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2140 Sixth Ave N - 28-117-23-31-0026
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Last modified
8/22/2023 4:23:39 PM
Creation date
1/18/2019 10:40:21 AM
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Address
2140 Sixth Ave N
Document Type
Septic
PIN
2811723310026
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Aug 0�«2015 0529PM HP FaxRusty Olson 7634988290 page 4 <br /> Property a�ress: 2140 Sixth Ave.N,Orono, MN Inspector initialslDate: J. 0.8109/15 <br /> 4. Soi l Separation --Compliance component#4 of 5 <br /> Date of installation: 10/26l90 ❑Unknown VerificaGon method(s►: <br /> ShorelandlWeAhead protectloNFaod Beverage �Yes ❑No Soi1 observabon dces not ex lre. Previous soil <br /> Lodging? A <br /> observations by two independent psrties are sufl5cienf, <br /> Comptiance criteria: unless site aondifrons have been altered orlocal <br /> nsquiremenls differ. <br /> Far systems built prior fo April 1, i996,and � �Yes ❑No <br /> not locafed in Shoreland o�Wel/head � � Conducled soil observaiion(s)(Anach bn»ng rogs) <br /> Protection Area ornotserving a food, � ❑ Two previous verifications(Attach boring logs) <br /> beverage orlodging establishment: <br /> i ❑ Not applicable(Noldrng tank(s),no drarnfreld) <br /> Drainfield has at least a two-foot vertical � ❑ Unable to verify(Sse Comments/Fxplanation) <br /> separation distance fram periodically <br /> saturated soil or bedrock. ` ❑ Other(see Comments/Explanation) <br /> i <br /> Non-performance systems built Apri1 1, i ❑Yes ❑ No Commenfs/Fxplanation: <br /> 199fi or later or for non perfonnance <br /> systems bcated in Shoreland or Wellhead � <br /> Profection A�eas or serving a food, I <br /> beverage, orlodging establrshment.� � <br /> Drainfield has a ihree-foot verlieal <br /> separation distanoe from periodicaliy I <br /> saturated sofl or bedrock." � <br /> I <br /> "Experimental; "Othe�°, o� "Perl�rmance" � ❑Yes ❑ No Indicate de hs of elevations <br /> sysfems built under pre-2008 Rules;Type IV ( <br /> or V systems built under 2008 Rules(7080. ; A. Bottom of distribution media 112.6 <br /> 2350 or 7080.2400 (Advanced Inspector i <br /> Lioense required) ; B. PeriodicaJ saturated soiUbedrock 109.6 <br /> i <br /> Drainfield meets the designed vertical C. S tem se aration 3.6 <br /> separation distance from penodically i <br /> saturated soi!or bedrack. i D. Required compliance separadon' 2.0 <br /> Any"p0"answer above indicafes the system is +May be reduced up to 15 pencent ii allowed by Local <br /> Failing to Protec!Groundwater. ord�nance. <br /> 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 � Not applicable <br /> Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is requir+ed <br /> !s the system requireci to employ a NHrogen BMP? ❑Yes ❑No If"yes",B balow is requir+ed <br /> BMP=Best Managemenf Prac�tice(s)specified In the system desgn <br /> !f the answer to both questions is"no'; thls section does not need to be compJeted. <br /> Cornpliance criteria <br /> a. Operafing Permit number: I <br /> � ❑Yes ❑Nv <br /> Ha�e the Operaiir�Perrnit requirements been met? � <br /> b. Is the required nit en BMP in place and properly functionina� I ❑Yes ❑No <br /> Any"no"answer indicates Noncompliance, <br /> Upgrade Requiremenls (M'mn.Stat§115.55)An imminent threst to public health and safety{ITPHS)must be upgroded,rep/aced,orits use <br /> disevrdinued within ten monfhs of receipt o/thls notice or wdhin a sho�ier perlod if required by loca!oidinance.If the system is faiting to protect <br /> ground water,the sy3tem must be upgraded,r�splaced,er ifs use discrontinued within the time requlred by foca/ordlnance. If an existing sysiem <br /> fs notlailing as defined in law,and has af leest two foet of desrgn so11 se�fion,then the system need not be upQradea;repelrecl,repleced,or <br /> its use discontirtued,nolwithatanaing eny local adlnertce lhat rs more s�rct This provision does nat apply ta systems in shoreland arieas, <br /> WeNhead PioteCtion Areas,or those used'm Connection with foal,beverage:and lodging establishments as defined in law <br /> www.pca.state.mn.us • 651-296-63� • 800-657•3864 • 7TY 651-282-5332 or 800-b57-3864 . Available bi altemative formats <br /> wq-wwists4-3f . 1124/12 Poge 3 of 3 <br />
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