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8 o f 1 1 <br /> Property address: 1235 Lyman Ave,Orono Inspector initials/Date: JS 1 4/25/2018 <br /> (mm/dd/yyyy) <br /> 4. Soil Separation—Compliance component#4 of 5 <br /> Date of installation: 7/11/1984 0 Unknown Verification method(s): <br /> (r►+rn/dd/YyYY) Soil observation does not expire. Previous soil <br /> Shoreland/Wellhead protection/Food beverage0 No observations bytwo independent <br /> p <br /> ffies are sufficient, <br /> lodgir�l ®Yesunless site conditione been altered or local <br /> Com•Mance criteria: requirements differ. <br /> For systems built prior to April 1, 1996,and 0 Yes 0 No ®Conducted soil observation(s)(Attach boring logs) <br /> not located in Shoreland or Wellhead ❑Two previous verifications(Attach boring logs) <br /> Protection Area or not serving a food, <br /> beverage or lodging establishment: 0 Not applicable(Folding tank(s),no drainfeloq <br /> Drainfield has at least a two-foot vertical 0 Unable to verify(See Comments/Explanation) <br /> separation distance from periodically ❑Other(See Comments/Explanation) <br /> saturated sal or bedrock. <br /> Nonperformance systems built April 1, ®Yes ❑No Comments/Explanation: <br /> 1996, or later or for non-performance <br /> systems located in Shoreland or Wellhead Boring: <br /> Protection Areas or serving a food, 1-20"10YR 212 Loam <br /> beverage,or lodging establishment: <br /> 21-25"10YR 4/4 Clay Loam <br /> Drainfield has a three-foot vertical <br /> separation distance from periodically No Redox <br /> saturated soil or bedrock.* <br /> 'Experimental", 'Other",or "Performance" 0 Yes 0 No indicate depths or elevations <br /> systems built under pre-2008 Rules;Type IV <br /> or V systems built under 2008 Rules(7080. A. Bottom of distribution media 12"+ <br /> 2350 or 7080.2400 (Advanced Inspector <br /> License required) B. Periodically saturated soil/bedrock I 25"+ <br /> Drainfield meets the designed vertical C System separation I 36"+ <br /> separation distance from periodically i <br /> saturated soil or bedrock. D. Required compliance separation' j 36" <br /> Any "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local <br /> falling to protect groundwater. Ordinance. <br /> 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 ® Not applicable <br /> Is the system operated under an Operating Permit? 0 Yes ❑No If"yes",A below is required <br /> Is the system required to employ a Nitrogen BMP? 0 Yes 0 No If"yes",B below is required <br /> BMP=Best Management Practice(s)specified in the system design <br /> If the answer to both questions Is "no", this section does not need to be completed. <br /> Compliance criteria <br /> a. Operating Permit number: <br /> ❑Yes ❑ No <br /> Have the Operating Permit requirements been met? <br /> b. Is the required nitrogen BMP in place and properly functioning? 0 Yes Q No <br /> Any"no"answer indicates Noncompliance. <br /> Upgrade Requirements(Minn.Stat§115.55)An imminent threat to public health and safety(IPffS)must be upgraded,replaced,or its use <br /> discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance.If the system Is failing to protect <br /> ground water,the system must be upgraded,replaced,or its use discontinued within the lime required by local ordinance.If an existing system <br /> Is not falling as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or <br /> its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas, <br /> Wellhead Protection Areas,or those used in connection with food,beverage,and lodging establishments as defined in law. <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 • 3/16112 <br /> Page 3of3 <br />