HomeMy WebLinkAboutSeptic info 11f0512010 63:55 7634975011 SPTESTINGINC PAGE 02l10 ,/
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, �"'� �������� ���.� S#ever� B. Schirmers • MPCA Cert.No. 627
9�1 Katydid Lane NE • St. Michael, MN 55376 • (763�) 497-3566
FAX (763) 497-5011
State License #394
5���-`r�
IV�vembe�4, 2010
Marcia Hanson
2250 French Creek Circle
Orono, Henn. Co., Mf�
A Compliance inspection was completed for fihe exisfiing on-site sewage treatment
systerr� located on this property for the sale of the home. The system cansists of 2�
1000 gallon septic tanks with a trench system. The existing trenches have
aproximately 360 linf.ft, 960sq.ft.built in 1985 far a 5 bedroom home, An Infierceptor
Drain was installed upslope & 3' lower than the high�st trench.
Soil boring #1 & 2 were completed between the highest trench & Interceptor Drain. Soil
boring #1 found a layer of loamy silty �ine sand at �8" ta 60" with fair�t mottles below
this layer 8� no mottling present to a depth of 8'. Soil boring #2 fiound a 6" layer afi 90"
fio 96" vvith faint mottled but no mottling to a depth of 8'6". The bottom of the highest
trench was found 3'3' to 3.5' belovv grade �n►ith a gre�fier thara 3' separation. Soil boring
#3 found distinct mottled soil (redox features) at elevation $4.6 &the bo�tom of fihe
trench at elev. $9.5 with a greater than 3' separation. The Intercepfior Drain �nrill assure
fihe banded zone of mottles in soil boring #1 & 2 will be drained if saturafiion would
occur.
The tanks were pumped by Sullivan Utilitiy Service &were found to be compliant at this
time.
Nothing other than gray water (laundry, showers, etc,) human vuas#e &toilet tissue
should be disposed of in#o 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 �Iters out of th� system, recommend to divert the water softner also if
diverting th� iron fllter. Excessiue amownts of soaps, antibacteriaf soaps, cleaning
agents, shower cleaners used every shower & chlorine agents may kill the bacteria
needed to treat septic effluent. Additives are not recommended.
11/6512010 03: 55 7634975011 SPTESTINGINC PAGE 03/10
Recommend to pump & clean your tanks through the manhole by a certified pumper
every 2 years. Check with your pumper to set up a sahedule.
This Certificate of Compliance is no guarantee that this system will continue #o function
indefinitely.
C.� �
,��'(�., �-..
''�.._..
Steven 6. Schirmers
11105/2010 03:55 7634975011 SPTESTINGINC PAGE 04/10
��� �������� I��, Stever� B. Schirmers • MI'CA Cert.No. 627
951 ICafiydid Lane NE • St. Michael, IVIN 55376 • (763) 497,3566
FAX • (763) 497-5011
State License #394
LOCS O.��Q�INC�S
Marcia Hanson
2250 French Creek Circle
Orono, Henn. Co., MN
Borings completed on 11-3-10, with a hand bucket auger.
�O�d�_MUN���..� 1- Elev.96.9 - hl0 DISTINCT MO`TTLED SOIL PRESENT IN THE BORING,
0 - 10" Fill soil loam 8� clay loam
10" - 14" Original soil dark brown loam 1QYR 3/3
14" - 30" 6rown loam 10YR 5/3
30" - 34°' Brown fine sandy loam 10YR 5/3
34" - 48" Brown loamy fine sand 10YR 5/3
48" - 60" Brovirn loamy silfiy fine sand 10YR 5/3
faint mottles 10YR 7/1, 10YR 6/8
60" - 96" Light brown fine sand 14YR 6/4 - no mottles �
,�RIN���I�.,�Elev.97.4 - NO DISTINCT MOTTI�Ep SOII. F'RESENT IN THE BORING.
