HomeMy WebLinkAboutseptic info Aug 0512 08;08p Joseph Olson ��1 763-498-8290 p.2
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Minnesota Pallution �' � !� ' Compliance Inspection Form
Contro! Agency � �
520 lafayette Road M1lorth � � Ex�ting Su6surFace Sewage Treatr�tent Systerr�s
5t.Paul,M!V 5 51 5 5-41 94 (��\' k � � ��'� (SSTS�
� ` ' r" /\ � Doc Type:CompGar►ce and Enfor�emenf
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Instructions: Inspection results based on Minnesola PoNution Comro€Agency(MPCA) � Far local tracking purposes: �
requirements and attached forms—additional local requirements rnay also apply. �
5ubmit completed form to Local Unit oF Govemment(LUG�and sysbem owner �
within 15 days `
System Status
System status on dabe(mm/dd/yyyy): 7/30/2D12
� Compliant— Certifica#e of Compliance ❑ Noncompliant— t�otice of Noncornpliance
(Valid for 3 years from report date, unJess shorfer 6me (See Upgrade Requi�ments on page 3)
frame outJined in Loca1 Ordinance.)
Reason(s)far rroncornpliance(check all applicab/e}
❑ Impact on Public Health{Compliance CompoRent #1)—Imminenf threat to pUblic health and safefy
❑ Oiher Compliance Conditions(Compliance Componenf�t3J—Imminent threat to pu6Jic health arrd safety
❑Ta�k Integrity{Cornpliance Component #2)—Failing ho protect grounduvate�
❑Other Compfiance Condilions(Compliance Componentil3)—Failing to protecf grr�undwrater
❑ Soil Sepa ration(Compliartce Component #4J—Failing fo protect groundwater
❑ Operating permiUmonitoring plan requirements(Complianc�e Component #5)—Noncomplianf
Praperty Information Parcel ID#or SeclTwp/Range: 3311623330011
Property address: _170 Crystal Creek Road., Orono, MN Reason for inspection: Property TransFer
Property owner: Larry Guzan Owners phone: 952-25a83S2
or
Owne►'s representative_ Representative phone:
Local iegulatory authority: City of Ororto Regufatory authority phone: 952-249-4800
2-13Q0 gallon septic ianks,1-1300 gallon lift siation and 630 squa�e feet of mouncf rockbed.per aty
Brief system description; recards
Comments or recammendations:
The existing mound sysle�has trees growing through it.The trees should be removed.
Certification
I hereby certiry that a!!the necessary rnformafion has 6een gathered to determine the comp/iance status of tf�is sysfem. No
deferminab'on of future sysfem perlormance has been nor caR be made due to unknown condifions during system const�ction,
possible abuse af the system,iriadequate maintenance, or fufum water usage.
