HomeMy WebLinkAboutseptic info Feb ?2. 2016 04:35PM HP FaxRusty Olson 7634988290 page 2 ���
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MinnesotaPollution Compliance Inspection Form
Control Agenty
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55t55-�194 (SSTS)
Doc Type:Compliance and Enforcement
DCrCIVCf1
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) �� For local tracking purposes: ?
requirements and attached forms-additional local requirements may also apply. 'I rCD Z Z 201 c
rC� �
Submit completed form to Local Unit of Government(LUG)and system owner
within 15 days
Systern Status
System status on date(mmJddlyyyy�: 2120l2016
g Compliant—Certificate of Compliance ❑ Noncampliant— Notice of Noncompliance
(Valid for 3 years from report date, unless sho�ter time (See Upgrade Requirements on page 3)
frartte outlined in Loca/Ordir,a»ce.)
Reason(s)for noncompliance (check a!1 applicab/e)
❑ Impact on Public Health (Compfiance Component #i)-Imminent fhreatto pub/ic hea/fh and safety
❑Other Compliance Conditions(Complrance Component#3)-lmmrnent threat to public heaJth and safety
❑Tank Integriry(Gompliance Gomponenr #2)-Failing to protecf groundwater
❑Other Compliance Conditions(Compliance Component#3)-Failing to profect groundwater
❑Soil Separation(Gompliance Component #4)-Failing to profecf groundwaler
❑ Operating permiUmonito�ing plan requirements(Compliance Component #5)-fVortcomplianf
Property Information Parcel ID#or Sec/TwplRange: 04-117-23-34-0003
Property address: 2611 Fairview Lane, Orono, MN Reason for mspection: Property Transfer
Property owner: Kate Tabner Owner's phone: 917-864-6666
o r —"
Owners representative __ Representative phone:
Local regulatory authoriiy Ci of Orono Regulatory authority phone: 952-249-4600
2-1000 gallon septic tanks,i-1000 gallon lift station and 500 squa�e feet of mound rockbed, per city
Brief system description: records
Comments cr recammendations:
Certification
!hereby certify that all the necessary informaGon has been gafhered to detemiine fhe compliance status of this system. No
determination of furure system performance has been nor can be made due to unknown conditions dunng system construction,
possible abuse o/the system,inadequate mainfenance, orfufure waterusage.
Inspector name: Joseph J Olson Certification number: 1255
Business name� Rust son's Soil&Perc. Test�ng �icense number: 810
Inspector signature: Phone number: 763-498-8779
Necessary or ocally Required Attachments
� Soil boring logs � SystemlAs-built drawing ❑ Fo�ms per locai ordinance
❑ Other information (list):
www.pca.state.mn.us • 651-246-6300 • 800-657•3864 . TTY 651-282•5332 or 800•657•3864 • Available in alterra[ive formats
wq-wwists4-31 • f/24/12 Page 1 of 3
Feb 22, 2016 04:35PM HP FaxRusty Olson 7634988290 page 3
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Property address: 2811 Fairview Lane, Orono, MN _ Inspector initials/Date: J. 0.2/20I16
1. IrnpdCt On Publ1C Health—Compliance component#1 of 5
Compliance criteria: _ Verification method(s):
System discharge sewage to the ; ❑Yes � No � Searched for surface outlet
�round surface. � Searched for seeping in yard/backup in home
System discharge sewage to drain tile �I ❑Yes � No
❑ Excessive ponding in soil system/D-boxes
or surtace waters. ❑ Homeowner testimony (See Comments�xplanat�on)
S stem cause sewa e backu into ❑ 'Black sail"above soil dispersal sysiem
y g p � ❑Yes � No
dwelling or establishment. ❑ System requires"emergency"pumping
Any"yes"answer above indicates the system is � Performed dye test
an/mminent Threat to Public Health and Safety. ❑ Unable to verify(Sea Comments�xp�anation)
_ ❑ Other methods not listed(See CommentsiExplanation)
CommentslExplanation:
2. Tank Integrity—Compliance component#2 of 5
Compliance criteria: Verification method(s):
-T--
System consists of a seepage pii, � �Yes � No ❑ Probed tank(s)hottom
cesspool,drywell,or teaching pit. �,
r] Examined construction records
Seepage pits meeting 7080.255D may be � ❑ Examined Tank Integrity Form(Attach�
complianf if aJlowed rn loca!ordinance.
Sewage tank(s)leak beiow their I []Y Se�Np � Observed liquid�evel below operating depth
designed operating depth. ❑ E�camined empty(pumped)tanks(s}
If yes,which sewage tank(s)leaks: I ❑ Probed outside tank(s)for"black soil"
AI?y "yes"answer above indicates fhe ❑ Unabie to verify(See Comments/Explanation)
system is Failing to Protect Groundwater. �Other methods not listed (See Comments/ExplanationJ
CommentslExplanation:
Peterson Company pumped the tanks
3. Other ComplidnCe Condltions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,crackea,unsecured,or appear to struc�urally unsound. Ci Yes' �No ❑ Unknewn
b. Other issues(electrical hazards,ero.)to immediately and adversely impact public heatth or safety. ❑ves" � No p Unknown
`System is an imminent threat to pubJic healfh andsafety
Explain:
c. System is non-protective of ground water tor other conditions as determined by inspector C Yes• �No
'System rs failing to protect groundrvatier
Explain:
MnNw.pca.state.mn.us • 651-296-6300 • 800-b57-38b4 . TTY 651-282-5332 or 800-657-3864 • Available in alterna[ive formats
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Property address: 2811 Fairoiew Lane, Orono, MN Inspector initials/Date: J. O.2/20l16
4. Soll Sepa►'dtioll —Compliance component#4 of 5
Date of installation: 8l06/1987 ❑ Unknown Verification method(s}:
ShorelandlWellhead protectioNFood Beverage �Yes � No Soi/observa6on does not ex ire. Previous sorl
Lodging? observafions by two independent parties ar�sufficient,
COmpllarlCe Criteria: unless site Conditions have been altered orlocal
requi�ments differ.
Forsystems builf pnorto Apn!1, 1996, and , �Yes ❑ No
not located in Shoreland or Wellhead � Conducted soil observation(s)(Attach boring logs)
Protection Area ornotserving a food, ❑ Two previous verifications (Attacn bo.inglogs)
beveraqe orlodging establishment.� I
❑ Not appliCable(Holding tank(s),no drai�rfretd)
Drainfeld has at least a two-foot vertical � Unable to verify(See Comments/Fxplanation)
separation distance from periodically ❑ Other(See CommentsiExplanationJ
saturated soil or bedrodc.
Non-performance systems buift Aprr!1, ❑ Yes ❑ No Comments/Explanation:
1996, or Iater or for non-performance
sysferns locafed in Shore/ard or Weflhead �i
Protection Areas or serving a food, I
beverage, or lodging estabGshment
Drainfield has a three-Foot vertical
separation distance from periodically
saturated soil or bedrock.' �
`Expenmenta!" °pther�, or `Performance" ❑Yes � No IndiCate depths of elevations
sysfems built under pre-20Q8 Rufes; Type IV 'i �
or V systems 6uilt under 2008 Rules(7080. ' A. Bottorn of distribution media ' 92.9
2350 or 7080.2400 (Advanced Inspector I
LiCense fequi�ed) B. PeriodicaRy saWrated sollbedrock I' 90.9
Drainfield rneets the designed vertical C. S tem se aration 2.0
separation distance from periodically
saturated soil or bedrock I D. Required compliance separation" 2.0
Any "f10"answer above indieates the systern is •May be reduced up to 15 percent if allowed by Local
Failing to Protect Groundwater. ordinance.
5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 � Not applicable
Is the sysiem operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required
Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required
BMP=Best Management Pracfrce(s)specified in the system design
If fhe answei to both questions is "no", this section does not need to be completed.
Compliance criteria
a. Operating Permit number: j
❑Yes ❑ No
�lave the Operating Permit requirements been met? ` I
b Is the required nitrogen BMP in place and properly functioning? ' ❑Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. 5tat. §11b.55J An�mminent threat tn public health artd safety(1TPl-IS)must be upgreded, raplaced,or its use
disContinued within ten months o!receipt of thrs notice or within a sho�ter period if requrred by local ordinance.If the system rs faiJing to protec!
ground water,fhe system must be upgraded, replaced,or its use disaontinued within the time required by local ordinance. If an existing system
is not failing as deh"ned in law,and has at least hvo feet of desrgn soi!separation,then the system need nol be upgraded,repaired,replaced,or
its use disconhnued,notwithstartding any loca!ordinance that is more strict. this provisron d�es not apply to systems in shoreland areas,
Wellhead Protection Areas,or fhose used in connecrron with food,beverage,and lodging estatrlishments as defined in faw.
www,pca.state.mn.us • 651-296-6300 - 800-657•3864 • TTY 651-262•5332 or 800-657-3864 • Available in alternative tormats
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Tank Re ort
Date: June 22, 2015
Elmez J. Petersan Co.
5921 Dague Ave.
Delano, MN 55328
Phone 763-97�-2420
Fax 763-972-7277
MPCA License#219
Kate 7abner
2811 Farview Lane
Orono, MN 55356
917-864-8666
Baffles: ON OFF
Tank Capacity: 3-100D Gallon Tanks
#of Tanks: 3
T�'P�°f T�g� Concrete
Gallons Puznped: 2500
/
Manholes to Grade: YES No
Comments:
On June 22, 2015, Efiner J. Peterson Co uncovered manholes (15'—12 inches deep, 2,d—16 inches deep,
lifi station— 10 inches deep)and pumped septic tanks. No cracks or water leaking at that time
NOTE: This is oniy a tank,-eport, 'This is not a compliance inspection for point of sale nor does it
replace a com�liance inspection.
Feb ,22• 2016 04:35PM HP FaxRusty Olson 7634988290 page 6
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Property address: 2811 Fanriew Lane f
i. Ins�eclor initiala/Uate: 61?2115 .
1. II'1't�dCt o�l PubllC Heelth—Campliance ComponenE#1 of 5
_Compliance criteria:_ Veriflcation rnethod(sj:
System discharge sewage to th� �Na ❑ Searched for surface outlet
�round su�face, _ ❑ Searched for seeping in yard/backup in home
S�rstem discharge aswage to drain tiie ❑Y� ��a ❑ ��ssive ponding in soil systemlD-boxes
or su,face waters. ❑ Homeowner testimony(see Comments�xpranauon)
System cause sewage beckup into ❑y� �No ❑ "$�adc sal'above soil dispersal system
_dweliing or esiablishment. ❑ System requires"�mergenc�pumping
AnY"yes"answer ebove indlcates!he system is � Pe�O�'��Ye test
sn Imminerrt Threat to Publfc Nealth and Safety. ❑ Unabie to verify(Sae GommentsiExplanah�on)
❑ other methods not listed(See CommenLslExplanafion}
Com ments/Exp�anati on:
2. Ta�k Integ�ity—Compliance component#2 of 5
Compilance criteria, _ Verffication method(s):
Systern consists of a seepage pit, ❑Yes �No ❑ Probed tank(s)bottom
cesspool,drywell,or leach�g pit.
� � Examined construction reCords
Seepege pits meedng 7p80.255o may be ❑ Examined Tank int
compfiarrt rf aflowed rn loca!orrlinance, egrity Fortn(pnach)
Sewage tank(s)leak below their ❑ ObservEd liquid level below operating depth
❑Yes
desi9ned oQeratin de th �N� � Exammed em
Ph�(PUmPed)tanks(s)
If yes,which sewage tank(s)leaks:� ❑ Probed outside tank(s)for`bladc soil'
�
A�1y "yeS"answerabove indicates the ❑ Unable to verity(Sea Comm�ents/Exp�anstion)
system/s Failing to Protect Groundwater. ❑aher methods not listed(See Comments/Explanatron�
Co m mentslF�cpt anati on:
On 6/22/15,Elmer J. Peterson Co.pumped septic lanks.
3. Other Compiiante Conditions—Cornpliance cornponent#3 of 5
e. Meintenance hde covers are damaged,cracked, u�� ���ar ro struaurally ur�sound. p Yes ❑�to ❑Unknown
b. Other issues(e�hazards,etc.)tp immediately and adversely impact public health or safety, ❑yes* p No
'System is an imminent tNreat to pub/ic Aea/th and aaf�, ❑Unkrmwn
Explain:
c. System is non-protective oi ground wafer for other co,Kf;6ons as determined by inspedor ❑Yes• �No
'Syate+n!S failing to prohact gnaundwater
Explain:
www.pca.state.mn.us • 651-2%-630p . 8pQ-657-3864 . T7Y 651-28Z-5332 or 300�657-3864 • Available in altemative formats
wq•wwists43i • f/24112
_ ___________ Pose�oJ 3
Feb 22 ,2016 04:35PM HP FaxRusty Olson 7634988290 page 7 .�
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Lo�s of 3oil Barinqs
License#810
Location or Project: 2811 Fairview Lane
Borings made by: Rusty�Ison's Soll and Perc testing 2/2U/2016
Classification System: AASHO ; USDS-USDS-SCS X ; Unified ; Other
Auger used (check two): Hand_X_,or Power_, Flight, Bucket or Probe_X�
Borirg Number_1_Surface ete�ation_92.7_ Mottled Soil at 0.5 feet
0-12" Fill in origina�soils^
12"-18" Dark brown ioam 10yr3/2 H20 present at_X_
18"-24" Rusty dark brown loam 10yr3/2
Boring Number_2_Surface elevation_95.5_ Mottled Soi� at X f feet
0-56" Filf in original soils
2.1 feet of sand under rockbed H20 present at_X_
TBM: Top of front door threshold Elv.-100.00 assumed
Original soil under the rockbed North side Elv.-91.2
Original soil under the rockbed South side Elv.-90.8
Bottom of rock bed Elv.-92.9
There is 1.7 feet of sand under the North end rockbed
There is 2 ^, feet of sand under the South end rockbed
Feb�2� 2016 04'36PM HP FaxRusty Olson 7634988290 page 8
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Street Address: Mailing Address:
�t`9.1�(' p�'�G 2150 Kelley Parkway P.O. Boz 66
Es8
� - Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Cunent Owner of Address .2 � � 1 �A-l J � �� �✓
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 followinb is known about the system. A
sketch of the known components of the system is available for most propei-ties at
the Orono City Hall.
Imminent Public Health Threat
Yes �No
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10
days of receipt of this notice. The septic system must be 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 out Needed
Yes �
No �``�
The City recommends the septic tai�l:(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
i ��� C�i' �-' � . The tank(s) should be cleaned through the manhole and
not throu�h the inspection pipes, this allows for proper cleaning.
Comments:
,�' � � !
,� e� O SY
Inspector:'��',,,������ _� �� l � ° Date of Inspection
Telephone (9�2) 249-4600 � �as (9�2) 249-4616
��ww.ci.orono.mn.us
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�',,� 'f_ ! �ti��;� Municipal Offices
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.� ' ,,, .�,,, StreetAddress: MailingAddress:
`��`9$EgKO�';'�" 2750 Kelley Parkway P.O. Boz 66
�—___`� Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: ���� r`��°�'���" �`�''��
City Ordinance 199 requires that each existing on-site sewage t�-earinent 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 of the current Orono Muiticipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the cunent Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement 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 ISTS located witliin a designated 100-year flood plain,any ISTS which may
or may not meet aU the location,design,or construction standards of the current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than tliree feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): 5r
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 iast pumped 10 —�'��� ).
Make sure septic tanks are pumped throueh manhole and not throuQh 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 now.
DRAINFIELD CONDITION(8-10): �
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.
COMMENTS: �'`�'�^c� `.^u S��}-,� -�-��KS �C�-�e, 0�,
�-�-�-{.�-� ��-� ��.�;�.
Date of Inspection Matt Bolterman- Septic System Inspector
Note: [n the event[hat this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised ttiat this repoR does not guarantee
or certify that an e�cisting 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.
Telephone(952) 249-461}0 • Fax(952)249-4616
www.ci.orono.mn.us
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����`�-�T�� CITY of ORONO
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� �`','•'��y��C\4� Streat Address: MaillnQ Address:
�C�gK4 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �� '1 0�-� Address:_ aS ll F�r v',�.�,
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City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs.
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): �
�1 ��CODE SYSTEM" An ISTS which meets all the location,design and construction standards ofthe wrrent Orono Municipal Code.
2 CONiPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards ofthe currerrt prono Municipal
" Code but does meet the three foot sepazation requiremett�and which is not failing or an imminecrt threat to public health or safecy.
3 "NON-COMPLIANT SYS'I'EM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not meet all the loca$on,design,or construction standards of the current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the dis4-ibution device and the limiting soil characteristics.
TANK CONDITION(5-10): 6
Tank inspection indicates:
� Pumpout not needed at this lime.
� Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped ��- a- 9� �
7 Solids accumulation in tanks is at a critical a critical level. Tanks should be pumpzd out as soon as possible.
g System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tanlc at nzxt pumpout Iftaiilcs
have not been pumped out willun the last three years,they should be pumped out now.
1� Inspection pipe is locatzd directly over tank baffie(does not give accurate measurement of solids accumulation). Iftanks have not been pumped
out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION(11-141: t1
� Drainfie(d is dry,no surfacing evident
12 Some evidence of surfacing,not critical yet
13 Dtainfield is saturated and visibly discharging urrtreated eflluent to the surface. Contad the City Inspector immediately.Repairs must be
completed within 90 days.
1-� Drainfield e.rtent and condition unknown
CONIl�fENTS: SYst��• �ookS bk ��� fiq�k5
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Date of Inspection Septic System Inspector '
Note: In the event that this inspection report is used to satisfy the requiremerrts for a mortgage or other ttansfer of property,be advised that this report does not guazantee
or certify that an e�sting system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditio�s based on the avai(able
infonnation.