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� Minnesota Pollution Compliance Inspection Form
��s�`��� Control Ag�ncy
s2o�a�ayeae Road�orcn Existing Subsurface Sewag� Treatment Systems
SL Paui,MN SSt55-4194 ($$T$)
Doc Type:Compliance and Enfaaement
Instructions: Inspection results based on Mi�nesota Pollution Control Agency(MPCA) ' For local tracking purposes: �
requi�ements and ettached fortt�s-additional local requirements may also apply. '
Submit completed form to�ocal Unit of Government(LUG)and system awner �
within 15 days
System Status
System status on date(mm/dd/yyyyj: 6h6/2017 _
� Compliant— Certificate of Compliance ❑ Noncomptiant— Notice of Noncompliance
(Valid for 3 years from report date, unless shorter 6me (See Upgrade Requirements on page 3)
frame oudined in Local Ordinance.)
Reason(s)for noncomptiance(check all applicable)
❑ Impact on Public Health (Compliance Component #1)-lmminenf threat to pubkc heattn and safety
❑Other Compliance Conditions(Compliance Component#3)-Imminent thr�at to public health and safety
❑Tank fntegrity(Gompliance Component #2)-Faiting to protect groundwater
�Other Compliance Conditions(Comptiance Comp�►ent#3)-Failing to protect groundwater
❑ Sail Separation (Compliance Component #4)-Faiting to protect groundwafer
❑Operating permiUmonitoring plan requirements(Compliance Componenf #5)-Noncompliant
Property Information Parcel ID#or SeclTwplRange: 0411723120017
..._.
Property address: 2755 Co�ntryside Drive W,�rono MN Reason for inspection: Property Transfer
Property owner: Robert Tunhein _ _ � Owner's phone: 612-251-6106 y
or ___ .._.... __......�.
Owner's representative: �� _ Re resentative ho�e:
P R _ __ __ ____..
Local regulatory authority: City of Orono _ Regulatory autharity phone: _952-249-4600 _
.. _.
Approximately 2-1300 gallon septic tanks,l-13Q0 gallon lift station and 680 square feet of mound
Brief system description: rockbed.
_ —�___ _..._.. _....._ ____�
Camments or recommendations:
TBM:Top of lift station manhole cover
Certification
1 hereby certify that alf the necessary rnformation has been gather+eci to detemrine fhe compliance status of this system. No
determination of future system perfamaance has been nor can be mede due ta unkrrown condifions during system constrr�ction,
possible abuse of the system, inadequate maintenance, or futur�s water usage.
Inspector name: Joseph J Olson Certification number: 1255
_.. _.. _.__ __ ____
Business name: Rust OI s Soil&Perc.Testin License number: 810
___...- --__ ._
Inspector signature: _ Phone number: 763-498-8779
Necessary or Loca((y Required Attachments
� Soil boring logs � System/As-built drawing ❑ Forms per local ordinance
❑Other information(list}:
� .. ___— _...._... __. __ _....
www.pca.state.mn.us • 651•296-63� • 800-657•3864 • TTY 651-282-5332 or 800-657-3864 • Avaitable in altemative formats
Wo-wwists4-31 . 1/24112 „ . .,
. Property addtes�: 2755 Cpuntryaide D�ive W,Orono,MN Inspedor ini�a{s/Uate: J.0.6116117
1. Impact on Public Heatth—Complianc:e component�9 of 5
Com Hance crits�: Veritication metbod(s):
System discharge sewrage to the ❑Yes �No � �fd►ed for surface outlet
round surtece. � Searched for seeping in yardJbadcup in home
S tem disc�a ❑ ��i��p�ing in aoil aystem/D-boxes
ys rge sewage to drain Nle ❑Yes �No
or surface wate�'s. � ❑ Homeovmar teatimany{See Canments/Expanabon)
❑ "B�ack soil•abo�re soil ai�persa�systerr,
System cause sewage badcup iMo � ❑Yes �No ❑ System r�ui�es"emergency"pumping
dwelling or e�ahiishmsnt.
