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Home My WebLink About04/2017 - Compliance Inspection Minnesota Pollution compliance Inspection Form Control Agency 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/ddlyyyy): 4/22/2017 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 0 Other Compliance Conditions(Compliance Component#3)—Imminent threat to public health and safety ❑Tank Integrity(Compliance Component #2)—Failing to protect groundwater 0 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 ID#or Sec/Twp/Range: 2611823410003 Property address: 1101 Willowbrook Drive.,Orono, MN Reason for inspection: Property Transfer Property owner: Lucia Delaney Owner's phone: 952-451-1799 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: 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 0 n's Soil&Pero.Testing License number: 810 Inspector signature: Phone number: 763-498-8779 Necessary Locally Required Attachments El Soil boring logs ►Z4 System/As-built drawing 0 Forms per local ordinance 0 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 a.,,. ! .s7 Property address: 1101 Willowbrook Drive.,Orono,MN Inspector initials/Date: J. 0.4/22117 1. Impact on Public Health-Compliance component#1 of 5 Compliance criteria: Verification method(s): System discharge sewage to the j LiYes Ej No ® Searched for surface outlet ground surface. ® Searched for seeping in yard/backup in home 0 Excessive ponding in soil system/D-boxes System discharge sewage to drain tile 0 Yes ®No 0 Homeowner testimony(See Comments/Explanation) or surface waters. System cause sewage backup into 0 Yes 0.14 No ❑ "Black soil"above soil dispersal system dwelling or establishment. ❑ System requires"emergency"pumping 0 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. ❑ 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, 0 Yes 0 No 0 Probed tank(s)bottom cesspool,drywell,or leaching pit. 0 Examined construction records Seepage pits meeting 7080.2550 may be 0 Examined Tank Integrity Form(Attach) compliant if allowed in local ordinance. 0 Observed liquid level below operating depth Sewage tank(s)leak below their 0 Yes 0 No 0 Examined empty(pumped)tanks(s) _designed operating depth. If yes,which sewage tank(s)leaks: i 0 Probed outside tank(s)for"black soil" ❑ Unable to verify(See Comments/Explanation) Any "yes"answer above indicates the ►�� Other methods not listed(See Comments/Explanation) system is Failing to Protect Groundwater. Comments/Explanation: Peterson Company pumped the tanks. 3. Other Compliance Conditions-Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. 0 Yes* ®No 0 Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. 0 Yee ®No 0 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 0 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 • 1124/12 Property address: 1101 Willowbrook Drive.,Orono,MN Inspector initials/Date: J.0.4/22/17 4. Soil Separation-Compliance component#4 of 5 Date of installation: 9/21/05 0 Unknown Verification method(s): Shorelandlwellhead protection/Food Beverage Km161. 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 requirements differ. For systems built prior to April 1, 1996, and 0 Yes ❑ No not located in Shore/and or Wellhead ® Conducted soil observation(s)(Attach boring logs) Protection Area or not serving a food, 0 Two previous verifications(Attach boring logs) beverage or lodging establishment: 0 Not applicable(Holding tank(s),no drainfield) Drainfield has at least a two-foot vertical 0 Unable to verify(See Comments/Explanation) separation distance from periodically ❑ Other(See Comments/Explanation) saturated soil or bedrock. Non-performance systems built April 1, 0 Yes 0 No Comments/Explanation: 1996, or later or for nonperformance systems located in Shore/and 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 0 No Indicate depths of elevations systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules(7080. A. Bottom of distribution media 99.3 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 96.5 Drainfield meets the designed vertical separation distance from periodically C. System separation 2.8 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 5i4 Not applicable Is the system operated under an Operating Permit? 0 Yes 0 No If"yes",A below is required Is the system required to employ a Nitrogen BMP? 0 Yes 0 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: ❑Yes ❑ No Have the Operating Permit requirements been met? b. Is the required nitrogen BMP in place and properly functioning? 0 Yes 0 No Any "no"answer indicates Noncompliance. Upgrade Requirements(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 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 Dn..., , ", Tank Report Date: April 18 2017 Elmer J.Peterson Co. 5921 Dague Ave. Delano,MN 55328 Phone 763-972-2420 Fax 763-972-7217 MPCA License#219 Lucia Delaney 1101 Willowbrook Drive Orono,MN 55391 952-451-1799 Baffles: ON OFF Tank Capacity: 3-1000 Gallon Tanks #of Tanks: 3 Type of Tanks: Concrete Gallons Pumped; 2500 Manholes w Grade: 4pl NO Comments: On April 18,2017,Elmer J.Peterson Co.pumped septic tanks. No cracks or water leaking in tanks at that time NOTE:This is only a tank report. This is not a compliance inspection for point of sale nor does it. replace a compliance inspection. • Property address: 1101 Willowbrook Drive Inspector initials/Dale: 4118/17 1. Impact on Public Health-Compliance component#1 of 5 _Compliance criteria: Verification method(s): System discharge sewage to the 0 Yes 0 No ❑ Searched fix surface outlet round surface. ❑ Searched for seeping in yardlbackuP in home System discharge sewage to drain tib ❑Yes 0 No 0 Excessive ponding in soil system/D-boxes or surface water. ❑ Homeowner testimony(See CormrentsiEspianation) System cause sewage backup into ❑yes ❑No 0 "Slack soir above SCA digs/arse'system dwelling or ee ewhment 0 System requires'emergency pumping Any"yes"answer above Ind chi atm the system Is 0 Pew dye test an Imminent Threat to Public Health and Safety. ❑ Unable to odty(See Comments/Explanation) 0 Other methods not listed(See CommenGyExAtarratlon) Comments/Explanation. 2. Tank Integrity—Compliance component#2 of 5 Compliance criteria: Verification metltod(a): System consists of a seepage Pit, ! 0 Yes ®No 0 Probed tank(s)bottom cesspool,drywall,or leeching pit. pitsSeepage meeting 7080.2550 they be ❑ Examined crortatruction records compliant it/Mowed in local onlMence. ❑ Examined Tank Integrity Forth(Mach) Sewage terhk(s)look below their ❑Yet ®No 0 Observed liquid level below operating depth ® designed 0 eratinst deuN►.. Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leeks: 0 Probed outside tanks)for'black soir Any ares"answer above Indicates the 0 Unable to verify(see comments xplanaaon) 0 Other methods not listed(see Cornmentt/Expiansson/ system is Falling to Prosect Groundwater. Comments/Explanation: On 4/18/17,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. 0 Yes* ❑No 0 Unknown b. Other issues(electrical hazards etc)to immediately and adversely impact public health or safety. 0 Yes' 0 No 0 Unknown "System is an Imminent threat topubac health and safety Explain: c. System is non-protective of ground water for other cot/Mons as determined by inspector 0 Yes' 0 No 'System Is falling toprotect groundwater Explain: WW•pca.state.mn.us - 651-296-6300 • 900-657.3964 • TTY 651-282-5332 or 800-657-3864 • Avaltabte in attemative formats wq-wwists4.3/ • 1/24117 Page 2of3 • Soil Observation Log www.SepticResource.com vers 12.4 Owner Information Property Owner/project: Lucia Delaney Date 4/20/2017 Property Address/PID: 1101 Willowbrook Drive Soil Survey Information E refer to attached soil survey Parent mail's: 0 Till ❑Outwash ❑ Lacustrine E Alluvium ❑Organic ❑ Bedrock landscape position: ❑ Summit ❑Shoulder Q Side slope ❑Toe slope soil survey map units: L22D2 slope % direction- Lineal Soil Log#1 E Boring ❑ Pit Elevation 98.2 Depth to SHWT 22 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-6 Topsoil <35 10yr3/2 Loose Loose Single grain 6-16 Loam <35 10yr4/3 Friable Strong Blocky 16-22 Clay Loam <35 10yr5/4 Firm Strong Blocky 22-28 Clay Loam <35 10yr5/4 10y4/8,1-6110y Firm Strong Prismatic <35 loose loose single grain 35 -50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive Comments: TBM top of lift station manhole cover 1101 Willowbrook Drive Soil Log#2 1E Boring ❑ Pit Elevation 101.0 Depth to SHWT 46 Inches Depth(in) Texture fragment% matrix color redox color consistence grade shape 0-22 Fill <35 Loose Loose Single grain 22-28 Topsoil <35 10yr3/2 Loose Loose Single grain 28-46 Loam <35 10yr4/3 Friable Strong Blocky <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive 1101 Willowbrook Drive Soil Log#3 Q Boring E Pit Elevation Depth to SHWT Depth(in) Texture fragment% matrix color redox color consistence grade shape <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive I hereby ce f'this work was completed in accordance with MN 7080 and any local req's. 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