HomeMy WebLinkAboutSeptic info Jun 07 2016 07'47AM HP FaxRusty Olson 7634988290 page 1
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Fax Transmittal Form
Date: 6/7/2016 Total Pages: II9
To: City of Orono
Phone Number:
Fax Number: 952-249-461b
E-mail:
From: Joseph J �Ison
Phone Number: 763-498-8779
Fax Number: 763-498-8290
E-tllail: rustv2654Ca��omcast net
❑ Urgent
0 For Review
❑ Please Comment
❑ Please Reply
Message: This is the septic cert for 1260 French Creek �_�,��'--�-
Ci rcle. Please f i le.
Jun 07 2016 07:47AM HP FaxRusty Olson 7634988290 page 2
Minnesota Pollution Compliance I nspection Form
Control Agency
520 Lafayette Raad Narth Existing Subsurtace Sewage Treatment Systems
Sc.Paul,MN 55155-4199 ($$T$)
Doc Type:Compliance end Enforcement
---- —,
Instructions: Inspection results based on Minnesofa Pollution Controi Agency(MPCA) For IoCaGt(�9.{xyrp�66S: �
requirements and attached forms—additional local requirements may also apply. , r� ����" '
Submit compteted form to Local Unit ef Governrnent(WG�and system owner '
within 15 days �JUN O T �O�C I
System Status CITY OF ORONO
System status on date(mmldd/yyyy): 511612016
� Compliant-Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance
(Va/id for 3 years from report date, unless shorter trme (See Upgrade Requirements on page 3)
frame outlined in Loca!Ordinance.J
Reason(s)for noncompliance (check al!applicable}
❑ Impact on Public Healih (Comp(rance Component #1)—lmminenf threat to public health and safety
❑Other Compliance Conditions(Compliance Component#3)—lmminent fhreat to public health and safety
❑Tank Integrity(Comp/iance Component #2)—Failrng to protect groundwater
❑ Other Compliance Conditions(Compliance Componenf#3)—Failing to protect groundwater
� Soil Separation (Compliance Component #4)—Failing to profect groundwater
] Operating permiUmonitoring plan requirements(Compliance Component #5)—Noncompliant
Property Infarmation Parcel ID#or SeCJTwplRange: 10-117-23-32-0012
Property address: 1260 French Creek.Circie.,Orono, MN Reason for inspection: Pro ert Transfer
Property owner. Kadee Watkins Owner's phone: 612-810-5345
or
Owner's represertative: Representative phone�
Local regulatary authority: City oi Orono Regulatory authority phone: 952-249-4600
2-1000 gallon septicianks,l-1000 gallon lift station and 500 square feet of mo�nd rockbed. per city
Brief system description: records
Comments or recommendations:
Certification
1 hereby certify that a1l the necessary information has been gathered to determrne the compliance status of this system. No
determrnafion of futur�system performance has been nor can be made due to unknawn conditions dunng system construcfion,
possible abuse of the system,inadequate mairttenance, or future water usage.
Inspector name, Joseph J Ofson Certification number: 1255
Business name: Rusty on's Soil&Perc.Testin License number: 810
Inspector signature: _ Phone nurnber: 763-498-8779
Necessary or Locally Required Attachments
;� Soil boring logs � System/As-built drawing ❑ Forms per local ordinance
❑ Other informaiion (list):
www.p<a.state.mn.us . 651•296-6300 • 800-657-3664 • TTY 651-282-5332 or 800-657•3864 • Available in alternative forma[s
wq-wwisis4-3P . 1/14/12 Page 1 of 3
Jun 07 2016 07:47AM HP FaxRusty Olson 7634988290 page 3
Property address: 1260 French Creek Circie.,Orono, MN Inspector initialsJDate: J O. S116l16
1. ImpdCt Or1 PubliC Hedlth—Cornpliance component#1 of 5
Compliance criteria:_ __ Verification method(s):
System discharge se�rvage to the � ❑Yes � No � 5earched for surface outlet
rg ound surface. ; � Searched for seeping in yardlbackup in home
Sysiem discharge sewage to drain tile I ❑Yes � Nv � �xcessive ponding in soil systemlD-boxes
or surtace waters. ' ❑ Homeowner testimony(See Commenfsl�xplanation)
� ❑ "Black soil°above soil dispersal system
System cause sewage backup into ❑Yes � No ❑ System requires"emergency°pumping
dwelling or establishment.
Any"yes"answer above indicates the sysfem is � Performed dye test
an Imminent Threaf to Public Health and Safety. ❑ UnBble t0 vefify(5ee Comments/Explanation)
�__ __ ___ ❑ Other methods not listed{See Comments/Explanation)
Comments/Explanation:
2. Tdl1k 111t2g1'lty—Compliance component#2 of 5
Com liance criteria: _ Veriflcation method(s):
System consists of a seepage pit, j ❑Yes g No ❑ Probed tank(s)bottom
cesspool, drywell,or leaching pit.
❑ Examined construction records
Seepage pits meeting 7080.2550 may be ❑ Exarnined Tank Integrity Form (A!tach)
complrant if alJowed in loca!ordinance.
❑ �bserved liquid level below operating deplh
Sewage tank(s)leak belaw their I ❑Yes � No ❑ Examined empty(pumped)tanks(s)
designed operaling depth.
If yes,which sewage tank(s)leaks� ❑ Probed outside tank{s)for"black soil"
❑ Unable io vefify(5ee Comments✓ExpJanation)
Any "yes"answer above indicates the
system is Failing to Profect Groundwater. �Olher methods not Eisted(See Comments/Explenation)
Co mments/Explanatian:
Peterson Company pumped the tanks.
3. Other ComplianCe Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked, unsec�red,or appear to strudurally unsound. ❑Yes' � No ❑ unknavn
b. Other issues(electrical hazards,ecc.)to immedietely and adversely impact public health or safety. ❑Yes" � No O Unknown
*System is an imminent threat to public hea/th and safety
Explain:
c. System is non-protective of ground water for other co�ditions as determined by inspedor []ves^ � No
'System is failing to protect groundwater
Explain:
www.pca.state.mn.us • 651-296•6300 • 800-657-3864 • TTY 651-282-5332 or 800-657•3864 . Available in atterna[ive tormats
wq-wwistsl-31 . 1/24!12 PQge 2 of 3
Jun 07 2016 07:47AM HP FaxRusty Olson 7634988290 page 4
Property address: 1260 French Creek Circle.,Orono, MN Inspector initials/�ate: J 0. 5/96/16
4. Soll $epdfatio�-Cornpfiance component#4 of 5
Date of installation: _7I19l88 __ ❑ Unknown Verification method(s):
ShoreJand/Wellhead protectioNFood 8everage � Yes ❑ No Soi!observafion does nof ex rre. Previous soil
Lodging? obse�vabons by two inde�dent pa�ties are sufficient,
ComplidnCe Cfiteria: unless site condiSons have been altered or loca!
___- -_ --
requirements differ.
