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Property Address: 1280 Lyman Ave, Orono, MN 55391 Business Name: Chip's Septic Services Date: 3/18/2024 5. Soil separation — Compliance component #5 of 5 Date of installation ^7 ZQ E, j_ _ ❑ Unknown (mm dd/yyyy) ShorelandMellhead protection/Food ❑ Yes ® No Attached supporting documentation: beverage lodging? ❑ Soil observation logs completed for the report Compliance criteria select one): ® Two previous verifications of required vertical separation 5a. For systems built prior to April 1, 1996, and ❑ Yes ❑ No* ❑ Not applicable (No soil treatment area) not located in Shoreland or Wellhead Protection Area or not serving a food, ❑ 24 inches of sand under rockbed beverage or lodging establishment: Drainfield has at least a two -foot vertical separation distance from periodically saturated soil or bedrock. 5b. Non-performance systems built ® Yes ❑ No* Indicate or elevations April 1, 1996, or later or for non- -depths performance systems located in Shoreland A. Bottom of distribution media 24 in of sand or Wellhead Protection Areas or serving a food, beverage, or lodging establishment: _ B. Periodically saturated soil/bedrock 25 inches Drainfield has a three-foot vertical C. System separation >36 separation distance from periodically D. Required compliance separation* 31 saturated soil or bedrock.* *May be reduced up to 15 percent if allowed by Local Ordinance. 5c. "Experimental, "Other", or "Performance" systems built under pre -2008 Rules; Type IV or V systems built under 2008 Rules 7080. 2350 or 7080.2400 (Intermediate Inspector License required 5 2,500 gallons per day; Advanced Inspector License required > 2,500 gallons per day) Drainfield meets the designed vertical separation distance from periodically ❑ Yes ❑ No* *Any "no" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Soil and tile probe and city records for documentation Upgrade requirements: (Minn. Stat. § 115.55) 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. If the system is failing to protect ground water, the system must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If an existing system is not failing as defined in law, and has at least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food, beverage, and lodging establishments as defined in law. https://www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • Use your preferred relay service Available in alternative formats wq-wwists4-31b • 4/28/2021 Page 4 of 4