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Home My WebLink AboutCompliance Inspection Form Minnesota Pollution Compliance Inspection Form Control Agency P 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) St.Paul,MN 55155-4194 Doc Type:Compliance and Enforcement 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): 1/22/2015 ® Compliant— Certificate of Compliance n 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 El 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 El Soil Separation (Compliance Component#4)—Failing to protect groundwater 0 Operating permit/monitoring plan requirements(Compliance Component#5)—Noncompliant Property Information Parcel ID#or Sec/Twp/Range: Property address: 4765 Watertown Road-Orono Reason for inspection: Sale Property owner: Michael Schultz Owner's phone: 612-483-6970 or Owner's representative: _ Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: Brief system description: _2- 1000 gal septic tanks, 1000 gal pump tank&mound system _ Comments or recommendations: The discharge line for the sump pump is currently dumping out and flowing across the manholes of the septic tanks and water is definitely entering the tanks. Extend the sump pump lines downhill of the tanks Certification !hereby certify that alt 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: Josh Swedlund Certification number: C1659 Business name: Swedlund,;,. is et - _ License number: 2502 Inspector signature: //1116 f Phone number: 952-873-3292 Necessary or Lo .lly Required Attachments ®Soil boring logs ® System/As-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 • 3116/12 Page 1 of 3 i Property address: 4765 Watertown Road-Orono Inspector initials/Date: JS 11/22/2015 (mm/dd/yyyy) 1. Impact on Public Health —Compliance component #1 of 5 Compliance criteria: Verification method(s): System discharges sewage to the I ID Yes ®No ®Searched for surface outlet ground surface. Z Searched for seeping in yard/backup in home System discharges sewage to drain ❑Yes ®No ❑Excessive ponding in soil system/D-boxes tile or surface waters. 0 Homeowner testimony(See Comments/Explanation) System causes sewage backup into ❑Yes ® No ❑"Black soil"above soil dispersal system dwelling or establishment. ❑System requires"emergency"pumping Any"yes"answer above indicates the ❑Performed dye test system is an imminent threat to public ❑ Unable to verify(See Comments/Explanation) health and Safety. 0 Other methods not listed (See Comments/Explanation) Comments/Explanation: 2. Tank Integrity—Compliance component#2 of 5 Com•liance 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 0 Examined Tank Integrity Form(Attach) corn.iant if allowed in local ordinance. Sewage tank(s)leak below their 1:1 Yes 0 No ❑Observed liquid level below operating depth designed operating depth. ® Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil" Any "yes"answer above indicates the El Unable to verify(See Comments/Explanation) system is failing to protect groundwater. ❑ Other methods not listed (See Comments/Explanation) Comments/Explanation: Cleaned tanks 5/9/2012 Septic tanks due for pumping again 5/9/2015 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally unsound. 0 Yes' ®No 0 Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑yes* ®No 0 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. 0 Yes' ®No 'System is failing to protect groundwater. Explain: www.pca.state.mn.us • 651.296.6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq•wwists4.31 - 3116112 Page 2 of 3 Property address: 4765 Watertown Road -Orono Inspector initials/Date: JS 1/22/2015 (mm/ddlyyyy) 4. Soil Separation— Compliance component#4 of 5 Date of installation: 5/3/1988 - El Unknown Verification method(s): (mm/dd/yyyy) Shoreland/Wellhead protection/Food beverage Soil observation does not expire. Previous soil ® lodging? Yes ❑ No observations by two independent parties are sufficient, unless site conditions have been altered or local Compliance criteria: requirements differ. For systems built prior to April 1, 1996, and El Yes 0 No ®Conducted soil observation(s) (Attach boring logs) not located in Shore/and or Wellhead Protection Area or not serving a food, ❑Two previous verifications(Attach boring logs) beverage or lodging establishment: ❑ Not applicable (Holding tank(s),no drainfield) Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation) separation distance from periodically 0 Other(See Comments/Explanation) saturated soil or bedrock. Non-performance systems built April 1, ®Yes 0 No Comments/Explanation: 1996, or later or for non-performance systems located in Shore/and or Wellhead Boring: Protection Areas or serving a food, 1-18" 10YR 2/2 Loam beverage, or lodging establishment: 18-26" 10YR 4/4 Clay Loam Drainfield has a three-foot vertical separation distance from periodically Motts t 21" saturated soil or bedrock.* "Experimental", "Other", or "Performance" ❑Yes ❑ No Indicate depths or elevations systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules(7080. A. Bottom of distribution media _ 16"plus or more 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 21" Drainfield meets the designed vertical C. System separation 36"plus separation distance from periodically saturated soil or bedrock. D. Required compliance separation' 36" 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? 0 Yes ❑ No If"yes",A below is required Is the system required to employ a Nitrogen BMP? 0 Yes 0 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 nitrogen BMP in place and properly functioning? - ❑Yes ❑ No Any "no"answer indicates Noncompliance. Upgrade Requirements(Minn. Stat.§115.55)An imminent threat to public health and safety(1TPHS)must be upgraded,replaced,or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance.If the system is failing to protect ground water, the system must be upgraded,replaced, or its use discontinued within the time required by local ordinance.If an existing system is not failing as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded, repaired.replaced,or its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas. Wellhead Protection Areas,or those used in connection with food.beverage,and lodging establishments as defined in law. www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4.31 • 3/16/12 Page 3 of 3 05/09/2012 14:29 9528733112 PAGE 05/05 Iiay-03.2012 0T:dioa From-CITY OF ORONO +0622404616 T-541 P.002/002 F-464 r1(p5 lith# w n 1 d . • • 1-I in'L 406 Zis. TZ y7' 52) A • • r+ do • • yA� � 1 • Q if"to 1 4? LpdA--- `o14 alp OINX10 rna i r► 1A.' viikpvA MILL'it) 05/09/2012 14:29 9528733112 ( 1"' PAGE 01105 ,Minnesota Pollution ,� -/ Compliance Inspection Form Control Agency Existing Subsurface Sewageireatment Systems (SSTS) 52l)Lafayette Road North St.Paul,MN 55155-4194 Instructions on pale For Local Tracking Purposes Parcel number. System status: Compliant 0 Noncompliant ph (based on all co nce requirements) Summary Form Property Information , - Property owner name(s): L',/�(f 1 s 6---cf11 _ .._.. L./Property address: 4— / I rr` L.'A — j40 -,___-- ....., __.. Property ow er's address Of different): �o�} �1 County: /,J21fi A. Pro a owner phone: ,e `( 8 �T$Y er Itting authority: ____,._ . - Date system cons rutted: 5 Reason for inspection: . .. . .. ... System Description ^��) /y� Brief system description: & �.Tl22 Sepik- S k) /_'1- �4 Local permit number: ',r� ` Number of bedrooms: Design flow rate: V� •__,__ Is the system: In Shoreland area? YLYes Q No In Wellhead Protection Area? ❑ Yes No An U.S. Environmental ProtecUon System serving a Minnesota Department Agency (EPA) Class V Injection Well?❑ Yes po 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): ---- ❑ Notice of Noncompliance- For Noncompliant systems: The reason for noncompliance is: -- - This noncompliant system Is classified as (check one below): Q Imminent threat to public health&safety ❑ Failing to protect ground water ❑ Not in compliance with operatIny permit Certification (Completed form must be submitted to the local unit of government within 15 days,) I hereby certify that all the necessary information has been gathered to determine the compliance status of this sysiem NO determination of future system performance has been nor can be made due to unknown conditions during system consrrucl,oll possible abuse of the system, Inadequate maintenance, or future water usage. Name: -_ ��k �`� — Certification number: 9\\( �._..._ - Business license name and number: %.. _`\L- _ af 00 tea--- °r Name of local uni '/overn p- , - �I � Aw Date: 5/ Signature: ��,r,, i.�. �.l Required attachments Inspector Complete: This Inspection Report Is pages long. Check comp) ce forms attached: Hydraulic Performance ark Integrity .oil Separation E] Operating Permit Form i.f applicable) System drawing/As-built drawing ❑An assessment of any local requirements that are different from what is reGu,reo onlets form ❑ Soi B ng Logs ❑Abandonment form (if appropriate) ❑ Other information (IrSt): Upgrade Requirements (derived from Minn. Sial. §•115.55)An imminent threat to public health and safety((TPHS)must be upgraded,rcaiaccc. its use discontinued within len months of receipt of this notice or within a shorter period if required by local ordinance. If the system is le trng to elated;morn^ water,the System must be upgraded,replaced.orbs use discontinued within the lime required by local ordinance.If an existing system rs not fawn;g s ce^^mac len,and nas at least two feel of design soli separation. then the system need not be upgraded,repaired,replaced, or its use discontinued norwau s:anr:^y?-, local ordinance(hat is more strict, This provision does not apply to systems in shoretand areas, wellhead Protection Areas,or Mose used' it cosine:•,Jrr .,+ oeverago. and lodging establishments as defined In law. rmmnlinnrp lnenarrinn Fnrm fnr Fxissirt' SSTS 05/09/2012 14: 29 9528733112 PAGE 02/05 Parcel number: ..._ System umber: System status: Compliant ❑ Noncompliant (as determined y is form) Tank Integrity and Safety Compliance Compliance Issue # of J` Date of observation: 9 l� Reason for observation: __a _This form expires on (three years): - . Compliance questionslcriteria: (Required) Verification Method": (Optional) (Check the appropriate box) — (Check the appropriate box) Does the system consist of a seepage pits, ❑ Yes Xjlo ❑ Probed tank bottom cesspool, drywell, or leaching pit? 0 Observed low liquid level Do any sewage tank(s) leak below their 0 Yes X....NoIiiK Examined construction records designed operating depth? If yes, identify which sewage Examined empty(pumped)tank tank leaks. 0 Probed outside tank for"black soil' Any"yes"answer indicates that the system is falling to protect 0 Pressure/vacuum check ground water. ' 0 Other: ' Seepage pits meeting 7080.2550 may be compliant if allowed in ordinance by local permitting authority. -. ••No standard protocol exists. This list is not exhaustive, in sequential order,nor does it indicate which combinations are necessary to make this determination. Safety Check 1. Are any maintenance hole covers damaged,cracked.or appeared to be structurally unsound? 0 Yes' KNo 2, Were all maintenance hole covers replaced in a secured manner(e.g., all screws replaced)? WYes ❑No' 3. Was secondary access restraint present(safety pan, second cover,or safety netting)-highly recommended. ❑ Yes ANo 4. Was any other safety/health issue present? ❑ Yes' 4No Explain: _ _, --- _. ,------ 'System is an imminent threat to public health and safety. 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, maintainer,or service provider.Completed form must be submitted to the local unit of government within 15 days. �`� Property owner name(s): ` 1 --- � -. -- Property address: , 9765-- ri_t� c U - — - Property own rr,,s address (if different): — `— County: 1� 1 Phone: _ J_1 I hereby certify that l personally made the observations, interpretations, and conclusions reported on this form and that they are correct. ` ,( Name: 1- S\ S `Unc L - Certification number: 9Zt�S -- __. Business license name and number: k, c S 1 r'L. - a'SO -_... _ or Name of local unit of . ernm_• : - '- —_.. Signature: /_ Date: 7(7 j07—___ .,__ -, 141 Compliance Inspection Form far Existing SSTS 05/09/2012 14:29 9528733112 PAGE 03/05 Parcel number: _ System status: Compliant ❑ Noncompliant (as determined y t is form) Hydraulic Performance and Other Compliance Compliance Issue #1 f 4 Date of observation: Reason for observation: --. This form expires upon ne Inspection or in three years,whichever occurs first: _Compliance questions/criteria: (Required) Verification Method: (Optional) (Check the appropriate box) (Check the appropriate box) Does the system discharge sewage to the 0 Yes No Searched for surface outlet ground surface? ® Performed hydraulic test Does the system discharge sewage to drain ❑ Yes No tile or surface waters? K Searched for seeping in yard Does the system cause sewage backup 0 Yes No ❑ Checked for backup in home into dwelling or establishment? 0 Excessive ponding in soil system/D-boxes Do other situations exist that have the . ❑ Yes No ❑ Homeowner testimony potential to immediately and adversely pxamined for surging in tank impact or threaten public health or safety ( lectrical, unsafe covers,etc.)? _ -- ❑ "Black soil"above soil dispersal system Any"yes"answer indicates that the system is an imminent threat to public health and safety. ❑ System requires"emergency"pumping _ 0 Performed dye test Does the system pose a threat to ground ❑ Yes ;Z1 No ❑ Other; water for any conditions deemed non- protective 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 sequential order, 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 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 15 days. Property owner name(s): .,i \ --- Property address: V765- ,5' idA. L.ti it 119 ,1;17: . Oriii0 — Property ow is address (If different): County: _ _ Phone: --_ I hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are correct. Name: --"&e.\•\ \Vn Certification number: Tu,59 . .., Business license name and number: S 61/4, ► Ce- \Irec S a_.. - or Name of local unit of,?o -rnmen IQ —.-- / , Signature: d�f _ / /i.... Date: % L wo-wwists4.31 Compliance Inspection Form for Existing SSTS 05/09/2012 14: 29 9528733112 PAGE 04/05 Parcel number: ..._ System status: 14 Compliant E Noncompliant ------ (as determine. by is form) Soil Separation Compliance and Other Compliance Compliance Issue #3 of 4 4 Date of observation: 5 �� Reason for observation: le — This information on this form oes not expire. Compliance questions/criteria: (Required) Verification Method'': (Optional) (Check the appropriate box) (Check the appropriate box) For systems built prior to April 1, 1996, and not 1KConducted soil observation(s) (attach boring logs) located in Shoreland or Wellhead Protection Area or not serving a food, beverage or ❑ Two previous verifications(attach boring logs)I ,,,, lodging establishment: g n I(� I! 2- "` ❑ Other; Does the system have at least a two-foot _c" 1? '�1( li CIV /"Wi- vertical separation distance from periodically t► !^ saturated soil or bedrock? 0 Yes ❑ No _ //. For non-performance systems built April .1, 441110-777161Y— - . t`�_i_ RL 1996, or later or for non-performance systems Soil observation does note pire. Previous observations located in and or Wellhead Protection by two independent parties are sufficient, 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?* Yes 0 No For reduced separation distance systems (i.e., "performance"systems under old 7080.0179 or * May be reduced by up to 15 percent if allowed in local Type IV or V system under new 7080. 2350 or ordinance. 7080.2400): "No standard protocol 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?* _ ❑ Yes Q No determination, Any"no"answer indicates that the 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 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. 4rProperty owner name(s): 1.5 Property address: L 7 6 LAI i 0 Property owner's ddress(if different) _.County; `— — _ Phone: I hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are correct. Name: 1 i `` N Cil t2n Certification number: 'Q.\LOS9 _ __ Business license name and number: ^ IU6 SP Ng-S `rte(..• 2-S.D ., or Name of local unit ,f�I.vemm -- - Signature: �� Date: __ 2 wrr-wwists4-31 Compliance Inspection Form for Existing SSTS 05/09/2012 14: 29 9528733112 PAGE 05/05 May$03-2012 07:40am From-CITY OF ORONO +6522414616 T-541 P.002/002 F-464 14 r7(05 W Cd?rfa w n . • k R , / . 1- grit, 1466 , 4�/s Tz to' 57) l �\ �-� 1i{ JI 96 e _` / 1 j , --' [: 8 ----> " 9 30 r-).r i u z o l.it° 4°2 6DrJ i II " .(: 0` alp aiiiNi tow,' rnt G 2A' ,cul Mr45 ..i‘ o\ 0 0'\ ,, r�` ; •%4CITY of ORONO �� i r ti Municipal Offices �. I -6.;,-:01 . .01_ C�� Street Address: Mailing Address: ��E3HDg' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address LI 765- coil -f cI JoU/J L City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a periodic basis. The onsite sewage treatment system at the above address has been inspected and the following is known about the system. A sketch of the known components of the system is available for most properties at the Orono City Hall. Imminent Public Health Threat Yes No If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10 days of receipt of this notice. The septic system must be brought into compliance within 90 days. Failure to do so will result in referral to the City Attorney for legal action. System Identified as Non-Compliant Yes No If yes, system must be brought into compliance by: December 31,2007 December 31,2010 Other Septic Tank( mp out Needed Yes No ' The City recommends the septic tank(s) and/or lift tank be serviced and pumped out every three years. City records indicate the tank(s)were last pumped out on 7- -®b . The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: • Ins49)/ e ig.triiiiDate of Inspection / D v ,. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us ( O :: . CITY of ORONO ! j, ��,/ Municipal Offices ey , ' . \...2. 1: ,:'ter 4 Street Address: Mailing Address: \E+$H�� 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 5323.0066 To Current Owner: Address: 17 t 3 1.-1. I " // t I !LL 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. SYYSTEM CONFORMITY (1-3): 1 1 1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an imminent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. TANK CONDITION(5-7): b Tank inspection indicates: 5 Pumpout not needed at this time. 0 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped Cti'1--0 v ). 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. 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: 1\'''°v,--- \ D 0)4 O\L, V r•-- q'1{ c_ -\-r,r,1C5 t)r--(q.._ Q.� It..(-7 '7 N c\ft)y Ni&e-() re `(-.Spac_--,-L ca.� ON TY5'r „Ns-0\Ac . 2\—0'5 Chu,,- i'..y-6-3 .......„ Date of Inspection Matt BoIterman- 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 properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us .40.4 . (0 , 0\ =-A : .- ._ CITY of ORONO 1 14 lj ' t 1 1 ,ci: Municipal Offices ,4 i G ! �A' y Street Address. Mailing Address: �;gg04' 2750 Kelley Parkway P.O. Boz 66 Orono, MN 55356 ' Crystal Bay, MN 55323-0066 • Owner: Qr\c�. S LS - r \ Address: Li.7 Cs -}ei}-o..,>. 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): I 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,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(5-10): Tank inspection indicates: nk \ J Pumpout not needed at this time. 6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped 5f c/ -Z OQ ) 7 Solids accumulation in tanks is at a critical a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection 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. aklAINFIELD CONDITION(11-14): \\ ( 11)rain&eld 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`/ S fisc \ o - \ \ \ • 4)(Nct,it Qt,---,--,1_,„,„ Date of Inspection Septic System Inspector Note: In the event that this inspection report is used to 1 msp epo 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 properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. -4 o At CITY OF ORONO O 0 Municipal Offices Post Office Box 66 `-,w >E.'- Crystal Bay, MN 55323-0066 a l ON—SITE SEWAGE TREATMENT A� ;l�' INSPECTION REPORT -4' *I ��Gti ktSY10 owner: CV)ri15 Fn.-te2/I Address: q765 lea 7zJ &1 (55S-59 Permit #'s: 768 Dates: 5-- Ulf Contractors: 'g)/LS tom_ City number 100 that on-sitesewage treatment tsOrono be inspected onnretat Theonsite sewatreamesystemat the aboveaddress has beeninspected and appears tllitohecaegory checked below. (This is J an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): ( (-(—::7) - 1 ) "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City / Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic bas or [ ] has not been identified at this time. If the limiting soil characteristic has not been iden ified, this classification may be subject to revision.) TANK CONDITION (5-10): 5 inspection indicates: Pumpout not needed at this time. Solids accumulation in tanks indicates they should bepurt�ped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. IInnspectii risers the (la's dia. pi peeam stthe installedsalin each h tank at next pumpout. If tanks have not been Y Y 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. DRAINFIELD CONDITION (11-14): !( a field inspection indicates: Drainfield is dry, no surfacing evident. 11 . 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. LIMITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): (Olt} COMMENTS: 1 . __11--e Date of In pection Septic • stem 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 properly, but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner o � o a CITY of ORONO As7A,_ 1, �A Municipal Offices 'i ,f G ,t �, , � ;�\. 4) Street Address: Mailing Address: '91CIN3I1 ' 2150 Kelley Parkway P.O. Box 66 / Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: J/P n n i S Com. E-'*"r Address: 4765 Watertown Rd. Permit #'s: 768 Dates: 5/3/88 Contractors: Hayes Exc. (This is [!/] an existing system [ ] new construction) . SYSTEM COMPLIANCE (1-3) : 1 6 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 [ has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) TANK CONDITION (5-9) : 9 5 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out within three years, they should be pumped out and risers installed now. rpInspection 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 [ ] 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.) DRAINFIELD CONDITION (11-14) : 11 1�1 Drainfield is dry, no surfacing evident. 12 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: / 1 Date of Inspection '4.tic 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 • FAX 473-0510 CITY OF ORONO Municipal Offices ig:$ 0.4, O Post Office Box 66 Ef. Crystal Bay, MN 55323-0066 1 ON-SITE SEWAGE TREATMENT lA �.ih�' & INSPECTION REPORT 9kESi1O Owner: l—&7C7r/�//—tl1nedy Address:_ 4/Xs In, ilhn/YN UPermit # C 's: 7J{g Dates:, Contractors: Gye. /4. /eS 2::g-- City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. �e (This is [i1'an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): / 6 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic 14 has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identified, this classification may be subject to revision.) TANK CONDITION (5-10): Tpnj inspection indicates: (�7 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection 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. DRAINFIELD CONDITION (11-14): /' . Dfield inspection indicates: qDrainfield is dry, no surfacing evident. 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. LIMITING SITE FACTORS (slope,setbacks,etc.): J_ fT POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): 404,6) COMMENT / f -::0, I ✓ems' li- 97T/1a40 E 'C s-/I€ GlyAI hQJ'? -�✓OP--,- e r' rai (.fit/it� yee, U/-‘ 1%n e, . SC 3 D to of Inspection Sep c 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 properly, but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 ORONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER EA. /Xned �/4/+46/ ,e1 ADDRESS q2D�- PERMIT NO.'S. 66761? DATES �` g CONTRACTORS6° C-. City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is 15it.an existing system ❑ new construction) ,, ?// 1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. D 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major upgrading of the system is required at this time. 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at this time. U4 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 is endangering a water supply,or is a source of pollution to surface or groundwaters,or is creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( m Checked items may require your action) Tank' spection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not VPumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risers (4"dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. 0 Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for El Slope (depends on soil types,water Future Expansion El Soil table and system condition) a-Adequate ❑ High water table ` Low ❑ Fair ❑ Lot size [] Medium 0 Poor ❑ Lake,wetland,or stream 0 High ❑ Inadequate ❑ Drainage 0 System is causing visible surface discharge. COMMENTS: Sao-9l � 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 properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner 1 ` On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 O R O N O 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER jer� 1--44,A keinADDRESS 1/7g5-g`, A /� /&1 _?%_ / PERMIT NO.'S. 0-37.62 DATES SJ CONTRACTORS o?IA- 41e- .5 City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is IX an existing system ❑ new construction) J1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. U2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major upgrading of the system is required at this time. 0 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating adequately at this time,but has a relatively high potential for future problems. No major upgrading of system is required at this time. El4 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 is endangering a water supply,or is a source of pollution to surface or groundwaters,or is creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( Vii Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. Drainfield is dry,no surfacing evident. O System is discharging to surface. Tanks must be pumped 0 Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. 0 Drainfield is saturated and visibly discharging untreated * M Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risers (4"dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. 0 Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for O Slope (depends on soil types,water Future Expansion O Soil table,and system condition) 0 Adequate ❑ High water table .Low [fair O Lot size 0 Medium 0 Poor ❑ Lake,wetland,or stream 0 High . 0 Inadequate ❑ Drainage 0 System is causing visible //�� (i.:5. / 7are. J4/ fiN COMMENTS: 1 I'� r S �O/1 e ea I ( c ' AnI-1 f As /1 'v ✓qS-PIS y 7—�� 477 _,_-..1 Date of Inspection / eptic 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 properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner