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Home My WebLink About2016 - MPCA compliance inspection form Jun 05 2C 6 09:30AM HP FaxRusty Olson 7634988290 page 2 441 Minnesota Pollution Compliance Inspection Form Control Agency P P 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St.Paul,MN 55155-4194 (SSTS) Doc Typo:Compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) : For local trfiltt v ED requirements and attached forms-additional local requirements may also apply. 1+G1 v Submit completed form to Local Unit of Government(LUG)and system owner JUN n 6 ?016 within 15 days - System Status CITY OF ORONO System status on date(mmldd/yyyy): 5/31/2016 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: 33-118-23-34-0013 Property address: 155 Wear Lane.,Orono,MN Reason for inspection: Property Transfer Property owner: Catherine Wersal Owner's phone: -612-597-6661 or Owner's representative: Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 2-1000 gallon septic tanks,1-1000 gallon lift station and 500 square feet of mound rockbed. per city Brief system description: records 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: Joseph J Olson Certification number: 1255 Business name: Rusty Olson's Soil&Perc,Testing License number: 810 Inspector signature: ;r�'"� � Phone number: 763-496-8779 Necessary dr Locally Required Attachments El Soil boring logs ®System/As-built drawing El Forms per local ordinance ❑ Other information(list): www.pca.s:ate.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 Page 1 of 3 Jun 05 2016 09:30AM HP FaxRusty Olson 7634988290 page 3 Property address: 155 Wear Lane., Orono, MN Inspector initials/Date: J. 0. 5/31/16 1. Impact on Public Health-Compliance component#1 of 5 Compliance criteria: Verification method(s): System discharge sewage to the El Yes ® No ® Searched for surface outlet ground surface. ® Searched for seeping in yard/backup in home System discharge sewage to drain tile ❑ Yes ® No CI Excessive ponding in soil system/D-boxes or surface waters. ❑ Homeowner testimony(See Comments/Explanation) ❑ "Black soil"above soil dispersal system System cause sewage backup into ❑Yes ® No 11 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. 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, Cl Yes ® No ® Probed tank(s)bottom cesspool,drywall,or leaching pit. ® Examined construction records Seepage pits meeting 7080.2550 may be ❑ 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 designed operating depth. ElExamined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks j ❑ Probed outside tank(s) for"black soil" Any "yes"answer above indicates the 11] Unable to verify(See Comments/Explanation) system is Failing to Protect Groundwater. El Other 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 structurally unsound. ❑Yes* ®No ❑ 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: c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes" ®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-wwists4-31 • 1/24/12 Page2of3 Jun 05 2016 09:30AM HP FaxRusty Olson 7634988290 page 4 Properly address: 155 Wear Lane., Orono, MN _ Inspector initials/Date: J. O.5/31/16 4. Soil Separation-Compliance component#4 of 5 Date of installation: 10/20/93 ❑ Unknown Verification method(s): Shoreland/Wellhead protection/Food Beverage 0 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 For systems built prior to April 1, 1996, and ®Yes ❑No requirements differ. not located in Shore/and or Wellhead ® Conducted soil observation(s)(Attach boring logs) Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs) beverage or lodging establishment: ❑ Not applicable(Holding tank(s),nc drainfield) Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation) separation distance from periodically saturated soil or bedrock. 10Other(See Comments/Explanabon) 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, o'rlodging establishment: Drainfeld has a three-foot vertical separation distance from periodically saturated soil or bedrock.* "Experimental' "Other, or 'Performance" ❑Yes ❑ No Indicate depths of elevations systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules(7'080. A. Bottom of distribution media _j 106.0 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 103.2 Drainfield meets the designed vertical C. System separation 2.8 separation distance from periodically saturated soil or bedrock. D. Required compliance separation' 2.0 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 Practices)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: Have the Operating Permit requirements been met? ,❑ Yes ❑ No 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 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`ailing as defined in law,and has at feast 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 800.6573864 • Available in alternative formats wq-wwists4.31 • 1124/12 Page 3 of 3 Jun 135 2016 09:30AM HP FaxRusty Olson 7634988290 page 5 A)eafr--- hr), 1 1 • AsitI. • •" • g to 31`3 ,2613 • Tam 371 30. fiml-1 SYS 461 . I weli • • Jun 05 2016 09:30AM HP FaxRusty Olson 7634988290 page 6 Logs of Soil Borings License#810 Location or Project: 155 Wear Lane Borings made by: Rusty Olson's Soil and Pert testing 5/31/2016 • Classification System: AASHO ; USDS-USDS-SCS X ; Unified ; Other Auger used (check two): Hand_X ,or Power_, Flight, Bucket or Probe,X__ Boring Number_1_Surface elevation_102.8 Mottled Soil at_1.8 feet 0"-4" Dark brown loam 10yr4/2 H2O present at_X_ 4"-22" Brown clay loam 10yr5/4 22"-28" Rusty brown clay loam 10yr5/4 Boring Number_2•__Surface elevation_106.4Mottled Soil at_2.0_feet 0"-4" Dark brown loam 10yr4/2 H2O present at_X__ 4"-16" Brown clay loam 10yr5/4 16"-24" Brown loam 10yr5/3 TBM: Top of existing lift station manhole cover Elv.-100.00 assumed Original grade under the rockbed Elv.-105.0 Bottom of rock bed EIV.-106.0