Any"yes"enswer above fndicai+es the syslem Is ❑ PerFom�eci dye teat
❑ Unable to verify(See CorrunenralEacplanatbn)
an Immfneni Thre�t tar P�blic Haa/th and Safety. ❑ p�,�m���s not listsd(See camrr�er►rsr�icpra�arronl
CommerrtslE�lanation:
2. Tank integrity—Compiiance componant�Z of 5
Compliance c�teri�: VeMflcatian method{s):
Syatem consists of a seepage pit, ! ❑Yes �Mo ❑ Probed tank(s)bottom
cesspooi,drywell,or I�c�ing pit. �
; p Ex�mined oonstrudion r�corrls
�����7�•���Y� ( ❑ Examined Tank Integrity Fonn(Attad,)
c�m ant ii aaowrd ire bcal ' �9 p
❑ Observed liquid levei below o�ra d� th
Sewage tank(s)leak below their ❑Yes �No ❑ �mined empty(Purnped)tanks(s)
de ' ned o ti d+� .
If yes,which sewage tank(a)leaks: ❑ P����nk(s)for"bladc soil"
❑ Uneble to veMy(See Commer�ts/ExPdeRe�y
A�iy",)I�S"8/iiW6O�bOY81�J�Ci�t6i�Nl@ �Other methods n�t iisted(See CammsMsl�xplenatlaa)
syy�stt�em Is Failing to Prot�ct Gr+ourta�vat�r:
commencslExplanation:
Peterson Company pumped the tanks.
3. Other Com tiance Gonditions—Compiianoe cflmponent#3 of 5
a. AAaint�arwe t�e cnvers are damagad,cxaciced,unsecurod,or�pear to sUtu�turalnr unsound. ❑Yes" �No ❑Urd�nonrn
b. Otl��ssuea(elacMca►hazer�a.e�c.)to immediately and ad�►imP�P�����safetY. ❑Y�" i�No ❑uNcnown
"�yat�»!s s»lmm/na�!fhn�t fo pubr�iN�Ndl�d ssfi�[y
Expiain:
c• System�norrpr�of ground vwater�other oonc�tions a�tletetmir�d bY Mspecxor ❑Yes• �No
`Sy�am fs faiNi�g M prol+�ct�Oun�r
Explsin:
www.pcastate.mn.us • 651-296-6300 • 800-657-3364 . TTY 651-282-5332 ar&f0-657•38b4 . Avaiiable in attemative formats
W!1-wwlsts4-31 . 1/2t/i? ^ - --
, Property a�ress: 2755 CouMrysiti�Driv+a W.prono.MN inspector initialslDate: J.0.6116117
4. Soil Seperation-Comp�iance component#�o#5
Date of instAtlation: 5/01197 ❑Unkrtown Yeriflcation rnethod(a).
ShoniandtwNihad pnot�ctloNFs�od ewanpe ❑Yes �No Soll obServatton does not expire.Prevfot�soll
Lodpin�?
Complfance criteria. unles,sNsite bvaidi�tions�l�n ��local �
For s sigms built �4+��nts diA'sr.
Y pricH'b April 1, 19�, and � ❑Yes ❑No
not bceted in Shaeland cu!Kellheed � � Conducted soil observation(s)(Attech barn9 bgs)
Protecdott Area or n�servir�a l�rod,
beverage or todg�+►g estab/ishment: ❑ Two previous veriflcations(Attad►borrrp/ags)
� ❑ Not applica�e(HoJdir►9 tankfs7,�a drai�leW)
Drainfteld haa at least a M+afoot verticai i ❑ Unable to
verifY(Sse CommenislE�rpdenetion)
separ�tion distaru:e from periodicsily ❑ O#�er(See Comments�Expiana�n)
satutated soii or bedrock.
Non perfo�rnance systems built Apii!1, ; �Yes ❑No CornrnentslExpmlanativn;
1996,oriaterorh�rnon�erfo►mance
systems/ocated in Shr��land ar WeNlhesd
Protection A�as or serving s ibod,
beverege,or lodging estaWishment:
Drainfield has e�ree-foot verticai
separa6�diatanoe fran periodicaliy
88tU(8t@f�80I�Of�1'OC�(.'
"Experimental; �Otha+�,or "Asrlbrmence� ❑Yea ❑No Indicat�s dsp�s ot elevations
systems bullt ur�der pr+e-20Q�B Ru�es;Type lV
or V systems built urrde�2008 Ru1ea(T�. A. eeuar►ot d�ut�n media � 101.7
2350 or 7080.240� (Advanc�d Inspedor
License required) 6. P�riod�l saturated soiubedrodc 98.8
Drainfield meets the designed veRic�l � �. S �ation 2.8
separaticn dist�tnoe fram pe�iodicaly �
saturated soil�"bedrodc. � D. Reauired�nciiar�ce ss�'ation' 2.6
Any"no�anaw�above inc�cA�the syst+�n fs ,May be reduoed up�015 percent if atlowed by local
Fajling to Protec#Groundwai+sr. oroinanc�.
