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5. Soil separation — Compliance component #5 of 5 <br />Date of installation 6,11811982 <br />❑ Unknown <br />(mn? cscvyyyy) <br />ShorelandlWellhead protection/Food <br />Yes { No <br />Attached supporting documentation: <br />beverage lodging? <br />! ' ScA observation logs completed for the report (.Attach} <br />Compliance criteria (select one): <br />Two previous verifications of required vertical <br />separation (Attach) <br />_Fcsystems built prior to April i, 1996. <br />5ar <br />„' i Yes L� No <br />and not /Ocated in S770/eland or Wellhead <br />❑Not applicable (No sold treatment area) <br />Protection Area of not serving a food. <br />beverage or lodging establishment <br />Grainfield has at least a two -foot vertical <br />separation distance from periodically <br />saturated soil or bedrock. <br />5b Non-performance systems built April 1. <br />[ Yes =� No <br />Indicate depths or elevations <br />4996. or later of for non-performance <br />systems located in shoreland or Wellhead <br />A- Bottom of distribution media 36 inches <br />Protection Areas or serving a food. <br />B. Periodically saturated soillbediock > 72 inches <br />beverage. or lodging establishment: <br />Drainfield has athree-foot veMcal <br />C- System separation 36 inches <br />separation distance from periodically <br />G Required compliance separation' 2.4 inches <br />saturated soil or bedrock." <br />'May be reduced up to 15 percent if allowed by Local <br />Ordinance. <br />5c_'Experirnental . Other . or 'Perforrnance—7 Yes ❑ No <br />systems built under pre -2008 Rules, <br />Type IV or V systems built under 2008 <br />Rules 7080 2350 of 7080.2400 <br />(Advanced inspector- License required) <br />Grainfield meets the designed veirtical <br />separation distance froTi periodically <br />saturated soil or bedrock. <br />Describe verification methods and results: <br />Used soil probe to complete soil borings and inspect morind <br />Upgrade requirements: (fylinn. Stat. § 115.55) An iminment threat to public health and safetil (17 -PHS) must be upgraded, replaced, <br />or its use discontinued within ten months of receipt of this notice of 1r✓ithin a sho✓ter period if required by local ordinat>ce. if the <br />system is failing to protect ground water, the system inust he upgraded. replaced. or its use discontinued within the trine required by <br />Coca( ordinance If an existing system is not failing as defined in lav✓. and has at least two feet of design soil separation. then the <br />systenl need not be upgraded, repaired, replaced.. or its use discorrtFnued nottivithstanding any local ordinance that is inure strict. <br />This provision does not apply to systems in shoreland areas VVeilhead Protection Areas. or those user,/ in connection with food, <br />beverage. and lodging establishments as defined in lav✓- <br />_ ..tc^� .. _ r ,i'._matGe �c;�.ro.s <br />• P.7ge,; of <br />