Inspector name: Joseph J O€son Certifcation number. 1255
Business name: Rusty Olson's Sai[8�Perc.Testing License number: 61 D
Inspector signature�/�� — PF�one num6er_ 763�98-8779
�
Necessary or Locally Required Attachrnents
� Soil boring logs �System/As-built drawing 0 Forms per local ordinance
Q Other information ¢ist):
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 - TTY 651-262-5332 or 800-657-3864 • Available in altemative formats
V. .7ya�c�u�a�w��r�..v...w.�..��a�..�.��.. ........ �... ......., ......-'_-"-------•-�----- � --�-
'`System is iailing to proteci groundwater r
Explain:
www.pca.state.mn.us • 651-296-630U • B00-657-3864 • 7TY 65t-282-5332 or 800-657-3864 • Available in afternative formats
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Aug 0512 08:09p Joseph Olson 763-498-8290 p.3
Property address: 97U Crystai Creek Road.,Orono, MN fnspector initials/Date: J. O.8/05/12
1. Imp�ct on Public Heaith-Compliance oompo�ent#1 of 5
Com liance criteria: Verification rnethod(s):
System discharge sewage to ihe ❑ Yes �No � Searched for surface oudet
round surtace. � Searched for seeping in yardlE�ackup in horne
5ystern discharge sewage to drain tile ❑Yes � No � ��sive ponding in soil systemlD-boxes
or surface waters. ❑ Homeowner testimony(See CommentsiExplanafion)
System cause sewage backup in�o �Yes � No � B��soil"above soil dispersal system
dwelling or establishment. ❑ System requires"emergenc�' pumping
❑ Performed dye test
Arty"yes"answer above irrdicates the sysfem is ❑ Urtable lo verify (Ses Comments/Exp/anation)
an/mminent Threat to Public Health and Safety. ❑ Oiher methods not listed (See CommentsiExplanation)
Comments/Explanation:
2. Tank Integrity—ComPliance component#2 of 5
Corr�pliance criteria: Verification method(s):
�
System consists of a seepage pit, �]Yes �No ❑ Probed tank(s)bottom
cesspool,drywell,or leac�ing pit. ❑ ExamiRed construction recards
Seepage pifs meeting 7080.2550 rnay be Q Examined Tank Integrity�omt(Attach)
com liant i�allowad in local arlinartce.
❑ Observed liquid level below operating depth
Sewage tank(s) leak below their �Yes �No
desi ned o ratin de th_ � Examined empty(pumped)tanks(s)
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(sj for"black soil°
Any "yes"answer above indicates the � U�able to verify(See Cornmenls�cplanation)
system is FaiJing to Protect Groundwater. ��ther methods not listed (Sse Commen�slExpfanation)
C o m m en ts/�xpl a n atio n:
Elmer J Pelecson pumped fhe tanks on 8101/12
3. Other'Compl3a�Ce Co�dit1o115—Compliance component#3 of 5
a. Maintenance hole covers are darnaged,cracked,unsecured, �r appear to structurally unsound. ❑Yes" �{No p Unknowr
b_ Other issues(e�ectrica!i►azar�s,eic.)lo�mmediately and adversey impact public health or safety. ❑Yes• �No ❑Unknown
"'System is aR imminerrt threat to pubJic bealth and safety
E�lain:
c. System is non-protective of ground water for oiher conditions as determined by inspeclor ❑Yes" �No
`SysiBm is failing to protecl groundwater
Explain:
www.pca.state.mn.us • 651-296-6300 • 600-657-3864 • TTY 65t-282-5332 or 800-657-3864 • Available in attemative formats
Aug 0512 08:09p Joseph Olson 763-498-8290 p.4
Properiy address: 170 CrySta[Creek Road..Orono MN Inspector initialslDate: J.O. 8J05/12
4. $oil Separdtion—Corr�pliance component#4 of 5
Date of instailation: 5l15/99 p llnknown Verificatian method�s):
Lod��an?�e11head profectioNFood Beverage � Yes � No Soi!observafion does not expiie. Pnevious soi!
9� 9
abservafions by iwo inrlependent pa�ties are suffrcient,
Com iiance criteria: unless site cor�ditions have been alter�d orlocal
Forsysfems builtpriorfo Apn!1, 1996,and ❑Yes ❑ ►�o �qui�ments differ.
not Jocated in Shoneland ar W'e!lfread � Conducted saE observation(s)(Attach boring�ogs)
P�tecfion Aiea ornot serving a food, ❑ Two previaus verif�caGons(A[tach boring logs)
beverage arlodging establishment:
� Not applicable(Ho/ding fank(s),no drainfield)
Drainfield has at least a iwo-foof vertical
separation distanoe from periodically ❑ Unable to verify(See Comments/Explanation)
saiurated soil or bedrock. ❑ Other(see Commerrrs/Explanation)
Non-performance systems builtApril?, � �Yes ❑ No Comments/E'xpJanatiorr:
�996, or later or for non-pertomrance
systems locafed in Shoreland or Wellhead
Protec6on Arnas or senring a fnod,
beverage, arlpdging establishment.�
�rainfield has a three-fopt vertical
separa6on distance from periodically
saturaied soil or bedrock"
"Experimental'; "Other� or "Performance" i ❑Yes Q No Indicate de ths of elevafions
systems 6uilf under pre-2008 Rules; Type IV ;
o�V sy5tems built under 2008 Rules(7080. A. Bottom of d�stribution media 98.7
2350 or 7080_2400 (Advanced lnspector
LicenSe requlted) B. Periodicall saturated soiUbedrock 95_7
Drainfield meets the designed vertical C. S s0em se raCson 3.0
separation distartce from periadicalty
saturated soil or bedrock_ p. R uired com liance se aration• 2.6
Any "Ito"answer above in�cates f/7e systent i5 •May be reduced up to 15 percent if allowed by Local
Failing to Protecr Groundwater. Ordinance.
5. Operatin� Perrnit and Nitrogen BMP*—Compliance component#5 of 5 � Not applicable
Is#he system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required
Is ihe system required to employ a Nitroge� BMP? ❑Yes ❑ No If"yes", B below is required
BMP=Besf Managernent Pracfice(s)spacrfed in the system design
ff the answer to both questions is "no'; fhis section does not need to be complefed.
Com liance criteria
a. Operating Permit number
Have the O eratin Permit re uirements been met? ❑Yes ❑ No
b. Is the re uired nitro en BMP in lace and ro er1 functionin ? ❑Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn.StaG§115.55)An imminent threat to public health and safaty(ITPNS)must be upgraded,replaoed,or its use
dfsoontinued withia ten months ofrec�eipt ofthis nolice or wifhin a shorter period if�equired byloca!arli�ance.I!N�e syst�m is faifing foprotect
qround water,the system must be upgraded, r�plac�ed, or its use discontin�ed wiUhin the lime required by local ortYinance. !f an existing sysfem
is not failing as defined in law,and has at least lwo faet of design soi!separadon,then fhe system need not be upgraded,repaired,rep/aced,or
Its use cGsconhnued, notwithstanding any/oca!ordrnance that is more strr�cf. Thrs provision does not apply lo systems in shoreland a�eas,
Wellfread Prdf�ction Areas,or those used rn connecUon wilh food, beverage, and lodging estabJishments as de�ined in law.
www.pca.sCate.mn.us • 651-296-6300 • 860-657-3864 • TTY 651•282-5332 or 800-657-3864 • Available in altemative formats
Aug 0512 08:09p Joseph Olson 763-498-8290 p,5
Property address. 170 Crystal Creek Road ins�ector iaitials/Date: 8/1N2
1. Impact an Pub[ic Health— Compliance component#1 of�
Compliance criteria: Verifica#ion metl�od�s);
System discharge sewage to the � ❑ Yes ❑ No ❑ Searched for surface outfet
_grouRd surface. ❑ Searched for seeping in yard/backup in home
� Excessive ponding in soil system/D-boxes
System discharge sewage to drain file ; ❑ Yes ❑ No � Homeowner test�mony(5se CommerttsiF�rplanatior�)
or surfa�e waters. {
System cause sevrage backup into ❑Yes � I�o ❑ 'Blacksoif'above soil dispersai system
dwelling or estabkishment. ❑ System requires"emergency"pumping
❑ Pertormed dye test
Arty"yes"answer above indicates the sysfem fs 0 Unable to veriiy (See Commencs�Explanatron)
an Imminent Threaf#o Public Heahth and Safety. Q pther rnethods not listed (See CommentsiExp�anation)
Comments/Exp�ana ti on:
2. Tank Integrity—CompGance compone�t#2 of 5
Compliance criteria: Verificat�on method�s):
5ystem cansists of a seepage pit, ❑ Yes � No ❑ Probed tank(s)bvttom
cesspool, drywell, or leaching pit ❑ Examined construction records
Seepage prfs mae6ng 7080.2550 may be ❑ Examined Tank Irrtegrity Form /Attach)
cam iantifalJowedlnlocalordinance. � pbservedliquidlevelbelowoperatingdepth
Sev�age tank(s)leak below their [�Yes � No
designed operatin de th. � �mined empty(pumped}tanks(s)
Ifyes,which sewagetank(s)leaks: ❑ Probed outsidetank(s)for"blaek soil'
QIJy "j�eS"answer above indicafes the ❑ Unabie to verify{Sea Commen�xp/anat�on)
system is Failing fo Profect Groundwater. � ���r methods not listed (Sse Commenfs✓�xplanation)
Comments/Explanation:
On 8/1/12, Elmer J. Peterson Co.pumped the septic tanks. No cracks or water leaks at that tirne.
3. Other COmp[iat�ce Co�difiioils—Compliance component#3 of 5
a. iVhaintenance hole covers are damaged, cracked, unsecured,or app�f to strvcturally unsound. O Yes" �No ❑Untmown
b. Qther issues(electrica;hezaro�etc.)Yo�mm£diately and adversely impact public health or safiety. O Yes` p No ❑Unknown
'"System is an imminent threat to puWic healffi and saiety
�xplain:
c. System is non-protective of ground water far other conditions as determined by inspector ❑Yes` p No
"Systern is failing to protect grorrndwater
E�lain:
www.pca.sta-:.e.mn.us • 659-296-630U • 800-E57-3864 ■ TTY 651-Z82-533Z ar 500-657-3864 • Available in altQrnative formais
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Aug 0512 08:09p Joseph Olson 763-498-8290 p.6
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Date: August 1,2012
Elmer J. Peterson Co.
5921 Dague Ave.
Deiano, I�1N 5�32.8
Phone 76g-972-242a
Fax ?63-972-7217
NiPCA License# 219
Larry Guzart
'f 70 Crystai Creek Road
Long Lake, MN 55356
$af�les. ON OF�'
Tank Capacity: 3-1300 Gaiion Tanics
# of Tanks: 3 _
T3�pe of Tanks: �oncrete
Gallons Pumped: 3500
iV�anholes to Grade: YE / ND
Comments:
On August 1, Za12, Elmer J. Peterson Co. p�mped septic tanks. No cracks onvaier leaks at ihat time.
NO i E:This is on[y a tank report. This is not a compliance inspection for poiut of sale nor does
it rep�ace a co�npliance inspectian.
License # 219
Aug 0512 08;09p Joseph Olson 763-498-8290 p.7
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Laqs of Soil Borinqs �
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License #810
Location or Project: 170 Crystal Creek Road
Borings made by: Rusty Olson's Soif and Perc testing 7/3a/2012
Classification System: AASHO ; USDS•USDS�CS X ; Unified ; Other
Auger used (check iwo): Hand_X , or Power , Flight, B�ecket or Probe_X_
Bnring Number_1_Surface elevation_99.7_ Nfottled Soi! at_X feet
0"-20" Dark brown loam 10yr3/1 H20�resent at�X_
20"-30" Brown loam 1Uyr4/3
Boring Number_2_Surtace elevaiion_98.5,_ NEottled Soil ai 2_3^feet
0-12" Dark brown loam 10yr312 H2D present at_X_
12"-20" Brown foam 10yr4/4
20"-28" Brown loam 9 Uy514
28"-32" Rusiy brown {oam 10y5/4
TBM: Top o�Lift station manhole cover E1v.-100.OD assumed
Original soil under the rockbed Elv.-97.7
Bottom of rock�ed Elv.-98.7 .
