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Home My WebLink AboutSeptic info 09123/2911 15:52 9528733112 PAGE 65/05 � . GAHRIEL 3�HHOUR �� 952-4?1-9256 p. ]. Sep Z� 20� 1 8. 46RM '� �� S�PTIG SYST IN EN�aRY PIG: 061'172321D00� r�61 Boyoltla Rd S1m Addre�6; 59359 pNmgr.N�'ne� � Maple?Isin ,� pWnerAddfe6a: ar9lde Rd , I n6sallr.r. Bullalr�a�7►Pe�, ro��denoe �..-..� p onat�uclion � � • ' �� e ""'�' � BRe Oes� n+d tor. �5,.,.,.�� Dete Qt PermN: � � 8Yg►�m�1Pe� ' . mountl Sho�len � In Muae?: � N0 . ' SEPTIC COMP�UINCE INeP�CTIOM �ePo�q�; . � ExplreA: OomP��l?: .��+�" RePo�In S�eet FIIe7 Non-Comp�larn?; , : P �. . , 12a�,�o ,1240 TenR F►Iler. �� SEFTIC TIrNItS rP-'�et Fo�-�'� capa��ty: , Meterial: , , a�•. . .. ,. � ,� flF�NteboveVVt: �� . DF�IINFIELD. —^` so116or1t+9: � y°" . � . . Traelrnentaa�eA. � 6�� . • p�pth; , �5 �VL DATA �--�^"� Wetl-DP: 85 Ro oR•In fllo9: � ' S�haeka'WelbTanka; � , , P.WMPaUT I��4RD� . �1NSPECTION RECORD 0� Gallo�ls � Date �Dosc�iPtion � � oerotiroe "'.` �oaa....�-.-�----� /2! D inetslation 1?J301�9 no Su�facl� 8/04101 oodm s s�om�no au�te�in 6!ti6l08 no burfacln0 ' 111�1lO6 �K , I ' I 09/23/2911 15:52 9528733112 PAGE 61105 �o� Compl ance Inspection Form Minnesota Polluti Cont�ol Agency e Treatment Systems (SSTS) 520 Lafayette Road Nofth Existing Subsurface Sewag �ns�ructions on pa�e : SS-Paul,MN 55155•A194 For Local Tracking Purposes Parccl numbet; �. System siatus: �ompliant � Noncompliant (based on a!I co pllance requi�ments) Summary Forn�+ Property Information � _. ........ ._ _.. P�operty owner name(s)� ----.•-- . .... .. ._. �. Property address: - � - Property o ner's address(it o�fferent�; Pe mitting autho�ity: �' r owner phone: Counry; `'�-� Pr Pe _--- � -.. .. .. .. pate system constructed: Reason for inspection: System Description 3 �� ^___ .. Br�el syslem descriptlon: � �r— Design flow rete: ..., .�� . Number of b drooms l_ Local permit numher: Is the system: Yes�No �Ygg No In Wellhea Protecdon Area? � ►n Shoreland area? gystem se Ing e Mlnnesota DepaRment An U.S. Envlronmental Protection � Yes NU Agency (EPA)C�ass V Injection Well?0 Yes No of Heath ( OH}licensed facillry. COf11PI1d�Ce StdtUS (8ased on state requlrements c�a�tfof�s0 he cornP►ance status of hlspsylstem is (check one� Based on the information gathered and reported on atta __� _ _ �rtificate of Compllance-valid until(3 years from date o!report)� ❑ Notice of Noncompliance-For Noncomp►iant sYstems: _ _ 7he reason For noncomp�iance is: Fallin to protec ground water ❑ Not in compliance with ove�annq per�,�' Thls noncompl►ant syatem Is classlfled as (check one e ow : ❑ Imminent threat to public health 8 sefery ❑ 9 CertlflCatitOfl (Completed forrn must be submltted to the local unit of governmenl wlthin 15 days,) I hereby y �nfo��as been nor enCbermed dduer o/unknown conrd fionsf dv�ngtsysternscor�sir��' certif that all the necessery � determination of future sys�em performance possible abuse of fhe sysfem, inadequ te maintanance, or future wa� �C�ficatlon numbsr' ��_-`-._-�-�� Name: _, ^� - Q�--- -.._. _... . or Business license name and number: � --- Name oi Iocal unit of g ment �- Date: � 1�........ ..._... .. .... Signature; Required Atta hments Inspecto�Co plete;This Inspection Report is pages long. Check comp ' nee forms attaehed: �ydraullc Pertomna��Ta k Inleg�ily �Soil Separ2tlon ❑ODeraling Perm�t F�rm i�l apvlirabie) System drawing�Da dontm nvll(ortnp pro0eate)eO d�n r inlormaQOn(��t);��hat are diflerent from wnat�5��Q��^ �r�`- lo� ❑ S il 8o g l.o9g ❑A --- ---. U pgrade Requ�i�eme��(da�a��a eiD o/A S o��e o'wf Ain a,shorle�p� od'I requ�ed�'y locs!ob na�ceell lrne syslemusl/a li p Ao p n��rey%�yec .; rrs use Or'scont �ate�,rne sys�em musl D�upp►adsd,r'ep�ace0,orifs use diSConNnued wllhln Ihe U mQB��C�a��rre)O�aCBd,l o�ils use d�conf nue0^naiw��s'��s' c? �p.• low, and l�es af�eesl fwo(eeJ o!dsslpn so�7 sepe�a��a�.tAs pf�Y Sys�m need�o�o vpg P local oi0ina�ee I�al is more Slnef. TAiS Orovia�0�tloes l70�e lo� sloms r'n sho�e and a�r.es, We1lnead Prolecfion Arees,o�l�ose uscd��i:��P�"�� "'" '=== eeverege,end lodglnp esladl/shmonts aa deRned in 1+w. ., .��---- �,�....�.:.... c�...� Fr,r F��c•inc CGT� 69/23/2e11 15: 52 9528733112 PAGE 02/05 Parcel number: ____„_.,. , ___ �. SY om status: Compliant ❑Noncomplianl —� (as determrned y is rorm) Hydraulic Perforrnance and Other Compliance Compliante Issue #1 of 4 Date of observation: �a ( Reasan for observation: -- — This form expires upon next inspection or in three years,whichever occurs i�st: —_-�.�---• ---- -- erification Method': (Optional) Comp�iance questionslcriteria: (Required) Check the e ro riate box Check the a ro riate box ( PP p � Does the system discharge sewage to the [� Yes No Searched For surface outlet �round surface7 � Performed hydraulic test Does the system discharge sewage to drain ❑ Yes NO Searched for seeping in yard til�or surface waters? Does the system cause sewage backup ❑Yes No (] Checked for backup in home into dwellin or establishment? [] Excessfve ponding in soil systemlD-boxes Yes No ❑ Horneowner testimon Do other situations exist that have the Y potential to immediately and adversely � Examined for surging��tank impact vr th�aten public health or sai�ety �electrical unsafe co�ers etc. 7 p "Black soil"above soil dispersal system Any"yes"answer ind�cates that the system Is an imminent � System requires"emergency'pumping fhreat to publiC heaf�h and sefely. ❑ Pe�Fortned dye test Does the system pose a threat Uo ground ❑ Ye3 No ❑ Other _._____—. _.—__.. ..___._... water for any conditions deemed non- _� _ rop tective as determined b the Ins ectoR � "Yes"ind;cates [ha!the system Is farling to protect �--�—� � grvund water. If"yes'; descrfbe rhe cond!l/on noted: •No standard prvtocof exisfs, This list is not exhavstiv�, in saquential order, nor does it indica(e which combrnalrons are r+ecessary to make this determination. tertification This form is to be �ompleted and attached t�the Summary Form of the M nesota Pollutlo n erpretat og sn and conclus�o smmust be I�spectio� Form fior Exlsting Subsurtace 5ewage Treatment System , Observatians, completed by an inspeccor.Completed form must be submiried to the lo I unit of government within 15 days. Property owner name )' _ _ •^--•----- -- ---- .. . Properry address: —�� Property owner's address (if d�tfenent); hone: , . -----=-- County: 1 hereby certlfy that 1 personally made the observations, inferpretations, nd conclusions reported on this form and fhat ihey are correct. Name: y~�_J�JC��u— . Certlfication number, �p�-- . .. ----� F3usiness license name and number: � a . -- --..- or Name of local unit of emme : � �� ^ Date: ---- Signatu�e: „ � —� —.._..._.... . ,.,.. ..,,.,;��w_a+ Compfiance lnspection Form for Existin4 SSTS 0912312011 15:52 9528733112 PAGE 03I05 Parcel number: .__ _ Syst m status: Comptiant ❑ Noncompliani -- � (ss etermined y t is form) Tank Integrlty and Satety Compliance , �ompliance Issue #? f 4 Date of observation; � Reason for observation_ , _ _�,___ This form expires on (three years): - ' � � Compliance questions/criteria: (Requlred) V rification Method'''": (Optional) _�(Check the a ro riate box (Check the eppropriate box) Does the system consist of a seepage plt'. ❑Yes No � Probed tank bottom cess ool,d ell, or leachin it? ❑ Observed low liquid level Do any sewage tank(s)leak below thei� ❑Yes No Examined�onstruction records designed o eratin de th? um ed tank -- Examined empty(p P 1 If yes,idenUfy whlch sewage tank leaks. ❑ Probed outside tank for"black soil" Any"yes"a�rswer indicates fhat the syatem Fs faiNng to p�otecf � Pressurelvacuum check ground wd�er. ' ❑ Other_ ••-- * Seepage pits meeting 708�.2550 may be compliant if allowed _ in ordlnance by local parmitting authority. ' No standard protocol exists. This list is not exhauscrve, rn sequentral order,nor does it indicate whlch combinations are necessery to make this determination. Safety Check � 1. Are any maintenance hole covers damaged,cracked,or appeared to be st ucturally unsound? �es' No 2, Were 211 maintenance hole�overs replaced in a secured manner(e.g„ all crews replaced)? Yes ❑ No' 3. was secondary access reslraint present{safety pan,second cover,or saf ty netting)-highly recommended. ❑Yes No ❑ Yes' No 4. Was any other safety/heallh issue present? Explain: ---• -- �--- ... 'System fs an imminent lhreat to publlc hea/th and safety. Certification This foRn is ta be completed and attached to the Summary Form of the Mi nesota Pollutlon 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 servic�provider, Completed for must be submitted to the local unit of government within 15 days. / �el! G� _._ � --- Property owner name(s): � - �^ _ - -- Property address: � P�operty own r's address(if ditfe�ent): ' � County, ��",�,�,' ,� hone: ,. _—�— —� f hereby cerfify fhat!personally mede the Observetfons, +nterpretations,a d conclusrons reporled on thls lorrr►and fhat they are correcf. Name: _, �� Certification number; ��, _ _______ � <�.�,� _ or Business license name and number: -.��.J1. �-- Name of local unit ove ent: .'—,�7-."" ' '- Signature: _ �, Oate: _, �v ��_., — _ .. . . ---'-- .-_„_ s.,. r..r�.:..,, cc-rc 09/23/2011 15:52 9528733112 PAGE 04/05 . . " 952-+471-9Z56 p•2 Sep ZZ z011 8:46F1M GA�RIEL .3ABE�UR yK� 1 8,�.�c�ioc-�'� • •'� , ' , � � � � �� r� �� a�;� ��,� � , 7z �+� Yo'6 �6` . � � �- � �r'� �� - � wQ�� aB� �e�6 � �� b r�, c . � � �� , , • �� a� � . � ��-n �� • . . � �� . �� , �,�'"�5�� 07/21/2008 10:53 9528733112 PAGE 01/05 t � �� MinnesotaPollution r Comp iance Inspe�tion Form Control Agency �� SZOLafayetteRoadNorth Existing Subsurfac Sewage Treatment Systems (SSTS) 5!.Paul,MN 55155•4194 Instruc�ions on page � ParCel number For Local Tracking Purposes System status: �Compliant ❑ Noncompliant (based on a/l complisnce requirements) Summary Fvrm Property Informatian , . Property owner name�s): , __ _ � . . _ _ _ Property address: ��V� �✓ ► ^ ��0�0 ----... ...__.. __... Property owner's address (if differenq; ___ _ ___ Counry; � Property owner phone: Permitting authvrity: e,� Date s stsm construcSed: _\ Reason for ins ection: �^ i Y / ...__... .. System Description Brief systern descriptlon: �. �� S Local permit number; Numberaf bedrooms� Design flow rate: __ �j�� Is the system; In Shoreland area? ❑ Yes �,No In WeNhsad rotectlon Area? D Yes �YNo An U.S. Environmental Protectfon Syslem servi g a Minnesota �epartmenl Agen�y(EPA) Class V Injection Well?❑ Yes �lo of Heath(M N)licensed facility? ❑ Yes �o COR1PI1df10E StatllS(Based on state r�quirements—addltional local re ulrements may also apply.) Based on the informatfon gathered and reported on attached forms,tMe co pliance status of this system is (check one� �Certificate of Compllance—valld untll (3 years from dale ol r2portJ: ,� W__.