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Aug 0512 08:09p Joseph Olson 763-498-8290 p.4 <br /> Properiy address: 170 CrySta[Creek Road..Orono MN Inspector initialslDate: J.O. 8J05/12 <br /> 4. $oil Separdtion—Corr�pliance component#4 of 5 <br /> Date of instailation: 5l15/99 p llnknown Verificatian method�s): <br /> Lod��an?�e11head profectioNFood Beverage � Yes � No Soi!observafion does not expiie. Pnevious soi! <br /> 9� 9 <br /> abservafions by iwo inrlependent pa�ties are suffrcient, <br /> Com iiance criteria: unless site cor�ditions have been alter�d orlocal <br /> Forsysfems builtpriorfo Apn!1, 1996,and ❑Yes ❑ ►�o �qui�ments differ. <br /> not Jocated in Shoneland ar W'e!lfread � Conducted saE observation(s)(Attach boring�ogs) <br /> P�tecfion Aiea ornot serving a food, ❑ Two previaus verif�caGons(A[tach boring logs) <br /> beverage arlodging establishment: <br /> � Not applicable(Ho/ding fank(s),no drainfield) <br /> Drainfield has at least a iwo-foof vertical <br /> separation distanoe from periodically ❑ Unable to verify(See Comments/Explanation) <br /> saiurated soil or bedrock. ❑ Other(see Commerrrs/Explanation) <br /> Non-performance systems builtApril?, � �Yes ❑ No Comments/E'xpJanatiorr: <br /> �996, or later or for non-pertomrance <br /> systems locafed in Shoreland or Wellhead <br /> Protec6on Arnas or senring a fnod, <br /> beverage, arlpdging establishment.� <br /> �rainfield has a three-fopt vertical <br /> separa6on distance from periodically <br /> saturaied soil or bedrock" <br /> "Experimental'; "Other� or "Performance" i ❑Yes Q No Indicate de ths of elevafions <br /> systems 6uilf under pre-2008 Rules; Type IV ; <br /> o�V sy5tems built under 2008 Rules(7080. A. Bottom of d�stribution media 98.7 <br /> 2350 or 7080_2400 (Advanced lnspector <br /> LicenSe requlted) B. Periodicall saturated soiUbedrock 95_7 <br /> Drainfield meets the designed vertical C. S s0em se raCson 3.0 <br /> separation distartce from periadicalty <br /> saturated soil or bedrock_ p. R uired com liance se aration• 2.6 <br /> Any "Ito"answer above in�cates f/7e systent i5 •May be reduced up to 15 percent if allowed by Local <br /> Failing to Protecr Groundwater. Ordinance. <br /> 5. Operatin� Perrnit and Nitrogen BMP*—Compliance component#5 of 5 � Not applicable <br /> Is#he system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required <br /> Is ihe system required to employ a Nitroge� BMP? ❑Yes ❑ No If"yes", B below is required <br /> BMP=Besf Managernent Pracfice(s)spacrfed in the system design <br /> ff the answer to both questions is "no'; fhis section does not need to be complefed. <br /> Com liance criteria <br /> a. Operating Permit number <br /> Have the O eratin Permit re uirements been met? ❑Yes ❑ No <br /> b. Is the re uired nitro en BMP in lace and ro er1 functionin ? ❑Yes ❑ No <br /> Any "no"answer indicates Noncompliance. <br /> Upgrade Requirements(Minn.StaG§115.55)An imminent threat to public health and safaty(ITPNS)must be upgraded,replaoed,or its use <br /> dfsoontinued withia ten months ofrec�eipt ofthis nolice or wifhin a shorter period if�equired byloca!arli�ance.I!N�e syst�m is faifing foprotect <br /> qround water,the system must be upgraded, r�plac�ed, or its use discontin�ed wiUhin the lime required by local ortYinance. !f an existing sysfem <br /> is not failing as defined in law,and has at least lwo faet of design soi!separadon,then fhe system need not be upgraded,repaired,rep/aced,or <br /> Its use cGsconhnued, notwithstanding any/oca!ordrnance that is more strr�cf. Thrs provision does not apply lo systems in shoreland a�eas, <br /> Wellfread Prdf�ction Areas,or those used rn connecUon wilh food, beverage, and lodging estabJishments as de�ined in law. <br /> www.pca.sCate.mn.us • 651-296-6300 • 860-657-3864 • TTY 651•282-5332 or 800-657-3864 • Available in altemative formats <br />