There is 1.0 feet of sand under the rockbed
Aug 0512 08:10p Joseph Olson 763-498-8290 p.8
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�, Street Address Mailing Address:
��L `� G'�' 2750 Kelley Parkway P.O. Box 66
,�y'�i Orono, MN 55356 Crystal Bay, MN 55323-0066
9kESH�
To: The Current Owner of Address 170 CRYSTAL CREEK RD
City Ordinance requires thai 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- ompliant
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 pum ed out every three
(3) years. City records indicate the tank(s)were last pumped out on �„ -�.3�U 3
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�
Ins��L�f: ��� � Date of Ins ection: �'O �
P P
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
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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 targe 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 m�und system annually for winter kili, (reseed if necessary) animai 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 heaithy mound system.
Do ask questions, if you have any concerns or questions concerning your rveound system
please feei free to cali me, E can be reached at 952-249-4626.
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-�.r•<.'�,�,:�.,s,a,: _ �I'lCY �f �RONO
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`:��' � � ���};jh":`��4-' �'.�/ Street Address: �15a-a4q-yb � Mailing Address:
�':�`4.Ft-��`��"Kpg'�:�� 2150 Kelley Parkway P.O. Boz 66
��—�' Orono, MN 55356 Crystal Bay, MN 55323-0066
To Cui-rent O�vner: Address: 0 ��' � �`✓S�� , �.��� /�
City Ordinance 199 requires that each existing on-site sewa�e 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.
SYSTEl�i CONFORIviITY (1-3): t
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code,
2 "COI��IPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the curren[Orono
Nlunicipal Code but does meet the th.ree foot sepazation requirement or hvo foot requuement for systems installed 1996 or earlier,and
wnich is not failing or an imminent threat to public health or safety.
3 `NON-CONIPLIA1�iT SYSTEM" A prohibited ISTS;an I3TS located wi[hin a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction stan�uds of the curren[Orono Municigal Code and which is failing for any
reason;and any ISTS�vith less than three feet of uasaturatzd soil or sand bet�veen the distribution device aad the 1'uniting soil characteristics.
TA\rK CONDITION(5-7): �
Tanl:inspection indicates:
� Pumpout not needed at this time.
6 Septic taril:s must be pumped out this yea� (city code recoirunends tanl:s to be pumped out once every 3 years.
Tan.E:was last pumped �� � � •� ,.S ).
Nlal.e sure septic tanits are pumped throu�h manhole and not throuQh white inspection pipes. This ai{ows for the proper
cleaninQ. Keep�vater softner and iron filEer discharQe out of septic system to prolona life of drainfield. Ask pumper to test
alarm float to verifv alarm is still�vorkinQ in vour house. The alarm warns owner that sept�ae is about to blckup into basement.
7 Inspection risers missin�-tanks could not be inspected. Inspection risers(4" dia.pipe)must be instalied in each tank. If
tanl:s have not been pumped out within the last three years,they should be pumped out no�v.
DRAINFIELD CONDITIO?��(8-101: �
3 Drainfield is dry, no surfacing evident.
9 Some evidence of surfacinQ, not critical yet.
j 10 Drainfield is saturaied and visibly discharJing untreated e.`flueni to ihe surface. Contact thz City Tnspector j
;
i.^.unedia�ely. Repairs must be complete���,�ithin 90 da}�s. �
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"�" '�'�`;��,I��,�`��� G,ti,� Munic;pal offices
��9��+.;Z Og� Street Addres� Mailing Address:
ESII 2150 Kelley �arkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: I 7 0 �f S-�-q� C(��,� ��
City Ordinance 199 requires that each existing on-site sewage trea�ent system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has bren mspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY 1-3 : I
1 "CODE SYSTEM"An ISTS which meets all the location,desi�and construction standazds of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which dces not meet a!1 tfie loration,design and construction standards of the current Orono Municipal
Code but does meet the three foot sepazation requirement or two foot cr,quirement for systems installed 1996 or earlier,and which is not failing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an LSTS loca�d within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction standads oft*�e current Orono Municipal Code and which is failing for any reason;and
any ISTS with Iess than three feet of unsaturated soil or sand be:w�een tbc disuibution device and the limitin�soil characteristics.
