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HomeMy WebLinkAboutseptic info Minnesota Pollution Compliance Inspection Form Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St.Paul,MN 55155-4194 (SST$) Doc Type:Compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency(MPGA) 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): 5/12/2017 77 Compliant—Certificate of Compliance (g! 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) [I Impact on Public Health (Compliance Component #9)—Imminent threat to public health and safety ®Other Compiiance 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 21 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: 3311823440037 Property address: 120 Truffula Trail, Orono, MN Reason for inspection: Property Transfer Property owner. Frederick Dufault Owner s phone: _210-683-7550 or _.. ___ Owner's representative: Representative phone: Local regulatory authority: __jqity of Orono ., _ Regulatory authority phone: _952-249-4600 Approximately 2-1300 gallon septic tanks,1-1300 gallon lift station and approximately 680 square feet Brief system description: of mound rockbed. Comments or recommendations: The north end of the rock bed has 1.0 feet of sand and the south has 1.5 feet of sand under the rock bed.The south side of the rock bed is mottled at the original grade.Therefore there is 1.5 feet of separation. Certification l 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: Joseph J Olson Certification number: 1255 Business name: Rusty Olson's Soil&Pero.Testing License number. $10 - Inspector signature: ---- Phone number: 763-498-8779 Necessary or Locally Required Attachments Soil boring logs ®System/As-built drawing ❑ Forms per local ordinance 7 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 - 1124112 Pae,* 1 of 3 Property address: 120 Truffula Trail,Orono,MN Inspector initialsMate: J.0.5/12/17 1. Impact on Public Health—Compliance component#1 of 5 Com Ip lance criteria: Verification method(s): System discharge sewage to the ❑Yes ® No ® Searched for surface outlet ground surface. Searched for seeping in yard/backup in home System discharge sewage to drain tie ; [:]Yes ®No El Excessive ponding in soil system/0-boxes or surface waters. ❑ Homeowner testimony(See CommentwExplanation) System cause sewage backup into ❑Yes 0 No ❑ "Black soil"above soil dispersal system dwelling or establishment. ❑ em requires"emergency"pumping _ ❑ Performed dye test Any"yes"answer above 1ndiCaMs the system/s ❑ Unable to verify(See CommenwExplanawn) an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Commenwaplanarion) Comments/Explanation: 2. Tank Integrity—Compliance component#2 of 5 Compliance criteria: Verification method(s): System consists of a seepage pit, ❑Yes ® No ❑ Proud tank(s)bottom cesspool,drywell,or leaching pit. ❑ Examined construction records Seepage pits meeting 7090.2550 may be ❑ Examined Tank Integrity Form(Attach) compliant N allowed in Axel otdinance. f Sewage tank(s)leak below their ❑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" ❑ Unable to verify(See Commentw xplanation) Any "lyes"answer a60Y@ 1t'ff�C@t@S the �Other methods not listed(See Comrrrents/Exptanation) system is Failing to Protect Groundwater. Comments/Explanation: Peterson Company pumped the tanks 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* ®No ❑Unknown b. Other issues labs icer hazards,eto.)to immediately and adversely impact pubic health or safety. ❑Yes* ONO ❑Unknown *System is an imminent throat to public hob and safety Explain: c. System is non-protective of ground water for other conditions as deterntined by inspector ❑Yes' ®No *System is failing to protect groundwater Explain: www.pca.state.mn.us - 651-2%-6300 • 800.657.3864 TTY 651.282.5332 or 800.657-3864 - Available in attemative formats wc-wwists4.3 t " 1124112 Property address: 120 Truffula Trail Orono MN Inspector initials/Date: .J.O.5112/17 4. Soil Separation—Compliance component#4 of 5 Date of installation: 6/15/95 ❑Unknown Verification msthod(s): ShorelandNVellhead protection/Food Beverage Lodging? El Yes ®No Sal observation does not expire.Precious soil observations by two independent parties are sufficient, Compliance criteria: unless site conditions 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 logs) Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs) beverage or lodging establishment ❑ Not applicable(Holding tank(s),no draimeld) Drainfield has at least atwo-foot vertical ❑ Unable to verify(See Commentsexplanation) separation distance from periodically ❑ Other( Comments/Exanatioh) saturated soil or bedrock. Non-performance systems built ApM 1, ❑Yes ❑No CommentslExp/anation: 1996,or later or for non-performance 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 depths of elevations systems built under pre-2008 Rules;Type/V -or V systems built under 2008 Rules(7080. 