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5. Soil separation — Compliance component #5 of 5 <br />Date of installation 9/23/1987 ❑ Unknown <br />(mm/dd/yyyy) <br />Shoreland[Wellhead protection/Food Yes ❑ No <br />beverage lodging? <br />Compliance criteria (select one): <br />5a, For systems built prior to April 1, 1996, ! ❑ Yes [] No` <br />and not located in Shoreland or Wellhead <br />Protection Area or not serving a food, <br />beverage or lodging establishment: <br />Drainfield 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, i❑ Yes <br />1996, or later or for non-performance ®No' <br />systems located in Shoreland or Wellhead <br />Protection Areas or serving a food, <br />beverage, or lodging establishment. <br />Drainfield has a three-foot vertical <br />separation distance from periodically <br />saturated soil or bedrock.` <br />c. `Experimental", "Other", or "Performance,,!Q Yes ❑ No' <br />systems built under pre-2008 Rules; <br />Type IV or V systems built under 2008 <br />Rules 7080, 2350 or 7080.2400 <br />(Advanced Inspector License required) <br />Drainfield meets the designed vertical <br />separation distance from periodically •. <br />__ ,saturated soil or bedrock._ <br />'Any "no"answer ab(.)ve ll)G`icr�lrs £Ire strsienr is <br />fai/irul to h,oter.t cyraund��r,rt��r. <br />Describe verification methods and results: <br />Boring <br />1-14" 10yr 3/2 Loam <br />15-30" 10yr 4/4 Clay Loam <br />Redox 24" <br />Attached supporting documentation: <br />® Soil observation togs completed for the report (Attach) <br />❑ Two previous verifications of required vertical <br />separation (Attach) <br />❑ Not applicable (No soil treatment area) <br />Indicate depths or elevations <br />_. A. Bottom of distribution media <br />B. Periodically saturated soil/bedrock 1 24" <br />C. System separation 'none D. Required compliance separation 36" <br />"May be reduced up to 15 percent if allowed by Local <br />Ordinance, <br />Upgrade requirements: (Minn. Stat. § 115.55) An imminent threat to public health and safety (ITPHS) must be u <br />or its use discontinued within ten months of receipt of this notice or within a shorterperiod /f required by local ordinance. If the <br />system is failing to protect ground water, the system must be a upgraded, replaced, <br />local ordinance. If an existing system is not failing as defined in law, and has at least two feet of design soli separation, then the <br />upgraded, replaced, or its use discontinued within fire time required by <br />system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more strict. <br />This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food <br />beverage, and lodging establishments as defined in law, <br />https://www.pca,state.mn.us 661.296.6300800-65.7-38_6..4_ _ <br />--._....---------- ---...___ <br />Wq-wwists4.31b • 1111121 Use ____------------- Your preferred relay service <br />Available In alternative formats <br />