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��MINNESOTA POLLUTION Compliance inspection report form CONTROL AGENCY N p 520 Lafayette Road North Existing Subsurface Sewage Treatment System (SSTS) St. Paul, MN 55155-4194 Doc Type: Compliance and Enforcement Instructions: Inspector must submit completed form to Local Governmental Unit (LGU) and system owner within 15 days of final determination of compliance or noncompliance. Instructions for filling out this form are located on the Minnesota Pollution Control Agency (MPGA) website at https://www.pca.state.mn.us/sites/default/files/wq-wwists4-31a.pdf, Property information Local trackinq number: Parcel ID# or Sec/Twp/Range: 3511823340015 Reason for Inspection Propery Transfer Local regulatory authority info: City of Orono Property address: 1250_Lyman Ave. Owner/representative: William Dworsay Owner's phone: 612-670-1985 Brief system description: Approximately 2 -1300 -gallon septic tanks, 1 -1300 -gallon lift station and 550 square feet of mound rock bed. System status System status on date (mm/dd/yyyy): 3/23/2024 ® Compliant —Certificate of compliance* ❑ Noncompliant — Notice of noncompliance (Valid for 3 years from report date unless evidence of an imminent threat to public health or safety requiring removal and abatement under section 145A.04, subdivision 8 is discovered or a shorter time frame exists in Local Ordinance.) "Note: Compliance indicates conformance with Minn. R. 7080.1500 as of system status date above and does not guarantee future performance. Systems failing to protect ground water must be upgraded, replaced, or use discontinued within the time required by local ordinance. An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance or under section 145A. 04 subdivision 8. Reason(s) for noncompliance (check all applicable) ❑ Impact on public health (Compliance component #1) — Imminent threat to public health and safety ❑ Tank integrity (Compliance component #2) — Failing to protect groundwater ❑ Other Compliance Conditions (Compliance component #3) — Imminent threat to public health and safety ❑ Other Compliance Conditions (Compliance component #3) — Farling to protect groundwater ❑ System not abandoned according to Minn. R. 7080.2500 (Compliance component #3) — Failing to protect groundwater ❑ Soil separation (Compliance component #5) — Failing to protect groundwater ❑ Operating permit/monitoring plan requirements (Compliance component #4) — Noncompliant- local ordinance applies Comments or recommendations There is 1.7 feet of sand under the rock bed. TBM: Top of the lift station elect. box. ELV.-100.0 Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. 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 used for the purpose of processing this form. Business name: Rusty Olson Soil & percolation Testing Inspector signature: Joseph J. Olson (This document has been electronically signed) Certification number: C1255 License number: L810 Necessary or locally required supporting documentation (must be attached) Phone: 763-498-8779 ® Soil observation logs ® System/As-Built ❑ Locally required forms ® Tank Integrity Assessment ❑ Operating Permit ❑ Other information (list): https://www.pca.state.mn.us 651-296-6300 800-657-3864 wq-wwi5ts4-31b • 4/28/2021 Use your preferred relay service Available in alternative formats Page 1 of 4