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Home My WebLink About2010 - MPCA compliance inspection info 07/18/2010 00:03 9527586278 ADVANCED ONSITE INC PAGE 02 I 313 Lyndale Ave New Prague, Mn. 56071 Advanced OnSite, Phone (952) 461-2356 Inc. Fax (952) 758-6278 Memo To: Estate of Diane Gross Attn: Rich Gross From: Tom Klanchnik Date: July 18, 2010 Re: Septic Comp Insp: 55 Wear Lane North Orono, MN. 55350 Hi Rich, Please find the enclosed M.P.C.A. compliance inspection information. The septic system Compliance Inspection for the above mentioned location was completed on July 12, 2010. A physical inspection of the entire septic system area was conducted. No discharge of any kind from any of the septic components was evident. The septic tank and pump chamber were probed and viewed at the time of pumping to verify as precast with solid bottoms. The mound type drain field was field located: Two soil borings were completed and flagged in the drain Geld area. Tire soil borings revealed an absence of the condition noted as "mottled soils" to 16 inches below surface grade. Mottled soils indicate a high watertabie condition. Regulations for this system require 36 inches of separation between the bottom of the drain field rock bed and the mottled soils. It is apparent there is the reauired seoaration as the drain field is a mound type drain field built to that specification in 1997. Based upon my site evaluation and complete review of July 12, 2010 the septic system has been classified as a passing or complying system. Please note that no determination of future hydraulic performance has been nor can be made due to unknown conditions during system construction, abuse of the system, inadequate maintenance, or future water usage. If you have any questions please contact me at (952) 461-2356. ThanksI 1 07/18/2010 00: 03 9527586278 ADVANCED ONSITE INC PAGE 03 I i 1 . , , ' ;, Minnesota Pollution Compliance Inspection Form "'". Control Agency ��. Existing Subsurface Sewage Treatment Systems (SSTS) 520 Lafayette Road North Doc Type:Compliance and enforcement 5t Paul,MN 55155-84194 Instructions on page 6 Summary Form (Completed form must be submitted to the local unit of government within 15 days.) Parcel nurrrlaei. For Local Tracking Purposes: System status: ® Compliant ❑ Noncompliant (based on all comntinnr.P mquirements) Property Information Property owner name(s); Estate of Diana Gross (Attn: Rich Gross) Property owner phone: Rich: (612)865-8598 Property address: 55 Wear Lane North Orono, MN. 55356 _ Property owner address(if different): (Attn:Rich 721 Bridal Path Trail Hamel, MN. 55340 County: Hennepin Permitting authority: City of Orono Attn:Willy Date system constructed; 1997 Reason for inspection: Property Tranofcr System Description Brief system description: Septic Tank, Pump Chamber, and Mound Type Drain Field Local permit number: Number of bedrooms: 3 „_� Design flow rate; 450 Is the system: In Shoreland area? D Yes ® No In Wellhead Protection Area? ❑Yes it No An U.S. Environmental Protection System serving a Minnesota Deoarintent Agency(EPA)Class V Injection Well?0 Yes ® No of Heath(MDH) licensed facility? ❑Yes ® No Compliance Status(eased on state requirements additional local requirements may also apply.) Based on the information gathered and reported on attached forms, the compliance status of this system is(check one): 1$1 Certificate of Compliance—valid until (3 years from date of report); 7/12/2010 ❑ Notice of Noncompliance-For Noncompliant systems: The reason for noncompliance is: This noncompliant system is classified as (check one below): ❑ Imminent threat to public health&safety 0 Failing to protect ground water 0 Not in compliance with operating permit Certification I hereby carlify that all the necessary information hos 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, inad•.• ,to maintenance, or future water usage. Name: Thomas Klanchnik Certification number: R 5945 Business license name and , Advanced OnSite, Inc. L 2656 or Name of loud unit ory! -r Signature: /_ Date: July 17,2010 Required Attac dents ® Hydraulic Performance ® Tank Integrity ❑ Operating Permit Form (if applicable) El Soil Boring Logs ® Soil Separation Ei System drawing/As-built drawing 0 Any local requirements that are different from what is required on this form ❑ Other information (list): Upgrade Requirements (derived from Minn. Stat. § 115.55)An imminent threat to public health and safely(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 cy.ctem mast he upgraded, replaced,or its use discontinued within the time required by local ordinance. if an existing system is not failing es 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 07/18/2010 00: 03 9527586278 ADVANCED ONSITE INC PAGE 04 Parcel number: System status: ® Compliant D Noncompliant (AR determined by this form) Hydraulic Performance and Other Compliance - Compliance Inspection Form for Existing SSTS Compliance Issue #1 of 4 Date of observation: July 12,2010 Reason for observation: Property Transfer This form expires upon next inspection or in three years,whichever occurs first: July 1 2.,21113 Compliance questions/criteria: (Required) Verification Method*: (Optional) (Check the appropriate box) (Check the appropriate box) Does the system discharge sewage to the 0 Yes ® No El Searched for surface outlet yround surface? _ ❑ Performed hydraulic test Does the system discharge sewage to drain ❑Yes El No tile or surface waters? _ Searched for seeping in yard Does the system cause sewage backup ❑Yes ® No ❑ Checked for backup in home into dwelling or establishment? LI Excessive ponding in soil systemlD-boxes Do other situations exist that have the 0 Yes (3 No ❑ Homeowner testimony potential to immediately and adversely impact or threaten public health or safety ❑ Examined for surging in tank (electrical, unsafe covers,etc.)? _-- ❑ "Slack soil"above soil dispersal system Any"yes"answer indicates that the system is an imminent threat to public health and safety. ❑ System requires"emergency"pumping LI Performed dye test Does the system pose a threat to ground ❑Yes ® No Other; Estate Executor Testimony water for any conditions deemed non- - _protective as determined by the inspector? "Yes"indicates that the system is failing to protect ground water.If"yes", describe the condition noted: No standard protocol exists. This list is not exhaustive, in sequential order, nor does it indicate which combinations are necessary to make this determination. Certification This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations, interpretations, and conclusions must be completed by an inspector. Completed form must be submitted to the local unit of government within 15 days. Property owner name(s): Estate of Diana Gross (Attn: Rich Gross) Property address: 55 Wear Lane North Orono, MN.55356 Property owner's address(if different): (Attn:Rich) 721 Bridal Path Trail Hamel, MN. 55340 County: Hennepin Property owner phone: Rich: (612)865-8598 I hereby certify that I personally made the or• -ovations, interpretations, and conclusions reported on this form and that they am correct. 1 Name: Thomas Klanchnik Certification number: R 6046 Business license name and n • be' Advanced OnSite, Inc. L 2656 or Name of local unit of go 09A(/ierr Signature: Al Date: July 17,2010 www.pca.state.mn.us • 651-296-6300 • 800.657.3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats 07/18/2010 00:03 9527586278 ADVANCED ONSITE INC PAGE 05 Parcel number: System status: ®Compliant El Noncompliant (as determined by this form) Tank Integrity and.Safety Compliance — Compliance Inspection Form for Existing SSTS Compliance Issue #2 of 4 Date of observation: July 12,2010 Reason for observation: Property Transfer This form cxpirce on(three years): July 12, 2013 • Compliance questions/criteria: (Required) Verification Method"': (Optional) (Check the appropriate box) (Check the appropriate box) Does the system consist of a seepage pit', ❑Yes ® No ® Probed tank bottom cesspool, drywell, or leaching pit? - ❑ Observed low liquid level Do any sewage tank(s) leak below their 0 Yes ►;1 No designed operating depth? ❑ Examined construction records If yes, identify which Z Examined empty(pumped)tank sewage tank leaks. ❑ Probed outside tank for"black soil" Any'eyes"answer indicates that the system is failing to protect ground water. 0 Pressurehvacuum check 0 Other; Seepage pits meeting 7080.2550 may be compliant if allowed in ordinance by local permitting authority. No standard protocol exists. This list Is not exhaustive, in sequential order, nor does it indicate which combinations are necessary to make this determination. Safety Check 1. Are maintenance hale covers damaged,cracked,or appeared to be structurally unsound? ❑Yes* ® No 2, Were maintenance hole covers replaced in a secured manner(e.g..screws replaced)? ®Yes ❑ No* 3. Was secondary access restraint present(safety pan,second cover,or safety netting)—highly recommended. ❑Yes 0 No 4 Are other safety/health issue present? 0 Yes" ®No Explain: *System is an imminent threat to public health and safety. Certification This form ie to be completed and attached to the Summary Form of the Minnesota Pnliutlnn Control Agency's(MPCA) Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be completed by an inspector, maintainer,or service provider. Completed form must be submitted to the local unit of government within 16 days. Property owner name(s): Estate of Diana Gross (Attn: Rich Gross) Property address: 55 Wear Lane North Orono, MN. 55356 Property owner's address(if different): (Attn:Rich)721 Bridal Path Trail Hamel, MN. 55340 County: Hennepin Property owner phone: Rich:1612)865-8598 /hereby certify liwt I personally made the observations, interpretations, and conclusions reported on this form and that they are correct. Name: Thomas KlanchniK Certification number: R 5945 Business license name and ► •- Advanced OnSite, Inc. L 2656 or Name of local unit o - •- Signature: s _ Date: July 17_2010 wbwv.pca.state.mn.0 651-296-6300 • 800.657-3864 • TTY 651-282.5332 or 800-657-3864 • Available in alternative formats 07/18/2610 00: 03 9527586278 ADVANCED ONSITE INC PAGE 06 ••Parcel number: System status' 123 Compliant ❑ Noncompliant (as determined by this form) Soil Separation Compliance and Other Compliance - Compliance Inspection Form for Existing SSTS Compliance Issue #3 of 4 Date of observation: July 12, 2010 Reason for observation: Property Transfer This information on this form does not expire. Compliance questions/criteria: (Required) Verification Method": (Optional) (Check the appropriate box) - (Check the appropriate box) For systems built prior to April 1, 1996, and not ® Conducted soil observation(s) (attach boring logs) located in Shoreland or Wellhead Protection Area or not serving a food, beverage or ❑ Two previous Verifications(attach boring logs) lodging establishment: ❑ Other: Does the system nave at least a two-foot vertical separation distance from periodically — saturated soil or bedrock? ❑Yes ❑ No For non-performance systems built April 1, 1996,or later or for non-performance systems Soil observation does not expire. Previous observations located in Shoreland or Wellhead Protection by two inoependent parties are sufficient,unless site Areas or serving a food, beverage or lodging conditions have been altered. establishment: Does the system have a three-foot vertical separation distance from periodically saturated soil or bedrock?* ® Yes ❑ No For reduced separation distance systems(i.e., "performance"systems under old 7080.0179 or • Maybe reduced by up to 15 percent if allowed in local Type IV or V system under new 7080.2360 or ordinance. 7080.2400): "No standard protocol exists. This list is not exhaustive, Does the system meet the designed vertical in sequential order, nor does it indicate which separation distance from periodically saturated combinations am necessary to make this soil or bedrock?* • Yes 0 No determination. Any"no"answer indicates that the system is failing to protect ground water. Certification This form ie to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations, interpretations, and conclusions must be completed by an inspector or designer. Completed form must be submitted to the local unit of government within 15 days. Property owner name(s): Estate of Diana Gross (Attn: Rich Gross) Property address: 55 Wear Lane North Orono. MN 5535A Property owner's address (if different): (Attn:Rlch)721 Bridal Path Trail Hamel, MN. 55340 County: I lennepin Property owner phone: Rich; (612)866-8608 I hereby certify that I personally made the observations, Interpretations, and conclusions reported on this form and that they are correct. deName; Thomas Kranchnik Certification number R 5945 Business license name and .-biir: Advanced OnSite, Inc. L 2656 or Name of local unit of•ov: me • j Signature: .' Ala Date: July 17,2010 www.pca.state.mn.us • 651.296.6300 • 800.657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats , 07/18/2010 00:03 9527586278 ADVANCED ONSITE INC PAGE 07 ,rg-- P��` AD G�A.wLife Site Sketch: SKS '1£t • � . p:tk TAMS . - Q 1W°. . I ,„., //m T 6Z . I. � M W lip 1• 4-ti. a indieatc the Waelon ar: Well,well sethaek to fyiedni.dwelling or titer esrablishmen. sx:.k:sl xai I I-m=4m EvIten, wee soli treatrtee_nt ansa,etrai s drain. proparry lines,waterways.and buried lines (tau OT+' e.i t4 :m:s:4 Ar y nICFttdS sites and 10:1gQQt and appraaimose disjnees from Cucd re!erexs poems such as ec,_s s :•ne build:'“. Piea.ca aa!; mc- . built drawings,tnapt:n;(1n reports. 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