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HomeMy WebLinkAbout08-22-2019 Septic Compliance Inspection k T r 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 i �J System Status System status on date(mm/dd/yyyy): 8/22/2019 Z 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: Property address: 465 Hunter Pass, Orono Reason for inspection: Sale Property owner: Jennifer Foster Owner's phone: 952-334-2757 or Owner's representative: Representative phone: Local regulatory authority: City Regulatory authority phone: Brief system description: 1300& 1000 Septic with a 1300 gal pump tank_5 bdrm mound system 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 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 Inc License number: 2502 Inspector signature: / 2 Phone number 952-873-3292 Necessary or Loch 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 • 3/16/12 Page 1 of 3 Property address: 465 Hunter Pass,Orono Inspector initials/Date: JS 1 8/22/2019 (mm/dd/yyyy) 1. Impact on Public Health— Compliance component#1 of 5 Compliance criteria: Verification method(s): System discharges sewage to the El Yes ®No ® Searched for surface outlet ground 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. — i ---- El 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 El Performed dye test system is an imminent threat to public El Unable to verify(See Comments/Explanation) health and safety. El 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, El Yes ® No ❑ Probed tank(s)bottom cesspool,drywell,or leaching pit. ® Examined construction records Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. El Examined Tank Integrity Form(Attach) Sewage tank(s)leak below their ❑Yes ® No El Observed liquid level below operating depth designed operating depth. j ® 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. ElOther methods not listed(See Comments/Explanation) Comments/Explanation: 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally unsound. 0 Yes* ®No 0 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: See notes on first page 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 • 3/16/12 Page 2 of 3 ) CfC 1 # c • / lip r 7;7" R343 3 _'3 730 s6 qv) r3 T31(14 6q D D , 1\1 4A'\-A ,Av4-1 i �� Pumping Report Sewer Service Inc. Lic: 2502 Date Serviced: , ; /i 9 Driver '7,30(:)-1- tF3' ;. Type:residential Commercial Industrial Scheduled Maintenance: Emergency Services: Start time: Stop time: Name . ,'`\ E ,��.. ,� f Phone: 15??- 3-591 -C-7 Address: ef/ ,p K' e., City: i'"0/7 Did you measure the accumulation of scum and sludge? Yes (No, ,umped regardless Tank 1 Tank 2 Tank 3 Tank 4 Pretreatment Pump Tank Gallons Billed 130 �6fi a Scum Sludge full Operating Depth Access used /M/7/ -(// 44 AI Depth to lid 7; , refuse to allow the removal of the solids and liquids through the maintenance hole. I understand that removal of solids and liquids through other access points is not considered a compliant method of solids removal and does not fulfill the solids removal requirements of Minn. R. 7080.2450 and 7082.0600 Owner's Signature: Tank Type -0Precast)L Block - roncrt' - Plastic - Other id Filter: Yes (1\13). Type of system: ` 0,11 Type of waste:(Domestic--- Holding - Commercial - Industrial - Flammable waste trap Are tanks leaking above or below flow line? Yes No) If yes, where: Did you observe sewage discharging onto the ground surface? N,9/Yes, Pump Size: (.,t i f Electrical condition: ( d' Are all of the covers securely replaced. Yes)No, Safety concerns: Disposal site: ,^,,!-,/7r Next recommended pumping: / :2-. Other : Comments/Troubleshooting/Repairs: ccve , )-1- , ,f "c f r° Sewer Services Inc. 25648 200th Street - Belle Plaine, MN 56011 - 952-873-3292 Septic tanks should be pumped every 1 to 3 years. — Billing Information Many different variables determine how often Pumping (first 1000 gal.): �'1 a tank needs pumping: aa:�: , �_„__-- _ -.h Property address: 465 Hunter Pass,Orono Inspector initials/Date: JS 18/22/2019 (mm/dd/yyyy) 4. Soil Separation —Compliance component#4 of 5 Date of installation: 6/11/1998 ❑ Unknown Verification method(s): (mm/dd/yyyy) Shoreland/Wellhead protection/Food beverage Soil observation does not expire. Previous soil Sh el 7 ❑Yes ® No observations by two independent parties are sufficient, lodging? 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 Shore/and 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 drainfield) Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation) separation distance from periodically saturated soil or bedrock. ❑ Other(See Comments/Explanation) Non-performance systems built April 1, ®Yes ❑ No Comments/Explanation: 1996, or later or for non-performance systems located in Shoreland or Wellhead Boring: Protection Areas or serving a food, 1-16 10 YR 2/2 Loam beverage, or lodging establishment: 17-26" 10 YR 4/4 Clay Loam Drainfield has a three-foot vertical separation distance from periodically No Redox saturated soil or bedrock.* Confirmed boring results from 4/19/2017 compliance "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 12"plus 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock over 26" Drainfield meets the designed vertical C. System separation 36"plus separation distance from periodically saturated soil or bedrock. D. Reguired 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? ❑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? I ❑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