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Nov 30 2015 07:27PM HP FaxRusty Olson 7634988290 page 4 Property address: 1980 Sixth Ave. N,Qrono,MN Inspector initials/Date: J.�.11130/15 4. SO�I S@pd�dtioll—Campliance component#4 of 5 Date of installation: 1111/2010 ❑Unknown Ve�ification method(s): 3�h�orolandNNallhaad protecdoNFood Bawrage �Yes � No Sol!observation does not expi�.Previous soi! � g observations by two indspendern parties are s�lficient, COmplianCe C�'iteria: un/ess site conditfons have been altered orlocal For s sfems builf requi�ments differ. y priorta Apn!1, 1996,and � ❑Yes ❑No notlocated in Shoreland or WeJfhead I � Conducted soil observation(s)(Artecn bo6np►o9s) Protecfion Area ornotserving a food, � ❑ Two previous verifications(Attech borfng�ogs) beverage oilodging establishment: i ❑ Not applicable(Holding tank(s),no dral�e7d) Orainfield has ai least a two-foot vertical � ❑ Unable to verify(See Comments�xplenat;on) separatfon distance from period+cally � ❑ Other(Ses CommentsrLxplanadon) saturated soil or bedrodc. ' Alon-perforrnance systems bailt Apri!1, �Yes ❑No Comments/Fxplanation: 1996,orlaterorfornon-periormance ; systems located in Shorn/and orWeNhead � Protec6on Arieas or seiving a fnod, i beverege,orlodgingestablishment� ' Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock" � 'Expe»mental'; "Ofher;or Perfamance" � ❑Yes ❑ No Indicate depths of eie��tions systems built under p�-20�8 R�les;Type fV or V systems buift undar 2008 Rules(7080. � A. Boriom of distribution media � 99.4 2350 or 7080.2400 (Advanced tnspedor i i License required) � B. Periodical saturated soil/bedrodc 96.4 Drainfield meets the deslgned vertical C. S stem se aratlon 3.0 separation distanoe from periodically saturated soil or bedrodc. D. uir�ed com liance se ration• 2.6 Arty"no"answerabove indlcates fhe system Is -�y��uoed up to 15 pencent if allowed by LoCal Failin to Protect Groundwater. Ordinanoe. 5. Operating Permit and Nitrogen BMP*—Compiiance component#5 ot 5 � Not applicable Is the system operated under an Ope�ating Permit7 ❑Yes ❑ No If"yes",A below is requlred Is the system required to employ a Nitrogen BMP? ❑Yes ❑No If"yes", B below is requlrod 8MP=8ast Msnagement PracGce(s)spe�ed in the system desigrn !f the answer fo both questions/s"no", fhis section does not need to be completed. Compllance criterla a. Operatir�g Permit number: � Have the O ratin Permit r uirements been met? ❑Yes ❑No b. Is the required nitrogen 8MP in place and properly functionina� � ❑Yes ❑ No Any"no"answer lndlcates Noncompliance. Upgrade Requirements(Minn. Stat§i 15.55)M imminent threat to publiC health and sa}lety(ITPHS)mustbe upqneded,replsced,a its use dlsConGnued wifhrn ten months of receipQ of this rratice or within e shorter periorl if roquired by local ordinance.!f the system is fa/linq to prolrcl ground water,the system must be upgnaded,rep►aoed,or its use dlscontinued wifhin the time�equired by loCal oNinence.lf an exisdng system Is not feDing es deflned in lan;and has at/east hvo feet of design soi!sepaietion,then the system»eed»at be upgraded,repaired.repfeced,or lfs use discorrtinuerl,notwithstandfng any loca!adinance that is more strict. Thrs provision does not apply fo systems in shoreland areas, Wellhead Prvtection Arees,or those used in Connection with ifood,beverage,and fodqrng establrshmer►ts as der�ed in law. www.pca.s[ate.mn.us • 651•296-6300 • 800-657-3864 . TTY 651•282•5332 or 800-d57-3864 • Available in altemative formats wq•wwlsts4-31 • 1l24/12 Poqe 3 of 3