HomeMy WebLinkAboutseptic info Jul 11 1212:04p Joseph Olson 763-498-8290 p.1
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Fax Transnuttal Form
Da#e: 7/11/2012 Total Pages: ��B
To: City of Orono
Phone Number:
Fax Numbe� 952-249-46�6
. . , . , _, ,_, E-mail: � --- .
Frorr�: Joseph J Olson
Phone Number: 763-498-8779
Fax Number: 763-498-6290
E-maiL' r�styr�ES�'�.�mc_st.n�!
❑ Urgent
❑� For Review
❑ Please Camment
❑ Pfease Reply
Messa : This is the cert for 2749 North Farm Road. Please
file --
Ju111 1212:04p Joseph Olson 763-498-8290 p.2
� Minnesota Potiution Compliance Inspection Form
tontrol Agency
520 Lafayette Road Norifi ��Sw�9 Subsurfa�e Sewage Treatme�! Systen�s
St Paut,MI�55155-4194 ��g'rg�
Doc Type:Complfance and E�+oroement
lnstructions: Inspec�ion res�Es based on Minnesota Polluhion Contral Aeency(MPCA) For local tradcing purposes:
requireme�s and attacF�ed fiorms-addi�onal local requir�emeMs rrray also appfy.
Subrnit ccmpleted fomi to Local U�t of Gavemment(LUG)and sysbern owner
within 15 days
System Status
System stabus on datie(mm/ddlYYyy): TH 112012
� Compliant-Certificate of Compliance ❑ Noncompliarrt- Notice of Noncompliance
(Valid for 3 ysais fiam nepaf dafe, ui►less shorter frme (See Upgrade Requirvmer�ts or�page 31
frame outlined in Loca1 Oidinance.)
Reasa��s)br noncomplias�ce{check a!/applicabJe)
❑ ImRact on Public Health (Compiiaace Component #9)-Imminer�t tirreat fo public hea�th and safeiy
❑Other Compliance Conditions(Compliance Component iR?)-Imrninent tfr�at to pubfic health and saffety
❑Tank Integrity(CcxnpGance Component #2)-Failirrg to protect groundwater
❑other C�nplisrece Condfions(Compliance Component�l3)-Faihng to protect giaundwater
Q Soil Separation(Compliance Componerrt #4)-Fai!'urg to protecf groundweter
❑OperaGng permiUmonit�ing plan requi�rnents(Compliance Co�ponent #�-IVor�compliant
Praperty Infomnation Parc�l ID#or SecJTwp/Range: 211 1 62 341 0003
Property address: �749 North Farm Road.,Orono, MN Reason tor inspedion: Property Transfer
Property owner. Jeffrey&Jodelle Quiram Owner's phone: 612-689-4306
or
Owner's represe►rtat2ve: Representalive phone:
Lacal regulatory authosity: City of Orono Regulatory authority phone: 952 249-4600
2-1000 gallon septic tanks,l-1000 galbn EiR station and 680 square ff�oi mound rockbed.per city
Brief system descriptior�: recwds
Comrttenis w recommendatians:
Certification
I hereby cert�fy that al!fhe neoessary inlaimation has been gathered to de�ermine ti►e complian�ce sfatus of this system.No
detemrinatFon of future sysGem perforrr�ar�ce has bee»nor can be made due in anlmown conditions during system const�on,
possJWe abuse of t�e system,inadequate mainfe�enoe, or futu�e wate�usage.
Inspedor narne: Joseph J Olson Certficafion number. 1255
6usiness name: Ru O on's Soil 8�Perc.Testin license number: 810
Inspedor signature: Phone number: 763-498-6779
Necessary or Locally Required Attac�ments
�Soil boring fogs �System/As-built drawing ❑ Forms per local ordinance
�Oiher informalion(list):
www.pca.state.mn.us • 651-296•63U0 • 600-667-3864 • TTY 651-Z82-5332 or 800-657-3864 • Available in attemative formats
Ju111 1212:04p Joseph Olson 763-498-5290 p,3
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� Property address: 1749 I�orth Farrn Road.,Oror�o,MI� Inspedor inifizals/0ate: J.O.7/11/12
4. lmpatt on Pubiic Health-Compiiance component#1 of 5
Com liance criteria: Yerifrcation method(s):
System disd�arge sewage to the ❑Yes �No � �arched for surface outlet
round surface. � Sesrched for seepi�in yard/backup in h�me
System d�sdiarge sewage to drain ti� ❑Y� � No � ����g�nding in soil systemlD-bo�oes
or surFace waters. ' ❑ Homeowner tesdmony(See Comments/Exp�enation)
❑ "Black soil`above sal dispersal sysiem
System cause sewage backup irrto � ❑Yes � No ❑ System uires'em
dwelling or establishrnerri. �1 er9ency'pumping
❑ Pe�Formed dye test
Any"yes"answer ahove indfcates the system is ❑ Unable to verify�see car►mer�cpra►,erion)
an lmminent Thre�at to Public Heal�and Saf�y. � p�er methods not listed (See Gomrr,enfs/Fxplanation)
Comments/F�q�lanation:
2. Tank Integrity—Complianoe componerit#Z of 5
Com liance criteria: Ver�cation method(s):
System consists of a seepage pit, ❑Yes �No ❑ Probed tank(s) bottom
cesspool,drywell,or leaching pit ❑ Enamined construction records
Seepaga pits meetfng 7080.2550 may be ❑ Examined Tank Integrity Form (Aftach)
ient��allowed in foCal adinar+oe.
❑ Obse►ved liquid�vel below operating depth
Sewage tank(s)leak below their ❑Yes � No � ��mined em
desi ned ratin de pty(pumpe�tanks(s)
If yes,arhich sewage tank(s)�eaks: ❑ Probed outside tank(s)for°black sa7"
Any"yes"answer above indlcates the ❑ Ut�eble to verlfy(See Commenfs/Expfanation)
system is Failing�o Protect Groundwater. �Other methods not listed(See Comments/Explenation)
commentslExplanabon:
Elrner,f Peterson pumped t#�a tanks on 7/09/t2
3. d�her Compliance Conditions—Compliance component#3 of v
a. Maintenance hole covers are damaged,crackec#,unsecured,a appear tio structuraAy unsound. ❑Yes• �No ❑iJr�tcnown
b. Other issues(elecbicar lrazards,eac.)to immediately and adversely impact public F�alth or safely. p Yes' �No O Unknown
'"Syst+em is an imminerrt�hieat!a public health and safety
F�lain:
c. System is n�n-pratective af ground watec for oiher conditions as de�termined by inspedor p Yes• �No
"Sysiem is failing to prvUect grourtdwate�r
Ea�lain:
www.pwstate.mn.us • 661-296•6300 • 800-657-3864 • TTY 651-282-5332 or 600-657-3864 • Available 1n a{temative formats
Ju111 1212:04p Joseph Olson 763-498-8290 p.4
Property address: 1749 Npth Farm Road.,Orono,,,MN Inspector inidals/Date: J.O.7/1 i/12
4. So1l Sepe�dtio� —Compliance component#4 of 5
Dabe of installation: 10N7/91 [�Unknov�m Verification method{s�:
Stw�dNVe{Ihesd protectloNFood Beverage �Yes �No Soil observatron does nof ex
Lod�Fn�t pine.Pr�svious soil
observeSa�s by(wo i�deper�dent rverties are suAicient
Com Ifance criteria: urtless site cvnd;tions have been altared orlocal
For sysGems built prior to Apn71, 1896, and J8 Yes Q No ���erets difher.
not locafed in Shoreland o�WeUhead � Condudecf sail abservatian(s)(Aftact�borin�►ogs)
Protecbion il�a ornot se►ving a f�oc� ❑ Two previous ve�ifiCations(Attacn bwing bgs)
be►Aerage orlodging establishment: ❑ Not a
pplicable(�rotding tenk(s),no drsirhFeM)
Draerfiield has at least a iwo-foot vertic;�d ❑ Urrable to verify(See CommentslExplertafion)
separation distance frorn periodicalfy
saturaEed soil or bedrodc. ❑ Other(Sse Canmerrts/�xplanaNan)
NoR-performance sysbems bufltApril 1, ❑Yes ❑No Commen�s/Exp/anation:
1996.orlaterorfornorr�perfarnance
systems located in Shoreland or We/lhead -_ .� _ -
Protection Areas orserving a fflod,
6everage,orlod�g e�stablisMrnent: I
Drainfield has a three-foot vertkal
separation distanoe fr+om periodically
saturated soA oc bedrock"
`ExperimerKal; `Othe�",or `Pe�m►ance" ❑Yes ❑ No 11fdiCate d ths of elevations
systems built underpre-2008 Rules,•Type fV
or V syst�ms b�uilt ander 2008 Rules(7080. A. Bottom ot distribution medie 103.8
2350 or 7080.2400 (Advanced Inspector
License requ�e� B. Periodica saturated soiUbedrodc 101.1
Drainfield meeis the designed vertical
separation distance from periodicalty �. ��^ 2.7
saturated soil or bedrodc.
D. R uired oom lianoe se ion' 2,0
Any"no"answer above lndicates the system is �May be reduced up l0 95 perr.ent if aliowed by l.oc:af
Failing to Protecf Groundwater. Ordinance.
5. 4pera#ing Permit and Nitro�en BMP*—Compliance component#5 of 5 �Not applicable
is the system operated un�r an Operadng Pertriit? ❑Yes ❑No If"yes",A beiaN is required
Is#he system tBquited fo employ a Nitrogen 8MP? ❑Yes []No ff"yes", B below is required
BAAP=Best Management Practice(s)specified rn the system�sgn
If fhe answer to both questions is "�o', thfs section does not neeaf i�o be comp/ei�ed
CompFiance criterla
a. Operating Permit number: ^
Have the O rati Permit uiremeMs been met? ❑Yes ❑ No
b. Is the re ired nitro en BMP in �ace and r eri i�nctionin Yes I�to
Any"no"answer inalfcates Noncompliance�
Upgrade itequire�enls(M6r�.Stat§?15.55)Arr imminenf thr+�a[to publlc heallh and�(1TPHS)must be upgr�ded,rep/soed,a rts use
dlsovnGnued wifhln hen monfhs ofrecelpt of�is noGce or wifhin a shoiter pertod itiaquiied by docaJ or+f�noe.!f the system is tekEing ta protect
ground wafer,the sysfem must be upgraded,re,pJaced,or�"ts u�disocr�incred with�fhe bme requir�d by bcal ordf'mance.!f an exislrng sysfem
is not fa+7ing es defrired in law,and has etleest tuvo feet of design sal separation,then tl�e system need rwt be upgraded,repaired,replaced,or
!ts use d�scaMinued,no�w7hstandrng any local adiRance thai is rrbre sLict This provlsion tbes no�a�q�/y tp sysYemsln shoreVend m�as,
WeHhead Pralediron Areas,orlho�se ased in Qonnecfion wlth food,beverage,er�d lodgrng est�abNs�hments as defined!n law.
www.pca.state.mn.us • 651-Z966300 • 600-657-3864 • TTY 651-2$2-5332 or�0-657-3864 • Avaftable�atternativ�formats
Ju111 1212:05p Joseph Olson 763-498-8290 p.5
Tank Re�ort
Date: Juiy S.2012
EImer 3. Petersan Co.
592I Dague Ave.
Delano, MN 55s��
Phone 768-972-2420
Fax ?63-972-7g�7
MPCA License# 219
Je�f ar Jocti C��iram
1749 I�. Fatm Rd.
Long Lake, MN 55356
Baf�es: 01�1 / OFF
Tank Capaci�y: 3'�aoo Ga►�on Tanlcs
# of Tanks: 3 .... . . .
Type of Tanks: Concrete
Gallons Pumped: 2$a4
Manholes ta Grade: YES / 1�0
Comments:
Or�July 9,2092.Elmer J.PetersoE►Co. pumped septic tanks. No craC[cs or waiter leaks at tiiat time. Hig�
water alarm was tested and wortcs�ne. There is severe corrosion above the liquid level or all three tank
covers and the concrete riser on the lift station.
NOTE:This is onl��a tauk neport, This is not a compiiance inspectien for point of sale nor does
it rep�ace a oo�pliance mspection.
License # 219
Ju111 1212:05p Joseph Olson 763-498-8290 p.6
P�aperty address: 1749 N. Farm Rd.. _y Jnspector initiaislData 7/8l�
1. impact on Pubti'� Health—Compliance component#1 of 5
_Compliance cnteria: Ver�cation method(s�:
System discharge se�wege to the ' ❑ Yes ❑ Vo ❑ Searched for surface ou�let
ground surfac�. ___ __ � __ ❑ Searched for seeping in yard/isackvp in home
System discharge sewage tc drairt fii� ': �Yes �No � �0���'��onding in soil system/D-baxes
or surface waters. � ❑ hfomeo�mer testimony(See cwnmentsExplanadon)
❑ "Black soil"above soil dispersal system
System cause sewage backu�in#o i ❑Yes ❑No ❑ System requires"emergency"pumping
dwelling or establishinent
My"yes"ans�er above indreates tl�e system fs � pQ�O�d dye test
an lmrnir�ent Thr+eat tn Public Healfh and Safety. � Unable to verify(See Commem�tplanatian)
, _ , ❑ Othe�methods nait listed(See Comments�cpfar+ahon)
Comments/Explanation:
2. Tank Integrity—Campliance componem#2 of 5
Cocnpliance criteria: � __ Ver�cation rnethod{s):
System consists ofa seepage pit, � ❑ Yes � No ❑ Probed tank(s)bottom
cesspool, drywefE,or leaching pit ; ❑ Examined constructio�recards
Seepage pifsmeeb'ng T08D.2550 may 6s � ❑ Examined Tank Integ�ity Form(Attacl,)
campr'ant 1f allowed in local orclinance.
— ' � ❑ Observed liquid level below operating depth
Sewage tank(s){eak below tiieir : ❑Yes �No � Examined empty{pumped)tanks(s)
�egigned operadng depth.
If yes,which sewage tankfs)leaks: ; ❑ Probed outside�ank(s)for`black s�il"
AII�/ "yes'°answer abave indicai�es tha � Unableto verify{See Gommanrs/Ezplanatian)
syst+cirn is Fa�ling to Protect Groundwat{eer. � aher metnods noc r�d �s�c�rme►�r�,cp�„�on�
CommentslEuplanatior�:
Or�7l9I�2, F_Imer J. Peterson Co. pumpad fhe sept�c tanks. {Vo cracks or water leaks at that 1ime, High water alarm was
tested and vrorks fine. �tiere is se�ere corrosion ati6nre tFie liquld level of all three tank covers and the concrete riser en fift
station,
3. Other Compliance Condit�ons—Compiiance compone��3 oF 5
a. I'Jlaintenance ho�e covers ar�damaged,cxadced, unsecured,or appear to sstruc�uurafly Lr�sound. p Yes" �No p urdmown
b. Other issues(elechic�hazards,etc.)to immediately and adversely impact public healtl�vr safa;y. �]Yes' Q No ❑Unknown
''�ystem is an immFneni thr�eat to pualic hea/th and safery
Explain:
c. System is non-pratecbve of ground water for ott�er conditions as deiermined by inspector O Yes• p No
'�yst+em is fa�7irry to protertgroundwai+er
Explairt:
www.pcestate.mn.us • 651-296-6300 • 80Q-657-3864 • TTY 651-282-5332 or$00-bi7-3864 • Available in alt�native'ortnats
wq-wwisCs+3f • f/24/f2 AaqeZ of 3
Ju111 1212:05p Joseph Olson 763-498-8290 p.7
Loqs of Soil Borinqs
License#81t3
Location or Project: 1749 NoRh Farm Road.
Sorings rt�ade 6y: Rusty Olson's Soil and Perc testing T/11/2012
Ctassification System: AASHO � ; USDS�USDS�CS X ; Unified ;Other
Auger used(check two): Hand X . or Power , Plight, Bucket or Probe_X
Boring Number_1_Surtace elevation_102.6_ Mottled Soil at 1.5 feet
0"-10" Dark brown loam 10yr3l1 H20 p�sent at_X_
. 10"-18"8rown clay Ioam �t0yr4l� -_
18"-24" Rusty brown day loam 1Oyr5/4
Boring Number_2 SurFace elevaiion_103.2 Mottled Soil at X feet
0"-14" Dark b�own laam 10y�3/1 H20 prese�t at X
14"-24" Dark brovvn loam 90yr3/3
TBM: Top of lift station manhole cover Elv.-9 00.0 assurned
Original soil under the rockbed Elv_- 102.6
Bottom of rock bed Elv.-103.8
There is 1.2 feet of sand under ihe rocfc�ed
Jul 11 1212:05p Joseph Olson 763-498-8290 p.8
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���I � . ''`� C ITY of ORONO
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.t " '�' �:;'•,`:`:�;�G Street Address: GSa-a�-}q-y6o 0
Mailing Address:
�kE8H�4' 2150 Kelley Parkway P.O. Box 66
- Orono, MN 55356 Crystal Bay, MN 55323- 66
To Current Owner: Address: �� � � (�1 ��� r�``f� ��°
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY 1-3 : �
1 "CODE SYSTEM"An ISTS which meets all the location,design and conshvction standards ofthe current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the cunent Orono
Municipal Code but does meet the three foot sepazation requirement or two foot requirement for systems installed 1996 or eazlier,and
which is not failing or an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction stanchrds of the current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than three feet of unsaturated soi!or sand between the distribution device and the lirniting soil characteristics.
TANK CONDITION(5-7): '
Tank inspection indicates:
5 Pumpout not needed at this time.
�Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years,
Tank was last pumped ).
Make sure septic tanks are pumped throuQh manhole and not throush white inspection pipes. This allows for the proper
cleaning. Keep water softner and iron fiiter discharge out of septic svstem to prolong life of drainfield. Ask pumper to test
alarm float to verifv alarm is still workin¢in your house. The alarm warns owner that septaee is about to backup 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.
DRAINFIELD CONDITION 8-10 : C6
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: D�`'`���'.e� J �4��5 �1�-, � �c_ Y��C.� ��:.5 ��i�� �r
� t G��--�'r S �"` L v� C 2` a � MC�I� ,
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Date of Inspection Matt Bolterman - Septic System Inspector •
, y
Note: ln the event that this inspection report is used to satisfy the requirements for a mortgage or otlter transfer of property, be advised chat this report does
nu� guarantce or certif}• that an e�isting system �vill continue to function properl}•, but is merely an opinion of the adequacy of the system under cuRent
cunditions based on die available inforniation.
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�������-� CITY of ORONO
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�' Municipal Of�ices
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� ��.`;}�tJ'-•���'yG ' Street Address: Mailin Add
.�►i�
�'SI;O4 2150 Kelley Parkway P.OgBox 66ssc
Orono, MN 55356 Crystal Bay, MN 55323-0066
95a-�4q-y600
To Current Owner: Address: �7 4 9 No��I� �g r m �d
Ciry Ordinance 199 requires t�at each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewa�e treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): 1
�"CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYST'EM" An ISTS which does not meot all the location,daign and construcdon standards of the current Orono Municipa!
Code but does meet the three foot separation requirement or two foot requirement for rysums installed 1996 or eazlier,and which is not failing or
an imminent threat to public health or safery. .
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a daignated 100-year flood plain,any ISTS which may
or may not meet s11 the location,design,or conswction standards of�e current Orono Municipal Code and which is failing for any reason;and
any ISTS with leu than ttuee feet of unsaturated soil or sand behveen the distribution device and the limidng soil characuristics.
TANK CONDITION(�-:71: b
Tank inspection indicates: .
5 Pumpout not needed at this time.
6Q Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped $-17 �-q� l. �
Niake sure sentic tanks are oumaed throuah manhole and not through white insnection oines
This allows for the proper cleanin�.
� Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank.
DRAINFIELD CONDITION �tQ : �
8 DninfieId is dry,no surfacina evident.
9 Some evidence of surfacing,not critical yet. �
10 Drainfield is saturated and visibly dischazgina untreated ef�luent to the surface. Contact the Ciry Inspector �
immediately.Repairs must be completed within 90 days.
CO�I�NTS: M o��•� �OO�S O • ',CSfi �. SZ t;� a�k5 elfe C�•�e�e�
�n� u('en . ����,. S }-. tc.�kS �k ..-�t hnv' �o.�- b2c�. ��m :
.,..;�:.� 1�S�- 3 ye��S _ .
� -�> —o�: ��c
Date of Inspection Matt Bolterman- Sepdc System Inspector
Note:In the event that this inspection rcport is used W satisfy the requiremenc�for a mortgage or other uazufer of propecty.be advised that this report does not guaraneee
or certify ihat an e:cisdng system will continue to function properly,but is menly an opinion of the adequary of the system tmdercurrent conditions based on the availabie
infocmation.
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� � �� � CITY of ORONO
,� ���a��l��:�, �
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� {�� � �` �'�G Street Address: Mailin�Addreas:
`�'Egg04' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
August 10, 2000
Jeffrey& Jodelle Quiram
1749 North Farm Road
Long Lake, Mn 55356
Dear Mr. & Mrs. Quiram:
An inspection of your septic system was conducted on August 9, 2000. A summary of the
inspection is below.
. Septic 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.
Respectfully
C� -a���
Chris Pence
� On-Site Systems Manager
Enclosures
In the event this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,
be adrised that this report does no guarantee or certif�the e�sting system will continue to function properly,but
is merely an opinion of the adequacy of the system under current conditions based on the available information.
This report must be kept on the premises with the system location and pumping records.
Telephone(952)249-4600 • Fax(952)249-4616
www ci.omno.mn.us
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� � �� ���y'��,�.� ��15r Municipal offices
� ��'�,��-7�r��� � SVeet Address: Mailin�Addross:
�EggOg' 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
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Owner: Address: 1749 North Farm Rd.
Permit #'s: 214 D tes: 9/22/87 Contractors: Clover Hill Co.
(This is [�] an existing system [ ] new construction) .
STEM 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 operatinq properly.
2 Compliant System: Does not meet all current City standards for new construction, but in
most respects appears to be desiqned, 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 [�j or is not [ ] identified under this aeptic syatem. If the
aaturated soil level is not identified, this clasaification is subject to revision.)
K 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 tiqht or the condition is [ ] unknown. If the tanks
are not confirmed to be watertight, this classification is subject to revision.)
�D 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.) : loo►
CON7NIENTS: 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 3.5 feet and the system is compliant.
� ✓��
Date of Inspection Se System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a ,
transfer of property, this report does not guarantee that an existing system will continue to
function properly, but indicates the operation of the system under current conditions.
Telephone (612) 473-7357 • FAX 473-0510
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�� r:; �;��;.:�.'•�:'; �5 Mailing Address�
\�.'C�' �I;.,,,,'=!;�r".�'t��� G,i StreetAddress: �
�.. 1 �,�.t.,�t.r'..3,t.F' :•/
� ,�.,,:.,:, �'�:, P.O. Box 66
`�..., �qx �¢ 2150 Kelley Parkway
�:�. ESI3 .;%` Crystal Bay, MN 55323-0066
� Orono, MN 55356
To: The Cunent Owner of Address
i 7 � � �,��;r.�-t� Y1��.^'�
City Ordinance requires that onsite sewage treatnzent systems in Orono be
inspected on a periodic basis. The.onsite sewa?e treatment system at the above
address has been inspected and the following is known about t�ie system. A
sketch of the known components of the system is available for most properties at
the Orono City Hall. �
Imminent Public Healt�i Tha-eat
Yes
No �
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 14
days of receipt of this notice. The septic system must be broujht into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identif'ied as Non-Compliant
Yes �N�
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010 .
Other
Septic Tank(s' ump out Needed
Yes
No
The City recommends the septic tan.k(s) and/or lift tank be serviced and pumped
out every tYuee yea�s. City records indicate the tank(s) were last pumped out on
�_. j 1-�� . The tank(s) should be cleaned through the mailhole and
not through the inspection pipes, tlus allows for proper cleanin�.
Comments:
.�
Inspector: ' Date of Inspection � �� C��`'
TelephonE i9=2j 249-46(1Q • Fa� (9�2)249-461(
CITY OF ORONO �O�
Municipal Offices O O
Post Otfite Box 66
Crystal Bay, MN 55323-0066 a � ON—SITE SEWAaE TREATN8M1'
r�, � INSPECTION REPORT
� G�
��kESII��'�
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Owner• � Address•
Permit �'s: Dates: /���7 Contractors:
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�1 an existing system [ ] new construction)
STSTEM CONFORMITT C1-3):
� �'CODE STSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
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 waters.
3 "NON-CONFORMlNG SYSTEM"-A prohibited system; a system located within a designated 100-year floo�lain; any
system which may or may rwt 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 send
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic b(� 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 C5-10): �'
Tpr�c inspection indicates:
(y Punpout not needed at this time.
6 Solids accumuletion in tanks indicates they should be punped out this year to help prevent future problems.
7 Solids accumulation in tanks is et a critical level. Tanks should be punped 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 [nspection risers missing-tanks could not be inspected. lnspection risers (4" dia. 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
OUL �10N.
10 Inspection pipe is located directly over tank beffle (does not give accurate measurement of solids accunulation).
1f tanks have not been p�mped out within the last three years, they should be punped out now.
DRAINFIELD CONDITION (11-14):
Dqatirfield inspection indicates:
11» Orainfield is dry, no surfacing evident.
'f2 Same evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE fACTORS (slope,setbecks,etc.):
POTENTIAL FOR SYSTEM FAILURE Cdecends on soils.water table.etc.): ��
COMMENTS:
Date of Inspection c Sys em nspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properlyi but is merely an opim on of the adequacy of the system under current conditions based on the available
informetion.
This report must be kept on the premises with the system locstion and punping records.
WHITE COPY/Inspectors Flle YELLOW COPY/Homeowner
CITY OF ORONO �O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(iE TREAT�NT
� � INSPECTION REPORT
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��9kEsxo�'�G
Owner: ///iDl�L� IO���ID►r'P,\l)S Address: �/`�/ ./llN h 'A✓I'r1 ICGi.
Permit #'s: Dates: %I�a�—� Contractors: U�✓ fri 1' Ca.
City ordinance nwnber 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 construction)
SYSTEM CONFORMITY 1-3 :
"CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system uhich 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 �nto ground or surface aaters.
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 identi ied, this classification may be subject to revision.)
TANK CONDITION (5-10):
Tank inspection indicates:
5 Punpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumed out this year to help prevent future problems.
T 5olids 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 uithin 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 purtipout. If tanks have not been punped out uithin the last three years, they should be punped
out now.
� lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks av not been pimped out within the last three years, they should be pumped out now.
o-
DRAINFIELD CONDITION (11-14):
Dr field inspection indicates:
Drainfield 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 inspector
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope,setbacks,etc.):
POTENTIAL FOR SYSTEM fAILURE (depends on soils,water table,etc.): /��
COMMENTS:
Date of Inspection Se ic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certtfy that an existing system will continue to function
properlyi 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 purt�ing records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
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