The URL can be used to link to this page

Home My WebLink Aboutseptic info CITY OF ORONO Date ADDRESS � Connected to CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer r Address _-�7� � ��'"rf�/Li-�/a L t: /C�.[7. Property I.D. �� " 7_3 /y � � WELL i ATA �Standard trench '� I ❑ Mound � � System type ❑ Other Legal Description �%�.' "°T� -CA, � p' -/7 3�-g�t , - � r Permit No. ' �� Date of permit Installer �� v 1 �° p m No.'Bedrooms Garbage ,� ,�, f Building type I'�E�i��T�'C t=- or GPD y f.��' ''- Laundry X Dishwasher Disposal `� � = I a a � E SEPTIC TANKS: Material �niC : f��c�CJG Capacity 1) `� SCC ; 2►✓ ST�C� ;' ° oC c 'o �.� �i � d Proper outlet and inlet Baffles Liquid depth to RO level 7 � ' • i c� � O Height of tank bottom above water table � � C=� Distance to neares building / / � N � � DRAINFIELD: Total length of lines Num r of ir�p,� Trench width ,, / ,l ,� :�� /4 � \ Total treatment area (sq.ft.) H ht drai fiel ove water table � U Type of filter material il type a �. � a� E L Distance from nearest bldg. T' size te min/in o a n .c �y p v Depth of fill over drainfield De�ittNof rock over tile under tile c a � '�' y — d O a' <j � � LOCATION INSPECTION RECORD PUMPOUT RECORD SKETCH DATE COMPLIANCE DATE GALLONS �-/� ��I ��n S�✓2F�iNv- /vui�D� �-/Y'L�� -� ��- �� s<< � � �;,�� ti�.r�,� � 4-!l-�b �'j'��% _)9_ S �_ q ��,r 7-�-- 0 r�0 s�►��,ti►�— �— ��,�Q�� r�\� ��s�� , _� � �, P�d� ` 4 ,� � � �,s -.� � , �o � `` � � �� j�� / Np� `_� J, i � �� —� Include: 1) Well location 2) Distance from house to septic tanks,dist.box, and drainfield C- CONFORMING S-SUBSTANDARD N - NONCONFORMING 3) North arrow and road � � °� .. � o��, o � . � ��3�� CITY of �]IE�ONO � #1�1��,, .��, a� `� �°= � .. Manicipal Offices ,� %r,,y'i;��.y�;��1� G'ti l "''''"'t�;� � �i Street Address: . ' � Malling Address: .�E8�I�g �2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 � (� Owner: .�q cre.5 �J�°��{'�-9� . 7 Address: S 5 F"e r�a�� /�/. Ciry Ordinance 299 requires ihat each existing on-site sewaae treatment system in Orono be inspected every two years. The on-site se�vage�eatment system at the above address has been inspected and appears to fall into the categories checked below. YSTEM CONFORMITY 1-3 : I " � 1 "CODE SYST'EM" An ISTS wluch meeu a11 the locatioq daign and wnstrudion standards of the currrnt Orono hiunicipal Code. _ 2 °COI�LIANT SYSTEM" An ISTS which doa not meet all the locatioq daign and coastruction standards of the currcat Qrono Municipal Code but does meet the thcee foot separation requirement,and rvhich is not fat7ing or aa immiaeat threai to public health or saf.:ty. 3 "NON-CO�LIANT SYSTEM" Aprohibited LSTS;aa ISTS tocated within a desigaated 100-year flood plaiq aay ISTS which may or may aot maet all the loeatioq daig�or coas�uctien siaadards of the cuaeat Ocono btuaicipal Code and which is failing for aay reasoq aad any ISTS wit�less than three feet of unsaturated soil or saad between the distn'butioa device and the limiting$oil characteristics, TAIVK CONDITION(5-10): S, � � � - ' Tank inspeccion indicates: .. � � Pumpout not needed at this time. 6 Tank must be pumped out this year (city code requira tanks to be pumped out every 3 years. Tank was last pumped �-�-�-d� �. 7 Solids aavmulation in LZnks is at a cricica!a aiti�l Iava1 Taulcs should be pumpad out as soon as possible. 8 Systrm u dis�harging to the sucface. Tanks must be pumped out within 48 hours to eliminate surface d'ucharge. 