HomeMy WebLinkAboutseptic info May 05 2015 03;14PM HP FaxRusty Olson 7634988290 page 2
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� Minnesota Pollution Compliance Inspection Form
Cantrol Agency
520LafayetteRoadNorth Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55155-419A � (SSTS)
Doc Type�Compliarce and EnforCement
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) I For local tracking purposes: � �
requirernents and attached forms-additional local requirements may afso apply. � RECEIVED
Submit completed form to Local Unit of Govemment(LUG)and system owner '
within 15 days � MAY ��-,�Q�� _
System 5tatus
cmr oF oRONo
System status on date(mmldd/yyyy): 5/112015
� Compliant-Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance
(Valid for 3 years from report date, unless shorter fime (See Upgrade Requir�ments on page 3)
frame ou8rned in Loca!Ordinance.)
Reason(s)for npncomplianCe (check all appli�able}
❑ Impact on Public Health(Compliance Componcnt #9)-lmminent threat to public hea(th and safety
❑Other Compliance Conditions(Comp/rance Component#3)-Imminent rhreaf to public health�nd safety
❑Tank Integriiy (Compliance Component #2)-Failing fo protect groundwater
❑Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwafer
❑Soil Separation(Compliance Cnmponent #4)-Failing fo profect qroundwafer
❑Operating permiUmonitoring plan requirements (Compliance Component #Sj-Noncompfianf
Property Information Percel ID#or Sec/Twp/Range: 0511723120026
Property address: 3420 High Lane, Orono, MN _ Reason for inspection: Pro�erty Transfer
Property awner: Wesley WolveRon Owner's phone: 952-473-9126
or ---- --__
Owner's representative: ftepresentative phone:
Local regulatory authority: Ci�of Orono _ Regulatory authority phone: 952-249-460�
2-1000 gallon septic tanks,l-1000 gallon lift sta�ion and 380 square feet of mound rockbed. per city
Brief system descriptian: records
-____ ---
Comments or recommendations
Certification
!hereby cerfify that aI!lf�e necessary information has been gathered to determine the compfiance sfatus of this system. !Vo
determination offuture system performance has been r�orean be made due to unknown eonditrons dunng system consfn,ction,
possible abuse of fhe system, inadequate maintenance, or future water usage.
Inspector name: Joseph J Olson Certificaticn nurnber: 1255
Business name: Rust OI n's Soil�Perc. Testin License number: 8�0
Inspector signature: _ Phone number: 763-498-8779
Necessary or Lacally Required Attachments
� Soil boring logs � SystemlAs-built drawing ❑ Forms per local ordinance
❑ Other information(list):
www.pca.state.mn_us • 651•�96-6300 • 800-657•3864 . TTY 651-282-5332 or 800•657-3864 • Available in attemative formats
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May 05 2015 03:14PM HP FaxRusty Olson 7634988290 page 3
'roperty address: 3420 High Lane,Orono,MN _ Inspector initialslDate: J. 0. 5l05/15
9. IfTt�dCt 011 PUbIiC Hedlth —Compfiance camponent#1 of 5
Compliance crite�ia: T Verification method(s):
System discharge sewage to the ' ❑Yes � No � Searched for surface outlet
�round surface. i � Searched for seeping in yard/backup in home
❑ Excessive ponding in soil systemlD-boxes
System discharge sewage to drain tile I ] Yes � Na
Of SUrtaCe waters. � ❑ Homeowner testimony(See CommentslExplanation)
-- - ❑ "Black soiP'above soil dispersal system
System cause sewage backup into ❑Yes � No
dwelling or establishment. ❑ System requires"emergency"pumping
---- ---- ❑ Performed dye test
Any"yes"answer above i»dicates the sysfem is ❑ Unable to verify(See Commenis/Ekplanation)
an/mminent Threat to Public Health and Safety. ❑ Other methoos not liste[f(See Comments/Explanah'on)
Comments/Explanation:
2, Tank Integrity—Compliance component#2 of 5
Compllance crlterla:_ Verification method(s►:
System consists of a seepage pit, ❑Yes � No � Probed tank(s)bottom
cesspool,drywell, or leaching pit. , � Examined construCtion records
Seepage pits meeting 7G80.2550 may be i ❑ Examined Tank Integrity Form (Attach)
complianf if allowed in local ordinance. I
— ❑ Observed liquid level below operating deptn
Sewage tank(s)leak below their � ❑ Yes � No
designed operating depih. ❑ Examined empty(pumped)tBnkS(s)
If yes, which sewage tank(s) leaks � ❑ Proned outs�de tank(s)for"black soil"
❑ Unable to verify(See Comments/Explanation)
Any "yPS"answer abave indicates the ❑ pther methods not listed(See Comments/Explanation)
system is Failing to Protect Groundwater.
Co m m ents/Expla nation:
Peterson Company pumped the tanks
3. Oth@Y COmplidnCe COnditi0115—Compliance component#3 of 5
a. Maintenance hole covers are darnaged,cracked, unsecured,or appear to strudurally unsound. ❑Yes* �1 No ❑Unknown
b. Other issues(electricalhazards,etc.)to immediately and adversely impact public health or safety. 0 Yes" �fVo ❑Unknown
'`System is an imminent threat to public health and safety
Explain:
a System is non-protective of ground water forother conditiors as deterrnined by inspector �Yes' �No
•System is failing to protectgraundwater
Explain:
www.pca.s[ate.mn.us • 551-296-6300 • 800-657-3864 . TTY 651-Z8Z•5332 or 800-657•3864 � Available in alternative formats
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Property address� __ 3420 High Lane, Orono, MN Inspector initialslDate: J. O.5J05/15
4. SOl l Sepa�at1011 -Compiiance component#4 of 5
Date of instaflation: 11/11l09 _ ❑ Unknown Verification method(s):
Lod renan?/Wellhead protection/Food Beverage �Yes � No Soi!obseivatron does nof expire. Previous soi!
9 9 observations by two independent pariies a�sufficient,
ComplianCe C�Ite�ia: unless site conditions have been altered ortocal
requirements differ.
For systems bi�ilf prior to Apri!J, 1996, and i �Yes ❑ No
not located in Shoreland or Wellhead �I � Conducfed soil observalion(s)(Attach baing logs)
Protecfion Area ornot serving a food, I ❑ Two previous verifications (Attach borrng logs)
beverage orlodging esfab!lshrnent:
❑ Not applicable(Noiding!ank(s),no drarnfield)
Drainfield has ai least a two-foot vertical � ❑ Unable to venfy(See Comments/Explanation)
separation distance from penodicalty I
saturated Soil or bedrock ❑ Other(See Comments/Explanation)
Non-performance systems builf Apn!1, �i ❑Yes [ No Comments/Explanafion:
1996, orlater or for non-performance
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage, o�/odging establishment: �
Drainfield has a three-foot vertical �
separation distance from periodically ,
safurated soil or bedrodc.�
- —+
"Experimenta!", "Other; or "Perforrnance" ' ❑Yes ❑ No Indicate depths of elevations
systems burlt under pre-2008 Rules; Type IV � I
or V systems builf under 2008 Rules(7080. I A. Bottom of distribution rnedia 101.7
2350 or 7080.2400 (Advanced Inspector '
License requifed) 6, Periodically satureted soiUbedrock I 98J
Drainfield rneets the designed vertical II I
separation distance from periodically �. System separation _ 3.0 _
saturated soil or bedrock. D Re uired com liance se aration' 2.6
AI?)/ "n0"answer above indicates ti►e sysfem is *May be reduced u to 15 ercent iilallowed b L
Failin to Protect Groundwater. p � y oca�
9 _______ __ _ _. _ Ordinance.
5. Operating Permit and Nitrogen BMP�-Compiiance component#s of 5 � Not applicable
Is the system operated under an Operating Permil? ❑Yes ❑ No If"yes",A below is required
Is tne system req�ired to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B betow is required
BMP=Best Management Practrce(s)specrfred in the system design
If the answer to both quesfions is "no'; this section does noi need to be completed.
Compliance criteria
a. Operating Permit n�mber. '
__ Have the Operating Perrnit requirements been met? ❑Yes ❑ No
b. Is the required nitroqen BMP in place and properly functionin9?_ ❑Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requfr2r11ents (Minn. Stat §1 i5.55)An rmmrnent threat to public hea/th and safery(ITPHS)musf be upgraded,replaced,orits use
discontinued within ten months of receipt of this notice or within a shorter period if required by loeal ordinance. If the system is failing to protect
grourrd weter,the system must be upgraded,replaced,or ifs use discon.tmued within the trme reqwred byloeal ordinance.Jf sn existrng system
is not fading as debned rn/a�v,and has ar least lwo feet ot desrgn sorl separation,then the system need not be upgraded,repaired,replaced,or
ifs use discontinued,nohvithstandinq any locel ordrnancie that is more strict. This provision does not appJy to systems in shoreland areas,
Wellhead Protectron Areas,or those used rn connection witn tood,beverage,and loo'ging establishments as defined in law.
www.pca.state.mn.us • 651-296-6300 • 8Q0-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
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Tank Report
Da te� �Rd12.4.7,Si��-----
Elmer J. Peterson Co.
5921 Dague Ave.
Delano, MN 55326
Phone 7b3-972-2420
Fax 763-972-7217
MPCA License# 219
Wes Wolverton
3420 High Lane
Long Lake, MN 55356
(Orano)
952-473-9128
Baffles ON OFF
Tank Capacity: __,3-1000 Gallon Tanks ______
# of Tanks: 3
Type of Tanks: Concrete
------------------_______--------------
Gallons Pumped: __2500___ _
— ------------------------__
i
Monholes to Grade:' YES NO
Comments:
On April 24, 2015, Elmer J. Peterson pumped septic tanks. Filter in 2^�tank. At the time of pumping,
there were no cracks or wa:er leaking.
NOTE:This is nnly a tanic repo�t. This is not a compliance inspechion for point of sale r}or
does it replace a compliance inspection.
May 05 2015 03:14PM HP FaxRusty Olson 7634988290 page 6
Property address 3420 High Lane __ _ _ _ _ Inspedor initialsJnate: 4l2M1 __
1, ImpaGt On Publit Health--Compiiance component#1 of 5
Compliance criteria: � Verification method[s):
System discharfle sewage to the I ❑Yes ❑No ❑ Searched for surface outkt
ground surface. ❑ Searched for seeping�tt yard/backup in home
❑ Excessive ponding in soil systemlD-boxes
System disCharge sewage to drain tile ❑Yes ❑No � Homeowner testimony(See Canmerns/Explenetion)
or suriace waiers.
System cause sewage backup into ❑Yes ❑No � "Bladc sal"above sail dispersal system
dwelling orestablishment. ❑ System requires'emergenc�'pumping
- ❑ Perfomied dye lest
Any"yes"snswerabove indicate�s the system is ❑ Unable to veriiy(See CammernsiFcplanatio�)
an/mminent Threat tc Pt�blic He.alth and Safety. ❑ p�er methods not listed(See Comments/Explanetion)
C om m en tslExpta n ati an:
2. Tdnk Int2��ty—Compliance cornponent#2 of 5
GomPliance criteria: ___� Yerificativn method(s�:
System consisis of a seepage pit. ❑Yes �No ❑ Probed tank(s}bottom
cesspoot,dryweA,or leaching pit. I
❑ F�camined cons0uction records
Seepege pits meeCng 7080 2554 may be ' ❑ E�carnined Tank Integrity Forrn(Attsch)
compliant if aQowed in bcal adirtanCs.
