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Dec 1812 04:04p Joseph Olson 763-498-8290 p,4 <br /> Property address: 3743 Watertown Road, Orono MN Inspector iniEials/Date_ J.O. 12/14/12 <br /> 4. Soil Separation—Compliance component#4 of 5 <br /> Date of installation: 9114199 ❑ Unknown Verification method(s): <br /> Shoreland/Wellhead protection/Food Beverage Dyes ® No <br /> Lodging? Soil observation does not expire. Previous soil <br /> Compliance criteria: observations by two independent parties an:sufficient. <br /> unless site conditions have been altered or local <br /> For systems built prior to April 1, 1996, and ❑Yes ❑ No mquirements dhTer <br /> not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring logs) <br /> Protection Area or not serving a food, <br /> beverage orlodgirig estab/ishment� ❑ Two previous verifications(Attach boring lop) <br /> Drainfield has at least a two-foot vertical ❑ Not applicable(Hording tank(s),no drainfield) <br /> separation distance from periodically ❑ Unable to verify(See CommeNaCkplanation) <br /> saturated soil or bedrock. El Other(See CommenWFxplanation) <br /> Non perfomnance systems built April 1, ®Yes ❑ No CommentwExp/anation: <br /> 1996, or later or for noir-performance <br /> systems kcated in Shoreland,or Wellhead <br /> Protection Areas or serving a food, <br /> beverage,or lodging establishment, <br /> Drainfield has a three-foot vertical <br /> separation distance from periodically <br /> saluraled soil or bedrock' <br /> "Expeli'ntental, "Other, or "Performance' ❑Yes ElNo Indicate depths of elevations <br /> systems built under pre-2008 Rules, Type!V <br /> or V systems built under 2008 Rules(7080. A. Bottom of distribution media 100.5 <br /> 2350 or 7080.2400 (Advanced Inspector <br /> License required) <br /> B. PeriWfcally saturated soVbedrodc 97.8 <br /> Drainfield meets the designed vertical <br /> separation distance from periodically C. System separation 2.7 <br /> saturated soil or bedrock. <br /> D. Required compliance separation* 2.6 <br /> Any "no"answer above indicates the system is <br /> Failting to Protect Groundwater. Maybe reduced up to 15 percent if allowed by Local <br /> Ordinance. <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 required <br /> Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No if"yes". B below 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? ❑Yes No <br /> Any"no"answer indicates Noncompliance. <br /> Upgrade Requirements(Minn.Stat.§195.55)An imminent threat to public health and safety(tTPHs)must be upgraded,mplarsrd,Or its use <br /> discontinued within ten months ofreoeipt of this notice or within a shovterpediod if required by local ordnance 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 /> fs not faNng 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 rtot apply to 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.pta.state.mn.us 651.296-6300 800-657-3864 TTY 651-282-5332 or 800.657-3864 • Available in alternative formats <br />