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Green Trees Road
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1480 Green Trees Road - 11-117-23-23-0016
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Last modified
8/22/2023 3:29:29 PM
Creation date
1/17/2017 1:18:10 PM
Metadata
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Template:
x Address Old
House Number
1480
Street Name
Green Trees
Street Type
Road
Address
1480 Green Trees Road
Document Type
Septic
PIN
1111723230016
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Jun 1413 11:33a Joseph Olson 763-498-8290 p.4 <br /> ;'i'operty address: 1480 Green Trees Road., Orono, MN Inspector initials/Date: J. O. 6114/13 <br /> 4. Soi I Separdtion—Compliance cornponent#4 of 5 <br /> Date af installatiorr: 9123/82 ❑ Unknown Verification method(s): <br /> 5horela dlWellhead protectionlFood Beverage � yes ❑No Soil abservafion does nat expire. Previous sor! <br /> Lodging. observah'ons by two independent parties are s�cient, <br /> ComplianCe Criteria: _ unless sfte conditrons have 6een altered orloca! <br /> requi�ments diifer. <br /> Forsysfems burlt prior to ApRI 1, i996, and ❑ Yes ❑ No <br /> noflocatedin ShorelandorWe!lhead � Conducted soil observation(s) (Rftach borfnglogs) <br /> Protection Area ornot serving a food, ❑ Two preWious verifications (Anach bonng togs) <br /> beverage orlodg�ng establishment� <br /> ❑ Not applicable(Holding tank(s),no drainfield) <br /> Drainfreld has at least a two-foot vertical ❑ Unable ta veri <br /> separation distance from periodicalfy fY(See Comments/Explanation) <br /> saturated soil or bedroch. ❑ Other(See Comments/6cplanation) <br /> Non-performance systems bu�lt Apri!9, ❑Yes �No Comments/Explanation: <br /> 7996,or Iafer or for non-pe�famance <br /> systems located in Shoreland or Wellhead <br /> Profection Areas or serving a food, <br /> beverage, or fodging esfablishment� <br /> DraiRf�eld has a three-foot vertical <br /> separation disiance from periodically <br /> saturated soil or bedrock." <br /> "Expenmenia!' `Other",ar Performance" ' ❑Yes ❑ No Indicate de ths of elevations <br /> systems buil[under pre-2008 Rules;Type I V <br /> ol V Systems built Und2r2008 Ru12s(70&0. A. Bottom of distribution media 91.6 <br /> -- _ __ _ -_ _ <br /> 2350 or�080.24Q0 (Advanced inspector <br /> License required) 8. Periodicall saturated soillbedrock 92.fi <br /> Drainfield meets the designed vertical C. S stem se aration D.0 <br /> separation distance ftom periodically <br /> saturated soil or bedrock. <br /> D. Re uired com liance se aration* 2.6 <br /> Any"no"answer above indicafes fhe sysfem is *May be reduced up t�15 percent if allowed by Local <br /> Faili�to Protect Gror�ndwater. ____ ___� ordi�ance. <br /> 5. Operating Permit and Nitrogen BMP"--Compliance component#5 of 5 � Not applicabie <br /> Is the system operated under an Operating�ermd? ❑Yes ❑No If"yes",A below is required <br /> Is the system required to employ a Nitrogen BMP? ❑Yes ❑No tf"yes",B below is required <br /> BMP=Besf Management Practrce(s)specifred in fhe system design <br /> !f rhe answer fo both questions is"no", this section does not need fo be completed. <br /> Compliance cri#eria <br /> a. Operating Permit number: _ <br /> ❑Yes ❑ No <br /> Have the Operating Permil requiremenis been met? <br /> b. Is the required nitrogen BMP i� lace ar�d ro erl functionin ? ❑Yes ❑ No <br /> Any"no"answer indicates Noncompliance. <br /> Upgrade Requirements(Mrnn. Stat.§715.55)An imminentth�eat to publrc health and saiety(ITPHS)must be u,vgraded,replaced,orits use <br /> disContinued�vlthill ten months Ofreceipt of this nofiCe or within a shorter penod if required by/oca!ordinance. I{the system is failing to protect <br /> ground water,the system must be upgraded, repfaced, or its use discontinued within the lime req�iied by local orolirtance. !f an exrstlrrg system <br /> rs not failinq as defined in law,and has at leasf two feet of desrgn soiF separatron,lhen the system need not be upgraded, repaired,replaced,or <br /> rts use discontinued,nofwi[hstanding any loca!adinance ihat is more sMct. This provision does noi a,opJy to systems in shoreland areas, <br /> Welffread ProtecBon Areas,or fhose used in conneclion with food, beverage,and lodging establishments as defrned in Iaw. <br /> www.pea.state.mn.us • 651-296-6300 - SOo-657-3864 • TTY 651-28�-5332 or 800-657-3864 • Available in alternative formats <br /> wq-wwists431 • 1124/12 Pnqe 3 oj 3 <br />
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