______. _ Q Notice of Noncompliance• For Noncompliant systems: 7he reason for noncompNance Is: ._.___.... _,,_. This noncompliant system Is clasaiffed as (check one below): ❑ Imminent threat to public health & safery �] Failing to protecl gr und watvr ❑ Not in compliance with oper��ny perrr�,; C2rtif1Cet10fl (Completed form must be submitted to the local unit of go ernmenl within 15 days.f I hereby cert;ly �hat af1 the necessery information has been gathered to de rmine fhe complience status of th�s sysler�, r�c � defermina�ion ol futura sysiem performance has bean noresn be made d rv unknown condifions dunng syslern ca�s�r��c;��•�, possr'b/e abuse o/the system,inadequ te meinlenance, or luture water us ge. Name: __��,� ��(�,� Ge Ificatlonnumber; 1��.___.. Business license narne and number: ��Ln� S��j„ Q�_„__._„ _ or Name of local unit of overnmenC — --- -- Signalure: Date: _0.. _ ...---.. .. .. Required Attachments Inspector Complet :This Inspection Report is � pages long. Check campfi ee forms attached: �Hydraullc Performance �Tank Int grity �Sal Separatlon ❑ Operaling Perm�i �o•m i,' apO�iCaple) �System drawinglAs-Guilt drawing ❑An a5Se95men of any loca requiremenLs that are different from whal�s requ�rE�c on :r�s form ❑ So�l 8oring Logs 0 Abandonment form(If approprlate) ❑ Otner info alion(li�st): Upgrade Requirementa (derived Irom Mrnn. Stat. §115,55)An imminenl tnre I�o puDflc heelth and aalefy(ITPHSJ m�sr�e upg�aoeo.:�o�acea � �ts use discontlnued wlfhln Isn mo/1Nt dreteipf o/IAia nof�e o�wl�hln a s�o�et penod il re uired Cy loca!ordlnrrlCe.If l�e syslem�s la,hng ro e�ole:r,��,.r_ waler, Ine sy�tem mus�w uppisdl0,��pfats0,o�iis use diaconflnued w�f/+in l�v lime�equi d by loee!o�dlnanee, ll�n o�%sling sysiem�s noi!.�,:.�;;vs ce�-a: - law.and has af 1e•aa�lwo leel of dea/pn solr seps�sl�on, ►l��n Ihe system nee0nol De upg/a ,rapeired,rop/eceC,ol rls ude discontin�ed.nonv,;ra�a:;;::y;-, rocai ordinance ihai�s more svlel. Thr's provislon does nof app7y lo sys�ems in s�orNdnd ar as, Wellheao Protec(Jon areAs.o/1�ose used�r:onr.z��.;;:,.:• •,:: oeverege,and lodging rslebflshmenfs as Oe�neO rn law, � 07121l,2008 10: 53 9528733112 PAGE 02/05 � i � Parcel number: Sys em status: Com liant -, p ❑ Noncompliant (as etermined y t is form) Hyd�aulic Performance and ather Compliance Campliance Issue #1 4 � � Date of observation; Reason for observation: ��$_,_ This form expiras upon next inspection or in three years,whichever pccurs fi t� � Compliance questions/criterfa: (Required) V rification Method': (Optional) (Check the appro nate box) Check the appropriafe box) Does the system discharge sewage to the ❑Yes �No �round surface?, Searched for surtace outlet PerFormed hydraulic tcst Qoes the system discharge sewage to drain [] Yes �No tile or surFace waters? Searched for seeping in ya�d Does the system cause sewage backup ❑ Yes �Nv Checked for backup in home into dwellin or establishment? Excessive ponding in soll system/D-baxos Do other situa6o�s exlst that have the . ❑Yes '�No Homeowner testimony potential to immediately and adversely impact or threaten publlc health or safely Examined for surc,�ing in tank electrlcal, unsafe covers,etc, 7 "Black soil"above soil dispersal system Any"yes"answer indlcates thaf the systelll is en imminent threat fo pub!!c health and safety. System requires"emergency'pumpfng -- Performed dye tesi Does the system pose a threat to ground [1 Yes ❑No Other; water for any conditivns deemed non- ----"'---------'- -� � � rotective as determined b the ins ector? "Yes"indreates chat the system is fafling tQ protect ..—-----------.. .. ..._. . . . ground water /f"yes", descrlbe the candrUon noted: . " stsndsrd protocol exists. Thrs fist is not exhauslive, - in sequentia!order, nor does it rndicate which c mbinations are necessary to make lhis determinatian. Certification This form is!o be completed and attached to the Summary Form of th�Mi�n sota Pollution Control �lgency's (MPCA)Cvmpliance Inspectlon Form for Exlsting SubsuKace Sewage Treatment Systams. O servations, interpretations,and conclusions must be completed by an inspector. Completed form must be submitted to the local u it of government within 15 days. Property owner name(s): �d/�Q ��t� _ �',�"` , _ ,:_.�_,..�._._....,--• ---... ........_....__._...... . Property address; Co � a / 1'`10� '.'N---^—� C' ._--.-- .--.._._. Property owner's address(It dlffe�ent): Counry; �Yr�? i�(3�.Y� Pho e: -,--- I nereby certify that 1 persona!!y made ihe observations, inteipretations,and onclus�ons reported on this form and that they a�e correct. Name: _. �� 1��C� Ce iFicaGon number: �q{��.._________. _ Business license�ame and number: ,_,.S(,L2G)I Uf1� 1 Oa � ______ or Name of local unit of o rnm� Signature: Date: �__ �f (J '� Wo•wWisi54•31 rmm�linn�o Incnerrfnn Fnrm fnr Fric�ino CCTC e7121f2668 10:53 9528733112 PAGE 63105 Parcpl number _ Sy tem status; Compliant ❑ Noncompliant � (a determined y hrs farm) Tank In�egrity and Safety Compliance Compliance issue #� of 4 Date of observatfon: I J� Q� Reason for observatlon: �(,C� .._,_,,.,."..,_.,_._, ..„__._ This form expires on (three yea�s): _�,.,,,,,,,, ,�_, __ ^ Compliance questions/c�iteria: (Required) erification Method": (�ptional) Check the a ro riafe box (Check the eppropriate box) Does the system consist of a seepage pit', ❑ Yes [�(Vo ❑ Probed tank bottom cesspool,drywell, or leachingpit? ❑ Observed low liquid level Do any sewage tank(s)leak below their ❑Yes �No desi ned a eratin de th? Examined cvnstruction re�ords I�yes, identlfy which sewage �Examined empty(pumped)tank tank leaks. _ ❑ Probed outside tank for"black soil" Any"yes��aAswer rnd/ca�es thae the system is faflJng to protect ground wafer, � ❑ Pressurelvacuum check ❑ Other: ___ . ' Seepage pits meeting 7080.2550 may be compliant if all�wed ' in ordinance by local permitting authority_ � No standard profocol exists. This list is nof exhaustive, in sequentia!order, nor does if indicate which combinations are nec�ssary to make this determination, Safety Check 1. Are any maintenance hole covers damaged,cracked,or appeared to be st cturally unsound? []Yes' �No 2. Were all maintenance hoie covers replaced In a secured man�er(e.g., all crews replaced)? �Yes ❑ No' 3, Was secondary access restraint present(satety pan, second r,over,or saFe y netting)�highly recommended. ❑ Yes �No 4. Was any other saFety/health issue present? ❑ Yes' ,�No 6xplain; *System is an imminent lhreat to publlc hea/th and safpty. Certification This form is to be completed and altached to the Summary Form of the Mln esota Pollutlon Control Agency's (MPCA)Compliance Inspection Form for Existing Subsurface Sswage Treatmant Systems, bservations, interpretations, �nd conclusions must be completed by an inspector, maintainer,or service provider. Completed form musl be submitted to the local unit of govErnment within 15 days. Property owner name(s): �pl�lQ � _ ___ __ _ . Property address: � ,_, - �.M...._..._...._....._ _ Property owner's address(ifdffferent)� County: /Il i�. Ph ne_ ��.. .,___---- ..-- --. . I hereby cenify ihat I personafly made the observations, lnterpretations, and conclus/ons nepoRed on this fvrm and ihat ihey are correcl, , Name: �� Q��UI�CJ ._,_ C rtification number, ��j�_„__ ___ Business license name and number: ��Q.U__.IS.:L��U\ 5 Q�_-- -- .._. or Name of local unit of v rnm . Signature: _� Date: �/ _.. — _..��_ ._�_._ iun.,.�.ii.r�A ?i - .. . . 67/21N2008 10: 53 9528733112 PAGE 64/05 Parcel number: __ ___. __ ,_ S stem status; Compliant ❑ Noncompliant � ( s determined y r is formJ Soil Separation CotnplOance and Other Compllan Compliance Issue #3 0 4 � Oate of observation: �� Reason for observation: � 7his informaf;on on thls form does not ex�Oire. ^ � Compliance questionslcriteria: (Required) erification Method**: (Optlonal) �Check the a�propriate box) - (Check fhe appropriate boxJ 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,boverage or ❑ Two previous verlflcations (attach boring logs) lodging establishment: ❑ Other; l� �� a � rpG�y�- �oes the syslem have at least a two-foot '� / " vertical separation distance from periodically �3' � ��' � G�� !OA� saturatea soil or bedrock? , _Yes ❑ No_ �ty }TS p� ��-�� For non-performance syst2ms built Aprif.1, � •�`�.�,�� l-�aS �-�„___$d�h dC -� 1996, or later or for non-performance systems J - • located in Shoreland or Wellhead Protection oil observation does not expire. Previous observations Areas or serving a food, beverage or lodging y two independent paRies are suFficfent, unless site establlshment: nditions have been altered. Does the system have a three-foot vertical separation distance from periodically saturated soil or bedrock?' .. Yes ❑ No For reduced separation distance systems(I.e., "performance"systems under old 7080.01�9 or May be reduced by up to 15 per�enl if aUowed in loca/ Type IV or V system under new 7080. 2350 or ordinance. 7080.2400): No standard profocol exJsts. Thrs list is not exhaustrve, Ooes the system meet the designed vertical in sequentia!order, nor does it indreafe whrch separation distance from periodically saturaied combinafions are necessary to make fhis soll or bedrock?' , ❑Yes 0 No determ/natian. Any"no"answerindicates[hat the systerq!s failing to pro[ect grcund wafer. Certif�cation � This form is to be completed and attached to the Summary Form of the Min esota Pollution Control Agency's(MPCA) Compliance Inspection Form for Existfng Subsurtace Sewage Treatment Systems, bservations, interpretations,and conclusions must be completed by an inspector or designer, Completed forrn must be submitted o the local unit of govemment within 15 days. Property owner name(s): _ �d NZ.Q � �.��C,� _...._.._—_..,..__. _....----- ��--�- Property address: ` -- _ �_��.,. .�- - �� _ —.. � . Property owner's address (if Cifferent): - -._ :,.----._.. t ._.-----��•-•--- County: ��n, � Ph ne: ------- ....... -•-- r��.��_ - !hereby certify thaf 1 personally made!he observatlons,interpretalrons, and conclusions reported on this form and that they are correct Name: _ ��,U�` , C rtification number: �`�,,�� . , "'J-�—_.. _ .-- Business license name and number; _�V�� a � or Name of local unit of emme Signature: � Date: 1 _��..----- wq�wwists4-31 �_,.,-„---- ,--.. . , _ . _ . 07/2112008 10: 53 9528733112 I PAGE 65f05 � Ju1,1T-2009 08:38am From-CITY oF ORONO + 522494619 T-T24 P,OOZ/002 F-696 �'�6 l 8�slr��. • -� � . .� � ,� c �, �` '�`�' � �'�'7 � ' . . � �� 06 36 p . � , � �� `6 �' w��r a�� BF� � �GW � � . � ,` �el/ , , D � - (�� ' "�`� � - �`�- °3� � . 4�. ae � �� iz�ti�� s'� . . . �d`� . ��y �� ' . ��5t� � -- ---- � � � i;' � � �``,� .�; � � �� c�T o� o�.oNa , ,, � �. r �y i j � ��, ;' Municipal Offices Street Address: Mailing Address: �t9 4�� 2750 Kelley Parkway P.O. Boz 66 kESK� ' ::-.- .- - Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Cunent O�vner of Address �"� `"�� l�`� 5 �'`'- � City Ordinance requires that onsite se�vage treatmen systems in Orono be inspected on a periodic basis. The onsite sewa�e tre tment system at the above address has been inspected and the following is kno about the system. A sketch of the known coinponents of the system is av ilable for most properties at the Orono City Hall. Imminent Public Health Threat Yes -�- No 5/ If yes, please contact the Onsite Systems Manager a 952-249-4626 within 10 days of receipt of this notice, The septic system mu t be brought into compliance within 90 days. Failure to do so will result in referr 1 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 ump out Needed Yes No The City recommends the septic tank(s) and/or lift ank be serviced and pumped out every three years. City records indicate the ta (s) were last pumped out on n,1L, �' «>r � . The tank(s) should be clean d through the manhole and not through the inspection pipes, this allows for pr per cleanina. Comments: �-. � � y ��r Date f Inspection f d �v;' Inspecto�'",P�c£'� � ' �_ Telephone(9�2) 2�9-4600 � F x (9�?) 249-461�i u.�tcw�i nrnn�Yl.m JIC i r�� 0,�.��, ,/ �' �� ;,� O O ��, � - � �� CI Y of ORONO ,� ,� t� - , �., �: ; �: `�, ��.,��' �� j� ,�ti,,' Municipal Offices ; '� �� ; ,.,'j-;Yl:�� G , �� , -.��• �� Street Address: Mailing Address: \ 9kEgg0g/ 2750 Kelley Park ay P.O. Box 66 � Orono, MN 5535 Crystal Bay, MN 55323-0066 . _ _----- ------—------------- —-- To Current Owner: Address: �� ' S��- �U Ciry Ordinance 199 requires that each existing on-site sewa�e treatment s stem in Orono be inspected every two years. The on-site sewa�e treatment system at the above address has been inspe ted and appears to fall into the categories checked below. SYSTEM CONFORMITY (1-3): � � "CODE SYSTEM" An ISTS which meets all the location,design and cons ction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the locatio design and construction standards of the current Orono tifunicipal Code but does meet the three foot sepazation requirement or two foot requir ment for systems installed 1996 or eartier,and which is not failing or an imminent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located ithina designated 100-year flood plain,any ISTS which may or may not meet all the location,desisn,or construction standazds of the c rrent Orono Muoicipal Code and which is failing for any reason;and any ISTS with less than three feet of unsaturated soil or sand between the d' tribution device and the limiting soil characteristics. TANK CONDITION(5-7): � 5�T k inspection indicates: Pumpout not needed at this time. 6 Septic tanks must be pumped out this year (city code requires ta s to be pumped out once every 3 years. Tank was last pumped �-1—C 5 ). Make sure se tic tanks are um ed throu h manhole and not th u h white ins ection i es. This al(ows for the proper cleaning. Kee water softner and iron filter disc ar e out of se tic s stem. 7 Inspection risers missing-tanks could not be inspected. Inspecti n risers(4" dia. pipe)must be installed in each tank. If tanks have not been pumped out within the last three years,they hould be pumped out now. D INFIELD CONDITION 8-10 : �5 8 Drainfield is dry,no surfacin�evident. 9 Some evidence of surfacin�, not critical yet. 10 Drainfield is saturated and visibly dischargin�untreated effluent o the surface. Contact the Ciry Inspector immediately. Repairs must be completed within 90 days. COMMENTS: n'` C v �� `�c c�\�S CI� , .r�� C' �- . �,�`� '�1 � �..� � �'1,�--� Date of Inspection N1att Bo(terman - Septic System Inspector Note: In the event that this inspection report is used to satisfy the requiremenu for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system wilt continue to funetion properly,but is merely an opinion o the adequacy of ihe system under current conditions ba�ed on the available information. Telephone(952)249-4600 • F (952)249-4616 www.ci.orono.mn. s � � °� , o 0 ; =��:�:�.T� CIT of �RON4 ,� ��=�:r:��,:��. � ",�+�� ti�•ri�z'��'�;�,'�:� �' Municipal Offices ��'':'% �!�'.s�1� G~ . ``j";,fi�;-;.`;� � Street Address: Mailing Address: �kEB�I�g 2150 Kelley Parkwa P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: �q('0 c� l��q� 4'�6 i Address:_ �Qy S,Je �J . Ciry Ordinance 199 requires that each existing on-site sewage treatment syst m in Orono be inspected every twwo yeazs. The on-site se�vage treatment system at the above address has been inspected d appears to fall into the categories checked below. SYSTEM CONFORMITY 1-3 : � 1 ��CODE SYSTEM�� An ISTS which meets ail the location,design and construction dards ofthe current Orono blunicipal Code. 2 ��COi�fPLIANT SYSTEM�� An ISTS which does not meet all the location,desi and construction standards of the currerrt Orono Municipal Codz but dors meet tha thrze foot sepazation requuemen�and which is not failing or immineat threat to public hzalth or safety. 3 '�NON-COi�IPLIANT SYSTEM" Aprohibitzd ISTS;an ISTS located within dzsignated 100-year flood plaiq any ISTS which may or may not meet all the location,design,or construction standards of the currertt Oro o Nfunicipal Code and which is failin�for any reason;and any ISTS with lus than three feet of unsaturatzd soil or sand between the distribution evice and the limiting soil chuacteristics, TANK CONDITION(�-10): S. Tank inspection indicates: - � Pumpout not needzd at this time. C Tanl:must be pumpzd out this year (city coda requirzs tanks to be pumpzd out every 3 ears. Tank was last pumped ), 7 Solids accumulation in tanks is at a aitical a criticai levzL Tanks should be pumped ou as soon u possible. 8 Sy�stem is discharging to the surface. Tanks must be pumped out within 48 hours to e' ' atz surface discharge. 9 Inspection riszrs missing-tanks could not be inspectad. Inspzction risers(4"dia.pipe) t be instailed in each tank at nest pumpout If tanks have not bezn pumped out within the last three years,they should be pumped out now. 10 Inspectiun pipe is located directly over tank baH1e(does not give accuratz meazurzment of solids accumulation). If tanks ha�e not been pumped out within the lut thrze years,they should be pumped out now. DRAINFIELD CO�IDITION 11-14 : �\ 1 Drainfiald is dry,no surfacing evident 12 Somz avidence of surfacing,not crilical yet � � ' ' 13 Drainfield is saturated and visibly discharging untrzatzd e@luent to the surFace. Contad e City Inspzctor immediataly.Repairs muse be completed within 90 days. 1� Drainfield estent and condilion unknown COlvItiLENTS: 5��te�. ; S O�� 6-�t -6 � � Date of Inspection Septic System Inspeetor { Not�: In the evznt that tfus inspeclion report u used to satisfy the requuements for a moRgage or oth transfer of property,be advised thai this repoR does not guazang�e or czrtify that an exiscing systzm will continua to function properly,but is metely an opinion af the equacy of the systzin under curreut conditions bazed on the available infarmatioa