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Compliance Inspection Form (SSTS)
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2400 Woodhaven Dr - 33-118-23-41-0004
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Compliance Inspection Form (SSTS)
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Last modified
8/22/2023 4:51:05 PM
Creation date
2/24/2020 9:48:09 AM
Metadata
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Template:
x Address Old
House Number
2400
Street Name
Woodhaven
Street Type
Drive
Address
2400 Woodhaven Drive
Document Type
Septic
PIN
3311823410004
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Property address: 2400 Woodhaven Drive_,Orono,MN Inspector initials/Date: 10.7/30/12 <br /> 4. Soil Separation—Compliance component#4 of 5 <br /> Date of installation: 11/19/87 0 Unknown Verification method(s): <br /> Shoreland/Wellhead protection/Food rage ❑Yes No Soil observation does not expire.Previous soil <br /> Lodging observations by two independent parties are sufficient, <br /> Cor•fiance criteria: unless site conditions have been altered or local <br /> requirements differ. <br /> For systems built priorfo April 1,1996,and ®Yes ❑No <br /> not located in Shoreland or Wellhead ® Conducted sal observation(s)(Attach boring logs) <br /> Protection Area or not serving a food, 0 Two previous verifications(Attach boring logs) <br /> beverage or lodging establishment ❑ Not applicable(Holding tank(s),no dra nfield <br /> Drainfield has at least a two-foot vertical 0 Unable to verify(See Commen <br /> separation distance from periodicallyts/Fxplana0on) <br /> saturated soil or bedrock 0 Other(See Comments/Explanation) <br /> Non-performance systems bra7tApril 1, 0 Yes ❑No Comments/Explanation: <br /> 1996,or later or for non-performance <br /> systems located 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 /> saturated sod or bedrock.` <br /> Experimenter,`Other'or Performance' ❑Yee 0 No Indicate depths of elevations <br /> systems built under pre-2008 Rules;Type N <br /> or V systems built under 2008 Rules(7080. A_ Bottom of distribution media 100.8 <br /> 2350 or 7080.2400 (Advanced Inspector <br /> License required) B. Periodically saturated sod/bedrodc 98.6 <br /> Drainfield meets the designed vertical C. System separation 22 <br /> separation distance from periodically <br /> saturated soil or bedrock D. Required compliance separation' 2_0 <br /> Any"no"answer above indicates the system is "May be reduced up to 15 percent if allowed by Local <br /> Failing to Protect Groundwater. 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 0 No If"yes",A below is required <br /> Is the system required to employ a Nitrogen BMP? 0 Yes 0 No If'yes",B below is required <br /> BMP=Best Management Pracfce(s)specified in the system design <br /> /f 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 0 No <br /> Any"no"answer indicates Noncompliance. <br /> Upgrade Requirements(Alun.Stat§115.55)An imminent threat to public health and safety(17PHS)must be upgraded,replaced,or its use <br /> discontinued within ten months of receipt of this notice or wdrrin a shorter period if required by local ordnance.lithe system is failing to protect <br /> ground water,the system must be upgraded,replaced,or use discontinued within the time required by local ordinance.if an existing system <br /> is not failing 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,noowrtlrstandrg any local ordinance that is more strict This provision does not apply to systems in shoreland areas, <br /> Wellhead Protection Ames,or those used in connection with food,beverage,and lodging establishments as defined in law. <br /> www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats <br /> wq-wwists4-31 • 1/24112 <br /> Page 313 <br />
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