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Aug 12 14 06:15p Joseph Olson 763-498-8290 p.4 Propertyaddress: 3065 Watertown Road,Orono,MN Inspector initials/Date: J.0.06125114 4. Soil Separation—Compliance component#4 of 5 Date of installation: 11119M ❑Unknown Verification method(s): ShorelandNYellhead protectiordFood Beverage ❑Yes M No Soil observation does notexpire.Previous soil Lodging? observations by two independent parties are sufficient Compliance criteria: unless site conditions have been altered or local For systems built prior to April 1, 1996, and E]Yes ®No requirements differ. not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring logs) Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs) beverage or lodging establishment: ❑ Not applicable(Holding tank(s),no drainfreld) Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation) separation distance from periodically saturated soil or bedrock. ❑ Other(See CommenrsJExplanat;on) Non-performance systems built April 1, [K Yes ❑No Comment&Explanation: 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage,or lodging establishment. Drainfield has a three-foot vertical separation distance from periodmcally saturated soil or bedrock.' "Experimental, "Other"or "Performance" ❑Yes ❑ No Indicate depths of elevations systems built under pre-2008 Rules;Type 1V or V systems built under 2008 Rules(7080. A. Bottom of distribution media 98.0 2350 or 7060.2400 (Advanced Inspector License required) B. Periodically saturated soillbedrodk 95.3 Drairdeld meets the designed vertical C_ System separation 2.7 separation distance from periodically saturated soil or bedrock. _ D_ Required compliance separation' 2.6 Any "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local Failing to Protect Groundwater. Ordinance. 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 ® Not applicable Is the system operated under an Operating Permit? ❑Yes ❑No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes ❑No If"yes",B below is required BMP--Best Management Practice(s)specified in the system design If the answer to both questions is "no", this section does not need to be completed. Compliance criteria a_ Operating Permit number: No Have the OperatingPermit o ! C]Yes ❑ requirements been met. b. Is the required nitrogen BMP in place and properly functioning? Yes ❑No Any"no"answer indicates Noncompliance. Upgrade Requirements(Minn.Stat.§115.55)An imminent threat to public health and safety OTPHS)must be upgraded,replaced,or its use discorknued within ten months of recefo of this notice or within a shorter period if required by local ordinance.If the system is falling to protect ground water,the system must be upgraded,replacer!,or its use discontinued within the time required by local ordinance.If an existing system is not lading as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or its use discontinued,notwithstanding any local ordfnence that is more strict_This provision does not apply to systems in shoreland areas, Wellhead Protecffon Areas,or those used in connection with food,beverage,and lodging establishments as defined in few. www.pca.state.mn.us • 651-246-6300 800-657-386a TTY 651-282-5332 or 800.657-3864 • Available in alterative formats wq-wwists4-3t • 1124/11 Page 3 of 3