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Property address: 465 Hunter Pass,Orono Inspector initials/Date: JS I 4/17/2017 <br /> (►►►�,vdd/YriY) <br /> 4. Soil Separation—Compliance component#4 of 5 <br /> Date of Installa#ion: 6/11�1998 ❑ Unknown Veriflcation method(s): <br /> �m���� Soil obseruation does not expire. Pr�vious soil <br /> Soh�orela�cuweilhead protsctloNFood beverage �Yes � No observations by two indepencienf parties are sufficient, <br /> 9 9 unless site conditions have been alter+ad or local <br /> Com liance criteHa: requi�ments difler. <br /> For systems bu/lt prior to ApRI 1, 1996, and ❑Yes ❑ No �Conducted soil observation(s)(Attach bo►ing/ogs) <br /> not located in Shoreland or Weltheed ❑Two previous verifications(Attsch boring logs) <br /> Protection Ansa or not serving a food, <br /> bevergge or lodging establfshment: ❑Not applicable(Ho/ding tank(s),no dreinfie� <br /> Drainfieid has at least a finrafoot vertical ❑Unable to verify(See Comments/Explanatron) <br /> separation dlstance from periodically <br /> saturated soil or bedra�c. ❑Other(See CommentsiExp►anation) <br /> Non pe►formance systems builtAprill, �Yes ❑ No Comments/Expianation: <br /> 1996,or later or for non�Oerfom►ance <br /> systems located fn Shoreland or WelJhead Boring: <br /> P�tection Areas orseiving a f+ood, 1-1610 YR 2/2 Loam <br /> beverage, or lodging establishment: <br /> 17-26"10 YR 4/4 Clay Loam <br /> Drainfield has a three-foot vertical <br /> separation distance ftom periodicaily No Redox <br /> saturated soii or bedroc�c.* <br /> "Experimenta!" "Othe�", or "Performance" ❑Yes ❑ No (ndlCate de ths or elevations <br /> systems built uncier pre-2008 Rules; Type 1V <br /> or V systems built under 2008 Ru/es(7080. A. Bottom of distribution media 12" lus <br /> 2350 or 7080.2400 (Advanced Inspector <br /> License required) B. Pe�odicail saturated soiUbedrock over 26" <br /> Drainfield meets the designed vertical C. S tem se aration 36" lus <br /> separation distanoe from periodically <br /> saturated soil or bedrodc. <br /> D. R uired com liance se aration* 36" <br /> Alty"na"answer above ind/cates the system is "May be reduced up to 15 percent if allowed by Local <br /> failing to protect groundwater. Ordinance. <br /> 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 � Not appllcable <br /> Is the system operated under an Operating Pennit? ❑Yes ❑ No �If"yes",A below is required <br /> Is the system required to employ a Nitrogen BMP? ❑Yes ❑No If"yes", B below is requlred <br /> BMP=8est Management Precfice(s)specif'ied in the system design <br /> !f the answer to both questlons is "no'; thfs section does not need to be comp/eted. <br /> Compliance criteria <br /> a. Operating Permit number: <br /> Have the O ratin Permit r uirements been met? ❑Yes ❑ No <br /> b. Is the r uired nit en BMP in lace and ro rl functionin ? Yes ❑No <br /> Any"no"answer indlcates Noncompliance. <br /> Upprade Requlremenb(Mlnn. Sfat§f 15.55)An lmminent threat to public heelth and safety(ITPHS)must be upgraded,repleced,or its use <br /> discon�nued wlthln ten months of►�celpt of thls rrotice or withln a shQ�ter pe�od if roquired by local oadinence.If the system!s fe�ling to protect <br /> ground water,the system must be upgraded,replar.ed,or its use dlsoa►tinued within the tlme requlned by h�cal arll»a►tce.!f en exisNng system <br /> fs not fa!lfiig as deflned in lew,and hes at leesf!►tiro feet of desigit 8oi!separetlaT,then the system need not be upgreded,�pafrod,replaced,or <br /> its use dlsoontinued,nodwld�atanding any loca!ordinarice that!s more sdre�t This provisipn does not appfy to systems in ssl'wrela►M aneas, <br /> Wellhead Protection Areas,or those used/n connection wlth f�d,beve�age,and/odging establishments es deNned In Iaw. <br /> www.pca.state.mn.us • b51-296-6300 • 800-657-3864 . TTY 651-282-5332 or 5�-657•3864 • Avaftable in alternative formaCs <br /> wq-wwists4•31 • 3/16/12 „---,_�, <br />