HomeMy WebLinkAboutseptic info i
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O �, O CITY OF ORONO
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� �' � MunicipalOffices
r�,, ,���'� �, Street Address Mailing Address:
� G'�' 2750 Kelley Parkway P.O. Box 66
'Z9 ,�4i Orono, MN 55356 Crystal Bay, MN 55323-0066
kESH�
To: The Current Owner of Address 2820 DEER RUN TR
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 954-249-4626 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
(3) years. City records indicate the tank(s) were last pumped out on / � - �—C`� G,
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
In �`�;.�J�`� � / -C��
spector. Date of Inspection: �O
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
, . .
� • • •
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To: Orono residents on mound type septic systems
From: Willie Gibbs, ISTS Manager
Date: May 10, 2006
Re: Landscaping Do's and Don'ts for Mound Systems, Quick Reminder
Do plant and maintain a full cover of grass and keep mowed to a normal height, this grass cover aids
in the evaporation of large amounts of effluent (the liquid left after the "other" stuff has been removed)
in the summer time and allows the mound system to help breakdown nitrogen in the effluent.
Do water the grass over the mound in extreme dry conditions, sparingly.
Do avoid unnecessary foot traffic over the mound, mow it and stay off of it. This is especialiy true in the
winter time. Even human foot traffic can cause frost to penetrate the mound resulting in potential
freezing problems.
Do inspect your mound system annualiy for winter kill, (reseed if necessary) animal damage,
(burrowingj or signs of potential failure.
Do not plant trees or shrubs on the mound sys�em, smaller trees and shrubs may be planted at the
edges. Remember, that sunshine is the key to a healthy mound system.
Do ask questions, if you have any concerns or questions concerning your rraound system
please feel free to cali me, I can be reachec9 at 952-249-4626.
1
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` '� �F �'� ' "` �� � Mailing Address:
'' � ;,i _`,_. G;'.- Street Address: �lSa-a4q-�bo O
\\ •:�'°9kEsxp'4�'�, � 2750 Kelley Parkway P.O. Boz 66
���—�' Orono, MN 55356 Crystal Bay, MN 55323-0066
To Cu�ent Owner: Address: � ����' ��'��� �``� R'
City Ordinance 199 requires that each existing on-site sewa�e 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): 0
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 sepazation requirement or two foot requ'uement for systems installed 1996 or earlier,and
which is not failing or an imminent threat to public health or safzty.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located�vithin a designated 100-year flood plain,any ISTS which may
or may not meet all the location,design,or construction stan�ards of the current Orono Municipal Code and which is faIling for any
reason;and any ISTS with less than three feet of uasaturated soil or sand between the distri6ution device and the I"uniting soil characteristics.
TANK CONDITION(5-7): �
Tank inspection indicates:
� Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanl:s to be pumped out once every 3 years.
Tanl:was last pumped �i-''( '�% `» )•
Mal:e sure septic tanl:s are pumped throuah manhole and not throuQh white inspection pipes. This allows for the proper
cleanin� Keep water softner and iron Tilter discharQe out of septic svstem to Rrolona life of drainf eld. Ask pumper to test
alarm float to verify alarm is still working in your house. The alarm warns owner that septa�e is about to 6ackup into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4" dia.pipe)must be installed in each tanlc. If
tanl:s have not been pumped out within the last three years,they should be pumped out now.
DRAIi�'FIELD CONDITION(8-10): �
3 Drainfield is dry, no surfacing evident.
9 Some evidence of surfacing,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.
9
�'�����rFNTS:
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Date of Inspection Septic S}�stem Inspector
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,,�� ,,��r��l � ,� ; CITY of ORONO
`\�'„ '18�a2' ,���.�'� ti!� MunicipalOffices
� I�wJ���-���� G~/
� '�•,;����;� .� Street Address: Ms�l'ing Address:
�$F,+gg04' 2750 Kelley Parlcway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066 ,
To Current Owner: Address: ���� �e�-� ��� '�!�;�
City Ordinance 199 requires that each existing on-site sewage trea�ent system in Orono be inspected er-ery two yeazs.
The on-site sewage treatrnent system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): �
O "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono�funicipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standazds of the ciurent Orono Municipal
Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 or c�iier,and which is not failing or
an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS(ocated within a designated 100-year flood plain,any ISTS which may
or may not meet all the location,desi�,or construction standazds of the current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characicristics.
TANK CONDITION(5-7): s
Tank inspection indicates:
SO Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped '7-2�-�3 ).
Make sure septic tanks are pumaed throuEh manhole and not through white insaection pipes This allows for the
proper cleaning. Keea water softner and iron filter discharee out of septic svstem.
7 Inspection risers missing-tanlcs could not be inspected. Inspection risers(4"dia. pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION 8-10 : �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfteld is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: MO uc.J Glc,� S 'LP �-: L- �c�1CS 100}� OK .
7 '1�--0� �� 1��
Date of Inspection Ntatt 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 advis:d chat this report does not guarantee
orcertify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under curtrnt conditions based on the available
infortnation.
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono�n.us
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?���:�`� CITY of ORONO
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'�► ��,���-�,�-�� titi M�� otr��
'�t',t�..��/:I og�G
Street Address: Mailing Address:
ESII 2750 Kelley Par1cway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner: �C,,�c. 5;S 1�c� �f r
Address: a�a4 �ee� R��
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every nvo years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEh1 CONFORMITY 1-3 : �
��CODE SYSTENi�� An ISTS which meets all the location,desigp and construction standuds of the current Orono hfunicipal Code.
2 °COMPLIANT SYSTEM° An ISTS which does not meet all the location,design and consuuctioa standards of the cucrrnt Orono Municipal
Code but does meet the three foot sepazation requiremer�and which is not failing or an ix�inerrt threa2 to public health or safety.
3 ��NON-COMPLIAN'f SYSTEM" A prohibited LSTS;an ISTS located wiUun a daigiated 100-year flood plain,any ISTS which may
or may not meet all the localion,design,or construction standards ofthz currrnt prono\fnnicipal Code and which is fai]ing for any reason;and
any ISTS with less than three feet of unsaturatzd soil or sand between the distribulion de�ice and the limiting soi!chazacteristics.
TANK CONDITION(5-10): ��
Tank inspection indicates:
OPumpout not needed at this time.
6 Tank must be pumpzd out this year (city code requirzs tanks to be pumped out every 3 years Tank wis Ibst pumped ���-�—�1 �,
7 Solids accumulation in tanks is at a critical a critical level. Tanks should be pumped out u soon as possible.
g System is dischazging to the surface. Tatilcs must be pumped out within 48 hours to zlimi.�r_,n�'ace discharge.
9 Inspection risers missing-tanks could not be inspected Inspection risers(4"dia.pipe)must Ix instailzd in each tank at next pumpout If tanks
have not been pumped out within tha last three years,they should be pumped out now.
10 Inspectiun pipz is locatzd direcdy over tank ba&le(does not give accurate maasurement ofsoGds accumulaLion). Iftanks have not been pumprd
out within the last three years,they should be pumped out now.
DRAINFIELD CONDITION(11-14); \\
I 1 Drainfizld is dry,no surfacing evident
12 Somt avidence of surfacing,not critical yet
13 Dr�eld is saturated and visibly dischazging untreated eHluent to the surface. Contad the Citv Inspector immediately.Repain must be
completed withirt 90 days.
1� Draintield e�ctent and condition unknown
CO�IENTS: S�S�-c� 10 ok5 b K
6-5�-D \ � "\ �C ,
Date of Inspection Scptic System Inspector '�
Note: In tha evrnt that this inspection report is used to satisfy the requuemrnts for a mortgage or otha haasfa of property,be advised that this repoR does not guarantee
or certify that an esisting systern will continue to function properly,but is merely an opinion of the adequacy of the systzm under cvrrrnt conditions based on the available
informatioa
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�. ,;,, � CITY of ORONO
ti Municipal Offices
�� G~ Street Address: Mailing Address:
�9$EgHOg� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
��
0
Owner: r��Q�'1 ��/�� � Address: 2820 Deer Run Tr.
Permit #'s: 7474 Dates: 10/25/95 Contractors: Clover Hill Co.
(This is [�,] an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 1
Code System: Meets or exceeds current City standards in a11 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: 5ystem 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 is [�] or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
NK CONDITION (5-9) : 5
5 Pumpout not needed at this time.
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.
9 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.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [�,j or are not [ ] water tight or the condition is [ ] unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
INFIELD CONDITION (11-14) : 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 FAILURE: (system age and condition, soils, etc. ) : low
COMMENTS:
�� ���
Date of Inspection ep i 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 ccnditions.
Telephone(612)249-4600 • Fax(612)249-4616
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Christine Mattson
From: Ben Kallevig <bkallevig@mnpools.com>
Sent: Tuesday, January 12, 2016 3:31 PM
To: Christine Mattson
Subject: 2815 Deer Run Trail
Hi Christine,
Could you let me know if you see any issue with the installation of an in ground pool @ 2815 Deer Run Trail?
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Ben Kallevig
Minnesota Pools Inc.
Dolphin Pool&Spa Inc.
(763)233-6032 Office
(763)300-9007 Mobile
bkallevi�@mnpools.com
bkaflevi�@dolphinpool-spa.com
1
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O , O CI'TY OF ORONO
���s_,_
,� � �,, MunicipalOffices
�, ,g`�` �, Street Address Mailing Address:
'C� �j~ 2750 Kelley Parkway P.O. Box 66
'�y '� Orono, MN 55356 Crystal Bay,MN 55323-0066
kESHO�'
To: The Current Owner of Address 2815 DEER RUN TR
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 954-249-4626 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
(3) years. City recards indicate the tank(s) were last pumped out on � � 1 1 'OS
The tank(s) should be cleaned through the manhole and not through the inspection pipes, this
allows for proper cleaning.
Comments:
�w �C.�d��,� �
v�/� w � /
;.�.� J�� �, - 6•�
Inspector: Date of Inspection:
Telephone (952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
_ .
� • • •
�
To: Orono residents on mound type septic systems
From: Willie Gibbs, ISTS Manager
Date: May 10, 2006
Re: Landscaping Do's and Don'ts for Mound Systems, Quick Reminder
Do plant and maintain a fuil cover of grass and keep mowed to a normal height, this grass cover aids
in the evaporation of large amounts of effluent(the liquid left after the "othe�" stuff has been removed)
in the summer time and allows the mourd system to help breakdown nitrogen in the effluent.
Do water the grass over the mound in extreme dry conditions, sparingly,
Do avoid unnecessary foot traffic over the mound, mow it and stay off of it. This is especially true in the
winter time. Even human foot traffic can cause frost to penetrate the mound resulting in potential
freezing probiems.
Do inspect your mound system annualiy for winter kiil, (reseed if necessary) animal damage,
(burrowingj or signs�f potentiai failure,
Do not piant trees or shrubs on the mound sys4em, smaller trees and shrubs may be planted at the
edges. Remember, that sunshine is the key to a healthy mound system.
Do ask questions, if you have any concerns or ques�ions concerning your rr�ound syster�a
please feei free to call me, I �an be reached at 952-249-4626.
,, o,�,. ,
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�� =�-- . _ ; �� �I'T'Y of ORON�
�� �r ���dr� —�� �., �I
� � �A�" ' ;� ��_ /� Municipal Offices
# ��//
,� r�`,, � `���„ �� ;1,
�'� ��','� ���' �����, �-'�� Street Address: qsa-a4q-yb� � Mailing Address:
�''��9 ` � 4��'� 2750 Kelley Parkway P.O. Box 66
x��%�'� Orono, MN 55356 Crystal Bay, MN 55323-0066
�,_
�-, .
To Current Owner: Address: �'� r �� �' ��•�`� ,'���; ��
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.
SYSTEIvi CONFORMITY (1-31: i
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 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 to public health or safety.
3 "NON-COibIPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-7): '�
Tank inspection indicates:
� Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanl:s to be pumped out once every 3 years.
Tarilc was last pumped �`� �'� )•
M�Ice sure septic tanks are pumped throuah manhole and not throuah white inspection pipes. T7�is allows for the proper
cleaninQ Keep water softner and iron filter discharQe out of septic svstem to proionQ life of drainfield. Ask pumper to test
alarm f�oat to verifv alarm is stili workin�in Vour house The alarm warns owner that septaae is about to backup into basement._
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4" dia.pipe)must be mstalled in each tanlc If
tanks have not been pumped out within the last three years,they should be pumped out notiv.
DRAII�'FIELD CO�IDITIOI�T(8-10): �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing not critical yet.
10 Drainfield is saturated and visibly discharging�intreated effluent to the surface. Contact the City Inspector
immediate.ly.Repairs must be completed within 90 days.
!
�OMMENTS: f��''%'� i� `.,.-' x-,¢; '� �,��` ����
�– ,� s— �
,� - �� �-� `� ° �
Date of Inspection Septic S�stem Inspector
% o `\
; � �
� o 0
�!=-y = - ! C ITY of ORONO
�,�.;
' ,�1 �� ��:� .�+l
.�� " '�' `— !�//' M�icipal Offices
\�"� �r��=�=``'� tii
� �� '- `,r;����.�G Street Address: Mailing Addresr.
`�X'F,+gKOg 2750 Kelley Parkway P.O. Box 66
Oroan, MN 55356 Crystal Bay, MN 55323-0066 ,
—_ _ ._______
To Current Owner: Address: o� � �S a�e� �.0� ��ti� �
City Ordinance 199 requires that each existin,on-site sewa�e treatment system in Orono be inspected every two years.
The on-site sewage treatrnent system at the above address has been inspected and appears to fall into the categories checked below.
STEM CO`�'ORMITY 1-3 : �
"CODE SYSTEM" An ISTS which meets all the location,acsi�and construction s[andards of the current Orono Municipal Code.
2 "COMPLL4NT SYSTEM" An ISTS which does not meet a11 the location,design and construction standazds of the current Orono Municipal
Code but does meet the t}vee foot separation requirement or tvco foot requirement for systrms instafled 1996 or earlier,and which is not failing or
an imminent threai to public health or safety.
3 '�NON-CO�dPLIANT SYSTEM" A prohibited ISTS;�ISTS located within a desi�satcd 100-yeaz flood plain,any ISTS which may
or ma}not meet all the location,desi�or construction st3adards of the current Orono Mzmicipal Code and which is failing for any reason;and
any ISTS with less than three feet of�ssaturated soil or san�i between the distribution de�-ice and the limiting soil characteristics.
TANK CONDITION(5-7): �
Tank inspection indicates:
5 Pumpout not needed at this time.
(�Septic tanls must be pumped out tf�is year (city code requires tanks to be pumped out once every 3 years.
\J Tank was last pumped v����C'-�+� ).
Make sure septic tanks are pumped through manhole and not throuQh white inspection pipes. This allows for the
proper cleanina. Keep water softner and iron filter discharge out of septic svstem.
7 Inspection risers missing-tanks could not be inspectzd Inspection risers(4"dia. pipe)must be installed in each tank. If
tanks ha�-e not been pumped out within the last three years,they should be pumped out now.
D INFIELD CONDITION 8-10 : �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing, not critical yet.
10 Drainfield is saturated and visibly discharaing untrea�ed effluent to the surface. Contact the City Inspector
immediate(y.Repairs must be completed within 90 days.
COMMENTS: M o� �U I U 0 i�S C�k_ Q v h-p_�}',L �c�K.S
�l�_5 S � r.--n-�� dJ�I�
---� _�-"L-d� l�ct:� ���
Date of Inspection Matt Bolterman - Septic System Inspector
Note: In the event that this inspecdon report is used to satisfy the requireme�for a mortgage or other transfzr of property,be advised that this report does not guarantee
orcertify that an existin�system wiil continue to function properiy,but is merrh�an opinion of the adequac}�ofthe system under cunent conditions based on the availabie
infortnation.
Telephone(952)249-�b00 • Fax(952)249-4616
www.d.orono.mn.us
� o�
O�:� O
���Y����=� CITY of �RONO
� A�l����� '�
`� 'h �',��', '� � Mun;cfpat offices
����f hi'�„�'�,�Sr 'ti
��`'�'���'` � G street Address:
' �-.,?i� g� Mailing Address:
�ES�iO 2750 Kelley Pa�kway P.O. Box 66
Orano, MN 55356 Crystal Bay, MN 55323-0066
Owner:_ �6.v"�c� V�� c�2�� �� Address:_aB�S Deer �u� ��
City Ordinance 199 requires that each eYisting on-site sewage treatment rystem in Orono be inspected e��ery•rivo years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORI�IITY (1-3): l
O °CODE SYSTEM" An ISTS which mzets all the locatioq design and construction standards ofthe current Orono�funicipal Code.
2 ��COMPLIANT SYSTEM" An ISTS which does not meet all the locatior�design and construction standards ofthe currrnt Orono Municipal
Coda but does meet the three foot sepazation requiremec�and which is not failing or an��*+mineIIt thteat to public health or saf'ety.
3 ��NON-CONIPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a duigiaied 100-yeaz flood plain,any ISTS which may
or may not meet al(thz localioq desien,or construction standards of the currerrt Orono blunicipal Codz and which is failing for any reason;and
any ISTS with less than thrze fzet of unsaturatzd soil or sand behczen the distribution device and the limiting soil charactrristics,
TA1VK CONDITION(5-10): 6
Tank inspection indicates:
� Pumpout not needed at this time.
OTank must be pumprd out this year (city codz requires tanlcs to be pumped out evzry 3 years. Tank was last pumped_ U�K�o w,� ),
7 Solids accumulation in tanks is at a aitical a critical IeceL Tanks should ba pumpzd out as soon as possiblz.
g System is discharging to the surface. Tar�ks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanlcs could not ba inspected. Inspection risers(4"dia.pipe)must bz irutalled in each tank at nzYt pumpout� If tanks
have nut been pumped out within thz(ast thtee years,they should be pumped out now.
10 Inspection pipe is located dirzctly over tank baHle(dozs not give accurate measurzmznt of solids accumulation). If tarilcs have not been pumpzd
out within thz last three years,thzy should be pumped out now.