0 - 6" Tdpsoil dark brown loam 10YR 3/3
6" - 26" Brown clay loam 10YR 5/3
26" - 32" Brown sandy Ioam 10YR 5/3
32" - 50" Brown loamy fine sandl 10YR 5/3
1/2" band of loam & silty Ioam at 48"
50" - 90" Light brown medium sand 10YR 6/4
1/2" band of loam 8 siliy (oam at 62"
90" - 94" Lighfi brown �ne sandy silty loam 10YR 6/4-
fiaint mottles 10YR 7/1, 10YR 6/8
94" � 96" Gray brown Inamy fne sand 10YR 6/2 - faint motfil�s 10YR 6/8
96'° - 104" Gray brown fine sand 10YR 6/2 - no motttles
11105/201e 03:55 7634975011 SPTESTINGINC PAGE 0511e
soil bo�ings cont'd.
f�O�G�'VU1VJ�3��=EIev.90.3 - DISTINCT N/IOTTLED SOIL AT 68" - no standing water present
in the baring,
0 - 16" Topsoil dark brown loarr� 10YR 3/3
16" -- 32" Brow�n fine sandy loarn 10YR 4/3
32" � a4" Brou�n loamy fine sand 10YR 5l3
44" - 46" Yel(owish brown sandy loam
46" � 58" Yellovuish brbwn loarra 10YR 5/6 - faint mottles 10YR 6/8
58" � 68" Light brown fine sand 10YR 6/4 - no mottles
68" - 72" Brown sandy loam 10YR 5!3 � distinct mottles 10YR 6/8
72" - 78" Gray brown sandy silty loam 10YR 6/2 -
distinct mottles 10YR 7/1, 10YR 6/8
2
1110512010 03:55 7634975e11 SPTESTINGINC PAGE 66/16
�
,a , �e►,nesot�� ����ut►�n Co►mp(�ance �nspP�t�ion Forrr�
�� ,;:,,� Cv�ntro( Anen�y
Ex7s#qng SubsurFace 3ewage '�reatment �yst;Qrns (SS1�S) j
S20 LaFayel°t�Road Nortl�
Sl,Paul,MN 55155-n194 Dac Typo�CpmpUance And�nfor�emant I
Ins'�ructions on page 6 I
Sumrn��y Fb��rn (Completed f�rm must be submitteq to the local unik of government withln 15 days.)
Parc�l number: '
------.. _._..--- -�.. - --�..,..
, __... ,..,_ .
System status; (� Compllant ❑ Noncompliant For Local Tracking Purposes: --
(6ssed on all compliance r�quirements)
_.. �--�-,:. _._...,.. ---�-
Prope�rty Inforrnati�n -- `-- ;
Proparty owner name(s): �q¢�y� �p»,�,�p� __ Pro ort owner hone: �
P• Y P �eJ Z_'.1�^13�5�F_i
Propar#y address: a.'a.,,.s� '��.1��, 4'��� �y�2f�-�. U?-c75,cQ �
� ---- �— -,,.,.__ _...._ _...
Property owner address pf dlffAr�nt); _ „ - '�--�
- ,,._ _..,
County:�.k�y��v�� Permittin �u4horiiy- L� p� _ -----����- '
,, .._
9 • ��—_�4-O,�o _.... _. --i
Dato systern constructed: (o-���_�� Roaeon for insper,tion;��..( .� ,�e�,��__
�— .._—,..
5ys�tem mescription i
Brief system description: ���oc�_ 1_���-L�y�, �o���c���3�o�►�+�...,__ �n �
5"'- t--- �k�a��'�c_s�"�� myU���l
I_oa�l parmit number: _ __ Number of bedrooms� Design flow rqte; '
----....--- --S-. —�.5�—.... __. �
Is th�system: �
In Shoreland area4 �
�Yes ❑ No In IAl�llhead I�rotoction Area? ❑ Yes � Na
An U.S. Environmental Prot�ction System serving a Minnesota Dapartment
Agency(FPl�) Class V lnjedic�n INell?� Yes � No of Heath (MDH) lironsed facility? �Yes I� No �
COfl'1PI1�nCe $tdtUS (Baso�d on stete r�quirements-eddl�ional locel requiromenfs may�Isv apply.) '
Based on the information�athered and reported on attaclied forms, the compllance status oi thls syst�m is(checic one):
I� Cortificate of Complia�ce-valid until (3 yeers ili�om data of repo►t): �
❑Notice of Noncomplf�nce-For Noncompllsnt systems: �
The reason for nonrom Ilance is: ,
❑1lmminent hreat tci ypblie health 8 safetag c �ailin �to bro e..,, . ., ... _, ---- ..
