The URL can be used to link to this page

Home My WebLink About08-19-19 Septic Compliance ReportMinnesota Pollution Compliance Inspection Form Control Agency 520 Lafayette 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): 8/19/2019 ® Compliant — Certificate of Compliance (Valid for 3 years from report date, unless shorter time frame outlined in Local Ordinance.) Reason(s) for noncompliance (check all applicable) ❑ Noncompliant — Notice of Noncompliance (See Upgrade Requirements on page 3.) ❑ 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: 0411723430014 Property address: 2770 Rainey Road, Wayzata, MN 55391 Reason for inspection: Property Transfer Property owner: Richard W or Owner's representative: Local regulatory authority of Orono Owner's phone: Representative phone: Regulatory authority phone: 952-249-4600 (2) 1000 gallon pre -cast septic tank, (1) 100 gallon pre -cast pump, and a 10x60 Rock bed with 12 Brief system description: inches of sand under rock. Comments or recommendations: Septic tanks we're pumped at the time of inspection and a camera was used to verify the tanks. 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: Pernel "Chip" Hentges Certification number: Business name: Ch6s_S_e_p1Xqervices LLC License number: Inspector signature: Phone number: Necessary or Locally Required Attachments ® Soil boring logs ® System/As-built drawing ❑ Other information (list): 2064 952-200-3176 ❑ Forms per local ordinance 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 1 of 3 Property address: 2770 Rainey Road, Wayzata, MN 55391 Inspector initials/Date: 8/19/2019 (mm/dd/yyyy) 1. Impact on Public Health — Compliance component #1 of 5 Hance criteria: System discharges sewage to the ❑ Yes ® No ground surface. System discharges sewage to drain ❑ Yes ® No tile or surface waters. 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. Comments/Explanation: Ran pump to determine hydrolic loading 2. Tank Integrity — Compliance component #2 of 5 Compliance criteria: System consists of a seepage pit, ❑ Yes ® No cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. 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. 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 Comments/Explanation) ❑ 'Black soil' above soil dispersal system ❑ System requires "emergency" pumping ❑ Performed dye test ❑ Unable to verify (See Comments/Explanation) ❑ Other methods not listed (See Comments/Explanation) 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 Comments/Explanation) ® Other methods not listed (See Comments/Explanation) Comments/Explanation: Tanks were pumped at the time of inspection. Camera was used to verify inside of tanks. 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 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 3116112 Page 2 of 3 Property address: 2770 Rainey Road, Wayzata, MN 55391 Inspector initials/Date: f�'l 8/19/2019 (mm/dd/yyyy) 4. Soil Separation — Compliance component #4 of 5 Date of installation: 1989 _ ❑ Unknown Verification method(s): (mm/dd/yyyy) ShorelandNVelIhead protection/Food beverage ❑ Yes ® No lodging? Compliance criteria: 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, 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.* 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 CommentslExplanation) ❑ Yes ❑ No Comments/Explanation: 12 inches of sand under rockbed "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. Indicate depths or elevations A. Bottom of distribution media 12 inches of sand B. Periodically saturated soil/bedrock 20 inches C. System separation 32 inches D. Required compliance separation* 21 inches "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 Practice(s) specified in the system design If the answer to both questions is "no", this section does not need to be completed. Com liance criteria a. Operating Permit number: Have the Operating Permit requirements been met? b. Is the required nitrogen BMP in place and properly 1 Any "no" answer indicates Noncompliance. ❑ Yes ❑ No Yes L -I No 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 Is,e [.v ZSfi zs,�, ss«I .oau•waa�� otoswu9, owvwM 5 �mry 9S{SS rvry ?Nv1 �N� 3AISa M311M KN- samNV'Id ax, 'SNOASAUS aNY'I 'SUMNNIONS U. t -11-1l FennS G�'vo.swai� Ai�p o twov�•Inyi nn� --- t neon .o E _ � �c 1�, ® 4 X 04 u 8 A ° a IC -1 1 E E `€ En - z 0�.I xz F co W N W - 00,9l Z 3 ,AO ,OOa00 S o s x F•-1 4f vLA -------------------- ---------- ------------------ J I I ------ -i a a � 9 . �. _----_—_---_I I II t I '---- GL 99V 3 „00,00.00 IN �8 ON Q2i '00 Qvom lkvg zvss�kmo alo Septic Tank Pumping / Maintenance Owner Information Date: a//n / /o Owner: Phone#: Property address: Owners address: (if different) 2770 1& -1 !�f zr—A 1'"A4 Tank Information Reason for Pumping: L-' compliance inspection ❑ holding tank ❑ maintenance Method of access: �anholes ❑ inspection pipe (holding tanks only) (owner signature req'd if refusing to allow pumping through maintenance hole) Condition of tanks: filter cleaned: Yes baffles good: Yes alarm working: es No n/a n/a n/a Tank leakage obs ed: above operating depth: Yes o (repairs recommended) below operating depth: Yes (failing to protect groundwater) Gallons removed: # 1 1(y)() #2 j 0 pry #3 #4 pump tank total z-Zj U Disposal method: municipal x/ location: land apply ❑ location: Safety concerns: Recommended repairs: Comments: /Ju,...k.i e�^�., 3 lrzva I hereby certify that 1 have completed this work in accordance with MN 7083.0770 and any local requirements. N,�: '�ationorntee offuture system performance has been nor can be made. Chip's Septic Service, LLC SSTS License Maintainer signature 16762 Babcock Avenue #2064 Lester Prairie, MN. 55354 (952)200-3176 2770 %ctie. j Depth (in) Texture 6-b 1v.XM Z7— Depth (in) rim NO z7- 1 0 (]1�, o Soil Log # ❑ Pit Elevation fragment % matrix color <35 loose <35 35-50 friable >50 0l2 z// <35 >50 I 0 ze Z -/i 35-50 >50 rigid <35 massive � loose <35 single grain 35-50 >50 >50/Z granular blocky firm <35 <35 rigid 35-50 >50 massive G�- >50 3�Z <35 friable <35 35-50 firm >50 y/ t �1 J� Soil ELBortfig' ❑ Pit Elevation Texture fragment % matrix color loose <35 single grain friable 35-50 granular blocky l�c•� >50 I 0 ze Z -/i rigid <35 massive loose 35-50 single grain L >50/Z granular blocky firm <35 prismatic platy rigid 35-50 massive G�- >50 3�Z friable <35 granular blocky firm 35-50 >50 y/ t �1 J� rigid <35 massive loose 35 -50 single grain friable >50 granular blocky Depth to SHWT ZZ redox color consistence grade shape loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive loose loose single grain friable weak granular blocky fine moderate prismatic platy massive Cr•- rigid strong loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive Ag #'Z Depth to SHWT zq redox color consistence grade shape loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive loose loose single grain friable weak granular blocky firm moderate prismatic platy rigid strong massive 1 hereby certify this work was completed in accordance with MN 7080 and any local reqs. Chip's Septic Services 2064 Designer Signature Company License #