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Home My WebLink AboutSeptic Compliance Inspection Form Minnesota Pollution Compliance Inspection Form rte, 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(mm/dd/yyyy): 11/20/2018 ® Compliant— Certificate of Compliance r 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 0 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: 0411723410003 Property address: 2650 Fox Street,Orono, MN 55391 Reason for inspection: TRANFER OF TITLE Property owner: John Klaers Owner's phone: 612-300-0085 or Owner's representative: Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: (2)1300 gallon pre-cast septic tanks,(1)1300 gallon pump tank and a 10x 63 Rock bed with 24 inches Brief system description: of sand under Rockbed, _ Comments or recommendations: Tanks were pumped and inspected at an earlier date and is not part of this inspection. Pump tanks every 3 years for maintenance. Existing rockbed and a portion of the sand was removed and replaced with new distribution rock and sand. This was completed 11/2018. Septic sytem is sized for a 5 bedroom home. 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: Pemel" ' " entges Certification number: Business name: Chips eptic Se License number: 2064 Inspector signature: Phone number: 952-200-3176 Necessary or Locally Required Attachments ®Soil boring logs ®System/As-built drawing 0 Forms per local ordinance 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: 2650 Fox Street, Orono, MN 55391 Inspector initials/Date: 1 11/20/2018 (mm/dd/yyyy) 1. Impact on Public Health—Compliance component#1 of 5 Compliance criteria: Verification method(s): System discharges sewage to the LI Yes No ❑ Searched for surface outlet ground surface. ❑ Searched for seeping in yard/backup in home System discharges sewage to drain LI Yes ►i1 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: Drainfield was re-built on 11/2018 under city of Orono inspection protocol. 2. Tank Integrity—Compliance component#2 of 5 Compliance 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 ❑ Examined Tank Integrity Form (Attach) compliant if allowed in local ordinance. Cl Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes IO No designed operating depth. ❑ Examined empty(pumped)tanks(s) 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. ® Other methods not listed (See Comments/Explanation) Comments/Explanation: Tanks were pumped and inspected at an earlier date.. 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally unsound. ❑Yes* N No ❑Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. 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. 0 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 800-657-3864 • Available in alternative formats wq-wwists4-31 • 3/16/12 Page 2 of 3 Property address: 2650 Fox Street, Orono, MN 55391 Inspector initials/Date: L 11/20/2018 (mm/dd/yyyy) 4. Soil Separation— Compliance component#4 of 5 Date of installation: 08/1/2011 ❑ Unknown Verification method(s): (mm/dd/yyyy) ShorelandJWellhead protection/Food beverage Soil observation does not expire. Previous soil lodging? CI Yes ® No observations 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 Shore/and or Wellhead Protection Area or not serving a food, ®Two previous verifications(Attach boring logs) beverage or lodging establishment: 0 Not applicable(Holding tank(s),no drainfield) Drainfield has at least a two-foot vertical ; 0 Unable to verify(See Comments/Explanation) separation distance from periodically 0 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 24 inches of sand under rockbed 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" . Cl Yes Cl 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 24 inches of SAND 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 14 inches Drainfield meets the designed vertical C. System separation 36 inches separation distance from periodically y — } saturated soil or bedrock. D. Required compliance separation* IL 31 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: — _ ❑Yes ❑ No Have the Operating Permit requirements been met? 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. 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 Ii cr. 7 i' c9 1 ., 7:-. tvi-54-7A41- - Vs Ci C.- -7( \f's C'N \ 1" (...., .' t; / ... ---1 \*.••• / / •Lr' C3C) --C4 7-- ----,,, ---'._ —c, 0 -1r- -, Cs .- ----c) ) "...e., -N C. 0 N.. Q.) \ ,p, U of MN Onsite Sewage Treatment Program Soil Boring Log Client/Address: jby F%Lrc/kfav, Legal Description/GPS: Date: Soil Parent Material(s): ) Outwash Lacustrine Alluvium Loess Organic Matter Bedrock (circle all that apply) Landscape Position: Summit (512o er Back/Side Slope Foot Slope Toe Slope (circle one) Vegetation: Soil Survey Map Unit(s): Slope(%): (d r/ LL Weather conditions/lime of Day: Slope Shape: _____ — Saturated Soil Depth(in) Texture Matrix Mottle Redox Indicator(s) I Structure I Color(s) Color(s) Kind(s) (see back) Shape Grade Consistence '— Cranalr Weak Loose V-H 1,0m '0�( % ConcentrationsDepletions Blocky Monroe Moderate Strong Friable Fm, Ij Gleyed St*Gran Loose Extremely Finn Maxine Rigid Granata. Weak Loose O.-{'-'---4:1. 9ms Moderate Friable - Z 0 LL 101R'111 t:.,,, ; -v.--7, GI dant gamma Strong me ExtremelyFirm rani Smelt Gram Mum< Rigid Cemekr Weak Loose 4ncentratioe Moderate Friable q yO� 7 �O Finn '�,b ZC 1O 1I-5)1 joYZ.- bGleyed Pnarnete Seigle Gnn tante Extremely Fun Muive Rigid Grander Weak Loose Concentrations FDimly lab' Moderate Friable c l Depletions Pk Strong Firm rome ! Wr r e„ t`F Gleyed Single Gar? Loose Extremely Firm Massive Osman Weak Loose Concentration Mary Moderate Friable &viDepictions human Strong Finn Gleyed sbVc Gran Loose Extremely Fern Mantra Rigid Crawler Weak Loom Concentrations ?M' Moderate Friable i Depletionshu�earoc Strong Finn Glcytd Sal&onm se Damian tfF i stn .e LouRigid _ Comments: ___�__._____.__ w _. U of MN Onsite Sewage Treatment Program Soil Boring Log Client/Address: LT(), Cr- I u.--s c".--'' Legal Descriptlon/GPS: Date: -Z(o5a at Sy.°--- - Ori- sg,z de,-.slw 01t-rf)u Soil Parent Material(s): ._II--) Outwash Lacustrine Alluvium Loess Organic Matter Bedrock (circle all that apply) �,�;;l Landscape Position: Summit $bd67dgy Back/Side Slope Foot Slope Toe Slope a (circle one) Vegetation: C C� Soil Survey Map Unit(s): Slope(%): _! b 41,19,.'e.' - K.il N Weather conditions/Time of Day: .r„„,Th- k.i t,,,,h;,,, ...--r Slope Shape: ` Saturated Soil Depth(Ini Texture Matrix Mettle Retina Indicator(s) I Structure--.-----I Color(s) Color(s) _ IUnd(s) (see back) Shad "" ose e Grade Consistence� gdr j 1 lo Concentrations Friable Depletions Primate b`1 Le Uy,.-. (��g12 Gleyeei Single GEsteam Loose EExtremely Firm Rigid Mauve r Granola WLoose Concentrations Sxtya.y�y�� '".'.' Friable ri= Steil Fi"a Z� - LV JlL Ythpletions F(3 Gleyed gene*Grua lux ExtreaKlyFirm 16 Mauna wgd Gamut Weak Loose mut 1(-,(,Yraft-) 4 ) = Moderate Friable s Finn Rigid 3t/ CL (D 1t yil )ilia,S71 Gleed a, ExtmT Rigid ety Firm l Wawa Oratiler Weak Loose Concentrations Platy Moderate Friable Reay Soong Firm Depletions hmnac Geyer! SI*Gama Loose Extremely Fiero MenneRigid Grout. We* Lome Consent:adons nae Moderate Friable Depletions Blocky me Soong FinnGleyedSoule Gram Loose Finn Extremely Film Rigid S _.---____- .,.a..9 I ' a.aw week Lome Coneentra;ions Pan, Maderue Friable Depletions i alozgy PnsmS ,e I LUca,g Flr'u'wu FimlExtremely Ficin , ( 1 Gleyed ff S�,xiea:m _ .�._Y.._�.1 .I 1 MxlfiYe ____ Negri — i Comments: U of MN Onsite Sewage Treatment Program Soil Boring Log Client/Address:{{ J-, „1,.j 0„_., Legal Description/GPS: Date: T 2S) t _. Si—c, ..- 0,-,—. $a-3 G.,-t- .5.,k ne i- e6 ea.t.L-k alt ho Soil Parent Material(s):CrOutwash Lacustrine Alluvium Loess Organic Matter Bedrock (circle all that a.'1`� Landscape Position: Summit ''of• Back/Side Slope Foot Slope Toe Slope (circle one) Vegetation: Soil Survey Map Unit(s): Slope(%): E -17'e c. /4-1-- _ ,lift^•,I Weather conditions/Tune of Day: Slope Shape: Saturated Soil Depth(in) Texture Matrix Mottle Redox Indicator(s) I Structure I Color(s) Color(s) Kind(s) (see back) Shape Grade Consistence - — - Gaaa6r weak Look Concentrations Platy Moderate Friebk Deprrttons aloes' Strong Firm -CZ- `c)h-s i O 1 L Lf. Gleyed Sunk Gram Loose Extremely Fir, .„.-�..__ ._..� � Muses Rigid Connote,' Weak Lome^ Concentrations aPlaty tackY Moderate Friable ��yy /r % Depletions R Strong Finn ii- I(�o i” ('y 1�^fZ Gleyed rorratK Slagle Gram Loose Extremely Fum Mom. Rigid __.__-_ annular Wale Loose .� Concentrations Platy Moderate Friable / s Wit`it q' //,`1 DepletionsBlocktramatx Strong Finn r 6-Z' /.."ftce Gleyed Shale tram tense Extreme!,Finn MasesRigid Gra'utar Weak Looe Concentrations Platy Moderate Friebk / >/ Depletions alh k Strong Firm te - g v (0 14 /`( Gleyed Single Gnu Loose Extremely Firm Mumbo Rtgrd annular Weak Loose � / �/ Concentrations Platy d Moderate FrFriableS'" /� t I. " Depletions k StrongFirmGleyedSmgk true Lame Extremely Fain MaoismRigid _.._. Conular Weak Loose l ' Concentrations Platy Modesto Friable i Blocky ��Depletions { gourds. S ___._.._..trong Finn__...._ 1 C7leyexf de.r m LLP.. Exvcmcty Firm 1 �__� w,r�K a Comments: PERCOLATION TEST REPORT SHEETS DATE: 8-15-10 ') CONDUCTED BY: Chip's Septic Design ' Chip Fen es 4 P-1 Depth: 12 in Texture: CL Avera perc rate: 37.2 Time Interval Interval Interval Total I 'v ' Wat2 to Water Water (min&sec) (minutes) (seconds) Time depth drop drop rate mt Interval ,• (fraction)r�,(deci-pa1) MPG start 0:00:00 4 j stop 0:20:00 0:20:00 20NIS2(� �.. lot ` .x0.63 31.7%. 'a start 0:00:00. __ stop 0:00:00 20 2 0 5 a40.8, start 0:00:00 � , stop 0:00:00 20 2�. o. ' 40.0