1 A- Bottom of distribution media 101.2 2350 or 7080.2400 (Advanced Inspector License required) S. Periodically saturated soil/bedrock 99.7 south end Drainfield meets the designed vertical separation distance from periodically C. System separation _ 1.5 saturated soil or bedrock. D. Required compliance separation* 2.0 Any "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local Failing to Protect Groundwater. pro; 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. _ Have the Operating Permit requirements been met? ❑Yes ❑No E b. Is the required nitrogen BMP in place and properly functioning? ❑Yes ❑No Any "no"answer indicates Noncompliance. Upgrade Requirements(Minn.Stat.§11555)An imminent threat to public health and safety(ITPHS)must be upgraded replaced,or its use discontinued within ten months of receipt of tills notice or mthin a shorter period if required by local o finance.If the system is failing to protect ground water,the system must be upgraded replaced,or its use disc ontinued wgthu i the time required by local orlinance.if an existing system is not failing as defined in law,and has at least twin fleet of design soil separation,then the system need not be upgraded,repaired,replaced,or its use discontinued,notwithstanding any lotsl ordmOnrre that is more strict This provision does not apply to systems in shoreland areas, Wellhead Protection Areas,or those used in connection with l rood,beverage,and lodging estsblimmonts as defined in law. www.pca.state.mn.us - 651-2%-6300 • 800-657-3864 TTY 651-282-5332 or 800.657-3864 - Available in alternative formats wq-wwists4-31 - 1124112 - Soil Observation Log www.SepticResource.com vers 12.4 Owner Information Property Owner/project: Frederick Dufault Date 5/12/2017 Property Address/PID: 120 Truff da Trail Soil Survey Information ❑ refer to attached soil survey Parent matl's: Q Till ❑OuWrdM ❑lacustrine ❑Alluvium ❑Organic El Bedrock landscape position: ❑summit QShoukler C1;Side slope [D Toe slope soil survey map units: L123A slope % direction-Lineal Soil Log#1 W n g ❑ Pit Elevation 103.0 Depth to SHWT 52 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-34 Fill <35 Loose Loose Single grain 34-46 Topsoil <35 10yr3/2 Loose Strong Blocky 46-52 Clay Loam <35 10yr4/3 Friable Strong Blocky 52-58 Clay Loam <35 10yr5/3 10y4/8,1-6/10y Firm Strong Prismatic <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive Comments: TBM top of lift station manhole cover 120 Truffula Trail Soil Log#2 Bong ❑Pit Elevation 103.0 Depth to SHWT 39 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-39 Fill <35 Loose Loose Single grain 39-46 Clay Loam <35 10yr3/1 10y4/8.1-6/10y Firm Strong Platy <35 loose loose single grain friable weak granular blocky 35-50 firm moderate p Platy Prismatic >50 rigid strong massive <35 loose loose single grain friable weak granular blocky 35-50 firm moderate Prismatic platy >50 rigid strong massive <35 loose loose single grain 35-50 friable weak granular.blocky firm moderate prismatic platy >50 rigid strong massive 120 Truffula Trail Soil Log#3 Q Boring ❑ Pit Elevation Depth to SHWT Depth(in) Texture fragment% matrix color redox color consistence grade shape <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid strong massive <35 loose friable loose single grain 35-50 granular blocky >50 firm moderate Prismatic platy rigid strong massive <35 single loose loose grain friable weak 35-50 granular blocky >50 firm moderate Prismatic platy rigid strong massive 1 hereby certify this work was completed in accordance with MN 7080 and any local reqs. Rusty Olson's Soil&t Perc 810 esigner Signature Company License# �D3T,v�b7-� {3 {,k34t) 633 T/17p 31 70 �F - 36� 'D Loft 7D 3' y/6r3 n TNE.R( _IS 1.5 SOP SAND, yN6eaP�,__T C N'otk , ALL Soil- ibok,u4S AAO mo rtzo Ar OigfbfWAL &&ADC 23 ti Ti N& �A7R'�1d!✓ / G,aK14� QpGKF �.//' _' tom/,JV � �p R(ot Ewm►�i- ✓'� 'r� 'TANk.S � u^A ` F�ns[i►x� �,u-rvr�� t ry�s„u,�e� HwSG Scab: 1." 3c3 ~ Q)$oi1 Bonnt�11xs! 0 Beach ML* )Chuck all u,1tkraty iiltlal mss.. . PMpelty ar:moi..aagtrk b,FN w j?o TRuFFuLrt TJ2AiG. . 