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Property address: 2245 French Lake Rd,Orono - Inspector initials/Date: JS 19121/2018 _ <br /> (mm/dd/yyyy) <br /> 4. Soil Separation—Compliance component#4 of 5 <br /> Date of installation: 9/10/1997 ❑Unknown Verification method(s): <br /> (mm/ddilwY) <br /> Sh <br /> odo'nla�d/wellhead protection/Food beverage ®Yes ❑NO Soil observation does nct expire.Previous soil <br /> 9 gobservations by two independent parties are sufficient, <br /> unless site conditions have been altered or local <br /> Compliance criteria: requirements differ. <br /> For systems built prior to April 1, 1996,and ❑Yes 0 No ®Conducted soil observation(s)(Attach boring logs) <br /> not located in Shoreland or Wellhead <br /> Protection Area or not serving a food, ❑Two previous verifica ions(Attach boring logs) <br /> beverage or lodging establishment: ❑Not applicable(Holding tank(s),no drain field) <br /> Drainfield has at least a two-foot vertical ❑Unable to verify(See Comments/Explanation) <br /> separation distance from periodically <br /> saturated soil or bedrock. 0 Other(See Comments/Explanation) <br /> Non-performance systems built April 1, ®Yes 0 No Comments/Exptanationt <br /> 1996,or later or for non-performance <br /> systems located in Shoreland or Wellhead Boring: <br /> Protection Areas or serving a food, 1-14"10yr 2/2 loam <br /> beverage,or lodging establishment: <br /> Drainfield has a three-foot vertical 15-26"10yr 4/4 loam <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) <br /> B. Periodically saturated soil/bedrock 26"+ <br /> Drainfield meets the designed vertical <br /> separation distance from periodically C. System separation 36"+ <br /> saturated soil or bedrock. <br /> D. Required compliance separation' 36" <br /> Any"no"answer above indicates the system is `May be reduced up to 15 percent if allowed by Local <br /> failing 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 <br /> 0 No If"yes",A below is required <br /> Is the system required to employ a Nitrogen BMP? ❑Yes 0 No If"yes",B beim 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 /> Have the Operating Permit requirements been met? ❑Yes ❑No <br /> b. Is the required nitrogen BMP in place and properly functioning? 0 Yes No <br /> Any"no"answer indicates Noncompliance. <br /> Upgrade Requirements(Minn.Stat.§115.55)An imminent threat to public health and safety(ITPHS)mast 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 time required by local ordinance.If an existing system <br /> is not failing 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 is 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 • 3/16/12 <br /> Page 3 of 3 <br />