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Home My WebLink AboutCertificate of Compliance Inspection Form Mailing Address Street Address Certificate of Compliance P.O.Box 66 2750 Kelly Parkway Crystal Bay,MN 55323 Orono,MN 55356 I nspection Form Phone:952-249-4600 Fax:952-249-4616 4'4K£st{0Ye Website: www.ci.orono.mn.us New Subsurface Sewage Treatment Systems (SSTS) Inspection results based on Minnesota Pollution Control Agency(MPCA)requirements and attached forms System status on date 06/05/2019: Compliant—Certificate of Compliance n Noncompliant— Notice of Noncompliance Valid for 5 years from report date (See Upgrade Requirements on page 3.) 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: Property address: 1180 Homestead Trail Reason for inspection: New Istallation Property owner: Owner's phone: or Owner's representative: Jake Carlson Representative phone: 763-229-2515 Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 Brief system description: Type I mound Comments orrecommendations: 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: Roger Peitso Certification number: #C6683 Business name: License number: Inspector signature: �'j`2 �u Phone number: 952-249-4625 Necessary or Locally Required Attachments ®Soil boring logs II System/As-built drawing ❑ Other information(list): Page 1 of 3 Property address: 1180 Homestead Trail Inspector initials/Date: RLP I 06/05/2019 (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 El 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: New installation of septic system 2. Tank Integrity—Compliance component#2 of 5 Com'Hance 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 El Examined Tank Integrity Form (Attach) com.liant if allowed in local ordinance. ❑ Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes ® No designed operating depth. ElExamined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil" Any "yes"answer above indicates the El Unable to verify(See Comments/Explanation) system is failing to protect groundwater. IM Other methods not listed (See Comments/Explanation) Comments/Explanation: New installation of septic system 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally unsound. ❑Yes* ®No El Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑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: Page 2 of 3 Property address: 1180 Homestead Trail Inspector initials/Date: RLP i 06/05/2019 (mm/dd/yyyy) 4. Soil Separation — Compliance component#4 of 5 Date of installation: 06/05/2019 ❑ Unknown Verification method(s): (mm/dd/yyyy) Shoreland/Wellhead protection/Food beverage Soil observation does not expire. Previous soil lodging? ❑Yes 1:1No 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 El Yes ® No ❑ Conducted soil observation(s)(Attach boring logs) not located in Shoreland or Wellhead ❑Two previous verifications(Attach boring logs) Protection Area or not serving a food, 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: New installation of septic system 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 992.7 or V systems built under 2008 Rules(7080. A. Bottom of distribution media 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 989.7 Drainfield meets the designed verticalC. System separation 3� separation distance from periodically saturated soil or bedrock. D. Required compliance separation* 3' 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? El 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.If the system is failing to protect ground water, the system must be upgraded,replaced, or its use discontinued within three years of receipt of this notice.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. 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. Page 3 of 3 SCAL(.;: ': 1°7; L. ,' . , • \ \ \ \ / , / , \ ,-/--NORTH LINE OF NE NWI/4 Cr S /4 OF SEC28 I ... 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Fit c3 MOUND SYSTEM DESIGN GutEL j,nck. E=:E Atti,a-L tr .�. 1N36-''.;, 6' i);5. '''3."4 l'`.44-:' ‘444W571-141 *��.-`) Type ( ._J__Bedroom,Average percolation rate 10.Ce, MtiWaStS TIL#3 EL- '3.S System mot big MA _ . galfday _£T c;> sq_ft.of treatment area„�;..2 (/10 ft.width=;1t2_f#-length of bed area 3 ''- ` a from property fines ,2.. a:; 1 V - (-a: - 1-41--t- tWMWeb 1 ,..u7 .,. Side slope run `t_to i x 3_3._height=7n- ft.x fit.Lawn area. .„,144.*from , ('7 c 6,.. 790 ''iioelt elf t gmls Clean rock needed plus 2096 acu_yds.Coarse washed sanu.Yds.Average sand depth Treatment*I & ,'rim pnoptity On Sandy laa 1, cu_ ds.,Topsoil 6" ?8co 6 from s Y ps coYds.plus 50% .cu.Yds. U:iROM tilts Number of tanks ) ,ftank 4:'____.___E.0 206 tank_,7 _gats.,Pump chamber capacity)_vt,?gals_ 1-__?___gals./100 lineal feet of 'dia.Su tAV; av = tt�IE x?i Supply pipe,lineal feet needed 13 3 a 3... ... b 15 PUJ C'vv�S Y* Distribution pipe_ 02_dam_ t 3 lineal feet,134 .dia.Perforations 3 6. u apart Float set at 17.E gals., Lir times per day Pump curve 5',,j min. . .`t feet head pressure. Dab):.5 11 4 Ph- 763-498-8779 Soil Observation Log www.SepticResourcc.com vers 12.4 Owner Information Property Owner;`project: Dave Mariani Date 5/14/2018 Property Address/PID: 1180 Homestead Trail Soil Survey Information ❑ refer to attached soil survey Parent mates: 2 Till ❑Outwash ❑ Lacustrine ❑Alluvium ❑Organic ❑ Bedrock landscape position: ❑Summit ❑Shoulder Q Side slope ❑Toe slope soil survey map units: L36A slope 6-10 % direction- Linear Soil Log#1 Q Boring ❑ Pit Elevation 990.9 Depth to SHWT 14 Inches Depth(in) Texture fragment°A matrix color redox color consistence grade shape 0-6 Topsoil <35 IOyr3/2 Friable Moderate Blocky 6-14 Clay Loam <35 lOyr4/3 Firm Strong Blocky 14-20 Clay Loam <35 1Oyr5/'4 I0y4%8,1-6/10y Firm Strong Blocky 20-24 Loam <35 I Oyr6/4 10y4/8,I-6/10y Friable Strong Blocky loose loose single grain <'S friable weakgranular blocky 35 50 firm moderate prismatic piaiy >50 rigid strong massive Comments: 1180 Homestead Trail Soil Log#2 ❑✓ Boring ❑ Pit Elevation 988.3 Depth to SHWT 22 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-14 Topsoil <35 10yr3'2 Friable Moderate Blocky 14-18 Clay Loam <35 10yrzir3 Friable Strong Blocky 18-22 Clay Loam <35 10yr5!4 Friable Strong Blocky 22-30 Clay Loam <35 10yr5'3 10y4/8.1-6/10y Firm Strong Prismatic loose loose single grain <35 friable weak granular blocky 35-50 prismatic platy Blah firm moderate n 50 rigid strong massive 1180 Homestead Trail Soil Log#3 E Boring E Pit Elevation 983.5 Depth to SHWT 18 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-6 Topsoil <35 10yr37`l Friable Moderate Blocky 6-18 Sandy Loam <35 2.Sy4'3 Friable Strong Blocks 18-26 Clay Loam <35 2.5y513 I0y4/8.1-6/l0y Firm Strong Blocky loose loose single grain <35 friable weak 35-50 granular blocky firm moderate prismatic plat >50 rigid strongmassive loose loose<35 single grain friable weak granular blocky 35 -50 firm moderate prismaticplaty ilaly >50 rigid strong massive /hereby by cerci his Mark was completed in accordance with A/N 70830 and any local req's. s Rusty Olson's Soil & Pere 810 4' signer Signature Company License 4 1180 Homestead Trail Soil Log#4 2 Boring ❑ Pit Elevation 985.4 Depth to SHWT 30 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape loose loose single grain friable weak granular blocky 0-20 Fill <=35 firm moderate prismatic platy rigid strong massive 20-30 Topsoil <_35 I0yr3"I Friable Moderate Blocky 30-40 Sandy clay Loam <35 2.5y4/3 I0y418,I-6/10y Friable Strong Blocky 40-48 Clay Loam :35 2.5y5/3 IOy4l8,I-6/10y Firm Strong Prismatic loose loose single grain ��5 friable weak granular blocky 35 -50 firm moderate prismatic platy >50 rigid strong massive 1180 Homestead Trail Soil Log#5 _ 0 Boring ❑ Pit Elevation 988.3 Depth to SHWT 22 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-I4 Topsoil <35 10yr3/2 Friable Moderate Blocky I4-I8 Clay Loam <35 1Oyr4/3 Friable Strong Blocky 15-22 Clay Loam <35 10yr514 Friable Strong Blocky 22-30 Clay Loam <35 IOyr5/3 10y4/8,I-6/l0y Firm Strong Prismatic loose loose <35 single grain friable weak granular blocky 35 -50 firm moderate Prismatic plaly >50 rigid strong massive I hereby cert4 this work was completed in accordance with MN 7080 and any local rey's. w,,... Rusty Olson's Soil &Pere 810 esigner Signature Company License# Soil Observation Log www.SeptieResource.com vers 12.4 Owner Information Property Owner!project: Dave Mariani Date 5/14/2018 Property Address i PID: 11$0 Homestead Trail Soil Survey Information ❑ refer to attached soil survey Parent matt's: E]Till ❑ Outwash ❑Lacustrine ❑Alluvium ❑Organic ❑ Bedrock landscape position: ❑Summit ❑Shoulder 2 Side slope ❑Toe slope soil survey map units: L36A slope 6-10 % direction- Linear Soil Log#6 Q Boring ❑ Pit Elevation 984.0 Depth to StIWT 18 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape loose loose single grain friable weak granular blocky 0-8 Fill <35 firm moderate Prisatie plat rigid strong massivem 8-18 Topsoil <35 10yr3/1 Friable Moderate t3locky 18-22 Sandy Loam <35 2.5y4./3 I0y4!8.I-6./10y Friable Strong Blocky 22-30 Clay Loam <35 2.5y5/3 10y4!8,1-6I10y Firm Strong t3lock} loose loose single grain 35 friable weak granular block 35 -50 plat' firm moderate prismatic I >50 rigid strong massiac Comments: 1180 Homestead Trail Soil Log#7 0 Boring ❑ Pit Elevation 990.9 Depth to SHWT 26 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-10 Topsoil <35 I0yr3/2 Loose Moderate Single grain 10-18 Clay Loam <35 10yr4/3 Friable Strong Blocky 18-26 Clay Loam <35 10yr5/4 Friable Strong Blocky 26-32 Clay Loam <35 I0yr5/3 I0y4/8,1-6/l0y Firm Strong Prismatic loose loose <35 single grain friable weak granular blocky, 35-50 firm moderate prismatic platy >50 rigid strong massive 1180 Homestead Trail El Boring ❑ Pit Elevation Depth to SHWT Inches Depth (in) Texture fragment% matrix color redox color consistence grade shape loose loose single grain �5 friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive loose loose <35 single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive loose loose single grain <35 friable weak granular blocky 35 50 firm moderate prismatic platy >50 rigid strong massive loose loose single grain 35 friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive loose loose <35 single grain friable weak granular blocky 35 50 firm moderate prismatic platy >50 rigid strong massive I hereby certif}r this work was completed in accordance with MN 7080 and am local reg:s. f Rusty Olson's Soil & Perc 810 gner Signature Company License ft / �OM�\ Aa �i City of Orono Septic Asbuilt Form h Address: 1180 Homestead Trail Building Use: Residence Installer: Jakes Excavating License# L3363 Date: 9/26/2018 Septic Tanks: 2250 Pump Tank: 1250 Date Finaled: 6-5-2019 Bedrooms# 5 System Type: ❑X I El II ❑ III EX Mound 0 Trenches ❑ Pressure Bed ❑ Other Draw detailed diagram with measurements indicating distances to tank Risers. Use two(2) points from a permanent structure. Show locations of drop Boxes and length of trenches cZ, W 'A�= �' - A B fl 1 75' .rW (L) Qt 2 82' i 3 98 v w do 41..$ �,. q 93 5 oma, 6 4a 7 9 10 11 12 i, 'no -C 0 w w 0 e --P 0 cc rn