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Home My WebLink Aboutseptic info 12108l2010 09: 57 ro34988290 RUSTVS PERC TESTING PAG� 02 / --..... ...._...__... �� , � �w�nnesota Pollution Compliance Insp�ction Forrr�n Control Agency 520 Lafayette Road Nor�h �s�^s �� e T��e�t ��s (�TS) 5c Paul,MN 55155-a194 IliStrUCtiOnS ol1 pA�e 7 Parcel number. For Loc�l Tr�dcing Purposes: System status: �Compllarrt ❑ Nonoompliant (bass+��d on ell canpllence requlrements) �ummary Por�n Property Information Property o�wner neme(s)- M�ttt&Cartie VanSboten property ad�areas; 364Q Jeoobs Mill Road,Orono MN 55356 Ftop�xty o+Nners atldress(if diAenent): �y�h: H�� Property owner Phone: 612-309� Pertnitting aud�iiY: C af Orono D�te system oonstruct�ed: 10101/04 Reeson for inspectfan- Pro Transfer System Oescriptivn ApProbmately 2-1300 gsl{on septic t�nlcs, 1-1300 galton liR station and Appro�dmetely 630 sque�re Brief syetem d�aiplbn: f�et of mound rodcb�d as � r�cords. Locel permit number: i'06021 Numbe�of bedrooms: 5 Design flaw rete: �83 _ Is d�e system: In S�ore�end a�s? ❑Y�8 �Mo In WeNheaQ Profectiori Aoea? ❑Yes � No An U.S.Ernrironment�l Protec�n System sendn9 a M+nrre�o�ta DePaAment A9�x'y(�PA)Cless V Ir�ection WeN?O Yes � No of He�th @ADH)tio�sed facility? ❑Yes �iVo-- - C011r1plienC� Stetus(Ba��d on stete re4u�rements-additiona��ocel re9uiremerrta m�y also apply.) Based on the information g�tltered and reported on atteched Tnrms,tfie compliance status of this syskem is(check one): �CertJflcete of Compllanoe–valid ur�til(3 yeaos from d8te of�epor�: 1?J3/Z010 �Notice of Nonoomplianc;e-For Plonc�rnpliant systems: The reason for nonownptia�noe 16: _ —� Thls no�rc�ompli�rrt sysberm!a cla�lfled as(chsck one bslaw): w�ter Q Nat In compllan�e with operating pertnit ❑ Imminent threat to publfc heafth�safety ❑Fa�lfng bo p�oted gmund i CertifiCatl�t(Completed inm�must b�submitted to ihe Ioca1 unit of govemrnent withln 15 d8ys-) 1 hereby ce�tif�thet all the neaessery informeUon has been gathered to detem�lr►e the cnmPl�ence status of thfs system.!Vo rl�t�m�ddnetiora af future system pe►1bnr�eru:e hes been nor cen b�mode due to uMarrawn conditi�ons during syste►n const�er►, ppssibl�abuse of tl�e sy�stem.inedequale meinf+anancs, or future water usa�a- Name: Joae h J.Olson CerdHca6o+�number: 125� Bu�i�s Ik;ense name ancf na�mber R l�lson's sofl and lation Lic#810 0� tUeme of local unit of Ao�em�merrt: C' oF Orono _ Signatune:� -�- DaUe: 12J08/9 0 '��+uired Attachment� �nspedor Complet�e:Thi� Inspection Repo�t le '_�^Pa9es long. .._�ee b�ms�t�ehad: �Hydrautic Peafonnsnos �TaMc Inbap�illl �Soil Separatlon ❑OperaGn9 PermM Form(if n dca+ring/Asdwift drawinH ❑M�of any rowl requUeme�t�at are diRerent fiom what fs re4uired on this ,.� ❑Aba�dorKnent fonm(M eppropriarle) �Otf�er b�lortt�atbn(list): romer�(de►fred from M/nn-Siat§115.55)M arvnrna►r th,eet ro puanc nsa�t�a�,e asneq�pTaHS)muar ce u�raaw,recreced,a�r M�fhln�n mondrs W�pf of MJa naUce w wit�in a aAat�D��rsqaY�d bY local aWrtence.K tl�s sysfem i�/aiJNp fo P�9�� ws[Oe upPr�tl�d,hplitod.or�a uf1 d�Bcontlnued�YfCIM fha Lme rsquhs0 bY��oNfAMCB.If en eXlSCA9&y8fa►n is I!W/elllnp as 0lfilOd M �h.o la�t ot aealvn�1 sepsranon,then me sysram naed rrot es dpy►sGad.iapei+sd,r�pscad.or;ba uae draountinueQ,aohn'thatanelnp vrY �t la mao ebkt 71iia provl�/on daea nnt eppry to ayafema in ahou�lend e►�a W�YMed P�vler�on A�ea,or Hraas used�connetUon wlJh lood fpin8 a�eblislrRl�nlB ea delPrred br l�w, r.w.��ltnnr.o lmnection Form for Euistln�SSTS 12/08/2019 69:57 7634988296 RUSTYS PERC TESTING PAGE 03 Peroel rnmber- Sys6sm stetus- �Complierit ❑Nonmmp�nt (as aetem�lr�ed py n�►s rorml M�IIc P�ri'On�a�o! a�ld OthK Co��plia� Compliance Iswe #1 af 4 Data of observ�fon: , 1Z/03R010 Res�on tor oheeiva�Hon: P Trerisfie� This fiorrr►expires upon next Inapec�on ar in tht�ee yests,vrFi�cfiev�u�cur6 first: 17J�03113 Compllanai�qusstio�alcritsri�: (Requ�►ec� VeNflcs�lon Mstl�od': (�p��) Chedc dtie bax ((aNedc the app�qpriet+e box) Uoes 1he syStem dschsrge$e�eAe to tl�6 ❑Ye6 �Nc � S89�ched fOr surfeCe outlet round suAaoe9 ❑ Pe�mree hydreu�c test Daes 1he system�isd�uge sewa0e to dre� ❑Yes �No � �for seeP�n9 in yerd dle or surfao�water8? Ooes the sya�em c�use aewa9e badwP ❑Yes �J No � Chedced frn badcuP in home into dwelf or eatablis�m�r�t7 ❑ E7oceasive Pondin9 In soil systemlD-boxes Do ofher�Sdons eudst that heve the �Yes �No ❑ Homeaw�er tessiimonY ppteritlel 6o immediet�ly and adversely � F�caMned Gor surging In tank imped ot Ux�t��P�ic heeHh or safety eledtical ur�asfie covets oCC.? ❑ `Bledc sa�l'ebove sofl diaps�sei sYstem Any~ya�"unswar/nddreebas tl�t fM sya�snr ti asn lmnlU�e�nt �rsut eo publta hadq�snd sa1�eRY ❑ System i'aQufres"eme�D��9 ❑ Performed dye teat Does�e sys6am Pose a 1h�at fio giamd ❑Y� �� Olher. Petetson Ca� w�er�or arry oo�deemed nor►- s� � pre:p�ndksa•nnr�.:y�+s�r�p+� yround w�tsr.N"y�ea;ak�dibe tl�e condltlon notad: •No standartl prodvcd exists- This list fs rrot exheusNve, in sequerHiel order,nordbss it indl�cete whlch i Canbinatfonrs al+s neoessary to make dris def�e►minetia►- I ��f��011 TNs t�am is to bs oomplelad and sf�dtied�o the Summery Fam of ths�PcNueon Canlrol Age�S�A�m�i�t� In�psc�ion Fomt 1�or E�tlrg�ubsurfscs S�ewa9e Tn�lm�nt 8�Mna•O�e�va0o�.�Pf°�O^6' ��►��p�r•Compledad iam nwst bs aubmiued�bo n,e 1oc�l unit af government witlrin 1 s days. property owner neme(s): Matt 8 Carrle VanSlooten Property e4clress: 3g4p Jacobs Nrll Rosd,Orono MN fi5356 properly owner'S address(if dillbrent): Counry: Hennspin Phone: 612-309�6Lti22 I1 here�b,y c�erd�►y thet I per�o�rieNY rriede the ob�ve6ons�s,and oonc�ons reported on tl Ns fam and riret dhey eis cQir�ct Nal�e: Jo�h J Olson -- CerqAo�ion rnr�er: 1256 B t re i n e a s R o e n s e n a m e and numbor: Olson's 9od and Dena�ion�l.ic�F 810 _ , .,.� ar Name of Iocel uni ov�m�� C of Orono Signsbune: , _ . Dass: 12/08/10 -- � I � _ . _. �Nne�linrro In.sneetion Form for Exlstfn�SSTS 12/e812010 09:57 7634988290 RUSTYS PERC TESTING PAGE 64 Paresl number: Sys�em etatus: �Compllent ❑Nonoompwent (as determined bY this 1f�rm) Tank I�sprity and Sah�ty CanP�lane� Compiiance Iss�#Z o�f 4 �s�e of obeervation: _�2Jai20�o Reas�on for obs�lon: r� I This form e�ine�s on(thres llea�s): 1?J032010 Compli�nce questionalc�i�erl�: (Reau�� VvMficatlon Method`*:(Opttonal) ' Cl�dlt dhs riele hox (Ci+edr th�eppropriete box) Does