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Home My WebLink AboutSeptic info . ' SEPTIC SYSTEM INVEN�'O�Y Address: 4565 Bayside Rd. PID: 06-117-23 21 004� Buildiug Typ residence #BRs/GPD: 3 #Systems 1 Units Billed 1 P�nmit#: 2486 Date of Pernnit: 11l1/89 Installer: Patnode Bros. S}•stem Type mound Experimental: no Appliances SYSTEM C01�UIT"IUN Conformity: l. Tank Condition: 9 DF co�ditian: l 1 FaiIure Pot: low .SEPTIC TA.NXS' 1�Iaterial: precast concrete Capacity: 1000, 1000, 1000 Setback to Bldg: 70 Cesspool: DRAINFIELD � Length of Lines 124 #Lines: 3 Trench Width: 10 Treatment Area: 7Q*39 Type of Filtez rocic,clean sand Soil Boring: no Tile Size: 1_5 Uttder Tile 9 Perc Rate: 11.2 Setback DF-Bldg: 120 DF Ht above Wt: 3 Soil Type: loam Limitations: water table WELL DA�'A Setbacks-Well-Tanks: 50 Well-DF: 75 Report in File Pump Type: Depth: Diameter: Method: �SPECT'ION RECORD PUNfPOUT RECORD DA?'E DESCRIPTION COMPLIAN�'E DATE GALLONS 11/I/89 replacement instattation 1 9/3/93 IQ00 7125/91 no surfacing I 12/8/97 2000 8/13/93 no surfacing-pump tank� 1 7129/97 no surfacing-pump tanks 1 11/I2199 no surfacing 1 �� s�e ,��. . y �. .p. ..�. .�.� � � � �� '--a`.� � ��o--- , , , �, . � � � � �� --�— \v; � I � � i ( I � �— .4J o— c�7 rM., � � � \ f 1� � h � � � � N F-�i �. �..,.., �t'6 �M Page 1 of 1 Subj: 4565 Bayside Rd -Permit 2015-00115 Date: 2/19/2015 4:33:29 P.M. Central Standard Time From: M�urtisc�ci.arono.r�in.us To: MtroWsf76�ao{.com CC: LOman d:ci.arano.mn.«s, MGaffron�c�ci.orono.mn.us, �.Mattsof��ci.c�rono.mr.us Loren Please see the attached compliance certificate for the property at 4565 Bayside Road (Permit#2015- 0115). They are constructing a new home and hope to reuse the existing system on the property. I believe I need additional information, yes?? Please let me know so I can properly direct the builder... Thanks. Melanie Melanie Curtis Direct 952.249.4627 Planning & Zoning Office 952.249.4620 2750 Kelley Parkway, Orono, MN 55356 Email: mcurist�ci.orono.mn.us Website: v<rww.ci.orono.mn.us �i rt G �aYi+� (,��. c.-�. E� ��.�uu� �o S�c �o-�,s-�s, s Y 1 �`4 �.. .s o*� �7 p d� �e ti s4 ��'c a /.� t��o a... /�s y-^ �� / �rv /¢l�y�— ..,� �c S i 7'"z .,..-. ..y � �j� �� Friday, February 20, 2015 AOL: MtroWst76 Page 1 of 1 Hi Melanie, We will have to see plans. System is on�y good for a three bedroom home. An altenate site must also be provided Thanks Loren In a message dated 2/1 9/201 5 4:33:29 P.M. Central Standard Time, MCurtis@ci.orono.mn.us writes: Loren Please see the attached compliance certificate for the property at 4565 Bayside Road (Permit #2015-0115). They are constructing a new home and hope to reuse the existing system on the property. I believe I need additional information, yes?? Please let me know so I can properly direct the builder... Thanks. Melanie Melanie Curtis Direct 952.249.4627 Planning &Zoning Office 952.249.462Q 2750 Kelley Parkway, Orono, MN 55356 Email: mcurtis{a�ci.orono.mn.us Website: vr.°vw.ci.orono.mn.us 1 Fridav_ Februarv 20_ 2015 AOL: MtroWst76 �.. __�_ � �. . \ ---_ _ -_____ ____ _.___ � � �� b.� ��b tttU .L � ` , .� ��\� J _'"; {'�, �,� u1 �..�. � � C� b£'L b,hG u2 _'L � � _ � � � � � l�--y �{ �9 I.� �` ' Q � tY � � � . i `` � SEPTIC SYSTEM INVENTORY Site Address: 4565 Bayside Rd PID 06-117-23-21-0005 Owner Name: Peter& Sharon Rennebohm Owner Address: 4565 Bayside Rd Maple Plain MN 55359- BuildinqType: residence Installer: Patnode Bros. Date of Permit: 11/1/89 Svstem Tvpe: mound BR's Designed for 3 .�t, ��,' � In Musa?: No Shoreland?: �' � SEPTIC TANKS: ��`� Material: precast concrete Capacitv: 1000, 1000, 1000 Tank�ilter � � "�� '� DRAINFIELD: 7�„�-�' Treatment Area: 70'`39 Soil Boring: no s�� D� Ht�above Wt: 3 WELL DATA Setbacks -Well Tanks: 50 Well DF: ` 75�� Report In File: Depth: � . INSPECTION RECO�S, � PUMPOUT RECORDS II_ __ ,; _ ._ _ , ------ - _---- Date Not�2s � I Date GallonsOfLiquid I 9/17/2014 Compliance Inspection-System compliant until 9/14/2017', � 6/16/2014 3000 I; � 11/1/2005 OK 7/14/2011 1000 � 6/16/2003 no surfacing � 6/21/2007 3000 �, 6/4/2001 code system, no surfacing 5/7/2007 3000 '� � 11/12/1999 no surfacing 4/16/2004 2000 �!, . 7/29/1997 no surfacing-pump tanks 9/27/2002 1000 I � 8/13/1993 no surfacing-pump tanks 4/20/2001 1000 ', �� 7/25/1991 no surfacing �� 3/13/2000 1000 � 11/1/1989 replacement installation _ i, 12/8/1997 2000 � _— _ _ ---------_ ____ _ _-- 9/3/1993 1000 ��5 �� e �2�. y .� .� � � � � ; ,--�.� � , � ,� • , � , z � �� : �- ; , ~ � � ,, , � , � � a � � � � � 4� .M _n� � � � � H H � � �-� �-M METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 BOX 248 • LORETTO, MN 55357 CITY OF �/Zp �,�s� WORKSHEET FOR SEWAGE DISPOSAL WORK Date Inspector Building Permit No. Owner Property Address �� i�C,•� �S'/eY� �D.•,t�Y Kind of Building SSTS Installer License# Septic Tanks Material Number of Tanks Size Drain Field: Total length of fines Number of fines Type of soil Percolation Test Width of trench Type of filter material Size of Rock Bed Size of Absorption Area Draw detailed diagram with measurements indicating distances to septic tank risers from a permanent structure. }�,rm�� Z��>- �o� i5 ��o SEPTIC SYSTEM APPROVAL y� � Street Address: Mailing Address: Telephone: (952)249-4600 �,y �� 2750 Kelley Parkway PO Box 66 Fax: (952)249-4616 KFSHO� Orono, MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us Address: " I�-�� -L��I�� ( il��_ -� HomePhone: Owner: Work Phone: Site Evaluator: State License# Site Evaluator Phone Number: Garbage Disposal? Yes? No Number of bedrooms: � Est. gallons per day: ?.�O Water meter required? Yes No1/ Notes: a��y.�'� �"'`'�9'��"-"',T�ef^1 TS� TYPE OF TREATMENT SYSTEM At-grade system: /�o v�� i� ��T I Gravity trenches system: / Pressurized trench system: Gravity trenches with lift: Pressurized bed system: Holding tank with alarm: Number of tanks: �- /3mo 9R.-� Septic Tank Sizes: 1.3m0 9*�1. ..9�/I �� Lift tank size: .�D 0 Pump brand: GPM: 3l Head: l�. 2 TREATMENT SYSTEM � � �� Minimum: �:� /��%�� `�-�- ti l l4��« i3�..% L.•:- f>f.,jvL �S square feet with � inches of rock below pipe Type of covering: Fabric:l/ Other: R = c o...._. �...� ,q/�.,r.,... �v t -r-ti: �.l�a ��r•.t, SEPTIC HISTORY � Compliance Report attached? YES ' None City as-built on file attached? YES�' No, explain SITE EVALUATION YES NO N/A Soils borin s. ✓. At least three soil borings shall be completed for each new drainfield site designed. Each soil boring must be located within the drainfield site or within close proximity along similar contours such that similar soil conditions are likel . For additions to an ISTS, at least one soil borin Percolation tests � At least two percolation tests shall be completed �n test must be located within the drainfield site or within close conditions are likel . /� �� s��,f �?•Gv-s � For additions to existin ISTSs, at least one erc� �o�o Piot Plan. A scale drawin of the entire lot show r All ro ert lines and lot dimensions / ��wGL� �� ,�.... All existin and ro osed structures �9 'G f All existin or ro osed well locations or water su ✓ Relative elevations of house, lot corners and drair � � ��„�.�- `J ✓ Slo e of round at drainfield sites b contour line; !�� Location of all percolation test holes and soil borir �ons of each �5,�}'G�� Prima and alternate drainfield areas identified _ / Distance from primary and alternate drainfield are n, march V or draina e channel within 75 of an art of the se w:\septic\septic system approval revised 2-2015.docx Page 1 0 City of Orono Septic System Approval ISTS DESIGN YES NO NA ISTS design specifications shall include proposed flows or other sizing information, minimum sewage tank capacity, minimum soil treatment area requirements,a plan of the component layout and all other information necessary to assure the City that the ISTS is designed and will be constructed to receive,treat and dispose of all of the sewa e from the buildin served. Setbacks Feature Sewa e Tank feet Soil Treatment Area feet ✓ •• Dee well 50 50 � Wetland 50 50 General Develo ment Lake 75 75 Recreational Develo ment Lake 75 75 Natural Environment Lake 150 150 Tributaries/Streams 75 75 Drivewa s, sidewalks,decks and other hardcover 10 10 Pro ert lines, buildin s and buried i es 10 20 • Lawn s rinkler s stems 10 10 Sewa e Tanks. r Number of Bedrooms Tanks Liquid Capacities(gallons) — 4 or less 1,000+ 1,000 re ardless of arba e dis osal use 5 or 6 1,250+ 1,000 re ardless of arba e dis osal use �- 7, 8 or 9 1,500+ 1,500 re ardless of arba e dis osal use — 10 or more Sewa e tanks shall be sized as other establishments er MN Rules 7080. Pumpin Stations. In order to standardize installation and electrical connection methods,the following pumping station requirements must be met in addition to MN Rules cha ter 7080 Electrical connection: A waterti ht, lockable electrical box must be mounted on a four-inch b four-inch treated redwood or cedar ost. � All electrical connections shall be made within the box. Pump connection must not be made using a direct line lu -in onl . Wire ent to the electrical box shall be sealed with a waterti ht material such as foam or utt . Alarm and um floats shall be on se arate electrical circuits. Electrical wire from the power supply must not run over any tanks and must be laid beside the tanks and placed in conduit alon the electrical ost. Electrical cords from the pump and floats must be run through a two-inch PVC(or equivalent)conduit(schedule � 80)with a one-inch gap between the conduit and the electrical box. Electrical cords must not run through or under the manhole cover. Wires must not have round contact. Pumpin Chamber: / Pressure pipe exiting the pumping chamber must be laid on a uniform slope up to the soil treatment area for �� proper drain back. The pressure pipe must be sleeved and inside a larger diameter pipe for additional support if spanning ground that has been excavated. If the pipe at the tank must be lower than union to get elevation for drain back,a one- uarter inch wee hole must be used. When soil depths above the pressure distribution pipe is less than 3'/z feet, insulation must be added to achieve an insulating factor equal to 3'/2 feet of soil to decrease the potential for freezing(Styrofoam or concentric piping are acceptable methods). Piping under hardcover, such as tennis courts or driveways shall be insulated pipe or e uivalent. � !�a ti A reserve capacity equaling 75%of the anticipated daily flow must be allowed into the pumping chamber between 0 the alarm activation level and the um tank inlet. Protection of drainfield area. �,� Proposed drainfield areas shall be identified and marked off on the lot at the time of the site evaluation and prior to �� S � any construction or grading occurring in the area. The drainfield area shall remain undisturbed until drainfield �t a� �onstruction is commenced. No vehicular traffic shall be allowed in the drainfield area either before or after b o M•� drainfield installation. ACCEPTED � DENIED b the Metro West on behalf of the City of Orono subject to existing regulations and the following conditions: ..�- ..,. � ��.� !�v mu � � ,,.._ -K .,,.. v- .y+ t s' u � urc 2 Sr'{�s �'t��: Inspections required: � � � 1.�-/��o ,�/. c - Ss � e -.i . x 2• SAw.e� l� c,fc , ,�. � `' /t rX" .,✓) 3. i•• r nc ro.,•. 4 R/•4,1..�— c 7� �I A� �. /t ,6� C's.� ..��s.� B��i1�,.� .�Gx�•� Printed Name: .0 42�'.V /'f o ��'�✓ Date: 3 J� iS w:\septic\septic system approval revised 2-2015.docx Page 2 of 2 Minnesata Poilution Compliance Inspection Form � Controi Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St.Paui,MId 55155-4194 ($ST$� Doc�ype:Compliance and Enfor�ement Instructions: Inspection resuks based on Minnesota Pollution Corrtrol Agency(MPCA) For locai tracking purposes: I requirements and attached forms—additional local requirements may also apply. � Submit completed form to Local Unit of Govemment(LUG)and system owner within 15 days � System Status System status on date(mmldd/yyyy): 9/17/2014 � Compliant-Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance (Va1id for 3 years from report date, unless sho►ter time (See Upgrade Requirements on page 3) frame outlined in Local Ordinance.) Reason(s)for noncompliance (check aU applicab/e) ❑ Impact on Pubtic Health(Compliance Component #1)—Imminent threat to public health and safety ❑ Other Compliance Conditions(Compliance Component#3)—Imminent threat to public health and safety ❑Tank Integnty(Compliance Component #2}—Failing to protect groundwater ❑Other Compliance Conditions(Compliance Component#3}—�ailing to protect groundwater ❑ Soil Separation(Compliance Component #4)—Failing to protect groundwater ❑ Operating permiUmonitoring plan requirements(Compliance Component #5)—Noncompliant Property Information Parcel ID#or Seclfwp/Range: Q611723210005 Property address: 4565 Ba�side Road,Orono,_MN ____ Reason for inspection: Property Transfer__ Property owner: _Peter Rennebohm _ _ Owner's phone: or Owner's representative: ____ _ Representative phone: Local regulatory authority: Ci of Orono_ ______ Regulatory authority phone: 952-249-4600 Brief system description: 2-1000 and 1-1000 gallon lift station and 410 square feet of mound rockbed. per ciry records Comments or recommendations: Certification I hereby certify that all the necessary informafion has been gafhered fa defermine 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, possibte abuse of the system, inadequate maintenance, or future water usage. Inspector name: Joseph J Olson Certification number: 1255 Business name: Rust Olson's Soil&Perc.Testing License number: 810 Inspector signature: ----•• ----.�__� ___ _ Phone number: _ 763-498-8779 Necessary or Loca(ly 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 atternative formats wq-wwists4-31 • t/24/12 Pvge t of 3 Property address: 4565 Bayside Road �rono ArfN _ _____ Inspector initials/tlate: J. O.9/17/14 1. 11'1'1pdCt o� PUbIiC �-le8lth—Compffance component#1 of 5 Campliance creteria; --,- _---- Ver�cation method(sf: Sysfem discharge sewage to the ❑Yes �No � Searched for surface outiet �round surface. i � Searched for seeping in yard/backup in home ___.------ -• �__.. System discharge sewage to drain tite � [)Yes �No ❑ Exaessive ponding in soil systerND-boxes or surface waters_ [� Homeowner testimony(See Comments/Explanation) Sysfem cause sewage backup into ❑Yes � ��B�ack soit"above soil dispersal system dwelling or establishmenf. ; ��O ❑ System requires"emergency°pumping - ❑ Performed dye test Any"yes"answer above indicates the system is ❑ Unable to verify�See CommerrtsrExplanation) an lmminent Threat to Public Heaffh and Safety. ---- __ ______ ❑ Other methods not listed(See Comments/Explanation) CommentsJExplanation: 2. Tdt1k It1t�t'lty—Compliance cornponent#2 of 5 Compliance criteria: __ Verification m�thod(s); System consists of a seepage pit, i Q Yes cess ool,d j ��O � Probed tank(s)bottom p rywelf,or leaching pit. � Examin�d constructian records Seepage pits meeting 7080.2550 may be ; ❑ Examined Tank Integrity Form(Attach) _com�fiant if atlowed in local ordinance. '; ❑ C3bserved iiquid level below operating depth Sewage tank(s1 leak below their � ❑Yes � No ue��yr�:.��,rarufi„ �� th. � ❑ Euamii�ed empry(pumped)tanks(s) -�-—�-----_____�._t !f yes,which sewage tank{s)leaks: � ❑ Probed outside tank(sj for"black soil" - -----------------___....__.__ _ _ L.______. ❑ Unable to verify(See Commenfs/Explane6on) �11y "yes"answer abave indicates fhe �Other methods not listed(5ee CommentsfExplanation) sysfem is Failing to Protect Graundwater. Comments/Explanation_ 3. Qther Complian�e Conditions—Comp�iance component#3 of 5 a. Mai�tenance hole covers art damaged,cracked,unsecured,oc appear to struchrrally unsauncf. ❑Yes" �No p Unknown b. Other issues(e�ectricat hazards,etc.}to immediateiy and adversely impact public healfh or safety. ❑Yes* �No ❑Unknown '`Syst+em is an imminent tfrr�at fo pub/ic hea/th and safety E�cpiain_ c. System is non-protedive of ground water for other condi6ons�determined by inspector ❑Yes- �No '`S�rstem is failiag to protect�roundwaisr E�cplain: ----__. __-- www.pca.state.mn.us • 651-Z96-63QQ • 8d0•557-38b�4 • TTY 653-282-5332 or 800-657-3864 • Avaitabie in attemative formats wq-wwists4-3f . t/24/i� Page 2 af 3 Property address: 45fi5 Bayside Road,Orono,MN -- _____ InspectorinitialslQate: J.O. 9l17/14 4• 5Oil Sepd�dtiOn—Gompliance component#4 of 5 [?ate of instaitation: 11/01J89 ❑unknown Verifica#�on method(s). Shoreland/Weiihead protectioNFood Beverage �odging? ❑Yes �No Soii observation does not expir�. Previous soil Complaance cri#eria_ observa6ons by fwo independent parties are s�cienl, —� __ _ unless site condi#ians have been altered orloca/ For sysfems buitt prior to Apri11, 9J96, and �_ r�9�«menfs diffier. , ❑Yes ❑No notlocated in Shoreland or U'�ellhead I � Conducted soii observation(s){Attach borieg logsj Protecfion Area or not serving a food, beverage orlodging estab/rshment� ❑ Two previous venfications(Attach bonnglogs) i ❑ Not applicable(Halding tar�k(s),na drarn{reld) �rainfield has at least a two-foof verticai � separation distance from periodically ' ❑ Unable to verify(See Comments/Enplanation) _saturated soil or bedrock.__ ` ' ❑ Other{See Comments��xplanatian) IVon-perfonnance systems built Apri!7, ! �Yes ❑No Comments/Explanatior�_ 1996; orlater or for non-performance systems located in Sitoreland or Welthead P�atection Areas or serving a food, 6everage, orlodging establishment.� Drainfield has a three-foot verfical separation distance from periodically saturatecf soif or bedrock.'` � "Experrmentar'; "Other'; or "Perforrnance" ❑Yes ❑ No Indica#e depths of elevations systems built under p�-2008 Rules; Type IV ! -- ;----- or V Systems buil(unde►'2008 Rufes(7080. ' A_ Sottam of distribution media __ �`_y$.4 2350 or 70g0.24Q0 (Advanced Inspector , ----__ ___ License required) � B. Periodiratly saturated soil/bedroak__� 95.6 __..___.__.__.__. _ — raintipld meets tha designed vertica! ' i – separation distance from periodically I �. System separation__ _ _ �.g _ _ . -- saiurated soil or bedrock i — D. Required compliance separation'_ 2.6 Any "no"answer above mdicates the sysfem is nna ae reduced u to�5 Fai/in _to Protecf Groundrvater. � Y P percenf if allowed by L�caf ----�------ Ordinance. 5. Operating Permit and Nitrogen BMP*—Comp�iance cornponent#5 of 5 � Not applicable Is the system operated under an Clperating Permit? ❑Yes ❑ tVo If"yes",A beiow is required ls the system required to empioy a f�itrogen BMP? �Yes ❑ No Ifi"yes",B below is required BMP=Best Management Practice(sJ specifred in fhe system desrgn If the answer to both questions is "no; this section does not need to be completed_ Com Iiance criteria ---�-------_------____- ------- - ---- ----_.____.Y__---- a. Operating Permit number: i ------ __-- _ ---_ Have the O rati Petmif � Yss ❑No ________� ___._Pe_, � r�equirements been met. _b. ts the required nitm�en BMP in place and�roperly functioning? i ❑Yes ❑No Any"nv"answer i»dicates Noncampliance. Upgrade Requiremenls{Minn. Stat§i 15.55J An imminent threat to pLblic hea/M anct safery(ITPfiS)must be upgradeci,replaced,or its use discontinueci wiihin ten mond�s of receipt of this rrotice or within a shorter period if�equired by loca!ordinance.lf the system is failing to protect gmurrd water,fhe system must be upgraded,replaced,or its use discarrtinued within fhe time�qui�d by locaJ ordinance.lf an exisSng system is rtot failing as defined in law,and has at teast iwo feet of design soi!separation,then the system need nof be upgradeof,repai�d,replaced,or its use disconbnued, notwithstanding any loca/ordinance that is more sfriet This provision does not appfy to systems in shoreland a�as, We!lhead Protection Areas,or those used in connection with food,beverage,and lodging establishmenfs as defrned in law. --__---- ____ __ _ .__ ____. __ .__ ___ ___ _--- __ www.pca_state.mn.us - 651-296-6300 • 800-557-3864 • TTY 651-282-5332 or 800-657-3864 • A�ailable in aitemative formats wq-ww►st54-3f • 1/14112 Pa�e 3 of 3 . ��5 �� s;�e ��. y � �. � � � ; �� . ; �� . . , ��` � `. t / � " � '' / -�-- / \ : ..r � � i . ! � i � � � � � n � � � � N1 � � b�o � H H � � �� M SEPTIC SYSTEM INYE.NTDR Y Address: 4565 Bayside Rd. PID: 05-117-23 21 OOUS Building Typ residence ,#BRs/GPD: 3 #Systems 1 Units Billed 1 Pernut#: � 2486 Date of Permit: 11/1/89 Installer: Patnode Bros. System Type mound Experimental: no Appliances SYSTEM CDNDITXON Conformity: 1 Tan.k Condition: 9 DF cond.ition: 11 FailUxe Pot: low SEPTIC TANgS Material: precast concrete Capacity: 1000, 1000, 1000 Setback to Bldg: 70 Cesspool: DRAINFIELD � Le�igth of Lines 120 #Lines: 3 Trench Width: 10 Treatment Area: 70*39 Type of Filter rock,cIean sand Soil Boring: no Tile Size: 1.5 Under Tile 9 Perc Rate: 11.2 Setback DF-Bldg: I20 DF Ht above oVt_ 3 Soil Type: Ioam Limitation�s: watez table WELL DATA Setbacks-Weil-Tanks: 50 Well-DF: 75 Report in File Pump Type: Depth: Diameter: Method: INSPECTION RECORD PUMPOUT RECO.RD DATE DESCRIP?TON COMPLIANCE DATE GALLONS 11/1/89 replacement installation 1 9/3/93 1000 7l25/91 no surfacing 1 12/8/97 2000 8/13/93 no surfacing-pump tanks 1 7/29/97 no surfacing-pump tanks 1 11/12/99 no surfacing 1