5. Operat9ng Pernnit and Nitrogen BMP*—Compli�nce component�5 of 5 � Not applicable
is ther system operated under an Opera�r�Permit? ❑Yes ❑No if"yes",A below�requirod
IS the System reqUiroci to employ s Nitrogen BMP? ❑Yes ❑Pio if"yes",8 below is requirsd
BMP=8est Manegemenf Prectice(sj�eci�ed in the system�
!f the answsr ie both queatlons!s "no", th/s sectlon�not neeal�Go be comp/eted.
Com l�ance criteri�
a. OperaUng Pertnit number:
Mave the O Permit uiramertt8 been met? ❑Yes ❑No
b. Is the required nitro��BMP in pl�ce s�nd prop�e[iy functicr�ino? � ❑Yes ❑No
Any"rro"answ�fna�c�tes Noncomplfance
Upgra�Rsqui�wnsntt(MNr». Stat§i 15.S5)M immir�nf t�eat to pubA�c h�slth�d a�ery(lTFHS)must be up�ed,replaaed,or f(��
dis�tued�M ter►rrwr►d►8 e�f n�eeJpt af thls�tx w�tin e shov�r period�roqt�i�d by tocel a+dF�ar�ce.tf ti�e syst�em is f�tinp b puotect
�ound water,tbe systsm must be uppndrd,repl�d,a lts uae�soaa6tnwd w�h�i►1F�s�rna�squi�s�Dy bcat o��na»ae.ff an sxia�l sf�si�sm
fs�ot fedH»p as ate�l�n laN,and l�es t�lsa�t�n�bet c�'a��►►sON then Me Eysbm need not be up�dsd,�spaired��or
its u�di�oar�nwd,»otN�hstsnaW�g enY bcal o►r�tar��8t is mai!sbic�771�p�rovislon Gk�ees not epprjr t�o sya�ma in sharefand a�6as,
weanesd Pfct�Nor�aeas,or arose uaed M oorrnecdarr wltl,lbad,be�regs,ana�odgrr,g e��lrsNmer►ts as d.flned;n law.
www.pca.state.mn.us • b51•295-6300 � 800-657•38/�a • TT1f 6S1•2�'l-5332 a��-b57-3864 • Availabte in altemative formats
wq-wwists�l-3! • f/24/11
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P��r�dross: 2��couna��w ��s�r��ms�na�: s��a��
1. Impact a� Public Hea[th—cc�mp�ee�on,pcx�snt#� o#s
CamMi�n°°c�ib�ia� _ V�rli�atlon n�hod{s):
����D 1t� ❑Y� []No ❑ S�I�d hx wrfaoe outiet
rourui surFaos. ❑ S�ched fior��y��up in twme
�����t Ws ❑Y� ❑No � �P�D�s�aYs6amlD-boxes
a sut'�oRf v�rs. ❑ Honwo�wr��+ls�c+unMn�,t�ycp�nl
Sl+stem cau,s��p� �,�� �� ❑ 'Biadc�"sbwe so��t sys�m
�II+�S1� . D s'y�em ro�4u�'emero+enc�r'P�w
AnY"Y�"answrr abow/n�tha syatw�!s � P��tast
an/mml�nt Thnit�1�b�c t�ar�d�y. 0 Unabis to ve�fy(�.e 1
❑ OEhsr m�s not lisiad{�s )
Commer�#s1E�q�iar�ion:
2. Tank integrity—com�;�e c�,p����
Com M�cMt�ria� VerlA�on mrtlwd{s}:
SY��oo�of a ses�ge Pii. ❑y� �No ❑ Pt�bed t�fk{s)botb�m
c�spool�dtya�,a��P�, ❑ Exarn�ad�rooads
�+��a mso!2aso�y►ae
�►�IIn lood ad�rrincs. ❑ E�m��ed Tar�c Inte�ity Fam�Atd�ch)
� ❑Yes �Np � ���'wl be�aw
�tank(s)lq�c bek�r their �Pe�d�tl�
. �Y(P�Pe�t�(s)
If y+es.��q�ts�Nvcs: ❑ Probed outside t�k(s}iar'bl�dc soi�'
AnY`�Ss"anaww�w indieah�s!J►� ❑ ur"��D Y°'�y�°s°�"+�'.acarsn•�l
sY�i�e�l»!s Fa�iAy t�P!►�Dh�t�q1�t�. ❑o�r�not Ne�ed ls'es co�n�»�nts2�icp�nat�o�►I
Commants/E�enation:
at 8J16/17.Ehbr J.Pebersott Co.purtt#�ad t�s.
