HomeMy WebLinkAbout12/07/2010 - S-P Testing S-P TESTING, INC. Steven B.Schirmers•MPCA Cert.No.627
951 Katydid Lane NE•St. Michael, MN 55376•(763)497-3566
FAX(763)497-5011
State License#394
December 7,2010
r
Bridget Hust ( 6,
820 S. Old Crystal Bay Rd.
Orono, Henn. Co., MN
A Compliance Inspection was completed for the existing on-site sewage treatment
system located on this property. The system consists of 2-1000 gallon septic tanks, 1-
1000 gallon pumping chamber&a pressurized mound system with a 10'x 58'rock bed
built in 1992. Soil boring#1 found mottled (redox features)at 1.7'below the ground
surface. Soil boring#3 found the original soil at elev.96.8&the bottom of the rock bed
at elev.98.6 leaving 1.8'of sand below the rock bed&a 3.5'separation from the bottom
of the rock bed&redox features. Soil boring#2 found mottled soil at 2.3'below the
ground surface. Soil boring#4 found the original soil at elev.97.0&the bottom of the
rock bed at elev.98.6 leaving 1.6'of sand below the rock bed&a 3.9'separation from
the bottom of the rock bed&redox features. This system is classified as in compliance
with Minnesota Chapter 7080 rules.
The tanks were pumped by Elmer J. Peterson Co. &were found to be compliant at this
time.
Nothing other than gray water(laundry,showers,etc.)human waste&toilet tissue
should be disposed of into the septic tanks. Garbage disposals are not recommended,
due to adding more solids&fine solids passing through to the system. Recommend to
divert iron filters out of the system, recommend to divert the water softner also if
diverting the iron filter. Excessive amounts of soaps,antibacterial soaps, cleaning
agents, shower cleaners used every shower&chlorine agents may kill the bacteria
needed to treat septic effluent. Additives are not recommended. Recommend to pump
&clean your tanks through the manhole by a certified pumper every 2 years. Check
with your pumper to set up a schedule.
This Certificate of Compliance is no guarantee that this system will continue to function
indefinitely.
Steven B.Schirmers
1
S-P TESTING, INC. Steven B. Schirmers•MPCA Cert.No.627
951 Katydid Lane NE•St. Michael, MN 55376•(763)497-3566
FAX•(763)497-5011
State License#394
LOGS OF SOIL BORINGS
Bridget Hust
820 S.Old Crystal Bay Rd.
Orono, Henn. Co., MN
Borings completed on 11-1-2010,with a hand bucket auger.
BORING NUMBER 1-Elev.98.9-MOTTLED SOIL AT 20"into the original soil-no standing
water present in boring.
0 - 20" Fill soil loam,clay loam&sand
20" - 34" Original soil dark brown loam 10YR 3/3
34" - 40" Gray brown clay loam 10YR 5/2
40" - 48" Gray brown clay loam 10YR 5/2-distinct mottles 10YR 7/1, 10YR 6/8
BORING NUMBER 2-Elev.97.0-MOTTLED SOIL AT 28"-no standing water present in the
boring.
0 - 16" Topsoil dark brown loam 10YR 3/3
16" - 24" Dark gray brown loam 10YR 4/2
24" - 28" Gray brown clay loam 10YR 512
28" - 32" Gray brown clay loam 10YR 6/2-distinct mottles 10YR 7/1, 10YR 6/8
32" - 42" Pale brown clay loam 10YR 6/3-distinct mottles 10YR 7/1, 10YR 6/8
BORING NUMBER 3-Elev.99.3-through the mound.
0 - 16" Fill soil loam&clay loam
16" - 30" Fill soil medium sand
30" - 36" Original soil dark brown loam 10YR 3/3
BORING NUMBER 4-Elev.99.7-through the mound.
0 - 20" Fill soil loam&clay loam
20" - 32" Fill soil medium sand
32" - 38" Original soil dark brown loam 10YR 3/3
•
Minnesota Pollution Compliance Inspection Form
Control Agency
Existing Subsurface Sewage Treatment Systems(SSTS) �
520 Lafayette Road North
5t.Paul,MN 55155-4194 Doc Type:Compliance end Enforcement
Instructions on page 6 •
Summary Form (Completed form must be submitted to the local unit of government within 15 days.)
Parcel number:
System status: ❑Compliant ❑Noncompliant For Local Tracking Purposes:
(based on all compliance requirements)
Property information
Property owner name(s): eit t vt s" H U Sl"' Property owner phone: 4,aos9-
Property address: 4,VO SO, Ot-^sz, G4•Ysbt n. 'SAS 'Po. C74.0)-10 •
Property owner address(if different):
•
County: 1444 RN%.A Permitting authority: (...y411 pc- o ).tO
Date system constructed: 5"`d-9Ti Reason for inspection: Prd4 G'( "kr-44-146'
System Description
Brief system description: a-)000 er i SelT41 i01111-r tooday.,I VII ko,17 4 S 1 4'1.10.111%, i 1o ><5II't2OL1L8op
Local permit number. Number of bedrooms: Li Design flow rate: L000
is the system:
In Shoreland area? 0 Yes •No In Wellhead Protection Area? 0 Yes ®No
An U.S.Environmental Protection System serving a Minnesota Department
Agency(EPA)Class V Injection Well?0 Yes ®No of Heath(MOH)licensed facility? ❑Yes 19]No
Compliance Status(Based on state requirements-additional local requirements may also apply.)
Based on the information gathered and reported on attached forms,the compliance status of this system is(check one):
®Certificate of Compliance-valid until(3 years from date of report):
0 Notice of Noncompliance-For Noncompliant systems:
The reason for noncompliance Is:
This noncompliant system is classified as(check one below):
0 imminent threat to public health&safety 0 Failing to protect ground water 0 Not in compliance with operating permit '
Certification
I hereby certify that all the necessary information has been gathered to determine the compliance status of this system.No
determination of Mum 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.
Name: 5/1.-OVA Certification number. (0 2,1
Business license name and number. 5 Q 4.6fr. 1' 11J C, 1 1 Q u-;qti pu*'7 to3-4' q-SSW,or
Name of local unit of government.
Signature: - y---
Date: ii-i4S-oZo)O
Required Attachments
Hydraulic Performance ®Tank Integrity 0 Operating Permit Form(If applicable)
®Soil Boring Logs ®Soil Separation
®System drawing/As-built drawing 0 Any local requirements that are different from what is required on this form
❑Other information(list):
Upgrade Requirements(derived from 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 Iwo 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 fonnats
wq-wwists4-31 • 4/24/09
Parr 1 of it
Parcel number: ' System status: R Compliant p ID Noncompliant
(as determined by this form)
Hydraulic Performance and Other Compliance—Compliance Inspection Form for Existing SSTS
Compliance Issue#1 of 4
Date of observation: i J--1-3.0)o Reason for observation: 'p-q {. -( Le,«,.
This form expires upon next inspection or In three years,whichever occurs first `f-
Compliance questions/criteria:
(Required) Verification Method*:(Optional)
(Check the appropriate box) (Check the appropriate box)
Does the system discharge sewage to the 0 Yes ®No
ground surface? IN Searched for surface outlet>.ro
Does the system discharge sewage to drain 0 Yes 0 No ❑ Performed hydraulic test
tile or surface waters? ® Searched for seeping in yard 140
Does the system cause sewage backup ❑Yes L No ❑ Checked for backup in home
Into dwelling or establishment?
is Excessive ponding in soil system/D-boxes 140
Do other situations exist that have the 0 Yes ®No
Potential to Immediately and adversely ❑ Homeowner testimony
impact or threaten public health or safety ❑ Examined for surging in tank
(electrical,unsafe covers,etc.)?
Any"yes"answer Indicates that the system Is an imminent ® °Black soil"above soil dispersal system 14r)
threat to public health and safety. ❑ System requires"emergency pumping
❑ Performed dye test
Does the system pose a threat to ground ❑Yes ■No
water for any conditions deemed non- 0 Other:
protective as determined by the inspector
"Yes"indicates that the system is failing to protect
ground water.If"yes",describe the condition noted:
No standard protocol exists.This list is not exhaustive,
in sequential order,nor does it indicate which
combinations are necessary to make this determination.
Certification
This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance
Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations,interpretations,and conclusions must be
completed by an inspector.Completed form must be submitted to the local unit of government within 15 days.
Property owner name(s): gq�gvp� 1'
Property address: cda O So. O\,q CAN 'Q+n. 410140
Property owner's address Of different);
County: j. 4„j Property ovmer phone: 9 5 2-99 S 'ZD4
I hereby certify that/personally made the observations,Interpretations,and conclusions reported on this form and that they are
correct.
Name: . r., Certification number: (oar)
Business license name and number: S-9�( -{t).�(4 WS C L 1 C, 3 q y 'VIA ')i3—'t' —S S tAn or
Name of local unit of government:
Signature: , - Date: I j—i%.9,(9)0
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 • 4/24/09
Page 2 of 8
Sep 01 11 10:OOa Elmer J.Peterson Co. 763-972-7217 p.2
Parcel number. p 0 Noncompliant
System status: Compliant
(as determined by this form)
Tank Integrity and Safety Compliance-Compliance Inspection Fomt for Existing SSTS
Compliance Issue#2 of 4
Date of observation: 8/25/10 Reason for observation: Point of Sale
This form expires on(three years): 8/25/13
Compliance questionsfcriteria:(Required) Verification Method"•:(Optional)
(Check the appropriate box) (Check the appropriate box)
Does the system consist of a seepage pit, i ❑Yes ®No
cesspool,drywe9,or leaching pit? ❑ Probed tank bottom
Do any sewage tank(s)leak below their ,❑Yes ®No ❑ Observed low liquid level
designed operating depth? 0 Examined construction records
If yes,identify which MI Examined empty(pumped)tank
sewage tank leaks. ❑ Probed outside tank for'black soir
Arty"yes"answer indicates that Ore system is failing to protect
ground water. El Pressure/vacuum check
❑ Other:
' Seepage pits meeting 70802550 may be compliant if allowed
in ordinance by local permitting authority.
"No standard protocol exists.This list la not exhaustive,in
sequential order,nor does k indicate which combinations
are necessary fo make this determination.
Safety Check
1. Are maintenance hole covers damaged,craclmd,or appeared to be structurally unsound? ❑Yes' ®No
2. Were maintenance hole covers replaced in a secured manner(e.g.,screws replaced)? a Yes 0 No"
3. Was secondary access restraint present(safety pan,second cover,or safely netting)-highly recommended. ❑Yes N I t]No
4. Are other safety/health issue present? 0 Yes" ®No
Explain:
"System is an Imminent threat to public health and safety_
Certification
This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance
Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations,interpretations,and conclusions must be
completed by an inspector,maintainer,or service provider.Completed form must be submitted to the local unit of government within
15 days.
Property owner name(s): Bridget Hust
Property address: 820 Old Crystal Bay Road S.Wayzata,MN 55391
Property owner's address(if different):
County: Hennepin Property owner phone: 952-475-2054
I hereby certify that t personally made the observations.interpretations,and conclusions reported On this form and that they ars
correct.
Name: James Braegeimann Certification number.
Business license name and number. Elmer J.Peterson Co. License#219 or
Name of I government
Signature: Date: 8/25/10
www.pca.state.mn.us • 651-296-6300 • 800657-3864 • TTY 651-282-5332 or 800-657-3864 • Mailable in alternative formats
wgwwr#s4-31 • 4/24109 POW 3 of 8
Sep 01 11 10:OOe Elmer J.Peterson Co. 763-972-7217 p.1
Tank Report
Date: August 25,2010
Eimer J. Peterson Co.
5921 Dague Ave.
Delano, MN 55328
Phone 763-972-2420
Fax 763-972-7217
MPCA License#219
Bridget Hust
820 Old Crystal Bay Road S
Wayzata,MN 55391
Baffles: CD/ OFF
Tank Capacity: 3-1000 Gallon Tanks
#of Tanks: 3
Type of Tanks: concrete
Gallons: 2500
Manholes to Grade: / NO
Comments:
On August 25,2010,Elmer J.Peterson Co.Pumped Tanks. No Cracks or Water Leaks 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.
