The URL can be used to link to this page

Home My WebLink About12-06-19 Septic Compliance FormMinnesota Pollution compliance Inspection Form Control Agency 524 Lafayette Road North Existing Subsurface Sewage Treatment Systems 5t. Paul, MN 55155-4194 (SSTS) Doc Type: Compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency (MPGA) 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): 121612019 ® 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 SeclTwp/Range: 1111723230015 Property address: 1510 Green Trees Road, Orono_, MIS Reason for inspection: Property Transfer Property owner: Scott Stevenson Owner's phone: 612-437-9273 or Owner's representative: Gregg Larsen Representative phone: 612-719-4477 Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 Brief system description: 2-1000 and 880 square feet of Trench. per city records Comments or recommendations: TBM: Top of the basement door threshold BL- 100.0 assumed 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: RustOlson's Soil & Perc. Testing Inspector signature: Necessary or Locally Required Attachments License number: 810 Phone number: 763-498-8779 Z 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 • 1124112 PoSe 1 of 3 Property address: 1510 Green Trees Road, Orono, MN Inspector initials/Date: J. 0. 12/06119 1. Impact on Public Health —Compliance component #1 of 5 Compliance criteria: System discharge sewage to the ❑ Yes [D No ground surface. System discharge sewage to drain tile ❑ Yes [D No or surface waters. System cause sewage backup into ❑ Yes ® No dwelling or establishment. Any "yes" answer above indicates the system is an Imminent Threat to Public Health and Safety. Comments/Explanation: 2. Tank Integrity —Compliance component #2 of 5 Compliance criteria: System consists of a seepage pit, ❑ Yes 0 No cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. Sewage tank(s) leak below their ❑ Yes 0 No designed operating depth. If yes, which sewage tank(s) leaks: Any "yes" answer above indicates the system is Failing to Protect Groundwater. Comments/Explanation: Elmer J Peterson pumped the tanks on 9/26119 Verification method(s): ® Searched for surface outlet ® Searched for seeping in yard/backup in home ❑ Excessive ponding in soil system/D-boxes ❑ Homeowner testimony (See CommentslExplanation) ❑ "Black soil" above soil dispersal system ❑ System requires "emergency" pumping ❑ Performed dye test ❑ Unable to verify (See CommentslExplanation) ❑ other methods not listed (See CommentslExplanation) Verification method(s): ❑ Probed tank(s) bottom ❑ Examined construction records ❑ Examined Tank Integrity Form (Attach) ❑ Observed liquid level below operating depth ❑ Examined empty (pumped) tanks(s) ❑ Probed outside tank(s) for "black soil" ❑ Unable to verify (See Comments/Explanation) ® Other methods not listed (See CommentslExplanation) 3. Other Compliance Conditions —Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to structurally unsound. ❑ Yes* Z No ❑ Unknown b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety. ❑ Yes* E 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* M 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 • 1124112 Page 2 of 3 Property address: 1510 Green Trees Road, Orono, MN Inspector initials/Date: J. O. 12/06/19 4. Soil Separation — Compliance component #4 of 5 Date of installation: 11/16189 ❑ Unknown ShorelandlWelihead protection/Food Beverage ® Yes ❑ No Lodging? nee criteria: For systems built prior to April 1, 1996, and not located in Shoreland or Wellhead Protection Area or not serving a food, beverage or lodging establishment: Drainfield has at least a two -foot vertical separation distance from periodically Non-performance systems built April 1, 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" systems built under pre -2008 Rules; Type IV or V systems built under 2008 Rules (7080. 