HomeMy WebLinkAboutSeptic info Nov 12 2015 0924PM HP FaxRusty Olson 7634988290 page 2
Minnesota Pollution Cornpliance Inspection Form
Contral Agency
520LafayetteRoadNorth Existing Subsurface Sewage Treatment Systems
5t.Paul,MN 55155-4144 ($$T$�
Doc Type:Compliance and Enforcement
Instructions: lnspection results based on Minnesota Pollution Control Agency(MPCA} For local tr e � I
requirements and attached forms-additional local requirements may also apply. , 'I
Submit complated form to Local Unit of Government(LUG)and system owner II r��� � �. 20�5
within 15 days
CITY OF ORON
System Status
System status on date(mmlddlyyyy): 1 pl23/2015
� Compliant- Certificate of Compliance ❑ Noncompliant-Notice of Noncompliance
(Valid(or 3 years from report date, unless sf�orter time (See Upgrade Requirements on page 3)
frame ouflined in Loca!Ordinance.)
Reason(s) for noncompliance (check a!l app/icableJ
❑ Impact on Public Health (Compliance Component #1)—lmminent threaf to public healfh and safety
❑Other Compliance Conditions(Complrance Component#3)—lmminent threaf to public health and safety
❑Tank Integriry(Compliance Componenf #2)—FaiJrng to protecf groundwater
❑ Other Compliance Conditions(Compliance Component#3)—Failing to profect groundwafer
❑Soil Separation(Complrance Component #4)—Failing to protect groundwater
❑Operating permiUmonitoring plan requirements(Compliance Componenl #5)—Noncomplianf
Property Information ?arcel ID#or SeclTwplRange: 0411723230030
Property address: 2995 Deer Run Trail, Orono, MN_ Reason for inspection: Property Transfer
Property owner. _Steve HiCks __ Owner's phone: 612-616-7323
or �
Owners representative: Representative phone:
Local regulatory authority: City of Qrono Regulatory authority phone: 952-249-46Q0
1-1250 and 1-1000 gallon septictanks,l-1250 gallon lift station and 630 square feet of mound rockbed.
Brief system description: per city records
Comments or recommendations:
Certification
1 here6y cerfify that al!the necessary information has besn gathered to derermine the compliance stafus of this system. 11l0
determination of(uture system performance has been nor can be made due to unknown conditions dunng system consfruction,
possiWe abuse ol the system,inadequate maintenance, orfuture waterusage.
Inspector name: Joseph J Olson __ Certification number: 1255
Business name: Rusty Ols n's Soil&Perc.Testin License number: 810
Inspector signature _ _ Phone number: 763-498-8779
Necessary or Locally Required Attachments
� Soil boring logs � SystemlAs-built drawing ❑ Forms per local ordinance
❑Other information (list):
www.pca.state.mn.us • b51-296-6300 . B00-657-3864 • TTY 651-282•5332 or 500-657-3864 • Available in alternative formats
wq-wwists4-31 • fJ24112 Paye t of 3
Nov 12 2015 09:24PM HP FaxRusty Olson 7634988290 page 3
Property address: 2995 Deer Run Trait, Orono, Mh _ _ Inspector initials/Date: J. O. 10l30/15
1. Impact on Public Heafth-compiiance component#1 of 5
Compliance criteria: _ Verification method(s):
System discharge sewage to the ❑Yes � No �i Searched for surface outlet
ground surface. � Searched for seeping in yarcUbackup in home
System discharge sewage to drain tile � ❑Yes � No � Excessive ponding in soil system/D-boxes
or surface waters. ❑ Homeowner teslimony (See CommentsiExpJana�ron)
System cause servage backup into �I ❑Yes � No � ��Slack soiP'above soil dispersal system
dwelling or establishment. ! ❑ System requires"emergency'pumping
Any"yes"answer above indicates the system is ❑ PerFormed dye test
❑ Unable to�enfy(See Comments/Explanafion)
an lmminent Threat to Public Healfh and Safety. ❑ pther methods not listed(See commentsiExplanat�on)
CommentslExplanation:
2. Tank Integrity—Compiiance component#2 of 5
