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3. Other Compliance Conditions - Compliance component #3 of 5 <br />3a. Maintenance hole covers appear to be structurally unsound (damaged, cracked, etc.), or unsecured? ❑ Yes' Q No ❑ Unknown <br />3b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety? ❑ Yes* ❑� No ❑ Unknown <br />'Yes to 3a or 3b - System is an imminent threat to public health and safety. <br />3c. System is non -protective of ground water for other conditions as determined by inspector? ❑ Yes* ❑� No ❑ Unknown <br />3d. System not abandoned in accordance with Minn. R. 7080.2500? ❑ Yes* ❑� No ❑ Unknown <br />*Yes to 3c or 3d - System is failing to protect groundwater. <br />Attached supporting documentation: M Not Applicable ❑ <br />4. Operating permit and Nitrogen BMP* - Compliance component #4 of 5 <br />Is the system operated under an Operating Permit? ❑ Yes ❑ No <br />Is the system required to employ a Nitrogen BMP specified in the system design? ❑ Yes ❑ No <br />BMP = Best Management Practice(s) specified in the system design. <br />ff the answer to both questions is "no", this section does not need to be completed. <br />Compliance Criteria: <br />a. Have the operating permit requirements been met? <br />b. Is the required nitrogen BMP in place and properly functioning? <br />Any "no" answer above indicates Noncompliance <br />Describe verification methods and results: <br />Attached supporting documentation: ❑ Operating Permit (Attach) <br />Property address: 385 Stubbs Bay Rd N, Orono Mn 55356 <br />Business Name: Ingleside Engineering & Constuction, Inc. <br />❑■ <br />Yes <br />LE <br />O Not applicable <br />If "yes", A below is required. <br />If "yes", B below is required. <br />3/1/2022 <br />wq-ww1sts4-3lc • 7/12/21 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 600-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 3 of 4 <br />