DRAINFIELD CONDITION(11-1-t1: 1l
1 1 Draintield is dry,no surfacing evidznt
I Z Some evidznce of surfacing,not critical yet
13 Drainfizld is saturated and visibly discharging urrtreated zffluent to tha surface. CorIIact the City Inspector immediately.Rzpairs must be
completed within 90 days.
1-� Dra�eld estent and condilion unknown.
CONIl�NTS: 5 Sfie� 1ool�S (� (� . 1 q�1�S mvS� �� v� � ;�
ac�.<-� h�.v� ro� See�. �vc�.pe ��. lns�- 3 yeqrs
(�- 5 - 0 � �nzz �
Date of Inspection Septic System Inspector �
Note: In the event that this inspection repoR is used to safisfy tha reyuireme�ts for a mottgage or other transfer of propeRy,be advised that this repoR does not guarantee
or ceRiCy that an esisting system will cocitinue to function properly,but is merely an opinion of the adequacy of the system undzr current conditions based on the available
information
o � ��
� �
0 0
�
, �r��,, �, CITY of ORONO
!4 Municipal Offices
��,� G~ Street Address: Mailing Address:
'`�x'EgK04'� 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
� i
Owner: , ) � Address: 2815 Deer Run Tr.
Permit #'s: 10259 Dates: 6/2/98 Contractors: Patnode Bros.
(This is [ an existing system �new construction) .
r ���
STEM COMPLIANCE (1-3) : 1
Code System: Meets or exceeds current City standards in all respects relating tc desiqn,
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 is [�] or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
' ANK CONDITION (5-9) : 5
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.
9 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.
10 One or more tanks are cesspools, which means the septic system is non-compliant.
(The tanks are [� or are not [ ] water tight or the condition is [ ] unknown. If the tanks
are not confirme to be watertight, this classification is subject to revision.)
AINFIELD CONDITION (11-14) : 11
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:
L �
Date o�pection Septi ystem Ins ectdr
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)249-4600 • Fax(612)249-4616
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT
r�), � INSPECTION REPORT
'C�� G~
9kESH�4'�
Owner: (JI��� /�/!/ Address: �0�� lJ�i°/Z /� (,Gt1 ��L�
Permit #'s: C'�J�� Dates: �" �'-�/� Contractors: l�7�1�Of'� �G��
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.
(7his is [ ) an existing system � new construction)
S STEM 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 seuage 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 installed according to the code in effect at the time of installation, and ahich
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface uaters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system tocated uithin a designated 100-year floodplain; any
system which may or may not meet alt 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 �has or [ 7 has not been identified at this time. If the limiting soil
characteristic has not been identi ied, this classification may be subject to revision.)
TANK CONDITION C5-10):
inspection indicates:
5 Pumpout not needed at this time.
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 pixnped 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 punpout. If tanks have not been pumped out uithin the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
tf tanks have not been punped out within the last three years, they should be purnped out now.
DRAINFIELD CONDITION (11-14):
ield inspection indicates:
11 ainfield 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 [nspector
irtmediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.): •^--
POTENTIAL FOR SYSTEM FAI WRE (depends on soils,water table,etc.): � � G,�
COMMENTS:
Date of Inspection Septic System Inspec
Note: ]n 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.
7his report must be kept on the pre�nises with the system loc>tien and pumping records.
WHI7E COPY/Inspectors File YELLOW COPY/Homeowner
SEPTIC SYSTEM INFORMATION
STREET ADDRESS
LOT 1 BLOCR 1 SUBDIVISION Tandem Properties
Coffin site
MONTH AND YEAR TESTING DONE 12-10-93
ITEMS ALREADY COMPLETED Borings , perc. tests, system design, and
site plan
NEED TO COMPLETE BEFORE ISSUING BUILDING PERMIT:
❑ BORINGS
❑ PERC TESTS
❑ SYSTEM DESIGN
� SITE PLAN A new site plan may be required if the house
location or elevations are significantly different.
❑ OTHER
❑ COMMENTS
DATE THIS SHEET FILED January 13, 1994 BY Stephen Weckman
SUBDIVISION FILE NO. 1901
63/22/2011 22:49 7634975011 SPTESTINGINC PAGE 02/09
�^�� 'r�s'��NG� ���� Steven B. Schirmers • MPCA Cert.No. 627
951 Katydid Lane NE � St. Michael, MN 553����63) 497-5066
Stafie License #394
March 18, 2011
Coldwell Banker Burnett- Meredith kiowell
2815 Deer Run Trail
Orono, �enn. Co., MN
A Compliance Inspection was completed for the exisfiing on-site s�wage treatment
system located on this properly. The system consists of 1-1250 8� 1-1000 gallon septic
tanks, 1-1250 gallon pumping chamber �& a pressurized mound system with a 10' x 65'
rock bed built i�n 199$ according to City records. Soil boring #1 found mottled (redox
features) a#2.2' i�to the original soil. Soil boring #3 found the original soil at elev.100.8
&th� bottom of the rock bed at elev.101.9 leaving 1.1' of sand below the rock bed & a
3.3' separation from the bottvm of the rock bed & redox features. Soil boring #2 found
mottled soil at 1.1' into the original soil. Soil boring #4 found the original soil at
eleu.100.5 &the bottom of the rock bed at elev.101.7 leaving 1.2' of send below fihe
rock bed & a 2.8' separation from the bottom of�he rock bed & redox fea#ures. With the
system meeting the 15°/a allowance, 2.6' ofi separa�tion meets the requirement. This
system is classi�ed as in compliance with Minnesota Chapter 7080 rules.
The fianks were pumped by Elmer J. Peterson &were found #o be compliant afi this
time.
Nothing other than gray Wa�he se t c a�nks. Garb ge disposals �re ofiQe otmm nded,
shvuld be disposed of inta p
due to adding more solids &fine so�d o mend to diverk theh ater#s ftner also �end to
divert iron filters out of the system,
diuerting the irvn filter. Excessiue amounts of soaps, antibacterial soaps, cleaning
agents, shower cleaners used every shower & chlorine agenfis may kill the bacteria
needed to treat s�p#ic eifluent. Additives are not recommended. Recommend to pump
& clean your tanks through the rraanhole by a certifed pumper every 2 years. Check
with your pumper to set up a schedule.
This Certificate of Compliance is no guarantee thafi this system will continue to function
jdefinitelyn
`����
Steven B. Schirrners
1
e3/22/2011 22:49 7634975011 SPTESTINGINC PAGE 03109
I
I
,, ; ,� Minnesot�i F�olltation Coimpliance �n�pect�o� F'�orm '
�' , � �`' Control Ac�ency
`�'>���, Eyrps�ing Sub�urface Sev�aage 4re�#tt�en� �ysferx�s (331r3)
520 I_aFayelc�Road North poc Typo:Compliance And Enforvement
St.Pnul,MN 55155-�79�1
I�structions on pag��6
i
SUm1'1'�iyY'� FOI'1�7 (Completed form must be submi�ted to the local unit of governmQnt within 15 days.)
Parcel number_ .,., ....,� _ .,._._ _,...,_,_-r-------.�...._� �
' For Local Tracking Purpases:
System status: �Compli�nt ❑ Noncompliant
(besed on all Gomplfance requirements) ,
,.w ------- ----�� ...,, -i
Pro�e�t,y Informa�ian �
P�openy owner name(s): ,.�� '9 -.,\�1„_,__l-�Ol.�.1�l�� „___ Property ou►ner phone: �SZ^4�a�•q ao� I
Propecty address: c��5.�.�'D_���=�...'\_�(!Wl'_1.�...�0�0_15�..,..---- __._..,......___._---...:_...�-�
----... ...
I'roporty owner eddress(If difFF�rsnt): __,_.__ ...,.�- ----•----.— ........__ __.._.__ .,..�_�..--I
Permiiting authority� GI�'!�.,._,0.�!,._�J��Q_..,.-- -- ----
Gount,y'—�_'�_r,1.�.�,��?9^� ,.. �
DatR system constructed: �-���0►� __„__ Reason for In&poction T�Q�'��f'Q%�jJ��— ---
i
System IDescription ���,�,� a�p,�,��,,� �
Brief sys4am description: �.a�a.�J��1..�.�G�i�-���.�a�'�ar��4►����.NS.o►��,,Ll��1.5�..�kQQ^�.
Lacal permit number. .._. ,,....__ Number of bedrooms: _____,5 Deslgn flvw reto: 7 �c�,�����,_,�__.__ '
�s erie svstc�m: �
I� Shoreland ares? �]Yes �No In�lellhead Protection Area7 � �]Yes � Na
An U.�, �.:nvironmental Prol2ction Systom sen►ing a Minnesota Depe�rtmvnt
Agency(I�PA)Class V In�eotlon V11ell?[]Yes � No of I-leath(MDH)licensed facillty? []Yes �No j
COI'i1�JI17f1�Ce $$8t11S(9asecl on stats reqUlr�menfs-edditional local rsquirements may also epply.) �
Based on the information gathered and reporled on attached forms,the compllance status of this system Is(checic one):
� Cartificate of Compllance-velld until (3 yoa�s�m del�e of►epo►tJ: �,__ ______,_ �
[�Notico of Noncompliance-For Noncompliant systems:
The reason for n�nr,ompliance is: _�_,.,,..,......�,_.,,......_,r- — .,,_....•.,-- _.,.._-,..._,_�I
This noncom�liant systelte 65 cl�ssi�iecl as(check vne below): '
�] Imminent threat to p�abllc health 8� safeky [� Failing to protect ground water ❑ Not in compliance with operating permit I
i
Cer�9fic��tion
1 hore6y certify that all!he necessary infnrrneNoi��l�es been gatherod to defeRnfne tfie complianr,�status c�F thPs sys��em. Nv
detormination of futur�syst�em perforin���ce has peen nor can be made duQ to unknown conditlons du�ng system consfrur,tion, ,
passible abuse of the sysitem,Inedequatta m�int�+nance, or future weter usacio. �
� � � Certification number� �,�'','�,
N�me: --.����/'��, ,.r.7. ��.���:�'_I�i'4y.��a • �_�.:..•_,�^--------,aJ_
—�
13uslnwss Ilconse namo and number. S�'4 °t'�(sS��l�-J>> 1�`„�,___.,.�.,1.L' �„b�...���'_� 't'�1'�' `1 l,o`j��4`1_rl=',�irin�a ar !
Namo of local unit of government: ,,._ .............._._._,.._,r..._ --.-.--.-:,---..,......,__.
Signature: U'�� .ti--��"',,.,...-------- D�te: .. 3-17 ��vt�
�...... .,.- � _.....
�I
Required Attachrr�ents
� Hydreulic Performance � Tanlc Integrity ❑ Op�rating Permit Form (if appllceble) j
� Soil Boring Logs � �ail Separatfon �
� System drawing/As-bufl�d�awing ❑ Any local requirements that are difFerent from�n►hat is r�equired on this form ;
�
❑ Other In9brmotlon(list): � --�---�--�- �
Upgrade t�eqUirements (derived from Minn. Stet. § i 15.55)An Imm�nent thr�At to puhllc heAl�h end saPofy(ITPHS)must be upgradad,
r�eplaced,orits use dlscontli�uod within ten monfhs of receipt of th(s notice or withln e ahorler peNod 1I rmqulred by local o►rJindnr,e, lf the system Is
falling to proteci ground watar,fha systom must b�Upgraded,replaced,or lls use discontlnued within the llms roqulrrid by/oca!ardinance.IP ar�
existing sysiem is not falling as deflried in law,and has aG leest two feet of dosign soU separaf(on, then the system neatl no�be upgr�dod,repei��ed,
replr�ced, or Ifs use dlscontinuQd,notwitHatending any IocAl ordinAnce Btet is morr3 qtrlct. Thls provlslon doas not epply to aystr�ma In shoreland
areas, Wellllesd Proler,llon Ar�as, or tl�ase used!n connectlon wlth food, beverege,and lodgln�►estebllshmenls as dQfinod in law.
_ .._�_.......,.,�:_,._,. __._,_,....._...:.,,_......_,....__ ,.,._
.._._ ....-- -.._.._ .._._ .._ .�. +n• �tnn nnn ie��ni� rn�Rr� �n� ����__nnn ie�►'10/J �..�il�i.l_o_ �I��w..�s.-e-_--`-
03/22/2611 22: 49 7634975011 SPTESTINGINC PAGE 04109
I
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�
Parcel n�.�mber. System statu�: �Compllani ❑ Nonr,omplianl
_._.._,�... ...._ �
__....__..___ —_...,,_. (ps dptennined by this fortn)
�
M��/d�a�rNic P�e�rFor�ar�ce a��d O�;her Go�pN�an�e� CompliancQ Inspection Form for Existi��c�SSTS ;
Compl�ance �ssue �`1 of 4 '
pe(e of obsenraGon: __3.- ��}�i���_.. .. Reason for observation: ,,,,'Q`�C?Q�'���.�C�„'�C_��_ _�
i
This form expfres upon next insper.tion or in th�ee yEars,whichever occurs first: __.,,.�,_,,,_, �___ �—
i
Gam�IR�I��Ge qu�estior��lcrifietia: (Require�) Veri#icatpon M�thod": (Opiional)
____(Checic,tfie epprropriare box,�__,."„__. (Checl�l��e eppropriate box)
Does the system discharg�sewage to lhe []Yes l� Np � Searched for suriece outlet ►.(�
�round surface? --..:_._._..._......--- ,_...:...------
- ❑ Per#�rmed f�ydraulic kest
Does the system dischargr�sawage to drain ❑Yes �] No
tile or surFaco wa,ters?. ....__,__ � Seerched?or seeping in yard �ud ��y.�q or�,.i
Does the syslem cause sewag�backup '0 Y�s � No [� Ch�cked for backup in home
fnto dwelling,or o:tablishment? . .�,.,._,._ � Gxc�ssive ponding ln soll systemlD�boxes 1.10
Oo�ther aituetions bxist that have the �I Yos �Mo n Homeowner testlmony
potential to Immedlately and edversel�!
impAct or lhrea#cn public health or saiety ❑ C-�camined for surging in tank
��lectrlcaf,unsafra covors,,etc.�? _,,,,,.;....___ � "f�lack�oiM"above snil dispersal system 1d0
qqy"y�es"a�nsw�2r Indicate,s tf�iat the sy'Pt�m Is an ir►amino�tt
tlsr�at to pub�k hea►th enoP sal'e�7V. _ ❑ Sysl'Qm requlr�os"emergerlcy"pumping
----...�._.... ....... .. ...................._.._ .�__.------...._..._.._..T �] PetFormed dye test
boes the syst,em pose a threat to ground ❑Yes �No ❑ Other: �
water for�ny conditions deemed non-
--_._.......---..._..,.,..,,. ---
p�otectivo�r�detormin�d,by.the inspector7 � _ _., __....... �
„Yes"iru�i�ce[r�s that thQ system is f�ailing.!o,prv�te�ct ..._._.,,._,.___...-------_...,..:.�_i
g,round w�4x�r.If"yes", d�e�ar�be tFl�conditican noted: �
"No stande►rl protocol oxists. Th;s list is nof ex��eustiv�,
,.,,.,. . ._..,,_.,_.._.___ rn sequontial oMer, nor does fi indlct�te which i
_._... ........... ....._._.......... ... .
r,ombinal�lons ere nec�ssa��to mal�e this dete►minafio��. I
----------._..—._...—.—�--•—,,,.,.� --- I
Ce�ti'FAca�ion �
This form is to be carnpleled and attached to the Summery Form oi lhe Minnesvta Pollutlon Conlrol Age�cy's(MPCA)Comn�liance !
InspeatBon Form far Exlsting 5ubsuPiace Sewaqo Treatment S�stems. Observations,interpro#ations,and conclusiona must be �
complet�d by an inspectar, Comp��ted form must be submitted to the loc�l unit of gduernment within 15 days, I
Proporty awner n�mo(s): _�� .��`. ...1.�-�---�Q_�r.t�l��-�- -•—,----- I
Property address: _a`�J_�____����'P�-�.1�1�'.�c�1_T_Q�,O..'l�.� _.._..,.,w__.,.�.— --_.., _. .---- .
P�oparty o�n�nQr's add�ess(If dlfferent): ,_,.,y,____ ________ ._ -. ._. ,
County; _L��'�L __ Properly awner phone_ � 'L� -� '--oj a,.0.,,�,_.. .—,...._—.
1 h�rehy certify fhat I petsonally mede tfte observ�t�ons,ini�erpretel�ons, and concluslons reporfed on this foim and the((hcay�re
correct.
Name: `.��1°FhL�C�I�:•��`v`��1-��N14%;-:a�,�,., � CertifiCationnumber: ��.��............._.., ,--_ _..._..:...,__.
Businoss liccnsc narne�n�d number` 5 ' (� '1�'�i�;ri���. �� 11.1 L_� ^ �.�1 r��`�__;;.__�• � �v -z� "_►, �r'.',x r � oK
.,. ----�--�-� � �- - --- i�. 4..----.ti_�2t,��—��----M•�� ,
Name of local unit of gover ment;
_ . , ._ ,-•-.-.._...............�..__u_�.,...,,.,....,.,�...._.—. — --• .
Signatur�e: �� (/�r -�^-'r-..'_� ..._. DatQ: _���`a+R'R�—...,,:_�
--- —�_-•-•-•---------•-.••.. ,__... ----
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www.pca.state.mn.us • G51-296•6300 • 800-G57-3064 • TlY G51•282•5332 ar 800-657-3a64 • Availahle in altem�tive formaks :
63/22/2011 22:49 7634975611 SPTESTINGINC PAGE 05109
Mar 1511 OB:59�
Flmer J,Peterson Co. 763 0�� ���� p �
Parcel r+umber: System sta'tus: �1 Compl��nt ❑Noncampli�nt
-- '°'—'� (as determinsd by thi�fom►1
�"a�k Iqt�grity a�d Safety"Complia�ce — Compl'ian�e /nspecfion Form for Exrstrng SSTS
Gompliance Issue #'Z of 4
Daie�f observation,
3111l11 Re2son Forobservatir�n� Poin�oFSale __
This f�arm expires an(three years): ���!�T �-
Verificatlon M�1'ltod"":(Optionol)
Compllance questfohslcr�tena:(Rsquired) ro ri�(c hoK
__ Check the approP���box) _ (Che�k the�PP P �
paes the sqstem co�sist of e seepage pf�", ❑Yes [�J No 0 Probed tank bottom
c�sspool,dtywell or leachin it? ----� ❑ Dbeerved low Ifquid level
Do any�ewage 1Ank(s]leak below their C]Yes �No � Examined oonstruction r�cords
designed oporating depth? .