Compliance criteria: Verification method(s}_
System consists of a seepage pit, �❑Yes � No � Probed tank(s)bottom
cesspool,drywell,or leaching pit. � Examined construction records
I
Seepage pits meeting 7080_2550 ma�be I ❑ Examined Tank Integrity Form(Attacha
com�ent if ellowed in local ordinance. ;
� ❑ Observed liquid level below operating depth
Sewage tank(s) leak beiow their ❑Yes
designed operating depth. � � No ❑ Exarnined empty(pumped)tanks(s}
If yes,whicn sewage tank(s)leaks: ❑ Probed outside tank(s) for"black soil"
�, „ —" — `- — ❑ Unable to verify(See Comments/Explanat;on)
Any yes answer above indicates the
sysiem is Failing to Proteci Groundwater. ❑Other methods not listed(ses Comments/Exp�anatron)
Com ments/Explanation:
Peterson Company pumped the tanks
3. Other Compliance Conditions -compiiance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* �No � Unknown
b. Other issues(electncarhazards,etc.)to immediately and adversely!mpact public health or safety. ❑Yes" �No ] Unknown
"System is an;mminent threaf fo public health and safety
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes• �No
"System is failing to protecf groundwater
Explain:
www.pta.state.mn.us • 651•296-b300 • 800-657•3864 • TTY 651-282-5332 or 800-657-3864 � Avaitable in alternative formats
wq-wwists4-31 • 1l24/12 PQge 2 of 3
Nov 12 2015 0924PM HP FaxRusty Olson 7634988290 page 4
Proper;y address: 2995 Deer Run Trail,Orono,MN Inspector InitialslDate: J. 0. 10l30/15
4. SOiI Sepafation -Compliance companent#4 of 5
Date of installation: 8/20f1998 ❑ Unknown Verificatian method(s):
Shoreland/Wellhead protectionlFood Beverage
Lodging? ❑Yes � No 5oi1 observab'on does not expire. Prevrous soi!
observations by two independent parfies are suffrcrent,
Compllance Criteria: unless site conditions have been altered orloca!
requi�ements differ.
Forsysfems built pnorfo Apnl 1, 9996, and ' ❑Yes ❑ No
not locafed in Shoreland or Wel)head �I � Conducted soil observation(s)(anach bor,ng togs)
Protection Area or nof serwng a tood, ❑ Two previous verifications (Arracn bonng logs)
beverage orlodging establishment
❑ Not applicabl2(Holding tank(sJ,no drainfield)
Drainf�efd has at least a two-foot vertical ', ❑ Unable to verrfy(See Comments�planation)
separation distance from periodically I
salurated soil or bedrock. ' ❑ Other(See Comments/Explanatior)
Non-performance systems built Apri!1, �Yes ❑ No CommentslFxpJanation:
199fi,or later or for non-performance
sysrems located in Shoreland or Wellhead
Profecfion Areas or serving a food, ,
beverage, orlodging establishmenf:
Drainfeld has a three-foot vertical �
separation distance from periodically I
saturated soil or bedrock."
-— — - ----�--
"ExpenmentaP; "Other'; o� "Performence° , ❑Yes ❑ No Indicate depths of elevations
systems builf under pre-2Q08 RuJes; Type IV I
or V systems bui7t under 2008 Rules(7080. I A. Bottom of distribution media l 102.1
2350 or 7080.2400 (Advanced Inspector �
License required) B. Periodically saturated soilJbedrock 99.1
Drainfeld me2ts the designed vertical ' C. System separation ' 3.0
separation distance from periodically ! -
saturated soil or bedrock.
_ ___ _ D Required com�Iiance se aration' 2.6
Any "no"answer above rndieates the system is 'May be redu�d up to 15 percent it allowed by Local
_Failing to Pratect Groundwater. ordinance.
5, Operating Permit and Nitrogen BMP*—compiiance component#5 of s � Not applicable
Is the syslem operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is requi red
Is tne system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes",B below is required
BMP=Best Management Practice(s)specified in the system des+gn
If the answei io both questions is "no", ihis section daes nof need to be completed.
