HomeMy WebLinkAboutSeptic info May 24 2015 04:15PM HP FaxRusty Olson 7634988290 page 1
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Fax Transmittal For
Date: 5/24/2015 Total Pages: II8
To: City of Orono
Phone Number:
Fax Number� 952-249-4616
E-mail:
From: Joseph J Olson
Phone Number: 763-498-8779
Fax Number: 763-495-8290
E-t712i1: rustv2654�comcast net
� Urgent
� For Review
❑ Please Comment
C Please Repiy
Message: This is the septic cert for 1250 French Creek
Drive. Please file.
May 24 2015 04:15PM HP FaxRusty Olson 7634988290 page 2
Minnesota Pollution Compliance I nspection Form
Control Agency
Existing Subsurface Sewage Treatment Systems
520 Lafayeste Road North �SSTS�
St.Paul,MN 55155-4194
Doc Type:Compliance anc'EMorcement
Instructions: Inspection results based on Mlnnesota Pollution Controi Agency(MPCA) For local tracking��'vE�
requirements and attached forms-additional local requirements may also apply. `
Submit completed form to Local Unit of Government(LUG}and system owner I MAY 2 6 2015 I
within 15 days � -- — �
C�'n(OF ORONO
System Status
System status on date(mrnlddlyyyy}: 5/15/2015 __ ___
� Compliant—Certiticate of Comptiance ❑ Noncompliant—Notice of Noncompliance
(valid for 3 years from report date, unless shorfer fime (See Upgrade Requirements on page 3J
irame oudined rn Loca!Ordrnance.}
Reason(s}for noncompliance (check a/l appficable)
❑ Impact on Public Health (Compliance Component t�1)-fmm;nent th�at to public health and safety
❑ Other Cvmpliance Conditions(Compliance Component#3)-lmmrnent threat to public health and safety
❑Tank Integrity(Compliance Component #2}-Failing to protect groundwater
❑Oiher Campliance Conditions(Compfiance Component#3)-Failing to profect groundwater
❑Soil Separation(Compliance Component #4}-Failing to profecf groundwater
❑Operating permi�moniioring plan requirements(Compliance Component #5)-fVoncompJiant
Property Information Parcel ID#or SeclTwp/Range: 101172332�013 _
Property address _1250 French Creek drive, Orono MN Reason tor inspection: Propert Transfer
Property owner: Scott Danielson _ _ Owner's phone: _612-360-8313 _
or
Owner's representative: RepreseMative phone: __
Local regulatory authority: City of Orono ___ __ Regulatory authority phone: 952-249�600 _
2-1000 gallon septic tanks,l-1000 gallon IiN station and 550 square feet of mound rockbed.per city
Brief system description: records ----- --
Comments or recommendations:
Certification
1 hereby ce�fify that all the necessary information has been gathered to deterrr►ine the complia»ce status of this system. No
determinatron of future system performance has been norcan be made due to unknown conditions during system construction,
possible abuse of the system,inadequate mainfenance, or future water usage.
Inspector name: Joseph J Olson _ CeRification number: 1255 _
Business name: Rust Is ' F&-Pera Testin __ License number: 810..
Inspector signature: ___ _ , __ _ _ Phone number: 763-498-8779 _ _
Necessary or l.ocally Required Attachments
�Soil boring logs �i System/As-built drawing ❑ Forms per focal ordinance
❑Other information (list): _— _ �—_ -- -
www.pca.state.mn.us • 651-296-6300 • 800-657•3864 • TTY 651•282-5332 or 800•657-3864 • Available in altemative formats
wq-wwists4-3f • 1/Z4/12 Pdge 1 of 3
May 24 2015 04:15PM HP FaxRusty Olson 7634988290 page 3
Property address: 1250 French Creek dnve,Orono, MN ,__ Inspector initialslDate� J. O.5/19/15
1. ImPaCt On PUbIiC Hedlth —Compliance component#1 of 5
Compliance criteria: Verificatian method(s):
_ _. — ---�—.
