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Minnesota Pollution Compliance Ing pection Form <br /> Control Agency <br /> 520 Lafayette Road North Existing Subsurface Sewage Tr :tment Systems(SSTS) <br /> St.Paul,MN 55155-4194 <br /> oc Type:Compliance and Enforcement <br /> Inspection results based on Minnesota Pollution Control Agency(MPGA) For lora tracking purposes: <br /> requirements and attached forms-additional local requirements may also apply. <br /> Submit completed form to Local Unit of Government(LUG)and system owner <br /> within 15 days <br /> System Status <br /> System status on date(mmiddiyyyy): 9/21/2018 <br /> ®Compliant-Certificate of Compliance ❑ Noncompliant— otice of Noncompliance <br /> (Valid for 3 years from report date,unless shorter time (See Upgrade Requirem:nts on page 3.) <br /> frame outlined in Local Ordinance.) <br /> Reason(s)for noncompliance(check all applicable) <br /> ❑Impact on Public Health(Compliance Component#1)-imminent threat to public hea h and safety <br /> 0 Other Compliance Conditions(Compliance Component#3)-Imminent threat to publi health and safety <br /> ❑Tank Integrity(Compliance Component#2)-Failing to protect groundwater <br /> ❑Other Compliance Conditions(Compliance Component#3)-Failing to protect groun. ater <br /> ❑Soil Separation(Compliance Component#4)-Failing to protect groundwater <br /> ❑Operating permit/monitoring plan requirements(Compliance Component#5)-Nona),pliant <br /> Property Information Parcel ID#or Secrfwp/Range: <br /> Property address: 2245 French Lake Rd,Orono Reason for inspection: Sale <br /> Property owner: John Klammer Owner's phone: 6 2-508-4557 <br /> or <br /> Owner's representative: Representative phon-: <br /> Local regulatory authority: _City of Orono Regulatory authority 'hone: <br /> Brief system description: 2-1250 septic&1250 gallon pump tank with a mound system <br /> Comments or recommendations: <br /> electrical for pump including pump and float cords are all just buried in dirt about 16"deep current' . <br /> Owner has contacted Al Electric out of Waconia to come and fix this issue and bring electrical to c..e,I also spoke with Al myself. <br /> Problem is to be corrected to electrical code in order to make this compliance valid. <br /> Certification <br /> I hereby certify that all the necessary information has been gathered to determine the compliance -atus of this system.No <br /> determination of future system performance has been nor can be made due to unknown condition during system construction, <br /> possible abuse of the system,inadequate maintenance,or future water usage. <br /> Inspector name: Josh Swedlund Certification number: C1659 <br /> Business name: Sewer Se, ' es Inc License number. 2502 <br /> Inspector signature: i� Phone number: 952-873-3292 <br /> Necessary or Locally Required Attachments <br /> ®Soil boring logs ®System/As-built drawing ®Forms per local ordina • <br /> 0 Other information(list): <br /> www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats <br /> wq-wwists4-31 • 3/16/12 <br /> Page 1 of 3 <br />