HomeMy WebLinkAboutseptic info 2/25/02 Water/Wastewater-ISTS9.31
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� Compliance Inspection Form for Existing : 'i
_ _ Individual Sewage Treatment Systems Minnesota Pollution
.�,�.� Control Agency
Completion of Ihis form fulfills the minimal requirements of Minn. Stat. § 115.55(2001)and Minnesota R. ch. 7080(1999). Please refer
to local ordinances for other requirements or information, especially for compliance requirements for bedroom additions.
General:
Date of Inspection: � o d Reason for inspection: S'9"!�
Property Owner(s) Telephone ( )
Person requesting inspection Tel�phone ( )
Site Address � 7.�J� ��'�� �-�y� lJt, � City ��L��r� Zip Code
Fire No./ Parcel No. County l�£�vw..s�� Township
Legal Description
Local Regulatory Authority � � �-f
Date system constructed f�� g-�5 System in Shoreland Area: yes t� System in Wellhead
Protection Area: yes ((� System serving a MDH licensed facility: yes �Local Permit# (if any)
Systems built prior to April 1, 1996 and not located in Systems located in Shoreland or Wellhead Protection
Shoreland or Wellhead Protection Area or Serving a Food, Areas or Serving a Food, Beverage or Lodging
Beverage or Lodging Establishment Establishment, or systems Built after-
March 31 1996
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Is the sYstem an imminent threat to public health or Is the system an imminent threat to public health .
safe ? (a yes answer is an ITPHS system) or safetv? (a yes answer is an ITPHS system)
- Discharge of sewage to the ground surface? YES -Discharge of sewage to the ground surface? YES NO
- Discharge of sewage to draintile or surface waters? YES � -Discharge of sewage to draintile or surface waters?YES NO
- Sewage backup into dwelling? YES � -Sewage backup into dwelling? YES NO
- Situation with the potential to immediately and -Situation with the potential to immediately and
adversely impact or threaten public health or adversely impact or threaten public health or
safery? YES � safety? YES NO
Is the system failin4? (a yes answer is a failing system) I�the system failinn? (a yes answer is a failing system)
- Less than TVVO feet of vertical separation between -Less than THREE feet of vertical separation between
system bottom and saturated soil or bedrock? YES � system bottom and saturated soil or bedrock? YES NO
-A seepage pit, cesspool, drywell, or teaching pit? YES � -A seepage pit, cesspool,drywell, or leaching pit? YES NO
Is the system non-compliant? Is the system non-compliant?
- Is the system regulated under a monitoring plan or - Is the system regulated under a monitoring plan or
operating permit? (if no, go to page 2J YES � operating permit? (if no, go to page 2) YES NO
If yes, If yes,
- Has the required monitoring taken place? YES NO - Has the required monitoring taken place? YES NO
(If no, the system is non-complying) (If no, Ihe system is non-complying)
- Does the monitoring indicate that the system meets -Does the monitoring indicate that the system meets
performance expectations? YES NO performance expectations? YES NO
(If no, the system is non-complying) (If no, the system is non-c�mplying)
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Page 1 of 2 wq-wwists4.31
Property Owner(s) Fire No./ Parce) No.
......................................................................................................................................................................................................................
Svstem Components (Please describe the system co ponents an attach s� ketch showing system location).•
c �t✓ �" �0 tl k.,c/ c� /✓ ��-� /
What methods were used ta make the determinations for the compliance inspection? (Note.�No standard p�otocol exists.
