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• <br /> Property Address: '2675 Fox Street <br /> Business:Name Rusty Olson Soil&percolation Testiity Date iOt28/202t• <br /> • <br /> 3. Other compl-iance conditions Cr mpliance:componerlt 3 of.5 <br /> 3e. Maintenance hole covers appear to be structurally Aitotiod(daataged cracked.,etc.),or.unsecuried? <br /> fl Ye's" .i No `I Unknown <br /> 3b •Other issues(erect/foe/e/hazards,eta)to immediately and adversely impact public hea•lth or safety?t1 Sres"•-0 No D Unknown <br /> .*Voi•to 3a7or an ialislnont tfweeit te 0ibliObeeith*nasafety.: <br /> 3c System.is non-protective of:ground waterfor other:conditions as determined by inspector? • '.p-Yes • <br /> 3d ::Systian notabandoned n.accordance•iKtth Minn R::74I80 2500? Q Yes* 121-No <br /> •'FYes to 3c:or 3d-System is falling to protectgroundwaterr <br /> Describe:veri6catiott methods and.results• . <br /> Visual Nothing was:found <br /> • <br /> Attached-supporting dociimettatlon 0.Not applicable • <br /> . <br /> 4. .Operating permit and nitrogen B.MP` Compliance component#4 of 5 [ trot- p i�cabl <br /> Is the:system operated under an Opei`ating Permit? : . IDYes` Opp :If"yea",A.below Is.required <br /> Is the system required:to employ a Nitrogen BMP specified 4n.the system•design?;::()Yes p No- If"yam B below is.required <br /> AMP Best ManagementPisotice(s)specified in:.pie system a esigki <br /> If the enSwee to both questions is"no"this section.does not need titi be completed <br /> Compliance criteria: ' ;, <br /> a: Have the operating.permit•trequirementsbeen met2 C]Yes :b No <br /> b is:the required nitrogen BMP in place and..property:functioning?•'b Yes. :Ono <br /> .Any if.n"answer Indicates noncompliance:. <br /> Describe verification methods and <br /> Attached supporting:documentation: •0 Operating permit(Attach).:'' <br /> https:f/W :pcdstate rri+:us' •• 65I296.630 + 800-657.38.64 • Use•your preferred relay service • Available In alternative formats <br /> wq,w*iits.iib. •4/28/2021. <br /> Poge3.of'4 <br />