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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 Pd. I i g i r- ®� ' i IY A c D 71 P 14M 210 T M 4i'6 3'a T3' 4d'o R 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 P d%i 10, eoll 4e g i I •�•s3 / . I I j i N A B 1C . ' D T1,111, qllq 2110 M yi�6 3$10 �/h `�Sb 460 .ill `�o �{'d • CITYof OIZONO a 1-4 ;•' Municipal Offices 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