1*1(-Kt3)M-8779 itif1y owills 11 and jxmhWai Wing ��, Minnesota Pollution � Compliance Inspection Form Control Agency � I It1 /l Existing Subsurface Sewage Treatment Systems 520 Lafayette Road North 7 st Paul,MN 55155-0194 �/�/ (SETS) Doc Type:Compliance and Enforcement Instructions: 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): {� YK 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 #9)—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: .4119 ,�y f ry 1A Reason for inspection: Y4 je. Property owner: Owner's phone: or Owner's representative: Representative phone: Local regulatory authority: C, f' m/7p A.�0 Regulatory authority phone: Brief system description: A m uy 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 th.P system, inadequate maintenance, or future water usage. Inspector name: pA e,y Certification number: �,t6 Business name: n t-4 0 &$A I I f -Lvte o--w sZALicense number: J Inspector signature: Phone number: 7Gc�7Q Necessary or Locally Required Attachments [I Soil boring logs ❑System/As-built drawing ❑ Forms per local ordinance IV Other information(list): n N ti r t' 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 Page f of 3 Property address: �� �/•� � (.� lA TZ Inspector initials/Date: 1. Impact on Public Health—Compliance component#1 of 5 —Compliance criteria: Verification method(s): System discharge sewage to the ❑Yes [ No VY Searched for surface outlet round surface. JR Searched for seeping in yard/backup in home E] Excessive ponding in soil system/D-boxes System discharge sewage to drain the E]Yes IQNo or surface waters. ❑ Homeowner testimony(See Comments/Explanation) ❑ "Black soil'above soil dispersal system System cause sewage backup into ❑Yes M No ❑ System requires"emergency"pumping dwelling or establishment. ❑ Performed dye test Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation) an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See CommentsEExplanation) Comments/Explanation: 2. Tank Integrity—Compliance component#2 of 5 Compliance.criteria:Sr_ ,-K-.4jk 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. ❑ Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes No ❑ Examined empty(pumped)tanks(s) designed operating depth. ❑ Probed outside tank(s)for"black soil" If yes,which sewage tank(s)leaks: ❑ Unable to verify(See Comments/Explanation) Any "yes"answer above indicates the ❑Other methods not listed(See Comments/Explanation) system is Failing to Protect Groundwater. Comments/Explanation: 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* *o ❑Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* V 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-wwists4-31 • 1124112 Page 2 of 3 CProperty address: 1i4 j �V 6 �j� Inspector initials/Date: ! 4. Soil Separation— Compliance component#4 of 5 Date of installation: ❑Unknown Verification method(s): ShorelandMellhead protection/Food Beverage El No Lodging? Soil observation does not expire. Previous soil observations by two independent partes are sufficient, Compliance criteria: unless site conditions 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 logs) Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs) beverage or lodging establishment ❑ Not applicable(Holding tank(s),no drainfield) Drainfield has at least a two-foot vertical ❑ Unable to verify(See CommentsrExplanation) separation distance from periodically saturated soil or bedrock. ❑ Other(See Commentst&planation) Non-performance systems built April 1, ❑Yes ❑No Comments/Explanation: 1996, or later or for non performance ,c 1 ` systems located in Shoreland or Wellhead / m� a c l /.4t •©.4 Protection Areas or serving a food, beverage, or lodging establishment: VkW w K� C6 Drainfield has athree-foot vertical ©� separation distance from periodically O saturated soil or bedrock.* Experimental, "Other', or `Performance" [:]Yes ❑No Indicate depths of elevations systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules(7080. A. Bottom of distribution media /OA 2350 or 7080.2400 (Advanced Inspector p License required) B. Periodicall saturated soil/bedrock [� S Drainfield meets the designed vertical C. S stem separation 6 k separation distance from periodically saturated soil or bedrock. 