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S. Soil Separation - Compliance component #5 of 5 <br />Date of installation: 6/8/2015 ❑ Unknown <br />(mm/dd/yyyy) <br />Shoreland/Wellhead Protection/Food, ❑ Yes 0 <br />beverage, lodging? <br />Compliance Criteria: <br />5a. ror systems built prior to April 1, 1996, and not ❑ Yes <br />located in Shoreland or Wellhead Protection Area <br />or not serving a food, beverage or lodging <br />establishment: <br />Drainfield has at least a two -foot vertical <br />separation distance from periodically saturated <br />soil or bedrock. <br />5b. Non-performance systems built April 1, 1996, or 0 Yes <br />later or for non-performance systems located in <br />Shoreland or Wellhead Protection Areas or <br />serving a food, beverage, or lodging <br />establishment: <br />Drainfield has a three-foot vertical separation <br />distance from periodically saturated soil or <br />bedrock.* <br />No <br />Attached supporting documentation: <br />❑� Soil observation logs completed for the report <br />No` 17 Two previous verifications of required vertical separation <br />❑ Not applicable (No soil treatment area) <br />2 NRCS Soil Survey <br />No* <br />5c. 'Experimental; "Other", or "Performance" ❑ Yes El No" <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 5 2,500 <br />gallons per day; Advanced Inspector License <br />required > 2,500 gallons per day) <br />Drainfield meets the designed vertical separation <br />distance from periodically saturated soil or <br />bedrock. <br />Any "no" answer above indicates the system is <br />failing to protect groundwater. <br />Describe verification methods and results: <br />Indicate depths or elevations <br />A. Bottom of distribution media <br />88.01, <br />B. Periodically saturated soil/bedrock <br />48.0" <br />C. System separation <br />36" <br />D. Required compliance separation* <br />38" <br />*May be reduced up to 15 percent if allowed by Local <br />Ordinance <br />Upgrade Requirements (Minn. Stat. § 115.55). An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, or its use discontinued <br />within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect groundwater, the system <br />must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If an existing system is not failing as defined in law, and has at <br />least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance <br />that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food, beverage, <br />and lodging establishments as defined in law. <br />wq-wwists4-31c • 7/12/21 • w vpca.state.mn.us - Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3664 Page 4 of 4 <br />