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! <br /> Property address: 145 S. Brown Rd. Ororw Inspedor irritialslp�ate: ;�A.M. ( 7252017 <br /> — �m�� - <br /> 4. Soil Separation-Complianoe componerrt#4 of 5 <br /> Date of installation: 1/1/1999 __ ❑ Unknown Verfication method(s): <br /> (mMddtyyyy) <br /> ShorelandNVellhead protectioNFood beverage Sorl o6servation does noi expire. Prc�vious soi! <br /> lodging� ❑Yes � No observations by two independent pa ties are suKcient, <br /> unless site conditions have been altt�red or local <br /> ComplianCe criteria: requirements differ. <br /> For systems built prior to April 1, 1996, and ❑Yes ❑ No � Conducted soil observation(s)(At'ach bonng logs) <br /> not located in Shore/and or Wetlhead <br /> Protection A�ea or not serving a food, ❑Two previous verifications(Anach boring logs) <br /> beverage or lodging establishment. '� ❑ Not applicable(Holding tank(s),no �rainfield) <br /> Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/E���anation) <br /> separation distance from periodically ❑ Other(See Comments�Explanation) <br /> satureted soil or bedrock. <br /> Non-performance systems built April 1, � Yes ❑ No Comments/Explanation: <br /> 1996, or later or for non-performance <br /> systems located in Shore/and 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 /> "Experimental", "Othe�", or "Performance" ❑ Yes ❑ No Indicate depths or elevations <br /> systems built under pre-2008 Rules: Type IV , - -- - <br /> or V systems built under 2008 Rules(7080. A. Bottom of distribution media 24 inches <br /> 50 or 7080.2400 (Advanced Inspector <br /> - - --- -- - ___ <br /> License�equired) B. Penodically saturated soiubedrodc 60 inches <br /> — _ --- , -- <br /> _ _._.._ <br /> rain ield meets the designed vertical C. System separation 36 inches <br /> separation distance from periodically — - - ____ _ <br /> _.___ <br /> saturated soil or bedrock. � <br /> -- - _. D. R uired comptiance separation' i 36 inches <br /> __—____ - - <br /> AI1y "no"answer above indicates the system is 'May be reduced up to 15 percent if:dlowed by Local <br /> failing to protect groundwater. Ordinance. <br /> 5. Operating Permit and Nitrogen BMP*— Compliance component#5 of 5 � N�:�t applicable <br /> Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is requi�j <br /> Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is requir�� <br /> BMP=Best Management Practice(s)specified in the system design <br /> /f the answer fo boih questions is "no'; this sectlon does not need to be completed. <br /> Com Ifance criteria _ <br /> --- __ _ <br /> a. Operating Permit number: <br /> Have the Operating Permit requirements been met? ❑ Yes ❑ No <br /> _ __ ____ ---- <br /> b. Is the reguired nitro eg n BMP in place and proPerly functioninc�?_ ❑ Yes ❑ No <br /> Any "no"answer indicates Noncompliance. <br /> Upgrade Requirementa(Minn. Stat.§115.55)An imminent threat to public health and safety(ITPHS)must be upgr�ied, repleced,or its use <br /> discontinued withrn ten monfhs of neceipt ol this notice or within a shorter period if required by local ordinance. !f the sy::tem is failing fo protect <br /> ground weter, the system must be upqraded,replaced, or its use disoontinued within the time requi�ed by loca/ordinani.e. !/an existing system <br /> is not failing as defined in faw, and has at/east two feet of design soil separatron, then the system need not be upgrade.l.repaired,replaCed, or <br /> its use discontinued, notwifhstanding any loca/ordinance that is mom strict. This provision does not app/y to systems ir shoreland ar�as, <br /> WeRhead Protection Artsas,or those used in connecfion with food,beverage,and lodging establishments as defined in �w. <br /> — --- - -- -- __ <br /> _ __ --- — . _ <br /> www.pca.state.mn.us • 651-296-6300 • 800-657•3864 • TTY 651-282•5332 or 800-657-3864 • Avaitat e in alternative formats <br /> wq-wwrsts4-31b • 6/4/14 Page 3 of 3 <br />