The fol%wing list is not exhaustive, or in sequential orde�nor indicates which combinations may nece5sary to make a determinatron)
Watertight tank(s) Hydraulic Functioning Vertical Separatioq Distance
❑ Probed tank bottom �(' Searched for surface outlet � Conducted soil borings J�
❑ Observed low liquid level ❑ Performed hydraulic test Depth to limiting layer �l
❑ Examined const. records � Searched for seeping in yard Dept ���t� botto�n���'K �J
/h�d� '�'� 'J /
rpt Ex�r,nined�mpty�pumped)tank ❑ Checked for back-up in home ❑ Examined ecords �j'�P��,�y����
�D c.«.•o ?,�
❑ Prob�d o tside nk for"black soil" ❑ Excessive ponding in soil system/D-boxes ❑ LGU L(miting Layer Verification
❑ Pressure/vacuum check ❑ Homeowner testimony ❑ Other
❑ Other ❑ Examined for surging in tank
❑ "Black soil"above soil system
❑ Other
Status of the svstem
Based on the compliance criteria, the system status is: (check one) ❑ failing (to protect groundwater) ❑ an
imminent threat to public health or safety(ITPHS), � non-compliant (monitoring issue)�compliant (none of the 3
previous conditions). Therefore, this document is a: � Certificate of Compliance ❑ Notice of Noncompliance
Is this system an EPA Class V Injection Well? ❑ yes �' no
Certification
I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qualified Employee Inspector and/or Qualified Employee
Designer I that I conducted an investigation that accurately determined the compliance status of this system and that my recorded
observations are accurate as of this date. No determination of future hydraulic performance has been nor can be made due to
unknown conditions during system construction, abuse of the system, inadequate maintenance, or future water usage.
Inspector's name(print)�D��k/ .fV� 'l-��'�✓ Phone ��i .�'"'Y7g'- ��iZ�
License and/or Registration Number .Z l Address ��� ��
Employed by Gl� r✓� ��� S�' Address�O� � -� S/
Signatur •-�- Date �' r�
Uaqrade Requirements jderived from Minnesota Statutes§115.55)
An ITPHS must be upg�aded, �ep/aced, o�its use discontinued within ten months of receipt of this notice or within a shorter period if
requi�ed by local ordinance. If the system fails to p�ovide su�cient groundwater protection, then the system must be upg�aded,
�ep/aced, or its use discontinued within the time required by�u/e o�the/oca/ordinance. If an existing system is not fai/ing as deFned in
law, and has at least two feet of design soil sepa�ation, then the system need not be upgraded, �epaired, replaced, o�its use
discontinued, notwithstanding any local o�dinance that is mo�e strict. This does not apply to systems in sho�eland a�eas, wellhead
protection areas, o�those used in connection with food, beve�age, and lodging establishments as defined in law.
Suggested Attachments
1) Site sketch could also include: well, well setback to system, dwelling or other buildings,tank(s),reserved soil treatment area,
surface water and soil boring locations. Include as-built drawing if available.
2) Soil boring logs, showing each horizon. Indicate the texture, color, redoximorphic features depth to bedrock,standing water and
whether the material is fill.
3) A list of any and all requirements of the local ordinance that are different from the state requirements referred to on this form.
4) A homeowner survey of system performance,signed by the homeowner as being factual.
5) Monitoring data as appropriate.
Page 2 of 2
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To: Orono residents on mound type septic systems
From: Willie Gibbs, ISTS Manager
Date: May 10,2006
Re: Landscaping Do's and Don'ts for Mound Systems, Quick Reminder
Do plant and maintain a full cover of grass and keep mowed to a normal height, this grass cover aids
in the evaporation of large amounts of effluent(the fiquid left after the "othe�' stuff has been removed)
in the summer time and allows fhe mound system to help breakdown nitrogen in the effluent.
Do water the grass over the mound in extreme dry conditions, sparingly.
Do avoid unnecessary foot traffic over the mound, mow it and stay off of it. This is especialiy true in the
winter time. Even human foot trafFic can cause frost to penetrate the mound resulting in potential
freezing problems.
Do inspect your mound system annually for winter kill, (reseed if necessary) animal damage,
(burrowing) or signs of potential failure.
Do not plant trees or shrubs on the mound system, smaller trees and shrubs may be planted at the
edges. Remember, that sunshine is the key to a healthy mound system.
Do ask questions, if you have any concerns �r questions concerning your mound systerra
please feei free to call me, I can be reached at 952-249-�t626.
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O , O CI'TY OF ORONO
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� `` ,,��� �„ Municipal Offices
v$, � ;4 ,=Z�" �, Street Address Mailing Address:
�� �j'�' 2750 Kelley Parkway P.O. Box 66
4i Orono, MN 55356 Crystal Bay, MN 55323-0066
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To: The Current Owner of Address 2735 COUNTRYSIDE DR W
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 954-249-4626 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 Needed
Yes
No
The city recommends the septic tank(s) and/or lift tank be serviced and pumped out every three
(3) years. City records indicate the tank(s) were last pumped out on �—��j�3
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
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Inspector:C�C/�'�� � Date of Inspection: g���
Telephone (952) 249-4600 • Fax(952) 249-4616
www.ci.orono.mn.us
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' ����g� Street Address: Ma ling Addrets:
��K� 2750 Kelley Parkway
Orono, MN 55356 P��• Bax 6 6
� 95d-�yq-ybpp Crystal Bay, M,y 55323-006E
To Cu.-rent Owner: Address:_ � 7 3� �G✓�T'�y ,�,��G� r�� \,,u
City Ordinance 199 requires that each existin�on-site sewa�e treatment system in Orono be inspected every two years.
The on-site sewa�e treacment system at the above address has been inspected and appears to fall into the categories checked below.
YSTEM CONFORI�SITY I-3 : �
1 'CODE SYSTEM"An ISTS which mccC�a11 thc�ocapon,dcsign and corutruction standards of the cumnt Orono I�funicipal Codc.
2 "C01�iPLIANT SYSTEM" M ISTS which docs not mcet al!the location,design and construction scandards of thc currcnt Orono hlunicipal
Codc but docs mcct thc thrce foot scparation rcquircment or two foot rcquirzment for rystcros instalicd 1496 or earlier,and which is not failino or
an immincnt ttucat to public health or safcry.
3 "NO�1-CO�IPLIANT SYSTEM" A prohibited iSTS;an ISTS locatcd within a daionatcd I00-year flood plain,any ISTS which may
or may not mcct all thc location,duign,or construction standards of tJu current Orono Municipal Code and which is failin�fo�any rca,son;and
any ISTS with less than thrce fcet of unsacurated soi]or sand becwc:n the distribution dcvicc and the limiting soil charactcristics,
TANK CO�tDITION(�-:7�: E�
TanI:inspection indicates: '
5 Pumpout not needed at this time.
�Septic tan.ics must be pump�d ou�th�year (ciry code requires tanks to be pumped out once every 3 years.
Tank was last pumped_ 3 -��� �7 �. .
I�Iake sure septic tanks are pumaed throuah m�nhole and not through��•hite inspection pipes
This allo�+s for the proper cleaninQ.
7 Inspection risers missin�-tanks could not be inspected. Inspection risers(4" dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION($-1Q): ��
8 ; Drainfield is dry,no surfacinJ evident.
9 Some evidence of surfacin„not critical yet. �
10 Drainfield is sa[urated and visib(y dischar�in�uncreated efituent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
C0�IENTS: ►`'�C �^ � p r.' S C�� r,.
, f v�_S��y ��� -��..�� �` S
����,��� p,.�fi n�,,,, .�cc��.,,5 �., z\t�r� � �r�,�� U� ���� -f�-,�ic S
^�c� ���,�.1-. �: G r s r Y��..� :��� c���- � ;� �t �
� , 5 cr��� C.G�1 tr ����cr a� „�s
c• : �.s <<��c r ���f�S �- -�'�. ��' rT
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Da;c of Inspcction
hiatt Boitecman - Sep�e System Inspcctor
Note: In the cvent th�t�4is irupecaon rcport is tued to suisfy ehe rcquir�ments for a mortn3;e or othet Oransfer olproFe .ry,be advised that this tepart docs notgu��'+�=
or cc;tify d;:t an e�cistino rystcm will contin�e[o function properly,but is mcrcly an opinion of the adcquary o f thc systen tmder eur;ent conditions bascd on thc a��13�i
information.
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.� '' �Y;;-��+ � Street Address: Mailing Addreu:
`��f�,*g�g0�' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: W���I�gM Ab�o-t-� Address:_o�73.� �aJ�r�S;de 0� �n�'
Cin Ordinance 199 requires that each esisting on-site sewage treatment system in Orono be inspected every nvo years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEIv1 COiv'FORIvIITY (1-3): �
� ��CODE SYSTEM" An ISTS which meets all the location,desigi and cons[ruction standazds of the current Orono Ivfunicipal Codz.
2 ��COIvIPLIANT SYSTEM" An ISTS which does not meet all the location,design and consuuction standatds of the cucrznt Orono Municipal
Cudz but dozs meet the three foot separation requuement,and which is not failing or an imminznt threat to public health or safety.
3 '�NOV-CONIPLIANT SYSTEM" Aprohibited ISTS;an ISTS located within a desigiated 100-year flood plain,any ISTS which may
or may not mzet all the iocation,design,or construction standards of the current Orono�funicipal Code and which is failing for any reason;and
:ury ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil chazactzristics.
T:�NK CONDITION(�-10): �
Tank inspection indicates:
� Pumpout not needed at this time.
OTank must be pumped out this year (city code requazs tanks to be pumped out zvery 3 years. Tank was last pumped ��ao-9> �
� Solids accumutatiun in tanks is at a critical a critical leveL Tanks should be pumped out as soon as possible.
g System is dischazging to the surtace. Tanks must be pumptd out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspzction riszrs(4"dia pipe)must be installed in zach tank at next pumpout. If tanks
have not been pumped out within the last tltree years,they should be pumped out now.
10 Inspzction pipe is located directly over tank baHle(does not give accuratz measurement of solids accumulation). If tanks have not been pumped
out wi[hin the l:ast ehree years,thay should bz pumped out now.
DRAINFIELD COiVDITION (11-14): � �
� Draintield is dry,no surfacing eviderit.
1� Some evidence of surfacing not crilical yet.
13 Draintield is saturated and visibly dischargng untreated e�luent to the surface. Contact the City Inspector immediatzly.Rzpairs must be
completed within 90 days.
1-� Drainfield z�ctent and condilion unkno�sn.
COMNIENTS: P u�'•P 1-Q�I�S -r�y -ro 'Kee� d�s -��o�. d�9q-� �� MaU^�
S,sfiQ� IooicS ok _
6-ll-oi ��izC
,
Date of Inspection Seplic System Inspector 4
Note: In the event that this uupection report is used to satisfy the requirements for a moRgage or other transfer of property,be advised that this report does not guazantze
or certify that an esisting system will continue to function properly,but is merely an opinion of the adequacy of the system under wrrent conditions based on the availablz
informalion.
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� :,;,. � CITY of ORONO
� !S� Municipal Offices
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�,�9 g,��' Street Address: Mailing Address:
$�HO 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: � �� �j Address: 2735 Countryside Dr. W.
Permit #'s: 7069 Dates: 6/16/95 Contractors: Clover Hill Co.
(This is [�] an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 1
1 Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly.
3 Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level is [ �/ ] or is not [ ] identified under this septic system. If the
✓
saturated soil level is not ident�fied, this classification is subject to revision.)
TANK CONDITION (5-9) : 5
5 Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
within three years, they should be pumped out and risers installed now.
9 Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped out within three years, they should be pumped out now.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [ ] or are not [ ] water tight or the condition is [ ] unknown. If the tanks
are not confirme to be watertight, this classification is subject to revision.)
D INFIELD CONDITION (11-19) : 11
1 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact
the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FAILURE: (system age and condition, soils, etc. ) : low
COMMENTS:
��� �� � �.--''".
Date of Inspection e i System Inspe tor
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue to
function properly, but indicates the operation of the system under current conditions.
Telephone(612)249-4600 • Fax(612)249-4616