9 Inspection risers missing-tanks eouid not be inspected Inspeciian ris�n(4"dib pipe)must ba instal(zd in each tank at nest pumpout If tanks hava not be:n pumped out within the last three years,they shauld be pumped out now. 1� Inspertiun pipe is locatad directly over tank ba@le(does not give accu�ate measuremeat of solids accumulation). If tariks hava not bem pumped out�vithirt tht W�tt three yeats,they should be putaped out now. DRAINFIELD CONDITION(11-14): 1\ �ield is dry�no surfacing evidenL � 12 Some e�ndrnce of surfacing,not critica!yet . ' ' • � 13 DriinFeld is utursttd and visbIy discharginq unireated e@lurnt to tha surface. Contace the City Icupector unmediately.Repairs must be compirud�itfiia 90 days, 1� Drsinfield estrnt and eonditioa unknown. COM�NTS: S�S�e�.,, � \o oK5 c�k � � �\-7 —b\ �� . Dace of Inspection � +.� . , . Septie System Inspector f Note: In the eva►t that this mspection repod'u used to satinfy the requireme�fo�i��e�otha 4acufa of property,be advised that this repoR doa not guarantx or oertify that an esisting sysum will eoatiaue to fuaction properiy,but is maely an opinian of the adequary of the systcm uader cuueat eoad'itioas bued oa the avaz'labla infocautioa � o� o . . o � � CITY of 4RON0 ,,a��;,f ; ,� � �;� _ � � � v�. '�� r M11II1C1 � O�CeS �� ' �`'^��;�;. � h P �,� `��!'%'��;j� 'ti' ,� � �,��i' �Ir��g,�� Street Address: Mailing Address: ;I E�l.. 9IfE8Kp 2750 Kelley Parkway P.O. Boz 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Cunent Owner: Address: � 7s ��^�� /`� �� 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. STEM CONFORMITY (1-3): � 1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standazds of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds of the current Orono Municipal Code but does meet the three foot separation requirement or hvo foot requirement for systems instailed 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 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 reason;and any[STS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil chazacteristics. TANK CONDITION(5-7): ;i �T nk 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 �.'� -�� ). Make sure septic tanks are aumped through manhole and not through white inspection pipes. This allows for the proper cleanin�. 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. D AINFIELD 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. coM�NTs: r��:��.t) �— s �� -:� ��,K�S l�,ol�� L�_. �S'i 1 -c�3 ��,-� ��: � Date of Inspection Matt 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 ofthe adequacy of the system under curzent conditions based on the available information. Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us /.-...- � / O� � ��" �O O \ . '�� CITY of ORONO ,,� � , „ � l �. ,�, i \r�,� ��. f ,�`� G�l� Municipal offices , . �'�� + ' "�'�� SVeet Address: Mailing Address: '9$�HQ4'� 2750 Kelley Parkway P.O. Box 66 --- Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: O� Address: 575 Ferndale Rd. N. Permit #'s: 2151 Dates: 7/31/88 Contractors: Sullivan (This is [xj 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 ic'�entified, this classification is subject to ravisioa.) TANK CONDITION (5-9) : 9 5 Pumpout not needed at this time. 6 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. � 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. (Tha tanks are [ ] or are not [ ] water tight or the condition is �j unknown. If tha tanks are not confirmed to be watertiQht, this classiffcation is subject to revision.) INFIELD CONDITION (11-14) : il 1 Drainfield is dry, no surfacing evident. 12 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: In order to confirm that your septic system meets Minnesota standards, soil borings were performed to verify a 3 foot separation between the drainfield and the seasonal water table. The separation is 3 feet and the system is compliant. �-�9� � Da e of Inspection ept' ystem 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 CITY OF ORONO � O� Municipal Offices O � O Post Office eox 66 Crystal eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT �,, �C�. INSPECTION REPORT ti �t9kESH��'�G Owner: � Address: `�� /Y'�C�ll�� /��f.�!• Permit #'s: Dates: �`��'O� Contractors: ,�%�/AIs�nS 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 belou. (7his is [�(1 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 uhich is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was 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 sewage input without discharging any pollutants into ground or surface uaters. 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 between the distribution device and the limiting soil characteristics. (The limiting soil characteristic W 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): Tank inspection indicates: 5 Pumpout not needed at this time. 6 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 within 48 hours to eliminate surface dischar�e. 9 [nspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pur�out. If tanks have not been pumped out uithin the last three years, they should be pumped out now. 10 Inspection 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. �n .�; , /�b1� DRAINFIELD CONDITION (11-14): Dr field inspection indicates: 1 Drainfield is dry, no surfacing evident. Sane evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City lnspector irtmediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING S1TE FACTORS (slope,setbacks,etc.): POTENTIAL fOR SYSTEM FAILURE (depends on soils,water table,etc.): �� COMMENTS: Date of nspection Septi 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 informatton. This report must be kept on the premises with the system locatien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO � O� Municipal Offices O � O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT � �, INSPECTION REPORT ti ��9kESH��'�G Owner: �`�Q 1�/ Vi�1�� Addre s s: �� ,�✓l'Y,�fl lt� ��. 9"! Permit #'s: .�/�� Dates: �� Contractors: .�l��//U�j9S 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. (7his is �an existing system [ 7 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 waters. 2 "CONFORMING SYS7EM��-A system uhich does not meet all the location, design, and construction standards of the current City Codes, but was 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 sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYS7EM"-A prohibited system; a system located uithin 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 uith less than 3 feet of unsaturated soil or sand between 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 identi ied, this classification may be subject to revision.) TANK CONDITION (5-10): � 7ank inspection indicates: 5 Pumpout not needed at this time. 6 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 within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspectPd. Inspection risers (4" dia. pipe) must be installed in each tank at next pumpout. If tanks have not been pumped out within the last three years, they should be p�mped � out now. Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the last three years,, they should be pumped out noW. DRAINFIELD CONDITION (11-14): Dr,a�field insPection indicates: (1Y Drainfield is dry, no surfacing evident. �2 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector imnediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): L�i,✓ OMMENTS: � �if� " �- —7�''' � .� S' r' � .A� /�jQ i S � Date of Inspection S ptic 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 informatton. This report must be kept on the pre�nises With the system loc�tion and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner 111021201e 21: 25 7634975011 SPTESTINGINC PAGE 02I09 S"'�- ��T�� i. Steven B. Schirmers • IVIPCA Cert.No. 627 ' -� 951 Katydid L.�ne NE • St. Michael, MN 55376 • (763) 497-3566 FAX (763) 49?�a011 State �,icense#394 September 20, 2010 ��'''�'"�`�� James & IU1�gan Dayton 575 N. Fernd�le �2d. Orono, Henn. Co., MN A Compliance Inspecfiion was completed for the existing on-site sewage treatment system loca�ed on fihis property. The system consists of 2-1Q00 gallon septic tanks, 1- 1000 gallon pumping chamber� a pressurized mound sys�tem built in 1988. Soil poring #1 found mottled (redox feafiures) at 1.5' below the ground surface. Soi! boring #3 found th� original soil at elev.90.4� &the bo##4m of the rock bed at elev.91.1 le�vi�ng .7' of sand below the rock bed 8� a 2.2' separation from the bottom of the rock bed & redox feature�. Soil boring #2 found mottled soil at 2,3' belo�r the ground surtace. Soil boring #4 found the original soil at e1�v.90.2 &the bottom of the rock bed at elev.81.3 leaving 1.1' of sand belaw the rock bed 8� a 3.4' separation fr�om the botkom of the rock bed 8� redox fe�tures. This system is cla�sifred as in compliance with Minneso�a Chapter 7060 rules. The fiar�ks uvere pur�p�ed by Elmer J. Peterson Co. &were found to be compliant a�t this time. Nothing other than gra�w�ter (laundry, shvwers, etc.) humar� �raste 8� toilet tissue should be.disposed of into the septic tanks. Garbage disposals are not recommended, due to adding more solids 8 fine solids passing through to the system. Recommend to divert iron �ilte�s out of the system, recommend to divert the water softner also if diverting the iron filter, Exces�ive amou�nts af soaps, antibacterial soaps, cleaning ag�nfis, shouver cleaners used every shouver 8� chlorine agents nnay �Cill the bacteria needed to treat s�ptic effluen#. Additiues are not recommended. Recommend to pump & clean your tanks thraugh the n�anhole by a certified pumper every 2 years, Check vvith your pumper to set up a schedule. This Certificate of Connpliance is no guarantee that this sys#em will continue ta function ir�definitely. � . feven B. Schirrners -- 1 11/02/2610 21:25 7634975011 SPTESTINGINC PAGE 03/09 ; Minr�esc�ta aollu�tion Connpl�a�n�e Inspec,fil01'1 FI�I"�11 f� , � . `..;r,�: Ccmtrol �,c�ency ExA$ting Subsurface Sewa�ge Tr�atme�tt Systertns �SS�'9) 5�0 Lafayehe R�ad Nertl, St.Paul,MN 55155•41gq doc rype:Compllenca end Cntoitiement It�strucf;ions on page G Su�'1111�117/ F'Oi'�'Y1 (Compleled form must be submitked to the local unit oi govemm�nt within 15 days,) Par�el number: Syslem staius: �Compliant 1� Noncompliant For�ocal 7racking Purpos�s; -�-- '----�� (hAsed on all co►npl�ance requiromenls) Prope�rt,� Informati�on ..` .. . --�"—_ .—.. _—.�. - I�roperty owner name(s): ��M� a ��,��_�� o�eKy o�nmer phone: �SZ-k0 Property eddress: •�''�S�^� �-s,_L��'C'��v'�G —�►��a�_...�U�O f'roperty owner address(Ir df�erent): " "� � �— •—• � . _.,. __ .., ... .,, _..,_ -,...._ _., _ -— ouniy: . �,� ,�,,�---,, Permitiing Aulhorily: rG��(�{ ..,_ r .1..1,�_,._ Date s sl;em constrt.ioted: �— �� ---•�--..- Y _ I 9`,�,� Roaeon For inspeGtion;_��::_l.�L��_ .—_. System Descr�p��ora � B�ief system descripkion: a.-1�v�Q�f _5'�•�1��(l�;bf,��1_0��° a�?�w�.�.L�-1-Q��1�b,,,r, , �.dW i�o-_..lv�5o,�a r��. Y�n�. �. Looal permiC numher: _ __ Number of hndrooms; (�esign 11ow rate: `f.— _._.(ov_Co.__:--- Is thm system: . In Shorelan,d area7 ❑Yea � No In Wellhead Prolection A�ea? ❑ Yos � No An U.S.�nvironmenlal Protection System servfng a Mlnnesola Deparlmont Agency(�PA) Class 1/Injection Well7�Yes � No uf Heath(MDH)licensed facilily7 �]Yes �No CO(11plienCe St3tU5 (B�sBd on stele�quiremenfs-��lditlonalloc�l r+equ;rements may elso apply,) Based on th� iniormatinn gathered�nd reported on altached forms, the complfance status of this system is(checic one): � Certificate of Compllancp�valfd until (3 years lrom date of rt�port): ❑ Notice of Noncompll�nce-�or Noncompliant eyatems: �� " " ' The roason For noncompNanca is: . ..,.,_ ,..- ---,.. . This noncompliank syst�m is classiFad as (check one below): �� '-- "- ❑ Imrnlnent Ihreat ko publfc health 8�s�fety ❑ Failing to protect grouncl wate� �]Not in compliance with operating permil Cerfiificr�t�on I her+eby c�rtirjr thal all th�necessery infer�nation has Gc��n gathered lo clefermino the complianr.v sfetus of ihis sysiem_ No determination of(uf�ire sysM�n perl'ormance has been norcan be made due to unl�nown concllfions during qystem construction, possible abuso of the syst�m, Il1�1(JQ(�(IA�I77S/AIBl17f7¢Q, or fufuro wete►'usage_ Namo; ��L�G.��1,,•��,/'�ca Certifioaiion number: '' �2c`�..,,,) Bi,islness Ilcense namo and nwnber: ..5-{i '� �SrS�.1),-�\��._,...,..�-L��•�.w_�`��I.µ�_7 d � ° ` "'..y�l�zl�? or -� !�J�J..-• 9 Name of local uni o�f gr�.vernment: � � ,._,. _,.,... ,-- --�,,......--- —_.... ..� Signature: •--. .__ � � '=_ __ ��_....-.—.- .... Oate: ��_,�v..`�U_,__,------ Require�d ,�ttachme�ts Hydraulic f'erformance �Tank Integrity ❑ Operaling Permit Fo�m (if applicable) Soil 13oring l,ogs � Soil Separation Systerri d�awing/ns-built drawing [J Any local requlrements lhat are diFferent from what is required on this form ❑Olher inFormt�tlon (list)' replac�d,ori�s use dlsconffnued w --- ..' --. —.�� ___.` Upgrade Requireme�ltg (derivr�d frpm Mlnn. St�tt. § 9 95.55)/.►n lmminent lhrP�f fo publ/c health and sel�e(y(ITl�HS)mus�be upgraded, • !thln ten months ol receipt of thls nof,lce or wlthln a sl�orfer perlod!(►pquired by/ocel o►Ylinanco./!tne sysfem fs falOng to protect ground w�ta,r, thQ system musf be up.qraded, roplaead,vrlts us9 diseontln�aed wfthin Fhg t/nt6 roqulred b�i lor,�l orc/lnence, If en exisfing syst�m Is not falling as definad!n lew, And/ios o(laast two feet ol daslqn coll ssparel/on, then the system nee,d not Ge upgradad,repe/red, r+ep/Aced, orlts use dlsconflnuod,notwRhstnnding an�i locel ortilnenco f/�al!s mo►a strlct. 77�Is p►�vislon�foes not appty to aystr�ms!n shor�/�nd arnas, WellheArJ Protecllon Areas,or flioso ussd in connectlon wlflr fond, bev�rege,and lodping estehlishmonts as dAfin�rA in law. �-----•. ..--._._._,..--- -,..... _...,, ._,,, www.pca.sk�te.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-Z8),-5332 or 800-657-3864� • Avallable in allem9tive formals wq-wwlsL�s�1•3f � 4/2d/09 Pnon'i nf A. 11/6212010 21:25 7634975011 SPTESTINGINC PAGE 64/09 Parcel numher: • --�- -- � - -- Syslam skalus: �Compllant 0 Noncompllant . - (es dote►mingd by ll�/s form) �yd�rauUo� P�r�ornaanc� and othe,�r Compl�ance — Gompliance 1�7spection Forrrr for Ekisting SSTS Corr�plyanc,e Issue ,�1 of � D�te of observation: _oj._-1��,��____ Reason for obsenralion: .�Q�'�� 'I'his forrn expires upon naxt insp�ctlon or in tl�ree years,whicheve�oc�u�s first: � �� , .._ _,,.__ ..----- — Compl9ane�question�lcrite�ia: �Requ;�ed) Verification Method'": (Oplional) Does the systam dlscharge s ox— (C��eclr thP a _ __Check thQ_a[propriate b ewege t�the ❑Yes �---�-- - p'°�°p��hox) _ground surface? ___ _ �No ❑ Searched for s��rFace ouilet Does tl�e system dlscharge sewage to drain �]Yes �] No � �'��ormed I�ydreulic teal _tlie or sutface waters? ,, _ ,_ _ _ � Searched f+�r seeping in yard I�L� boes the system cause saw�ge backup �]Yes �No � Checked for backup In home 1�.1'� into dwelling_or establlshmenl? ., "-- �-�---��°� � I� Excosslve panding in soil systom/D-boxes p� Do olher silue�lfons exist that have tlie ❑yeg potenti�l to itnmedlately ancJ a�lvPrsely �N� ❑ Homeowner testimony irr�pact or lhreaten public health ar saFety ❑ Examined for surping fn tank _.,(�lectrical, unsafe r,overs etc. � -��._.. Any"yes"�nswer indicatzs that the system Is An imminent � '��leck sc�ll"above soll dispNrsal syatem ,1�,(Q , thro�t to publlc heA/fh and s�lCty. ❑ System requil'es"emergenay"pumping - "" -_ '._ ❑ PerFormed dy�tes! Does the system pose a�hreAt to ground []Yes [�No water For any condilions deemed non- ❑ Other: -------. _... _..._—...,.—..._ _ ro ec_ve as determi�ed by the„inspectoi-'7_ _y � ^Yes"indlcates that th�e systam Is failing to prote�ct � " - qround wate,r. If"yes", describ�the c�nditinn not�d: --•�- -��------�-. 'No sfa�darY/prDtocol exists. TI�Is lisf is nof axl�austive, -.. ."" --- .. in soquentia!oMer, nor does it i��dlaat�whlch --•�... ` combina(lons ar�necess9ry M malse/his determinetion. Certific�t�vn This form is la be campleled and attached fo ihe Summary Form of lhe Mi�nesota Pollullon Cvntrol Agency's(fu1PCA)Compliance Inspectlon Forn�for Exlslfng S�ubsufface Sewage Treatment Systems.Observetions, inlerpret�tions, and conclusions musl be compleled by an inspector, Compl�ted form musl be submitted to the local unit of government�nrlthin 15 days. Praperty ownor name(s): _�(A.�_ Gt� q_��„��,,�,�� .. ___ -- _..,,..—..---- Properly addr�ss: -._.�.��___�a��1�'_.'.1,��J�1�� '�J,�,.�3��---C7��%�..�� ....- ----... ... _.- roperly ownar'r�ddtess (iF differon�): � _...-- • -_ _ ,. ., __ ,.,, _., County� _��p.�_�'�1_9.� ,� Properly o►Nne�phc�ne; °1 J�i�,.��(,7`�-l._��,. •- �her�by certify that I personally mado fhe observationq, �nr��►�rairons, and concluqfons repartPd on Fhis irnm and thef fhQy are r,orrech. Name; -S'��>r/_�Y�.� � ' �; '� Y��..G,1-�1�1�'��,,> _. . Certlfication numbor, �,;a�) _....,. buslness liconse namo and number. S �C� �°('��.r��(., 11,l�.,� 1..�.(.,��.��. o yr , , � � _., � •----~..- �ti t_�,.:��_�t�...�'�„� a,�., , 6. , or Name of local unit oE over eni: ��•-. � � ... .... �� _. Signalure: � - ....-- -�., ---,... .._—...-- - _'�-�-° .. _.. Dete: ,.,9��52/.,C��, _ �-- � --� -.__ _.,. _.,. www.pca.state.mn,us • �i51•296-b300 • app-657-39b4 • TTY b51-26�-53�z or 800-h57-3a64 • Availahlc in alternative Formala wq•Wwists4•3f • 4/24/09 R__,.. � ... 111e2/2010 21: 25 7634975011 SPTESTINGINC PAGE 05109 �oN � � �vv._,c i� r_tR1erJ. Netor��n Cn 7G3�972-721� p,2 harcel numb�r: � �� System sratus; �co 16ant mp 0 Noncompliant (as determinerJ byrhls Ibrm) Tank I�ntegrity and S�f�ty CompM�ancQ --Comp,lran�e lnspsction Forrn ior Exis�ing SSTS Camplian�ce Issue ,#2 of 4 Date nP obsenraHon; _9f15/16 Reasort fOr ahs�rvaUon: f�equest fn�m Homcawner Thls form expires on(thre�yaars): gl15l10 ' " � Cornpliflnce quesi�ons/crii,eria: (Required} Ver�fZcatian Methoq"*�(Optlonal) (Check tJ7e epproprr�bQx Check the a ( ppropr�a,n;box) Does the system consist of a seepage piY', ❑Yes [■j No cesspool, drywoll, or leachln� it? ❑ P�obod t�ank bottam Do any sewag�i�nk(s)Icak below'thsir ❑YQS �No ❑ Obse�rved Idw Ifqufd level desi ned o eratin d h? ❑ Examined c�onstructlon record� If yes, Identilyl which �■ Examined cmpty(pump�ed)tonk sewqge tank leaks, ,�ny"yes"onswerindicaEes drat�ha ❑ Probed outslde t�nk For'black�il" sysrem,fs�IAn9�prot� ArvunrJ watpr. ❑ Pressure/vacuum check ' Seepage pits mee�ting 706d,�55fl mey be cornpllant if allowed � ��or; Irt orcklnence by Inral perml�ittg authority, "No stqndard praMr,Qlexh.�ts. Thi�slisfisnofexhc�rrflve,in` sequentia/order,nor does i!lnd(c,pte w1�lch combinafians ar�rnacessary to ms►kR thls det'�nnJnatian. Satety Check 1. A►�e malrrtenancE hale covers damaS�ed,craCked, or appeAred tr�be struclu��lfy unsound7 ❑Yes" �No 2, Were melntanance hole covars repleced In a�acured manner(e.g_,scr�wa rep�aced)� �Yes �]No• 3, 4'Vas secondary access rostraint pregent tsaFety pan,s�cond cover, or s�fety netiing�–highly recammended. ❑yrs� Id'I�� 1, Aro o13�a,r safeiy�health isaie presenL? �Y� Explai�; ❑��3� �No �sysrem is an!mm!l�nt thnear za publlc I�Qaf�h and s�fe.ry. Cert�f�cat�or� This Porm is to be complc4�d and s�ttached ta{11e St�mmary Form of the Minnesata Pollutio-n Carrir�l Agency's(M PCA)Cumpllartce Insp�ctlon Form 1br Existlnq Suhsutiac�5ewage TreatmentSystems.Obseroatiorts,irrtarpretaiians,and conclusions musC be completed by an Inspector, malnt�Iner, or serolce provider_Comple#od Parrn must he submltted to tho(oCel unit oF gavcmmen4 wlthin '�5 days. Property owner,�am��s); Ja�es and Mog�an aay+ian Property address: 575 North�emdale Road UJeyzala,N1N 55391 ^ Properiy awner's addr�s(ifdifferent}: . CountY: HenrrePin , P��erty owner phone: 952-4D4-1553 I hereby certily rhat 1�ersonally rnede the obsen+etions,inCerprefstioRs, an�i con�ruslons report�al on thls forrr,a�d Ehef�h�y ere y coired. N�me. Jartles Brasgelmnnn __ . Certlfic�tion n�imbe�; f3uRinow ticense name and number; Elinar J,Petsrson Co. Lic�nse#�'19 a� Nams of laca n govemrnent �Y Sign�ture; �� _^ —�� / Datee: �J�'1517 D 4. www.pcast�[�.mn,uc . 55i-296=6300 - �OU•6B�•38ea . TTY b51•203.-3332�r 8�0-657-366a • AvAilable in altefnalf�e forma4s �+�q•wwisr.�a-�f . �r2a�n5 Pc3e3�f8 11/02/2010 21: 25 7634975011 SPTESTINGINC PAGE 06/09 Parcel nuri�or; � _, _ ` _ Syst�m staius: . ----.. I� Cam liant - P ❑Noncompliant (es�I�lermfned by Ihls ionn) Soll Sepa�atpan Co�rn�lianc;e an�d Other Compl��ance- Compliance Inspection l=orm forExisiinq SSTS Compliance Issue �3 0� � Date of obsen►atlon: � ��y��p��_ Re�son for ohRervation; -�o��.�-►-�'f�u�l , 7'his lr�fonnepon on fhis forrn doos noF expire. - -��-�---.—. Co��pliarnce questioro�/�srite�rla: (Rec�iUred) Verificatior� Method*": CheClc the a_ �o riate box (Optional) --1.—_..PP_P .�.._ - -- ,.— (Chec/r Ihe a For syslems bullt prior tp�prll 1, 199(i, end not pP�pNatQ(�ox) located in ahorel�nd or Wellhead Protactlon �I Conducteci soil obsenration(s) (atl�ech boring logs) Aroa or no1 serving�food,bev�rage ar ❑ Two previous voriflcations(ariach boring logs} lodging establishment: ❑ Oihe�; � � Does 1he systQm have at least�lwo-foot -01 � '�' ��=� �'��__��'�1 pJ.t_ v�rtical separation dlstance From perlodically ��,��.LV,�i��V�� sa#urated soil or bedrock? _ [�(('Yes No ._,._ _.__ . �A 11...�__„ For non-per�ormance systems buill April 1, -- •- 1�98, or later or for non-performance systems ^ � - � ,_ located In Sl�oreland or Wellhead Pro#ecllon Soil observailon does not explre. P�evious observakions Areas or senring �food, beverage or lodging by two independ�nt parties ere sufficient, unloss site establlahm�nl:; conditions have been altered. Does the system h�ve a 11uee-fo�(vertical sepa�allon distance from perlod(cally saturated _ soil or bedroc{c7° _ Y�q - No_...... ---- For reduced soparation cllstance systems(f.e., ^ "perFormance"systems under old 7080.017g or ' Msy be roduced by up to 95pe�rcQnr 1lallowed in loc�l TypQ I\!or V�3ystem under neW 708p.235�or old/nance. 7080.2400): Does ihe system meel the desl necl v�rtical "'No sfanda�i proMcol exlsts_ Thls list is not exhat�stivo, g n sequentlA/order, nar does i!indlcato wlilch sep�ration dlstance f�om periodically satural�d com6inati�ns er�ner,essary to mako ti►is soil or bedrocic?" ._ , ._ _�]Yes [�No doterminallon. ^Any��no"answar Indicates thet thP systom is failing tn protect ,qround waler. Cerfiif�a�t�on This form i,,to be completed and attached to the Summary�orm of the Minnesota Polll,tion Control Agency's (MPCA)Cor�np��ance Inspectloro Form for I�xlstRng 3�ubsurFace Sewage Treatment Systems.Obaervatiohs, inte�pretations, and conclusions must be c�mploted by an inspoctn�or de�igner. Completed form must be submllted !o Ihe local unit of government within 15 days. I�roneriy oNmer name(s): ��vyt�.�j�c ��/�, y. _�,�� Property addr�ss: __.S Z�� _.J�O ._.._...:!'.��'�r��OAb...�—�-��(7 � -w,.---.... ., .—,.-- Property o�nrnor's�ddross QF differe�q� � ' — '—� �- . _.,... _,. Count - _..,. _., Y� _. _�'-��1`�-.��I.S _. _ Properly owner phone: p� - ,. � ...—,.—.� —_. __ —._�_2___�.u�-F..,_-1a�.� _ -- 1 hareb��corflty fhal I personal/y m�de the o6se►vAtions, /nferprefafions, end conelusi�ns reported on this 1`orm and th��t/�Qy1A� comacf. Name_ �1��IS=.1,.�—�Li_.. �L�-�1}�'��^i'w�j � __.�__._ .,.,„ Cerlificatlon�umber: � — ��.. —...__,.--` Elusin�ss liconse name and numLier_ _�,� -Q ^��y�_i I�.l��,�_,��`�1� �c'L�'�;�tir� " �.c, r , - — 7t2,5',.._VJ_�_��:as�.l,�__ or Neme of local ianit of governm�snt: '� � ....- -� - .,. ..... .,_ . . ., ....... Signature: �� -.: --... _.. •---�--- �.. - � . • ��•--_.,_ „ _.... Dalc: _� -a�,:�s�oJ..0 -- ._ ..----� . ., ..,.. --- .. - -�---.,. _...,_ www.pr„a.state.mn.us • 651•296-6300 • 000•657-386q . � . wq-wwlsts4-31 � 4/z4/09 _......_ . _. .,. ..._^-_�"- TfY 6�1 ZB2•5337.or 800•657-3861 Available In altemakive format�, 11/e212010 21: 25 7634975e11 SPTESTINGINC PAGE 67/09 �•7"'� ��N��, I N�� Steven B. Schirmers • MPCA Cert.No. 627 951 Katydid l.ane NE • St. Michael, MN 55376 � (763) 497,3566 FAX • (763) 497-50'i 1 • State I�icense #394 LQ�� OF SOIL BQI��. James & Megan Dayton 575 �I. Ferndale Rd, Orono, Nenn. Co., IUIN Borings completed on 9-14-10, with a hand bucket auger. �QRIN�_1V_U.�ER 1- EI�v,92,5 - IVIOTTLED SOIL AT 32" � no standfng water present in boring, 0 - 14" Fill soil clay lo�am 14" - 22" Original soil dark brown laam 10Y� 3/3 22" - 26" Brown loam 10YR 5/3 26" � 32" Yellouvish brown clay loam 10YR 5/6 32" - 40" l�ellowish brown clay lo�am 10YR 5/6 � distinct mo�tles 10YR 7/1, 10YR 6/8 40" - 48" Pale brown clay loam 10YR 613 - distlnct mottles 10YR 7/1, 10YR 6/8 ��I�G�p�.�. Elev,89.7 - MOTTLED SQIL AT 28" - no standing water present in the boring. Q - 10" Topsoil dark brown loam 10YR 3/3 10" - 14" Gray brown loarn 10YR 5/3 14" - 28" Yellowish brown clay loam 10XR 5/6 28" - 42" Yellowish brown clay loa�m 10XR 5/6 - distinct moi�les 10YR 7f 1, 10YR 6/8 �O�,I�G �I�M��EIev.93.2 - #hrough fihe mound. 0 - 12" Fill soif loam 12'° - 34" Fill soil medium sand 34" - 3�" Original soil dark brow�n loam 10YR 3/3 f�Q��Jd.,U.1��_EIev.93,0 - through the mound. 0 - '�2" Fill sail loam 12" - 34" Fi�l soil medium sand 3�" � 38" Original soil dark brown loam 10YR 3/3 11/02/2010 21:25 7634975011 SPTESTINGINC PAGE 08109 ,--r- � � , „�.� iN Lu��t�� , re�c�rson t;o, 763-�72-7217 P�1 Tan�� Repnrl: � D�tc; s�ptem'ber15, 2D1� Elmer.T, P��e.rs�n Co. ,SJ�1 f�agt,te I.1.ve. Uelano, MN G532g PhonF 763-9�2-2�+20 ra� zs,3-9;�,�� PdIPCA Li cen se# �'l 9 James and Megan Day�kon 575 North Farndale Raad Wayzaia, MN 55391 P,�illes: `� / CJFF Ta.nlz C�paci.ty; 3-1000 Gsllon Tanks # of Tanits: 3 J'�pe of'Tanit�� concrate � Gall�ns: Z50D ]bian.hales tv Gradc: YrS / NO Comment�s: On September 9 5, 2010. Elmer J, Peterson Co. U�covered Mannaies (�Izt-6 InchQs Deep, �"`'-11 Inches Dee�, L�fl;St�tlon ho Grade) and Pumped Tanks. No Cr�oks or Wa�ker Leaks At That Time. �OTL::Tl�is is�n,Jy a I;an(� repor�. This ie not;�coxa-►pliancc ins��ciion for pox�tl of salc zzor does it.repl�ce�z compliAnr,c i�speeti�n, Li,cense # 219 11/62/2010 21:25 7634975011 SPTESTINGINC PAGE 09/e9 ---� ��_ �'�� `.�.,J�� .. �J''�'�_�...:__,.�...�,.��,�-�._,� .( �.�...� �',....�\,.i..�-�.,�"� � . � �A � �� "� 1� �;+'� ��. ` � � , �� o � `i ' �i � o ni, �� -�� r '" l � ^ 6 � � �� } I1 Q .�� \} F `'�^ G � 3� � w '�� ' G �, � J �- �� -�,� ��.` �-�. �� d ��G� 6� � �I C�'�,, s� �.�, a � � 4,�= �' c -� �� °� � � � � �� 1 � � � � J .`� �� G �� G V!� • �P �' 9 � � � -� � �J v ,u . ' �� J� d: �i+ � Sa - � r � G a> �� '�`° � a�i '� 4� 1 9 T �� `� �C T- � 11'FJ ^," g �- 7 �1 J' C IS °�'� a � � •�a a3 aa �� . �� N �'� .�v � ~ �� , �� , . � �. Q,� �! � � c_lt _ �� 1 �} �� , ,, s � • - / � - � � �, . �� ' ,_-�_ _- �� J �A . ; � � � �� . �� a � � � � � � '� O N � � '� � ,� � �. o- � � � �� - I� �r �° „� w n �� _ � Q � � � G � � C O �� v �' S � y � � � � � � � ! h � � r � � � I W j ` � �� y� � � _� V a , � n � �.Z � � �' � � a Q � , r� v„r � � a M r � �� T r ' � � o o a' !�;r. � � � � a � __� � w r. & � �. � � � G � m n