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Apr 29 14 10:42a Joseph Olson 763-498-8290 p.4 ' Property address: 3535 Chnsiine Drive,Orono,MN _ Inspector initialslDate: J.O.421/94 4. Soil Sepd�dtlon—Compliance cornponent#4 of 5 Date of irtstatlation: 7114J88 ❑ Unknown Verification rnethod(s): ShorelandANellhead protectionlFood Beverege �Y2s ❑�Io Lodging? Soil o6servaSon does nof expire. Pr�vious soil observah'ons by two rndependent parties are sufficient Comp�iance criteria: unless site conditlons have been altered or JocaJ Forsystems built pnorfo Aprr!1, 9996, and ❑Yes �9uirements difler. ❑ No notlocafed in Shoneland orWellhead I ❑ Conducted soil obsenration(s)(Attach bonng togs) Profsc6on Area ornot serving a food, i ❑ Two previaus verifications(Anach 8onnglogs) beverage or lodging establ�shment� � Not appGcable(Holding tank(s),no drainheld} Drainfield has at least a two-foot vertical ❑ UnablB to verify(See Camments�ExpianationJ separation distance from periodically saturated soil or 6edrock. ; 0 Other(See Commeats/Explanation) Non perfonnance systems builfApril 1, i ❑Yes ❑No Comments/�xpJanatro�: 1996, or later or for non performance , sysfems focafed in Shoreland or WeUhead Protection Areas ar servrng a food, � beverage, orlodgingestabfishment: Drai�eld has a three-foot vertical separalion distance from periodica�ly saturated soil o�bedrodc." "Expenmental" "Other'; or "Performance" ❑Yes ❑No Indicate de ths �f eievations systems built under pre-2008 Rules;Type!V or V systems built under 2008 Rules(708(1. '. A. Bottorn of distribution media 2350or7080.2400 (Advanced Inspector -- License required) B. Periodicall saturated soiUbedrock Drainfield meets the designed vertical C. System separation separafion distance from periodically _— saturated soil or bedrock. � D. Required compliance se aration' Any"no"answer above�ndicates the system is •May be reduoed up to 15 percent if aaowed by Loca1 Failing fo Proteet Groundwater. Ordinance. 5. Operating Perr�it and Nitrvgen BMP�`—Compliance companent#5 of 5 � Not applicable Is the system operated underan Operating Permit? []Yes ❑ No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No lf"yes", B below is required BMP=Best Management Pracfrce(s)spec�ed in the system design If the a�swer to 6oth questions is "no'; this section does not need to be comp/efed. Compliance criteria a. Operating Perrnit number_ ~ � ❑Yes ❑ No Have the Operating Permit requirements been met7 ; b. ts the required nitrogen BMP in place and properly functioninq? ; ❑Yes ❑ No Arry "no"answer indicates lVoncompliance. Upgrade Requirements(Minn.Staf. §i15.55J An imminent thrieaf to public health andsafety(ITPNSJ mustbe upgradeQ,replaceaf,orrts use disconbnued within ten monihs ofreceipt p1 this notice or within a shorter penoQ if 2quired 6y loca!ordinance. If the system is faifrng fo protect ground water,the system mus!be upgraded,repJac�e�or its use discpnfinued within the Gme required by loca!ordinance_!f an existrng system is not farling as defined in/aw, and has af feast Iwo feet of design soi/separation,fhen the system�ed rtot 6e upgraded,repaired; replaced, or its use disco�hnued,nohvrthstartding any lOca!o�inance that is more sfnct This provision does not apply to systems in shorefand areas, Wel/head ProtecLon Areas,or ihose used�n connection with food,beverage,artd lodging eslablrshmenfs as deftned in law. www.pca.stdte.mn.us • G51-296•6300 • 800-657-3864 . TTY 651-282-5332 or 800-657-3864 • Available in atternative tormats wq-mvists4-31 • 1/24l�2 Page 3 of 3