36 sr D. Required core liance separation* 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 X No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes UY 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: Have the Operating Permit re uirements been met? ❑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(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 • 1124112 Page 3 of 3 kpr .17 12 05:25p Kathleen 763-497-2764 p.1 Panel number. System status: Compliant ❑idoncrxnplisnl, (as dete+ralne 1 I OW.3 kst pl. Tank Integrity and Safety Compliance -st'A�cha Compliance Issue#2 of"4 Date of observation: t"- - Reason for observation: ) ' l(M! pe L This form expires on(three years): Compliance questioriskriteria: (Required) Verrification Method"":i(Optionai) . check sire are box (Cheat the appropriate box) Does the system consist of a-seepage pir, ❑Yes No Probed tank'.bottom cess old Uor teaN Pit? Observed low liquid level Do any sewage'tank(s)leak below their. ❑Yes No designed operefirith? ❑.-Examined construction records . If yes.identify which sewage Examined empty{pumped)tank tank leaks. ❑ Probed,outside tank for"black soil' Any"yes"answer indicates that the system is fafli}rg to protect ground water, ❑ Pnessureivacuurn check Other. _ 3 - l Dr.(9 r a {F ' 1 ' Seepage pits-meeting 7080.2550 may be compliant if allowed in ordinance by.local permitting•authorky. /Wo standard protocol exists.This Ilst Is.not exhausfiva,in sequential order,nor does It hrdlcate Mich combfnstions - am necessary to-make.this determination. Safety Check i. Are any ma tr4enance hose covers dwywped,.cracked,or appeared to be structurally unsound? ❑Yes" VNO. L 2. •Were all-maintenance hole covers replaced in a secured manner(e.g.;all-screws replaced)? Yea ©No". 3. Was secondary access restraint present(safety pan,seo6hd cover.or safety netting)-hfghly recommended- ❑Yes '15j No 4: Was any othersafelyiheelth Issue present? ❑Y9s' N6 Explain: "System Is an imminent threat to pUblic health andsafety Certffication This form is to be completed and attached to the Summary Form of.the Minnesota Pollution Control Agency's(MPCA)CompSance Inspection Form forExisling Subsurface Sewage•TreabheritSystems..Observafians,Interpretations.and conclusions must be.. completed"by an inspector.maintainer,or service provider.Completed form must be submitted to the local unit of gcimrn rreirt within 15 days. 11 Properly owner name($): _ i ! '� (} t' - ✓�l (. L Properly address: 1 n,. T��;i �,. ift, .121 -�r.•,� Property owner's address(If d'sfferentX County: ! < E✓ iii 1�I P ij'� Phone: r hereby certify that i personaNy made the observations, interprmistions,and cencfuslons reported on Phis form and That they are collect Name: Certification number Business;license name and number rj_r7jf 'i:'�' or Name of local un ovemmenf: Signature: Date: wp-ww1sts4-3 f Compliance inspection Form for Existing SM 411011 60 O O CITY OF ORONO Municipal Offices Street Address Mailing Address: G� 2750 Kelley Parkway P.O.Box 66 Orono,MN 55356 Crystal Bay,MN 55323-0066 kESUO To: The Current Owner of Address 120 TRUFFULA TR 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 reat Yes No If yes, please contact the Onsite Systems Manager at 954-249-4626 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 No ompliant 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 (3) years. City records indicate the tank(s)were last pumped out on S' - /9' ,CJ7 The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: w Inspector! .,� Date of Inspection: O Telephone (952) 249-4600 • Fax(952) 249-4616 www.ci.orono.mn.us low City of Orono MeIIIW To: Orono residents on mound type septic systems From: Willie Gibbs, ISTS Manager Date: May 10,2006 Re: Landscaping Do's and Don'ts for Mound Systems, Quick Reminder Do plant and maintain a full cover of grass and keep mowed to a normal height, this grass cover aids in the evaporation of large amounts of effluent(the liquid left after the "other' stuff has been removed) in the summer time and allows the mound system to help breakdown nitrogen in the effluent, Do water the grass over the mound in extreme dry conditions, sparingly. Do avoid unnecessary foot traffic over the mound, mow it and stay off of it. This is especially true in the winter time. Even human foot traffic can cause frost to penetrate the mound resulting in potential freezing problems. Do inspect your mound system annually for winter kill, (reseed if necessary) animal damage, (burrowing)or signs of potential failure. Do not plant trees or shrubs on the mound system, smaller trees and shrubs may be planted at the edges. Remember,that sunshine is the key to a healthy mound system. Do ask questions, if you have any concerns or questions concerning your mound system please feel free to call me, I can be reached at 952-249-4626. 