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Home My WebLink AboutSeptic Compliance Inspection Form 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 Enforcement 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/ddlyyyy): 5/22/2018 ® 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: 3211823420005 Property address: 300 Stubbs Bay Road N, Orono, MN Reason for inspection: Property Transfer Property owner: Tom Fleming Owner's phone: 612-991-2944 or Owner's representative: Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 Approximately 2-1300 gallon septic tanks,1-1300 gallon lift station and 630 square feet of mound Brief system description: rockbed. Comments or recommendations: Two rock beds 32 feet long. 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 •(Locally Required Attachments ® Soil boring logs ❑System/As-built drawing ❑ 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 • 1/14/11 Page 1 of 3 Property address: 300 Stubbs Bay Road N,Orono, MN Inspector initials/Date: J O. 5/22/18 1. Impact on Public Health —Compliance component#1 of 5 Compliance criteria: Verification method(s): System discharge sewage to the ❑Yes ® No ® Searched for surface outlet ground surface. ® Searched for seeping in yard/backup in home System discharge sewage to drain tile CIYes ® No CI Excessive ponding in soil system/D-boxes or surface waters. 1=1Homeowner testimony(See Comments/Explanation) System cause sewage backup into Yes ® No CI "Black soil"above soil dispersal system CI System requires"emergency'pumping dwelling or establishment. ❑ Performed dye test Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation) an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Comments/Explanation) Comments/Explanation: 2. Tank Integrity—Compliance component#2 of 5 Compliance criteria: Verification method(s): System consists of a seepage pit, 0 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. CI Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes ® No designed operatin depth. ❑ Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: CIProbed outside tank(s)for"black soil" ❑ Unable to verify(See Comments/Explanation) Any "yes"answer above indicates the Other methods not listed(See Comments/Explanation) system is Failing to Protect Groundwater. Comments/Explanation: Elmer Peterson Company pumped the tanks. 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes" ►:4 No ❑Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* CI 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: 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 • 1124/12 Poge 2 of 3 Property address: 300 Stubbs Bay Road N,Orono, MN Inspector initials/Date: J. O 5/22/18 4. Soil Separation —Compliance component#4 of 5 Date of installation: 10/24/06 ❑ Unknown Verification method(s): Shoreland/Wellhead protection/Food Beverage ❑Yes ® No Soil observation does not expire. Previous soil Lodging? observations by two independent parties are sufficient. Compliance criteria: unless site conditions have been altered or local requirements differ. For systems built prior to April 1, 1996, and ❑Yes ❑ No not located in Shoreland or Wellhead ® Conducted soil observation(s) (Attach boring logs) Protection Area or not serving a food, Cl Two previous verifications(Attach boring logs) beverage or lodging establishment: ❑ Not applicable(Holding tank(s),no drainfield) 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 of f elevatio ns_ systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules(7080. A. Bottom of distribution media 97.8 2350 or 7080,2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 95.0 Drainfield meets the designed vertical C. System separation 2.8 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 I Not applicable Is the system operated under an Operating Permit? 0 Yes ❑ No If"yes",A below is required Is the system required to employ a Nitrogen BMP? 0 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? Q 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 • 1/24/12 Page 3 of 3 Tank Report Date: May 14,2018 Elmer J.Peterson Co. 5921 Dague Ave. Delano,MN 55328 Phone 763-972-2420 Fax 763-972-7217 MPCA License#219 Tom Fleming 300 Stubbs Bay Road Orono,MN 55356 612-991-2944 Baffles:l OFF Tank Capacity: 3-1300 Gallon Tanks Per City Records #of Tanks: 3 Type of Tanks: Concrete Gallons Pumped: 3000 Manholes to Grade: YES / NO Comments: On May 14,2018,Elmer J.Peterson Co.uncovered manholes(1s'&2° both 8 inches deep,homeowner uncovered lift station—2 inches deep)and pumped tanks. Filter in 2f°tank. No cracks or water leaking in tanks at that time. 2n4 tank is starting to corrode. NOTE:This is only a tank report. This is not a compliance inspection for point of sale nor does it replace a compliance inspection. Property address. 300 Stubbs Bay Road N Inspector initials/Date: 5/14/1 1. Impact on Public Health-Compliance component#1 of 5 Compliance criteria: Verification method(s): System discharge sewage to the ❑Yes ❑No 0 Searched for surface cutlet ground surface. 0 Searched for seeping in yard/backup in home System discharge sewage to drain tile i 0 Yes 0 No 17] Excessive ponding in soil system/D-boxes or surface waters. ❑ Homeowner testimony(See Comments/Explanation) - ---"- -"- 0 "Black soil"above soil dispersal system System cause sewage backup into 0 Yes 0 No dwelling or establishment. 0 System requires"emergency"pumping 0 Performed dye test Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation) an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Comments/Explanation) Comments/Explanation: 2. Tank Integrity-Compliance component#2 of 5 Compliance criteria: Verification method(s): System consists of a seepage pit, I 0 Yes ®No 0 Probed tank(s)bottom cesspool,drywell,or leaching pit. ❑ Examined construction records Seepage p/ts meeting 7080.2550 may be 0 Examined Tank Integrity Form(Attach) compliant if allowed in local ordinance. ❑ Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes ®No ® Examined empty(pumped)tanks(s) designed operating depth._ If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil" —1 ❑ Unable to verify(See Comments/Explanation) Any"yes"answer above indicates the 0 Other methods not listed(See Comments/Explanation) system is Failing to Protect Groundwater. Comments/Explanation: On 5/14/18,Elmer J.Peterson Co.pumped tanks. 3. Other Compliance Conditions-Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes" ❑No El Unknown b. Other issues(elec Tical 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 ❑Yes' 0 No 'System is falling 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-wwtsts4.31 • 1/24112 Page 2 of 3 Soil Observation Log „„,.SepticResource.com vers 12.4 Owner Information Property Owner I project: Torn Fleming Date 5/22/2018 Property Address 1 PID: 300 Stubs Bay Road N. Soil Survey Information ❑ refer to attached soil survey Parent matl's: E TII ❑Outwash ❑ Lacustrine ❑Alluvium ❑Organic ❑ Bedrock landscape position: ❑Summit ❑Shoulder El Side slope ❑Toe slope soil survey map units: 1,221)2 slope % direction- Soil Log#1 D Boring ❑ Pit Elevation 101.5 Depth to SFIWT 60 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-36 Fill �> 36-54 Topsoil <35 10 r3 2 Friable Moderate Block 54-60 Loam 35 10yr4 3 Friable Strong Blocky loose loose single grain <35 friable weak granular block 35 -50 firm moderate prismatic platy >50 rigid strong massive S loose loose single grain friable weak granular blocky 35 50 model ate prismatic platy >50 rigid strong massive Comments: TBM: Bottom of the rock bed tt I. • 300 Stubs Bay Road N. Soil Log#2 E Boring ❑ Pit Elevation 100.4 Depth to SHWT 72 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-5I Fill 35 51-65 Topsoil ..35 I Oyr3'2 Friable Moderate Blocky 65-72 Loam <35 I0vr4 3 Friable Strong Blocky loose loose single grain `35 friable weak granular blocky 35 50 firm moderate prismatic plate >50 rigid strong massive loose loose <35 single grain friable weak granular blocks 35 50 firm moderate Prismatic plats >50 rigid strong massive 300 Stubs Bay Road N. Soil Log#3 ❑ Boring ❑Pit Elevation Depth to SHWT Depth(in) Texture fragment% matrix color redox color consistence grade shape loose loose single grain <35 friable weak granular blocky 35 50 firm moderate prismatic plate >50 massiverigid strong loose loose single grain <35 friable weak granular blocks 35 50 firm moderate prismatic platy- >50 rigid strong massive loose loose single grain <35 friable weak granular blocky 35-50 firm moderate prismatic plat,) >50 rigid Strong massive loose loose single grain <35 friable weak granular block 35 -50 firm moderate prismatic platy >50 rigid strong massive < 5 loose loose single gram ' friable weak granular blocky 35 -50 firm moderate Prismatic platy >50 massive strong I hereby certify this work was completed in accordance with MN 7080 and any local req's. Rusty Olson's Soil & Perc 810 Designer Signature Company License Draw detailed diagram to scale with measurements below. . .. . .... .. i IV A 1 %- gi c 1 c W +1 6Pf „ 3g1 A Iscy ,___,...„„ Ai . a i) d Fief &tie_ pep i t- 6e60 1 "z ,'"'rF5 ........ ,► 44 f3 til Ogtdr F- �:; # 6 UAW-tett M z'� -y�V man ell ro v / . 8