3. Oth�Compti�ance Conditions—c,,a�,p�„x,e�,p��t�o�5
a. Me�tener�hde ar�v+ers�e�,�pq�,�,a,�,� y�ound. p Ya�
b. tJtl�er i�ues O t�o p ur�cnown
�e+lbctrb�lhe�ardR°1G)t°��� �Pubie hMllh or sa�ey. p Yes• �nb ❑udu�rn
�Y�+ts an���P�l�ar�ds�►
��
�' ������d we��dhsr
�/s �� � bY� ❑Y�` ❑t+b
E�;
vwvw.pca.staLe.mn.� • 6'51-2�6-63pp • SD0�667-3�b4 • Tl'Y bZt•2a2-5332 or R�00-637•3SW . ,�
+�'ti-�vlst�h3t • f/34117 �ail�e�t at�ernatNe fa�tnats
Pl�ae 2 of 3
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0 CI'TY OF ORONO
��
� ' „�� � Mutticipal Of�ces
r�,, f' �, Street Address Mailing Address:
�� G'�' 2750 Kelley Parkway P.O. Box 66
�i Orono,MN 55356 Crystal Bay,MN 55323-0066
9kESH0�
To: The Current Owner of Address 2755 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) Pum ut 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 I ( ,. (>�— O �
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�
Inspector:�(�C./ � Date of Inspection: � '���
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
` A
• � • f
e
To: Orono residents on mound type septic systems
From: Willie Gibbs, ISTS Manager
Date: May 10, 2006
Re: Landscaping Do's a�d Don'ts for Mound Systems, Quick Reminder
Do plant and rnaintain a ful! cover of grass and keep mowed to a normai height, this grass cover aids
in the evaporation of large amounts of effluent(the liquid left after the "other" stuff has been removed)
in the summer time and allows the 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 especially 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 kili, (reseed if necessary) animal damage,
(burrowing)or signs of potential failure.
Do not p{ant 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 or questions concerning your rriound system
please feel free to call me, I can be reached at 952-249-4626.
1
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0 0
��V=Y ���- �- �� CITY of ORONO
\ ,� �''��a�2��� �.� � '"�l
�`' �e,�a�`� �",`'!� '�Fr� Municipal Of�ces
� r�,;'-���"at�r �j
.� �,�;;�;�1� .� Street Address: Mailing Address:
9$F,+ggOg 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066 �
To Current Owner: Address: a7 SS �o v�tf y S;� e �(, �v _
City Ordinance 199 requires that each existing on-site sewage treatment s}�stem in Orono be inspected every two yeais.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
S STEM CONFORMITY 1-3 : 1
1 "CODE SYSTEM" M ISTS which meets all the location,desi�and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An[STS which dces not meet all the location.design and construction standards of the current Orono hiunicipal
Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or eazlier,and which is not failing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year Qood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the c�rent Orono Municipa]Code and which is failing for an�reason;and
any[STS with less than three feet of unsaturated soil or sand between the du-vibution device and the limiting soil chazacteristics.
TANK CONDITION(5-7): �
Tank inspection indicates:
SOPumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanl:s to be pumped out once every 3 years.
Tank was last pumped 11 - �.-O� ).
Make sure septic tanks are pumped throueh manhole and not throuEh white inspection oipes This allows for the
proper cleaning. Keep water softner and iron filter discharee out of sentic s�•stem.
7 Inspection risers missinb 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 oow.
DRAINFIELD CONDITION(8-101: �
�Drainfield is dry,no surfacing evident.
Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly dischargin�untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
COMMENTS: (�O•�c�c� � ook5 d�- . Pv�..p �}-�c.kS Oc,ce. �v�c� 3
�eo.c S , Scp t'_� R�Q\�.cchc�� �c cF ',5 �,.ac� SW��� ����h-
� �� '0� C" 'r�c,�
Date of Inspection �Iatt Bolterman - 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 ofihe adequacy of the system under curtent conditions baud on the available
information.
Telephone(952)249-4b00 • Fa�(952)249-4616
www.ci.orono.maas
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i� _���� a-� CITY of ORONO
; .� �����f���=� �
'�'�, �' ,�: ��� F► �su��,� orF��
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��.t '��`�.'�?<1�:;!���'��`.� Street Address: Mailing Address:
9�C'EgH04' 2750 Kelley Parlcway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: R� � u��2 � �. Address: a7S5 Cov��-r.�S;dC f�r w
Ciri-Ordinance 199 requires that each e�sting on-site sewage treatment system in Orono be inspected every rivo years.
The on-site se«�age treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORI�tITY (1-3): I
O ��CODE SYSTENP� ,�n ISTS which meets all the location,design and construction standards ofiha current Orono Municipal Code.
2 °CONiPLIANT SYSTEM�� r1n ISTS which dozs not meet all the localion,dzsign and construction standards ofthz current Orono�funicipal
Code but does meet the three foot sepazation requirement,and which is not failing or an immineut threat to public health or safaty.
3 ��NON-001�iPLIANT SYSTENf" A prohibited ISTS;an ISTS located within a desi�atzd 100-yeaz flood piain,any ISTS which may
or may not meet all the tocalion,design,or constructien standards of the current Orono�tunicipal Codz and which is failing for any reason;and
any ISTS�ti•ith less than three fzet of unsaturatzd soil or sand bet�r•een thz distribution dz��ice and the limiting soil chazaderistics.
T��1K CONDITION(5-10): 6
Tank inspection indicates:
� Pumpout not needed at this time.
b Tan}:must be pumped out this year (city coda requires tanks to bz pumped out every 3 years. Tank was last pumped UnKne w r� ),
� Solids accumulation in tanks is at a critical a critical le�zl. Tanks should ba pumpzd out as soon as possible.
g S}stem is discharging to tha surface. Tanks must ba pumped out within 48 hours to eliminate surface dischargz.
y Inspzetion risars missing-taiilcs could not be inspected Inspection riszrs(4"dia.pipz)must bz installed in each tank at nz�ct pumpout If tanks
hace not bzen pumped out within thz last three years,they should be pumpzd out now.
1 U Inspection pipz is locatzd directly over tank batIle(dees not gice accurate measurzmznt of solids accumulation). If tanks have not been pumpzd
out within tha last three yzars,they should be pumpzd out now.
DRAINFIELD CONDITION 11-14 : l I
Dtaintield is dry,no surfacing zvident
1? Somz zvidence of surfacing,not critical yet .
13 Draintizld is saturated and visibly dischazging untreated:t�luznt to tha surface. Contact the City Inspzctor immediately.Rzpairs must ba
complztzd within 90 days.
1� DrainYizld t�ctent and condition unknown.
Co1�ENTs: P�^�p -t-q�ks , �est- d-� syste�, IooKS Ok
6-ll-0 l �'�'1�t
Date of Inspection Septic System Inspector i
Note: In the event that this inspection repoR is used to satisfy the requiremrnts for a moRgage or other transfzr of property,be advised that this repoR does not guarantee
or certify that an esisting system will continue to function propzrly�,but is mzrely an opinion of the adequac}�of the system under current condilions based on the available
infnrmatinn
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CITY of ORONO
,� .r;�;. �,
�, Municipal Offices
�� G~ Street Address: Mailing Address:
�`9$ESKp�'�' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
,� ,�--�G��,��
Owner: �� `� J �r� � Address: 2755 Countryside Dr. W.
Permit #'s: 8922 Dates: 5/1/97 Contractors: Clover Hill Co.
(This is �] an existing system [ ] new construction) .
STEM 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 identified, this classification is subject to revision.)
NK 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 confirmed to be watertight, this classification is subject to revision.)
AINFIELD 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 FAIL[JRE: (system age and condition, soils, etc. ; : low
COMMENTS:
Date �� e--�n e S stem I s �ctor
P P ; Y P
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
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�f'EggO 2750 Kelley Parkway P.O. Box 66
Orano, MN 55356 Crystal Bay, MN 55323-0066
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Owner: ` � �� Address: 2755 Countryside Dr. W.
Permit #'s: 89 2 Dates: 5/1/97 Contractors: Clover Sill Co.
(This is [ ] an existing system [ �] new construction) .
STEM 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 leval [�j has or [ ] has not been identifiad at this time. If the
saturated soil level has not been identifiad, this classification is subject to ravision. )
K 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.
(During the last septic tank Maintanance Pumpout the tanks � were or [ J ware not confirmed
to be watertight by the licansed pumping contractor. If the tanks were not confirmad to be
watertight, this classification is subject to ravision.)
D INFIELD CONDITION (11-14) : 11
11 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:
� ' L"�J
Dat�f Inspection Septi System Inspector
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) 473-7357 • FAX 473-0510