- - - -- ❑ Qbserved liquid level below operating depth
Sewage tank{s}leak below their ❑Yes � No � �amined empty(pumped)tanks(s)
-signed operatinq depth.
yes,which sewage tank(s)Isaks: ❑ P��outside tank(s)for"black soil"
r;ny"yes"answer abova indicates fhe � Unable to V@rify(See Comments/Erplana6bn)
system is Failing to Protect Groundwater. ❑Other methods not listed{See Comments/�xplenation)
Commertts/Explanation:
On 4l24115,Efiner J. Peterson Co.pumped septic tanks.
3. (3ther ComplidnCe Conditiotts—Compliance componerrt#3 of 5
a. Maintenance hole oovers are damaged,cracked,unsecured,or appear to stn,�cturaqy unsound. ❑Yes' ❑No ❑Unknown
b. Other issues(electr�cal hazaros,e�.)to immediately and adversefy impad public heaRh or safety. ❑Yes` ❑No ❑Unlcnown
;System ia an immin�ent�reat to publiC healttr end safety
Exp�ain:
c. System is non-protecti�e of grrwnd water for other condi�ons as determir�ed by inspecxor p Yes' C]No
`Syst�errr is failing to proued�oundwarter
Explain:
www.pcastate.mn.us • 651-296-6300 . 800-657-3864 • M 651-282-533Z ar 80�657-3864 - Available in altemative forrnau
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�� ��—c� Yvl-1
Ci! 1 I OF • . �___ �
WORKSHEET FOR SEWAGE DISPOSAL WORK
Date � � � + r r� �
lnspector f/���!/� /�Jb�y 8uiiding Permit No.
Owner �2� �,J 4: 11i�-Y'kvt
Fee
Property Address ��� � ►A� �-a�E .Kind af Building � �+�
j 1 • C -�
Plumbing Contractor•Outside Sewage DisposalT'�„U�L-S ��1�h5 �?C�
�J —
Septic Tanks
Material�C}Z''►tv'�� �1-/�rwrh� Capac+ties � �4�t'�.%
Proper Outlet & Inlet?--V� Baffle Plates> �
Drafn Field:
� / �
Total length of I�nes �g Number of lines�
Type of soil � Percolation Test �� • ?Y'-S't� ►�
Width of trench �ype of filter material {' +^C ��"` C�
Amount of filter material below line � � ���
Depth from top of tile to finished grade
Check Vents •� Check Caulking "�
Check Grade in Horizontal Waste Pipes �� Clean Outs ��
Tonage or Yards of Fiiter Material � V � +4�5 Total Sq. Footage of Drain Field
Sand �'r"7-� � �� Rock l� �X `� 1 � .
�j ,�
Overall 5ize of Mound System_�r ��f Z Size ot Mound System Rock Filter Material ��_
Draw detailed diagram to saale with measurements below.
� � _ 3�� ;�!'
2= .�Z � v.r � ��'
� � .S-�, � � 5
�� � �'� � ��'�`" �2���w,qY
Z � 7 7 ` !�
3 r �,� .
,�ti �,�/-�c�� w�c� /G,� �
v � ' j h Z.� •��h�- c _.�rf.t;'f'
� ��- .3 s �' �� � I C�:.��� .�� �v--�
7��t �w � Ca � �.YLYti'1
May 05 2015 03:15PM HP FaxRusty Olson 7634988290 page 8
Soil 4bservation Log
www.SepticResaurce.com vers 32.4
Owner Information
Properry Owner/project: WesleV WOlveTton �ate 5/1/2015
Property Address I PlD; 3420 High Lane
5oi1 Surve Information [] refer to attached soil su�vey
Parent matPs: C TIII ❑ Outwash ❑ Ldcustrine [' Alluvi�m ❑ Organic ❑ 6edroCk
landscape position: ❑ Summit ❑ 5houlder � Side slope ❑ Toe slope
soil survav map units: L40f3 slope °io direction- dowilhikl
Soil I,og#1
�, Boring ;�] P�t Elevation 104.2 Depth to SFiW l' 18"
Depth(in) Texture fragment% -natrix color redox color consistence grade shape
0-6 Topsoii <35 ]4yr3/2 Loose Loose s;ng�e grain
6-12 �lay Loam <35 10yr4/4 Firm Strong a���oxy
72-]8 ClayLoam <35 10yr5/4 Firm Strong P�;smat�c
loose loosc
��5 singl�Krain
friable weak granular 'Slocky
35 -SO
��Q fitm moderate P�smatic ptary
rigid Strong massive
<35 loose loose single grain
35 -50
friable weak granular bloct,y
ftt't11 moderate P<iS�»ahc platy
>50 Cigld strong massive
Comments: Soils have iron nodules in liath borings
May 05 2015 03:15PM HP FaxRusty Olson 7634988290 page 9
3420 High Lane Soil Lo #2
Q Boring [� Pit Elevation 1�0.2 Depth to SEI WT 1$"
llepth(in) Texture fra�r►ent °/a cnatrix color redox color consistence grade shape
0-12 Topsoil <35 10}T�l,'2 Loose Loose Singte grain
12-18 Clay Loam <35 I OyrSl4 Firm 5uong Blocky
�35 loose loose s�ngle grain
35 -50 friable weak granu�aT blo��,y
,�SQ �rn1 moderate pnsmatic platy
rigid st�ong massi�e
�35 loose loose single�rain
.i�-50 friable weak granular biockv
>50 firm moderate �T�sr.,ado p�ary
rigid strong �»assiti�e
lpose loose
��5 single gain
35 -�0 friable weak grunula: blocky
>gp f� moderate P«Sma�ic piacy
rigid strong m�+siGe
3420 ITigh Lane Soil Log#3
� Boring ❑ Pit Elevation
Depth to SHWT
Depth(in; Texture fragment% �r:atrix color redox color consistence �-ade shapc
�35 loose loose s�n iz
g grain
35 -50 friable weak granular b�ocky
>50 �� moderate prisma[tC platy
rigid strong massive
�35 loose loose singiegrain
35 -50 friable weak g��:,:iz,r blocky
>SO �rm �r,oderate pr;smatic �laty
rigid str-Ong mass��e
�35 foose loose singlc�rain
35-50 �riable weak �anu�ar blocky
>50 tinn moderate p�ismaiic ptaty
rigid strong m�s�ve
<35 loose loose single grain
35-50 friable weak granular blocky
>5� finn moderate prismatic p�ary
1'Ig[d ,trang massive
��� IOOse lo�se single gain
35-50 friable weak g�a�u�ar blocky
>50 fiIT`1 tt7oderate prismalic ptary
ngid strong �stve
1 hereb}%certify this work was completed i��accordance with h�J1L'7QS0 and crny local req's.
Rusty Olson's Sail& Perc 810
Designer Signature Company License#
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�� - . , CI�'Y of ORUloTO
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v�,,� '�!� ;��. ',,�!;;`, ,. t4 ' Municipal Offices
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t l:;'.`,:`o'� G Street Address: �15a-d�-}q-�{6o O
Mailing Address:
���ESH�g'� 2J50 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: �ya`� �'S� I-�"�-
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): �
1 "CODE SYS1'EM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYST'EM" 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 rivo foot requuement for systems installed 1996 or eazlier,and
which is not failing or an imminent threat to public health or safety.
\ 3 �`NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
�Jor 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 CONDITTON(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 ).
Make sure septic tanks are pumped through manhote and not throueh white inspection pipes. This allows for the proper �.�
cleaninQ. Keep water softner and iron filter discharQe out of septic svstem to prolong life of drainfield. Ask pumper to test
alarm float to verifv alarm is still workinE in vour house. The alarm warns owner that septa�e is about to backup into basement.
7 Inspection risers missing-tanks cou(d 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 : 11
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: Oc �.,�.�-�\U �� '�o�- Cu ���;�,��-- c�-- (`�vJ�-- ��
C'�\�•tcJ �=1 \Z�\-�'Lt)�t� _
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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
nut euaranlee or certif� that an existing system will continue to function properly, but is merely an opinion of the adequac�� of the s}stem under current
cundition;bascd on the a��ailablc inlorniation.
� o�
o..::;` o
-r���-���-� CITY of �RONO
� ti���'=�'��� titi �t��, ot���
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!}'',���a � �x Street Address:
't ' ,�� �Y � Mailing Address:
`�EgfiOg 2150 Kelley Parkway P.O. Bax 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
95a-�49-4600
To Current Owner: Address: 3y�0 �-�;�� Lc,��
City Ordinance 199 requires fhat each existin�on-site sewa?e treatment system in Orono be inspected every two years.
The on-site sewa�e�eatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-31: �
1 "CODE SYSTEM" An ISTS which meeis all the location,design and construction standazds of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An iSTS which does not meet all the location,desion and construction standuds of the currcnt Orono Municipal
Code but does meet the thrce foot separation requirement or two foot requirement for systems installed 1996 or eulier,and which is not failing or
�''� an imminent threat to public health or safery.
( 3 J"NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
�J or may not meet all the location,design,or conswction standards of the current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand betwecn the distribution device and the limiting soii characteristics.
TANK CONDITION(5-:7�: �'
Tank inspection indicates:
5 Pumpout not needed at this time.
USeptic tanks must be pump�d out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped "Z-2.-�� )•
N1ake sure septic tanks are pumped throuQh manhole and not through white inspection pipes.
This allows for the proper cleaning.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
8�INFIELD CONDITION(8-�Q1: ,�
Drainfield is dry,no surfacing evident.
9 Some evidence of surfacin"not critical yet.
10 Drainfield is saturated and visibly dischargin'untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
CO��NTS. J Is�r. �� G10h- �E����.�n'� �^G' t`�Vs�"' �\ {Z���C1� �y �����Zd�'
D r w�c� Sv r��:�- �'��� �^1<) � 1
�-1�1—oZ �+,q� ���...�
Date of Inspection Matt Bolterman- Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requiremcnts for a mortgage or other t�ansfer of proper[y,be advised that this nport does not guarantce
or certify that an existing system wili continue to function properly,but is merely an opinion of the adequacy of the system under cumnt conditions b'ased on the availabie
information.
--
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� ��O O��C��,
� � �� C ITY of ORONO
,� �t��. _ �
,�, . ti ;� Mu��;� ot���
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� �� � �A� G '� Street Address: Mailing Addross:
����9�fEggO�� 2750 Kelley Parkway P.O. Box 66
� -_ -�� Orono, MN 55356 Crystal Bay, MN 55323-0066
June 13, 2000
H. Wesley Wolverton
3420 High Lane
Long La1ce, Mn 55356
Dear Mr. Wolverton:
An inspection of your septic system was conducted on June 6, 2000. A summary of the inspection is
belo�v.
Septic Tank Condition
1. Pumpout not needed at this time.
The septic system is non-compliant due to a lack of a three foot separation distance between the bottom
of the drainfield to the seasonally high watertable. The three foot requirement is a State Code, not a City
Code. A soil boring �vas conducted to detemune the depth of the seasonally watertable. The sephc
s_ystem must be replaced no later than December 31, 2010.
Enclosed is a list of state licensed septic contractors who work in Orono on a regular basis. Also
enclosed is a fact sheet e�plaining how a septic system functions properly. Finally; an as-built drawing
is enclosed that sho�vs the appro�mate location of the septic system.
If you have any questions regazding this report, please contact me at the City Offices at 249-4600.
Res ect ly,
�i� ,
�,w�/
Chris Pence
On-Site Systems Mana�er
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 esisting 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 the system location and pumping records.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
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1, r3 ��� t:. �r,i ,` _'_• �, /1 Municipal Offices
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��' ~ " Mailin Address:
��.'� ' '�'`;. '�' r� '�;�,� G�%� Street Address: g
;�.. � �,�;;:. �Y;; P.O. Box 66
\ ,� �4 4L �; 2i50 Kelley Parkway
�� Orono, MN 55356 Crystal Bay, MN 55323-0066
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To: Tlze Cunent Owner of Address �'`� �� � '�
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 l:nown about the system. A
sketch of the l;nown 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 brought into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identi as Non-ComX�Iiant
Yes
�� '
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010 —�
Other
Septic Tank(s ump out 1\Teeded
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
,
�� - ��� �-�( � . The tar�(s) should be cleaned through the manhole and
not throuah the inspection pipes, ttus allows for proper cleanin�.
Comments:
y� � s� �� ' �J' i' f�
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� Date of Inspection �'� � �'�'
Inspe'�t' r:
Telephone (9�2) 249-4600 • Fa� (9�2)249-4616
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��� ��- C ITY of ORONO
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�'i, ����;���`,;�� ,��' Municipal Offices
��9� '�,.`�`�r�'��¢�G Street Address: Mai�ing Address:
�C�,+gg0 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystai Bay, MN 55323-0066
Owner: ���� i Wa�VP�fOh Address: 3420 High Ln.
Permit #'s: 4482 Dates: 7/2/76 Contractors: Day Plbg.
(This is [`�(] an existing system [ ] new construction) .
.�
SYSTEM COMPLIANCE (1-3) : 3
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.
� Non-Com�liant 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 een identified, this classification is subject to revision.)
TPNK CONDITION (5-9) : 9
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year.
7 System is discharging to the surface. Tanks must be pumped out within 48 hours.
8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out
within three years, they should be pumped out and risers installed now.
� Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks
have not been pumped out within three years, they should be pumped out now.
(During the last septic tank Maintenance Pumpout the tanks [ ] were or [�) were not confirmed
to be watertight by the licensad pumping contractor. If the tanks were not confirmed to be
watertight, this classification is subject to revision.)
I N -14 : 11
1 Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet. Repair is not required at this time.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact
the City Inspector immediately. Repair must be completed within 90 days.
14 Drainfield extent and condition unknown.
POTENTIAL FOR SYSTEM FATLURE• (system age and condition so�ls etc.) : medium
COMMENTS: In order to confirm that your septic system meets Minnesota standards, soil borings
were performed to verify a 3 foot separation between the drainfield and the seasonal water table.
The separation is 0 feet and the system is non-compliant. Repair or replacement of the septic
system is required by 12/31/2007.
� C"���
Date of Inspection Sep ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a
transfer of property, this report does not guarantee that an existing system will continue to
function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
CITY OF ORONO � O�
Municipal Offices O � O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
� � INSPECTION REPORT
ti
���kESH�4'�G
Owner: //(J('.>l'f�1/ (/ti/�l��f°i�/.�'1^� Address: � ,
Permit #'s: y��t�o� Dates: 7 .s��/L� Contractors: /�Y,1'�/ I'/��
City ordinance nurtiber 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-stte seuage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is U� an existing system [ ] new construction>
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
� "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface 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 [ 7 has or �], has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 �olids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out uithin 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
� 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 nfield inspection indicates:
(� Drainfie[d is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City inspector
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.):
� L�-�
COMMENTS:� ' ��� � ,d
U �1 .
�
�—>
Date of Inspection e ic 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
tnformatton.
This report must be kept on the prEmises with the system loc=tion and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
On the North Shore of
Lake Mi�znetorzka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � Crystal Bay, MN 55323
473-7357
OWNER s/ ADDRESS 7 �J
PERMIT NO.'S. ' ^ DATES ,��lG! CONTRACTORS
City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatme�t system at the above address has been inspected and appears to fall into the category checked below.
(This is � an existing system ❑ new construction)
� � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet all 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 the system is required at this time.
� 3 Does not meet current City standards in ma�y respects relating to design,construction, or location.Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 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 is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield 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 ( m Checked items may require your action)
Tank"nspection 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 installed 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 �ow �air
❑ Lot size �Medium ❑ Poor
❑ Lake,wetland,or stream High ❑ Inadequate
❑ Drainage ❑ System is causing visible
surface discharge.
COMMENTS:
���/
Date of Inspection Septic System �nspector
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