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HomeMy WebLinkAboutSeptic info MOM Minnesota Pollution Control Agency Compliance Inspection Form Co 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(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): 11/9/2017 ® Compliant-Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance (Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3) frame outlined in Local Ordinance.) Reason(s)for noncompliance(check all applicable) ❑Impact on Public Health(Compliance Component #1)—Imminent threat to public health and safety ❑Other Compliance Conditions(Compliance Component#3)—Imminent threat to public health and safety ❑Tank Integrity(Compliance Component #2)—Failing to protect groundwater ❑Other Compliance Conditions(Compliance Component#3)—Failing to protect groundwater ❑Soil Separation(Compliance Component #4)—Failing to protect groundwater ❑Operating permit/monitoring plan requirements(Compliance Component #5)—Noncompliant Property Information Parcel ID#or Sec/Twp/Range: 3311823440041 Property address: 125 TrufFala Trail,Orono MN Reason for inspection: Property Transfer Property owner: Jeff Joerres Owner's phone: 612-840-3779 or Owner's representative: Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: 952-2494600 2-1000 gallon septic tanks,1-1000 gallon lift station and 500 square feet of mound rockbed.per city Brief system description: records Comments or recommendations: The electrical box for the lift station should be reattached to the wood post. Certification 1 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 O on's Soil&Perc.Testing License number: 810 Inspector signature: — Phone number: 763498-8779 Necessary or Locally Required Attachments ®Soil boring logs ®System/As-built drawing ❑Forms per local ordinance ❑Other information(list): www.pca.state.mn.us - 651-296-6300 - 890-657-3864 TTY 651.282-5332 or 800-657-3864 - Available in alternative formats wq-ww1sts4-31 - 1124112 Page 1 of 3 Property address: 125 Truffala Trail,Orono,MN Inspector initials/Date: J-0. 11/0g/17 1. Impact on Public Health—Compliance 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 yard/backup in home System discharge sewage to drain file ❑Yes ®No ❑ Excessive ponding in soil system/D-boxes or surface waters. ❑ Homeowner testimony(See Comments/Explanation) System cause sewage backup into ❑Yes ®No ❑ "Black soil"above soil dispersal system dwelling or establishment. ❑ System requires"emergency pumping ❑ 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 CommentsExplenatlon) CommentslExplanation: 2. Tank Integrity—Compliance component#2 of 5 Compliance criteria: Verification method(s): System consists of a seepage pit, ❑Yes ®No ❑ Probed tank(s)bottom cesspool,drywell,or leaching pit. ❑ Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form(Attach) compliant if allowed in local ordinance. ❑ Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes ®No ❑ Examined empty(pumped)tanks(s) designed operating depth. If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil" ❑ Unable to verify(See CommentsrExplanation) Any"yes"answer above indlcates the ®Other methods not listed(See CommenwExplanation) 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 overs are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* ®No ❑Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* ®No ❑unknown *System is an Imminent threat to public health and safety Explain: C. System is non-protective of ground water for other conditions as determined by inspector ❑Yes* ®No *System Is failing to protect groundwater Explain: www.pca.state.mn.us • 651.296-6300 " 800.657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwfsts4-31 . 1124112 Page2of3 Property address: 125 Truffala Trail,Orono,MN Inspector initials/Date: J. 0. 11/09/17 4. Soil Separation—Compliance component#4 of 5 Date of installation: 10/03/1997 ❑Unknown Verification method(s): ShorelLodging?andNVeUhead protection/Food Beverage ❑Yes ®No Soil observation does not expire. Previous soil 9 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: i [:1 Not applicable(Holding tank(s),no drelnfield) Drainfield has at least a two-foot vertical ❑ Unable to verify(See CommentsiExplanation) separation distance from periodically saturated soil or bedrock. ❑ Other(See Comments/Explanation) Non-performance systems built April 1, ®Yes ❑No Commentsffxplanation: 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 underpre-2008 Rules,Type IV or V systems built under 2008 Rules(7080. A. Bottom of distribution media 104.7 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soilibedrock 101.7 Drainfield meets the designed vertical C. System separation i 3.0 separation distance from periodically saturated soil or bedrock. D. Required compliance separation* 1 2.6 Any"no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local Failing to Protect Groundwater. Ordinance. 5. Operating Permit and Nitrogen BMP*-Compliance component#5 of 5 ® Not applicable Is the system operated under an Operating Permit? ❑Yes ❑No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes ❑No If"yes",B below is required BMP--Best Management Practice(s)specified in the system design ff the answer to both questions is "no". this section does not need to be completed. Compliance criteria a. Operating Permit number: Have the Operatina Permit requirements been met? ❑Yes []No b. Is the required nitrogen BMP in place and propqrly 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 sbict 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 altemattve formats wq-ww1sts4-31 • 1124112 Page 3 of 3 Tank Reluort Date: November 8,2017 Elmer J.Peterson Co. 5921 Dague Ave. Dclano,MN 55328 Phone 763-972-2420 Fax 763-972-7217 MPCA License#219 Jeff Joerres 125 Truffala Trail Orono,MN 55356 812-840-3779 Baffles: ON OFF Tank Capacity: 3-1000 Gallon Tanks #of Tanks: 3 Type of Tanks: Concrete Gallons Pumped: 2500 Manholes to Grade: a NO Comments: On November 8,2017,Elmer J.Peterson Co.Pumped septic tanks. No cracks or water leaking in tanks at that time. NOTE:This is only a tank report. This is not a compliance inspection for point of sale nor does it replace a compliance inspection. Property address: 125TndFaia Trail --___-- Inspectoriniliablpate: 11/8/17 1. Impact on Public Health—CompUence component a1 of 5 Com0agnce criteria• V System discharge&swage to the _ erSear ice or surface C _9ro1md surface. ❑Y� 6—W ❑ Seerdmed for surface 0tltlat ❑ Searched for saepinp in yam up,home System discharge sewage to t go ❑yes ❑No Q Exoss&ive ponding h soil systerNp-boxes or surl8ce waters ❑ Homeowner fteurrony Ma,CQMmnMeWWWor,) wap Th dikVSws em este s ishrrm b up into ❑Yes Q No a oleo"&8 oll W W system ❑ Performed dye System � an immipPinO �Y"Y'es"arrawwebow Q unable to imminent Throat to Public s �(S»awnmenra&pw s,n) -- ❑ Other methods not Hued(am Cor► Exptanaticn: Corxna+ldExplru6on) 2. Tank Integrity—Corrlpilanoe component a2 of 5 Novice criteria: System consists of a seepage Pit es o Q probed tank()fie): botlom ""Pool,drywall,orb aft Pit. ❑ Examined &wrrucNomm m=*Pse a 70e0.266omeY be m Yafbwed to bed ondh&ncs. 13EXamined T"Integrity Foran(Asad,) Sewage tank(&)leak below their 13 Yes ®No ❑ Observed lipoid level below operating depth designed operating death ® Examined empty(pumped)tanks(,) If yes,which,swage tW*(s)looks: —— ❑ Probed outside tar*($)for-black so r Any O.Vw answer above indkatag ante ❑ unable to verify(See sYatem is Failing to Pr)tact Groundwater ❑Otho mods not listed(Sae Co nmenieso emwr) CommsWExplenallon: On 1118117,Elmer J.Peterson Co.pumped tank,. 3. Other Compliance Conditions-COMPUarua component ll`•3 of 5 a. Maintenance hole covers aro damaged.cracked,uneemsed,or appear 10 struduraly unsound ❑Yee ❑No ❑ljrk n b. Older*owres fatrctrinlbaaatie Oft)10 immediately and sovaresly hmpa;t public health or 'Sysranr k an hrasfnant blrpt sp pub6lc haftlr and �y ❑Yes` ❑No ❑tJtYnrrovwn Explain: c. System to nonIN06 diw of 9mund water for other mrgYans as determined by i ❑Yes' []NO `SYS+b fis>OW fn f>oftcf Explain: •Pxe.staoe.mn.us . 651-296-6300 . 600-657-3864 TTY 661-2112-5332 or&00457.3864 -- w4-wwNats4-3f . 