Compliance criteria
a. Operating Permit number:
❑Yes ❑ No
Have the Operating Permit re�uirements been met? �
b. Is the required nitrogen BMP in place and properly functioninp? ��Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stal. 3 115.55)An rmminent threat to public health and safety(lTPHS)must be upgreded,replaced,or rts use
disconflrrued within ten months of receipt of this notic�e or wilhin a shorter penod if requfred by loca!ordinance If the systern is failing fo protect
qround water,the sys[em must De upgraded,replaced,or i!s use discontinued within lhe time required by loca!orrlinance.If an existrng system
is not failrng as de/ined in faw,and has at least hvo feet of design soil separation,then the system need no►be upgraded,repair�d,replaced,or
its use discontinued, noiwithstanding any locaJ ordinance!hat fs more strict. This pravrsion does not apply to systems in shoreland areas,
Wellhead Protection Areas,or those used in connecfion with food, beverage,and lodging establishments as dehned in la�.v.
www.pca.state.mn.�s • 651-296-6300 • 500-657-38b4 • TTY bSi-282-5332 or 800-657•3864 . Available in altemative formats
wq•wwists4•31 . 1/14/12 Poge 3 of 3
Nov 12 2015 09'24PM HP FaxRusty Olson 7634988290 page 5
Tank Reuort
Date: October 27, 2015
Elmer J, Peterson Co.
5921 Dague Ave.
Delano, MN 55328
Phone 763-972-2420
�'ax 763-972-7217
MPCA License# 219
Steve Hicks
2995 Deer Run Trail
Long Lake, MN 55356 (�ronol
612-616-7323
Baflles: ON OFF
TSIlk CSp1Cl�: �'�250 Gallon and 1-'1000 Gallon SeptiC TBnks, 1-125D Gallon Lift Station Per City
#of Tanks: 3
Type of Tanks: Concrete
Gallons Pumped: 3000
Manholes to Grade'� YES I�O
Cornmeats:
On October 27, 2015, Elmer J. Peterson Co pumped septic tanks. No cracks or water leaking at that#ime.
Poly Cover was replaced an lift station.
NOTE: This is only a tank report. This is not a compliance inspection for point of sale nor does it
replace a compliance inspecf.ion.
Nov 12 2015 0924PM HP FaxRusty Olson 7634988290 page 6
Property address: 2995 Deer Run Tra!I _ __ fnspedar initials/Date: 10/27/15 �
1. Impact on PUbtic Hedlth—Compliance component#1 of 5
Compliance criteria: Verification method(s):
Syslem tlischarge sewage to the ! ❑Yes ❑No ❑ Searched for surface outlet
round surface. ❑ Searched forseeping in yard/backup in home
Systern discharge sewage to drain tile ❑Yes ❑No
❑ Excessive ponding in sail systemiD-boxes
o�surfaoe waters. ❑ Homeowner testimony(See CommantslExplane6on)
❑ "Black soil"above soil dispersal system
System cause sewage backup inlo ❑Yes ❑ No
dwetling or esIablishment. L � System requires"emergenc�'pumping
- ❑ Performed dye te5t
Any"yes"anawar above indicates the system is ❑ Unable to verify(Sea Comments�,cp�snation�
an 1►nminenf ThrAat to Public Healih and Safety. ❑ Other methods not listed (see comments/Exp�anation�
C omments/Explanation:
2. Ta�k Infiegr'�ty—Compliance component#2 of 5
Compliance crlterla: Verification method(s):
System consists of a seepage pit, �Q Yes �No ❑ �'robed tank(s)bottom
cesspool,drywell,or leaching pit.
❑ Examined construdion records
Seapege piLs meaGng 7080.2550 rrrey he ❑ Examined 7ank Integrity Form(Attach)
compliant if afbwed in local ordinance.
- ❑ Observed liquid level below operating depth
Sewsge tank(s)leak below their � ❑Yes �N� � Examined empty(pumped}tanks(s)
designed operatin de th.
li yes,which sewage tank(s}(eaks: ❑ Probed outside tank(s)for"black soi!"
❑ Unable 10 venfy(See Commanfs/�xplanatbn)
Any ��yes"answer above indicates fhe �pther methods not liSted(See Cwnmenls/Explenation)
sysfiem is Failing to Protect Groundwate�
Comments/Explanation:
On 10/27115,Elmer J.Peterson Co.pumped septic tar�ks.
3. Oth@I'COR1pl1e711Ce C011ditiorl5—Compliance component#3 of 5
a. MaiMenar�ce hote covers are damaged,cracked,�secvred,or appear to sVucturaNy unsound. ❑Yes• ❑No ❑Unknown
b. Other issues(elechice7 hazaris,efc.)to immediately and adversey impac3 public health or safety ❑Yas• ❑No ❑Unknown
`S�siern is an/mminerrt threaf!v pub!!c health and safety
Explain:
C. System is non-protective of ground water for ofher condi6ons as detertnined by inspec�or C Yes• ❑No
"System is failing Eo protec!groundwatei
Explain:
www.pca,sta[e.mn.us • 651•296•b300 . 800-657�38ba . 'TY 651-282•5332 or 8A0-657-3864 . Available in altemative fwmats
wq•wwists4-31 . 1/24/12 Page 2 of 3
Nov 12 2015 09:25PM HP FaxRusty Olson 7634988290 page 7
. �
Logs of Soil Borinas
License#810
Location or Project: 2995 Deer Run Trail
Borings made by: Rusty OlsOn's Soil and Perc testing 10/23l2015
Classification System: AASHO ; USDS-USDS-SCS X ; Unified ; Other
Auger used �check two�: Hand_X�,or Power_, FI ight, Bucket or Probe_X_
Boring N umber_1_Surface elevation_100.1_ Mottled Soil at_2.0_feet
0-12" Fill H20 present at X+
12"-24" Dark brown loam 10yr3/2
24"-30" Brown loam 10yr4/3
Boring N�mber_2_Surface elevatior _100.6_ Mottled Soil at_;.5„_feet
0"-12" Dark brown loam 10yr3l2 H20 present at_X_
"2"_18" grown loam 10yr4/3
TBM: Top or lift station manhole cover Elv.-100.0 assurned
Original soil under the rockbed Elv.-104.6
Bottom of rock bed Elv.-102.1
There is 1.5 feet of sand under the rockbed
Nov 12 2015 09:25PM HP FaxRusty Olson 7634988290 page 8
� ��� �� �U� �T,
.�--�� �`"
r�� ��
� � � "'—~ �
/
� �
� �
/�
� �
/ /
/ /
� �� �
/ �� � \ J� �
\ � �--U1/e.��
� ��, �._ __. __r
�� ' �
0
�;;� �_ __ _____ _�
�
c°, 73'3 1��b
Ti��� ���0 1�y'o
�rn� �'c� �'�
�� T �1� �6��a J �7 D
. rfl_ �g"� � � )
�!./
GJ�!� ��� ��3'q
.�' o�,. �
O �, O CI'TY OF ORONO
,� �� �, MunicipalOffices
�,, � ,; ,�z�� � Street Address Mailing Address:
`C� �j'�' 2750 Kelley Parkway P.O. Box 66
'�9 � Orono, MN 55356 Crystal Bay, MN 55323-0066
kEsxo�'
To: The Current Owner of Address 2995 DEER RUN TR
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 No ompliant
Yes
No
If yes, system must be brought 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 tank be serviced and pumped out every three
(3) years. City records indicate the tank(s) were last pumped out on_ � - �� -o,S
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
w � -07
�sP Date of Inspection:
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
. -
� � • •
�
To: Orono resider�ts on mound rype 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 liquid left after the "other' stuff has been removed)
in the summer time and allows the mound system to help breakdown nitrogen in the effiuent.
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 af 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 annuaily for winter kiil, (reseed if necessary) animal damage,
(burrowingj or signs o`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 or questions co�cerncng your rraound system
please feel free to call me, 6 can be reached at 952-249�626.
1
_,_..,.._ ....._., .---._.....�. _...�..�.
, Compliance Inspection Form for Existing
� Individual Sewage Treatment Systems Minnesota Pollution
`i Co�trot Agency
Completion of this form fulti►Is the minimal requirements of Minn. Stai. § 115.55(2001)and Minnesota R. ch. 7080(1999). Please refer
10 local ordinences for other requiremenis or information, especially for compliance requirements for bedroom addi2ions.
General:
Date of Inspection: / � � Reason for inspection: _��r���G�
1
Property owner(s)_,�� ��l�C;t►'1 'Telephone (Y�';z) 7��— �7C��
Person requesting inspection GiYYIe.�. Telephone ( )
Site Address �c '(� ' V �i I City d �O!''�d Zip Code � 3S�(p
Fire No./ Parcel No. County �����/•"`"� Township
Legal Description
Local Regulatory Authority _ _ C_��4
Date system constructed .� System in Shoreland Area: yes� System in Wellhead
Protection Area: yes �stem serving a MDH licensed facility: yes �lvcal Permit # (if any)
Systems built prior to Aprfl 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 systerns Built after
March 31 1996
Is the svstem an imminent threat to public health or Is the system an imminent threat to public health
safe ? (a yes answe�is an ITPHS system) or safetv? (a yes answer is an ITPHS system)
-Discharge of sewage to the ground surface? YES NO - Discharge of sewage to the ground surface? YES
-Discharge of sewage to dralntile or surface waters? YES NO -Dlscharge of sewage to draintile or su�face waters?YES
-Sewage backup into dwelling? YES NO -Sewage backup into dwelling? YES 0
-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
safety? YES NO safety? YES �
Is the svstem failina? (a yes answer is a failing system) �s the system failing? (a yes answe�is a failing system)
-Less than 7W0 feet of vertical separatlon between - Less than THREE feet of vertical separation between
system bottom and saturated soil or bedrock? YES NO systern bottom and saturated soil or bedrock? YES
-A seepage pit,cesspool,drywell, or leaching pit? YES NO -A seepage pit, cesspool, drywell, or leaching pit? YES
Is the svstem non-comaliant? Is the svstem non-c�mpUant?
- Is the system regulated under a monitoring plan or - Is the system regulated under a monitoring plan
operating permit? (if n�,go to page 2) YES NO operating permit? (if no,go to page 2) YE�
1/yes, !f yes,
-Has the required monitoring taken place? YES NO - Has the required monitoring taken place? YES No
(If no, the system is non-cornplying) (!f no, the syslem is non-complying)
- Does the monitoring indicate ihat 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-complyingJ (ll no, the system is non-complying)
Page 1 of 2 wq-wwists4.31
T 'd Z6ZE—ELS [ZS6l punjpamg ysoC eB0 �B0 SO OE daS
. �stem Comoonents (P/ease describe the system cP mponents and attach site sketch showing system location :
ic�SU �i� 7I y� � Tl` Zi�LZ� '—D ' /14�
�S� /_�i'� �ov� S�I '�r'�/'
Il/L.+4
s.,,a.methvds were used to make the determination for the comflllance insaection? (Note:No stan ar protoco exists.
The fo/%wing/ist is not exhaust/ve, o�in sequentia/order nor indicates which combinations may necessary to make a determination)
Wateltight tank(s) Hydraulic Functioning Vertical Separation Distance
� Probed tank bottom � Searched for su�Face outleC � Conducted soil borings �1
❑ Observed low liquid level a Performed hydraulic test Depth to iimiting Idyer�_
��
� Examined const. records � Searched for seeping in yard Depth to system bottom� l�
� Examined empty(pumped) tank �Checked for back-up in home 0 Examined records
p Probed outSide tank for"black soil" ❑ Excessive ponding in soil system/D-boxes ❑ LGU Limiting layer Verification
O Pressure/vacuum check ❑ Homeowner testimony ❑ Other
❑ Other �Examined for surging in tank
o "Black soil"above soil 5ystem
❑ other
Status of the svstem
Sased on the compiiance criteria, the system status is: (check one) l� failing (to protect groundwater) ❑ an
imminent threat to public health or safety (ITPHS), ❑ non-compliant(monitoring issue)�ompliant (none of the 3
previous conditions). Therefore,this document is a;�Certificate of Compliance O Notice of Noncompliance
Is this system an EPA Class V Injection Weli? ❑ yes �1 no __
Certification
I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qua{ified Employee Inspector and/or Qualified Employee
Designer I that I conducted an investlgation that accurately determined the compllance status of this system and that my recorded
obseNations are accurate as of this date. No determination of future hydraulic performance has been nor can be made due to
unknown condltions during system construction, abuse of the system, inadequate maintenance,or future water usage.
Inspector's name (print) JOSH SWEDLUND Phone Q�_ �7�" �-�1 �
L i c e n s e a n d/o r R e g i s t r a t i o n N u m b e r 25�2 A d d re s s ���'�� " �0��' �,� �' ��--
Employed by ' f�� 1l y � C �� Address Sa6�-� _
Signature - �-e Date v� �,5�
Ua4rade Reauirements jderived from M/nnesota Statutes§115.55)
An ITPHS must be upgraded, rep/aced, or its use discontlnued within ten months of receipt of Chis notice or within a shorte�period if
required by loca/ordinance. If the system fails to p�ovide su�cient groundwater protection, then the system must be upgraded,
rep/aced, or its use discontinuer�within the time�equ/red by ru/e or the/oca/ordinance. If an exlsting system is not fai/ing as defined in
law,and has at least 1wo feet of design soil sepa�ation, then the system nee�d not be upgrdded, repaired, replaced, or its use
discontinued, notwithstanding any/oca/o�dinance that is mo�e strict. This does not apply to systems in shoreland areas, wellhead
protection areas, o�those used in connection with food, beverage,and lodging establishments as defined in law.
�uaqested Attachments
1) Site sketch could also include: well, well setback to system, dwelling or other bufldings, 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 materlal is fill,
3) A list of any and all requirements of the local ordinance that are different from the state requirernents refe�red to on this form.
4) A homeowner survey of system performance, signed by the homeowner as being faRual.
S) Monitoring data as appropriate.
� Page 2 of 2
Z 'd Z6ZE-ELB [ZS6l punipam� ysoC eS0 �B0 SO OE daS
Site.Sketch:
, � .. . .. .. . . . .. . .. . .. . . .. . ...;,. .. . .. .
. 'i'
. . . .. . ..... .. . .. .. .. . ..;.. , .. . .. , . .. ..;
. .. ' . � .. .. . - .'�b` ' �,oi�aa�. . . '. . ..._ ., .
.. , . .. � . .. . .. .o. ' .. .��. ' ,.1' . .. . ,. � ; . .:. .
.. . . ;.. ..;.. . . •;.. . . . . . . . .. . ..
. � . . . . � ,. . .. !�.,;.�. . .. . ` ...�;.. ._ . , . . ._ . ,,...
. . . .. . .. �, . .. .��o.. . .. . .. . � . . .. , .. . .. .
. .. .. .. .. .. .. �� .. .. .1�.. .. .. �..J . ...�t� . .� . ._ . �.
. .. ..j... � . - . . . . . � .. . . . .. . ..
. . ` . . . '�G',;••:.;•• . . , . . . .. , a
.. .. . .. . ,� �' . ;: . . .. � . .. � 10' 20'
: .. �.. . .�w,,� ; .. . ,s. ,. . ; . . . ,%.;. ,.�1.. N
� .. .. ' . � .. . .. ,� ..���'�� .. . . .. . ., :: � .� w���--�'
. '; 0 l00"
Plense iudicate the locntion of: Wcll,�vell 5etback tu systetn,Jw�;iling oc nthet e5tabli3hmcnt,tank(s).soil tre�t5mcnt rystem,
rese�vad soil trai�cment arca,c�ut�in draii�,proparty lints,wAtcrways,and buried lines (thosc NO?ii�stulled by thc utiliry}.
Include sizes;uiil leng�h tlnd approximate distanas f.rom fi.Ktd rzfcrcncc points such t�s shrcls and buildinRc, Pleasc attaeh as•
built dra�vin��,inspection rzForls,Cortificst(s)of Lompliance nnd Noticc(s)ofNoncpmpli;tnro,if nl�-ailable.
Soil Bu�•ings (BZt#): Laeate eaeh boring ou the map c�bove, indicate on the riShi of the culuum the soil
�exture, struch�re, colc�r, depth of each differenf soil type, evidence of mott]ing, hedz�ack�nd stv�dirzF v�ater.
�.lso ia.adic�te if the niaterial is iill.
�R# � �3R# BR# BR# BR# BR�
i0��
�,�
ai�- �a"''
� lo �t�
�(� ��;��
��`'
�'_
W:CORD DEPTH OF��SOTTLING,SEASONAL 1•T1Ci� WA1'�R OR BEDROCkOh N30VE LN►cS
Cc�mments•
��'liat nceds t��b�ci�mpleced et�liring t1�e apt�ve�)�stem intu���cnplian�c if found not in comyliane�? _ _
E 'd Z6ZE—ELB (ZS6l punipamg ysoe e60 �80 SO OE daS
�o�
� �
i�0 O��
I . ���; �i'TY of ORON�
1 �`! S�, q !A.�_� �
, � . 1 . '►�'(
��l� ! „_.. I
�\ � � ,� '�� :� �, ; Municipal Offices
� ,u;�� i ' ��,i '� �/
� � j ��+�` �';;� Street Address: qsa'a4q'�6� � Mailing Address:
�' .��9 ' ``'Q6� 2150 Kelley Parkway P.O. Boz 66
� ,. kESK�..-:,,
��--�� Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner:
Address: .����� J ��?��� '!�� /'J
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo years.
The on-site sewa;e treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYST'EM CONFORMIT'Y (1-3): �
1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the cunent Orono Municipal Code.
2 "COMPLIAI�'T SYS1'EM" 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 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-COMPLIAi'�1T 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 construction standards of the current Orono Municipal Code and which is failing for any
reacnn;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil chazacteristics.
� �
TANK CONDITION(5-7): �,
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years.
Tanl:was last pumped � "� 1•
Make sure septic tanks are pumped throuQh manhole and not throuah white inspection pipes. This allows for the proper
cleanina Keep water softner and iron filter discharQe out of septic system to prolonQ life of drainfield. Ask pumper to test
alarm float to verifv alarm is still workina in vour house. The alarm warns owner that septa�e is about to 6ackup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tanl:. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD COi�1DITI0?v(5-101: ��
8 Drainfield is dry, no surfacing evident.
9 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. �
i
�OiV1i�1E?�TTS: d�i; ��.�� ��OOri R�'��;
�� � ---._ -- a� ��j':- `� -,`���-�
' z5 �_ � t_-�,
Date of Inspection Septic System Inspector
� o�
0 0
��� ! CITY of ORONO
� -�. _,,�� ,
-�j��.
.� ���� ��_� �.,
�, �i �'`;�1���" ti l �i���� ot���
,f� �I����.� ti
�� 'ti '�-'��';�:�a .�G Street Address: Mailing Addross:
'�'EggOg' 2750 Kelley Parkway P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
-- —
- — - ---
To Current Owner: Address: a� �� U e�r �C v^ ��R` � _
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): �
� "CODE SYSTEM" M ISTS which meets all the location,design and construction standards of the uurent Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and conshvction standar3s of the current Orono Municipal
Code but does meet the three foot sepazation requirement or two foot requirement for systems installt�1996 or earlier,and which is not failing or
an imminent threat to public health or safery.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an[STS Iocated within a desi�nated 100-}ear fload plain,any ISTS which may
or may not meet all the location,design,or wnstrvction standazds of the current Orono Municipal Ccde 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 lunitins soil characteristics.
TANK CONDITION(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
USeptic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped �'�k�d--�. ),
Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the
proper cleaning. Keep water softner and iron filter discharge out of septic svstem.
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 no�ti�_
DRAINFIELD CONDITION(8-10): �
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: �0�^� O �C��S 0��_ r��^p Sep +,� t��lc3 ��S
SvM�ir � a �-1� . `fuv c�� ���-- =^S�cc.r:c-� � :Dv �-o ��5d
Or� �� vr�(� �
� -z�-o� - �� �
Date of Inspection Matt Bolterman - Sep[ic S�-stem Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of propc:ty,be ad��ised that this report does not guarantcc
or certify that an cxisting system will continue to function properly,but is merely an opinion ofthe adequacy of the systera under airrent conditions based on the available
infortnation.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
.�, o,�.
Ow�� O
� ���� CITY of ORONO
�1 a.�
����:� �
� ���`" ��-?�. A+
'S �-:,�-,, '� ti Municipal offices
'�+''����,�,,�.���,�r G'ti
'�%� y�� Street Address:
�� '`�' � � Mailin� Address:
�ESI;�4 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: Ro be��t- �-�+��G� Address: aq 9 S
Qeer R�� Tr
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 CONFORI�IITY (1-3): �
O ��CODE SYSTEM�� An ISTS which meets all tha localion,desi�and construction standards ofthe cuirent Orono�funicipal Code.
2 COMPLIANT SYSTEM" An ISTS which does not meet all thz localion,design and construction standards ofthe currrnt Orono:�funicipal
" Code but does meet the three foot sepazation requitemecrt,and which is not failing or an�mmineat threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" �1 prohibitzd ISTS;an ISTS located withirt a designated 100-year flood plain,any ISTS which may
or may not meet all the localioq design,or construction standards of thz currertt Orono�funicipal Code and which is failing for any re�son;and
any ISTS with less than three fnt of unsaturated soil or sand bztw�een thz distribulion device and the limiting soil charactzristics.
TANK CONDITION(�-10): �
Tank inspection indicates:
� Pumpuut not needed at this time.
� Tank must be pumped out this year (city code requirrs tanlcs to bz pumped out zvery 3 years. Tank was last pumped u^K no w^ )
� Solids accumulation in tanks is at a critical a critical IeceL Tanks should be pumped out as soon 3s possible.
8 S}•stem is dischazging to the surface. Tanks must be pumped out within 43 houn to eliminatz surface discharge.
9 Inspzction riszrs missing-tanks could not ba inspectzd Inspzction risers(4"dia.pipe)must be installed in each tank at ne.�ct pumpout Iftanks
have not bezn pumped out�ithin the(ast threa years,they should be pumpzd out now.
1� Inspection pipe is located dirzcUy over tarilc baHle(dozs not give accuratz mzasurement of solids accumulation). If tan}cs have not been pumped
out within iha last three years,they should be pumpad out now.
DRAINFIELD CONDITION(11-1�): �_
1 1 Drainfield is dry,no surfacing evideat
12 Some avidrnce of surfacing,not critical yet
13 Drainfield is saturated and visibiy discharging untreatrd e@]uent to tha surface. Corttact the City Iaspector immediately.Repairs must be
complzted within 90 days.
1� Drainfield a�ctent and condition unknown
COM'�NTS: Sy Ster-. \ookS oK. tq�k5 M� S'r 6� �vn.pe� ;� -}-i,e�
�A��- �o� bee� �� M�e�l �--•k�.:�. IaS� 3
�e��s
6-5 -o � �� ' .
Date of Inspection Septic System Inspector �
Note: In thz event that this inspection report is turd to satisfy the tequiremrnts for a mottgage or other transfer of property,be advised that this repoR does not guazantee
or certify that an esisting system will coatinue to funccion properly,but is maely an opinion of the adequary of the systera under curzrnt conditions b�sed on the available
informatioa
V���
� O�
O O
,� �����,�;. �
CITY of ORONO
�, Municipal Offices
ti
�,t� ¢.�G Street Address: Mailing Address:
xEBI;� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
.,�
Owner: �,���Y �� �l�r�, Address: 2995 Deer Run Tr.
Permit #'s: 9437 Dates: 9/23/97 Contractors: Swedlund Septic
(This is [�7`�� 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.
t
(The saturated soil level is [��'�.] or is not [ ] identified under this septic system. If the
saturated soil level is not idefitified, 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 confirmeQ to be watertight, this classification is subject to revision.)
DRAINFIELD CONDITION (11-14) : 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:
�/�� J,�
Date of Inspection pt'c 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)249-4600 • Fax(612)249-4616