2350 or 7080.2400 (Advanced Inspector License required) Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock. ❑ Yes ❑ No Verification method(s): Soil observation does not expire. Previous soil observations by two independent parties are sufficient, unless site conditions have been altered or local requirements differ. ® Conducted soil observation(s) (Attach boring logs) ❑ Two previous verifications (Attach boring logs) ❑ Not applicable (Holding tank(s), no drainfield) ❑ Unable to verify (See Comments/Explanation) ® Other (See Comments'Explanation) Z Yes ❑ No CommentslExplanation: Attached is the original soil borings and 2013 cert borings Yes ❑ No Indicate depths of elevations Any "no" answer above indicates the system is Failinct to Protect Groundwater. A. Bottom of distribution media 89.4 B. Periodically saturated soil/bedrock I 86.8 C. Svstem separation 2.6 D. Required compliance separation* *May be reduced up to 15 percent if allowed by Local Ordinance. 5. Operating Permit and Nitrogen BMP* — Compliance component #5 of 5 E 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. criteria a. Operating Permit number: Have the Operatinq Permit requirements been met? ❑ Yes [--]No b. js the required nitrogen SMP 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 • Avaitable in alternative formats wq-wwists4-31 • 1124112 Page 3 of 3 Elmer I Peterson Co. 5921 Dague Ave. Delano, MN 66528 Phone 763-972-220 Fax 763-,972-7217 MPCA License# 219 Scott Stevenson 1510 Green Trees Road Wayzata, MN 55391 612-719-4477 Gregg Larsen - Realtor Baffles: ON / Tank Capacity: # of Tanks- 2 Type of Tanks: Tank Report OFF 2-1000 Gallon Tanks Concrete Gallons Pumped: Manholes to Gracie Comments: 2000 N Ir (YLF-)S/ NO Date: October 23, 2019 On October 23, 2019, Elmer J. Peterson Co_ pumped tanks. No cracks or water leaking in tanks at the time of pumping. NOTE: This is only a tank report. This is not a compliance inspection far point of sale nor does it replace a compliance inspection. , Property address: 1510 Green Trees -Road— Inspector initials/Date: - 10123/19 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 around surface. ❑ Searched for seeping in yardibackup in home System discharge sewage to drain tile ❑ Yes ❑ No El Excessive ponding in soil systemlD-boxes or surface waters. [ Homeowner testimony (See CommentslExplanation) System � ❑ "Black soil" above soil dispersal system cause sewage backup into ❑Yes ❑ No y g p ❑ System requires "emergency" pumping dwelling or establishment. -- ---- - ❑ Performed dye test Any "yes" answer above indicates the system is ❑ Unable to verify (See CommentslExplanation) an Imminent Threat to Public Health and Safety. ❑ Other methods not listed (See CommentslExplanation) CommentslExplanation: 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 it 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 dem If yes, which sewage tank(s) leaks: El Probed outside tank(s) for "black soil" E] Unable to verify {see Comments/Explanation} Any "yes" answer above indicates the ❑Other methods not listed (See CommentslExplanation) system is Failing to Protect Groundwater. CommentslExplanation: On 10123119, 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 ❑ Unknown b. Other issues (electricalhazards, etc.) to immediately and adversely impact public health or safety. ❑ Yes"` ❑ No 1] 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.u5 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 Available in alternative formats wq-wwists4-31 • 1124112 Page 2 of 3 Property Owner / project Property Address / PID: Soil Observation Log www.SentieResource.com vers 12.4 Owner Information Scott Stevenson 1510 Green Trees Road Date 11/25/2019 Soil Survey Information ❑ refer to attached soil survey Parent matl's: ❑ Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ organic ❑ Bedrock landscape position: ❑ Summit P] Shoulder ❑ Side slope ❑ Toe slope soil survey map units: L22C:2 slope % direction- Linear Soil Log ##1 R1 Boring ❑ Pit Elevation 93.8 Depth to SHWT 66 inches Depth (in) Texture fragment % matrix color redox color consistence ;rade shape 0-8 Topsoil <35 10yr3/2 Friable Moderate Granular 8-12 Sandy Loam <35 10yr4/3 Friable Moderate Granular 12-40 Sandy Loam <35 i 10yr5/4 Friable Moderate Granular 40-46 Sandy Loam <35 10yr3/2 Friable Moderate Granular 46-66 Sandy Loam <35 10yr5/4 Friable Moderate Granular Comments: I hereby certify this work was completed in accordance with MN 7080 and any local reqs. Rusty Olson's Soil & Perc. 810 esigner Signature Company License 9 1510 Green Trees Road Soil Log #2 M Boring ❑ Pit Elevation 91.4 Depth to SHWT 66 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-6 Topsoil <,I 10yr3/2 Friable Moderate stocky 6-10 Clay Loam <J5 10yr4/3 Friable Strong Bloch. 10-24 Clay Loam <35 10yr5/4 Friable Strong Blocky 24-42 Sandy Loam <,5 10yr6/4 Friable Moderate Granular 42-66 Med Sand <35 10yr6/3 Loose Loose Gram filar 1510 Green Trees Road Soil Log #3 Boring ❑ Pit Elevation Depth to SHWT inches Depth (in) Texture fragment % matrix color redox color consistence grade shape <35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >54 rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid .strong massive <35 loose loose single grain 35-50 friable weak granular blocky firth moderate prismatic platy >50 rigid strong massive 35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid strong massive I hereby certify this work was completed in accordance with MN 7080 and any local reqs. Rusty Olson's Soil & Perc. 810 esigner Signature Company License 9 L-1 - �flC�}�Q.^. o '_C?} Dr Green Trees on Sor4ngs mado by "-.,-7-ry_7 Inc Steve V�"_ Sysyer: AA.ZYW TW -CI-C` V r•,,, r� y er Augor used Ichac% t v1 . van�_�-� or ='mower / . _�qh+. r or __ _ HIT ROCK 1 , 414" R1 i n 1 End of borinT at 1 feet. Ant or bvr;.ng at 71 Feet Stan!inq water table: rjt nr?_nn water table: present at feet of ,de?+'!•!, present at feet of depth, !tours after borinto. 'tours after ber-nq. No: present in hole X Not present in hole X Mottled so!' t bgerved an feet of C:""='t.~ . Co.. en t s : Mottled sfl!_. coser,Ted at 614" feet of depth. Fei'* ` 5'�rrrc� rt�`_"J.3':=Qn 13�jF T r,--,�:. �•.'.r Fci�P f>:'?'T�. ��fl•'_ ��4. �J lopsr]V dark brown loam Topsoil dark brown loaf's V J C - loot _ I Brown: sandy clay a loam � 'rcwn sandy � - 211 Brown_ sar,r v loam 212" - `1 1 101" ." L ` •• .Brown :tie`-"�i ?1 ;414 - 3-4" 411 • u^�m.] 3rown_ medium sand Da,1 411 _ t R,Ibrown 12amy 9 _ r 7 t _ 41 4 _ Brown 1 _ r tt sand. loam 4 4 4 I � I Brown loamy sant' w/a thin _ayer C- loam 1 I Brown medium Clive brown laafrt 5 1 211 _ 6 r 4Ir-MOTTLING I Rusty alive brown sandy _ 7 _ 5"411 - 7' loam I HIT ROCK 1 , 414" R1 i n 1 End of borinT at 1 feet. Ant or bvr;.ng at 71 Feet Stan!inq water table: rjt nr?_nn water table: present at feet of ,de?+'!•!, present at feet of depth, !tours after borinto. 'tours after ber-nq. No: present in hole X Not present in hole X Mottled so!' t bgerved an feet of C:""='t.~ . Co.. en t s : Mottled sfl!_. coser,Ted at 614" feet of depth. J CERT TF :CATION 4 001627 Lcas {f S041 3o`."4_nas � Location or Project John Turnblacer, Lot5,E1k.1, & Outlo* D, Green 'gees on 3orings made by S -a "'e_st,ne Tnc. Stege Sch;r^�ers aTanager Lake, roino r C_assi* i ction System: AASF'-1 .': rc ; F, Auger used (check two) ! Hand X , Or Powe® o,- 3+:ck e * x Depth,Bari na number 1 R T��eo� h, pp *3ori*?cx number 2 n tin feet Surface elevation 951.7 `Fee+ ` urface elevation 951.4 0 - TOosoil dark brown � !f '-^arr - Brown clay loam - ?gown 'loam d row,:in- y loam „ 3!e„ 'raw. pec'4 Um sand 0 'Je o r"%ywn a L — 4 3 f t y M ''.roe'^ medium sand 7 - 4f,,, _ 7f FIT ROCK I I i Tend CSF bor' nc at 7dee +. Stand ina wa :er tabje : present at feet of deot!l, hours after borina. NO-- cresent _n '?01ey Mottled soil—. ObsF- rved a` feet of death. Not present '.'i `1010 X Comments: i Toosoil dark brown + loam Q - 1'411 Brown sandy loam t — C 1'41' - 2_.1/2+ i s � 4 - 1 !gown medium sand f i 1 ) -d I _ 2-1/2' - 7' HIT ROCK I ' I � � 1 End of boring at 71feet. Standing water table - ,!)resent at c4a; of 2epth, hou,s after bor_na. yo,tlec! soil: y Not L'resent _n Comments: i K Greelr,. f : rFIDC ZAGr a2i?2 q, Ila D 8� +BBQ 99�1C3 _. 1514 Green Tis'�. ,y ` aliil.'1 F �Tf'3 rfv� X6'3 r �G );2j,6 q; lo