HomeMy WebLinkAboutseptic info ��r���sc��a �e�����ic�n �.C3 ���l1C� ����3E'���(J�1 F �'�1'll
�c�ntrt�! A,gency
���:`���v-����a��o�,� �xist�ng �ubs�rfac� �� ��e Tr��t �r�t Sys��ms
St.Pa�eE,��i 55?55-4f94 ���'�$}
Doc�ype:Comptiance and Enforcement
. ___._ _ ___._
Er�s�ructiorss: lnspect;on resuits based fln Minnesa4a PoEI�`io.�Corttrol Agen�y(MPCA? Far{ocai iracl�ing purpc�ses:
reauiremerts and attached forms—acsd'rtianai Ic>�a9 requirernen,s may a#so apply. ;
S�atsmif cos�p�eted gor�n to i.�ea� �1nit of Gover�ment(a..B'G)ar��systear�owner �
withi�a't 5 days ,
$�5'��3Tt S�d'�t15
Sys�er�s�tus arr date(Gnen/r�dZy�yy`�: 5i2�1201?
� Corr�p�l6ant— �ertifcate �f�omp3iance � 9�ancomp�iar�t— #Voti�� c�f Noncoe�a�8�ance
;Jalid far 3 ysars from report date, unless shflrl�r time (S�e ilpgrac'e f?equir�ments ar�page 3)
frame outlired rn Locat Ordinance.}
Rea�ara�s)��r nonce�mQlianc� (check atd a��lic�bl��
� im�act an Fubiic i-iealth (Casnpllance Component #1)—lmminent threat to pubtic h�alth arzd safety
� Gther Cmmpliance Conc�it}ons(Compliance Componen�#3)—imminerzt threat to publie health and safery
�Tank integrsty(Compliance Component #2)—Faiting��proteci groundwater
J �iher�ornpliance Condit'sons(Cornp9iance Camponen[#3)—Farling to protect groaenrlwr��er
;J Sai(Sep�:atian (ucmptrance Cornponent #��—Farting to proteci ground�rrater
;_i ��eraiing permi�tm�nitorir�g pfan re�uiremenis(Compliance�omponer�t #5}—Noneomptlanr
�f0�32i"Cy !i1'�OftT2�$20F� oarcet I�#or SeclTwp/Range: �31�972322�t�25
_.____- — ___
�rop�r�y address: 2295 Longv_iew Circle; Oronc,MN _ _ � �2eason for inspeciion: Propert�ransf�r__
_ _ _—..� �._ _
�rcp�ry awner� Sarb Gugan _�_._._ _ _ _.__.__ vwner's hone: 612-205-5446
arP ___ ...._.._ _ ----
C7v�i��r's representative: --- m__.�.__� ..._ _�. �epresentative phone:
_ .._ ____ �
�ocai reg�iatory a�:t�:ori,ry: _City_�f Qrorto__ _..____. —__----- �egulatary a�sthority phone: 952-249-4600
___— ..... —
2-10G0 ga�fon septic:arks,l-',OGO gallon 6i€�station and 55J square feet of mound rockbed. per cit�
Br�ef system descr�ption: records
__ ____.__- __-_ __._ � --_ ___—_---. _._ __�____.__ ----
Comments or recammendaticsns:
�ie�ch Mark is ihe iop of the€i{t station manhole cov�r.
Certification
f her�by certify that atl fhe necessary infarmation has been gather�d to��t�rmane fhe compfiance staius of this system. �tc
�`et�:r�rnation of future syste�r perform�nce has been n�e c�n be rrrade du�to unknow�n conditions dunng system canscructior,.
�ossible abuse of the system, rrra�equat�maintenance, a{future water usage,
inspecior narr�e: __Jose�h J QI_son_ ___ ___. .w_ _.._.,.._,.__ �ertificatian number: ?255
___—_ .
Business name: Rusf Oison's Soii&��rc.Test�r��_ _._._,.. __�_ Lice�se r�urnber: 81�
___ _�__ _
;nspectorsigr;ature� __—_ _ .__ . � ----.----__ ._..__--- Phcr�ers�m��r: 763-498-877�
�iecessary or �aca��y Rer�c�ired ��fia�t�rt��ents
� Soii boring�ags � SysterniAs-built drawing Q Fcrms per Iccaf ardinance
� Ot�er information (€is�):
_ —__ _—_._ __. __� _.._— . . __--. --
._____ ____._
www.pca.stace.mr.::s • b5�-296-630G • 8p0-657-386� . 'a'TY b5'f-282-5332 or 800-657-38b4 • avaitaole in atterna�ive€armau
wq-ww�s:s4•3J • 1124/1: t�ag� 7 of 3
�ropeRy address: 2295 Lon�c vi�w_Circls,Orano, MN lnspector initiaistDate: .�.0.5/24117
7. tmpact on Pubtic Heatth—ComRiiance corn�nent#1 of 5
_Compliance criteria:_ Verification method{s};
System discharge sewage to the ❑Yes � No � Searched for surface autlet
rg ound surface.__v ___ � Searched for seeping in yard/badtup in home
System discharge sewage to drain tife ', Q Yes � No
Q Excessive ponding in soil sySiemlD-baxes
or surfiace waters. ' ❑ Homeowner testimony(See Comme»r�xWanar;on)
_�__---....-- -
System cause sewage backup inta ❑Yes �No II �S1adc soft"a�ve soil dispersai syst�m
dwellirsg or establishment. � Systerr►requires"emergency"pumping
---__..._._ _ ___ � }�erFormed dye test
Any"yes"answer above Indlcates the sysiem is ❑ Unable to verify(see Comments�x�tanat;on}
an lmminsnt Threat to Public Health and Safet'y. ❑ pther methods no4 listed(See CommenrsiExptanstic�r)
Commenis/Explanation:
2. Tank It1'Ce��rity—Compliance component#2 of 5
Compiiance.critsr�a:_ Verificatian me#hod(s):
System cansis2s of a seepage pit, ' ❑�'es � No u Probed tank(s}bt�ttom
cesspool,drywell,or lesching pit. ' ��,, Exam�ned construdio�records
Seepage prrs meeting�080.255o may t,e j� F.acamined Tank Iniegrity Form;Anacn)
_compliern i�allowed in/ocal orrlinanc�.
Sewage tank(S)leak beiow their � ",' ❑Yes � No a Qbserved liqvid ievei balow operating cfepth
�esigne�opErating depth. ❑ Examined empty(pumped}ianks(s)
___�
df yes,which sewage tank(s)leaks ❑ �'ro�outside tank(s}for"biack soil"
� � ----� L] Unable to ve�ify(See�ommentslExptanadion,
A�Iy "yeS"answer abc�ve indicates the �pt}yer methods not listed(Sae CommentslEx,�tanation)
system is Faiting to Rrotect Groundwater.
CammentslExplanation:
Peterson Campany pumped the tanks.
3. Other Co�ptiance Conditians—Compliance companent#3 of 5
a. Maintenance ho4e e.overs ars Eiamaged,cracked,unsecvred,ar appear to structurally unsound. ❑Yes• B�No �unscr,awn
b. Other issues(e/ectricet hazaros,stc.)to immediately ana adversely impad public healih or safety. ❑Yes" �Na C unxnown
"System is an imminenP thneat to pu�lc hesl�►a�d asfaty
Explain:
c. System is non-protec�ive of ground water fior crthe�conditions as determined by inspector �Yes• �Ivc
'System is failing to protecf groundwater
Expiain:
_. _. _. _ _ _.�. __�� ____�........_�
_ . ...___ ----
www.pcastate.mn.us • b5�•296•6300 • 8�-657-386� • tTY b51-282-5332 or 800-657-3864 • avaitabie in altemative formats
wq-wwists4•31 • 1/24/12 0,,,,��„f,
Praperty address: 2295 Lan�view Circie, Orono,MM _ lnspector initialstDete: J.O.5/24/17
�4. SOii Sepe3�2ition—Compliance component#4 of 5
Date af instalfation: 5/08l85 ❑ Unknown Varification methad(s):
ShorelandnNeilhead protectioNFood Beverage �Y�$ ��Q ,��f���ryation does not ex ir�e. Previous soi!
������� obse�vaSons by two independent parties ar�su�cienf,
Compliance Cciteria: untess site conditrons have been altered orioca!
�orsystems built priorto Apri!1, J996, and �quir�ments difier.
�Yes ❑ �a
noi tocated in Shor+�isnd or Wellhead � COI1duCked S8i!ObS8N2t1011{S}(Att�Ch boring logs)
Protection Ar�a or not ssnring a fooal, � Two previous verificatians(Attach voring�ogs)
beverage o�lodging esta6lishment: � Not appiicable(Hotding tank{s),no arainfield}
Drainfieid has at least a twro-foot vertic�) ❑ Unable to verify{See Commenrs/Exptanation)
separatipn distance from per#odicaily ❑ Other(See Comments/ExpJanation)
satarated soil or bedrodc.
Non perforrnance systems buelt April 7, ❑Y�s ❑ No CommentslExptanation:
1996,or later or for non perfomrance
systems located in Shoneland or We!lhead
Protection Areas or servrng a fooa;
beverage, or todging esfablishrnenf:
Drainfieid has a three-foot vertical
separation disiance from pericdicaily
saturated soil or bedrock."
`Experimenta!" �omer; or �Perfvrrnance" ❑Yes ❑ No indicate dep#h�of elevations
systems built unde�pre-2D08 Rules;Type 1V
or V systems 6uilt under 2008 Rules(70�. A. Sottom of dist�bution med;a 103.0
�_._____—---_____...._
2350 or 7080.2400 (Advanced Inspector
License required) 8. Peri�icaily saturatad soitlbedrock 99.8
Drainfieid meets ihe designed veRica! � �.—____._
separetion distance from periodica!!y �� Svstem separatian 3,�.___
sa4utated soik or bedroCic. p�, #�equired campliance separatian' 2.0
__.,,m.._____ - _ ._ ��._
Rny "no"answer above indicates ths syst�lrr�is *��y��uc�d up to 16 percent if aAowed by Locai
_Failing ta Protect GrQundwafer. ord�nanc�.
5. Operating Perrt�it an�d Nitro�en BMP*—Compi;ance com�onent#5 of 5 � Not applicable
Is the system aperated under an Operating Permit? ❑Yes ❑ No t�"yes",A i�iow is required
is the system required to employ a Nitrogen BMP? ❑Yes � No if"y@S"y B�IBIOW!S iB(}iJlf'@d
BMP=Besf ARa»agement Prac�ce(s)specified in the system design
If the answer to both questions la "no'; thls section does not�sed to be carraplet�d.
GOi'i'1 I18t1C8 C€'!#@��
__....__ --
a Operating Permit number.
Hav_e t1�e Operating Permit r uiremenis been met? ❑Yes � IVo
b. is the re. uired nitrogen BMP in place and prope�Y functioning? ❑Yes ❑ No
Any "no"answer irtdicates Noncort�pliance.
tJ pgrade Requirrements(M;nn. Stat§1�5.55)An imminent threet fc putatic heeJth and safi�fy(ITPHS)must be upgr�ded,repleceir.or�ts use
discontinued within ten months of r�Ceipt of this noti�or wlthin 8 short8r period if requirad by k�ca!ardi»arrce. tf the sysfem es failrng to,�rofecf
qrourtd weter,the system musf 6e upgr8d8d,rr9p18C9d,�its u�disCORdnuBd within the time tequirod by lt�e►ordinance. If an existing system
rs not failing as defrned in 1ew,snd has at Je�st h�vo feet of des�yn soiJ ssparsf�n,than the system need naf be upqraded,repeired,replaced, or
rts use discontinus�f,nohaithstanding any locsl ordin8r�e that ig more�. Thrs plovision does not epply to sysfems in shoreland��&s,
Wellhead Protecfion A�as,or ihose used in connecbon�th foat beygrage,and lotlging establishments es defined in Barv.
� ._ _ —.___----- ._.._._..
www.pca.state.mn.us • 651•2%-6300 • 800-657-38ba • T7Y 651-282-5332 or 800-d57-386a • Avaiiable in altemative gormau
wq•wwisis4-31 • 1/24/t2 a,,,,o z„f�
Tank�eport
����: n�����, �c���
E�itcr J. Fetersc�n Ca.
S�2� �ague Ave.
UeianQ,itirll�T 55328
1'hone 763-972-2420
Fax 163-972-7217
MPCA License# 219
E3arb Duger�
22�5 ���gview Circte
�r3rt�, M!�5535&
�12-`�J5-5�46
13affles: �ON OFF
'Tari1c Cap�City: 3-�Ot?E�Gaiton Tarks
�of Tar�ics: �
Type c�f Tanks: Gancrete
�Satlons Pum�: 25��
:1�Ianhaies to Cxrac�e: YES ! N�
Comments:
flr, �a�/2�, 2��i. Elmer J �'eterson C0. ur�aYer�€3 2"�r�s�ri�oie�1C}inc�tes e��ep. 1�& lift stat�or
r�;a�T��l�to c�rade} and pumy�d septic ta�ks. l�t�cra�ks�r�t�r 1e�king in ta�ks at tims c�f pumpin�
NQTE:This is only a tank regort. This is nat a compliant;e inspection€or paint of sale nor does it
reglace a compliance 'sr►sgection.
. �
�roperly adtlress: 2295 L�ngrriew Cer�. lnspectos initia��lfla€e: 5t24117
f. 1mRact on P"ubE�c Heatth—Cam�iance c�mpone�,t#1 0€5
_com�t�nce critetia: . ___ __ _ 1�eri#�cat�+e�hod{s�:
s�stes�discharge s�wage to ma ' C�Yes C��►o C� sea€clted for su�face outiei
_.�rc�un�sc,,rface. .____..�._._.....�� ,.__� ❑ Sear€�i fcu s�eping�in yard�alcup in home
syste��scs�a�� ro�a� p Yes ❑rao Q �ss+�e���►�sy�ernro-ao�
ar surfac�wst�rs. ; CI Homeaa�mer#e�li�stony(Sae Ccirr�nenrs�xt�arrorr)
___ __^._. _ ___.
System cat�s@ sea+a9�bac4cup irttcs Q Yes ❑ No � "Bl�c sc�"abc�ve sait dispersa�sys2errt
�welling or�staDieshmecrt. � ���e��i��`��+'9�Y"Pu�f��9
_. _ _ _ __.__T_____. ____—____.__.._.._____._.—. Q P�rfa�med ci},e test
Any"yes"answer abo�e�e in+�e�dte�tys�rrt is Q Urtable fo v�rify(See Ccurrmer►ts!£x�srian)
an ltt�minetti T�T�t to Put�c �t!S�. � Other not tisieri{See Can�nts�Euptanetronl
`:ommentslE�ianation�
2. Tan�t lnte�rity—campl�c,ce��m�2 of 5
Ca �ance crifa�: ____,_-. _ ��riflc�tio�t mett�ad(a):
_.�-- --__._�__.�_
S�+s2em cansisis o#a�e pk, ; Q Yes �No � Rrobed ta»k(s}bottam
cesspont,�rywet3,oc ' g�Sit- p Examir�ec!c�tructia,recarrcis
seepeqe pits meetirrg 7€�8v.a5go may ae Q Exa�r►ir�d Tank itttegtiiy Form(Attach}
cD�ant�if&�owed in ivcsl d�`n�er.
— ❑ {}�settted lie�ici lev�t belr�v operatit�de�th
Seara�tank(s)l�ak k�ow t#teir Q Yes �No � Examitted emP3Y(PumPed}tanks¢s)
w d�sign�d cA�ra#'sr�g depth. _ � Ptr�t�d ' f�'tk{s)fcx'"btacic soii"
tf yes,which sewage tar�k(s)�tks: tr
_ _ __ _____.___________ Q �na#�k to v�rity(ses co,runerr�Ex,ptena�)
_..__...._._
Any"yes"ar�swer abave fnt�icate�the �;otr�er�,ad�s nat�isted�s�co�nc��r�,�r;a�1
sy�Y�am is Failirtc�to Pr+�te�c#C�+ratt,rr�sate�:
i.ummentsPE�ias�atiarti:
Oet 5l2�117,clxTte�s.Petersort Co.�uu�it�,!faCsi�,S.
3. C?ther Cot�pE�en�e ContNtiQns-�-Comp�iance ccmpo�ent#3 of 5
a. �rt�i€� f�c�e�vers�e ,crsdced, ,cu m� �ur�scwnd. C'i Yes* C3 rm �unknowr,
p. J�et issuas{ �ar�ee�,}�imm . r�ci sdve�'�elY�mPac'•t pubGfC cu set#ety. �Ya�' G tdo �urdcrsown
*S�t ls�arrmi�nf thr�,at�o pet;b�±c hsa/�F�ar�d s�y
Exp[ain�
�. Systet�n is t�sor►-�trot�dive Gf gr+�►nd walef f�d#�e[ 8� 'rsed by' ❑Y�` [1 No
"S �faii�g to louot�act gr+ou
Exptain:
___ .____ _ _�.____.__..._� �. ._ _��_.
�.r,row.pca.state.mn.us • 65t-29fr63aQ • �Kl-657-386a • 7TY 65t-282-5332 a�QQ-657•386� � Avaital�te in akternaiive formati
�vq-wwists4-3i • i124/tZ Paye 2 of 3
Soil Observation Log
��.SepticRasource.cam vers i?.4
Owner Information
Property Ow�ner-project: B�'b Dug331 flate �l�4/20�7
Propercy Address��tD: 229� Longvieu�Circle
Soil Surve Infarmation ❑ refer to atta�ed soil survey
Parent matl"s: �Trll �Outwasfi ❑�:aacu�rine `�Alluvium C Organic J Bedrock
(asldscape positian: � Summit ❑ Shaulder �i$��pe `Toe slope
�soi1 survey map units: L22C:� slope % direct,on-Lineal
�
Soil Lo #1
� ��� � P�t Elevatior� 1{�1.0 Depth to SHWT 32 Inches
Depth(in) Texture fragment% matriac eolor redox color consistence ade sha e
�
0-6 F"ili <35
�
� � I
� 6-!b Topsoil <35 IOyr312 Loose Laose Single;�rain
�
1
ib-�0 Ctay Loam <35 IOyr4i3 Friable Suong B�ocxy
�
i
� � ,� �
_b-�_ � Ctay Loam <�5 1QyrS14 Firm Strong 8iacky
�
E
i
� <33 loose loose sinate grain
� 35-50 friabte weak granular bi�xky
� � �5Q �r�s moderate Pnsmatic �sEacy,
� rigid S�a�� massi�e
s
I
�UlnmenTS:
2295 Z,on view Circie Soil Lm #2
� Saring � Pit Elevaiion 102.3 D�pth to SHVVT 26 inches
Depth(in) Texture fragnent% matrix color redox coior eonsistence �rade shape
0-[6 Topsoil <35 10yr3i2 Loose Loosa s;ng�e�,rain
�
16-22 �.oam <�5 10yr4I3 Friable Strot�g Bt�ky
�
22_26 � Clay Loam <'3S i�yr3/4 Firm �Strong s�ackti
f
s
� �3$ loose loose single gain
� friable tivea�: gr,�,urar b�,x�:�-
33-�(7
! �SO �iPt17 mod�rate prismatic piary
rigid strong '�+"s"'e
�3� loose loose s�ng�e grain
� 35 -50 friabie weal: gr�,�ia� b�Cw�v
� y�� firm rnoderate prismacic placy
rigid stron� �'�'�"'�
2295 Lon�view Girc3e Soil La #3
����g � gt Elevation Depth to SHWT
D�pth{in) Texrure fragment°'o rnauix cotor redox color consistence grade snape
� � C�5 io�se loOse 51�ular��blocky
friahle weak
1 1 35-50 firm moderate Pri�matic �a
� i �50 � ��
,
rigid g�pfl� massive
i , �,3g 1AOSe �OOSB si�l�lc grai�a
I ; fria6le weak �,u�� ��U��;�
3 35•50
� € )�� f11'in 2�'10deC3L� prismacic pic,ry
a
Ci�l(� 5VUrig ��sive
� <3� laose loose stn�te;rain
� 35-50 friable weak granular ntocky
� >�G firm moderate prisma�sc p3acy
� rigid stlon� sr.assive
��� IOOSE l�� single�rait�
; friable w�ak
� � 35-$4 £�u1ar bsoc�:�.
i >50 � moderate p*�smacic ptary
� , rigid strong massiv�
�` <3� 1�OS�E lOOse sinalegrain
� 35-SQ friable weak granula�� bio��g�
� � �,5� firrn moderate Prismacic p►ac•f
rigid strong massrtv:
t faYrehi1 certify thas wGrk wcrs completed in accordance with Mh'7tl&fI and arry IoraC req's.
-�
-r�' Rusty Oison`s Soil& Perc S 10
�gner Si�nature Company � �.icense�
� �a
, Gr�� r /"�� � t�'.T 2�`$ 3—�
��L'� L...l I�, r+ii 'Z'�' 3�l'[.
o•�rrr 2c,'to 3�f'to
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� r+a 31' 3���' ,�(
�* 3 s' 3g' i"
..- --- •-- ,.,..�,- ?"� „� 37'` '3 s'
/ _�,�.,.---'"—"'"" ..._.w!� 39'8 3'7'Z
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64f27l2010 21:26 7634975011 SPTESTINGINC PAGE 02/69�
`.���1
�'..� ���T���� I��i, SteVen B. Schinmers • MPCA Cert.No. 62'7
951 Katydid Lane �lE � St. Michael, MN 55376 • (763) 49?-3566
FAX (763) 497-5011
State License #394
April 20, 2010
Bayshore Realty - Patrick Kaveney
Bob Hardin �
2295 Longview Circle ,
Orono, Henn. Co., MN
A Compliance Inspection was completed for the existing on-site sewage treatment
system located on this property, The system consists of 2-1000 gallon septic tanks, 1�
10U0 gallon pumping chamber 8�a pressuriaed mour�d sysfiem with a 10' x 55' rock bed
built in '1985 for a 4 bedroom horr�e. Soil boring #1 found mottled (redox features) at
2.5' below the ground surface. Soil boring #3 fou�nd the original soil at elev.100.8 8� the
bot�orn ofi the rock bed at elev.102.9 learring 2.1' of sand below the rack bed & a 4.6'
separafiion from the bot�om of the rock bed & redox features. Soil boring #2 found
mottled soil at 2.3' below the ground surface. Soil boring #4 found the original soil at
elev.102.0 &th�e b�ottom of the rock bed at elev.1 U3.1 leaving 1.1' of sand below the
rock bed & a 3.4' separativn ftom the bottom of the rock bed & redox fe�tures. This
sys#em is classifed as in compliance with Minnesota Chapter 7080 rules.
The tanks were pumped by Elmer J. Peterson Co. &were found to be compliant at this
time. The manhole cover for fihe pumping chamber was replaced for compliance.
No#hing other than gray water (laundry, showers, etc.) human waste 8�toilet fiissue
should be disposed of into the septic tanks. Garbage disposals are not recommended,
due to adding more solids 8�fne solids passing through to the sysfiem. Recommend to
divert iron filters out of the system, recornmend to divert the water softner also if
diverting fihe iron filter. Excessive amounfis of soaps, anfiibacterial soaps, cleaning
agents, shower cle�aners used every shower & chlorine agents may kill the bacteria
need�d to treat sep#ic efF�uent. Addi#ives are not recommended. Recommend to pump
& clean your fiar�ks thraugh zhe manhole by a certified pumper every 2 years. Check
with your pumper to set up a schedule.
This Ge�tificate of Compliance is no guarentee that this system wil) continue to function
indefinitely.
'��� ���----.-�
Steven B, Schirmer�
1
04/27/2010 21:26 7634975011 SPTESTINGINC PAGE 03/09
S�P 7'�STIN�y ��C• � �teven B. Schirmers • MPCA Cert.No. 627
951 Ka�ydid Lane {VE • St. Miahael, MN 55376 • (?63) 497-3566
FAX • (763) 497,5011
Stste License#384
J„Q��F s�1L BORIN_GS
Bayshore Realty- P�triak Kaveney ' �
Bab Hardin
2295 �.ongview Circle �
Borings complexed on 4-13-10, vuith a hand bwcket auger.
,�g�l,� NUM��L EIev.101.1 - MO'i'TLED �OII,AT 36" - no standing water preser�t in boring.
0„ - 6,� Fi{I soil loam �sand
6 - 16 Original soil da�ic brown loam 10YR 3/3
16" - 20" Brown clay loam 1 dYR 513 ,
20" - 36" Yeliowish brown clay loam 10YR 5/6
36" � 40" Yeilowish brown loam 10YR 5/6 - distinct moifiles 10YR 7/1, 10YR 618
40" - 48" F'ale brown loam 10YR 6/3 - disfinck mottles 10YR 7/1, 10YR 6!8
�p���2-EIev.102.7 - MOTTL�D SOIL AT 40"- standing water present in the boring
at 46",during the bori�g.
0 - 12" Fill soil loam &sand
12" - 26" Original soil dark brown Ioam 10Y12 3/3
26" - 30" Brown clay loam 10YR 4/3 �
30" - 40" Yellovuish brown clay laam 10YR 5/6
40" - 48" Brown sandy loam 1�YR 5/3- distinct n�ttles 10YR 7/1, 10YR 6/8
�Q���G NI�MBEB�EIev.104.3 -�hrough the mound.
p - 6" Fill soil loam
g° � 42" Fill soil medium sand
42° - 48" Original soil dark brown�loam 10YR 3/3
�Qg,������lev.104.3-through the mound.
p - 6" Fill soil loam
g" - 28" Fill soil medium sand �
2g�� - 34" Original soil derk brown loam 10YR 3/3
64/27/2016 21:26 7634975611 SPTESTINGINC PAGE 04/09
{ , � ,
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M��.�esota �o��ut�on � Compliance Inspection Formi
Caiitrol Ag�ncy �������9 gubsurFace Sewage Treafiment Systems (SSTSy
57C7 I.��ayNlte Road North •
St.Faul,MN 55taS-R194 I,�oc TypA;Campllance end Enio�emon�
Instructions o� page 7j
SUItltYwa�'y �OtIT7 (Cvmplet�d form must be submitted lo tl�e lacal unit of governmenl withln 1 S days.)
P�rcel iiumb��; , � �
Syslem status: ~� � ��For Locel Tracking Pumoses;�� � ��`j
� Complient [I Noncom�lianl
(based on�11 Comp118nCe requirements) ' • ' �I
. , . ,
j�
Properfiy Information N� � � �+, ~ � �
Pronerty bwner namo(s): $� N���� Prpperty owner phone: 1,�4��7'�-39�
.,..��.�_ .
Prop�rty 2ddress: _,.��n�1L1iLRF!V��.�i"'�L�.'�-�Q��,4s2—, r... ,
f'roperty owner eddress(�f dlHprent); ;'
County:�.��P1.� permitting autho�ty: . D'��D�10 -•~ . .�`�.��
Date syslem conslructed: J 9 ^�S _ Reason for Inspectlon:��7����(�,f�,�,t,���� ;
System Description � . i�
Brisf syslem description: �J 170f7,,,�,� 5�vP�1�.�/��������„py� . l u�x s c lg.��_ _I
�eSaA
Lac�l permil number: � _ _ Number oF bedrooms: �__ Deslgn qw rAte: �( �O ,
Is the system: � • � '
In Shoreland�rea7 ❑ Yos � No In Weilliead f�rotecUon Area? ❑Yes � No
�An U.S. Cnvlronmenlal ProtEclio� System serving a MlnnesQfa AepartmenL
Agency(EPAj Class V Injection Well7�Yes � No oF I•leolh(MDH)licensed f�cility7 ' ❑Yes � No .
ComP�ldllCe StatU5 (Based nn sf�le r'equir�m'enta-eddiiipr�Al local requ;remer�ts may also apply.) �
Basod on llie Information galhered and repo�ted on att�cl�ed Forms,lhe compllance skatus of thls system is(check�ne): ,
�Cartifcate oF Com�liance-valid unt�l(3 years from date of reporO: �
❑ Notice of Noncompli�nce-For Noncompllanl systoms: '
The reason for noncompfiance Is': �
This noncompllant system I5 classified a� (check one bolow): � �`^' '
❑ Imminenl threet lo publlC he2lth a safety ❑Failinc��o prot�ct c7rotirld water' ❑ Nol in�ompliance with operFdng�ermit �
Certification �
I heraby cerlify chat a!►ihe necessary'informaUon has been,qafhered to de�ermine the complianae ataltrs of this system. No �
' determir►allon of futuro sys(em performance l�as Geen nor cen be made due to unlcnown condifions during sysiem cons�ructlon, �
possiGle abuse of Ih�system, inadequate ma/ntensnce, or future wafe�uss,qa.
Name; ��/�r�.y �3,S�,N�¢}^�¢� Cerlificatlon number� ��rl ,
Eiusiness license name and number: S:-4' "�'�jy��, �N� �,�/,;, �' ��03-y��35fmL�or
Name of local unll of govemment:
-et7�`-~� ^ ,.�_,._ • ,� . ..� i
Signah.ire: 7. ���-- � . Q�te: 4�l�/-.��5�,,.
Required Attachments � ;
� liydraulic Performance �Tank Integrity � [� Operating Permlt Form (if applicable)
5011 Borin� Logs Soil Separation .
System drawing/As-built drawlhg ❑Any local requirements that are different from what is required on this fo�m i
❑Other Information(Ilst):_ _ � • •
Upgrad�Requlrements (det/ved liom Minn. Sfat. § 115.55)An Imminent threa�fo publlc 1�ealfh and safi�fy(ITPHS)musf be upgr2ded, p
replaced,or!t�„se discontinu�d w!lhln lan mon►hs of racalp!of this nollce ar withln�sliorter perlad!f requlred by lacal ordinence.If the syslem Is
falling la��otocf ground we�r,r,the syslem mus!'be upgrsded,replaced,o'r lls use disconUnued wRhln tha•Ilme requlryd by laca/ordlnan�./f an
exlsling system Is nol fplllr►g es deflned ln law,andi�as at least twe fi:ef of daal�n soll sopare�ion, then lhe sysf�m need not be upgraded,repelred,
replA�ed, or ll�use dfscontlnued,nofwllhslanding�ny local ordlnanoe thaf�a more sfrlct. Th�s provlslon does no!appty!o sysf�ms In sh��enri
arees, Wgllhead Profect►on Aroas,or flipse Used in connestlon with fopd,beverage,ah�l ladging esfeblishmenis as defined In law.
ww.w�i..�. .►..�.....� ..� in• wn• ��..., ...... ..� ��. . � � ' ' .
64/27/2010 21:26 7634975011 SPTESTINGINC PAGE 05/09
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i
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�'arcEl number: ._ .. .. __, _„_,,,,, ,..,,, , _..,._„_,. .,,,__.__._ 5ystem st2lus: � Compliant ❑ Noncompliant ' �
(as delermined by Ihis form) �
;
Hydraulie Performa�nce and Oxher Compliance — Compliance Inspeciion Form for Existing SSTS
Complian�e Issue #1 of 4 '
Date of observallon: �_�'�-,ap,�p Re�son for observetlon: '��t-��i��(. �(Q'�Ar�.1.�, � �
Thls form expires upon nExt inspectlon or In threa years,whicliever occ�as flrst; , �__,..^ .,�_._J
Compliance questionslcriteria: (R�quired) Verification Method': (pptlonal) .
(Chech the appropr�ato box)�„.,...___ (Cliecic the approprlate box) '
Does the system dlsaharge sewage to lhe � ❑Yes � No • '
� Se�rchc�d for SurFace oullel'�11�
^,gruund surfece7 .__ __ � ,_�„ .�,_ ;
' ❑ f��rformed hydraullc lesf
Do�s Ihe systEm discharge sewage to dl'eln � ❑Yos ❑ Nq • � ,
.,,1lle or surface wAters?, ,.,, � . � ■ Searched fo�seeping in yard 1.�0 .
�ves tl�e system cause sewagP backup � CI Yes �No� ❑ Checiced far backup in home .
into cJwelllnq or esleblishmenl7 � �
-----��--�•-- � Excesslve ponding in soil systemlD-boxes r,p
• �Do other situations exlsl Ihal have lhe �+0 Yes �'No ❑ Homeowner testimony �
rotentlal to Immecllately and adversely • �
impact or threaten public healtfi or s�fety ❑ Examined for Surging In tank
electrical,unsafe covers Etc. ?_ ' '
Any"yes"answerlhdicates that the system!s an lmminer�t � "��acl<soll"above soil dis�orsa{system �.1�
lhreat to publlc hea/th and safety. I� Syslern requires"omargoncy"pumping •
❑ Performed dye lesl �
Does the syslem pose a lhreat to ground C� Yes �No .
water for any c:andl�lons deemed non- � ❑ Other, r�'�p ,,v A�, ��,,� ^_ I
�rotective�s determined bV khe InFv�ctof? I _.,__.,`
"Yes"/ndlcates that N�e system is failing to protecf
• ' i
grot►nd water If"yes", descrfbe fhe candltJon noted; "" •
� 'No standard prolocol exis�s. This►ist is not exhaus�lve,
---�--------,��-����--�- - -•�-•--• . In sequentia/ord�r, nor does it Jndicate which •
combinatlons are necess2ry to malte thls defermina(iun. �
Certification � �
�
Tl�ls farm is to be complEk�d and attached lo the Summary FoRn of the Mlnnesote Pollu#ian Canlrol Agency's(MPCA)Compliance
InSpection Form for Existing 5ubsurface Sewage 7reatmen4 5ystems.'ObseNBlions,interpr�tations,�nd con�lusipns must be i
compleled by an i�sp�clar.Completed,form must be submitted'[o the local unil of govAmmenl within 15 days.
Property�wner name(s): �OQj � �i � � �Y -�.,, �
. Properiy addross• ���L�����..,_..L�gL�r�_��—(�r0�.`d . _.
Pro�erty owner's 8tldress(If dlffarent)� � � �
. I
County: �.��¢�� Property own�r phono: �.�c�� �rJ'?, .- 39� , �
� ' � ' �
1 hereby cerliFy fhat I personally mede Ihe observallons, Inte�pretafians, and conclusions r'epaled on this form and U�a�rh9y are
carrect. � �
Nama; ,� `/��, �, ,����.��� • _,.. Certification number: (o a1 „ ,...
8usiness Ilcense name and n�imber: �•� �L��� �y��,, , �L���t�,�� 0)�°�w►�,e�,�.��,��y a� ,
Name of IoCs�l unit of govemment: � •
Sign�lure: �'_�__�.��/.�� ""-�"" � � ...,.,.- .�. �...,... DAte'. .L} .��� � O 1[�
. ' . �
• �
,-.. , _,..,_,.,,,.,.�.._.. • , �
wwuv.pCa.Stdke.ma.us� •• 651•Z96•6300 • � 800•657•�•8ir�-.�• TTY 651-282-5332 or 600-657-3864 • Available in alternative formaLs
94/27/2619 21:26 7634975011 � SPTESTINGINC PAGE 06/09
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Parcel number: ..:.._ . _ _,.. _ ._._._..,...._.. ___ . : ` _ System Stak�is; ' Q�Com�li�nt ❑NoncOmpliant •
• (as d�larmined hy�l�ls formJ .
Soil Separation Compliance and Other Gompliance- Compliance lnspection Form for Existing SS1'jS
Compliance Issue #3 of 4 � �
D�le of qUsgrv�tion: � � . �r_4'5�.�.�'� ��,��„'�_ �
,�,�J�jt�CI,�O._,v Reason fnr observatlon:
This inforrnallon on►hls form d�es no(explre. • �
Compfiance questionslo�iteria: (Required) Verificativn Method*�: (Oplional) '
__(Ch9C1(fl1g 8q�pf1A1@ bOX) , ' (Check!he eppropriate boxJ '
Far systems bulll prlar lo April 1, 1998,and nal I � Conducted soil obs�rvation(s)(attach boring logs}
locatsd fn Sl�orelend or Wellhead Protection �,�,�� �
Are�or nol serving a Food,beverac�e or � � � (] Two�arovious verifications(attach boring logs) .
lodging astahllshmenL- I � Q Othor. 3�,y'��1 .�� y�s�g���
Doe&.lhe system have al loast a iwo-foot ' ,
vertical senaralion distance from periqdic�lly J�
saturated soil or bedrocl<? _�,Yes No _, '
For nvrn•perForm�nca syslems built April 1, , � T ��
1996,ar laler or For non-��rform�nce syst�ms � ' -���•=
located in Shor�land or wellhesd Protectlon Soll obsarvallon does nol expire. Previous p�sarvaUons .
Areas or serving�a food,heverage or lodging by iwo indepenclent parlles are sufficienk, unless slte �
esLablishmenl; ��ndltlons have been All'ered. �
Doos khe syslem have a three-Foot verticai ' ;
separaki�n dlstance from �eriodlcally saturetetl ' � �
soil or bedrock?' _ �, ' Q Yes ❑ Np ' i
� .
' �or reduced separakian dlstence systems'(i.e., �
"performance"systems under old 7080.0179�r �' May ba reduced by up to 95 perG�nt if allowed In local ;
Type IV or V system unde�new 7080.2350 or ordrnance.
. 7080,7,q00): ' � "'No standard profocol exl.sts. This Ust Is nvt exhausffve,
Daes the system meel the designed vertical in sequential order, na does 1(indicafe whlch� •
soraratian disk�nce from periodically saturated combinations are necessary io make fflfs
soil or bedrock?" �Yes ❑ No delermin�tivn,
Any"no"answer indicates fhat[he system fs fafling to protect• '
�►round w,�ter. '
• � • �
Certification
�
This Farm is to be cnmpl�ked and alteched to lhe Summary Form of the Miranesala Pollution Control Agency's(MPCA)Compliance .
Inspection Form for Existing Su�surtae�Seuva�e Treakment Systams. Observations,interpretations,and conduslons must be .
completod by An�Inspector or deslgner.��orripleted iorm musl be submitted to lhe lacal unll of goven�ment within 15 days. ;
. • • ;
P�operty owner name(s): ���j�1� � � �
��., , , ,
�S �fl�� * ��
Properry�cldress: �� \����_G��,',L� p'��ys,0
�t--- 4. „_.
Property owner's address(if.dltferenq: �w � ,
.... ' I
Cc,unty: ,�.�!.,�.�.��p��,� Properly owner phone: 1^I.1,y�..Q�,.�:�.�_.• ?,eay��
1 hareby cerl/fy fhal 1 personally made fhe observaflans, lncerpratafions, And condusions repor(ed an thls form and that they ere
corrEct. � .
Neme: ,����/¢�� �,,•5�1�.1�!V�� _ Cert►f�ctation number. f� a.� I
Business license nerne and number. ��,Q��i�lU.1]�„ �•1,AL. L �` � ' ,
1.:C,_3��_l��.3=....4°1.�- ?,5 4�j,o � or
Name of local nit oF govemment:
Signat��re: '/'�'� � —�-..`. ,r -
Dato: �'-�?,J1-�OLO
www.pca.state.mn.us ' • 651•39fr•6-]OQ • A00•657-386q � TTY 651•2BZ•5337.nr.Rflfl�h57•iRlv4 . AvallahlA in a�rom���„a�.,.,,,.,�� •
04/27/2919 21:26 7634975011 SPTESTINGINC PAGE 07169
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Pa�el numbec „ ,. Syatem shWa: �ComplaM (]Nonaompliant
(es dsfmmrinod Ay fhJs form)
Tank IntegrNy and SaFety Gom�#lianea�Compliance/nspecNon Form fai Exisfin�BSTS
Confpl9ante Issue #Z of 4
Date oi ot�servAUon: 4l16/10 �,� Reacon for obsenatlon; Request of Owner _ W
Thia farm expirea on(thnce years�: M15/'10 _ _ _ _
-�.,.�
Compllaece qua�tlonalaMterla:(aequlred) Verlflaaqo�M�thod'":�optionaQ
rcneok a►o aapro�rt�te d ox (c+�N►R e,oAroprraf�nox)
Does We syetem oon�lsi of a seepage p�C, ❑Yo� �No ❑ pr,pp��k��rn
ceae ol d II or leaahl ft?
Do any sewago mnk(s)leek bel�rv the�r p Yoo � oN ❑ Observed law Ilquld Ievel
doai�nod opareUn�de�th? _. .,, ,.,M Q �xa�t�dned con�uuaion�corda
I�yas,Id9nliy whlch � bcamined emp4y(pun�pet�tank
sewago lank lo¢ks.
Any'yre.s".r�swsrMd�c�ea d►ar�ho systan�s hrt�n�ro prore�� ❑ proa�w oute�w ronK�br Naedc soll'
groand x�rsr. ❑ Pressurelvacuum chgak
" Seepage��is meating i080.zaoo ma„��p��a�uo�d C7 otner. � ,��
in arofnanoo by local pertMRlns aulhorHy. ._,,,..,,�
"Aro sts�darpprolb�cl e�lets.7rfs llstls►Iora�ua�e,M
aoquenifel order,nordoes It lnc�cate xfiid►eombhl9Efohs
ara nsossss►y Oo meke drla dleb�mina(ion.
Safety Check
1, Ar�maintenano�hote cover��me�d,cra�ced,or appas�d a bo strualu�aly uneound9 �Yen• 0 No
2, 1Naro rt�mintenance hole wve�s repleaed in P eewred mannar(ag.,scx+ew�roplaoe�� �Yea p Noy
3. W�a aecontlary ecosss restrak�t present(oofoly�n,socond covsr,or Eaf�V neUlnp)—htahti reoormnandad. p r� ❑No
4. Ar�e othet safelylfle�a�h Issu�preaen!? Ll Yes' �I No
6cplaln: On M15HO�EImer J,peterson Co.repleced conorete oover on&ft ststlon,
�� - � �� � .iY�
*System l�on imrMnsrrt tlNsat to pnbNc M�alCN end BafMiy.
Certiflcation
Thia form is io be aomplatsd�nd atlachad b�1e Summa�ry Form of Ihe Mlnnesota Pollullon Conhd Ape�tay'a(MPCA)Compnqnae
InapaeLon Fortn for Ezistlnp Subsu�fnco eew�go T�atnwn!9ystemr.ODaervaUons,fnMrpretatiana,and oafok��iona rnusi be
completed by an Inapecto�,maiMsin�or servke�vvlder.C�mpletad form mu�t be wbmlind w the Ixal u�R o�yovemm�rt wltAin
19 days. �
Propertyr arHner nart�e(F): Bnb Hardln ...�
Prvperty address: Z295 4onpview Circle, lon�Leke,NAV 5fl8S8 .- - -.�_� ..
wropady�wner'a address��r d�Rerent>; _,»`
Cauniy; iiennep�n - proparty owner phone• 480-773�3945 '�
I hereby ceMry�hat I personady made the observatJonr,pf�faf�ons,and ooncJua�bna rapo/!ed on this Portn and lhr�they ar�
raa►Ieo'
Neme; James Sraagelrtr�nn Certlticatlon numbor�
Builnass Ilcense name and�umber, �Imo�J.Pate�aon Co, llcense#219 q.
Nsma of bcal u i , v¢mment: +
3lpnetune: � .,... Dp�: 4121l10 .,
www.prr�:etete. .u� • 641•296�6300 . Ba0-e49.9861 TTY A51-282•�332 or 6pp-657-986d . Avxllablr in altemntMc forn�ae
wq�wlMsts•/•31 . �l i�/04 Poge 3 of 6
� i� •:��ra /.t T./.?[.6£9 L 00 �OSZt���a I.' ��I3 Wd T E:to o i o z•�z•��r
04/27/2010 21:26 7634975611 SPTESTINGINC PAGE 08/09
T��
Dat�: �rll 21,2010
Elmer J. Peter�t��n Gn.
59�t 1 lla�u� Ave.
1)elai��, MN 6f,92�
Phc�ne 7f��-97�,��I�QU
F'dx 7K'�-y7�-7�(7
MPCA, Licen�e# �1;)
Bob Hardln
�785 lcngvlew Clyde
l.ong Leke,MN 55356
t3st�l�s; (�N QFF
,
Tdnk C:apa�c�ty: 3-�00o cellon Tanks
# c�t'Tankq; 3
, . .�
Type�f Tsnks; Concrete
Callone: 2�� �
Manholeb to Grade: YF.S / NO
C;emments;
On M15/10, Elmer J, Peterson Co. pumped the Tanks. 1°`Tank�nd Lift 3tstbn Manhole�to Grade. Z"d
Tank Manhole-4'peep. No Cracks or Water Leaks A!7hls Time. Elmer J. Pete�sen Co.Replaced the
Concrete Cover on the Llft Station,
NOTiS:'!'hiF 1s only u tanl�roport 'L'his i,s not a oomplience inspcction frnr point of Hrlr.nor doeA
it rcp�ac�u n��mpliance insperc�tion.
�.a���nse# l 1 Q
T /'[ '�f7Tdd /Z�LZL6£9L O� iQOS�Zd �' �Z W3 ZE�TO OTOZ'�Z"xd�
64/27/2910 21:26 7634975611 SPTESTINGINC PAGE 69109
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'y� `-��� y� CITY of OltUNO
..�� :.� �
�] ����4�`'��,������ _ ^
`�' `;��Gr���i..•,i;,� ,yti Municipal Offices
�`�'C� r��'��•'''����;
� r Street Address: Mailing Address:
� �^,rr�.�:r 1'�� . . G
� 9 '.,'•.�','• •4,.�'
� �t'EggO 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address �a c�s �O,�t f(f �'�'t,�J
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 —� 3'
If yes, system must be brought into compliance by:
December 31, 2007 �
December 31, 2010
Other .
Septic Tank(s) Pump out Needed g
Yes � 3
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
�-(- d�� -o� . The tank(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments: '
~ �-O �v
Inspector�,���;Q, �,��� Date of Inspection
Telephone 1952)249-4600 • Fa�(952)249-4616
www.ci,orono.mn.us
� °�
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��i�;:��- CITY of ORONU
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Street Address: °ISa-a►49-�6o O Mailing Address:
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$'�Hp � 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: C�a�� L U^5�,�`� ��r C j C
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage trea.tment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMIT'Y (1-31: �
lO "CODE SYSTEM"An ISTS which meets all thelocation,design and conswction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An LSTS which dces not meet all the location,design and cons�uction standards of the current Orono
Municipal Code but dces meet the tkuee foot separation requirement or two foot requir�ement for systems installed 1996 or earlier,and
which is not fiiling or an i�inent 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
or may�ot�et all the location,d�.sign,or construction stanchrds of We ciurent Orono Municipal Code and wk►ich is failing for any
reason;and any ISTS with less than Uuce feet of unsaturated soil or sand between the distribution device and the limiting soil characterisdcs.
TANK CONDTTION(5-71:
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 �1�t-a'L, �
Make sure seatietanks are aumaed throu¢h manhole and not through white insaection pipes. This allows for the proner
cleanin¢. Keeu water softner and iron filter discharee out of sentic svstem to arolons life of drainfeld. Ask aumuer to test
alarm float to verifv alarm is still working in vour 6ouse. The alarm warns owner that seataee is about to backua into basement
7 Inspection risers missing-tanks could not be inspected. inspection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
DR.AINFIELD CONDITION 8-10 : �
Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield.is saturated and visibly discharging untreated ef�luent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
CONIl��NTS: M o.t�J �.. Se P ��S �O�k 4 K —
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Daie 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 dces
not guarantae or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system under current
conditions based on the available information.
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���'°�-� � � CITY of �RONO �
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��'��`.,���� g�'y . . Street Address: Maptn Addross. �
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E'S�I� . . 2150 Keiley Parkway P.O. Box 66
_ � � - Orono, MN 55356� .� Crystal6ay, MN 55323-0066
95d-�49-46ao � �
To Current Owner: Address: aaq� ��q �'�C�-,- C: rcl �,
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Ciry Ordinaace 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.
YSTEM G NFORMITY 1-3 : (
"CODE SYSTEM"M ISTS whIeh meeu all the toeatio�.daign and construcdon standards of the eumnt Oroao MuaIcipal Code. '
2 "COMPLIANT SYST'EM" An ISTS which daes�at meet all the location.daign and construction staadards of the aurent Orone Muntcipai
Codt but doa meet the three foot separation«quirement or two foot rcquirement for sysums installed 1996 or earlier.and which is aot failing or
aa launtnent threat w publie health or safety.
3 "NON-CONIPLIANT SYSTEM" A prohibtted ISTS;an ISTS loeated with3n a daignated 100-year flood plain.any ISTS which may. .
or may not meet all the loaation.daign.or construcdon atandards of�e cuaent Orono MunIcipai Code and wbtch Lt failfag tor aay�+eason;and
any ISTS with less than thrce feet of nnsaturated soil or sand between the dis�'bution device and the limtting soil eharacteristics.
TANK CONDITION(_�-:71: s �
T inspectioa indicates: � � .� - . . . .
��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.
T'ank was last pumped_ 5-29-d 1 �, • .
Make sure seotic tanks are oumoed throu¢h manhole and not throngh white insoection oipes
This allows for the oroaer cleaning;
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank:
INF LD CONDITION tC� : S�
8 Drainfield is dry,no surfacing evidenL
Some evidence of surfacing,not critical yet •
10 Drainfield is saturated and visbly discharging untreated eftlueat to the surfaca Contact the City Inspector � �
immediately.Repairs must be completed within 90 days. .
C�MIV��S: McJ�C� A�f� St��:L Ta�kS �vpK � � �
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Date of Inspection Matt Bolterman- Sepdc System Inspector
Note:in the event that this inspection rcport It used to satisfy the rcquicemenu for a moctgage or othet transfer of property�be advised thai this tepoR doa aot guaranue
or certit�tfiat an extsting rysum wtll condnue to tunctton propedy�bnt is�nenly an opinton of the adequary o[the system under eiurent wndidons based on die available
�nfomution.
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' CITY of ORONO
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\�EgHO�' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
July 7, 2000
Robert& Kathleen Hardin
2295 Longview Circle
Long Lake, Mn 55356 .
Dear Mr. & Mrs. Hazdin:
An inspection of your septic system was conducted on July 6, 2000. A summary of the inspection
is below.
SeQtic Tank Condition
1. Pumpout not needed at this time.
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.
Res ectfull
, ,.�.�'r-t�✓
is Pence
On-Site Systems Manager
Enclosu:es
In the event 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 eaisting system will continue to fanction 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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.t �`r,i;�;� � Street Address: Mailin� Address:
'�'Egg04' 2750 Kelley Pa�kway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323•0066
Owner: ��r'*' �-Q�,�'"�� ,� Address: 2295 Longview Cir.
Permit #'s: 7874 Dates: 4/12/85 Contractors: Salstad
(This. is [� ] an existing system [ ] new construction) .
SYSTEM COMPLIANCE (1-3) : 1
1 Code System: Meets or exceeds current City standards in all respects relating to design,
construction, and location. Appears to be operating properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be designed, located, and constructed in accordance with previous
codes and is functioning properly. -
3 Non-Compliant System: System may or may not meet current City standards for design,
construction, or location, but is failing to properly treat and dispose of the current
input; and any system with less than three feet of vertical separation between the bottom of
the drainfield and the saturated soil level.
(The saturated soil level is [� or is not [ ] identified under this septic system. If the
saturated soil level is not identified, this classification is subject to revision.)
T K CONDITION (5-9) : 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.
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 [ ] raater tight or the condition is [ � unknown. If the tanks
are not confirmed to be ovatertight, this classification is subject to evision.)
D INFIELD CONDITION (11-14) : 11
11 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: 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 3 feet and the system is compliant.
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Date of Inspection S tic ys em Inspec or
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�
M�micipel Offices O O
�ost Office Box 66
Crystat Bay, MN 55323-0066 � � ON—SITS SEWA(�S TREATI�iT
r�`,, �C,, INSPECTION REPORT
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Owner• � TTOYTI►� Address• � �
Permit #�'s: Dates: �T�7a� Contractore:
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is � an existing system [ ] new constr�xtion)
SYSTEM COIIFORMITY (1-3):
� "CODE SYSTEM"-A system which meets all the location, design, and caistruction standards of the current City
Codes, end which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system 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 instaltation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any potlutants into ground or surface waters.
3 "NON-CONFORMING STSTEM"-A prohibited system; a system located within a designated 100-year flooc�tein; any
system which mey or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic �}-has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDIT[ON (5-10):
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Sotids accuoulation in tanks indicates they should be punped out this year to help prevent future problems.
7 Sotids accumulation in tanks is at a critical level. 'fanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4�' die. pipe) must be installed in each
tank at next punpout. [f tanks have not been punped out within the last three years, they should be punped
out now.
10 inspection pipe is loceted directly over tank baffle (does not give accurate measurement of solids accunulation>.
If tanks have not been puuped out within the last th�ee vears, the sh uldl.be punped o t n w.
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DRAINFIELO CONOITION (11-14):
D field inspection indicates:
�Drainfield 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 [nspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING S1TE FACTORS (sloae,setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (decends on soils,water table.etc.): �J
COMMENTS:
Date of Inspection Sep ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a �rtgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will contirwe to functi�
properly� but is merety an opin�on of the adequacy of the system under current conditions based on the available
informetton.
This report must be kept on the pr��nises with the system locstion and punping records.
WHITE COPY/Inspectors File YELLOW COPY/Haneowner
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATMENT
r�,� � INSPECTION REPORT
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9kEsHo�'�
Owner: �C�!]�%� t7U1'Ul� Address: O�O� l� L�Y�✓,� Ci1�1�
Permit �'s: Dates: ���a��5 Contractors: /�/ST�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 tall into the category
checked below.
(This is �an existing system [ ] new construction)
SYSTEM CONFORMITY (1-3):
1 "CODE SYS7EM��-A system uhich meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface Waters.
2 "CONFORMING SYSTEM"-A system 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 uaters.
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 so�l characteristics.
(The limiting soil characteristic�has or ( ] has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-70):
T� inspection irxiicates:
Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems.
7 Solids accunulation 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 punped out within 48 hours to eliminate surface dischar�e.
9 [nspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next ptrnpout. If tanks have not been punped out uithin the last three years, they should be punped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accunulation).
If tanks have not been punped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION C11-14):
Dr nfield inspection indicates:
� Drainfield is dry, no surfacing evident.
�2 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 (sloae,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (deoends on soils,water table,etc.): /��
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COMMENTS:
Date of Znspection eptic 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
properlyi but is merely an opim on of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the preinises with the system locstion and pu�ing records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner