HomeMy WebLinkAbout07/20/18 Septic Compliance Inspection q�Th
Minnesota Pollution
Compliance Inspection Form
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St,Paul,MN 55155-4194 (SSTS)
Doc Type.Compliance and Enfo; meat
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes:
requirements and attached forms-additional local requirements may also apply.
Submit completed form to Local Unit of Government(LUG)and system owner
within 15 days
System Status
System status on date(mm/dd/yyyy): 7/20/2018
® Compliant— Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3)
frame outlined in Local Ordinance.)
Reason(s)for noncompliance (check all applicable)
❑ Impact on Public Health (Compliance Component #1)-Imminent threat to public health and safety
❑Other Compliance Conditions(Compliance Component#3)-Imminent threat to public health and safety
❑Tank Integrity(Compliance Component #2)-Failing to protect groundwater
❑Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwater
❑ Soil Separation(Compliance Component #4)-Failing to protect groundwater
❑Operating permit/monitoring plan requirements(Compliance Component #5)-Noncompliant
Property Information Parcel ID#or Sec/Twp/Range: 0411723240002
Property address: 225 Old Crystal Bay Road S.,Orono,MN Reason for inspection: New Construction
Property owner: Jason Pitts Owner's phone:
or
Owner's representative: Gordon James Representative phone: 763-479-3117
Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600
Approximately 1-1000, 1-1000 gallon septic tanks,1-1000 gallon lift station and 625 square feet of
Brief system description: mound rockbed.
Comments or recommendations:
TBM:Top of S.W.Corner iron EL-996.4.The existing system has 1.3 feet of sand.The existing tanks are to be abandoned.
Certification
I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
determination of future system performance has been nor can be made due to unknown conditions during system construction.
possible abuse of the system,inadequate maintenance, or future water usage.
Inspector name: Joseph J Olson Certification number: 1255
Business name: Rusty 01 on's Soil&Perc.Testing License number: 810
Inspector signature: Phone number: 763-498-8779
Necessary or Locally Required Attachments
►C+ Soil boring logs ®System/As-built drawing 0 Forms per local ordinance
❑Other information(list):
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
wq-wwists4-31 • 1/24/12 Pose 1 of 3
Property address: 225 Old Crystal Bay Road S., Orono,MN Inspector initials/Date; J.0. 7/20/18
1. Impact on Public Health—Compliance component#1 of 5
Compliance criteria: Verification method(s):
System discharge sewage to the 0 Yes ® No ® Searched for surface outlet
ground surface. ® Searched for seeping in yard/backup in home
System discharge sewage to drain tile , 0 Yes ®No ❑ Excessive ponding in soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See CommentsIExplanat'on)
❑ "Black soil'above soil dispersal system
System cause sewage backup into ❑Yes ®No
dwelling or establishment. ❑ System requires"emergency"pumping
❑ Performed dye test
Any"yes"answer above indicates the system is 0 Unable to verify(See Comments/Explanation)
an Imminent Threat to Public Health and Safety. 0 Other methods not listed (See Comments/Explanation)
Comments/Explanation:
2. Tank Integrity—Compliance component#2 of 5
Compliance criteria:riteria: Verification method(s):
System consists of a seepage pit, 0 Yes X4 No ® Probed tank(s)bottom
cesspool,drywell,or leaching pit. ►I4 Examined construction records
Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form(Attach)
compliant if allowed in local ordinance.
❑ Observed liquid level below operating depth
Sewage tank(s) leak below their 0 Yes ® No ❑ Examined empty(pumped)tanks(s)
designed operating depth.
If yes,which sewage tank(s) leaks: ❑ Probed outside tank(s)for"black soil'
Any "yes"answer above indicates the ❑ Unable to verify(See Comments/Explanation)
system is Failing to Protect Groundwater. 0 Other methods not listed(See Comments/Explanation)
Comments/Explanation:
The tanks are to be abandoned.
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. El Yes* ®No ❑Unknown
b. Other issues(electrical hazards.etc.)to immediately and adversely impact public health or safety. 0 Yes* No El Unknown
*System is an imminent threat to public health and safety
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes" Ci No
*System is failing to protect groundwater
Explain:
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
wq-wwists4-31 • 1/24/12 page 2 of 3
Property address: 225 Old'stat Bay Road S.,Orono, MN Inspector initials/Date: J. O. 7/20/18
4. Soil Separation —Compliance component#4 of 5
Date of installation: 121 Unknown Verification method(s):
ShLodging?ri nellhead protection/Food Beverage 0 Yes Ci No Soil observation does not expire. Previous soil
observations by two independent parties am sufficient.
Compliance criteria: unless site conditions have been altered or local
1- requirements differ.
For systems built prior to April 1, 1996, and 0 Yes 0 No
not located in Shoreland or Wellhead ►:4 Conducted soil observation(s)(Attach boring logs)
Protection Area or not serving a food,
0 Two previous verifications(Attach boring logs)
beverage or lodging establishment: •
0 Not applicable(Holding tank(s).no drain6eld)
Drainfield has at least a two-foot vertical 0 Unable to verify(See Comments/Explanation)
separation distance from periodically
saturated soil or bedrock. 0 Other(See Comments/Explanation)
Non-performance systems built April 1, ®Yes ❑ No Comments/Explanation:
1996, or later or for non-performance
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage, or lodging establishment.
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
Experimental", "Other", or "Performance" 0 Yes 0 No Indicate depths of elevations
systems built under pre-2008 Rules; Type IV
or V systems built under 2008 Rules(7080. A. Bottom of distribution media 991.5
2350 or 7080.2400 (Advanced Inspector
License required)
B. Periodically saturated soil/bedrock 988.4
Drainfield meets the designed vertical C. System separation 3.1
separation distance from periodically
saturated soil or bedrock.
D. Required compliance separation* 2.6
Any"no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local
Failing to Protect Groundwater. Ordinance.
5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 ® Not applicable
Is the system operated under an Operating Permit? 0 Yes 0 No If"yes",A below is required
Is the system required to employ a Nitrogen BMP? 0 Yes 0 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 completed.
Compliance criteria
a. Operating Permit number
❑Yes ❑No
Have the Operating Permit requirements been met?
b. Is the required nitrogen BMP in place and propery functioning? 0 Yes ❑No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stat.§115.55)An imminent threat to public health and safety(ITPHS)must be upgraded,replaced.or its
discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance.If the system is failing to protect
ground water,the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance, If an existing system
is not failing as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded.repaired.replaced,or
its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas.
Wellhead Protection Areas,or those used in connection with food,beverage,and lodging establishments as defined in law.
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651.282.5332 or 800-657-3864 • Availabte in alternative formats
wq-wwlsts4-31 • 1/24/12 Pose 3 of 3
Soil Observation Log
Vtttvc.SeptieResource.eom sers I2.4
Owner Information
Property Owner i project: Gordon James Date 7/2012018
Property Address/PID: 225 Old Crystal Bay Road S.
Soil Survey Information ❑ refer to attached soil survey
Parent matl's: 2 Till ❑Outwash ❑ Lacustrine
❑Alluvium ❑Organic E Bedrock
landscape position: ❑Summit ❑Shoulder [1]Side slope ❑Toe slope
soil survey map units: L37B slope % direction- Lineal
Soil Log#1 A
Boring ❑ Pit Elevation 992.5 Depth to SlIWT 58 inches
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-28 Fill <35
28-48 Topsoil <35 IOyr3/1 Friable Moderate mock) '
48-58 Loam <35 10yr4i3 Friable Strong litockv
58-66 Clay Loam <35 1Oyr5/4 I0y4/8.1-6!IOy Firm Strong ith}ei,y
<35 loose loose single grain
friable weak granular blod;
35-50
firm moderate I'rismati, rim�
>50 mask a
rigid strong
Comments:
)225 Old Crystal Bay Road S. Soil Log#2 A
0 Boring ❑Pit Elevation 990.5 Depth to SH WT 22 inches
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-14 Topsoil <35 10yr3/I Friable Moderate Illock�
14-?2 Loam -35 I0yr4/3 Friable Strong 13lnckc
22-30 Clay Loam <35 10yr5/4 I0y4/8,I-6/10y Friable Strong Rlock�
<35 loose loose Sin*t2ra n
friable weak :ranular hi cky
35-50
>50 firm moderate prismatic plate
rigid strong massive
loose loose
oose
,u,gle grain
friable weak granular bhock
35 -50
>SO firm moderate Prismatic Plat,
rigid strong massae
225 Old Crystal Bay Road S. Soil Log#3
QQ Boring ❑ Pit Elevation Depth to SHWT
Depth(in) Texture fragment% matrix color redox color consistence grade shape
loose loose
<35 single(rain
Friable weak granular bh eke
35-50
firm moderate prismatic ptaty
>50
rigid strong nmssiac
X35 loose loose utglc grain
35 50 friable weak granular hliicki
>50 firm moderate prismatic plat}
rigid strong nrassitie
loose loose
<35 single grain
35 50 friable weak granular blocky
>50 firm moderate prismatic plat.
rigid strong ';i`
<35 loose loose single grain
friable weak granular bliickt
35 -50
>50 firm moderate prismatic pian
rigid strong massae
<35 loose loose ;nlE=r1111
friable weak granular blii kv
35-50
>50 firm moderate Prismatic Plat)
rigid strong massive
I hereby cerci,this work was completed in accordance with MN 7080 and any local reqs.
/1,--
Rusty Olson's Soil & Pere 810
(signer Signature Company License 4
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