Forsystems builtpnorto Apnl 1, 1996, and � ❑Yes ❑ No
notlocated in Shoreland orWellhead I � Conducted soil observation(s)(Attach boringlogs)
Protection Area or not se�ving a food, ❑ Two previous verifications(Attach boring/ogs)
beverage or lodging establishmenf:
❑ Not applicable(Nofding tank(s},no drainFeld)
Drainfield has at least a hvo-foot vertical ❑ Unable to veri
separation distance from penodically r}+(See Comments�xplanation)
seturated soit or bedrock. � ❑ Other(See Comments/Explenatron)
Non-performance systems built Apri!1, � �Zf Yes ❑ No Commenfs/Explanafron:
a 996, or tafer or for non-performance '
systems locafed rn Shorefand or Wellhead '
Protection Ar�as orserving a food, '
beverage, o�lodging establishmenf: �
Drainfield has a three-foot vertical
separation distance from periodically ',
saturated soil or bedrock.` i
"ExpenmentaP; "Ofher', or "Perfo�rnance" I ❑ Yes ❑ No IndiCdte depths of ele�ations
systems built under pre-2008 Rules; Type IV ' —
or V systems built under 2008 Rules(7080. ', A. Bottom of distribution media 99.8
2350 or 7080.2400 (Advanced Inspedor '� -
License required) ' B. Periodical saturated soiUbedrock 97.1
� ___ _ __- �
Drainfield meets the designed vertical C. S stem se aration I� 2 7
separat�on distance from periodically —
saturated soil or bedrock. D. Required compliance separation' 2.6
Any "no"answer a6ove indicates the system is 'May be reduced up to 15 percent if aliowed by Local
Failing fo Proteci Groundwater, ordinance.
5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 � Not appllcable
Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is requi red
Is the system required to emp�oy a Nitrogen BMP? ❑Yes ❑ No If"yes",B below is required
BMP=Best Management Practice(s)specifred in the sysfem design
If the answer to both questions is "no", this section does not need to be completed.
Compliance criteria
a. O eratin permit ng mber. q �
p 9 �i ❑Yes ❑ No
Have the 0 eratin Permit re uirements been mei. i
b. Is the required nitroqen BMP in piace and pro erl functioning? ❑ Yes ❑ No
Any "no"answer indicafes Noncompliance.
Upgrade Requiretttents (Mrnn. Sfaf. §115.55)An imminent threat to public health and safery(1TPHS)must be upgraded,replaced,or its use
disconirnued within ten months of receipt of this no6ce or within a shoRer period if required by local ordinance.If the sysfern is feilrng to profect
groz'nd wafer Ihe system must be upgraded,replaCed, or its use discortinued within the time required bylocaf ordinance. !f an existing system
is not failing as deBned in iaw,and has atleast two feet of desrgn soif separation,then the sysfem need not be upgraded,repaired,replaced,or
its use disconfinued,nohvithstanding any local ordinance that is more sfnct. Th�s provrsron does nol epply to systems in shorefand areas,
Wellhead Protection Areas, or those used in cbnnection witY+tood,be verage,end lodging esfablishmenfs as defined in law.
www.pca.state.mn.us • 651-296-6300 - 800-657-3B44 • TTY 651-282-5332 or 800-657-3$64 . Available in altemative formats
wq-wwistsd-31 . 1/24(12 Page 3 of 3
Jun 07 2016 07:47AM HP FaxRusty Olson 7634988290 page 5
Tank Reuort
Date: May 6, 2016
Elmer J.Peterson Co,
5921 Dague Ave.
DeIano, MN 55328
Phone 763-972-2420
Fax 763-972-7217
MPCA License#2l9
Chris and Kadee Watkins
1260 French Creek Drive
Wayzata, MN 55391
(Orono)
612-81Q-5345
Ba.ffles:,� ON OFF
,
Tank Capacity: 3-10D0 GaMlon Tanks
#of Tanks: �
Type of Tanks: Concrete
Gallons Pumped: 2500
Manholes to Crrade: YES / NO
Comments:
On May 6, 2Q16, Elmer J. Peterson Co uncovered rnanholes(15t—$ Inches beep, 2^d— 10 fnches Deep,
Lift Station Manhole to Grade)and pumped sepiic tanks. No cracks or water leaking at that tirne
NOTE: This is onIy a tank repart. This is not a complia�ce inspection for point of sale nor does it
replace a complianca inspection.
Jun 07 2016 07:47AM HP FaxRusty Olson 7634988290 page 6
Property address�� 1260 French Creek Dnve _ _ inspector initials/Dete: 5/8l16
1. Impact on Pub(tt Health—Compliance component#1 of 5
Compliance criteria• Verefication methocf(s):
System discharge sewage to the � ❑Yes ❑No ❑ Seerched for surface outlet
�raund surface. ❑ Searched for seeping in yard/bad�up in home
5ystem discharge sewa8e to drain tile ❑Ye$ p� � �ceS3Ne ponding in soN system/D-bpxes
or surface waters. ❑ HOmeownertesfimony(See Comments/Eacplanetlon)
System cause sewage backup into i ❑Yes ❑ No � �Black soil"above sal dispersal system
dwelling orestabfishment. ❑ System requires'emergenc�'pumping
Any"yes'•answarabove indicates the aysiem is ❑ Performed dye iest
an/mminent Thr�eat[o Public Hoa/th and Safety, � Uneble to verify(See Cornment✓Explanation)
❑ Other methods no1 listed(5ea CommentslExplanstion)
Co mmentslExp lanation:
2. Tank Integrity—Compliance component#2 of 5
Compliance crlteria: Verification method(s);
System consisis of a seepage pit, ?[]Yes �No ❑ Probed tank(s)bottom
cesspool,dryuvell,or leaching pit. �
i ❑ Examined consiruction reoordg
S�pag�e pits moefing 7p80.255p may be ❑ Examined 7ank fntegrily Form(Attach)
complient rf a!lowetl m loCaJ oRlinance.
Sewage iank(s)leak below their ❑ ��►'�ed liquid level bebw operating depth
( ❑Yes �No
designed operatin depth. �_ � Examined empty(pumped)tanks(s)
If yes,which sewage tank(sj leaks ,` ❑ P"obed outside tank(s)for"black soil°
Any "yes"answer above indicates the � U�bJe to verify(See Comments/Expfanation)
system is Failing ta Protect Groundwater. ❑Other methods noi listed{See Comments/ExpJanation)
Go m ments/F�lanatlon:
On 5/BI16,Elmer J. Peterson Co. pumped septic tanks.