—�- � Eicamined emp'ly(Pump�d)tank
IPyes,iden�fywhich
sewage tonk leaks. � ❑ Probed outsida rank€ar'black soll"
Any^'yEs"answerindlcafes Chat fhe sysfem!s(c�fling ta protecf � P��6surelvacuum check
gro�nd w�ter.
❑ Other _.�
^ 8eepepe pits meeting 7060,25�G rnay be compNant iF eEl�wed
In ordinance by locel pe�tnitHng au2hority,
••IWa sla�da►d protocvl oxi.4ls.This 1/st rs not axhausfive,in
sAquende/nrder,nar does I!frr�rc»te whl.ch combinat;ons
are nAcessarY fo rnahe(hr�dei��rminetion.
Safety Check
1. Are mAlntanence hole covors damaged,crack�d,ar app�eared t4 ba struclur�lly unsound7 �
Y@s' �No
Z, �Nero maintenance hole cdvers rep�oced in�qecured rnannar(e.g.,¢crewr�rep�ac�d)? Q Ye�s []No'
3. Vl�as second�ry access restFelnt present(s��Q'�y PSn,second cover,or sefetyr nmtting)�highly rccommendad. ❑Yes���]No
4. Are othel'9A'�et�rlhealth lstue pressnt? ❑Yea' �No
Explain: __ „_
•Sysl�+m iS an ir!'i+'►i.fnent th►�at topublic he�lth andsafery.
Ce�trf�cativn
i his Form is to ba cornpleYed and att�ched tothe Summ�3ry f-arm oFth��Jllnnesat&Pollutlon Control Al�encY's(MPCA}Compliance
Inspectlon Form For Exlsting Subsur�aaa Sewege Treatmenit Systems. Observadons,Inberpr'e'fations,and con�lusfons mUst be
completod by An inspector,rnaint�lner,or servicA provider. Completcd form must be submitted tn the local unik af governmpntwi#h'�n
1 S days.
Prnperty owner name(s); Mer9�'et V�!�ge"1�� - -""- '
Property saddress; 2815 deer RUI1 Trall lAng L�►ke, MN 5�386 ,__ ,
Propefky ownet's addrass(iidlPPcrent�, ,.� _ ._._ _.. ..,.-
Ca���{y; I�e�nepin . Propertyawnerphone' 952��9-6453 _
I hereby cenffy tha[J persorJslry rnatle!h�observaCions.lnterpr�tefrons, arrd canclu8lons repoYt2d on this farm and tha�they are
e�rrect,
NamR: �J+�me9 Braepelmann . _.. _ CeTtficatlan number: �_�.
Business Ilcense name�nd numbeY: ��mcr J.Peterson Ca• Liceng�21 g __ Qr
Name o�f local u vemment; _ --- --- -'-"
D�Q: 3�11/11 _�
5ignature; . _ •— �"
www.pcas� . n-��5 • 651-79fi-6309 � &00•b57-3864 • TTIf G51•28)-5332�r 900•65y38bd • AvailAUlP in alCprnaCive lorma�
yviG-wwfsts�t-31 , 41�4/09 Pqoa�of 8
03I22/2011 22:49 7634975011 SPTESTINGINC PAGE 06I09
Mar 1�511 08;58A Elmar J. Peterson Co. 7G3-�J72-7217 p��
Z'3Ylk. �e�4T�
�ate: �9rch 11,2D1�
F,lm�r J. 1'etea•5an Co.
��9�1 �a�,F� A��e.
T�elano, M�1 �6.�28
�'honP 76:t-97Q-2-1�10
F'�� 76g-97�-r21.7
l�Il'CA I.icense# 219
Matgaret Ver�eyle
2815 Deer Run Trail
Long Lak�, MN 55356
F3a��].es: Ql�l O�T'I�
Tank. Capacity: 3-- fl00 Gal o Tanks
# of T�n lts• .; —
TypP �f"I'ank�: Conc�ete
CTallons� 2500
l�'lanholeG �o Gr.ade: YF5 I NO
Comro�en.ts:
On Mar'ah 11, 2Q11, EImEc J, P�t�rson Co. Pumped 7anks_ Na Crac�Cs or Water Leaks at That Time.
NU']'E:This is only a cz+nk rc,port- '�I�bi4 ix e�ot a com.pliar+ce inspeoti.on for poxat o�'st�le nor doea
it ccp]ace a compli��.nce inypertion,
License � '�'19
03122/2011 22:49 7634975011 SPTESTINGINC PAGE 07/09
. , II
�
Parcel r�i,imk�er: System status: �Compliank [� Noncompliant ,
._.......__.—. .....•-- ----._._...,..,._..._....._�
(as determil�ed by fhis famt) '
�oiM S�a���rak�on CwrtnpMoance �r�d O�heK �Compliance- Compliance ►nspectian Form�or Existing SST3
Complia�nce Issue #3 of 4 �
�ato of obseroatlon: _3=1.,y.�.�.P 1�......_,....,. Reason ior abseNation_�Q���1y���-----.--.._...,,.-,-- '
7his informaflon on fhls fonn c�oc�s noi�expire. I
Gompliance q��estpa�t�/criterla: (Re��dred) Veriilcation Method'"'. (Optinnal)
_ Cl�eck the„approprtele box) ._,.� _...�...,.:..._______— (Checfc tho approprlai�e box)
Fo�systems built prlor lo April 1, 199f9, and not �> Coriducted soil observstion(s) (attach boring logs)
Ic�cated in Sho�oland or Wellheed Prote�tion
Area or not s��ing a food,beverage or ❑ Two previous verPf�ic�tivn:(attach boring logs)
IodgingestabHshment: r] Other; '3•3_,'.;__������s���?�r?_Y.s.•I
Does ihe system have at least a two-foot �
v2rllcAl separatlon distance fmm periodically ��"�;""� ' ��, , �
saturated s�il o�.bedrock? _� _ �Ycs _CI No . � ��0.1L!a����c�_,�3�..,�,c���a.�
For non-performance systpms built April �i, ..___ _._._._...._ '
1986,or later or for non-perfarmance systems Sofl obseruetion doc�s not expl�e. Prevlous observations
luc�kod in Shoreland or WeIlhFad Protectlon by two inaependont parties are sufFcfent, unleas site
Areas or serving a food, bpver�ge or lodgfng condition�have been altered. '
eStAbllshment: �
aoes Ihe system have a three-foot vertical
sepa�ation distance from periodically�aturated �
soil or bedrocic? .,.___,_._ _,,,_ O Yes ❑No,_„ i
For reduced separation clist�nce syst�ms(i.e., x May be;rsduced by up b 15 per�cent If allowed!n locaf
"��erformanr,e" systems under old 708U.0179 or orid�nence. a.tn' I
Typo IV or V system under new 7080_2350 or
708�2400): "'No statid�rd prntocol exfsl`s. Tlils list is nol exheustive,
Goes the system meet the deslgned vertical in sequ�nhal orrfer, nor does it indlc�to which �
separation distance from�erlodf�ally saturated combfneUons e►E nec�essary fo malse this
soil or bedrocic?' Yes ❑ No dcrianninetion.
,
.._:........ .......-�-- —�-�-•---- .._ _..
Arny"�►o"�nswer/ndFcates that the sp✓s(pm Is Faflfng to p�rot�ect ',
,�nv�md Nvate� �
Ce�rtific�ax�on
T'his form Is to be completed and attached to the Summary Form of the Minnosota P`ollu6on Conl�ol Agency's(MPC/�)Compllance
Inspect��ot�Formi fv��xi�t�nq Sub9t�rface Sewage Treatment Systems,Obseroatuons,interprelalfons, �nd conalu�ions must be
completed by an inspector or deslgner. Completed form must be sukfmilted to the local unit oi governm�ant within 1 b days.
Froperty owne�neme(s): �lD�'�p�'�l�t 1� ��'�'L—�--...,.----. .--_ ----�
I�rope�ty�ddr�ess: _���_���L�?_1-�..._.�.�¢��.tJ:�r��c2.u�,:...:- _,�._,_,....---•�--
Property owner's address(if dlfferent); ,.,,.......--- --..,.:...._._ _._,�_.._ -----.....__....
Counly: .._��4 '�1�., ,__ �,,,�,,, Property owner phon�: _°I�!1,��5� — 9 o'�t7? '
1 her�by certlfy llta(I personally made tf�e obse►vations, interprefat/ons, and conclusions rnported on fhfs fonn and that th�ey a►e
correct.
�lame; �.�'j'��/��.1 ��?�. S G W4,1���'"A� ..._ Certilication number �v��1.��,..,._�__�.,.�..,.
Rusine�s license name arad number S�•ri' - 'r��•��v.'�j a,�1.;�_1iJ�.C� I.1S�,kk 'i�' 4 'F' �.::Z4v3�``LL)—:S�il.�Ga.._ ar
:" �_I 1�,:,.
Alamo of 1oc21 unit af govemment� ---......._,........_.. . .
_. ..--_ --- . . ,,
Signaturc: Date:
��_..�..,._,,,_.,...,,._.....___. _.__...:...,:.:....�......... —
www.pca.sLahe.mn.us • 651-296-6300 • Q00-657-3864 • TTY 651-282-5331 or 800-657-38G4 • Availahle in altern�Nve io�m�ts
03/22/2011 22: 49 7634975011 SPTESTINGINC PAGE 08/69
S�P rE�TING� 'NC,• Steven B. 5chirmers • MPCA Cert.No. 627
951 Katydid Lane NE • St. Michael, MN 55376 • (7��AX7 (76) 497-5011
Stafie License#394
. �QGS C��.S_O_I.I.�OB,1�CzS
Coldwell Banker Burnetk� Meredith hlowell
2815 Deer Run Trail
Orana, Henn. Co., MN
Borings cvmplefied on 3-14-2011, with a hand bucket auger.
B�RIf�G NUAI�E_��Iev.101.8 - MOTTLEQ SOIL AT 28" into the original soil - no standing
water present in boring.
p � 12" Fill soil clay laam
12" - 26" Original soil very dark brown loam 10YR 3/1
26" - 30" Dark brown loam 10YR 3/3
30" - 38" Yellowish brown clay laam 10YR 5/6
38" _ 42" Pale brown clay � oam 1 YR 6 2 - d s�tin t m ttlles 10YR 7/1, 1 YR 6/8
42" - 48" Gray brown clay I
BORING�UMf3��EIev.100.7 � MOTTLED SOIL AT 19" into the original soil - no standing
water present in the boring.
0 - 10" Fill soil loam & clay loam
10" - 20" Original soil very dark brown loam 10YR 3/1
20�� � 29" Yellvwish brown clay Ioam 10YR 5/6
2g�� _ 3q." Pale brown cl���OYR 6/3 - d stincttmottlesttQYR�7 1R 10YR�7/8 6/$
34" - 40" Pale brawn lo
�ORII�G 1�1 .UN,U3€.� 3=EIev.103.5 - through the mound.
0 - 16" Fill soil Ioam & clay loam
16" - 32" Fill soil rnedium sand
32�� - 40" Original soil dark brown loam 10YR 3/1
gO�G�UMB�4=Elev103.5. - throught the mound.
0 - 16" Fill soi) loam & clay loam
16" - 36" Fill soil medium sand
36" - �0" Original soil dark brown loam 10YR 3/1
63/22/2011 22:49 7634975011 SPTESTINGINC PAGE 09/09
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