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MINNESOTA POLLUTION Compliance inspection report form <br />CONTROL AGENCY <br />520 Lafayette Road North Existing Subsurface Sewage Treatment System (SSTS) <br />St. Paul, MN 55155-4194 <br />Doc Type: Compliance and Enforcement <br />Instructions: Inspector must submit completed form to Local Governmental Unit (LGU) and system owner within 15 days of <br />final determination of compliance or noncompliance. Instructions for filling out this form are located on the Minnesota Pollution <br />Control Agency (MPCA) website at httos://www.oca.state.mn.us/sites/default/files/wq-wwists4-31a.pdf. <br />Property information Local trackina number: <br />Parcel ID# or Sec/Twp/Range: 3211823430007 Reason for Inspection Propery Transfer <br />Local regulatory authority info: City of Orono <br />Property address: 3505 Watertown Road <br />Owner/representative: Nate Jurmu Owner's phone: 612-616-2252 <br />Brief system description: Approximately 2 -1000 -gallon septic tanks, 1 -1000 -gallon lift station and 500 square feet of mound rock bed <br />System status <br />System status on date (mm/dd/yyyy): 9/19/2022 <br />❑ Compliant — Certificate of compliance` ED Noncompliant — Notice of noncompliance <br />(Valid for 3 years from report date unless evidence of an Systems failing to protect ground water must be upgraded, replaced, or <br />imminent threat to public health or safety requiring removal and use discontinued within the time required by local ordinance. <br />abatement under section 145A.04, subdivision 8 is discovered or <br />a shorter time frame exists in Local Ordinance.) An imminent threat to public health and safety (lTPNS) must be <br />upgraded, replaced, or its use discontinued within ten months of receipt <br />Note: Compliance indicates conformance with Minn. of this notice or within a shorter period if required by local ordinance or <br />R. 7080.1500 as of system status date above and does not under section 145A.04 subdivision 8. <br />guarantee future performance. <br />Reason(s) for noncompliance (check all applicable) <br />❑ Impact on public health (Compliance component #1) -- Imminent threat to public health and safety <br />® Tank integrity (Compliance component #2) — Failing to protect groundwater <br />❑ Other Compliance Conditions (Compliance component #3) — Imminent threat to public health and safety <br />❑ Other Compliance Conditions (Compliance component #3) — Failing to protect groundwater <br />❑ System not abandoned according to Minn. R. 7080.2500 (Compliance component #3) — Failing to protect groundwater <br />❑ Soil separation (Compliance component #5) — Failing to protect groundwater <br />❑ Operating permit/monitoring plan requirements (Compliance component #4) — Noncompliant - local ordinance applies <br />Comments or recommendations <br />The current tanks and mound system septic size is to small for the proposed house. Once the new septic system design is <br />installed the system will be compliant. <br />Certification <br />I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of <br />future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, <br />inadequate maintenance, or future water usage. <br />By typing my name below, I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be <br />used for the purpose of processing this form. <br />Business name: Rusty Olson Soil & percolation Testing Certification number: 01255 <br />Inspector signature: Joseph J. Olson License number: L810 <br />(This document has been electronically signed) Phone: -7.63-498-8779 <br />Necessary or locally required supporting documentation (must be attached) <br />® Soil observation logs ® System/As-Built ❑ Locally required forms ❑ Tank Integrity Assessment ❑ Operating Permit <br />❑ Other information (list): <br />https://www.pca.state.mn.us 651-2966300 800-657-3864 <br />wq-wwists4-31b • 4/28/2021 <br />Use your preferred relay service Available in alternative formats <br />Page 1 of 4 <br />