, or leaching pit? YES O
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 platy°w
operating permit? (if no, go to page 2) YES NO operating permit? (if no, go to page 2) YES rN6,
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) Fre No./ Parcel No.
..........................................................................._...............................-........................._............................................................................................................................
�s`Item Comic&" (Ple g6cribe rime SAeffltom Q -and attach site sketch showing system location):
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)
W �ght n s) Hydraulic Functioningrtical Separation Distance
L; rT Rttom ❑ Searched for surface outlet ❑ Conducted soil borings
.X ❑ Observed low liquid level �(❑ Performed hydraulic test Depth to limiting layer_� +
❑ Examined const.records ' t] Searched for seeping in yard X Depth to system bottom
❑ Examined empty(pumped)tank ❑ Checked for back-up in home ❑ Examined records
❑ Probed outside tank for"black soil" ❑ Excessive ponding in soil system/D-boxes ❑ LGU Limiting Layer Verification
❑ Pressu cuum check ,�,,�j Owner ony YN-5 C3 Other
C3 Other/ "' �� ❑ Examined for surging in to k
❑ "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 e-heai r safety(ITPHS), ❑ non-compliant(monitoring issue) [Aompliant(none of the 3
previous condins). Therefore, is document is a:A Certificate of Compliance ❑ Notice of Noncompliance
Is this system an njection Well? ❑ yes Im 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) /,1_A A. Phone 'Zf
License and/ egistration Number '45:'/� Address
Employed by 44 Zt Address
Signature _ Date
UDArade Reguirements [derived from Minnesota statutes,§115.55)
An ITPHS must be upgraded,replaced,or/is use discontinued within ten months of receipt of this notice or within a shorter period/f
required by local ordinance. If the system fails to prov/de sufc%nt groundwater proton, then the system must be upgraded,
t'�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
�aw, and has at least two feet of design loll 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 appty to systems in shoreland areas, wellhead
protection areas, or those used in connection with food, beverage,and lodging estatrlishments as defined in law.
Suggested Attachments
1) Site sketch could also include:well,well setback to system,dwelling or other buildings,tank(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
♦ y
SEPTIC SYSTEM INVENTORY
Site Address: 2575 Thoroughbred La PID 04-117-23-11-0021
Owner Name: Steven & Stacy Sapletal
Owner Address: 2575 Thoroughbred La Long Lake MN 55356-
BuildingTvpe: residence Installer: Clover Hill Co.
Date of Permit: 7/24/96
System Tvpe: mound BR's Designed for 5
In Musa?: No Shoreland?:
SEPTIC TANKS:
Material: precast concrete Capacity: 1300, 1300, 1300 Tank Filter:
DRAINFIELD:
Treatment Area: 100"40 Soil Boring: yes DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: Well DF: Report In File: Depth: 277
INSPECTION RECORDS PUMPOUT RECORDS
Date Notes Date GallonsOfLiquid
9/1/2005 Okay 7/8/2014 2700'
10/3/2003 no surfacing,need insp.Cap on 1st tank 7/20/2011 2600]
9/20/2001 no surfacing,put cap in insp. Pipe 8/8/2008
4/7/1999 no surfacing-pump tanks 7/14/2005 2500;
6/27/1997 installation 8/16/2002 2000,
9/30/19991 2000';,
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CITY of ORONO
,"�► �� Municipal Offices
Street Address: Mailing Address:
2750 Kelley Parkway P.O. Box 66
_ Orono, MN 55356 Crystal Bay, MN 55323.0066
Owner: � �e� E�+n ' Address: 2575 Thoroughbred Ln.
Permit Vs: 8188 Dates: 7/24/96 Contractors: Clover Hill Co.
(This is [u] an existing system [ ] new construction) .
YSTEM COM.✓lPL``IANCE (1-3) : 1
Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
3 Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level is [X] or 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) : 6
� Pumpout not needed at this time.
/6,[J Solids accumulation in tanks indicates they should be pumped out this year.
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.)
n 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.
POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc. ) : low
COMMENTS:
Date of I p ction --8`@rfc 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
e
O
0
CITY of ORONO
VA, `"' l4 Municipal Offices
s `y Street Address: Mailing Address:
9$EggOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323.0066
Owner: Address: 2575 Thoroughbred In.
Permit #'s: 8188 Dates: 7/24/96 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 4.k has or [ ] has not been identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
K 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 he tanks were not confirmed to be
watertight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 11
(ly Drainfield is dry, no surfacing evident.
2 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 Inspec ion Sep 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 � o
CITY of ORONO
S
��,$" ° ` �+ ;�� ` �, Municipal Offices
Street Address: Mailing Address:
\9$ESDI g'O %' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address ,2.5 75-
City
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:
tc)A-e <
�-
Inspector: Date of Inspection
Telephone(952)249-4600 - Fax(952)249-4616
www.chorono.mn.us
0*�. ._ - 0
a CITY of ORONO
ti , tiH Municipal Offices
I
Street Address: Mailing Address:
'9ltyH04' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 ) Crystal Bay,l MN 55323.0066
To Current Owner: Address: S 7� �`� 6 r 0 w f
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
YSTEM 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:
66Pumpout 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 4d-% ~6.1-. ).
Make sure septic tanks are pumped through manhole and not through white inspection wipes. 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.
D INFIELD CONDI ON 8-10 :
Q8j 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: o„r. \00)0 off, R M s �:, l- Sup.. r
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 ofthe adequacy ofthe system under current conditions based on the available
information.
Telephone(952)2494600 - Fax(952)249-4616
www_ci_nrnnn_mn_uc
0 0
CITY of ORONO
Municipal Offices
Street Address: Mailing Address:
�Eg1;I0 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: Ant� 0�w �''� C,1 �" Address: �S 7S �a�a v 1,�� L
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Cite 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 ofthe cunent 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.
T.kNK CONDITION(5-10): 5
ink inspection indicates:
( � Pumpout not needed at this time. p,l
6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped C1-30 -91 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 Drainfreld 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.
1.1 Dminfield extent and condition unknown. `
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Date of on 6
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Ins +
p 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.