System discharge sewage to the ❑Yes � No
� Searched for s�rtace outlet
qround surface. I� Searched for seeping in yardlbackup in home
�No ❑ Excessive pond;ng in soil systernlD-boxes
System diSCharge sewage to drain tile �, ❑Yes � Homeowner testimony(See Cnmments/Explana6on)
or surface waters. _ _ � uBlack soiP'above soil dispersal system
Systern cause sewage backup into �! ❑Yes �No ❑ System requires"emergency"pumping
dwelling or establishment. �_____ __ � performed dye test
Any"yes"answer above indicates the system is ❑ Un2ble to verify{See Comments/Explanation)
an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Comments/Explanation)
C o m men tslExpl a nation:
2. Tank I►ltegt'lty—Compliance component#2 of 5
Compliance criteria:_ _ Verificatlon method(s):
System consists of a seepage pit, �]Yes � No � Probed tank(s) bottom
cesspool,drywell,or leaching pit. , � Examined construciion records
Saepage pits msetrng 7080.2550meybe ❑ Examined Tank Integrily Form(Attach}
compliant if bllowed in local ordinance. � __
❑ Observed liquid level below operating depth
Sewage tank(s) leak below their I ❑Yes � No [ Examined empty(pumped}tanks(s)
designed o erating depth. __
If yes,which sewage ta�k(s)leaks: i _ ❑ Probed outside tank(s)for"black soil"
� — - — ❑ Unable to verify(See CommentslExplanation)
Any "yes"answer above indreates the � Other methods not listed(See Comments/Explanation)
system is Failing to Protecf Groundwater.
CommentslExplanation:
Peterson Company pumped the tanks
3. Othef COmpliarlCe COIldition5-Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked, unsecured,or appear to structurally unsound. ❑Yes` �No ❑Urknown
b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes' �No ❑unknown
*System is an imminent threat to public health and safety
Exp►ain:
c. System is non-prote�ive of ground water for other conditions as determined by inspector ❑Yes' �t�o
'Syster»is failing ro protect groundwater
Exp�ain:
www.pca.state.mn.us • 651-296-6300 • 8Q0-657-3864 • TTY 651•282-5332 or 800-657-3864 • Avai'�able in altemative formats
wq-wwists4-31 • i/24/72 Paqe2of3
May 24 2015 04:15PM HP FaxRusty Olson 7634988290 page 4
Property address: 1250 French Creek_dnve, Orono MN _ _ Inspector initialslflate� J �. 5/19I15 _f
4. S011 SepdratiOfl —Compliance component#4 of 5
Date of installation: 10/6187 _ ❑ Unknown Verification method(s):
ShorelandlWellhead protectioNFood Baverage �Yes ❑No Soil observafion does not exp+rc. Previous sorl
Lodging? obseivations by two independent partres are su�cienf,
Compliance criteria: _ _ unless site conditions have been altered orlocaf
— -- requirernents differ.
Forsysfems built priorto Apnl 1, i996, and ❑ Yes ❑ No
not located in Shoreland or We!lhead � Conducted soil observation(s)(Attach boring iogs)
Protec6on Area or not serving a food, ❑ Two previous verifications(Attach bonng logs)
beverage or lodging establishment. ❑ Not appl�cable(Holding tank(s),no dreinfreld)
Drainfield has at least a two-foot vertical ❑ Unable t0 verify(See Comments/Explana:ion)
separation distance from periodically �, ❑ Other(See Comments/Explanation)
saturated soil or bedrock._ __�_ __
Non-pedom►ance systems built April 1, g� Yes ❑No Commenfs/Explanation:
i996,orlaterorfornon-performance
systems locafed in Shorefand or Wellhead
Protection Areas orsen�ing a food, i
beverage, or lodging establishmenf:
prainfleld has a ihree-foot vertical '
separation distance from periodically
sat�rated soil or bedrock.'
"Experrmental", "Othe�', or °Performance" ❑Yes ❑ No Indicate depths of elevations
systems built under pre-2008 Rules; Type N ,
--- �
or V systems built under 2008 Rules(708�. A. Bottom of distribution media �_ 100.5
2350 or 7080.2400 (Advanced Inspector
License required) e. Periodica ly saturaied soiVlbedrock�97.5 _
Drainfield meets the designed vertical , C. System separation 3.0
separation distance ftom periodically I
saturated soil or bedrock D. Re uired com liance se aration' li 2.6_ _
--- --.
ARy "no"answer above indicates fhe system is •May be reduced up to 15 percent if allowed by Local
Failing to Protect Groundwafer. _ _ ordinance.
5. Operating Permit and Nitrogen BMP"—Compliance component#5 of 5 � Not applicabte
Is the system 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 Pracfice(s)specifred in the system design
!f the answer!o both questions is "no", this section does rtot need to be comp/eted.
Compliance criteria ___ _ ___
a. Operating Permit number: ___ — �Yes ❑ No
Have the Operating Permit re uirernents been mei? !
b. Is the required nit�ogen BMP in place and properly functionin�? ❑ Yes ❑ No _
Any "no"answer indicates Noncomplia»ce.