1 / O /O O -+ CITY of ORONO Municipal Offices ; < Street Address: g5aMailing Address: 2750 Kelley Parkway P.O. Boz 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: C) ?'C'' 'rA 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 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: 5 Pumpout not needed at this time. 6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years. Tank was last pumped QQ `&C'y t i> ). _Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the proper cleaning. Keep water softner andiron filter discharge out of septic system to prolong life of dra infield. Ask pumper to test alarm float to verify alarm is still working in your house. The alarm warns owner that septage 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. DRAINFIELD CONDITION(8-10): *57 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: 7 Date of Inspection Septic System Inspector CITY of ORONO tiff Municipal Offices V Q S Street Address: Mailing Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, NMI 55323-0066 ......... . r To Current Own.er:. Address: /a o T r A U k T rr1-1 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. 9111CODE SSYYYSTECONFORMITY (1-3): SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 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): 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. v Tank was last pumped ). Make sure seutic tanks are numned through manhole and not through white inspection pipes This allows for the prover cleaning. Keen water softner and iron filter discharge out of septic sy§tem. 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. DPAINFIELD CONDITION(8-10): 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. CONAffiNTS: I�Oyt`� O6�-S 0 SJ/T Ste 4-.(- Coytr --I S 3t(u('-c 1 -03 G Date of Inspection Matt Bolterman- Septic System Inspector Note: In the event that"inspection report is used to satisfy the requirements for a mortgage or other transfer ofproperty,be advised that this report does sot guarantee ®r Y that m existing symm will continue to function properly,but is merely an opinion ofthe adequacy ofthe system under current conditions based an the available woe. Wephone(952)2494600 • Fax(952)2494616 www.ci orono amus =� CITY of ORONO i. •tii� :� G'ti Municipal Offices Street Address: 9� Hpg 2750 Kelley Parkway Mailing Address: Orono, MN 55356 P.O. Box 66 Crystal Bay, MN 55323-0066 Owner: W :�h• l�c1f S�q�\ Address: o.6 r y�4 V\o� 'r/'' 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 (0"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 or 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" Aprohibited 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 oroao 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;oil characteristics. TANK CONDITION(5-10): . Tank inspection indicates: 5Pumpout not needed at this time. 6O Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped V nyN NV"^ 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 risen 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. PLkW1ELQ CONDITION 01-14 11 minfield is dry,no surfacing evident. 12 Some evidence of surfacing,not critical yet 13 Draimfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. 14 Draintield extent and condition unknown. CONSENTS: 5 SSC dbks Date of Inspection Septic System Inspector report is used to Not--: the an existing that this W�continue o function oterly,buts merety ar,n-;...��K fen of property,be advised that this report does not ttuarantae or ca that astthatsatisfy properly, COPY O 0 : O 1 , CrrY of ORONO lCr Municipal Offices Street Address: Mailing Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: Address: 120 Truffula Tr. Permit Vs: 6658 Dates: 11/21/94 Contractors: Clover Hill Co. (This is ["X] an existing system [ ] new construction) . STEM COM✓PL�IANCE (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 sat--u//rated soil level. (The saturated soil level is [J�] 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) : 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. 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 �o be watertight, this classification is subject to revision.) D INFIELD CONDITION (11-14) : 11 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 oY Inspec ione c System nspect r 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