Laserfiche WebLink
May 05 2015 02:35PM Hp FaxRusty Olson 7634988290 page 4 <br /> Property address: 4Orono Orchard Road,Orono, MN Inspector initials/Date: J. 0.4117115 <br /> 4. Soil Separation-Compliance component#4 of 5 <br /> Date of installation: 12/08/1994 ❑Unknown Verification method(s): <br /> Shoreland/Wellhead protection/Food Beverage 0 Yes ® No <br /> Lodging? Soil observation does not expire.Previous soil <br /> observations by two independent parties are sufficient, <br /> Compliance criteria: unless site conditions have been altered or local <br /> For systems built nor to April 1, 1996, and 1 ®Yes 0 No requrrements differ. <br /> not located in S reland or Wellhead ® Conducted soil observations}(Attach boring logs) <br /> Protection Area o not serving a food, 0 Two previous verifications (Attach boring logs) <br /> beverage or lodgi g establishment: <br /> or; <br /> Not applicable(Holding tank(s),no drainfreJd) <br /> Drainfield has at I,ast a two-foot vertical 0 Unable to verify(See Comments/Explanation) <br /> separation distan.- from periodically <br /> saturated soil orb drock. 0 Other(See Comments/Explanation) <br /> !Von-performance.ystems built April 1, 0 Yes 0 No Comments/Explanation: <br /> 1996, or later orf. non-performance <br /> systems located i Shoreland or Wellhead <br /> Protection Areas • serving a food, <br /> beverage, or lodgi'g establishment: <br /> Drainfield has a th -e-foot vertical <br /> separation distan• from periodically <br /> saturated soil or b=drock.* <br /> 'Experimental", 'Other", or "Performance" 0 Yes 0 No Indicate depths of elevations <br /> systems built under pre-2008 Rules; Type IV <br /> or V systems built under 2008 Rules(7080. A. Bottom of distribution media 96.0 <br /> 2350 or 7080.2400 (Advanced Inspector <br /> License required) B. Periodically saturated soillbedrock 93.4 <br /> Drainfield meets the designed vertical <br /> separation distance from periodically 1 C. System separation 2.6 <br /> saturated soil or bedrock. <br /> D. Required compliance separation' 2.0 <br /> Any "no"answer above indicates 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 applicable <br /> Is the system operated under an Operating Permit? ❑Yes 0 No If"yes",A below is required <br /> Is the system required to employ a Nitrogen BMP? 0 Yes ❑No If"yes", B below is required <br /> BMP=Best Management Practice(s)specified in the system design <br /> If the answer to both questions is"no" this section does not need to be completed. <br /> Compliance criteria <br /> a. Operating Permit number: <br /> Have the Operating Permit requirements been met? ❑Yes ❑ No <br /> b. Is the required nirogen BMP in place and properly functioning? 1 0 Yes 0 No <br /> Any"no"answerlindicates Noncompliance. <br /> Upgrade Requirement (Minn. Stat.§115.55)An imminent threat to public health end safely(ITPHS)must be upgreded,replaced,or its use <br /> discontinued within tenths of receipt of this notice or within a shorter period if required by local ordinance.If the system is failing to protect <br /> ground water,the system ust be upgraded,replaced,or its use discontinued within the time required by local ordinance.if an existing system <br /> is not failing as defined in w,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or <br /> its use discontinued,notwr hstanding any local ordinance that is more strict. This provision does not apply to systems in shoreiarrd areas, <br /> Wellhead Protection Areas,or those used in connection with food,beverage,and lodging establishments as defined in law. <br /> www.pca.state.mn.us • 6 1-296-6300 • 800.657.3864 • TTY 651-282-5332 or 800.657.3864 • Available in alternative formats <br /> wq-wwlsts4-31 • 1124/12 <br /> Page 3 of 3 <br />