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Home My WebLink About02-06-2020 Septic Compliance InspectionOA Minnesota Pollution Compliance Inspection Form Control Agency Control 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 System Status System status on date (mm/dd/yyyy): 2/6/2020 ® 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 permittmonitoring plan requirements (Compliance Component #5) — Noncompliant Property Information Parcel ID# or Sec/Twp/Range: Property address: 515 Ferndale Road North, Orono Reason for inspection: Sale Property owner: Clark Gassen Owner's phone: 612-720-0456 or Owner's representative: Local regulatory authority: Of Representative phone: Regulatory authority phone: Brief system description: 2 -1500 gal septic & 1500 gal pump tank with a mound system. large effluent filter in 2n° tank Comments or recommendations: Certification 1 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 SwedlundCertification number: C1659 Business name: Sewer Servi c.41 License number: 2502 Inspector signature: Phone number: 952-873-3292 Necessary or Locall 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-ww1sts4-31 • 3116112 Page 1 of 3 Property address: 515 Ferndale Road North, Orono Inspector initials/Date: JS 1 2/6/2020 (mm/dd/yyyy) 1. Impact on Public Health - Compliance component #1 of 5 System discharges sewage to the I ❑ Yes ® No discharges sewage to drain I ❑ Yes ® No System causes sewage backup into ❑ Yes ® No dwelling or establishment. Any "yes" answer above indicates the system is an imminent threat to public health and safety. Com ments/Explanation: 2. Tank Integrity— Compliance component #2 of 5 System consists of a seepage pit, ❑ Yes ® No cesspool, drywell, or leaching pit. 7080.2550 may be Sewage tank(s) leak below their ❑ Yes ® No designed operating depth. If yes, which sewage tank(s) leaks: Any "yes" answer above indicates the system is failing to protect groundwater. Com ments/Explanation: 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 Commenta/Explanation) ❑ 'Black soil' above soil dispersal system ❑ System requires "emergency" pumping ❑ Performed dye test ❑ Unable to verify (See CommentsrExplanation) ❑ Other methods not listed (See CommentsrExplanation) 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 CommentsrExplanation) ❑ Other methods not listed (See CommentsrExplanation) 3. Other Compliance Conditions — Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to be 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 failing to protect groundwater. Explain: www.pca.state.mn.us wq-wwlsts4-31 • 3/16/12 651-296-6300 800-657-3864 TTY 651-282.5332 or 800-657-3864 • Available in alternative formats Page 2 of 3 Property address: 515 Ferndale Road North, Orono Inspector initials/Date: JS 1 2/6/2020 (mm/ddyyyy) 4. Soil Separation — Compliance component #4 of 5 Date of installation: 6/30/2010 ❑ Unknown (mm/dd/yyyy) Shoreland/Wellhead protection/Food beverage ❑ Yes ® No lodging? For systems built prior to April 1, 1996, and ❑ Yes ❑ No 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 saturated soil or bedrock. Non-performance systems built April 1, ® Yes ❑ No 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" ❑ Yes ❑ No 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. Any "no" answer above indicates the system is failing to protect groundwater. 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 CommentsrExplanation) Com ments/Explanation: Boring: 1-11" 10yr4/4loam 12-20" 10yr 4/6 clay loam Redox @ 18" Indicate depths or elevations A. Bottom of distribution media 211.+ B. Periodically saturated soil/bedrock 18" C. System separation 39" D. Required compliance separation* 36" *May be reduced up to 15 percent if allowed by Local 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 Prectice(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 Ooeratina Permit reauirements been met? ❑Yes El 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 • 3116112 Page 3 of 3 Swedlund Septic Services, Inc.. 25648 — 200!1 Street • Belle Plaine, MN 56011 952-873-3292 rr 1 jj ff Josh J. Swedlund Lic. #2502 Date: � tP A IV pyo I tQ o° OD o is tlD� �5\ DJ -, J