' - � W�. _,..._I
P Y ❑ ' g p t ct ground wAter ❑ Not in compliarice with operatlnA permft I
Certif�cat�on
I here6y co�tify thaf all th�nr�cessary inf�rmafron hes bean gather�ed to detelminv the compllance stafus�f this sysl�em. No
detormination of fi�ture systc�m perFormc�nce Nes been nor can be made d�ie b unlcnown condltlons during system construr,tion,
possible abuse of the system,Inadequate meintenance, �r fi�ture water ussgQ. ;
Name: sr�/��,� .�j. _�G�1�Ny�'�•�.� __, ._ Ceriifiaationnumbef: �a;l'�
.. . ... — �----.. ,�.
Buslness Ilconse name and number: ..5.,::��"�'�y�y�)\�_.1,►J_j; , ��5�,..�...�.���_�41 W "1.�2�:�1''i..:)���,��LZ� or �
Name of Ivcal unit of governm�nt; __ __ _J
Signature_ ,��. _, .---::- --... _....,.. Dato: _..l,.1,.,�'_�_� � o�...,.,.. _. I
Required Attachments ;
� Wydraulic Performance �'Tank Integrity ❑ Oparating Permit Form(if applicable) ;
� 5oil Boring Logs � Soll Separation ,
� Sysk�m drawing/As-built clrawing ❑ Any local requirements that are different from �nrhat is required �n this form ;
❑ Other infnrmatlon (Ilat); __ _ !
„ --- - ,
Upg�ade F�equlrements(derived from Minn. 5tat_§ '115_SFiJ�In Imminont tlirsat(o publlc hea/th and sal�ly(I7PWS)must be upgreded.
.repl�r,ed,or its use dlsconllnued withrn ten months af recelpt of thls noPlce or within a shorter peKod if required by lor.a/or►�Ilnance.If tho system is
falling!o pratoct grp��n�1 wat�r,tl�o system must Ge r�ppreded, rapleced, or I(s use dlsconUnued withln tho Ilme requ(red by lor,a/vrdlnance. lf an
exrsting system Is not falling as defined in I�w,and ha�ef least two fo�t of design AoH sAp4ret�on, Ihon the PyaFem n9ed not be upgraded, repal►gd,
nepleced, orits use dlscanfh�ued,notwifl�stending any loca/orrJlnane9 fhat Is mora strlct 77�is provlslon does not epply to sys(ems In shor�lancl
areas, Wsl!/ioad Prt�teCf/on Arees,or tl�ose used!n connectlon with food,bovarage,and lodging ost�hllshm9nts es deflned in law.
www.pca.5l'al'e.mn.us � 651•296-63�0 ^• B00-657-3864 � T7Y 851-2B2•5332 or 800-657•3864 � Avail�bl�in altemative formats
11/65/2010 03:55 7634975011 SPTESTINGINC PAGE 07/10
���•. ��i i u ��.u�a �nvl Q52-d01-18a2 p,1
�ar����unba�: � � ' � S�s�em�i�:us: �Gorrpli�r►t 1 �Io�cnm,�E(an�
. . .. ��s dpf�rr►�fne�'�;r�°1��5 C�rm) . -
'�'���5 �a��������r�::d ��€���,P ��*r�������� � , - ' - . . :
�ar��iianc� ��su� #'� +�F� _' � � . � ` . .
paiea�'oos�tvat'ron: �,,,—l�-�n)J �a6s3nioro�;,a�,���la�: �j�.u��-�-���, , � �;� � � .
, � , ----a" .
� 7hfs�'orm exr�ires on{thr�e years): ' _� M . - _ .
�ortplianc�q�a�tiar��lcr��s�aa:{Raqulreda lrerifil�a�ion�MQ��t►�r`.'(Q�ilon�l) .
�G�heck ili�eRRrn,�n�ta bpx � � - (Check the appmp.iate hoX) . .. -
D�g��the��s#e�?r consi�t•�f e:SF93��42 It". �f�8 0 r .
1 A L�. � �rob�:c�ankfiCi�am ,
�c�ssnoaE dn�waft oi{aac�kina i�? � . • .
