HomeMy WebLinkAboutseptic info Nov 12 2015 09:25PM HP FaxRusty Olson 7634988290 page 9
Minnesota Pollution Compliance Inspection Form
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55155-4194 (SSTS)
Doc Type:Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local traCff D
requirements and attached forms—additional local requirements may also apply.
Submit completed forth to Local Unit of Government(LUG)and system owner NOV 13 2015
within 15 days
CITY OF ORONO
System Status
System status on date(mmldd/yyyy): 9/3012015
® 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 tl4)—Failing to protect groundwater
❑Operating permittmonitoring plan requirements(Compliance Component #5)—Noncompliant
Property Information Parcel ID#or Sec/Twp/Range 0411723220032
Property address: 3085 Watertown Road, Orono, MN Reason for inspection: Property Transfer
Property owner: Richard Gerhardt _ Owner's phone: 303-641-7602
or
Owner's representative: Representative phone:
Local regulatory authority: ClyofOrono Regulatory authority phone: 952-249-4600
2-1000 gallon septic tanks,1-1000 gallon lift station and 630 square feet of mound rockbed_per city
Brief system description: records
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 the system,inadequate maintenance, or future water usage.
Inspector name: Joseph J Olson Certification number: 1255
Business name: Pocallyy
ls 's Soil&Perc.Testin License number: 810
Inspector signatuPhone number: 763-498-8779
Necessary or Required Attachments
® Soil boring logs ®SystemlAs-built drawing ❑ Forms per local ordinance
❑ 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 Page f of 3
Nov 12 2015 09:25PM HP FaxRusty Olson 7634988290 page 10
Property address: 3085 Watertown Road,Orono, MN Inspector initials/Date: J.0.10/25/15
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
ground surface. ® Searched for seeping in yard/backup in home
System discharge sewage to drain tile ! ❑Yes ®No ❑ Excessive ponding in soil system/D-boxes
or surface waters. I ❑ Homeowner testimony(See CommentslExplanation)
I--] "Black soil"above soil dispersal system
System cause sewage backup into ❑Yes ®No ❑
dwelling or establishment. System requires"emergency"pumping
Performed dye lest
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 Comments/Explanation)
Co m ments/Expl a nation:
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,drywall,or leaching pit.
❑ Examined construction records
Seepage pits meeting 7080.2550 may be i ❑ Examined Tank Integrity Form(Attach)
_compliant if eNowed in We/ordinance.
❑ Observed liquid level below operating depth
Sewage tank(s)leak below their Yes ®No
designed operating depth. [3 Examined empty(pumped)tanks(s)
If yes,which sewage tank(s)leaks: I
F-1Probedoutside tank(s)for"black sal"
E3 Unable to verify(See Comments/Explanation)
Any `fines"answer above Indicates the
system is Failing to Protect Groundwater. ®Other methods not listed(See Comments/Explanation)
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(e/ecbfcal 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 nonprotective of ground water for other conditions as determined by inspector ❑Yes* ®No
'System is faffing to protect groundwater
Explain:
www.pca.state.mn.us " 651-296.6300 • 800-657-3864 TTY 651.282.5332 or800-657-3864 . Available in alternative formats
wq-ww1sts4-31 • 1124112
Page 2of3
Nov 12 2015 09:25PM HP FaxRusty Olson 7634988290 page 11
Property address: 3065 Watertown Road Orono MN Inspector initials/Date: J.O. 10/25115
4. Soil Separation—Compliance component#4 of 5
Date of installation: 5/29/1992 ❑ Unknown Verification methodla):
tlellhead protectloNFood Beverage
Lodging? [1 Yes ® No Soil observation does not expire. Previous soil
Lodging? observations by two independent parties are sufficient
Compliance criteria: unless site conditions have been altered or local
For systems built prior to April i, 1996, and � ® Yes ElNo requirements differ.
not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring kvs)
Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs)
beverage or lodging establishment: ❑ Not applicable(Holding tank(s),no drainffe►d)
Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation)
separation distance from periodically ❑ Other(See CommentVExplanation)
saturated soil or bedrock.
Non-performance systems built April 1, ❑Yes ❑No CommentWExplanation.-
1996, or later or for non-performance
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage,or lodging establishment:
i
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 iV
or V systems built under 2008 Rules(7080. A. Bottom of distribution media 95.1
2350 or 7080,2400 (Advanced Inspector
License required) B. Periodically saturated soiVbedrodc 92.2
Drainfield meets the designed vertical
separation distance from periodically C. stem separation 2.9
saturated soil or bedrock.
D. Required compliance separation' 1 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. 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
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
b. Is the required nitro en BMP in plaoe and properly functioning? ❑Yes No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stat.§115.55)An imminent threat to public health acrd safety(ITPHS)mustbe upgraded,replaced,orits use
discontinued within ten months of receipt of this notice or within a shorter period a required by local ordinance,it the system is lailing to protect
ground water, the system mustbe 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 desfgn soil separation,then the system need not be upgreded,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 few.
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
Nov 12 2015 09:26PM HP FaxRusty Olson 7634988290 page 12
Tank Report
Datc: September 30, 2015
Elmer J.Peterson Co.
5921 Dague Ave.
Delano, MN 55328
Phone 763-972-2420
Fax 763-972-7217
MPCA License#219
Richard Gerhardt
3085 Watertown Road
Long Lake, MN 55356
303-641-7602
Baffles: ON OFF
Tank Capacity: 3-1000 Gallon Tanks
P tY�
#of Tanks: 3
"Type of Tanks: Concrete
Gallons Pumped: 2500
Manholes to Grade: (DS
NO
Comments:
On September 30, 2015, Elmer J. Peterson Co pumped septic tanks. No cracks or water leaking 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.
Nov 12 2015 09:26PM HP FaxRusty Olson 7634988290 page 13
Property address: 3085 Watertown Road inspector initialsfDate: 9130/15
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
ground surface. I _ ❑ Searched for seeping in yard/backup in home
System discharge sewage to drain file Cl Yes Cl No ❑ Excessive ponding in soli system/D-boxes
gr surface waters. ❑ Homeowner testimony(See Corrwmnt&Explanstion)
System cause sewage backup Into i ❑Yes ❑ 'Black soil"above soil dispersal system❑No ❑
dwelling or establishment. System requires'emergency" pumping
❑ Performed dye test
Any"yes"answer above indicates the system is ❑ Unable to verify(See Cwnment&,FxP wation)
an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See CommosiExpienation)
Comments/Explanation:
2. Tank Integrity—Compliance component#2 of 5
Compliance criteria: Verification nWhod(s):
System consists of a seepage pit, ❑Yes ®No ❑ Probed tank(s)bottom
cesspool,drywall,or leaching pit.
❑ Examined construction records
Seepage pitsmeating 7080.2550 may be ❑ Examined Tank Integrity Fort(Attach)
compliant 9 e00wed in food ordinance.
� ❑ Observed liquid level below operating depth
Sewage tank(s)leak below their ❑Yes ®No ® Examined err�ty(pumped) s
designed.o atin de ped tanks( )
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for'black soil"
Any "yes"answer above indicates the ❑ Unable to verify(see Comrnsnw&pianedon)
system is Failing to Protect Groundwater. ❑ �methods not listed(See ComrnentslExplenetbn)
Commerds/Explanation:
On 9130/15,Elmer J.Peterson Co.pumped septic tanks.
I Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Ye®* ❑No ❑Unkrawn
b. Other issues(electrirat heron etc.)to immediately and adversely impact public health or safety. ❑Yes* ❑No ❑Unknown
*8ystlern is an knrnfrrent thr9st to public MmM and sa ty
Explain:
Q System is rion-prolletdive of ground water for other conditions as determined by inspector ❑Yes- ❑No
*System is ldtAng to Protect grcundwww
Explain:
www.pca.state.mn.us . 651-2%-6300 800 657 3864 TTY 651-2132-5332 or a00-657-3a64 . Available in alternative formats
cup-wwfsts4-3f • 1124112 Page 2 of 3
Nov 12 2015 09:26PM HP FaxRusty Olson 7634988290 page 14
Lons of S it Borinas
License#810
Location or Project: 3085 Watertown Road
Borings made by: Rusty Olson's Soil and Pere testing 10/2312016
Classification System: AASHO ; USDS-USDS-SCS X Unified : Other
Auger used(check two): Hand___X_,or Power Flight, Bucket or Probe X_
Boring Number_1_Surface elevation_93.4_ Mottled Soil at_ 1.3_feet
0"-16" Dark brown loam 10yr3/2 H2O present at—X-
1 U'-24P
X_16"-24" Rusty olive brown clay loam 2.5y5l3
Boring Number_2_Surface elevation_95.1_ Mottled Soil at_1.8_feet
0"-14"Dark brown loam 10yr3/2 H2O present at—X-
14"-22" Brown clay loam 10yr413
22"-30" Rusty brown clay loam 10yr5/4
TBM:Top of Garage slab. Elv. 100.0 assumed
Original sail under the rockbed Elv.-93.5
Bottom of rock bed Elv.-95.1
There is 1.6 feet of sand under the rockbed
Nov 12 2015 09:26PM HP FaxRusty Olson 7634988290 page 15
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104/15/2010 11: 58 7634988290 RUSTYS PERC TESTING PAGE 09
Minnesota Pollution
Compliance Inspection Form
Control Agency
Existing Subsurfaces Sewage Treatment Systems (SSTs)
520 Lafayette Road North
St.Paul,MN 55155-4194 Instructions on page 7
Parcel number: 0411723220032 _ For Local Tracking Purposes:
System status: ®Compliant ❑ Noncompliant
(based on all compliance requirements)
Summary Form
Property Information
Property owner name(s): Baker Homes Inc.
Property address: 3085 Watertown Road. , Orono MN 55359
Property owner's address(it different):
County: Hennepin Property owner phone: 651-276-0413 Permitting authority: Ci of Orono
Date system constructed: 5129/82 _ Reason for Inspection: Property Transfer
System Description
Approximately 2-1000 gallon septic tanks, 1-1000 gallon lift station and Approximately 380 square
feet of mound rockbed_The manhole cover on the first tank needs to be raised to 12 Inches below
Brief system description: rade. -
Local permit number: Number of bedrooms: 5 Design flow rate: _83
Is the system:
In Shoreland area? ❑Yes ® No In Wellhead Protection Area? 0 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): 4/122013
❑ Notice of Noncompliance-For Noncompliant systems:
The reason for noncompliance is:
This noncompllant system Is classified as(Check one below):
❑ Imminent threat to public health&safety ❑ Failing to protect groundwater [] 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 informedon 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.
Name: Joseph J.Olson Certification number: 1255
Business license name and number: Rus Olson's soil and perculation testing Lic#810 or
Name of local unit of government: City of Orono _
Signature: Date: 4/14/10
Required Attachments Inspector Complete:Thls Inspection Report Is�_paltges Tong.
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 requirements that are different from whet is required on this
form ®Soil Boring Logs ❑Abandonment form(If appropriate) ❑Other information(list):
Upgrade Requirements(derived from Minn. Stat§115.55)An imminent meat to public health and satsty(ITPHS)must be upgraded,replaced,or
its use discontinued within ten monms of recelpt of this nolke or wf Vn a shorter period H required by local ordinance,If the system is railing to protect ground
water,ms system must be upgraded,rap*ced,or its uss discontinued within the time required by local Whence.d an existing system is nor fefNng as defined In
law,and has at least two feet of design soil seperadon,then the system need not be upgraded,repaired,mpieced,or Its use dlsoonbnued,notwlMStanding any
local ordinance mat Is more evict. This provision does not apply to Systems In shoraland areas,Welihsad Protection Am&$,or Mose used In connection with(food,
beverage,and lodging estebtts/rments as defined In law.
