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Oct 21 14 07:05p Joseph Olson 763-498-8290 p.4 <br /> Property address: 4565 Bayside Road Orono MN Inspector initialslDate: .3.O.9117/14 <br /> 4. SOl f Sepdt'at1Or1—Compliance component#4 of 5 <br /> Date of instaflation: 11/01189 ❑ Unknown Verification methnd�s): <br /> ShorelandhNellhead protectionlFood Beverage �Yes � No <br /> �dg;�? Soi!observafion does not exprre. Pr�vious soil <br /> obse�vations by fwa independent pa�ties are s�cienf, <br /> Compliance Cr�teria: unless s11e canditions have 6een alte�or bca! <br /> requirements differ <br /> Forsystems 6urlt priorto�4pn!1, 1996, and I ❑Yes ❑ No <br /> not located in Shoreland or Wellfread � CondUCted soil observation{s}(Attach bonng logsJ <br /> Protection.4na or not servirrg a food, Q Two previous verifications(Attach boring logsJ <br /> beverage orlodging establishment_ <br /> ❑ Not appliC2ble(Hoh/fig tank(s),»o drarnSeldJ <br /> Drainfield has at least a two-ioot vertieal ❑ Unable to verify(See Comments�xp�arrah'on) <br /> separation distance from periodically <br /> Saturated soil or bedrock. ❑ ah�(5ee CommerrtslF�rplanalion} <br /> Non-performance systems builf April 1, �Yes ❑No CommentsJExplanation: <br /> 1996, orlaterorfornon-performance <br /> systems located rn Shoreland or We!lhead <br /> Protection Areas orserving a iood, <br /> beverage, orlodgirrgestablishmenf.� <br /> Drainfield has a three-foot vertical <br /> separation distance frorn periodically <br /> saturated soil or bedrock.` <br /> "Experimental" "flther; or Performance' Q Yes ❑ No Indicate depths of elevations <br /> systems built under pre-2008 Rules; Type IV � <br /> or V systems butlt under 2Q08 Rules(708Q. A. Bottom of distribution media 98.4 <br /> or 70802400 (Advanced Inspector <br /> - - <br /> Licertse required} B. Periodically saturated soiVbedrock 95.6 <br /> Drainfield meets the designed�ertfcal C. System separation 2.6 <br /> separation distance from periodically - ---- <br /> S81Ura1ed soil or bedrOCk. ' D. Required com liance se aration• 2.6 <br /> ARy "no"answer above indica#es the system is �May be reduced up to 15 percent if allowed by Local <br /> Failing to Protect Groundwater. ordinance. <br /> 5. Operating Permit and Nitro�en BMP"—Compliance component#5 ot 5 � Not applicabfe <br /> �s the system operated under an Operating Pe�nit? ❑Yes ❑No If"yes",A below is required <br /> !s the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yss", B below is required <br /> BMP=6esf Management Practice(s)specified in the system design <br /> If the answer fo both questions is"no'; this section does not need to be complefed. <br /> CompEiance criteria <br /> a. Operating Permit number: <br /> ❑Yes ❑ No <br /> Have the Operating Permit requirements been met? <br /> b. Is the required nitrogen BMP in place and properl functionin ? i ❑Yes ❑ No <br /> Any "no"answer indicates Noncompliance. <br /> Upgrade Requirements(Minrr_Staf.§915.55)An imminent threat to public healih and safery(17PNS)musf be Upqraded,replaced,or its ose <br /> discontinued with,h fen months ofreceipt of this noUce or withrn a shoRer penod ifr2qui�d bylocal ordinance.If ti�e system is failing to pmtect <br /> ground water,fhe sysYem musf be upgraded, repfaced,orits use discontinued within the time required by loca!orriinance.Ifan existing system <br /> is not failing as defrned in la�v,and has at Jeast two feet of design sorf separation,then the system need not be upgraded,repaired,replaced, or <br /> its use disct�ntinued,nohn+ithstanding anylocal ar/inance that is more sfnct. Thrs provisron does not apply to systems in shoreland aress, <br /> WeAhead Profectron Areas,or those used in connectrort wiih food,beverage,and lodging estab/ishments as defined�n law. <br /> www.pca.state_mn,us • 651-Z%-6300 • &(f0-657-3864 • 7'TY 651-282-5332 or 80D-657-3864 . Available in alternative farmats <br /> wq-wwists4-31 . 112411? Page 3 of 3 <br />