3. Other Compliance Conditions—Compi�ance comp�nent#3 of 5
a. lNaintenance hole covers are damageq,r,raci�ed,�n�red,or appear to stn,cturaily unsound. ❑Yes� ❑t,� ❑Unknown
b. �ther issues(etec�ric8�hazartis,e��p�immediately and adversely impact public heatth pr safety p yes* p No ❑Unknown
"System is an immlrtenr fhrast f�public heald�and safety
Explain:
c. System is non-pmt�ctive of ground water for other condi�ons as detarmined by inspector ❑Yes• ❑No
'SYs�is fail/n9�Prof�eeef groundwater
Expiain:
www.pca.state.mn.us . 6S7•29b-6300 • 800-657-3864 . TTY 651-282-5332 or 800-657-3864 • availahle in altemative formats
wq•wwisfs4•3f . 1114/12
T..------ ��2�3
Jun 07 2016 07:48AM HP FaxRusty Olson 7634988290 page 7
Soil Observation Log
w���v.SepticResource.com vers 12.4
Owner Information
Property owner�project: Kadee Watkins Date 5/16/2016
Property�Address i PID: i260 French Creek Dri�-e
Soil Surve Information ❑ refer to attached soil survey
Parent matl's: � TiU �' Outwash [] Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock
landscape position: n Summit ❑ Shaulder ❑ Side slope ❑ Tce siope
soil survey map units: L4C' slope % direction- L1neaT
Soil Log#1
Q Bori�g ❑ Pit Elevation 101.2 Depth to SHWT 48 inches
Depth(i�j Texture fragment% matrix color redox color consistence grade shape
0-30 Fill GS
30-40 Topsoil <35 10yr4/2 Loose 5trong Sing�e erain
40-48 Clay Loam <35 IOyrS%4 Friable Strong Blocky
<35
48-54 Clay Loam 35 -5� 10yr5/4 IOy4/8,1-6/l0y Finn Strong Prismatic
>50
��� [oOSz loose singlegraip
35 -50 friable weak granular blucky
>50 �rin moderate prismadc plary
Pigid strong massive
Comments:
Jun 07 2016 07:48AM HP FaxRusty Olson 7634988290 page 8
t 260 French Creek Drive Soil Log #2
C �nng ❑ P�t Elevation 98.6 Depth to SHWT 1 g inches
Depth(inj Texture fragcnent% matrix color redox color consistence gade shape
0-12 Topsoil <35 IOyr4/2 Loose Loose Stnglegrain
12-18 Sandy Loam <35 10yr5/4 Firm Strong Block-�
18-24 Clay Loam G3� 10yr5;4 10y4/8,1-6/l0y Firm StrOng Prismatic
�3� loose loose single grain
35 -50
friable �veak ganular blocky
>50 fi� moderate pr,smatic plaiy
rigid strong massi�e
�35 loose loose single grain
friable �veak granular blocky
35 -50
flrn7 moderate prismatic platy
�50
rigid strong �sire
1260 French Creek Drive Soil Lo #3
I� Boring ❑ Pit Elevation bepth to SHWT
Depth(in) Texture fragment% matrix color redox color consistence grade shape
=35 1O05e IOOSO single grain
friable weak gravular blocky
35-50
�5� flrm raoderate prismatic platy
rigid StCoflg massive
�35 ]oose loose sing�e grain
35 -5�
friable weak granutar 6locky
>50 �� moderate prismatic p(aty
rigid strong massive
<35 1O05e 1005� single prain
fri3hle weak granular blockv
�s -sa -
750 firm moderate prismatic platy
rlgid strong �n�sive
<35 1O05e lOOSe single grain
35 -50
friable weak granuEar blocky
��� ��n moderate prismatic platy
rigid sfrong m�sive
�35 l0ose lOOse single grain
35 -50
friable weak granular biocky
>50 f� moderate prismatic plary
Cigid StrOrig m�ssive
I hereby cerlify this work was ecmp(eterl rn nccordance wrth MN 7080 and any local req's.
Rusty �lson's Soil & Perc 810
esigner Signature Company License,#
Jun 07 2016 07:49AM HP FaxRusty Olson 7634988290 page 9
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05/2712011 02:21 7634975011 SPTESTINGINC PAGE 03/11
�"� ���T�N�� ��C. S'�teWen B. Schirmers • MPCA Gert.No. 627
951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497-3566
FAX (763) 497-5011
� State License#394
�� �
� � ,
May 24, 2011 �, r ��� �
� oRoxo coPY
�9
Meredith Howell
1260 French C�eek Dr.
Orono, Flenn. Co., MN
A Compiiance Inspection was complefied for the existing an-site sewage treatment
systenr� locafied on thi� propert�. The system consists of 2-1000 galion septic#anks, 1-
1004 ga{lon pumping chamber � a pressurized mound system with a 10' x 55' rock bed
built in 1988. Soil boring #1 found mottled �redox features) at 2,1' below the ground
surFace, Soil boring #3 found the originat soil at elev.99.3 S�the battom of the rock bed
at elev.100.6 leaving 1.3' of s�and belovu the �ock bed &a 3.4' separation from the
botkom of the rock bed � redox fea#ures. 8oil boring #2 found mottled,soil at 2.3' below
the ground surFace. Soil boring #� found the original soil at elev.99.0 & the bottom of
the rock bed at elev.100.6 leaving 1.6' of s�and below the rock bed & a 3.9' separation
fronn the bottom of�he rock bed & redox features. This system is classified as in
compliance with fUlinnesota �Chapter 708Q rules.
The tank� were purnped by Elnner J, Pe#erson Co. ��vere found #o be compl�ant at tl�is
time.
Nothing other than gray water (laundry, showers, etc.) human waste &toilet tissue
should be disposed of into fihe sepfi�c tanks. Garbage disposals are no# �ecommended,
due to adding more solids &fine solids pas�ing fihrough to the system. Recommend to
divert iron flters out of the system, recornmrend to divert the water softner also if
diverting the iron f Iter. Excessive amounts of soaps, antibacterial soaps, cleaning
agents, shower cleaners used every shower 8� chlorine agent� may kill the bact�ria
needed to t�-eat septic effluent. Addi�ives are not recommended. F2ecorrimend to pump
& clean your tanks thraugh the manhole by �a oertAfied pumper every 2 years. Check
with yaur pumper to set up a schedule.
Thi� Certificate of Compliance is no guarantee that this system will continue to f�unctio�
indefinii�ely.
��_--[� ��++'�L-�'^`�
Steven B. Schirmer�
1
05/27/2011 62: 21 7634975011 SPTESTINGINC PAGE 04111
i
i �
,a . Nuinn�s�i;cl F�OIIUtIUtI , C�mpl�an�� In��ec��or� �orm
�� ��mtrol A��ncy �
Ec�A��png Su6surface �ewage Yre��kn�en� �ysl�e�ns (SSTS) �
51p Lafayelt�lioad Nor�h !
St.Paul,MN 5�155-�19�1 D�c 7ype;Compllence and F_ntor�em�nf
� I�s�hruckions on page 6 j
S�lJ1'�1A�'Ic��/ �01'98'� {Complek�d form must be submilted to#he local unii of go�ernment within 15 days.)
Parcel number:
...------ � - .. �i,, _ ...
.. . _ .. ,
System status: � Compliant ❑ Noncompifant� rnr Local tracking Purpose�: �� �� �— ' '
(based on all .r,�mpllanco requiremenfs)
!
Property Informafiion I � ��- "�--- ---- "
I'roperty owner name(s): ��L,�_ H.�.Y�!G�;�_��.L�� pro ert owner hone: „q,�7�, •
p v P _.4��_.9�0'�;
Prc�perty address: . �L.-- ' G �����• D'�s7�ti;0
�I�.�,Ps7_... 1�1
Prop�rty owner�ddress(��diff9rent):__,.,.._ �--`�-_ ---,..'----- -.�_-._..._�
County:_�_�i�.0�S����_ �Permitting authority: G��� D�O�O �
-- --... .�---, _.;
Date syat'em constructed: _,�°�r�� Reaso�fo�Inepection; ZO�Q'��.�Q�.�,�,c,�✓�p�
Sys�Q:enn ID�scriptic�r� ;
B�i�aF system descriplion: .a.�l i2� ��._��'1G'`�1��s_`.►�����1_Z►r__w�r.�ravnr���,�.co��n:.,.1_u��S.s9�s�
Lacel permit number: ____ __ ___ Number v'F bec{roomg; __� _ Dosign flow reto: (opp
Ys tl�ie sysi�em: "—
In Shoreland area? �
I�Yes � No In V1lellhead Protect�lon Area? ❑Yes [� No
An U_S_Environmental Protection ; Sysiem servinfl a Minnesota Deparlment
Ngency(�PA)Class\/Injection Woll?[]Yes � No of Heath(MI7W)Ilcensed facility? ❑Yos �j No �
CO�YIp I�811�:e S�d�US (13ased on state requfrer�nonfs-edditionel local roquirements may also apply.) I
Based on the informaiion gathered and reportedjon attached forms, the compliance status oi thls system is(chodc one):
�Certificate of C�mpUenco-valfd until (3 yea�'s iYnm date of►�pn�t):
❑ Notice of Noncompliance�For Noncompliantl systema: � ��� � '�
The reason for noncompllance is: __i__ _
This nancompliant syqtem is classlfYed'as(check onc balow); ���� � —'
C_�I Imminent threet 10 public health 8�sa�ety [] Failing to protect prourtd water ❑ Noi in compliance with operating permit �
C2r�1f�Cd�iOn
1 hereby cartify thal all the necessary infnrtnalVori has been gaf.h�red l�detelmine the compliance stAtus of this system, No
dotem�lnation of ruPune system performance hes�beon nor can be made due fo unknown con�itions dudn�sys#em conskrucPlon,
possible abuse of fhe syst�em,fna�lequate mafnt nanc�, or hilcrr�e uvater usat�e_
Name: ��'�'�l/'� .� 1l. __ � � �.�', - � —1�,�.,.,..�_er _�2�r�,,�_,.._
�' �?C,._,_..... 1..
�--._'_.�-...;.:._�.a_I_�_1,,.1�"�- h� _ _ Certificaiic,nnumb
Buslness Ilcenso name and number; S_;�'.��( 5����..1,�a � � �� �� '[�.�k'r ,�' ,^�_��ry`�r,�, or
Name of local unit of govemmPnt: � �
_._.
� _._......... ._.,..—
—•---. ....
Signaiure: �.— � J � —�r--,...— --.� ,
�
__.._.._ _� __ �---�._.., ...._ -._._._ Date: _�!i��'�.. t?►J . I
Required Attachments � �
�] Flydr�ulic Perfo�mance T�nk Integrity [J Operating Permit Fo�m(if a�plicable)
a" 5oil Boring L�gs � Soil S�peration
n Syst�m drawing/As-built drarnring ❑ Ahy local requirements that are difFerent from what is requlred ott this form ;
(]Other fnPormation (lisl;): _„___ �
...__..... ...._� -----.....--- .. _.....------........_ .
Upgradm 9�equiremQnts (de►ived fi+,�m Minn. St�t�§ 9'15.55)An Imminent threat to pt�bllc heallh end sa�°oty(lTAFIS)must Ue upgr�de� ~
.�pleced,or it5 usa dlacontiiyuod wlfhin ten months af►�Ceipt of thls nptice or wlfhin a shorter period!f r�quired 6y/ocaf prtiinence. IF the syqtem!s
f�lling fo�rotec!g�aund wt�t�r, the system must be u�nc�r�dad,�apl.�ced, orJla use dlsconflnued w/tlfln Ihe time r�qulrad by I�r,AI�rdinai�cs. If�n
existGic�systAm is not falling As daflned 111►aW,t�nd has aM lesst hvo�ef of doslgn soil seperatlon, then tl�o syqrem nood nod be upgradecl,rcpaiied,
replar.ed,orits uss dlscontinued,nofwithstanding eny loc�31 ordlnanr,e diat is more st►icL Thls provlslon does nol eppfy b systoms in shorr�land
�reps, Wcllhead pratection Areas, or�h�se�ised in connbcflon with food,beveraqe, And lodginq establishments as del)rled In lew.
.,..._ ..... .
wv�w.pca.stake.mn.us � 651-Z96-6300 800-657•3B64 • TfY 851-2R2-S337 nr AM.Rti�.ia�a . A��o�lehln i� ���,,.�.��._r_.___��
65/27/2011 02:21 7634975011 SPTESTINGINC PAGE 05/11
Parcel number; i �
-- �--- .- -._ ,,....-�.,.,. Systom status; � Compliant [� Noncompllant
� (as dQterrnined by this fomt)
i
Soflp Se��ra�io� �o�tn�liaR�a�e and O!ther Connpiq��nce- Comp/iance lnspection Form fo�'Exisfing SST�
Com�Aiance Issue #3 of � �
Dgte o'F observatlon: _�',�,���^ � Reason for observation; � / I
, ���������x.r�,_,
TFiis informetinn on this fo►m d�es not explre. � —•--'
Compliance qu�stions/c�iterp�,: (Requi�ed) ' �ex�ification Method'"'• (Optlonal)
_(C6�ec/�fhc ap�ropriate P�ox),
--. - -�� .a�_._ . (Ch�ck Ihe appropNefo box)
For systems bullt prior to April 1, 1996,and not
located in Sh��eland or�NellHead Protection � � �onduct�d sofl observation(s)(aiiach boring lops)
�Area or not serving a food,beve�age or ' ❑ Two prevlaus venfications(aitech bc�ring logs)
ladging estahlisl�ment: ' � 7 �
� �ther. .�•��:,_.Z��_5'�:��.�7�f
Does the system have at least a two-foot � �n - --
vertic�l separation dlstance from periodically � _"��1l�'���:�-"�`"t
s�turated�oi,l_or bedroek? .„ .._,_ �Yes .,� No _ ��,���,5_� ����� `
For non-perFormance systems bultl April 1, I '
1990,or lat�r nr for non-perForrnance systems �-�"-- -��� - -••—••-�—
Iocated in 5horeland or Wellhead Protection � Soil obseruation does root expire. Previous observations
Areas or seiving a food, bevorage�or lodging � by hnro independent parties ere sufficien�l,unl�se sitQ '
establlshment= conditions have been eltered.
boes Ihe system ha�ro a khree-foot vertical �
separaiion dist�ance from poriodlcally saturated �
.soil or bedrocic?" Yos ❑No �
-- - �- - . —._., _�.._.�,----,.._
For reduced separation clistance sy�t�ms(i.e.,
"performance"systems under old 7a8D_0179 or I " IU7ay be r+ed��csd by up to 15 pem.ent If allowed in local ,
Type IV or V svstom under new 708U.2350 or o►'din�nce.