TANK CONDITION(5-71:
Tank inspection indicates:
5 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.
Tank was last pumped h-23 —03 ).
Make sure seatic tanks are pumaed throu2h manhole and not throuEh white inspection nipes This allows for the
proper cleanmQ. Keep water softner and iron fiiter discharge out of seatic svstem.
7 Inspection risers missing-tanks could not be inspected Inspcttion risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three}ears,t�ey should be pumped out now.
DRAINFIELD CONDITION(8-101: �lS
ODrainfield is dry, no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated efflu�nt to the surface. Contact the City Inspector
immediately.Repairs must be compieted within 90 da�s_
COMMENTS: Mo��U �pc�S O�, L` t� ��I}v :r� S�c�„� �..�.��K
U c.�L. �,Cr �!C�i� -
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Date of Inspection Matt Bolterman - Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mort�e or other transfer ofproperty,be advised that this report does not guarantee
or certify that an existing system witl continue to function properly,but is merel}��opiniofl ofthe adequacy of the system under current conditions based on the available
infortnation.
Telephone(9�2)249-4600 • Faa(952)249-4616
www.ci.orono.mn.us
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�-������� C ITY of ORONO
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� �%"�- �<'\'� G Street Address: MatQn� Add�ess:
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�'E+gg0�' 2750 Kelley Pa�kway P.O. Box 66
Orano, MN 55356 Crystal Bay, MN 55323-0066
Owner: (�ac� Ff�tt� Address: ( 7o C��51�q1 L�eeIC Rd
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 CONFORMITY (1-3): �
O ��CODE SYSTEM�� An ISTS which meets all the location,design and construction standards ofthe cutretrt Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the localion,desi�and construction standards ofthe currerit Orono Municipal
Code but does meet the three foot separation requirement,and which is not failing or an imminent threaL to public healUt or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located withirt a designated 100-yeac flood plain,any ISTS which may
or may not meet all the locatioq design,or cons4vction standards of the cutrent Orono Municipal Code and which is failing for any reason;and
any ISTS with less than ttuee feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-10): S
Tank inspection indicates:
� Pumpout not needed at this time.
6 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tanlc w�s last pumped ).
7 Solids accumulation in tanks is at a crilical a critical level. Tanks should be pumped out as soon as possible.
g Systzm is dischazging to the surface. Tanks must be pumped out within 48 houcs 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 ne�tt pumpout If tanks
have not been pumped out within the last three yeats,Utey should be pumped out now.
1� Inspection pipe is located directly over tank baffle(does not give accurate measurement of solids accumulation). Iftanks have not been pumped
out within the last t}uee years,they should be pumped out now.
DRAINFIELD CONDITION(11-14): I 1
11 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
COMNIENTS: 5 Y S-r�.M ��S O K
6-a� -o � � a� r .r�.
Date of Inspection Seplic System Inspector �
Note: In the eveirt that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this repoR does not guazantee
or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under cvrrecrt condilions based on the available
information.
�o�
CITY OF ORONO O O
Municipal Offices �
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
ti
��9kESH���G
Owner: ! /AN T V"GZ-Te� Address: �/� Cr�S�/4 � �(/���C�
�
Permit #'s: � -!�� Dates: �C��,�E� �� Contractors: f�d���s C��'�
City ordinance number 100 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 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 uaters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but aas 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 seuage 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
betueen 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 identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
'nspection indicates:
5 Pumpout not needed at this time.
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 uithin 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed �n each
tank at next pumpout. ]f tanks have not been pumped out uithin the last three years, they should be pixnped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELO CONDITION (11-14):
'nfi ld inspection indicates:
11 rainfield is dry, no surfacing evident.
Some evidence of surtacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): �fy�/�-{p
POTENTIAL fOR SYSTEM FAILURE (depends on soils,water table,etc.): �Q�
COMMENTS:
D te 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 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