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HomeMy WebLinkAboutseptic info May 27 14 12:12p Joseph Olson 763-498-8290 p.1 �,1 'L . �ax Transmittal Form Date: 5/27/2014 Tota! Pages: `I4 To: City of Orono Phone Number: Fax Number: 952-249-4616 E-mail: From: Joseph J Olson Phone Number: 763-498-8779 Fax Number: 7b3-498-8290 E-fl'tall: rusiv2654,c comc�st.r�et ❑ Urgent � For Review ❑ Please Comment � Please Reply Message: This is the septic cert for 2660 Fox Sfireet. Please file May 27 14 12:12p Joseph Olson 763-498-8290 p.2 , �1{innesota Pollution Comptiance Inspection Form Control Agenty 520 Lafayetie f�oad North Existing Subsurface Sewage Treatment Systems SL Paui,MN 55155-4194 �$$'�'$� Doc Type:Complrance and Enforcement Instructions: Inspection resutts based on Minnesota Pollution Control Agency(Mi'CA) I For locai lracking purposes: � requirements and attached forms-additional local requirements rnay also appty. Submit completed form to Local Unit of Government(LUG)and system owner within 15 days System Status System status on date(mmlddlyyyy): 4/1212014 Q Compliant- Certificate of Compliance ❑ Noncompliant-Notice of Noncompliance (Vafid for 3 years from reporf date, unJess sho�ter fime (5ee Upgrade Requirements on page 3} frame ouflined in Loeal Ordinance.) Reason{s)for noncompliance (check all applicable) ❑ Impaet on Public Health (Compliarrce Component #1)-lmminentthreatfo pub/ic health and safety ❑Other Compliance Conditions(Compliance Canponent ft3)-lmminent threat to public health and safety ❑Tank Integrity(Compfianae Componenf #2)-Fa�ling to profect groundwater ❑Other Compliance Conditions (Compfiance Componenf#3)-Failing to protect groundwater ❑ Soil Separation{Cornpliance Component #4)-Failrng to prr�tect ground�vater ❑ Operating permiUmonitoring pfan requirements (Complrance Componenf #5)-Noncompliant Property lnformation Parcel fD#or Sec/Twp/Range: 04-11�-23-42-OOQ1 Property address_ 2660 Fox Street, Orono, IJ{N Reason for inspection: Pro e Transier --_ - --- �rn'---- ---- Property owner: Vernon Dane __ Owner's phone: or �� � Owners representative: Gregg Larsen _ Representalive phone_ 612-719-4477 Local regulatory authority: �of Orono _ __ Regulatory authority phone: 952-249-4600 Brief system description: 2-1000 and 1-1000 gaflon li�t station and 270 sguare feet of mound rockbed.per ciry records Comments or recommendations: Certification !hereby cerbfy thaf a1J the necessary informafron has been gathered to determine fhe compriance status of this system_IVo determination of(uture system performance has been rror can be made due fo unknown conditions during system constructron, possible abuse ofthe system, inadequate marntenance, orfuhrre wafe�usage. Inspector name: Jose�h J Olson Certification number: 1255 _ _ - - ---- Business name: Rusty Olson's Soif 8 Perc.Tesh� License number. 810 Inspecfor signature: Phone number: 763-498-8779 � - — - -- - Necessary or Locally Required Attachments � Soil boring logs �SystemlAs-built drawing C Fo�ms per local ordinance ❑Oiher information (list]: - — - - - ---- www.pca.state.mn.us • b51-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800•657-3864 • Available in alternacive formats wq-wwists4-3l • �11-t/12 Poge !of 3 N1ay 27 14 12:12p Joseph Olson 763-498-8290 p.3 Property address: 2660 Fox Street,_Orono. MN Inspector initials/Qate: J.0.4l12/14 1. ImpaCt 011 Pub11C HeBlth—Compliance component#1 of 5 Compliance criteria: Verification rnethod(s): System discharge sewage to the ❑Yes � No � Searched for surFace outlet �round surface. � Searched for seeping in yard/backup in home Sysiem discharge sewage to drain tile ❑Yes � No � �cessive ponding in soi!systemlD-boxes or surface waters_ ❑ Nomeowner testimony(See Camments�Explanation) S stem cause sewa e backu into ❑ '81ack soil"above soil dispersal system y g p' ' ❑Yes I,� No dwelling or estabfishment. ❑ System requires"emergency'purnping Any"yes"answer above indicates the sysiem is C Performed dye test ❑ Unable io verify (See Comments/Fxplanation) an lmminent Threat to Pu6/ic Healih and Safety. ❑ Other methods not listed (See Comments✓�xplanation) Commenis/Expla nation: 2. Tditk Integrity—Compliance component#2 af 5 Compliance criteria: Verification method{s): _ _--�— System consists of a seepage pit, � ❑Yes � No � Probed tank(s)bottom cesspool,drytiveil,or leaching pit. � � �f Exarnined construction records Seepage pits meetirrg 7CSG.2550 may be ' ❑ Exarnined Tank Integrity Form(Attach) compliant if allowed in loca!ordinance_ --� — —��-� ❑ Observed liquid level below operating depth Sewage tank(s) leak below their , ❑Yes � No designed operating depth_ 0 Examined empry(pumped) tanks(s) If yes, which sewage tank(s) leaks: ! � ❑ Probed outside tank(s)for"b�ack soil" Any"yes"answer above indicates the O Unable to veriy!See Commenfs/Explanation) system is Failing to Protect Graundwater. ❑Other methods r�ot listed(See CommentsiExplanation) CommentslExpianation: 3. Othe�'Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured, or appear to structurally unsound_ ❑Yes* �nlo ❑ Unknown b. Other issues(e�ectncai nazards,et�.)to immediately and adversely impact public health or safety. ❑Yes" �No ❑unknow� "System is an imminent fhr�at to public healfh andsafeiy E�lain: c. Syslem is non-protective of ground water for other conditions as determined by inspecfor ❑Yes' �No *Systern is failing to protectgroundwater Expl2in: www.pca.state_mn.us • 65�-296-6300 • 800-b57-3864 • TTY 65�-282-5332 or 800•657-3864 • Available in alternative formats wq-wwtsts4-37 • ilZ4/iz Poqe 2 0�3 May 27 14 12:12p Joseph Olson 763-498-8290 p.4 Property address: 2660 Fox Street, Orana, MN _ _ Inspector initials/Date: J. 0.4l12l94 4. Soil $epd�dtipn—Compliance component#4 of 5 Date of installation: __ � Unknown Verification method(s): ShorelandlWellhead protection/Food Sever2ge Lodging? I�Yes ❑ No Sal observation does not expire. Previaus soil o6servafions by two independent paRies a�suffrcient Comptiance Criteria: unless site condrtrons have been altered orloca! requrrements dif`i�er. Fo�systems built pnor to Apri!1, 1996, and ❑Yes i] No nof locafed in Shoreland o�Wellhead � Conducted soil obsenration(s)(Attach 6onng logs) Protection Area o�not serving a food, ❑ Two previous verifcations(Attach borrnglogs) beverage or lodging esfablishment: ❑ Not applicable(Nolding cank(s), no drarnfieldJ Drainfield has at least a two-foot vertical i ❑ Unable to venfy(See Comments✓Explana6on) separatian distance from periodica(ly , saturated soil or bedrock. ❑ Other(See Commants/Explanaf;onJ lVon-performance systems builtRpri! 1, �Yes ❑ No Comments/Explanation: 799&, orlaterorfornon-perfo�mance systems Iocafed in Shorefand or We!lhead I Protection Areas orserving a food, beverage,orlodgingestabfishmenf.- Drainfield has a three-(oot vertical separation distance from pesodically saturaled soi]or bedrock."` i "Expe»menta!" "Other; or "Performance" ❑ Yes ❑ No Indicate depths of elevations systems built under pie-2008 Rules,- Type!V I -- — or V sysfems built under 2Q08 Rules(7080_ ', A. Bottom of disinbution media l 112.7 2350 or70802400 (Advanced lnspector 'i LiCen5e required) � B. periodically saturated soifJbedrock 109.9 Drainfield meets the designed vertical C System separation 2_8 separation distance from periodically — satur8ted Soil or bedroCk. i D. Required comp;iance separation` I 2.6 ------ -- __._ Any "no"answer above indicates the system is �May be reduced up co 15 percent if allowed by �ocal Failin9_to Pmtect Groundwater. ord�nance. 5. Operating Permit and Nitrogen BMP*—Comp�iance component#s ot 5 � Not applicable is the systern operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required Is the systern required to employ a Nitrogen BMP? Q Yes ❑ No If"yes", B below is required BMP=Best Managemenf Practice{s)specified in the system design !f fhe answer to both questions is "no'; this section does not need to be comp/efed. Compliance criteria a. Operating Permit number: i ❑Yes ❑ No Have the Operating Permit requiremeMs been mei? b. Is the required nitrogen BMP in pface and pr�erly functioning? � ❑Yes Q No Any "no"ansuver i»dicates Noncornpliance. Upgrade Requirements(Mrnn. S!at.§1 f5.55)An imminenl th�eat to publichealth and sa(ety(ITPHS)mvsf be upgraded,repJaced,oribs use disconL�nued within ten months of receipf o(this notice or Vidhin a sfrorter period if required by bca!ordinance. li the system is failing fo protect gmund water, the system must be upgraded,repfaced, or its use discontinued within the fime req�ired by focal ordinance. lf an exisling system is not faifing as defined in law, and has at least h+vo feet of design soil separation,1f1en ihe system need not be upgraded,repaired, replaced, or its use cfiscontinued,nohvithstandrng any local ordinance!hat is more strict. This provision does nof apply fo systems in shoreland areas, Wellhead Protecfion Areas,or fhose used rn connection.vith food,beverage,and lodging estabJishments as defineci in Jaw. www.pca.state.m�.us • 651-296-630D • 860-657-3864 • TTY 65t-282-5332 or 800-657-3854 • Avaitable in altema[ive tormats wq-wwists4-31 • 1l2d/71 Aage 3 of 3 �/��1 O�\� // 7 � � / O O\\`.1'� �� � �� CITY of ORONO � � �r t ��*i���,' l�y i I / L ���,�,, � z '��� � ,�ti�� Municipal Offices ,� �,, :��;� .-�,``� �' '% Street Address: �lSa-a4q-�16o 0 �� � � � � � <'y;'.� Mailing Address: � 9�ESHOg',-% 2750 Kelley Parkway P.O. Box 66 ---__= Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: ���� ��X �fi- City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo 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): 6 _1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" 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 earlier,and which is not failing or an imminent threat to public healtli 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 ISTS with less than three feet of unsaturated soil or sand between the distribution device and the luniting soil chazacteristics. TAI�'K CONDITION(5-7): � Tank inspection indicates: � 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. Tank was last pumped �^—��'b '� ). Make sure septic tanks are pumped throuQh manhole and not throueh white inspection pipes This allows for the proper cleanin�. Keep water softner and iron filter dischar�e out of septic svstem to prolon�life of drainfield Ask pumper to test alarm float to verifv alarm is still workin2 in vour house. The alarm warns owner that septage is about to backup into basement 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. DR.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. COMMENTS: M o�Y� �0`Jk.� G'�_ , P""Q �tilf> �^�z� �vt r� '� Y ��fS � —�L`'�—o� ��c� � 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 of the adequacy of the system under current conditions based on the available information. � �� .. , O,•r?� O _��.:�:, ci�rY o� oRONo , , � � ������� � , � �� � � � �1t � �..y� ti � �i Ij='�~,� Gti biunicipal offices �'Z�','�;r};i���g'�"Y � Street Address: Mailing Addrass: � �K 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 95a-�4q-y600 To Current Owner: Address: �6�d �X s�`_ City Ordinance 199 requires that each existing on-site sewa�e treatment system in Orono be inspected every two years. The on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTE�i CONFOItN1ITY 1-3 : 1 1 "CODE SYSTEM"An ISTS which mcets all the location,daign and construction standards of the current Qrono hiunicipai Cade. 2 "COtiiPLIANT SYSTEM" An ISTS which does not meet all the location,dcsign and canstruction standards of the current Orono hiunicipal Cod:but docs mect the three foot separation requirement or two foot rcquiremeat for sysums irutallcd 1996 or eariier,and which is not failing or an imminent threat to public health or safcry. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS locatcd within a dcsignatcd 100-year flood plain,any ISTS which may ar may not meet all the location,desian,or construction standards of tju current Orono hiunicipa]Code and which is failing for any rcason;and any ISTS with less than thrcc fcet of unsaturated soil or sand becween the distribution device and the limitina soil eharacteristics. TANK COi�tDITION(_5:7�: � Tank inspection indicates: 5 Pumpout not needed at this time. Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped S-�C -t�i �, Nlake sure septic tanks are pumaed throu�h manhole and not through white insnection pipes This allo«�s for the proper cleaning. 7 Inspection risers missin�tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. DR.AINFIELD CONDITION -!Q ; � 8 Drainfield is dry,no surfacino evident. 9 Some evidence of surfacing,not critical yet. � 10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the Ciry Inspector immediately.Repairs must be completed within 90 days. CO1vf�NTS: I`��v�� c.,..� SzQ t; L �.�I�, � c L k O� �� ��-a i �� 1 ,�� n�,.�,r,r• Date of Inspection I�Satt Bolterman - Septic System Inspzctor Noce: In t};e event that this inspcction repoct is ased to satis fy[he rcquirements for a mortgage or othet�a�tsfer of properry,be advised that this tcport does not gusran.�= orcertify thatan existing system will continue to function praperly,but is mercly an opinion ofthe adequary of�he system undereurrent conditionsbased on the availabie information. / � ,, � � C ITY of 01�O1�T(� �` '�' �`,' Municipal Offices � ' � � , Stree4 Address: Mailing Address: ���9 �'�G 2150 Kelley Parkway P.O. Boz 66 �E��o - Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Cui-��ent Owner of Address �� (c�(� �C� � 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 952-249-4626 within 10 days of receipt of this notice. The septic system must be brou�ht 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 brou�ht into compliance by: December 31, 2007 � December 31, 2010 ather Septic 'I'ank(�'"ump out Needed 'Yes `� IiT o The City recommends the septic tanlc(s) and/or lift tan1: be serviced and pumped out �v�.rv three years. �ity records indicate the tanl:(s) were last pumped out on -� � ( O - U( . The tanl:(s) should be cleaned through the manhole and not tlu•ough the inspection pipes, this allo«�s for proper cleanin�. Comments: �. Instiector: Date of Inspection ��� ii'e1e�;�a�;: fm�2) ��;"-y6��? � �"a:� (9�?) 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