� ,_:_,�_. `— �] �i��e�+led lotiv lir�uid lavQ3 � -
�v any sewage�rik(s}Oeak va��w���a�� �Y�s �d� .
da�fsne�l�DG1a3,n cr. F::? ' • � � ���ined con��P�1Ctiofl f�cort�s ' - •
lf.yes, iderttify�Nl�i�h sev�ag� , - ' . ��m:^sd�mPZ�:Pu�nrr��?) eank �
�a�,�;���a. - � _.._ , . � Pn,bed nuC�id� Eank�or"Ul�cic soiP' ' - .
�r+3r.,,,�s.�ansr�rartfs�`�aeGs rha2:Fa^,;���r i�Wlt3rtg 4Q o1'cfc�t Q Pp,,�suraNgeuia���.Qek '
�'r�s,;,�.�ec• . . . •
� ' C� c3���or: _ .
�' Seep2ge pits mEeki�tg 706fS.2.�50 rnaY t�a campliarl,�f�Rla.�uPd • .
�r� arairianca ay lee9t permi�fng e�tho�i�y. . ,
. � � . "'�11a st�7�ard�fOtocl�.��f9ts. Thi�lfsd is nor axhauallvc,1n � � -
_ �sagrrentfar ordar,�cr�doc�11 i�dic�eo w,u�i,�an�ir+.,'.1i�n=
, - ' ' . ' W�a.^.�ceac�rF d�•^1H,•g r�re��farr,�fnat�an. . . .
. �a'�A�?{ �{3£��C � - • . . • -
�. r+re�rip rna7nf�nance i����r,�Yn�s dar'wc'ad,.Ci'sC�au,a1'aN}7e0i cu jA L�E S,ili��UPa��j����ounr.i7 �YeF: �13 •
' �_ Vl�ere 611•maintena�ce ho�s oovefa 1'aplgceclfn�senured nanner(e,g,�all sc��r�s replaG�d�? • �Yas l� hao"�
�, � ►�t��s seeandaN aec�as ragtra�ratp[r�sent(s�f�4y pan,so�a�d aov2r.or�ate�y�Etting}—Itl9�ly^�i�ommanr!@d. �]"es �,iVo '
. :.. L�539:er�y u�harsP�eifrnea��:I:rava pr�e�^f? _ - " � Yes' � -,
�plali- -----..._.,._,�. -- ,
"Sy�iBr/n!a an i.ct717�lsrEnf PF9r�£�sa p�fahiC hF�/tf9 4rfC's�Pt�2� . . - �
�@E�������C�'� • . � . -
�;�rs�ol�fgto.aecamA�ei�a�nn�r,;a�ner���h�o��;����ary���-� a;tt�e Iu�ir�r.�c��:����G�IQl7 Ctil!rC[L+r�BP,�y'� ru�PC-r�a-Camnlianre �
Irs��N fl7i:.�"G?i:!`'�'%�'��7,!I€}SL'?'3�IC�L'�4?Vi'a�si!Y:8T1??9L3��;�,.�-,f,�9. C�f7S'F.IVa'Pj�l19R�n�CP�f��tlbfl5�and co��lusfons must b� .
Cornn►rafi�r�.{�v arl insr��r.tor;m01[�'1e1r1c�1',�Gr s�►vlaa pr�o�$�r-Cor�p1�'led iorm rrsusC ba suhmif�od#�fihr-locei unit o��ov�mment��tthin
1S dayg: � � . • ' '�
.- • , - , ,
P�pert�owr,ec neme(s); I�7'l_q n�.s c� fi�•� ,� ,�.. �. ,� _._._.._; __., , . .
�roper�v sd�:�ss: -�-� 5--� �� �. .v�. �, G� � 3 i� C r 2. ----�`� ',� � v`' .
?roper€�ovvna�s�1ddIF799(If dl'rt�l'ei14j: �'-�---�"' w
C�ounty_. , . � " _ , __ hhons: _ . , .
1 t�aret�y:c�rff;y t�,s��perona7�yrnad��ha oe�erv�tians, int2rp�cauo�s,8fid COAGIU51p75�e�vri�d Ur [rie'c,;,,�:,nrl�h��'Ff?E3��PE
coir��#� � � . . ',
` Cer'J�i�aGor: �umber. ��_.t�� �
r1��e- '"r��lL J����,�Jr in . - . . _
t I�. 1: � --�c-���. l�,���.,� cr
�USSISE9�IE�;OnnA-113T��i anla numisar. �4��, �.������f--� --�`-�—�-_. , , .
t�i�me,of'�aWl urr7t o�gov�mme • ' 1• _---- `',� , �
Stgnaturc�: � ` - • C1 etc, _�y+� .� Z�(�''CJ
1Nq-YW,JF5�5�-3? . ���7Il7Ft�.7Q�IC?lnsper.t�ion Forr���r�sxrsitn;55T��
�'!'ilOg.
11/05/2010 63:55 7634975011 SPTESTINGINC PAGE 08/10
i
�
Parcel number: ____ ___ _ _`_ _ System status: � Compliant ❑�loncomplfant
(as defe►minQd by thls fomt)
i
Fly�lmauufic IP�r�nrimance �swd Oiher Com�l�ance -- Compliance Inspecfion Form for Existing SSTS
Compliance Issue #1 of 4
Dr�tp o'f obsenration: �� ����.pJ� __ Rearon'For obsenration: �"�!._��+..�_ �('��,`��
Th)s form expires upon ne�d inspection or in thrae yeara,Nrhichever or,c.urs first:
C�rrnpliance questlons/�riteria: (Roquired) Veriflcation Method�: (Optioneq
.__(Check the eppmpriate box� .__... ,., , _ (Check the Appropriafe bc►n)
Does lhe system discharge sewage to th� ❑Ves �No
ground surface? � 5earched fo�surface o�dlet N�
_........... .......-- �-----,,...,,.....,_- —
[� P�srformed hydraulic t�st
boes the system disch�rge sewage to�rain ❑Yes ❑ No
tile or surface watD�s? _____ _ [� So�rched for seeping in yarcl
Does the sy3tQm cause sewage backup ❑ Yes � No � Checked for bacicup ln home 1��
into dwellinc�or_establishment7 ___,___..__,.,.,. _______ � Excessive ponding in soil system/D-boxes 1SQ
Do other siQuations exist that have the [J Yes � No n Homeowner testlmony
pq�ani;ial to immediately and ad�ersely
imp�ct or threaten p�iblfc health ar safery [7 Euamined�for surging in tank
._�—.�___._.. ,�.covers,etc_)?
eleckrical unsafe
-�--- � "Dlack soil"abovm soil dispersal system N�
J�ny y�s answe�indica�es Phat the system/s an im�r►Inent
threat to puaallc he�/!h arod sRfaty, ❑ Syslem reqUires"emergency"pumphlg
_......,_...--- �---._..........,.._
— -- P�rformed dye test
Doos the system pose a threat to ground []Yes � No � Olher:
water ftu any conditfons deemed non- ----••�•-�--- --••- .•.---;
__protEctive as determined by ihe inspocto� '
..,--- .._. —,..--- „ ..�
"Yes'"indf�cate�that thQ sy�tem fs falling to protect
— ...,..� ---�•. --..--�
gro�n w�ier. f"yes", d�seribe t�e condPtion noted:
'No standarrl protocol exists. Tl�is list is not axhausliv�,
.............••-- ----._. . --- ---.._.......... .........._ in sequentiel order, nor does it indic�#e mrhlch �
r,c�mbinetlons ere ner.�ssDry to make lhls d�t�rminaflon. '
i
Ce��i'Fi�al:�on
This form 1�to be cvmpleteci and attached to the 5ummary Form o�f the Mlnnesot�Pollution Control Agency's(Mf�CA)Compliance �
lnsp�ctlon Foren for Existing�ubsurface Sewage Treatment Systems.Observatlons, intorpretations, and concluslons must be '
completec�t�y an lnspeeter. Completed form must be submltted to Ihe local unit of govemmont within 15 days.
Propeny owne�name(s): _��pg,L�_�►.�_y��1.4¢��( '
---��---�-�--...:._�.
._. .. _..----I
Property address_ _a.r�r-9�''�'�G�___G���. G���L��- G�pJS.p
r_. �.._.._. _...._ _.j
Property owne�'s address(�td�r�orent)_ .. ,,, „ '
_..
._......_ ......_,
County; �r�����1.�( Property owne�phone: (D1Z-2�-_I�`t�_�'. .•--. _....... ,
I hereby cerllry that 1 pPrsonally macle lhe obsenietlons, lnterpr�itations, end conclusfons reported on this fnm�and fha(they ar�e
r.orrecf.
Name: " f ," .�' I
"�"1:���/.rc;3��(1�'��.�1�•�1�1�'�`e., Ccrtification number: �,�,Z') __. , , - --
, _ _ __.... _.... ...
ousiness Ilcense name and number: S -P'����r�'�r,L-!_I�.1�` , 1.�.01�,. ��';;;w��...� 'V°t�l�h�'Zj����'"1_::�'.��,��,ar ,
Nemo of Iocal u it of govcrnment; �
�J -�------ ---..-----�
--.,......,-- ---,...,
Signature: _..___ 'U"> � � .,..--- - Date: ����"c1o)O �
_.._.._ _ ... _I
�
�
.__._..... �
...._.- --..,.... ---..,,..._. ....,....._
NMIW.pC�.St�te.mn,uS + 651-296•63pQ � SOO��i57-3864 . 77Y h51-�R7-5337 nr NM-��,7.�R�,tl . A��ailnhlp�� olFcrn�tfi.�r,......�.
11/0512010 03:55 7634975011 SPTESTINGINC PAGE 09/10
�
Parcol number: ______.__._ „ System status: � Compliant [�NoncompNant
(as d9termined by thls form)
SoO� Se��ara#Gon �ormpliartt�e and �Other Com�plpan�e� Compliance Inspection rorm forExisting SSTS�
Compliar�ce Issue #3 ofi � �
Date of observation; �� -�,o � _ Reason for�bservation: .�z_ _
'F����..----�---.,.�
Tliis infom�stlon on thr's fonn does not expir�e.
Compliance questions/criteroa: (Required) Verification Allelhod'': (Optionaq
(Checlr the s_ppmpriate 6o�t)__ _ .__ . (Check the appropriat�box)
For systems built prlor to qp�il 1, 19�6, and not � Conducted soil observatlon(s) (ettach borinq logs)
Iocat�ed in Shoreland or Welihead Protection
/�rea o�not senring a food, beverage or �1 Two previoias vorificatinns(attach boring logs)
lodgln�establishment: ❑ Other: 3��.��)�7�p,_,_.,,,.,,_
l7oes the system have at least a two-faot �� ���� '
vartical separation distance from periodlcaliy --------• -•- -- �.,--
saturated s�il or hedrock9 �Yes No '.� J
„ ._ ._
..-----..
._..------..........__.. ........._....._._..... .,. ---
For non-perFo�manr,e syslems built April 1, ,
1996,�r late�or for non-performance systems Soil observation does not ex ire.Prevlous obs�rvations
locared in Shoreland or Wellhead Prolectlon ►��
Areas or serving a food, beverage or lodging by iwo independent pertfes are sufFlclent, unless site '
establishment= conditions have been altered. ,
�o�s the system have a three-foot vertical ;
separation distanc�from periodically satureted �
soil or bedrocic?° �Yes ❑ No
For reduced separation clistance systems (i.�.,
"perf4rmance"systems under old 7080.D179 or ` May be r�duced by up to 15 per�;ant if�llowed(n lor,al ,
7ypo IV or V system under ne�nr i080.2350 or o►v,�inance. ;
70B0.2400): `°No stand�rcl pro(ocol exlsts. Thls l�st is not exltacrstive,
Does the system meet lhe deslgned vertical !n saqr,►ential order, nar does!t indicale whlch
separation dist�nce from periodically saturated combinafions are necsss�ry�a make#his
soil o�bedr�cic?" ____D,Yes_ ❑ No defennlnetlon.
.---._.__........,..__.,,..,:,.......---
Any"no"answer indicat�that the system is te�iling fio protect i
ground water. �
Certif�cafiion
�
7his form Is to be completed and altached to the Summary Form of the Minnesota f�ollution Control Agency's(MPC/�1)Compliance
Ins�2ctlon�orm for Exlsting Subswrface Sewage Treatment Systems. Obsen�atians,interpretations,and conclusions must be
completed I�y an inspector or deslgner.Completecl form must be aubmftted lo Ihe local unit oF government wlthln 15 days. ,
Pro ort a�roner name s �(a- �
P Y ( )� ._N._1t1��y►4.�;II.._.?sSQ.r�1__.,..,.,.....
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Property adclress; 2,'a,$c7�_�s�t_ L��rC���LSZw� �Q�c�� .._ ..., I
I'roperty owner's address(if different): _ `
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I/�ereby cerfJfy the(1 person�lly mt�de the observetlons, ln�rprc�tefions, and r,vnclusions r�ported an this for�n and tl�at they ara �
correct. ;
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Name: �'����1-��,—SC.1-11.�'����'� —,.._. ..,..,.,..._. Ce�tificaiion number: ��� .__... .__ �
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, , ,� , � ;�.� ,�, ih�,\ ,� ('j �% Mailing Address:
Street Address:
`; � � ` ., '�:-' P.O. Bax 66
... <q �:; 2150 Kelley Parkway
`::,;kESI30 ii Crystal Bay, MN 55323�0066
,�/ Orono, MN 55356
To: The Current Owner of Address
�a �e �rn�c�� Cfee K C ;�•
City Ordinance requires that onsite sewa�e treatment systems in Orono be
inspected on a periodic basis. The onsite sewa�e 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 broujht into compliance
within 90 days. Failure to do so will result in refenal to the City Attomey 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�(s) and/or lift tanlc be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
�_� ,�`�_. The tank(s) should be cleaned through the manhole and
riot throu�h the inspection pipes, tlus allows for proper cleanina.
Comments:
Inspecto}� � _�__ ���� Date of Inspection C9 ' � �
�-%/�/ / O \\\���\
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O O
' � CI�Y of ORONO
��7 � � �
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1 : �`�4
; '� i i H ! Municipal Offices
! �, ,
� � �'�'�' G % Street Address �15a.-a�}q-�'I6o O Mailin g Address:
t`91Y'ESHQg'� 2750 Kelley Parkway P.O. Boz 66
- -- �" Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �SU ��"�� �'� t� �������
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 SYS1'EM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
"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 unminent 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 ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK 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 q�2Z'�`� ).
Make sure septic tanks are pumped through manhole and not throu�h white inspection pipes. This allows for the proper
cleanin�. Keep water softner and iron filter discharge out of septic system to prolon�life of drainfield. Ask pumper to test
alarm float to verifv alarm is still working in your house. The alarm warns owner that septa�e 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.
INFIELD 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: ��������� �- S���-: � �F,�.1r S ���j� � � .
� -��3-o� ��� ���
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�.
o.��:, o
:��:: �
,� �,����,.���, ,� CITY of OR4NU
__ "�"� ;�;p,����.'J'�,� Gti� 1��unicipaI offices �:_._
;7���`r
� �'��"i;;;,,� g�y Street Address: Mailing Address:
�ESI30 2750 Kelley Parkway P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
95d-�4q-y600
To Current Owner: Address: o�a �U F�e�cl �r{zk C:rc.l�
City Ordinance 199 requires that each existin�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.
SYSTEM CONFORi�1ITY (1-3): 1
O "CODE SYSTEM"An ISTS which meccs all the location,daign and construction standards of the currcnt Orono hiunicipal Cade.
2 "CO�IPLIANT SYSTEM" An ISTS which dccs not meet all the location,design and construction standards of the current Orono I�lunicipaI
Code but does mect thc three foot separation requircment or turo foot requirement for systcros installcd 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 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 tJte currcnt Orono Municipal Code and which is failing for any rcason;and
any ISTS with less than threc fcet of unsaturated soil or sand beRvicen the distribution device and thc limitina soil characteristiu.
TANK CO�IDITION(5-.7): S
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 6-S—�a. ),
Nlake sure septic tanks are numaed throueh manhole and not thronQh white insnection pipes
This allo���s for the proaer cleanina.
7 Inspection risers missin�-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION(S-tQ�: �
C� Drainfield is dry,no surfacin�evident.
�7" Some evidence of surfacing,not critical yet. �
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediate!y.Repairs must be completed within 90 days.
COI�i iENTS: �1��=�-���Ic1 a�c� Stp t,�� �r.kj 1 c�l� O k
���U� �� �����
Date of Inspection Matt Boiterman - Sepdc System Inspector
Note: in the event that this inspection rcport is used to satisfy the rcquiremenu for a moctoage or other transfer of prope .ry,be advised that this r�port does not gu:r3ntee
or certify that an eristing system will continue to function properly,but is mercly an opinion ofthe adequacy af the system undcr eurrent condidons based on the availabic
infarmation.
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CITY of ORONO
� � ; �!4 , Municipal Offices
� . I ��'�' G Street Address: Mailing Addross:
��� ��9 4��' -�.
'' 2150 Kelley Parkway P.O. Box 66
��,, E88 ,,i
���==_---== Orono, MN 55356 Crystal Bay, MN 55323-0066
June 13, 2000
Harlan & Marcia Hanson
22�0 French Creek Circle
Wayzata, N1n 55391
Dear Mr. & Mrs. Hanson:
An inspection of your septic system was conducted on June 6, 2000. A summary of the inspection
is below.
Septic Tank Condition
1. Pumpout not needed at this time.
The septic system is a compliant system, meaning it meets all or most current City and State
Standards. Enclosed is a list of licensed contractors who work in Orono on a regular basis. This
list is enclosed simply for your reference in case your septic system needs maintenance in the future.
Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built
drawing is enclosed showing the approximate location of the septic system.
If you have any questions regarding this report, please contact me at the City Offices at 249-4600.
Re�spect lly,
1
�i�kv ,�iri,c,c/
Chris Pence
On-Site Systems Manager
Enclosures
In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,
be ad�ised that this report does no guarantee or certify the existing system will continue to function properl}�,but
is merel}�an opinion of the adequacy of the s}�stem under current conditions based on the available informarion.
This report must be kept on the premises with the system location and pumping records.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
� ��
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r�,, ������ '�� �� Municipal Offices
'C� � "�,��'i✓�',�,�e G'ti
� 'a' �y �`' Street Address: Mailing Address:
� ����. �,�I!'�".Q.�
kEggOY 2750 Kelley Parkway P.O. Box 66 ,
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: (��-Ir lt �I�i(9Go+� Address: 2250 French Creek Cir.
Permit #'s: 7923 Dates: 5/22/85 Contractors: Thompson Plbg.
(This is [�j an existing system [ ] new construction) .
`�STEM COMPLIANCE (1-3) : 1
Z 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,
co::struction, 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 [�] has or [ ] has not bean identified at this time. If the
saturated soil level has not been identified, this classification is subject to revision.)
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.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [ ] were not confirmed
to be watertight by the licensed pumping contractor. If the tanks wera not confirmed to be
watertight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 11
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:
��� �
Date of Inspection Sep 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) 473-7357 • FAX 473-0510
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON-SITE SEWAGE TREATMENT
r�`, � INSPECTION REPORT
'��, G~
9kESH��'�
Owner: �►�MY'� (��(�\/ Address: ��� �/�i�/�� ( �►�K- (�l�i
Permit #'s: Dates: S�-�`] Contractors: ,l/�17;(�.SCyY'� `�Dc�l,
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-stte sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is � an existing system [ 7 new construction)
SYSTEM CONFORMITY 1-3 :
"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 seuage input
uithout 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 uhich
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 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 �} 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):
T� inspection indicates:
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 uithin 48 hours to etiminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pimiped out uithin the last three years, they should be punped
out now.
10 Inspection pipe is located directly over tank baffle <does not give accurate measurement of solids accumulation).
If tanks have not been p�xnped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
D��yn field inspection indicates:
11Y Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
irtmediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water ta le,etc.): �j�
COMMENTS:
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the prF�nises with the system loc�tien 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 5 5323-0066 � � ON—SITE SEWAGE TREATMENT
„� � INSPECTION REPORT
ti
'�' G
�9kESH��'�
Owner: ,K�f�3r"� �1';f�% Address: ��t;,X,"l �f���h �/L°C,'K �r
Permit #'s: ��� Dates: ���-a� Contractors: �Y\
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is .�J an existing system [ 7 neu construction)
SYSTEM CONFORMITY (1-3):
"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
uithout discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-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 uithout discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYS7EM"-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 �, 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):
T�wIE inspection indicates:
�� 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 inspected. 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 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 pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14): /)
J+_
Dr,ey nfield inspection indicates:
(yY Drainfie[d is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S[TE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.):
COMMENTS:
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises with the system locatien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner