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I Other compliance conditions — Compliance component #3 of 5 <br />3a. Maintenance hole covers appear to be structurally unsound (damaged, cracked, etc.), or unsecured? <br />❑ Yes' ® No ❑ Unknown <br />3b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety? ❑ Yes ® No ❑ Unknown <br />*.3al,,7f Sys?-li c., r l.s nlzi t nr .,,;Z . to tibi,c .. Er and <br />3c. System is non -protective of ground water for other conditions as determined by inspector? ❑ Yes ® No <br />3d. System not abandoned in accordance with Minn. R. 7080.2500? <br />❑ Yes' ®No <br />L 3c <br />Describe verification methods and results: <br />Inspected <br />Attached supporting documentation: ® Not applicable ❑ <br />4. Operating permit and nitrogen BMP* — Compliance component #4 of S <br />® Not applicable <br />Is the system operated under an Operating Permit? <br />❑ Yes ❑ No If "yes", A below is required <br />Is the system required to employ a Nitrogen BMP specified in the system design? ❑ 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. Have the operating permit requirements been met? ❑ Yes ❑ No <br />b. Is the required nitrogen BMP in place and properly functioning? ❑ Yes ❑ No <br />Describe verification methods and results: <br />Attached supporting documentation: ❑ Operating permit (Attach) ❑ <br />https://www.pca.state.mn.us -.- _...-._ _ <br />651-296-6300800-657-3864-- _— Use your preferred relay service Available in alternative formats <br />wp-wwists4-31b 1/11/21 <br />Page 3 of 4 <br />