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Apr 20 15 06:16p Joseph Olson 763-498-8290 p.4 <br /> ?roperty address: 755 Hunt Farrn Road, Orono,MN Inspector initials/Date: J. 0.4/17/15 <br /> 4. SOiI Sepd��tio�—Compliance component#4 of 5 <br /> Date of instaliation: 6/811989 ❑unknown Ver�cation method(s�: <br /> ShorslandNVellhead protectioNFood Beverage �Yes �No Soil obsenra6on does nnt ex r�.Previous soff <br /> Lodgi�g? p� <br /> observations by iwo ind�perxient padies ar�suflcienl, <br /> Com liance CrReria: unless site conditions have been alfer�d orloca! <br /> requi�ments drffer. <br /> For systems built pnor to April 1. 1996,and �Yes ❑Na <br /> not located in Shorelanc!or Wellhead �J Conducted soil obseivation(s)(Atrach boring logs) <br /> Prutec6on Ar�a ornotserving a food, ❑ Two previous verifications(Attach barng�ogs) <br /> beverage orlodging establishment• <br /> ❑ Not appl�ble(Holdrng tank(sJ,no drain�eld} <br /> Drainfield has at least a two-foot veRical ❑ Unable to veriiy(See Comments�xp►anatron) <br /> separation distance from periodicalfy <br /> sa#urated soil or bedrodc. fl Other(5ee Comments/�xplanation) <br /> Non-pedom�ence systems burltApril?, � ❑Yes ❑Na Comments/Explanation: <br /> 1996, or lafer or for non perforr»ance <br /> sysfems bcated in Shorelarnd or Wellhead <br /> Protection Argas or servrng a food, <br /> beverage,orlodging esfa6Jishmenf.• <br /> Drainfield has a three-foot vertical <br /> separation distance from periodicaily <br /> saiurated soil or bedrock.* <br /> ExperimenfaY; `Othe�'.or "Performance" ❑Yes ❑ No Indicate deptt�s of elevation5 <br /> systems 6uilt under pne-2Q08 RUles;Type 1V <br /> or V systems built under 20Q8 f?ules(7080. ' A. Bottom of distrihutan media 101.1 <br /> 2350 or7080.2400 {Advanced Inspector ; <br /> LiCense required) B. Periodicall saturated soiUbedrock 99.1 <br /> Drainfield meets ihe designed vertiCal C. S bem separation 2.0 <br /> separaGon distance trom periodically <br /> saturated sal or bedrodc. <br /> D. Required compl"rance separation' 2.0 <br /> Any "no"answer above indieates #he system is *{y�y be reduced up to 15 percent if ailowed by Local <br /> Failin fo Protect Groundwater. OrdiRance. <br /> 5. Operating Permrt and Nitrogen BN1P*—Compiiance camponent#5 of 5 � Not applicable <br /> Is the system operated under an Operating Permit? ❑ Yes ❑No If"yes",A l�elow is required <br /> Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is requirBd <br /> BMP=Best Management Practice(s)spe�ed in fhe sysfem design <br /> !f the answer to both questions is"no'; this section does noi need to be campleted. <br /> Com liance criteria <br /> a_ Operating Permit number: <br /> Have the OperatEng PeRnit requirements been met? � ❑Y�s ❑ No <br /> b. _ Is 1he required nitrogen BMP in place and properly tunctioning? ❑Yes ❑ No <br /> Any "no"answer indicates Noncompliance. <br /> Upgrade Requirements(Mrnn.Stat.§115.55)An immrnent threat ho public heafth arrd safety(ITPHS)must de apgraded,replaced,or its use <br /> discorHrnued within ten rnonths oi►�csipf of Ghis notice or within a shater period ifr�quired bylocal ordF►►arxae.If the system is faiFing Po prDtect <br /> ground water,the system must be upgv-aried,replaced, or rrs use disconNnued wiU�in Mre frme r�quired by focal ordinance.!f an existing system <br /> is not laifrrrg as defined in law,and has at least two feef of design soi!separation,then Ure system need not be upgraded,repairgd,replaced, or <br /> its�se�soontinued,nohvrtfrstanding any�oca!orclinance that is more strlct This provrsion does nor apply fo syster»s irt shoreland areas, <br /> We/lhead Protection Areas,or those used in t�onnection with food,beverage,and lodging esta6Jishments as defined in Jaw. <br /> www.pca.state.mn.us • 651-296-6300 • 800•657-3864 • TTY 651-28Z•5332 or 800-657-3864 • Avaitable in aiternative formats <br /> wq•wwists4-31 • 1/24/12 Aage 3 of 3 <br />