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Praperty address: 2295 Lan�view Circie, Orono,MM _ lnspector initialstDete: J.O.5/24/17 <br /> �4. SOii Sepe3�2ition—Compliance component#4 of 5 <br /> Date af instalfation: 5/08l85 ❑ Unknown Varification methad(s): <br /> ShorelandnNeilhead protectioNFood Beverage �Y�$ ��Q ,��f���ryation does not ex ir�e. Previous soi! <br /> ������� obse�vaSons by two independent parties ar�su�cienf, <br /> Compliance Cciteria: untess site conditrons have been altered orioca! <br /> �orsystems built priorto Apri!1, J996, and �quir�ments difier. <br /> �Yes ❑ �a <br /> noi tocated in Shor+�isnd or Wellhead � COI1duCked S8i!ObS8N2t1011{S}(Att�Ch boring logs) <br /> Protection Ar�a or not ssnring a fooal, � Two previous verificatians(Attach voring�ogs) <br /> beverage o�lodging esta6lishment: � Not appiicable(Hotding tank{s),no arainfield} <br /> Drainfieid has at least a twro-foot vertic�) ❑ Unable to verify{See Commenrs/Exptanation) <br /> separatipn distance from per#odicaily ❑ Other(See Comments/ExpJanation) <br /> satarated soil or bedrodc. <br /> Non perforrnance systems buelt April 7, ❑Y�s ❑ No CommentslExptanation: <br /> 1996,or later or for non perfomrance <br /> systems located in Shoneland or We!lhead <br /> Protection Areas or servrng a fooa; <br /> beverage, or todging esfablishrnenf: <br /> Drainfieid has a three-foot vertical <br /> separation disiance from pericdicaily <br /> saturated soil or bedrock." <br /> `Experimenta!" �omer; or �Perfvrrnance" ❑Yes ❑ No indicate dep#h�of elevations <br /> systems built unde�pre-2D08 Rules;Type 1V <br /> or V systems 6uilt under 2008 Rules(70�. A. Sottom of dist�bution med;a 103.0 <br /> �_._____—---_____...._ <br /> 2350 or 7080.2400 (Advanced Inspector <br /> License required) 8. Peri�icaily saturatad soitlbedrock 99.8 <br /> Drainfieid meets ihe designed veRica! � �.—____._ <br /> separetion distance from periodica!!y �� Svstem separatian 3,�.___ <br /> sa4utated soik or bedroCic. p�, #�equired campliance separatian' 2.0 <br /> __.,,m.._____ - _ ._ ��._ <br /> Rny "no"answer above indicates ths syst�lrr�is *��y��uc�d up to 16 percent if aAowed by Locai <br /> _Failing ta Protect GrQundwafer. ord�nanc�. <br /> 5. Operating Perrt�it an�d Nitro�en BMP*—Compi;ance com�onent#5 of 5 � Not applicable <br /> Is the system aperated under an Operating Permit? ❑Yes ❑ No t�"yes",A i�iow is required <br /> is the system required to employ a Nitrogen BMP? ❑Yes � No if"y@S"y B�IBIOW!S iB(}iJlf'@d <br /> BMP=Besf ARa»agement Prac�ce(s)specified in the system design <br /> If the answer to both questions la "no'; thls section does not�sed to be carraplet�d. <br /> GOi'i'1 I18t1C8 C€'!#@�� <br /> __....__ -- <br /> a Operating Permit number. <br /> Hav_e t1�e Operating Permit r uiremenis been met? ❑Yes � IVo <br /> b. is the re. uired nitrogen BMP in place and prope�Y functioning? ❑Yes ❑ No <br /> Any "no"answer irtdicates Noncort�pliance. <br /> tJ pgrade Requirrements(M;nn. Stat§1�5.55)An imminent threet fc putatic heeJth and safi�fy(ITPHS)must be upgr�ded,repleceir.or�ts use <br /> discontinued within ten months of r�Ceipt of this noti�or wlthin 8 short8r period if requirad by k�ca!ardi»arrce. tf the sysfem es failrng to,�rofecf <br /> qrourtd weter,the system musf 6e upgr8d8d,rr9p18C9d,�its u�disCORdnuBd within the time tequirod by lt�e►ordinance. If an existing system <br /> rs not failing as defrned in 1ew,snd has at Je�st h�vo feet of des�yn soiJ ssparsf�n,than the system need naf be upqraded,repeired,replaced, or <br /> rts use discontinus�f,nohaithstanding any locsl ordin8r�e that ig more�. Thrs plovision does not epply to sysfems in shoreland��&s, <br /> Wellhead Protecfion A�as,or ihose used in connecbon�th foat beygrage,and lotlging establishments es defined in Barv. <br /> � ._ _ —.___----- ._.._._.. <br /> www.pca.state.mn.us • 651•2%-6300 • 800-657-38ba • T7Y 651-282-5332 or 800-d57-386a • Avaiiable in altemative gormau <br /> wq•wwisis4-31 • 1/24/t2 a,,,,o z„f� <br />