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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? <br />❑ Yes' ®No ❑Unknown <br />public health or safety? ❑ Yes' ® No ❑ Unknown <br />3b. Other issues (electrical hazards, etc.) to immediately and adversely impact <br />*Yes to 3a or 3b - System is an imminent threat to public health and safety. Yes- ® No <br />3c. System is non -protective df�turd seater for Other conditions as determined by inspector? Yes ® No <br />3d. System not abandoned in accordancwwith Minn- R. 7080.2500? <br />*Yes to 3c or 3d - System is failing to protect groundwater. <br />Describe verification methods and results: <br />Attached supporting documentation: ® Not applicable ❑ <br />4. Operating permit and nitrogen BMP* — Compliance component #4 of 5 ® Not applicable <br />❑ Yes ❑ No If "yes", A below is required <br />Is the system operated under an Operating Permit? es„ g below is required <br />Is the system required to employ a Nitrogen BMP specified in the system design? ❑ Yes [I No If y <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? F-1 Yes F1 No <br />b. Is the required nitrogen BMP in place and properly functioning? ❑ Yes ❑ No <br />Any "no" answer indicates noncompliance. <br />Describe verification methods and results: <br />Attached supporting documentation: <br />https://Www.pca.state.mn.us 651-296-6300 <br />wq-wwists4-31b • 1/11/21 <br />[]Operating permit (Attach) ❑ <br />800-657-3864 • Use your preferred relay service <br />• Available in alternative formats <br />Page 3 of 4 <br />