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Mar 11 13 01:25p Joseph Olson 763-498-8290 p.5 <br /> • Property address: 160 Golden�ew Dr.,Orono,MN Inspector iniiialslDate: J. �. 03l��l13 <br /> 4. Soi l SeparatiDn—Compliance compo�ent#4 of 5 <br /> aate of installation: 81o2199 ❑Unknown Verification method(s): <br /> ShorelandNVelEhead protectionlFood Beverage �Yes � No Soi!observab'on does not ex ire. Plaevious sail <br /> Lodging? p <br /> observations by two iRdependenf parties are sufTrcient, <br /> Complidnce Criteria: unless site conditions have been altered orloca! <br /> For systems built prior to April 1, 1996, and ❑Yes ❑No �4uiremenfs differ. <br /> nof located in Shor�land orWellhead � Conducted soil observaiion(s} (Attach boringlogs) <br /> Pr+ofection Area ornot serving a tood, ❑ Two pre�ious verificaEio�s(Attach bonng iogs) <br /> beverage orJodging esfablrshmenl.� <br /> � � Nof applicable (Holding tank(s),no drainfield) <br /> Drainfield has at least a two-fuot vertical 1 ❑ Unable to verify(See CommenrsiExpranation) <br /> separation distance from periodicalEy <br /> saturated soil or bedrock. ❑ Other(See Comments�cplaRation) <br /> Non-performance systerr►s buiJt April i, �Yes ❑ No Comments/Explanafiorr: <br /> 199fi,or later or for non-perinrmance <br /> ' ' sysfems located in Shoreland or Wellhead � <br /> Protecfion Areas or servrng a food, <br /> beverage,orlodging esta6lishment: <br /> �rafnfield has a three-foot vertical <br /> separation distance from periodically <br /> saturated soil or bedrock." <br /> °Experimenfal; "Othef; or °Performance" � ❑Yes ❑ No Indicate de ths �f elevations <br /> systems buift unde�pre-2008 Rules; Type IV ; <br /> or V systems builf under 2008 Rules(7080_ A. eottom of distribution media 96.7 <br /> 2350 or 7080.240� (Advanced Inspector <br /> LiCense requi�ed) B. Periodicall saturated soiUbedrock 93_7 <br /> Orainfield meets the designed vertical C. S stem se aration 3.D <br /> separation distance�from periodically <br /> salurated soil or bedrodc. <br /> D. Re uired com fiance separation' 2.6 <br /> Any "no"answer above indicates the sysfem is *May be reduced up to 15 percent if allowed by Local <br /> Failing to Protect Groundwafer. O�dinance. <br /> 5. Operatin� Permit and Nitro�en BMP*—Compiiance component#5 of 5 � Not applicable <br /> Is the system operated under an Operaling Permit? ❑Yes ❑!Vo If"yes", A below is required <br /> Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No ff"yes", B below is required <br /> BMP=Bes�Management Practice(s)speeified rn the system design <br /> If the answer to bofh questions is "no'; this section does not need to be campleted <br /> Compliance criteria _ <br /> a. Operating PenY►it number: <br /> Have the O eratin Permit re uiremenfs been met? ❑Yes ❑ No <br /> b. Is the re uired nitro en BMP in lace and ro erl functionin ? ❑Yes ❑ No <br /> any "no"answerindicafes Noncompliance. <br /> Upgrade Requirements (Minn. Stat§115.55)An rmmihent threat to public hea/th arrd safety(lTPHSJ must be upgraded,replaced,or its use <br /> drsconfinued within ten months of receipt of this notice or within a sho�ter period ff required by local o�dinance.Jf the system is failirrg to protect <br /> ground water, the systam must be upgraded,replaced,or its use discontinUed within the time required by/ocal ordrnance. ff an existir�g system <br /> is not failing as defrned in law,and has ai Jeast 2wo feet of design soiF separalion, then t�e system need not be upgraded,repaired,repfaced,or <br /> its use discon6nued,nolwithstanding any local or�inence that is mo�shicC This provision does not apply to systems in shoreland a�as, <br /> Wellhead Prot2ction Aieas,or if�ose used in connection with food, beverage,and lodging esfablishmenLs as defined in law. <br /> www.D�a.s[ate.mn.us • 651-296-6300 - 800-657-3864 • TTY 651-2$2-5332 or B00•657-3864 . Available in alternative fnrmats <br />