Upgrade Requirements(Mrnn. Staf. §115-55)An imminent threat to pub�ic hesKh�nd safety(lTPHS)musr be upgraded,replaced,orits use
drscontinued wifhin ten months ot receipt of thrs notice or within a shorter period if requi�d by foca/ord�nanee.If the system is tailing to protect
ground wafer, the sysfem must be upgraded.�eplaced,or its use diSCOntinued withrn the time required by local ordrnance. !f an existing sysfem
is not f8iling as dehned in law, and has at least two feet of design soil seperation,then fhe system need not be upgraded,reperred,repfaced,or
its use discrontinued, nohvithstandrng any local ordinance that is more strrct. Thrs provrsion does not apply to systems in shoreland areas,
Wellhead Prolecticn Areas,or those used in connection with fcod,beverage, and lodgrng establishments as defined in law.
_ __ —- -
www.pca.state.mn.us • 651-296-630o • 800-657•3664 • T7Y 651•282-5332 or 804-657-3864 • Availabte in altemative formats
wq-wwists4-31 • T/24!11 Page 3 of 3
May 24 2015 04:15PM HP FaxRusty Olson 7634988290 page 5
Tank Re ort
Date: M�,y_1�.__..��_
Elmer J. Peterson Co.
�421 Dague Ave.
pelano, MN 55328
Phone 763-972-2420
Fax 763-972-7217
MPCA License#219
Scott and Sharl Daniefson
1250 French Cr�ek Drive
Wayzata, MN 55391
(Orono)
612-360-8313 Scott
Baffles: QN 4FF
Tank Capacity: 3-�OC�o Ga��on Tanks
#of tanks: _3--------------------------------------
7ype of Tanks; Cancrete
Gallons Pumped: „_?500____
Manholes to Grade: YES NC3
Comments:
On May 19, 2015, Elmer J. Peterson pumped septic tanks. No cracks�r water leaking at that Ume.
NOTE; This is only a tank repnrt. This is not a compliance inspection for point oF sale nor
daes it replace a compliance inspection.
May 24 2015 04:15PM HP FaxRusty Olson 7634988290 page 6
�'
Property address; 1250 French Creek Drive __ Inspedor initials/Date: 5l18/1_ _
1. ImpaCt on PubHc Heatth—Comp�iance component#� oF 5
Compliance criteria• __ _ _ Ve�fication methai(s):
System disoharge sewage to the j ❑ Yes ❑ No ❑ Searched for surface outlet
�round surfaoe. _ � _ _ ❑ Searched for seeping in yard/badcup ln home
❑ Excessive ponding in soil system�D-boxes
5ystem discharge sewa�e to drain tile � ❑Yes ❑ No � t.�pmeowner testimony(See Commerrts�Explen�ation)
or surface waters. 1
-- - .�_ -- ❑ "BYack so�'above soil dispersal systern
System cause sewage badcup into ❑Yes ❑No � gygtem requires"emergenc,y' pumping
dwelling or esiablishment. mm , y ❑ Performed dye test
q17y`�yg�g"gffgW@/8bpt�9 indlc�Rs the syStem 1s ❑ Unable ro verify{5ee C�mn+enrsrF�planeeion)
an/mminer►t'rhroat to Publlc Heafth and Safety. ❑ pther methods no1 listed{See Ganment�✓ErptenatronJ
Co m menta/E�laneiion:
2. Td11k 1�t�lty—Compliance component#2 of 5
Compliance criteria: _ _ __ Verlflcation melfiodls):
5ysbem consists of a seepage pit, ❑Yes �No ❑ �robed tank(s)bottom
cesspool,drywell,or leaching pit. I ❑ Examined construction r�ecords
$eepage prts meebng 7080.2550 may be ❑ Examined Tenk Ir�egrity Form(Attach)
compuant rf al�owed in�ocal wdrnanca. � Observed liquid level below operating depih
Sewage tank(�}leak below their ❑Yes � No � �mined empiy(pumped)tanks(s)
If_ igned operatrng depth.
des
- - - ._._.
yes,whiCh sewage tank(s)leaks: I ❑ Prabsd outside tank(s)far"btack soil
— - ---- — -- ❑ Unable to venfy(See CommentsiExplenatia�)
Any`yes"answer above indicates the �p�er methoqs not listed(Sea Commenrs�Enplanario»)
system is Failing to Protect Groundwater.�
CommentslExplanation:
On 5/18/15,Elmer J. Peterson Co.pumped septic tanks.
