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May 27 14 12:12p Joseph Olson 763-498-8290 p.4 <br /> Property address: 2660 Fox Street, Orana, MN _ _ Inspector initials/Date: J. 0.4l12l94 <br /> 4. Soil $epd�dtipn—Compliance component#4 of 5 <br /> Date of installation: __ � Unknown Verification method(s): <br /> ShorelandlWellhead protection/Food Sever2ge <br /> Lodging? I�Yes ❑ No Sal observation does not expire. Previaus soil <br /> o6servafions by two independent paRies a�suffrcient <br /> Comptiance Criteria: unless site condrtrons have been altered orloca! <br /> requrrements dif`i�er. <br /> Fo�systems built pnor to Apri!1, 1996, and ❑Yes i] No <br /> nof locafed in Shoreland o�Wellhead � Conducted soil obsenration(s)(Attach 6onng logs) <br /> Protection Area o�not serving a food, ❑ Two previous verifcations(Attach borrnglogs) <br /> beverage or lodging esfablishment: <br /> ❑ Not applicable(Nolding cank(s), no drarnfieldJ <br /> Drainfield has at least a two-foot vertical i ❑ Unable to venfy(See Comments✓Explana6on) <br /> separatian distance from periodica(ly , <br /> saturated soil or bedrock. ❑ Other(See Commants/Explanaf;onJ <br /> lVon-performance systems builtRpri! 1, �Yes ❑ No Comments/Explanation: <br /> 799&, orlaterorfornon-perfo�mance <br /> systems Iocafed in Shorefand or We!lhead I <br /> Protection Areas orserving a food, <br /> beverage,orlodgingestabfishmenf.- <br /> Drainfield has a three-(oot vertical <br /> separation distance from pesodically <br /> saturaled soi]or bedrock."` i <br /> "Expe»menta!" "Other; or "Performance" ❑ Yes ❑ No Indicate depths of elevations <br /> systems built under pie-2008 Rules,- Type!V I -- — <br /> or V sysfems built under 2Q08 Rules(7080_ ', A. Bottom of disinbution media l 112.7 <br /> 2350 or70802400 (Advanced lnspector 'i <br /> LiCen5e required) � B. periodically saturated soifJbedrock 109.9 <br /> Drainfield meets the designed vertical C System separation 2_8 <br /> separation distance from periodically — <br /> satur8ted Soil or bedroCk. i D. Required comp;iance separation` I 2.6 <br /> ------ -- __._ <br /> Any "no"answer above indicates the system is �May be reduced up co 15 percent if allowed by �ocal <br /> Failin9_to Pmtect Groundwater. ord�nance. <br /> 5. Operating Permit and Nitrogen BMP*—Comp�iance component#s ot 5 � Not applicable <br /> is the systern operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required <br /> Is the systern required to employ a Nitrogen BMP? Q Yes ❑ No If"yes", B below is required <br /> BMP=Best Managemenf Practice{s)specified in the system design <br /> !f fhe answer to both questions is "no'; this section does not need to be comp/efed. <br /> Compliance criteria <br /> a. Operating Permit number: <br /> i ❑Yes ❑ No <br /> Have the Operating Permit requiremeMs been mei? <br /> b. Is the required nitrogen BMP in pface and pr�erly functioning? � ❑Yes Q No <br /> Any "no"ansuver i»dicates Noncornpliance. <br /> Upgrade Requirements(Mrnn. S!at.§1 f5.55)An imminenl th�eat to publichealth and sa(ety(ITPHS)mvsf be upgraded,repJaced,oribs use <br /> disconL�nued within ten months of receipf o(this notice or Vidhin a sfrorter period if required by bca!ordinance. li the system is failing fo protect <br /> gmund water, the system must be upgraded,repfaced, or its use discontinued within the fime req�ired by focal ordinance. lf an exisling system <br /> is not faifing as defined in law, and has at least h+vo feet of design soil separation,1f1en ihe system need not be upgraded,repaired, replaced, or <br /> its use cfiscontinued,nohvithstandrng any local ordinance!hat is more strict. This provision does nof apply fo systems in shoreland areas, <br /> Wellhead Protecfion Areas,or fhose used rn connection.vith food,beverage,and lodging estabJishments as defineci in Jaw. <br /> www.pca.state.m�.us • 651-296-630D • 860-657-3864 • TTY 65t-282-5332 or 800-657-3854 • Avaitable in altema[ive tormats <br /> wq-wwists4-31 • 1l2d/71 Aage 3 of 3 <br />