HomeMy WebLinkAbout2018 - Compliance Inspection (sewage) Minnesota Pollution Compliance Inspection Form
Control Agency p
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55155-4194 (SSTS)
Doc Type:Compliance and Enforcement
Instructions: 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
System Status
System status on date(mm/dd/yyyy): 9/26/2018
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
D Tank Integrity(Compliance Component #2)—Failing to protect groundwater
❑Other Compliance Conditions(Compliance Component#3)—Failing to protect groundwater
0 Soil Separation(Compliance Component #4)—Failing to protect groundwater
❑Operating permit/monitoring plan requirements(Compliance Component #5)—Noncompliant
Property Information Parcel 1D#or Sec/Twp/Range: 2711823430014
Property address: 1925 West Farm Road,Orono, MN Reason for inspection: Property Transfer
Property owner: Jame Lesperance Owner's phone: 248-765-6863
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 550 square feet of mound rockbed.per city
Brief system description: records
Comments or recommendations:
There is 1.6 feet of sand under the rock bed.
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: Rust son's rc.Testing License number: 810
Inspector signature: Phone number: 763-498-8779
Necessary Locally Required Attachments
®Soil boring logs ®System/As-built drawing 0 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 • 1/24/12
Page 1 of 3
0
Property address: 1925 West Farm Road, Orono,MN Inspector initials/Date: J. O. 9/26/18
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
ground surface. ® Searched for seeping in yard/backup in home
System discharge sewage to drain tile ❑Yes ® No ❑ Excessive ponding in soil system/D boxes
or surface waters. ❑ Homeowner testimony(See Comments/Explanation)
System cause sewage backup0 "Black soil"above soil dispersal system
Y g into0 Yes ® No ❑ System requires"emergency'pumping
dwelling or establishment.
-- ❑ Performed dye test
Any"yes"answer above indicates the system is 0 Unable to verify(See Comments/Explanation)
an Imminent Threat to Public Health and Safety.
0 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, ❑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)
coin eliant if allowed in local ordinance.
❑ Observed liquid level below operating depth
Sewage tank(s)leak below their ❑Yes ® No ❑ Examined empty(pumped)tanks(s)
desi•ned o•eratin• de•th.
If yes,which sewage tank(s)leaks: 0 Probed outside tank(s)for"black soil"
❑ Unable to verify(See Comments/Explanation)
Any "yes"answer above indicates the
system is Failing to Protect Groundwater. ®Other methods not listed(See Comments/Explanation)
Comments/Explanation:
Elmer J Peterson pumped the tanks on 7/11/18 The baffels are in place and the tanks are operating at there normal level.
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑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:
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 • 1/24/12
Poge 2 of 3
Property address: 1925 West Farm Road, Orono, MN _ Inspector initials/Date: J. O. 9/26/18
4. Soil Separation-Compliance component#4 of 5
Date of installation: 6/12/86 0 Unknown Verification method(s):
Shoreland/Wellhead protection/Food Beverage ®Yes 0 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),no drainfield)
Drainfield has at least a two-foot vertical ❑ Unable to verify
separation distance from periodically (See Comments/Explanation)
saturated soil or bedrock. ❑ Other(See Comments/Explanation)
Non-performance systems built April 1, ®Yes 0 No Comments/Explanation:
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" 0 Yes ❑No Indicate de'ths of elevations
systems built under pre-2008 Rules;Type IV
or V systems built under 2008 Rules(7080. A. Bottom of distribution media 103.1
2350 or 7080.2400 (Advanced Inspector
License required) B. Periodicall saturated soilbedrock 100.1
Drainfield meets the designed vertical C. System separation 3.0
separation distance from periodically
saturated soil or bedrock.
D. Required compliance separation* 2.6
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? 0 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:
Have the Operating Permit requirements been met? ❑Yes ❑ No
b. Is the required nitrogen BMP in place and properly functioning? j ❑Yes 0 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 • 1/24/12
Page 3 of 3
Aug 24 1s U6;U4p Joseph Olson 763-498-8290
13,7
Lops or Soil Boeings
License#810
Location or Project: 1925 West Farm Road
Borings made by: Rusty Olson's Soil and Pert testing
Classification System: AASHO 8t
USOS•USDS-$ ;Other
X : Unified Other
Auger used(check two): Hand X , or Power ,Flight, Bucket or Probe
X�,
Boring Number_1 Surface elevation_101.5
0"-20"Dark brown loam 10yr3/2 Mottled Soil at ?C feet
20"-24"Brown loam 10yr4/4 H2O present atX
Boring Number_2 Surface elevation_98.8`
0-4"Loam fill Mottled Soil at_X feet
4"-12" Dark brown loam 10yr3/2 H2O present at X
12"-18"Brown loam 10yr4/4
18"-24"Brown loam 10y514
TSM:Top of lift station manhole cover Eiv:100.00 assumed
Original soil under the rockbed Elv.-101.5
Bottom of rock bed Elv.-103.1
There Is 1.6 feet of sand under the rockbed
Soil Observation Log
www.SepticResource.com vers 12.4
Owner Information
Property Owner/project: Jame lesperance Date 9/26/2018
Property Address/PID: 1925 West Farm Road
Soil Survey Information ❑refer to attached soil survey
Parent matl's: 2 Till ❑Outwash ❑ Lacustrine ❑Alluvium
❑Organic El Bedrock
landscape position: ❑Summit ❑Shoulder Q Side slope ❑Toe slope
soil survey map units: L36A slope % direction- Lineal
Soil Log#1
0 Boring 0 Pit Elevation 103.9 Depth to SHWT 42 inches
Depth(in) Texture fragment% matrix color redox color consistence grade shape
loose loose single grain
0-20 Fill <35 friable weak granular blocky
firm moderate prismatic platy
rigid strong massive
20-29 Topsoil <35 10yr3/2 Friable Moderate Blocky
29-32 Clay Loam <35 10yr4/3 Friable Strong Blocky
32-42 Clay Loam <35 10yr5/4 Friable Strong Blocky
42-54 Clay Loam <35 10yr5/4 10y4/8,1-6/10y Firm Moderate Blocky
Comments:
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