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Home My WebLink About06-04-2013 Septic Compliance I. ' ` � 'Minnesota Pollutian ��1YED � �. g�.£ � Compliance Inspection Form ' �� Control Ag�nty rv SZ��rt� JUN O� 2Q��xisting Subsurface Sewage Treatment Systems s�.��ut,MN 55'155-419+� �� (SSTS) Doc Type:Compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency(MPC or local tracking purposes: requirements and attached forms—additional local requiremerrts may also apply. Submit completed form to Local Unit of Government(LUG)and system \� within 15 days / �' s� System Status � System status on date(mm/ddtyyyy): y �3 �Compliant-Certificate of Compliance ❑ Noncompliant-Notice of Noncompliance (Valid for 3 years from ieport date, un/ess shorter time (See Upgrade Requirements on page 3) frame outlined in Local Ordinance.) Reason(s)for noncompliance(check all applicable} � ❑ Impact on Public Health (Compfiance Component #9)—Imminent threat to public health and safety ❑Other Compliance Conditions(Compliance Component#3)—lmminent threat to public hea/th and safety ❑Tank Integrity(Compliance Component #2)—Failing to protect grpundwater ❑Other Compliance Conditions(Compliance Componenf#3)—Failing to protect groundwater ❑Soil Separation(Compliance Component #4)—Failing to protect groundwater ❑ Operating permiUmonitoring plan requirements(Compliance Component #5)—Noncompliant Property Information Parcei i�#or secrrwpiRan9e: Property address: �(SQ yi.,v�,� �SS Reason for inspection: �A- � - Property owner: Owrier's phone: or Owner's representative: Representative phone: Local regulatory authority: �� ,.,- � � ��OqI`O Regulatory authority phone: Brief system description: Comments or recommendations: Certification I hereby ce�tify that al!the necessary information has been gathered to determine fhe compliance status of this system. No dete►mination of future system perfo►mance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future wafer usage. Inspector name: � Lr�/ �p� ��q/ Certification number: � 7j� Business name: t � (,�Cf c .re/ S �t . v License number: �d f Inspector signature: Phone number: �G3— �/,Z�f ' 7�7�Q Necessary or Locally Required Attachments �Soil boring logs f�]System/As-built drawing ❑ Forms per local ordinance ❑Other information(list): www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TfY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 1/24/12 Page 1 of 3 _ , . ,-`T + - status: L7t►orr+Pf�aM 0 Noncompliant. ' P`arcel n�mber. - . • �� . , � . � � : - fas determin . • . - _ . - . ��_� � . . - - ��k��.�� Tank integrity and Ssfety Compiiance - - �'��' ��.� � � . . . , Compliance Issue#2 of 4 � - . � - - � r D�te of observatiort: �^�r-/ _� Reason for obsenr.adon:. : �� This fortn expires on(three years): �=�f'`/ � . Compitance qu�tionslcr.i�rla: (Required) � Verification Method'"':(Op�onal) :: . cned�me� � �aie"vox � - � �che�me apPro�Rare nox� . . Does the system consistflf a-seepage pit•. ❑Yss� [�'I� �bed tank.bottom . . � �cess d il or leachin ' � • . ,,.�,/ � _ Do any sewage tank(s)leak bebw their. �[�Yes � � .��low tiquid leve{ � . : . des' nsd o ratin de th? ` I�-txa � ed consiructlon records . � - If yes�identiffy which sea►age .- . _. Examined emPtY(Pumi�ed)tank - : _ . tank leaks. . - , - . • . - Any`�es"answer fndlcatas that the sysfem Is falling to protect . � Probed.otitside tank tar"black soi!° ground water. . � - ❑ Pressut�e/vacuum-chedc �,, � �� . _ . . ❑ Other. 3^'� ° ° a �r./-�_ �� -. • Seepage pits�mNting 7080.2550 may be compiiaM lf albwed - . —� . � in Vrdinance by.txal permitdng'sufhoriiy. . . . - --, , � � • � � "No sta►�dard prrotoco/exists. This list is not exheus'�ive,Jn � ` : � . . _ � seq�a/or+der,nor does it Indicate which c'ambina�s . . � � are necessary to�inake.this deterininatTon. ' : .Safety CMeck � � � � . - � . : . � � � : 1. Are atriy maintenance hole covers dsmaged,•cracksd,or_appeared to be structurally unsound? �� []Yes* -� �� ' - �2. We�all�maintenance hote covers replaoed in a secured manner(e:g.;aU.scxews reptai�d)? ... . e� ❑No*� 3. ' Was secondary ac�ss restra�M preseM(safety pan;sec�nd coirer,or safeiy netting)-highly r�ecommended. ❑`Yes � � � . 4: Was amr other aafety/health issue p►�eserrt? � . . - • .� . � ❑Yes' �o . Explain: . • �- _ . *System is an Immtnent threat to pt7blic heatffi and safety:� . - . " - Certification � . . . . - -. This fo"rm is to be c�mplefed and attad�ed to the Summary Fomi of.the Minnesota Pollution Controi Agency's(MPCA)-Compli�nce � tn�pection Fonn for Ex�sting 8ubsurfacs Sewage�Treatnie�t Sysfiems.Observat�ns,interpretations.and conciusions must be..�. - c:ompieted.by an inspector.maintatnsr.or servtce provi8er.Compieted foRn must be submttted to the local unit.ot govemm�nt within . 15 days. � . ' . - n -D I � . , . - . . Property oumer name(s): - K O r Ir� � A�l U, _ . Property address: �o e� N- ►a ►��t�r�� P a �s , .�C��o �,v �M� �5 5�-q�J . - � Property owne�'s address(if di�ferent): � � • County: p YI n, L°� • Phone: - ' . - . . 1 her�by certify that t personally made the observaSons, interpr+etefions, and conclusions�sported on thls form and that they are � coinacr - . - Name: � [a R �.e, .�� {'��` Certificabon number. CP�a G 8 � ' : � Business i'�cense name and number. l r.rr.n�� P��i-c � r vi��: LL•L�- - �S�� or _ : � Natne of iocat un vemmen� � � � . Signature: Date: �'"'y^/�_ . wq-wwlsts4-31 � . � . tompticnce tnspectfan Farm for Exfsting SSTS er�intt � � . � ,- , , � Property address: �J�/� �7t�,�/ �Cl2 �/¢-ss Inspector initials/Date• 7� � �i r� ` 1. Impact on Public Health—Compliance component#1 of 5 Com liance criteria: Ver'fication method(s): System discharge sewage to the ❑Yes No ��earched for surFace outlet round surface. L�(Searched for�seeping in yard/backup in home System discharge sewage to drain tile ❑Yes �/No � ��ssive ponding in soil system/D-boxes or surface waters. ❑ Homeowner testlmony(See CommentsiExplanatlon) ❑ "Black soil"above soil dispers�l system System cause sewage backup into ❑Yes No � � dwelling or establishment. ❑ System requires emergenc� pumping , � ❑ Performed dye test Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanadon) an/mminent Threat to Public Health and Safety. ❑ Other methods flot listed(See Comments/Expfanation) Comments/Explanation: 2. T'ank Inte�►t'lty—Compliance component#2 of 5 �y /�ii.•...•�trJG,p, ` Com liance criteria: Verification method(s): System consisEs of a seepage pit, ❑Yes ❑ No � Probed tank(s)bottom cesspool,drywell,or leaching pit. ❑ Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form(Attach) com liant if allowed in local ordinance. ❑ Observed liquid level below operating depth � Sewage tank(s)leak below their ❑Yes ❑ No . desi ned o eratin de th. ❑ Examined empty(pumped)tanks(sj If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil" A17y "yes"answer above indicates the ❑ Unable to verify(see Comments/Explanation) SySfern IS F�%l►ng$O Pl'OteCf GI'Oundwater ❑Other methods not listed(See Comments�Explanation) C omments/Explanation: 3< OthG I'GOII'Ip11a11Ce COtldl$iOns—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked, unsecured,or appear to structurally unsound. ❑Yes* ❑No ❑Unknown b. Other issues(electrical hazards,etc:)to immediately and adversely impact public health or safety. ❑Yes* ❑No ❑Unknown �Sys#em is an imminenf threaf to public healfh and safety Explain: c. System is non-protective of ground water for other conditions as determined by inspedor ❑Yes" ❑No *System is failing to protect groundwater Explain: www.pca.state.mn.us � 651-296-6300 a 800-657-3864 � TTY 651-282-5332 or 800-65.7-3864 � Available in alternative formats _ _ _ _ _ _ . . — - - Page2of3 _ _ . .._.._e �• I/7Al{'] . . . � Fro�e�rty address: ��O �,� �� 'f�, ,�,p ' ' Inspector initials/�ate: �/ ., G at3 , 4. Soil SepdrBtion—Compliance component#4 of 5 Date of instaliation: � ❑Unknown Shoreland/Wellhead protection/Food Bevere e Verification method(s): Lodging? g ❑Yes �o Soi/observa6on does not expire. P�vious soil Com liance criteria: obseivations by two independent partres are s�cient, un/ess site conditions have been alter�d or local For systems built prior to April 9, 19g6, and ❑Yes ❑No �9uirements difier. not located in Shor�land or Wel/head I�Conducted soil observation(s)(Attach boring logs) Protecfion A�a or not senring a food, beverage orlodging establishment.• ❑ Two previous verifications(Attach boring logs) Drainfield has at least a two-foot vertical ❑ Not applicable(Holding tank(s);no drainfield) separation distance from periodically ❑ Unable to verify(See CommentsiExplanation) saturated soil or bedrock. ❑ Other(See Comments✓Explanation) Non perf�nnance systems built April 1, Yes 1996, or later o�for non pertormance ❑No Comments/Explanation.• C systems/ocated in Shore/and or Wellhead ' �•,��,� �(a�� ,pA�, Protection Areas or serving a food, beverage, orlodging establishment.� t�,K �S"� �4 �,0�,.✓ Drainfield has a three-foot vertical n� separation distance from periodically �� `µ f Q,£,�D saturated soil or bedrock.* � � 'Experimental'; "Other; or Pertormance" ❑Yes ❑ No systems built unde�pre-2008 Rules; Type 1V Indicate de ths of elevations or V systems built under 2008 Rules(7080. A. Bottom of distribution media K�� 2350 or 7080.2400 (Advanced Inspector License required) ! � u Drainfield meets the designed vertical • B• Periodicall saturated soil/bedrock separation distance from periodically C. S stem se aration 38 �� saturated soil or bedrock. �/ „ D. Re uired com liance se aration' �� Any "no"answer above i�dicates the system is * Failing to Protect Groundwater. May be reduced up to 15 percent if allowed by Local Ordinance. 5. Operating Permit and Nitrogen BMP*—comp�iance com onent#s of s ❑Not applicable Is the system operated under an Operating Permit? �� » ❑Yes o If yes ,A below is required Is the system required to employ a Nitrogen BMP? ❑Yes 10 If"yes", B below is required BMP=Best Management Practice(s)specified in the system design lf the answer to both questions is "no'; this section does not need to be completed. Com liance criteria a. Operating Permit number: Have the O eratin Permit re uirements been met? ❑Yes ❑ No b. Is the re uired nitro en BMP in lace and ro erl functionin ? ❑Yes ❑ No Any"no"answer indicates Noncompliance, Upgrade Requirements(Minn. Stat.§115.55)An imminent thieat to public health and safety(ITPHS)must be upgraded,replace.d,or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance.If the system is failing to protect ground water, the system must be upgraded,replaced, or its use discontinued within the time required by local ordinance.If an existing system is not failing as defined in law, and has at least Iwo feet of design soil separation, then the system need not be upgraded,repa)r�d,rep�aced,or its use discontinued,nolwithstanding any/oca/ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food,beverage,and lodging establishments as defrned in law. www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 1/24/1.2 _. - __ _ - Page 3 o f 3 �� l \ � �` � O O � C ITY of URONO +{�1,4� � a1 t�' 'yy ��t rL� f%' �, Municipal Off'ices i � iM �O�P� � k i/��.S �% �� 'C� �`a� °Y�;-�';r° <�;�-`� G! Street Address: Mailing Address: �`` ��9 '''•'��'' �'Q�� 2150 Kelley Parkway P.O. Box 66 �`=:• 'kEsK� �% Crystal Ba MN 55323•0066 �� Orono, MN 5535fi y� To: The Current Owner of Address �� `�^ t�r �A SS 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 brought into compliance within 90 days. Failure to do so will result in referral to the City Attorney for legal action. System Identified as Non-Compliant Yes �No If yes, system must be brought into compliance by: December 31, 2007 December 31, 2010 Other Septic Tan�ump 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 c'�j .-;? "�,.��2 . The tank(s) should be cleaned through the manhole and not through the inspection pipes,this allows for proper cleanin�. Comments: �� Date of Inspection C� '-C�'�- . Inspc � Telephone(9�2)?49-4600 • Fa.r-(9�2)249-461h . ,.�.� �0��- ' � .: •,' . . . � ��. . . . . _ . _ , ,....� . ,.-, . . . .. ': . . . . '�: ,I` O . ,.,.,,�>�� O\\} . ..K ,<. . -. .-.e. �.,.�:,;,. ... ..r.,::._��.�,.��. ... :'�..�,erca�.. . � . . � ' � �� '` � CITY of ORUNO I. r� ,��;i�'�r��r �,r ,�'+,� �f',^�a�'. .��>g., '� G,�ti Municipal off'ices �;�� ' , l �` �'� ��.' �`,`�*y Street Address: °ISa-a4q-�6o O Mailing Address: �'EgHOg' 2150 ftelley Parkway � P.O. Boz 66 Orono, MN 55956 Crystal Bay, MN 55323•0066 To Current Owner: Address: SUD �v��r ��Ss City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs. The on-site sewage treatment system at the above address tcas been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY (1-3): � �1 "CODE SYSTEM"An iSTS which meets ali the location,design er►d construction standards of the current Orono Municipai Code. - -- - - "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or earlier,and which is not failing or an imminent threat W public health or safery. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located widxin a designated]00-yEar flood plain,any ISTS which may __ _ .�___ Q.[ma�not mcet all the location,desiga,or construcdon stan�rds of the current Orono Municipal Code and which is failing for any _. _. reason;and any TSTS with Iess than three f�t of unsaturated soil or sand between�e distribudon device and the limiting soil characteristics. TANK CONDITION(5-7): _ . _.__ _ __ __.__._ _. _ __.�_ ._.,_.___.._----.___ _.�. Tank inspection indicates: __._,---5=Pumpout not needed at-thisti�ne,----___..__ _._. ____ _._.._. _ .___.._ __.. � Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years. - -- _ _._--'i'a�k wes last Pem��ed_ . q-"L�_-Ul..____a.. _ __.._. Make sure seotic tanks are aumQed throu¢h manhole aod not throu¢h white insaection uioes This allows for the aroaer -- - cleaaeiue:---Keee-w�ater seftnex-and iro�filter-disch$r�e out nf seutic sYstem taprolong life.flf drainfield Ask numaer to test atarm float to verifv alarm is stiit workin¢in vour house The aiarm warns owner that seata¢e is about to backua into basement -- 'T-- Insp�tio��se�s�ssing-taxilcs-could-not-be-inspected�_Insp�ectiQn r;c�f4"dia.pipe)must be installed in each tank. If tanks have not been pumped out within the last three years,they should be pumped out now. _.. _. _.__ .__ ..._._. --.-.-_ _ ----_ _---- - _,.___.._ ..___._..._. __.___... ____.___.�---.--- INFIELD CONDITION(8-lU): _Dcaiafield_is dry,�no..surfaciag.�udent=_---.---___...__�.____ 9 Some evidence of surfacing,not critical yet. ^ � - - ---�d--Drai�feld,is saturated and visihly dischargingiultte�es�,ef�l�ent to the surfa.ce. Contact the City Inspector immediately.Repairs must be completeri within 90 days. _ COMIVIENTS: /``� �:: �a1tS 4 �,� �� . � _ k.. , . P �_. .. .. �F.�,�.t ��x.s-- -- ... S.i..r r.�� Z.o a S" _ �t'-�'�--�� ►--� G�� Date of Inspection Matt Bolterman - Septic System Inspector Note: ln the event that this inspection repon is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this repon does not guarantee or certify that an existing system will continue to function properh�, but is merely an opinion of'the adequacy of the system under current conditions bascd on the available inlormation. �°� o .� o ��-� CITY of ORONO ��.�:� � �� ,�. ',i ,�,� Muntcipal Offices ��y,}�# , �G � Street Addross: Mailin�Addross: F,+gg04' 2150 Kelley ParkwaY P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 95d-�49-4600 To Current Owner: Address: s�b H��fie� �aSs City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yeazs. 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): ,� lQ"CODE SYSTEM"M ISTS which meets all the location,design and conswction standards of the current Ocono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construcGon standards of the current Orono Municipa! Code but doa meet the three foot seQaration requinment or nvo foot rcquirement for sysums installed 1996 or eartier.and which is not failing or an imminent threst to public health or safety. 3 "NON-COMPLIANT SYST'EM" A prohibited ISTS;an[STS located within a designated l00-year flood piain,any ISTS which may or may not meet all the location,design,or conswction standards of the cucrent Orono Municipal Code and which is failing for any reazon;and any[STS with less than three feet of unsaturated soii or sand between the distribution device and the limiting soil characterisdcs. TANK CONDITION(5:7�: 6 Tank inspection indicates: _ .._ _. _ __ 5 Pumpout not needed ai this time. �Septic tanks must be pumped out this year (city code requires tanks to be putriped out once every 3 years. Tank was last pumped v�K�a w-� l. Make sure se�tie tanks are aumaed through manhote and not throu�h white insnection aines. This __ ._ _ _ - ---- �Ilows for'the nroaer cleaning. 7 ��—Inspection risers missirig=tadks could notbe inspected: Inspection risers(4"dia.pipe)must be installed in each tank. D INFIELD�0��'I'ION E&t(��: �__ _ _ _ ._--- ..__�_ _._ _ _ _ ___._ 8�Drainfeld is dry,no surfacing evident . __ _ ._._______.. 9 �Somc"evidence of surfacing,not crifical yet: " � --"�� 10 Drai�field is saturated and visibly discharging untreated effluent to the surface. Contact the Ciry Inspector � _ _-----------._ imin�iiately:Rep�irs miut be complet�d�vittiiri I0 days. COMNIENTS: S S�c� oc� O _ �� 1-��U � � �'l.t 1�V� ��r �ec� �J ti-6� w ��-;^ �o.5't 3 �/e��s - � -�� -aa �� Date of Inspection Matt Bolterman— Sep6c System Inspectoc Note: In the eveot that this inspection rcport is used W satisfy the rcquircments for a mortgage or other transfer of properry.be advised tha`i this rcport das not guarantee or certify thac an exuting rysum will continue to function properly,but is merely an opinion of the adequary of the system under current condidons based on the availabie information. � � O� �� : � �� _ �� CITY of ORONO �� „ t�e, ,, �'�� ,�. �` �"µ �lG� Municipal Offices �� , ��,„� # `\ � .A f;: `�;+�'�G Street Addross: MaiNna Addrou: ��,+gg04 2150 Keiley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 August 10, 2000 Sandra Brown 500 Hunter Pass Wayzata, Mn 55391 Dear Ms. Brown: An inspection of your septic system was conducted on August 8, 2000. A summary of the inspection is below. Septic Tank Condition 1. Pumpout needed within one year(last pumpout date unknown). The septic system is a compliant system, meaning it meets all or most current City and State Standards. Enclosed is a list of licensed contractors who work in Orono on a regular basis. This list is enclosed simply for your reference in case your septic system needs maintenance in the future. Also enclosed is a fact sheet explaining your septic system and how it functions. Finally, an as-built drawing is enclosed showing the approximate location of the septic system. If you have any questions regarding this report, please contact me at the City Offices at 249-4600. Respectful r �� . Chris Pence On-Site Systems Mana�er Enclosures In the e�ent this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised 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)249-0616 www.ci.orono.mn.us