HomeMy WebLinkAbout06/19/18 Septic Compliance Inspection Minnesota Pollution Compliance Inspection Form
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS)
St.Paul,MN 55155-4194 Doc Type:Compliance and Enforcement
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(mmlddlyyyy): 6/19!2018
(l' 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' 2311723320060
Property address 360 Big Island, Orono MN Reason for inspection, Property Transfer
Property owner T P Egan&C A Egan Owner's phone: 612 363 3350
or
Owner's representative Representative phone
Local regulatory authority. Regulatory authority phone
Brief system description:
Comments or recommendations:
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 dunng system construction,
possible abuse of the system, inadequate maintenance. or future water usage
Inspector name Paul Bra Certification number, 5182
Business name. Soil tnvesti tion &Design, Inc License number 3263
Inspector signature: / Phone number 651-260-3783
Necessary or Loc y Required Attachments
El Soil boring logs El System/As-built drawing ❑ Forms per local ordinance
Other information (list). Water tightness testing results
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wq-wwists4-31b • 6/4/14 Page 1 of 3
Property address: 360 Big Island, Orono MN Inspector initials/Date: PJB 6/19/2018
(mm/dd/yyyy)
1. Impact on Public Health — Compliance component#1 of 5
Corn.liance criteria: Verification method(s):
System discharges sewage to the ❑Yes ® No ® Searched for surface outlet
.round surface. ® Searched for seeping in yard/backup in home
System discharges sewage to drain ❑ Yes ® No ❑ Excessive ponding in soil system/D-boxes
tile or surface waters.
® Homeowner testimony(See Comments/Explanation)
System causes sewage backup into ❑ Yes ® No ❑ "Black soil"above soil dispersal system
dwelling or establishment.
❑ System requires"emergency"pumping
Any"yes"answer above indicates the ❑ Performed dye test
system is an imminent threat to public ❑ Unable to verify(See Comments/Explanation)
health and safety.
❑ Other methods not listed (See Comments/Explanation)
Comments/Explanation:
2. Tank Integrity— Compliance component#2 of 5
Corn•liance criteria: Verification method(s):
System consists of a seepage pit, ❑ Yes ® No ® Probed tank(s)bottom
cesspool, drywell, or leaching pit.
® Examined construction records
Seepage pits meeting 7080.2550 may be
comaliant if allowed in local ordinance. ❑ Examined Tank Integrity Form (Attach)
Sewage tank(s)leak below their CI Yes ® No ❑ Observed liquid level below operating depth
designed operating depth. 111Examined empty(pumped)tanks(s)
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil"
Any "yes"answer above indicates the 111 Unable to verify (See Comments/Explanation)
system is failing to protect groundwater. ® Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Recording Dataloggers were used to test the tanks,these devices measure to 0.5 millimeter.These devices were left in the
tanks for in excess of 1 hour these tanks have been filled with water for over 24 hours as per 7080 requirements. No water
loss was detected see attached testing graphs.
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally unsound. ❑Yes* Z No ❑ Unknown
b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* ® No ❑ 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:
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wq-wwists4-31b • 6/4/14 Page 2 of 3
Property address: 360 Big Island, Orono MN Inspector initials/Date: pjb 16/19/2018
(mm/dd/yyyy)
4. Soil Separation — Compliance component#4 of 5
Date of installation: ❑ Unknown Verification method(s):
(mm/dd/yyyy)
Soil observation does not expire. Previous soil
Shoreland/Wellhead protection/Food beverage
Shoreland/Wellhead
lode ® Yes ❑ No observations by two independent parties are sufficient,
ging?
unless site conditions have been altered or local
Compliance criteria: requirements differ.
For systems built prior to April 1, 1996, and ❑ Yes ® No ® Conducted soil observation(s)(Attach boring logs)
not located in Shoreland or Wellhead
Protection Area or not serving a food, ❑Two previous verifications(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
❑ Other(See Comments/Explanation)
saturated soil or bedrock.
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" ❑Yes ❑ 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 936
2350 or 7080.2400 (Advanced Inspector
License required) B. Periodically saturated soil/bedrock 931.8
Drainfield meets the designed vertical C. System separation >40 inches
separation distance from periodically
saturated soil or bedrock.
D. Required compliance separation" 36 inches
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? ❑Yes ❑ No If"yes", A below is required
Is the system required to employ a Nitrogen BMP? ❑Yes ❑ 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:
Have the Operating Permit requirements been met? ❑Yes ❑ No
b. Is the required nitrogen BMP in place and properly functioning? ❑ 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 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 to systems in shoreland areas,
Wellhead Protection Areas,or those used in connection with food, beverage, and lodging establishments as defined in law.
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wq-wwists4-31b • 6/4/14 Page 3 of 3
ONSITI
TI4LAT` Soil Observation Log
Tilcnrr•,r Nr
PRooanr. �. �- Project ID: v 04.17.2C
Client: Mr. Mrs. Tom Egan Location / Address: 360 Big Island, Orono,
Soil parent material(s): (Check all that apply) El Outwash ❑ Lacustrine ❑ Loess El Till ❑ Alluvium Cl Bedrock ❑
Landscape Position: (check one) ❑ Summit El Shoulder ❑ Back/Side Slope ❑ Foot Slope ❑Toe Slope Slope shape
Vegetation: Grass Soil survey map units: Slope%: 6.0 Elev.
Weather Conditions/Time of Day: cool overcast 9:30 Date
Observation #/Location: SB 1 Observation Type:
Depth (in) Texture Ra ckMatrix Color(s) Mottle Color(s) Redox Kind(s) Indicator(s)
FI Stn
g % Shape Gradi
10YR None
0 to 16 Clay Loam <35% Blocky Modern
10YR None
16 to 56 Sand <35% Granular Weal
10YR None
56 to 65 Clay Loam <35% Blocky Modern
Comments Soil Boring through side slope on the mound to assess sand and native soils. All looked fine, no redox or concretions fc
I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.
Paul Brandt -tsf 5182
(Designer/Inspector) (Signature) (License#)
ONS
Additional Soil Observation Logs
Project ID: To,
Client
Client Mr. Mrs. Tom Egan Location / Address: 360 Big Island, Orono,
Soil parent material(s): (Check all that apply) Outwash D Lacustrine ❑ Loess ❑ Till 0 Alluvium 0 Bedrock 0
Landscape Position: (check one) ❑ Summit 0 Shoulder D Back/Side Slope 0 Foot Slope ❑ Toe Slope Slope shape
Vegetation: Grass Soil survey map units: Slope%: 6.0 Elev,
Weather Conditions/Time of Day: cool overcast, 10:00 Date:
Observation#/Location: SB 2 Observation Type:
Depth (in) Texture Rock Matrix Color(s) Mottle Color(s) Redox Kind(s) Indicator(s) I Stn
Frag. % Shape Grad
10YR None
0 to 16 Clay Loam <35% Blocky Modern
10YR None
16 to 56 Sand <35% Granular We&
10YR None
56 to 65 Clay Loam <35% — ' Blocky Modern
Comments
Textures: Subsoil Indicator(s)of Saturation: Consistence:
c-clay S1. Distinct gray or red redox features Loose- Intact specimen not avai
sic-silty clay S2. Depleted matrix (value >1=4 and chroma </=2) Friable- Slight force between finl
sc-sandy clay S3. 5Y chroma </= 3 Firm- Moderate force between
S4. 7.5 YR or redder faint redox concentrations or redox depletic Extremely Moderate force between
cl-clay loam firm- foot pressure
sicl-silty clay loam If yes to one of the above indicators then: Rigid- Foot pressure
scl-sandy clay loam Topsoil Indicator(s)of Saturation: Slope Shape:
si-silt Ti. Wetland Vegetation Slope shape is described in two directi
sil-silt loam *Sand Modifiers T2. Depressional Landscape (perpendicular to the contour), and ac
l-loam co-coarse T3. Organic texture or organic modifiers horizontal contour); e.g. Linear, Convl
sl-sandy loam* m-medium T4. N 2.5/ 0 color
is-loamy sand* f-fine T5. Redox features in topsoil -
s-sand` of-very fine T6. Hydraulic indicators
Soil Structure
Grade: t '
Massive- No observable aggregates, or no orderly arrangement of natural lines of weakness
Weak- Poorly formed, indistinct peds, barely observable in place _
Moderate- Well formed, distinct peds, moderately durable and evident, but not distinct in undisturbed
Durable peds that are quite evident in un-displaced soil, adhere weakly to one another,
Strong withstand displacement, and become separated when soil is disturbed
Landscape Position:
Loose- No peds, sandy soil
Shooldel'
Soil Structure
Shape:
Granular- The peds are approximately spherical or polyhedral and are commonly found in topsoil. These are the small, rounded
Platy- The peds are flat and plate like. They are oriented horizontally and are usually overlapping. Platy structure is commo
Blocky- The peds are block-like or polyhedral, and are bounded by flat or slightly rounded surface that are casting of the face
Prismatic- Flat or slightly rounded vertical faces bound the individual peds. Peds are distinctly longer vertically, and faces are t
Single Grain-The structure found in a sandy soil. The individual particles are not held together.
Tank 1. (No Water Loss)
Inches of Water
49.00
48.80
48.60
48.40
48.20
48.00
47.80
47.60
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
a a a a a a a < a a a a a < a a a a a a a a
en en en en en en en en m m en m en en en m en en m en en en
cr cr cr v 'Cr Cr a v a r 7 v vCta a
r H 6 al m N N1:1in en m N .� ill Ol m N U1 an m
O O N
I O .� .-� N N N m m d In V1 0 O C O r-I ri N
00 m rn m am m m rn rn m rn rn m rn m rn o 0 0 0 0 0
Tank 2. (No Water Loss)
Inches of Water
48.63
48.62
48.61 1 A
48.60 ULFWVIVAM '
48.59
48.58
48.57
48.56
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
Cl a aa a a a a a a a a a d a a a a a a a a a a
en m m m m m en m m en en men Cr m m m m MCOMMOI m
d' Lt ' d- VCt. d cr cr d. V d V d;
CO N lD O d' 66 N lD O 4 Oa N iD O d' CO N la O 4 00 N lO O
Ln N en m m d" LU V1 In Ln O O - N .-1 N N en
Co a; a> an 01 en al a; Cr; a1 al an O1 en en an O O O O O O O O
Tank 3. Pump Tank observed start and end of inspection No Water Loss. Pump tanks are not normally
data logged since the maintenance water level is low.