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Home My WebLink Aboutseptic info "," � \\ ' �, � ,�'�� \��, ; � '' �I'� o � , � ' � r;,�,., ,� �� , s,i , � �C,, � Municipal Offices , ti � `''� G Street Address: `�5a'a4q'yb� � Mailing Address: ��kE�H�� 2750 Ketley Parkway P.O. Boz 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: �5 �� C��'`'(��y 5��e ''��- 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 CONFORMIT'Y 1-3 : f_ 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 sepazation requirement or two foot requirement for systems installed 1996 or eazlier,and which is not failing or an unminent 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 constructio❑ 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 luniting soil characteristics. TANK CONDITION(5-71: � T k inspection indicates: 5 Pumpout not needed at this time. 6 Septic tanks must be pumped out this ear (city code recommends tanks to be pumped out once every 3 years. Tank was last pumped �Z—Zy�� ). Make sure septic tanks are pumped throuQh manhole and not throu�h white inspection pipes. This allows for the proper cleaning ICeep water softner and iron filter discharPe out of septic svstem to prolon�life of drainfield. Ask pumper to test alarm float to verifV alarm is still workinQ in vour house. The alarm warns owner that septage is about to backup into basement. 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 : 8 Drainfield is dry,no surfacing evident. 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: �`��^V � 5t��:L ��CS � °�� G51� • 6��—� � �c� Date of Inspection Matt Bolterman - Septic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a morteage or other transfer of property, be advised diat this report does not �uarantee or certif�� tha[ an e.�is[in2 s�'stent will con[inue ro function properh. but is mercl� an opinion of die adequac� of the system imder c:urrent cun�litiuns bascd on the available int'onnation. / �\` i� . / �.�. !O O,\�`� �f .,� _ '', CI'�Y O� UROI�U �I , , _ - � I 1, +'� �� ,l '' �, 1� Municipal Of�ices � ,.� , ".. ' � � ;,� � '� '�" ' �'".''.t'`� G %' Street Address: Mailing Address: � � ` , '�'' ; P.O. Box 66 �;_. 9 4� -� 2750 Kelley Parkway ��xE�� Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address o� � rG �U J^ �� 5� �� City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a periodic basis. The onsite sewaje 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 brou�ht into compliance within 90 days. Failure to do so will result in referral to the City Attomey for legal action. System Identified as Non-Compliant Yes �l�io If yes, system must be brouDht 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 tanlc be serviced and pumped out every three years. City records indicate the tank(s) were last pumped out on ; �_ �y -(; � . The tank(s) should be cleaned through the manhole and not throu�h the inspection pipes, tlus allows for proper cleanina. Comments: ;y�� '` �� Inspector��e°�� Date of Inspection � 'O� Telephone(9�Z)249-4600 • Fa� (9�21 249-4616 .�, o,�,. o. o -�� CITY of ORONO r:�.:�� .�� , y, . ��' ".�� '��,�}��f+;�(�h G•�,�' blunicipal Of�'ices �. � ''��'`` `g, MailinQ Address: � , T,,, �'y Street Address: �ESIID 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 95a-�49-4600 To Current Owner: Address: ��1U Cov�-��S;de /��_ Ciry Ordinance 199 requires fhat each existing on-site sewa�e treatment system in Orono be inspected every two years. The on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below. ,S. STEM CONFORMITY 1-3 : ( 1 "CODE SYSTEM"An ISTS which mtets all the location,design and construction standards of the current Orono biunicipal Cade. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono Niunicipal Code but docs meet the three foot separation requirement or Rvo foot requirement fcr systcros installcd 1996 or eazlier,and which is not failing or an immincnt threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited lSTS;an 1STS located within a desianated 100-year flood plain,any ISTS which may or may not mcet all the location,dcsian,or conswction standards of t�e cumnt Orono Municipal Code and which is failing for any reason;and any ISTS with lcss than t}uce fcct of unsaturated soil or sand betwccn the distribution device and the limiting soil chazacteristics. TANK COivDITION(�-.7�: s Tank inspection indicates: SO 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. '` T'ank was last pumped �-\g -Oa, �, Nlake sure septic tanks are numped throuQh manhole and not throu�h white inspection pipes. This allows for the proper cleanina. 7 Inspection risers missing tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. DR.AINFIELD CONDITION($-ip�: � �Drainfield is dry,no surfacina evident. 9 Some evidence of surfacin�,not critical yet. 10 Drainfield is saturated and visibly dischar�in�untreated eftluent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. CO��NTS: �� a�� c� ��-� -�-z.��1�5 (ob�� Gl� . �1 --�� - �� -_ �--�-_ Date of Inspection i�iatt Bolterman— Sepdc System Inspector Note: In the event that this inspection report is used to satisfy the rcquirements for a mortgagc ar other tratufer of propercy,be advised that this report does not guarentee ot certify thai an existina systcm will continue to function properly,but is merely an opinion of the adequacy of the system under cumnt condieions bised on the availablc inforsnation. � o�,. 0 0 . ,� �f��. �, CITY of ORONO ti Municipal Oftices �� . ' G~ Street Address: Mailin Addross: � � �i :" � g � `9$EggOg' � � 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 May 1, 2000 George & Oliverius Stickney 2590 Countryside Drive Long Lake, Mn 55356 Dear Mr. & Mrs. Stickney: An inspection of your septic system was conducted on April 25, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout needed within one year (last pumpout 10/9/97). The septic system is a compliant system, meaning it meets all or most current City and State Standards. Enclosed is a list of licensed contractors who work in Orono on a regular basis. This list is enclosed simply for your reference in case your septic system needs maintenance in the future. Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built drawin� is enclosed showing the appro�mate location of the septic system. It is recommended not to store any materials on the mound drainfield site. This could cause compaction and the mound could possibly fail, becoming a non-compliant system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. Re ectfull , � /�t�►�.,j � �Jv�c-�/ Chris Pence On-Site Systems Manager Enclosures In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be ad��ised that this report does no guarantee or certify the 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. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us �o� CITY OF ORONO O O Municipal Offices � Post Office eox 66 Crystal Bay, MN 55323-0066 a � ON–SITE SEWAGE TREATMENT � � INSPECTION REPORT �' G~ �9kESH0�'� Owner• � .— � l�J/�V��' Ad ess• �G tL/li -� � ,/� � Permit #'s: S� Dates: ontractors: / � ,�C'o City ordinance number 100 requires that each on-site seuage 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 � an existing system [ ] new construction) SYSTEM CONFORMITY 1-3 : 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 uhich does not meet all the location, design, and construction standards of the current City Codes, but uas 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 uaters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system uhich 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 uith less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristic [� has or [ ] has not been identified at this time. if the limiting soil characteristic has not been identi'�e21, this classification may be subject to revision.) TANK CONDITION (5-10): T,a�k inspection indicates: � Purnpout 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 dischar�e. 9 Inspection risers missing-tanks could not be insPected. Inspection risers (4" dia. pipe) must be installed in each tank at next purtipout. If tanks have not been purnped out within the last three years, they should be pt�rnped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been putiped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): Dr field inspection indicates: /�1 Drainfield 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. LIMITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): � COMMENTS: L a , Date of Inspection Sep ic 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 uill 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 pre�nises with the system locatien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO � O� Municipal Offices O � O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON-SITE SEWAGE TREATMENT „� � INSPECTION REPORT ti �L9kESH04�G Owner: �9!31� �-�f�7!