u�e aystem consist ot a seepage pit', D Yes �No p Probed t�rdc boucm �°r � ObsafYsd low)iquid le�rel Do any sewape�^k(s)I�C below their ❑Yes �Nfl � ��rd6 des' � If yes,identity which s�we9e ❑ Exemined emPtY G�P��ank tenk lealcs. ❑ Probed outside tank for'blacAc soil' Arry°�r'eraw��Inal/cab�s th�t�e systwn�s fiiUng�p�t [] Pressure/vacuum chedc �� • s��cs�7oao.2�o may�co��rf suo�d in a�r�anoe bY I�I petrt�n9 sutl'°rity. i "'No slanderd P�db��ol exists.This Nst is nat exheustr�re.in i sequsntial o�e�,nur dbss�t lne6caede whkal�� ,�osssa►r ro�r��a�� Safe�ty Check 1. Are eny maintermnoe hole mvers aameped,cr�daed,or app�eared to be swcbu�ly ur�aound? ❑Yes' �No 2. Woro all maintenanae hole oavers rePlaoed in a sewred manner(e.g.,all scraws reP�aced)? �Yes ❑No" 3. Was seaondery acoesa restraint present(saiety Pan,seoond oo�rer,or sa�ety netdng)—highly rooanmended. ❑Yes �No 4. was�r othe�$efelY/I�e�l�h�P�� ❑Yee' �No �"� T�...�.. "Sy�fan�aa NnnNi�.nt th�b�pubrf�h�ald��nd aaAefb► Certification This form is to be completed and attached�the Sumr�ry Fonn ot the 1�inneaotia PoAution Control Ag�s(MPCA)Complronce Inspectlon Form for Exlstin9 Subsurtace 8ewa�a 7neatmer�t Sy�ems,Obeervaticns,in�rpretations,and conclusions m within compiebad by an Inopector,maintai�r,or service provider.Campleted(orm must be submilted to the locsl unit of govemn�ent 15 d�ys. property vwner name(s): N18tt&Cartie VsnSloo�en properiy addrsss: 3&W Jaoobs N�I Road Orono MN 56356 propeAy ownere add�ss(i��iRerenU: Courdy: _ Hennepfn Phor�e: 612�0�6022 1 her+eby oertily that 1 personeUy made the observaU�ons.�nterp�etaEions, and condusloRs►+epo�ed on this l�rm end tt�at th�y are camsct. Name: Joseph J Oleon CordAcatbn number: 1255 Business lioense neme and number: Rus O{son's soil and �ivn testl Uc#B10 � Name oE locel�it gotie�r�r�nt Cit�►af Orono ��: Dala: 1?./OB✓'10 ,,,,�,,,,r,;�� Compliance Ir�spectlon Fam forFxlsNng SSTS 12J68/2010 09:57 7634988296 RUSTYS PERC TESTING PAGE 05 � Paroei number: Sysbem slaUus: �ComP�r�t ❑NonCdnpliant (es aletemWned br this fo�m1 soil �sp�ion co�N�liance �d Otl�sr Co�wp�l�n�� Compliance Issue #3 of 4 Date ob�ervation: 12J03R010 Reeaon for abeeN�: P T�sier TMs' ' or�this fo►m does not expi�- Com�lianos qu�stlonelcei�sri�- �Re�uh� V�Iflcatlon M�Ihod"': (Op�O�a�) }/ie te bax (Check the apruopAete box) FOt sy�ems buik pri0rto Aplil 1,�9�,and not � conducted son oeservetion(s�(at��a) lOcated m Shoreland or WeUheed Protsct(on ❑ T��y�s verificatlons(aKach bori�9 I�) Area qr not servfnp a food,bevero8e or lodgir�g e�tablisfiment ❑ Other. poes�e system have at le�st e iwo-foot ve�l separe�iion distance irom pe�iodic�lip � ��a�� Yea No Fcr non-perforn�anoe syste�ns built Aprs 1, 1996,or la�er or�r non-perfamanoe systems Shc observs�on does not e�ire.Previous observado►� loca�in Shoreland or WeNhesd Protectlan ��t��$�sulRCie�t,unle�sf�e Areas or servin9 a food,beve�s9e or lodging oonditfons hsve been elte�ed- establ'�hment Does Ihe eystem heve a three-f�ot.veKical sepacation distsnce fr�om Periodicel�r wturaeed �i�� Ye6 No For redtu�id eeperatlOn distanCe sYe�em6 C.e., � �y�reduced by up to 15 perr,ent if allow�ed in locsl `peiiormsnce"�yst�ns un4er old 7080.0179 or ��. Type N ar V sysiein under new 7080•2350 or 7060_2400): "No star►da►d protocaol exists. Thia list Is not exhaus�'ve� �oes the systt�mm meet the deaigned vertkel in sequev�el ader,nor doas k indica�whiah yS c�ornDlr�a�ons ere r�eoesss►r ro►►�ake m�s seperaticn distance trom period�icallY se� Yes No determinBdQn. sa1 or bedrock�'' Any'�o"answ�r�dk�l��tlis s�n Is�1n�9 m P'�� I g►ound� Certfftcation This fom�;a to be cvmpleted end attad�ed to ri�e Summery Form of the Mlnnesot8 PaNution Corrtrol Agency's(MPCA)Complia�e Inspscdon Form for ExisUng Subsurlaca Sewag�Trsabnent Sysboms.Obae�s,inl�Pretetions,and condusions must be oompleped hy an inspec:tor vr dssigner.Completed i�drm must be aubmi�e�d eo the Ivr,al unit of govomment within 15�ys. property owner name(s)= Malt&Carrie VsnSlooten properly addrees: 36,0 Jaoobs MiN Raad Orono AAN 56358 Prpperty ownsr's 8ddresa(if Q�I�srenU: - -- ��. � Phon� 612-30�h0�?Z I1 hereby c�idfy that 1 personaay mede the obseNeEiona i►�te►pnsteSor�end corrclUsions�epo►ted on this form end that d�ey ere oo►►ecf. Name: Joseph J Olson , �� 12� Busir�ess lic�enac nama and number. , Rusty Olson's soll end pe�ula�on tesfinq„Lic#810 � Nsme d local unit Cihr of Orono g��- Dete: 1?JOHH 0 •-.-- �- �ti»dtmx.e Insnettlon Form for Ex1sHnQ SSTS 12/0812010 09:57 7634988290 RUSTYS PERC TESTING PAGE 06 � i Lo�of So' 8�1 orinas Uccnse#�70 Location or Project: 3840 Jacobs Mill Road Borings mede bY: Rust�l Olson's Soil and Perc testing 1?J312010 Classif'ication System: AASHO,,,�,,,� USDS•USDS�CS�)C � Unified�; Other� Auger used (check two): Haod X,or Powec � Flight,Bucket or Probe X_. Bench mark is tap oi basement concre�s slab. Elv:100.00 Assumed Boring Number_1_Surface elevetion_10�.2 Mottled Soil at_1•1_feet 0"14"Dark brown loam 10yr3/1 H20 present at_X 14"-1 S" Rusty brvvrm Gay toam 10yr4/3 18"-24" Rusty olive brown clay loam 2.5y5/3 Boring Nu�nber 2._Surtace elevation_101.7_ Moltled Soil a�1.0_feet 0"-12" Danc brown loam 10yr3/1 H20 preserrt at�X 12"-18"R� ty brovm day loam 10yr4/3 16"-24"R sty olive brown clay loam 2.5y5/3 M:Top of lift station manhole caver Elv.-100.00 8ssumed Original g�ade under the rockhed Elv- 102.1 Bottom of rock bed Elv-104_1 There is 2.�feet of sand under the rockbed I � , 12l68/2010 69:57 7634988290 RUSTYS PERC TESTING PAGE 97 �..�� , � ► O �q c. 0� S M �11 � 3�� . � . , � , �� ` � �a J;� '`��P � � P � sn+1 /� � � � �i ', ° � MW , �o• as. �:�� Mtlz ss' � �+� ' � M�I� los' 91' � N 8 ; �. .�e�.�, I � R�qd � I � � ��.- �s-�� °�� , o � ° � o�o � ._:�. .� : cITY of UIZ 1 ,,�,��:w� - � � ��N ; ,�,'�, ' � Municipal Oftices ��'� �'"�:(�'4Y�;`ki`�'�s�� G~� Street Address: Mailing Address: , , . .;�>,,t5' ``�9,k"'�''��`�p'4��i"%� 2150 Kelley Parkway P.O. Box 66 � EsH � .,. ��'�� Orono, MN 55356 Crystal Bay, MN 55323•0066 To: The Current Owner of Address �� S �� 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 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 . The tanlc(s) should be cleaned through the manhole and not through the inspection pipes, tlus allows for proper cleaning. Comments: w Ins ector:��•C�I:�L, �� Date of Inspection P Telephone(9�2)249-4600 • Fa� (9�21249-461h