3. Other Compliance Conditlons—comp�;a�ce component#3 of 5
a. Mairitenanoe hole covers era damsged,cradced,unseca,red,Or eppear to Structurdlly unsound. ❑Yes" p No ❑Unknown
b, Qther issues(elec�ic-,a/hezertfa,e�c.)to immediatefy and adversely impact pubdc heatth or safery. ❑Yea• ❑No ❑Unknown
'Sysiem is an imminent threa!to pubkc heelth artd aafa[y
Explain:
c, System is non�rote��ve of gramd water tor otF�canditions as detennined by inspedor p Yes" ❑No
•Syst�rn!s failing to pro6aci grottndw�ater
Explain:
www.pca.state.mn.us • 651•29d-6300 • 800-657-3864 • lTl'651-282-5332 or 800•657-3864 � Availabte fn altemative tormats
wq-wrris W-31 • 1!?4!f 1 Paqe 2 oJ 3
May 24 2015 04:16PM HP FaxRusty Olson 7634988290 page 7
Los�s of Soil Borinas
License#810
Locatlon or Project: 1250 French Creek Drive
Borings made by: Rusty Olson's Soil and Perc testing 511 412 0 1 5
Classification System: AASHO ; USDS-USDS-SCS X ; Unified ; Other
Auger used (check two): Hand_X`,or Power�Flight, Bucket or Probe_X_
Boring Number_i�Surface elevation_99.3J Mottled Soil at_2.1_feet
0-10" Fill in original soils
10-14" Dark brown sandy loam 10yr3/2 H20 present at_X_
14-22 Brown sandy loam 10yr414
22-28 Brown sandy clay loam 10yr5l4
28"-36" 8rown sandy�oam 10yr5/4
Boring Number_2_Surface elevation_1�0.1_ Mottled So�,l at_2.G_feet
D-16" Fill in original soils
16"-22" Dark brown sandy loam 10yr4/2 H20 present at_X_
22"-40" Brown sandy loamto loamy sand 10yr5/4
TBM: Top of lift station manhole cover Eiv.-1044.2 assumed
Bottom of rock bed Elv.-100.5
Original soil under the rockbed Elv.- 99.5
There is 1.0 feet of sand under the rockbed
May 24 2015 04:16PM HP FaxRusty Olson 7634988290 page 8
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��� � ����� `"�` � "��� Street Address �lSa--a4q-y6o O Mailing Address:
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kEBH� - 2750 Kelley Parkway P.O. Box 66
- _- Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �a�� �'{^�� ��t Z�� ���
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY 1-3 : �
"CODE SYSTEM" 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 sepazation requirement or two foot requirement for systems installed 1996 or earlier,and
which is not failing or an inuninent 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 stan�rds 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 �a-�-c3 )�
Make sure septic tanks are pumped throu�h manhole and not through white inspection pipes. This allows for the proper
cleaning. Keep water softner and iron fiiter discharge out of septic sVstem to prolonQ life of drainfield. Ask pumper to test
alarm float to verifv alarm is still working 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.
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: J�^p� �� ,�— S E� �.L �f.�(� `bd�_ C��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 cutrent
conditions based on the available information. •
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�:�.'� � '`�` ,' �'::���� G ! Street Address: Mailing Address:
`;,��9 k ' ' p4��:;'� 2750 KeUey Parkway P.O. Box 66
ES H �% C stal Bay, MN 55323-0066
\`��� Orona, MN 55356 ry
To: The Cunent Owner of Address 1�? j C� 1�-����' � ����� Z- "� '�•
City Ordinance requires that onsite sewage 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 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 on-Compliant
Yes
No
If yes, sysiem must be brou�ht into compliance by:
December 31, 20Q7
Decemb2r 31, 2010
Other
Septic Tank(s) Pump out Needed
Yes
No �
The City recommends the septic tanl:(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
�� . �,� _��,� . The tar�k(s) should be cleaned throuah the manhole and
not throuah the inspection pipes, this allows for proper cleanina.
Comments:
r,
N
Inspector: ��'` k Date of Inspection �7 ��-�
Telephone (9�'_) 249-4�00 • Fat (9�'_) 249-4616
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��; _.� _ CITY of OIE�ONO
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.�� , ,`��;� ¢.�, Street Address: Mailing Address:
$�gKO 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
95d-�49-4600
To Current Owner: Address: �a sC �e'���` ������ ��'
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
T'he on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-31: .J_
1 '�CODE SYSTEM" An ISTS which meets all the location,design and conswction standards of the current Orono Municipal Code.
"COMPLIANT SYS7EM�� An ISTS which does not meet all the tocation,design and construction standards of the current Orono Municipal
Code but does meet the three foot sepazation requirement or two foot requirement for systems instalied 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-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the curzent Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three fcet of unsaturated soil or sand between the disiribution device and the limitine soil chazacteristics.
TANK CONDITION(5��: 6
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 last pumped 4-�-S-O� ),
Make sure septic tants are pumped throueh manhole and not throu�h white inspection pipes.
This allows for the proper cleanine.
7 Inspection risers missina tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
D INFIELD CONDITION - a�: �S
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
immediate(y.Repairs must be completed within 90 days.
COI�IENTS: � I S K� � C�� �1� - ��)r�.�p �.r5't' �-C�f�K _ —
� Z� _v� �n�-
Date of Inspection Matt Bolterman - Septic System Inspector
Note: In the cvent that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this rcport 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 current conditions based on the available
information.
� /�/� O `�\ .�
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� CITY of ORONO
,� , �t�:. �
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ti M�,�,� ot���
�� �` G~ Street Address: Mailing Address:
���!'EggO�'�%� 2750 Kelley Parkway P.O. Box 66
�-_=-_� Orono, MN 55356 Crystal Bay, MN 55323-0066
June 13, 2000
John & Ronda Adams
1250 French Creek Drive
Wayzata, Mn 55391
Dear Mr. & Mrs. Adams:
An inspection of your septic system was conducted on June 7, 2000. A summary of the inspection
is below.
Septic Tank Condition
1. Pumpout needed within one year (last pumpout 5/1/97).
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.
Respect ,
I
� /
G.j , x"1u,c�
ris Pence
On-Site Systems Manager
Enclosures
In the event this inspection report is used to satisfy the requirements for a mortgage or othertransferof property,
be ad��ised that this report does no guarantee or certify the esisting sy stem will continue to function properly,but
is merel��an opinion of the adequacy of the system under current conditions based on the available information.
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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I� � ,���r�,� � I CITY of OR4N0
���,, �3°;� �� �,.,� �E� Municipal Offices
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�9 , �_ ,,'��,cg.� Street Address: Mailing Address:
1fEgg0 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 � Crystal Bay, MN 55323-0066
Owner: _ j . �.- 6�S �c►i Address: 1250 French Creek Dr.
Permit #'s: 224 Dates: 9/24/87 Contractors: Wastonka Plbg.
(This is [ 1� an existing system [ ] new construction) .
SYSTEM 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 ['��] has or [ ] has not been identifiad 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 [ ] ware not confirmed
to be watertight by tha licensed pumping contractor. If the tanks ware not confirmed to be
watertight, this classification is subject to revision.)
DRAINFIELD CONDITION (11-14) : 11
11� 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:
��ay/9�
Date of Inspection eptic 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 cor.tinue 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 eay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�,`, � INSPECTION REPORT
'C�� G~
�kESHag'�
Owner•���,' Address• �V r
Permit #'s: Dates: ��Y"� / Contractors: .
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 �,an existing system [ ] 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
without discharging any pollutants into ground or surface uaters.
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 seuage 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 ,�t 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): �
7 inspection indicates:
5 Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be puniped 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 p�xnped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be insPected. Inspection risers (4" dia. pipe) must be installed �n each
tank at next pumpout. [f tanks have not been punped out within the last three years, they should be pixnped
out now.
10 lnspection 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.
DRAINFIELD CONDITION (11-14):
De'a�nfield inspection indicates:
�1y Drainfield is dry, no surfacing evident.
�rz 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 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.): `��
COMMENTS:
Date of Inspection Sept c 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 location 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 a � ON-SITE SEWAGE TREATMENT
„� � INSPECTION REPORT
ti
���kESH�4'�G
Owner: Je-�/SC31'� IPI.T�� Address: �r�JC� F-ir'�ncL� �.�,%e�` 1✓'✓.�
Permit #'s: �`t Dates: �c�7-�7 Contractors: /,�✓t,',:;t�-n�� !7lxt_
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 [ ] 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 uhich is operating satisfactorily by treating and disposing of the entire current seuage input
without 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 uas 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 seuage input without discharging
any pollutants tnto 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:
5 Pumpout not needed at this time.
Solids accurtiulation in tanks indicates they should be p�nped 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 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pixnpout. 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): �
Dr field inspection indicates:
Drainfield is dry, no surfacing evident.
1 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. : y✓
COMMENTS:
Date of Inspection eptic 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 utll 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 loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner