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r ' ' 5, [Vihinesota Pollution Compliance inspection Form Control Agency Existing Subsurface Sewage Treatment Systems 520 Lafayette Road North St.Psui,MN 55155-4194 (SSTs) Doc Type:Compliance and Enforcement Instructions: inspection results based onMinnesota Pollution Control Agency(MPGA) For local tracking purposes: requirements and attached forms-additional local requirements may also apply. Submit completed form to Local Unit of Government(LUG)and system owner within 15 days System Status System status on date(mmlddlyyyy): 3 -a a- Compliant—Certificate of Compliance ❑ Noncompliant-Notice of Noncompliance (Valid for 3 years from report date,unless shorter time (See Upgrade Requirements on page 3) frame outlined in Local Ordinance.) Reason(s)for noncompliance(check all applicable) ❑ Impact on Public Health(Compliance Component #1)-imminent threat to public health and safety ❑Other Compliance Conditions(Compliance Component#3)-Imminent threat to public health and safety o Tank integrity(Compliance Component #2)-Failing to protect groundwater ❑Other Compliance Conditions(Compliance Component#3)-Failing fo protect groundwater 0 Soil Separation(Compliance Component #4)-Falling to protect groundwater ❑Operating permit/monitoring plan requirements(Compliance Component #5)-Noncompliant Property Information Parcel ID#or Secrfwp/Range: Property address: Sd Ov9 4-0441744-- Li s{ '0.5,1‘014, 4,) Reason for Inspection: f 49 ..? Property owner: Slut c Owner's phone: or Owner's representative: (...144,4 SAW 1 GNP Representative phone: t,vl-'"a#10 )o o t Local regulatory authority: dam- q•4171_, Regulatory authority phone: 'hos - a.49-Moo Brief system description: a-10042. c -A.c.'On-840-47 /V ad «1 ?L1ti4.41,�. 5-€+ Mta,au.1ot- , Comments or recommendations: S4s dw1 4,4 4 10,x 54' ogns W4. H't Qovw, 14 0 Certification 1 hereby certify that all the necessary information has been gathered to determine the compliance status of this system.No determination of future system performance has been nor can be made due to unknown conditions during system construction, possibleabuse of the system,inadequate maintenance,or future water usage. Inspector name: yfe/y{�j, ' \ Certification number Business name: 4 License number Inspector signature: Phone number ')i - y ct -' 5 tnt,, Necessary or Locally Required Attachments 11 Soil boring logs ®System/As-built drawing Q Forms per local ordinance ❑Other information(list): ritt?CaltUar • OVUM • 015T•3164 I ITT 651.16I'533Z v100157.3861 ' available in alterative formats Property address: O.'57 y:4 iv Inspector initials/Date: 4.`&0' 3-3,-Y7 1. impact on Public Health—compliance component#1 of 5 . Com•Bance criteria: Verification method(s): System discharge sewage to the ❑Yes ®No 0 Searched for Surface outlet •round surface. • Searched for seeping in yanUbac up in home 3 • it emissive In System tem discharge sewage to drain the ❑Yes a Na ponding soil systemlO-boxes iJt� • sdwaters. 0 Homeowner testimony(See Comment 1Thcpianalion) sInto 0 Yes ® I soa"above soli dispersal system 4.1 System cause sewage backup y7 dwelling or edabtshrnent. ® reams"e" g° 'pumping 3.1.0 ❑ Performed Any"yea"answer above Indicates tine system Isttodye test 0 Unable verify(ass Con►naer,faerprar,attar,) an Imminent Threat to Public Health and Safoily. p Other methods not listed(See Comrgenta+Explar adrm) Comments/Explanation: • 2. Tank Integrity--Compliance component#2 of 5 • Compliance criteria: ,. .Verification nurthod(s): • System consists of a seepage pit, 0 Yes ❑No . 0 Probed tanks)bottom cesspool,drywall,or leaching pit. ❑. Ertamined corstructbn records Seepage pita meeting 7080.2560 may be • ❑ Examined Tank integrity Form(Attach) complyi stowed in loyal arirmr ee. Observed liquid Sewage tank(s)leak tallow their ❑Yee 0 Na IDlevel below operating depth designed operatic doh. 0 Examined empty(pumped)tanks(s) If yes,which sewage tanks)leaks: 0 Probed outside tank(s)for"black sail' Any"yelp answer above indicates the ❑ Unable to verify(Sea m rpia aria) system is Failing to Protect Groundwater. ❑Other Methods not fisted(See Com mentsExplanesson) Comments/Explanation: • Se-6 -OrtA 11.1-4(444.04 f.e.fipotpco *PfX0ig5cog 60 9 • 3. Other Compliance Conditions--Compliance component S3 of 5 a. Maintenance hole covers am damaged,yuan,unsewed;or to y tusarutd. ©Yee )♦No ❑Unknown b. Other issues(eaoalael hazards,era.)to inanedietely raid*dainty knpact pUbb health or Safety. 0 yes* ■No 0 Unknown *System is an imminent!beet to pubba health and meaty Win: c. System Is non-protective of Wound water for other yrs es detenrb,ad by Inspector Ci Yes ■No *System Is filling to protect Explain: • • Vtftglaktittalik5 5111%415 i1106144 s . 71!j. " or • Available in alternative formats ew..wwlrte/.7! . 117.41 el • Property address: '46 SO ' ©'-'o Aotri 'Brise Inspector IrdtlaisiDate: Ste 3`3o-1 • 4. Soil Separation—Compliance component#4 of 5 Date of Installation: l ot.1 lr 0 Unknown Verification method(s): ShoralsndIWelltrexd P* Q °°d Beverage ❑Yea ■No Soil observation does root expire.Previous soil 1-W91W • observations by two independent parties.am sufficient Compliance criteria: unless ails conditions have been altered or local For systems built prior to April 1. 1998,and 0 Yes ❑No requirements differ.not located in Shoreland or Wellhead ■ Conducted soil observation(,)(Attach batng logs) Protection Area or not serving a food 0 TWO previous w cations(Attach boring logs) beverage orladg+g establishment ❑ Not toticable(Haling tank(,),no dralMbtd) Drainfleeld has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation) separation Move from periodically 0 Other(See Camments/Exptanatbn) saturated soil or bedrock. Non-performance systems built MO 1, I Yes 0 No Coni nentslExplanation: • 1996,or later or for non-performance systems located In Shoreland or Whelhead Protection Ames or serving a.bod, beverage,or lodging establishment: Draintbld has a three-foot vertical sepostion distance from periodically • saturated soil or bedrock.' `Experimenter, `Other",or 'Performance" 0 Yes ❑No Indicate depths of elevations systems built under pre-2008 Rules;Type IV se 0l- w 3••S ° r,'7'BAs.N,, or V systems built under 2008 Rules(7080. A. Bott m of distribution maths 54411.-to 3.4, a,$°sal 2350 or 7080.2400 (Advanced inspector sR 4 I u,k."• License required) . B. Perk:40=1r saturatedsoli/bedrock Siv a. I.o Drainfield meets the designed vertical O. System sarearationrits, 3 5 separation distance from periodically saturated soil or bedrock. D. Re nuked compliance separstinn• o•0 Any"no"answer above Indicates the system is- .May be reduced up to 15 percent If aliowed.by Local Failing to Protect Groundwater. Ordinance. 5. Operating Permit and Nitrogen BMP° compliance component#5 of 5 ■Not applicable . Is the system operated under an Opera**Penult? 0 Yet 0 No If ayes",A below is required Is the system required to employ a Nitrogen BMP?• ❑Yee 0 No If"yes",B below,,required BMP=gest Management Practice(s)specified kr the system design If the answer to both questions is"no", this section does not need to be completed. Compliance criteria a. Operating Permit number: ❑Yes 0 No Have the Operating Permit requirements been met? b, Is the required nitrogen BMP hi place and properly functioning? ❑Yes 0 No Any"no"answer Indicates Noncompliance Upgrade Requirements(Wirer.Stat §118.55)An Imminent threat to peek aseirb and safety )must be upgraded.replaced,or Its use cfaconth,ued within ten months ofreceipt of this notice or Whin a shot*Wad ilregked by local ordinance.If the system is telling to protect wound water,the system must be upgraded replaced ores use discontinued within the lima mucked by local curare*.If an existing system Ls not keg as defined in law,end has#t least too feet of designer seprgM►on,then the system need not be upgraded.repaired,replaced,or Its use dscongnued,notwithatencIng any localomben ce that's mom sidert This prcvfsb n does not epptyio systems in shoetami areas, Wellhead Protection Areas,ar those used in connection hcrttfh food beverage.end lodging esteblishmerts as defined kiwi. WV!► ,tiltdl ,Ul 651.1%.6101 ' riii5A64 i 1TY 6i1•l&333 o' 7,3I64 ' Avallitle h s cathe flxmati .........r...._�. . 41141+) Tank Report Date: February 21,2017 Elmer J.Peterson Co. 5921 Dague Ave. Delano,MN 55328 Phone 763-972-2420 Fax 763-972-7217 MPCA License#219 Andy Ellwe n 850 Old Crystal Bay Road Wayzata,MN 55391 812-270-1001 Kathy(Realtor) Baffles: C OFF Tank Capacity: 3-1000 Gallon Tanks Per City Records #of Tanks: 3 Type of Tanks: Concrete Gallons Pumped: 2500 Manholes to Grade: 0, NO Comments: On February 21,2017,Elmer J.Paterson Co.pumped septic tanks. No cracks or water leaking in tanks at that time. NOTE:This is only a tank report. This is not a compliance inspection for point of sale nor does it replace a compliance inspection. • Property address: 850 Old Crustal Say Road inspector Initials/Date: 7!21117 y; 1. Impact on Public Health—Complance component#1 of 5 Convihetce criteria: Verification method(s): System discharge sewage to the ❑Yes 0 No 0 Searched for surface outlet ground surface. 0 Searched for seeping In yard/backup In home System dbdmege sewage to drain the ❑Yes 0 No 0 Excessive ponding in soil syaMrtW-bootee or surface oaten. ❑ homeowner testimony(See ComentaaplanetIonj p •31adr nor above sop dispersal system System causer sewage backup into ❑Yes 0 No ❑ System requires'emerperwY pumping dwelling or establishment0 Performed dye lest Any'"yes"answer above inScalaa the system Is ❑ tie to vertfy(See ) an hnminarnt Threat to Public Hotta and Staf4W. 0 Other methods not Meted(See 2. Tank integrity—Compliance component#2 of 5 Compliance criteria: _ Verification method(s): System consist ala seepage pit, ❑Yes ®No 0 Probed tardc(s)bottom cesspool,drywall,or leeching pit. ❑ Examined co otrudlon records &wale pea twitting 70802550 ntay be 0 Examined Tank Integrity Fonn(Asad►) aor toArr+GJf arwarvs dare non orrd wxae. 0 Observed liquid level below operating depth Sewage tanks)Mak below their ❑Yes 0-4 No E Examined empty(p tanks(s) designed accreting depth. 0 Probed outside tanks)for blade son If Yes,which swage tallMai beaks: 0 Unable to verify(see Any"`yore'answer above indicates the ❑cream methods not listed Me* system Is Falling to Protect Groundwater. On 2/21117,Einer J.Peterson Co.pumped tanks. 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenaroe hole cream am damaged,cranked.u seaasd,or appear to etrudundly rewound. ❑Yes' ❑Na 0 Unknown b. Other Issues(e/eurroanew*eau)to krenedlntely and adversely Impact pubic health or safety. O Yea' 0 No 0 tMrmonw 'System Is enImminent Onset tepet*heathandsalely : a System is non-protective of ground water for other candid ons as determined by Inspector ❑Yee* ❑No 'Systemk Mirotoprotetgeomrrh Explain: www.pp.state.mr.us • 681-296.6300 • 900-657-3864 • TTY 651.282-5332 or 800.657-3564 • Available in alternative famine wq-wwMMta4-31 • 1124112 pop 2 of 3 SP TESTING INC. Steven B.Schirmers —951 Katydid Lane NE—St.Michael,MN 55376 Cert.No 627 — State License#394 — Phone 763-497-3566 — Fax 763-497-5011 www.sotestina.wastewatertecomcast.net— schirmerswastewater.coni April 10, 2017 Andy Eilwein 850 Old Crystal Bay Rd. Orono, 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, 1-1000 gallon pumping chamber & a pressurized mound system with a 10' x 54' rock bed built In 1996 for a 4 bedroom home. Soil boring #1 found mottled soli (redox features) at 1.7' into the original soil. Soil boring #1 found the original soil at elev. 101.9 & the bottom of the rock bed at elev. 103.5 leaving 1.6' of sand below the rock bed & a 3.3' separation from the bottom of the rock bed & redox features. Soil boring #2 found mottled soil at 1' into the original soli. Soil boring #2 found the original soil at elev. 100.9 & the bottom of the rock bed at elev. 103.4 leaving 2.5' of sand below the rock bed & a 3.5' separation from the bottom of the rock bed & redox features. This system Is classified as in compliance with Minnesota Chapter 7080 rules. The tanks were pumped & certified by Elmer J. Peterson Co. Nothing other than gray water(laundry, showers etc.) human waste& toilet tissue should be disposed of into the septic tanks. Garbage disposals are not recommended due to adding more solids & fine solids passing through into the system. Iron filters are also not recommended & should be diverted out of the system. Excessive amounts of soaps, antibacterial soaps, cleaning agents, shower cleaners used every shower & chlorine agents may kill the bacteria you need living in the system. Additives are not recommended. Recommend to pump & clean you tanks through the manhole by a certified pumper every 2 years. Check with your pumper to set up a schedule. This certificate of compliance is no guarantee that this system will continue to function indefinitely. Steven B. Schirmers SP TESTING INC. Steven B.Schirmers —951 Katydid Lane NE—St. Michael,MN 55376 Cert.No 627 — State License#394 — Phone 763-497-3566 — Fax 763-497-5011 www.satestina.wastewaterd}comcast.net— schirmerswastewater.com SOIL BORING PROFILE Andy Eliwein 850 Old Crystal Bay Rd. Orono, MN Soli borings completed with a bucket auger on 3-30-17 SOIL BORING #1 - ELEV. 104.7- MOTTLED SOIL PRESENT AT 1.7' Into the original soil - NO STANDING WATER PRESENT IN THE BORING. 0 - 6" Fill soil loam 6" - 34" Fill soil medium sand 34" - 40" Original soil dark brown loam 10YR 3/2 40" - 54" Brown clay loam 10YR 413 54" - 60" Brown clay loam 10YR 5/3 - distinct mottles 1OYR 6/8, 10YR 7/1 SOIL BORING#2- ELEV. 104.6- MOTTLED SOIL PRESENT AT 1' Into the original soil -NO STANDING WATER PRESENT IN THE BORING. 0 - 12" Fill soil loam 12" - 44" Fill soil medium sand 44" - 56" Original soil brown clay loam 10YR 4/2 56" - 62" Pale brown clay loam 10YR 6/3- distinct mottles 10YR 618, 10YR 7/1 • • . SP TESTING, INC. .. Steven B. Schirmers • MPCA Cert.No. 627 951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497-3586 FAX(763) 497-5011 State License#394 wwwsptesting.wastewater©comcast.net- schirmerswastewater.com — C.,4• Yr-4 c Av./I CA--I VA LAN- IS 50 0,,$) cerd4.0-64,L- GA-4 szv, 00-01.4 o t-41.4 1-114‘1‘S . CO- N ...... / / / 4tAi-- 65. f.R -- - •-• • vs CT es 4 't / ,4 at s' 4k, • -y- -- • "TaNY, 0 OvgeN/ti. .1C1164 47 0 lir-Ion lips;at.,,Y_1.1, iltirit.smfri „,...0-y.N.Nts6,i.... Lov.9 ,f4i4v. 1,1044.4_ Idoe-- 1 oz.6 \Argotils4,4 I,Ai 691449 kw,. 144 _A__3,41 SAW-sie&014_ owl,up.L. . 11440 (11 ‘'ell7 a ' i°4•ko 14k*Oho.f. 1,0 05Fsk-s.94AY. 0 , oti..\\,40 , )00.0f *woo 14.0.1.1v)-S C:1 4ktof- i QZ•A s.,,tislrif i).04.1/4,4 a SI ts‘blk‘ ,P ____ 0 (._ (17, (_- 0 , 0 4,4 176114 (15 liAtiv....10 3,s - I-- a 4/4 s t'' 1101', MOIM-1/4c, to30, 1 C (''' .1 0\\\\\ CITY of ORONO „\ �� I'%' ~ Municipal Offices \\,� , 11 , i G Street Address. Mailing Address: 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To: The Current Owner of Address o U( c c151-01 1 15.�I S City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a periodic basis. The onsite sewage treatment system at the above address has been inspected and the following is known about the system. A sketch of the known components of the system is available for most properties at the Orono City Hall. Imminent Public Health Threaf ------- --- 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-sa Will result in referral to the.City Attorney for - legal action. System-Identified-as Non-Compliant es No - _ —If yes,.system must be_ brought__ into compliance by: December 31, 2007 '- --- .---December-31,1010___.- Heeember-31,-010____. Other Septic_Tank(s) Pump out Needed Yes ------- The City recommends the septic tank(s)-and/or lift tank be serviced and pumped out every threejears, City records indicate the tank(s) were last pumped out on -1 -O ) . The tank(s) should be cleaned through the manhole and not through the inspection pipes,this allows for proper cleaning. Comments: • n r"" 48 Inspector: ,` Date of Inspection /0 . Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us • ille 0 4/6 , .irk,,VA)._= CITY of ORONO ii dk . 4 Municipal Offices Alb. ',; +.i 1.,' a`4,,/ Street Address: Mailing Address: �ES13•%� 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay,(�M-MN 55323-0066 55323-0066 P� To Current Owner: Address: 5 0 Q(c Crysid U`ly Q . . 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): i "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 1 . "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-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year 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): 6 Tank inspection indicates: 5 Pumpout not needed at this time. °Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped )• Make sure septic tanks are pumped through manhole and not through white inspection pipes. This allows for the proper cleaning. Keep water softner and iron filter discharge out of septic system. 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. D _ INFIELD CONDITION(8-10): c (8 Drainfield is dry,no surfacing evident. 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: lNvr) 1o 0r.,., Pv*,.p Sq 1-„,1(.5 6..6 So"..r-.tr 106 \CI, ✓ cc.� c%/5' .e-citc.error. tit') ro eler.0e_ e>\ r-.a v.4 Ck'AO — 03 6\*\'\OOP'S- Mbr.".,--___ Date 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 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 information. Telephone(952)249-4600 • Fax(952)249-4616 ..,......... inn uc . 0 ( O . o1 2.4,4„.„ CITYof ORONO 1 PI t f $ ` : -. 4 • Municipal Offices • I �a "'%' # ;;' ��iyG Street Address: MailinII Address: ` E$HOg' 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: PV:()-,R eA E l l w• 2►N. Address: 'S--Cs Old Cr/Stt) Sty Ri) $ - 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. (5_,STEM CONFORMITY (1-3): 1 "CODE SYSTEM" An ISTS which meets all the location,design and construction standards of the current Oroito 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,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-year 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 oil characteristics. TANK CONDITION(5-10): (10. . Tank inspection indicates: 5 Pumpout not needed at this time. 0 Tank must be pumped out this year (city code requires tanks to be pumped out every 3 years. Tank was last pumped � p ('/19— 1 O 7 Solids accumulation in tanks is at a critical a critical level Tanks 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 discharge. 9 Inspection risers missing-tanks could not be inspected Inspection risers(4"dia.pipe)must be installed in each tank at next pumpout If tanks have not been pumped out within 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). If tanks have not been pumped out within the last three years,they should be pumped out now. D• ' IELD CONDITION(11-14): 11 • 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 Inspector immediately.Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. COMMENTS: S i ^-‘ • I r r4$ bK _ tifv\ rinks r� +-At ftvc ^0 r Vcn v e vv., IN:, • S 'yfrs... -6 ' ahl Date of Inspection Septic System p 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 properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. CITY OF ORONO Municipal Offices //41---15-qd Post Office Box 66 Crystal Bay, MN 55323-0066 t ON–SITE SEWAGE TREATMENT P11$44 :'441) INSPECTION REPORT il*-. 61: 9k ESii& Owner: RAI/NW/ &(ei Address: 656 &J Cry 5'1i / 064.y* s (5 1) Permit #'s: ,t'',,"(' ' Dates: `'=-,-•-s'' • Contractors: 7IQQe. �� Effi . City ordinance M-r OD requires that each n'- i'f€ sirFdge 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 isd an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): J "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 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-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 soil characteristics. (The limiting soil characteristic has or [ ] has not been identified at this time. If the limiting soil characteristic has not been iden fi , this classification may be subject to revision.) TANK CONDITION (5-10): 5_ etinspection indicates: Pumpout not needed at this time. 6 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 pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pumpout. If tanks have not been pumped out within 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). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): 'I field inspection indicates: 4!::;f1 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 immediately. 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.): /OW COMMENTS: / ate of—In pection otic S s em 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 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. WHITE COPY/Inspectors File YELLOW COPY/Homeowner ivi\C-- -,4_,Aril.., = CITY of ORONO 3 q', , "1 Municipal Offices ti +.t9 a,-)�� ,, + Street Address: Mailing Address: $41311 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: k'Qy7YY)r'Gt rj t ;fIe., Address: 850 Old Crystal Bay Rd. S. Permit #'s: 8290 Dates: 8/22/96 Contractors: Marty Exc. (This is [.)4J an existing system [ ] new construction) . SYSTEM COMPLIANCE (1-3) : 1 (5 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 [X] has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) drCONDITION (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. (During the last septic tank Maintenance Pumpout the tanks [ ] were or [)A] were not confirmed to be watertight by the licensed pumping contractor. If the tanks were not confirmed to be watertight, this classification is subject to revision.) qINFIELD CONDITION (11-14) : 11 11 Drainfield is dry, no surfacing evident. 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: Airiate----- Date of Inspection ' e•'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 conditions. Telephone (612) 473-7357 • FAX 473-0510 (-.0,---0 0 ! CITY of ORONO IA 1 /L, ti 1 47/ Municipal Offices ° --q 4G t Street Address: Mailing Address: 94"Eg I 2750 Kelley Parkway P.O. Box 66 ' I / Orono, MN 55356 Crystal Bay, MN 55323.0066 owner: C�7 11.,0.'3/ ixile1` }e Address:850 Old Crystal Bay Rd. S. Permit #'s:8290 Dates:8/22/96 Contractors:Marty Exc. (This is [ ] an existing system ] new construction) SYSTEM COMPLIANCE (1-3) : 1 0 Code System: Meets or exceeds current City standards in all respects relating to V 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 L'( has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) drK 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. (During the last septic tank Maintenance Pumpout the tanks ] were or [ ] were not confirmed to be watertight by the licensed pumping contrac or. If the tanks were not confirmed to be watertight, this classification is subject to revision.) INFIELD CONDITION (11-14) : 11 11 Drainfield is dry, no surfacing evident. (7 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: % i Date of Inspection - .tic 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