11241 f2 Avasable to&tterrutive formats P"e 2 013 Soil Observation Log www.SepticResourcc.com vers 12.4 Owner Information Property Owner/project: Jeff Joerres Date 11/9/2017 Property Address/PID: 125 Truffala Trail Soil Survey-Information ❑refer to attached soil survey Parent marl's: Q Till ❑Outwash ❑Lapastrine [:J Alluvium ❑organic ❑Bedrock landscape position: ❑Summit ❑Shoulder []Side slope ❑Toe slope soil survey map units: 13713 slope % direction-Lineal Soil Lo #I 21 Boring ❑Pit Elevation 103.0 Depth to SHWT 16 inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-10 Topsoil <35 10yr3/1 Loose Moderate Blocky 10-16 Loam <35 10yr4/3 Friable Strong Blocky 16-24 Clay Loam <35 10yr5/3 10y4/8,1-6/l0y Firm Strong Blocky <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 >50 firm moderate prismatic platy rigid strong massive Comments: 125 Truffala Trail Soil Log#2 ❑ung ❑ pit Elevation 104.7 Depth to SHWT 33 inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-14 Fill <35 Loose Loose single grain 14-20 Topsoil <35 10yr3/2 Loose Moderate Blocky 20-26 Clay Loam <35 10yr4/3 Friable Strong Blocky 26-33 Clay Loam <35 10yr5/4 Firm Strong Blocky <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive 125 Truffala Trail Soil Log#3 ❑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 >50 firm moderate prismatic platy rigid strong massive <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 >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak 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&Perc 810 /signerSignature Company License f7/7 9"Iss 619L 9/�s fl ff 1910 L _&el 1 � 4 0913012010 01: 02 7634975011 SPTESTINGINC PAGE 02111 S-P TESTING, INC. Steven B. Schirmers - MPCA Cert.No. 627 951 Katydid (Lane NE - St. Michael, MN 55376 - (763) 497-3566 FAX (763) 497-5011 State License #394 i September 28, 2010 ^C Jeff& Kelly Joeres � 125 Truffala Trail Orono, Henn. Co., MN l A Compliance Inspection was completed for the existing on--site sewage treatment system located on this property. The system consists of 2-1000 gallon septic tanks, 1- 1000 gallon pumping chamber & a pressurized mound system built in 1997. Soil boring #1 found mottled (redox features) at 1.7' below the ground surface. Soil boring #3 found the original soil at elev.102,5 &fihe bottom of the rock bed at elev.104.2 leaving 1.7' of sand below the rock bed & a 3.4' separation from the bottom of the rock bed & redox features. Soil boring #2 found mottled soil at 2.2' below the ground surface. Soil boring #4 found the original soil at elev,102,5 & the bottom of the rock bed at elev.104.2 leaving 1.7' of sand below the rock bed & a 3.9' separ bottom of the rock bed & redox features, This system is classified sin compliance w� h Minnesota Chapter 7080 rules. The tanks were pumped by Elmer J. Peterson Co. who found the 1st & 2nd tanks leaking & are classified as non-compliant, The tanks will need to be replaced & a Tank Entegrity Report completed for the compliance to be complete. On record at the City on June 2, 1998, S-P Testing found the system to be hydraulically overloaded due to the tanks leaking & poor drainage around the mound, Also sand was only found 12' from the rock bed, 19' was required. The sand during the inspection on 9-22-10 was found 10' from the rock bed & a diversion was excavated aroung the south end off the mound. It appears that the drainage & added sand was completed at that time but the tanks are still leaking. Nothing other than gray water (laundry, showers, etc.) human waste & toilet tissue should be disposed of into the septic tanks. Garbage disposals are not recommended, due to adding more solids & fine solids passing through to the system. Recommend to divert iron filters out of the system, recommend to divert the 1 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 03111 i water softner also if diverting the iron filter. EXC8ssive amountsofsoaps,antibacterial soaps, cleaning agents, shower cleaners used every'shower & chlorine agents may kill the bacteria needed to treat septic effluent, Additives are not recommended. Recommend to pump & clean your tanks through the manhole by a certified pumper every 2 years. Check with your pumper to set up a schedule. Steven B. Schirmers , 2 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 04111 � ;:. . Minnesota Pollution Control Agency COmpliance Inspection Form 520 Lafayette Road North EXIStinlg Subsurface Sewage Treatment Systems (SSTS) St.Paul,MN 55155-4194 Doc Type:Gamplience and Enforcement Instructions on page 6 Summary Form (Completed form must be submitted to the local unit of government within 15 days.) Parcel number: System status: d Compliant ® Noncompliant - For °cal T acking Purposes: — (based on all compliance requirements) Property Information -- — Property owner name(s); �F Property owner phone: f jJt� Properly address: Properly owner address Of differa;nt): . — County: - � s3�t Permitting authority: Date system constructed: Reason for inspecgon:,, System) Description Brief system description: _2-1c9„dd gyal.`+�� yL � ,�► '�LM ,�tt�31�^ 1 DrK.S�Fs�r�*�7d Local permit number, _ Number of bedrooms: _ Design now rete: �o Is the system: -- In Shoreland area? ❑Yes 'IN No In Wellhead Protection Area? ❑Yes 0 No An U.S. Environmental Protection System serving a Minnesota Department Agency(EPA)Class V Injection Well?❑Yes, X No of Heath(MDH)licensed facility? ❑Yes ®No Compliance Status(eased on slate requirements-=additional local requirements may also spply,) Based on the Information gathered and reported on attached forms,the compliance status of this system is(check one): Certificate of Compliance-valid until(3 years hom date of report): Notice of Noncompliance-For Noncompliant systems: The reason for noncompliance is; This noncom liant ( — p system Is classlfi®d as(check on®.below): " 0 IIm'`mi�nenl��t to public health&safety 49 Fading to project ground water ❑ Not in compliance with operating permit Certification I hereby certify that all the necessary Infoimsfion'has been gathered to deterrrmre the compliance status of this system. No determination of Mire 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. Name: ��/ 1 M 5_. _ Cerlificaikon number: (o Business license name and number: 111C-1 L or Name of local unit off-gover ent: Signature: J? ..� �' -.... Dale: _ .na1Q. Required Attachments ® Hydraulic Performarice Tank Integrity Boll Boring Logs 98oll Separation ' Q Ap@rating Permit Form(if applicable) ® System drawing/As-built drawing ❑Any local requirements that are different from what is required on this form ❑ Other information(IIsQ:„ Upgrade Requlraments(denved from Minn. S(el.§115.55)An Imminent threat to)Public health and carted+(ITPHS)must be upgraded .repleecd,or ire use discontinued within len monilia of receipt'of this notice or wlthln a shorter period irrequired by kcal ondinence.Ir the system!s Farling to pmfecl ground water,the system must be upgraded ipploced,orris use discontinued within the time maulred by local ordinance. If in existing system is not falling as defiled in low,and has at least two feet of design so#separation,then the system need not be upgraded,repahed rap/aced,or Its use discontinued,notwilhstanding any kcal Ordnance that is mors 31111ek!This provision does not apply to systems in shorpland areas, Wi Ilhead Protection Amos,or those used in connection with food,beverage,and lodging establishments as defined in law. www.pca.state.rnn.us • -651-296-6300 800-657-3W TTY 651-282-5332 or 800-657-3864 • Available in alternative ro mats wq-wwists4-31 • 4124109 ' Prn1e'f of 8 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 05111 Parcel number. — System status:. N Compliant ❑Noncompllsnt (as determined by this fort) Hydlraulle Performance and Other COMPIllanee — Compliance Inspection Form for Oxisting SSTS Compliance Issue #1 of 4 Date of observation: Reason for observation. This form expires upon next inspection or in three years,whichever occurs first; — "— Compliance qulestion4/criterial: (Required) Verification Method*: (Optional) ....,—(Chi ox) _ Does the system discharge sewage to the ❑Yes �No (C/rerk the appropriate box) „ground surface? _ I'Searched for surface outlet NQ Does the system discharge sewage to drain ❑Yes ❑ No ❑ Performed hydraulic test Tile or surface waters? ® Searched for seeping In yard u0 Does the system cause sewage backup ❑Yes No ❑ Checked for backup In home into dwelling or establishment? _ Excessive ponding in soil system/D-boxes go Do other situations exist that have the ❑Yes ®No Potential to Immediately and adversely ❑ Homeowner testimony Impact or threaten public health or safety Examined for surging In tank _,(electrical,.unsafe covers etc. ?,_ Any"yes"answer indkates that the system is an—Imminent � "Slack soil"above still dispersal system Mo threat to pubiic health and sorely, ❑ System requires"emergency"pumping ❑ Performed dye test Does the system pose a threat to ground ❑Yes in No water for any conditions deemed non- ❑ Other, _ _.P-rolective as determined by the inspector? "Yes"indicates that the system is failing to protect ground water.If"yes, describe the condition noted: _ .— "No standard protocol exists. this list is not exhaustive, -' -- — in sequentlal order,nor does it indioole which —_. , •, __ combinations are necessary to make this determination, Certification This form Is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations,Interpretations,and conclusions must be completed by an inspector.Completed form must be submitted to the local unit of government within IS days. Property owner name(s): %•1'�r/hr`7rM Property address: �� � �(•�.aaL���,��L, t � Property owner's address(If different); County: Ja i ) Property owner phone: I hereby cerilly that 1 personalty made the observations, Interpretations, and conclusions reported on this form and that they are correct Name: Certification number: b;a 0 _ Business license name and number. 5 'P-f i►,a t�� 111 C , 111t„kt-, *1-4 f k) N' Lel w!.(wci � ?or Name of local unit of 7oefnment* • —/-1._... Signature: _ .__. ........ Date: _ 9.,_- Z5 www,pca.state.mn.us ..,. • 651.296-6300 000-657.3864 TTY 651-282-5332 or 800-657-3064T.� wq•wwistwi-31 • 4124109 Available In alterative formats Page 2 of 8 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 06111 Parcel number: System status: S Compliant ❑Noncompliant (83 determined by(his form) Soil Separation Compliance and Other ComplianC9_ Compliance Inspection Perm fvr Existing SSTS Compliance Issue #3 of 4 Date of observation: _�- ►�'_��,�_ Reason for observation_' ��_ �� ����,,,. This infonnstiorr on Oils Il)rm does not expire. ��Y`�^ _•—_ Compliance questions/criteria: (Required) Vertficatlon Method,-:Checir the appM date doxy (Optional) For systems built prior to April 1, 1996,and not - (Cherk the apprvprlete box) located in Shoreland or Wellhead Protection 0 Conducted soil observation(s)(attach boring logs) Area or not serving a food,beverage or ❑ Two previous verifications(attach borings logs) lodging establishment: Does the system have at least a two-foot El Other: , — vertical separation distance from periodically saturated soil or bedrodc7 Yes No a For non-performance systems built April 1, - 1996,or later or for non-performance systems _ located In Shoreland or Wellhead Protection Soil observation does not expire. Previous observations ` Areas or serving a food,beverage or lodging by two independent parties are sufficient,unless she establishment: conditions have been altered. 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., "performance"systems under old 7080.0179 or May be reduced by up to 15 percent N allowed in local Type IV or V system under new 7000.2360 or orrilnance. 7080.2400): No standard prolocol exists. This list is not exhaustive, Does the system meet the designed vertical In sequential order,nor does it Indicate which separation distance from periodically saturated combinations are necessary to make this soil or bedrock?. d Yes _d No determination, Any"no"Answer Indicates that(lie system is failing to protect ground water. Certification This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance Inspection Form For Existing Subsurface SewageTreatment Systems,Observations, interpretations, and conclusions must be completed by an inspeianr or designer.Completed form must be submitted to the local unit of government within 15 days. Property owner name(s): � Properly address: Property owner's address(it different): County: property owner phone: — I hereby certify Mat I personally made the obse►ve6ons, inle►pretations, and conclusions reported on this form and that they are correct. Name; �> / CerlUlcation number. _ Business license name and number. ��`� �.c►..40�__ or Name of local nit of gov rent: Signature: 1.., hate: www.pra.state.mn.us • 651.296.6300 000.657.3964 TTY651.282 5332 or 800-657.3864 "-WwlstAvailable in alterative formats 4q-T! - 4/24109 Palo 4of8 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 07/11 "t?M cu ' I I. I ca cunei,,.reterson moo. 763-972.7217 p,1 Tank Report Date: September 22, 2010 Flm.er.T. Peterson Co. .3921 Dague A-ve, Delano, MN 55.528 Phone 763-972^2420 Fay;. 768-.972-7!217 MPCA License# 219 Jeff Joerres 125 Truffula Trail Long Lake, MN 59356 Baffles ON OFF Tank Capacity: 3-1000 Gellon Tanks # of Tanks: 3.. Type of Tanks: Concrete Gallons: 2500 Manholes to Gracie: YES / NO I Cornments: On September 22,2010, Elmer J. Peterson Co. Uncovered Manholes(1!'t—8 Inches Deep, 2n4—12 Inches Deep,Lift Station to Grade)and Pumped Tanks. Tanks are leaking ground water about 210-230 gallons per day. Per Steve Q S-P Vesting,someone has tried to fix or correct this problem In the past, however it did not work, The only fix or repair is to instafE new tanks. NOTE:This is only a tank report. Thing isnot a compliance impection for point of gale nor does it replace a compliance inspection. License# 219 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 08111 I f-a un i im u.rwwisun Vo, 763,972-7217 p,2 Parcel number. System ststus: ❑Compliant ®Naneornpliant (as determined by this form) Tank Integrity and Safety ComplianCO - Compliance Inspection porn tbrExfs*ing SSTS Compliance Issue#2 of 4 Date of observation: MID Reason for observation: I Request From Buyer This form expires on(three years): 9115MO Compliance questionsicriteria: (Required) Verif r*ioro Method":(Optionor) heck the Ammorfate box) (Check the appropriate box) Does the system consist of a seepage pit*, 0a ;I No cess ool I or leachingIto ❑ Probed tank bottom Do any sewage tenk(s)leek below their ®Yes jKNc ❑ observed low liquld level de,sinned=among depth? lC3 Examinedconstruction records If yes,Identify which ® Examined empty(Pu mppd)tank sewage tank leeks. 5_1 4,0 p W-, , Any"yes"snsweribdeates tljat the,9ygtago is ftNay to proms ❑ Probed outside tank for'blaok soil" groand was ❑ Pressure/vWUUm check sOOaage pills mewing 7080.Mo may be compliant ff allowed ❑ Cytlner. in ordinance by local permitting autharity. '-No standard protocol exists, 7lris list Is not exheusfive,in sequen9af order,nor door it irr toe wAim eanbinafbns Sm necessary to make U*deferminedon. Safety Check 1. Are maintenance liege covers damaged,craeload,or appeared to be structurally unsound? ❑Yes' No 2. Were maintenance hole covers replaced in a secured manner(e.g.,screws replaced)? N Yes ❑No* S. Was secondary access restraK present(sd'ety parr,second cover,or safely netting)_highly recommended. ❑YesNih❑No 4, Are other se"fttselth issue present? ❑Yes' ®No E wleln: _ 'System lk an kni"lnent NVOSt to public health and safory. Cel"tlflCation This form Is to be completed and attached to the summary Form of the Minnesota Pollution Cartrol Agency's(MPGA)Compliance Inspection Fornr for Existing Subsurtsee Sewage Treatment Systems.Observations, Interpretations,and conclusions must be 1rn completed by an inspector, aintolner,or service provider.Completed form must be submitted to the local unit of government within days. Property owner name(s): Jef Joernes Property address: 17.5 Truffula Trati Long Lake,MN 55356 Property owner's address(Irdumrenq; County: Henrnpin Property owner phone; 6124M&3778 I hereby oerU&that l perronagy mode the obserslat/ons,infsrprafeUons,and condusions reported on this form and f t they are correct. Name: Jarn�Braegelmorin Certification number. _ Business license name and number. Elmer J.Peterson Co. Uwerrselli 219 or Name of local orf government Signature: Date: 822110 --— WWW.Pca.srnte.mnM. - 651-2%-=O - 800 657-3864; TTY 651.282-5332 or 800.697-3844 . Available in alternative formats wq•wwists4-3T • 4124109 Pale 3 of 8 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 09111 L ' S-P TESTING, INC, Steven B. Schirmers - MPCA Cert.No. 627 951 Katydid Lane NE - St. Michael, MN 55376 -, (7 97-3566 FAX - (763) 497-5011 State license#394 OG of soi� Bo Jeff& Kelly Joeres 125 Truffula Trail Orono, Henn. Co., MN Borings completed on 9-22-10, with a hand bucket auger. ,BORING lWU.VER 1- Elev.103.9 - MOTTLED SOIL AT 24" - no standing water present in boring. 0 - 20" Fill soil loam & clay loam 20" - 24" Fill soil loam & medium sand 24" - 30" Original soil very dark brown loam compacted 10YR 3/2 - distinct mottles 10YR 6/8 30" , 36" Dark brown loam compacted 10YR 3/3 distinct mottles 10YR 6/8 36" - 44" Yellowish brown clay loam 10YR 5/4 - distinct mottles 10YR 7/1, 10YR 6/8 44" - 50" Yellowish brown clay loam 10YR 5/6 - distinct mottles 10YR 7/1, 10YR 6/8 0-0.,NW—h U-WK„2_ Elev.102.6 - MOTTLED SOIL AT 26" - no standing water present in the boring. 0 - 12" Topsoil very dark brown loam 10YR 3/2 12" - 26" Gray brown loam 10YR 5/2 26" - 30" Gray brown loam 10YR 5/2 - distinct mottles 10YR 7/1, 10YR 6/8 30" - 42" Brown clay loam 10YR;5/3 - distinct mottles 10YR 7/1, 10YR 6/8 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 10/11 soil borihgs contd. BQRJNG N-UMSM01m Elev.105.7 - through the mound. 0 - 12" Fill soil loam 12" - 38" Fill soil medium sand 38" - 44" Original soil dark brown loam 10 Y/R 3/2 106.8 through the around. 0 - 12" Fill soil loam 12" ^ 40" Fill soil medium sand 40" - 46" Original soil dark brown loam 10YR 3/2 2 09/30/2010 01:02 7634975011 SPTESTINGINC PAGE 11/11 o$o°y,Zx 4 r N916 X V . SEPTIC SYSTEM INVENTORY Address: 125 Truffula Tr. PID: 33-118-23 44 0041 Building Typ residence #BRs/GPD: 4 #Systems 1 Units Billed 1 Permit#: 9348 Date of Permit: 8/28/97 Installer: Don's Plbg. and Htg. System Type mound Experimental: no Appliances lndry,dshw SYSTEM CONDITION Conformity: .l Tank Condition: 5 DF condition: 11 Failure Pot: low .SEPTIC TANKS Material: precast concrete Capacity: 1000, 1000, 1000 Setback to Bldg: Cesspool: DRAINFIELD Length of Lines 55 #Lines: 3 Trench Width: 10 Treatment Area: 93*41 Type of Filter rock,clean sand Soil Boring: yes Tile Size: 1.5 Under Tile 9 Perc Rate: 39.3 Setback DF-Bldg: DF Ht above Wt: 3 Soil Type: loam,clay loam Limitations: water table WELL DATA Setbacks-Well-Tanks: Well-DF: Report in File: no Pump Type: Depth: Diameter: Method: INSPECTIONRECORD PUMPOUT RECORD DATE DESCRIPTION COMPLIANCE DATE GALLONS 10/3/97 installation 1 9/11/98 no surfacing 1 Tr. � � B off- S6'& 76 T-� fro -7?4 W6 T A 1F -76� 933 60 O O CITY OF ORONO A Municipal Offices .$, street Address Mailing Address: j~ 2750 Kelley Parkway P.O.Box 66 ��i SOrono,MN 55356 Crystal Bay,MN 55323-0066 k'EHo To: The Current Owner of Address 125 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 T 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 mpliant Yes No If yes, system must be brought into compliance by: December 31, 2007 December 31, 2010 Other Septic Tank(s) Pum t 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 1 ;2 - Of—0_3 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: Telephone (952) 249-4600 • Fax(952) 249-4616 www.ci.orono.mn.us A City of Orono Mem---O ' To: Orono residents on mound type septic systems From: Willie Gibbs, ISTS Manager Date: May 10,2006 Rett 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 0 o ^+=� ;r Y, CITY of ORONO .p yk `.. �Gr Municipal Offices ;�� G~' a 6° 0 Mailing Address: , Street Address: X1501- 49-y g E8` 04�',l. 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: 2 :1r 11y r A City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY (1-3): 1 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 ). 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 to prolong life of drainfreld. 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): 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: Date of Inspection Septic System Inspector �,,,T _ CITYof ORONO Municipal Offices Street Address: Mailing Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 . ......_.. . To Current Owner: Address: I a S- Tru A" City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected'every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. -SYSTEM CONFORMITY 1-3 : 1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an imminent threat to public health or safety. 3 'TION-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. Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped Make sure septic tanks are Dumped through manhole and not through white inspection nines This allows for the proper cleaning. Keep water softner and filter discharge out of septic sfstem. 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. PRAREIELD CONDITION 5-10 : 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. COMMENTS: M0 v r.J O 4 lodc OK 0 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 ofproperty,be advised that this regent ices amp"Ace or y da t w eKistWgsysscm will continue to function properly,but is merely an opinion of the adequacy ofthe system under current conditiom based an the available idw lielephone(952)249-4600 - Fax(952)2494616 www d.orono amus CITY of ORONO Municipal Offices ►,:,;; g'`y Street Address: Mailing Address: �E$8� 2750 Kelley Parkway P.O. Box 66 \ Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: M` -``Ae\ C ne- Address: r 4 vl ; aTs � 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 ofthe 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,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 Orono Municipal Code and which is failing for any reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. TANK CONDITION(5-10): Tank inspection indicates: Pumpout not needed at this time. 4) Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was lastum ed L/ k^0 VV,-., P P ). 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. Ins ection risers miss' -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. D IELD CONDITION G1-14 11 Drainfield is dry,no surfacing evident Some evidence of surfacing,not critical yet 13 Dminfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown CON&MNTS: S S-mr,, ` b DK S Q k _ v ^KS . N qsd 0-\-1,-)-0 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 orooerly_but is rne"I.-- _c.,.__�_______ 0 4 0 0 CITYof ORONO k Municipal Offices Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 Street Address: Mailing Owner: �� !`� / I 1 1 / ) Address: 125 Truffula Tr. Permit #'s,: // 9348 Dates: 8/28/97 Contractors: Don's Plbg. and Htg. ✓✓✓✓✓✓ (This is [ /J an existing system [ ] new construction) . STEM COMPLIANCE (1-3) : 1 1 Code System: Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating properly. 2 Compliant System: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous codes and is functioning properly. 3 Non-Compliant System: System may or may not meet current City standards for design, construction, or location, but is failing to properly treat and dispose of the current input; and any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level is [4] or is not [ ] ident=ified under this septic system. If the saturated soil level is not ids t'fied, this classification is subject to revision.) NK CONDITION (5-9) : 5 5 Pumpout not needed at this time. Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out within three years, they should be pumped out and risers installed now. 9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks have not been pumped out within three years, they should be pumped out now. 10 One or more tanks are cesspools, which means the septic system is non-compliant. (The tanks are [ or are not [ ] water tight or the condition is [ ] unknown. If the tanks are not confirms to be watertight, this classification is subject to revision.) 54iAINFIELD 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 of Inspection Sep c System In pector 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 a� O O O 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: �z&e- ald Zvol , Address: 125 Truffula Tr. Permit #'s: 9348 Dates: 8/28/97 Contractors: Don's Plbg. and Htg. (This is [C�] an existing system [ ] new construction) . SYSTEM COMPLIANCE (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 ] or is not [ ] identified under this septic system. If the saturated soil level is not identified, this classification is subject to revision. ) K CONDITION (5-9) : 5 5 Pumpout not needed at this time. 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. ) 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: 09 Date of Inspection S is System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a transfer of property, this report does not guarantee that an existing system will continue to function properly, but indicates the operation of the system under current conditions. Telephone (612) 473-7357 a FAX 473-0510 o ti, o CITY of ORONO V Municipal Offices Street Address: Mailing Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 Owner: V Address: 125 Truffula Tr. Permit #'s: 9348 Dates: 8/28/97 Contractors: Don's Plbg. and Eta. (This is [ ] an existing system (� new construction) . STEM COMPLIANCE (1-3) 1 1 Code System: Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating properly. 2 Compliant System: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous codes and is functioning properly. 3 Non-Compliant System: System may or may not meet current City standards for design, construction, or location, but is failing to properly treat and dispose of the current input; and any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level [x] 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. 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 [X] were or [ ] were not confirmed to be watertight by the licensed pumping contractor. If the tanks were not confirmed to be watertight, this classification is subject to revision.) Pg4INFIELD CONDITION (11-14) : 11 1 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 Inspection Sep c 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 9 FAX 4734510