HomeMy WebLinkAbout09/21/18 Septic Compliance Inspection Minnesota Pollution Compliance Ing pection Form
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Tr :tment Systems(SSTS)
St.Paul,MN 55155-4194
oc Type:Compliance and Enforcement
Inspection results based on Minnesota Pollution Control Agency(MPGA) For lora 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(mmiddiyyyy): 9/21/2018
®Compliant-Certificate of Compliance ❑ Noncompliant— otice of Noncompliance
(Valid for 3 years from report date,unless shorter time (See Upgrade Requirem:nts 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 hea h and safety
0 Other Compliance Conditions(Compliance Component#3)-Imminent threat to publi health and safety
❑Tank Integrity(Compliance Component#2)-Failing to protect groundwater
❑Other Compliance Conditions(Compliance Component#3)-Failing to protect groun. ater
❑Soil Separation(Compliance Component#4)-Failing to protect groundwater
❑Operating permit/monitoring plan requirements(Compliance Component#5)-Nona),pliant
Property Information Parcel ID#or Secrfwp/Range:
Property address: 2245 French Lake Rd,Orono Reason for inspection: Sale
Property owner: John Klammer Owner's phone: 6 2-508-4557
or
Owner's representative: Representative phon-:
Local regulatory authority: _City of Orono Regulatory authority 'hone:
Brief system description: 2-1250 septic&1250 gallon pump tank with a mound system
Comments or recommendations:
electrical for pump including pump and float cords are all just buried in dirt about 16"deep current' .
Owner has contacted Al Electric out of Waconia to come and fix this issue and bring electrical to c..e,I also spoke with Al myself.
Problem is to be corrected to electrical code in order to make this compliance valid.
Certification
I hereby certify that all the necessary information has been gathered to determine the compliance -atus of this system.No
determination of future system performance has been nor can be made due to unknown condition during system construction,
possible abuse of the system,inadequate maintenance,or future water usage.
Inspector name: Josh Swedlund Certification number: C1659
Business name: Sewer Se, ' es Inc License number. 2502
Inspector signature: i� Phone number: 952-873-3292
Necessary or Locally Required Attachments
®Soil boring logs ®System/As-built drawing ®Forms per local ordina •
0 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 • 3/16/12
Page 1 of 3
•
Property address: 2245 French Lake Rd,Orono InSpectori tials/Date: JS 17/21/2018
(mm/dd/yyyy)
1. Impact on Public Health-Compliance component#1 of 5
Com•liance criteria: Verification method a):
System discharges sewage to the 0 Yes ®No ®Searched for surfa outlet
round surface.
®Searched for seeping in yard/backup in home
System discharges sewage to drain 0 Yes ®No 0 Excessive ponding i soil system/D-boxes
tile or surface waters.
0 Homeowner testimo:y(See Comments/Explanation)
System causes sewage backup into 0 Yes ®No
dwelling or establishment. ❑"Black soil above s•'I dispersal system
0 System requires"e -rgency"pumping
Any"yes"answer above indicates the ❑Performed dye test
system is an imminent threat to public
health and safety. 0 Unable to verify(See Comments/Explanation)
0 Other methods not li ted(See Comments/Explanation)
Comments/Explanation:
2. Tank Integrity—Compliance component#2 of 5
Com•Hance criteria: Verification method(.):
System consists of a seepage pit, 0 Yes ®No 0 Probed tank(s)botto
cesspool,drywell,or leaching pit.
Seepage pits meeting 7080.2550 may be ®Examined constructi• records
com•liant lfallowed in local ordinance. 0 Examined Tank Integ'ty Form(Attach)
❑Observed liquid level•elow operating depth
Sewage tank(s)leak below their ❑Yes ®No
designed operating depth. ®Examined empty(pu ped)tanks(s)
If yes,which sewage tank(s)leaks: 0 Probed outside tank(•i for"black soil"
❑Unable to verify(See •mments/Exp/enation)
Any"yes"answer above indicates the
El methods not lis ed(See Comments/Explanation)
system is failing to protect groundwater.
Comments/Explanation:
3. Other Compliance Conditions-Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally un •und. ❑Yes* ®No 0 Unknown
b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or sat= . 0 Yes* ®No 0 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* ®No
*System is failing to protect groundwater.
Explain:
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864Available in alternative formats
wq-wwists4-31 • 3/16/12 "
Page 2 of 3
Property address: 2245 French Lake Rd,Orono - Inspector initials/Date: JS 19121/2018 _
(mm/dd/yyyy)
4. Soil Separation—Compliance component#4 of 5
Date of installation: 9/10/1997 ❑Unknown Verification method(s):
(mm/ddilwY)
Sh
odo'nla�d/wellhead protection/Food beverage ®Yes ❑NO Soil observation does nct expire.Previous soil
9 gobservations by two independent parties are sufficient,
unless site conditions have been altered or local
Compliance criteria: requirements differ.
For systems built prior to April 1, 1996,and ❑Yes 0 No ®Conducted soil observation(s)(Attach boring logs)
not located in Shoreland or Wellhead
Protection Area or not serving a food, ❑Two previous verifica ions(Attach boring logs)
beverage or lodging establishment: ❑Not applicable(Holding tank(s),no drain field)
Drainfield has at least a two-foot vertical ❑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 0 No Comments/Exptanationt
1996,or later or for non-performance
systems located in Shoreland or Wellhead Boring:
Protection Areas or serving a food, 1-14"10yr 2/2 loam
beverage,or lodging establishment:
Drainfield has a three-foot vertical 15-26"10yr 4/4 loam
separation distance from periodically No Redox
saturated soil or bedrock.`
"Experimental", "Other",or "Performance" 0 Yes 0 No Indicate depths or elevations
systems built under pre-2008 Rules;Type iV
or V systems built under 2008 Rules(7080. A. Bottom of distribution media +12"
2350 or 7080.2400 (Advanced Inspector
License required)
B. Periodically saturated soil/bedrock 26"+
Drainfield meets the designed vertical
separation distance from periodically C. System separation 36"+
saturated soil or bedrock.
D. Required compliance separation' 36"
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? ❑Yes 0 No If"yes",B beim 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:
Have the Operating Permit requirements been met? ❑Yes ❑No
b. Is the required nitrogen BMP in place and properly functioning? 0 Yes No
Any"no"answer indicates Noncompliance.
Upgrade Requirements(Minn.Stat.§115.55)An imminent threat to public health and safety(ITPHS)mast be upgraded,replaced,or its use
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 is 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 • Available in alternative formats
wq-wwists4-31 • 3/16/12
Page 3 of 3
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Figure B-24b
' IVIUUIVU U,C,J1lalN VVUKt1/451-ILL1
• (For Flows up to 1200 gpd)
'
A. FLOW
Estimated '>t 0_ Sewage Nowa in Gallons l
gpd(see pages D-7 or 13,4,5) (end) jadiy
or measured gpd x 1.5=
__. Bedroom
_-._.___.._. r Irl I Type n Type III �
v
��
13. SEPTIC TANK LIQUID VOLUMES
2 300 225 180
-l�'S-03 430 300 218 boa
•�1,tt»» ,7 gallons+. (see pages C-3 or C-5) 4 600 375 256 aM
/-/ITO Ir4fiV)tinK 5 7511 450
rawer
v
6 1°90 525 32 k
Iff
C. SOILS(refer to site evaluation) ' S0 `41 370 �"
8 i 1200 675 408 aslant*
1. Depth to restricting layer=____AS__ �1�r���.
2. Depth of percolation tests= inches j�2�j�p_�.�yyI■�,�y�`
__a__inches oorne^66 a M_IoCapa Liquid .iquW1 `,purity with'
3. Percolation rate 13 mpi Capacity �ieY•4„�a,,
4. Land slope -$ % 23 q.' 750 Ilu
eas tan Ilri
DS
7,II or 9 2001 30W
•S «uG. Meta., /elf-Sft.514 it,„,. ove,9 ......
D. ROCK LAYER DIMENSIONS
1. Multiply flow rate by 0.83 to obtain required area of rock
layer:Daily Flow x 0.83=
______12___gpd x 0.83 sq.ft./gpd= 623 sq.ft.-ea-.d we I. ,Iis,..76S ,
2. Select width of rock layer(10 feet or less)=
3. Length of rock layer=Area+Width = ft.
4n sq. ft.+ _,_J12_ft. --43-It.
ock Bed
E. ROCK VOLUME
5pso.+'a...a•v:•:•`.`t!"a'•'
••,..........:ti.y:..;;{!{{{i,*.f.t ,so.width 5IUtf.
l.f J_2.lali.'e,a4 1
1. Multiply rock area by rock depth to get cubic feet of rock; �C061h
Gia sq.ft.x_.j_ft.
2. Divide Cu. ft.by 27 cu. ft./cu,y get cubic yards;
nen cu.f t. +27= d.3? cu.yd.
3. Multiply cubic yards by 1,4 to get weight of rock in tons;
. cu.yd.x 1.4 ton/cu.yd._ tons.
F. ADSORPTION WIDTH-1
1. Percolation rate in top 12 inches of soil is_f mpi Select allowable soil loadingm 1 AAsori Ion WIdIh Shing Toble
rate from table on page E-; in„j,�iaflk k■ie Gelbnn
pee it awn per do kelio of
--_lam_ gpd/f tZ Inch IMP!) I y Pea Muni-Minn width
3. Calculate adsorption width ratio by dividing rock layer P,ae than 0.1• ase Ml Nu' row lo Rock Liver
Width
loading rate of 1.20 gpd/ft2 by allowable soil loadingrate; 0.1 to s•• •
2.00
0.10 5 Send 1.20
L20 gpd/ft2+ • In gpd/ft2= Z.a 610 3s dy Lo o.w 2.00
-----_• 16 to 30 0.79 1.52
Check this value on page E-16. 46 io " 04; 22,00
6;
4. Multiply adsorption width ratio by rock layer width to get Slowerth 0 Clay m 0.:4
[A l0 60 CI y Lau" 0.45 2.67
required adsorption width; s:'"'
120•••
_Q. x 2. ft=_:2O ft
NOTE: Applicant must initial all spaces. Fill in all appropriate(blanks, check all appropriate
boxes.
1. I have received a copy of the system design includi s:_ the City of Orono
Septic System Approval Cover Sheet.
2. I will be installing the following:
A. Tanks: x Precast Concrete Other t anufacturer
Tank Capacities: 1) IZSo gal. 2) /2,5-0 gal 3) gal.
B. Pump Station(if required) Q
dtW`tl :, k✓ hoar.)Pum make & model Zmiler //37 (ach pump curye
&
literature); system design requires L/? gpm at J ep feet orad.
High water alarm make & tnod� JI S E/acL iasi ri_. (3utside
electrical work to be completed by installer ,-k electrician&di Ekrl,.lc
other . Inside electrical work must be completed by
electrician.
N4661a tiarla-�cG•^ �� C. Treatment System:
/ItTrenches: s.f.
4 re t� L;d�4C4.1106 - �Mound
! Depth of rock below pipe " Rock bed dimensions
,..0,. 4. /0 ir?"'; DropBoxes /Q x�O3
.��ltran���o (�,kc Sand bed dirensions �3 'x Sy '-At-45 Cu..
Also fie C Distribution Box Pressure Dist, P'pe Diam, l sf ��
Seca^ °"� S
lto' 4I'j Maniford Pipe Diam. �'/QS
D. Final Cover/Topsoil to be: borrowed from s.te
(show location on site plan)
Xtrucked in
The undersigned hereby applies to the City of Orono for issuance of a septic system installation
permit, agrees to do all work in strict accordance with the ordinances cf the City and the
regulations of the State of Minnesota, and certifies that all statements made on this application
are complete, true and cog4c,t.
„S o k+e. st E,tca).4.,9,1.vc ,
SignatureofApplicant: /�. , : (�, __ t1� Dater, 7
f �9
MPCA Certification No.: r)3 GC
Staff Review: Approv. Denial
Reviewer: ...'+,is �3 "�Zis.i late:/'
is _
Reason for Denial: