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https://www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • Use your preferred relay service • Available in alternative formats <br />wq-wwists4-31b • 4/28/2021 Page 4 of 4 <br />Property Address: 2940 Fox Street, Orono, 55356 <br />Business Name: Ende Septic Service Date: 11/1/2021 <br /> <br />5. Soil separation – Compliance component #5 of 5 <br />Date of installation 5/31/2006 Unknown <br /> (mm/dd/yyyy) <br />Shoreland/Wellhead protection/Food <br />beverage lodging? <br /> Yes No Attached supporting documentation: <br /> Soil observation logs completed for the report <br /> Two previous verifications of required vertical separation <br /> Not applicable (No soil treatment area) <br /> Compliance criteria (select one): <br /> 5a. For systems built prior to April 1, 1996, and <br />not located in Shoreland or Wellhead <br />Protection Area or not serving a food, <br />beverage or lodging establishment: <br />Drainfield has at least a two-foot vertical <br />separation distance from periodically <br />saturated soil or bedrock. <br /> Yes No* <br /> <br /> <br /> 5b. Non-performance systems built <br />April 1, 1996, or later or for non- <br />performance systems located in Shoreland <br />or Wellhead Protection Areas or serving a <br />food, beverage, or lodging establishment: <br />Drainfield has a three-foot vertical <br />separation distance from periodically <br />saturated soil or bedrock.* <br /> Yes No* Indicate depths or elevations <br /> A. Bottom of distribution media 24" <br /> B. Periodically saturated soil/bedrock -12" <br /> C. System separation 36" <br /> D. Required compliance separation* 36" <br /> *May be reduced up to 15 percent if allowed by Local <br />Ordinance. <br /> 5c. “Experimental”, “Other”, or “Performance” <br />systems built under pre-2008 Rules; <br />Type IV or V systems built under 2008 <br />Rules 7080. 2350 or 7080.2400 <br />(Intermediate Inspector License required ≤ <br />2,500 gallons per day; Advanced Inspector <br />License required > 2,500 gallons per day) <br />Drainfield meets the designed vertical <br />separation distance from periodically <br />saturated soil or bedrock. <br /> Yes No* <br />*Any “no” answer above indicates the system is <br />failing to protect groundwater. <br /> Describe verification methods and results: <br /> <br />Upgrade requirements: (Minn. Stat. § 115.55) An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, <br />or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the <br />system is failing to protect ground water, the system must be upgraded, replaced, or its use discontinued within the time required by <br />local ordinance. If an existing system is not failing as defined in law, and has at least two feet of design soil separation, then the <br />system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more strict. <br />This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food, <br />beverage, and lodging establishments as defined in law.