7080.2400�; ''"Mo standard protocol 9xists. Tlils list is not e,d�austivc�,
Daes#ho sys4em m�et the designed vertical (n sequential order, nordoes itlndlc�t`r�which
separation dfstence from periodically satu�abed � combfnet►vns are necessr�ry to m�ke this
. soil or bedrocic?* . .�J.Yes No__ d�terminetion.
A►ty"no"enswer indicates that tho system Is fa1lfF�g to proMr.t �
g�'ound water ; �
i �
I
Certifacai:ion
This For�is to be cAmpleted and attached to the Summary Form of the Minnesota Pollution Conlrol Agency's (MpCA) Compllance
Insp2ctior�Fornn for�xlsting SubesurFac�3e�nia�e Treatment Systems.ObservaUohs, interpretatlons,ancl ca�cl��sions must bo
completed by an insppctor or designer.Complete�form must be submitted to#he local unit of government within 15 days.
Property ownEr name(s); ����p��Q��✓�V�
..,_�._ -----•.........:...... _...,. ---•,.__.. __., _-
P�operty addr�ss: �a l�(7_ _L�-�..,__G'�rG'�i1G'�'�, p �S,
�' , . — - _r,_ �_v....._.- -- -.,_ �
..
Property own�r's sddress(if different): _.
..,. _. _..._.
_......` -._.. ,._
--,. __.._ �
Courrty: ��.��..�_r`i j�„�..,., i---- P�operty owne�phone: Qf ,�2^ �' �
�. - __-��._ ..,g,2�__ _ �
1 hereby certlfy that 1 personally macle Ehe obsolv�t�ons, inierpr�tations, and conclusions�parted on this lom�and that they�re
correct
Namo� '
...r�{��'�'��f-,� f'`�. �.�L;1�a 1_- ' " "'`;_._......_.. Certificalion nurnber: � � �
_...._- .-.�rl.�...,----�• -
, • —_ .�
B►,isiness lir.ense name and number: _�,-,Q�r�y��,•� ����„y_��� �„��`�'�,�j� �,��',����J�=�`r��.�,. �,,��� � ��
Neme of local unit of.government; ! �
i ..:.....--- ....... ---...... _........-----
, . —•••-•. ••--- ...--- �-}
S�gnature; -r, r.--1 ; �
�--e
_....... _.._. ... .-- --•-��••--- -..... Dete: �a_:�"�a01�....: I
, �
—....... __...,..... _. ..- --......._ � _... _....__ _,,..� ... _,..,_
www,p�a.st�te,mn.us • 651•29b-6300 • 800•�57•38h4 . rrv R�t_�R�.Fiz��,nnn.c�7 �ocn . �.._,�_��_ :_��_�„ :;—'--
05/27/2011 62:21 7634975611 SPTESTINGINC PAGE 06111
���tly�� � � �o,uoa timer,�, Neterson Uo. 763-972-7217 p,1
Tank Rc�ort
DaCe: May 13,2019
I?Ir�z��r J. Peter�on Co.
.ri��`Z 1 I)ague .4ve.
l�c�ano, MN ;!ig2R
Ph�ne 76.�-9i2-2�1�Q0
T'ax iGS-972-'2'l�
M�'C!� Licenae# Q 1.9 �
9andra bess
1260 French Creek Drive
Wayzete, MN 55391
La�1es: �\-e.J / OFI'
Tank Capacity: 3- 1000 Gallon Tanks
# �f'Taaa;s• �.
Type of�Tanks: �oncrete
Gall.ong: 2500
Manh.�lev t� Gr.acle: YE� / I�O
Cotrunent;s:
On May 13,2011, Elm�r J. Peter'Sort Co. Uncovered Manholes(18�Tank-8 Inches DeQp, 2"` Tank-10
Inches Deep,�ift Si.ation to Grade) and Pumped Sepiic Tar�kS, NO G�ackS �r Water Leaks at That Time_
It f�Recommended That Manholes Be Brought to Gt'ade.
NOTr_This is o�ly a txnk report, 'rhis is not a CompLitlnCe uispectao��Fo1•p01Ua�'0�'9�IE nol'does
it r.eplac�e a cozr�pliance in�sPection-
Li:cen.se # 2]9
05/27/2011 e2: 21 7634975011 SPTESTINGINC PAGE 07/11
,�,. _., � .,..,.,.,� �n��c� �,r hieiaui i�u, /Ei3•5!/J..'I'l17 p,?
Parcei number. T_` , 5ystem status: J�Compliant ❑Noncompliant
(�s determincad by this farm)
Tank I�ntegrity a�d Safety Campiiance-- Com,o�lian�e lnspectlon Form fiorExisling SSTS
Comppiance Issue#Z of q
DE� oFobservatfon: 5113111 Rcason for o6�Pruation: pa�t af Sale
This form expir'es on(thl'ee yee�3): 5113/11 M_ .... ., ^
Compli�nce questionslcriter7a: (R�quired) Verificat�an Methad"":(Opticnal}
Check ti�e a a rlate boz , (C�heck f.f�te approprrafe box)
f�oes the system consist ot a a¢apage plt', p Yes �No � Probed t�tnk bottam
,ces�p�ol�drywelf,orleaching pil?
IDo any�ewage tank(sJ IQaI�below their ❑Yss �No � Observed low Ilquld lovel
designed operetinQ depth?__.,., ❑ Examined consCruction records
If yss, ida�tify which ❑■ Examined empty(pumped)tank
sewage hanit le�k9. � p�abed ou�lde tank Por"blr�ck Foll"
Ar►y'yas"answer f►1d�cat�s thst the systern Ps falUng to plot�t
grvurrd wafer. [� P�essure/vaaium ch�ck
❑ Otlter:
' Seepa�qe pils meeting 1080,2550 m�y�e compliant i�f allov�ed �
in ardinance by local permlttf�5}autho�ity, _____�„„_,,,
�No 4tPndordproMcof o�fs_TP�fs llsf is noP exhausb'vo,In
seque�U�l order,n�r does 11�ndicef�whreh carnbinntfc�ns
�,re nacec4�b maha fhfa datBrmJnatlon.
5�fety C�e�k
1 Are meln�tenance hole oovers damaged,craclaed,or appaared[o be slTur,b�r211y unsound? ❑Yes` �f No
2. Ware rnairttenance halc oaversrapleced in a�Ecurod manne�(e.g.,acrev�s replacedj? m Yes (]M1lo'
3 Wes seeond9ry access res7alrrt preserrt(safcty pan,�cand oover,0�sefety netting)—f�ighly reeomrnended. ❑YesN��No
4. Are att�er safe�tyJhealth issue pres�nt? ❑Yes• � No
Explain- �, �.�� .,....._�.... ----�
RSpsre►n is an immrR�nt fhrae�to pubff�h6+allh arld s�fety_
Certifi cati�n
thls form�s to be completed and attachod tio ihe Surnmary�arm a�tl�a Mlnnesota Pollutian Ganfiol A�ency'�(MPCA)CornplianCe
Inspcctlon Farm for ExlsHnc�Subsurtaee Sew�age Treatment�ystems.Observabons, In�erpro�tlons,end conclusfons must be
��mpletod by an m�pector, malntainer,or senrice prnvider, Complet�d form must be submitted ta t?ie Iocal�anit of gavernmerrt withln
15 days.
Prnperty owner nams(s): 5andr�Deas _�
Pmperty address; 1260�rench�Cleek Drive We}2sta, MN 55391
Properly ownEr's qddres.{If dlffc�r,rrkl: ,r,,_ r,
CourAy: Hennepin_ f'rvperty avmer phano: 952�473-0638 �
�hereby certify that F persori�lly rh9de the observ�ti6iis,inf��pt�taUnns, end coRclUsrons renoR@d oh this fo►m e►td Ihet t�ey are
corr�ct.
Name: •�ames Braegelmann Certffication number:
Buslnos.911cense name�nd number �ImerJ.Pel�erso�Co. License#219 or
Nar�e of loc r govemment
9igna#ure: �ate: 5/13h 1
www.pca.stat�.mn_us 63't-29G-d3�0 • B00-657-38fi�1 • TTY 691-28,�-933�vf$0�699-9gb4 • A��ilable in alkem�t;ive rormncs
weT-wwisls4-J! • 4/24/04 Paqe 3 af A
05/27/2011 02: 21 7634975011 SPTESTINGINC PAGE 68/11
� i
� !
Parca.l number: . __ � _ __ Sysiem sta�tus: � Com liant I
�' �---' - p I] �loncompliant
' (as detem�inp�l by ll�ls fonn)
�
i
Hy�lra�u9��� Pe�#qrmanc�e a��d O�;h�r�Camplianc�e— Compliance lnspection Form for Existing SSTS ,
Complian�e Assue #1 of q� �
Dr�18 ofi obsenration: _�J(a-a0_1..1�_.,.._ i f�eason for obsen►etlon� / � I
�'��.�-�.yS�C�
7his form explres upon ne�d insper,tion or In three years,whichever occu�s firs�t: J
.--,,... -• - - - ..—.. ,
Corneppanc�e a�uestioraslerifieria; (Required) � �/erificati�on Method'h; (Optional)
__,__.,_(Checlrthe appr�pnele_boxf ,._,.,,._ ___,�_ (Checic th�appropriate box)
Does Ihe syslem discharge sewage to 1he ❑l�es (�.I�o
�round surface? �I Searched for surFace outlat u0
- ----- -- -.. —.......�— _...�
Does the system discharg�sewAge to drafn ❑Y'es [f No C� �'�r�ormed hydraulic lesi
_tile or surface waters. � Soarched for seeping in yard►�J
�
� "-_""i.. �....��__._.A._._ ._.'._
Does the system cause sewage b�c4cup ❑v'es � No [I Cl�ecked for backup in home
_Into dwellin�or establishinent? ;
^ �`— � - �- � - •• - � E�ccesslve ponding in soil sy�tem/D-boxes p►�
Do other situaUons exisi that have the ❑V'es � No
po#entlal to immediatoly and adversely ❑ Homeowner testimony
Imp�ict or thrQ�(en public health or saf�ety ❑ Examined for�urging in tank
_�electncaf, unsafe covers, �lc, ? '
...... ��_... .._.�i
Any'"yes"�rnswer indicates th�t the s,yste,m is an bmPnin¢nt � ���lack soil"above soil dispersal�ystem h10
tbneat tv pie6oic he�lth and saiofy. ❑ System roquil'es"emargenCy"pumping
�-- -------- -••--�_,_ .. i ...— ❑ PerFoRned dye kest
Does the system pose a threat to ground I]Yes �) No
water fqr any condiifons deemed no�- � ❑ Other; __
. ..... ...,.
_protecti�e as dateRnined by ihe Inspoctor7 _,_ __ �"i
'rYes"irpdicet�es that the syst�m is i`a01ir1g to pr�!l�ect "��. _,� -- �-'--� -----
ground wai�er./f"yes", desr.rl�e tf��condli/o,n vioted: '"••'•— -��--- • - ,
' •No sf.andard protocol�xists. This lis�;s no[exhaustive,
'"�--�-� � " --- ��- -����-•- -- ��• �••- in sequ�ntial o►der, nor doQs it indfoAte which
_ 1 _ r.ombinetions a►�e necsssary to rriake thls determination_
i
Cer�ifica�ion ! ;
This fqrm is to be compleied and aitached to the Sl�mmary�orm of the Mlnnesota Pollution Control�goncy's(MnCA)Comp4ance
Inspectia�Fortn for Exlsting Subsutface Selnoage Treatment Systeme. Observations,int�rpre�tations,and conclusions must be
completed by�n Inspeclor. Completed form must k�e submitted to the local unit of government within 15 days.
F'roperty own�r name(s): �����(�,�. 'ru�_�,� _ _
�
Propc�tyacldress: ��l.n��l�,��'�r._.Pl.%�"�'�,►�.�'��G:7 _,,._ -_.,._..._ �
Property own�or's address(if different)� .__.�l_.__„ '
,�...r —......_._ „�,.. -.--•w�- --..
� ,
Couniy: .,I����t�l�.....-- -.. . Property owner phone: J°.�2� ��5.-" e1 a f�7,,....._
1 her�rby certifjr fhat!persqnally mAde thg observa�lons, interpr�tations, end canclusions reported on thls fo�m end that they a�e
r,arect. '
Namp; �;-��i�����._ y:�_`c.���,�� ,,},� ��q��, Cerl'Ification number: d �1 '
.. �e� . ..
Business license name and number: S - �����r-�I r- �'L., ►h1 C . „1�,����}4..��y_I�'�21r��IJ�1 ��1 , or
_..,:__ .. ��a�.� ..l 4',�,
Name af I�cal unit of go�rernmon4; ; ,
f� - _.,. -- —.,._.. ..... __,..._ -..
.._.
•---- •,,.—_;
Signature� � , Date: � �
----: _._�_ � z--.-,----. , ���-���.
�-.� .. . _
;
www.pr.a.statP,mn.us � 651•296�6300 � 800-�57•3964 � TTY G51-282-533z or 80p-b57-3B6Q • Avaitabl�in alternAtive f�n„ar�
um.wuiieFrA_7i _ A19�Inn �
05/27/2611 02: 21 7634975611 SPTESTINGINC PAGE 09/11
�'"� ������G,� I��,� S#even B. Schirm�rs � MPCA Cerk.No. 627
951 Katydid Lane NE e St. Michael, MN 55376 � (763) 497�3566
FAX • (763) 497-a011
State License#394
L�.G�...Q.I�..�QR1N_G_S
Meredith Hov�rell
1260 French Creek Dr.
�Orono, Henn. Co., �1IIN
IBorir�gs completed on 5-16-11, with a hand bucket auger.
�ORIN���M.I��.�� EIev.100.4 � fUIOTTLED SOIL AT 44" - no standing wafier present in boring.
0 - 18" Fill �oil loam & sandy loam
1 B" - 26" Origi�nal soil dark browro loarrmnn 10YR 3/3
26" - 38" Yellowish brown clay loam 10YR 5/4
38" � 4�4" Yellowish brown silty loam 10YR 5/6
44" - 54" Xellowish brown silty loam 1 QYR 5/6 -
distin�t mottles 10YR 7/1, 10YR 6/8
J�ORING�I��A.B�� EIev.99.Q - MOTT��p SOIL AT 28" - no standing water present in the
boring. ,
0 - 10" tvpsoil dark brown sandy Ioam 10YR 3/3
10" - 20'" Brown sandy loam 10YR 5/3
20" - 28" Yellowish brown sandy loam 10YR 5/6
28'° - 36" YeNowish brown sandy loam 10YR 5/6 - distinct mottl�s 10YR B/8
36" - 42" Pale brown sandy loam w/2" layer of loam 10YR 6/3 -
distincfi mottles 10YR 7/1, 10YR 6/8
�3Q�,�,���1�3.��,�- EIev.101.B - through the mound.
0 - 8" Fill so�� (oam
8" - 30" Fill soil medium sand
30" - 34" O�iginal soil dark brovvn loam 10YR 3/3
05/27/2011 62:21 7634975011 SPTESTINGINC PAGE 16111
soil borings aon#'d.
�Q�C�U�t��� 4- EIev.102.0 - through �he nnound.
0 - 8" �'ill soil loam
8" - 36" Fill �oil medium sand
36" � 42" Original soil dark brown loam 10YR 3/3
2
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n `,".� \ •
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D a� � � � Check ail andergraunci ut�li:ti�
,� ' "�
s �
� � �`� '� PRGFER�` �= M��-�-'�0 4>
D �a � 1a�oo �c.1� �R���„� v�
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^ I DO:e��}'./�'/�)�Fti7E3-49i-3566
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� �� �
��� �� � �I�Y of ORONO
,� , t ,,� �.,
� � ��, 1, , �ti Municipal Offices
�'C� , , :'. .� �.
Street Address: �lSa-a4q-�"I6� O Mailing Address:
��`9� ���`�� p�'����� 2750 Kelley Parkway P.O. Box 66
ESH
--- Orono, MN 55356 Crystal Bay, MN 55323-0066
ToCurrentOwner: Address: ��6� �"�c^c�` �Ct� �j�,
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 CONFORMIT'Y 1-3 : �
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 conshvction 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 inuninent threat to public heald�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 Municipa]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:
5 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 i\—y��3 )•
Make sure septic tanks are pumped through manhole and not throuQh white inspection pipes. This allows for the proper
cleaninQ. 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 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 : d
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: ��-��-V � 5���� L �-���LS �a0� U��
� �� _4� ��
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.
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'� � '`,� � -..� �:�� Street Address: p,O gBox 66
'��. �9 � ' �� �' 2750 Kelley Parkway Crystal Ba MN 55323-0066
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'����i Orono, MN 55356 Y�
To: The Current Owner of Address ���'L' f""�� '��`� ��rc�4'- 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
�� �
If yes, system must be broujht into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s) Pump out Needed
Yes ��
No
The City recommends the septic tank(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
� t - � - �;j . The tank(s) should be cleaned through the manhole and
not through the inspection pipes, tlus allows for proper cleaning.
Comments:
.- �' + Date of Inspection <� `��.%�-- •
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Inspecto.: � ���
Telephone (9�?) Z49-460U • Fas (9�2j 2-19-461fi
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-�=���� CITY of �RONO
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_ `�+�� ���,����_;��f�h G.�, hiunicipal Offices � .-
l ��•`'�`;;�;,�g�i Street Address: MailinQ Addressc
- �E8�10 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
95d-�4q-4600
To Current Owner: Address: �a�° �r z^�� �C e z�_ 4�''
Ciry 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.
YSTEM CONPORI�IITY 1-3 : �
1 "CODE SYSTEM"An ISTS which meets all the location,daign and construction standards of the current Orono biunicipal Code.
2 "CO�fPLIANT SYSTEM" An ISTS which does not meet a11 the location,desio and construction standards of the cuaent Qrono l�funicipal
Code but does mcet the t}uee foot scparation rcquirement or hvo foot requirement for rystcrtu installcd 1996 or earlicr,and which is not failino or
an imminent threat to public hea]th or safcry.
3 "NON-COMPLIANT SYSTEl�i" A prohibited iSTS;an iSTS located within a duignated 100-year flood ptain,any ISTS which may
or may not mcet all the location,desian,or consuuction standards of t�e currcnt Orono biunicipal Code and which is failing for any reason;and
any ISTS with leu than three fcet of unsacurated soil or sand between thc dis�ibution device and thc limiting soi]characteristics.
TANK CO�IDITION(5-.71: �
��inspection indicates: .
Pumpout not needed at this time.
6 Septic tanks must be pump�d out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped a-3�-� ► 1.
I�Iake sure septic tanks are pumned throuah manhole and not throuQh w•hite inspection pipes.
This al]o�ti�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.
D INFIELD CONDITION -►Q : �
8 Drainfield is dry,no surfacin�evident.
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.
CO�iENTS: Mo��r� �,� Szf� r.t �,�k) I��I� o K._ —
��-3–�� �r'^�-�C
Date of Inspzttion biatt Bolterman - Sepdc Sysicm Inspector
Note: In the event that this inspection repart is ased to satisfy the rcquiremcnt�for a mortgz;e or other transfer of proFerty,be advised that thu rcpart doa not gu=r�r:�ce
or certify L'�at an ecisting system wili continue to funcdon prop<rly,but is mercly an apinion ofthe adcquary of the systcm under enrrent conditions based on the available
information.
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CITY of ORONO
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�� � .�� G~ � � Street Address: Mailing Address:
�.9 : g,�,;;
$'EggO !� 2750 Kelley Parkway P.O. Box 66
� -- -- Orono, MN 55356 Crystal Bay, MN 55323-0066
June 13, 2000
Paul Walsh
1260 French Creek Drive
Wayzata, Mn 55391
Dear Mr. Walsh:
An inspection of your septic system was conducted on June 7, 2000. A summary of the inspection
is below.
Septic Tank Condition
1. Pumpout not needed at this time
The septic system is a compliant septic system which means it meets all current City and State
Standards. The drainfield is slightly saturated meaning there are "wet spots" over the drainfield. No
repair is needed regarding the system at this time. There are two possible reasons for the saturated
drainfield. There may be leaky fixtures in the home or there may be more water being used than the
system was designed for. Check all fixtures for leaking and try to reduce the amount of water being
used on a daily basis.
Enclosed is a list of state licensed septic contractors who work in Orono on a regular basis. Also
enclosed is a fact sheet explaining how a septic system works and an as-built drawing that shows 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.
Res�ectfu ,
i
..
� �
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 properly,but
is mereh°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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� ;���;;�l_� ,� ;� CITY of ORONO
f�'`��.'J "��a ` ,�E� � Municipal Offices
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� �.� '" ,��!��`�'��'.�G Street Address: Mailing Address:
� �, ;��.,�;�,;-�.
�kESHOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: p�.0 � J• ��; I5�1 Address: 1260 French Creek Dr.
Permit #'s: 999 Dates: 7/13/88 Contractors: American S & W
(This is [ �] 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 identified at this time. If the
saturated soil level has not been identified, this classification is subject to ravision.)
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 Maintenanca Pumpout the tanks [ ] ware or [ ] were not confirmed
to be watartight by the licensed pumping contractor. If the tanks were not confirmed to be
watertight, this classification is subject to revision.)
DRAINFIELD CONDITION (11-14) : il
1 Drainfield is dry, no surfacing evident.
2 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:
�����57 r�
Date of Inspection - S ptic 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 eay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
,� �, INSPECTION REPORT
ti
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��kESHo�`'�
Owner: ���� l�'�.1L�'`� � Address: ��(�� �I�I����, �1�`Q�� �i:
Permit #'s: Dates: �`�J �C� Contractors:�'II�Z°Y1CqY\ St"Ul,./
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 �9—an existing system [ ] neu 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 instatled 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 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 uhich 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 ,pcL 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 Purnpo�t 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 p�xnped out uithin 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 purtipout. If tanks have not been pumped out uithin the last three years, they should be purtiped
out now.
0 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):
D field inspection indicates:
1 Drainfield is dry, no surfacing evident.
�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 cortipleted 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.): /��J
L
COMMENT : �' � B S
1�/1� �'C-�'J��•
G
Date of nspection S pti 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 uill 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 premises with the system loc�tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO � O�
Municipal Offices O � O
Post Office eox 66
Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
r�` � INSPECTION REPORT
'C�� G~
�kEsHo4'�
/y] �. �-/��. /'1�,� � / �
Owner:_��(r//���� /G17'l Address: /�'YXJ 1'I'�''1�Ch C�ff'/'� O11%
� �z�i'�'� S4'-�i1/
Permit #'s: Dates: 7����$� Contractors: �l('L3'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 p�}. 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 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 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 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):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accurtiulation 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. 7anks 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 pumpout. If tanks have not been pumped out within the last three years, they should be pixnped
out now.
1 inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
, !f tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
Dr i field inspection indicates:
1 Drainfield is dry, no surfacing evident.
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 SITE FACTORS (slope,setbacks,etc.):
POTENTIAL fOR SYSTEM fAILURE (depends on soils,water table,etc.): ���
COMMENTS: � �j� �'P c" "�qnk�c 1�P�C l�dS���rP� I�'��
' ,. - s---
Date of Inspection 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 uill 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
��
,
On the Nort{� Shore o f
Lake Mi�znetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66 r,
� _ � � 1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
OWNER ADDRESS
PERMIT NO.'S. DATES CONTRACTORS
City Ordinance No. 210 requires that ;ach on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above�iddress has beei inspected and appears to faii into the category checked below.
(This is ❑ ai existing system ❑ new construction)
� � Meets or exce��ds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet ali current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of tl�e system is required at this time.
❑ 3 Does not meel current City �;tandards in many respects relating to design, construction, or location.Appears to be operating
adequately at this time, but ias a reiatively high potential for future probiems. No major upgrsding of system is required at
this time.
� 4 System may o. may not meet current City standards for design,construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water suppiy, or is a source of pollution to surface or groundwaters,or is
creating a safeiy hazard, or i:, otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If diainfield replacement is necessary, soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( � Checked items may require your action)
Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not
❑ Pumpout not needed at this time, give accurate measurement of solids accumulation.) If tanks
❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates:
should be pumped out as soon as possible. ❑ Drainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace-
Inspection risers (4" dia. pipe)must be instailed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately. Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Future Expansion
❑ Soil table,and system condition) � Adequate
❑ High water table ❑ Low ❑ Fair �
❑ Lot size ❑ Medium ❑ Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
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 premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner
\
CITY OF OROI�IO Date
ADDRESS � Connected to
CODE SEPTIC SYSTEM INVEN'CORY CARD Municipal Sewer
Address _I��D �RCs�'�1GE-E ��I�- (��= � Property I.D. 16����7�Z3 �� pOIZ WELL DATA
d tandard trench L�.� L� �`p��c '�- � ( I
System type �Otherd Legal Description �2L'N�} �YGL�K � O �
/�/-�/y�� /� � L
Permit No. �l/V77 / Date of permit ���`� Installer Hi'H�1° C�'N s f� � �1� �
No. Bedroom_ , s Garbage � m �
Building type /��S r or GPD ��/L �aundry � _Dishwasher Disposal � o O
SEPTIC TANKS: Material C� f' NL� Capacity 1) ��0 2►� ° � _ c
'o
3� �Q(�'7 w PG(kt�' �/�'Lh�l� d n
Proper outlet and inlet �K Baffles � K Li uid depth to R level -5� t � � �
� � m
�
Height of tank bottom above water table �'� Distance to nearest building Z� � N �
V) o
�
DRAINFIELD: Total length of lines -�� � Number of lines _ .3 Trench width ��
/O xs5 p�oC�� � � `
Total treatment area(sq.ft.)3Q�X�3 SMJA Height of drainfield above water table 3 '� :°.
a,/y-Z�" 2or.K � .�
Type of filter materialov��CG��JA'^�'� Soil type S�� � �'Q�'� n
� � d
/�/-� � �i� Q �J+ L
Distance from nearest bldg. �Tile size L P a, perc rete /� "/� v t-/ min/in ° � O �
,� �� —,� .t ii cmi � .. �
Depth of fill over drainfield �Depth of rock over tile Z under tile � •� E c U
S�l11Ul�i�� P��-c"yl�/��- /J� ����i���/v / "l��(/�fD O a �U 3
� LOCATtON
INSPECTION RECORD PUMPOUT RECORD SKETCH
DATE COMPLIANCE DATE GALLONS
7� %N s�Q�-Tto�; /
l�
Include: 11 Well location
2) Distance from house to
i
septic tanks,dist.box,
and drainfield
C— CONFORMING S—SUBSTANDARD N —NONCONFORMING 3) North arrow and road
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