HomeMy WebLinkAboutSeptic info �
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' i'``�`° ' r i.``��'� G.!% Street Address g
������9 � ' ���'� 2750 Kelley Parkwa P.O. Box 66
\`��E� Orono, MN 55356 y Crystal Bay, MN 55323-0066
To: The Current Owner of Address � ��� ���Cx'`f� �
City Ordinance requires that onsite sewage treatment systems in Orono be
inspected on a periodic basis. The onsite sewage treatment system at the above
address has been inspected and the following is known about the system. A
sketch of the known components of the system is available for most properties at
the Orono City Hall.
Imminent Public Health Threat
Yes �No
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10
days of receipt of this notice. The septic system must be brought into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identified as Non-Compliant
Yes
No �
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other �
Septic Tank(s) Pump out Needed
Yes �No
The City recommends the septic tank(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
2 - !�-I-o� . The tank(s) should be cleaned through the manhole and
not throu�h the inspection pipes, tlus allows for proper cleaning.
Comments:
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Inspector: Date of Inspection �S ���
Telephone(9�2)249-4600 • Fax (952)249-4616
www.ci.orono.mn.us
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` '�� , :�,.��,,� r,t, ,� Street Address: °►Sa"a4q"y6� � Mailing Address:
9����'¢ 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner:
Address: -`�� ����� ��' S"
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): I
1 CODE SYSTEM" An LSTS which meets all Yhe locarion,design and construction standards of the current Orono Municipal Code. ___ __ _
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2 "COMPLIAN'T SYSTEM" An ISTS which does not meet all the location,design and construction stanchrds of the current Orono
Municipal Code but does meet the three foot separation requirement or rivo 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 conshvction stan�rds 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:
OPumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tank was last pumped 1�-Z"�j- �•
Make sure septic tanks are pumped throu�h manhole and not through white inspection pipes This sllows for the proper
clean�n¢ Keep water softner and iron filter discharge out of septic svstem to protons 1►fe of dra�nfield. Ask pumper to test
alarm float to verifv alarm is still workins in vour house The alarm warns owner that septa�e�s about to backua�nto basement.
7 Inspection risers missing-tanks could not be inspected. Inspection r�sers(4"dia.pipe)must be installed m each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
INFIELD CONDITION 8-10 : �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: M�J^�1 `'��, 5�.�-'� ��1<S ����1 dJ�-
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Date of Inspection Matt Bolterman - Septic System Inspector
Note: In ilie event diat this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does
not �uarantee or certify that an esisting system wiil continue tu function properly. but is mercly an opinion of the adequacy of the system under current
cunditions based on the available intom�ation.
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-X���� CITY of ORONO
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� ����;`�;;,;`gS'y � Street Address: Mailing Address:
�ESH� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
95d-�4q-4600
To Current Owner: Address: q 4� v��'^'^ RJ s -
City Ordinance 199 requires that each existin�on-site sewa�e treatment system in Orono be inspected every rivo years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTENS CONFORMITY (1-31: �
� "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the currcnt Orono htunicipal Code.
2 "COi�iPLIANT SYSTEM" An iSTS which does not meet all the location,desian and construction standards of the cuaent Orono biunicipal
Code but does mect the three foot separation requirement or two foot cequirement for systertu installed 1996 or eazlier,and which is not failina or
an imminent threat to public health or safery.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated(00-year flood plain,any ISTS which may
or may not mcet all the location,design,or conswction standards of t�e current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three fect of unsacurated soil or sand betwccn the distribution devicc and the limiting soil charactcristics.
TANK CONDITION(5-.7�: �
Tank inspection indicates:
� Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped 7-S-0 i �,
1�Iake sure septic tanks are pumped throuah manhole and not throuah white inspection pines.
This atlo���s for the proper cleaning.
7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
D INFIELD CONDITION -�Q : �
8 Drainfield is dry,no surfacing evident.
Some evidence of surfacin"not critical yet.
10 Drainfield is saturated and visibty dischargino untreated effluent to the surface. Contact the Ciry Inspector
immediately.Repairs must be completed within 90 days.
COi�I�NTS: S�lS�,� �oc}�5 G`1L_ p�;�-�' �� � 6�rn ll,�c�- si�N.n.c�_
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Date of Inspection Matt Bolterman- Sepcic Sysiem Inspector
Notc: In tt;e cvent that this inspection rcport is us<d to satisfy the rcquircments for a mortgage or other transfer of property,be advised that this rcport does not auarantee
or certify that an eristing system will continue to function Properly,but is merely an opinion ofthe adequary of the system under current conditions b'ased on the availabie
information.
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SEPTIC SYSTEM INVENTORY
Site Address: 940 Brown Rd S PID:
Owner Name: Catherine Crowder Johnston
Owner Address: 940 Brown Rd S Wayzata MN 55391
Building Type: residence Installer:
Date of Permit: 6/18/99 Hayes&Sons
System Type: mound BRs Designed for: �6
In Musa?: Yes Shoreland?: No
SEPTIC COMPLIANCE INSPECTION
Report Date:
Compliant?: Expires:
Non-Compliant?: Report in Street Fite?
SPEC�TES
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SEPTIC TANKS
Material: precast concrete Capacity: 1250,1000,1000,100 Tank Filter: �-
DRAINFIELD
Treatment Area: 113'39 Soil Boring: yes DF Ht above Wt: �
WELL DATA
Setbacks-Well-Tanks: 50 Well-DF: 75 Report in File?: � Depth: �
INSPECTION RECORD PUMPOUT RECORD
Date Description Date Galions
8/27/99 replacement installation,final ok 7/05/01 2000
9/21/00 no surfacing 11/02/02 1500
7/02/02 no surfacing,pump tanks 02/14/05 2500
06/24/04 0 K
08/01/06 O K
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66I27/2009 12:39 7634988296 � i � 1� RUSTYS PERC TESTING PAGE 02
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�,�� Mi�nesota Pollution � �ompliance inspection Form
Control Agency
520 Lafayette Road North Existlog Subsurtace �ewage T�eatnient Systems (SSTS)
Sc.Paul,MN 55�55-�194 Inst�uctions on page 7
Paroet number. _ � F�r Local Tracking Purposes;
Syst�m etetus; � Complient ❑ Noncompliant
(based on ell canpllence requirements)
Sumntery Forn�
Property Information
Propenp owner�eme(s): Catherina Johnston _ _
Property eddress: 940 Brown Roed S, Orono, MN 55381 _ ,
Property owners address(if diReront): _
CouMy: Hennepin Property owner phone: 612-770-1799 P��rnik'xi�:,�authority: Clty of Orono
Date system consUucted: 8/271'89 Rea�n for inspedion: PropeR�Trensfer _ ,
System Description
Approximately 4-1000 gellon septic tenks, 1-1250 oallon Ifft stativn and Approximetely 830 square
Brief system description: feet of mound rodcbed.
Locel permit number: , NumDer of bedrooms: B Deeign flow rate: .83 _
Is the sr�m:
In Shoreland a�ea? �Yes ❑ No In Wellhaad PrMectlon Area? ❑Yes � No
An U.S. Environmentsl Protection System serving a Mlnnesot�Department
Agency(EPA)Class V Injection Well?❑Yes �No of Heath(MOH)licensed facility� ❑Yes �No
COR1p�f811Ce $t8tU5(9ased on state requirements–additional local requiremerns mey also apply.)
Based on the information gethered and r�ported on attached forma,the wmplienoe 6tetus af thls system is(chec;k one):
�Certiflcate of Compliance–velld until(3 y�a�s frt�m dete of report): 6/26/2012 __
❑ NaUoe of Nonwmpliance-For Noncompllant syslems=
The reason iur nonmmptianoe is: �,,,. _._—. _�,
Thls noncompliant 9y�tem(s classlHed as(check one below):
❑ Imminent threat to public health&safety ❑ Failing to protect ground water ❑ Not in compli�nc�with operaUng permit
C@1't�f�Cdt1011(Completed form must be aubmitted to the lacel unit of govemmeM within 15 deys.)
!hereby ce►tlfy thet ell the necessary Inhom►etion has been gethered ta delem►ine the car+pliance status of this system. No
detem►ination of Iuh�re syal�em performence hes been nor cen be made due to unknown condiHons during sysfem constructivn,
passible abuss of ths system,inadequate rneiirtenance, or li�tuie water usaBe_
Neme: Jvseph J.Olson Certificetion number: 1255
Business lioense name and number: Rusty Olscm's soil and perculation leating Lic#610 ____ c�
Neme of locel unR of govemmerrt_ Clty of Orono ,
Siqneture: � Date: _ 6/27ro9�
Required ttachmentS ���ao�comp��:Tnis insr�ectio� RePort�s�paaes io�e.
CheCk COmpll��ca foR11s att8cheil: � Hydraulic PerfoRnenoe ❑Tpnk InteQrlty �Soil Sepbrtttlon ❑Opsra6ng Pe►mit Fom1(K
app��Cebb) ❑Syatem drawing/As-built drawiny ❑An aeses�ment of eny locel requiromenL9 that are different from what ia requlrod on this
fortn �So�l BOring Logs ❑Abendonmer►t torm(if approp�lete) ❑Other Infortnation(list):
Upgrade Requlremer�a(d9rlred Avm Minn. Stek§11 S.�6)An/mmUrtnt threat to puWfc healfA artd seFsly(ITPIiS)must pe upgreded,�aacad,or
(!s uae diemntinued wilh/n Mn montl►s of rsaslpt o/Mls noQbe a wifh/n a shorter pe►iod ilroquhed Dy local adlnartw.H the aystem!s falling M pm[sct proun0
we(er,tRe system must De upprsce0,�Dlacod,or Ua uae dfemnfh,ued wlMrrm tlie nms isqWrsd by bcol ordMonce.ll en e,�IsHng system la not lepiny ea deAned in
law,6►�d has at leest two/eef ol desipn aoil separadon.llrsn Ms sysMm rfe�sd not De upp►aded,►epeNed.�epeleced,or ffs use d/scontMued,notwKhatendlrrg eny
bcal adlnance�het!e mo►s sh1d. Thia pwiaian doss rtot appry to syatrma In sAaelend artree,Wslfheed ProlscHon Ansa,o/d�ose uaed in connection wNh food,
beverape,end lodp�inp e�eWisnmsn�a sa a�Nr�eOln lew.
wq-wwlsts4-31 Comp(fonce Inspecclon Form for Existing SSTS
06127/2609 12:39 7634988299 RUSTYS PERC TESTING PAGE 03
Parcel number: System statu�: � Complient ❑ Noncompliant
(as defe�rnirted by this Iorm)
Hydraulic Porfor�nance and Oth�r Gomplisnce
Compliance Issue #�1 of 4
Date of observation: �/26J09 Reason for observetion: P Tran�fer
This form expires upan neact Inspection or in three years,whichever occurs�tst: 6/26/72
Compllance questionslcrlteMa: (ReQuired) VerHlcatlon Method•: (Option�l)
cned�me a � ►�are�►x �cnecn me a�rop�ete box�
Doea the system discharge sewage to the ❑Yes � No � gearched for surtace outiet
round surFeoe?
❑ Perform�d hydraulic test
Does tt�e system discharge sewege to drain ❑Yes � No
tfle or surteoe waters? � Searched for seepinp in yard
Does the eystem cause sewage badcup ❑Yes �No � Chedced for backup in home
into dwellln or estaWishmen� ❑ Exce�sive ponding in soll system/D-boxes
Da other sltuetions axist that have the ❑Yes � No � Homeowner testimn�y
potentlal to immedietely and adversely
impact or threaten public health o�safety ❑ Examined for surging in tenk
electricel,unsafe cove►s etc, ?
--- ❑ "Bladc soil"above sal dispersal system
Any"yss"anewar lndkahs tlwt�s sysbm!s an Imminent
thieat to publfc hea/M ertd aal6ty. ❑ System r�equires"emergency° pumpine
-• ❑ Pertormed dye test
Does the system pose a thrseat to ground ❑Yea � No � p�er:
water for any mndltione de�ned nan- '
robedive as detertnined b the ins ,,,
"Yaa"lndicates that tha aysvwn ia failinq to prot�ct
ground wstoe,K"y�';dascrlbe tlre condltlon notod:
'No stenderd protocd exists. Thls list is not exhausNve,
in sequentiel order,nor does it indicafe which
combinetions aie necessery to mak�this determinetion.
Certification
Thls form is tn be completed and a�ed to the Summary Form of the Minnesots Pollu6on CoMrol AOency's(MPCA)Compllance
Inspection Fomn for Exlstln�8ubsuAace Se�ge TraabneM Syst�ms.Observatfons,tnterpretations,and c�ondusions must be
completed by an inspedor.Compleoted tu�n must be submitted to the local unit of govemment within 15 days.
Property ovmer name(sp Catherine Johnston
Property address: 840 Brown Rvad 5 Orono,MN 55391 __
Property ovmer6 edCr�eBS(ff different):
County: Henne in Pho�e: 612-770-1799 _
1 hereby ceMry thet I peisonally made the observe6on�,interpretallons, end oo►►c�us�o.►s repo�t�d o►►r��s�om�end mer rney a�
correct.
Name: Joseph J.Olson Certficetfon number: 1265
Busineas license name snd numbar: Rusty Olson'��oil end perculetion teed� Lic#910 0�
Name o�f locel unH govemmerrt- CitY of Orono ,
Slgneture: _ Date: 6/Z7N09 _
wq-wwfstsd-31 Compliance Inspectfon Form for Exist/ng SSTS
06/27f2069 12:39 7634988290 RUSTVS PERC TESTING PAGE 04
Parcel number. 8ystem stetue: �Compllent ❑Noncompli�nt
(es determined by this farm)
Tank Intagrity and Safety Con�pllanco
Comp(fance Issue i�2 of 4
Dete of observativn: 6R6/OB Reeson fo�observetlon: Propert�!Trenefer „,
This fom►expires o�(threc years): 6l26/12
Compllance quest�onslcrite�ia: (Required) Verlficadon Method'": (optional)
(Check the app%�riet�e box (Check the appropAete box)
Does the system oonsist of a seepage pit', ❑Yes �No � probed tank bottom
cesspool,drywell,or leecfii�g._pit?
- " ❑ Observed low liquid level
Do a�y sewage tank(s)leak below their ❑Yes � No
desf ned o retin de th? � � Exemined construction reoords
If yes, Identiiy which sewege ❑ Examined empty(pumpedj tsnk
tank leaks. ❑ Probed outside tank for"black soil"
Any"yes"ensnrerind/catea that the aystem!s felling to protsct
9���� ❑ PressureNacuum check
p Other:
• Seepape pits meeting 7090.2550 may be complianl if allowed �
in ordinanoe by local permitling authorfty. •— --
"No stenda�d p+vtac�ol exists. This list r's not exheusfive,in
sequenUel order,nor does It indicate which combJneGona
are necc�ssery to make tM8 determinatwn.
Safety Check
1. Are eny maintenance hale covers damaged,crecked, o�appeared ta be Bt►ucturallr unsound7 ❑Yes' �No
2. were all maintenance hole covers replaced in e secured manner(e.g.,all screws replaced)� �Yeg ❑ No'
3, Was secondary acoeas restrelnt proaenl(satety pan,second oover,or sefety netting)—hiphly recommended. ❑Yes � No
4. Was any other safety/health iseue present? ❑Yes* �No
Explain:
'Syst�m�s an lmmfnent dtreat to publlc haakh snd sFfaty.
Certification
This form i�to be complebad and attached to the Summary Form of the Minnesota Pollutfon Control Agency's(MPCA)Compliance
Inspection FOrm fcr Exlsting Subsuriace SQwage TreatrneM Sy8berms.Obeervations,interpretations,�nd canclueione must be
completed by an inspeCtor,mafntaine�,or servioe provlder. Completed fonn must be submiKed to the local unit of govemment within
15 days.
Property owner name(s): Catherine Jnhnsion
Property address: 840 Brown Road S Orona MN 55381
Propert�r owner's eddrese(�Fdilfererrt):
County, Mennepin Phone: 612-770-1799
1 hereby ceRify that 1 pe�sonelly made H�e obseiva6ons, interpieta6ons, and cancluslons r+epo�ted on this IoRn and thet they are
cor►ect.
Name: Joseph J.Olsun ,,,_ Certificatlon number: 1255 ,,,,__�„__
Buainess IicxnBs name and number; Rusty Olso�'s soil and per�culatlon testing Lic�810 or
Name of local unit of govemment: Cfty of Orono _
Sign�ture: ,� Date_ 6/27/�9
wq-wwfsts�-31 Comp(lonce Inspection Form for Extscing SSTS
06127/2069 12:39 7634988290 RUSTYS PERC TESTING PAGE 65
Paroel number _ Syslem status: �Compliant ❑ Noncomplient
(as dsf�rmined by this form)
Soil �eparatlon Compllance snd Oth�r Con�plian�co
Compliance Issue #3 of 4
Date of ob�nration: 8/28/09 � Reason far oDsenretlon: Property Transfer
This inll�rme6�nn on this fia►n does not expire.
Compliance questlonslcrlteMa: (Required) VerHicatlon Method"`: (Optional)
__. Ch�ck the a riate box (Check the epprop�ete box)
For systems built prior to AQriI 1, 199B,and not � Conducted soil obsetvetion(s)(attach boring loga)
located in Shoreland or Wellhead Protection
Area or not serving a food,beverage or ❑ Two previous veriflcations(eltach boring logs)
lodging establishment:
❑ Other:
Does the eystem have at least a twafoot
vertical separation dlstance from periodically
seturated eoil or bedrodc7 Yes No
For non-perFormsnce systems built Apnl 1,
1986,or leter or for non-perFormancs systems
located in Shoreland or Wellhead Protectio� Soll obaeivedon does nat expire. Previous observetions
Areas or sen►Ing a food,beverage or lodging by two independent parties are suffident, unle�s site
�stebHshment: condltions heve been eltered.
Does the system have a thre�foot vertic�l
s�psration distance from periodicelly setureted
soil or bedrocic?' Yes No
For reduoed separation distance syBtems(i.e.,
"pertormence'systems under old 7080.01 T9 or ' Mey be reduced by up to 15 pe�ent if allowed in local
Type IV or V system under nsw 7080_2350 or o►+dinenoB,
7080.2400): "No stendeid pmtocol exists- This list is not exheus6vo9,
Does the system meet the designed vertica) in sequential order, nor does it indicate which
separetlon dlstanos from periodically saturaled combinations are necessary to make this
sofl or bedrodc?' Yes ❑ No det�emrinetiasn.
Any"ra'°a�sw�r!ndlcobr,s UNt tl�s system/s fall/ng to p�tact
ground wadtr.
Certtficatlon
This form is to be completed and attached to the Summary Form of the MinnesOta Palution Control Agency's(MPCA)Compllance
Inspection Fom�for Exlating Subsurfece Sewage Treatmerrt 3ysts�ns. Obssnrations,intarpretatlons, and conduslons must be
complerted by an inspector or designe�.Completed fortn muat be eubmitted to the locel unit of govemment within 15 days.
Prope�ty owner name(s): Cathe�ine Johnston
Property address: 940 Brown Road S Orono MN 66391
Propert�r owners address(if ddfererrt):
County, Hennepin Phone: 612-77a1788
I he►eby certfly tha�I peBoneUy mede the obse►vaElor�s,lnteip�tatiens, e�a�i�o�s�o,t�o�m►s r�m,e►�d mar tnay a�
conect
Name: Joseph J_�Iso� CertlftiC9bon number 1255
Business livense�eme and number: Rusty Olson's soil and perculation UestinA Lic#810 _„�„ _ or
Name of locsl unit o ovemment: City of Orono �
Signehire: .�,. .w.�..�..�,. Dete: B/27/09
wq-wwlsts4-31 Compllance InspecNon Form jor Exls[ing SSTS
A///AO
06/27/2009 12:39 7634988290 RUSTVS PERC TESTING PAGE 06
Los�s M Sofl BoMnsu
License�810
Loaatlon o�ProJect: 940 Brown Road S
6oMngs made by: Rusty Olson's Soil and Pvr�c testing 6J26/2049
ClesslTlcation 8ystem: AASHO ; USOS-USDS�CS X ; UnfTled ; Other
Auger used(check two): Hand_,X .or Power .Fllpht, Bucket or Probe X!
Bench marlc Is top of basament cancrete slab. Elv:100.00 Assumed
Boring Number_1�Surface elevation_99.9_ Mottled Soii at T 2.1_feet
0"-6" Da�c brown sandy loam 10yr4/2 H20 present at_Xw,
6"-26"Brown loam to sandy loam 10yr5/4
26"-30" Rusty brown loam to sandy loam 10yr5/4
Boring Number 2_Surfaoe elevation 94.9_ Mottled Soil at 2.1_feet
0"�" Dark brown sandy loam 10yr4/2 H20 present at_X
6"-28" Brown loam to sandy loam 10yr5/4
26"-30"Rusty brawn loam to sandy loam 10yr5/4
TBM:Top vf existing well Efv.-100.00 assumed
Original soil under the rockbed Elv_- 100.6
Bflttom of rock bed Ehr.-101.6
There is 12 inches or plus of sand under the rockbed
Hennepin County Property Map Print Page 1 of 1
Hennepin County Property Map - Tax Year: 2009
The data contained on this page is derived from a compilation of records and maps and may contain discrepancies that can only be disdosed by an acwrate survey performed by a licensed �.
land surveyor.The perimeter and area(square footage and acres)are approzimates and may contain discrepancies.The information on this page should be used for reference purposes only.
Hennepin County does not guarantee the accuracy of material hereim m�tained and is not responsible for any misuse or misrepresentation of this informa[ion or Its derivatives. "
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Selected Parcel Data Date Printed:4/22/2009 3:37:50 PM
. �• Parcel ID: 10-117-23-12-0004 Current Parcel Date:4/3/2009
Owner Name: CATHERINE CROWDER]OHNSTON
Parcel Address: 940 BROWN RD 5,ORONO, MN 55391
Property Type: RESIDENTIAL Sale Price: $247,000.00
! Homestead: HOMESTEAD Sale Date: 04/1992
� Area (sqft):470942 Sale Code: WARRANTY DEED
Area (acres): 10.81
1! A-T-B:TORRENS
� Market Total: $1,287,000.00
!' Tax Total: $13,541.02
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c.: _: ,:.
http://gis.co.hennepin.mn.us/HCPropertyMap/Locator.aspx?PID=1011723120004 4/22/2009
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