wq-wwists4-31 Compliance Inspection Form for Existing SSTS
414108
104/15/2010 11:58 7634988290 ;RUSTYS .PERC TESTING PAGE 10
Penal number: 0411723220032 System status: ®Compliant ❑Noncompliant
(as determined by lids form)
""mulimla performance and Other tComplinnoe
Compliance Issue #1 of 4
Dote of observation: 4/12/10 Reason for observation: Property Transfer
This form expires upon next inspection or in three years,whichever aocurs first: 4112/13
Compliance queetlonsloriteMa: (Required) VerHicatlon Method":(Optional)
Chock the rials box (Choi*the appropriate box)
Does the system discharge sewage to the ❑Yes ®No ® Searched for surface outlet
round surface? ❑ Performed hydraulic test
Does the system discharge sewage m drain D Yes ®No ® Searched for seeping In yard
We or surface waters?
Does the system cause sewage backup ❑Yes ®No ® Checked for backup in home
into dwellf or establishment? i [1, Excessive ponding in soil system/D-boxes
Do other situations exist that have the ❑Yea ®No ❑ Homeowner testimony
potential to immediately and adversely [ Examined for surging in tank
impact or threaten public health or safety
etecbieel unsafe covers etc.)? ❑ %lack soil"above soil dispersal system
Any"yes"www indkaess that Me:ystwn/s on limn"d ❑ System requires'emergenaf pumping
threat to public hwft and salisq►.
❑ Performed dye test
Does the system pose a threat to ground ❑Yes ® No D Other:
water for any conditions deemed non-
as determined W the i
"Yes"indicates that the system is failing to protsmt
ground voter.N"yes",dascdbe the condition n0110d. •No standard protocol exists. This Nat is not exhousHve,
in sequendal order,nor does it indicate which
wndi owns are necessary to make to detetminoWn.
Certification s
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 TrOdment 8jystems..0bservet1or6,interpretations,and conclusions must be
completed by an inspector.Completed form must be submitted to the local unit of government:within 15 days.
Property owner name(s): Baker Homes Inc.
Property address: 3085 Watertown Road. Orono. MN 55359
Property owner's address(If di
_ 04/15/2010 11:58 7634988290 RUSTYS 'PERC TESTING PAGE 11
Parcel number. 0411723220032 System atat - ® Noncompliant
Compliant ❑
(as detamilhod by this form)
Tank integrity and safety ConIIP11antae
Compliance Issue #2 of 4
Date of observation: 4112/10 Reason for observation:- pmwmt Transfer
This form expires on(three years): 4/12/13
cc mpliancs questionslcriteds: (Required) Vwftatton Method": (Optionan
Check Nre appModate box) (Check the appropriate box)
Does the system consist or a seepage pit', ❑Yes ®No ❑ Probed tank bottom
cess l d I,or leaching .
❑ Observed klwr liquid level
Do any sewage tanks)Wak below their ❑Yes ®No
deft Heol operating depth! ® Examined construction records
If yes,identify which sewage [3 Examined empty(Pumped)tank
tank leaks. ❑ Probed outelde tank for'blaclk soil"
Any'fires°answer kxft les shat the system Is fORM9 to MOW! [] Pressurs/vacuum check
ground waft:
❑ Other. Peterson Comm
+ Seepage pits meeting 7080.2650 may be compliant if allowed
in ordinance by local permitting authority-
"Wostandard protocol exists. This list is net etrheuaMre,in
sequendal order,nor does#indicate>>wNatr oombinadons
ere necessary to make this determination.
Safety Check
1. Are any maintenance hole covers damaged,cracked,or appeared to be structurally unsound? ❑Yes• ® No
str
2. Were all maintenance hole coven replaced in a secured manner(e.g.,all scam replaced)? ®Yes ❑Now
3. Was secondary accuse restraint present(safety pan,second cover,or safety netting)-highly recommended. ❑Yes ®No
4. Was any other safetylheaRh lacus present? ❑yes- ®No
Explain:
'Systtam is an immkw d&,rest to pubNc hosle and satiety:
Certification
This form is to be completed and attached to the Summary Form of the Wrinsiota Pollution Control Agency's(MPGA)Compliance
InepwAon Form for Exldtinp Subsurraw Swoops Trombnod Systems.Observations,Interpretations,and conclusions must be
completed by an inspector,maintainer,or service provider:Completed form must be submitted to the local unit of government within
15 days.
Properly owner nome(s): Baker Homes Inc.
Properly address: 6 Watertown Road. rnrw MN 56356
Property ownses address(if ditferent):
County: Hennepin Phone: 651-276-0413
1 hereby certify that/personally made the observations,interpretations, and Wnduaions repotted on this form and that they are
cornea.
Name: Joseph/.Olson Cartytion nurriber: 1255
Business license name and number: Rusly Olson's soll and perculotion testln9 l.fa S 810 or
Nemo of local un of govemmen• Orono
Signature: Date: 4/14/10
wq-wwlsts431 Compliance inspection Form for Existing SSTS
414108
04/15/2010 11:58 7634988290 RUSTYS PERC TESTING PAGE 12
Parcel number: 041172 System status: ®Compliant ❑Noncompliant
(aa detemdned by this fort)
soil Separation Compliance and Other CoMpilatnco
Compliance Issue #3 of 4
Date of observation: 4112110 Reason for observation: Transfer
This inkmis ton on this tbnn does not expire.
Compllamn queationslcriteda: (Required) Verification Method"': (Optional)
Check the 9MMgpnote tax (Check the appropriate bob
For systems built prior to April 1, 1996,and not ® Conducted soil observation(s)(attach boring logs)
located in Shoreland or Wellhead Protection
Area or not serving a food,beverage or ❑ Two previous verifloations(attach boring kgs)
lodging establishment: ❑ Other.
Does the system have at least a two-foot
vertical separation distance from periodically
saturated soil or rock? WYes No
For non-performance systems built April 1,
1996,or later or for non-pertorntanoe systems Soil,observation does not expire.Previous observations
located In Shoreland or Wellhead Protection by two independent parties are suftident,unless site
Areas or serving a food,beverage or lodging conditions have been altered.
establishment:
Does the system have a three-foot vertical
separation distance from periodically saturated
soil or bedrock?' Q Yes 0 No
For reduced separation distance systems(.e., . May be reduced by up to 15 percent if allowed M kocel
'psrfonrW1W systems under old 7060.0179 or orctnevu�e
Type IV or V system under new 7060.2360 or
7080.2400): "No standard pratvcW exists. 7 is list is not exheusUve,
Does the system meet the designed vertical in sequential order,nor does it kx kete which
separation distance from periodically saturated combinations are necessary to make this
soil or bedrock?' Yes No detemVneffon.
Any"no"sne wr hrdkaf►es shat the lysftm 191 OMM9$0 pnobct
pvued rweW.
Certification
This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance
Inspection Foran for ExiOng Subsurface Sewage TrsatrneM Systems.Observations,Interpretations,and conclusions must be
completed by an inspector or designer.Completed form must be submitted to the local unit of government within 15 days.
Property owner name(s): Baker Homes Inc.
Property address: 3085 Watsrbwn Road. Orono MN 55359
Property owner's address(if ditrw t):
County: Hennepin Phone: 1351-276.0413
I hereby certyy that I penWORy made the observations,intMIM660ns, and eo"okmions reported on this fiwrn and that they ane
aoneot.
