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HomeMy WebLinkAboutseptic info 08/20/2010 15:42 7634988290 RUSTYS PERC TESTING PAGE 02 r Minnesota Pollution Compliance Inspection Form Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) St.Paul,MN 55155-4194 Instructions on page 7 Parcel number: 0411723210010 For Local Tracking Purposes: System status: ® Compliant ❑ Noncompliant (based on all compliance requirements) Summary Form Property Information Property owner name(s): Michael Francis Property address: 2995 Watertown Road, Orono,MN 56366 Property owner's address(If dltferent): County: Hennepin Property owner phone: Permitting authority: _Ci!y of Orono Date system constructed: _6/11/01 Reason for Inspection: Property Transfer System Description ---- Approximately 2-1300 gallon septic tanks, 1-1300 gallon lift station and Approximately 7500 square Brief system description: feet of mound rockbed. Local permit number: _ Number of bedrooms: B Design flow rate: 83 Is the system: _._ _ In Shoreland area? ❑Yes ® No In Wellhead Protection Area? ❑Yes ® No An U.S. Environmental Protection System serving a Minnesota Department Agency(EPA)Class V Injection Well?❑ Yes 0 No of Heath(MDH) licensed facility? ❑Yes ® No Compliance Status(Based on state requirements—additional local requirements may also apply.) Based on the information gathered and reported on attached forms,the compliance status of this system is(check one): ®Certificate of Compliance—valid until (3 years from date of report): 8/16/2010 ❑ Notice of Noncompliance-For Nonoompliant systems: The reason for noncompliance is: his noncompliant system Is classified as(check one below). ❑ Imminent threat to public health&safety ❑ Failing to protect ground water ❑ Not in compliance with operating permit Certification (Completed form must be submitted to the local unit of govemment within 15 days.) I hereby certify that all the necessary informa6on has been gathered to determine the compliance status of this system. No determinahon 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. Name: Joseph J_Olson x Certification number: 1255 _ Business license name and number Rusty Olson's soil and perculation testing Lic#810 _ _ or Name of local unit of government: City of Orono Signature Date: 8/20/10 Required Attachments Inspector Complete:This Inspection Report is pages long. Check compliance forms attached: ®Hydraulic Performance ❑Tank Integrity ®Soil Separation ❑Operating Permit Form(if applicable) ❑System drawing/As-built drawing ❑An assessment of any local raqulrements that are different from what is required on this form ®Soil Boring Loge 0 Abandonment form Cif approprtaw) ❑Other information(fist): Upgrade RegUlrememB(derived ftn"Minn. Star.§995.55)An immment threat to public health and s&MW(ITPH$)must be upgraded,replaced,or ib sae dlScartt/nued within ten months of receipf of this notice or within a shower pwloe Jf mqubed by Aoml ordinance.ff the systam Is railing to protect ground water.Me system must Of upgraded replaced,or Ire use discontinued wphin the time requlmd by act/ordinance.If an existing systtm is not failing as defined in few,and has of least two feet of design soli separation,then Me system need not be upgraded,repaired,replaced,or its use discontinued,notwithstanding any local ordinance that Is more sma This provision does nor apply to systems in shomiand areas,wellheed Protection Areas,or those used In connection with food, beverage,and lodging esteolishmonta as der►ned in law. wq-wwlsts4-31 Compliance Inspection Form for Existing SSTS A/.rrno 08/20/2010 15:42 7634988290 RUSTYS PERC TESTING PAGE 03 Parcel number 0411723210010 System status: ®Compliant ❑Noncompliant (as determined by tills lam) l"ll'sulic PerFor1111UMM and Other Compliance COMPHance Issue#1 of 4 Date of observation: 8/16110 Reason for observation: _Pmpft Transfer This foam expires upon next inspection or in three yam,whichever ooaxs tir8t 8/16113 Compliance qundons/cliteda: (Required) VeMdcation Method': (Optional) Check the appippriate.bout (Check the appropriate bac) Does the system discharge sewage to the ❑Yes O No surface? ® Searched for surface outlet round Does the system discharge sewage to drain ❑Yek ®No ❑ Performed hydraulic test We or surface waters? ® Searched for seeping in yard Does the system cause sewage backup ❑Yes ®No ® Checked for backup in home Into OL*Nna or establishment? ❑ Excessive ponding in soil system/D-boxes Do other situations wrist that have the ❑Yes ONO Q Homeowner testimony potential to Immediately and adversely Impact or threaten public health or safety ❑ Examined for surging in tank electrical unsefe covers,oft.? Any"yes"ensnarer Mdrea w that the system/s an imminent ❑ 'Bled loll'shove soil dispersal System tlrrawttoputift hsalM andsati3ty. ❑ System requires'emergenc "pumping ❑ Performed dye test Does the system pose a threat to grand ❑Yes ®No 00W. protective water for any conditions deemed non- ' as determined by the Yes"Ind that the system Rs to protect ground waster.If wyes",deacdbo the condltlon noted. 'Alb standard pn)kxd exists. This list is not exhaustive, in sequential cider,nor does it indicate 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 Farm for Erdsting Subsurface Sewage Treatment Systems.Observations,interpretations,and conclusions must be completed by an inspector.Complatad form must be submWed to the local Limit of government within 15 days. Property owner name(s): Michael Francis Property address. 2W5 Watertown Road,Orono,MN 55356 Property uwners address(If diifesnt): County: Hennepin Phone: I hereby cer6Tjr that I personally made the obsemb rig,ir►terpretatkuns,and conclusions reported on this ftm and that they are correct. Name: Joseph J.Olson Certi(ication number: 1255 Business license name and number; Rushy Olson's soil and peryuMon mina Lic S 810 or Name of local unit of government: Cites of Orono Signature: Date: 8/20/10 wq-wwbts+31 Compliance inspection Form for Existing 5ST5 08/20/2010 15:42 7634988290 RUSTYS PERC TESTING PAGE 04 ,uv arc-torr P.G Percef number: SYetam statae ❑Compliant ❑Noncompiiart (aa deremdrled by this Ibrm Ts"k 1"ft and Safi Comphails" -Comp"noe kWP0Cd0n Fvlln !bf Existing SSTS Compliance Issue #2 of 4 Date of observation: Resson for obmwvsoon: Request from Eric Myhran-Resitor This form expires on(three years): 811?/10 Compllawvequeistions/ClRN 4: (Required) lhrllication AAsAfvd":(Optionral) `ak Ills Does the (Check the sppra Pride box) syacem cotterel of a seepage plY, El Yes {�No teas ool d I,or Iescn ❑ Probed tank bafom Do any sew W tanks)leak below their ❑Yes No 13 Observed iNonr li�r(0!ever assigned oWdng dt th? ❑ Examined contitruccon reconea If yes,identify which Examined amplyy(pumped)tank sewage tank leaks AiW"yea4 enwWMXpgW"fbWow graham ii fmring so P+'�f ❑ Probed mods tank for•black sal' ground**far. ❑ Pressuretva mum check Seepegs pib Ift UhIll 7080.2550 may be eompik M If allowed ❑ Other in ordinance by local permitting eutho*. No alsnndord p►*cW sa sts. This liai is dot exbar:avw'in mwerba wdsr.nor db@v iYk iv@w whir~h wmbm&6W s are naceasary to mate dhls daleimkofion. Safety Check 1. Are mirirOfmce able covers dalnetged,craciaea,or appeared to be madly unsound? ❑Yes' ®No 2, Were maintenance hole covers replaced in e segued manner(s.g.,screws replamed)? ®You []No- 3. Was ssoonttary access restrdnt present(eallegr pan,second cover,or salbgt rending)-highly recommended. ❑YesA' No 4. Are other saft- wi>e t issue pressat? Q Yes' ■Na %yallaw is an bnAinewir dt►so p publk health aw sanely. Certification Ttla form is to tie completed end attached to the Summery Form clans Minnesota POHlution Control Agency's(MPGA)Conolance Inspedton Form for Existing Subsurface Sewage Treabuset8ysbems.Observations,interpretations,and conclusions must be completed by on inspector, ma intsiner,or seriice provider.Completed form must be subri ftted m the local unit oh govemment within 15 days. Property owner narrWsh mel Fronds Property address: 2995 Watertown Ind. Orono, MN 5585iB Property owners address(If dllamrp: Counitr. Hennepin Property owner phone; Erlo Myhren 1112$10-37415 I h&raby certify that I permnefly trade the absenvoWns,lnterpnetat(ons,and oombbrsions rapaled an flus farm and that they ata correct. Mame: James BrasgelMsrn Certfficallon number. Busing"license name and number Domer J. Peterson Co. LicarrAW219 or-� Nam:7re- www-PO4tift-MUS Sign - 661-296.6300 . 6"7-3564 TTY 651-2112-532'2 or f M4S7--3864 . Available in ammathve formats w q-wwlsrs4-J1 s 4124!09 Phe 3 of 8 08/20/2010 15:42 7634988290 RUSTYS PERC TESTING PAGE 05 Parcel number 0411723210010 System status: ®Compliant ❑Noncompliant (as detem*W by this form) Solt Sepatrattfon Compliance and Otlw Commigmae Compliance Issue i#3 of 4 Date of observation: 8/18/10 Reason for observation: !ERM Transfer This wftrnahm on this form does not expire. Compliance questlonWadoffia:(Required) Vstftkatlon Method''; (Options!) Check the be hour (Check the e Ppmprist@ box) For systems!wilt prior to April 1, 1986,and not ® Conducted soil observation ng ) located in Shoreland or Wellhead Protection (s)(attach boring Area or not serving a food,beverage or ❑ Two previous verifications(attach boring logs) lodging establishment ❑ Other_ Does the system have at least a two-foot vertical separation distance from periodically saturated soil or bedrock? Yes ❑No For non-performance systema built April 1, 1858.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 suffiderk unless site 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 K allowed in local Type IV or V system under now 7080.2350 or ordinance. 7080.2400): "No standard protocol exists. This Ilst is rot exhaustive, Doss the system meet the designed vertical In sequential order,nor does it indicate which separation distance from periodically saturated coembinaaons are necessary to flake this soil or bedrock?* D Yes El No determination. Mdkoft OW the s~is failM9 to pmjWt Certification This form is to be completed and attached to the Summary Form of the Minnesota Poqution Control Agency's(MPCA)Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations,interpretations,and conclusions must be completed by an inspector or designer.Completed form must be submitted to the local unit of government within 15 days. Property owner name(s): Michael Francis Property address: 2955 Watertown Road Orono,MN 55356 Property owneys address(if different): County: Hennepin Phone: I hereby 0e1tfly that I personafy made the observations, lnterpretaucm,and conciuslons reported on this form and that they are coned. Name: Joseph J.Olson Certification number. 1255 Business license name and number __RugjOWWs9oilsndpercu itiontestIngLic#810 or Name of local unit moment: City of Orono G-' Date: 8/20/10 wq-wwlsts4-31 Compliance 1 pl nWecbon Form for Existing SSTS 08/20/2010 15:42 7634988290 RUSTYS PERC TESTING PAGE 06 LOUS Qf Soil Borinas License 0810 Location or Project: 2995 Watertown Road Borings made by: Rusty Olson's Soil and Perc testing 8/1W2010 Classification System: AASHO ; USDS•USDS-SCS X ; Unified ; Other Auger used (check two): Hand_X_,or Power____, Flight, Bucket or Probe X Bench mark is top of basement concrete slab. Elv.-100.00 Assumed _ Boring Number_1_Surrace elevation 95.4^ Mottled Soil at_1.7 feet 0"-12" Dario brown loam 10y�/2 H2O present at X 12"-20"Brown loam 10yr4/4 20"-26" Rusty brown loam to clay loam 10yr5/3 TBM: Top of threshold of basement door Elv.-100.00 assumed Original soil under the rockbed Elv.-95.2 Bottom of rack bed Elv:97.0 There is1.8 feet of sand under the rockbed 08/20/2010 15:42 7634988290 RUSTYS PERC TESTING PAGE 07 a 9 5 Wa1-e r -flow r\ d R .0 s Q � ..; � 8 3 T, M4 MH 73 MH 4 q 6 � E 3 . o A� Hou52 � Iv 601 oto sys+e � sqlo — T�;z �S/O 36"� - qT6 S� O qq, �119 CITY of ORONO \ 'A {/ Municipal Offices Street Address: Mailing Address: �kE8I104 .'' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323.0066 To: The Current Owner of Address ,217475- (,j A+cll-cc. A/ 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 ),2• o i --o 3 . The tank(s) should be cleaned through the manhole and not through the inspection pipes,this allows for proper cleaning. Comments: Inspecto _ Date of Inspection Telephone(952)249-4600 o Fax(952)249-4616 www.ci.orono.mn.us 1.0,x. O CITYof ORONO Municipal Offices Street Address: Mailing Address: Kpg' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: a qq s, 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 mason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. TANK CONDITION(5-7): Tank inspection indicates: Pumpout not needed at this time. Septic tanks must be pumped out this ear (city code requires tanks to be pumped out once every 3 years. Tank was last pumped i�-1—O ). Make sure septic tanks are pumped through manhole and not through white inspection nines. This allows for the prover cleaning. Keep water softner and iron filter discharge out of septic system. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If tanks have not been pumped out within the last three years,they should be pumped out now. DRAINFIELD CONDITION(8-10): (j)Dramfield 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: fv a— L_ fi�mks )bob 0 k 10 '9-()3 &t—, 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 Swan existing systemwill continue to function properly,but is merely an opinion ofthe adequacy of the system undercurrent conditions based on the available information. Tdephone(952)24946M • Fax(952)249-4616 w r ci orono.mn.ns