/lP� Il /I'7!� Addres s: O� �t� BQJ� J "`IS�G.�v� �C�' P' (�Y�/"_S - Permit #'s: �(�=E�-/ Dates: �-f�3=F i Contractors: o �- � , City ordi.nance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site seuage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is � an existing system [ ] neu construction) SYSTEM CONFORMITY (1-3): 1 "CODE SYS7EM"-A system uhich 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 alt 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 D� 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): � T�nIQ inspection indicates: C5! Pumpout not needed at this time. 6 Solids accunwlation in tanks indicates they should be pumped out this year to help prevent future problems. 7 �olids 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 [nspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been purnped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): � Dr�e�n field inspection indicates: (1Y Drainfield is dry, no surfacing evident. "f2 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging u�treated effluent to the surface. Contact the City Inspector imnediately. 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.): ��,✓ COMMENTS: � �'_ - — Date of Inspection S ptic 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 properlyi 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 prE�nises uith the system loca±ien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore of Lake Misznetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT s POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystai Bay, MN 55323 473-7357 OWNER �/�n ��+''1� ADDRESS � � ��' �'38 -r3�� R1 � � ,. PERMIT NO.'S. �y`I DATES ��`� CONTRACTORS f^ � �' �� City Ordinance No. 210 requires that each onsite sewage treatment system in Orono be inspected on a regular basis.The onsite sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is �-an existing system ❑ new construction) f� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating �a properly. � 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. � 4 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 enda�gering 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 obtai�a permit before work is started. SYSTEM CONDITION ( m 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 Drai field 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. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Futu e Expansion O Soil table and system condition) �Adequate � High water table �Low ❑ Fair ❑ Lot size ❑ Medium ❑ Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: 7`-�� 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 existi�g 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 ��.r - On the NoYth Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT o POST OFFICE BOX 66 � . � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER J�YI �' !T1"�//�`P✓ �A/J� ADDRESS f K1P- ,(.JY PERMIT NO.'S. � � � DATES �/>��s�� CONTRACTORS � � 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 bee�inspected and appears to fall into the category checked below. (This is �-an existing system ❑ new construction) �( � Meets or exceeds current City standards in ell respects relating to design,construction,and location.Appears to be operating 6�� properly. � 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. � 4 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 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 Drai ield 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. O 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. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system conditionl �Adequate ❑ High water table � Low O Fair ❑ Lot size ❑ Medium ❑ Poor ❑ Lake,wetland,or stream ❑ High . ❑ Inadequate ❑ Drainage ❑System is causing visible s rface d�s ha e. COMMENTS: � � ►� � ��i �� I1 � � , �_ � �� , - ��r ��o �, 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 conditio�s based on the available information. This report must be kept on the premises with system location a�d pumping records. WH�TE COPY/ Inspector's File GOLD COPY /Homeowner O�t. 12. 2012 10 : 16RM No, 0962 P, 2 S•P TESTING� ��C. Sfieven B. Schirmers • MPCA Cert.No. 627 951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497-3566 n�, FAX (763) 497-5011 V�(% State License#394 � October 2, 24'12 � � � < �, f MeliSsa Murphy melissamurphy(c�edinarealty.com � 259U Countryside Dr. Orono, Henn. Co., MN �O � A Compliance lnspection was completed for the existing on-site sewage treatment system ioceted on this property. The system consists of 2-1600 gallon septic tanks, 1- 1600 gallon pumping chamber&a pressurized mound system with a 10' x 7'0' ro�k bed.. built ir� 1987 for a 5 bedroom home. Soil boring #1 found mottled (redox features) at 3.5' below the.ground surface. Soil boring #3 found the original soil at elev.111.3 & the bottom of the rock bed at elev.113.5 leaving 2.2' of sand below the rock'bed �a 5,T �r separafiion from the bottom of the rock bed & redox features. Soil boring#2 found mottl�d soil at 1.5' below the g�ound surface. Soil boring #4 found the original soil at elev.112.3 8�the bottam of the rock bed at elev.113.4 leaving 1.1' of sand below the rock bed 8� a 2.6' separation from the bottom of the rock bed & redox fe�tures. The system meets the required separation from the bottom af the rock bed &redox features. At the time of the inspection, efflunt was ponding in the rock bed & very near surface discharging, wet at the surFace. The system is classified as an imminent threat to public health &safety 8�will need to be upgraded within 10 months or as determined by the City of Orono. The tanks were opened which found the tanks dead, bacteria not living. The effluent in the pump tank was a gray milky color indiceting the bacteria is not living. The cause of this is from large amounts of disinfectar�ts, anti-bacte�ial soaps, etc. which will cause the rock bed to plug. A jar test was completed on the sand used to build the mound which found 3/8"to 1/2" of sediment, only 1/8" is allowed & is not classified as clean sand which could also be part of the cause of the faP�ure. It may be possible to remove the rock bed & sand & rebuild the mound. A design would need #o be completed prior to the work being completed. The cost for the design would be$550.00 with a credit of$100.00 from the compliance = $450.00. If the mound cannot be rebuilt, the cost fior a new mound design will be $650.00. The credit for the compliance will be for checking the existing mound ta see if it can be rebuilt. Steven B. Schirmers 1 Oc,t, 12. 2012 10: 16AM No. 0962 P, 3 �t:��,�- Minnesota Pollution Compliance Inspec i ��,�� Control Agency t OC� FO�I� i 5�0 Lafayette Road North Exlsting�Subsurface Sewage Trealment Systems , �i.Pa�WI,MN 55t5S-4194 �$$'rs� Doc Type_'Complienc�and Enforcement Ir�trucdona: Ihspection results based on Minnesota Pollution Contrvl Agency(MPCA) For local tracking purposes: I'equirements end att2ched forms—add'Rional local requlremenls may also apply. Subm(t completed fonn to Local Unit of Govemment(lUQ)and system awner wlthln 16 days �� System Status System status on date(mm/ddlyyyyj: q �a,'� � �Z.,. � ❑ Compllant—Certifica�e of Compliance �.Noncompliant—Notice of Nancompliance (Valid for 3 yaers fiom report date,unless shorter dme (See Upgr�de Requi�mants on page 3) frame outlined!n Lacal Ordinence_) Reason�s)for noncomplian�e(check all appllcsble) ; � Impact on Public He�lth (Compliance Cflmponent #�)—Imminent threat to public health and sefety ❑Other Compllance ConCftions(Complieqce Component#3f—Imminent fh►eat to public health end safety ❑Tank Integdly(Compliance Camponent #2)—Failing fo protect g�undwafer ❑Othe�Compllanoe Conditions(Campllsnce Compnnent#3)—Failing to pmtect groundwat�sr ❑ Soil Seperation(Compliance Componenl #4)—Failing to pmtect groundweter ❑Opersting permiUmonitoring plen requlrerrlents(Compliencs Component #5)—IVcncomplient Property Informatlon Parcel ID#o�SecJTwp/Range: Property address: __�; 5 °� O (ec��.��.\�'��S��o�v� . C�ti''�ti1 V Reason for Inspaction: �'ra�,.-�:�✓, �s�•�; ,�, �f;�::�' Praperty owner: Owner's phane: or Owners representative: �..� �, �� Representative phone: Locel regulatory authority: L�--��( p� (�g=,o�tic7 _ Regulatory authority phone: ��-;1,4`� -4�o U D Brief system description: a-�I l�lo S��'�-S�(.� 'f��\�G- I t�c�c�^Z�.�9��' �!-1 C��C'��`�' �• �.h„a o�� I u�e��u'�'o[,Y��'�, Comments or racommendations: � ��F`�� R� �i�yduf,,� Nv��;. Certification 1 hereby ce►tiPy that al!the necessery Information has bsen gathered to determine ihe FompUa�lce stafus of this system.,No determinatron of future system performence has been nor can 6e made due to unknown conditions dudng system construction, possible abuse of the system,lnaarequate maintenance, or future water usage. Inspedor name: �j�i�y(/�1 ,�, �j L'�11'Prt-�,�� Certification number: (�,a1 `�usiness name: 5 -` t� � 1, License number 3�i.+- inspector signature: '� '� - -�- /1i�� t.�q� _� � . ;�.• �.� �-� Phone number � ��_ t�eces5ary or Locally Requlred Attachments ��Soil borine logs �System/As-built d�awing ❑Forms per local ordinance :t�Olher intormation (list): 1.I�.�n.J ��I hf�� Oct. 12, 2012 10: 16AM No. 0962 P, 4 Property address: 2�S").O �0��r..�'�� S�v�- 'C�'. ' Inspector lnitlals/Date: ��,a �c�-� -)-� 1. Impact on Public Health—Compliance component#1 of 5 Com liance criteria: Verlilcatlon method(s): System discharge sewage to 1he �Yea ❑N� ❑ Searclied for surta�outlet round surfac�. � Searchad tor seeping in yardibadcup in home`��'`�� System discharge sewege to drain tile ❑Yes 0 No �� ceeeive ponding in sal syatem/D-boxea �(�6 S o�surface waters_ ❑ Homeawner tesUmony(See GbmmentsiExp�anallon� , � 'BIaGc soil"above soll dispersal system��'��'�. - System cause sewage backup into ❑Yes � No ❑ System requires'emergency�'pumping dwelling or esisblishment. ❑ Perfurtned dye test Any"yes"answer aborra indlc�ttes the system is ❑ UnBble to verify(See Commenls/ExplenafionJ an Imminent Threat to Publlc Health and Safety. ❑ Othe�methods not Ilsted(See Comments/�cplenetion) Comments/ExplanaUon: ��t'��b�"::�a ►:, '��.1�,.�.,� — ,;�,�� -s��4��, �1��,e��.J�:: i �p�,��. f 1'��•S� °l 4�� <`.,�" �"•1�11i. �,1..�aU 51�y ��0•� 'C'1��k��,� I �.\5i��.1�a �-}�I Ifi�C'.aJx'. 0 y�b��.;�ot�,. � . M�-G��,�... o� .S. Kc��c-w� ��.��r�vas.��.,c��t�. ��rac,►r�,G`t,�.�',,�1:9�t�, v�"� � �. Tank Integl'1ty—Cvmpliance component#2 of 5 �'�� w.�;�:�:, ti.�� y��;;��x�:�., � .�_________ ICom liance crlteria: Verification method(s): � System consists ofi a seepage pii, ❑Yes ❑No ❑ Probed tank(s)bottom , cesspool,drywell,or leaching piL ❑ Exemined const�udion recar+ds ,I Seepeqe p!(s meeflna 7060.2550 may be ❑ Examined Tank Inbegnly Form(At6ach) I com liant if allowed in locel ovdin�nce. p Observed liquiC level below operating depth Sewage tank(s)leak below their ❑Yes ❑ No [� ��mined empry(pumped)ianks(s) desi ned o eratln de th. If yes,whlch sewsee tank(s)leaks: ❑ Probed outside tank(s)for`black soil" �] U08ble{o ve�fy(See Comments/Explanalion) Any "yes"answer above lndlcates!he ❑pther methods not Ifsted (See Comments/Explenatlon) system �s Failing to Protect Groundwat�er. � Comments/E�cplanatian: �j(��i ��`t1�,��(I "�9 'S,Or�I� 11��%'�^'b"�"{ 'P-�@�� 3. Other Compiiance Condltions�Compliance component�i3 of 5 e. Malntenanc9 hole oove�s al�demeged,crack,ed,unseatred,or appear to strudutally unsaund. p Yes• F]No ❑Unknown b. Other issues(elect�cal heza►ds,ete.)to immediately and edversety impact public heafth or safety. L�Yes' 0 No 0 Unknown "System Jls an Imminent threat!o publlc health and safety Explain: c. System is non-protedive of ground waler for other oonditions as detsrmined by inspedor [�Yes• �No "Sysiem is falling i+o proCect groundwaier Explain: � � � OGt, 12. 2012 10: 17AM No, 0962 P, 5 � Properly address: ;l��` �� ' Inspector inlUafs/Date: �,�+�- �J r��"L-1�-• �, 5oil SepaYation—Compliance component#4 of 5 �ft��u"�, I��i,�, ; Date of installatlon: 1�� 7 �D Unknown Veriflcation method(s): ShorelandlWAllhAad p�obecGoNFood Baverage Q Yes �NO Soil obse►vedan does not expire. PI'9vI0US SOU I LQde�"�� o6serva6ons by fwo independent pa►ties are suf�cient, Com lien�e C�lterle: u�Jess site aondiHons have been alte�d orloca/ requirements differ. For systems built pdor to April 1, 9996, and � Yes CJ No not locat�edln Sho�elend orWellhsad � ConduGted soll ob5elvation(s}(Attech boring IogsJ Prot�cBon Aree ornot se�ving a food, ❑ Two previous verifications(Aitach boring�ogs) � beverage o�ladging esreblishmenf: ❑ Npt$ppiiceble(Holding tank(s),no drelnfield) Drainfield has at leest a twafoot ve�tical 0 Unable to veriiy(See CommentslExp►enation) separation distance ftom perlodically 0 Other(See Commenfs�Eup/anation) seturated soil o�bedrock, Non-perfomtance syst�ms built Ap�111, ❑Yes [�No Comments/Expla�atlon: � 1996,ar leter or for non performence systems located!n Shorelend or Wellhaad Protection Aress orserving a food, beverage,o�lodging establiahmenf: - Drainfield has a three-faat vertical separatlnn disiance from perlodlcaUy � saturated soll or bedrock.' Expe�lmental; "Othe�', o� "Pe►fo►m�nce" ❑Yes ❑No Illdfc8te de ths of elevations systems built underpre-Z008 Rules;Type IV `-g"" ' ��•� or V systems built unde�2008 Rules(7080. A. Bottom oF distribution media e�.>"`� � �i'�.4 Y350or7080.2400 (AdvBnced Inspector �:La 1�3•S' License required) B. Periodicall satureled aolUbedrock s;?,"� l,S� � DrainfielA meets the designed verlical '1'��`r �� '�� separation dislanc�from periodically C, S stem se aration 5v 1°y x a• �•l� satureted soil or bedrock. = a.O/ D. R uirad com liance se a�etlon Any "no"answer above indieares the system is �May be reduced up to 15 percent if allowed by Locel FaJling to Protect Groundwater. Ordinance. 5. Operating Permlt and Nitrogen BMR"—Compliance component#5 of 5 � Not appllcable � Is the system opereted under.an Operating Permit? ❑Yes (]No If"yes",A below Is required Is the system required to employ a Nitrogen BMP? ❑Yes [� No If'°yes",B below is required BM�B�st Management Practice(s)speci6ed in the syslem design !f the anawer to both questlons is "ho'; this sect�on does not need to be comp/eted. � � Com liance cNterla a. Operating Permit number: ❑Yes ❑ No Have the O eralin PeRnit re uirements been met? � b. Is the r uired nitro en BMP tn lace and ro tl functionin ? ❑Yes ❑No Any "no"answer indicafes Noncomp/iance. i Upgrade Requlrements(Mlnn. Slat.§'115.55)An imminent threst to publlc heelth and sefety(ITPHS)must be upgraded,repleced,or its use dlscontinued Withln ien months o(raceipt Df tf1ls nOtice or wlthln a shoite�pBliod Il rer�uiied by loCal o/dln9nCo.If the system ie lall/ne to plufect � ground water,the system must be upgr�vded,►@p/eced,o�ita uae diSaontinued withln the Ume�squirBd by foce/ordlnence.I►en euristing system is not feiling as de�ned in lew,and has af►east two fesf of deslgn soi►sepereNon,fhen the system naed not be upgraded,rapeired,repleced,or ffs use d�scontlnued,nofwlthstanding any/ocal ondlnence thet is more sMct Thls provlsion does not apply to sys[ems in shoreland erees, Wellhead Profectlon Aress,or those used In connection with loal,beverege,aRd lodgine establishments�s defined in law. „ Oct. 12. 2012 10: 17AM No. 0962 P. 6 -�---�� \ �� `� � 1 � . � � � � i , � �. :� i� , , � W . ` ox � Im_ / e�� ' Q� �_, ;; �;� �- . — I � r' � � s� � � I , I �� o i � �� F �- '� I � ' $� � . 1 �, /IL �'/'''% F � _ � � , . �_ / 1 rn� � /� � i s �� ` �/ I d�/��/ � ` � ( w�' s- �I � J_ y� � � I� Sh _ t '�”. ,I" S ��-.� � p � i ,k �.--� ,C .•-L� '� , �J J w� c�' I � V� , �""�,d,m l� s u' ` �i �G�` �� W lrW � :� o�� ¢ „ ,� ..� -i� �� N- �o '� �'� �X � �`�;, �:� �,� . . � ^ -r•. -.� � 9 � s 'J� � (� I J � ,l . , � � !�o � � k . i: 9, : `l� � � � � � � ;, �- a � �1 L � �`� " �W � � ' � �" N a 9 , � ' ( , � �� - ' � ,. 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