Name: Joseph J Olson _ Cer88cation number: 1255
Business license name and number. Rusty Olson's sail and percolation lessino Uc*810 or
Name of local un' gvvemrnent: City of Orono
Sero: Date: 4114/10
wq-ww1sts4.31 Comptlance Inspection Form for Fidsting SS75
414108
04/15/2010 11:58 7634988290 RUSTYS PERC TESTING PAGE 13
Lam of Sall SWIM
License solo
Location or Project: 3085 Watertown Road
Borings made by: Rusty Olson%Soil and Perk testing 4/12*010
CW"Mcatbn System: AASHO_,,,,_; USM US084C$ X Unified_;Others._
Auger used(check two):Hand X ,or Power_..,Flight,Bucket or Probe---,X—
Bench mark is top of besement concrete slab.Elv.-100.00 Assumed
Boring Number 1_Surface elevation_93.5_ Mottled Soil at_1.5_feet
0"-18"Dark brown loam 10yr3/2 H2O present at X
18" 0"Rusty olive brown day loam 2.5y5/3
Boring Number2 Surface elevation 95.1_ Mottled Soil st 2.0_feet
0"-14"Dark brown loam 10yrU2 H2O present at—X-
14"-2,C
14"-24"Brown loam 10yr4/4
24"-30"Rusty brown loam 10yr6/4
TBM. Top of garage concrete slab Elv.-100.00 assumed
Original grade under the rockbed Elv.-93.5
Bottom of rock bed Elv.-95.1
There is 1.6 feet of sand under the rockbed
04/15/2010 11:58 7634988290 RUSTYS PERC TESTING PAGE 14
Apr 13 10 05:20p End@ $400 8ervioe
Ende Septic Service
24910 Territorial Road
Rogers, MN 55374
Phone:783-428-4489
INSPECTION
NAME
ADDRESS3 v VS L�.. ,..r� •
CITY (�j ,� o STATE by .41 , ZIP
SEPTIC TANK INSPECTION FORM:
Number of Tanks: 3 Gal/Tank: 3' 1 a4 v s
Type of System: Mound .. _ Trench . Other
Cement Bottom: Yes k No
Baffles in Place: Yes _. No.�.�.
Watertight: Yes_� No
Water Level Good: Yes No
Tanks meet township & county requirements: Yes _r No
Comments:
Signed By: "CIA •
04/19/2010 11:58 7634988290 RUSTYS PERC TESTING PAGE 15
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Street Address: Mailing Address:
9kESI�04� ' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address _30 S A VCJ_1-0-3 N
r —
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( Pump out Needed
Yes �4//
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
--T- `--ICS . 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 a Fax (952)249-4616
www.ci.orono.mn.us
o o
CITY of ORONO
V 1 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:
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
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 ISIS 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:
Pumpout not needed at this time.
`.J 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 pumped through manhole and not through white insvection vines. This allows for the
proper cleaning. Keep water softner and iron filter discharge out of sevtic 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):
®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: iIpy� \ookS Ok, �U�� Stp�-;2nkS. SU�.rnC<
o -CN-61-
Date of Inspection Matt Boltetman- Septic System Inspector
Nobe: In the event the 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 property,but is merely an opinion ofthe adequacy of the system under current conditions based on the available
WN131111tion.
Telephone(952)24946M - Fax(952)2494616
www cioronomn.us
0
CITYof ORONO
Municipal Offices
Street Address: Mailing Address:
ggg0g 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323.0066
Owner: St ey e U Se tk Address: 30�S P)
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 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" 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 fthe 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:
5 Pumpout not needed at this time.
6e a Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped a _I b ),
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.
CInspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank at next pumpout If tanks
have not been pumped out within the last three years,they should be pumped out now.
10 Inspection pipe is located directly over tank baffle(does not give accurate measurement of solids accumulation). If tanks have not been pumped
out within the last three years,they should be pumped out now.
PLAILTEELD CONDITION(11-14): 1\
11 >rainfild is dry,no surfacing evident
12 Some evidence of surfacing,not critical yet
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately.Repairs must be
completed within 90 days.
14 Drainfield extent and condition unknown.
COMMENTS:_ S�f ''M r~ \(JOKC C) sf(S 0 ,
j�� �r��1CS nc�Cr Sir:�
kk— \—O caX L4�k��
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 trai sfer of property,be advised that this report does not guarantee
or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available
information