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HomeMy WebLinkAbout03-10-15 Septic Compliance Form03/13/2015 12:21 9528733112 A011Wil Minnesota Pollution Control Agency 520 Lafa" Road North St. Paul, MN 551554194 PAGE 01/03 Compliance Inspection Farm Existing Subsurface Sewage Treatment Systeme (SSTS) DOC Type. Compliance and Enforcement Inspection results based on Minnesota Pollution Control Agency (MPCA) For local track;ng purposes: requirements and attached forms — additional locai requirements may also apply, Submit completed form to Local Unit of Government (LUG) and system owner ����� 3 Za pJ within 15 days CITY Q F ORONO System Status System status on date (mmlddiyyyy): 3/10/2015 ❑ Compliant — Certificate of compliance (Valid for 3 year.5 from report date, unless shorter time frame outlined in Local Ordinance,) ® Noncompliant — Notice of Noncompliance (Sea Upgrade Requirements on page 3.) Reason(s) for noncompliance (check By applicable) El impact on Public Health (Compliance Component #9) — 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) — l=ailing to protect groundwater © Other Compliance Conditions (Compliance Component #3) -- Failing to protect groundwater N Soil Separation (Compliance Component #4) — Failing to protect groundwater ❑ Operating permiVrnonitoring plan requirements (Compliance Component #5) — Noncomnliant Property Information Parcel Ito# or Sec/Twp/Range: Property address: 1145 Wyndmere Road - Orono Property owner: Steve Gill or Owner's representative: Local regulatory authority: City Reason for inspection; Sale Owners phone: 952-258-0470 Representative phone: _ Regulatory authority phone: _ Brief system description: 1250 & I-000 septic with a 1250 pump tank - elevated split rock trench drainfield Comments or recommendations: - - Top drop box on one of the drainflelds is broken 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: Josh Swedlund Certification number: C1659 Business name: Swedlurid Septic Se ' e License number, 2502 Inspector signature; L _ Phone number; 952.873-3292 Necessary or 1-61ly Required Attachments ® Soil boring logs IT System/As-built drawing ® Forms per local ordinance ❑ Other informatlon (list): WWW. pca.state. mn.us . 651-296.6300 . 800.657.3864 TTY 651.282.5332 or 800-657 wq-wwists4-31 - 3116112 3864 Available in altemdCiwe formats Page t of 3 03/13/2015 12:21 9528733112 Property address: 1145 Wyndmere Road - Orono 4. Soil Separation — Compliance c Date of Installation: 6/1/1984 (mm4dd wo Shoreland/Wellhead protectionlrood beverage lodging? Compliance criteria: For systems built prior to April 1, 1996, and 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, 9996, orlaterorfornon performance systems /coated 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" systems built under pre -2008 Rules, Type IV or V systems built under 2008 Rules (7080. 2350 or 708o,2400 (Advanced Inspector License required) ,mponent #4 of 5 [2 Unknown ❑ Yes No L_] Yes ® No - ❑ Yes ONO ❑ Yes C No 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, 5. Operating Permit and Nitrogen BMP* — Com Is the system operated under an Operating Permit? Is the system required to employ a Nitrogen BMP? PAGE 02/03 inspector initials/Date: JS ±2/j (mM1dd4Wy) 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) El Not applicable (Holding tank(s), no drainfreld) ❑ unable to verify (See Comments/6xpianation) © Other (See CommentsICxplanation) Comments/Explanation- Boring, 1-22" 10YR 4/4 Loam 23-30" 10YR 2/2 Clay Loam Heavy Mottles Q 24" Indicate depths or elevations A. Bottom of distribution media 24„ B. Periodica 24" Ll u, rtUuwreo compuart010 separation* 1 24" "May be reduced up to 15 percent if allowed by Local Ordinance, ante component #5 of 5 ® Not ani ❑ Yes ❑ No If "yes", A below is required Q Yes n No If "fres", B below is required ,BMP = Best Management Practice(s) specified in the system design If the answer to both questions is ono'; 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 proper functioning? Yes ©No Any "no" answer indicates Noncompliance. Upgrade RegUirements (Minn, Stat. § 115.55) An imminent throat to public health and safety (iTPHS) must be upgraded, replaced, orits use discontinued within ten months of receipt of this notice or within a &hOrter period if required by local ordinance. If the system is failing to protect ground water, 1he system must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If an exlsting system is not failing as defined in law, and has at least two feet Of design soil separation, then the systam need not be upgraded, repaired, replaced, or its use discentlnued, notwithstanding any locat ordinance Met Is more sMet. This provision does not apply to systems in s Mp&and areas, Wellhead Protection Areas, Or those used in connection with food, beverage, and lodging establishments as defined in law. www.pca.state.mn.us 651.296.6300'60-657-3864 TTY 651 282.5332 or 800 657.3864 wq-wWfst94.31 . 3116112 * Available in altemdtive formats Page 3 of 3 03/13/2015 12:21 9528733112 /2015 09;27 9522494616 CITY OF ORoNQ PAGE 03/03 PAGE 02/02 N 13 0-f- �I ��- V� i'�.s � � r At T, 0 -6--T7 13 0-f- �I ��- V� i'�.s � � r At