05/09/2017 Septic Compliance Inspection (2)

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Property address: 525 Ferndale Road N, Orono Inspector initials/Date: JS � 5/10/2017 (mm/dd/YYYY) 4. Soil Separation—Compliance component#4 of 5 Date of installation: 6/1/1953 ❑ Unknown Verification method(s): (mm/dd/yyyy) Soi!observation does not expire. Previous soi! ShorelandlWellhead protection/Food beverage �Yes � No observafions by two independenf parties are su�cient, lodging? unless site conditions have been altered or local Compliance Criteria: requirements differ. For systems built prior to Apri11, 1996, and ❑Yes � No � Conducted soil observation(s}(Attach boring logs) noi located in Shoreland or We!lhead Prc�tection Area or not serving a food, ❑Two pr�vious verifications(Attach boring logs) bei�erage orlodging esfablishment: ❑ Not applicable(Holding tank(s),no drainfield) Dr�iinfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation) seK►aration distance from periodically ❑Other(See Comments✓Explanation) saturated soil or bedrock. No,�-performance systems builtAprill, ❑Yes ❑ No Comments/Explanation: 19:�6, or later or for non-perfo►mance sy:tems located in Shoreland or Wellhead Boring: Prutection Areas orse�ving a food, 1-8" 10 yr 2/2 loam be��erage, orlodgingestablishmenf: 9-22" 10yr 4/4 silty clay loam Dr�iinfield has a three-foot vertical se��aration distance from periodically redox-20" saturated soil or bedrock.* "E�perimental'; "Othe�'; or °Performance" ❑Yes ❑ No Indicate depths or elevations sy��tems built under pre-2008 Rules; Type IV or'✓systems built under 2008 Ru1es(7080. A. Bottom of distribution media 24" 23:i0 or 7080.2400 (Advanced Inspector LiGanse required) B. Periodicall saturated soil/bed�ock 22" Driinfield meets the designed vertical C. S stem se aration 0 seF�aration distance from periodically saturated soil or bedrock. D. Re uired com liance se aration* 24" —�._. __....................... Ariy "no"answer above indicates the system is "`May be reduced up to 15 percent if allowed by Local fai'ling to protect groundwater. Ordinance. 5_Operating Permit and Nitro�gen BMP*—Compliance component#5 af 5 � Not applicable Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required BMP=Best Management Practice(s)specified in the system design If the answer to both questions is "no'; this section does not need to be comp/eted. Compliance criteria a. Operating Permit number: Have the Operating Permit requirements been met? ❑Yes ❑ No b. Is the required nitrogen BMP in place and ro erl functionin ? ❑Yes ❑ No Any "no"answer indicates Noncompliance. Upgrade Requlrements(Minn. Stak§?15.55)An imminent threat to pubfic heslth and safety(fTPHS)must be upgraded,replaced,or its use �iscontinued within fen months of receipt of this notice or within a shorter perrod if required by loce!adinance. If the system is fsiling to protect �round water,the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance. fi an existing sysfem �s not failing as defined in law,and has at leasf two feet of design soil separation,then the sysfem need not be upgracied,repaired,replaced,or �ts use discontinued,notwithstanding any local orcfinance that is more strict. This provision does nof apply to systems in shoreland aress, Wellhead Protection Areas,or fhose used in connection with food,beverage,and lodging establishments as defrned in law. ___ ---- _. _..._ www,pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwfsts4-39 • 3/16/12 Pa¢e 3 of 3