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0625 Spring Hill Road - 25-118-23-33-0003
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Last modified
8/22/2023 4:14:37 PM
Creation date
3/6/2019 10:30:20 AM
Metadata
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Template:
x Address Old
House Number
625
Street Name
Spring Hill
Street Type
Road
Address
625 Spring Hill Road
Document Type
Septic
PIN
2511823330003
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Property address: 625 Spring Hill Rd,Orono Inspector initials/Date: � � 2/2212017 <br /> (mmldc�/yyyy) <br /> 4. Soil Separation—Compliance component#4 of 5 <br /> Date of installatlon: 9/29/1994 ❑Unknown Verification method(s): <br /> ���d�y� Soil obseiva6on does not expire.Pr+evious soil <br /> ShorelandNYellhead protectioNFood beverage �Yes ❑ No obseivations by two independent parties are su�cient, <br /> ��g��9� unless site conditions have been a/tered or local <br /> Com liance criteria: requirements differ. <br /> For systems built prior to Apri/1, 1996, and ❑Yes ❑No �Conducted soil observation(s)(Attech tmring lo�s) <br /> not/ocafed in Shoreland or Wellhead <br /> ProtecGion Area or not se►ving a food, ❑Two previous ver�cations(Attach boring bgs) <br /> beverage or lodging establishment� ❑Not applicable(Holding tank(s),no drainfield) <br /> Drainfield has at least a twafoot vertiql ❑Unable to verify(See CammentslExplanallon) ' <br /> separation distance from periodicaily ❑Other(See Comments/Explanat�on) <br /> saturated sal or bedrodc. <br /> Non-pe►formance systems builtApril 1, ❑Yes �No Commenta/Explanation: <br /> 1996,orlater or for non perfom►ance <br /> systems located in Shoreland or WeJlhead <br /> Pmtec6on Areas or senring a foocl, <br /> beverage, or/odging establishmenf: <br /> Drainfield has a three-foot vertical <br /> separation distance from periodically <br /> saturated soil or bedrodc." <br /> Experimental" '�ther", or Perfarmance" �Yes ❑No Indicate de th8 or elevatiOns <br /> systems built uader p►e-2008 Rules; Type IV <br /> or V sysfems built under 20Q8 Ru/es(7Q80. A. Bottom of distribution media 36+ <br /> 2350 or 7080.2400 (Advanced Inspector <br /> License required) B. Periodicall saturated soiubedrock 38 inches <br /> Drainfield meets the designed vertical C. S stem se ar�tion 2 <br /> separation distance from periodically <br /> saturated soil or bedrock. D. Re uired com liance se aration• 31 inche8 <br /> Any"no"answer above indicates the system is 'May be reduced up to 15 percent if allowed by�ocal <br /> failing to protect groundwater. ordinance. <br /> 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 � Mot applicable ' <br /> Is the system operated under an Operating Permit? ❑Yes ❑No If"yes",A below is required <br /> Is the system required to employ a Nitrogen BMP? ❑Yes ❑No If"yea",B below is required <br /> BMP=Best Management Practice(s)specified in the sysfem design <br /> N the answer to both questlons is "no'; thfs sectlon does not need to be completeal. <br /> Com Ilance criteria <br /> a. Operating Permit number: <br /> Have the O eratin Pertnit r uirements been meY? ❑Yes ❑ No <br /> b. Is the r uired nit en BMP in lace and ro e functionin ? Yes No <br /> Any"no"answer indicates Noncompliance. <br /> Upgrads Requirements(Minn.Stat§115.55)An imminent threat to publk heatth and safety(lTPHS)must be upgraded,repleced,or iis use <br /> discontinued within fen months of�eceipt of thls notice or wfthM a shorter period if reyui�ed 6y locel ortfinance.!f the system is failirtg fo protect <br /> ground water,the system must be upgraded,replaced,or Its use discbnGnued withi»the time requiied by/ocat ordinance.!f an exlstlr�g system <br /> is nof faiting as de�rned in law,and has at leest two feet of design sal seperation,then the system need not be upgtaded,repalred,replaced,or <br /> its use discontinued,notwithstending any�oca!adinance that is more strict Thls provlsron d�s nat eppfy to systems in shoie/and amas, ' <br /> Wellhead Prvtection Areas,or those used fn cw►r�fron with food,beverage,and lod�ing estabtFshments as defined in law. <br /> www.pcastate,mn.us • 651-296-63� • 800-657-3864 • TT1'651-282-5332 or 800-657-3864 • Available in altemative formats ' <br /> wq-wwists4-3f • 3/16/12 Page 3 of 3 <br />
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