License#219
Parcel number' System status: ®Compliant 0 Noncompliant
(as determined by this form)
Soil Separation Compliance and Other Compliance—Compliance Inspection Fom1 for Existing SST,
Compliance Issue#3 of 4
Date of observation: l 1-V- a olo Reason for observation:Q'lrgy(.+t
This information on this form does not expire.
Compliance questions/criteria:(Required) Verification Method**:(Optional)
Check the a•• 'tale box (Check the appropriate box)
For systems built prior to April 1,1996,and not
located in Shoreland or Wellhead Protection ® Conducted soil observation(s)(attach boring logs)
Area or not serving a food,beverage or ❑ Two previous verifications(attach boring logs)
lodging establishment:
❑ Other 3,S Rf 3 M tGRONa'()as.�
Does the system have at least a two-foot
vertical separation distance from periodically 'f 4 ? 1.75))446n-.. SAgf■»tyf
saturated soil or bedrock? Yes ■ No •
SpyL
For non-performance systems built April 1,
1996,or later or for non-performance systems
located in Shoreland or Wellhead Protection Soil observation does not expire.Previous observations
by two independent parties are sufficient,unless site
Areas or serving a food,beverage or lodging
establishment: conditions have been altered.
Does the system have a three-foot vertical
separation distance from periodically saturated
soil or bedrock?* ■Yes ■No
For reduced separation distance systems(i.e.,
"performance"systems under old 7080.0179 or * May be reduced by up to 15 percent if allowed in local
Type IV or V system under new 7080.2350 or ordinance.
7080.2400):
**No standard protocol exists.This list is not exhaustive,
Does the system meet the designed vertical in sequential order,nor does it indicate which
separation distance from periodically saturated combinations are necessary to make this •
soil or bedrock?* M Yes •No determination.
Any"no"answer indicates that the system Is falling to protect
ground water.
•
Certification
This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPGA)Compliance
Inspection Form for Existing Subsurface Sewage Treatment Systems.Observations,interpretations,and conclusions must be
completed by an Inspector or designer.Completed form must be submitted to the local unit of government within 15 days.
Property owner name(s): S3'.J o
Property address: 56 a0 So. OLp Clir4SKAL,SA4 ' o ) 0'10140
Property owners address(if different):
County: )4f4.11--\'02y y Property owner phone: 9 5'1.-4')5.- a o S4
I hereby certify that I personally made the observations,interpretations,and conclusions reported on this form and that they are
correct.
Name: S-1 -N.41..) Certification number: (oat)
Business license name and number: Cj-Q'e1iY.11,11, i#1P• 1<1G,*3`) Iv;w'to3-tri 9..$SI,(m or
Name of local unit of government:
Signature: �1 �i,,(._
Date: ll')1)•-•a(9)D
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
wq-wwlsts4-31 • 4/24/09
Paye 4of8
. ....1L4..37,Th
54,23
M
111)1,1
IC 16 Y Ys& t89i3 exid„
4,-. i
/7,” T.nKs w
voll7AC
fix; ^5/ .34 a �$NN=loF),v \ _0\ (ovt r
41 -
/ --.-(14j...1) ( s„.4.e4,...414),,,
O / / b f
/ ��i1o.11�1�
ra � yp
16-
t9 Par s:lotion Tests Scale=
.sl;, G'� 6aire9s
- B Mork
-n,;r.� ID
SA
rsol,•:1 Note_Tt;¢system's b be consln,cled to met
�G the fds+nesda P fluran Coc�iof A„''tsx7
- ,__ Chapter 7080 & Local Ordinance
fA e. /A0,410 kS Check all underground qts lilies
m. sew
513'3 '1'1.'S ow,bates 1,e'9t,.4 PROPERTY OP= I��C�
6c C. R4( 9�b,to t. I.�b�Sdrav • 0 O - ,,Ar.
3. t _ ._a_)- - OA
•
•
_ 4-`19.7 o�t\r..Eo ., 1q,0
Yo . ^oor w % nus, 1.1,'5M4c S-P TESTING C
a 1.9'3G�'s�0za.s_L •2 _
-9144,4
mgr: / .
p(r.e:11./L7/rLy.,PH 761-497-3566